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CRA19960154Al-IJIr r� a90.19q 0 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, eRy / 996 oisy , '{ . O i` a 1r' , a a t:o LJ JUL - 5 1996 PLANNING Lkff. 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: 6 reLd Name V ?•© Y ( VV// /e Streit Address City State, ZIP 7-Z iG Signature I Date Applicant Representative: Name Street Address City, State, ZIP Phone Signature Date Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) I. Site Address/Location: 2. Property Tax Account Number: f3 02 '� ()0 7 000. 3. Approximate Site Size (acres or square feet): G TS-0 s4 7 4. Is this site currently developed? _.-yes; no. If yes; how is site developed? 0 Id "0" b < i 5. Describe the general site topography. Check all that apply. q64'(�� �w.15-73c) OL 0 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). —X . 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: —LILJPL—; Approx. Depth: What season(s) of the year? 8. Site is in the floodway /IVO floodplain =_o of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? _� f Flows are seasonal? /(%j (What time of year? ). 10_ Site is primarily: forested ; meadow ; shrubs _ ; mixed K urban landscaped (lawn,shrubs etc) 11. Obvious wetland is Present on site: Ap ----------- ----I or City Staff Use Only--------- -- 1. Site is Zoned? ZO 15 - 25 s Lper 2. SCS mapped soil type(s)? 3- Atg,~ e1 _ S i.,t, + 1,AN f -3-1vq j4�wr 3. Wetland inventory or C.A. map indicates wetland present on site? 4. Critical Areas inventory or C.A. map indicates Critical Area on site? i�S - SlcQp Y- wnS h�r(e s L Pef o� 5. Site within designated earth subsidence landslide hazard area? S - iU - 309 6. Site designated on the Environmentally Sensitive Areas Map?SCn.wr.r�nr- DETERMINATION `V : `STUDY REQUIRED CONDITIONAL WAIVER WAIVER Reviewed by:__ tanner Date Rc 01/04194 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 20.15B, 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. 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. pil