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HomeMy WebLinkAbout2009-06-03; Planning Commission; ; CUP 08-19 - BRESSI RANCH ASSISTED LIVINGThe City of Carlsbad Planning Department A REPORT TO THE PLANNING COMMISSION Item No.1 P.C. AGENDA OF: June 3, 2009 Application complete date: December 5, 2008 Project Planner: Christer Westman Project Engineer: Clyde Wickham SUBJECT: CUP 08-19 - BRESS1 RANCH ASSISTED LIVING - Request for a determination that the project is within the scope of the previously certified Bressi Ranch Master Plan Final Program Environmental Impact Report and that the Program EIR adequately describes the action for the purposes of CEQA, and approval of a Conditional Use Permit (CUP 08-19) to develop a professional care facility with 50 rooms and 82 beds with common dining and recreation rooms on a previously graded 2.5-acre property located in Planning Area 15 of the Bressi Ranch Master Plan north of Paradise Road, south of Town Garden Road, east of Cottage Drive, and west of Nygaard Street in Local Facilities Management Zone 17. I.RECOMMENDATION That the Planning Commission ADOPT Planning Commission Resolution No. 6567 APPROVING Conditional Use Permit (CUP 08-19) based on the findings and subject to the conditions contained therein. II. INTRODUCTION The proposed project is a Conditional Use Permit to construct a new professional care facility in Planning Area 15 of the Bressi Ranch Master Plan. Unique to the Bressi Ranch Master Plan, a professional care facility with up to 200 units can be located in mixed-use Planning Area 15. Per the Master Plan, approval for this type of facility (commercial living unit) is regulated by the Local Shopping Center General Plan and Zoning designations and requires approval of a Conditional Use Permit. As proposed, the facility includes 50 rooms that will accommodate 82 beds, common recreation and dining rooms, and passive outdoor recreation gardens. Residents are required to pay a monthly service fee for a menu of continuing care services. The project is designed in conformance with the development standards of the Local Shopping Center Zone and the Bressi Ranch Master Plan. III. PROJECT DESCRIPTION AND BACKGROUND The project site is located in the mixed-use Planning Area 15 of the Bressi Ranch Master Plan. The Bressi Ranch Master Plan identified that a professional care facility with up to 200 units could be developed in Planning Area 15. The proposed facility is a single, one-story building with a basement service area. The building is designed with north and south wings which CUP 08-19 - BRESSI RANCH ASSISTED LIVING June 3, 2009 Page 2 include 50 rooms that will accommodate 82 beds. A full spectrum of continuing care services will be provided to residents such as medical assistance, transportation, meals, wellness programs, and social programs. The architectural style is Spanish and materials include red tile roofs, off-white stucco walls, exposed rafter tails, window grids, window headers and ledges, and wrought iron detailing. The central kitchen portion of the building is located over a basement service area which creates a "two-story" elevation on the west side of the building. The height of the exposed two-story wall (maximum 26 feet) is broken by the use of contrasting colors between the upper and lower portions of the wall. There are passive recreation areas enclosed by fencing located between the north and south wings of the building. These passive areas are designed with walking paths, benches, and landscaping. The primary access to the site is from Nygaard Street located on the east side of the project. Six visitor parking spaces are provided at grade in front of the administration office on this side of the building. The balance of the required project parking (33 spaces) is located in a parking lot located on the west side of the property and is accessed from Cottage Drive. The basement service area is also accessed from Cottage Drive. The parking lot and service entry/loading area is screened from Cottage Drive to the greatest extent possible through the use of landscaping, small retaining walls, and berms running parallel to Cottage Drive. The site is vacant and was previously graded as part of the mass grading operations for the initial subdivision of Bressi Ranch. The highest point of the property is at the northeast corner at an elevation of 397 feet above mean sea level (MSL). The property slopes down to the west, southwest, and south. The lowest point of the property is at the southwest corner at an elevation of 378 feet above MSL. There is a 19 foot difference in elevation from the highest to the lowest point on the site. Since the site slopes from the northeast corner down to the southwest corner, the project grading includes cutting earth from the higher elevation of the site and filling in the lower elevation. The result is a large pad area that is relatively flat so as to accommodate free movement across the site by seniors with limited mobility. There is a lower pad area to accommodate the parking lot on the west side of the building. The Master Plan approved two locations for access to the site. One located mid-block along Cottage Drive and the other mid- block on Nygaard Street. Some retaining walls along the perimeter of the site are necessary to achieve the desired grades. There is a six foot high retaining wall at the northeast corner of the site exposed inwardly to the project as well as four foot high retaining walls at the parking area access from Cottage Drive which provides landscape screening of the parking area from Cottage Drive. The site has been used for various staging operations and has therefore been left without vegetation or improvements. The site is surrounded on all four sides by streets. Town Garden Road is on the north, Paradise Road is on the south, Nygaard Street is on the east, and Cottage Drive is on the west. The property to the north is developed as multi-family residential, the properties to the west and south are developed as single-family residential with alley access and the property to the east is the Bressi Ranch Village Square. CUP 08-19 - BRESSI RANCH ASSISTED LIVING June 3, 2009 Page3 IV. ANALYSIS The proposed project is subject to the following plans, ordinances, standards, and policies: A. General Plan; B. Bressi Ranch Master Plan, MP 178; C. Local Shopping Center Zone (C.M.C. 21.31); D. Parking Ordinance, (C.M.C. 21.44); E. Airport Land Use Compatibility Plan for McClellan-Palomar Airport; and F. Growth Management Ordinance (C.M.C. 21.90). The recommendation for approval of this project was developed by analyzing the project's consistency with the applicable regulations and policies. The project's compliance with each of the above regulations is discussed in the sections below. A. General Plan The project site is located within Planning Area 15 of the Bressi Ranch Master Plan. All of Planning Area 15 has a combination General Plan Land Use designation of RH (Residential High Density), L (Local Shopping Center), and CF (Community Facilities). Planning Area 15 is unique in that it is designated with the intent that a mixture of retail, commercial and residential uses would be present. The Bressi Ranch Master Plan specifies that a professional care facility is an anticipated use within Planning Area 15. The project complies with elements of the General Plan as outlined in Table 1 below. TABLE 1 GENERAL PLAN COMPLIANCE ELEMENT Land Use USE, CLASSIFICATION, GOAL, OBJECTIVE, OR PROGRAM Residential Policy C.10: Encourage a variety of residential accommodations and amenities in commercial areas to increase the advantages of "close in" living. CONSISTENCY Although not a "residential" project, the residents of the facility will be living near commercial services which make those services easily accessible. COMPLY? YES CUP 08-19 - BRESSI RANCH ASSISTED LIVING June 3, 2009 Page 4 .... TABLE 1 CONTINUED GENERAL PLAN COMPLIANCE ELEMENT Housing Circulation Open Space & Conservation Noise USE, CLASSIFICATION, GOAL, OBJECTIVE, OR PROGRAM Objective 3.4 (Senior/Elderly) Provide additional housing for seniors of different income groups and physical and mental status. Require new development to dedicate and improve all roadways, utilities, and drainage facilities. Minimize environmental impacts to sensitive resources within the City Implement BMPs to avoid degradation of water quality. Residential interior noise standard of 45 dBA CNEL and exterior noise standard of 60 dBA CNEL. CONSISTENCY The project will provide 50 rooms for seniors with assistance needs. All public facilities including curb, gutter and sidewalk exist along the property frontages on Nygaard Street, Cottage Drive, Paradise Road and Town Garden Road. The project will not result in any environmental impacts to the existing previously graded site. The project is conditioned to prepare and implement a Storm Water Pollution Prevention Plan (SWPPP) that will ensure BMPs are constructed. The project is conditioned to mitigate interior noise levels to 45 dBA CNEL. COMPLY? YES YES YES YES The Bressi Ranch Master Plan identifies that a professional care facility with up to 200 units could be developed in Planning Area 15. The Bressi Ranch Master Plan was found to comply with the applicable General Plan goals, objectives and policies. The project is in conformance with the Master Plan and therefore is also in compliance with the General Plan. CUP 08-19 - BRESSI RANCH ASSISTED LIVING June 3, 2009 PageS B. Bressi Ranch Master Plan (MP 178) The Bressi Ranch Master Plan states that unless specified otherwise, commercial development in Planning Area 15 of the Bressi Ranch Master Plan shall comply with the corresponding regulations and development standards of the Local Shopping Center (C-L) Zone (C.M.C. 21.31) and Parking Ordinance (C.M.C. 21.44). In addition, general design guidelines were established for the development of the Bressi Ranch mixed use Planning Area 15. The following Table 2 illustrates the Bressi Ranch Master Plan Planning Area 15 Development Standards and Design Guidelines and the project's compliance with those standards and guidelines. TABLE 2 Bressi Ranch Planning Area 15 Development Standards Standard Required Provided setbacks None required 5 feet to 80 feet Bressi Ranch Planning Area 15 General Design Guidelines Guideline Design buildings with the intent of preserving land area for pedestrians. Adequate building separation to provide a sense of place. Enhance the Village Center vision of safe, convenient, and interesting pedestrian places. Promote quality of life. Orient windows and entries toward the street in order to create "eye on the street". Provide street trees to visually define and organize the Village Center. Provide sidewalks/trails on both sides of the street. Provided Approximately 42% of the site is landscaped. Garden areas are accessible by residents. The building is situated on the site such that each wing is separated by a landscape area accessible to residents. The overall Village Center and Town Square have been constructed with walkways and plazas to which this project has access. The project provides a quality environment for those seniors in need of assistance for daily living. The exterior walls of the building , include windows toward the street. Because of the secure nature of the facility, residents will not be allowed to exit the building directly from doors or balconies. The project will provide street trees and other street improvements consistent with the themes established by the existing developed portions of the Village Center. The project will provide sidewalks and other street improvements consistent with the existing developed portions of the Village Center. Compliance YES YES YES YES YES YES YES CUP 08-19 - BRESSI RANCH ASSISTED LIVING June 3,2009 PaRe 6 TABLE 2 CONTINUED Bressi Ranch Planning Area 15 General Design Guidelines Continued Guideline Orient buildings toward the Village Square. Provide street parking and traffic calming where appropriate. Appropriate pedestrian scale lighting and furniture will help set the character of the Village Center. Screen parking with short walls and landscape where appropriate. Provided The main entrance of the facility faces the Village Square. The overall Bressi Ranch Master Plan has been constructed with traffic calming measures as well as street parking. The Village Center has been constructed with lighting and furniture in key locations. Lighting onsite will be of the same scale as the Village Center. The parking area on the west side of the site is screened from Cottage Drive by landscape, berms, and short walls. Compliance YES YES YES YES Bressi Ranch Planning Area 15 Housing Design Guidelines Primary entry facing and accessible from the street. Buffer parking from the street with landscape. The main entrance of the facility faces the Village Square. The parking area on the west side of the site is screened from Cottage Drive by landscape, berms, and short walls. Landscape is also provided on the Nygaard Street frontage. YES YES The project has implemented these guidelines to the greatest extent possible including building orientation, open space, pedestrian scale, and amenities to make the space inviting for residents; orientation of buildings with windows toward the street or onsite active pedestrian areas; primary building entry orientation toward the Village Square; and parking on both sides of the street. Other site design elements include enhanced paving at site entries, low building massing, varying building planes, and the use of architectural elements such as stone veneer, a variety of paint colors, contrasting window frames and glass, and wrought iron accents. C. Local Shopping Center Zone (L-C) Professional Care facilities are defined in Section 21.04.093 of the Carlsbad Municipal Code as commercial living units. The Bressi Ranch Master Plan specifies that all commercial projects in Planning Area 15 shall be subject to the development standards of the Local Shopping Center Zone. The following Table 3 illustrates the development standards applicable to the site and the project's compliance with those standards. CUP 08-19 - BRESSI RANCH ASSISTED LIVING June 3, 2009 Page? TABLE 3 Local Shopping Center Zone Development Standards Standard Building Height Building Levels Yards Landscaping Walls and Fences Lighting Roof Appurtenances Trash Enclosures Required 35 feet maximum 3 levels maximum Yard requirements apply only to the periphery of a Local Shopping Center. Provide pursuant to the Carlsbad Landscape Manual and Parking Ordinance. Walls and or fences are required to separate retail uses from residential neighborhoods. Walkway, building and parking lot lighting shall be provided. Roof appurtenances shall be screened. Trash shall be enclosed by six-foot-high masonry walls. Provided 27 feet maximum The service area qualifies as a basement and is not defined as a "level". The project is therefore one level. N/A 42% of the site is landscaped. The conceptual landscape plan is consistent with the Carlsbad Landscape Manual and includes approximately 1 2% of the parking areas where as only 3% is required. N/A Lighting is provided for the building, parking lots and walkways. A lighting plan shall be reviewed and approved by the Planning Director prior to the issuance of a building permit that illustrates how the lighting will be shielded so as not to adversely impact adjoining residential uses. Roof equipment is limited to the flat roof over the dining area and will be screened by the surrounding mansard roofs. The project includes a trash enclosure consistent with the City standard. Compliance YES YES N/A YES N/A YES YES YES CUP 08-19 - BRESSI RANCH ASSISTED LIVING June 3, 2009 Page 8 TABLE 3 CONTINUED Local Shopping Center Zone Development Standards Standard Loading Areas and Docks Parking Employee Eating Areas Signs Recycling Facilities Required Loading areas and docks shall be screened. Parking shall be provided consistent with the Parking Ordinance. Employee eating area requirements apply only to Local Shopping Centers. Signs are subject to the Sign Ordinance. Recycling facility requirements apply only to Local Shopping Centers. Provided The project loading area is located on the west side and is screened to the greatest extent feasible by the wall, berm, and landscape located along the Cottage Drive frontage. See discussion in Section D. below. N/A Signs are not included in the project proposal. Project signs will be reviewed and are subject to the approval of a Sign Permit. N/A Compliance YES YES N/A YES N/A D. Parking Ordinance (C.M.C. Chapter 21.44) Onsite parking for professional care facilities is required at a ratio of 0.45 parking spaces per every bed. Based on 82 beds, the minimum parking requirement (ratio of .45 spaces per bed) is 37 onsite parking spaces. The project has been designed with 39 parking spaces. There are 33 spaces provided in the parking area accessed off of Cottage Drive and 6 are provided at the project main entry accessed off of Nygaard Street. E. Airport Land Use Compatibility Plan for McClellan-Palomar Airport The project is consistent with the Bressi Ranch Master Plan and therefore is also consistent with the Airport Land Use Compatibility Plan for McClellan-Palomar Airport. The San Diego Regional Airport Authority Airport Land Use Commission previously reviewed the Bressi Ranch Master Plan for consistency with the Airport Land Use Compatibility Plan for McClellan- Palomar Airport (ALUCP) and found it to be consistent. Subsequent projects consistent with the Master Plan are therefore not required to be reviewed by the Airport Land Use Commission for ALUCP consistency. More specifically, the project site is located 3,700 feet southeast of the McClellan-Palomar Airport. It is not within the current boundaries of the Airport Influence Area (AIA) or the Flight CUP 08-19 - BRESSI RANCH ASSISTED LIVING June 3, 2009 Page 9 Activity Zone (FAZ). The AIA is generally the area in which current and future airport-related noise, overflight, safety and/or airspace protection factors may affect land uses or necessitate restrictions on use. The FAZ identifies properties that in addition to the considerations of the AIA should be held free of intensive development. The project site is also outside of the plotted airport noise contours in the ALUCP. Therefore, noise attenuation and land use compatibility with the airport is not an issue. The site is located within the future "Extended Approach/Departure Zone" and identified as a Zone C in the Interim Draft of the future updated Airport Land Use Compatibility Plan for McClellan-Palomar Airport. Incompatible uses in Zone C include children's schools, day care centers, libraries, hospitals, and nursing homes. The proposed project is not categorized as any of the prohibited uses and is therefore consistent with the existing and most recently proposed ALUCP for McClellan-Palomar Airport. F. Growth Management Ordinance The proposed project is located within Local Facilities Management Zone 17 in the southeast quadrant of the City. The proposal is a commercial project and that is reflected in the Local Facilities Impacts Analysis. The impacts on public facilities created by the project and its compliance with the adopted performance standards are summarized in Table 4 below. TABLE 4 Growth Management Compliance STANDARD City Administration Library Waste Water Treatment Parks Drainage Circulation Fire Open Space Schools Sewer Collection System Water IMPACTS N/A N/A 19EDU N/A 24.8 cfs (Basin 17B) 125 ADT Station Nos. 2 and 5 N/A N/A 19EDU 4,180GPD COMPLIANCE Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes V. ENVIRONMENTAL REVIEW The proposed project has been reviewed pursuant to the California Environmental Quality Act (CEQA). Staff concluded that no potentially significant impacts would result with the implementation of the project that were not previously examined and evaluated in the Final Program Environmental Impact Report for the Bressi Ranch Master Plan MP 178 (EIR 98-04), dated July 9, 2002. EIR 98-04 evaluates the potential environmental effects of the development and operation of the "Bressi Ranch Master Plan" including analysis of traffic circulation, water quality and compliance with SB 221 and SB 610 regarding water availability, biological resources, and land use and associated actions inclusive of the proposed planning area project reviewed here. CUP 08-19 - BRESSI RANCH ASSISTED LIVING June 3, 2009 Page 10 The City Council certified EIR 98-04 on July 9, 2002. At that time CEQA Findings of Fact, a Statement of Overriding Considerations, and a Mitigation Monitoring and Reporting Program were approved. All mitigation measures contained in the adopted Mitigation Monitoring and Reporting Program from EIR 98-04 applicable to the proposed planning area projects have been completed and incorporated into the project design or are required as conditions of approval for the project. The EIR 98-04 "Findings of Fact and Statement of Overriding Considerations" applies to all subsequent projects covered by the Bressi Ranch Master Plan Final Program EIR. The proposed activities would have no effects beyond those analyzed in the program EIR, as they are a part of the program analyzed earlier. This project is within the scope of Final Program EIR 98-04 and no further CEQA compliance is required. EIR 98-04 is available at the Planning Department. ATTACHMENTS: 1. Planning Commission Resolution No. 6567 (CUP) 2. Location Map 3. Background Data Sheet 4. Local Facilities Impacts Assessment Form 5. Disclosure Statement 6. Reduced Exhibits 7. Full Size Exhibits "A" - "L" dated June 3, 2009 NOT TO SCALE SITEMAP Bressi Ranch Assisted Living CUP 08-19 BACKGROUND DATA SHEET CASE NO:CUP 08-19 CASE NAME: BRESSI RANCH ASSISTED LIVING APPLICANT: Health Care Group. LLC REQUEST AND LOCATION: Construction of a professional care facility with 50 rooms and 82 beds, basement service area, and common dining and recreation rooms on a previously graded 2.5-acre property north of Paradise Road, south of Town Garden Road, east of Cottage Drive, and west of Nygaard Street in Local Facilities Management Zone 17. LEGAL DESCRIPTION: Lot 2 of Carlsbad Tract CT 03-03, in the City of Carlsbad, County of San Diego, State of California, according to map thereof No. 14800 on file in the Office of the County Recorder of San Diego County, May 21, 2004 APN: 213-190-02-00 Acres: 2.5 Proposed No. of Lots/Units: 50 room professional care facility GENERAL PLAN AND ZONING Existing Land Use Designation: RH/L/CF Proposed Land Use Designation: N/A Density Allowed: N/A Density Proposed: N/A Existing Zone: RD-M/C-L/C-F Proposed Zone: N/A Surrounding Zoning, General Plan and Land Use: Zoning General Plan Site North South East West RD-M/C-L/C-F RD-M/C-L/C-F RD-M RD-M/C-L/C-F RD-M RH/L/CF RH/L/CF RMH RH/L/CF RMH Current Land Use Vacant Multi-Family Single Family Village Square Single Family LOCAL COASTAL PROGRAM Coastal Zone: I I Yes CX] No Local Coastal Program Segment: N/A Within Appeal Jurisdiction: | | Yes IXI No Coastal Development Permit: I I Yes Local Coastal Program Amendment: | | Yes 1X1 No No Existing LCP Land Use Designation: N/A Existing LCP Zone: N/A Proposed LCP Land Use Designation: N/A Proposed LCP Zone: N/A Revised 01/06 PUBLIC FACILITIES School District: Carlsbad Water District: Carlsbad Sewer District: Carlsbad Equivalent Dwelling Units (Sewer Capacity): 19 ENVIRONMENTAL IMPACT ASSESSMENT Categorical Exemption, [~] Negative Declaration, issued Certified Environmental Impact Report, dated July 9, 2002 (EIR 98-04) Other, _ Revised 01/06 CITY OF CARLSBAD GROWTH MANAGEMENT PROGRAM LOCAL FACILITIES IMPACTS ASSESSMENT FORM PROJECT IDENTITY AND IMPACT ASSESSMENT: FILE NAME AND NO: Bressi Ranch Assisted Living LOCAL FACILITY MANAGEMENT ZONE: 17 GENERAL PLAN: RH/L/CF ZONING: RD-M/C-L/C-F DEVELOPER'S NAME: Health Care Group, LLC ADDRESS: 9619 Chesapeake Dr. Suite 103 San Diego CA 92123 PHONE NO.: 858-565-4424 ASSESSOR'S PARCEL NO.: 213-190-02-00 QUANTITY OF LAND USE/DEVELOPMENT (AC., SQ. FT., DU): 2.5 a.c./39.319 sq.ft. A. City Administrative Facilities: B. Library: C. Wastewater Treatment Capacity D. Park: E. Drainage: F. Circulation: G. Fire: H. Open Space: I. Schools: J. Sewer: K. Water: L. Demand in Square Footage = N/A Demands in EDU Identify Sub Basin = Demand in GPD = N/A Demand in Square Footage = N/A 19 EDU Demand in Acreage = Demand in CFS = Identify Drainage Basin = Demand in ADT= 125 7.34 (Basin 17B) D Served by Fire Station No. = 2 and 5 Acreage Provided =N/A N/A 19 17 a 4,180 The project is not a residential project and therefore does not have a density impact under the Local Facilities Management Plan for Zone 17. City of Carlsbad Planning Department DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of application submittal. Your project cannot be reviewed until this information is completed. Please print. Note: Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county, city municipality, district or other political subdivision or any other group or combination acting as a unit." Agents may sign this document; however, the legal name and entity of the applicant and property owner must be provided below. 1. APPLICANT (Not the applicant's agent) Provide the COMPLETE. LEGAL names and addresses of ALL persons having a financial interest in the application. If the applicant includes a corporation or partnership, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE' (N/A) IN THE SPACE BELOW. If a publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person See Attached Title Corp/Part Health Care Group, Inc. Title Applicant Address Address 9619 Chesapeake Dr., Ste #103 San Diego, CA 92123 OWNER (Not the owner's agent) Provide the COMPLETE. LEGAL names and addresses of ALL persons having any ownership interest in the property involved. Also, provide the nature of the legal ownership (i.e. partnership, tenants in common, non-profit, corporation, etc.). If the ownership includes a corporation or partnership, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Title Address CorP/Part Bressi Holding, LLC Title Owner Address 9619 Chesapeake Dr., Ste. #103 San Diego. CA 92123 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 » www.ci.carlsbad.ca.us 3.NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the names and addresses of ANY person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the. Non Profit/Trust N/A Non Profit/Trust N/A Title Title Address Address Have you had more than $500 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? No If yes, please indicate person(s):_ NOTE: Attach additional sheets if necessary. certify that all the above information is true and correct to the best of my knowledge. Signature of owner/dat Bressi Holding, LLC Print or type name of owner By: Daniel K. Moriarty, President Signature of applicant/' Health CAre Group, Inc. Print or type name of applicant By: Daniel K. Moriarty, Vice President, Development Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 12/06 Page 2 of 2 Health Care Group Principals William M. Chance B. Renee Barnard Frank Virgadamo D. 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