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24219 76TH AVE WIIIIIIIIIIIIII 15158 24219 76TH AVE W CA FILE NO. �I-Z,101 Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: `L ----- ), — -' 'L� Z1 cT I&A WtS L/ . 2. Property Tax Account Number: y 03 e 0 0:;� t?a d -- L';0,© U 3. Anoroximate Site Size (acres or sauare feed r7 X 4. Is this site currently developed? yes; X no. If yes; how is site developed? 5. Describe the general site topography. Check all that apply. _ Flat: less than 5-feet elevation change over entire site. Rolling: slopes on. site generally less than 15% (a vertical rise of 10-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: A)10 ; Approx. Depth: 7. Site contains areas of seasonal standing water: AV-0; Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? /DO /0' Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; mea w ; shrubs ; mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: 0 ----------------------------------------------------For City Staff Use Only------ ---------------------------------------------= 1: Srte is Zoned? _. t 2. SCS mapped soil type(01Cra�- 3 Wetland inventory or:.C.A. map: indicates wetland present on site?:: E 4 Critical Areas. inventory or Q, A. map: indicates .Critical Area .on site?;. fi: Site within designated earth subsidence landslide /V hazard area. 6 $rte ¢es gnated:on the:Env ronmentatly Sensitive Areas Map.. DETERMINATION T RECEIVED City of Edmonds Critical Areas 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 NOV 0 5 1997 COMMUNITY 5EViV1';:6 Checklist 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. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In ti addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: Name Street Address City, State, ZIP Phone /a Signature Date Applicant Representative: Gh,4)'J %mod© Amc%Qti Name .D .� Street Address City, State, ZIP Phone Sig -nature Date City of Edmonds Critical Areas Determination Applicant: G. Moormeien/ A. Patterson Determination . CA-97-219 Project Name: Permit Number: Site Location: 24223 76th Ave W. Property Tax Acct 4888-007-020-0000 Project Description: Non -project specific Determination: Study Required During review and inspection of the subject site, it was found that the site appears to contain and/or is adjacent to a Wetland pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC). The wetland immediately adjacent to this property requires a buffer from the edge of the wetland and a building setback from the edge of the buffer. It is possible that the buffer or building setback will encroach onto the subject property. Based on the above findings, a Critical Areas Study is required to delineate the approximate boundaries of the potential wetland and identify its buffers. All critical areas studies shall be performed as three party agreements with the city selecting the consultant and the property owner or applicant paying the fees. If the property owner wishes to apply for a specific development permit which they feel would not impact the Critical Areas located on or adjacent to the site, they may submit their proposal to the Planning Department for review. If the Planning Department finds that the proposed development permit will not adversely impact a Critical Areas or its buffers, a conditional waiver may be issued project by prof basis. Jason Tourtellot Dec. 1, 1997 Name Sigiehture Date In c . ,41) Glenn Moormeier Applicant Representative 830 Dayton Street Edmonds, WA 98020 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 • Engineering • Wastewater Treatment Plant December 1, 1997 Subject: Determination regarding Critical Areas Checklist # 97-219 Dear Applicant: Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. IMPORTANT INFORMATION TO BE NOTED:: PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY. The `DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. rmo.. You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: cc: Ava M. Patterson, Applicant Enc: Determination Architectural Design Board Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB" Land Use Applications Any other development permit applications. Thank you. Diane Cunningham Planning Secretary C: Reception\Jana\CRLTR.doc O Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan