HomeMy WebLinkAboutCDP 07-11; MORRISON RESIDENCE; Coastal Development Permit (CDP), '<i> • CITY OF CARLSBAD •
. LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR
DEPARTMENT
USE ONLY)
0 Administrative Permit 0 Planned Industrial Permit
0 Administrative Variance 0 Planning Commission Determination
lkl Coastal Development Permit 01-1 \ D Precise Development Plan
D Conditional Use Permit D Redevelopment Permit
0 Condominium Permit • Site Development Plan
D Environmental Impact Assessment D Special Use Permit
D General Plan Amendment D Specific Plan
D Hillside Development Permit D +eAtati}.te PaFsel Map
Obtain from Engineenng Department
0 Local Coastal Program Amendment D Tentative Tract Map
0 Master Plan D Variance
D Minor Conditional Use Permit D Zone Change
D Non-Residential Planned Development D List other applications not specified
D Planned Development Permit
2) ASSESSOR PARCEL NO(S).: ~h -112--,31 ,<"
3)
4)
PROJECT NAME:
BRIEF DESCRIPTION OF PROJ~CT:
5) OWNER NAME (Print or Type) SI1t~' 1k2~~3{J)
MAILING AD
t/33G; /P6//~~1?k .
6) APPLICANT NAME (Print or Type) . ,J
MA LING ADDRESS
I .
(FOR
DEPARTMENT
USE ONLY)
'j, ~ J2-
TELEPHONE I
! CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFO :n S U AND C,.PRRECT TO THE BEST OF MY
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
KN D CORR C 4" E BEST.,pF MY KNOWLEDGE. . 1?0~7 ~~N~A~TU~R~E~======~---DATE
~-/9/t7
ATE
LEGAL DESCRIPTION l'~ 'r~/ 2e;b--(tf2 ---31
~p::5m q~~K .j~J. '/2 '$;/)~
I / --NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPUCATIONS BE FILED, MUST 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.... 0-
Form 14 Rev.03106 PRE Db _ £), r; V O£ -D 1 \)t:. V010[;PAGE 1 OF 5
8) LOCATION OF PROJECT:
STREET ADDRESS
,; .,
ON THE I ~ I SIDE OF
(NORTH, SOUTH, EAST, WESn
BETWEEN I lfJQVcTJ~ AND I /I-{) J9ivt·S
(NAME OF STREET) (NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE
10) PROPOSED NUMBER OF LOTS ~11) NUMBER OF EXISTING Q:J 12) PROPOSED NUMBER OJ RESIDENTIAL UNITS OF RESIDENTIAL UNITS
13) TYPE OF SUBDIVISION [E] 14) PROPOSED IND OFFICEl [1[J 15) PROPOSED COMM ~ SQUARE FOOTAGE . SQUARE FOOT AGE
16) PERCENTAGE OF PROPOSED 17) PROPOSED INCREASE [IT] 18) PROPOSED SEWER [QQJ PROJECT IN OPEN SPACE : (, ... ./1\ IN ADT USAGE IN EDU
19) GROSS SITE ACREAGE '~20) EXISTING GENERAL ~21) PROPOSED GENERAL If~V)'1 ,"}'tJ,(1 ]l' PLAN PLAN DESIGNATION
22) EXISTING ZONING 1JZ;/-)r3) PROPOSED ZONING ~24) HABITAT IMPACTS [is] IF YES. ASSIGN HMP # -j
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. INJE CONSENT
~~:;~
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED RECEIVED
APR 3 0 2007
CITY OF CARLSB
Df?t.ftmmffl j RECEIVED
RECEIVED BY:
TOTAL FEE REQUIRED
Form 14 Rev. 03106 PAGE 2 OF 5
·. : .(i) e CITY OF CARLSBAD •
APPLICATION REQUIREMENTS FOR:
COASTAL DEVELOPMENT PERMIT (SINGLE F MilLY REGULAR AND MINOR)
COASTAL DEVELOPMENT PERMIT SUPPLEMENTAL APPLICATION (FOR ALL COASTAL
DEVELOPMENT PERMITS)
This supplemental application is to be filed for any development requiring a Coastal Development Permit
issued by the City of Carlsbad.
**Application checklist for Non-Single Family Regular Coastal Del'e/opment Permits covered under
separate handout.
A proposed project requiring that multiple applications be filed must be submitted prior to 3:30 p.m. A
proposed project requiring that only one application be filed must he submitted prior to 4:00 p.m.
All joint application exhibits, i.e. Tentative Map and Planned Development Site Plan should be prepared at the
same scale. (Use a scale no smaller than I" = 40'.)
This supplemental application is to be filed for any development requiring a Coastal Development Permit
issued by the City of Carlsbad.
I. GENERAL BACKGROUND
A. Estimated Cost of Development:
Development costing $60.000 or more does not qualify as a Minor Coastal Development
Permit. The Planning Director shall make the fmal determination regarding a project's cost of
development.
The primary basis for determining cost of development will be the application of dollar costs
per square foot for different types of residential construction. These costs are set by the
International Conference of Building Officials (lCBO) and are applied throughout San Diego
County.
Please complete the following information to assist in the determination of this project's cost
of development (Contractor proposals may also be submitted for consideration by the
Planning Director). Please refer to the current fee schedule for the appropriate S/square foot
fee rate.
=> New Residential Square Footage;!.I __ ! /"7 I J 2f.r '-be square feet x $ ;.., L' Isq. ft. = $_7'~tz)-=./~~=--_--C_-_l ___ _
Residential Addition Square Footage:
______ square feet x $ ___ .-:/sq. ft. = $ __________ _
Any Garage Square Footage:
______ square feet x $ ___ ---'/sq. ft. = $. __________ _
Residential Conversion Square Footage:
______ ;'quare feet x $ Isq. ft. = $. __________ _
Please contact the City of Carlsbad Building Department for current fee rate for Non-
Residential uses (i.e. Retail! Store; Restaurants; Office; and
Manufacturing/Warehouse uses.)
______ square feet x $ __ /sq. ft. = $. ____________ _
COST OF DEVELOPMENT ESTIMATE: s __ ~_'O_°-r--c_:vV ________ _
7
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
Form 13 Revised 11/06 Page I of7
B.
c.
D.
E.
F.
G.
Do you wish t.PIY for:
l. A Minor Coastal Development Permit (Under $60,000 cost estimate)
A Regular Coastal Development Permit ($60,000 or more cost estimate)
Assessor's Parcel Number of proRosed development 2-f)~ --11'2--3/
Development Description:
Briefly describe project: ________________________ _
Describe the present land uses (i.e. vacant land, single family homes. apartments. offices, etc.)
that surround the proposed development to the:
North 5-uv6?/J ~/\Ao/l-t'~
South: 'S 1# 6/if ~/12 yvt ~
East {it:"--z~A-'~~-1,(~Y-~d
West: s,tJ6 rP' '2'r'/~< hUJ<-<~
Is project located within a I DO-yea ood plain? DYes CZl No
II. PRESENT USE OF PROPERTY
A.
B.
Are there existing structures on the property?
If yes. please describe.
Will any existing structure be removed/demolished?
DYes
DYes
~ No
~ No
If yes to either question, describe the extent of the demolition or removal, including the
relocation site, if applicable (also show on plans).
III. LOT COVERAGE
A. Existing and Proposed
• • • • •
Form 13
Building Coverage
Landscaped Area
Hardscape Area
Unimproved Area
(Left Natural)
• • • • + • • •
Revised 11/06
Existing
___ sq. ft.
___ sq. ft.
___ sq. ft.
___ sq. ft.
• • • • • • • • • • •
New Proposed
Itfat---i sq. ft.
t-ffjfo sq. ft.
I
~ f5lFD sq. ft.
I
~Sq.ft.
z",~1riJ sq. ft. •
!?~~q: ft; 13J~ sq. ft.
• • • 7. • • • • • •
Page 2 of7
#1-• ,
B.
c.
Parking:
e
Number of existing spaces
Number of new spaces proposed
ExistinglProposed TOTAL:
Number of total spaces required
Number of covered spaces
Number of uncovered spaces
Number of standard spaces
Number of compact spaces
Is tandem parking existing?
Is tandem parking proposed?
Grade Alteration:
2
DYes#_
DYes#_
1X1No
~NO
Is any grading proposed? DYes DNo
If yes, please complete the following: ~5 ~ ;?oo tJd, -ids.
1.
2.
3.
4.
5.
6.
Amountofcut __________________________________ ___
Amount offill ________________ _
Maximum height of fill slope ___________ _
Maximum height of cut slope ____________ _
Amount of import or export ________________________ _
cu. yds.
cu. yds.
feet
feet
cu. yds.
Location of borrow or disposal site ________________________________ _
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Form 13 Revised 11/06 Page 3 of7
The following materials shall_submitted for each application or for coe,ed applications on a single
project.
I. REQllIRED PLANS (All required plans shall be collated into complete sets, stapled together,
then folded to 9" x 12" with lower right hand corner of plan visible.)
A. SITE PLAN -Four (4) copies for a Minor Coastal Development Permit, four (4) copies for a Single
Family Regular Coastal Development Permit on 24" x 36" sheet(s). Each site plan shall contain the
following information:
1.
cda.
~. ~.
GENERAL INFORMATION
Name, address, and phone number of registered civil engineer, licensed surveyor, landscape
architect or land planner who prepared the maps/plans.
Location, size and use of all easements.
Dimensions and locations of: access, both pedestrian and vehicular, showing service areas
and points on ingress and egress, off-street parking and loading areas showing location,
number and typical dimension of spaces, and wheel stops.
Distance between buildings and/or structures.
Building setbacks (front, rear and sides).
Location, height and materials of walls and fences.
Dimensions/location of signs.
A summary table of the following (if applicable to the application):
O( I) Street address and assessor's parcel number.
0(2) Site acreage.
0(3) Existing Zone, and Land Use Designation.
O( 4) Proposed land use.
0(5) Total building coverage.
0(6) Percent of site to be landscaped.
DO) Number of parking spaces required/provided.
0(8) Square Footage of open or recreational space (if applicable).
0(9) Cubic footage of storage space (if applicable).
All applicable Fire Suppression Zones as required by the City's Landscape Manual.
GRADING AND DRAINAGE PLANS: Grading and drainage plans must be included with this
application. In certain areas, an engineering geology report must also be included. Please consult the
City Planning and Engineering Department representative for a determination on any grading plan
geotechnical requirements if the project is in an overlay zone. The following information shall be
submitted at a minimum:
Approximate contours at I' intervals for slopes less than 5%; 2' intervals for slopes between
5% and 10%; and 5' intervals for slopes over 10% (both existing and proposed). Existing and
proposed topographic contours within a 100-foot perimeter of the boundaries of the site.
Extend contours sufficiently out from the site to adequately show the adjacent floodplain (if
applicable).
Earthwork volumes: cut, fill, import and export.
Spot elevations at the comers of each pad.
Method of draining each lot. Include a typical cross section taken parallel to the frontage for
lots with less than standard frontage.
Location, width and/or size of all watercourses and drainage facilities within and adjacent to
the proposed subdivision; show location and approximate size of any proposed
detention/retention basins.
Clearly show and label the 100 year flood line for the before and after conditions for any
project which is within or adjacent to a FEMA flood plain.
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
Form 13 Revised 1 1106 Page 400
. -. \ ·C . BUILDING ELEV.aNS AND FLOOR PLANS -Four (eOPieS for a Minor Coastal
Development Permit and four (4) copies a Single Family Regular Coastal Development Permit
prepared on 24" x 36" sheet(s). Each building elevation and floor plan shall include the following
information: .",
. (;,,,,r,( t.O 1.
\ j.A 02.
Location and size of storage areas.
All buildings, structures, wall andlor fences, signs and exterior lights.
Existing and proposed construction. ~gJ,ILt 03. ,jr 04. Provide documentation demonstrating compliance with City
Neighborhood Architectural Design Guidelines (if applicable).
D.
Council Policy 44 -
COLORED SITE PLAN AND ELEVATION PLAN -Not required with first submittal. It is the
Applicant's responsibility to bring one (1) copy of a colored site plan and one (I) set of colored
elevations to the Planning Department by 12:00 noon, eight (8) days prior to the Planning
Commission meeting. Do not mount exhibits.
REQUIRED DOCUMENTS AND SUBMITTAL ITEMS
A completed Land Use Review Application Form.
Completed Coastal Development Permit Application.
Environmental Impact Assessment Part I with Regular Coastal Development Permits. Check with
Planning staff regarding Minor Coastal Development Permits and Single Family Regular Coastal
Development Permits for any environmental review requirements.
Disclosure Statement.
Two (2) copies of the Preliminary Title Report (current within the last six (6) months).
Completed "Project DescriptionlExplanation" sheet.
OG. Property Owner's List and Addressed Labels:
NOTE: WHEN THE APPLICATION IS TENTATNELY SCHEDULED TO BE HEARD BY THE
DECISION MAKING BODY, THE PROJECT PLANNER WILL CONTACT THE APPLICANT
AND ADVISE HIM TO SUBMIT THE RADIUS MAP, TWO SETS OF THE PROPERTY
OWNERS LIST AND LABELS. THE APPLICANT SHALL BE REQUIRED TO SIGN A
STATEMENT CERTIFYING THAT THE INFORMATION PROVIDED REPRESENTS
THE LATEST EQUALIZED ASSESSMENT ROLLS FROM THE SAN DIEGO COUNTY
ASSESSOR'S OFFICE. THE PROJECT WILL NOT GO FORWARD UNTIL THIS
INFORMATION IS RECENED.
1.
2.
A typewritten list of the names and addresses of all property owners within a 600' radius of
the subject property (including the applicant andlor O\\TIer). The list shall include the San
Diego County Assessor's parcel number from the latest assessment rolls.
Mailing Labels -two (2) separate sets of mailing labels of the property owners within a 600
foot radius of the subject property. For any address other than a single-family residence, an
apartment or suite number must be included. DO NOT provide addressed envelopes -
PROVIDE LABELS ONLY. Acceptable fonts are: Arial II pt, Arial Rounded MT Bold 9 pt,
Courier 14 pt, Courier New II pt, and MS Line Draw II pt. Sample labels are as follows:
ACCEPTABLE
Mrs. Jane Smith
123 Magnolia Ave., Apt #3
Carlsbad. CA 92008
ACCEPTABLE (with APN)
209-060-34-00
MRS JANE SMITH
APT 3
123 MAGNOLIA AVE
CARLSBAD CA 92008
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
Fonn 13 Revised 1 1/06 Page 5 of7
600' Radius Map: A map to scale not less than I "=200' showing each lot within 600' of
exterior boundaries of the subject property. Each of these lots shall be consecutively
numbered and correspond with the property owners list. The scale of the map may be
reduced to a scale acceptable to the Planning Director if the required scale is impractical.
100' Radius Occupants/Address List and Labels (for coastal zone/COPs only): One (I)
list of the occupants/addresses located within a 100' radius of the project site; and two (2) sets
of labels (as described in "A" above) of the addresses within a I 00' radius.
III. SPECIFIC PROJECT REQUIREMENTS -(May apply to single family, regular and minor coastal
development permits). Coastal Overlay Zones require additional information to be submitted as
follows: (refer to the Municipal Code for a full description)
A. Coastal Agriculture Overlay Zone
I. Refer to the Carlsbad Municipal Code Section 21.:20:2.060 for specific requirements.
B. Coastal Resource Protection Overlay Zone
I.
3.
4.
5.
6.
Slope analysis/mapping for :25% and greater subject to Section 2 J .:203.040 of the
Carlsbad Municipal Code.
Topographic and vegetation mapping/analysis subject to Subsection
21.:203.040(B)( 1) of the Carlsbad Municipal Code, if project is located along the tirst
row of lots bordering Buena Vista Lagoon including the lagoon mouth.
Topographic, drainage and wetland mapping subject to Subsections
21.203.040(B)(2)(a) and (b) of the Carlsbad Municipal Code if located east of
Interstate 5 in the Batiquitos Lagoon watershed.
Drainage study subject to Subsection 21.203.040(B)(3) of the Carlsbad Municipal
Code if project is located west of existing Paseo del Norte, west of Interstate 5 or
along EI Camino Real immediately upstream of existing storm drains.
Geologic report addressing landslides and slope stability subject to Subsection
21.203.040(B)(4) of the Carlsbad Municipal Code.
Geologic report addressing land slides and seismic hazards subject to Subsection
21.203.040(C) and (D) of the Carlsbad Municipal Code.
C. Coastal Shoreline Development Overlay Zone
I. Geotechnical report subject to 21.204.110 if project is located adjacent to an existing
seabluff edge between the sea and the first public road parallel to the sea; also may
be required by Planning Director if deemed necessary consistent with Section
21.204.110 of the Carlsbad Municipal Code.
2. Show all structures and decks on adjacent north and south properties to perform
"stringline" test subject to Subsection 21.204.050(B) of the Carlsbad Municipal
Code.
3. Unless otherwise submitted project in this zone must also be submitted with plans
showing:
a. Boundaries and topography
b. Existing and proposed structures
c. Circulation
d. Drainage
e. Finished topography
f. Landscaping
D. Coastal Resource Overlay Zone Mello I LCP Segment
I. Erosion, sedimentation and drainage report subject to Section 21.205.060 of the
Carlsbad Municipal Code if project is located in the Batiquitos Lagoon watershed.
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Form 13 Revised 11/06 Page 6 of7
. -. .-\ . IV . REQUIRED COA_L PERMIT FINDINGS -APproval. a regular or minor coastal
development permit is based on the ability to make three coastal related findings. These three findings
are presented below for your review and information.
1. That the proposed development is in conformance with the Certified Local Coastal Program
and all applicable policies.
2. That the development is in conformity with the public access and public recreation policies of
Chapter 3 of the Coastal Act
3. That the development conforms with any applicable decision pertinent to this proposal and/or
site as set by the Coastal Commission on a previously related appeals decision per Public
Resources Code §30604(c).
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
Form I3 Revised 11/06 Page 7 of7
•
City of Carlsbad
1:11 lil;I,' i ,t .• -14 ·EI ai .. i4,1.
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 Councilor 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 shd!1 j/J/OO?&S~ Corp/Part _________ _
Title a/;VJJ&l-Tit I e ____________ _
Address1j53b tft1A/~ elL. Address _________ _
~sh~ M .7VJ(1)
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 (Le, 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.) , II '
persongofiJ ;VI(){t.R.I::orJ Corp/Part ________ _
Title 07;JN~ Title ____________ _
Address tJ33 {p #7hi4rd d..e... Address. ________ _
~1hI f!If ,9ZOtf't
7
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 ProfitlTrust Non ProfltlTrust, _________ _
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?
DYes L::JJ No If yes, please indicate person(s}: _______________ _
NOTE: Attach additional sheets if necessary.
that all the above information is true and correct to the best of my knowledge.
'--
~/?-tJ'7
-~-------~~-------------------Si ature of owner/applicant's agent if applicable/date
Print or type name of ow applicant's agent
H:ADMIMCOUNTER\DISCLOSURE STATEMENT 12106 Page 2 of2
•
PROJECS:OJjCRIPTION/EXPlANATION
PROJECT NAME: YO/lIZA ~/!J~id~ ,.fh:JUr
APPLICANT NAME; 5h gl!~ ~ s;;J -
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 hJformation and supporting statements regarding
the reasons for, or appropriateness of, the application. Use an addendum sheet if
necessary.
Project Description 10/96 Page 1 of 1
•
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 ProfitlTrust Non ProfitlTrust _________ _
Title ____________ _ Title ______________ _
Address __________ _ Address ____________ _
4. Have you had more than $500 worth of business transacted with any member of City staff,
Boards, Commissions, Committees and/or Council within the past twelve (12) months?
DYes C$l 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.
name of applicant
t///7-t:F7
-S-i~a-t-u-re-of-o-w-n7e~r/~a-pp-l~ic-a-n-t'-s-a-g-e-n-t-if-a-p-p-li~ca~b-I-e-/d-ate
Print or type name of ow applicant's agent
H:ADMIN\COUNTER\DISCLOSURE STATEMENT 12/06 Page 2 of 2
...
• • City of Carlsbad
IQEj,"ji'i~'·14·tjai,,14'"
HAZARDOUS \VASTE AND SUBSTANCES STATEl\IENT
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 Wastes and Substances Sites List compiled by the California Environmental
Protection Agency and hereby certify that (check one):
fiJ The development project and any alternatives proposed in this application are not rr contained on the lists compiled pursuant to Section 65962.5 of the State Government
Code .
D The development project and any alternatives proposed in this application m contained
on the lists compiled pursuant to Section 65962.5 of the State Government Code.
APPLICANT c-PROPERTY OWNER
Name:_/uY1"j ~S;t7-' Name: 5k.~ ,4/qt4.I5~
Address: tf-53b I6q'lvk~ ~ Address: '13Y6/#tJP~d/Z-()f.dsb~ di 9~ ~O;;;;''W' 92CC1f{
Phone Number:'1W /{P ~t/ ~t'26--Phone Number:7~'" {p t.Jt.l-~
Address of Site: t/33<l ;bq'j/~ M·k~rJ;fJ ,/336 #ilJw~~ r h '
local Agency (City and County): ~ 2>/:J-d eft j;il4 ~I:r
Assessor's book, page, and parcel number: 'ZO (Q -I Z -s I
Specify list(s): ____________________________ _
Regulatory Identification Number: ______________________ _
Date of List, ______________________________ _
[/-11-0 7
AdminiCounterlHazWasie
1635 Faraday Avenue • Carlsbad. CA 92006-73'4. (760) 602-4600 • FAX (750) 502-8559 • www.cLcar!sbad.ca.us ®
The Hazardous Waste and Substances Sites (Cortese List) is a planning document
used by the State, local agencies and developers to comply with the California
Environmental Quality Act requirements in providing information about the location of
hazardous materials release sites. Government Code section 65g62.5 requires tl:le
California Environmental Protection Agency to develop at least annually an updated
Cortese List. Below is a list of agencies that maintain information rega.rding Hazardous
Waste and Substances Sites.
Department of Toxic Substances Control
www.dtsc.ca.qov/database/calsites
Calsites Hotline (916) 323-3400
State Water Resources Control Board
www.swrcb.ca.qov/cwphome/lustis
County of San Diego
Certified Unified Program Agency (CUPA)
Mike Dorsey
Chief, Hazardous Materials Division
Department of Environmental Health Services
Hazardous Materials Management Division
Mailing address:
P.O. Box 129261
San Diego, CA 92112-9261
(619) 338-2395
Call Duty Specialist for General Questions at (619) 338-2231 fax: (619) 338-2315
www.co.san-diego.ca.us
Integrated Waste Management Board
www.ciwmb.ca.gov
916-255-4021
Environmental Protection Agency
National Priorities Sites ("Superfund" or "CERCUS")
www.epa.gov/superfund/sites/cursites
(800) 424-9346
National Priorities List Sites in the United States
www.epa.gov/superfund/sites/npl/npl.htm
5/19/03