HomeMy WebLinkAboutPE 2.85.58; LA COSTA VALE LOT 474; Engineering ApplicationtuJ - Application for Grading Permit PENO.2-_c,c
Building Permit Plan Check No
FOR APPLICANT TO FILL IN
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438'554t 3S5 Va ation by Finance
DL , rtrnnt
Site Address
L Cc 114 Lt 1/ A/ 77 L,Y7 /
Surety Company Bond No.
A
Legal Description Map No.
CA P-LAA M 72R4e-T 72. - 1
Surety Address
Subdivision Name Date Filed Rec'd by
Owner Phone W.'//,M'i F 1vi,'A,j),:i 137f"?O/
Cash deposit Rec'd by Date filed
$
Owner's Address
247,11 IV Uff',1 A71J.L1 cA1.i3iL
The following documents are required and shall become a part
of the grading permit when they are approved.
Grading plans Specifications
Soil report Geologic Report
Drainage structures ____ Other
Compaction report
Plans by Civil Engineer R.C.E. STA., j'V)IeL,&j
Address Phone I8,e/ J)
Soil Engineer R.C.E. Phone
/ & /4/2/
Grading Contractor Phone
Z- C4 tm ,m9 1eJ7LL /
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address
/ EL C/'iq/y E,,L- 'LiA,tD
Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
for overall supervision Pae71sibl
)I Haul routes are to be approved by City Engineer.
Pr000sed use of grade site
F iL.v LE Adequate provisions shall be made for erosion and siltation
control. Number of cubic yards
Cut Fill Import Waste All slopes shall be planted per City Code.
23>3'k I f_;.A~] 0'. I
All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
Proposed Schedule of ( Start (Inish
Operations (dates)
I hereby acknowledge that I have read the application and state that
the information I have provided is correct and agree to comply with
all City ordinances and State laws regulating excavating and grading,
and the provisions and conditions of any-permit issued pursuant to
this application,
Signature of Permittee
Owner or authorized agent Li)
Under City Code Sec. 11.06 170 this grading is:
Li REGULAR GRADING . City inspector will make inspections
listed below. Li CONTROLLED GRADING . Private grading engineer shall
observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE -
Date _____________________
EIA Log No. ____________
By
Rough prior to drains
Final - slopes planted
Compaction reports rec'd.
Grading permit fee $ Plan check fee $
Private engr. cert. rec'd. Permit Issued
by 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
P1 .
FEE: $175.00
RECEIPT NO: J3S3
ENVIRONMENTAL IMPACT ASSESSMENT FORM.- Part I
(To Be Completed by APPLICANT)
CASE. NO:
DATE:
Applicant:
Address of Applicant:
c2/ 0/ &/4 ;r
Phone Number: (69)j_/"
Name,', address and phone number of person to be' contacted (if other than
Applicant):
GENERAL INFORMATION:
Description of Project: f7zje,,'
Project Location/Address: Z ?/'9 7- 14'7 >Z5a
/e '/ •-9
Assessor Parcel Number: -• -
,Zone of Subject Property:
Proposed Use of Site: /2eJ/deDt '1e/ -
List all other applicable applications related to this project:
IVIA
Environmental Impact Assessments for qradinq permits must be accompanied
with a grad inc plan and aradinq Profile.
Describe the activity area, including distiguishing natural and man-
made characteristics; also provide precise slope analysis when
appropriate,.
, •7.
Describe energy conservation measures incorporated into the design
and/or operation of the project.
If residential, include the number of units, schedule of unit sizes,
range of sale prices or rents, and type of household size expected.
le
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 facilities.
11011A
If institutional, indicate the major function, estimated employment per
shift, estimated occupancy, loading facilities, and community benefits
to be derived from the project.
S
1. ENVIRONMENTAL IMPACT ANALYSIS
Answer the following questions by placing a check in the appropriate
space. (Discuss all items checked yes. Attach additional sheets as
necessary.)
YES NO
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 coat housing unite In the city?
Could the activity decrease the number of low and
modest cost housing units in the city?
Are any of 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?
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, \Z wildlife or plant life?
Are there any rare or endangered plant species
in the activity area?
Could the activity 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?
Could the activity result in the erosion or
elimination.of agricultural lands?.
Could the activity serve to encourage development
of presently undeveloped areas or intensify develop- -
ment of already developed areas?
YES NO
17) Will the activity require a variance from
established environmental standards (air, water,
noise, etc.)?
18) will the activity 'require certification, authoriza-
tion or issuance of a permit by any local, state or
federal environmental control agency?
19) Will the activity require issuance of a variance
or conditional use permit by the City?
20) Will the activity involve the application, use, or
disposal of potentially hazardous materials?
21) Will the activity involve construction of
facilities in a flood plain?
22) Will the activity involve construction of
facilities in the area of an active fault?
23) Will the activity involve construction of
facilities on a slope of 25 percent or greater?
24) Could the activity result in the generation of
significant amounts of noise?
25) Could the activity result in the generation of
significant amounts of dust?
26) Will the activity involve the burning of brush,
trees, or other materials?
27) Could the activity result in a significant change
An the quality of any portion of the region's air
or water resources? (Should note surface, ground
water, off-shore.)
28) Will the project substantially increase fuel
consumption (electricity, oil, natural gas, etc.)?
29) Will there be a significant change to existing
land form?
Indicate estimated rading to be done in
cubic yards: -'1.C" ; /970
Percentage ofilteraton to 'the preseft
land form: _.-Jo-
Maximum height of cut or f ff1 slopes:
30) Will the activity result in substantial increases
'
in the use of utilities, sewers, drains or streets?
31) Is the activity carried out as part of' a larger
project or series of projects?'
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I 0
II. STATEMENT OF NON-SIGNIFICANT ENVIRONMENTAL-EFFECTS
If you have answered yes to one or more of thequestions in Section I but you think the activity will have no significant environmental
effects, indicate your reasons below:
e5x 'zr 74) e 4/ ,'
2? ' 7I41715
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7 4/t7t).
CO4I4ENTS OR ELABORATIONS TO ANY OF THE QUESTIONS IN SECTION I
(If additional space is needed for answering any questions, attach
additional sheets as needed.) /
Signature
(Person Completing Report)
Date Signed_____ // 7_/-(p S'
O 0
.. . ENVIRONMENTAL IMPACT ASSESSMENT 'FORM - Part II
•• 0
(To Be Completed By The
PLANNING DEPARTMENT)
CASE NO. 2.
DATE
: S
/
APPLICANT: .
ADDRESS AND PHONE NUMBER OF. APPLICANT:
3. DATE CHECKLIST SUBMITTED''''' eX157'') c
II.' ENVIRONMENTAL _IMPACTS' . • . S.
(EXPLANATIONS OF ALL AFFIRMATIVE ANSWERS ARE TO BE WRITTEN UNDER
Section III - DISCUSSION OF ENVIRONMENTAL EVALUATION)
'Yes • Maybe No
1.--Earth Will the proposal have signi-
.ficant results in: . . . .
a: Unstable earth conditions or in '.
changes in geologic substructures?
Disruptions, displacements, com-
paction or overcovering of the soil? . •, . .
. ....
Change in -topography-or-ground . .
surface relief features?
The destruction, covering or .
modification of any unique geologic
or physical features? . . . .
:•S•
Any increase in wind or water
erosion of soils, either on or off
' S
the site? . . - . •
.. . S
Changes in deposition or ero-
sion of beach sands, or changes
in siltation, deposition or erosion
• which may modify the channel of a . .
river or stream or the bed of the - S •
ocean or 'any hay, inlet or lake? S. ••S
. 1 . •ND 2
. . Yes Maybe No
2. Air: Will the proposal have signi
'f e—sults in:
Air emissions or deterioration
of ambient air quality?
The creation of objectionable
odors?.
Alteration of air movement, '
mositure or temperature, or any
change in climate, either locally
or regionally?
3. Water:. Will the, proposal have sigi-
icant f results in:
Changes in currents, or the '
course or direction of water move-
.rnents, in either'inarine 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? , ' . ' '' ' \'1
'
change in the amount of sur- '
face water in any water bOdy?
e. Discharge into surface, waters,,
or in any alteration of surface
water quality, including but-not,
limited to temperature, dissolved
'
oxygen or turbidity?
f. Alteration of,the direction
' .•• or rate of flow of ground waters? ' ' • . " ''
'' '
'g. Change in the quantity of
ground waters, either through ' ' ' . • '' '
direct additions or withdrawals, 0 •
. . '. or through interception of an , . : • • '. • 0 ' •
- • ' aquifer by cuts Or excavations? ''' 1 .''' ''''
h. Reduction in, the amount of
water otherwise available for • . ' •
public water supplies? ' '' 0' ' • • ' ' '
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. I S
'Yes Maybe No.
4. Plant Life. Will the proposal have signi-
ficant results in:
a. Change in the diversity of
species, or: numbers of any species
of plants (including ti-ees,' shrubs,
grass, crops, inicroflora and ,
aquatic plants)?
b. Reduction, of the numbers of
any unique, rare or endangered
. species of plants?
C. Introduction of new species
of plants into an area, or in a ,
barrier to the normal replenish-
ment of existing species?
d. Reduction in acreage of any .
agricultural crop?' . . .
''''
5. ''Animal Life. Will the proposal have signi-
ficant results in: ' '•. '.
a' Changes in the diversity of
species, or numbers of any species
of animals (birds) 'land animals
. including reptiles, fish and shell-
fish, benthic organisms, insects or
micro fauna) ?
b. 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 sign- • •
ficantly increase existing noise
levels? • . • .. • •
7. Light and Glare. Will the pro- •
posal significantly 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- •
Yes Maybe No
Natural Resources. Will the pro- . . •'
àsal have significant results in
a. Increase in the rate' of use
of. any natural resources?
b Depletion of any nonrenewable.
natural resource?
Risk of Upset..' Does the proposal
involve asignificarit risk of.an.
explosion or the release of haz-
ardous, substances (including, but
not limited to, oil, pesticides,
chemicals or radiation) in the
'event of an accident or upset
conditions?
' Population. Will the proposal' ' . ..
significantly alter the location,
distribution, density, or growth
rate of the human population of .
an area? ' ' .' ' , .''__'
Housing. Will the proposal signi-
ficantly affect existing housing, .
'or create a demand for additional '
housing?
13'. ''TortatIOñ/Circu1ätion. Will
t proposal have significant re-
sults in:
a. Generation of additional .
vehicular movement? . . '' . '• '
b Effects on existing parking
facilities, or demand for new
parking?
c. Impact upon existing trans- . , ' . .
portatioñ systems? ', '.
d Alterations to present
patterns of circulation Or move-'
,ment of people and/or goods? ' _____ .•. • . '
, Alterations to waterborne, . ' . . • '•
rail or air traffic?
Increase in traffic hazards . . '.•
to motor vehicles, bicyclists or.
.
. •'
' . ' pedestrians? ' ' ' , ' • _____
• ' ' . 4'
(~V
Yes Maybe No.
14. Public Services. Will the pro-
posal have, a. significant effect
upon, or have significant results
in the need for new or altered
governmental services in any of
the following areas:
a. Fire protection? •. . _____ _____ _____
Police.protection? '
Schools? . '.• _____ _____
d.. Parks or other recreational '
facilities?
Maintenance of public -facili-
ties, including roads?
Other governmental services?
is. Energy. Will the proposal have
. . . significant results in:
Use of substantial amounts of
fuel or energy?
Demand upon 'existing sources
of energy, or require the develop-
ment 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 Power or. natural gas.?
b. Communications systems? . . '• •
Water? - '.
. .. .'' • -
d; Sewer'or septic tanks? '''1 • ' • ' ''
e., Storm water drainage? •'
f. Solid waste 'and disposal? • '- . •
'''' -
17,'.Hthiari Health.. Will the proposal ' ' ' • • ' ' •
have signigicant results in the • ' -
creation of any health hazard or . •
potential health' hazard (excluding
mental health)? •'' ' .•
" ' .....'
-5-
Yes Maybe No
18.. Aesthetics. Will the proposal have
significant results in the obstruc-
tion of any scenic vista or view '
open to the public, or will the pro-. .
posal result in the creation of an
aesthetically offensive site open .
0
to'-public view?. •. . ____ ____ ____
19. Recreation;. Will the proposal have
fiant results in the impact .. . •'
upon the quality or quantity of .
existing recreational opportunities?
20. Archeological/Historical.. Will the
proposal have significant results
in the alteration of a significant
archeological or historical site, '
structure, object or building?
21. ANALYZE VIABLE ALTERNATIVES TO THE PROPbSED '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 USE; g) NO
PROJECT ALTERNATIVE. 0 •' .
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Yes Maybe No
22.*.MANDATORY,FINDINGS OF SIGNIFICANCE. :
a) DOES THE PROJECT HAVE THE POTEN-
TIAL TO DEGRADE THE QUALITY OF
THE ENVIRONMENT, OR CURTAIL THE
DIVERSITY IN THE ENVIRONMENT?,
b) DOES THE PROJECT HAVE •ii PO TEN-..
. TIAL TO ACHIEVE SHORT-TERM, TO
THE DISADVANTAGE OF LONG-TERM, '• .
ENVIRONMENTAL GOALS? (A SHORT-
TERM IMPACT ON THE ENVIRONMENT
IS ONE WHICH OCCURS IN A RE-
' LATIVELY BRIEF, DEFINITIVE
PERIOD OF TIME WHILE LONG-TERM '.
IMPACTS WILL ENDURE WELL INTO .
/1
THE FUTURE.)'
' c) DOES THE PROJECT HAVE IMPACTS ..
. . . WHICH ARE INDIVIDUALLY LIMITED,
. BUT CUMULATIVELY CONSIDERABLE?
(A PROJECT MAY IMPACT ON TWO
OR MORE SEPARATE RESOURCES
WHERE THE IMPACT ON EACH RE- S ,,
SQURCE IS RELATIVELY SMALL, . .
BUT WHERE THE EFFECT OF THE .
' TOTAL OF THOSE IMPACTS ON THE '
ENVIRONMENT IS SIGNIFICANT.)
' : d) DOES THE PROJECT HAVE' IRON-
MENTAL EFFECTS WHICH WILL ' ' ' •
' CAUSE SUBSTANTIAL ADVERSE • 0 , . '
EFFECTS ON HUMAN BEINGS, '
EITHER DIRECTLY OR INDIRECTLY?.
III. 'DISCUSSION OF ENVIRONMENTAL EVALUTION
&47>
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IV DETERMINATION (TO BE COMPLETED BY THE PLANNING DEPARTMENT)
On the basis of this initial evaluation:
I 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 the environment, there will not be
. .a significant effect in this case because :the imitigàtion
measures described on. an attached sheet have been added
to the project. A conditional negative, declaration will •
will .be prepared. .
I find the proposed project MAY have a significant effect
on the environment, and an ENVIRONMENTAL IMPACT REPORT
is required. •. . . • • .
Date cf2Q
\
h&1_____
V. MITIGATING MEASURES (IF APPLICABLE) • • . •
:. • •
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