18009 76TH AVE W11111111111111
15081
18009 76TH AVE W
ADDRESS: I S oo -1
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE
SHORT PLAT FILE:
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
LID #:
LOT: BLOCK:
L\TEMP\DSTs\Forms\Street rile Checklist.doc
CA FILE NO. JAI
w
Critigh Areas Checklist
Site Information (soil s/topography/hydrology/vegetation)
1. Site Address/Location: 17611� Ate'
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet): `�� 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 66-feet).
Hilly: slopes present on site of more than l 5% and less than 30% ( a vertical rise of
l0-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: ; Approx. Depth:
What season(s) of the year? 170
8. Site is in the floodway /10 floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? Imo_ Flows are seasonal? (What time of year? ).
10. Site is primarily: forested X meadow : shrubs : mixed
urban landscaped (lawn, shrubs etc
11. Obvious wetland is present on site:
- -- - - --- .. l'or City Staff: ise'Only
l site 'is Zoned?
' 'S(?S maooed soil`type(s)?_
DETERMINATION
•
�)yo Sim,
"a chkdK Rev IW01197
City. of Edmonds
v ``• .-Development Services Department
.:,
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
lac. 1 89�
Critical Areas File #:VW Z.y '�,O— i 2►
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept:_ -�7—OU
City Receipt No: / O t
Date Mailed to Applicant:_
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, land make a determination of the
subsequent steps necessary to 4oniplete 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 assist staff in I completing their preliminary
assessment of the site.
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out.the appropriate column below).
PLEASE PRINT CLEARLY
Owner/Applicant: Applicant Representative:
Name
�� 6-1"" P(.,� S
Street Address
City State Zip
Telephone
Signature
Date
Name
Street Address
City State Zip
Telephone
i
i
Signature
Date
d:receptioNjana/CACLHandout.doc Revised 4H0/2000
City of Edmonds
Critical Areas Determination
Applicant: Ronald T. DenAdel Determination #: CA-00-121
Project Name: N/A Permit Number:
Site Location: 18009 761h Ave. W' Property Tax Acct #: 3708-003-001-00
Project Description:
Non -project
Determination: Study Required:
During review and inspection of the subject site, it was found that the site contains Critical Areas
pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC).
There are indications of possible wetlands, and/or steep slopes on the property. Based on the
above findings, a Critical Areas Study is required to determine and delineate the type
and/class of wetland and its boundaries, buffers and setbacks. All critical area studies
shall be preformed as a three -party contract agreement, with the city selecting the
consultant, and the property owner or applicant paying the fees.
If the property owner wishes to apply for a specific development on the site, they may
submit their proposal to the Planning Division for review. If staff finds that the proposed
development permit will not adversely impact a Critical Area or its buffers, a conditional
waiver may be issued on a project by project basis.
m ,
Chanda Earhart 8/4/00
Name Signature Date
cc: CA-00-121 File