HomeMy WebLinkAboutCUP 2020-0003; RECYCLED WATER PHASE III D-4 RESERVIOR; Engineering Application{_ City of
Carlsbad
APPLICATION
ENGINEERIN.G
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
442-339-2750
www.carlsbadca .gov
Complete all appropriate information. Write N/A when not applicable.
Project Name: Recycled Water Phase Ill: D-4 Reservoir Date: 10/2022
Project Description: Construct 1.5 million gallon recycled water reservoir steel tank and related yard
RiRing and manholes. Construct grading, 12avement and driveway, stormwater BMP.
Project Address: 6580 Black Rail Rd. Carlsbad, CA 92011
Lot No(s).: 15 & 16 Map No.: 14625 APN(s): 215-081 -15 &16
Number of Lots: 2 Number of Acres: 4.~6 Miles of Trails:
Owner: Carlsbad Municipal Water District Applicant: Carlsbad Municipal Water District
Mailing Address: 5950 El Camino Real Mailing Address: 5950 El Camino Real
Carlsbad, CA. 92008 Carlsbad, CA. 92008
Phone Number: 442-339-2356 Phone Number: 442-339-2305
Fax Number: 760-431-1601 Fax Number: 760-431-1601
E-mail: Dave.Padilla@carlsbadca.gov E-mail: neil.irani@carlsbadca.gov
I certify that I am the legal owner and that all the above
informatiot)~~r. ect to the best of my knowledge .
Signatur . ~ Date: lo,(~, '2.."'Z-Signature: A/rut c4 uuu· Date: 10/11/22
Civil Engineer: Christopher Yamaguchi, PE Soils Engineer: Carl Henderson, PhD., GE.
Firm: NV5, Inc. Firm: NV5, Inc.
Mailing Address: 15092 Avenue of Science, Suite 200 Mailing Address: 15092 Avenue of Science, Suite 200
San Diego, CA 92128 San Diego, CA 92128
Phone Number: 661.992.9491 Phone Number: 858.385.2184
Fax Number: 858.385.0400 Fax Number: 858.385.0400
E-mail: chris.yamaguchi@nv5.com E-mail: Carl.Henderson@nv5.com
State Registration Number: RCE No. 89927 State Registration Number: G.E. No. 2886
Additional Comments: A(2(211Catlon 1s tor grading 121an cnecK only 12er 12rev1ous d1scuss1on between
LOE and CMWD.
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
lg] Carlsbad Municipal Water District D Olivenhain D Vallecitos
2. If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15% contingency fee, for
water and reclaimed water improvements, sewer (for Carlsbad Municipal Water District only), street, public
(median) landscape and irrigation, and drainage improvements (if applicable)? $ N/A
GRADING QUANTITIES
cut 157.5 cy fill3017.86 cy remedial 2,285 cy . import 2860.37 cy export 0 cy
E-23 Page 1 of 2 REV 02/22
City of
Carlsbad
APP LI CATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
442-339-2750
www.carlsbadca.gov
Complete all appropriate information Write N/A when not applicable.
APPLICATION FOR
(check all that apply)
n Adjustment Plat (ADJ)
~ Certificate of Compliance (CE)
n Dedication of Easement (PR)
Type:
Type:
n Encroachment Permit (PR)
~ Final Map (f M)
~ Grading Plancheck (DWG)
~ Improvement Plancheck (DWG)
n Parcel Map (PM)
~ Quitclaim of Easement (PR) -Type:
n Reversion to Acreage (RA)
~ Street Vacation (STV)
~ Tentative Parcel Map (MS)
~ Certificate of Correction (CCOR)
~ Covenant of Easement (PR)
â–¡ Substantial Conformance
. Exhibit (SCE)
n Trails n < mile n > mile
~ Other
~
II APPLICATION ACCEPTED BY
E-23
Project Drawing
1.0. Number
Page 2 of 2
FOR CITY USE ONLY
Deposit /Fees
Paid
Comments
DATE STAMP
APPLICATION RECEIVED
REV 02/22
E-24 Page 1 of 1 REV 02/22
Development Services
Land Development Engineering
1635 Faraday Avenue
442-339-2750
www.carlsbadca.gov
APPLICATION
GRADING PERMIT
E-24
PERMIT NUMBER: GR
Project Name:
___________
___________
___________
___________
_______
Project Number:
Project Location: Drawing Number:
Assessor Parcel Number(s):
Project Description:
Owner:
Address: Suite:
City: State: Zip:
Phone Number: Email:
I certify that I am the legal owner of this property and I authorize the grading associated with this permit.
OWNER SIGNATURE: DATE:
Civil Engineer:
Address: Suite:
City: State: Zip:
Phone Number: Email:
Soils Engineer:
Address: Suite:
City: State: Zip:
Phone Number: Email:
Grading Contractor: State License No.:
City Business License No.:
Address: Suite:
City: State: Zip:
Grading Quantities: cut cy fill cy import cy
remedial cy export cy
Qualified contact person trained in NPDES requirements:
Phone Number: Email:
Basis of Permit Fees: cy Total Permit Fees: $
Verified By: Balance Due: $
I hereby acknowledge that I have read the application and information provided is correct. I agree to comply with all
federal, state, and city laws, ordinances, regulations and policies relating to excavation and grading including, but not
limited to, the Federal Endangered Species Act of 1973 and any amendments thereto. I will also comply with OSHA
Permit requirements for trenches over five feet deep and the provisions and conditions of any permit issued pursuant to
this application.
Applicant Name:
Address: Suite:
City: State: Zip:
Phone Number: Email:
APPLICANT’S SIGNATURE: DATE:
2/6/23