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HomeMy WebLinkAboutPE 2.9.42; LA COSTA SOUTH UNIT 1 LOT 4; Engineering ApplicationPERMIT NO 24Z q • IW::7 •pll Cat ion for Grading Permit (letter code + number) V CITYOF CARLSBAD . L=Iot PUBLIC WORKS & BUIlDING DEPARTMENT S=subdivision - 1200 Elm Avënue C=City contract. * J729-I 1 8I. "nv 1 r AI FOR APPLICANT TO FILL IN Site Address . 4I2. !LA 2crA&. - Surety Bond Bond No. J• Legal Description Map No. Surety Company - LT 4 ,'44 C0111. - Subdivision Name L I A '(Yfh4 I Surety Address • )w -. -' Phone .. Uk 't) LLfZ.. (714) 2-ZZ Date Filed Rec'd by Owner's Address - Cash deposit Rec'd. by Date filed 440 TAU Ad9A EA44,: $ ,f)a1 - 'lans by4-u-i:-JL,yIrn -. The following documents are required and shal 14I_L%f1S I 2J4bcv7'.442.APL1Ib. become a part of the grading permit when they --are approved. :Grading plan's _Specifications Soil report.. -: Vicinity map Address Phone 13..3-'4q 22-4 VJE-ST E's-r. fl12I Soil Engineer . R.C.E. Pho;e - miC. 10, 33Z. (10,') ($I - Drainage structures etaining walls Compaction report Other ;rading Contractor Phone LL'TtO 7 LT1L E-. ddress - Check if supervised SPECIAL CONDITIONS WHICH ARE MADE grading . R OF THI PERT1 'arly responsible for overal) suervisio. L yyLL.xZ-. Iv, ~hoAsooperation: l. Authoriz 7:00 AM to 'roposed Use of rade site 5:00 PM, Monday-Friday. Su44Lf I2*_S.. Haul routes are. to be approvedby City Number of cubic yards I -- Engineer. Cut Fill Impo - rt Waste - Adequate provisions shall be made for erosion and siltation control. 6co .51 o 135,5 All slopes-shall be -planted per direction of Parks & Recreation Director. Tota l - : Compacted fills or no) - -• Proposed Schedule f Sjar) -. Finis,h Operations.(dates) IZJi'2_/11 - I hereby acknowledge that I have read the applica- INSPECTION DATE INSPECTOR'S tion and state that-the-.information I have provided is correct and agree to comply with all City . SIGNATURE Ground preparatiorf ordinances and State laws regulating excavating and grading, and the provisions and onditions of any — Rough grading permit issued-pursuant to this application. . -- - Compaction report rec'd. , lcdl Signature of Per!mittee v4-1<_/1'- \ - Tianting & drainage Owner-or authorized agent_________________________ . Final certifi cation rec d. Grading permit -fee $ Workcompleted - - Surety bond released - Permit Validation - by __ Date /(-2--77 ., • 1 Permit Expiration Date _-_3 _77 THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DOTHE.WORK DESCRIBED • - THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD E:I.S. "Log No,.- 1 CITY OF CARLSBAD ( ENVIRONMENTAL PROTECTION ORDINANCE OF'1972 DECLARATION OF NEGATIVE (NON-SIGNIFICANT) ENVIRONMENTAL EFFECT - APPLICANT Lee Miller - 440 Tavara Place, San Diego, Calif. 92106 - TYPE OF APPLICATION -: BuilidngPeit PERMIT AND/OR FILE NO. 77-607 THE ENVIRONMENTAL IMPACT ASSESSMENT HAS BEEN RECEIVED FOR: PROJECT DESCRIPTION Grading for single family residence PROJECT LOCATION Map 6117 - LaCosta South No. 'l - Lot 4 City of Carlsbad ..I declare that I have examined the information for the above project as submitted.by th.e applicant, and on the basis'of the Environmental lmpact Assessment questionnaire on file in my office as a public document, it is my determination that this project will not have any significant impact upon the environment within the meaning of the California Environmental Quality Act of 1970 and the Environmental Protection Ordinance of 19 for the following reasons: The proposed construction will occur in an urbanized area. The project is a minor one and will have no significant impact on the environmeñt •' 0 The Environmental Impact Assessment will be available for public review and comment for five working days after date of publication, 111977. DATED: 11877 Rev.. 3/16/77 FORM 'PLANNING 42