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HomeMy WebLinkAboutMCUP 07-04; SD06378A T-MOBILE CALAVERA HILLS PARK; Minor Conditional Use Permit (MCUP)1) □ □ □ ~ □ □ □ □ □ □ □ □ CITY OF CARLSBAD LAND USE REVIEW APPLICATION APPLICATIONS APPLIED FOR: (CHECK BOXES) (FOR DEPARTMENT USE ONLY) Administrative Permit □ Planned Industrial Permit Administrative Variance □ Planning Commission Determination Coastal Development Permit □ Precise Development Plan Conditional Use Permit me ~[~U/J:)'1 □ Redevelopment Permit • Condominium Permit □ Site Development Plan Environmental Impact Assessment □ Special Use Permit General Plan Amendment □ Specific Plan Hillside Development Permit □ +eAtative PaFsel Ma13 Obtain from Engineering Department Local Coastal Program Amendment □ Tentative Tract Map Master Plan □ Variance Non-Residential Planned Development □ Zone Change Planned Development Permit □ List other applications not specified (FOR DEPARTMENT USE ONLY) 2) 3) 4) ASSESSOR PARCEL NO(S).: / ~ 7-1.Q t ..... O 1 PROJECT NAME: f-fYlobj I~ lAbA~:r::n0 /6,iAV1/1A,; u,·us ~mmun;tJ PtVt<. BRIEF DESCRIPTION OF PROJECT: p l -T o. r'\e.w repliurne,,rr-/1 h t,Stanur r~u r.==========='=-============;===========~==============,;({;\?~ 5) OWNER NAME (Print or Type) Dou.vi Du rita.,,nsor1, ~,;. of &tr lsba.tl Pa.,'-fts' '51A.fYiri1ui ~ 1-Yno MAILING ADDRESS CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP EMAIL ADDRESS: S: I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND P=~ . · ;2 D· CORRECI O BESIOF MY KNOWLEDGE9 • J 3 ·Os' SI ATURE SI DATE 7) BRIEF LEGAL DESCRIPTION 'ThrttOV) of W,f :'f_11 of Reho tkJ,1ort~ 1 C{f1 of0_r/5 kJ_ 1 C»Lttlt°L{ of $4,n D1f½i"C> 1 5 of CJ, r ,~ a,cwr-tJ..",,V1 '#=. <gJ 3. NOTE: A PROPOSED PROJECT RE~UIRING MULTIPLE APPLICATIONS BE FILED, ST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M. Form 14 ·. , I ,( ./ !3) LOCATION OF PROJECT: EET ADDRESS ONTHE,__I -~U}~Vj~il ____ ~ SIDE OF ,__I -=G--"-ltl""""s'--, tt-+"'o....;;;.:w"'--D_r_i v._v ___ ___. 'c) (NAME OF STREET) (NORTH, SOUTH, EAST, WEST) BETWEEN I {ju::lsW VtllaAr.cDcl (NAME OF STREE-q,' AND ,__I -+T-=a..:..:m-=a=r..;..;.a....;_;ck_'-=--1-,B ..... v-"'"~<"'-------' (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS I f\JtA...I 11) NUMBER OF EXISTING ~ 12) PROPOSED NUMBER [I] RESIDENTIAL UNITS OF RESIDENTIAL UNITS 13) TYPE OF SUBDIVISION I n1~I14) PROPOSED IND OFFICE/ I /) Jtvl 15) PROPOSED COMM ~ SQUARE FOOTAGE SQUARE FOOTAGE 16) PERCENTAGE OF PROPOSED ~ 17) PROPOSED INCREASE ~18) PROPOSED SEWER I 111~1 PROJECT IN OPEN SPACE /Jv INADT USAGE IN EDU 19) GROSS SITE ACREAGE l1k<i 120) EXISTING GENERAL □21) PROPOSED GENERAL I Y\Jet_,I PLAN PLAN DESIGNATION 22) EXISTING ZONING IP~ I 23) PROPOSED ZONING I n)tc 124) HABITAT IMPACTS ~ IF YES, ASSIGN HMP # 25) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO NTRY F: PURPOSE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED~!: B 2 3 2007 • -l,;I I Y \..' t-'LAI' CARLSBA~I y O~~c;AA~BAD F LANNlNG O~PT, NING DEPT . .lTY OF CARL:~>'.f\D , PLANNING o:=yT DATE STAMP APPLICATION RECEIVED RECEIVED BY: TOTAL FEE REQUIRED 0 Form 14 Cit~ of Carlsbad ■ ora ,. , •• ,,. , .z, .g. u, ,,,,,, DISCLOSURE STATEMENT 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, title, 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 • (N/A) 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___________ Corp/Part ___________ _ Title ------------Title _____________ _ Address Address ------------------------ 2. OWNER (Not the owner's agent) 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, title, 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 (N/A) 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 {11}1 HJ {}a_,r:/J:>tLIL Corp/Part _______ _ Title /(}Cf, C:{!,6'f>f7l.-l0 ~ ej fu.J 2f ritle _________ _ Addre.ss /6 3) ~-__ .}'ddress ~ CvJ4truJ [/)q~~--------'- 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 • www.ci.carlsbad.ca.us @ 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 _________ _ Title 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 D No If yes, please indicate person(s): ___________ _ NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. dy {!/tt:f5'1A1r;)-Signature of applicant/date G T'( dY-~tf?~ Print or type name of owner Print or type name of applicant ~plicable/date Tl4-!A:--~S o~ type name of owner/applicant's agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 12/06 Page 2 of 2 tF • ·Mobile·· May 25, 2005 To Whom it May Concern: Omnipoint Communications, Inc. a subsidiary ofT-Mobile USA Inc. 3 Imperial Promenade, 11th FL Santa Ana, California 92707 Plancom, Inc. and its employees and agents are authorized representatives of Omnipoint Communications, Inc. (OCI) a subsidiary of T-Mobile, USA, Inc., and have been contracted to perform real estate leasing, land-use entitlements and architectural & engineering services for OCI telecommunication facilities. • As an authorized representative of OCI, Plancom, Inc., may: sign, submit, review land-use applications and permits, represent at hearings, accept conditions of approval, and negotiate leases on OCl's behalf. All final documents are subject to OCl's review and approval. If there are any questions or comments, please contact me immediately. Sincerely yours, ~o.~. Bryce 0. Walker OCI Area Senior Manager Real Estate & Construction (949) 394-1088 • I STORM WATER REQUIREMENTS APPLICABILITY CHECKLIST Project Address Assessors Parcel Number(s): 167-101-07 Project# (city use only): 2997 Glas ow Drive MCUP07-04 Complete Sections 1 and 2 of the following checklist to determine your project's permanent and construction storm water best management practices requirements. This form must be completed and submitted with your permit application. Section 1. Permanent Storm Water BMP Requirements: If any answers to Part A are answered "Yes," your project is subject to the "Priority Project Permanent Storm Water BMP Requirements," and "Standard Permanent Storm Water BMP Requirements" in Section 111, UPermanent Storm Water BMP Selection Procedure" in the Storm Water Standards manual. If all answers to Part A are "No," and any answers to Part Bare "Yes," your project is only subject to the "Standard Permanent Storm Water BMP Requirements". If every question in Part A and B is answered "No," your project is exempt from permanent storm water requirements. Part A· Determine Priority Project Permanent Storm Water BMP Reauirements. Does the project meet the definition of one or more of the priority project categories?* Yes 1. Detached residential development of 1 0 or more units. □ 2. Attached residential development of 1 0 or more units. □ 3. Commercial development greater than 100,000 square feet. □ 4. Automotive repair shop. □ 5. Restaurant. □ 6. Steep hillside development greater than 5,000 square feet. □ 7. Project discharging to receiving waters within Environmentally Sensitive Areas. □ 2 □ 8. Parking lots greater than or equal to 5,000 ft or with at least 15 parking spaces, and potentially exposed to urban runoff. 9. Streets, roads, highways, and freeways which would create a new paved surface that is □ 5,000 square feet or greater * Refer to the definitions section in the Storm Water Standards for expanded definitions of the priority project categories. Limited Exclusion: Trenching and resurfacing work associated with utility projects are not considered priority projects. Parking lots, buildings and other structures associated with utility projects are priority projects if one or more of the criteria in Part A is met. If all answers to Part A are "No", continue to Part B. No [iJ [iJ [iJ [iJ [iJ [iJ [iJ [iJ [iJ • • Part B: Determine Standard Permanent Storm Water Requirements. Does the project propose: Yes No 1. New impervious areas, such as rooftops, roads, parking lots, driveways, paths and □ [i] sidewalks? 2. New pervious landscape areas and irrigation systems? □ [i] 3. Permanent structures within 100 feet of any natural water body? □ [i] 4. Trash storage areas? □ [i] 5. Liquid or solid material loading and unloading areas? □ [i] • 6. Vehicle or equipment fueling, washing, or maintenance areas? □ [i] 7. Require a General NPDES Permit for Storm Water Discharges Associated with Industrial □ [i] Activities (Except construction)?* 8. Commercial or industrial waste handling or storage, excluding typical office or household □ [i] waste? 9. Any grading or ground disturbance during construction? □ [i] 10. Any new storm drains, or alteration to existing storm drains? □ [i] *To find out if your project is required to obtain an individual General NPDES Permit for Storm Water Discharges Associated with Industrial Activities, visit the State Water Resources Control Board web site at, www.swrcb.ca.gov/stormwtr/industrial.html Section 2. Construction Storm Water BMP Requirements: If the answer to question 1 of Part C is answered "Yes," your project is subject to Section IV, "Construction Storm Water BMP Performance Standards," and must prepare a Storm Water Pollution Prevention Plan (SWPPP). If the answer to question 1 is "No," but the answer to any of the remaining questions is "Yes," your project is subject to Section IV, "Construction Stonn Water BMP Perfonnance Standards," and must prepare a Water Pollution Control Plan (WPCP). If every question in Part C is answered "No," your project is exempt from any construction storm water BMP requirements. If any of the answers to the questions in Part Care "Yes," complete the construction site prioritization in Part D, below. Part C: Determine Construction Phase Storm Water Requirements. Would the project meet any of these criteria during construction? Yes No 1. Is the project subject to California's statewide General NPDES Permit for Stonn Water □ [g] Discharges Associated With Construction Activities? 2. Does the project propose grading or soil disturbance? □ [g] 3. Would storm water or urban runoff have the potential to contact any portion of the □ [g] construction area, including washing and staging areas? 4. Would the project use any construction materials that could negatively affect water quality □ [i] if discharged from the site (such as, paints, solvents, concrete, and stucco)? • • Part D: Determine Construction Site Priority In accordance with the Municipal Permit, each construction site with construction storm water BMP requirements must be designated with a priority: high, medium or low. This prioritization must be completed with this form, noted on the plans, and included in the SWPPP or WPCP. Indicate the project's priority in one of the check boxes using the criteria below, and existing and surrounding conditions of the project, _the type of activities necessary to complete the construction and any other extenuating circumstances that may pose a threat to water quality. The City reserves the right to adjust the priority of the projects both before and during construction. [Note: The construction priority does NOT change construction BMP requirements that apply to projects; all construction BMP requirements must be identified on a case-by-case basis. The construction priority does affect the frequency of inspections that will be conducted by City staff. See Section IV.1 for more details on construction BMP requirements:] □ A) High Priority 1) Projects where the site is 50 acres or more and grading will occur during the rainy season 2) • Projects 1 acre or more. 3) Projects 1 acre or more within or directly adjacent to or dischc;1rging directly to a coastal lagoon or other receiving water within an environmentally sensitive area 4) Projects, active or inactive, adjacent or tributary to sensitive water bodies DB) Medium Prio;ity • 5) Capital Improvement Projects where grading occurs, however a Storm Water Poilution Prevention Plan (SWPPP) is not required under the State General Construction Permit (i.e., water and sewer replacement projects, intersection and street re-alignments, widening, comfort stations, etc.) 6) Permit projects in the public right-of-way where grading occurs, such as installation of sidewalk, substantial retaining walls, curb and gutter for an entire street frontage, etc. , however SWPPPs are not required. 7) Permit projects on private property where grading permits are required, however, Notice Of Intents (NOls) and SWPPPs are not required. -~ C) Low Priority 8) . Capital Projects where minimal to no grading occurs, such as signal light and loop installations, street light installations, etc. 9) Permit projects in the public right-of-way where minimal to no grading occurs; such as pedestrian ramps, driveway additions, small retaining walls, etc. 10) Permit projects on private property where grading permits are not required, such as small retaining walls, single-family homes, small tenant improvements, etc.