Loading...
HomeMy WebLinkAboutRP 10-05; Clearwire Wireless; Redevelopment Permits (RP) (3)ENVIRONMENTAL INFORMATION FORM (To be Completed by Applicant) Date Filed: (To be completed by City) Ai^lication Number(s): ; General Infonnation 1. Name of project: CA- iOT^ ^i^X^f. CtgAi*. LAiafiZggy &^ €W> CARi^g^P >/i \^ 2. Name of developer or project sponstM-: LgftA ii^xfLP^^.^ iA=C Address: MHOO Ll\iL\UCAA PT.^ t^>2..aA>jO^ City, State, Zip Code: Phone Number: lUA ) ^^-(Xi^^ 3. Name of pCTSon to be cOTtacted conceming tilis jMxyect: ^^kt<c. r^<3.4<'A-i>l'!ifc>A Address: f^va^Z«art,r»» tt ^T. IX 5 City, State, Zip Code: C^rU.sfe^ArO , CA. 'iZr^d,*^ Phone Number: Lj^L^tJ ^\i>H 4. Address of Projecf ^i>f> CAOi^vUrr^ \AU>«V*4C D£l\.\/C Assessor's Parcel Number: 'Xo3 -^^nZ-^'Z.^ 5. List and describe any other related permits and other public approvals required for this project, including tiiose required by city, regional, state and federal agracies: 6. Existing General Plan Land Use Designation: 7. Existing zoning district: 8. Existing land use(s): . 9. Proposed use of site (Project for which tilis form is filed): \^[Xje.l^^ TgZ^C^yayvil k^jLXCa»tV>>J6 Project Description 10. Site size: IDO^.g. Lj-Tfr/ig fiCfrA 11. Proposed Building square footage: 12: Number of floors of construction: 13. Amount of off-street parking provided: 14. Associated projects: 15. If residential, include the number of units and schedule of unit sizes: 16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities: 17. If industrial, indicate type, estimated employment per shift, and loading facilities: 18. If institutional, indicate the major function, estimated employment per shi^ estimated occupancy, loading facilities, and community benefits to be derived from the project: 19. If the project involves a variance, conditional use or rezoning applications, state this and indicate clearly why the application isrequired: Are tite foUowing items applicable to the project or its effects? Discuss all items checked yes (attach additional sheets as necessary). Yes No 20. Change in existing features of any bays, tidelands, beaches, or hills, or []] 0^ substantial alteration of ground contours. 21. Change in scenic views or vistas from existing residential areas or public Q 0f lands or roads. 22. Change in pattem, scale or character of general area of project. Q 0' 23. Significant amounts of solid waste or litter. Q ^ 24. Change in dust, ash, smoke, fumes or odors in vicinity. Q 0^ 25. Change in ocean, bay, lake, stream or ground water quality or quantity, or Q H/K alteration of existing drainage pattems. 26. Substantial change in existing noise or vibration levels in the vicinity. Q [Tf 26. Site on filled land or on slope of 10 percent or more. Q 28. Use or disposal of potentially hazardous materials, such as toxic Q H/f substances, flammables or explosives. 29. Substantial change in demand for municipal services (police, fire, water, Q pf^ sewage, etc.). Yes No 30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, []]] etc.). 31. Relationship to a larger project or series of projects. 0 Environmental Setting Attach sheets that include a response to the following questions: 32. Describe the project site as it exists before the project, including information on topogr^hy, soil stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing structures on the site, and the use of the stmctures. Attach photographs of the site. Snapshots or Polaroid photos will be accepted. 33. Descrit>e the surrounding properties, including information on plants and animals and any cultural, historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.), intensity of land use (one-fiEunily, apartment houses, shops, department stores, etc.), and scale of development (height, frontage, set-back, rear yard, etc.). Attach photographs of the vicinity. Snapshots or polaroid photos will be accepted. Certification I hereby certify that the statements fumished above and in the attached exhibits present the data and information required for this initial evaluation to the best of my ability, and that the facts, statements, and information presented are trae and correct to the best of my knowledge and belief. Date: j-lP^ \C> Signature: ^1>A^X/./\AA^^v^^6^l4vV( For: (AlKp^ (>^iiy^%>hiy APPENDIX A STORM WATER STANDARDS QUESTIONNAIRE I INSTRUCTIONS: This questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision and land use planning approvals and construction permits). The results of the questionnaire determine the level of storm water pollution prevention standards applied to a proposed development or redevelopment project. Many aspects of project site design are dependent upon the storm water pollution protection standards applied to a project. Applicant responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. A staff determination that the development application is subject to more stringent storm vy^ter standards, than Initially assessed by the applicant, will result in the return of the development application as incomplete. If applicants are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, they are advised to seek assistance from Engineering Department Development Services staff. A separate completed and signed questionnaire must be submitted for each new development application submission. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. In addition to this questionnaire, applicants for construction permits must also complete, sign and submit a Construction Activity Storm Water Standards Questionnaire. To address pollutants that may be generated from new development, the City requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMPs) into the project design, which are described in Chapter 2 ofthe City's Storm Water Standards Manual This questionnaire shoukJ be used to categorize new development and significant redevelopment projects as priority or non-priority, to determine what level of storm water standards are required or ifthe project is exempt. 1. Is your project a significant redevelopment? Definition: Significant redevelopment is defined as the creation, addition or replacement of at least 5,000 square feet of impervious surface on an already existing developed site. Significant redevelopment includes, but is not limited to: the expansion of a building footprint; addition to or replacement of a structure; structural development Including an increase in gross Hoor area and/or exterior construction remodeling: replacement of an impen/ious surface that is not part of a routine maintenance activity; and land disturbing activities related with structural or impervious surfaces. Replacement of impervious surfaces includes any activity that is not part of a routine maintenance activity where impervious material(s) are removed, exposing underlying soil during construction. Note: Ifthe Significant Redevelopment results in an increase of less than fifty percent ofthe impervious surfaces of a previously existing development, and the existing development v/as not subject to SUSMP requirements, the numeric sizing criteria discussed in Table 3 of 2.3.3.4 applies only to the addition, and not to the entire development. 2. If your project IS considered significant redevelopment, then please skip Section 1 and proceed with Section 2. 3. If your project IS NOT considered significant redevelopment, then please proceed to Section 1. 21 SWMP Rev 6/4/08 SECTION 1 NEW DEVELOPMENT PRIORITY PROJECT TYPE Does you project meet one or more of the following criteria: YES NO 1. Home subdivision of 100 units or more. Includes SFD, MFD, Condominium and Apartments y 2. Residential development of 10 units or more. Includes SFD, MFD, Condominium and Apartmente y 3. Commercial and industrial development areater than 100.000 sauare feet inciudina parkina areas. Any development on private land that is not for heavy industrial or residential uses. Example: Hospitals, Hotels, Recreational Facilities, Shopping Malls, etc. 4. Heaw Industrial /Industn/ areater than 1 acre (NEED SIC CODES FOR PERMIT BUSINESS TYPES^ SIC codes 5013, 5014, 5541, 7532-7534, and 7536-7539 y 5. Automotive repair shop. SIC codes 5013, 5014, 5541, 7532-7534, and 7536-7539 y 6. A New Restaurant where the land area of development is 5.000 sauare feet or more inciudina paridnq areas. SIC code 5812 y 7. Hillside development (1) greater than 5,000 square feet of impervious surface area and (2) development will grade on any natural slope that is 25% or greater y 8. Environmentallv Sensitive Area (ESA). Impervious surface of 2,500 square feet or more located within, "directly adjacenf^ to (within 200 feet), or "discharging directiy to"^ receiving water within the ESA^ / 9. Paridna lot Area of 5,000 square feet or more, or with 15 or more parking spaces, and potentially exposed to urban runoff y 10. Retail Gasoline Outlets - servlna more than 100 vehicles per dav Serving more than 100 vehicles per day and greater than 5,000 square feet y 11. Streets, roads, drivewavs. hiahwavs. and freewavs. Project would create a new paved surface that is 5,000 square feet or greater. y 12. Coaxal Development Zone. Within 200 feet of the Pacific Ocean and (1) creates more than 2500 square feet of impenneable surface or (2) increases impermeable surface on property by more than 10%. / 1 Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biologk^l Significance by the State Water Resources Control Board (VN^ter Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and Count of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. 2 "Directiy adjacent" means situated within 200 feet ofthe environmentally sensitive area. 3 "Discharging directiy to" means outflow from a drainage conveyance system that is composed entirely of flows from the subject development or redevelopment site, and not commingled with flow from adjacent lands. Section 1 Results: If you answered YES to ANY of the questions above you have a PRIORITY project and PRIORITY project requirements DO apply. A Stonn Water Management Plan, prepared in accordance with City Storm VNfeter Standards, must be submitted at time of application. Please check tiie "MEETS PRIORITY REQUIREMENTS" box in Section 3. If you answered NO to ALL of tiie questions above, then you are a NON-PRIORJTY project and STANDARD requirements apply. Please check tiie "DOES NOT MEET PRIORITY Requirements" box in Section 3. SWMP Rev 6/4/08 SECTION 2 SIGNIFICANT REDEVELOPWENT: YES NO 1. Is the project redeveloping an existing priority project type? (Priority projects are defined in Section 1) If you answered YES, please proceed to question 2. If you answered NO, tiien you ARE NOT a significant redevelopment and you ARE NOT subject to PRIORITY project requirements, only STANDARD requirements. Please check tiie "DOES NOT MEET PRIORITY Requirements" box in Section 3 below. 2. Is the project solely limited to one of the following: a. Trenching and resurfacing associated with utility work? b. Resurfacing and reconfiguring existing surface parking lots? c. New sidewalk construction, pedestrian ramps, or bike lane on public and/or private existing roads? d. Replacement of existing damaged pavement? If you answered NO to ALL of the questions, then proceed to Question 3. If you answered YES to ONE OR MORE of tfie questions tiien you ARE NOT a significant redevelopment and you ARE NOT subject to PRIORITY project requirements, only STANDARD requirements. Rease check tiie "DOES NOT MEET PRIORITY Requirements' box in Section 3 below. 3. Will tiie developnwnt create, replace, ©r add at least 5,000 square feet of impervious surfaces on an existing development or, be located within 200 feet of the Pacific Ocean and (l)create more tiian 2500 square feet of impermeable surface or (2) increases impermeable surface on property by more tiian 10%? If you answered YES, you ARE a significant redevelopment, and you ARE subject to PRIORITY project requirements. Please check tiie "MEETS PRIORITY REQUIREMENTS" box in Section 3 below. If you answered NO, you ARE NOT a significant redevelopment, and you ARE NOT subject to PRIORITY project requirements, oniy STANDARD requirements. Please check the "DOES NOT MEET PRIORITY Requirements" box in Section 3 below. SECTION 3 Questioiwaire Resutts: • y MY PROJECT MEETS PRIORITY REQUIREMENTS, MUST COMPLY WITH PRIORITY PROJECT STANDARDS AND MUST PREPARE A STORM WATER MANAGEMENT PLAN FOR SUBMITTAL AT TIME OF APPLICATION. MY PROJECT DOES NOT MEET PRIORITY REQUIREMENTS AND MUST ONLY COMPLY WITH STANDARD STORM WATER REQUIREMENTS. Applicant Infomiation and Signature Box 77»ir Bca Jbr City Use Onfy Address: Assessors Parcel Number(s): Applicant Name: Applicant Title: Applicant Signature: I\MAAC lWAy<»-,*^»WV<--, Date: City Concurrence: By Project ID: SWMP Rev 6/4/08