HomeMy WebLinkAboutPE 2.87.04; KAPLAN RESIDENCE; Engineering Application:0
278—,
Building Permit Plan Check No. ________________
FOR APPLICANT TO FILL IN
Site Address
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.&44
Surety Company
PE NO. 2. ,
Validation by Finance
Department
0101 05
I Le'al Description - Map No. Surety Address
IA ,f24/C-4L9?3 ________________
I Subdivision Name Date Fi—' Rec'd by
Owner Phone
/fl ( t7 ,,c) -1 Cash deposit Date filed
Owner's Address
Zo (.,ois' £1:3,14r:. i ci -
The following documents are required and shatfbecme a part
of the grading permit when they ar
Grading plans
proved..
______
Specifications _____ _____
_____ Soil report Geologic Report
\/Drainage structures ____ Other
Compaction re or
A o1 bDFA 6 9,PI Ag ./E Osi
Plans by Civil Engineer IF
B6 - 2l7
Address Phone
211 I OU5(S2IL Cr V- c 727—oz8L
Soil Engineer R.C.E. Phone
Tw V,ô-' 2112-I 71F3-88D8
Grading Contractor Phone c2.'w (7/Ofl 1771/... 5 SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Party responsible for overall supervision
/v1,4.k: W)LSOA Uc -tikZ. Haul routes are to be approved by City Engineer.
Proposed use of grade site S 1.a.__Rt,1.1,L_j -J—)O-4... Adequate provisions shall be made for erosion and siltation
control. Number if cubic yards
Cut Fill Import Waste All slopes shall be planted per City Code.
1270 /,Z7e
All fills to be compacted to at least 90% of optimum
density unless noted otherwise. Proposed Schedule-of Start Finish
Operations (dates) —,3—.9 7
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 yursuant to
this application.
Under City Code Sec. 11.06 170 this grading is:
DREGULAR GRADING - City inspector will make inspections
listed below,
CONTROLLED, GRADING . Private grading engineer shall
__________________________________
Signature of Permittee __________________________________ " observe work, coordinate tests, make reports.
%/'/it4I INSPECTION DAT INSP. SIGN,AT,JRE
Owner or authorized agent// c?/SV
Initial - site prep.
ENVIRONMENTAL CLEARANCE -
Date 7
EIA Log No. I2S
.-
Rough - prior to drains
________
Final - slopes planted ')
ompaction reports rec'd.
Ivate engr. cert. rec'd.01K 2 by Date; 1~12 714~'7T Copies: White-Office; Green-Building;
______________________________________________ Y?l lo I ns Pink-Permittee; Goldenrod-Finance Permit Expiration Da
* z: 1; %/Ai7/- $7 q 74/N7?4?
THIS FORA WHN PROPERLY VALIDATED IS PERMI i TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD
ENGINEERJiG.
FEE: $175.00
RECEIPT NO:
ENVIRONMENTAL IMPACT ASSESSMENT FORM - Part I
(To Be Completed by APPLICANT)
CASE NO: }? d
DATE: /c7y7
Applicant: MA iie;
Address of Applicant: /p//
1QtO$1 C4 /f,..
Phone Number.: (6/')
Name, address and phone number of person to be contacted (if other than
Applicant):
GENERAL INFORMATION:.
Descripti6n of Project: f 17-
Project Location/Address: 73 p/4
Assessor ParceUNumber:'4&O
-
Zone of Subject Property:
Proposed Use of Site:
List all other applicable applications related to this project:
. . Describe the activity area, including distiguishing natural and man-
made characteristics; also provide precise slope analysis when
appropriate.
H :
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.
I . .
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. . .
If institutional, indicate the major function, estimated employment per
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 appropriate
space. (Discuss all items checked "yes".. Attach additional sheets as
necessary.) .
- YES NO
Could the project significantly change present
'la'nd uses in the vicinity of the activity?
Could the activity affect the use of 'a recreational
area, or,ar'ea 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?
.8) Could the activity significantly affect an
historical or archaeological'site or its settings?.
Could the activity siqnificantly affect the ,
potential use, extraction, or conservation' of a
'natural scarce 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 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?
- 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 developedareas?
-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? S
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 change
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?
(a) Indicate estimated grading to be done in
cubic yards: It eO
(b) Percentage of àltera.n to the present
land form:
(C) Maximum height of cut or fill slopes:
S .
30) Will the activity result in substantial increases S
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 . II. STATEMENT OF NON-SIGNIFICANT ENVIRONMENTAL EFFECTS
If you have answered yes to one or more of the quest ions in Section
I but ,you think the activity will have no significant envirnmenta1
effects, indicate your reasons below:
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_____________________________________________________________
Date Signed 7j/j7
'1 ' •ENINEERIxA
P., C o7 p ENVIRONMENTALIMPACTASSESSMENTFORM -"PART II
(TO BE COMPLETED BY THE PLANNING DEPARTMENT)
CASE NO.P_24
DATE: 3' -7 ,/..7
I. BACKGROUND
APPLICANT:•jAL t4LSo.1_1'ork4 _r k_
ADDRESS AND PHONE NUMBER OF APPLICANT:t E- b*i4
5Ai A
DATE CHECK LIST SUBMITTED: _4 t% 18d1
II. ENVIRONMENTAL IMPACTS
(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, 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?
Any increase in wind or water
erosion of soils, either on or off
the site? •. •
,,_______ _____ _______
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?
n
2.
C.
3.
C.
h.
YES MAYBE NO
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,
moisture or temperature, or any
change in climate, either locally
or regionally?
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?
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-
4.
C.
d.
5...
C.
d.
YES MAYBE .NO
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 S S
agricultural crop?
Animal Life - Will the proposal have
significant results in:
Changes in the diversity of species, . . .. S.,
or numbers of any species of animals
(birds, land animals including reptiles,
fish and shellfish, 'benthic organisms, S
insects or microfauna)?
Reduction of the numbers of any unique, S
rare or endangered species of -animals?
Introduction of new species of animals
into an area, or result in a barrier
to the migration or movement of
animals?
Deterioration to existing fish or
wildlife habitat? .
Noise --Will the proposal significantly . S
increase existing noise levels? .
Light and Glare - Will the proposal sig-
nificantly produce new light or glare?
Land Use - Will the proposal have S S
significant results in the alteration of S
the present or planned land use of an
area?'
-3-
S.
YES MAYBE
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-
tiàn, 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/Circulation - Will the
proposal have significant results in:
Generation of additional vehicular
movement?. .
Effects on existing parking facilit-
ies., or demand for new parking?
C. Impact upon existing transporation
systems? .
d. Alterations to present patterns of
YES MAYBE
14. Public Services - Will the proposal have
a significant effect upon, orhave signif-
icant results in the need for new or
altered governmental services in any of
the following areas:
Fire protection?
Police protection?
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:
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:' '
Power or natural gas?
Communications system's? '
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-
...
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. sit.e 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.
-6-
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.)
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 resource is relatively small,
but where the effect of the total of
those impacts on the environment is
significant.)
Does the project have environmental
effects which will cause, substantial
adverse effects on human beings,
either directly or indireOtly?
III. DISCUSSION OF ENVIRONMENTAL EVALUATION
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DISCUSSION OF ENVIRONMENTAL EVALUATION (Continued)
cm
DETERMINATION (To Be Completed by the Land Use Planning Office)
On the basis of this initial evaluation:
X 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.
I 8 q- V
Date Signature
MITIGATING MEASURES (If Applicable)
cm
VI. APPLICANT CONCURRENCE WITH MITIGATING MEASURES
• THIS IS TO CERTIFY THAT I HAVE REVIEWED THE ABOVE MITIGATING MEASURES
AND CbNCURWITH THE ADDITION OF THESE MEASURES TO THE PROJECT
Date Signature
0
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0