HomeMy WebLinkAboutCD 2021-0018; 4588 ADAMS ST (ST. CLAIRE RESIDENCE); Consistency Determination (CD)CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION ·
CITY USE ONLY
Original Project Number:
PROJECT NAME:
Assessor's Parcel Number(s) and
Address: ze<o -l'I'?.. .. 3e .. 00 A~~~ Al>A:.M-s ~ CA~s Ab GIi\
Description of proposal (add attachment if necessary): ~S.\1' 1,, 0N5 f"c:. fi,,a.\l,o~c. )--p.li',.av«~ ~.
L AP'D 5~0 .«$ sF u?PE.,t LAV&'-peq<, '2. AP'P 3.A.LcoNY IN M. '1Ql~
A,.J~ fq!.Poc:.&!£ c:o,-,o,noM:,.i) ~. "J. AOl> BAL-eoN't' ro 8&:0i.o&lr,.. 4='3 t #-4. •
Yes D ~ Would you like to orally present your proposal to your assigned staff planner/engineer? D ~
Please list the staff members you have previously spoken to regarding this project. If none, please so state.
Ec:;Ts BAw DA.N t,...
OWNER NAME (Print):
MAILING ADDRESS:
CITY, STATE, ZIP: !k vt V vt.-(if:z':'::'-
TELEPHONE:
EMAIL ADDRESS:
r-1 '1 ,_ '(Z I -J '-/ 71, 9'~
cAcMCA.r~ h,.c,. It ti' lb ow F'..c ,
*Owner's signature indicates pennission to conduct a preliminary
review for a development proposal.
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE
NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND
ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE. I
CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
~ ~ l.--------~ Z V 2.--( KNO ~G -4' _/ .-~
SI TU D E
APPLICANT NAME (Print): JI( Mr: :s CMi"\& Ce-.$
MAILING ADDRESS:~ 80~ IS7 I
CITY, STATE, ZIP: So t.!'\iYA $flt&l-1 (n qzois
TELEPHONE: BSS zo4: -7~SO
EMAIL ADDRESS: Co,ST'A.,CA.~"'$ f! (.~L. .c:oM
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE
AND CORRECT TO THE BEST OF MY KNOWLEDGE.
APPLICANT'S REPRESENTATIVE (Print): E:.f" ~
....... J,-;....&:.--'-==---..&...r..:;.&.....:....:~;;;...;.;=------\----=----..;;:..,.,'---------
M A I LING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE DATE .. IVED
FEE REQUIRED/DATE FEE PAID: _$a.l-.,£)....,,_7~4: __________ ..cA.....,UG ........... 1 ~0 ..... 2 ..... 02 ..... 1 ____ _
RECEIVED BY: Qu;a.ci \,fu\f}1)~ CITY OF CARLSBAD
PLANNING DIVISION
P-16 Page2 of2 Revised 02128/18
f
C City of
Carlsbad
-
Project Name: Adams St. SFR
Project ID: c0Po2-24
DWG No. or Building Permit No .:
STANDARD PROJECT
REQUIREMENT
CHECKLIST
E-36
-Project lnfonnatlon
412-2B
Source Control BMPs
-
Development Services
Land Development Engineering
1635 Faraday Avenue
{760) 602-2750
www.carlsbadca.gov
--
All development projects must implement source control BMPs SC-1 through SC-6 where applicable and feasible. See
Chapter 4 and Appendix E.1 of the BMP Design Manual (Volume 5 of City Engineering Standards) for information to
implement source control BMPs shown in this checklist.
Answer each category below pursuant to the following.
• "Yes" means the project will implement the source control BMP as described in Chapter 4 and/or Appendix E.1 of the
Model BMP Design Manual. Discussion/justification is not required.
• "No" means the BMP is applicable to the project but it is not feasible to implement. Discussion/justification must be
provided. Please add attachments if more space is needed.
• "N/A" means the BMP is not applicable at the project site because the project does not include the feature that is
addressed by the BMP (e.g., the project has no outdoor materials storage areas). Discussion/justification may be
provided.
Source Control Requirement Applied?
SC-1 Prevention of Illicit Discharges into the MS4 lil Yes 0 No 0 N/A
Discussion/justification if SC-1 not implemented:
SC-2 Storm Drain Stenciling or Signage Iii Yes □No 0 NIA
Discussion/justification if SC-2 not implemented:
Install at new Type F catch basin.
SC-3 Protect Outdoor Materials Storage Areas from Rainfall, Run-On, Runoff, and Wind li)Yes D No 0 N/A Dispersal
Discussion/justification if SC-3 not implemented:
E-36 Page 1 of 4 Revised 09/16
1~1;,$~;~,~Ef~~~if.~'..!'flf S:i>W:~<tbtttf.01iarauifeffiintrcc,0nt1nU'«iJ.1i~1J~~~v,;;'Wfzi;Z?~t;;.n1~ ;~~~ftt~Dlill~il?Jtr~~~t
SC-4 Protect Materials Stored in Outdoor Work Areas from Rainfall, Run-On, Runoff, and [!]Yes D No I □ N/A Wind Disoersal
Discussion/justification if SC-4 not implemented:
SC-5 Protect Trash Storage Areas from Rainfall, Run-On, Runoff, and Wind Dispersal l!l Yes □No ID N/A
Discussion/justification if SC-5 not implemented:
SC-6 Additional BMPs based on Potential Sources of Runoff Pollutants must answer for each source listed below and
identify additional BMPs. (See Table in Appendix E.1 of BMP Manual for guidance).
Ill On-site storm drain inlets l!]Yes □No 0 N/A
D Interior floor drains and elevator shaft sump pumps D Yes O No Iii N/A
D Interior parking garages □Yes D No (j] N/A
□ Need for future indoor & structural pest control □Yes □No [!l N/A
D Landscape/Outdoor Pesticide Use D Yes □No Iii N/A
D Pools, spas, ponds, decorative fountains, and other water features □Yes □No Iii N/A
D Food service D Yes D No Iii N/A
D Refuse areas □Yes D No Iii N/A
□ Industrial processes D Yes □No Iii N/A
D Outdoor storage of equipment or materials D Yes □No Iii N/A
D Vehicle and Equipment Cleaning □Yes □No [!l N/A
□ Vehicle/Equipment Repair and Maintenance □Yes □No (j] N/A
□ Fuel Dispensing Areas □Yes □No lil N/A
D Loading Docks □Yes □No lil N/A
□ Fire Sprinkler Test Water D Yes □No l!l N/A
Ii! Miscellaneous Drain or Wash Water Iii Yes D No □ NIA
D Plazas, sidewalks, and oarkinq lots □Yes D No Iii N/A
For "Yes" answers, identify the additional BMP per Appendix E.1. Provide justification for "No" answers.
SE: 1 8Ht-Fe11ce, SE-8 01avel Bag Berm, SE: 8 8Bftd Bag Batrier
OAJ Sr.€ .>'IOM ◊fl fr.>/) -,\P 9 'r ,_, .Jc j).:w-,rl") 'T ft.&'t-~ 5'i'e;vl 11..5> ~
~ If ccf 1..t..A -'>E' o.JJ DA4,N Ofl... W'1'J M W,'}~,L--pfl,.i,,.,J 1'tl l-1-),-, J)I..A /J-€ ";t.. fetv,JJj
f' /!j-.J &' I'< AJ'('_
E-36 Page 2 of 4 Revised 09/16
All development projects must implement site design BMPs SD-1 through SD-8 where applicable and feasible. See
Chapter 4 and Appendix E.2 thru E.6 of the BMP Design Manual (Volume 5 of City Engineering Standards) for information
to implement site design BMPs shown in this checklist.
Answer each category below pursuant to the following.
• "Yes" means the project will implement the site design BMPs as described in Chapter 4 and/or Appendix E.2 thru E.6 of
the Model BMP Design Manual. Discussion / justification is not required.
• "No" means the BMPs is applicable to the project but it is not feasible to implement. Discussion/justification must be
provided. Please add attachments if more space is needed.
• "N/A" means the BMPs is not applicable at the project site because the project does not include the feature that is
addressed by the BMPs (e.g., the project site has no existing natural areas to conserve). Discussion/justification may be
rovided.
SD-2 Conserve Natural Areas, Soils, and Vegetation ~ Yes D No D N/A
Discussion/justification if SD-2 not implemented:
SD-3 Minimize Im ervious Area ~ Yes O No O N/A
Discussion(justification if SD-3 not implemented:
SD-4 Minimize Soil Com action ~ Yes O No O N/A
Discussion/justification if SD-4 not implemented:
SD-5 Impervious Area Dispersion !ii Yes O No O N/A
Discussion/justification if SD-5 not implemented:
E-36 Page 3 of 4 Revised 09/16
SD-6 Runoff Collection Ii)
Discussion/justification if SD-6 not implemented:
SD-7 Landsca in with Native or Drou ht Tolerant S ecies ~Yes □ No ON/A
Discussion/justification if SD-7 not implemented:
D Yes D No lil N/A
E-36 Page 4 of 4 Revised 09/16