HomeMy WebLinkAboutRP 10-23; Bank of America; Redevelopment Permits (RP) (2)^ EIA INFORMATION Development Services
%'t FORM Planning Department
^ CITY OF 1635 Faraday Avenue
ADI ^RAP) ' y > (760)602 4610
m0>i%.w\tmm'*J%Ji\im.y www.cadsbaclca.gov
INSTRUCTION SHEET FOR COMPLETING AN
ENVIRONMENTAL IMPACT ASSESSMENT
INFORMATiON FORM
This Environmental Information Form will be used to assist staff in determining what type of
environmental documentation (i.e.. Environmental Impact Report, Mitigated Negative
Declaration, Negative Declaration or Exemption) will be required to be prepared for your
application, per the California Environmental Quality Act (CEQA) and Title 19 of Carlsbad's
Municipal Code. The clarity and accuracy of the information you provide is critical for purposes
of quickly determining the specific environmental effects of your project.
Any environmental studies (i.e., biological, cultural resource, traffic, noise) that are
necessary to substantiate a "no impact" or "yes impact" determination should be
submitted as an attachment to this Environmental Information Form. This is especially
important when a Negative Declaration is being sought. The more information provided in this
form, the easier and quicker it will be for staff to complete the Environmental Impact
Assessment Form - Initial Study.
P-1(D) Pagel of 4 Revised 04/09
ENVIRONMENTAL INFORMATION FORM
(To be Completed by Applicant)
Date Filed: ^Z/VN^ 2ft>fO (To be completed by City)
Application Number(s):
General Information
1 Name of project: dAN/O (^f Zt/mitCfi - rjifUS3M> Olfl^hf MD
2. Name of developer or project sponsor: fj/Ar^
Address:
City, State, Zip Code:
Phone Number:
3. Name of person to be contacted concerning this project: 'KTI/L^B /\/l/Uy02J
Address: 4C>7S MACAMH//Z. Coi/f^. .Ql/fTS SSI?
City, State, Zip Code: N^^l^ BmC^ y Cfi ^24^0
Phone Number: 9^9-
4. Address of Project: ^ CAfUSaAP ViUA^ (^p)\/B^ CAl2ZSB/i>, CA 9Z^2
Assessor's Parcel Number:
5. List and describe any other related permits and other public approvals required for this project,
including those required by city, regional, state and federal agencies:
6. Existing General Plan Land Use Designation:
7. Existing zoning district:
8. Existing land use(s): ^ViLcA(^f^
9. Proposed use of site (Project for which this fomri is filed): /xlO CJi\'A^ \C^J^^
Project Description
10. Site size
11. Proposed Building square footage: M/A
,:_5KZ 12: Number of floors of construction:
13. Amount of off-street parking provided:
14. Associated projects: NlQfvi'^?
M/A
P-1 (D) Page 2 of 4 Revised 04/09
15. If residential, include the number of units and schedule of unit sizes: Af/A
16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage
of sales area, and loading facilifies: ^ /rK
17. If industrial, indicate type, estimated employment per shift, and loading facilities:
18. If institutional, indicate the major function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the project: A0tf
19. If the project involves a variance, conditional use or rezoning applicafions, state this and indicate
clearly why the application is required: A//^
P-1 (D) Page 3 of 4 Revised 04/09
Are the following items applicable to the project or its effects? Discuss all items checked yes (attach
aciditionai sheets as necessary).
Yes No
20. Change in exisfing features of any bays, tidelands, beaches, or hills, or substanfial • ^Z
alteration of ground contours.
21. Change in scenic views or vistas from existing residential areas or public lands or •
roads.
22. Change in pattern, scale or character of general area of project. •
23. Significant amounts of solid waste or litter. •
24. Change in dust, ash, smoke, fumes or odors in vicinity. •
25. Change in ocean, bay, lake, stream or ground water quality or quantity, or •
alteration of existing drainage patterns.
26. Substanfial change in exisfing noise or vibrafion levels in the vicinity. O
27. Site on filled land or on slope of 10 percent or more. •
28. Use of disposal of potentially hazardous materials, such as toxic substances,' • Z
flammables or explosives.
29. Substantial change in demand for municipal services (police, fire, water, sewage, • Z
etc.).
30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.). • Z
31. Relationship to a larger project or series of projects. •
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 topography, soil
stability, plants and animals, and any cultural, historical or scenic aspects. Describe any exisfing
structures on the site, and the use of the structures. Attach photographs of the site. Snapshots
or Polaroid photos will be accepted.
33. Describe 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-family, 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 furnished 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 true and correct to the best of my knowledge and belief.
Date
s/-oe AM^ty^^lt^ (Zu^£!^
P-1 (D) Page 4 of 4 Revised 04/09