HomeMy WebLinkAboutPE 2.9.37; LA COSTA MEADOWS #4 LOTS 709-710; Engineering ApplicationPERMIT
pplication for Grading Permits (letter code + numbr)
CITY OF CARLSBAD Llot
lwv, PUBLIC WORKS & BUILDING DEPARTMENT Ssubdivision
1200 Elm Avenue OCT 26-779_x'V'n6P*f;a-0t*84.00 729-1181
FOR APPLICANT TO FILL IN Isite Address 1 Surety Bond Bond No.
Legal Description Map No Surety Company
7ô9 7/O 7i0
Subdivision Name Surety Address
LW
Owner Phone Date Filed Rec'd by
Owner's Address Cas eposit Rec'd by Date filed
Plans by Civil Engineer R.C.E. The following documents are required and shall
w;III41 ;. 0-,4L_:, become a part of the grading permit when they
are approved.
Grading plans Specifications
Soil report Vicinity map
Address Phone
7,'V9 &-'D _72-_-
Soil Engineer R.C.E. Phone
4-vM4 4L2_2i.~... Drainage structures Retaining walls
jCompaction report Other Grading Contractor ' Phone
Address Check if supervised SPECIAL CONDITIONS WHICH ARE MADE ai1/7 Mc9 grading I el y A PART OF THIS PERMIT
'arty responsible for ovraII supervision £ 0AJ2_,4ZS, I. Authorized hours of operation: 7:00 AM to
roposed use of grade site 5:00 PM, Monday-Friday.
, ,fJ,J Jc Haul routes are to be approved by City
umber of cubic yards Engineer.
Cut Fill Import Waste Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction
of Parks & Recreation Director. [Tota l
I,
Compacted fills (yes or no) ,4JE1.,416e.SEQ /O-/377
(& 43 433) ,42) Proposed Schedule of Start Finish
Operations (dates) ////O/77
I hereby acknowledge that I have read the applica-
tion and state that the information I have providec
is correct and agree to comply with all City
ordinances and State laws regulating excavating anc
grading, and the provisions and conditions of any
permit issued pursuant to this application.
Signature of Permittee___________________________
Owner or authorized agent -
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Grading permit fee $ TdV Work completed
Surety bond released
Permit Validation
by FAJ, Date/t2Zc7
Permit Expiration Date 4 zc — -719
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD
•
1
CITY OF ... TLSR/\D
ENVIRONMENTAL PROTECTION OPMJ.UANCE OF 172
DECLARATION OF NEEAIIVL (NUN-S TGNi FI.c/\If[) [NV OEi'tTAL [lFLCT -
Philip J. Bost rom . . . APPLICANT
2568 Abedul St., Carlsbad, CA 92008
Grading for SFR .
-- TYPE CF APPLICATION:
77-575. BP
PERMIT AND/OR FILE
THE ENVIRONMENTAL IMPACT ASSESSMENT HAS BEEN RECEIVED FOR:
Gradng for SFR
PROJECT DESCRIPTION
PROJECT LOCATION _rauty_._:___.-.--_.----.--....--.--- '•
I declare that I have exami nd the i nfoiition fo th. above j act sii;
by the appl icanL, and on the basi s of the Ervi ronmort.! .Iirt:iact I sess;en
questictirL-re on file in my nfl ice as Fj. pub ic -Ulii it is hiy dE_arii ton
that this project. wi 11 not have any s c! r. fi cant impact upon tha env 1 rori:cnt
within the meaning of the Call fornia Environntai Qal I ty Act ] q7 L E2
Environ:entai Protection Ordinance of 1972 for the fo lowi n asons:
T h.e grading will take place in an urbanized areaand a2 igoifIcnt.
vegetation exists on the site.
The Environmental 'mpact Assessment will he available for public review and comment
for five working days S
after date of publication
Z~GAIAAJN~L 119
. : .. •• 10/13/77 • •
DATED:
433
Rev. 31'1.6/77 • • . E.I.S.Log No .
FORM PLANNING 42 .
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