HomeMy WebLinkAboutPE 2.86.56; JOHN DONALDSON; Engineering Application6
No. 27&,t6,'
PE NO. 2. 5i
Building Permit Plan Check No4
Application for Grading Permit -q
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5544 USO
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Validation by Finance
Department
FOR APPLICANT TO FILL IN
Site Address
Legal D-escription Ma
o7 I, Z1 I ac Ns 72R
Subdivision Name
Surety Company
Surety Address
Date Filed....-
Bond
Rec'd by
Ownr
kw1V
Phone
729 -S1/
Cash deposit Dat fled
$ 2,46c. 4A/Q7.
Owner's Address
.293
' The following documents dre required and shall e ome a part
of the permit when they are approved.
Grading plans / Specifications
,/Soil report Geologic Report
rainage structures _____ Other
Compaction report
Plans by Civil Engineer R.C.E.
X609
Address Phone ,.4 ~'..?-.2Z 38
Soil Engineer R.C.E. Phone
/Vaa4El /VD?L/AJ 913
G radina Contracto
7 A & J4
Phone SPECIAL ICH ARE MADE
I 4ESC. 370-00
Address
.3 s0 S Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Party responsible for overaLl supervision
';i/z;:4/A/ Haul routes are to be approved by City Engineer.
Proposed use of grade site
5/A4Z 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.
y / 7St7y 2SOc
icknglells
All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
Proposes Schedule of Start Finish
Operations (dates)
I hereby acknowledge that I have read the application and state that
the information I have provided is correct and agree to comply with
-i-- - all City oraunances and iae uaws reguiating excavating and yldUll
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l9, Under City Code Sec. 11.06 170 this grading is:
and the provisions and conditions of any permit issued pursuant to El REGULAR GRADING - City inspector will make inspections
this application. jisted below.
Signature of Permittee observe work, coordinate tests, make reports. 74 CONTROLLED GRADING - Private grading engineer shall
_INSPECTION DATE INSP. SIGNATURE
Owner or authorized agent
Initial . site prep.
ENVIRONMENTAL CLEARANCE -
Log No.
Date ."87 Rough. prior to drains
E IA
By
/r7r
Final . slopes planted 11
Grading permit
Compaction reports rec'd.
4.
Private engr. cert. rec'd. rmi Iss '7
White-Office; Green-Building; Date
Cie:: Permi xpiration te Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
TV~/ALIDATED THISFORM WHE RiP bY IS A PERMIT TO DO THE WORK DESCRIBED
THJ.S PERMIT IS VALID FOR A SIX (6) MONTH PERIOD ,i/r x7 f5&W,,v774. 8,//89. 9P
ENGINEERING
FEE: $175.00
RECEIPT NO:
ENVIRONMENTAL IMPACT ASSESSMENT FORM - Part i
(To Be Completed by APPLICANT)
CASE NO: jOEe7
DATE:
Applicant:
Addess. of Applian: Z93 T-o& A. B
L0 Lca ç-Y
Phone Number:. ) 7-Z77
Name, address and phone number of person to be contacted Of other than
Applicant):A-c-k a& (k)&r .
GENERAL INFORMATION:
Description of Project:
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Project Location/Address: I3 / /c L
Assessor Parcel Number:..
Zone of Subject Property: ............... . .
Proposed Use of Site: sI .\ k p .
List all other applicable applications related to this project:
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2 Describe the activitrea, including distiguishing natural and man-
made characteristics; also provide precise slope analysis when
appropriate 0
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Describe energy conservation measures incorporated into the design
and/or operation of the project.
If residential, include the number of units, schedule of unit sizes
range of sale prices or rents, and type of household size expected,
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5 If commercial, indicate the type, whether neighborhood, city or
regionally oriented, square footage of sales area, and loading
facilities. 0
0 • •
6. If industrial, indicate type, estimated employment per shift, and
loading facilities. • • 0
7• If institutional, indicate the major function, estimated employment per
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 appropriate
space. (Discuss all, items checked "yes". Attach additional sheet.s as
necessary.).: 'S
YES NO
Could.the project significantly change present . .. . ..
land uses in the vicinity of the activity?
Could the activity affect theuse of a,recreational
area, or area of important aesthetic value?
Could the activ.ty 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? . . X
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? '. . '
.12) .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?
Could the activityserve to encourage development
of presently undeveloped areas or intensify develop- '
ment of already: developed areas?,
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Will the activity require a variance from
established environmental standards (air, water,
noise, etc.)? ' S.
Will the activity require' certification,'authoriza-
tion or issuance of a permit by any local, state or
federal environmental control, agency?
H19) 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? '
22)' 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 theactivity involve the burning of'rush, . .
trees, or other materials?
Could the activity result in a significant change
in the quality of any portion of the region's air
or waterresources? (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 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-act
'
ivity result in substantial increases
in the use of utilities, sewers, drains or streets? '
31) Is the activity carri.ed'out as part of a larger
project or series of projects?
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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:
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COMMENTS 'OR ELABORATIONS. TO ANY OF THE QUESTIONS IN SECTION I
(If additional space is needed for answering any questions, attach
additional sheet "as needed.,)
Signature
(Person Completing Report) .
Date Signed
EN GINEERING
ENVIRONMENTAL IMPACT ASSESSMENT FORM - PART II
(TO BE COMPLETED BY THE PLANNING DEPARTMENT)
CASE NO.
DATE:
I. BACKGROUND
APPLICANT: 4j11%
ADDRESS AND PHONE NUMBER OF APPLICANT:/SII h,Q
DATE CHECK LIST SUBMITTED:______________________________________
II. ENVIRONMENTAL IMPACTS
(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, com-
paction or overcovering of the soil? .
C. Change in topography or ground
surface relief features?
d. The destruction, covering or .
modification of any unique geologic
or physical features?
Any increase in wind or water
erosion of soils, either on or off
the site? .
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/c
. .' S •
YES MAYBE NO
2. Air - Will the proposal have
iTnificant' results in:
Air emissions or deterioration
of ambient air quality?
The creation of objectionable
odors?
C. Alteration of air movement,
moisture or temperature, or any
change in climate, either locally
or regionally?
3. 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
of flood waters?
Change in the amount of surface
water in any water body?
Discharge into surface waters,
or in any alteration of surface
water quality, in 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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4.
C.
d.
5.
C.
d.
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YES MAYBE NO
Plant Life - Will the proposal have
significant results in:
Change in the diversity ofspecies,
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? •
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 microfauna)?
Reduction of the numbers of any unique,
rare or endangered species of animals?
Introduction of new species of animals
into an area, or result in a barrier
to the migration or movement of
animals?
Deterioration to existing fish or •
wildlife habitat?
Noise - Will the proposal significantly
increase existing noise levels?-
Light and Glare - Will the proposal sig-
nificantly produce new light or glare?
______ •
______
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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FA
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?
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
air traffic?
Increase in traffic hazards to
motor vehicles, bicyclists or
pedestrians?
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IS
YES MAYBE NO
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:
Fire protection?
Police protection?
c.. Schools? '
Parks or other recreational
facilities?
Maintenance of public facilities,
including roads?
f.- 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
significant results in the need for new
systems, or alterations to the following
utilities:
Power or natural gas?
Communications 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 (excludinq mental health)?
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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?
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.
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22. Mandatory Findings of Significance -
a.: 'Does the project have the potential
to degrade the quality of the
environment, or curtail the diversity
in the environment?
b. Does, the project have the potential
to achieve short-term, to the dis-
advantageof 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 resouces where the impact
on each resource is relatively small,
-but where the effect of the total of
those impacts on the environment is
significant,) .
d. 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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. . DETERMINATION (To Be Completed by. the Land Use Planning Office) ' -*( On the basis of this initial evaluation:
T i find the proposed project COULD NOT have a significant effect on
the environment, and a NEGATIVE DECLARATION will be prepared.
.1 find that although the proposed project could have.a significant
effect on the environment, there will not be a significant effect in
.this casebecause the mitigation measures described on an attached
sheet have been added to the project. A, Conditional Negative
Declaration will be proposed. . ..
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I find the proposed'-project MAY have a significant effect on, the
environment', and an ENVIRONMENTAL IMPACT REPORT is required.* '
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Date. ' ' . . Signature
MITIGATING MEASURES (If Applicable) ' '
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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 TOTHE PROJECT.
Dte • Signature
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