CRA20140069_Miller.pdfOV, Lt)41
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0"INDS
|2l5TH AVENUE NORTH '[IJMOND8 WA 98020
C A 11" 1 IL E #:C F"2'A 2 014 0 0 6 9
The Critical Areas Checklist contained onthis form iotobefilled out byany person preparing aDevelopment 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 obeemaiona of
the site or data ovei|nb|e at City Hall (Critical ameo inxontohea, mmpa, or soil surveys).
By submitting this online oppicoUon. the applicant/owner grants permission for the public officals and staff of the City of
Edmonds tmenter the subject property for the purposes of inspection and posting attendant to this application.
QWNER-
CHARLES CAMPBELL
1. SiteAddmoo/LocaVnn:no1mu21momSVV
2. Property Tam Account Number: 00593a00000106
a. Approximate Site Size (acres msquare reoV: 28�oru�
4. mthis site currently developed? vea
Vyes; how issite developed? m|nn|rfomnyhoiInm
5. Describe the general site topography. Check all that apply:
APPLICANT: '
SARAH MILLER
75i0221STPL. SW
EOK8ONDS, WA 98020
mo Flat: less than s-foa elevation change over entire site.
rsm noIli nQ:olopes "nom,generally les othan 1o%<avertical rise m10-fov over axmizvmaldistance m*n-fovV.
w�
Hilly: slopes pmoontvnab:mmore than 1s%and les athan au%(overtical ,is em1o'reetover aov,izonm|distance maaw
oo~mo0.
mo Steep: grades of greater than 30% present on site (a vertical rise of 10 -feet over a horizontal distance of less than 33 -feet).
mo
Other (please oexo'|ue):
a Site contains areas myear-round standing water: mo Approximate Depth:
7. Site contains areas of seasonal standing water: �vh) Approximate Depth:
What seasvn(Nofthe year?
n. Site ismoflovuway? mo
Site is in a floodplain? �,K)
u Site contains acreek man area where water flows across the grounds surface? rJO
Flows are year-round? NK'� Flows are seasonal? 'JCi What time of year?
10. Site is primarily: urumn Lenu�,,cmpmu (t,'A*n. �omhn. W,(')
I MINE 1; 1�11113� 11
Plan Check Number, if applicable?
Site is Zoned?
SCS mapped soil type(s)?
Critical Areas inventory or C.A. map
indicates Critical Area on site?
Site within designated earth subsidence
landslide hazard area? IV 9