HomeMy WebLinkAboutCDP 2018-0031; EL CAMINO AT CANNON ROAD INTERSECTION IMPROVEMENTS - CIP 6042; Coastal Development Permit (CDP){ City of
Carlsbad
LAND USE REVIEW
APPLICATION
P-1
Development Services
Planning Division
1635 Faraday Avenue
{760) 602-4610
www.carlsbadca.gov
APPLICATIONS APPLIED FOR: (CHECK BOXES)
Development Permits
[3J Coastal Development Permit
D Conditional Use Permit
D Minor O Extension
D Day Care (Large)
D Minor
D Environmental Impact Assessment
D Habitat Management Pennlt D Minor
D Hillside Development Permit O Minor
D Nonconforming Construction Permit
D Planned Development Permit D Minor
D Residential D Non-Residential
D Planning Commission Determination
D Reasonable Accommodation
D Site Development Plan D Minor
[3J Special Use Permit (2 needed)
(ECR Corridor and Flood Plain)
D Tentative Parcel Map (Minor Subdivision)
D Tentative Tract Map (Major Subdivision)
D Variance D Minor
(FOR DEPT. USE ONLY) Legislative Permits
c.l)f1A>lt-
0031
:S.,,. .. • 000S
:;.,,.,,r . -~
D General Plan Amendment
D Local Coastal Program Amendment
D Master Plan
D Specific Plan
D Zone Change
D Amendment
D Amendment
D Zone Code Amendment
South Carlsbad Coastal Review Area
Permits
D Review Permit
D Administrative D Minor D Major
Village Review Area Permits
D Review Permit
D Administrative D Minor D Major
(FOR DEPT USE ONLY)
E7
NOTE: A PROPOSED PROJECT REQUIRING APPUCATJON SUBMITTAL MUST BE SUBMITTED BY APPOINTMENT". PLEASE CONTACT THE APPOINTMENT SPECIALIST
AT (760) 602-2723 TO SCHEDULE AN APPOINTMENT.
ASSESSOR PARCEL NO(S):
LOCATION OF PROJECT:
NAME OF PROJECT:
BRIEF DESCRIPTION OF
PROJECT:
PROJECT VALUE
(SITE IMPROVEMENTS)
FOR CITY USE ONLY
*SAME DAY APPOINTMENTS ARE NOT AVAILABLE
168-050-42 (Rancho)/ 168-360-06 (Robertson)/ 208-162-34 {Kelly)/ 212-152-01 (Evans)
On ECR over Agua Hedionda Creek/ east of Cannon Rd.
(STREET ADDRESS)
El Camino Real at Cannon Road intersection improvements (CIP 6042) ------------
Repair the bridge railing on the south side and widen sidewalk. Add a pedestrian bridge over Agua Hedionda
creek and restripe ECR for 3-lhru lanes and a right-tum only lane for capacity.
$1,405,000 ESTIMATED COMPLETION DATE Spring 2020
Development No. q\){) Z..Ul \(-OOl'f
P-1
Lead Case No.
Paoe 1 of6 Revised 03/17
OWNER NAME {PLEASE PRINT) APPLICANT NAME (PLEASE PRINT)
INDIVIDUAL NAME INDIVIDUAL NAME City of Carlsbad (if applicable): {if applicable):
COMPANY NAME COMPANY NAME
(if applicable): {if applicable):
MAILING ADDRESS: MAILING ADDRESS: 1635 Faraday Avenue
CITY, STATE, ZIP: CITY, STATE, ZIP: Carlsbad, CA 92008
TELEPHONE: TELEPHONE: 760.602.2745
EMAIL ADDRESS: EMAIL ADDRESS: Brandon.Miles@carlsbadca.gov
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE.
SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR
PURPOSES OF THIS APPLICATION.
SIGNATURE DATE SIGNATURE DATE
APPLICANT'S REPRESENTATIVE (Print): Brandon Miles
MAILING ADDRESS: Same as above
CITY, STATE, ZIP.
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR
PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE
INFORMATIO~N JS -7~U,E ND CORRECT TO THE BEST OF MY
KNOWLED~ /
sL, / '" .,/ ./ ~~-
SIGNATURt: DATE
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING
COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH
THE LAND AND BIND ANY SUCCESSORS IN INTEREST.
PROPERTY OWNER SIGNATURE
FOR CITY USE ONLY
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
P-1 Page2of6 Revised 0311
{ City of
Carlsbad
HAZARDOUS WASTE
AND SUBSTANCES
STATEMENT
P-1 (C)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Consultation of Lists of Sites Related to Hazardous Wastes
(Certification of Compliance with Government Code Section 65962.5)
Pursuant to State of California Government Code Section 65962.5, I have consulted the
Hazardous Waste and Substances Sites List compiled by the California Environmental
Protection Agency and hereby certify that (check one):
[ZI The development project and any alternatives proposed in this application are not contained on the
lists compiled pursuant to Section 65962.5 of the State Government Code.
0 The development project and any alternatives proposed in this application~ contained on the lists
compiled pursuant to Section 65962.5 of the State Government Code.
APPLICANT PROPERTY OWNER
Name: ____ C,,.,,ity,_,,,ofc.C=ar~ls~b~•~d~-------Name: ___________ _
Address: __ ~16~3~5~F~•~r•~d~a.,y~A~v=•~·, =9:20~0~8~---Address: __________ _
Phone Number:~7=6~0.=6~02~·:27~4~5~-------Phone Number: ___________ _
Address of Site: ___ =E=a~,t~s~id~e=ofc.C~a~n~n~o~nc.R=o•~d=•~nd~E~I =C=•~m~in~o=R=e=al~o~nc.l~h=e~e~a=s~t ~''=d=•~· _____ _
Local Agency (City and County): ___ C=ity=ofc.C=a~r~ls~b~a=d~, =C=o=u~nt.,y~o~f=S=•~n~D~i=eq~o~---------
Assessor's book, page, and parcel number: 168-050-42 (Rancho)/ 168-360-06 (Robertson)/ 208-162-34
(Kelly)/ 212-152-01 (Evans)
Specify list(s): _______________________________ _
Regulatory Identification Number: _________________________ _
Date of List: ________________________________ _
/
f)t>plican. Property Owner Signature/Date
The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local
agencies and developers to comply with the California Environmental Quality Act requirements
P-1(C) P~ge 1 of 2 Revised 02/13
(city of
Carlsbad
DISCLOSURE STATEMENT
P-1{A)
Development Services
Planning Division
1635 Faraday Avenue
{760} 602-4610
www.carlsbadca.gov
Applicant's statement or disclosure of certain ownership interests on all applications which will
require discretionary action on the part of the City Council or any appointed Board, Commission
or Committee.
The following information MUST be disclosed at the time of application submittal. Your project
cannot be reviewed until this information is completed. Please print.
Note:
Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal
organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county,
city municipality, district or other political subdivision or any other group or combination acting as a unit."
Agents may sign this document; however, the legal name and entity of the applicant and property owner
must be provided below.
1. APPLICANT (Not the applicant's agent)
Provide the COMPLETE, LEGAL names and addresses of ALL persons having a
financial interest in the application. If the applicant includes a corporation or partnership.
include the names, titles, addresses of all individuals owning more than 10% of the
shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE
INDICATE NON-APPLICABLE (NIA) IN THE SPACE BELOW. If a publicly-owned
corporation, include the names, titles, and addresses of the corporate officers. (A
separate page may be attached if necessary.)
Person Brandon Miles/City of Carlsbad Corp/Part ___________ _
Title Associate Engineer
Address 1635 Faraday Ave
Title ____________ _
Address. ___________ _
2. OWNER (Not the owner's agent)
P-1(A)
Provide the COMPLETE, LEGAL names and addresses of ALL persons having any
ownership interest in the property involved. Also, provide the nature of the legal
ownership (i.e., partnership, tenants in common, non-profit, corporation, etc.). If the
ownership includes a corporation or partnership, include the names, titles, addresses of
all individuals owning more than 10% of the-shares. IF NO INDIVIDUALS OWN MORE
THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (NIA) IN THE
SPACE BELOW. If a publicly-owned corporation, include the names, titles, and
addresses of the corporate officers. {A separate page may be attached if necessary.)
Person Brandon Miles/City of Carlsbad
Title ___________ _
Address 1635 Faraday Avenue
Carlsbad, CA 92008
Corp/Part. __________ _
Title. ____________ _
Address ____________ _
Page 1 of2 Revised 07/10
\
3. NON-PROFIT ORGANIZATION OR TRUST
If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust,
list the names and addresses of ANY person serving as an officer or director of the non-
profit organization or as trustee or beneficiary of the.
Non Profit/Trust --------Non Profit/Trust. _________ _
Ti tie. __________ _ Title --------------Address. __________ _ Address. ____________ _
4. Have you had more than $500 worth of business transacted with any member of City
staff, Boards, Commissions, Committees and/or Council within the past twelve (12)
months?
D Yes l ✓INo If yes, please indicate person(s): __________ _
NOTE: Attach additional sheets if necessary.
'lo 7...o
applicant/date
Brandon Miles/ City of Carlsbad Brandon Miles/ City of Carlsbad
Print or type name of owner Print or type name of applicant
--, ,11z.u
re of owner/applicant's agent if applicable/date
Brandon Miles/ City of Carlsbad
Print or type name of owner/applicant's agent
P-1(A) Page2of2 Revised 07110
( City of
Carlsbad
PROJECT DESCRIPTION
P-1(8)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
PROJECT NAME: El Camino Real at Cannon Road Intersection Improvements
APPLICANT NAME: ,,C,,ity'-"ofccC"a"'r"'ls,.,be,a,,_d ___________________ _
Please describe fully the proposed project by application type. Include any details necessary to
adequately explain the scope and/or operation of the proposed project. You may also include
any background information and supporting statements regarding the reasons for, or
appropriateness of, the application. Use an addendum sheet if necessary.
Description/Explanation:
The project, located at the intersection of El Camino Real (ECR) and Cannon Road will provide
operational enhancements for vehicles, bicycles, and pedestrians consistent with the city's
mobility goals. The bridge railing on the south side will be repaired and the sidewalk widened.
On the north side a pedestrian bridge will be installed over Agua Hedionda Creek and the
existing bridge will be restriped to provide 3-thru lanes and a right-turn only lane. These
improvements will enhance operations and improve mobility.
MAY O 3 2018
r! I"•
. I
P,1(8) Page 1 of 1 Revised 07110
ENGINEER
PROJECT.
ITEM NO.
'
ITEM NO.
' ' ' ' •
' •
' " " " " " " " " " " ,0
" n
" " "
ITEM NO.
'" " ,. ,.
" " n
" " " " " " ,s
ITEM NO.
'" " " " " " '" " "
PRELIMINARY ESTIMATE OF PROBABLE COST (90% SUBMITTAL)
K.GAZAWAY OATE· 4112118 COMPANY:
EL CAMINO REAL BRIDGE IMPROVEMENTS AT CANNON ROAD
CONTRACT ITEMS UNIT QUANTITf
Mobilization cs '
ROADWAY CONTRACT ITEMS UNIT QUANTITf
Cold Moll AC Pavement (2-mch) s, " 2-lnch Asphatt Concrete Overlay s, " Concrete Pavement (4 Inch Thick) " " Remove and Replace Asphalt Concrete (Full Depth) rn, " Remove and Dispose Ex1stmg Sidewalk s, " Remove and dispose Curb and Gutter " "" Remove and Dispose Existing Guard Rail Ce m
Retaining Wal Ce " Curt, and Gutter " ,rn
Type A Curt, Ramp SA ' Dnveway SA ' Erosion and Sedimenl Controls cs ' Clear and Grub. lnctuding Trees cs ' Stabilized DG (Landscaping) rn, ' Cobble (2"-3") se "' Concrete Mow Curt, " "' Plant Trees (24" Box) SA ' Cul and Cap lrriga11on cs ' Repair lrrigalion Syslem Se 5000
Recompaci 12" Top Soil (Fine Grading) Se " Erosion Control Mulch " "' Hydro seeding Se '"00
Reset Chain Link Fence (1ndudes removal) Ce '" 42-inch Pedestnan Railing al Top of Slopes Ce .,
SIGNING AND STRIPING CONTRACT ITEMS UNIT QUANTITY
lnslan4" WMe Lane Line per Caltrans Standard Plan A2.0A, Detail 11 Ce 17,0
lns1all6" While Bike Lane Line per Cattrans Slandard Plan A20A. Detail 39 Ce "' lns1all 6" White Dashed Intersection Bike Lane Line per Caltrans Standard Plan A20A, Detail 39A Ce ,oo
Install 8" White Channel,zjng Line per Cattrans Standard Plan A20D. Detail 38 Ce '" Jnstall 8" White Chevron Line per Caltrans Slandard Plan A20D. Deta,l 38A cs ' Install Thermoplastic Pavement Marking per Caltrans Standard Plan A24A, Nrow Type IV (R) " ' lnstaU Thermoplastic Pavement Marking per Caltrans Standard Plan A24A, Bike Lane Arrow SA ' lnstal Thermoplastic Shared Lane (Sharrow) Pavement Marking eA ' lnslal Thermoplastic Pavement Marking Words per Caltrans Standard Plan A24D. "AHEAD" eA ' lnstal Thermoplastic Pavement Mar1<ing Words per Caltrans Standard Plan A24'"J, "SIGNAL" SA ' Furnish and Install s,gn wilh Post SA ' Remove and Salvage faisting Sign and Post SA ' Remove Existing Conflicting Striping cs ' Trafftc Control cs '
BRIDGE CONTRACT ITEMS °'" QUANTITf
Public Safety Plan for Melhecrylate Deck Treatment cs ' Resel Pipe Handralling Ce "" Remove Bridge Rail (Type 9-11) Ce '" Remove Masonry Sound WaD Se 1,000
Remove Concrete Vault (Por1ion) cs ' Prep;;,re Concrete Bridge Deck Surface Se 12,000
Refimsh Br1dge Deck Se '"' Treat Bridge Deck Se 12,000
Furnish Bndge Deck Treatment Material GAC ""
MAY O 3 2018
KLEINFELDER, INC.
PRICE AMOUNT
' ,00,000 $100,000
PRICE AMOUNT
' m $5,250
' "' $6,300
' ,oo $12.000
' "'" $9,920
' " $3,900
' ,0 S3,960
' " $3,375
' ,so $7,500
' " $12,750
' 2,000 $2,000
' 4,000 $4,000
' 2,500 $2,500
' 20,000 $20,000
' " $455
' • $5,580
' " $4,085
' ,oo $3,000
' 1,000 $2,000
' ' $12,500
' ' '" ' " $1,470
' ' $4.600
' ,0 $780
' ,0 $1,860
PRICE AMOUNT
' ' $3,420 • ' $630
' ' $580
' ' $970 • aoo $300
' ,00 "00 • ,00 $200 • a,o $1,050
' ,oo $1,200
' ,oo $1,200
' ,oo $800
' mo $200
' 2,000 $2,000 • 11,500 $11,500
PRICE AMOUNT
• 3,000 $3,000
' " $7.400
' " $22.125
' " $15.000
• 5,000 $5,000
' ' $12,000
' " $6,490
' 1.50 $18.000
' ,oo $12.000
" Structure Excavation (Bridge) " " ' ,oo $19,000
,0 Structure Backfin (Br1dge) " " ' ,oo $11,400
" M,cropHe eA • ' 20,000 $160,000
" Structural Concrete. Bridge Footing CY " ' 1,200 $26,400
" Structural Concrete. Bndge CY rn ' 2.000 $139,519
" Drill and Bond Dowel " rn ' " '""
" Bar Remforcing Steel (Bridge) ca 11,710 ' "' $29,275 ,. Furnish Prefabricated Steel Bridge eA ' ' 187,000 $187,000
" Ereci Prefabricated Steel Bndge cs ' ' 15,000 $15,000 ,. Sound Wall (Masonry Block) se 1,500 ' so $75,000
" S1eel Swing Gate eA ' ' ,oo $500
so Tubular Bicycle RaIing ce '" ' mo $14,700
" Altemative Crash Cushion System eA ' ' 30,000 $60,000
"' Concrete Barrier (Type 80) " '"' ' ,so $132,750 ., Bndge Lighting cs ' ' 50,700 $50,700
SUBTOTAL $1,276,962
CONTINGENCIES (10%) $127,696
TOTAL $1,404,681
FOR BUDGET PURPOSES USE $1,405,000
{'city of
Carlsbad
STORM WATER STANDARDS
QUESTIONNAIRE
Development Services
Land Development Engineering
1635 Faraday Avenue
(760) 602-2750
www.carlsbadca.gov
E-34
j lNSTR~CTIONS:
To address post-development pollutants that may be generated from development projects, the city requires that new
development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management
Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual,
refer to the Engineering Standards (Volume 5).
This questionnaire must be completed by the applicant in advance of submitting for a development application
(subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of
storm water standards that must be applied to a proposed development or redevelopment project. Depending on the
outcome, your project will either be subject to 'STANDARD PROJECT' requirements or be subject to 'PRIORITY
DEVELOPMENT PROJECT' (PDP) requirements.
Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City
staff has responsibility for making the final assessment after submission of the development application. If staff
determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than
initially assessed by you, this will result in the return of the development application as incomplete. In this case, please
make the changes to the questionnaire and resubmit to the city.
If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the
questions, please seek assistance from Land Development Engineering staff.
A completed and signed questionnaire must be submitted with each development project application. Only one
completed and signed questionnaire is required when multiple development applications for the same project are
submitted concurrently.
PROJECT INFORMATION ,,
PROJECT NAME: El Camino Real at College Blvd Intersection Improvements PROJECT ID: 6071
ADDRESS: El Camino Real at College Blvd APN : N/A
The project is (check one): D New Development 1Z1 Redevelopment
The total proposed disturbed area is: 18,245 ft2 ( 0.42 ) acres
The total proposed newly created and/or replaced impervious area is: 11,240 ft2 ( 0.26 ) acres
If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the
SWQMP # of the larger development project:
Project ID SWQMP#:
Then , go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your
application to the city.
E-34 Page 1 of 4 REV 02/16
STEP1
TO BE COMPLETl:D FOR ALL PROJECTS
To determine if your project is a "development project", please answer the following question:
YES NO
Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building
or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)? □ IZI
If you answered "yes" to the above question, provide justification below then go to Step 5, mark the third box stating "my
project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant
information.
Justification/discussion: (e.g. the project includes only interior remodels within an existing building):
If vou answered "no" to the above question, the oroiect is a 'develooment project', oo to Sten 2.
STEP 2
TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS
To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer
the following questions:
Is your project LIMITED to one or more of the following:
YES NO
1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria:
a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-
erodible permeable areas; □ IZI b) Designed and constructed to be hydraulically disconnected from paved streets or roads;
c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA
Green Streets auidance?
2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ IZI accordance with the USEPA Green Streets guidance?
3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? □ Ill
If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 5, mark
the second box stating "my project is EXEMPT from PDP ... "and complete applicant information.
Discussion to justify exemption ( e.g. the project redeveloping existing road designed and constructed in accordance with
the USEPA Green Street guidance):
If you answered "no" to the above questions, your project is not exempt from PDP, oo to Step 3.
E-34 Page 2 of 4 REV02/16
msi:Ij~~ ~~:-::~~:iis11i~~:i&tIR1~l~~4~i~11~:i1~trt11]~:~;rrmr1~
To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1)): >
YES NO
1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces
collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, □ [21
and public development projects on public or private land.
2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of
impervious surface collectively over the entire project site on an existing site of 10,000 square feet or Ill □ more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public
development projects on public or private land.
3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is
a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and □ Ill
refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial
Classification (SIC) code 5812).
4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious
surface collectively over the entire project site and supports a hillside development project? A hillside □ Ill
development project includes development on any natural slope that is twenty-five percent or qreater.
5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is □ Ill a land area or facility for the temporary parking or storage of motor vehicles used personally for
business or for commerce.
6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a street, road, highway Ill □ freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface
used for the transoortation of automobiles, trucks, motorcvcles, and other vehicles.
7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more
of impervious surface collectively over the entire site, and discharges directly to an Environmentally
Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of □ Ill
200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an
isolated flow from the project to the ESA (i.e. not commingled with flows from adjacent lands).•
8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious surface that supports an automotive repair shop? An automotive repair □ Ill shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC)
codes: 5013, 5014, 5541, 7532-7534, or 7536-7539.
9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes □ 'Ill RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily
Traffic (ADT) of 100 or more vehicles per day.
10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land □ Ill and are expected to generate pollutants post construction?
11. Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of
impervious surface or (2) increases impervious surface on the property by more than 10%? (CMC □ Ill
21.203.040)
If you answered "yes• to one or more of the above questions, your project is a PDP. If your project is a redevelopment
project, go to step 4. If your project is a new project, go to step 5, check the first box stating "My project is a PDP ... "
and complete applicant information.
If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT.' Go to step 5, check the
second box statinq "My project is a 'STANDARD PROJECT' ... " and complete applicant information.
E-34 Page 3 of 4 REV 02/16
STEP4
TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP)
ONLY
Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)):
YES NO
Does the redevelopment project result in the creation or replacement of impervious surface in an amount
of less than 50% of the surface area of the previously existing development? Complete the percent
impervious calculation below:
Existing impervious area (A)= 9,7oo sq. ft. □ Ill
Total proposed newly created or replaced impervious area (B) = 11,240 sq. ft.
Percent impervious area created or replaced (B/A)*100 = 116 %
If you answered "yes", the structural BMPs required for PDP apply only to the creation or replacement of impervious
surface and not the entire development. Go to step 5, check the first box stating "My project is a PDP ... " and complete
applicant information.
If you answered "no," the structural BM P's required for PDP apply to the entire development. Go to step 5, check the
check the first box statinQ "My project is a PDP ... "and complete aoolicant information.
STEPS
CHECK THE APPROPRIATE QOX AND <;OMPLETE APPLICANT INFORMATION
Ill My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must
prepare a Storm Water Quality Management Plan (SWQMP) for submittal at time of application.
0 My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT'
stormwater requirements of the BMP Manual. As part of these requirements, I will submit a "Standard Project
Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project.
Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations
and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply.
0 My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual.
Applicant Information and Signature Box
Michael Baker International
Applicant Name: David A. Wiener, P.E. Applicant Title: Project Engineer
Applicant Signature: ,(y-4>~ Date: January 19, 2018
.. • Environmentally Sensitive Areas include but are not hm1ted to all Clean Water kt Section 303(d) 1mpa1red water bodies; areas designated as Areas of Special
Biological Significance by the State Water Resources Control Board CNater Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies
designated with the RARE beneficial use by the State Water Resources Control Board 0Afater Quality Control Plan for the San Diego Basin ( 1994) and
amendments): areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; Habitat
Management Plan; and any other equivalent environmentally sensitive areas v..tlich have been identified by the City.
This Box for Citv Use Onlv
YES NO
City Concurrence: □ □
By:
Date:
Project ID:
E-34 Page 4 of 4 REV02/16