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Home My WebLink AboutPE 2.89.01; LA COSTA ESTATES NORTH LOT 94; Engineering ApplicationApplication for Grading Permito PE Z NO.. CITY OF CARLSBAD ENGINEERING DEPARTMENT 2075 Las. Palmas Drive Validation by Finance 438-3550 Department Building Permit Plan Check No. FOR APPLICANT TO FILL IN Site Address Surety Company Bond No. Legal Description Map No. Surety Address Subdivision Name C, ]_ 4- 04127, Date Filed Rec'd by Owner Phone Cash deposit Rec'd by Date filed 14 $ Owner's Address The following documents are required and shall become a part of the grading permit when they are approved. Plans by Civil Engineer R.C.E. '26175 Pt- SO 4 A"IV - -2dadog Grading plans Specifications Soil report - Geologic Report Address Phone 57jA_R1cJ_— tYC12106 Drainage structures Other Compaction report Soil Engineer R.C.E. Phone AQ g4jm Grading Contr-actor ' Phone SPECIAL CONDITIONS WHICH ARE MADE '" We , I..., A /Wu-, A PART OF THIS PERMIT Address "ZMA4 e-& 1px-v, Authorized hours of operation: 7:00 AM to Sunset, Monday - Friday. Party responsible for ove I supervisi n Haut routes are to be approved by City Engineer. T P / Proposed use o rade site :IA -45 tie F47'"& Adequate provisions shall be made for erosion and siltation Number of cubic yards control. Cut Fill Import Waste All slopes shall be planted per City Code. 6 X5 1 1 1315 Proposed Schedule of Start Finish All fills to be compacted to at least 90% of optimum Operations (dates) 66 P035ime, 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 regulati ng excavating and grading, ' and the provisions and conditions of any permit issued pursuant to Under City Code Sec. 11.06 170 this grading is: 0 REGULAR GRADING - City inspector will make inspections this application. listed below. 0 CONTROLLED GRADING - Private grading engineer shall Signature of Permittee observe work, coordinate tests, make reports. INSPECTION DATE INSP. SIGNATURE Owner or authorized agent //"R 11__/ Initial - site prep. 17/LjUa9_, ENVIRONMENTAL CLEARANCE - Rough - prior to drains Date EIA Log No. By Final - slopes planted Grading permit fee $ Plan check fee $ Compaction reports rec'd. Permit Issued Private engr. cert. rec'd. by Date Copies: White-Office; Green-Building; Permit Expiration Date Yel low- Inspector; Pink-Permittee; Goldenrod- Finance THIS FOflMWHEN PROPERLY VALIDATED ISAPERMITTO DOTHEWORK DESCRIBED THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD PD FEE: $175,00 NO. ENVIRONMENTAL'IMPACT -ASSESSMENT FORM Part I .(TO'Be Completed by'APPLICANT) CASE NO:, DATE: Appl ican.t:, Address of Applicant: 2-.167-4, _54-,, Phone Number: (v//9 3-,3!) 50) Name, address and phone number of person to be contacted (if other,thzn Applicant): GENERAL INFORMATION: Description of Project: Cle F4M't& 'ko0LIte-'-- Project .Loc,ation/Addr6s.s -. Assessor Parcel Number: Zone of.Subject Prooerty:- Proposed Use of Site: List all other applicable applications relatled to this'~roject: tZ2,a 12 IC -T6!)0Q I. ENVIRONMENTAL IMPACT ANALYSIS .Answer the f0llowing,questions by placing.a check in the appropriate space. (Discuss all items checked "yes".. Attach additional sheets as .necessary.) YES NO 1). Could the project significantly change present land uses in the vicinity of theactivity?'' 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 cost housing units in the.city? .modest 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 s'ite or its settings? Could the activity significantly affect the potenti-al 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 activity change existing~features of any of the city's lagoons, bays, or tidelands? Could the activity change'ekisting features of any of the city's beaches? Could the activity result in t-he.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? I YES NO 17) Will the activity require a .variance from established environmental standards.(air, water,. noise, etc.)? 18) will the activity require certification-, authoriza.-Eion 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 th6 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 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 (ele I ctricity,'oil, natural gas-, etc.)? 29) will.there be a significant change to existing land form? Indicate estimated,grading to be done in cubic yards-: 2- Percentage of alteri.tion—Fo—the present land form: q07h Maximum height of cut or fill slopes: 30) Will the activity,res.ult 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?