Van Sickel CRA20130084.pdfOV EDAt
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121 5TH AVENUE NORTH - EDMONDS, WA 98020
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).
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: NER: APPLICANT:
CLIFFORD W & CAYCE L VAN SICKEL CLIFF VAN SICKEL
23723 77TH AVE W 23723 77TH AVE. W
EDMONDS, WA 98026 EDMONDS, WA 98026
i
1. Site Address / Location: 23723 '77th Avo. TVP Edmonds, AAt 98026
2. Property Tax Account Number: 00559"1000 02(W0
3. Approximate Site Size (acres or square feet): ,23 Acres
4. Is this site currently developed? YES
If yes; how is site developed? Flerrnaanont singIlo fairnilly tuu:rmr.m
5. Describe the general site topography. Check all that apply:
YES Flat: less than 5 -feet elevation change over entire site.
WND Rolling: slopes on site generally less than 15% (a vertical rise of 10 -feet over a horizontal distance of 66 -feet).
N`N0 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).
'it;;u Steep: grades of greater than 30% present on site (a vertical rise of 10 -feet over a horizontal distance of less than 33 -feet).
NO Other (please describe):
6. Site contains areas of year-round standing water: NO Approximate Depth:
7. Site contains areas of seasonal standing water: 140 Approximate Depth:
What season(s) of the year?
8. Site is in a floodway? t�40
Site is in a floodplain? NO
9. Site contains a creek or an area where water flows across the grounds surface? NO
Flows are year-round? I Flows are seasonal? 1140 What time of year?
10. Site is primarily:. IJ rbairu L. and caateu d (gaaawnshrub""," aAc—)
11. Obvious wetland is present on site: NW
FOX, CITY ST11FIF USE VIOLY
Plan Check Number, if applicable?
Site ioZoned?
SCS mapped soil type(s)?
'
Critical Areas inventory orC'4.map �
indicates Critical Area onsite?
Site within designated earth subsidence pJD
landslide hazard area?
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STUDY REQUIRED WAIVER
Reviewed by: MA Date: