Traffic Impact Worksheet.Salish.pdfnds
'Tiraff i c Worksl-ieet
Name of Proposed Pro ed.
Owner/Applicant
jam,
Street/Mailing Address
City State Zip
Telephone: 6�
Applicant Contact Persojo:
Naii-ic
A—Vee-,
Sti-eet/maiiiing Addt--ess
City State Zip
Tcleplione:
Traffic Engineer who prepared the Tr' affic Impact Analysis (if applicable):
Firm Name Contact Name
'Felephone: E-mail:
THRESHOLD LEVELS 017 ANALYSIS
ectTraffic Levels
1. Less than 25 peak -hoc ur trips generated
lf.1 ore tlial, 25 peak -hour is genci-ated
1. PROJECT DESCI UIPTION
Sections to ]etc
l 11 7 only (Workshect/Checkfist)
7 --
All sect ons
a, L,ocation - Sirect address:
car 164
� ° (�__(4tmh cet inty) and site plim.)
b. SPedfY existing land use: V -67`+7x- a i
c. Specifroposed typu and size of development:
0r4midleritifel units andlor squ(u,e.fi)ouk,,,,,re qf(milefl1q,
...... ....
Re riscd m? 01,?,fli 0 E82 - D o1fic Impact is lVorksheef Page I o/ 5
d, Date construction will begin. and be coni Meted:RU 1
e. Defuse proposed access locations: 2_0 ( s Uti t l e t () q
f. Define proposed sight distance at site egress locations: ` b F -T
2. TRIP GENERATION
Source shall be the Eighth Edition of elle Institute of Transportation Engineers (ITE) Trip Generation
manual. For independent fee calculations, the current edition of the ITE manual may be used.
ADT = Average Daily Traffic
PM Peak -hour trips (AM, noon or school peak inay also apply as directed by the City Engineer)
a. Existing Site Trip Generation Table:
PM Peale -Hour Trips
Land Use Daily (ADT) IN OUT
b. Proposed Project Trip Generation Table:
PM Peak -Hour Trips
Land Use Daily (ADT) IN OUT
c. Net New Project Trip Generation Table:
PM Peale -Hour Trips
Land Use Daily (ADT) IIT
OUT
d. State assumptions and methodology for internal, link -diverted or passby trips:
Revised on 6121/70 E82 - Traffic Impact Anal si.s Pork.sheet
Page 2 of'5
. . ... ..... mm,
7MITIGATION RECOMMRNIM"HONS
Stale recommetided measures aild fees requited to niiIngate project specific traffic impacts. Traffic
impact t( . -,e shall be calculated from [lie Edmonds, Road Impact Fee Rate Study Table 4 (attached)
and as identilled in ECDC 18.82.120, cxcept as otherwise provided for indepeii(fentfee calculations
iti ECDC 18.81130.
X 1
CHANGE IN USE
Fee for prior use shall be based oil flee establishedat the time the priOr use was perntitted. If the
previous use was permitted prior to the adoption of Ordinance 3516 (erfective date! 09/12/04),
the 2004120 DC' 18.82.120 impact fee sliall be used.
hails in
Per Unit sq Ject,
ITE Land Use Category 'r nit
I I I Fe.e
Fee lZatc o f dwel I i ng,
�zo 7
'7
New Use i xas
"o 11,1100 -Use x
. . .. . ....... .
�Pl-lol-Us I
�NewUse Fee $ e
ior Us Fee,
2— 10, /To, 0 [s
I I NEW DEVELOPMENT
New Use
E OTHER
Of
Units ill
ITE"Land Use Category Per Unit square feet,
Fee Rate # of dwelling,
v1b, etc.
$ 1 x
FEE CALCULATM: $200.OQ(t conSUItai dee
TOTAL TRAFFIC IMPACTFEE
........... . ..... . ......
nghiee�ring Division Approval
Date
INO kllp'ad 17CCS Will tic dUC., aor Mil <a aedi(ix rorau impact 1ec calctllatic
g ill as ]let 110""waive.
Rewised em 6124/10yfa ?'(rjgv 5 of