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744, Construct a guest house, Application• e•iy ofieelinS REOUEST FOR HEARING CONDITIONAL USE PERMIT • INCORPORATED JANUARY. 24, 1957 NO. 2 PORTUGUESE BEND ROAD ROLLING HILLS, CALIF. 90274 (310) 377-1521 FAX: (310) 377-7288 E-mail: cityofrh@aol.com NOTE: According to Section 17.24.020 of the Rolling Hills Municipal Code, illegal uses or structures are required to be made conforming or shall be removed. Therefore, you may he required to modify or remove any unauthorized or unialtful use or structure on your property prior to or in conjunction with this application. 1n addition, pursuant to Resolution No. 900 of the City Council, any use or structure which would require a discretionary permit but which is conducted without the acquisition of said pennit, shall be subject to retroactive discretionary permit process, and is subject to higher application fee. PROPERTY OWNER: OWNER'S ADDRESS: TELEPHONE NO: K. ttAU .. 22 S m•- cat_cc3cactt (31o)48a)-3t1.1 PROPERTY'S ADDRESS: Z--Z co nnnLe.t-bpct� LEGAL DESCRIPTION: LOT NO. t 5 ASSESSORS BOOK NO.7569 PAGE DO2-PARCEL 00-7 AGENT'S NAME: l' o u ; ot1 E itll cER .ttJC AGENT'S ADDRESS: 10"7 S tLA/eR SPutz R.t_t.E.01.7e-i- TELEPHONE NO: Cat 0) '17).4 4 - Go t cD NATURE OF PROPOSED PROJECT Describe in detail the nature of the proposed use and under what Section of the Zoning Ordinance the conditional use is permitted in the zone. C-t U r✓ S ; t.-1 cD o e. -- t 7 .'I- 2 (V7 , (6 . z t o A) Printed on HecvcitA Will the proposed use be compatible with the uses in the surrounding area, and if so, why? LAca. Ac2.t_A t' S t_c Lv E £L) Will the grant of this Conditional Use Permit be consistent with and in furtherance of the public health safety and general welfare? I ? \n} (t_L to la k / c= c-i c2 C C= r- FILING FEE A filling fee must accompany the application. Make check payable to the CITY OF ROLLING HILLS. DATE 4-26- 07 ZONING CASE NO. ADDRESS 22 S, ODL/3Acj ALL STRUCTURES MUST BE SHOWN ON THE PLAN CALCULATION OF LOT COVERAGE AREA AND STRUCTURES NET LOT AREA RESIDENCE GARAGE SWIMMING POOL/SPA POOL EQUIPMENT GUEST HOUSE CABANA STABLE (dirt volume to be included in grading quantities) RECREATION COURT ATTACHED COVERED PORCHES ENTRYWAY/ PORTE COCHERE, BREEZEWAYS ATTACHED TRELLISES *DETACHED STRUCTURES: (circle all that applies) SHEDS, TRELLISES, GAZEBO, BARBECUE, OUTDOOR KITCHEN, ROOFED PLAY EQUP.- over 15 ft. high and over 120 sq. ft. in area, WATER FEATURES, ETC. EXISTING /24--, 800 sq.ft. 3155 sq.ft. 764- 6 OD 4S sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. 4 0 0 sq.ft. sq.ft. 2 0 0 sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. SERVICE YARD 9Go sq.ft. OTHER sq.ft. BASEMENT AREA sq.ft. (volume to be included in grading quantities) DEPTH OF BASEMENT TOTAL STRUCTURES % STRUCTURAL COVERAGE TOTAL STRUCTURES EXCLUDING UP TO 5 & UP TO 600 sq. ft. detached structures that are not higher than 10 ft. % STRUCTURAL COVERAGE 5481 sq.ft. 4.4 % sq.ft. % PROPOSED sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. e OD sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. TOTAL L24; 800 3l ',3. 764 800 of GOO' sq.ft. sq.ft. sq.ft. sq.ft. sq. ft. sq.ft. sq.ft. 49 v sq.ft. sq.ft. Z.O O' sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. 9 6 sq.ft. sq.ft. sq.ft. sq.ft. 63 31 ' sq.ft. % 5.1 % sq.ft. sq.ft. % • ALL FLATWORK MUST BE SHOWN ON THE PLAN PRIMARY DRIVEWAY(S) PAVED WALKS, PATIO AREAS, COURTYARDS POOL DECKING OTHER PAVED DRIVEWAYS, ROAD EASEMENTS, PARKING PADS TOTAL FLATWORK % TOTAL FLATWORK COVERAGE TOTAL STRUCTURAL & FLATWORK COVERAGE • TOTAL COVERAGE TOTAL STRUCTURAL & FLATWORK COVERAGE Excl. the allowance of up to 5 — 600 sq. ft. structures from previous page. / (1 040 sq.ft. sq.ft. / /, 0 40 sq.ft. 13 D Z sq.ft. 2 1 7 1440 sq.ft. I4- sq.ft. I 3. ?BZ sq.ft. sq.ft. sq.ft. 1 S 1 9 sq.ft. (4 4 0 sq.ft. sq.ft. sq. ft. sq.ft. I3, 49 9 sq.ft. 1f.2 % I4,263 sq.ft. sq.ft. 2O,330 sq.ft. Ih,4- % % lb- % sq.ft. sq.ft. sq.ft. • TOTAL COVERAGE TOTAL DISTURBED AREA • DISTURBED AREA GRADING QUANTITY (include future stable, corral and access way; basement and all other areas to be graded) 42,$B0 sq.ft. sq.ft. 42,.80sq.ft. 34.4 All structures (attached and detached) must be listed. 34. 4 % cubic yards * Free standing accessory structures such as sheds, trellises, covered patios, gazebo, fountains, barbecue, outdoor fire place, etc., are not counted towards coverages and disturbed area, unless their combined area exceeds 600 sq. ft., or if there are more than 5 such structures on the property. • • DATE4 Z(o-07 Z.C. NO. ADDRESS Z2 5nvOLL(3nCK CALCULATION OF BUILDING PAD COVERAGE PAD NO. 1 (J BUILDABLE PAD AREA EXISTING PROPOSED TOTAL 1 U aJ AND STRUCTURES Z / 0 BUILDING PAD 3 8,1ZOsq.tt. sq.ft. a 'i�-2� sq ft. 1 RESIDENCE 3 V 5 3 sq.ft. sq.fr. 31 3 sq.fr. GARAGE 7 6 4 sq.ft. sq.ft. 184 sq.ft. POOL/SPA • B0Osq.ft. sq.ft. SOO sq.ft. POOL EQUIPMENT 4.6 sq.ft. sq.ft. 48 sq.ft. CABANA/REC.RM sq.ft. sq.ft. sq.ft. GUEST HOUSE sq.ft. 800 sq.ft. BOO sq.ft. STABLE sq.ft. sq.ft. sq.ft. SPORTS COURT sq.ft. sq.fr. sq.ft. SERVICE YARD 96 sq.ft. sq.ft. "6 sq.ft. ATTACHED COVERED PORCHES Primary residence �DO sq.ft. sq.ft. '�0O sq.ft. Accessory structures sq.ft. sq.ft. sq.ft. AREA OF ATTACHED COVERED sq.ft. sq.ft. sq.fr. PORCHES THAT EXCEED Io% OF THE SIZE OF RESIDENCE/ACCS. STRUCTURE ENTRYWAY/PORTE COCHERE/ -- BREEZEWAY sq.fr. sq.ft. sq.ft. ATTACHED TRELLISES sq.ft. sq.ft. — sq.ft. ALL DETACHED STRUCTURES sq.fr. sq.ft. sq.ft. (from I'' page) ALL DETACHED STRUCTURES sq.ft. sq.ft. sq.ft. (from I'` page not including allowed deductions) OTHER sq.ft. sq.ft. sq.ft. TOTAL STRUCTURES ON PAD NO. 14 081 sq.ft. sq.ft. % BUILDING PAD COVERAGE 13.1 % TOTAL STRUCTURES ON PAD NO. 14881 sq.ft. Not incl. attached trellises, Not incl. allowed deductions, and incl. the area of covered porches that exceed 10% of the size of the residence/accs. struc res. % BUILDING PAD COVERAGE To sq.ft. cro rj 881 sq.fr. 15,2 00 5 6 8 I sq.ft. DATE %-25-07 Z.C. NO. PAD NO. 2 ADDRESS 22 5a7 oL6!3G?Cl� CALCULATION OF BUILDING PAD COVERAGE BUILDABLE PAD AREA EXISTING AND STRUCTURES BUILDING PAD RESIDENCE GARAGE POOL/SPA POOL EQUIPMENT CABANA/REC.RM GUEST HOUSE STABLE SPORTS COURT SERVICE YARD ATTACHED COVERED PORCHES Primary residence Accessory structures AREA OF ATTACHED COVERED PORCHES THAT EXCEED 1O% OF THE SIZE OF RESIDENCE/ACCS. STRUCTURE ENTRYWAY/PORTE COCHERE/ BREEZEWAY ATTACHED TRELLISES 65(Osq.ft. sq.ft. sq. ft. sq.ft. sq. ft, sq.ft. sq.ft. 4 0D sq.ft. sq.ft. sq.ft. sq. ft. sq.ft. sq. ft. sq. ft. sq.ft. ALL DETACHED STRUCTURES (from 1' page) sq.ft. ALL DETACHED STRUCTURES (from 1"pa a not including allowed deductions sq. ft. OTHER sq.ft. TOTAL STRUCTURES ON PAD NO. 2 40 0 sq.ft. % BUILDING PAD COVERAGE 6.1 % TOTAL STRUCTURES ON PAD NO. 2 sq.ft. Not incl. attached trellises, Not incl. allowed deductions, and incl. the area of covered porches that exceed 10% of the size of the residence/aces. structures. PROPOSED sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq. ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. Z 7 6 ° 2 TOTAL 6560 sq.ft. sq.ft. sq.ft. sq.ft. sq.f't. sq.ft. sq.ft. 4-ii0 sgft sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq. ft. sq.ft. 4y0 sq.ft. 6,(3. sq.ft. % BUILDING PAD COVERAGE 90 CERTIFIED PROPERTY OWNERS' LIST AFFIDAVIT STATE OF CALIFORNIA COUNTY OF LOS ANGELES I, JANE KOBZEFF declare under penalty of perjury, that the attached list contains the names and addresses of all persons who are shown on the latest available assessment roll of the County of Los Angeles as owners of the subject property and as owners of the property within a distance of 1000 feet from the exterior boundaries of property legally described as follows: Property address: APN #: Leaal description: Date: May 7, 2007 22 Saddleback Road, City of Rolling Hills 7569-002-007 Lot 15, Rolling Hills Tract Signed: Subscribed and sworn to before me this 7th Notary Public NOTARY ELIZABETH - CALIIFORNIA COMMISSION t",` 1734935 LOS COUT My Comm. Exp. Ap ill 25 2011 day of U May, 2007 C:\DATA\WORD\MAPPING\MASTERS\CcrtOwncrsList.doc • OWNER'S DECLARATION I (We) declare under penalty of perjury that the foregoing is true and correct. Executed at 2 (1 c__ i i`) (-, 4-1 i L l 2, 5 i. 7 G this rl'Si day of /' /-1 ;J By: By: , California, —�--� 20 0 '7 Z 2 �'�,/}T_7f/ /- m 4 Address I? z- -/A) ///z_ 75 City NOTE: The Owner's Declaration can only be used if this application is signed in California. If this application is signed outside of California, the applicant should acknowledge before a Notary Public of the State where the signature is fixed, or before another officer of that State authorized by its laws to take acknowledgements, that he (it) owns the property described herein, and that the information accompanying this application is true to the best of his (its) knowledge and belief Attach appropriate acknowledgment here. APPLICANT: S L in) U E. R. DATE FILED REPRESENTATIVE:D. (`'l� (-1 A T T t E FEE: `� O' 700 a1/ ? 0 0 COMPANY NAME: ¶ 0 LT Et C, t h1 C'ru ') C7 RECEIPT NO: COMPANY ADDRESS: BY: -1 0 -► S i Liu Ca. S n u c-, 2.10 . ZONING CASE NO C a, 9 0 z 7 4 TENTATIVE HEARING DATE: COMPANY PHONE NO. ('3' 0 1 ti 44 -C, 0 0 PROJECT ADDRESS: 22- DO LE. • oio OWNER'S ACKNOWLEDGEMENT Property development in Rolling Hills is governed by ordinances of the CITY OF ROLLING HILLS ("City") and by private deed restrictions enforced by the ROLLING HILLS COMMUNITY ASSOCIATION ("RHCA"). The land development permit process of the City and the RHCA are completely independent and separate. Both must be satisfied and approval given by both the City and the RHCA to develop property in Rolling Hills. An approval by either the City or the RHCA does not mean or imply or ensure approval by the other. The suggested sequence of property development is to obtain City approvals first. I, (We), the undersigned, acknowledge that the above statement has been fully read and its admonition is completely understood. Executed at /2 e 2_ /n1 C' /— //GG 5 �S 7/-a 75 , California this %_/gS% day of ///-) ,200-7 . .4} (,D By: ..-/t" , i� By: 22 3A Address City l�C(-7 at `,:Q L.I:CI.C"/- .14.11-6 INCORPORATED JANUARY 24, 1957 f NO. 2 PORTUCUESE BEND ROAD ROLLING HILLS. CALIF. 90274 (310) 377-1521 FAX: (310) 377-7288 E-mail: cityorrItecoT.com ENVIRONMENTAL INFORMATION FORM (To Be Completed By Applicant) Date Filed Zoning Case No. GENERAL INFORMATION 1. Applicant(s) . L� . S i 1 t 1i l-i A U Tel. f? ti 0 1 Zj-s - 3 t 2( Address .2, 2 _ /1 ? D C A% 2. Legal Owner(s) i1 .A ?).(:) V.i Tel. t 1 Address 3. Project Address Assessor's Book No. `71 (� q - 0 0 2 co 7 Lot No. l 4. Other related permits and other public approvals required for this project, including those required by city, regional, state and federal agencies: A.C.OLIN <(-? R.i-1.C,A, a. Existing zoning district R A5 ► 6. Proposed project/use of site (-Z U C_ S' T ( 1 0 U LE PROJECT DESCRIPTION 7. Site size 3r 33 Z Act2c=� l\ 1 I-1,1g77 2. Net lot area 124-, O) 5.C, "Net Lot Area' means the total area included within the lot lines of the lot or parcel of property, exclusive of: (a) the entire area wthin a recorded roadway easement plus the area within ten (10) feet measured perpendicular to the edge of the roadway easement; (b) the ten (10) foot perimeter of the lot perpendicular to the property lines; (c) any private drive or driveway that provides access to any other lot or parcel; and (d) the access strip portion of a flag lot." 9. Total square footage of structures 10. Number of floors of construction 11. Basement square footage tc33( 1-1 Februarys 2002 Environmental Information Form Pnn7r2C1 un Rec:y.dnd P ,7,nr • 12. Total combined flatwork and structural lot coverage Z_ 0, 3 3 13. Will any exterior walls be removed or relocated? Which walls? 14. Will any interior walls be removed or relocated? Which walls? 15. Will the entire building structure require a new roof? VL 16. Will the existing roof remain intact, with less than 200 square feet added? 17. Driveway Access and Parking: a. Is a new driveway accessway proposed? f\-1 (3 (Requires Traffic Commission Review). b. Number of driveway(s) Existing? O ti) f Proposed? (Second driveway requires approved Conditional Use Permit from Planning Commission). c. Width of driveway(s) Existing? 4 Proposed? (Maximum of 20 foot width unless approved by the Planning Commission). d. Does first 20 feet of driveway have a maximum grade of 7%? (Maximum of 7% for first 20 feet of driveway required). Existing? YC 43 • e. Grade of driveway(s)? Existing? '� G�G Proposed? (Maximum of 12% unless approved by the Planning Commission). f. Has site plan been reviewed by Los Angles County Fire Protection Engineer to meet current driveway access requirements? ►mil cD Explain g• Proposed? Does driveway cover more than a maximum 20% of the area of the yard in which it is located? tU 0 Explain h. Does uncovered parking area cover more than a maximum 10% of the area of the yard in which it is located? K1 U Explain Does vehicular accessway to stable and corral have a maximum slope of 25% or less? YE E Stable and corral average vehicular access slope t % . Does property have an above ground garage with a minimum capacity of 2 cars? With guest house a minimum of 3 cars? Yi 18. Grading quantities shall be balanced. Amount cut ~--' . Amount fill • (Include any basement cut in grading quantities). 19. Area of disturbance. 40% of net lot area maximum; any remedial grading (temporary disturbance), any graded slopes and building pad areas, and any nongraded area where impervious surfaces will remain or are proposed to be added. Square feet 42, t3 0 . Percentage of Net Lot Area .3 4.4 20. If residential, include the unit size. Square feet ?..) I February 2002 Environmental Information Form 1-2 • • 21. If commercial, indicate the type of project, whether neighborhood, city or regionally oriented, square footage of sales area, estimated employment per shift and loading facilities. 22. If industrial, indicate the type of project, estimated employment per shift, and loading facilities. 23. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project. 24. Attach plans. 25. Proposed scheduling. A ' l\ P 26. If the project involves a site plan review, variance, conditional use or rezoning application, state this and indicate clearly why the application is required. Pi ENVIRONMENTAL SETTING 27. Describe the project site as it exists before the project, including information on topography, soil stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing structures on the site, and the use of the structures. Attach photographs of the site. Snapshots or polaroid photos will be accepted. February 2002 Environmental Information Form 1-3 • • 28. Describe the surrounding properties, including information on plants and animals and any cultural, historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.), intensity of land use (one -family, guest house, office use, etc.) and scale of development (height, frontage, set -back, rear yard, etc.). Attach photographs of the vicinity. Snapshots or polaroid photos will be accepted. 29. Is the proposed project consistent with: City of Rolling Hills General Plan Applicable Specific Plan City of Rolling Hills Zoning Ordinance South Coast Air Quality Management Plan Congestion Management Plan Regional Comprehensive Plan 30. Have any of the following studies been submitted? _ Geology Report _ Hydrology Report _ Soils Report _ Traffic Study _ Noise Study _ Biological Study _ Native Vegetation Preservation Plan _ Solid Waste Generation Report Public Services/ Infrastructure Report 1-4 Yes No _✓ N/A Historical Report _ Archaeological Report _ Paleontological Study _ Line of Sight Exhibits Visual Analysis _ Slope Map Fiscal Impact Analysis Air Quality Report Hazardous Materials/ Waste February 2002 Environmental Information Form • Potentially Significant Impact Issues: Less Than Significant With Mitigation Incorporation Less Than Significant No Impact Impact I. AESTHETICS —Would the project: a) Have a substantial adverse effect on a scenic vista? 0 0 0 )1:1; b) Substantially damage scenic resources, including but 0 0 0 p' not limited to, trees, rock outcroppings, and historic buildings within a state scenic highway? c) Substantially degrade the existing visual character or ❑ 0 0 j quality of the site and its surroundings? d) Create a new source of substantial light or glare which 0 0 0 would adversely affect day or nighttime views in the i area? II. AGRICULTURE RESOURCES: In determining whether impacts to agricultural 0 0 0 ` resources are significant environmental effects, lead / agencies may refer to the California Agricultural Land Evaluation and Site Assessment Model (1997) prepared by the California Dept. of Conservation as an optional model to use in assessing impacts on agriculture and farmland. Would the project: a) Convert Prime Farmland, Unique Farmland, or 0 0 0 At - Farmland of Statewide Importance (Farmland), as shown on the maps prepared pursuant to the Farmland Mapping and Monitoring Program of the California Resources Agency, to non-agricultural use? b) Conflict with existing zoning for agricultural use, or a 0 0 0 ?a- Williamson Act contract? c) Involve other changes in the existing environment which, due to their location or nature, could result in conversion of Farmland, to non-agricultural use? 0 ❑ ❑/11 IIIAIR QUALITY — Where available, the significance criteria established by the applicable air quality management or air pollution control district may be relied upon to make the following determinations. Would the project: a) Conflict with or obstruct implementation of the 0 0 0 applicable air quality plan? 1-6 x i February 2002 Environmental Information Form • • Potentially Significant Impact Less Than Significant With Mitigation Incorporation Less Than Significant No Impact Impact b) Violate any air quality standard or contribute 0 0 0 substantially to an existing or projected air quality violation? c) Result in a cumulatively considerable net increase of 0 0 0 any criteria pollutant for which the project region is non -attainment under an applicable federal or state ambient air quality standard (including releasing emissions which exceed quantitative thresholds for ozone precursors? d) Expose sensitive receptors to substantial pollutant 0 0 0 concentrations?/t7/ e) Create objectionable odors affecting a substantial number of people? 0 0 0 P IV. BIOLOGICAL RESOURCES — Would the project: a) Have a substantial adverse effect, either directly or 0 0 0 through habitat modifications, on any species identified as a candidate, sensitive, or special status species in local or regional plans, policies, or regulations, or by the California Department of Fish and Game or U.S. Fish and Wildlife Service? b) Have substantial adverse effect on any riparian habitat or other sensitive natural community identified in local or regional plans, policies, regulations or by the California Department of Fish and Game or U.S. Fish and Wildlife Service? c) Have a substantial adverse effect on federally protected wetlands as defined by Section 404 of the Clean Water Act (including, but not limited to, marsh, vernal pool, coastal, etc.) through direct removal, filling, hydrological interruption, or other means? d) Interfere substantially with the movement of any native resident or migratory fish or wildlife species or with established native resident or migratory wildlife corridors, or impede the use of native wildlife nursery sites? ❑ 0 0 Y ❑ ❑ ❑ ❑ ❑ ❑ )s e) Conflict with any policies or ordinances protecting 0 0 0 biological resources, such as a tree preservation policy or ordinance? f) Conflict with the provisions of an adopted Habitat 0 0 ❑ 14r Conservation Plan, Natural Community Conservation Plan, or other approved local, regional, or state habitat conservation plan? February 2002 Environmental Information Form 1-7 • • • Potentially Less Than • Impact Less Than Significant Signicant MitigationSignificant Impact With Si nificant No Incorporation P Impact Im ct V . CULTURAL RESOURCES — Would the project: a) Cause a substantial adverse change in the significance 0 0 0 X of a historical resource as defined in §15064.5 of the State CEQA Guidelines? b) Cause a substantial adverse change in the 0 0 0 rh significance of an archaeological resource pursuant to 7� §15064.5 of the State CEQA Guidelines? c) Directly or indirectly destroy a unique paleontological 0 0 0 T4 resource or site or unique geologic feature? d) Disturb any human remains, including those interred 0 0 0 rf outside of formal cemeteries? VI. GEOLOGY AND SOILS — Would the project: a) Expose people or structures to potential substantial adverse effects, including the risk of loss, injury, or death involving: i) Rupture of a known earthquake fault, as delineated 0 0 0sFf on the most recent Alquist-Priolo Earthquake Fault Zoning Map issued by the State Geologist for the area or based on other substantial evidence of a known fault? Refer to Division of Mines and Geology Special Publication 42. ii) Strong seismic ground shaking? 0 0 0 iii) Seismic -related ground failure, including 0 0 0 liquefaction? iv) Landslides? ❑ 0 0 `r( b) Result in substantial soil erosion or the loss of topsoil? 0 0 0 ��g`` c) Be located on a geologic unit or soil that is unstable, 0 0 0 [�' or that would become unstable as a result of the / \ project, and potentially result in on- or off -site landslide, lateral spreading, subsidence, liquefaction or collapse? d) Be located on expansive soil, as defined in Table 18- 0 0 ❑ Chf 1 B of the Uniform Building Code (1994), creating substantial risks to life and property? e) Have soils incapable of adequately supporting the C3 0 0 V use of septic tanks or alternative waste water disposal systems where sewers are not available for the disposal of waste water? February 2002 Environmental Information Form 1-8 • • Th Potentially Signifiiccan With Less Than Significant Mitigation Significant No Impact Incorporation Impact Impact VII. HAZARDS AND HAZARDOUS MATERIALS — Would the project: a) Create a significant hazard to the public or the 0 0 0 At environment through the routine transport, use, or disposal of hazardous materials? b) Create a significant hazard to the public or the 0 0 p iI environment through reasonably foreseeable upset and accident conditions involving the release of hazardous materials into the environment? c) Emit hazardous emissions or handle hazardous or 0 0 0 acutely hazardous materials, substances, or waste within one -quarter mile of an existing or proposed school? d) Be located on a site which is included on a list of 0 0 0 `i2( hazardous materials sites compiled pursuant to Government Code Section 65962.5 and, as a result, would it create a significant hazard to the public or the environment? e) For a project located within an airport land use plan 0 0 0 or, where such a plan has not been adopted, within two miles of a public airport or public use airport, would the project result in a safety hazard for people residing or working in the project area/ f) For a project within the vicinity of a private airstrip, ❑ 0 0 would the project result in a safety hazard for people residing or working in the project area? g) Impair implementation of or physically interfere with an 0 0 0 adopted emergency response plan or emergency evacuation plan? h) Expose people or structures to a significant risk of 0 0 0 CY loss, injury or death involving wildland fires, including where wildlands are adjacent to urbanized areas or where residences are intermixed with wildlands? February 2002 Environmental Information Form 1-9 • • Potentially Significant With Less Than Significant Mitigation Significant No Impact Incorporation Impact Impact VIII. HYDROLOGY AND WATER QUALITY — Would the project: a) Violate any water quality standards or waste discharge 0 0 0 4' requirements? b) Substantially deplete groundwater supplies or ❑ 0 0 PI interfere substantially with groundwater recharge such that there would be a net deficit in aquifer volume or a lowering of the local groundwater able level (e.g., the production rate of preexisting nearby wells would drop to a level which would not support existing land uses or planned uses for which permits have been granted? c) Substantially alter the existing drainage pattern of the 0 0 0 5. site or areas including through the alteration of the course of a stream or river, in a manner which would result in substantial erosion or siltation on- or off -site? d) Substantially alter the existing drainage pattern of the 0 0 0 site or areas including through the alteration of the course of a stream or river, in a manner which would result in flooding on- or off -site? e) Create or contribute runoff water which would exceed 0 0 ❑I the capacity of existing or planned storm water �� drainage systems or provide substantial additional sources of polluted runoff? f) Otherwise substantially degrade water quality? 0 0 0)4-0 g) Place housing within a 100-year flood hazard area as El ❑\ mapped on a federal Flood Hazard Boundary or Flood Insurance Rate map or other flood hazard delineation map? h) Place within a 100-year flood hazard area structures 0 0 0 P-1 which would impede or redirect flood flows? i) Expose people or structures to a significant risk of loss, 0 0 0 f' injury or death involving flooding, including flooding as a result of the failure of a levee or dam? j) Inundation by seiche, tsunami, or mudflow? 0 0 0 February 2002 Environmental Information Form 1-10 • • nfiscan� With • Less Than Significant Mitigation Significant Potentially Sig Impact Incorporation Impact IX. LAND USE AND PLANNING — Would the project: a) Physically divide an established community? ❑ 0 0 b) Conflict with any applicable land use plan, policy, or ❑ ❑ ❑ regulation of an agency with jurisdiction over the project (including but not limited to the general plan, specific plan, local coastal program, or zoning ordinance) adopted for the purpose of avoiding or mitigating an environmental effect? c) Conflict with any applicable habitat conservation plan or ❑ ❑ 0 natural community conservation plan? No Impact X. MINERAL RESOURCES —Would the project: a) Result in the loss of availability of a known mineral 0 0 ❑i resource that would be of value to the region and the / residents of the state? b) Result in the loss of availability of a locally -important 0 0 0 mineral resource recovery site delineated on a local general plan, specific plan or other land use plan? XI. NOISE— Would the project result in: a) Exposure of persons to or generation of noise levels in excess of standards established in the local general plan or noise ordinance, or applicable standards of other agencies? b) Exposure of persons to or generation of excessive groundborne vibration or groundborne noise levels? c) A substantial permanent increase in ambient noise levels in the project vicinity above levels existing without the project? d) A substantial temporary or periodic increase in ambient noise levels in the project vicinity above levels existing without the project? e) For a project located within an airport land use plan or, where such a plan has not been adopted, within two miles of a public airport or public use airport, would the project expose people residing or working in the project area to excessive noise levels. f) For a project within the vicinity of a private airstrip, would the project expose people residing or working in the project area to excessive noise levels? ❑ ❑ ❑ ❑ ❑ ❑ 'of r ❑ ❑ ❑ c4- ❑ ❑ ❑ ❑ ❑ ❑ t ❑ 0 0 February 2002 Environmental Information Form • Potentially Significant Impact Less Than Significant With Mitigation Incorporation Less Than Significant No Impact Impact XII. POPULATION AND HOUSING- Would the project: a) Induce substantial population growth in an area, either 0 0 0 directly (for example, by proposing new homes and businesses) or indirectly (for example, through extension of roads or other infrastructure)? b) Displace substantial numbers of existing housing, 0 0 ❑ necessitating the construction of replacement housing elsewhere? c) Displace substantial numbers of people, necessitating ❑ 0 0 the construction of replacement housing elsewhere? XIII. PUBLIC SERVICES a) Would the project result in substantial adverse physical impacts associated with the provision of new or physically altered governmental facilities, need for new or physically altered governmental facilities, the construction of which could cause significant environmental impacts, in order to maintain acceptable service ratios, response times or other performance objectives for any of the public services: Fire protection? 0 0 0 Police protection? 0 0 0 Schools? 0 0 0 TZI Parks? ❑ 0 0 Other public facilities? 0 0 0 XIV. RECREATION a) Would the project increase the use of existing neighborhood and regional parks or other recreational facilities such that substantial physical deterioration of the facility would occur or be accelerated? b) Does the project include recreational facilities or require the construction or expansion of recreational facilities which might have an adverse physical effect on the environment? 1-12 ❑ ❑ ❑ ❑ ❑ ❑ `J February 2002 Environmental Information Form XV. TRANSPORTATION/TRAFFIC—Would the project: a) Cause an increase in traffic which is substantial in relation to the existing traffic load and capacity of the street system (i.e., result in a substantial increase in either the number of vehicle trips, the volume to capacity ratio on roads, or congestion at intersections? Potentially Significant Impact Less Than Significant With Mitigation Incorporation Less Than Significant No Impact Impact ❑ ❑ ❑ tr b) Exceed either individually or cumulatively, a level of ❑ 0 0Pi service standard established by the county congestion management agency for designated roads or highways? c) Result in a change in air traffic patterns, including either 0 0 0 an increase in traffic levels or a change in location that results in substantial safety risks? d) Substantially increase hazards due to a design feature 0 0 0 14. (e.g., sharp curves or dangerous intersections) or incompatible uses (e.g., farm equipment)? e) Result in inadequate emergency access? ❑ 0 0 f) Result in inadequate parking capacity? 0 0 ❑ g- g) Conflict with adopted policies, plans, or programs 0 0 ❑ supporting alternative transportation (e.g., but turnouts, bicycle racks)? XVI. UTILITIES AND SERVICE SYSTEMS — Would the project: a) Exceed wastewater treatment requirements of the 0 0 0 applicable Regional Water Control Board? b) Require or result in the construction of new water or 0 0 0 k wastewater treatment facilities or expansion of existing facilities, the construction of which could cause significant environmental effects? c) Require or result in the construction of new storm 0 0 0IY water drainage facilities or expansion of existing facilities, the construction of which could cause significant environmental effects? d) Have sufficient water supplies available to serve the 0 0 0Al/ project from existing entitlements and resources, or are new or expanded entitlements needed? February 2002 Environmental Information Form 1-13 • • e) Result in a determination by the wastewater treatment provider which serves or may serve the project that it has adequate capacity to serve the project's projected demand in addition to the provider's existing commitments? Potentially Significant Impact Less Than Significant With Mitigation Incorporation Less Than Significant No Impact Impact ❑ ❑ ❑ f) Be served by a landfill with sufficient permitted capacity ❑ 0 ❑ to accommodate the project's solid waste disposal needs? g) Comply with federal, state, and local statutes and ❑ ❑ ❑ t� regulations related to solid waste? XVII. STORM WATER QUALITY IMPACTS —Would the project: a) During construction result in potential impact on storm ❑ 0 0 water runoff? b) Post -construction result in potential impact on storm 0 0 0 (> water runoff? / c) Result in potential for discharge of storm water from areas 0 0 0 Pi - from material storage, vehicle or equipment fueling, vehicle or equipment maintenance (including washing), waste handling, hazardous materials handling or storage, delivery areas or loading docks, or other outdo( work areas? d) Result in potential for discharge of storm water to impair 0 0 ❑i the beneficial uses of the receiving waters or areas that provide water quality benefit? e) Result in potential for discharge of storm water to cause 0 0 0 ,I significant harm on the biological integrity of the waterways and water? f) Result in potential for significant changes in the flow El ❑ 0 velocity or volume of storm water runoff that can cause environmental harm? g) Result in potential for significant increases in erosion of 0 0 0 the project site or surrounding areas? February 2002 Environmental Information Form 1-14 • • Potentially Significant Impact XVIII. MANDATORY FINDINGS OF SIGNIFICANCE a) Does the project have the potential to degrade the quality of the environment, substantially reduce the habitat of a fish or wildlife species, cause a fish or wildlife population to drop below self-sustaining levels, threaten to eliminate a plant or animal community, reduce the number or restrict the range of a rare or endangered plant or animal or eliminate important examples of the major periods of California history or prehistory? b) Does the project have impacts that are individually limited, but cumulatively considerable? ("Cumulatively considerable" means that the incremental effects of a project are considerable when viewed in connection with the effects of past projects, the effects of other current projects and the effects of probable future projects.) c) Does the project have environmental effects which ❑ 0 0 will cause substantial adverse effects on human beings, either directly or indirectly? Less Than Significant With Mitigation Incorporation Less Than Significant No Impact Impact 1-15 ❑ ❑ ❑ ci ❑ ❑ ❑ % February 2002 Environmental Information Form • • NOTE: In the event that the project site and any alternatives are not listed on any list compiled pursuant to Section 65962.5 of the Government Code, then the applicant must certify that fact as provided below. I have consulted the lists compiled pursuant to Section 65962.5 of the Government Code and hereby certify that the development project and any alternatives proposed in this application are not contained on these lists. Date /%A ') / D 7 Signature(/' For •K, 5 %L /A///A vL� Applicant CERTIFICATION: I hereby certify that the statements furnished above and in the attached exhibits present the data and information required for this initial evaluation to the best of my ability, and that the facts, statements, and information presented are true and correct to the best of my knowledge and belief. Date /t/ AA For Signature Cr //t 9/-/ Applicant 1-17 February 2002 Environmental Information Form