HomeMy WebLinkAboutPE 2.86.52; EDWARDS RESIDENCE; Engineering ApplicationI Application for Grading PermitØ
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
Building Permit Plan Check No. 5? /
PE NOJJ .LS'2,
P A4 ,111-tL: 7 -3
Validation Lv F;nance
Departmrit
FOR APPLICANT TO FILL IN
Site Address 3/fz3;h,zJi,4
Surety Company Bond No.
Lea
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jsc ription Map No. Surety Address
77 0= 03/11 0101 0514i- 272-00.
Subdivision Name '4? ç/71L Date Filed Rec d by
57?177~ No,27'1 i/,v,r ,'o, 1
Owner Phone
D121, Z/3,c
Cash deposit Rec'd by Date filed
.$57 4?4v' 777
Owner's Address The following document re required and shall become a part 770 ' 1h/1/35SC />',?Ct of the grading permit when they are approved.
Grading plans Specifications
Soil report Geologic Report .7 Drainage structures ______ Other
Plans by Civil Engineer R.C.E.
\) /1,?-rCOS ?U7.
Address Phone 7/f.-.
J'go ,%et4e l/- dj/'/,*-oS a" " Compaction report Soil Engineer / R.C.E. Phone
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
'4'r 7d 'D A PART OF THIS PERMIT
'6
4- $'/99~' 37?P4'eAJ e-71é //3pz 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.
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.
-72-
All fills to be compacted to at least 90% of optimum Proposed Schedule of Start Finish
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, -- Under City Code Sec. 11.06 170 this grading is:
:and the provisions and conditions of any permit issued pursuant to Il REGULAR GRADING - City inspector will make inspections
this application, listed below.
CONTROLLED GRADING - Private grading engineer shall
Signature of Permittee __________________________________________ / observe work, coordinate tests, make reports.
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INSPECTION DATE INSP. SIGNATURE
Owner or authorized agen —
Initial - site prep. _______________________________
ENV IRONMENTALCLEARANC
Date Jaii. 24,1987 Rough - priortodrains
•
EIA Log No. Final - slopes planted
By
Compaction reports rec'd. P Grading permit fee $ c __9k
Private engr. cert. rec'd.
by /'7. — Date '' " " ' Copies: White-Office; Green-Building; ell Permit Expiration Date 9-11-14-7 Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
—
--LY'VALIDATED IS PERMIT TO DO THE WORK DESCRIBED
7 7V77OA/" "• 8/-3/
THIS FORM
HIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD
DATE: _____
Applicant:
Address of Applicant:
Project Location/Address:
7
2-
ENGINEERING 4D J0
FEE: $175.00
RECEIPT NO: _b377
ENVIRONMENTAL IMPACT ASSESSMENT FORM - Part I
(To Be Completed by APPLICANT)
CASE NO:
Phone Number: ('17) 7'7/2 2s
Name, address and phone number of person tobe contacted (if other than
Applicant): (5,4t' e,iL - zed
GENERAL INFORMATION:
Description of-Project:
Assessor Parcel Number:
Zone of Subject Property: 74%/
Proposed Use of Site:
List all other applicable applications related to this.project: .
Environmental Impact Assessment for grading permits mut. be, accompanied
with, a *qradinc plan and qradinq profile. .
.
1*16 .1 ... . . 0 - 00 . -. - . •0 -
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2. Describe the activity
made characteristics;
appropriate. / / i-ct- /
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area, including diétiguishing natural and man-
also provide precise slope analysis when
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Describe energy conservation measures incorporated into the design
and/or operation of the project.
,41/A
If residential, include the number of units, schedule of unit sizes,
range of sale prices or rents, and type of household size expected.
k ,'n / > ,,
S. If commercial, indicate the type, whether neighborhood, city or
regionally oriented, square footage of sales area, and loading
facilities.
If industrial, indicate type, estimated employment per shift, and
loading facilities.
N/A..
If institutional, indicate the major function, estimated employment p
e
r
shift, estimated occupancy, loading facilities, and community benefits
to be derived from the project.
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. . I. ENVIRONMENTAL IMPACT ANALYSIS
Answer the following questions by placing a check in the appr
o
p
r
i
a
t
e
space. (Discuss all items checked "yes". Attach additiona
l
s
h
e
e
t
s
a
s
necessary.)
YES NO
Could the project significantly change present
land uses in the vicinity of the activity?
Could the activity affect the use of a recreational
area, or area of important aesthetic value?
Could the activity affect the functioning of an
established community or neighborhood?
Could the activity result in the displacement of
community residents?
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 natural or man-made features in the
activity area unique, that is, not found in other
parts of the county, state or nation?
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?
Could the activity significantly affect fish,
wildlife or plant life?-
Are there any rare or endangered plant species
in the activity .area?
Could the act-ivity 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?
Could the activity serve to encourage development
of presently undeveloped areas or intensify develop-
ment of already developed areas?
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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 activity require issuance of a variance
or conditional use permit by the City?
Will the activity 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?
27) Could the activity result in a significant chang
e
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 ewtimate4 grading to 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
in the use of utilities, sewers, drains or streets?
31) Is the activity carried out -as part of a larger
project or series of projects? -
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II. STATEMENT OF NON-SIGNIFICANT ENVIRONMENTAL EFFECTS
If you have answered yes to one or more o.f the questions in Section
I but you-think-the activity will have no significant environmental
effects, indicate your reasons below: -
IA v1
III. COMMENTS OR ELABORATIONS TO ANY OF THE QUESTIONS IN SECTION 1
(If additional space is needed for answering any questions, attach
additional sheets as needed.)
Signature /44
(Pera6n Completing Report)
Date Signed
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ENVIRONMENTAL IMPACT ASSESSMENT FORM- PART II
(TO BE COMPLETED BY THE PLANNING DEPARTMENT)
CASE NO.T: 2 2 sz
DATE:
/7
I. BACKGROUND •
S
APPLICANT: I
ADDRESS AND PHONE NUMBER OF APPLICANT: PO2%3
\i&s 1 Q 723
S ,qgs
DATE CHECK LISTSUBMITTED:___________________________________
II. ENVIRONMENTAL _IMPACTS S
(Explanations of all Affirmative Answers are to be written under
Section III -..Discussion of Environmental Evaluation) • •
YES MAYBE NO
1. Earth - Will the Proposal have
significant results in: •
Unstable earth conditions or in
changes in geologic substructures?
Disruptions, displacements, corn- .• -
pact.ion or overcovering of the soil? ______ S • /
Change in topography or ground • surface relief features? _____ • ____ /.
Thedestruction, covering or • •
modification of any unique geologic • • orphysicalfeatures?
Any increase in wind or water • • -
erosion of soils, either on or off
the site? • • -
0
- ___ ____
f. Changes in deposition or erosion •
of beach sands, -or changes in - • •
siltation, deposition or erosion
- which may modify the channel or a -
- river or stream or the bed of the
ocean or any bay, inlet or lake? - •S .
-
, a
YES MAYBE NO
2. Air - Will the proposal have
significant results in: . .
Air emissions or deterioration
of ambient air quality?
The creation of objectionable
odors? ' , •: . '
Alteration of air movement,
7
moisture or temperature, or any
change in climate,, either locally .
or 'regionally?
.3. Water - Will 'the'proposal have
• significant results in:
a. Changes' in currents, or the course
or direction of water movements,
in either marine or fresh waters? '
,
Changes Changes in absorption rates,
drainage patterns, or the rate and
Amount of surface water runoff?
Alterations to the course or flow
of flood waters? • - ' '
d.. Change in the amount of surface '
water in any water body? •
Discharge into surface waters, •
or in any'alteration of surface
water quality', including but not
limited to, temperature, dissolved
oxygen or. turbidity?
Alteration of the direction or.
rate of flow'of ground waters?
Change in the quantity Of ground
waters, either through direct '
additions or withdrawals, or through
interception of an aquifer by cuts
or excavations? '
Reduction 'in the amount of water
otherwise available for public •
water supplies? '
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$ . . YES . MAYBE NO
4. Plant Life - Will the proposal have
significantresults in:
Change. in the diversity of species, . .
or numbers of any species of plants
(including trees, shrubs, grass,
crops, microflora and aquatic plants)?
Reduction of the numbers of any
unique, rare, or endangered species
of plants?
Introduction of new species' of plants .
into an area,' or in a barrier to the
normal replenishment of existing
species?
Reduction in acreage of any
'agricultural crop?
5. Animal Life - will the proposal, have
significant results in:
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 microfaun'a)?
Reduction of the numbers of any unique,
.rare -or endangered species of animals?'
' Introduction of new species o,f animals
'into an area, or result in ,a barrier
to the migration or movement, of '
animals?
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 or planned land use of an .
area'?
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E0
S
YES MAYBE NO
9. Natural Resources - Will the proposal
have significant results, in:
Increase in the rate of use of 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 upset conditions?
11. Population - Will the proposal signif-
icantly alter the location, distribu-
tion, density, or growth rate of the
human population of an area?
12. Housing -,Will the proposal signif-
icantly affect existing housing, or
create a demand for additional housing? S
13. Transportation/Circulation -,Will the
proposal have significant results in:
Generation of additional vehicular
• movement? •
•
Effects on existing.parking facilit-
ies, demand for or 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
air traffic? S S
Increase in traffic hazards to
• motor vehicles, bicyclists or S
• pedestrians? .'
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...
YES MAYBE
14. Public Services - Will the proposal have
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?
C. Schools?
d. Parks or other recreational
facilities?
e.. Maintenance of public facilities,
including roads?
f. Other governmental services?
15. • Energy - Will the proposal have signif-
icant results in:
Use of substantial amounts of fuel •
or energy? • . .
Demand upon existing sources of
energy, or require the development
of new sources of energy?
16. Utilities - Will the proposal have •
significant results in the need for new
systems, or alterations to the following
utilities: . . .
a.. Power or natural gas? • .
b. Communication's systems?
C. Water? . . .
Sewer or septic tanks?
Storm water drainage.? .
Solid waste and disposal?
17. Human Health - Will the proposal have
significant results in the creation of
any health hazard or potential health
hazard (excluding mental health)?
NO
/
/
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S . .
. .,
YES MAYBE NO
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 of an aesthetically 'offensive
public view?
Recreation - Will the proposal have
significant results in the impact upon
the quality or quantity of existing
recreational opportunities?
Archeological/Historical.- Will the
proposal have significant results in
the alteration of •a significant
archeological or historical site,
structure, object or building?
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.
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. .
S 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? S
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.)
Does the project have impacts which
are individually limited, but S .cumulatively considerable? (A
project may impact on two or more
.separate resources where the impact
on each resource is relatively small,
but where the effect of the total of
those impacts on the environment is
significant.) S V
Does the project -have environmental
effects which will cause substantial
adverse effects on human beings,
either directly or indirectly?
III. DISCUSSION OF ENVIRONMENTAL.EVALrJATION
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S . IV. DETERMINATION (To Be Completed by the Land Use Planning 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.
I find 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.
V MITIGATING MEASURES (If Applicable)
. . MITIGATING MEASURES (Continued)
VI APPLICANT CONCURRENCE WITH MITIGATING MEASURES
THIS IS TO CERTIFY THAT I HAVE REVIEWED THE ABOVE MITIGATING MEASURES
: AND CONCUR WITH THE ADDITION OF' THESE MEASURES TO THE PROJECT.
Date Signature
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