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Home My WebLink AboutPDP 00-02B; DESALINATION PROJECT CHANGES; Precise Development Plan (PDP)• • CITY OF CARLSBAD LAND USE REVIEW APPLICA TtON 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) (FOR (FOR OEPARTME~ DEPARTMENT USE ONLY USE ONLY\ □ Administrative Permit □ Planned Industrial Permit □ Admlnislralive Variance □ Planning Commission Detennination □ Coastal Development Permit ~ Precise Development Plan C,N>._,:,-Ol,_ □ Condillonal Use Permit IZI Redevelopment Permit l'-f' O'.::> ·,'2-( □ Condominium Permit □ Site Development Plan □ Environmental Impact Assessment □ Special Use Permit □ General Plan Amendment 0 Specific Plan ~P \ '\~( T) □ □ +eAtaliYe PaFeal Map HIiiside Development Permit Obtain from Engineering Departmenl □ Local Coastal Program Amendment □ Tentative Tract Map □ Master Plan □ Variance □ Minor Conditional Use Permit □ Zone Change □ Non-Residential Planned Development G-List other applications not specified DA 05 -.:,i IZI Planned Development Permit 2) ASSESSOR PARCEL NO(S).: 210-010-41 and a portion 0(210-01043 3) PROJECT NAME: PDP Amendment and Desalination Plant Reconfiguration. 4l BRIEF DESCRIPTION OF PROJECT: Amendment to PDP 00-0~~. SP 144,re-':RP 05-12(A), DA 05-01(A) 5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Prinl or Type) Cabrillo Power I LLC Poseidon Resources, Peter MacLaggan MAILING ADDRESS MAILING ADDRESS 4600 Carlsbad Boulevard 501 W. Broadway, Suite 2020 CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE Carlsbad, Ca 92008 760.710.2147 San Diego, Ca 92101 760.595. 7802 EMAIL ADDRESS: EMAIL ADDRESS: I Ce:F..TIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE oF" f~IE~ INFORMATION JS TRUE AND CORRECT TO THE BEST OF MY OWNER ANO THAT ALL THE ABOVE INFORMATION IS TRUE ANO KNOWLEDGE. CORRECT TO THE BEST OF MY KNOWLEDGE. ~-e.: s\('4lA:l-b(..ee A-n~e,v,- SIGNATURE DATE SIGNATURE DATE 7) BRIEF LEGAL DESCRIPTION Portion of Parcel 4 per certificate of compliance recorded Oct. 30, 2001, and as shown on record of survev no. 17350. in Iha Cttv of Carlsbad. Countv of II NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED; MUST BE SUBMITTED PRIOR TO 3:30 P,M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO "4:00 P.M, Form 14 Rev. 03/06 PAGE 1 OF 5 • • 8) LOCATION OF PROJECT: 4600 Carlsbad Boulevard STREET ADDRESS ON THE jWEST I SIDE OF 1-5 C:..::----1NA""M_E,..,o"',""'s"'TR'"'E"'ET),---.J (NORTH, SOUTH. EAST' wEsn BETWEEN !CANNON RD I AND IP:AbQtC.OR AIRPORT RB TAM~'~:T) {NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS 13) TYPE OF SUBDIVISION 16) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE 19) GROSS SITE ACREAGE 22) EXISTING ZONING ~11) IN/A 114) IN/A 117) 020) NUMBEROFEXISTING ~ 12) PROPOSEDNUMBER /NIA I RESIDENTIAL UNITS f..'.:'.'.:__j OF RESIDENTIAL UNITS PROPOSED IND OFFICE/ r;;;:-7 15) PROPOSED COMM I NIA I SQUARE FOOTAGE ~ SQUARE FOOTAGE PROPOSED INCREASE r;;;:-7 18) PROPOSEDSEWER IN/A I IN ADT I'"" I USAGE IN EDU EXISTING GENERAL PLAN ~ 21) PROPOSEDGENERAL ~ c_j PLAN DESIGNATION C'.....J §] 23) PROPOSED ZONING r;;;-;-7 24) HABITAT IMPACTS c_j IF YES, ASSIGN HMP # 25) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE ?nor 0,cra~""4-w:\scryu,,c:f -Su StfsN/>rT'U~~ Arr1eH1-tcr~ SIGNATURE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE TOTAL FEE REQUIRED Form 14 Rev. 03/06 FEE REQUIRED DATE STAMP APPLICATION RECEIVED RECEIVED BY: PAGE 2 OF 5 -----------------~ • • SIGNATURE ATTACHMENT Poseidon Resources ("Poseidon") applicant, has requested Cabrillo Power I, LLC ("Cabrillo") sign the Application required by the City of Carlsbad to undertake limited modifications to certain approvals for the purpose of modifying the site plan/footprint of Poseidon's desalination facility. Cabrillo is the fee landowner of Poseidon's proposed leasehold parcel and is signing the application as an accommodation to Poseidon and on the following terms and conditions: I. By signing the application, Cabrillo is not authorizing any of the permits, approvals or actions to be re-opened for any modification other than for the purpose of the proposed modification of the site plan/footprint of the desalination facility. 2. By signing the application, Cabrillo is not consenting, directly or indirectly, in advance to any new or revised conditions, exactions or other changes to the underlying permits and approvals affecting Cabrillo directly or indirectly. 3. As the desalination site is within a secure area associated with the Encina Power Generating Station, it will be necessary to contact the undersigned in advance of any ."inspection or entry" on Cabrillo's property per Section 25 of the Application. Please note, use the contact information and address set forth below for all communications. Thank you. CABRILLO POWER I, LLC Phone: (1.Lo) 7/0-~14 ,, ' • • CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1J APPLICATIONS APPLIED FOR: (CHECK BOXES) ., (FOR (FOR OEPARTM~T DEPARTMENT USEONL USEONLYI □ Administrative Permit □ Planned Industrial Permit □ Administrative Variance □ Planning Commission Determination □ Coastal Development Permit Iii Precise Development Plan f'7f' oo-og{j) □ Conditional Use Permit Iii Redevelopment Permit ~ Ol;-f"2.(A~ □ Condominium Permit □ Site Development Plan □ Environmental Impact Assessment □ Special Use Permit □ General Plan Amendment 0 Specific Plan ~l+l(J) □ □ leAtati•,e Pareel Map Hillside Development Permit Obtain from Eng!.-ng Depat1ment □ Local Coastal Program Amendment □ Tentative Tract Map □ Master Plan □ Variance □ Minor Conditional Use Permit □ Zone Change □ Non-Residential Planned Development [{] List other applications not specified 0A 0'}-0\(A) ~ Planned Development Permit ASSESSOR PARCEL NO(S).: 210-010-41 and a portion of 210-01043 PROJECT NAME: PDP Amendment and Desalination Plant Reconfiguration. 2) 3) 4) BRIEF DESCRIPTION OF PROJECT: Amendment to PDP 00-02(A), SP 144(1), RP 05-12(A), DA 05-01 (A) 5) OWNER NAME (Print or Type) Cabrillo Power I LLC MAILING ADDRESS 4600 Carlsbad Boulevard CITY AND STATE Carlsbad, Ca EMAIL ADDRESS: ZIP 92008 6) APPLICANT NAME (Print or Type) Poseidon Resources, Peter Maclaggan MAILING ADDRESS 501 W. Broadway, Suite 2020 TELEPHONE CITY AND STATE 760.710.2147 San Diego, Ca EMAIL ADDRESS: ZIP 92101 TELEPHONE 760.595.7802 I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE 7) BRIEF LEGAL DESCRIPTION DATE Portion of Parcel 4 per certificate of compliance recorded Oct. 30, 2001, and as shown on record of survev no. 17350. in the Citv of Carlsbad. Countv of D NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M. Form 14 Rev. 03/06 C'E_ v {JO o er o PAGE 1 OF 5 ---------------------------' • • 8)' LOCATION OF PROJEC_T_, ___ -4:6_0~0~C~a~r_l_s_b:a_d~_B:o_u_1e_v_a_rd _ ___,==-=====-----------i STREET ADDRESS • ON THE IWEST I SIDE OF 1-5 (NORTH, SOUTH, EAST, WEST) BETWEEN icANNON RD I (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE ~-&~-- 10) PROPOSED NUMBER OF LOTS EJ11) NUMBER OF EXISTING RESIDENTIAL UNITS '--------------' (NAME OF STREETI AND I PALOMAR AIRPORT RD (NAME OF STREET) EJ 12) PROPOSED NUMBER OF RESIDENTIAL UNITS IN/A I 13) TYPE OF SUBDIVISION IN/A 114) PROPOSED IND OFFICE/ EJ 15) PROPOSED COMM IN/A I SQUARE FOOTAGE SQUARE FOOTAGE 16) PERCENTAGE OF PROPOSED IN/A 117) PROPOSED INCREASE Fl 18) PROPOSEDSEWER IN/A I PROJECT IN OPEN SPACE INADT USAGE IN EDU 19) GROSS SITE ACREAGE 020) EXISTING GENERAL ~ 21) PROPOSED GENERAL EJ PLAN PLAN DESIGNATION 22) EXISTING ZONING E]23) PROPOSED ZONING ~ 24) HABITAT IMPACTS 8 IF YES, ASSIGN HMP # 25) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO T Y F R THIS PURPOSE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE TOTAL FEE REQUIRED Form 14 Rev. 03/06 FEE REQUIRED RECEIVED JUL 1 7 2009 CITY OF CARLSBAD PLANNING DEPT DATE STAMP APPLICATION RECEIVED RECEIVED BY: PAGE 2 OF 5 ·•· • • CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits (FOR DEPT. USE ONLY) (FOR DEPT. USE ONLY) □ Environmental Impact Assessment □ Variance D Administrative □ Administrative Permit Leglslatlve □ Coastal Development Permtt (d) □ General Plan Amendment D Minor □ Conditional Use Permit (d) □ Zone Change (d) D Minor D Extension □ Condominium Pennit □ Local Coastal Program Amendment (d) [a-"" Habitat Managemen= D Minor ,u.wt.S1) "1-'\ r nijo9A □ Zone Code Amendment □ Hillside Development Permit (d) □ Master Plan D Amendment □ Planned Development Permit □ Specific Plan D Amendment D Non-Residential □ Planned Industrial Permit List other appllcatlons not specified □ Planning Commission Determination 0 !&If t endmont (Pria36t) □ Stte Development Plan □ □ Special Use Permit □ □ Tentative Tract Map □ 2) ASSESSOR PARCEL NO(S).: 210-010-41 and portion of 210-010-43 3) PROJECT NAME: Desalination Plant Reconfiguration 4) BRIEF DESCRIPTION OF PROJECT: HMP Amendment (HMPP 05-08 (A)) to accompany permits PDP 00-02(B)/SP 144(J)/RP 05-12(A)/DA 05-0l(A) 5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type) Cabrillo Power I LLC Poseidon Resources, Peter MacLaggan MAILING ADDRESS MAILING ADDRESS 4600 Carlsbad Boulevard 501 W. Broadway, Suite 2020 CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE Carlsbad CA 760-710-2147 San Diego CA 760-595-7802 EMAIL ADDRESS: EMAIL ADDRESS: I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER INFORMA TJON IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ~~ ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO Se6 S14-,J#,Tl,ff.E A~~ T BE TOFMYf IOWL~GE. ~ • ~ II' 0 ~ OJ SIGNATURE DATE SIGNATURE D w- NOTE: A PROPOSED PROJECT Rl!QUIRNG MULTIPLE APPLICATIONS R FILl!D, IIUST 81! SUBMITTED PRIOR TO 3:30 P.11. A PltOPOSED PROJECT Rl!QUIRING ONLY ON! APPUCA110N BE FLED, MUST Bl! SUBMITTED PRIOR TO •:00 P.M. (d) • ellglble for 25% discount: Form 14 Rev. 01/09 PAGE 1 OF 4 • • 7) BRIEF LEGAL DESCRIPTION Portion of Parcel 4 per certificate of compliance recorded Oct. 30, 2001, and as shown on record of survey No. 17350 8) LOCATION OF PROJECT: 4600 Carlsbad Boulevard STREET ADDRESS ON THE I west I SIDE OF I-5 (NORTH, SOUTH, EAST, WEST) BETWEEN I Cannon Road (NAME OF STREET) (NAME OF STREET) AND IL_~Pa~l~e~m~-•~A~•~!'~•~•~~~R~•~•~d:.___J (NAME OF ST.R~ET) 'j.\N\AliACIC'.. INf. · 9) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE. 10) NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST. $E'G 'i'l 4tJA-nt ~ A_ TT'7<-u+iM'fvr -fkio/J. ,4-M~ ,eet;u,,1£eD. PROPERTY OWNER SIGNATURE FOR CITY USE ONLY Form 14 Rev. 01/09 JUL 3 0 2009 CITY OF CARLSBAD PLANNING DEPT DATE STAMP APPLICATION RECEIVED RECEIVED BY: 1 00/6lrz PAGE2 OF 4 • • • SIGNATURE ATTACHMENT Poseidon Resources ("Poseidon") applicant, has requested Cabrillo Power I, LLC ("Cabrillo") sign the Application required by the City of Carlsbad to undertake limited modifications to certain approvals for the purpose of modifying the site plan/footprint of Poseidon's desalination facility. Cabrillo is the l"ce landowner of Poseidon's proposed leasehold parcel and is signing the application as an accommodation to Poseidon and on the following terms and conditions: I. By signing the application, Cabrillo is not authorizing any of the pennits, approvals or actions to be re-opened for any modification other than for the purpose o.f the proposed modification of the site plan/footprint of the desalination facility. 2. By signing the application, Cabrillo is not consenting, directly or indirectly, in advance to any new or revised conditions, exactions or other changes to the underlying pennits and approvals affecting Cabrillo directly or indirectly. 3. As the desalination site is within a secure area associated with the Encina Power Generating Station, it will be necessary to contact the undersigned in advance of any. "inspection or entry" on Cabrillo's property per Section 25 of the Application. Please note, use the contact information and address set forth below for all communications. Thank you. Dated: J IA '-'f 3' 't, ?.OI>"'/ Name: --1J2u~:,_;~,.,.1p~L.,,L.,.o,..'fµDi,_ __ Title: ~ Address: t6L1 4fr,;,µ la/,£ II-to+ C/htujJAD, CA--,;w~,: Phone: '7J() , 7Lt) -,-,'f Z • • City of Carlsbad 1061,1,1 ■,;. ■•14·1 :J; I, ,IJ ,I I HAZARDOUS \\'ASTE AND SUBSTA!"CES STATE:\IE~·T Consultanon Of Lists of Sites Related To Hazardous Wastes /Cenification of Compliance with Go\'emment Code Sectton 0596~.5, Pursuant to State oiCalifomia Go\'emment Code Section 65962.5, I ha\'e consulted the H:i.::ardoc,s \\'astes and Substances Sites List compiled by the California Environmental Protection A.gene,· anc hereby cenify that 1check one): iK] The development project and any a.ltematives proposed in this application are not contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. 0 The development project and any alternatives proposed in this application m contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT Xame: Poseidon Resources, Peter MacLaggan Address: 501 W. Broadway, Suite 2020 San Diego, Ca 92101 Phon~ Number: 760.595.7802 ------------- PROPERTY OWNER Name: Cabrillo Power I LLC Address:4600 CaMsbad Boulevard Carlsbad, Ca 92008 Phone Number: 760.710.2147 ------------- dd fs. 4600 CARLSBAD BOULEVARD A ress o ne: _______________________________ _ L I A (C . d C ) CARLSBAD/COUNTY OF SAN DIEGO oca gcncy 1ty an ounty : _________________________ _ Assessor's book, page, and parcel number:....::2.c..10::...·.:.0.c..10::...-4...,.;_1..;.& .... 2_1 .... 0_-0_1_0_-4_3 _____________ _ Specify hst(s): _______________________________ _ Regulatory Identification Number: _________________________ _ Date ofList:July 16, 2009 Property Owner Signature/Date 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-B559 @ • • --v City of Carlsbad 14F ■,■,■1,1·1 .. J4•Fiii,,i§,II DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the art of the Ci Council or an a inted 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, furn, co-partnership, joint venture, association, social d11b, fraternal organization, c:oiporation, 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• Aflents may sign this document; however, the legal name 1111d entity of the applicant and property owner must be provided below. I. APPLICANT (Not the applicant's agent) Provide the COMPLETE, LEGAL names and addresses of AU, 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 TiiAN 10% OF THE SHARES, PLEASE INDICATE NON- APPLICABLE (N/A) IN THE SPACE BELOW If a publjcly-owned comoratjon include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) (,.. Person Peter M11el119911~ JJJ-t .PA:\-7P,'i/lff:,orp/Part Poseidon Resources lJ_<:_ ~e T' ~--------------Address. __________ _ 2. OWNER (Not the owner's agent) Address 501 W. Broadway, Suite 2020 San Diego, Ca 92101 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.c, partnership, tenants in common, non-profit, corporation, etc.). If the ownership includes a corporation or partnershjp. include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE TIIAN JO¾ OF TIIE SHARES, PLEASE INDICATE NON-APPLICABLE (NIA) 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, ___________ _ Corp/Part Cabrillo Power I LLC Title. ___________ _ Title _____________ _ Address __________ _ Address 4600 Carlsbad Boulevard Carlsbad, ca Y2008 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 @ • • 3. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (I) or (2) above is a nonprofit organjzation or a trust, list the names and addresses of AHl;'. person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the. Non Profitffrust, _______ _ Non Profitffrust, __________ _ Title. ___________ _ Title _____________ _ Address __________ _ Address, ____________ _ 4. Have you had more than $250. worth of business transacted with any member of City staff. Boards, Commissions, Committees and/or Council within the past twelve (12) months? D Yes ~ If yes, please indicate person{s): _____________ _ NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. ·-~-m< "~ Keith Richards or Authorized Agent Peter Maclaggan Print or type name of owner Print or type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent H:ADMIN\COUNTERIDISCLOSURE STATEMENT 5/98 Page 2 of 2 • LATHAM & w AT K I N s LLP July 31, 2009 Scott Donnell City of Carlsbad Planning Dept. 1635 Faraday Avenue Carlsbad, CA 92008 Re: Ownership Disclosure Statement To Whom It May Concern: 600 West &ay, Suite 1800 San Diego, California 92101-3375 Tel: +1.619.236.1234 Fax: +1.619.696.741~. . -' •23" ·, www.lw.com . ,·; _,.., • .... f.,(J .. > FIRM/ AFFILIATE OFFICES ·: ,t):,'-!1 .,,~ Abu Dhabi Munich _ ... ,:, ~: Barcelona New Jersey Brussets Chicago Doha New York Orange Coun~. Paris Dubai Rome Frankfurt San Diego Hamburg San Francisco Hong Kong Shanghai London Silicon Valley Los Angeles Singapore Madrid Tokyo Milan Washington, D.C Moscow \:,;.,., ... We represent Poseidon Resources (Channelside) LLC concerning its recent applications. This letter is to clarify that the Applicant for the proposed amendments to these development permits is Poseidon Resources (Channelside) LLC. Poseidon Resources is represented in the Project by Mr. Peter MacLaggan. As noted on the Disclosure Statement, Poseidon Resources has indicated "NIA" in the line titled "person" because no individuals own more than 10% of the company shares. If you need additional information, please feel free to contact me. fl I op her W. Garrett of ~ THAM & WATKINS LLP cc: Jan Driscoll SD\689274.1 • • City of Carlsbad I :;;;■,l,il,i·I •14·k ■ i ;., 14,11 DISCLOSURE STATEMENT Applicant's Statement or disclosure of certain ownership interests on all applications which will require discretionary action on the art of the Ci Council or any a inted Board, Commission or Comminee. The following information MllSI. be disclosed at the time of application submittal. Your project cannot be reviewed until this information is completed. Please print. Note: Person is dcfmed as "AJ:J.y individual. firm. co-parmership, joint venture. association. social club, fta1emal organization. corporation. estate, trust, receiver, syndicate, in this and any other county, city and county; city municipality, district or other political aubdivisioa or any other group or combiaotioo actmg as a unit•• Aeeots may sign this document; ho~vcr, the legal name and O!llity of the applieaot and property owoer must be provided below. I. APPLICANT (Not the applicant's agent) 2. Provide the COMPLETE, LEGAL names and addresses of ALI. persons having a financial interest in the application. It the applicant includes a camoration OT 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 (NIA) IN 1HE SPACE BELOW If a publjcly-owned corporatjon include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessa,y.) Person Peter Maclaggan Title, ____________ _ Address, __________ _ OWNER (Not the owner's agent) Corp/Part Poseidon Resources Title, _____________ _ Address 501 W. Broadway. Sutte 2020 San Diego, Ca 92101 Provide the COMPLETE. LEGAL names and addresses of AI.J., 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 TIIAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (NIA) IN THE SPACE BELOW. If a publicly- owned comorarioo include che names, titles. and addresses of the corporate officers. (A separate page may be attacheo/"fnecessary.) Person N A. Corp/Pan Cabrillo Power I LLC j Title: ____________ _ Address, __________ _ Title: ______________ _ Address 4600 Carlsbad Boulevard Carlsbad, Ca 92008 1635 Faraday Avenue• Carlsbad, CA 92008•7314 • (760) 602-4600 • FAX (760) 602-8559 @ • • 3. NON-PROFIT ORGANIZATION OR IRUST If any person identified pursuant to {I) or (2) above is a nonprofit organjzatjon or a trusL list the names and addresses of AHl'. person serving as an officer or director of the non-profit organization or as Irustee or beneficiary of the. Non ProliVTrust ________ _ Non ProfiVTrust __________ _ Title. ____________ _ Title _____________ _ Address ___________ _ Address _____________ _ 4. Have you had more than S250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past rwelve (12) months? 0 Yes C81-No lfyes, please indicate person{s): _____________ _ NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best ofmy knowledge .. ~: 511.i.VArufle:-ffi:rAe.At1~-------- Signature of owner/date Signature of applicant/date Ke~h Richards or Aulhortzed Agent Peter Maclaggan Print or type name of owner Print or type name of applicant Signarure of owner/applicant's agent if apphcab)e/date Prinl or type name of owner/applicant's agent H:ADMIN\COUNTER~OISCL.OSURE STATEMENT 5/98 Pago 2 of 2 • • 0 . . . --City of Carlsbad lf4 Ettl II I ,t-l•JA •J: I; i Id JI j I HAZARDOl'S WASTE ,\ND SUBSTA~CES STATE~fE:"iT Consultation Of Lists of Sites Related To H:izardous Wasres rCenirication of Compliance with Government Code Section o59c;.5, Pu:-suanr to Stare oi California Govemmenr Code Section 65962.5, I have consulred th: H:,;:ardoo, \\"astes and Substances Sires J.ist compiled by the California Em•ironmental Protectior. A~en:~-one hereby cenify 1ha! 1check one!: · [) The de\'elopmcnt project and any a.ltematives proposed in this application are nor contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. 0 The development project and any alternatives proposed in this application m contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPJ.ICANT !'.;ame: Poseidon Resources, Peter MacLaggan Address: 501 W. Broadway, Suite 2020 San Diego, Ca 92101 Phoni !',umber: 760.595.7802 ------------ PROPERTY O\VNER Name: Cabrillo Power I LLC Address:4600 Ca~sbad Boulevard Carlsbad, Ca 92008 Phone Number:_1_e_o._1_10_._2_14_7 ________ _ 'dd fS' 4600 CARLSBAD BOULEVARD .-,, rcsso 1te: _______________________________ _ Local Agency (Ciry and Counry): CARLSBAD/COUNTY OF SAN DIEGO Assessor's book, page. and parcel numbcr:~2..:.10:.-0.:..:.10:.-4..:..:.1.:::&..:2:.:1.:::0...:-0:.:1..:0_-4..:3c..... ____________ _ Specify hst(s): _______________________________ _ Regulatory Identification Number: _________________________ _ Date ofJ.ist:July 16, 2009 $,p,: ;;,ipµArubf A-JTA4t1:1G!YT Applicant S1gnature/Datc Property Owner Signature/Date A41,11n·C011111u,HuW11,c 1635 Faraday Avenue• Carlsbad. CA 92008•7314 • (760) 602•4600 • FAX (760) 602•8559 @