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Home My WebLink AboutEIA 91-17; HILLSIDE PROJECT WATER MAIN; Environmental Impact Report (EIR). (TTy OF CARLSBAD LAND USE REVIEW APPLICATION FOR PAGE 1 OF 2 1) APPLICATIONS APPLIED FOR; (CHECK BOXES) (FOR DEPT USE ONLY) //-7.-O .-q FOR E?' .SE 'J.X Q Master Plan 1-7 Specific Plan ?rec:se Development Plan Tentative Tract Nlap Planned Development Permit N on-Reidentiai Planned Development Condominium Permit Special Use Permit O Redevelopment Permit O Tentative Parcel Map 0 Administrative Variance 17 General Plan Amendment Local Coastal Plan Amendment Site Development Plan Zone Change Fj Conditional Lse Permit Hillside Development Permit Environmental Impact Assessment O Variance O Planned Industrial Permit Coastal Development Permit O Planning Commission Determination List any other applications not specificed —I, 2) LOCATION OF PROJECT: ON THE SIDE OF (NORTH, SOUTH EAST, WEST) (NAME OF STREET) BETWEEN L AND (NAME OF STREET) (NAME OF STREET) 3) BRIEF LEGAL DESCRIPTION: ISEE PROJECT LOCATION MAP ATTACHED 4) ASSESSOR PARCEL NO(S). N/A - WATER MAIN REPLACEMENT PROJECT 5) LOCAL FACILITIES ZONE i( 6) EXISTING GENERAL. PLAN RIM j 7) PROPOSED GENERAL PLAN MANAGEMENT ZONE DESIGNATION DESIGNATION 8) EXISTING ZONING R 1 9) PROPOSED ZONING rN/A 110) GROSS SITE I NJA ACREAGE 11) PROPOSED NUMBER OF 112) PROPOSED NUMBER 13) TYPE OF SUBDIVISION RESIDENTIAL UNITS N/A L OF LOTS N/A N/A (RESIDENTIAL COMMERCIAL INDUSTRIAL) 14) NUMBER OF EXISTING RESIDENTIAL UNITS N/A 15) PROPOSED INDUSTRIAL I N/A 116) PROPOSED COMMERCIAL OFFICE/SQUARE FOOTAGE SQUARE FOOTAGE NOTE A NDPOSM powr RUR1NG THAT M3L.TZ APPUCCUM BE PILED AdMT BE MWrW PRIOR TO 330 PM. A RWPOSM PWJECT REQ(flRDG F'A,T CMX OW ADUCATION BE PVM &r BE SUB&Gr= MOR TO - FRM00016 8/90 Numv CITY OF CARLSBAD Imw LAND USE REVIEW APPLICATION FORM PAGE 2 17) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE TN/A 1 18) PROPOSED SEWER USAGE IN EQUIVALENT DWELLING UNITS N/A 19) PROPOSED INCREASE IN AVERAGE DAILY TRAFFIC N/A 20) PROJECT NAME: HILLSIDE PROJECT 21) BRIEF DESCRIPTION OF PROJECT: I REPLACEMENT OF WATER MAINS IN HILLSIDE D FROM HIGHLAND DRIVE TO PARK DRIVE, IN CHESTNUT AVENUE FROM ADAMS STREET TO HIGHLAND DRIVE AND IN ARLAND RCAfl FRfl1 HTGHTANn ThPT\TP. rlr RTTPT.Th \1TCZfl'R TAThV 22) IN THE PROCESSQ. REVIEWING fl-{IS APPLICIQtI IT MAY BE NECESS ARY FOR MEMBERS OF CITY STAFF, PLANNING CO4ISNERS, MEMBERS, OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PRE'Fj itj1i tSBJE'l 1-IS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE \\A\k1\ 23) OWNER 24) APPLICANT NAME (PRINT OR TYPE) NAME (PRINT OR TYPE) CARLSBAD MUNICIPAL WATER DISTRICT CARLSBAD MUNICIPAL WATER DISTRICT MAILING ADDRESS MAILING ADDRESS 5950 EL CAMINO REAL 5950 EL CAMINO REAL CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE CARLSBAD, CA 92008 (619) 438-3367 CARLSBAD, CA 92008 (619) 438-3367 ext [CERTIFY THAT I AM THE LEGAL OWNER [CERTIFY THAT I AM THE LEGAL OWNERS RE2RESENTA17VE AND AND THAT ALL THE ABOVE INFORMATION IS TRUEAND CORRE THE BEST OF THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE \ BEST MY ieQWLEDG MY KNO SIGNATUI/ DATE DATE BOB COATES, DISTRICT ENGINEER ROBERT A. bHNSTON. ASSOCIATE ENGINEER **, * FOR CITY USE ONLY FEE COMPUTATION: APPLICATION TYPE FEE REQUIRED R C) I fl 5 ,J V fj J 1 T r t r , DA" -U A D ~, r j D RECEIVED BY: TOTAL FEE REQUIRED DATE FEE PAID I 1 RECEIPT NO. f 120 0 PROJECT LOCATION MAP: M SN'J DIEGO 0 Carlsbad DISCLOSURE STATEMENT / (- i. 1-T / APPLICANTS STATEMENT OF 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. 'Please Print) The following information must be disclosed: Applicant List the names and addresses of all persons having a financial interest in the application. N/A CARLSBAD MUNICIPAL WATER DISTRICT WATER MAIN REPLACEMENT PROJECT 2. Owner List the names and addresses of all persons having any ownership interest in the property involved. N/A - (SEE ABOVE) 3. If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names and addresses of all individuals owning more than 10% of the shares in the corporation or owning any partnership interest in the partnership. N/A - (SEE ABOVE) 4. If any person identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names and addresses of any person serving as officer or director of the non-profit organization or as trustee or beneficiary of the trust. N/A - (SEE ABOVE) FRM00013 8/90 ,44 2075 Las Palmas Drive • Carlsbad, California 92009-4859 • (619) 438-1161 L 0 (Over) Disclosure Statement Page 2 5. Have you had more than $250 worth of business transacted with any member of City staff. Bcarcs Commissions, Committees and Council within the past twelve months? Yes - No If yes, please indicate person(s)N/A Person is defined a3: 'Any individual, firm, copartnership, joint venture, association, social club, frat.rnalorganization. corporation, estate, trust, receiver, syndicate, 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.' (NOTE: Attach additional pages as necessary.) (77ft Signature of Owner/date OB COATES, DTSTPTCT PThJ(ZTNPTP Print or type name of owner lin"sim moss"'M,114.1 Mwatwsr~iilpl 1, ~M_ mo~ A. JOHNSTON, ASSOCIATE —ENGINEER Print or type name of applicant 0 FRM00013 8/90 0 PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: HILLSIDE PROJECT APPLICANT NAME: CARLSBAD MUNICIPAL WATER DISTRICT Please describe fully the proposed project. 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. PROJECT IS TO REPLACE EXISTING DOMESTIC WATER MAINS THAT ARE SUB- STANDARD DUE TO AGE OR DO NOT MEET EXISTING CITY FIRE FLOW RE- QUIREMENTS. CONSTRUCTION WILL OCCUR IN THE FOLLOWING EXISTING ROADWAYS: HILLSIDE AVENUE FROM HIGHLAND DRIVE TO PARK DRIVE-- CHESTNUT AVENUE FROM ADAMS STREET TO HIGHLAND DRIVE - ARLAND ROAD FROM HIGHLAND DRIVE TO BUENA VISTA WAY. 11 Rev. 4/91 Pro1Deec.frm QUALITY ORIGINAL (S) Citp of Car( 2075 LAS PALMAS DRIVE CARLSBAD, CALIFORNIA 92009-4859 (619) 438-1161 ENGINEERING DEPARTMENT E;®FT!iNSMITiiiL TO WE ARE SENDING OU Attached 0 Under separate cover via _____the following items: 0 Shop drawings Prints El Plans 0 Samples 0 Specifications El Copy of letter El Change order 0 Dated________ COPIES DATE NO. DESCRIPTION / E.I . IJT In JN) /OJflsj& TPV Ut- THESE ARE TRANSMITTED as checked below: El For approval • For your use • As requested 0 For review and comment For Your Action O For Checking El Approved as submitted El Approved as noted El Returned for corrections El Resubmit copies for approval 0 Design only, not for construction El Return -corrected prints El REMARKS 15 COPY TO V V —-1 \j 'NJ SIGNED: If enclosures are not as noted, kindly notify us at once.