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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?' - 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 i e ce'f 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' ' • • ' ' ' -2- . 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 •' . U1 C) 8CJ IQ e :•) Wc'O r &a ej ( [) k is . i ci1 . file) ' •0 45 In 'S ..! .', •., 0• 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> • ': - '; 'p ( c 12. 0 "O '' ' ' •0 ' • S ; . 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) • • . • :. • • -•10-