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15511 75TH PL W.PDFi IIIIIIIIIIIIII14844i 15511 75TH PL W ADDRESS: .t,%� // 7V /G 141 TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS:- 179?— —Z -7`t' DETERMINATION: ❑ Conditional Waiver Xstudy Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA' PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE S: SHORT PLAT FILE: SIDE SEWER AS BUILT DA SIDE SEWER PERMIT(S) #: GEOTECH REPORT DA' STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: L:\TEMP\DSTs\Forms\Street File Checklist_doc LID #: LOT: BLOCK: • City of Edmonds • RECEIVED AUG Z 7 1999 PERMIT COUNTER N -TW Aqnwp�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 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 Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). OwDer/Applicant: aW-IKJ- 144-N or jt Street Address c oAe-JI JP) o City State Zip S- 8 - ' ALL l - /555 Telephone wt)( L,, L e LJ,— Signature Date c:receptionVanakad.doc Applicant Representative: Name Street Address City State Zip Telephone Signature Date (over) CAFILENO. t , (4tical Areas Checklist -------------------------------------------- Site Information (soils/topography/hydrology/vegetation) G I. Site Address/Location: IS511 X15 P L W q80,1& er 2. Property Tax Account Number: 5009 car) n j IFS 1 01 &,,A 5Z09 0OCK)04 00 to Approximate Site Size (acres or square feet): - os U _ 4. Is this site currently developed? yes; --k 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's.ite. 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). XSteep: 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 _ k : mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: , WANER Reviewedby er.... .. P .., ,_, -'D ^a-ehkdK Rw 10/07/97 0 • City of Edmonds Critical Areas Determination Applicant: Melody R. Carlos Determination #: CA -99-244 Project Name: Permit Number: Site Location: 15515-75 Ih Place W. and Property Tax Acct #: 5009 000 00101 & lot to the north 5009 000 004 06 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 number of critical areas, including a Steep Slope Hazard Area, Landslide Hazard Area, and a Wildlife Habitat area pursuant to Chapter 20.1513 of the Edmonds Community Development Code (ECDC). Based on these findings, prior to submission of any development permit, you will be required satisfy the requirements of ECDC 20.15B by completing the following: Steep Slope Hazard Area Delineation Requirements: To determine if a Steep Slope Hazard Area does exist, a topographic survey prepared by a Licensed Land Surveyor delineating Steep Slope Hazard Areas must be completed. Any slope of 40% or more with at least 20 feet of rise will be classified as a Steep Slope Hazard Area. A 50 -foot buffer is required from both the top and toe of the slope. A 15 - foot building setback is required from the 50 -foot buffer. For development of any kind which is proposed within the critical area, 50 -foot buffer or 15 -foot buffer setback, it must be shown that the development will not adversely impact the Critical Area or its buffer, by doing one or possibly both of the following depending on the outcome of the study: 1. For development proposals which will occur within the 50 -foot buffer, but no closer than 10 feet from the top or toe of the slope, the 50 -foot buffer requirement may be reduced to 10 feet if a study is completed by a licensed geologist or geotechnical engineer which clearly demonstrates that the proposed buffer alteration will have no adverse impact upon the site, the public or any private party. All Critical Area Studies, except those done by a licensed geotechnical engineer, must be completed under a three party contract where the City hires 1 • • the professional required, and the applicant pays for the study (pursuant to ECDC Section 20.15B.150). 2. If development must occur within the critical area, buffer, and/ or buffer setback, and is not identified as an exception per ECDC Chapter 20.15B, a Reasonable Use Exception and Variance must be obtained pursuant to ECDC 20.15B.180A and 20.15B.040C. Landslide Hazard Area All proposed development of the subject lot must meet the requirements of Chapter 19.05 (Building Permits - Earth Subsidence and Landslide) of the Edmonds Community Development Code. Note that building permits within the Meadowdale Landslide Hazard Area require more detailed information than is normally required, which is detailed in the Meadowdale Earth Subsidence Packet. Wildlife Habitat The northern half of the northern lot is designated as a Wildlife Habitat on our Critical Areas Map. The City defers administration and enforcement of wildlife habitat to the appropriate state and federal agencies. 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.180A and 20.15B.040C). 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 Areas or its buffers, a conditional waiver may be issued on a project by project basis. ivie %-'ruweii /' "z ��it�•r� Se tember 13 1999 Name Si ature Date 2 1hc.1S913 September 15, 1999 Melody R. Carlos 2043214 1h Dr. S.E. Bothell, WA 98012 CITY OF EDMONDS 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771.0221 DEVELOPMENT SERVICES DEPARTMENT Planning • Building • Engineering Subject: Determination regarding Critical Areas Checklist # 99-244 BARBARA FAHEY MAYOR 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. . ... < . . ANT::INF::ORMATION:TO BE NOTED :;IMPORT.;...........::::..::.. :::.;::::: 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. 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: Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Enc: Critical Areas Determination * Architectural Design Board C: R eception\J a na\C R LTR.doc Thank you. Sharla Graham Planning Secretary • Incorporated August 11, 1890 • Sister City - Hekinan, Japan CA FILE NO. `1 Cf _ Z 4 Y- Ceical Areas Checklist -------------------------------------------------------------- X55 �5 Site information (soils/topography/hydrology/vegetation) 1. Site Address/Location: 15511-'15 L vy Cj(,o 2. Property Tax Account Number:9 c1g7 ni V 1 O1 k. 500y 0 04 40 h 3. Approximate Site Size (acres or square feet): • os 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). XSteep: 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: 7. Site contains areas of seasonal standing water: _ What seasons) of the year? ; Approx. Depth: Approx. Depth: 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: 2>:: SS..riiaZpe'd sotl.types� .> .AIV ;Reviewed a-chkd ,, Fay IGM3/97 .tom • • City of Edmonds Critical Areas Determination Applicant: Melody R. Carlos Determination #: CA -99-244 Project Name: Permit Number: Site Location: 15515-75 th Place W. and Property Tax Acct #: 5009 000 00101 & lot to the north 5009 000 004 06 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 number of critical areas, including a Steep Slope Hazard Area, Landslide Hazard Area, and a Wildlife Habitat area pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC). Based on these findings, prior to submission of any development permit, you will be required satisfy the requirements of ECDC 20.15B by completing the following: Steep Slope Hazard Area Delineation Requirements: To determine if a Steep Slope Hazard Area does exist, a topographic survey prepared by a Licensed Land Surveyor delineating Steep Slope Hazard Areas must be completed. Any slope of 40% or more with at least 20 feet of rise will be classified as a Steep Slope Hazard Area. A 50 -foot buffer is required from both the top and toe of the slope. A 15 - foot building setback is required from the 50 -foot buffer. For development of any kind which is proposed within the critical area, 50 -foot buffer or 15 -foot buffer setback, it must be shown that the development will not adversely impact the Critical Area or its buffer, by doing one or possibly both of the following depending on the outcome of the study: For development proposals which will occur within the 50 -foot buffer, but no closer than 10 feet from the top or toe of the slope, the 50 -foot buffer requirement may be reduced to 10 feet if a study is completed by a licensed geologist or geotechnical engineer which clearly demonstrates that the proposed buffer alteration will have no adverse impact upon the site, the public or any private party. All Critical Area Studies, except those done by a licensed geotechnical engineer, must be completed under a three party contract where the City hires 1 C] the professional required, and the applicant pays for the study (pursuant to ECDC Section 20.15B.150). 2. If development must occur within the critical area, buffer, and/ or buffer setback, and is not identified as an exception per ECDC Chapter 20.15B, a Reasonable Use Exception and Variance must be obtained pursuant to ECDC 20.15B.180A and 20.15B.040C. Landslide Hazard Area All proposed development of the subject lot must meet the requirements of Chapter 19.05 (Building Permits - Earth Subsidence and Landslide) of the Edmonds Community Development Code. Note that building permits within the Meadowdale Landslide Hazard Area require more detailed information than is normally required, which is detailed in the Meadowdale Earth Subsidence Packet. Wildlife Habitat The northern half of the northern lot is designated as a Wildlife Habitat on our Critical Areas Map. The City defers administration and enforcement of wildlife habitat to the appropriate state and federal agencies. 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.180A and 20.15B.040C). 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 Areas or its buffers, a conditional waiver may be issued on a project by project basis. Gruwell Name ture fiber 13,1 Date 2