CRA20040016.PDFGRAllOp4eLn6
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City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received: 11�/44/
City Receipt #: 19445�
Critical Areas File #:
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant:
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and submit it
to the City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
specific piece of property described on this form. In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to le this application =.DATE
er as listed below.
SIGNATURE OF APPLICANT/AGENT
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and thest3ff of the City of Ed nds to enter the subject property for the
Purposes of inspection andtpgsting atlendgnt tp, this appon.
SIGNATURE OF OWNER
Owner/Applicant:
t*1 , ► , _ --f__
Name
Icy - 25 D4ems/
Street Address
,s 980
1) its.-2
City State u Zip
Telephone: �--7�/5- / 7 5 "/ / l
Email address (optional):
,1 DATE C/
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email Address (optional):
Critical Areas Checklist.doc/4.22.2003
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location:
CA File No: 0 `—
Uto
5131 0M 001
S
2. Property Tax Account Number: cqC�) _ rJ l 31(J 2 9 o o i oo j o 7 l
3. Approximate Site Size (acres or square feet): ? J" moo c5CQ I—/-
4. Is this site currently.developed? ✓ yes; no. 1&L)-St', U,9/ -U
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
karL?. Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet
over a horizontal distance of 33 to 66-feet).
1 W Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).
Other (please describe): _
6. Site contains areas of year-round standing water: N Q ; Approx. Depth: _
7. Site contains areas of seasonal standing water: _� ; Approx. Depth: _
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
CO Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ;shrubs ; mixed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site:
For City Staff Use Only
1. Plan Check Number, if applicable? �—eq,
2. Site is Zoned?
3. SCS mapped soil type(s)? A LDr�-) O D 6n ✓ -4!*D `e LOA H e S z S % ? 5 - 7 0 . m j
4. Critical Areas inventory or C.A. map indicates Critical Area on site? 6L-o FeZ-.,,
5. Site within designated earth subsidence landslide hazard area? 7
DETERMINATION
STUDY REQUIRED
Reviewed bv:
WAIVER
Critical Areas Checklist.doc/4.22.2003
City of Edmonds
Critical Areas Determination
Applicant: Gilbert & Janet Thiry Determination #: CA-04-16
Project Name: Permit Number:
Site Location: 15810 75" Pl. W. Property Tax Acct #: 00-513102900100
Project Description:
non -project specific
A site inspection of the property reveals a lot developed with a single family residence. The
eastern portion of the lot is gently sloping while the western portion of the property slopes down
steeply to the railroad bed. The steep bank on this part of the property appears to slope
downward at a rate grater than 40% with a elevation difference of over 20-feet.
Based on the above findings, it is determined that there may be a steep slope critical area on the
site. In this case, a Critical Areas Study is required to delineate the top and toe of the slope,
document the inclination of that slope and determine the buffers and setbacks for this Steep
Slope Area. For a Steep Slope Critical Area, which is defined as any area with a slope over 40%
and a vertical rise of over 20 feet, the required Critical Areas Study must be topographic survey
completed by a licensed surveyor. The survey must locate the top and the toe of the slope. A
50 foot buffer is required from the top of the slope and a 15 foot building setback from that
buffer. The 50 foot buffer can be reduced down to a minimum of 10 feet upon the review of a
Geotechnical engineer who will certify that no additional potential for soil movement will occur
with a reduction of the 50 foot buffer.
If the property owner wishes to apply for a specific development permit which they feel would
not impact the Critical Areas located on the site, they may submit their proposal to the Planning
Department for review. If the Planning Department finds that the proposed development permit
will not adversely impact a Critical Areas orV
uffers, a conditional waiver may be issued on a
project by project basis. A// A
Steve Bullock April 5, 2004
Name Si_24ture Date
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