Newman CRA20130112.pdf0y_ LQ44
G n EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
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°;': A Il IR I E its" C R A201 30,112
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).
By submitting this online application, the applicant/owner grants permission for the public officals and staff of the City of
Edmonds to enter the subject property for the purposes of inspection and posting attendant to this application.
OWNER: APPLICANT:
ELENA NEWMAN ELENA NEWMAN
23308 96TH AVE W 19342 FREMONT AVE N
EDMONDS, WA 98020-5008 SHORELINE, WA 98133
1. Site Address / Location: 23308 96th Avo
2. Property Tax Account Number: 005548,00 2 004-03
3. Approximate Site Size (acres or square feet): '13000 Feel
4. Is this site currently developed? R,40
If yes; how is site developed? f1asidwAW 64ioiirniD
5. Describe the general site topography. Check all that apply:
NO Flat: less than 5 -feet elevation change over entire site.
YES Rolling: slopes on site generally less than 15% (a vertical rise of 10 -feet over a horizontal distance of 66 -feet).
V'1O 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).
V'=l01 Steep: grades of greater than 30% present on site (a vertical rise of 10 -feet over a horizontal distance of less than 33 -feet).
N0 Other (please describe):
6. Site contains areas of year-round standing water: NO Approximate Depth:
7. Site contains areas of seasonal standing water: NO Approximate Depth:
What season(s) of the year?
8. Site is in a floodway? M3
Site is in a floodplain? N()
9. Site contains a creek or an area where water flows across the grounds surface? Kh':4
Flows are year-round? liar Flows are seasonal? NO What time of year?
10. Site is primarily: NGu°Nran Landscaped (tlaWivn Musb (AC-)
11. Obvious wetland is present on site: NO
FOR CITY STAFF USE ONLY
Plan Check Number, if applicable?
Site ioZoned?
SCS mapped soil type(e)? A/u
Critical Areas inventory orC��map
indicates Critical Area onsite?
Site within designated earth subsidence
landslide hazard area? do
SITEDETERMINATION
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,STUDY REQUIRED