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18822 OLYMPIC
VIEW DR
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pprm, teeth 0:0�, ta�xe§ or. square,
no.
js this -site aiiiently.develobed?
&Y
0M.
If site yes; how is
5.:Describe the tdpography_ Che& �91- that apply
• general
0! Ins"
5- r
less than 54�iei:ZG�j�-
Flat fird site
Rolling.-, slopes on site generally ten thin 15% (a vertical rise of over a,.-:
horizontil distance 66�f&t).
bfky ER ,xl. 6 f
v
HiIIY:-"�-slo0a:j�resentbit .saebtifi&,ed=15%iiidl��"thin3O%(aveiticm-nse
w
�i L -to �-�of I 04eei h6i7izonW distance of over a 33 to 66-&a),�
Steep:grades
30%. present on site vertical rise of 10-feet-over m A
stance of less than 33-feet).
-Other.(pI
r
6. Site'coniams Areas of -year-round standing water Approx.'13. .'Depth':
Site %
7. Site coxit;fIns areas of seasojal stand- at'
standing water:' Lj Ap rox. Depth:,
R P
What sea'son(s') of the year?
S. Site is in the floodway& floodplairi ofawaterc,ou,",
rse.
`> Tr
9. Site tontah a" meek
or an area where watei flows across the
grounds surface?.. Flows are year
round? Flows are seasonal? (What time of year?
10. Site is primar y: forested—N :.0 mead w /L; shrubs urban landscaped (iawn,s ".bs etc)
11. Obvious wetland is present on site:
For City Staff Use Only
1. Site is Zoned'.),
4.
2. SCS mapped soil type(s)? ALVM%O eevj-
3. Wetland in
ventory or,C.A. map indicates
NOD
wetland present on site?
4;,"- t-,Critical Areas inventory or C.A. map indicates Critical Area on site? r,
'Site wi ithiA designated
subsidence landsli& ba"
5. Yam_area?
6. Site designated on the Environmentally Sensitive Areas 'Mar?
.DETERMINATION
----STUDY REQUIRED
CONDITIONAL WAIVER
WAIV
Reviewed by: h
2
Planner 4
RcVOMM
Date
f J..,
M
EMOM
W;T -::.7;;
S: T
ai
44
.9a19
• •
C eiti ca*I Area s:.un 0,,C-_K11S_r sr .;,ti,�} fi�
41:
The Critical, Areas
Checklist contained On i, and sab ihit. it to the City: I The Cati7vill"',
review
this form is to W filled out by any Pers�=
the,
!pc� make a precursory site
Ping A Devdopmeiit' 'ermit
w vi�iE =d make a deterrnina,66� "Of the'
Application for the City of Edmo�ds
prior - subsequent steps necessary to complete a
to his/her- submittal of a developmentdevelopment peprut application. pplicati6n.
permit to the City.
f
-this
The Purpose Of the Checklist is. to enable-,...- applicarit should also submit a vicinity map
City staff to dii(rminewhether any qc..plotplan for individual lots of�the
potential Critical Areas are or may be with enough detail that Citystaffcan, find,,; ?
present an the subject pivperty.-, The .............. the subject parcel(s).'. In—
information .needed to complete the .. shall nd6de
addition, the applicant i-
Checklist should be easily available from ..,;bther pertinent information -(e.g."
observations of the site or data available at. Plant. topography map, etc.) or; st4dies -in"!
City Hall (Critical Areas inventories, snaps, conjiiikfWn with this Checklist to ass'ist: -
or soil surveys). staff iw Completing their preliminary
assessment of the site.
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
.!Jr
I have completed the attached Critical Area Checklist and attest.that the answ6rs:.Provided are:,--.,,
factual, to the best of my knowledge (fill ,out the appropriate column below)..,,..
N� ......
Owner I Applicant:
resentative:
_5
Nam
Name
-o
-,A
zz
Street Address
Street Address 4
-n
zo
City, State, ZIP
Phone'. ..C' State'ZIz- _Phone
!ty. J Q
J0(
Signature
Date Signature
Date
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