CRA19960019IIII��III CA FILE NO. N7"+-Cj
Critical Areas hecklist "'el9
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: lkaOf _j�514-1 e1_ L'j'jLloak,
2. Property Tax Account Number: _5? OnO —(L C23G� 3 `
�'�rlp:rer LF�''sJ
3. Approximate Site Size (acres or square feet): 2-CO 4M Et-,
4. Is this site currently developed? \/ yes; no. tf
If yes; how is site developed? L_,��.lt)�,),e i--Am11 Y
5. Describe the general site topography. Check all that apply.
✓ Flat: less than 5-feet elevation change over entire site.
Roiling: 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: --0-- ; Approx. Depth:
7. Site contains areas of seasonal standing water: .-jz:3�-- ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway n Ip, floodplain -j�ja— of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? h � A 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: h J .
For City Staff Use Only
1. Site is Zoned? �� "
2. 8CS mapped soil type(s)? Cwcyo ke" -
3:>: : Wetland inventory or C.A. map indicates wetland present on site?. V0
4 < < ;.Critiml Areas inventory or C.A. map indicates Critical Area on site? 1__S
5.: :Site within designated earth subsidence landslide hazard area?
6 Site'designated on the Environmentally Sensitive Areas Map?
.DETERMINATION
STUDY REQUIRED CONDITIONAL WAIVER:
WAIVER
r
Reviewed by: f:)
P er t Date
Rev 01/04/94
'Y90 19C,v
City of Edmonds
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.
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:
Name
l 6 y;z %
Street Address
Llmoa.hS izV,'q
City, State, ZIP Phone
Signature Date
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
Signature Date
►,25 vm ChW--1'
74z-1! 3q
r4)4 I h f- 5131-600 - 05'1-03oz-
City of Edmonds
Critical Areas Determination
Applicant: Madalyn Meyer Determination #: CA-96-19
Project Name: Permit Number:
Site Location: 16429 75th PI W Property Tax Acct #: 5131-000-089-0302
Project Description:
non -project specific
A site inspection of the property has revealed a lot developed with a single family dwelling and
with rolling hills and a very steep bank sloping up to the east. Some of the rolling hills have
steep sections, and the steep bank appears to slope upward at a rate greater than 40%.
Based on the above findings, it is determined that there is potentially a steep slope critical area on
or adjacent to the site. A Critical Areas Study is required to delineate the boundaries of this
potential critical areas, the buffers and setbacks. For the steep slopes, a licensed surveyor must
create a topographic map of the site which indicates all areas which slope 40% or more and have
a vertical gain of 20 feet or more within the 40% slopes. The map must also show the location of
the steep slope buffers and setbacks. The surveyor must also create legal descriptions for the
critical areas and the buffers.
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. /,7
John Bissell
Name
March 5. 1996
Date