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Home My WebLink AboutCDP 14-06; Buena Outfall Force Main, Phase III; Coastal Development Permit (CDP)CITY OF CARLSBAD APPLICATIONS APPLIED FOR: (CHECt\ BOXES) LAND USE REVIEW APPLICATION P-1 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www .carlsbadca .gov Development Permits (FOR DEPT USE ONLY) Legislative Permits (FOR DEPT. USE ONLY) 0 Administrative Permit 0 General Plan Amendment [j] Coastal Development Permit(*) [] Minor OOP \ ~1 ~0~ 0 Local Coastal Program Amendment(*) ~ Conditional Use Permit (*) 0 Minor [RI Extension 0 Environmental Impact Assessment 0 Habitat Management Permit [] Minor 0 Hillside Development Permit (*) 0 Planned Development Permit 0 Residential 0 Non-Residential D Planned Industrial Permit 0 Planning Commission Determination 0 Site Development Plan 0 Special Use Permit 0 Tentative Tract Map/Parcel Map 0 Variance 0 Administrative 0 Master Plan 0 Amendment 0 Specific Plan 0 Amendment 0 Zone Change (*) 0 Zone Code Amendment South Carlsbad Coastal Review Are'a Permits 0 Review Permit 0 Administrative 0 Minor 0 Major Village Review Area Permits 0 Review Permit 0 Administrative 0 Minor 0 Major (*) = eligible for 25% discount NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION MUST BE SUBMITTED PRIOFI TO 4:00P.M. ASSESSOR PARCEL NO(S).: APN: ~~13-20-18 ------·------------------------------------------------------------------ PROJECT NAME: . 8Hy ef.Vista/ Buena 8aAitation District, Buena Outfall Force Main, Phase Ill (CIP 8131) 8 R I E F DE SC R I PTI Q N Q F p R Qj E CT: The project consists of the extension and re-routing of the Buena Outfall Force Mmn and gravity sewer eliminating the existing alignment through an industrial park south of Palomar Airport Road. BRIEF LEGAL DESCRIPTION: N/A LOCATION OF PROJECT: Project alignment is located along Palomar Airport Road, east of Interstate 5, within the City of Carlsbad, San Diego County STREET ADDRESS ON THE: North SIDE oF Palomar Airport Road (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) BETWEEN Pasco Del Norte AND El Camino Real (NAME OF STREET) (NAME OF STREET) P-1 Page 1 of 6 Revised 11/12 OWNER NAME (Print): N/A APPLICANT NAME (Print): Patrick Johnson, District Manager MAILING ADDRESS: MAILING ADDRESS: 200 Civic Center Drive CITY, STATE, ZIP: CITY, STATE, ZIP: Vista, CA 92084 TELEPHONE: TELEPHONE: 760.726.1340 EMAIL ADDRESS: EMAIL ADDRESS: EAiex@ciyofvista.com I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO !.<NOWLEDGE. THE~ MY KNOWLEDGE. t..f L ~L~o I ':f_ SI~ATURE~-SIGNATURE DATE DATE APPLICANT'S REPRESENTATIVE (Print): Elmer Alex MAILING ADDRESS: 200 Civic Center Drive CITY, STATE, ZIP: Vista, CA 92084 TELEPHONE: 760.724.1340 x1356 EMAIL ADDRESS: EAiex@cityofvista.com I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. t-J /~/ 14 c::.e--c~ SIGNATURE DAlE 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 PR:OPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST. PROPERTY OWNER SIGNATURE FOR CITY USE ONLY DATE STAMP APPLICATION RECEIVED RECEIVED BY: P-1 Page 2 of6 Revised 11/12 \ ATTACHMENT "1" I HEREBY CERTIFY THAT THE PROPERTY OWNERS LIST AND LABELS SUBMITTED TO THE CITY OF CARLSBAD ON THIS DATE REPRESENT THE LATEST AVAILABLE INFORMATION FROM THE EQUALIZED ASSESSOR'S ROLES. APPLICATION NAME AND NUMBER APPLICANT OR APPLICANT'S REPRESENTATIVE BY: f:li?-(}f£--/ DATE: 4/ I gj jt_f RECEIVED BY DATE: ______________________ _ P-21 Page 3 of6 Revised 07/10 PROJECT THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF CONSTRUCTION SWPPP TIER LEVEL E-32 Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Project Storm Water Threat Assessment Criteria* Significant Threat Assessment Criteria 1]1 My project includes clearin~l. grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas; or, 0 My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas. Moderate Threat Assessment Criteria My project does not meet any of the significant threat assessment criteria described above and meets one or more of the followin9 criteria: 0 Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, 0 Project will result in 2,!?00 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • located within 200 feet of an environmentally sensitive area or the Pacific Ocean; and/or, • disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical; and/or • disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse; and/or • construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Low Threat Assessment Criteria 0 My project does not meet any of the significant or moderate threat criteria, is not an exempt permit type (see city's list of permit types exempt from construction SWPPP requirements) and project meets one or more of the following criteria: • results in some soil disturbance; and/or • includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) No Threat Project Assessment Cri1teria 0 My project is in a category of permit types exempt from city construction SWPPP requirements (see city's list of permit types exempt from construction SWPPP requirements) and/or does not meet any of the high, moderate or low threat criteria described above. Construction SWPPP Tier Level Tier3 Tier2 Tier 1 Exempt *The c1ty engmeer may authon;~e mmor vanances from the storm water threat assessment cntena m spec1al circumstances where it can be shown that a lesser or higher construction SWPPP tier level is warranted in the opinion of the city engineer E-32 Page 1 of 1 REV 11/14 Indemnification and !Insurance Requirement for Village Area Administrative Permit Certification Statement: I Certify that I am the Legal Business Owner of the subject business and that all of the above information is true and correct to the best of my knowledge. I agree to accept and abide by any conditions placed on the subject project as a result of approval of this application. I agree to indemnify, hold harmless, and defend the City of Carlsbad and its officers and employees from all claims, damage or liability to persons or property arising from or caused directly or indirectly by the installation or placement of the subject property on the public sidewalk and/or the operation of the subject business on the public sidewalk pursuant to this permit unless the damage or liability was caused by the sole active negligence of the City of Carlsbad or its officers or employees. I have submitted a Certificate of Insurance to the City of Carlsbad in the amount of one million dollars issued by a company which has a rating in the latest "Best's Rating Guide" of "A-" or better and a financial size of $50-$100 (currently class VII) or better which lists the City of Carlsbad as "additional insured" and provides primary coverage to the City. I also agree to notify the City of Carlsbad thirty days prior to any cancellation or expiration of the policy. The notice shall be delivered to: City Planner City of Carlsbad 1635 Faraday Avenue Carlsbad The insurance shall remain in effect for as long as the property is placed on the public sidewalk or the business is operated on the public sidewalk. This agreement is a condition of the issuance of this administrative permit for the subject of this permit on the public sidewalk. I understand that an approved administrative permit shall remain in effect for as long as outdoor displays are permitted within the Village Review Area and the permittee remains in compliance with the subject approved permit. Signature--------·------------Date: __________ _ Certification Statement: I Certify that I am the Legal F,roperty Owner for the subject business location and that all of the above information is true and correct to the best of my knowledge. I support the applicant's request for a permit to place the subject property on the public sidewalk. I understand that an approved administrative permit shall remain in effect for as long as outdoor displays are permitted within the Village Review Area and the permittee remains in compliance with the subject approved permit. Signature--------·------------Date: _________ _ P-1 Page 3 of 6 Revised 11/12 CARLSBAD HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1(C) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Consultation of Lists of Sites Related to Hazardous Wastes (Certification of Compliance with Government Code Section 65962.5) Pursuant to State of California Government Code Section 65962.5, I have consulted the Hazardous Waste and Substances Sites List compiled by the California Environmental Protection Agency and hereby certify that (check one): • The development project and any alternatives proposed in this application are not contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. D The development project and any alternatives proposed in this application are contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT Name: Patrick Johnson, District Manager Address: 200 Civic Center Drive Vista, CA 92084 Phone Number: 760.726.1340 PROPERTY OWNER Name: Same Address: _________ _ Phone Number: __________ _ Address of Site: Project alignment is located along Palomar Airport Road, east of Interstate 5 Local Agency (City and County): City of Carlsbad, San Diego County Assessor's book, page, and parcel number:_A_P_N_:_2_1_3_-_2_0_-_1_8 ____________ _ Specify list(s):_n_o_n_e __ . ________________________ _ Regulatory Identification Number:_n_o_n_e ____________________ _ Date of List: not applicable Applicant Signature/Date Property Owne Signature/Date The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local agencies and developers to comply with the California Environmental Quality Act requirements in providing information about the location of hazardous materials release sites. P-1(C) Page 1 of 2 Revised 02/13 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> (BMP's) into the project design per the City's Standard Urban Stormwater Management Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards (Volume 4, Chapter 2) at Yi'tiY!L~:ru:lll.Q.s?;Q!;&!i&Q'i/Ji.l<i!Il';ljjlfi:J.§. Initially 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 Stormwater Requirements' or be subject to additional criteria called 'Priority Development Proj,ect Requirements'. Many aspects of project site design are dependent upon the storm IAI8ter standards applied to a project. Your responses to the questionnaire r·epresent 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 r-ase, 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 seek assistance from Land Development Engineering staff. to one or more of the questions, please A separate completed and signed qu1~stionnaire must be submitted for each new development application submission. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. In addition to this questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction permits for the project 1. Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: ( i) Designe~:l and constructed to direct storm water runoff to adjacent vegetated areas, or other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected rrom paved streets or roads; OR (3) de•signed and constructed with permeable pavements or surfaces in accordance with US EPA Green Streets uidance? 2. Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in accordance with the USEPA Green Streets guidance? YES NO If you answered "yes" to one or more o"f the above questions, then your is NOT a priority development project and therefore is NOT subject to the storm water criteria for Go to step 4, mark the last box stating does not meet PDP and cornpiete ap!llicant ird'•~rrr,~tinlnL If ou answered "no" to both E-34 Page 1 of 3 Effective 6127!13 STORM STANDARDS QUESTIONNAIRE land Development Engineering 1635 faraday Avenue 760-602-2750 www.carlsbadca.gov 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 develo ment ro ·ects on ublic or ;rivate land. 2. Is your project creating or replacin~l 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 ublic develo ment ro ·ects on ub!ic or rivate !and.· 3. 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 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 consum tion. 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 de\refc,Dment project includes development on any natural slope that is twenty-five percent or greater. 5. project that creates 5,000 square feet or more of impervious surface site and supports a parking lot. A lot is a !and area or facility for the tern ora arkin or store e vehicles used ersonafl for business or for commerce. 6. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious su;face 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, motorc cies, and other vehicles. 7. Is your project a new or redevellopment project that creates 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 distance as an isolated flow from the ro ·ect to the ESA (i.e. not commin1 fes with flows from a(facent lands . 8. Is your project a new development 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) cedes: 5013, 5014, 5541, 7532-7534, or 7536-7639. 9. Is your project a new development 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 a project Average Daily Traffic (ADT) of 100 or more vehicles erda . 10. Is your project a new or redevelopment project that results in the disturbance of one or more acres ot land and are expected to generate pollutants post construction? 11.1s your project located within 200 of the Pacific Ocean and (1) creates 2,500 square feet or more of impervious surface or {2) increases impervious surface on the property more than 10%? X X X X If you answered to one or more of the above questions, you ARE a priority development project and are therefore subject to implementing structural Best Management Practices {BMP's) in addition to implementing Standard Storm Water Requirements such as source control and low impact development BMP's. A Storm Water Management Plan (SWMP) must be submitted with application(s) for development. Go to 3 for For new to 4 at the end questionnaire, check the "my meets PDP ml"nlh'&>l"lrl&>n,~" lf you answered "no" to all of the above questions, you ARE NOT a development project and are therefore subject to implementing only Standard Storm Water Requirements such as source and low impact development BMP's required for all ent projects. A Storm Water Management Plan is not required with for development. Go to step end of this check the not meet and complete applicant E-34 Page2 of3 Effective 6127/13 STORM WATER STANDARDS QUESTIONNAIRE E-34 land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov NO lit you answered "no," the structural BMP's required for Priority Development Projects apply to the entire development. Go to step 4, 1 check the "my project meets PDP requirements" box and com lete a licant information. My project meets PRIORITY DEVElOPMENT PROJECT (PDP) requirements and must comply with additional stormwater I criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application. I understand flow control (hydromodification) requirements may apply to my project. Refer to SUSMP for details. . 1 My project doos not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. As part of these requirements, l will incorporate low impact development strategies throughout my project Applicant Information and Signature Box Address: Accessor's Parcel Number(s): Applicant Name:~ Apolicant Title: c: . · ~x~cu~ve Applicant Signature: (') ~ 1 t'A!Mc,k. IokV\so::.:..."'-- Date: This Box for City Use Only City Concurrence: I YES I NO I I By: Date: Project ID: * Environmentally Sensitive Areas include1 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 quivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas which have been identified the Copermittees. E-34 Page 3of3 Effective 6127f13 City of Carlsbad Faraday Center Faraday Cashiering 001 1409901-2 04/09/2014 149 Wed, Apr 09, 2014 02:32 PM Receipt Ref Nbr: R1409901-2/0043 PERMITS -PERMITS Tran Ref Nbr: 140990102 0043 0045 Trans/Rcpt#: R0100851 SET #: CDP14006 Amount: Item Subtotal : Item Total: ITEM(S) TOTAL: Check (Chk# 2924) Total Received: Have a nice day! 1 @ $952.00 $952.00 $952.00 $952.00 $952.00 $952.00 i*************CUSTOMER COPY************* j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j I j City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 11111111111111111111111111111111111111111111111111111111111111111 Applicant: CITY OF VISTA/JOHNSON PATRICK Description Amount CDP14006 952.00 Receipt Number: R0100851 Transaction ID: R0100851 Transaction Date: 04/09/2014 Pay Type Method Description Amount Payment Check 952.00 Transaction Amount: 952.00 City of Carlsbad Faraday Center Faraday Cashiering 001 1600401-2 01/04/2016 149 Mon. Jan 04, 2016 12:57 PM Receipt Ref Nbr: R1600401-2/0043 PERMITS -PERMITS Tran Ref Nbr: 160040102 0043 0048 Trans/Rcpt#: R0114148 SET #: CUP15008 Amount: Item Subtota 1 : Item Tot a 1: ITEM(S) TOTAL: Check (Chk# 00093634) Total Received: Have a nice day! 1 @ $4,887.00 $4,887.00 $4,887.00 $4,887.00 $4,887.00 $4,887.00 **************CUSTOMER COPY************* City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 111111111111111~1111111~11111111111111111111111111111111~1111 Applicant: CITY OF VISTA/JOHNSON PATRICK Description Amount CUP15008 4,887.00 Receipt Number: R0114148 Transaction ID: R0114148 Transaction Date: 01/04/2016 Pay Type Method Description Amount Payment Check 4,887.00 Transaction Amount: 4,887.00