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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 4' - 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 -- 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: c is 4 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: 41thu .. .. -.--"., .-.-. ,,. -. ........ . ':. • - Y V 2 Describe the activitrea, including distiguishing natural and man- made characteristics; also provide precise slope analysis when appropriate 0 1i~ is —i-tr lirc 1,oAs. ik -k-Le roct (.-j-0 j ' po 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, s b-) 0 •0 - 3 S - 0• •• • • 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. '. • 0 • ' : -2- • . . 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?, -3- W 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? -4- . . S 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: (AE FEEL TftE P go c I A 6 i s(tJ I l.Ai')T EU1ô,)rAv>TAL... ,FApPCr AL)CE . . S crcJJv\ w;R wJ dr k1,4b'c- 4k- R\C .......... . . ç ps Z() .1P-0,J f)Cd,S . c - S. S ' •' 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? -2- 4. C. d. 5. C. d. •• '• •: .• 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? • -3- 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? -4- 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)? -5- S 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. • - - -6- 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 -'fl4 ,t4CJt ' 2 r7 50 rn' 'frt- PPrG1'. 1r4l - - fl,.A,Ytb 0tJ', -7- . . 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. . .. .. . I find the proposed'-project MAY have a significant effect on, the environment', and an ENVIRONMENTAL IMPACT REPORT is required.* ' I 0_a~- V Date. ' ' . . Signature MITIGATING MEASURES (If Applicable) ' ' . . S 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 •• -10-- •