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20160727140352.pdfCity of Edmonds Cri Ical 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, RECEIVED AUG 2 i 1995 COMMUSITY SERVICES 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. 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 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: e /'"�7ze1 Name 117W /V - Street Address City, State, ZIP Phone Signature Date Applicant Representative: Name Street Address City, State, ZIP Phone Signature Date Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: " V e� .!a 2. Property Tax Account Number: / �� �'-3-- 3. 3 3. Approximate Site Size (acres or square feet):. 4. Is this site currently developed? yes; no. If yes; how is site developed?LZ X , 5. Describe the general site topography, Check all that apply. 00, Flat: less than 5 -feet elevation change over entire site. 16k 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: IV/ o ; Approx. Depth: What season(s) of the year? _..__... 8. Site is in the floodway AW floodplain 11119 of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? Ala 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: Ny Rev 01/04/94