HomeMy WebLinkAboutRP 11-18; Army & Navy Academy Addition; Redevelopment Permits (RP) (3)ENVIRONMENTAL INFORMATION FORM
(To be Completed by Appikant)
Date Filed: (To be completed by City)
Application Number(s): _
General Information
1. Name of project: t fixAMlf^ Iho^C^ ftil^^O^J
2. Name of developer or project sponsor: /WlVM^- fisC/C^SH^
Address: • 2.<^o4 (Vl6Ud fell/d^
City, State, Zip Code: ^l^b^ ^ /'A^ ^ ZOCg.
Phone Number:
3. Name of person to be contacted conceming this project:
Address: &0>c 104-1 '
City, State, Zip Code:
Phone Number: 7<bO 72.<q ^>^6^
4. Address of Project: (^9kl^ ^ C^\^\>^
Assessor's Parcel Number: "g? - -0(p
5. List and describe any other related pennits and other public approvals required for this project, including those required by
city, regional, state and federal agencies:
K]DtO>P
6. Existing General Plan Land Use Designation:
7. Existing zoning district:
8. Existing land use(s): V\c?04f'\ ^^^C/Ksol
9. Proposed use of site (Project for which this form is filed): B^iC^^X Uo^-^*^ beA^QPirv^^
Project Description
10. Site size:
11. Proposed Building square footage: A^<^ 'ivO
12: Number of floors of construction:
13. Amount of off-street parking provided:
14. Associated projects: M 1^
15. If residential, include the number of units and schedule of unit sizes:
f^
^oWvl ^^^^ ^ ^
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 shift, 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 y/hy the application is
required:
Are the following 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 Q
substantial alteration of ground contours.
21. Change in scenic views or vistas from existing residential areas or public
lands or roads.
22. Change in pattem, scale or character of general area of project. Q ^
23. Significant amounts of solid waste or litter. Q ^
24. Change in dust, ash, smoke, fumes or odors in vicinity. Q
25. Change in ocean, bay, lake, stream or ground water quality or quantity, or j I iXl
alteration of existing drainage pattems.
26. Substantial change in existing noise or vibration levels in the vicinity. Q |3
26. Site on filled land or on slope of 10 percent or more. Q [3»
28. Use or disposal of potentially hazardous materials, such as toxic substances,
flammables or explosives.
29. Substantial change in demand for municipal services (police, fire, water, Q fs^
sewage, etc.).
t No
30. Substantially increase fossil ftiel consumption (electricity, oil, natural gas, Q 0"
etc.).
31. Relationship to a larger project or series of projects. Q ^
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 existing stmctures 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 ai^ 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 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 infonnation presented are tme and correct to the best of my
knowledge and belief
Date: W ^ ^ Signature:
For: lAJQf^
^ CITY OF
CARLSBAD
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
SECTION 2 SIGNIFICANT REDEVELOPMENT
Complete the questions below regarding your redevelopment project: YES NO
1. Project results in the disturbance of more than 1-acre or more of land and is considered a Pollutant-generating
Development Project (see definition in Section 1).
If you answered NO, please proceed to question 2.
If you answered YES, then you ARE a significant redevelopment and you ARE subject to PRIORITY DEVELOPMENT PROJECT
requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below.
2. Is the project redeveloping an existing priority project type? (Priority projects are defined in Section 1)
If you answered YES, please proceed to question 3.
If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER
REQUIREMENTS. Please check the "does not meet PDP requirements" box in Section 3 below.
3. Is the proiect solelv limited to just one of the followinq:
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?
|f you answered NO to ALL of the questions, then proceed to question 4.
dif you answered YES to ANY of the questions then you ARE NOT a significant redevelopment and your project is subject to Standard
^Stormwater Requirements. Please check the "does not meet PDP requirements" box in Section 3 below.
4. Will your redevelopment project create, replace, or add at least 5,000 square feet of impervious surfaces on an existing
ir^-i development or, be located within 200 feet of the Pacific Ocean and (1)create more than 2500 square feet of
impermeable surface or (2) increases impermeable surface on the property by more than 10%?
iJf you answered YES, you ARE a significant redevelopment, and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements.
'j;|?lease check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below.
',i.ff you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER
;i|?EQUIREMENTS. Please check the "does not meet PDP requirements" box in Section 3 below.
SECTION 3
Questionnaire Results:
Q My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria
per the SUSMP and must prepare a Storm Water Management Plan for submittal at time of application.
^ My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the
SUSMP.
Applicant Information and Signature Box This Box for City Use Only
Address: ^ Assessor's Parcel Number(s):
Applicant Name: > » A Applicant Title:
Applipant Sigriature: | ^ Date: .
City Concurrence: YES NO
By:
Project ID:
E-34 Page 3 of 3 REV 4/30/10
CITY OF
CARLSBAD
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
SECTION 1 NEW DEVELOPMENT
PRIORITY PROJECT TYPE
Does you project meet one or more of the following criteria: YES NO
1. Housinp subdivisions of 10 or more dwellinp units.
condominium and apartments
Examples: single family homes, multi-family homes,
2. Commercial - greater than 1-acre. Any development other than heavy industry or residential. Examples: hospitals;
laboratories and other medical facilities; educational institutions; recreational facilities; municipal facilities; commercial
nurseries; multi-apartment buildings; car wash facilities; mini-malls and other business complexes; shopping malls;
hotels; office buildings; public warehouses; automotive dealerships; airfields; and other light industrial facilities.
Heavy Industrial I Industry- greater than 1 acre. Examples: manufacturing plants, food processing plants, metal
working facilities, printing plants, and fleet storage areas (bus, truck, etc.).
4. Automotive repair shop. A facility categorized in any one of Standard Industrial Classification (SIC) codes 5013,
5014, 5541, 7532-7534, and 7536-7539
Restaurants. Any facility that sells prepared foods and drinks for consumption, including stationary lunch counters
and refreshment stands selling prepared foods and drinks for immediate consumption (SIC code 5812), where the
land area for development is greater than 5,000 square feet. Restaurants where land development is less than 5,000
square feet shall meet all SUSMP requirements except for structural treatment BMP and numeric sizing criteria
requirements and hydromodification requirements.
Hillside development Any development that creates 5,000 square feet of impervious surface and is located in an
area with known erosive soil conditions, where the development will grade on any natural slope that is twenty-five
percent (25%) or greater.
7. Environmentally Sensitive Area (ESA)\ All development located within or directly adjacent^ to or discharging
directly^ to an ESA (where discharges from the development or redevelopment will enter receiving waters within the
ESA), which either creates 2,500 square feet of impervious surface on a proposed project site or increases the area
of imperviousness of a proposed project site to 10% or more of its naturally occurring condition.
8. Parking lot Area of 5,000 square feet or more, or with 15 or more parking spaces, and potentially exposed to urban
runoff
9. Streets, roads, highways, and freeways. Any paved surface that is 5,000 square feet or greater used for the
transportation of automobiles, trucks, motorcycles, and other vehicles
10. Reta/7 Gasoline Outlets. Serving more than 100 vehicles per day and greater than 5,000 square feet
11. Coastal Development Zone. Any project located within 200 feet of the Pacific Ocean and (1) creates more than
2500 square feet of impermeable surface or (2) increases impermeable surface on property by more than 10%.
12. More than 1-acre of disturbance. Project results in the disturbance of more than 1-acre or more of land and is
considered a Pollutant-generating Development Project".
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
Biological Significance by the State Water Resources Control Board (Water 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 County of San Diego; and any other equivalent
environmentally sensitive areas which have been identified by the Copermittees.
2 "Directly adjacent" means situated within 200 feet of the Environmentally Sensitive Area.
3 "Discharging directly 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.
4 Pollutant-generating Development Projects are those projects that generate pollutants at levels greater than background levels. In general, these include all projects
that contribute to an exceedance to an impaired water body or which create new impervious surfaces greater than 5000 square feet and/or introduce new landscaping
areas that require routine use of fertilizers and pesticides. In most cases linear pathway projects that are for infrequent vehicle use, such as emergency or maintenance
access, or for pedestrian or bicycle use, are not considered Pollutant-generating Development Projects If they are built with pervious surfaces or If they sheet flow to
surrounding pervious surfaces.
Section 1 Results:
.If you answered YES to ANY of the questions above your project is subject to Priority Development Project requirements. Please check the
"meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3. A Storm Water Management Pian, prepared in accordance wflth City
Storm Water Standards, must be submitted at time of application.
If you answered NO to ALL of the questions above, then your project is subject to Standard Stormwater Requirements. Please check the "does
not meet PDP requirements" box in Section 3.
E-34 Page 2 of 3 REV 4/30/10
CITY OF
CARLSBAD
CHRLSBHDHSG/REBEV. 'il MHY 2b
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
STORM WATER COMPLIANCE CERTIFICATE
^ My project is not in a category of permit types exempt from the Construction
SWPPP requirements
My project is not located inside or within 200 feet of an environmentally
sensitive area with a significant potential for contributing pollutants to nearby
receiving waters by way of storm water runoff or non-storm water
discharge(s).
^ My project does not require a grading plan pursuant to the Carlsbad
Grading Ordinance (Chapter 15.16 ofthe Carlsbad Municipal Code)
My project will not result in 2,500 square feet or more of soils disturbance
including any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas that meets
one or more of the additional following criteria:
• located within 2O0 feet of an environmentally sensitive area or the
Pacific Ocean; and/or,
• disturbed area is located on a slope with a grade at or exceeding 5
horizontal to 1 vertical; and/or
• disturbed area is located along or within 30 feet of a storm drain inlet, an
open drainage channel or watercourse; and/or
• construction will be initiated during the rainy season or will extend into
the rainy season (Oct. 1 through April 30).
I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE
CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING
FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED IN
ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS.
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST
MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES
TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE
MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE
THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED
POLLUTANTS; AND, (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH
THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE
DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE
CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF
CARLSBAD.
OWNEB(S)/OWNER'S AGENT NAME (PRINT)
STORMWATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MATERIALS
SHALL BE AVAILABLE ON SITE TO FACILITATE
RAPID INSTALLATION OF EROSION AND
SEDIMENT CONTROL BMPS WHEN RAIN IS
EMINENT.
2. THE OWNER/CONTRACTOR SHALL RESTORE
ALL EROSION CONTROL DEVICES TO
WORKING ORDER TO THE SATISFACTION OF
THE CITY ENGINEER AFTER EACH RUN-OFF
PRODUCING RAINFALL.
3. THE OWNER/CONTRACTOR SHALL INSTALL
ADDITIONAL EROSION CONTROL MEASURES
AS MAY BE REQUIRED BY THE CITY
ENGINEERING OR BUILDING INSPECTOR DUE
TO UNCOMPLETED GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY
ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL
BE IN PLACE AT THE END OF EACH WORKING
DAY WHEN THE FIVE (5) DAY RAIN
PROBABILITY FORECAST EXCEEDS FORTY
PERCENT (40%). SILT AND OTHER DEBRIS
SHALL BE REMOVED AFTER EACH RAINFALL.
5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE
WITH 3/4 INCH MINIMUM AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT
CONTROL AND PERIMETER PROTECTION BEST
MANAGEMENT PRACTICE MEASURES MUST BE
INSTALLED AND MAINTAINED.
SPECIAL NOTES
PROJECT INFORMATION
Site Address: ^^^^ArfielJl 6S '
Assessor's Parcel Number:
Project ID:
Construction Permit No.:
Estimated Construction Start Date
Project Duration ^ Months
2o\}
icy Contact: . Emergency Contact
Name:
24 hour Phone
Perceived Threat to Stonn Water Quality
CH Medium
S Low
If medium box is checked, must attach a site pian
sheet showing proposed work area and location
of proposed structural BMPs
For City Use Only
CITY OF CARLSBAD
STANDARD TIER 1 SWPPP
Approved By:.
Date:
E-29 Page 1 of 3 REV 4/30/10
Erosion Control
BMPs Sediment Control BMPs
Tracking
Control
BMPs
Non-Storm Water
Management BMPs
Waste Management and Materials
Pollution Control BMPs
Best Management Practice
(BMP) Description -> Geotextiles & Mats Wood Mulching Earth Dikes and Drainage Swales Slope Drains Silt Fence Sediment Trap Check Dam Fiber Rolls Gravel Bag Benn Street Sweeping and Vacuuming Sandbag Barrier Storm Drain Inlet Protection Stabilized Construc:tion Ingress/Egress Stabilized Construction Roadway Water Conservation Practices Paving and Grinding Ooerations Potable Water/lmgation Vehicle and Equipment Cleaning Material Delivery and Storage Material Use Stockpile Management Spill Prevention and r.nnfrn! Solid Waste Management Hazardous Waste Manaoement Concrete Waste Management CASQA Designation •¥
Construction Activity EC-7 EC-8 EC-9 EC-11 1 UJ CO SE-3 T
Ul CO SE-5 SE-6 SE-7 SE-8 SE-10 TR-1 TR-2 NS-1 NS-3 NS-7 NS-8 WM-1 WM-2 WM-3 WM-5 WM-6 WM-8 Grading/Soil Disturbance
Trenching/Excavation >< Stockpiling
Drilling/Boring
Concrete/Asphalt Saw
cutting
Concrete flatwork
Paving
Conduit/Pipe Installation
Stucco/Mortar Woric x x: Waste Disposal
Staging/Lay Down Area
Equipment Maintenance
and Fueling
Hazardous Substance
Use/Storage
Dewatering
Site Access Across Dirt
Other (list):
Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the
blank activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity descrribed, pick one or more best
management practices (BMPs) from the list located along the top of the form. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was
checked off and for each of the selected BMPs selected from the list. For Example - If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt". Then review
the list for something that applies such as "Stabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction
Ingress/Egress" column and place an X in the box where the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is not on
the list of BMPs, then write in "Cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling" row intersects the new "Cover with
Plastic" column.
To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice
measures. The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project.
E-29 Page 2 of 3 REV 4/30/10
Scale of map
Site Map
Features displayed on the map must include:
An outline of the entire property
Location and brief description of construction activity areas (e.g.
grading, building, trenching, fueling areas, waste container area,
wash racl<s, hazardous material storage areas, etc.)
Location and flow direction arrows for existing drainage facilities
(ditches, channels, inlets, storm drains, etc.)
Location of existing storm water BMP controls (sediment basins,
oil/ water separators, sumps, etc.)
Location of proposed storm water BMP controls with brief
description or legend reference
E-29 Page 3 of 3 REV 4/30/10