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HomeMy WebLinkAboutPE 2.85.53; NELSON|PARK AND ADAMS; Engineering ApplicationBuilding Permit Plan Check No Application for Grading Permit I CITY OF CARLSBAD ENGINEERING DEPARTMENT 1200 Elm Avenue 438.5541 L/\ PE NO. alidation by Finance /Department FOR APPLICANT TO FILL IN Site Address Surety Company Bond No. Suret Ai Legal Description Map No 1 Subdivision Name Dateed Rec d by l Ilk Phone (_ Casposit Rec'd by Date filed Owner's Address (Oo L4'{6 ___________ Thollowing documents are required and shall become a part of the grading permit when they are approved. "\_"Grading plans Specifications oil report Geologic Report Prainage structures _____ Other ' Compaction report Plans by Civil Engineer R.C.E. rz-o j 2cç,S\ \ Address Phone L1_Mcc-1 ts.stcK.r. oiI Engineer R.C.E. Phone AL CEG Grading Contractor Phone 9 4~A 4 SPECIAL CONDITIONS WHICH ARE MADE A PART OF THIS PERMIT 4d ress Yo. 'i Authorized hours of operation: 7:00 AM to Sunset, Monday - Friday. Parrç,rponsibIe for ov all supervision oN) Haul routes are to be approved by City Engineer. Proposed use of grade site Adequate provisions shall be made for erosion and siltation control. Number of cubic.yards Cut Fill 'l(tXD Import - All slopes shall be planted per City Code. Proposed Schedule of Start Operations (dates) 14sI? Finish Finish 1±e' All fills to be compacted to at least 90% of optimum density unless noted otherwise. application and state that I hereby acknowledge t the information I have is correcnd agree to cpiply with fl rah all City ordinances and s'gulati excavati Cj ' rading, and the provisions and 'euitto y per it Under City Code Sec. 11.06 170 this grading is: REGULAR GRADING . City inspector will make inspections this application. tted below. CONTROLLED GRADING - Private grading engineer shall Signature of Permittee___________________________________________ observe work, coordinate tests, make reports. Owner or authorized agent - INSPECTION DATE INSP. SIGNATURE Initial - site prep. - ENVIRONMENTAL CLEA ANCE Date _____________________ Rough - prior to drains EIA Log No. By Final - slopes planted Compaction reports rec'd. Grading permit fee $ Plan check fee $ Private engr. cert. rec'd. Permit Issued h'.i Date Copies: White-Office; Green-Building; Permit Expiration Date Yellow-Inspector; Pink-Permittee; Goldenrod-Finance THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD FEE: $175.00 RECEIPT NO: _SLSzJ ENVIRONMENTAL IMPACT ASSESSMENT FORM - Part I - . . (To. Be Completed by APPLICANT) . CASE NO: P- 2. 9,5'3 . . . DATE:. Applicant: Address, of Applicant: \.O OP Phone Number: Name, address and phone number of Applicant): son to be contacted (if other than GENERAL INFORMATION: Description of Project: VLN 1w_c Project Location/Address: i! 'cf Kb A) A & S Assessor Parcel Number: Zone of Subject Property.: 1-1 _________ . Proposed Use of Site: L . • - • List all other applicable applications related to this project: Environmental Impact Assessments for grading permits must be accompanied with •a qradinq plan and 'grading profile. ' S Describe the activity area, including distiguishing naturalandman made characteristics; also -provide precise slope analysis.when appropriate. Describe energy conservation measures incorporated into the design and/or operation of the project. C N i~ -- ' crs kE r u. i S / If residential, include the number of units, schedule. of unit sizes,, range of sale prices or rents,and type of household size expected. LE .- #2Lqo -. OF S S If, commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage Of sales area, and loading facilities. If industrial, indicate type, estimated employment per shift, and loading facilties. S S If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project.. S -2- YES . Could the project significantly change present land uses in the vicinity of the .activity? Could the activity affect the use of a recreational area, or area of important aesthetic value? Could the activity affect the functioning of an established community or neighbOrhood? Could the activity result in the displacement of community residents? Could, the activity increase the number of low and modest cost housing units in the city? Could the activity decrease the number of low and modest cost housing units in the city? I. ENVIRONMENTAL IMPAC ANALYSIS ------------ Answer the following questions by placing a check in the appropriate space. (DiSCUSS all items checked "yes". Attach additional sheets as necessary.) , Are any 9f the natural or man-made features in the activity area unique, that is, not found in other parts of the county, state or nation? Could the activity.-significantly affect an ' historical or archaeological site or its settings?. 9). Could the activity significantly affect the potential use, extraction, or conservation of a scarce natural resource? Does the activity significantly affect the potential use, extraction, or conservation of a 'scarce natural resource? Could the activity significantly affect fish, wildlife or plant life? Are there any rare or endangered plant species in the activityarea? Could the act-ivity change existing features of any of the city's lagoons, bays, or tidelands? Could the activity change existing features of any of the city's beaches? - 15). Could the activity result in the erosion or elimination of agricultural lands? 16) Could the activity serve to encourage development of presently undeveloped areas or intensify develop- ment of already developed areas? -3- . S H YES NO Will the activity require a variance from established environmental standards (air, water, noise, etc.)? Will the activity require certification, authoriza- tion or issuance of a permit by any local, state or federal environmental control agency? Will the activity require issuance of a variance or conditional use permit by the City? Will the activity involve the application, use, or disposal of potentially hazardous materials? Will the activity involve construction of facilities in a flood plain? Will the activity involve construction of facilities in the area of an active fault? Will the activity involve construction of facilities on a slope of 25 percent or greater? Could the activity result in the generation of significant amounts of noise? Could the activity result in the generation. of significant amounts of dust? Will the activity involve the burning of brush, trees, or other materials? Could the activity result in a significant change in the quality of any portion of the region's air or water resources? (Should note surface, ground water, off-shore.) Will the project substantially increase fuel consumption (electricity, oil, natural gas, etc.)? Will there be a significant change to existing land form?- (a) Indicate estimated 9rading to be done in cubic yards: '2-oo Aj.. ('b) Percentige of alteration to the present land form: . . (C) Maximum height of cut or fill slopes: 1 Will the activity result in substantial increases . in the use of utilities, sewers, drains or streets? Is the activity carried out as part of a larger. project or series of projects? . -4- II. STATEMENT OF NON-SIGNIFICANT ENVIRONMENTAL EFFECTS If you have answered yes toone'or more of the questions in Section I but you'think the activity will have no significant environmental effects, indicate your reasons below: • tr2 I' Sc— G-P1S i & ô • c s L '&3 1'L o8LeN\ fcx&( C'Tt. —k-D Lp — c %1Lo • N -( • '' *3 LL i LOP T&E ry cz çz cLk + ST ('J - tq7,kJ, • III. COMMENTS OR ELABORATIONS TO ANY OF THE QUESTIONS IN SECTION I •• (If additio space is needed for answering any questions, attach add it ion sheets nee7))7 Signature '/1 / (Pe sfl—Comple Date Signed' 2/1 Ir/A ________ -5.- O f ENVIRONMENTAL IMPACT ASSESSMENT FORM - PART II (To Be Completed by the LAND USE PLANNING OFFICE) . • CASE NO. DATE: BACKGROUND I. BACKGROUND . . . 1.. APPLICANT:iO&E* '3€\scc' . ADDRESS AND' PHONE NUMBER OF APPLICANT:ic& 9ei-. exia Leu C\. 'o' \9 Cf 3. DATE CHECK LIST SUBMITTED:_______________________________________ II. ENVIRONMENTAL IMPACTS . . (Explanations of all Affirmative Answers are to b Written Under Section III -,Discussion of Environmental Evaluation) . . •. . . . YES MAYBE NO 1 Earth - Will the proposal have significant results in: . -. . . a. . Unstable earth conditions or in . . changes in geologic substructures? - • . - b. Disruptions, displacements, com- paction-Pr overcovering of the soil? • . . ______ C. Change in topography or ground - . -• surface relief features? ______ . • . d. The destruction, covering or • ••. . • modification of any unique geologic • . - or physiOal features? e. Any increase in wind or water • . • . . - • erosion of soils, either on or,off • •• the site? . . • • . . _______ f. Changes in deposition or.. erosion - . . •• . of'beach sands, or changes in • . . :- siltation, dèposition1 0rerOsiOfl • • •.• • . which may modify the channel or a • river or stream or the bed of the • • - ocean or any bay,.inlet or lake? . • • • • • .____ • _____ . •. • YE9 MAYBE NO 2. Air - Will the proposal have 'significant results in. a. Air emissions or deterioration of ambient air quality? The creation of objectionable odors? . . . Alteration of air movement, moisture or temperature, or any change in.climate, either locally or regionally? 3. Water, - Will the proposal have significant results in: Changes in currents, or the course or direction of water'movements, in either marine or fresh waters? - Changes in absorption rates, drainage patterns, or the rate and amount of surface -'water runoff.? Alterations to the course or flow of flood waters? - Change in the amount of surface ' water in any water body? e. Discharge into surtace waters, or in any alteration of surface water quality, including but not. limited to, temperature, dissolved oxygen or turbidity? • Alteration of 'the direction or rate of flow of ground waters? Change in the quantity of ground waters',, either through direct additions orwithdrawals, or through interception of an aquifer, by cuts or excavations,? . • h. Reduction in the amount of -water otherwise' available for public water supplies? - T V7 . YES MAYBE NO 4.. Plant Life Will the proposal have significant results in: Change in the diversity of species,' or numbers of any species of plants (including trees, shrubs, grass, crops, microflora and aquatic plants)? Reduction of the numbers of any unique, rare or endangered species of plants? Introduction of new species of plants into an area, or in a barrier to the normal replenishment of existing species? Reduction in acreage of any agricultural crop? 5. Animal Life - Will the proposal have significant results in: Changes in thediversity of species, or numbers of any species of animals (birds, land animals including reptiles, fish and shellfish, benthic organisms, insects or microfauna)? Reduction of the numbers of any unique, rare or' endangered ,species of animals? C. Introduction of new species of animals into an area, or result in a barrier to the migration or movement of animals? . . ... . d. Deterioration to existing fish or wildlife habitat? 6. Noise - Will the proposal significantly increase, existing noise levels? Light and Glare - Will the proposal sig- nificantly produce new light or glare? 8. Land Use - Will the proposal have significant results in the alteration of the present or planned land use of an area? -3- NO .... I.. YES 9. Natural Resources - Will the proposal have significant results in: Increase in the rate of use of any natural resources? Depletion of any nonrenewable natural resource? 10. Risk of Upset - Does the proposal involve a significant risk of an explosion or the release of hazardous substances (including, but not limited to, oil, pesticides, chemicals. or radiation) in theevent of an accident or upset conditions? • ______ 11. Population -Will the proposal signif- icantly. alter the location, distribu- tion, density, or growth rate of the human population of an area? 12. Housing - Will the proposal signif- icantly affect existing housing, or create a demand for additional housing? 13. Transportation/Cirôulation - Will the proposal have significant results in: Generation of dditional vehicular movement? Effectson existing parking facilit- ies, ordèmandfornewparking? C. Impact upon existing transporation systems? • _______ Alterations to present patterns of circulation or movement of people and/or goods? Alterations to waterborne, rail.or air traffic? . Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? • MAYBE NO -4- :'', YE 14. Public Services - Will the proposal have a significant effect upon, or have signif- icant results in the need for new or - altered governmental services in any of the following areas: a. Fire protection? b. Police protection? - c Schools? Parks or other recreational facilities? Maintenance of public facilities, including roads? Other governmental services? 15. Energy - Will the proposal have signif- icant results in: a.- Use of substantial amounts of fuel or energy? b. Demand upon existing sources of energy, or require the development of new sources of energy? 16. Utilities - Will.the'proposal have.. . significant. results in the need for new .systems, or alterations to the following utilities: • • a. 'Poér or natural gas? • _____ b. Communications systems? • c. Water? •. ______ • d. Sewer or septic tanks? Storm water drainage? Solid waste and disposal? 17. Human Health - Will the proposal have 'significant results in the creation of any health hazard or potential health -hazard (excluding mental,health)?' 0 -5-. MAYBE NO Ea • YES MAYBE NO Aesthetics - Will the proposal have significant results in the obstruction - of any scenic vista or view open to the public, or will the proposal result in creation of' an aesthetically offensive public view? ' ' - ' Recreation - Will the proposal have significant results in the impact upon the quality or quantity of existing recreational opportunities? ' ArcheolOgicai/HiStOriCal - Will the proposal have significant results in - the alteration of a significant ' archeological or historical site, structure, object or building? Analyze viable alternatives to the proposed project such as: a) Phased development of the project, b) alternate site designs, c) alternate scale of development, d) alternate uses for the site, e) development at some future time rather than now, f) alternate' sites for the proposed, and g)'no project alternative. ec i%e \ct An ec U sQ p co a e -6- MAYBE NO YES 22. Mandatory Findings of Significance -. Does the project have the potential to degrade the quality of the environment, or curtail the diversity in the environment? Does the project have the potential to achieve short-term, to the dis- advantage of'long-term, environmental goals? (A short-term impact on the environment is one which occurs in a relatively brief, definitive period of time while long-term impacts will endure well into the future.) C. Does the project have irnpaáts which are individually-limited, but cumulatively considerable? (A project may impact on two or more separate resources where the impact on each resource is relatively small, but where the effect of the total of those impacts on the environment is significant.). d. Does the project have environmental effects which will cause substantial adverse effects on human beings, - • either directly or indirectly? • III. DISCUSSION OF ENVIRONMENTAL EVALUATION (ro5 -- R-\ \\oUe- r~i 7/1 I \ • .• -7- • 1I •. DISCUSSION OF ENVIRONMENTAL EVALUATION (Continued) 0' (0 .. . f TEINATIO...(To BeCompleted by the Land Use Planning Office) on the basis of this initial evaluation: . find the proposed project COULD NOT have a significant effect on the environment, and a NEGATIVE DECLARATION will be prepared. I find that although the proposed project could have a significant. - effect on theenvironment, there will not be a significant effect in this case because the mitigation measures described on an attached sheet have been added to the project. A Conditional Negative Declaration will be proposed. I find the proposed project MAY have a significant effect onthe environment, and an ENVIRONMENTAL IMPACT REPORT is required. /Da/e Oignatdre MITIGATING MEASURES (If Applicable) . S • -10--