HomeMy WebLinkAboutCUP 09-04; SQUIRES DAM COMMUNICATION SITE - 1ST EXTENSION; Conditional Use Permit (CUP){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
D Coastal Development Permit D Minor
~ Conditional Use Permit COJ)OC( ~ Minor ~ Extension [T
0 Day Care (Large)
0 Environmental Impact Assessment
□ Habitat Management Permit OMinor
□ Hillside Development Permit D Minor
□ Nonconforming Construction Permit
□ Planned Development Permit OMinor
0 Residential 0 Non-Residential
□ Planning Commission Determination
□ Reasonable Accommodation
□ Site Development Plan OMinor
□ Special Use Permit
□ Tentative Parcel Map {Minor Subdivision)
□ Tentative Tract Map (Major Subdivision)
□ Variance OMinor
(FOR DEPT. USE ONLY) Legislative Permits
-o'-f l =>,r-
D General Plan Amendment
D Local Coastal Program Amendment
0 Master Plan
0 Specific Plan
D Zone Change
□Amendment
□Amendment
D Zone Code Amendment
South Carlsbad Coastal Review Area
Permits
D Review Permit
0 Administrative O Minor D Major
VIiiage Rev/aw Area Permits
0 Review Permit
0 Administrative D Minor D Major
(FOR DEPT. USE ONLY)
B
NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE SUBMITTED BY APPOINTMENT". PLEASE CONTACT THE APPOINTMENT SPECIALIST
AT (780) 802-2723 TO SCHEDULE AN APPOINTMENT.
*SAME DAY APPOINTMENTS ARE NOT AVAILABLE
ASSESSOR PARCEL NO(S): 169-500-05, 169-230-02 ---------------------------------LO CA Tl ON OF PROJECT: 3300 Sunny Creek Road
NAME OF PROJECT:
BRIEF DESCRIPTION OF
PROJECT:
PROJECT VALUE
(SITE IMPROVEMENTS)
---------------------------------(STREET ADDRESS)
VZW Squires Dam
Renew the existing CUP 09-04, no changes proposed
ESTIMATED COMPLETION DATE
FOR CITY USE ONLY
Development N:.1) EV Cf.~ -'-f ~ Lead Case No.
P-1 Page 1 of6 Revised 03/17
OWNER NAME (PLEASE PRINT}
INDIVIDUAL NAME
(If appllcable):
COMPANY NAME or appllcable): Carlsbad Municipal Water District
MAILING ADDRESS: 1200 Carlsbad Village Drive
CITY, STATE, ZIP: Carlsbad, CA 92008
TELEPHONE: 760-434-2836 -------------EMAIL ADDRESS: Curtis.Jackson@carlsbadca.gov
APPLICANT NAME
INDIVIDUAL NAME
(lfappllcable):
(PLEASE PRINT)
COMPANY NAME .
(If applicable): Venzon Wireless
MAILING ADDRESS: 15505 Sand Canyon Avenue, Big. D
CITY, ·STATE, ZIP: Irvine, CA 92618
TELEPHONE: 760-420-4833 -------------EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
THE BEST OF MY KNOWLEDGE.
SIGNATURE DATE
APPLICANTS REPRESENTATIVE (Print): Jill Cleveland, Plancom Inc. (agent for Verizon)
MAILING ADDRESS: 302 State Place
CITY, STATE, ZIP: Escondido, CA 92029
TELEPHONE: 760-420-4833
EMAIL ADDRESS: jill.cleveland@plancominc.com
I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR
PURPOSES OF THIS APPL T N AND THAT ALL THE ABOVE
INFORMATION IS il"RUE D ORRECT TO THE BEST OF MY
KNOVVLED . "
SIGNA
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. liWE CONSENT TO ENTRY FOR THIS PURPOSE.
P-1
: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH
■in...«M'VS CCESSORS IN INTEREST.
Page 2 of6
:: VED
JUN I 9 2019
CITY OF CARLSBAD
PLANNING DIVISION
DATE STAMP APPLICATION'RECEIVED
RECEIVED BY:
Revised 03/17
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Carlsbad
DISCLOSURE STATEMENT
P-1(A)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
App1icant'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 MY§! 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 (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 Verizon Wireless
Title___________ Title_R_e_a_l E_s_ta_t_e_D_e_p_t. ______ _
Address, _________ _ Address 15505 Sand Canyon Ave, Irvine, CA 92618
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 (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 Carlsbad Municipal Water District
Title _________ _ Title _____________ _
Address, _________ _ Address 1200 Carlsbad Village Dr., Carlsbad, CA 92008
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. ________ _
Title___________ Trtle ____________ _
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.
Curtis M. Jackson flm:t.-~S1A1 l ~Atl/11-({:JL
Print or type name ol owner
Si
;:Ji LL C l.J=-1/€ tAN C; /JlANCo/11 11VC. { ft6cAJr_)
Print or type name of applicant
er/applicant's agent if applicable/date
Print or type name of owner/applicant's agent
P-1(A) Page 2 of2 Revised 07/10
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Carlsbad
PROJECT DESCRIPTION
P-1(8)
PROJECT NAME: VZW Squires Dam
APPLICANT NAME: Verizon Wireless
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www .carlsbadca.gov
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:
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P-1(8) Page 1 of 1 Revised 07/10
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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):
D 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.
D 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
Name: Verizon Wireless
Address: 15505 Sand Canyon Ave.
Irvine, CA 92618
Phone Number: 760-420-4833
Address of Site: 3300 Sunny Creek Road
PROPERTY OWNER
N Carlsbad Municipal Water District ame:. _________ _
Address: 1200 Carlsbad Village Dr.
Carlsbad, CA 92008
Phone Number: 760-434-2836
Local Agency (City and county): City of Carlsbad, San Diego County
Assessor's book, page, and parcel number: 169-500-05, 169-230-02
Specify list(s): __ N_/_A ______________________ _
Regulatory Identification Number:. __ N_/A __________________ _
Date of List: N/ A -----=---------------r----------
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
in providing information about the location of hazardous materials release sites.
P-1(C) Page 1 of2 Revised 02/13
Per the California Environmental Protection Agency's website, 'While Government Code
Section 65962.5 [referred to as the Cortese List] makes reference to the preparation of a "list,"
many changes have occurred related to web-based information access since [the amended
statute's effective date in] 1992 and this information is now largely available on the Internet sites
of the responsible organizations. Those requesting a copy of the Cortese "list" are now referred
directly to the appropriate information resources contained on the Internet web sites of the
boards or departments that are referenced in the statute."
Below is a list of agencies that maintain information regarding hazardous waste and substances
sites.
Department of Toxic Substances Control
www.calepa.ca.gov/sitecleanup/CorteseList/default.htm
www.calepa.ca.gov/database/calsites
www.envirostor.dtsc.ca.gov/public
EnviroStor Help Desk (916) 323-3400
State Water Resources Control Board
http://geotracker.waterboards.ca.gov/
County of San Diego
Department of Environmental Health Services
www.co.san-diego.ca.us/deh
Hazardous Materials Division
www.sdcounty.ca.gov/deh/hazmat/hazmat permits.html
Mailing Address:
County of San Diego Department of Environmental Health
P.O. Box 129261
San Diego, CA 92112-9261
Call Duty Specialist for technical questions at (858) 505-6880, fax (858) 505-6868 (fax)
Environmental Protection Agency
National Priorities Sites C'Superfund" or "CERCLIS")
www.epa.gov/superfund/sites/cursites
(800) 424-9346 or (702) 284-8214
National Priorities List Sites in the United States
www.epa.gov/superfund/sites/npl/npl.htm
P-1(C) Page2 of2 Revised 02/13
ENVIRONMENTAL INFORMATION FORM
(To be Completed by Applicant)
Date Filed: ___________ (To be completed by City)
Application Number(s): ________________________ _
General Information
1. Name of project: VZW Squires Dam
2. Name of developer or project sponsor: _V_e_ri_z_o_n_W_i_r_e_le_s_s _________ _
Address: 15505 Sand Canyon Ave.
City, State, Zip Code: Irvine, CA 92618
Phone Number: 760-420-4833
3. Jill Cleveland, Plancom Inc. (agent) Name of person to be contacted concerning this project: ___________ _
Address: 302 State Place
City, State, Zip Code: Escondido, CA
Phone Number: 760-420-4833
4. Address of Project: 3300 Sunny Creek Road
Assessor's Parcel Number: 169-500-05, 169-230-02
5. List and describe any other related permits and other public approvals required for this project,
including those required by city, regional, state and federal agencies:
MCUP, Building Permit
6. Existing General Plan Land Use Designation: _______________ _
7. Existing zoning district: _U_/_S_-_2 ___________________ _
8_ Existing land use(s): water tank, communication tower
9. Proposed use of site (Project for which this form is filed): ___________ _
Same as existing use
Project Description
10. Site size: _5_5_._8_5_a_C _____________________ _
11. Proposed Building square footage: _N_I_A _________________ _
12: Number of floors of construction: ___________________ _
13. Amount of off-street parking provided: _________________ _
14. Associated projects: _C_U_P_0_9_-_0_4 __________________ _
P-1(0) Page 2 of 4 Revised 07/10
15. If residential, include the number of units and schedule of unit sizes:
N/A
16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage
of sales area, and loading facilities:
N/A
17. If industrial, indicate type, estimated employment per shift, and loading facilities: _____ _
N/A
18. If institutional, indicate the major function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the project: ________ _
N/A
19. If the project involves a variance, conditional use or rezoning applications, state this and indicate
clearly why the application is required:
CUP to renew existing permit
P-1(D) Page 3 of 4 Revised 07/10
Are the following items applicable to the project or its effects? Discuss all items checked yes (attach
additional sheets as necessary).
Yes No
20. Change in existing features of any bays, tidelands, beaches, or hills, or substantial □ [Z]
alteration of ground contours.
21. Change in scenic views or vistas from existing residential areas or public lands or □ [Z]
roads.
22. Change in pattern, scale or character of general area of project. □ [Z]
23. Significant amounts of solid waste or litter. □ [Z]
24. Change in dust, ash, smoke, fumes or odors in vicinity. □ [Z]
25. Change in ocean, bay, lake, stream or ground water quality or quantity, or □ [Z]
alteration of existing drainage patterns.
26. Substantial change in existing noise or vibration levels in the vicinity. □ [Z]
27. Site on filled land or on slope of 10 percent or more. □ [Z]
28. Use of disposal of potentially hazardous materials, such as toxic substances, □ [Z]
flammables or explosives.
29. Substantial change in demand for municipal services (police, fire, water, sewage, □ [Z]
etc.).
30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.). □ [Z]
31. Relationship to a larger project or series of projects. □ [Z]
Environmental Setting
Attach sheets that include a response to the following questions:
32. Describe the project site as it exists before the project, including information on topography, soil
stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing
structures on the site, and the use of the structures. Attach photographs of the site. Snapshots
or Polaroid photos will be accepted.
33. Describe the surrounding properties, including information on plants and animals and any
cultural, historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.),
intensity of land use (one-family, apartment houses, shops, department stores, etc.), and scale of
development (height, frontage, set-back, rear yard, etc.). Attach photographs of the vicinity.
Snapshots or polaroid photos will be accepted.
Certification
I hereby certify that the statements furnished above and in the attached exhibits present the data and
information required for this initial evaluation to the best of my ability, and that the facts, statements, and
information presented are true and correct to the best of my knowledge a d belief.
Date: _lo__,..;.{_1 B_{_,q ___ _
For:
P-1(0) Page 4 of 4 Revised 07/10
V'veriz2.nwireless
Verizon Wireless
15505 Sand canyon Avenue
Irvine, CA 92618
LETTER OF AUTHORIZATION
(APPLICATION FOR ZONING/LAND USE ENTITLEMENTS)
Verizon Wireless (VAW) LLC, a Delaware limited liability company, d/b/a Verizon Wireless,
authorizes Plancom Inc. to act as an Agent on the undersigned's behalf for the sole purpose of
obtaining land use approvals, building permits and related permits, including public hearings
affecting Verizon Wireless land use entitlement applications in all jurisdictions throughout
Southern California.
Please direct all project related correspondence to Plancom, Inc., located at 302 State Place,
Escondido, CA 92029, and their authorized representatives listed below:
Darrell Daugherty
Kerrigan Diehl
Curtis Diehl
Shelly Kilbourn
Jill Cleveland
Robert Medina
Duffy Daugherty
Rodney Philhower
Brent Helming
Greg Moorad
Bill Booth
Jeremy Booth
Randy Williams
Randy Dickamore
Krystal Patterson
Ted Marioncelli
Authorized By:
jhLC\J\. iJhhillA.,'1~
Irene Hukkelhoven, Manager Network Real Estate
Verizon Wireless
15505 Sand Canyon Avenue
Building D-1
Irvine, CA 92618
-s /l'-1 /1~,
Date
~-
WN falltwireless
Photo Study
6/19/2019
PHOTO STUDY
PROPOSAL TO MAINTAIN AN EXISTING
WIRELESS COMMUNICATIONS FACILITY
Verizon Wireless
"Squires Dam"
3300 Sunny Creek Road
Carlsbad, CA 92010
Prepared for:
City of Carlsbad
Prepared by:
PlanCom, Inc.
Contractor Representatives for
Verizon Wireless
302 State Place
Escondido, CA 92029
Contact: Jill Cleveland
(760) 420-4833
June 19, 2019
Page 1
~ venz.9!1wireless
Photo Study
6/19/2019
View of existing lattice tower from access road to property
View of existing equipment shelter
Page 2
~ W. izg.1wireless
Photo Study
6/19/2019
View of existing lattice tower
Aerial View of Site & Surroundings
Page 3