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HomeMy WebLinkAboutPE 2.86.52; EDWARDS RESIDENCE; Engineering ApplicationI Application for Grading PermitØ CITY OF CARLSBAD ENGINEERING DEPARTMENT 1200 Elm Avenue 438-5541 Building Permit Plan Check No. 5? / PE NOJJ .LS'2, P A4 ,111-tL: 7 -3 Validation Lv F;nance Departmrit FOR APPLICANT TO FILL IN Site Address 3/fz3;h,zJi,4 Surety Company Bond No. Lea , jsc ription Map No. Surety Address 77 0= 03/11 0101 0514i- 272-00. Subdivision Name '4? ç/71L Date Filed Rec d by 57?177~ No,27'1 i/,v,r ,'o, 1 Owner Phone D121, Z/3,c Cash deposit Rec'd by Date filed .$57 4?4v' 777 Owner's Address The following document re required and shall become a part 770 ' 1h/1/35SC />',?Ct of the grading permit when they are approved. Grading plans Specifications Soil report Geologic Report .7 Drainage structures ______ Other Plans by Civil Engineer R.C.E. \) /1,?-rCOS ?U7. Address Phone 7/f.-. J'go ,%et4e l/- dj/'/,*-oS a" " Compaction report Soil Engineer / R.C.E. Phone Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE '4'r 7d 'D A PART OF THIS PERMIT '6 4- $'/99~' 37?P4'eAJ e-71é //3pz Authorized hours of operation: 7:00 AM to Sunset, Monday - Friday. Party responsible for overall supervision 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 Import Waste All slopes shall be planted per City Code. -72- All fills to be compacted to at least 90% of optimum Proposed Schedule of Start Finish Operations (dates) density unless noted otherwise. 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, -- Under City Code Sec. 11.06 170 this grading is: :and the provisions and conditions of any permit issued pursuant to Il REGULAR GRADING - City inspector will make inspections this application, listed below. CONTROLLED GRADING - Private grading engineer shall Signature of Permittee __________________________________________ / observe work, coordinate tests, make reports. ~Z, INSPECTION DATE INSP. SIGNATURE Owner or authorized agen — Initial - site prep. _______________________________ ENV IRONMENTALCLEARANC Date Jaii. 24,1987 Rough - priortodrains • EIA Log No. Final - slopes planted By Compaction reports rec'd. P Grading permit fee $ c __9k Private engr. cert. rec'd. by /'7. — Date '' " " ' Copies: White-Office; Green-Building; ell Permit Expiration Date 9-11-14-7 Yellow-Inspector; Pink-Permittee; Goldenrod-Finance — --LY'VALIDATED IS PERMIT TO DO THE WORK DESCRIBED 7 7V77OA/" "• 8/-3/ THIS FORM HIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD DATE: _____ Applicant: Address of Applicant: Project Location/Address: 7 2- ENGINEERING 4D J0 FEE: $175.00 RECEIPT NO: _b377 ENVIRONMENTAL IMPACT ASSESSMENT FORM - Part I (To Be Completed by APPLICANT) CASE NO: Phone Number: ('17) 7'7/2 2s Name, address and phone number of person tobe contacted (if other than Applicant): (5,4t' e,iL - zed GENERAL INFORMATION: Description of-Project: Assessor Parcel Number: Zone of Subject Property: 74%/ Proposed Use of Site: List all other applicable applications related to this.project: . Environmental Impact Assessment for grading permits mut. be, accompanied with, a *qradinc plan and qradinq profile. . . 1*16 .1 ... . . 0 - 00 . -. - . •0 - .- 0 2. Describe the activity made characteristics; appropriate. / / i-ct- / & ,efP#7 / w area, including diétiguishing natural and man- also provide precise slope analysis when / ,/ ,'Ae 4- s% 41e/, XWT d IS rvs)Ile j' Describe energy conservation measures incorporated into the design and/or operation of the project. ,41/A If residential, include the number of units, schedule of unit sizes, range of sale prices or rents, and type of household size expected. k ,'n / > ,, 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 facilities. N/A.. If institutional, indicate the major function, estimated employment p e r shift, estimated occupancy, loading facilities, and community benefits to be derived from the project. -2- . . I. ENVIRONMENTAL IMPACT ANALYSIS Answer the following questions by placing a check in the appr o p r i a t e space. (Discuss all items checked "yes". Attach additiona l s h e e t s a s 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 cost housing units 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, wildlife or plant life?- Are there any rare or endangered plant species in the activity .area? 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? 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? -3- 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? 27) Could the activity result in a significant chang e in 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 ewtimate4 grading to be done in cubic yards: Percentage of alteration to the present land form: (C) Maximum height of cut'or fill 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? - -4- II. STATEMENT OF NON-SIGNIFICANT ENVIRONMENTAL EFFECTS If you have answered yes to one or more o.f the questions in Section I but you-think-the activity will have no significant environmental effects, indicate your reasons below: - IA v1 III. COMMENTS OR ELABORATIONS TO ANY OF THE QUESTIONS IN SECTION 1 (If additional space is needed for answering any questions, attach additional sheets as needed.) Signature /44 (Pera6n Completing Report) Date Signed -5- ENVIRONMENTAL IMPACT ASSESSMENT FORM- PART II (TO BE COMPLETED BY THE PLANNING DEPARTMENT) CASE NO.T: 2 2 sz DATE: /7 I. BACKGROUND • S APPLICANT: I ADDRESS AND PHONE NUMBER OF APPLICANT: PO2%3 \i&s 1 Q 723 S ,qgs DATE CHECK LISTSUBMITTED:___________________________________ 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 significant results in: • Unstable earth conditions or in changes in geologic substructures? Disruptions, displacements, corn- .• - pact.ion or overcovering of the soil? ______ S • / Change in topography or ground • surface relief features? _____ • ____ /. Thedestruction, covering or • • modification of any unique geologic • • orphysicalfeatures? Any increase in wind or water • • - erosion of soils, either on or off the site? • • - 0 - ___ ____ f. Changes in deposition or erosion • of beach sands, -or changes in - • • siltation, deposition or erosion - which may modify the channel or a - - river or stream or the bed of the ocean or any bay, inlet or lake? - •S . - , a YES MAYBE NO 2. Air - Will the proposal have significant results in: . . Air emissions or deterioration of ambient air quality? The creation of objectionable odors? ' , •: . ' Alteration of air movement, 7 moisture or temperature, or any change in climate,, either locally . or 'regionally? .3. Water - Will 'the'proposal have • significant results in: a. Changes' in currents, or the course or direction of water movements, in either marine or fresh waters? ' , Changes Changes in absorption rates, drainage patterns, or the rate and Amount of surface water runoff? Alterations to the course or flow of flood waters? • - ' ' d.. Change in the amount of surface ' water in any water body? • Discharge into surface 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 or withdrawals, or through interception of an aquifer by cuts or excavations? ' Reduction 'in the amount of water otherwise available for public • water supplies? ' -2- $ . . YES . MAYBE NO 4. Plant Life - Will the proposal have significantresults 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 the diversity of species, or numbers of,any species' of animals (birds, land animals including reptiles, fish and shellfish, benthic organisms, , 'insects or microfaun'a)? Reduction of the numbers of any unique, .rare -or endangered species of animals?' ' Introduction of new species o,f animals 'into an area, or result in ,a barrier to the migration or movement, of ' animals? Deterioration to existing fish or wildlife habitat? 6. Noise -.Will the proposal significantly increase existing noise levels? 7. 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- E0 S YES MAYBE NO 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 the event 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? S 13. Transportation/Circulation -,Will the proposal have significant results in: Generation of additional vehicular • movement? • • Effects on existing.parking facilit- ies, demand for or new parking? 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? S S Increase in traffic hazards to • motor vehicles, bicyclists or S • pedestrians? .' -4- ... YES MAYBE 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? d. Parks or other recreational facilities? e.. Maintenance of public facilities, including roads? f. Other governmental services? 15. • Energy - Will the proposal have signif- icant results in: Use of substantial amounts of fuel • or energy? • . . 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.. Power or natural gas? • . b. Communication's systems? C. Water? . . . 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)? NO / / -5- S . . . ., 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? Archeological/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. Qç -(j cdQi\k1a .i, 4he-ee1 a ~ s LS M e -4h Q- 3eIY1Q $tôJ* w c -as 'pc-O •+ a[rQ tUO f-esd -6- . . S YES MAYBE NO 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? S 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.) Does the project have impacts which are individually limited, but S .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.) S V Does the project -have environmental effects which will cause substantial adverse effects on human beings, either directly or indirectly? III. DISCUSSION OF ENVIRONMENTAL.EVALrJATION - a cscc3j\ fr Ltse LIS 'e zccitc :be cb& eP LA)h(d\ ( C(La f 5 c' -)/ ¼Si h k I'nOJ £1 s'urucMc&j C4. ai Q(( S ad 3 Cie/ z4- d ?b44r) (5 dr&rJd c/ -7- 0 S . IV. DETERMINATION (To Be Completed by the Land Use Planning Office) 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 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 on the environment, and an ENVIRONMENTAL IMPACT REPORT is required. V MITIGATING MEASURES (If Applicable) . . MITIGATING MEASURES (Continued) VI APPLICANT CONCURRENCE WITH MITIGATING MEASURES THIS IS TO CERTIFY THAT I HAVE REVIEWED THE ABOVE MITIGATING MEASURES : AND CONCUR WITH THE ADDITION OF' THESE MEASURES TO THE PROJECT. Date Signature -10- ,