HomeMy WebLinkAboutEA 16-06; Carlsbad Boulevard CMP; Administrative Permits (ADMIN)Application Form For
EARLY ASSESSMENT BY THE SPECIAL PROJECTS TEAM
THIS SECTION FOR PLANNING DIVISION USE ONLY " PROJECT (EA) #: I ~A ,\1 __ D(l I DATE SUBMITTED: j to-L\ -l(p l PLANNER: ID~EW
PROJECT NAME/TITLE:
Carlsbad Boulevard CMP Replacement North of Island Way
PROJECT PROPONENT/DEPT. CONTAC7TURE: AUTHORIZED SIGNATURE:
Daniel Zimny f) , /}?lAJ.autf 11-1 _, _ _,~f'''.A)j_ l/<r1~-~-1 v
(/ Please type your responses m the boxes prov1ded below. The form may be expanded to accommodate
as much information as you choose to provide.
Have you submitted any previous early assessment applications for this project with Planning staff?
If so, please attach a copy of the original request and the Planning Division's response.
No
Is the project part of an approved CIP budget or a future CIP budget? If so, please provide the CIP
Project#.
Yes-6607 CMP Replacement Program
List any previous and/or anticipated future Planning Commission or City Council actions (e.g., permit
approvals, activity authorizations, etc.) related to this project.
Authorization to Bid
Award of Contract
Notice of Completion
List any previously certified environmental documents (e.g., EIRs, Negative Declarations).
None
List any technical studies that have been prepared or that you anticipate will be prepared (e.g.,
biology, archeology, traffic, noise, etc.).
Biological Report, Jurisdictional Delineation, and a Cultural Report are expected to be submitted to the city
on October 281h.
Is the project on City property? If not, has property owner authorization or an easement been
secured?
Yes, within city R.O.W
Identify the project location. Include specific parcel numbers if possible.
North Bound lanes of Carlsbad Boulevard just North of Island Way
Street Segment ID# 1112
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tlCT 0 4 2016
P-15 Page 2 of 3 Revised 09/11
-~ «~~
~ CITY OF
CARLSBAD
WHAT is an Early Assessment?
EARLY ASSESSMENT
FOR CITY PROJECTS
P-15
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
It is an early, informal review of your city project by the Planning Division prior to a formal application submittal. The
Early Assessment, or "EA," review is required for all city projects.
WHAT you need to provide:
• Application form (signed by the project engineer and individual authorizing submittal of the Early Assessment,
such as the deputy city engineer or a division/department head);
• Two (2) sets of your site plan and/or other exhibits (folded to 8% x 11) with sufficient detail to allow staff to
adequately review your proposed project;
• Completed storm water standards questionnaire Form E-34 (see below for more information).
• Any other information that you think will contribute to staff's understanding of your proposal.
About the storm water form: The storm water standards questionnaire (Form E-34) to complete is available from
the Development Application Forms and Handouts page of the city's website at
http://www.carlsbadca.gov/business/building/permitting-process/Pages/Engineering Applications.aspx. Since
storm water requirements are location and project-specific, please complete the form for each project proposed and
for each project location proposed. For projects covering large areas, such as a pavement overlay or sidewalk
replacement, it may be appropriate to fill out only one form. For guidance on storm water or if you have questions
about the form and its applicability, please contact Jeremy Riddle, Associate Civil Engineer, in Land Development
Engineering at Jeremy.riddle@carlsbadca.gov or extension 2737.
WHERE to submit:
Please submit your application at the Planning Division Development Services Counter.
HOW your application will be processed:
After a submittal is made, your application will be sent to the Land Development engineer and Special Projects
planner assigned to review it. Depending on the project, the planner may request additional plans for review by
additional departments, such as Police or Fire.
The planner will prepare a written response to your submittal (in memo form), incorporating comments from all
reviewing departments. You should receive this memo within thirty days after the date you submitted the
application. The response memo will address (at a minimum) the following:
• General Plan, Zoning, and Coastal Zone information;
• Anticipated permit, processing, and CEQA requirements;
• Storm water requirements or comments;
• Identification of any major project issues based upon the Early Assessment submittal; and
• Contact information for the planner and engineer and any other persons who reviewed your project.
The Early Assessment does not represent an in-depth analysis of your project. The completeness and accuracy of
your submittals will dictate the quality of your project's Early Assessment response. Additional issues of concern
may be raised after your permit application package is formally submitted and processed for a more specific and
detailed review. Also. additional and/or different issues of concern may arise with the passage of time and changing
circumstances. regulations, etc. Therefore, the issues and requirements identified in the Early Assessment
response memo might change if there is a long lead time between the Early Assessment response and the submittal
of a formal project application.
The Planning Division will retain the Early Assessment. If you submit a formal application in the future, it likely will
be assigned to the same planner who processed your Early Assessment.
P-15 Page 1 of 3 Revised 09/11
Identify the project schedule. List critical and desired milestones including dates in the development
review and construction process (e.g., public hearing dates, grant application submittal deadlines,
public workshops, construction phasing, etc.).
Project Design-September 2016 thru December 2016
Project Permitting -November 2016 thru April 2017
Prepare Bid Package-April 2017
Bid Project-May 2017 thru June 2017
Award Project-June 2017
Construct Project-September 2017 thru October 2017
DESCRIPTION OF PROPOSAL -Describe the project in as much detail as possible. Use as much
space as needed. Attach additional sheets (drawings, etc.) if necessary. Be sure to identify, if
applicable, estimated quantities of grading (including import/export), construction staging areas on
and offsite, areas of sensitive vegetation, unique construction technologies, proposed facility
technologies and byproducts, and any public art component. If preliminary or conceptual plans or
exhibits are available, please include two sets with this transmittal.
The proposed project will remove approximately 700 linear feet of the existing corrugated metal
pipe (CMP) and replace with reinforced concrete pipe (RCP) in part of the CMP replacement
program. Additional modifications include 250 linear feet of curb restoration, removal of an asphaltic
concrete berm, and removal and replacement of a curb inlet. We are also looking into the feasibility
of stabilizing the east back slope through the application of a miramesh geomembrane.
The project site is along the North Bound Carlsbad Blvd. corridor just north of Island Way. Last
spring, maintenance and operations (M&O) found a surface void on the west side of Carlsbad
Blvd. near the last clean out of the existing system. This finding prompted a CCTV inspection of
the pipeline which found the structural integrity of the facility had been comprised due to corrosion
of the metal. The lower half of the pipe near the void has completely rotted out and is believed to
be the source of the void. M&O has since placed pea gravel in the void to provide a short term
solution. The proposed project will achieve full restoration of the failed pipeline.
P-15 Page 3 of 3 Revised 09/11
(city of
Carlsbad
STORM WATER STANDARDS
QUESTIONNAIRE
Development Services
Land Development Engineering
1635 Faraday Avenue
(760) 602-2750
www.carlsbadca.gov
E-34
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.
ii •••••• > PROJECTINFO~ATION. · ':• . :· ~t·
PROJECT NAME: Carlsbad Boulevard CMP Replacement North of Island Way PROJECT ID: 6607
ADDRESS: North Bound lanes of Carlsbad Blvd. just North of Island Way APN: Street Segment ID 1112
The project is (check one): D New Development Ill Redevelopment
The total proposed disturbed area is: -8000 ft2(0.18 ) acres
The total proposed newly created and/or replaced impervious area is: 977.5 ft2 ( 0.02 ) 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 SWQMP#:
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
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
D
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):
The project scope is limited to removal of 700 linear feet of corrugated metal pipe storm drain utility, replacement with
reinforced concrete pipe, removal and replacement of damaged catch basin, and curb restoration. There will be no newly
created impervious surface area associated with the project. The repair will result in 977.5 square feet of removed and
replaced impervious surface. Project will also promote 4275 square feet of vegetation growth on the eastern back-slope of
Carlsbad Blvd. through the application of a geo-membrane.
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
D D
D D
D D
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, our project is not exempt from PDP, o to Step 3.
E-34 Page 2 of4 REV 02/16
o 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 1 0, 000 square feet or more of impervious surfaces
collectively over the entire project site? This includes commercial, industrial, residential, mixed-use,
and on or 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
rll>l<lt:>t.nntna,nt n,rrw:>r-tc;, on or land.
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 code 581 .
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
deve ect includes d ent on natural sl that is or nr~·"'t•:.r
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 of a 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 to the ESA e. not with flows from *
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: 501 501 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 of 100 or more vehicles
1 0. 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%? (CMC
21.2
YES NO
D D
D D
D D
D D
D D
D D
D D
D D
D D
D D
D D
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 stati ect is a 'STANDARD PROJECT' ... " and licant information.
E-34 Page 3 of 4 REV 02/16
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) = ___________ s.q. ft.
Percent impervious area created or replaced (B/A)*1 00 = _____ %
YES NO
D D
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.
Go to step 5, check the
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.
0 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.
Ill 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: _D_a_n_ie_I_Z_i_m_n_y ___________ _ Applicant Title: Assistant Engineer
Applicant Signature: ~~ fqVr"'-1/ Date: ___ ! u_(---'-s 1'---~-(J_l_G _____ _
i are 1 i i ; areas 1 I
Biological Significance by the State Water Resources Control Board CNater 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 CNater 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: D D
By:
Date:
Project ID:
E-34 Page 4 of 4 REV 02/16