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HomeMy WebLinkAboutRP 99-16; Blue Moon Psychics; Redevelopment Permits (RP) (3)INSTRUCTION SHEET FOR FILLING OUT ENVIRONHENTAL IMPACT ASSESSMENT FORM - PART I This Environmental Impact Assessment (EIA) Form - Part I will be used to determine 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. Recent judicial decisions have held that a "naked checklist", that is a checklist that is merely checked "yes" or "no", is insufficient to comply with the requirements of the California Environmental Quality Act. Each "yes" or "no" answer must be accompanied by a written explanation justifying the "yes" or "no" answer. 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 - Part II. CASE N^ DATE: ENVIRONMENTAL IMPACT ASSESSMENT FQRM - PART I (To be Completed by APPLICANT) // Applicant: Address of Applicant: fse^rdA ^ (7/1 'I Phone Number: ) Name, address and phone number of person to be contacted (if other than Applicant): GENERAL INFORMATION: (Please be specific) Project Description: PvOsaV5>t<b<NCi\ \cv>(\.^ . ^/HJA ^Bfim^ Project Location/Address: - O^Tkit^s^mt) ^ CA Assessor Parcel Number: 1,05 - - OS 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: East: South: : \v\^V)s\vCcJ West: vRcuVo<i^"TrOxV-S List all other applicable permits & approvals related to this project: (Please be Specif-^P Attach Additional Paqes _or_E)I^P[)its, if necessary) 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 design 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. d. 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. 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? EXPLANATION: 2) Could the activity affect the use of a recreational area, or area of aesthetic value? 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: 5) Could the activity increase the number of low and moderate cost housing units in the city? EXPLANATION: _____ YES NO 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? 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- 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.)? EXPLANATION: 16) Is the activity carried out as part of a larger project or series of projects? EXPLANATION: 17) Will the activity require certification, authoriza- tion or issuance of a permit by any local, state or federal environmental control agency? EXPLANATION: 18) Will the activity require issuance of a variance or conditional use permit by the City? EXPLANATION: 19) Will the activity involve the application, use, or disposal of potentially hazardous materials? EXPLANATION: f w YES NO involve construction of facilities in a flood plain? EXPLANATION: 21) Will the activity involve construction of facilities in the area of an active fault? 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: 26) 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 in the use of utilities, sewers, drains or streets? EXPLANATION: YES NO 29) Will the project significantly increase wind or water erosion of soils? EXPLANATION: 30) Could the project significantly affect existing fish or wildlife habitat? EXPLANATION: 31) Will the project significantly produce new light or glare? EXPLANATION: 10 II. STATEMENT Ml Ili^ 11 IIIFICANT ENVIRONMFNTAL EFFEd^| 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 as needed.) Signature Date Signed 11