720, Additions to the SFR will encr, Application• •
ofieo elinS
IN .Or POrAThD J<,N1J .nt 24, 1957
NO. 2 PORTUGUESE BEND ROAD
ROLLING HILLS, CALIF. 90274
VARIANCE (310) 377-1521
REOUEST FOR HEARING FAX: (310) 377-7288
E-mait cityotrh@aoLcom
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 he restored. Therefore. you may be required to srod(6. or remove any unauthorized or unlanfrd
use or structure on your property prior to or in conjunction with this application. In addition. pursuant to Resolution No.
900 cfthe City Council. any use or structure which would require a discretionary permit but which is conducted without
the acquisition of said permit. shall be subject to retroactive discretional). permit process. and is subject to higher
application fee.
PROPERTY OWNER: P H 1 L (1-1 E L M 4 S (C I (.i hj C Q r,
OWNER'S ADDRESS: e 7 C. W T) ,
TELEPHONE NO.: (3 (o 3 7 7— 8 3 1
PROPERTY ADDRESS: s Q-C3 o v L
LEGAL DESCRIPTION: LOT NO. Co C31 — C 2-
ASSESSOR'S BOOK NO. 7 S 6 7 PAGE 0 0 91 PARCEL 0 I G
AGENTS NAME: C3oL.Tots..) EtJCzI 1.1(tJ(-r
AGENTS ADDRESS: 7 0 7 S i L_) c t2 S 1n v f� iz 7 t2 ,1-1. (= < <? o 2_7
TELEPHONE NO.: (3 1 o) 5 4 4-- i, O t 0
Describeff��in detail the nature of the proposed use, including what aspects of the project require a Variance.
t`. G Q L' E -s T TL L (1 e S� iZ L_ u-- Tc-( C- 7 7) Lr 4)f CZ7
Gc��
•
• •
Criteria to be satisfied for Brant of Variance
Such change is based upon the following described exceptional or extraordinary circumstances or
conditions that do not apply generally to other property in the same vicinity and zone.
ri 1-4 L t_c9 T t UL 2 (`) /- 2ar)L&) s is - t-tv5 1cur-4tRc (2_C
S) 3c Fa r3nG(<5. (t.2 /-1•'0l7(-Tr (.1 ii-/( c-o i /5 /n)
la (a ct2c z4^)r k�r-rrrL , T t5 r'Jo <<.Jo (\c1z&5
Such change will not be materially detrimental to the public welfare nor injurious to the property or
improvements in such vicinity and zone where property is located because
( i ,for>Ln 7-1,v\JO - 6=CE-
FILING FEE
A filing fee must accompany the application. Make check payable to: CITY OF ROLLING HILLS.
Date:
1 hereby certify that the statements furnished above, and in attached exhibits, presents the data and
information required for the site plan review criteria evaluation to the best of my ability; and, that the facts,
statements and other information presented are true and correct to the best of my knowledge and belief.
0 —L Te,,--')
/Z-/Z-05
FILING FEE
Signature
For: .P, // .J/3 L C-
Applicant
A filing fee must accompany the application. Make check payable to: CITY OF ROLLING HILLS
DATE IZ'4O 5 ZONING CASE NO. ADDRESS £ 7 T
APPLICANT T E / /A)/3 07,7 6=7
CALCULATION OF LOT COVERAGE
AREA AND
STRUCTURES EXISTING PROPOSED TOTAL
NET LOT AREA 6 �i `�4 O sq.ft. sq.ft. <0 9 ,5.40 sq.ft.
RESIDENCE `� 2 �7 sq.ft. (o 3 sq.ft. 42.2-1 sq.ft.
—zs.8
GARAGE 2 0 sq.ft. + 1 2 0 sq.ft. 52. sq.ft.
SWIMMING POOLJSPA (a 6 8 sq.ft. sq.ft. <08 2 sq.ft.
POOL EQUIPMENT `4 sq.ft. sq.ft. S 4- sq.ft.
STABLE (dirt volume to be included
in grading quantities) sq.ft. -5 0 sq.ft. 4-5 0 sq.ft.
RECREATION COURT 28 49 sq.ft. sq.ft. 7. S 49 sq.ft.
ATTACHED COVERED 4'5 I sq.ft. sq.ft. 4 ) I sq.ft.
PORCHES, ENTRYWAY/
PORTE COCHERE, sq.ft. sq.ft. sq.f
BREEZEWAYS (SOLID ROOF)
SIMILAR STRUCTURES sq.ft. sq.ft. sq.ft.
WITH OPEN OR
PARTIALLY OPEN ROOF sq.ft. sq.ft. sq.ft.
DETACHED STRUCTURES: i t 0 sq.ft. sq.ft. t L 0 sq.ft.
SHEDS, TRELLISES, GAZEBO,
BARBECUE, OUTDOOR sq.ft. sq.ft. sq.ft.
KITCHEN, ROOFED PLAY
EQUIP. (over 15 ft. high sq.ft. sq.ft. sq.ft.
and over 120 sq. ft.)
SERVICE YARD 6 sq.ft. sq.ft. 9 Co sq.ft.
OTHER sq.ft. sq.ft. sq.ft.
BASEMENT AREA sq.ft.
(volume to be included in grading quantities)
TOTAL STRUCTURES S 49 7 sq.ft_ 9 `7 5 sq.ft. 4 2 2. sq.ft.
% STRUCTURAL COVERAGE - S 2. Z % 1. 4- % , i 3 a %
GRADING QUANTITY
(mclude future stable, corral and
access way; basement and all other
areas to be graded)
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
•
JS 3 5 0 sq.ft.
42. 7 2 sq.ft.
44-3 2. sq.ft.
3 `.5 8 4 sqA'_
14? _13 E3sq.ft_
2 D. 3- %
22,(c35 sq.ft.
3_Z.4 %
•
sq.ft.
sq.ft. 4 2 7 2. sq.ft.
sq.ft_ 3 Z sq.ft.
sq.ft.
(4, L3 S sq.ft.
20, 3 %
sq.ft.
• ') 8 ti 0 sq.ft.
35 € 4 sq. ft.
23,6t0sq.ft.
34. 0 %
TOTAL DISTURBED
AREA 2_7, .0 50 sq-ft- sq_f& Z 7, 6 O0sq.ft.
% DISTURBED AREA 3 9.0 % % 3c), 7 To
tJ t t_ cubic yards
All structures (attached and detached) must be listed. List separately attached structures with solid roofs
from attached structures with open or partially open roofs.
Free standing accessory al.....d..;.a such as sheds, trellises, covered patios, gazebo, fountains, barbecue,
outdoor fire place, ete., are not counted towards all +:,. ;..,, and disturbed area, unless any one exceeds
120 sq. ft. in area or have a 4 i' J area of 600 sq. ft., or if there are more than 5 such:.. on the
i ��r �►�� (the first live do not count -- if less than 600 sq. ft. total or less than I20 sq. ft. each, and Iess than
10' higb, except 15' high for play forts — see Section I7.16200 J, K & L).
. • . -, • 7 .:: .., . .
• •
DATE 1. - 8 - U 1 ZONING CASE NO. ADDRESS 8 7 C 12(=. s i 12-sD , L ,
APPLICANT 3 ti� c 1-7-
NOTE: For the purpose of calculating building pad coverage provide the sq. ft. of the 'footprint" of all
structures, and separately attached trellises, porches, entryways and other architectural features with open roof
and with solid roof.
PAD NO. I
BUILDABLE PAD AREA
AND STRUCTURES
CALCULATION OF BUILDING PAD COVERAGE
EXISTING PROPOSED
BUILDING PAD Z4, 6 4 ( sq.ft. 2.4, 6 40 sq.ft.
RESIDENCE 3 9 Z 0 sq.ft. 42 Z 2 sq.ft.
GARAGE 7 ZC) sq.ft. C 52 sq.ft.
STABLE sq.ft. sq.ft.
POOL/SPA sq.ft. sq.ft.
RECREATION COURT 2 S 49 sq.ft. 2 8 4 9 sq.ft.
OTHER ACCESSORY BLDGS. sq.ft. sq.ft.
POOL EQUIPMENT sq.ft. sq.ft.
SERVICE YARD 9 6 sq.ft. 9 % sq.ft.
11-9111
ALL OTHER ATTACHED STRUCTURES
WITH SOLID ROOF FROM \D
PREVIOUS PAGE sq.ft. `ier - sq.ft. &P Q,y/t
ALL OTHER ATTACHED STRUCTURES 0 {tl��
WITH OPEN OR PARTIALLY OPEN ROOF
FROM PREVIOUS PAGE sq.ft. sq.ft. vi-
ALL OTHER DETACHED STRUCTURES
FROM PREVIOUS PAGE
TOTAL STRUCTURES ON PAD NO. 1
% BUILDING PAD COVERAGE
—71u-
29.2
sq.ft. sq.ft.
sq.ft.
"!o
7 7/(9 sq.ft.
3 i. 3
TOTAL STRUCTURES ON PAD NO. 1
NOT INCLUDING ATTACHED
STRUCTURES WITH OPEN OR
PARTIALLY OPEN ROOFS sq.ft. sq.ft.
% BUILDING PAD COVERAGE % rin
4,11-0
• •
PAD NO.2
BUILDABLE PAD AREA
AND STRUCTURES
BUILDING PAD
RESIDENCE
GARAGE
STABLE
POOIJSPA
RECREATION COURT
OTHER ACCESSORY BLDGS.
POOL EQUIPMENT
SERVICE YARD
ALL OTHER ATTACHED STRUCTURES
WITH SOLID ROOF FROM
PREVIOUS PAGE
ALL OTHER ATTACHED STRUCTURES
WITH OPEN OR PARTIALLY OPEN ROOF
FROM PREVIOUS PAGE
ALL OTHER DETACHED STRUCTURES
FROM PREVIOUS PAGE
TOTAL STRUCTURES ON PAD NO. 2
% BUILDING PAD COVERAGE
TOTAL STRUCTURES ON PAD NO. 2
NOT INCLUDING ATTACHED
STRUCTURES WITH OPEN OR -
PARTIALLY OPEN ROOFS
% BUILDING PAD COVERAGE
ALL PADS
TOTAL STRUCTURES ON ALL PADS
TOTAL AREA OF ALL PADS
• % COVERAGE ON ALL PADS
EXISTING
6Z4-C)
PROPOSED
sq.ft.
sq.ft.
sq.ft.
sq.ft.
(. 8 sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
5 4—
sq.ft. .
sq.ft.
sq.ft.
Iqj /o
�q �o
30,88o
sq.ft.
g'o
sq.ft.
sq.ft.
9a 2q1.?
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.
�Jb
sq.ft.
sq.ft.
• •
DATE I Z - 8 - C7 5 ZONING CASE NO. ADDRESS 0 7 CUES r ,Q,9 GC.
APPLICANT S l E / /')/3 0 6-7
CALCULATION OF LOT COVERAGE
AREA AND
STRUCTURES
NET LOT AREA 76, S6 0 sq.ft.
RESIDENCE 3 5 2 C7 sq.ft.
GARAGE `7 2. v sq.ft.
SWIMMING POOL/SPA 6 8 8 sq.ft.
POOL EQUIPMENT • 4 sq.ft.
STABLE (dirt volume to be included
in grading quantities) sq.ft.
RECREATION COURT 28 4 ..ft.
ATTACHED COVERED 4-5 1 sq.
PORCHES, ENTRYWAY/
PORTE COCHERE, sq.ft.
BREEZEWAYS (SOLID ROOF)
EXI,STING
PROPOSED
sq.ft.
(o�J3 sq.ft.
—zse
-I. 12 0 sq.ft.
sq.ft
.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
SIMILAR STRUCTURES : q.ft. sq.ft.
WITH OPEN OR
PARTIALLY OPEN ROOF sq.ft. . sq.ft.
DETACHED STRUCTURES: 1 i '' sq.ft. sq.ft.
SHEDS, TRELLISES, GAZEBO,
BARBECUE, OUTDOOR / sq.ft. sq.ft.
KITCHEN, ROOFED PLAY
EQUIP. (over 15 ft. high / sq.ft. sq.ft.
and over 120 sq. ft.)
SERVICE YARD
OTHER
BASEMENT AREA
(volume to be included in
`) C' sq.ft.
sq.ft.
ding quantities)
TOTAL STRUCTURES S 49 7 sq.ft.
% STRUCTURAL COVERAGE 1 I 1 %
sI•
sq.ft.
G, sq.ft.
.7 %
TOTAL
76, 56
sq.ft.
42 L2 sq.ft.
5 5 2. sq.ft.
6.8 S sq.ft.
S $ sq.ft.
lI0
sq.ft.
sq.ft.
sq.ft.
sq.f
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
9 G sq.ft.
sq.ft.
sq.ft.
O 2 2_ sq.ft.
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 DISTURBED
AREA
% DISTURBED AREA
GRADING QUANTITY
(include future stable, corral and
access way; basement and all other
areas to be graded)
827 0 sq.ft.
3 9 B sq.ft.
41-3 2 `sq.ft.
2_970
5, l0 5 `i sq.ft.
20, h %
2052 sq.ft.
_3_ 1. 4 %
3 0, 8 0 D sq.ft.
ci- 0.Z %
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
g'o
sq-ft-
sq.ft.
sq.ft.
sq.ft.
sq. ft.
5 sq.ft.
ZD, t5 cyo
Z4.667 sq.ft.
32.2 %
3 D ,801 iq.ft.
4-O. 'Z %
tJ t L. cubic yards
All structures (attached and detached) must be list List separately attac s structures with solid roofs
from attached structures with open or partially open fs.
Free standing accessory structures such as s
outdoor fire place, etc., are not counted towards
120 sq. ft. in area or have a combined area of 600
property (the fast five do not count — if less than
10' high, except 15' high for play forts — see S
trellises, covered patios,
coverages and disturbed
ft., or if there are more
sq. ft. total or less than 120
tion 17.16.2001, K & L).
, fountains, barbecue,
unless any one exceeds
5 such structures on the
. ft. each, and Iess than
OWNER'S DECLARATION
I (We) declare under penalty of perjury that the foregoing is true and correct.
Executed at / /-//7 / A �� )13 i LC—S
this l 2—t'/ day of 27CC /'1 )J� 12
By: , ,r, '
By:
, California,
,20n"
g2 &L._L Ad6
Address
1 16 L'p2 z -7,6
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: P. cJ l3 E
REPRESENTATIVE:70o ice N( (-1 A ; ;
COMPANY NAME: (3 o c_ ,.i (=1.1 L-, W e e. QI tC�
COMPANY ADDRESS:
70 7 (Do GZ 27
TZ.a- Z74
COMPANY PHONE NO. (3t° 11544-6dto
PROJECT ADDRESS: S 7 C Q- 3T RI? C=,
c O LL[ /- Cz t.- l LL
DATE FILED
FEE: ,P / -i 5
RECEIPT NO:
BY:
ZONIN CASE NO
7i0
TENTATIVE HEARING DATE:
��,ifrA
•
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 /NP/ A (2 7A7 California
this f 2- ?�h day of
B
By:
Addres
City
44)6
20 d .
Z"%L�G
•
City 0/ leo/ILI ichiho
r'
INCORPORATED JANUARY 24, 1957
NO. 2 PORTUGUESE BEND ROAD
ROLLING HILLS, CALIF. 90274
(310) 377-1521
FAX: (310) 377-7288
E-mail: cItyotrh@aol.com
ENVIRONMENTAL INFORMATION FORM
(To Be Completed By Applicant)
Date Filed Zoning Case No. / W
GENERAL INFORMATION
1. Applicant(s) P t-t t t_ 1Ti 1l71L ri A S71+,413l ? ri Tel. l 3 (0) 3 77- S 3 l 5
Address
6_1 CtZ S i t.›,17 L, ROLctrlc-7 I-1(LLS
2. Legal Owner(s) / A-3nvc Tel. ( )
Address
3. Project Address g 7 c- tza S t Ps) L E.
Assessor's Book No. .7 c (o -7 0 O S - Q 1 (o Lot No. (o - C 2
4. Other related permits and other public approvals required for this project, including those required
by city, regional, state and federal agencies:
C,/- r /1 r) c c=
5. Existing .zoning district k S - 2
6. Proposed project/use of site IZC� t n Er) rAG A D 0/ / /1 i✓.6i
PROJECT DESCRIPTION
7. Site size t. 909 A, ('cv..cLI1
8. Net lot area 7 6 , Ci (, 0 . "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 within 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 9 4-7 Z
10. Number of floors of construction O r.1 E
11.. Basement square footage
1-1
. February 2002
Environmental Information Form
®Printed on Recycled Mom . r
• •
12. Total combined flatwork and structural lot coverage
2 �/ Z 9S.-I:
13. Will any exterior walls be removed or relocated? Which walls? G`i 0 i2 TEA i✓ r2. L
14. Will any interior walls be removed or relocated? Which walls? cl 0
15. Will the entire building structure require a new roof? D
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? / 1� n (Requires Traffic Commission Review).
b. Number of driveway(s) Existing? o Proposed?
(Second driveway requires approved Conditional Use Permit from Planning Commission).
c. Width of driveway(s) Existing? 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? `/C s Proposed?
e. Grade of driveway(s)? Existing? Proposed?
(Maximum of 12% unless approved by the Planning Commission).
1. Has site plan been reviewed by Los Angles County Fire Protection Engineer to meet
current driveway access requirements? !� 0
Explain
Does driveway cover more than a maximum 20% of the area of the yard in which it is
located? W 0
Explain
h. Does uncovered parking area cover more than a maximum 10% of the area of the yard in
which it is located? r(
Explain
i. Does vehicular accessway to stable and corral have a maximum slope of 25% or
Tess? Y l= S Stable and corral average vehicular access slope 4 °/v .
j. Does property have an above ground garage with a minimum capacity of
2 cars? With guest house a minimum of 3 cars?
g•
0
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 36. 4-o v . Percentage of Net Lot Area 41. L,
20. If residential, include the unit size. Square feet '9 4 - Z
February 2002
Environmental Information Form
1-2
•
•
• 21. 1 commercial, indicate the type of project, whether neighborhood, city or regionally oriented,
square footage of sales area, estimated employment per shift and loading facilities.
NA
22. If industrial, indicate the type of project, estimated employment per shift, and loading facilities.
�l (sc,
23. If institutional, indicate the major function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the project.
%\ A-
24. Attach plans.
25. Proposed scheduling. 4 S 14
26. 11 the project involves a site plan review, variance, conditional use or rezoning application, state
this and indicate clearly why the application is required.
�PrR//raGE SIOC-JAR1) «-)
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
No WA
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
Less Than
Poteti Significant Significant With No
Significant
Impact [; Mi tion . Impact Impact
Issues:
L AESTHETICS — Would the project:
a) Have a substantial adverse effect on a scenic vista? ❑ ❑ ❑111/
b) Substantially damage scenic resources, including but 0 0 0 H
not limited to, trees, rock outcroppings, and historic
buildings within a state scenic highway?
c) Substantially degrade the existing visual character or ❑ 0 0 IV
quality of the site and its surroundings?
d) Create a new source of substantial Tight or glare which 0 0 0 lid
would adversely affect day or nighttime views in the
area?
II. AGRICULTURE RESOURCES:
In determining whether impacts to agricultural ❑ 0 0 12/
resources are significant environmental effects, lead
agencies may refer to the Califomia Agricultural Land
Evaluation and Site Assessment Model (1997)
prepared by the Califomia 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 12(
Farmland of Statewide Importance (Farmland), as
shown on the maps prepared pursuant to the
Farmland Mapping and Monitoring Program of the
Califomia Resources Agency, to non-agricultural use?
b) Conflict with existing zoning for agricultural use, or a 0 0 0 E(
Williamson Act contract?
c) Involve other changes in the existing environment 0 0 0 I/
which, due to their location or nature, could result in
conversion of Farmland, to non-agricultural use?
III. AIR 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
applicable air quality plan?
1-6
❑ 0 ❑
February 2002
Environmental Information Form
•
•
Less Than
Potentially s with Less Than
SigniTicant "Pact Motion SignificantImpac:t Impac• t
b) Violate any air quality standard or contribute ❑ ❑ 0 Eli
substantially to an existing or projected air quality
violation? /
c) Result in a cumulatively considerable net increase of 0 0 0 fa
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 El
concentrations?
e) Create objectionable odors affecting a substantial 0 El ID'
number of people?
IV. BIOLOGICAL RESOURCES — Would the
project:
a) Have a substantial adverse effect, either directly or
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
Califomia 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,
vemal 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?
e) Conflict with any policies or ordinances protecting
biological resources, such as a tree preservation
policy or ordinance?
9 Conflict with the provisions of an adopted Habitat
Conservation Plan, Natural Community Conservation
Plan, or other approved local, regional, or state
habitat conservation plan?
1-7
0 0 0 111
❑ 0 0 f7/
O 0 0 Q'
O 0 0 Ci'
O ❑ 0 d
❑ 0 0 1
February 2002
Environmental Information Form
• •
Less Than .
a siwet
Less "Than
mitigation Significant No
Wad
V CULTURAL RESOURCES — Would the project:
a) Cause a substantial adverse change in the significance 0 0 0 Illr
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
significance of an archaeological resource pursuant to
§15064.5 of the State CEQA Guidelines?
c) Directly or indirectly destroy a unique paleontological 0 0 0 CB/
resource or site or unique geologic feature? /
d) Disturb any human remains, including those interred 0 0 0 17
outside of formal cemeteries?
ILL GEOLOGY AND SOILS — Would the project:
a) Expose people or structures to potential substantial
adverse effects, including the risk of Toss, injury, or
death involving:
i) Rupture of a known earthquake fault, as delineated 0 0 0
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 I
iii) Seismic -related ground failure, including 0 0 0
liquefaction?
iv) Landslides? 0 0 0 12/
b) Result in substantial soil erosion or the loss of topsoil? ❑ 0 0 I3/
c). Be located on a geologic unit or soil that is unstable, 0 0 0 CD"
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 0 ❑"/
1B of the Uniform Building Code (1994), creating
substantial risks to life and property?
e) Have soils incapable of adequately supporting the 0 0 0 I/
use of septic tanks or altemative waste water disposal
systems where sewers are not available for the
disposal of waste water?
February 2002
Environmental Information Form
I-8
i
Less Than
Potentially �tionwdl, Less Than
Significant Significant No
fI "Pact Lolpoldt+ol Impact
Vjj. HAZARDS AND HAZARDOUS MATERIALS —
Would the project:
a) Create a significant hazard to the public or the 0 0 0 I/
environment through the routine transport, use, or
disposal of hazardous materials?
b) Create a significant hazard to the public or the ❑ 0 0 13/
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 El
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 L9/
hazardous materials sites compiled pursuant to
Govemment 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 it
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 0 111
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 13
adopted emergency response plan or emergency
evacuation plan? J
h) Expose people or structures to a significant risk of 0 0 0 G
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
No
IrnPact
VIII. HYDROLOGY AND WATER QUALITY —
Would the project: /
a) Violate any water quality standards or waste discharge 0 0 0 D
requirements?
b) Substantially deplete groundwater supplies or 0 0 0 Er
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 pattem of the 0 0 ElW
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 pattem of the ❑ 0 0 [7
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 0 E7
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 Dr
g) Place housing within a 100-year flood hazard area as 0 0 0 Ef7
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 DI
which would impede or redirect flood flows?
i) Expose people or structures to a significant risk of loss, ❑ ❑ 0 IfIr
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 E/
Less Than
with Less an
Sigtificant Mitigation Significant
Impact twpurdt ImPact
February 2002
Environmental Information Form
1-10
•
Potentially mi Less
with Less Than
Significant Significant No
.....r,,.�. t Impact
IL LAND USE AND PLANNING —Would the
project:
a) Physically divide an established community? 0 0 0 L9''
b) Conflict with any applicable land use plan, policy, or 0 0 0 13
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 0 0 I2(
natural community conservation plan?
Cis MINERAL RESOURCES — Would the project:
a) Result in the loss of availability of a known mineral 0 ❑ 0
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?
M. N O IS E — Would the project result in: /
a) Exposure of persons to or generation of noise levels in 0 0 0 121/
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 0 0 0 U/
groundbome vibration or groundbome noise levels?
c) A substantial permanent increase in ambient noise 0 0 0 fli
levels in the project vicinity above levels existing
without the project?
d) A substantial temporary or periodic increase in ambient 0 0 0 P'
noise levels in the project vicinity above levels
existing without the project?
e) For a project located within an airport land use plan or, ❑ 0 0
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. 0For a project within the vicinity of a private airstrip, would 0 0 0 13
the project expose people residing or working in the
project area to excessive noise levels?
February 2002
Environmental Information Form
LessTha
Significant s urn 'n sib No
Impact rporab'on Impact Impact
XII. POPULATION AND HOUSING— Would the
project:
a) Induce substantial population growth in an area, either ❑ 0 0 11
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 0 l"
necessitating the construction of replacement
housing elsewhere?
c) Displace substantial numbers of people, necessitating 0 0 0
the construction of replacement housing elsewhere?
XII1. PUBLIC SERVICES
a) Would the project result in substantial adverse physical
impacts associated with the provision of new or
physically altered govemmental facilities, need for
new or physically altered govemmental 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: J
Fire protection? CI 0 E
Police protection? 0 0 0 0
Schools? 0 0 ❑
Parks? 0 0 0 Fd
Other public facilities? ❑ 0 0
XIV. RECREATION
a) Would the project increase the use of existing 0 0 0 Er/
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 0 0 0
require the construction or expansion of recreational
facilities which might have an adverse physical effect
on the environment?
February 2002
Environmental Information Form
1-12
Less Than
Potentially Significant
si r t Mitigation
No
Impact Incorporation Impact Impact
XV. TRANSPORTATION/TRAFFIC—Would the
project:
a) Cause an increase in traffic which is substantial in 0 0 0 117
relation to the existing traffic load and capacity of the
street system (Le., result in a substantial increase in
either the number of vehicle trips, the volume to
capacity ratio on roads, or congestion at
intersections?
b) Exceed either individually or cumulatively, a level of 0 0 0 13/
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 Id
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 El
(e.g., sharp curves or dangerous intersections) or
incompatible uses (e.g., farm equipment)?
e) Result in inadequate emergency access? 0 ❑ 0 171
f) Result in inadequate parking capacity? 0 • 0 0 IP'
g) Conflict with adopted policies, plans, or programs 0 ❑ ❑
supporting altemative transportation (e.g., but
turnouts, bicycle racks)?
)(VI. UTILITIES AND SERVICE SYSTEMS —
Would the project:
a) Exceed wastewater treatment requirements of the ❑ 0
applicable Regional Water Control Board?
b) Require or result in the construction of new water or ❑ 0
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
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
project from existing entitlements and resources, or
are new or expanded entitlements needed?
1-13
0
❑ ❑ ❑
February 2002
Environmental Information Form
a
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?
f) Be served by a landfill with sufficient permitted capacity
to accommodate the project's solid waste disposal
needs?
g) Comply with federal, state, and local statutes and
regulations related to solid waste?
XVII. STORM WATER QUALITY IMPACTS —Would
the project:
a) During construction result in potential impact on storm
water runoff?
b) Post -construction result in potential impact on storm •
water runoff?
c) Result in potential for discharge of storm water from areas
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
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
significant harm on the biological integrity of the
waterways and water?
f) Result in potential for significant changes in the flow
velocity or volume of storm water runoff that can cause
environmental harm?
g) Result in potential for significant increases in erosion of
the project site or surrounding areas?
1-14
Poteritially
Signikant
Impact
0
Less Than
Significant wth
NBtigatian
Less Than
Significant -
Impact
❑ 0 0
❑ 0 0
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ 0
❑ ❑ ❑
❑ 0 0
❑ 0 0
❑ 0 0
No
Impact
February 2002
Environmental Information Form
•
SignificantLess Than
Pot`S with Less Than
ligason ard No
Impact. Impact
)CVIII. MANDATORY FINDINGS OF
SIGNIFICANCE
a) Does the project have the potential to degrade the ❑ ❑ 0
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 0 ❑ ❑
Whited, 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?
February 2002
Environmental Information Form
1-15
•
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 Govemment Code, then the applicant must certify that fact as provided below.
I have consulted the lists compiled pursuant to Section 65962.5 of the Govemment Code and hereby
certify that the development project and any altematives proposed in this application are QI contained on
these lists.
Date / % - % - (% 5-
For
ee*
Signature 'J
Applicant
CERTIFICATION: 1 hereby certify that the statements fumished 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 17-- 7 - a
For
Signature
Applicant
1-17
February 2002
Environmental Information Form