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Home My WebLink AboutHMP 2019-0007; WEBSTER RESIDENCE; Habitat Management Permit (HMP)Ccicyof Carlsbad LAND USE REVIEW APPLICATION P-1 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits D Coastal Development Permit D Minor D Conditional Use Permit D Minor D Extension D Day Care (Large) D Environmental Impact Assessment f;ZI Habitat Management Permit QI Minor D Hillslde Development Permit D Minor D Nonconforming Construction Permit D Planned Development Permit D Minor D Residential D Non-Residential D Planning Commission Determination D Reasonable Accommodation D Site Development Plan D Special Use Permit D Minor D Tentative Parcel Map (Minor Subdivision) D Tentative Tract Map (Major Subdivision) D Variance D Minor (FOR DEPT. USE ONLY) Legislative Permits ti f./l a? -u,,.9--0001 D General Plan Amendment D Local Coastal Program Amendment D Master Plan D Specific Plan D Zone Change □Amendment □Amendment D Zone Code Amendment South Carlsbad Coastal Review Area Permits D Review Permit D Administrative D Minor D Major Village Review Area Permits D Review Permit D Administrative D Minor D Major (FOR DEPT. USE ONLY) NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE SUBMITTED BY APPOINTMENT*. PLEASE CONTACT THE APPOINTMENT SPECIALIST AT (760) 602-2723 TO SCHEDULE AN APPOINTMENT. *SAME DAY APPOINTMENTS ARE NOT AVAILABLE ASSESSOR PARCEL NO(S): 215-460-05-00 -----------------------------------LO CAT 10 N OF PROJECT: Argonauta Street ---=----------------------------------- NAME OF PROJECT: BRIEF DESCRIPTION OF PROJECT: PROJECT VALUE (SITE IMPROVEMENTS) FOR CITY USE ONLY (STREET ADDRESS) Webster Residence Construction of a SFD and improvements ESTIMATED COMPLETION DATE Development No. 'b-'-V W I ~ -0 2-f 6 Lead Case No. P-1 Paae 1 of 6 Revised 03/17 ·'"' "-. OWNERNAME (PLEASE PRINT) INDIVIDUAL NAME Chief Mountain Holdings LLC (If applicable): COMPANY NAME (If applicable): MAILING ADDRESS: 1460 Orpheus Avenue CITY, STATE, ZIP: Encintas, CA 92024 TELEPHONE: 702.296.7883 EMAIL ADDRESS: kwbuilding56@yahoo.com I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS SET FORTH HEREIN ~UTHORIZED REPRESENTATIVE FOR PURP SES OF·1'111SAPr>~ON. , :/_ -----~~ · -c::-_ =====~ 10 I :9 \ n G e· DATE APPLICANT'S REPRESENTATIVE (Print): Sheely Norris APPLICANT NAME (PLEASE PRINl) INDIVIDUAL NAME Keith Webster (If applicable): COMPANY NAME (If applicable): MAILING ADDRESS: 1460 Orpheus Avenue CITY, STA TE, ZIP: Encinitas, CA 92024 TELEPHONE: 702.296. 7883 EMAIL ADDRESS: kwbui1ding56@yahoo.com I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER ANO THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE B T MY KNOWLEDGE. --------------------------M Al LING ADDRESS: 2121 Montiel Road CITY, STATE, ZIP: San Marcos, CA ---------------------------------TELEPHONE: 760.839. 7302 EMAIL ADDRESS: Shaely@designgroupca.com I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE I ORMA TION IS TR E AND CORRECT TO THE BEST OF MY N LEDGE. ., DATE IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. INVE CONSENT TO ENTRY FOR THIS PURPOSE. NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESS IN INTEREST. FOR CITY USE ONLY P-1 Page 2 of6 R~---~·~!''~D OCT 3 ! 2019 DATE STAMP APPLICATION RECEIVED RECEIVED BY: Revised 03/17 Ccicyof Carlsbad DISCLOSURE STATEMENT P-1(A) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information gn be disclosed at the time of application submittal. Your project cannot be reviewed until this information is completed. Please print. Note: Person is defined as • Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county, city municipality, district or other political subdivision or any other group or combination acting as a unit ff Agents may sign this document; however, the legal name and entity of the applicant and property owner must be provided below. 1. APPLICANT {Not the applicant's agent) Provide the COMPLETE. LEGAL names and addresses of ALL persons having a financial interest in the application. If the applicant includes a corporation or partnership. include the names, titles, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly-owned corporation. include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Keith Webster Corp/Part. __________ _ Title Owner Title ·------------- Address 1460 Orpheus Avenue Address -------------- 2. OWNER {Not the owner's agent) P-1(A) Provide the COMPLETE, LEGAL names and addresses of ALI. persons having any ownership interest in the property involved. Also, provide the nature of the legal ownership (i.e., partnership, tenants in common, non-profit, corporation, etc.). If the ownership includes a corooratjon or partnershjp. include the names, titles, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (NIA) IN THE SPACE BELOW. If a pybHcly-owned corporation. include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person__________ corp/Part Chief Mountain Holdings LLC Title __________ _ Address. _________ _ Page 1 of2 Title ____________ _ Address 1460 Orpheus Avenue, Encinitas CA92024 Revised 07/fO ♦ 3. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust. list the names and addresses of ANY person serving as an officer or director of the non- profit organization or as trustee or beneficiary of the. Non Profit/Trust._______ Non Profit/Trust. ________ _ Title -----------Title -------------Address _________ _ Address ___________ _ 4. Have you had more than $500 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? D Yes ~ No If yes, please indicate person(s): __________ _ NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. 7z:____;. ~ M@JM ~:=:;;?: Signature of owner/dale I sin-; applk:anl/date e,.,1d1,+,... !4o {l l).e~ife 6 /4J f 1-L, ftv'-r< Y k 4qi r Print or type name of owner Print or type name of applicant P-1(A) Page2of2 Revised 07110 ENGINEERING DESIGN GROUP 2121 Montiel Road. San Marcos CA 92069 760 839 7302 www.designgroupca.com LETTER OF TRANSMITTAL Date: October 28, 2019 Company: City of Carlsbad Attention: N/a Re: Webster Residence EDGJob#: 175864-1,5 Sent Via: Hand Delivered WE ARE SENDING YOU: □ Shop Drawings ■ Plans □ Mylars □ Calculations □ Specifications ■ Report □ Contract □ Letter Quantity Dated Description 4 SITE/GRADING & HMP PLAN 2 P-1 LAND USE APPLICATION 2 Pl-A DISCLOSURE STATEMENT 2 Pl-B PROJECT DESCRIPTION 2 Pl-D EIA 1 BIOLOGICAL SURVEY 2 E-34 2 E-36 THESE ARE TRANSMITTED AS CHECKED BELOW: ■ As Requested ■ For Approval ■ For Review & Comment □ Approved as Submitted □ Returned for Corrections □ Approved as Noted □ For Your Files/Your Use □ Returned Signed COMMENTS: Sent by: Erin Rist Received by: C OPERATING AGREEMENT OF CHIEF MOUNTAIN HOLDINGS LLC This Operating Agreement ("Agreement") of CHIEF MOUNTAIN HOLDINGS LLC, a California limited liability company ("Company") is entered into effective as of February 23, 2017, by and between the Company and William Keith and Lynn Webster, husband and wife as community property, and David Huntington, an individual, its members (referred to individually as a "Member" and collectively as the "Members"). The Members have formed a limited liability company, and elect to have it governed pursuant to and in accordance with the California Revised Uniform Limited Liability Company Act (California Corporations Code §§17701.01 et seq), as amended from time to time ("Act"), and agree as follows: 1. Name. The name of the limited liability company formed is Chief Mountain Holdings LLC. 2. Purpose. The Company will be formed for the purpose of (a) engaging in real estate investment, ownership, and real estate rental, and all activities incidental thereto, including other investing (the "Business"); (b) to have and exercise all powers now or hereafter conferred by the laws of the State of California on limited liability companies pursuant to the Act; ( c) to engage in any other lawful act or activity permitted under the Act; and ( d) to engage in all actions necessary, convenient or incidental thereto. 3. Principal Place of Business and Office of the Company. The principal place of business and office of the Company shall be located at 1460 Orpheus A venue, Encinitas, California, 92024 or such other place or places as the Members may from time to time designate. The Company may maintain such other offices as the Members deem advisable. 4. Members. The name and address of the Members are as follows: William Keith 1460 Orpheus Ave Encinitas, CA 92024 5. Agent for Process. The initial agent for service of process on the Company will be, William Keith Webster whose address is 1460 Orpheus Ave, Encinitas, CA 92024. The Members may from time to time change the Company's agent for service of process. 6. Articles of Organization. The Members have caused the articles of organization in the form attached to this Agreement as Exhibit "A," to be filed with the California Secretary of State on February 23, 2017, as file number 201705510116. 1 7. Management. The management of the Company shall be vested in the Manager, who shall be William Keith Webster. Except as otherwise set forth in this Agreement, all decisions concerning the management of the Company's business shall be made by the Manager. The Manager shall have full authority and responsibility in the day to day management and control of the business, operations and affairs of the Company. In addition to managing the day- to-day business, operations and affairs of the Company, and subject to the provisions of this Agreement, the Manager shall have the full power and authority to act on behalf of the Company, including without limitation carrying out the following rights and duties, without any further act, vote or approval of the Members: (a) Negotiate and enter into any documents, including but not limited to purchase agreements, exchange agreements, ground leases, leases, assignments or option agreements, necessary or required for the acquisition and disposition of real property on behalf of the Company; (b) Negotiate and execute grant deeds, loan agreements, promissory notes, deeds of trust and any and all other instruments and documents related to the Business; (c) Leasing, managing, transferring, purchasing, exchanging and/or selling all or portions of the real property pursuant to agreements negotiated and approved by Manager, in his sole discretion; ( d) Borrowing money from any party; issuing evidences of indebtedness in connection therewith; refinancing; increasing the amount of, modifying, amending, or changing the tenns of or extending the time for the payment of any indebtedness or obligation of the Company; and securing such indebtedness by mortgage, deed of trust, pledge, security interest or other lien on Company assets; (e) Retaining legal counsel, auditors and other professionals in connection with the Business and paying therefore such remuneration as the Manager may determine; (f) Employing and terminating third party employees, in connection with the day-to- day operation of the Company and the Business; (g) Suing on, defending or compromising any and all claims or liabilities in favor of or against the Company; submitting any or all such claims or liabilities to arbitration when required or when it is advisable in the Manager's opinion; taking any action to mitigate damages, including without limitation, having the power to declare a forfeiture under and/or termination of any lease; (h) Obtaining insurance deemed reasonably necessary or appropriate by the Manager; and (i) Do and perform all other acts as may be necessary or appropriate to the conduct or furtherance of the business of the Company, as reasonably determined by the Manager. 2 ------ Notwithstanding the foregoing, the Manager shall not take any of the following actions ("Major Decisions") on behalf of the Company unless all of the Members have each consented to the taking of such action: (a) The dissolution of the Company; (b) Any amendment of the Articles of Organization; ( c) Any confession of a judgment against the Company; ( d) A change in the nature of the principal business of the Company; ( e) The filing of a petition in bankruptcy or entering into an arrangement among the Company's creditors; and (f) The entering into on behalf of the Company, of any transaction constituting a "reorganization" within the meaning of Corporations Code § 17711.01. All Company assets, whether real or personal, shall be held in the name of the Company. All Company funds shall be deposited in one or more accounts with one or more recognized financial institutions in the name of the Company, at locations determined by the Manager. Withdrawal from those accounts shall require the signature of the Manager. 8. Dissolution. The Company shall dissolve, and its affairs shall be wound up, on the first to occur of the following: (a) the unanimous written consent of all the Members to dissolve the Company; (b) the passage of 90 consecutive days during which the Company bas no members; ( c) the death of a natural person who is the sole Member of the Company; unless the status of the Member, including a Membership Interest, passes to the heirs, successors, and assigns of the Member by will or applicable law within ninety (90) days of the Member's death; ( d) the entry of a decree of judicial dissolution under Section 17707 .03 of the Act. On the dissolution of the Company, it shall engage in no further business other than necessary to wind up its business and affairs. The Manager or shall wind up the affairs of the Company and give written Notice of the commencement of winding up by mail to all known creditors and claimants against the Company whose addresses appear in the records of the Company. After paying or adequately providing for the payment of all known debts of the Company ( except debts owing to the Members), the remaining assets of the Company shall be distributed or applied in the following order of priority: (a) to pay the expenses of liquidation; (b) to repay outstanding loans to the Members; ( c) to the Members in accordance with their 3 C Membership Interests. 9. Capital Contributions; Percentage Interest and Capital Accounts. Each Member shall contribute the funds identified in Exhibit "B" to the Company and the costs of formation of this entity as their initial capital contributions. The value of each Member's initial capital contribution and their respective percentage interest in the Company ('"Percentage Interest") are set forth in Exhibit "B'' hereto. An individual Capital Account for each Member shall be maintained in accordance with the requirements of Reg §1.704-l(b)(2)(iv) and adjusted in accordance with the following provisions: (a) A Member's Capital Account shall be increased by that Member's capital contributions, that Member's share of profits, and any items in the nature of income or gain that are specially allocated to that Member. (b) A Member's Capital Account shall be increased by the amount of any Company liabilities assumed by that Member subject to and in accordance with the provisions ofReg §l.704-l(b)(2)(iv)(c). (c) A Member's Capital Account shall be decreased by (a) the amount of cash distributed to that Member; and (b) the amount of any items in the nature of expenses or losses that are specially allocated to that Member. (d) A Member's Capital Account shall be reduced by the Member's share of any expenditures of the Company described in IRC section 705(a)(2)(B) or which are treated as IRC section 705(a)(2)(B) expenditures pursuant to Reg section l.704-l(b)(2)(iv)(i) (including syndication expenses and losses nondeductible under IRC sections 267(a)(l) or 707(b)). ( e) If any Transferrable Interest ( or portion thereof) is transferred, the transferee of such Transferrable Interest or portion shall succeed to the transferor's Capital Account attributable to such interest or portion. (f) Each Member's Capital Account shall be increased or decreased as necessary to reflect a revaluation of the Company's property assets in accordance with the requirements of Reg sections 1.704-l(b)(2)(iv)(t) and 1.704-l(b)(2)(iv)(g), including the special rules under Reg section 1.701-l{b)(4), as applicable. The provisions of this Agreement respecting the maintenance of Capital Accounts are intended to comply with Reg section 1.704-l(b) and shall be interpreted and applied in a manner consistent with those Regulations. 10. Additional Contributions. The Members may, but shall not be required to make additional capital contributions to the Company. 4 11. Allocation of Profits and Losses. The profits and losses of the Company and all items of Company income, gain, loss, deduction, or credit shall be allocated, for Company book purposes and for tax purposes, to the Members in accordance with that Member's Percentage Interest. 12. Distributions. Distributions shall be made to the Members at the times and in the aggregate amounts determined by the Manager. Such distributions shall be allocated to the Members in the same proportion as his or her Percentage Interest. 13. Transfers. A Member shall not transfer all of the Member's Membership Interest in the Company unless the remaining Members unanimously approve the transferee's admission to the Company as a Member; provided, however, that the Member may transfer all or any portion of his Membership Interest to any revocable trust created for the benefit of the Member, or any combination between or among the Member, the Member's spouse or domestic partner, and the Member's issue. A transfer of a Member's entire beneficial interest in the trust or failure to retain a voting interest in the Company shall be deemed a transfer of an entire Membership Interest. 14. Resignation. A Member may resign from the Company only on the dissolution and winding up of the Company or on the unanimous written consent of the remaining Members. 15. Admission of Additional Members. One or more additional members may be admitted to the Company upon the unanimous written consent of the Members. 16. Liability of Members. The Manager and Members shall not be bound by, or be personally liable for, the expenses, liabilities, or obligations of the Company except as otherwise provided in the Act or in this Agreement. 17. Governing Law. This Agreement shall be governed by and construed under the laws of the State of California, and all rights and remedies shall be governed by said laws. 18. Amendment. This Agreement may be altered, amended or repealed only be a writing signed by all Members. 5 C IN WITNESS WHEREOF, the undersigned, intending to be legally bound hereby, have duly executed this Operating Agreement as of the date first above written. ~--~----- William Keith Webstt!r 6 EXBIBff '4 A" Articles of Organization 7 C 2 o· 1 1 o s s 1 o 1 1 a Secretary of State Articles of Organization Limited Liability Company (LLC) IMPORTANT-Raad Instructions before completing this form. Filing Fee -$70.00 LLC-1 FILED Secretary of State State of California Copy Fees -First plain copy free; Additional copies: First page $1.00 & .50 for each attachment page; Certification Fee -$5.00 FEB 2 3 2017 (jl Important/ LLCs may have to pay an annual minimum $800 tax to the California Franchise Tax Board. For more information, go to https://www.ftb.ca.gov. \ f () This Space For Office Use Only 1. Limited Liability Company Name (See lnsiructio,~s -Must contain an LLC ending such as LLC or L.L.C. "LLC" will be added, if not included.) Chief Mountain Holdings LLC 2. Business Addresses a. Initial Street Address or Designated Office in California -Do not list a P. 0. Box City (no abbrevialions) State . Zip Code 1460 Orpheus Avenue Encinitas CA 92024 b. Initial Malting Address ol LLC. If dlfferenl than Item 2a City (no abbreviations) State Zip Code 3. Agent for Service of Process Item 3a 1111d 3b: H naming an Individual, the agent must reside in California and Item 3a ard 3b must be completed wiH1 the agent's name and complete California street address. Item 3c: If naming a California Registered Corporate Agent. a current agent registration certificate must be on file with the California Secretary of State and Item 3c must be completed (leave Item 3a-3b blank). a. California Agenrs First Name {if agent is not a corporation) Middle Name Last Name s..tix William Keith Webster b. Street Address (ii egent is not a corporation) -Do not list a P.O. Box City (no abbreviations) State Zip Code 1460 Orpheus Avenue Encinitas CA 92024 c. California Registered Corporate Agent's Name (if agent is a corpotation) -Do not complete Item 3a or 3b 4. Management (Select only one box) The LLC will be managed by: [{_] One Manager [J More than One Manager f"] All LLC Member(s) 5. Purpose Statement (Do not alter Purpose Statement) The purpose of the limited liability company is to engage in any lawful act or activity for which a limited liability company may be organized under the California Revised Uniform Limited Liability Company Act. ·ned herein, including in any attachments, is true and correct. William Keith Webster Print your name here LLC-1 (REV 06/2016) 2016 CaUfnrrJ, l'----· ~ EXHIBIT "8" Member Capital Contribution Percentage Interest William Keith Webster $100 100% I -·-- 8 Ccicyof Carlsbad .. PROJECT DESCRIPTION P-1(8) PROJECT NAME: 2700 ARGONAUTA RESIDENCE APPLICANT NAME: KEITH WEBSTER Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Please describe fully the proposed project by application type. Include any details necessary to adequately explain the scope and/or operation of the proposed project. You may also include any background information and supporting statements regarding the reasons for, or appropriateness of, the application. Use an addendum sheet if necessary. Description/Explanation: The project site is located at 2700 Argonauta Street, APN no. 215-460-05, near the intersection with Obelisco Circle, City of Carlsbad, California. The property is currently undeveloped. The proposed scope of work consists of a new single family two-story residence with basement and attached four-car garage. P-1(8) Page 1 of 1 Revised 07/10 Ccityof Carlsbad EIA INFORMATION FORM P-1(0) INSTRUCTION SHEET FOR COMPLETING AN ENVIRONMENTAL IMPACT ASSESSMENT INFORMATION FORM Development Services Planning Division 1635 Faraday Avenue {760) 602-4610 www.carlsbadca.gov This Environmental Information Form will be used to assist staff in determining what type of environmental documentation (i.e., Environmental Impact Report, Mitigated Negative Declaration, Negative Declaration or Exemption) will be required to be prepared for your application, per the California Environmental Quality Act (CEQA) and Title 19 of Carlsbad's Municipal Code. The clarity and accuracy of the information you provide is critical for purposes of quickly determining the specific environmental effects of your project. Any environmental studies (i.e., biological, cultural resource, traffic, noise) that are necessary to substantiate a "no impact" or "yes impact" determination should be submitted as an attachment to this Environmental Information Form. This is especially important when a Negative Declaration is being sought. The more information provided in this form, the easier and quicker it will be for staff to complete the Environmental Impact Assessment Form -Initial Study. P-1 (D) Page 1 of 4 Revised 07/10 C 0 ENVIRONMENTAL INFORMATION FORM (To be Completed by Applicant) Date Filed: ___________ (To be completed by City) Application Number(s): _______________________ _ General Information 1. Name of project: _W_E_B_S_T_E_R _________________ _ 2. Name of developer or project sponsor: _K_E_IT_H_W_E_B_S_T_E_R ________ _ Address: 1460 ORPHEUS AVENUE City, state, Zip Code: ENCINITAS, CA 92024 Phone Number: 702.296. 7883 3. Name of person to be contacted concerning this project: _E_R_IN_R_IS_T ______ _ Address: 2121 MONTIEL ROAD City, State, Zip Code: SAN MARCOS, CA 92069 Phone Number: 760.839. 7302 4. Address of Project: 2700 ARGONAUT A STREET Assessor's Parcel Number: 215-460-05-00 5. 6. 7. 8. 9. --------------------- List and describe any other related permits and other public approvals required for this project, including those required by city, regional, state and federal agencies: BUILDING PERMIT Existing General Plan Land Use Designation: ______________ _ Existing zoning district: _R_-1_-_1_5_,o_o_o _______________ _ Existing land use(s): _R_-1_.5 ___________________ _ Proposed use of site (Project for which this form is filed): SINGLE FAMILY 2-STORY RESIDENCE WITH BASETMENT AND ATTACHED 4 CAR GARAGE Project Description 10. Site size: _.7_5 ________________________ _ 11. 12: 13. 14. P-1(D) Proposed Building square footage: _________________ _ Number of floors of construction: 3 FLOORS ------------------- Amount of off-street parking provided: _3_C_A_R_G_A_R_A_G_E_P_L_U_S_1_S_P_A_C_E __ Associated projects: _N_/_A ____________________ _ Page 2 of4 Revised 07/10 15. If residential, include the number of units and schedule of unit sizes: 1 SINGLE FAMILY RESIDENCE 16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities: N/A 17. If industrial, indicate type, estimated employment per shift, and loading facilities: _N_/_A ___ _ 18. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project: N/A 19. If the project involves a variance, conditional use or rezoning applications, state this and indicate clearly why the application is required: N/A P-1(D) Page 3 of4 Revised 07/10 C Are the following items applicable to the project or its effects? Discuss all items checked yes (attach additional sheets as necessary). Yes No 20. Change in existing features of any bays, tidelands, beaches, or hills, or substantial □ 0 alteration of ground contours. 21. Change in scenic views or vistas from existing residential areas or public lands or □ 0 roads. 22. Change in pattern, scale or character of general area of project. □ 0 23. Significant amounts of solid waste or litter. □ 0 24. Change in dust, ash, smoke, fumes or odors in vicinity. □ 0 25. Change in ocean, bay, lake, stream or ground water quality or quantity, or □ 0 alteration of existing drainage patterns. 26. Substantial change in existing noise or vibration levels in the vicinity. □ 0 27. Site on filled land or on slope of 10 percent or more. □ 0 28. Use of disposal of potentially hazardous materials, such as toxic substances, □ 0 flammables or explosives. 29. Substantial change in demand for municipal services (police, fire, water, sewage, □ 0 etc.). 30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.). □ 0 31. Relationship to a larger project or series of projects. □ 0 Environmental Setting Attach sheets that include a response to the following questions: 32. Describe the project site as it exists before the project, including information on topography, soil stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing structures on the site, and the use of the structures. Attach photographs of the site. Snapshots or Polaroid photos will be accepted. 33. Describe the surrounding properties, including information on plants and animals and any cultural, historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.), intensity of land use (one-family, apartment houses, shops, department stores, etc.), and scale of development (height, frontage, set-back, rear yard, etc.). Attach photographs of the vicinity. Snapshots or polaroid photos will be accepted. Certification I hereby certify that the statements furnished above and in the attached exhibits present the data and information required for this initial evaluation to the best of my ability, and that the facts, statements, and information presented are true and correct to the best of my knowledge and belief. Date: 3/20/19 Signatur~------""-"+------------- For: {J(1f:9,.J\ ~ P-1(D) Page 4 of 4 Revised 07/10 EIA INFORMATION: 32. It is a vacant lot with other vacant lots & homes surrounding There are no existing structures. 33. Residential land use, with limited plants and animals. Some of the neighborhood is built up, and some of it is still vacant lots. ' ' ~ --.:.-----------~--------------....... --------------- {'cicyof Carlsbad STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue (760) 602-2750 www.carlsbadca.gov To address post-development pollutants that may be generated from development projects, the city requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual, refer to the Engineering Standards (Volume 5). This questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'STANDARD PROJECT' requirements or be subject to 'PRIORITY DEVELOPMENT PROJECT' (PDP) requirements. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the city. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A completed and signed questionnaire must be submitted with each development project application. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. { PROJECT ----· ::i ·."i_,., ~i ,'°'-. .,-.;_ ":. ,i < ,'"'t1 ;•' ·'·'t -~ •. ~ ·,,:.~-. PROJECT NAME: Webster PROJECT ID: ADDRESS: 2700 Argonauta Street APN: 21 5-460-05-00 The project is (check one): ~ New Development D Redevelopment The total proposed disturbed area is: 17,700tt2( .41 ) acres The total proposed newly created and/or replaced impervious area is: 21300ft2 ( 0.2 ) acres If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the SWQMP # of the larger development project: Project ID N/A SWQMP#: N/A Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your application to the city. E-34 Page 1 of 4 REV 02/16 To determine if your project is a "development project", please answer the following question: Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)? YES NO □ IZI If you answered "yes" to the above question, provide justification below then go to Step 5, mark the third box stating "my project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant information. Justification/discussion: (e.g. the project includes only interior remodels within an existing building): If To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer the following questions: Is your project LIMITED to one or more of the following: 1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non- erodible permeable areas; b) Designed and constructed to be hydraulically disconnected from paved streets or roads ; c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets uidance? 2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in accordance with the USEPA Green Streets guidance? 3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? YES NO □ □ □ If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 5, mark the second box stating "my project is EXEMPT from PDP ... " and complete applicant information. Discussion to justify exemption ( e.g. the project redeveloping existing road designed and constructed in accordance with the USEPA Green Street guidance): E-34 Page 2 of 4 REV 04/17 To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1 )): 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, and ublic develo ment ro ·ects on ublic or rivate land. 2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public develo ment ro ·ects on ublic or rivate land. 3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial Classification SIC code 5812 . 4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a hillside development project? A hillside develo ment ro·ect includes develo ment on an natural slo e that is twent -five ercent or reater. 5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is a land area or facility for the temporary parking or storage of motor vehicles used personally for business or for commerce. 6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious street, road , highway, freeway or driveway surface collectively over the entire project site? A street, road, highway, freeway or driveway is any paved impeNious surface used for the trans ortation of automobiles, trucks, motorc cles, and other vehicles. 7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the ro ·ect to the ESA i.e. not commin led with flows from ad·acent lands . * 8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface that supports an automotive repair shop? An automotive repair shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541 , 7532-7534, or 7536-7539. 9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic ADT of 100 or more vehicles er da . 10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land and are expected to generate pollutants post construction? 11. Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of impervious surface or (2) increases impervious surface on the property by more than 10%? (CMG 21 .203.040 YES NO □ □ 129 □ □ □ IZI □ □ ~ □ □ IZl □ □ [Zj If you answered "yes" to one or more of the above questions, your project is a PDP. If your project is a redevelopment project, go to step 4. If your project is a new project, go to step 5, check the first box stating "My project is a PDP ... " and complete applicant information. If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT.' Go to step 5, check the second box statin "M ro·ect is a 'STANDARD PROJECT' ... " and com lete a licant information. E-34 Page 3 of 4 REV 04/1 7 6 • I STEP4 to SE COMPtETED FORRED~LQP..MENT PRQJECTS';fHAT ARE PRIORITY DEVELOPMENT: PROJECTS (PDP} . ~L\' . Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)): Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% of the surface area of the previously existing development? Complete the percent impervious calculation below: Existing impervious area (A) = ___________ sq. ft. Total proposed newly created or replaced impervious area (B) = ___________ sq.ft. Percent impervious area created or replaced (B/A)*100 = ____ % YES NO □ If you answered "yes·, the structural BMPs required for PDP apply only to the creation or replacement of impervious surface and not the entire development. Go to step 5, check the first box stating "My project is a PDP ... • and complete applicant information. If you answered "no,• the structural BM P's required for PDP apply to the entire development. Go to step 5, check the check the first box statin "M ro·ect is a PDP ... • and com lete a licant information. STEP& CHECK THE APPROPRIATE flOX AND COMPtETE APPJJCANT INFORMATION 0 My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must prepare a Storm Water Quality Management Plan (SWQMP) for submittal at time of application. □ My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT' stormwater requirements of the BMP Manual. As part of these requirements, I will submit a • Standard Project Requirement Checklist Form E-3o' and incorporate low impact development strategies throughout my project. Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply. 0 My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. Applicant Information and Signature Box Applicant Title: Property owner Applicant Signatu • Environmentally Sensitive Areas include but are not limited to all Clean Wate,; Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (YVater Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; Habitat Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City. This Box for City Use Only YES NO City Concurrence: □ □ By: Date: Project ID: E-34 Page4 of4 REV04/17 ( Cicyof Carlsbad STANDARD PROJECT REQUIREMENT CHECKLIST E-36 Project Name: WEBSTER PROPERTY Project ID: DWG No. or Building Permit No.: Development Services Land Development Engineering 1635 Faraday Avenue (760) 602-2750 www.carlsbadca.gov All development projects must implement source control BMPs SC-1 through SC-6 where applicable and feasible. See Chapter 4 and Appendix E.1 of the BMP Design Manual (Volume 5 of City Engineering Standards) for information to implement source control BMPs shown in this checklist. Answer each category below pursuant to the following. • "Yes" means the project will implement the source control BMP as described in Chapter 4 and/or Appendix E.1 of the Model BMP Design Manual. Discussion/justification is not required. • "No" means the BMP is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. Please add attachments if more space is needed. • "N/A" means the BMP is not applicable at the project site because the project does not include the feature that is addressed by the BMP (e.g., the project has no outdoor materials storage areas). Discussion/justification may be rovided. SC-1 Prevention of Illicit Discharges into the MS4 Discussion/justification if SC-1 not implemented : SC-2 Storm Drain Stenciling or Signage Discussion/justification if SC-2 not implemented : SC-3 Protect Outdoor Materials Storage Areas from Rainfall, Run-On, Runoff, and Wind Dispersal Discussion/justification if SC-3 not implemented: E-36 Page 1 of 4 il Yes □ No □ N/A li]Yes □ No □ N/A Revised 09/16 ~): ~~ ...• --, ........ ·~ '"£~,;I--:; .. < f,; J'' .. {·'. ,; I SC-4 Protect Materials Stored in Outdoor Work Areas from Rainfall, Run-On, Runoff, and □Yes D No lil N/A Wind Dispersal Discussion/justification if SC-4 not implemented: SC-5 Protect Trash Storage Areas from Rainfall, Run-On, Runoff, and Wind Dispersal li]Yes D No D N/A Discussion/justification if SC-5 not implemented: SC-6 Additional BMPs based on Potential Sources of Runoff Pollutants must answer for each source listed below and identify additional BMPs. (See Table in Appendix E.1 of BMP Manual for guidance). □ On-site storm drain inlets Iii Yes □ No □ N/A □ Interior floor drains and elevator shaft sump pumps Iii Yes D No □ N/A D Interior parking garages □Yes D No lil N/A □ Need for future indoor & structural pest control □Yes D No lil N/A D Landscape/Outdoor Pesticide Use □Yes D No lil N/A D Pools, spas, ponds, decorative fountains, and other water features □Yes □ No Iii N/A D Food service □Yes □ No Iii N/A □ Refuse areas □Yes D No Iii N/A □ Industrial processes □Yes D No Ii] N/A □ Outdoor storage of equipment or materials □Yes D No Iii N/A □ Vehicle and Equipment Cleaning □Yes □ No Iii N/A D Vehicle/Equipment Repair and Maintenance □Yes D No Iii N/A D Fuel Dispensing Areas □Yes D No lil N/A □ Loading Docks □Yes □ No ~ N/A D Fire Sprinkler Test Water □Yes □ No lil N/A □ Miscellaneous Drain or Wash Water □Yes D No lil N/A □ Plazas, sidewalks, and parking lots □Yes D No Iii N/A For "Yes" answers, identify the additional BMP per Appendix E.1. Provide justification for "No" answers. E-36 Page 2 of 4 Revised 09/16 All development projects must implement site design BMPs SD-1 through SD-8 where applicable and feasible. See Chapter 4 and Appendix E.2 thru E.6 of the BMP Design Manual (Volume 5 of City Engineering Standards) for information to implement site design BMPs shown in this checklist. Answer each category below pursuant to the following. • "Yes" means the project will implement the site design BMPs as described in Chapter 4 and/or Appendix E.2 thru E.6 of the Model BMP Design Manual. Discussion / justification is not required. • "No" means the BMPs is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. Please add attachments if more space is needed. • "N/A" means the BMPs is not applicable at the project site because the project does not include the feature that is addressed by the BMPs (e.g., the project site has no existing natural areas to conserve). Discussion/justification may be rovided . Discussion/justification if SD-1 not implemented: SD-2 Conserve Natural Areas, Soils, and Vegetation lil Yes □ No □ N/A Discussion/justification if SD-2 not implemented: SD-3 Minimize Im ervious Area Iii Yes □ No □ N/A Discussion/justification if SD-3 not implemented: S0-4 Minimize Soil Com action lil Yes □ No □ N/A Discussion/justification if SD-4 not implemented: S0-5 Impervious Area Dispersion lil Yes □ No □ NIA Discussion/justification if SD-5 not implemented: E-36 Page 3 of 4 Revised 09/16 SD-6 Runoff Collection Discussion/justification if SD-6 not implemented: SD-7 Landsca in with Native or Drou ht Tolerant Species Iii Yes □ No □ N/A Discussion/justification if SD-7 not implemented: □Yes □ No Iii N/A Discussion/justification if SD-8 not implemented: E-36 Page 4 of 4 Revised 09/16