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10420 226TH PL SW.PDFiiiiii iiiiii 3500 10420 226TH PL SW ADDRESS: O ►� V TAX ACCOUNT/PARCEL NUMB BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver tudy Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DA' SCALED PLOT PLAN DATED: 112 1015 SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: 21 BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: L:\TEMP\DSTs\Forms\Street File Checklist.doc i • #P20 Critical Areas Checklist CA File N°: .Site Information (soils/topography/hydrology/vegetation) 1. Site Address/ Location: A n ZA -Z n Sys 2. Property Tax Account Number:Q O D (010 4 as ©a'L'l o 3. Approximate Site Size (acres or square feet): O r 2�: 4. Is this site currently developed? ✓es; 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. slope&'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): Site contains areas of year-round standing water:. 6 ; Approx. Depth: 7. Site contains areas of seasonal standing water: _ , ; Approx.:Depth What season(s) of the year? 8. Site is in the floodway - 00 floodplain . of a watercourse. 9. Site contorts .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: v �03 For City Staff Use Only 1. Plan Check Number, if applicable? NA 2. Site is Zoned? A 5 $ 3. SCS mapped soil type(s)? EyereXk g ra v el l.y Sandy ( o awt , o - % I/, 5 l a vC 5 kldeywood•Wt'ic4t 9rave11Y 5andy 10aim52,J,?.5--f-0-/• slo5 4. Critical Areas inventory or C.A. map indicates Critical Area on site? G0h54,rvcrl- M A-YC60 on 5cm- F0v1Wv\ o{ Si -Ft per Acw GA-yv Lxt Site within designated earth subsidence landslide hazard area? W 0 0 512`4-/0 6 DETERMINATION X STUDY REQUIRED WAIVER Reviewed `QC. I % 9 � #P2U City of Edmonds Development Services Department Planning Division 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). 0 Date Received: 5 0 1 (D City Receipt #: Critical Areas File #: C,4 2005 bb Critical Areas Checklist Fee: $135.00 Date Mailed to Applicant: A property owner, or his/her authorized 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 formto 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. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing -of the application agrees to release, indemnify, defend and h6ld'the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, . arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information, furnished`by.the applicant, his/her/its agents or employees. By. my signature, I certify that the information and exhibits herewith, submitted are true. and correct to the -best of my knowledge and that I am authorized to (file this application on the behalf of the owner as listed below. SIGNATURE OF APPLICANT/AGENT DATE Property. Owner's -Authorization By my signature, I,cer* that I have -authorized the above Applicant/Agent to apply for. the subject land use application,. and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to this application. i )SIGNATURE OF OWNER DATE Z p a I PLEASE PRINT CLEARLY Owner/Applicant: �TLd=�.r�► �N-rat=� Applicant Representative: Name Name Street'Aa'dress City State Zip, Telephone: 4y` -- Email address (optional): ckCi. Street Address City State Zip Telephone: Email Address (optional). •CITY OF EDMONDS • CRITICAL AREAS RECONNAISSANCE REPORT Site Location: 10420 226`h Place SW Tax Acct. Number: 00610400002100 Determination: Study Required Determination #: CA-05-63 Applicant: Stefan Rehnfeldt Owner: Stefan Rehnfeldt CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED (CA-05-63) During review and inspection of the subject site, it was found that the site may contain critical areas, including a Wetland, Frequently Flooded Areas, Erosion Hazard Areas, and Fish and Wildlife Habitat Conservation Areas pursuant to Chapter 23.40 of the Edmonds Community Development Code (ECDC). GENERAL CRITICAL AREAS REPORT REQUIREMENTS Critical Areas Reports identify, classify and delineate any areas on or adjacent to the subject property that may qualify as critical areas. They also assess these areas and identify any potential impacts resulting from your specific development proposal. If a specific development proposal results in an alteration to a critical area the critical areas report will also contain a mitigation plan. You have the option of completing the portion of the study that classifies and delineates the critical areas and waiting until you have a specific development proposal to complete the study. You may also choose submit the. entire study with your specific development application. Please review the minimum report requirements for all types of Critical Areas which are listed in ECDC 23.40.090.D. There are additional report requirements for different types of critical areas (see below). Note that it is important for the report to be prepared by a qualified professional as defined in the ordinance. There are options on how to complete a critical areas study and an approved list of consultants that you may choose from. You may contact the Planning Division for more information. General Mitigation Requirements for all Critical Areas are discussed in ECDC 23.40.110 through 23.40.140. STUDY REQUIREMENT — EROSION HAZARD AREA It appears that this property contains or is adjacent to an Erosion Hazard Area. • Erosion Hazard areas include Alderwood and Everett series soils on slopes of 15 percent or greater, among others. • Landslide Hazard Areas are further defined in ECDC 23.80.020.A. • In addition to the general requirements for Critical Areas reports referenced above, specific Critical Area report requirements for Erosion Hazard Areas (which are one of the Geologically Hazardous Areas) are provided in ECDC 23.80.050. • Note that Stable Erosion Hazard Areas may have limited report requirements at the director's discretion. At a minimum an erosion and sediment control plan prepared in compliance with the requirements in ECDC Chapter 18.30 shall be required. DEVELOPMENT PROPOSALS ASSOCIATED WITH EROSION HAZARD AREAS Development is restricted within an Erosion Hazard Area. • Projects that will intrude into these areas will require a report by a licensed Geotechnical Engineer or other qualified professional. • Development standards are given in ECDC 23.80.060 and 23.80.070. STUDY REQUIREMENT — FISH AND WILDLIFE HABITAT CONSERVATION AREAS Since the site is within a mapped fish and wildlife habitat conservation area, the City would like to preserve as much of the native vegetation as possible. DEVELOPMENT PROPOSALS ON A SITE WITH FISH AND WILDLIFE HABITAT CONSERVATION AREAS The applicant must submit a clearing/tree cutting plan with any development permit. Tree cutting and clearing of native vegetation shall be limited to the footprint of development. ALLOWED ACTIVITIES Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.20. If you have any questions about whether your proposed development qualifies as an allowed activity, please contact a Planner for more information. EXEMPT DEVELOPMENT PROPOSALS Certain development proposals may be exempt from Critical Areas Requirements (ECDC 23.40.230). If you think that a specific development proposal may be exempt, contact a Planner for more information. Gina Goccia manner :vw Name, Title 0 Signature ', 2005 Date NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on the City of Edmonds website at www.ci.edmonds.wa.us. I Zany Corner NFD lag—\D Mbacks Lu�i —re d Actual (iv a dcti-han) Front N Sides E Rear En de-,Gdw \111 4-� �' —I�L' -- Si 049m 2�6 �1 D-0 �-, . .. ......... . �� , \ `�� ;�Ril 1i11 i Liuu 7' too tco 0 0 ------------- - . - - S.S. _ /�...Ov , - RESUB AUG 12 2005 BUILDING DEPARTMENT CITY OF EDMONDS RESPONSIBLE AN'C'DAuVAc-!.r- ADD GUTTERS/DOWNSPOUTS AND SPLASHBLOCKS APPHOVED AS NOTED BY ENGIN EKING 7_ Date: RESSUB AUG 26 2005 BUILDING DEPARTMENT CITY OF EDMONDS APPROVED 9Y PLANNING 0gh g / 0 15-r "Dwi ti� I L 0- SCALE: 4 APPROVED BY: DRAWN BY REVISED /,�>Z3 DATE: I DRAWING NUMBER -TS i,. I C�5- 3a3 t'c.. �t- AUG 12 2005 BUILDINGiTyF EDMON ST RESUB AUG 2 6 2005 BUILDING EDMONEIS T