HomeMy WebLinkAboutRP 99-12; Army & Navy Academy Modular Classrooms; Redevelopment Permits (RP) (4)INSTRUCTION SHFFT FOR FILI TNfi niiT
ENVIRONMFNTAL IMPACT A.SSESSMENT FORM - PART T
This Environmental Impact Assessment (EIA) Form - Part I will be u.Pd tn
determine what type of environmental documentation (ie Environmental Imo.r?
Report, Mitigated Negative Declaration, Negative Declaration or Exe^^^^^^^^
be required to be prepared for vour annliratinn novTZuI r i 2 ."^^^f^Ppon) will
Quality Act (CEQA^ a^d Tit7e^'ro7c^'rl^s"a' ? 'M cVpa^
accuracy of the information you provide is criticTfor purposes o^^^
determining the specific environmental purposes of purposes
effects of your project. quickly
Recent judicial decisions have held that a "naked checklist" that is a chprkli.t
thatis merely checked "yes" or "no", is insuffic ent to comolv with
requirements of the California Environmental Quality Act Each •'ves
answer "'^Th ^ ^cco^Panied by a written explanation justifying the '^s
answer. This is especially important when a Negative Declaration is nPinn
w?lf e f r'sUff lo'crV'r '''' ea" eV'\'nd "qu ck " will be tor staff to complete the Environmental Impact Assessment Form - Part
the
or "no"
or "no"
IS being
CASE NO
DATE:
ENVIRONMENTAL IMPACT ASSESSMENT FORM - PART I
(To be Completed by APPLICANT)
A-lW'^eOA^^,^-!- Q fO //•
App^icant: Q V iliVl
Address of Applicant: ^b0 5~ (2^rL^i^^
Phone Number: (76D ) 7^^-^b^S e^-f. ^
Name, address and phone number of person to be contacted (if other than
Applicant):
GENERAL INFORMATION: (Please be specific)
Project Description: finn<j)o\ar j6.^<rrNn<V\_S
Project Location/Address: 5i(gOS Qxri^hijA £)/jrJ . 9y^Ocy>>
Assessor Parcel Number: <Slo3> - QV / - 07^
General Plan/Zone of Subject Property: /_
Local Facilities Management Zone:
Is the site within Carlsbad's Coastal Zone?
Please describe the area surrounding the site to the
North: ^S/c^tJ'/^ East: ^t^^/-(LIIJ
South: ^\c)f<Af West: (K>mef<^y<J ^ r^^^^L
List all other applicable permits & approvals related to this project
(Please be Specific.^ttach Additional Pages or Exhi0<:, jf necessarv)
Please describe the project site, including distinguishing natural and
manmade characteristics. Also provide precise slope analysis when a slope
of 15' or higher and 15% grade or greater is present on the site.
Please describe energy conservation measures incorporated into the desiqn
and/or operation of the project.
3. PLEASE ATTACH A PROJECT SUMMARY SHEET WHICH SHOWS THE FOLLOWING:
a. If a residential project identify the number of units, type of units,
schedule of unit sizes, range of sale prices or rents, and type of
household size expected, average daily traffic generation (latest SANDAG
rates).
b. If a commercial project, indicate the exact type, activity(ies),
square footage of sales area, average daily traffic generation
(latest SANDAG rates), parking provided, and loading facilities.
c. If an industrial project, indicate the exact type or industry(ies),
average daily traffic generation (latest SANDAG rates), estimated
employment per shift, time of shifts, and loading facilities.
If an institutional project, indicate the major project/site
function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the
project.
I. ENVIRONMENTAL IMPACT ANALYSIS
Please Answer each of the following questions by placing a check in the
appropriate space. Then, fully discuss and explain why each-item was
checked yes or no. Provide supporting data if applicable. Attach
additional sheets as necessary.
YES NO
1) Could the project significantly impact or change
present or future land uses in the vicinity of the
activity? >C
EXPLANATION:
2) Could the activity affect the use of a recreational
area, or area of aesthetic value? /x
EXPLANATION:
3) Could the activity affect the functioning of an .
established community or neighborhood?
EXPLANATION:
4) Could the activity result in the displacement of
community residents?
EXPLANATION:
_ YES NO
5) Could the activity increase the number of low and
moderate cost housing units in the city? /^
EXPLANATION:
6) Could the activity significantly affect existing
housing or create a demand for additional housing?
EXPLANATION:
7) 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? /V
EXPLANATION;
8) Could the activity significantly affect an
historical or archaeological site or its settings?
EXPLANATION
9) Could the activity significantly affect the
potential use, extraction, or conservation of a
scarce natural resource?
EXPLANATION:
YES NO
10) Could the activity significantly affect fish,
wildlife or plant resources?
EXPLANATION:
11) Are there any rare or endangered plant or animal
species in the activity area?
EXPLANATION:
12) Could the activity change existing features of any
of the city's stream, lagoons, bays, tidelands
or beaches?
EXPLANATION:
13) Could the activity result in the erosion or elimin-uuuiu LIIC auLiviuy rc:>uit iii LIIC C(U:>IUII ur ci iiiiiii- x
ation of agricultural lands?
EXPLANATION:
14) Could the activity serve to encourage development
of presently undeveloped areas or intensify develop-
ment of already developed areas?
EXPLANATION:
YES NO
15) Will the activity require a variance from estab-
lished environmental standards (air, water, noise, ,
etc.)? y
EXPLANATION:
16) Is the activity carried out as part of a larger \
project or series of projects? y^
EXPLANATION: "Tevuvfi W^cy^JcU^ Ttp
17) Will the activity require certification, authoriza-
tion or issuance of a permit by any local, state
or federal environmental control agency?
EXPLANATION: "T^NA^ V^oric)^^^^ ^ ^iQJr^i^A
19) Will the activity involve the application, use, or
disposal of potentially hazardous materials?
EXPLANATION:
18) Will the activity require issuance of a variance or ^
conditional use permit by the City? 7^
EXPLANATION: bo>l(^ivw^ ^^ji^vT
«^ YES NO
volve construction of facilities 20) Will the activityThvolve construction of facilities
in a flood plain? Ky
"7^
EXPLANATION:
21) Will the activity involve construction of facilities \^
in the area of an active fault? X
EXPLANATION:
22) Could the activity result in the generation of
significant amounts of dust?
EXPLANATION:
23) Will the activity involve the burning of brush
trees, or other materials?
EXPLANATION:
24) 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.)
EXPLANATION:
YES NO
25) Will the project substantially increase fuel
consumption (electricity, oil, natural gas, etc.)? ?^
EXPLANATION: A OxvO\ Us^tok
25) Will the activity involve construction of facilities
on a slope of 25 percent or greater?
EXPLANATION:
27) Will there be a significant change to existing
land form?
(a) Indicate estimated grading to be done in
cubic yards: .
(b) Percentage of alteration to the present
land form: .
(c) Maximum height of cut or fill slopes:
EXPLANATION:
28) Will the activity result in substantial increases '\y\
in the use of utilities, sewers, drains or streets?
EXPLANATION:
29) Will the project significantly increase wind or
water erosion of soils?
YES NO
EXPLANATION:
30) Could the project significantly affect existing
fish or wildlife habitat?
EXPLANATION:
31) Will the project significantly produce new light ..^^
or glare?
EXPLANATION:
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II. STATEMENT OF NOl^GNIFICANT ENVIRONMENTAL EFFFC
If you have answered yes to any of the questions in Section I but think
the activity will have no significant environmental effects, indicate your
reasons below:
III. COMMENTS OR ELABORATIONS TO ANY OF THE QUESTIONS IN SECTION I
(If additional space is needed for answering any questions, attach
additional sheets asjjeeded.)
Signature
Completing Report)
Date Signed 7-//-f^^
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