HomeMy WebLinkAboutPE 2.86.08; BELLAVISTA BLOCK D LOT 6; Engineering Applicationz&k2
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Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
PE NO.
7/223T MC
7Depa'rtment
?I /'G 1 T
idation by Finance
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address
— ,4l2c-,Li
Surety Company
41
/d No.
C4i s .
Legal Description Mao No. Surety Address
Subdivision Name Date i led, Raq'd by
Owner Phone
/
cash ct/posit (V1? Rdby AV Date filed
S $
' Owner's Address
'9E4//442 2/'.dy 4V
The following documents are,%quired and shaP1'becote a part
of the ,grading permit when they ar
Grading plans
,Proved.
_____ Specifications
_____ Soil report Geologic Report I /Drainage structures _____ Other
Compaction report
Plans by CiviyEngiieer R.C.E.
Address Phone
Z22 J!1 Js;/
Soil Engineer R.C.E. Phone
594/ 27 7I6 O 1/ /
Grading Cntractor Phone
____ f 71 ________________
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
1 IkE-n-- — Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Party responsible for overall supervision
Haul routes are to be approved by City Engineer. 4 ,45.E4.'Ic'
Proposed use of grade site
Adequate provisions shall be made for erosion and siltation
control. Number of cubic yards
-
Cut Fill Import Waste All slopes shall be planted per City Code.
7400
Proposed Schedule of Staft 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 City ordinances and State laws regulating excavating and grading,
and the provisions and conditions of any permit issued pursuant to Under City Code Sec. 11.06 170 this grading is:
E REGULAR GRADING - City inspector will make inspections
this application. Jsted below.
11CONTROLLED GRADING - Private grading engineer shall
Signature of Permittee 7 tserve work, coordinate tests, make reports.
Owner or authorized age ___________________________ INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE-NBUSAM
Date *?Z,Z.I'3h'
EIA Log No.
By or aevz
%
Rough - prior to drains
Final - slàpes planted
Compaction reports rec'd. Grading permit fee $ Plan fee $5
Private engr. cert. rec'd. Permitjsue
-
oy " uate ' ' Copies: White-Office; Green-Building; AV V
Permit Expiration Date / Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED IS PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD
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•
. FEE:. $175.00
RECEIPT NO:: 573S8
ENVIRONMENTAL IMPACT ASSESSMENT FORM - Part I
(To Be Completed by APPLICANT)
CASE NO:
DATE:
Applicant: .4
Address of Applicant: 'Z72 ô'/ L4I
L • . O •
Phone Number: (i)
Name,,addresS and phone number of person to becontacted (if other than
Applicant):
GENERAL INFORMATION:
Description of Project:
zM4i IL) I
Project Location/Address:. . /(/24/4',
7i3 -
Assessor Parcel Number:'2_O - Zo
( Zone of Subject ProPerty: iZ
Proposed Use of Site:
List all other applicable applications related to this project:
O4 74.-( /WL4 / 1'. (f47, ,ti . I Y
'I •
Describe the activity area, including distiguishing natural and man-
made characteristics; also provide precise slope analysis when.
appropriate.
I
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-.•• V
,.
Describe energy conservation measures incorporated into the design
and/or operation of the project. .
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AT CL/,L41 (u (7,'7A(Z LJJ /2/ (. f/U r--)( -r, iJ41, 1-tiw
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.4. If residential, include the number of units, schedule of unit sizes,
range of sale prices or rents, .and type of 'household size expected.
u.) A)O a /L'-(. 346o
4O) 4 .. ..... . . . .
5.. If comrcial, 'indicate the type., whether neighborhood, city or
regionally oriented, square footage of sales area, and loading V
facilities.,
If industrial, indicate type, estimated employment per hift, .and
loading facilities. • V . ,
If institutional, indicate the major function, estimated employment per
shift, estimated occupancy, loading facilities, and community benefits
to be derived from the project.
V V
-2-
•
I. ENVIRONMENTAL IMPACT ANALYSIS. . . .
Answer the following questions by placing a check in the appropriate
space. (Discuss all items checked "yes". Attach additional sheets as
necessary.)
YES NO
Could the project significantly change present
. v land uses .in the vicinity of the activity?
. .
Could the activity affect the use of a recreational
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?
45) Could the activity increase the number of low and
modest cost housing units in the city?
'Could the activity decrease the number. of low and . -.
modest cost housing units in the city?
Are any of the naturalor man-made features in the
activity area unique,.that is, not found, in other
parts of the county, state or nation? . . .
'8) Could the activity significantly affect an
historical or archaeological site or its settings?
Could the activity significantly affect the
potential use, extraction, or conservation of a ,.
scarce natural resource?
Does the activity significantly affect the
potential use, extraction, or conservation of a
scarce natural. resource? .
.11) Could the activity significantly affect fish,
• wildlife or plant life?
Are there any rare or endangered plant species
in the activity area? .
Could the activity change existing features of
any of the city's lagoons, bays, or tidelands?
Could the activity change existing features of
any of the city's beaches? • . _______
Could the activity result in the erosion or • •
elimination of agricultural lands? . .
.
.
16.) Could the activity serve to encourage development •
of presently undeveloped areas or intensify develop-
ment of already developed areas? . .
.
• ,
-3- .
"I ... . .T
YES NO
Will the activity require a variance from.
established environmental, standards (air, water,
noise,. etc. )?
Will the activity require certification,. authoriza-
tion or issuance of a permit by any local, state or
federal environmental control agency?
Will the ac.tivity.requireissuance of a variance
or conditional use permitby the City?
Will theactivity involve the application, use, or
disposal of potentially hazardous materials?
Will the activity involve construction of
facilities in a flood plain?
Will the activity involve construction of
facilities in the area of an active, fault?
Will the activity involve construction. of
facilities on a slope of 25 percent or greater?
Could the activity result in the generation of
significant amounts of noise?
Could the activity result in the generation of
significant amounts of dust? .
Will'the activity involve the burning of brush,
trees, or other materials?
2.7) Could the activity result in a significant change
in the quality of. any portion of the region's air
or water resources? (Should note surface, ground
water, off-shore.) . .
28) Will the project substantially increase fuel.
consumption (electricity, oil, natural gas, etc.)?
29) Will there be a significant change to existing
land form? .
Indicate estimated gradingto be done in
.cubic yards: Percentage of alteration to the present -
land form: . .
.
(C) Maximum height of cut or fill slopes;
.
30) Will the activity result in substantial increases
An the use of utilities, sewers, drains or streets?
31) Is the activity carried' out as part of a larger
project or series of projects?
4
4 . . II. STATEMENT OF NON-SIGNIFICANT ENVIRONMENTAL EFFECTS
If you have answered yes to one or more of the questions in Section
I but you think the activity will have no significant environmental
effects, indicate your. reasons below:
I M74- 1J4(7 ,SAc) P
7- Wi?774/0 *974-- c15
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III. COMMENTS OR ELABORATIONS TO ANY OF THE QUESTIONS IN SECTION I
(If additional space is needed for answering any questions 'attach-
additional sheets as needed.)
Signature ,'-
• • (Person Completing Report) -•
Date Signed 1 //8 ,52
V . .
ENVIRONMENTAL IMPACT _ASSESSMENTFORM - PART II
V (To Be Completed by the LAND USE PLANNING OFFICE) V
V V
CASE NO. _ V
V
DATE:
V
BACKGROUND
V
V V
V V
V
1. APPLICANT:
'2 ADDRESS AND PHONE NUMBER OF APPLICANT: Z1
3. DATE CHECK LIST SUBMITTED:IVJ f .V
II. ENVIRONMENTAL IMPACTS
V. (Explanations of all Affirmative Answers are to b Written Under
Section III- Discussion of Environmental Evaluation)
V
YES MAYBE. NO ,
V
1. Earth - Will the proposal have
significant results 'in:
a' Unstable earth conditions or in
changes in substructures? geologic
b. Disruptions, displacements, corn-
pact'ion or overcovering of the soil?'
Change in topography or ground V V
V
V surface relief features?
The destruction, covering Or . , , ,
V•
V
modification of any unique geologic
V
or physical features?
V ' ' ' ' V ,
•
_______ V
'.'Any increase in wind or water V '
'erosion of soils,. either on or off
the site.?
Changes in deposition oreros'ion"
-
, of beach sands, or changes in
siltation, deposition or erosion ' V , , , • V , ,
which may modify the channel or a
V river or stream or the bed of the - V
ocean or any bay, inlet or lake?
V ' . V
f
V
YES MAYBE NO
2. Air - Will-the-proposal have V.
V
, TnificantVresults in: '
a. Air emissions or deterioration .
V of ambient air quality? V
bV. The creation' of objectionable V '
..
odors?
V c.
' '' •'
Alteration of 'air movement, V ,' /
V
V
V
moisture or temperature, or any
change' in climate, either locally'
or regionally?
V Water -. Will the'proposal have
' significant results in:
'Changes in currents, or the course
Or direction of water movements, in either marine or. fresh waters?
Changes in absorption 'rates,
drainage patterns, or the rate and
amount of surface water runoff?:
'Alterations to the course or flow' ' V
V of flood waters? V
•
V
V
' '
V' V ,. ' V
Change in the amount of surface
'water ,in any water body?
e. Discharge into surface waters,
or in any alteration of surface .
V water quality,' including but not . V V V
limited to, temperature, dissolved V
oxygen or turbidity?
V V V
V
-
f. Alteration 'of the direct ion'or
'rate of flow of ground waters?
g. Change in 'the quantity of ground V ,
waters, 'either through direct
additions or withdrawals, or through ,V
interception of an aquifer by cuts
or excavations?
h Reduction in the amount of water
otherwise -available for public / V '
, water supplies?
V V -2- '
YES
4. Plant Life - Will the proposal have
significant results in:
a. Change in the diversity of species,
ornumbérs of any species Of plants.
(includirg. trees, shrubs, grass, 0•
crops, microflora and aquatic plants)?
b. Reduction of the numbers of any
unique, rare or. endangered species
of plants?
P.. Introduction of new species of plants -
into.an area, or in a:barrier,to the
normal replenishment of existing
species?.
d. Reduction in acreage of any
agricultural crop?
5. Animal-.Life - Will the proposal have.
significant results in:
a. Changes in the diversity of species,
or numbers of any species of animals
(birds, land animals including reptiles,
fish and shellfish, benthic organisms,
insects or microfauna)?
b. Reduction of the numbers of any unique,
rare or endangered species of animals?
C. Introduction of hew species of animals
into an area, or result in a barrier
to the migration or movement of
animals? .
d. Deterioration to existing fish or
wildlife habitat?-
6. Noise - Will the proposal significantly
increase existing noise levels?
7. Light and Glare - Will the proposal sig-
nificantly produce new light or glare?
8.. Land Use - Will the proposal have
significant results in the alteration of
the present orplanned land use of an
area?
-3-.
. . YES MAYBE NO
9. Natural Resources --Will the .popOsal
have significant results. in: ..•
- Increase in the rate of use o any
natural resources?
• Depletion of any nonrenewable
natural resource? -
10. Risk of Upset - Does the proposal
involve a significant risk of an • explosion or the release of hazardous
• substances (including, but not limited
- • to, oil, pesticides, chemicals or
radiation) in the event of an accident
or upsetcoriditions?
11. Population - Will the proposal signif-.
icantly alter the location,distribu-
tion, density, or growth rate of the :
human ,populat ion of. an area? -
12. Housing Will the proposal •signif- •
icantly affect existing housing, or •
• create a demand for additional housing? ______ •
13. Transportation/Circulation - Will the. • • • • proposal have significant results in: •
Generation of additional vehicular
movement? •
•
•
- •
Effects on existing parking facilit-.
• • ies, or demand for new parking? • •
• • • .• •• • C. Impact upon existing transporation ,
systems?
Alterations to present patterns of. -
circulation or movement of people' • • •
and/or •goods? • •-
Alterations to waterborne, rail or
2
air traffic? - • . •
f.''Increase in traffic hazards to• • . 0 •
- motOr vehicles, bicyclists or - -•
• pedestrians? 0
• -• .
-•
• . -4- . 2
YES. 'MAYBE NO
14. Pub1ic Services - Will the proposal, have V
a significant effect upon, or have signif-
icant-.results in the need for new or
altered governmental services in any of
the following areas:
a. 'Fire protection?'.
b. Police protection?
' ' V , /
c. Schools?
' '
'
' ' '
parks or other recreational •
facilities?
Maintenance of public' facilities, '. ' ' •'
including roads?..
Other governmental services?' .'
15. Energy Will the proposal have signif-
icant results in:
a. Use of substantial amounts of fuel •• .
or energy?
b. Demand upon existing sources of ,
energy, or require the development
of new sources of energy?
16. Utilities - Will the proposal have
signifiOant results in the need for new
'systems, or, alterations to the following
utilities:
• 'a.. Power or natural gas?
,
b. 'Communications' systems?
C. Water'
d. Sewer' or septic tanks? 0
'
0 •
e Storm water drainage?
f'. Solid waste and, disposal? ' ______ '
0
• ______
17. Human Health - Will the proposal have • • , V •
significant, results in the creation of
any health hazard or potential health ' ' " •' V
' hazard (excluding mental health)?
7 ,
V , -5- '
0
'H. '....
ES MAYBE.. NO
18. Aesthetics - Will the proposal have . . . .
significant results in the obstruction .
of any scenic vista or view open to the
public, or 'will the proposal result in
creation 0f an aesthetically offensive
public view?
19 Recreation - Will the proposal have
significant results in the impact upon . . . . .
the quality or quantity of existing
' "
.
recreational opportunities?
'20. 'Archeological/Historical - Will the . .
proposal have significant results in."
the alteration of a significant . . . .
archeological or historical site, . . . .
'structure, object :or building?
21. Analyze viable alternatives to the proposed project such as
a) Phased development of the project, b) alternate site. designs,
c) alternate scale of development, d) alternate uses for, the site,
e) development at some future time rather than now, f) alternate
sites, for the propOsed, and-g) no project alternative. .
a\, '(4 IFO cic
bit
QI(
pCJ3eems a-
-6- . . . . . .
YES MAYBE .NO
22. Mandatory Findings of Significance
Does the project have the potential
to degrade the quality of the.
environment, or curtail the diversity
in the environment?
Does the project have the potential
to achieve short-term, to the dis-
advantage of long-term, environmental
goals? (A short-term-impact on the
environment is one which occurs in a
relatively brief, definitive period of.
time while long-term impacts will
endure well into the future.)
c. Does the project have impacts which
are individually limited, but
cumulatively considerable? (A
project may impact on two or more
separate resources where the. impact
on each resource is relatively small,
butwhere the effect of the total of
those impacts on the environment is
significant.)
A . • Does the project have environmental
effects which will cause substantial
adverse effects on human beings,
either directly or indirectly?
III. DISCUSSION OF ENVIRONMENTAL EVALUATION , •
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iv. DETERMINATION (To Be Completed by the Land Use Plannin Office)
On the basis of this initial evaluation
I find the proposed project COULD NOT have a significant effect on
the environment, and a NEGATIVE.DECLARATION will be prepared.
.•. Ifind that although the proposed project could -have a significant
effect on the environment, there will not be a significant effect in
this case because the mitigation measures described on an attached
sheet have been added to the project. A Conditional Negative. . •
Declaration will be proposed.
. I. find the proposed project MAY have a significant effect on the •
environment, and an ENVIRONMENTAL IMPACT REPORT is required. •
Date • • • Signature .. •
V. MITIGATING MEASURES (If. Applicable) • . .
S
'MITIGATING MEASURES (Continued)