CRA20130126 Smith.pdfIII Y OF EDMONDS
l2\5TH AVENUE NORTH -CDMONDS,\YA98020
(,"A FHLJE#:GRA201X126
The Critical Areas Checklist contained on this form is to be filled out byany person preparing e 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 nmmp|eha the Checklist should be easily available from
observations of the site or data available at City Hall (Critical areas inventories, maps, or soil surveys).
By submitting this online epp|ioaUon, the applicant/owner grants permission for the public offine|a and staff of the City of
Edmonds to enter the subject property for the purposes of inspection and posting attendant to this application.
OWNER:`���'�' �`/ ,� r�,��`w��'.`^'��'
PATRICIA SMITH PATRICIA SMITH
1992580THPLVV 1092580THPLVV
EON1UNDS.VVA 98026-6407 EOW1OND8.VVA 08028-8407
IIIIIII i 1111111111111111111111111111111 11111111 1111111 111111111111
51 '11
1. Site Address /LnnaUvn /9e2580fl iPaceVv
x. Property Tax Account Number: oomma300000emo
a. Approximate Site Size (acres ursquare me0:,/aAmes
*. |othis site currently developed? YES
If yes; how iosite developed? xome
5. Describe the general site topography. Check all that apply:
NO Flat: less than s*mtelevation change over entire site.
YES Rolling: slopes vnsite generally less than 1om(avertical rise m10-feetover ahorizontal distance mas-fee0.
No 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).
NO Steep: grades of greater than 30% present on site (a vertical rise of 1 0 -feet over a horizontal distance of less than 33 -feet).
mo Other (please ooeonue):
s. Site contains areas myear-round standing water: NO Approximate Depth:
7. Site contains areas mseasonal standing water: mo Approximate Depth:
What ouamvn(s)vrthe year?
n. Site ininaovvdway?mo
Site |oinafloodplain? wo
o. Site contains ocreek o,unarea where water flows across the grounds surface? I
Flows are yomr-munu? 1140 Flows are seasonal? mu What time v,year?
10. Site isprimarily: U~hon Landscaped (|awn.exmbs' utc..)
i1. Obvious wetland |opresent vnsite: mo
Plan Check Number, if applicable?
Site is Zoned?
SCS mapped soil type(s)? o—o 6 (,v\ alr
Critical Areas inventory or C.A. map
indicates Critical Area on site?
Site within designated earth subsidence
landslide hazard area?
SITE DETERMINATION,
STUDY REQUIRED WAIV R
Reviewed by: 41 l4' Date: I(
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