18112 84TH AVE WIIIIIIIIIIIIII
15382
18112 84TH AVE W
6 4�
CA FILE NO_ D
Critical Areas Checklist
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Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location:
2.
3.
4.
5.
Property Tax Account Number: -
Approximate Site Size (acres or square fee�
Is this site currently developed? — yes; �no.
If yes; how is site developed?
Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
4.-� Rolling: slopes on site generally less than 15 % (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
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).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over
a horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water: �pprox. Depth:
What season(s) of the year? AV I a;> of a water course.
8. Site is in the floodway�����
9. Site contains a cree or an area where water floVsjacross the grounds surface? Flows are
year-round? At , Flows are seasonal? JV 0 (What time of year?
10. Site is primarily: forested ; meadow ;shrubs n-dxed
urban landscaped (lawnshrubs etc)
11. Obvious wetland is present on site: c>
Staff
-..-Site. ]0 'Zoi4id?
SCS mapp d-soil
City of Edmonds
RECEIVED
JAN 2 8 1998
PLAMw(i DEPT.
CRITICAL AREAS CHECKLIST
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 a development
permit 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).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent infor m-ation (e.g., site plan, topography
map, etc.) or studies in conju nction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
z
Name
�' (0 S -,>- / 9 2-
Street Address
I /
city State Zip
Telepho el
Signa7
Date/
Applicant Representative:
Name
Street Address
City - State Zip
Telephone
Signature
Date
(over)
-fP c. 1 B(),)
CITY OF EDMONDS BARBARA FAHEY
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works - Planning/ Building - Parks and Recreation e Engineering e Wastewater Treatment Plant
Letter of Transmittal
Date: February 24, 1998
To: Mr. Dennis O'leary
Subject: 18112 84th AV W/Lot 4 S-28-79
Transmitting Critical Areas Checklist CA-98-50
For Your Information: —X
As you requested:
For your file:
Comment: Please find the enclosed Critical Areas Checklist,
Before the file is considered complete, the Planning
Department needs the Property Tax Account Number
for this property. When this number becomes available
to you, please call me at 771-0220.
Note attachments: X
Sincerely,
Sharla Graham, Ackninistrative Assistant
9 Incorporated August 11, 1890 0
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