HomeMy WebLinkAboutPE 2.86.07; LA COSTA ESTATES NORTH LOT 34; Engineering Application2
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Building Permit Plan Check No. NO.17
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541 P0
PE NO. . 66.07
ance Qo tii
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FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No.
Legal Description Map No. Surety Address
LOT 4- D24cr 7c--t
Subdivision Name
1-4 s7A AJO,L7W V
Owner
Date Filed t c:d by
Phone Cash d it V Rec'd by Date filed 3-ôco .$
Owner's Address The following documents are required and shall become a part
0. /'o IA/sA7 (4f..xIOE of the ,grading permit when they are approved.
R.C.E. Plans by Civgngineer
VEV 7 (1 t _____ Grading plans Specifications
___ __ Soil report Geologic Report '7 Address Phone
5~w,O,00 8L Drainage structures ______ Other V Compaction report Soil Enaineer R.C.E. Phone
orro -u& I,ic. -753-897
Grading Corar Phone .f:34, 3v3 SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Addre0 '3".7 #ijp Authorized hours of operation:
7:00 AM to Sunset, Monday- Friday.
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Haul routes are to be approved by City Engineer.
Party resoW*ble ll sup r .i.sion
Proposed use of grade site
Fii fl7 Adequate provisions shall be made for erosion and siltation Number of cubic yards control.
Cut Fill Import Waste All slopes shall be planted per City Code.
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Proposed Schedule of Start Finish All fills to be compacted to at least 90% of optimum
Operations (dates) density unless noted otherwise.
I hereby acknowledge that I have read the application and state that
the information I have provided is correct and agree to comply with
all uiy or inances and QLate IdVVb ieyuiaiiiy eALdVdLIrly and yrdUifly,
and the provisions and con itions of ny permit issue pu
this application.
Signature of Permitt AA
ant to
Owner or authorized agent AE'7 iL,7cr-
4A
Under City Code Sec. 11.06 170 this grading is: -
REGULAR GRADING - City inspector will make inspections
listed below.
CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE -
ElALogNo.4itf13 Date
By . A.t
Rough - prior to drains /14/J 9 ie7
Final - slopes planted
Compaction reports rec'd. Grading permit fee $ 0, o a Plan check fee $ n'
Perm Iss
Date , Private engr. cert. rec'd.
Copies: White-Officef'Gren-Building;
o so ttee: Yellow-inspector; Pink-Permi Goldenrod-Finance
by
- Permit xpiration _ _______________________________ U - - -.----.
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD
FJE.87flO
RECEIPT NO: .7347
S ENVIRNvtENTAL IMPACT ASSESSMENT FORM - Part I
(To be Completed by APPLICANT)
CASE NO: O 7
DATE:
Applicant: A
Address-of Applicant:
1.2
S.
Phone Number: () 4'-
Name, address, and phone number of person to be contacted if other than Applicant):
p c14 n&-
GENERAL INFOP\TION: S
Description of Project: .
C S
Projcct.Location/Address:
S
,AUP
Assessor Parcel NLunbcr: 21 - 4-- 'i •
Zone of Subject Property: • S • •
Proposed Use of Site: 44LL.i'
List all other applicable appi i.cations related to thi.s projct:
I •
S NI) 1
i 3.
•
( 2. !)e.Sctibe the ct3.vity area, thcivaihg distinguishing
natural and manwie charactaristic
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slope analysis when appropriate. lA-
3. Describe 'nergv conservation measures' incorporated into
the design and/or-operation of the project. (For a more
specific cliscuEsion of energy conse
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see of. the City'.s EIR Guidelines).
4. If residential, include the number
o
f
units, schedule of
• unit sizes, range of sale prices or rents, an
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p
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-of
• household size expected.
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If commercial, indicate the type, w
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neighborhood,
city or regionally oriented, sauar
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loading. £acilties. •
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If industrial, indicate type, estimated employment per
• shift, and loc1ing fcilit.ies.
.5 • •
I
If inctitutional, indicate the major function, estim
a
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d
• •
.
employcnt per shift:, estimated oc
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,
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• faci].itiCS, arid cornmun.ity benefits to be c3c
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projcct. S
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.5
5.
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I. EflVIROflr'1T2\L'IMPACT ANALYSIS - -.
( Answer the following questions by placing acheck in the
• appropriate space. (Discuss all items chocked yes. Attach
additional sheets as necessary).. -
YE9 NO
1) Could the project significantly change present
land uses in the vicinity of the activity?
2) Could the activity affect the use of a rec-
reational area, or area of important -
aesthetic value? ••• _____
3) Could the activity affect the functioning of
• an established community or neighborhood?
4) Could the activity result in the displacement
•• of community residents? •. ____ ___
5) Could the activity increase the number of low
-and moderate cost housing units in the city?
6) Could the activity decrease the number of low
(
and modest cost housing units in the city?
7) Are any of the natural or man-made features •
• in thoA, tity th:ea uniqn, that is, not
found in other parts of t)ie County, State,
or Nation? • • S ______
8) Could the activity significantly affect a
• historical or archaeological site or its
settings?
9). Could the activity significantly affect the
potential. use, etrnction, or conservation
of a scarce natural resource?
Does the activity area serve as a habitit,
food source ncstinq place, source of water,
• etc. for rare or cidariqerod wildlife on fish
species?
Could the activity significantly affect fish,
wildfiic or pianL life? • -.___ -
-12) Are there any rare or endangered plant
•
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species in tlic activity area?
•
13) • Could the activity chancjq cxisLirig features S
- of: any ol Lh c.i !y ' :1 a(Joon; bay.1 '.01-
-.3-
••-
• :
Could the .acLi'ity change existing features of
any of the city's beaches? X.
Could tlie activity result in the erosion or
e1irination o:E agricultural lands?
Could the activity seve to encourage develop- .
merit of presently undeveloped areas or intesify
development of already developed areas? ''' - -
Will the activity require a variance from
established environmental standards (air, water, . X
• noise, etc)?
18)' Will the activity require certification, . • ,•
authorization or issuance of a permit by any
local, state or federal environmental control
agency?
Will the activity require issuance of a
wiriance or conditionJ. use permit by, the city?
'
Will the actiity involve the application, use,
or disposal of potentially hazardous materials?
ç 21) Will the activity involve-construction of
facilities in a flood plain?
Will the activity involve construction of . •• - - ' '
facilities OIL a siope of 25 percent rr reater?
' 'Will the activity involve construction of
facilities in the area of an active fault?' '
.5 r -
Could the activity result in the genertio'n
of significant amounts of noise?
. 25) Could the activity result in the generation X '_ of significant amourcs of dust? . •
Will the activity involve the burning oS brush,
trees, or. othcr materials?
Could the activity reu].t in a significant
clianqein the quality of any portion of the
recj ion' i air or water reourccs? (should note,
surface, off--shore) ground water,
'28) Will the project suhit:nntially increase fuel
consmp Lion ((!lec :r.i.ci Ly , oil natural gas,
etc.)? S •
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29). W i. ].3. Lhx'ro be a ),cnnt chanqe to existing
• land to)S1fl?
-4-
•'. • ..
indicate estimated grading t.o be done in '
( 'cubic y ac d 46
perce'ntge of alteration to the present-
land form
maximum height of cut or fill slopes
' •' '
4)
30) Will the activity result--in substantial increases
in. the use' of utilities, sewers, drains, or
streets? ' '
' •' '
31) Is the, activity carried out as part of a larger
projec' or series of projects? . ' • ' '" -'
C ' '
.• •r''
7 II. STATFMENT OF NON-SIC'UJIG\NT EWIIONTAL EFFECTS
If you have answered yes to one or more of the qucstios
in Section I bUt you think the activity will have no
significant environmental effects, indicate your reasons
below:
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III COMvIENTS OR ELABORATIONS TO ANY OF THE QUESTIONS IN SECTION I
(If additional space is needed for answering any questions'
attach additional, sheets as may be needed).
Signature
Date Signed
. WL0
(Person completing-report)
57 MU F P7Y VLep14fl-