HomeMy WebLinkAboutEIA 2017-0001; LAKE CALAVERA DAM VALVE REPLACEMENT PROJECT; Administrative Permits (ADMIN)(City of LAND USE REVIEW Development Services
Planning Division
Carlsbad APPLICATION 1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
APPLICATIONS APPLIED FOR:(CHECK BOXES)
Development Permits (FOR DEPT. USE ONLY)Legislative Permits (FOR DEPT. USE ONLY)
Coastal Development Permit Minor General Plan Amendment
111 Conditional Use Permit
['Minor El Extension Local Coastal Program Amendment
111 Day Care (Large) Master Plan Amendment
Environmental Impact Assessment a.el
erIA
*. Specific Plan ID Amendment
111 Habitat Management Permit Minor 0001 I—ILj Zone Change
111 Hillside Development Permit 111 Minor 111 Zone Code Amendment
111 Nonconforming Construction Permit South Carlsbad Coastal Review Area Permits
Planned Development Permit Minor Review Permit
111 Residential ['Non-Residential Administrative Minor 0 Major
Planning Commission Determination
Reasonable Accommodation Village Review Area Permits
El Site Development Plan Minor 11 Review Permit
111 Special Use Permit Administrative Minor 111 Major
111 Tentative Parcel Map (Minor Subdivision)
Tentative Tract Map (Major Subdivision)
Variance Minor
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30 P.M.A PROPOSED PROJECT REQUIRING ONLY ONE
APPLICATION MUST BE SUBMITTED PRIOR TO 4:00 P.M.
ASSESSOR PARCEL NO(S).:168-041 -19-00
PROJECT NAME:Lake Calavera Dam Valve Replacement Project
BRIEF DESCRIPTION OF PROJECT:To replace a non-functioning valve
PROJECT VALUE ESTIMATED COMPLETION DATE(SITE IMPROVEMENTS)
LOCATION OF PROJECT:west side of Lake Calavera dam, located east of Tamarack Av and south of Lake BI
STREET ADDRESS
ON THE:SIDE OF
(NORTH, SOUTH, EAST, WEST)(NAME OF STREET)
BETWEEN AND
(NAME OF STREET)(NAME OF STREET)
1.7 ta•1.1 1-0 =5
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OWNER NAME (Print):City of Carlsbad/Wendy Chambers APPLICANT NAME (Print):City of Carlsbad/Pam Drew
MAILING ADDRESS:5950 El Camino Real MAILING ADDRESS: 1635 Faraday Av
CITY, STATE, ZIP:Carlsbad CA 92008 CITY, STATE, ZIP:Carlsbad CA 92008
TELEPHONE:760-438-2722x7107 TELEPHONE:760-602-4644
EMAIL ADDRESS:wendy.chambers@carlsbadca.gov EMAIL ADDRESS:pam.drew@carlsbadca.gov
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 REIN IS MY AL HORIZED REPRESENTATIVE FOR
PURP 0 HI P LIGATION
5
SIGNATURE DA E SIGNATURE DATE
APPLICANT'S REPRESENTATIVE (Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
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.
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.INVE CONSENT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION:PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORDED ON TH; TITLE TO HIS P OPERTY IF CONDITIONED FOR THE APPLICANT.NOTICE OF RESTRICTIONS RUN WITH
THE LAN AN1 BI
fr
Y CESS RS IN INTEREST.
•
PROPE"OWNER SIG ATURE
FOR CITY USE ONLY
RECEIVED
FEB 10 2017
CITY OF CARLSBAD
DATE siPMQ11.1141(n1131N9153114ivED
RECEIVED BY:
CitA.t.4.1
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