none, Plans only - Remodel & additio, ApplicationF)) etzt,‘
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ADDRESS:
JAN 2 6 2016
City of Rolling Hills
By
— REQUEST FOR GEOLOGICAL EXPLORATION
(RHMC 15.04.120 amendment to Appendix J Grading, Section
J103.2(7) of the Los Angeles County Building Code)
COMPANY NAME: ti AIVI I LMJ ' ASro CiA Tcs
1641 '6r v Av-e Tovvutkui cA
PHONE & EMAIL OF CONTACT PERSON: c
PROPERTY ADDRESS: 7 5oL i°'4111 tAillsi (A
PROPERTY OWNER:
-- --------
PROPERTY OWNER PHONE/EMAIL:
PURPOSE OF EXPLORATION: Geo+edmni c.ti I E
rey,br4- (Sall scolptts
DATES OF EXPLORATION: 1 1 i.711'
LENGTH OF EXPLORATION: i y, rs
,
rwzn /6-eo i' s',
LOCATION OF EXPLORATION ON SITE AND NUMBER OF BORINGS: (MUST BE
ACCOMPANIED BY A SITE PLAN)
EXPLORATION METHOD:
ACCESS TO EXPLORATORY SITE:
GRADING OF ACCESS (EXPLAIN):
Z t3o I t5
Vrit\iM_ / c►v�lti
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GRADING OF EXPLORATORY SITE (EXPLAIN): ---
DESCRIBE SITE RESTORATION:
DESCRIBE PLAN FOR EROSION CONTROL:
GENERAL COMMENTS AND ADDITIONAL INFORMATION:
Signature: Signature:
(Certified preparer) (Property owner)
Date: i/2/ /'!C Date:
APPROVED:
1-24 /€‘
DATE
CONDITIONS:
(777 CF TicLLENG EHLTY MANAGER OR DESIGNEE
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PL!JJrNc,EPA RIME i
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11( 144(1-2 boat coTie,
0
Feet
107 PrQ814.1 ('a bO n'n95)
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Printed: Jan 25, 2016
Copyright 2013 - Los Angeles County Department of Regional Planning, GIS Section. Note: This map represents a quick
representation of spatial imagery or vector layers using GIS-NET3. The map should be interpreted in accordance with the GIS-NET3
Public disclaimer statement. Printed with permission from the Los Angeles County Dept. of Regional Planning. All rights reserved.
INSTRUCTIONS FOR GEOLOGICAL EXPLORATION
(RHMC 15.04.120 amendment to Appendix J Grading, Section
J103.2(7) of the Los Angeles County Building Code)
• Submit the attached Form. Submit additional sheets if necessary to detail the
project
• Submit site plan showing areas of study/borings
• Submit pictures of site including slopes in the vicinity of exploration area
• Erosion control plan may be required
•. Borings and test pits must be backfilled to existing grade immediately after
exploration is completed and area secured for erosion control
• No export or import of dirt is allowed
• Dirt from excavation to be covered and watered as needed for dust control
• Boring sites and holes to be secured and fenced
• If grading is necessary to access the site, a grading plan must be submitted to
the City
• If grading for the access or to create a pad for the equipment entails more
than 3 ft. cut and/or more than 3 ft. fill, a review by the Planning Commission
under the Site Plan Review process is necessary
• If access to the exploration area was graded and the applicant thinks it may
be utilized for future construction, if within six months of said approval
plans and application are not submitted for construction on the site, the
access shall be restored to its pre -exploration conditions, including
landscaping. Said site restoration shall be completed within three months.
17,
JAN 2 6 2016
City of Rolling Htils
By