HomeMy WebLinkAboutCD 2017-0003; KAISER CARLSBAD PARKING LOT EXPANSION; Administrative Permits (ADMIN)CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION
CITY USE ONLY PRESin(0--cce73Original Project Number:Consistency Determination Number:a:n.011 0003
PROJECT NAME:Kaiser Carlsbad Parking Lot Expansion
Assessor's Parcel Number(s):214-450-19-00
Description of proposal (add attachment if necessary):The project will add additional parking area by removing existing
landscape area and replacing with asphalt, curb, curb & gutter and sidewalk area.Existing parking will be reconfigured
to provide required ADA stalls and additional standard parking spaces and striping for pedestrian crosssings. Required
stormwater treatment will be added along the frontage of the property adjacent to the parking area.Yes E]NoWould you like to orally present your proposal to your assigned staff planner/engineer?Cgl
Please list the staff members you have previously spoken to regarding this project.If none, please so state.
Greg Fisher, Associate Planner;David Rick, Project Engineer
OWNER NAME (Print):Katherine Clark APPLICANT NAME (Print):Katherine Clark
MAILING ADDRESS:8010 Parkway Drive MAILING ADDRESS: 8010 Parkway Drive
CITY, STATE, ZIP:La Mesa, CA 91942 CITY, STATE, ZIP:La Mesa, CA 91942
TELEPHONE:(619)-315-9316 TELEPHONE:(619)-315-9316
EMAIL ADDRESS:Katherine.L.Clark@kp.org EMAIL ADDRESS:Katherine.L.Clark@kp.org
"Owner's signature indicates permission to conduct a preliminary
review for a development proposal.
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE
ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS AND CORRECT TO THE BEST OF MY KNOWLEDGE.
APPLICATION.I/WE CONSENT TO ENTRY FOR THIS PURPOSE.I
CERTIFY THAT I AM HE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION I ,,,,•=w;.16.1
-:.ORRECT TO THE BEST OF MY
KNOWL/001./NAIL Z 7 W1IW.I1
Slaw'DATEDATE SIGNA 1''rid DATE
APPLICANT'S REPRESENTATIVE (Print):Gregory W. Lang
MAILING ADDRESS:535 N. Highway 101, Suite A
CITY, STATE, ZIP:Solana Beach, CA 92075
TELEPHONE:(858)-259-8212
EMAIL ADDRESS:glang@plsaengineering.com
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CO T TO THE BEST OF MY KNOWLEDGE.
11.e.
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FEE REQUIRED/DATE FEE PAID:/6'.
$733.00 ,
RECEIVED BY:
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FEB 24 20
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P-16 Page 2 of 2 Revised 08/16
STORM WATER STANDARDS Development ServicesC. City of QUESTIONNAIRE Land Development Engineering
Carlsbad E-34 1635 Faraday Avenue
(760) 602-2750
www.carlsbadca.gov
INSTRUCTIONS:
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 INFORMATION
PROJECT NAME: Kaiser Carlsbad Parking Lot Expansion PROJECT ID: C Q yo (1 Opo
ADDRESS: 6860 Avenida Encinas APN:214-450-19
The project is (check one):111 New Development Redevelopment
The total proposed disturbed area is:15,825 ft2 0.36 )acres
The total proposed newly created and/or replaced impervious area is:11,600 0 27ft2 (•)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
STEP 1,
TO SE COMPLETED FOR ALL PROJECTS
To determine if your project is a "development project", please answer the following question:
YES NO
Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building 0or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)?
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 you answered "no" to the above question, the project is a 'development project', go to Step 2.
STEP 2
TO BECOMPLETED FOR ALL DEVELOPMENT PROJECTS
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:
YES NO
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 guidance?
2.Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in 0 171accordance 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? [2:1
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):
If you answered "no" to the above questions, your project is not exempt from PDP, go to Step 3.
E-34 Page 2 of 4 REV 02/16
•STEP 3
TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS
To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1)):
YES NO
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 public development projects on public or private 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 Vimore of impervious surface?This includes commercial,industrial,residential,mixed-use,and public
development projects on public or private 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 0
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 0
development project includes development on any natural slope that is twenty-five percent or greater.
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 surface collectively over the entire project site and supports a street,road,highway
freeway or driveway?A street,road,highway,freeway or driveway is any paved impervious surface
used for the transportation of automobiles, trucks, motorcycles, 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 VI
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 project to the ESA (i.e. not commingled with flows from adjacent 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 per day.
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?
1 1 .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%?(CMC EZ
21.203.040)
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 stating "My project is a 'STANDARD PROJECT'..." and complete applicant information.
E-34 Page 3 of 4 REV 02/16
STEP 4.
TO BE COMPLETEDOOR REDEVELOPMENT PROJECTS YHAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP)
ONLY .
Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)):
YES NO
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)=91,187 sq. ft.lij El
Total proposed newly created or replaced impervious area (B)=11,600sq.ft.
Percent impervious area created or replaced (B/A)*100 =12.7
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 BMP's required for PDP apply to the entire development.Go to step 5,check the
check the first box stating "My project is a PDP ..." and complete applicant information.
STEP 5
CHECK.THE. APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION
IZI 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.
El 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-36" 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 Name:Gregory W. Lang Applicant Title:P.E., Principal
Applicant Signature:SiIr C.).>ac../...._
e?.
Date:02/20 7
*Environmentally Sensitive Areas include but are not limited to all Clean Water 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 (Water 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:
111
By:IN ny•1..‘c..1.—
Date:3.(1_1
Project ID:6.D 24D t ?.0 .De
E-34 Page 4 of 4 REV 02/16