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City of Edmonds
Critical Areas Checklist
The Critical Areas Checklist contained on and submit it to the City. The City will
this form, is to be filled out by any person review the checklist, make a precursory site
preparing a Development permit visit, and retake a determination of the
Application for the City of Edmonds prior subsequent steps necessary to complete a
to his/her submittal of a development development permit application_
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,
With a signed copy of this form, the
apgiicant should also submit a vicinity map
or plot planfor ,individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s)_ In
addition, the applicant small include
other pertinent -information (e.g. site
Plan, topography map, etc.) or studies is
Conjunction with this Checklist to assist
staff in completing their preliminary
a%essrnent 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: Applicant Representative:
Name
Name
q q
Street Address Street Address
MOO,/
City State, ZIP City, State, ZIP
GG Phone
Signature Date Signature
Date
Critical Areas Checklist
Site Informationsoilslto rah /h dr I vee
� Pog P y y o ogy/ g Cation)
L Site AddresslLocation:
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet)_ % 7S0 $ -
4. Is this site currently developed? _yes;no-
If yes; how is site developed? C'A' it
.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 I0 -feet over a horizontal distance of 33 to 66 -feet).
Steep: grades of greater than 30% present on site (a vertical rise of I0 -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: IU o Approx..Depth:
What season(s) of the year?
S. Site is in the floodway�a� floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? FIows are year-
round? b —� plows are seasonal? /j 0 (What tune of year? )_
10. Site is primarily: forested ; meadow ; shrubs ; mixed ?� ;
urban landscaped (lawn,shrubs etc)
I t . Obvious wetland is present on site:
--- ------ Ivor City Staff Use Only
1. Site is Zoned? R - Zo
]5 - 2sD2 s +.per
2. SCS mapped soil type(s)? 3- S /}lderw A - s� f_j.
3. Wetland inventory or C -A. map indicates wetland present on site?
h.: -,.Critical Areas inventory or C.A. reap indicates Critical Area on site? 3- 5it-VA , w+.917aa_.. S apef
5.. Site within designated earth subsidence landslide hazard area?,
6. Site designated on the Environmentally Sensitive Areas Map?
.DETERMINATION
Rev 0E/0494
City of Edmonds
Critical Areas Determination
Applicant: Grady P. Helseth Determination #: CA -96-154
Project Name: Permit Number:
Site Location: Northwest corner of 158th Property Tax Acct #: 5131 028 007 0005
Avenue W. and 75th Place
W. (15730 - 75th Place W.)
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 Steep Slope Hazard Area pursuant to Chapter 20.15B of the Edmonds
Community Development Code (ECDC). 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 over 40% with more than 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
must be completed under a three party contract where the City hires 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 20.1513, a Reasonable Use Exception
and Variance must be obtained pursuant to ECDC 20-15B. 180A and 20.15B.040C.
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.
l
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.
The site is also in an area designated on the Critical Areas inventory as Slopes with Erosion
Potential. All proposed development must have an erosion control plan approved by the City of
Edmonds Engineering Department.
Name
Date
As a footnote, I have been asked to tell you that no building permit will be issued until the
clouded title is resolved with the lot to the north.
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