HomeMy WebLinkAboutPE 2.87.05; CARLSBAD HIGHLANDS LOT 26; Engineering ApplicationVuJc,IJo.
Application for Grading Permit 0 PE NO.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438ã54i 3SO Validation by Finance
Department
Building Permit Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address
j'• 'cçjz,c KfL-IN5 120. Surety Company Bond-No.
Legal Description
?o& r Z4 Map No.
4,7
Surety A e
N Subdivision Name
CL-4 &P -( LcPJPS
Date
_____________________________
Rec'd by
Owner
- S. pc,jJ 't 4
Phone
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Cash deposit $ Rec'd by Date filed
Owner's Address
3'340 ,OLPZ'SI VR , QCEkjc -,l' CA f20S The following documents
of :h7erading permit when
plans
____ Soil report
Vv/ Drainage structures
Compaction report
are required and shall become a part
they are7roved.
Specifications
Geologic Report
______ Other
Plans by Civil Engineer R.C.E.____Grading L.- t2..OPPi /'(.3
Address Phone 2133 M5A
Soil Engineer R.C.E. Phone
MV.uz,re, 26Il 143-2t4-
Grading Contractor
__
Phone SPECIAL
APAR
AADEj40
Address
•
Authorized hours
7:00 AM to Sunset,
of operation:
Monday - Friday.
Party responsible for overall supervision Naj"f& M _L"- #4k Haul routes are to be approved by City Engineer.
Proposed use of grade site Fi-t Adequate provisions
control.
shall be made for erosion and siltation
Number of cubic yards
Cut Fill Import Waste All slopes shall be planted per City Code.
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All fills to be compacted
density unless noted
to at least 90% of optimum
otherwise.
Proposed Schedule of Start Finish
Operations (dates)
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I hereby acknowledge that I have read the application
the information I have provided is correct and agree
all City ordinances and State laws regulating excavating
and the provisions and conditions of any permit
this application.
Signature of Permittee
Owner or authorized agent •
and state that
to comply with
and grading,
issued pursuant to Under City Code
D REGULAR GRADING
lited below.
'ONTROLLED GRADING
observe work, coordinate
Sec. 11.06 170 this grading is:
- City inspector will make inspections
- Private grading engineer shall
tests, make reports
INSPECTION DATE
SP.SIGURE Initial - site prep. /& ENVIRONMENTAL CLEARANCE
- Date .bjit\
EIA Log No. E b")
By
7' Rough . prior to drains lit
Final . slopes planted
Compaction reports r'd. Plan check Grading permit fee $ jlio. fee $
Private engr. cert. rec'd. f7 2-7 Permitjssued -.
en-Building;
Pink-Permittee; Goldenrod-Finance
K DESCRIBED
EHG1NEEfliN
FEE: $175.00
RECEIPT NO:
ENVIRONMENTALIMPACT ASSESSMENT FORM - Part I
(To Be Completed by APPLICANT)
CASE NO: •/2. 87'
DATE:
Applicant: EI2cbftJ AA, )(OlYc-)
Address of Applicant: 4-o PR
i c c f 2-o
Phone Number: (b(1 ) 146
Name, address and-phone number of person to be contacted (if other than
Applicant) : AL7ffiLL J4 t t,LS}L41fr Ac M cZ 1 cz So
(7O)( T37 17A
GENERAL INFORMATION:
Description of Project: I FcM. sIPi-ic
Project Location/Address: IT1iJtEi) 31lS c4 1'5
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Assessor Parcel Number: 2O7 - 0b4 -os
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Zone of Subject Property:
Proposed Use of Site: I fPc/Vi. 2L3SIc7 JZ- -
List all other applicable applications related to this project:
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2. Describe the activity area, including distiguishing natural and man-
made characteristics; also provide precise slope analysis when
appropriate.
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3• Describe energy conservation measures incorporated into the design
and/or operation of the project. PAJ
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If residential, include the number of units; schedule of unit sizes,
range of sale prices or rents, and type of household size expected.
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
0•
CPC
I. ENVIRONMENTAL IMPACT ANALYSIS
Answer the following questions by placing a check in the appropriate
space. (Discuss all items checked "yes". Attach additional shets as
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?
.7) 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?
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 ofa
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 activityarea? .
13') Could the activity change existing features of .
any of the city's lagoons, bays, or tidelands? .
. Could the activity change existing 'features of
. V 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 aireadydeveloped areas? ,.
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V
S
YES
Will the activity require a variance from
established environmental standards (air, water,
noise, etc.)?
Will the activity require certification, authoriza- C-h(.-(r
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?
NO
/
27) 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? (orr6
Indicate estimated 9rading to be done in
cubic yards: 777 .
Percentage of alteration to the present
land form: io% -pcz 'uOR-6 (L LBSS
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? V
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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 envirnmenta1
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 sheets as needed.)
s ignat ure /fLi
(Person Completing Report)'
Date Signed
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 intopography or ground
surface relief features?
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 orany bay, inlet or lake?
• ENGINEERING
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ENVIRONMENTAL IMPACT ASSESSMENT FORM - PART II
(TO BE COMPLETED BY THE PLANNING DEPARTMENT)
CASE' NO. 2. &7.6-15
DATE:
I. BACKGROUND
APPLICANT:+- 5 L-J / M . (dD M4JE.)
ADDRESS AND PHONE NUMBER OF APPLICANT:j
3. 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
.. 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?
'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?
C. 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, including but not '
0
limited to, temperature, dissolved,
oxygen or turbidity?
Alteration of the direction or
rate of flow of ground waters?
' Change in the quantity of ground 0
waters, either through.direct 0
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?
EPM
EN
4. Plant Life - Will the proposal have
significant results in:
a.' Change in the diversity of species,
or numbers of any species of plants
(including trees, shrubs, grass,
crops, microflora and aquatic plants)?
b. Reduction of the numbers of any
unique, rare or endangered species
of plants?.
C. 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:
Changes in the diversity of species,
or numbers of any species of animals
(birds, land animalsincluding reptiles,
fish and shellfish, benthic organisms,
insects or microfauna)?
Reduction of the numbers of any unique,
rare or endangered species of animals?
C. Introduction of new 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?
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
significantresults in the alteration of
the present or planned land use of an
area?
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(~D
I
YES MAYBE NO
9. Natural Resources -.Will the proposal
have sighificant 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 ,locat ion, 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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S S
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?
Other governmental services?
15. Energy - Will the proposal have signif-
icant results in: S
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 fornew
systems, or alterations to the following S
utilities:
Power or natural gas?
Communications systems?
Water?
d. Sewer or septic tanks?
Storm water drainage? S - 4e,
f. 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)?
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in .,
YES MAYBE
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/Histrical - Will the
proposal have significant results in
the alteration of a significant
archeological or historical site,
structure, object or building?
NO
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.
± I
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?
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 resoue-e-s -w.here 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
77?
67
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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
(7
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.
7/ 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)
S
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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 TO THE PROJECT.
Date Signature
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