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DATE INSPECTED INSPECTED BY DATE DRAWN DRAWN BY
2/5/01 UNKNOWN 7/5/06 J. BRONDER
APPLICATION CARD No . .. ... ...... .
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No . .................. ........... . ......
OUTSIDE 0 INSIDE 0 REPAIRS 0
......... Iq
�7 OWNER ....... 4 ............................................................ CONTRACTOR .......... ... Lj ... ... ... . ......... .. ...... ... ........... . PERMIT No.
STREET 4 & � 7 • -
I
AVENUE LOT No. 4�xv .... - BLOC ,K No...- ................ ... ............ ....
HOUSE No. ......... L.r_ -L;�)
NAMEADD ........ . ............................... ............... ... ) 4j.. A ..... .............................................
APPROVED
1982
Ar i AA An
� 4
Date Approved:
BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, ......................................................
SEWERWORK ORDER ISSUED ................................................ ....... . . .... .. ... BY ............ ...... .......... . .. ........ ........................
foo �57.A /.
10
Critical Areas Checklist CA File No:
Site Information (soils/topography/ hydrology/ vegetation)
1. Site Address/Location:
2. Property Tax Account Number: 5_31 d 1/-/ 00 5`000
3. Approximate Site Size (acres or square feet): 5-0 aPj%r
4. Is this site currently develope
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: ; Approx. Depth:
7. Site contains areas of seasonal standing water: ; 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?
Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ;shrubs ; mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
LA
� --For City .Staff 'Use,Ohly— — ---- -
20 -- . - ------__---_---_____
1. Plan Check Number, if applicable?
2:.. Site is Zoned?
3'. SCS mapped soilA3Ti e(s)? NyOga- � c xwjck o lxg l.�p O rx <Z�[ oi'' .� 5 i ► t
4 Critical Areas inventory or C.A. map indicates Critical Area on sibs? �nJ QN W-19 4030QQ0'r
o;5 Site within designatedearth subsidence landslide hazard areal To ` 25T IZ�q n.y
;6 x Stte designated on the?Envtronmentally Sensitive Areas{Map?
DET'ERMIlVATION .
STLTDY:.REQTARED , WAIVER
Reviewed by: _1� �. Date:
ci:\snare\Llbrary\Plannmg\rorms\rubnc Handouts\ Untical Areas Checklist Doc/1-16-2001
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
DATED RECEIVED: 3-V- C/
CITY RECEIPT #: /-7 // 0
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
DATE MAILED TO APPLICANT:
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/or 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 information (e.g. site plan, topography map,
etc.) or studies in conjunction with this Checklist to
assistant staff in completing their preliminary
assessment of the site.
I have completed the attached CRITICAL ARIUS CHECKLIST and attest that the answers provided are
factual to the best of my knowledge (fill out the appropriate column below).
Owner/Applicant: j
SF r/� —
Name
10,3-
Street Address
City State Zip
Telephone:
Signature
Date:
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Signature
Date:
G:\Share\Library\Planning\Forms\Public Handouts\ Critical Areas Checklist Doc/1-16-2001
City of Edmonds
Critical Areas Determination
Applicant: Bill and Joni Bickel Determination #: CA-01-31
Project Name: Permit Number:
Site Location: 1036 Euclid Ave. Property Tax Acct #: 5319-041-005-0004
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 a
critical area including a stream pursuant to Chapter 20.15B of the Edmonds Community
Development Code (ECDC).
Based on this finding, prior to submission of any development permit, you will be required
satisfy the requirements of ECDC 20.15B by completing the following:
Stream
The site investigation has shown that the site contains North Stream Creek, a stream that runs
roughly parallel to the southeast property line. Based on the above findings, a Critical Areas
Study is required to determine the hydrology of the area and to delineate the approximate
boundaries of the stream and identify its buffers. The required qualified critical areas consultant
needed to perform the study shall be a specialist in botany, fisheries, wetland biology, and/or
hydrology with a minimum of two years' field experience with wetlands and/or streams in the
Pacific Northwest. 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.
The qualified critical areas consultant shall perform the following:
1. Classification of the stream pursuant to the criteria established in ECDC Section
20.15B.060(A)(4) and (5).
2. Delineate the edge of the stream on the site.
3. State any mitigating measures appropriate to preserving and protecting the stream.
After the qualified critical areas consultant has delineated the stream boundary, a surveyor
licensed by the State of Washington must perform the following:
1. Delineate the required buffer (see ECDC 20.15B.120.(A) and 20.15B.130.(C)).
2. Delineate the required building setback from the buffer (required setback is 15 feet).
3. Create a map showing the buffer and the building setback.
Both the qualified critical areas consultant and the Land Surveyor shall enter into a three party
contract with the applicant and the City of Edmonds as required in ECDC 20.15B.140(D), where
the applicant pays for the study. The applicant may suggest qualified professionals for the City's
approval.
If the results of the Critical Areas Study determine that the lot may not be developed, the
applicant may apply for a Reasonable Use Exception and Variance pursuant to ECDC
20.15B.170(A) and 20.15B.040(C)).
If the property owner wishes to apply for a specific development permit which they feel
would not impact the Critical Areas located on 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 Area or its buffers, a conditional
waiver may be issued on a project by project basis.
Name Signature Date
O Cited sections of the Edmonds Community Development Code (ECDC) can be found on the City of Edmonds
website at www.ci.edmonds.wa.us.
2
. . OC) ]. C C l :Jr 'y�t �y SNOHOMISH- CCU l b HEALTH *ARD'MT `•
2935 Rockefeller- Everett, Wash. Phone CEdar 2061
LOT -APPROVAL SKEET
NAME �OHN HANS(�T _ , ADDRESS 61 o National `1 e e onds.
ADDRESS OF PROPOSED BUILDING 10 6 Euclid Street
6 &`7
LEGAL DESCRIPTION: LOT ZPt LOCK. ,41,e. ADDITION - Orip plAt. of N_ Rdmnnrl_ e_-_„
(partially vacated)
TYPE OF USE Res. NO. OF BEDROOMS 3 SIZE OF I Tt2,) x /G �
SOURCE OF DRINKING WATER: Public Supply •K Private.Well
A. SURFACE DRAINAGE
1. Is disposal field site well drained? Yes
2. Any water course (stream) drainage ditch, etc. through site? yar,
TILE FIELD IS TO BE INSTALLED WITH MINIMUM CLEARANCE FROM HOUSE TO MAINTAIN THE
MOST POSSIBLE CLEARANCE FRO P__A1T9 GRAP NOT LESS THAN 25 FT IN ANY CASE.)
1. Any heavy slopes in field area? No.
2. Will present topsoil in field area be removed or graded before field tiles are
installed` No.
3. Will any fill material be used in the disposal field site:- �If yes, how much?—
C. SOIL CONDITIONS
1. Has a hole at least 4 feet deep been dug in the disposal field area to determine
the type of soil present? Yes
2. After hole is dug record the soil conditions at the following depths. Record as
sand,.gravel, clay, packed sand, loam, etc.)
12.inches S�,e 30 inches
18 inches, 36 inches 4a
24 inches sA 48 inches . I
�E. Any .ground water encountered before reaching a depth of 4 feet? If so r�
what depth? 47II harms packed SaOo 50t1
D. WATER TEST
A simple water test will show how well this soil will drain or percolate water. To
perform this test:
1. Dig hole at least 36 inches deep. Use a shovel or post hole digger --size
of hole makes no difference --only depth.
2. Fill hole with water.. Now let all water run out of hole. This soaks the
ground and will give a more accurate reading.
3. Again•pour water'in hole to a height of 12 inches from the bottom. Let
water run out until there is just 6 inches from bottom left in hole.,'
4.. Note how many minutes it takes for this last 6 inches to seep away.
Record this time below.
Number of minutes for last 6 inches to seep away. _
5. Divide this time by 6 to obtain tYie'rate per inch. a
6. Date water test was 7 br 1 performed. ,� ♦;,,,1cZrLq i
I hereby certify the above information to be correct an the above tests were per-
formed by me as prescribed.
JAMES H. REID & ASSOCIATES Signed
CONSUL TING ENGINE RS Address l
NOTE: A septic tank perm�.t is issue on the basis of the above information. t e
are any changes or alterations in the above stated soil conditions it -•may .result �ti
the -,installation being -rejected_ at the time of _inspection.