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Home My WebLink AboutCUP 15-08; BUENA OUTFALL FORCE MAIN PHASE III; Conditional Use Permit (CUP)City of LAND USE REVIEW Development Services Planning Division Carlsbad APPLICATION 1635 Faraday Avenue P-1 (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR:(CHECK BOXES) Development Permits (FOR DEPT. USE ONLY)Legislative Permits (FOR DEPT. USE ONLY) LA a .1at 5 DtU fn2-: Coastal Development Permit 0 Minor CDP 14-06 El General Plan Amendment 141 14.15 Lag Fate.:Conditional Use Permit CUP 15-08 [11 Local Coastal Program Amendment Minor 0 Extension O Day Care (Large)El Master Plan 0 Amendment El Environmental Impact Assessment El Specific Plan El Amendment Habitat Management Permit 0 Minor 0 Zone Change El Hillside Development Permit El Minor 0 Zone Code Amendment 1=1 Nonconforming Construction Permit South Carlsbad Coastal Review Area Permits El Planned Development Permit 0 Minor 0 Review Permit 0 Residential Non-Residential 0 Administrative 0 Minor 0 Major O Planning Commission Determination El Reasonable Accommodation Village Review Area Permits El Site Development Plan 0 Minor ri Review Permit El Special Use Permit 0 Administrative ['Minor 0 Major O Tentative Parcel Map (Minor Subdivision) El Tentative Tract Map (Major Subdivision) El Variance 0 Minor 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):APN: 213-20-18, 211 -040-27, 212-092-21 LOCATION OF PROJECT:Beginning at Palomar Airport Road and El Camino Real, ending at the Motel 6 on Paseo Del Norte. (STREET ADDRESS) NAME OF PROJECT:BUENA OUTFALL FORCE MAIN, PHASE III (CIP8131) BRIEF DESCRIPTION OF PROJECT:The project consists of the extension and re-routing of the Buena Outfall Force Main and gravity sewer, PROJECT VALUE (SITE IMPROVEMENTS)$10,000,000 ESTIMATED COMPLETION DATE 09/30/2020 FOR CITY USE ONLY,151404 p(.mu oftsif.s,sreedua Development No.1)VA 1402-0 Lead Case No.Ileallt ittanifeR)11040 11`) wOlL01-00) P-1 Page 1 of 6 Revised 03/17 OWNER NAME (PLEASE PRINT)APPLICANT NAME (PLEASE PRINT) INDIVIDUAL NAME INDIVIDUAL NAME (if applicable):N/A (if applicable):Patrick Johnson, District Manager COMPANY NAME COMPANY NAME (if applicable):(if applicable):City of Vista MAILING ADDRESS:MAILING ADDRESS:200 Civic Center Drive CITY, STATE, ZIP:CITY, STATE, ZIP:Vista, CA 92084 TELEPHONE:TELEPHONE:760-643-5416 EMAIL ADDRESS:EMAIL ADDRESS:ealextacityVVista.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 KNOWLEDGE.I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE. SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR PURPOSES OF THIS APPLICATION. 02/01/2018 SIGNATURE DATE SIGNATURE DATE APPLICANT'S REPRESENTATIVE (Print):Elmer Alex MAILING ADDRESS:200 Civic Center Drive CITY,STATE, ZIP:Vista, CA 92084 TELEPHONE:760-643-5416 EMAIL ADDRESS:ealex@cityofvista.com I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. 02/01/2018 SIGNATURE 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.I/WE 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 SUCCESSORS IN INTEREST. PROPERTY OWNER SIGNATURE FOR CITY USE ONLY RL.C3F1VED FEB 1 2 2018 CiTY '21:93.LS73:AD L11'\11:71 ;71 DATE STAMP APPLICATION RECEIVED RECEIVED BY: P-1 Page 2 of 6 Revised 03/17 Development Servicese-City of DISCLOSURE STATEMENT Planning Division Carlsbad P-1(A)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 MUST 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." 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 Corp/Part Title Title Address Address 2.OWNER (Not the owner's agent) Provide the COMPLETE,LEGAL names and addresses of ALL 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 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 Peter Drinkwater Corp/Part Title Director of Airports, Department of Public Works Title Address 1960 Joe Crosson Dr.Address El Cajon, CA 92020 P-1 (A)Page 1 of 2 Revised 07/10 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? 7 Yes No If yes, please indicate person(s): See additional sheet attached. NOTE:Attach additional sheets if necessary. I certif.-t all --ove i ormation is true and correct to the best of my knowledge. A 4ri.Ail,dop Signature o ever/date Signature of applicant/date PETER DRINKWATER, Director of Airports Print or type name of owner Print or type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent P-1(A)Page 2 of 2 Revised 07/10 • Additional Page to Question 4 County Airports has two leases with the City of Carlsbad,as follow: 1—Palomar Transfer Station, County Contract Number: 71987R 2 —City of Carlsbad Hiring Center, County Contract Number:PA-SL-101 County of San Diego may have additional agreements with City of Carlsbad.