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Critical Areas Checklist C71C File o:
*ite Information (soils topography/h hydrology/ vegetation)
1. Site Address/ Location: AG In S 50", P1. W .
2. Property Tax Account Number:�� ?�� �� 00 �-• O�
3. Approximate Site Size (acres or square feet): S•T-
4. Is this site currently developed? ✓ yes; 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 46 feet).`
✓ Hilly: slopes present: on, site of more than 15% and less, than 3Q% (.a vULU
l rise,gof 10rfeet p,
over a horizontal distarce of 33 to f feet)
" � "� " �+�' 1jkvla 1.M, 1�
Steep: grades of greater than 30% resent to a vertical rise of 10-feet over a horizontal
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distance of less than 33-feet).
Other (please describe): �'u' ° "
Site contains areas of year-round standing water: 140, ; 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 . ; mixed ✓
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site:
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— ; For. City Staff Use Only p 5 O1:
1. Plan Check Number, if applicable? P U A 0 5 - F, (p 4.
2. Site is Zoned?
,3: _ SCS mapped soiflype(s)? Ib .. A-i"400 w od :aLd VC41 u r2 a n d u 1014 i �' Z 5 '�• � 1 bO�S
4. CriticalAreas inventory or C.A. map indicates Critical Area on site? %E 5 L1 DA-P- rv� Gt P
ihdicate,� "G'��ir5y� ttg2avd "; rA M.aP = "Lavid�ticte tta2ard A-yc,0,1'
5: Site within designated earth subsidence landslide hazard area? y E 5 r my a Ao wda 1-f-
1A to IA C V M4PIU' W (Oi ELD 1 q• 10.
DETERMINATION
STUDY REQUIRED WAIVER
Reviewed b . 6KA6,�92 (/TWAI Date: l '72 0 2 2D D 57
Critical Areas Checklist/3.25.2004
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City of Ed
monds
Development Services Department
Planning Division
Phone: 425.771.0220
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 the application 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
1 reas inventories, maps, or soil
s BUILDING PERMIT.IDDIPATIAM
Date Received: W
City Receipt #:
Critical Areas File #: Z 0 0 5— 01 fs �
Critical Areas Checklist Fee: $135.00
Date Mailed to ADDlicant:
A property owner, or his/her authorized 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 assistant staff
in completing their preliminary assessment of the site.
The undersigned. applicant, an iidT s7 ei r ifs heirs,Ri'IR"�t55' M s, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part, upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its, agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
'� SIGNATURE OF APPLICANT/AGENT 1i DATE /D — /
Property Owner's Authorization
tify By my signature, I certhat I have authorize the above Applicant/Agent to apply for the subject land use application,
and grant my permission.for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNER
Owner/Applicant:
Name
Street Address
-- Ro`� -- w lk Ark /Z,
City State Zip
DATE /0'/�—D�.
•
Applicant Representative: - 1 t + N
j
T. MV �0.Ja► 1 :C�El�S-1���YCh:'T� lc�G.
Name
345.
Street Address Q
City State Zip •
Telephone: ?S -34 = FZ (/ Telephone: Cy Z5) 451 —11 G I
Email address (optional): Email Address (optional); ,.r�p" p_ P:,K_e_< 5
•
CITY OF EDMONDS
CRITICAL AREAS RECONNAISSANCE REPORT
Site Location: 16105 751h Place West Tax Acct. Number: 00513105800600
Determination: Study Required Determination #: CA-2005-0183
Applicant: Barbara Pickens, 4D-Architects Inc. Owner: Tung Bui
CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED (CA-2005-0183)
During review and inspection of the subject site, it was found that the site may contain or be
adjacent to critical areas, including a Landslide Hazard Area pursuant to Chapter 23.40 of the
Edmonds Community Development Code (ECDC). This site is also located in the designated
Earth Subsidence Landslide Hazard Area and must also comply with ECDC 19.10.
GENERAL CRITICAL AREAS REPORT REQUIREMENTS
Critical Areas Reports identify, classify and delineate any areas on or adjacent to the subject
property that may qualify as critical areas. They also assess these areas and identify any
potential impacts resulting from your specific development proposal. If a specific development
proposal results in an alteration to a critical area the critical areas report will also contain a
mitigation plan. You have the option of completing the portion of the study that classifies and
delineates the critical areas and waiting until you have a specific development proposal to
complete the study. You may also choose submit the entire study with your specific
development application.
• Please review the minimum report requirements for all types of Critical Areas which are
listed in ECDC 23.40.090.D. There are additional report requirements for different types of
critical areas (see below).
• Note that it is important for the report to be prepared by a qualified professional as defined
in the ordinance. There are options on how to complete a critical areas study and an
approved list of consultants that you may choose from. You may contact the Planning
Division for more information.
• General Mitigation Requirements for all Critical Areas are discussed in ECDC 23.40.110
through 23.40.140.
STUDY REQUIREMENT — LANDSLIDE HAZARD AREA
It appears that this property contains or is adjacent to a Landslide Hazard Area.
• A Landslide Hazard Area is any area with a slope of forty percent (40%) or steeper and with
a vertical relief of ten (10) or more feet (except areas composed of consolidated bedrock).
• Landslide Hazard Areas are further defined and illustrated in ECDC 23.80.020.13.
• In addition to the general requirements for Critical Areas reports referenced above, specific
Critical Area report requirements for Landslide Hazard Areas are provided in ECDC
• 23.80.050.
DEVELOPMENT PROPOSALS ASSOCIATED WITH LANDSLIDE HAZARD AREAS
Development is restricted within a Landslide Hazard Area and its buffer.
• Projects that will intrude into these areas will require a report by a licensed Geotechnical •
Engineer.
• The criteria that are applied depend on the amount that the buffer is reduced.
• The buffer can be reduced to a minimum of ten (10) feet (with an additional 15' building
setback per ECDC 23.40.280) if a report is prepared that meets the standards listed in
ECDC 23.80.050). The alteration must also meet the requirements listed ECDC 23.80.060.
• In addition, proposals to reduce the buffer to less than ten (10) feet must comply with the
design standards listed in ECDC 23.80.070.A.3.
ALLOWED ACTIVITIES
Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.20. If
you have any questions about whether your proposed development qualifies as an allowed
activity, please contact a Planner for more information.
EXEMPT DEVELOPMENT PROPOSALS
Certain development proposals may be exempt from Critical Areas Requirements (ECDC
23.40.230). If you think that a specific development proposal may be exempt, contact a
Planner for more information.
Gina Coccia Planner & /W11/V VU-Vt1 December 2. 2005
Name, Title V Signature Date
NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on
the City of Edmonds website at www.ci.edmonds.wa.us.
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