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775, Enlarge Porch, construct outdo, Application10/13/2009 13:38 3103738277 CRISS GUNDERSON ARCH PAGE 02/03 • • VARIANCE REOUEST FOR HEARING 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 be required to mods or remove any unauthorized or unlawful use or structure on yourpropertyprior to or in conjunction with this application. In 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 ofsaid permit, shall be subject to retroactive discretionarypermitprocess, and is subject to higher application fee. PROPERTY OWNER: f,.I LAraf .41 OWNER'S ADDRESS: 1 re f -t' TELEPHONE NO.: EMAIL: PROPERTY ADDRESS: 5A1„ A%: LEGAL DESCRIPTION: LOT NO. ASSESSOR'S BOOK NO. PAGE PARCEL AGENT'S NAME: CV4N1D ttilsot AGENT'S ADDRESS: TELEPHONE NO.: Describe in detail the nature of the proposed use, including what aspects of the project require a Variance. tivop... w 1 L L LAATio 1,AUk212rfrt d' kii" L1 �.. ii ( 4— VT. -11- 10/13/2009 13:38 3103738277 111/ CRISS GUNDERSON•ARCH PAGE 03/03 Criteria to be satisfied for grant 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. R 'M 1 .,emu' ":i' 13e. .#2.. • Auve,"T1-fl• fFew ,t" Cf 'irk: tz IN A I ( r'r?•LL 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 e ts.tv ail E" Y.I w T 70 ge_ c NI "it#' ",�.. P Pg'T c. H J f k-- 14... w `(6 Armco t 71-Ac t i A FILING FEE • A filing fee must accompany the application. Make check payable to: CITY OF ROLLING HILLS. -12- REOUEST FOR HEARING FOR SITE PLAN REVIEW 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 be required to mods or remove any unauthorized or unlawful use or structure on your property prior to or in conjunction with this application. In 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 ofsaidpermit, shall be subject to retroactive discretionary permit process, and is subject to higher application fee. PROPERTY OWNER: eta-. gS . gaTe.m+- helfzL kfr y- OWNER'S ADDRESS: ((r - lacolva TELEPHONE NO: 544 -4403t EMAIL: PROPERTY'S ADDRESS: 1 to ,rr tevtp w�,S1- LEGAL DESCRIPTION: LOT NO. 74--A ASSESSORS BOOK NO. 75491 PAGE 2.2. PARCEL 5 AGENT'S NAME: Gir-159 AGENT'S ADDRESS: Zc>24. VIA PAc.1-lco Pk/0- 416274- TELEPHONE NO: 313 r s077 NATURE OF PROPOSED PROTECT Describe in detail the nature of the proposed project, including what aspects of the project require a Site Plan Review: E I.eaets V4p. -r 5i'(i i-e-ulmlh! getzt4 t sop Vx Ib P4zoyib(:ltol for-tioN u tp PgoGd -11- Describe and delineate on plans any new basement area square footage SITE PLAN REVIEW CRITERIA Site plan review criteria upon which the Planning Commission must make an affirmative finding. Describe in detail the project's conformance with the criteria below: A. Is the project compatible with the General Plan, the Zoning Ordinance and surrounding uses? Explain how it compares to the sizes, setbacks and other characteristics of neighboring houses. �Xt CiNCx FbI2C44 I5 P aR55i V e.y - SO. F. W44ic* Pa4i'nct.1 -ta -ii _plasTu4& Fe5I flir l`I _ e-L-a51:sr SI: IS 1bL e. f r ric.oket 's$1,s1 14.51b41B 4.11J6 #-ice 1-P % e P Ll SIe. B. How does the project preserve and integrate into the site design, to the maximum extent feasible, existing natural topographic features of the lot including surrounding native vegetation, mature trees, drainage courses, and land forms (such as hillsides and knolls)? Explain how the project preserves and integrates existing natural features. rize)i fbiLei 5 kr Pc0 11 l.L 6r DEC / top 44 . 140 CA4G4M l N t LoAcNi 1.1f . bM 1ovse- hX-s FPA 5tD. C. How does the site development plan follow natural contours of the site to minimize grading? Extensive grading and recontouring of existing terrain to maximize buildable area shall not be approved. Graded slopes shall be rounded and contoured so as to blend with existing terrain. Grading shall not modify existing drainage or rcdircct drainage flow unless into an existing drainage course. Explain the nature and extent of the impact of grading and proposed minimization on lots. 146 { 'p11.16- 15 pRa?aeD. D. To what extent does the site development plan preserve surrounding native vegetation and supplement it with landscaping that is compatible with and enhances the rural character of the community? Landscaping should provide a buffer and transition zone between private and public areas. Explain how the project preserves native vegetation, integrates landscaping and creates buffers. -12- • • r lb 11akti ?D4& 15 PA4RASED eWILL ea > 3rD. E. How does the site development plan preserve the natural and undeveloped state of the lot by minimizing building coverage? Lot coverage requirements shall be regarded as maximums and the actual amount of lot coverage permitted should depend upon the existing buildable area of the lot. a1L/ty-UE4-hFit' . l5 PrtaPa m ofJ Md l Ilk 3tlt4U O , wHic.44. l5 ABoY . - (p) G se . Nib 64- l[se • tnl • 13111LUlNG F. Is the site development plan harmonious in scale and mass with the site, the natural terrain and surrounding residences? Setbacks shall be regarded as minimums and more restrictive setbacks shall be imposed where necessary to assure proportionality and openness. Explain how the proposed project setbacks compare with the existing setbacks of neighboring properties. o+l/h.16r1,i�s- . 1r i. liziofte5rop 1'6 Rot{ ?it 11..A•steieLil7N-rt •: Ae. cSS lEtz.60.S h 'it►ff1Nd ois; ' TPX-.t SLI 4I004.0 . 1'1c4oP5'T1l✓5. G. Is the site development plan sensitive and not detrimental to convenience and safety of circulation for pedestrians and vehicles? Explain how the number and types of vehicles relate to the driveway location, design, Landscaping and other on -site parking or storage areas. ' 1CP D. H. ! Does the site development plan conform with the requirements of the California Environmental Quality Act? Explain how the project impacts the environment, e.g. significant impact, proposed mitigation measures. 146 IL4tL/tpr I No Mil- 1c no1,( zurP 'O. -13- . • I hereby certify that the statements furnished above, information required for the site plan review criteria eval statements and other information presented are true and c Date: 1.0 • 9 •09 Signature in attac ontot'•►'-s ct to : •� st For: Applicant FILING FEE d e i ibits, presents the data and t / my ability; and, that the facts, my knowledge and belief. A filing fee must accompany the application. Make check payable to: CITY OF ROLLING HILLS -14- • Go!'ii• GFiINGLE ricaPri To f �ct61' -t r- t1 Extorot _ _SIGerr,leo. 'PINE txtl9r'. FIB►. • YAip I JL711 .III1 �o:1d+..�� . neon min _ ._. if 1. • +crd-tt e-cY ecv-v Pkno 15scrie7 pkno ANPPITIoN 1 t6T1N& . API' yifx•rrti eLeYAPnost T%o'I=iI'OII —oxl4a"VG GGriV. . EAINGLL frazr Ixa fits. ►n •)Usti t•l&s Est j; c C-f) iWortCS erOh1 . vt*V- 4z GtittatMY 1 11660 • Y. Tktl d . _ -e- Ap'D1T1ot4 . Ex«f Ne, �cV3nrC> rya omst , a1. vAt'loq tisti=r11-01 r- tI pCpC G FIN • rL e rvf4 �ohlri �11-6 1 5 v1NG (1YP 1 DATE I D • 0 CI ZONING CASE NO. ADDRESS (rP ALL STRUCTURES MUST BE SHOWN ON THE PLAN CALCULATION OF LOT COVERAGE AREA AND STRUCTURES EXISTING NET LOT AREA RESIDENCE GARAGE SWIMMING POOL/SPA POOL EQUIPMENT GUEST HOUSE CABANA STABLE (dirt volume to be included in grading quantities) ktui RECREATION COURT ATTACHED COVERED PORCHEc=N ENTRYWAY/ PORTE COCHERE, BREEZEWAYS ATTACHED TRELLISES *DETACHED STRUCTURES: (circle all that applies) SHEDS, TRELLIS .S(nAZEB 5 BARBECUE, OUTDOOR. KITCHEN_,,,) ROOFED PLAY EQUP.- over 15 ft. high and over 120 sq. ft. in area, WATER FEATURES, ETC. — sq.ft. SERVICE YARD C.0 sq.ft. OTHER FI P {'l.kt .• - sq.ft. BASEMENT .e t Pow 4,1000 sq.ft. (volume to be included in grading quantities) DEPTH OF BASEMENT I ' poi 472sq.ft. '1,74-sq.ft. I moo sq.ft. lobo sq.ft. 5 o sq.ft. sq.ft. sq.ft. 4.5a sq.ft. %1 000 sq.ft. PROPOSED sq.ft. - sq.ft. sq.ft. sq.ft. - sq.ft. - sq.ft. - sq.ft. 22o sq.ft. - sq.ft. 55 5 sq.ft. TOTAL STRUCTURES STRUCTURAL COVERAGE TOTAL STRUCTURES EXCLUDING UP TO 5 & UP TO 800 sq. ft. detached structures that are not higher than 12 ft. % STRUCTURAL COVERAGE sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. 20.4 2.% 1`0 ,343sq.ft. 'L•O.Cv%z% 2; r sq.ft. sq.ft. '2.20 sq.ft. I215 sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. 3 a sq.ft. o. ut % sq.ft. % TOTAL $510 2v sq.ft. '7:142 sq.ft. I 1 tioo sq.ft. �3o sq.ft. 50 sq.ft. — sq.ft. — sq.ft. f 5e7 sq.ft. -7100o sq.ft. 55 5 sq.ft. sq.ft. 400 sq.ft. I "27'b sq.ft. sq.ft. sq.ft. R Co sq.ft. sq.ft. 4 10 U sq.ft. 1515$I sq.ft. — Zc-0 $E34sq.ft. 2o,C.0°v% -15- • • ALL FLATWORK MUST BE SHOWN ON THE PLAN PRIMARY DRIVEWAY(S) 515o sq.ft. — sq.ft. o 1 G° sq.ft. PAVED WALKS, PATIO AREAS, COURTYARDS 'Z Z5 no sq.ft. — sq.ft. Z - v sq.ft. POOL DECKING 112-0 sq.ft. sq.ft. I 1 2-4-' sq.ft. OTHER PAVED DRIVEWAYS, ROAD EASEMENTS, PARKING PADS — sq.ft. sq.ft. sq. ft. TOTAL FLATWORK 11, S 2-t sq.ft. sq.ft. (I, 52S sq.ft. % TOTAL FLATWORK COVERAGE >?7. o % % f 3, o % TOTAL STRUCTURAL & FLATWORK COVERAGE % TOTAL COVERAGE 2916l 1 sq.ft. sq.ft. �io +09 sq.ft. 33 ,CPS % % 3 4-.29 % TOTAL STRUCTURAL & FLATWORK COVERAGE 2" I t D7 lsq.ft. Excl. the allowance of up to 5 — 800 sq. ft. structures from previous page. sq.ft. 211 ° l f sq.ft. % TOTAL COVERAGE 33, Co n % % 3 3 . co , % TOTAL DISTURBED AREA 34•123 o sq.ft. —' sq.ft. 3 4-1 7-3gq.ft. % DISTURBED AREA 35 - Cv % _... % 3 0. (p % GRADING QUANTITY (include future stable, corral and access way; basement and all other areas to be graded) All structures (attached and detached) must be listed. 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 800 sq. ft., or if there are more than 5 such structures on the property. -16- • • DATE 1° - c . Z.C. NO. ADDRESS ( 4 c -1. i YItEST CALCULATION OF BUILDING PAD COVERAGE PAD NO. 1 BTTTT.T)ABLF. PAT) ARRA EXISTING PROPOSED TOTAT, ANT) STRT TC'TT TR RS BUILDING PAD C Stsq.ft. sq.ft. 1014 S(Cq.ft. RESIDENCE i g `I `q ft sq.ft. 1 Z- sq ft — GARAGE I too° cq.ft. sq.ft. t t/°d cq.ft. POOL/SPA CP?'osq.ft. sq.ft. Co3 D cq.ft. POOL EQUIPMENT sq.ft. _ 50sq.ft. 5o cq.ft. CABANAIREC.RM — sq.ft. — sq.ft. sq.ft. GUEST HOUSE _ sq.ft. cq.ft. cq.ft. STABLE — sq.ft. cq.ft. sq.ft. SPORTS COURT — sq.ft. sq.ft. sq.ft. SERVICE YARD 9 C' ci.ft. cq.ft. cq.ft. ATTACHED COVERED PORCHES Primary residence 'z �-v cq.ft. — cq.ft. 22Q cq.ft. Accessory structures -' cq.ft. cq.ft. cq.ft. AREA OF ATTACHED COVERED O sift. cq.ft. 67 cq.ft. PORCHES THAT EXCEED io% OF THE SIZE OF RESIDENCE/ACCS. STRUCTURE ENTRYWAY/PORTE COCHERE/ BREEZEWAY 55 cq.ft. _ cq.ft. 550 ATTACHED TRELLISES cq.ft. — cq.ft. —" cq.ft. ALL DETACHED STRUCTURES sq.ft. (3 5 sq ft 13'O cq.ft. (from 1' page) ALL DETACHED STRUCTURES sq.ft. C9 cq.ft. (from 1``page not including allowed deductions) OTHER — cq.ft. cq.ft. TOTAL STRUCTURES ON PAD NO. 1 I o ”sq ft % BUILDING PAD COVERAGE GCm L� % TOTAL STRUCTURES ON PAD NO. 1 )191 I ci cq.ft. Nnr inrl attached trellises, Nnt inrl allowed deductions, and inrl the area of covered porches that exceed 10% of the size of the residence/accs. structures. % BUILDING PAD COVERAGE 01 .5 l % sq.ft. cq.ft. i Zl PCC2 sq.ft. I 03 icq.ft. O. S4- % Cr7.05% cq.ft. ,1 °, I l dlsq ft. /r, 73 o % -17- • • DATE 14'' o' oIZ.C. NO. ADDRESS CP Gf'--E>1- V\t ✓ST CALCULATION OF BUILDING PAD COVERAGE PAD NO.2 BUILDABLE PAD AREA EXISTING PROPOSED TOTAL AND STRUCTURES BUILDING PAD $550s01. — sq.ft. d556.?q ft RESIDENCE — sq.ft. sq.ft. cq.ft. GARAGE sq.ft. sq.ft. sq.ft. POOL/SPA —sq.ft. cq.ft. sq.ft. POOL EQUIPMENT sq.ft. sq.ft. sq.ft. CABANA/REC.R— M sq.ft. sq.ft. sq.ft. GUEST HOUSE — sq.ft. sq.ft. sq.ft. STABLE sq.ft. sq.ft. sq.ft. SPORTS COURT .•71 p0 sq ft. sq.ft. -7/ O0Osq ft SERVICE YARD — sq.ft. sq.ft. sq.ft. ATTACHED COVERED PORCHES Primary residence sq.ft. sq.ft. sq.ft. — Accessory structures sq.ft. sq.ft. sq.ft. AREA OF ATTACHED COVERED sq.ft. sq.ft. sq.ft. PORCHES THAT EXCEED 1O% QF THE SIZE OF RESIDENCE/ACCS. STRUCTURE ENTRYWAY/PORTE COCHERE/ _ BREEZEWAY sq.ft. sq.ft. sq.ft. ATTACHED TRELLISES — sq.ft. sq.ft. sq.ft. ALL DETACHED STRUCTURES (from 1" page) ALL DETACHED STRUCTURES (from 1"page not including allowed deductions) sq.ft. 4°C sq.ft. d 1.ft. sq.ft. sq.ft. O sq.ft. OTHER — sq.ft. — sq.ft. cq.ft. TOTAL STRUCTURES ON PAD NO. 2 10 sq ft 4 c sq.ft. ?l 4-04sq ft % BUILDING PAD COVERAGE $ ( 7 % ¢• & 5 % pf/. GG % TOTAL STRUCTURES ON PAD NO. 2 %"C"' sq.ft. o sq.ft. 100a sq.ft. Nnr inrl attached trellises, Nor inrl allowed deductions, and inrl the area of covered porches that exceed 10% of the size of the residence/accs. structures. % BUILDING PAD COVERAGE S ( . D7% O % 8 I . O t % —18— Millailaagna NET LOT AREA RUED NG !ADM mamma e 33.331'9•f oARAGB. Ammo. S►DIMIOG POOL/SPA % b30 tq0. sT BIB 'SERVICE YARD cram �q$ 1.4 r roll% .1941 N►s vr: mums roma rant • �.�. ate' �.tt. 33. 1L'0. .4s. I.k.0.0- .'qa.. o__'4d AIL TOTAL STRUCL uns aim. . /6 STRUCTURAL COVERAGE COVERAGB 30 * DRIVEWAY • •$niLl NIA PAVED WALKS AND PATRO AREAS • - • POOL DECKING Tara. nov ORuc 1 t. 5Zg % TOTAL FLATW'ORR COVERAGE 13.52 TOTAL STRUCTURAL & FIATWORIC COVERAGE 21,5,gla.'4R Er TOTAL COVERAGE 24.3514 7 460: 722.42. ICA 94 so. KO- 114.0 _ SO- ft. 2 & L sqic 1 ___ KA. $4 . % 32.75 ss A xe cx? or !7/5 -�.426.4NCL- 3136, l . 7•8•co (c_QE.S .404,1 kart" • • DATE 1 ' 1 ZONING CASE NO. ADDRESS I CP e.f- �,ji V►/E$r 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 EXISTING sq.ft. 114'1-sq.ft. &CO -sq.ft. 0 30 • .sq.ft. sq.ft. sq.ft. -- sq.ft. STABLE (dirt volume to be includedd PROPOSED sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft: TOTAL t$ 41q.ft. r2?sq:ft. ..Ve sq.ft. 6i 3 sq.ft. sq.ft. sq.ft. sq.ft. in grading quantities) . sq.ft. ISO sq.ft. RECREATION COURT 7ceio • sq.ft. ATTACHED COVERED niA'T& i. 0 k ° **WA' a^/6 Cogi ee fa". sq.ft. 'UP sq.ft. 113 5. sq.ft. 0II5 et**. Clo re.) ENTRYWAY/ PORTE COCHERE, BREEZEWAYS PORCHES 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. SERVICE YARD OTHER BASEMENT AREA ' 1000 (volume to be included in grading quantities) DEPTH OF BASEMENT sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. 1(, sq.ft. sq.ft. sq.ft. TOTAL STRUCTURES atia sq.ft. STRUCTURAL COVERAGE 2.0 . % TOTAL STRUCTURES EXCLUDING UP TO 5 & UP TO - 800 sq. ft. detached structures that are not higher than 12 ft. sq.ft. % STRUCTURAL COVERAGE -15- ammo sq.ft. sq.ft. sq.ft. sq.& ft sq.ft sq.ft. sq.ft. sq.& sq.ft. sq.ft. -7 sq.ft. S S S sq.ft. sq.ft. 9�r fi0 sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. 1 S, 343 sq.ft. % Co 5 % sq.ft. sq.ft. • OWNER'S DECLARATION I (We) declare under penalty of perjury that the foregoing is true and correct. Executed at ! C C,- < -1" R—cL g a 11 ivj 4 , l l St , California, this I day of c- o b t4.- , 20.0 `i Ijk/\A—g'11') I b Cv-u IZ x.J By: By: Address IZbR(.i: (1 ,itz. A 5t u2 ? 1 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. wi e. I II u + APPLICANT: T u I .. a- R v‘o + DATE FILED REPRESENTATIVE: G'P-I55 67-4r`J7FP O FEE: COMPANY NAME: RECEIPT NO: COMPANY ADDRESS: BY: 26 2-* >I I A ? 4-5 T U F ZONING CASE NO TENTATIVE HEARING DATE: COMPANY PHONE NO. (3 1 v 1 3/ 3"$ d PROJECT ADDRESS: 1 (0 c 4-4 3 i `✓ -20- • • 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. I n Executed at / 6 C„e-i (LA,w , I ` c 11 �'" 5 ��C , California this C day of �� -Q-V , 20 0 . By: / 6 Ce-e_) %l, IV Address City -21- 10/09/2009 17:29 3103738277 4111 CRISS GUNDERSONlliCH PAGE 02/18 geo Roelbt9 qieed, INCORPORATED JANUARY 24, 1857 NO..2 PORTUGUESE BEND ROAD ROLLING HILLS, CA 90274 (310) 377-1521 ' FAX (310) 377-7288 ENVIRONMENTAL INFORMATION QUESTIONNAIRE (To Be Completed By Applicant) Date Filed 1C' • • 6� Zoning Case No. ' GENERAL Jt JFORMATIOM 1. . Applicants) Q . • t LIPS • tslA-L✓'t .rr Tel. ( ) 4 i ' 4(p3 Address j re VtiEsT tt- ' 2. Legal Owner(s) s L t't" Tel. ( 1 • Address 3. Project Address t 4' jM2___1 ;` r Assessor's Book No. 75Co9 - - GJ Lot No. 14 A 4. Other related permits and other public approvals required for this project, including those -required by city, regional, state and federal agencies: k-4-EeiE L A AttaYtYEJ-4L Lp((NI& tDM'et- 5. Existing zoning district.S "rL. 6. Proposed project/use of site Sf'I • • PROTECT DESCRIPTION 7. Site size '2 . c 3 --". 8. Net lot area . "Net Lot Area" means the total area included within the lot lines of the lot or parcel of prope , 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 (% SN S>'~ 10. Number of floors of construction '7- 11. Basement square footage (E) 41 • 10/09/2009 17:29 3103738o CRISS GUNDERSON H PAGE 03/18 12. Total combined flatwork and structural lot coverage 74Dt� 13. Will any exterior walls be removed or relocated? Which walls?� 14. Will any interior walls be removed or relocated? Which walls? it O 15. Will the entire building structure require a new roof? ki6 16. Will the existing roof remain intact, with less than 200 square feet added? NO 17. Driveway Access and Parking: a. Is a new driveway access way proposed? MC) (Requires Traffic Commission Review). b. Number of driveway(s) Existing? 2. Proposed? (Second driveway requires approved Conditional Use Permit from Planning Commission)!,,( c. Width of driveway(s) Existing? IX) Proposed? `i' (Maximum of 20 foot width unless approved by the Planning Commission). d. Does first 20 feet of driveway haye a maximum grade of 7%7 (Maximum of 7% for first 20 feet of driveway require. 1 Existing? 574 Proposed? ¢� e. Grade of driveway(s)? Existing? 5 fo Proposed? (44 (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? MO Explain • Nb1 iLeck3 Doesdriveway cover more than a maximum 20% of the area of the yard in which it is located? Explain rPisitt lA v 140 ( PtiV Al c 54 574, o 3q .7% h, Does uncovered parkin area cover more than a maximum 10% of the area of the yard in which it is located? 0 Explain 2. • I. Does vehicular accessway to stable and corral have a maximum slope of 25% or Tess? N f F. `j Stable and corral average vehicular access slope 1 S % . j. Does property have an aove grow—ri garage with a minimum capacity of 2 cars? "fa-5 With guest house -a minimum of 3 cars? 18. Grading quantities shall be balanced. Amount cut 6. . 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 M•17.3v Percentage of Net Lot Area 3 $. CP %. 20. If residential, include the unit size. Square feet 7t? 4-2- 2 iiil 10/09/2009 17:29 31037382 CRISS GUNDERSONCH PAGE 04/18 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. t 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. 1114 24. Attach plans. 25. Proposed scheduling. ✓13 'C 15? Lcfl l As,sT . 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. S CCM 1vi Duo.'tb D rfohlS 6F Akrft-ouAl— rcv16N5 S 1TE i'11rot . VAY-141 P c/V I4 w/hr 440 ._ eV r C.Ci.CJ1 LMcri N CT 44-t of -a- - f n t:*J 5 f xCn Sri Ot4 ENIQIiONMENTAt_ $ETTINS3 27. Describe the project site as it exists before the project, including information on topography, soil stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing structures on the site, and the use of the strictures. Attach photographs of the slte. Snapshots or polaroid photos will be accepted. r/ - t, SLR Rorfi4 ssurrti w( pxts7't'kcs; r s oi1 1L () 12.65/pFwce. t c us . i5- - ( ) . :tt1t5 G��t is r *i. i f u-ri4vrA0Le . SJ-f Js , l.(dt c .. 5 rt 15 fu GOY LAri 1756041M5 Wl Lk 3 10/09/2009 17:29 31037382 CRISS GUNDERSON QRCH PAGE 05/18 28. Describe the surrounding properties, including information on plants and animals and any cultural, historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.), intensity of land use (one -family, guest house, office use, etc.) and scale of development (height, frontage, set- back, rear yard, etc.). Attach photographs of the vicinity. Snapshots or polaroid photos will be accepted. r mPri l; ?ate- te- STt 'w £ -mtres Sb t w / -SST -c5' ' � €�-5 vv iS cnma f f ' Dow Fiv•Rsia 12 ;Pr la- -6 p tn-LS fiSIPX I 29. Is the proposed project consistent with: City of Rolling•Hills General Plan Applicable Specific Plan City of Rolling Hilis Zoning Ordinance South Coast Air Quality Management Plan Congestion Management Plan Regional Comprehensive Plan 30. Have any of the following studies been submitted? 4Geology Report icleig 7 Hydrology Report Soils Report Traffic Study _ Noise Study _.Biological Study Native Vegetation Preservation Plan • _ Solid Waste Generation Report _ Public Services/ Infrastructure Report 4 Yes No _ Historical Report Archaeological Report Paleontological Study _ Line of Sight Exhibits _ Visual Analysis _Slope Map Fiscal impact Analysis Air Quality Report ,�. Hazardous Materials/ Waste N/A 10/09/2009 17:29 3103738277 • CRISS GUNDERSON RCH PAGE 06/18 EVALUATION OF ENVJRONMENTAL•IMPACT$: 1. A brief explanation is required for all answers except "No Impact" answers that are adequately supported by the information sources a lead agency cites in the parentheses following each question. A "No Impact" answer is adequately supported if the referenced information sources show that the Impact simply does not apply to projects like the one involved (e.g. the project falls outside a fault rupture zone). A "No impact" answer should be explained where it is based on project -specific factors as well as general standards (e.g. the project will not expose sensitive receptors to pollutants, based on a project -specific screening analysis). 2. All answers must take account of the whole action involved, including off -site as well as on -site, cumulative as well as project -level, indirect as well as direct, and construction as well as operational impacts. 3. Once the Lead Agency has determined that a particular physical impact may occur, then the checklist answers must indicate whether the impact is potentially significant, less than significant with mitigation, or Tess than significant. "Potentially Significant Impact" is appropriate if there is substantial evidence that an effect may be significant. If there are one or more "Potentially Significant Impact" entries when the determination is made, an EIR is required. 4. "Negative Declaration: Less Than Significant With Mitigation Incorporated" applies where the Incorporation of mitigation measures has reduced an effect from "Potentially Significant Impact" to•a "Less Than Significant Impact." The Lead Agency must describe the mitigation measures, and briefly explain how they reduce the effect to a less than significant level (mitigation measures from Section XVII, "Earlier Analyses," above may be cross-referenced). 5. Earlier analyses may be used where, pursuant to the tiering, program EiR, or, other CEQA process, an effect has been adequately analyzed in an earlier EIR or negative declaration. See State CEQA Guidelines Section 1 5063(c)(3)(D). In this case, a brief discussion should identify the following: a. Earlier Analysis Used. Identify and state where they are available for review. b. Impacts Adequately Addressed. Identify which effects from •the above checklist were within the scope of and adequately analyzed in an earlier document pursuant to applicable legal standards, and state whether such effects were addressed by• mltlgatien measures based on the earlier analysis. c. Mitigation Measures. ' For effects that are "Less Than Significant With Mitigation Measures Incorporated," describe the mitigation measures which were Incorporated or refined from the earlier document and the extent to which they address site -specific conditions for the project. 6. Lead agencies are encouraged to incorporate into the checklist references to information sources .for potential impacts (e.g., general plans, zoning ordinances). Reference to a previously prepared or outside document should, where appropriate, include a reference to the page or pages where the statement is substantiated. 7. Supporting Information Sources: A source list should be attached, and other sources used or Individuals contacted should be cited In the discussion. 8. This is only a suggested form, and lead agencies are free to use different formats; however, lead agencies should normally address the questions from this checklist that are relevant to a project's environmental effects In whatever format is selected. 9. The explanation of each issue should identify: a. the significance criteria or threshold, if any, used to evaluate each question; and b. the mitigation measure identified, if any, to reduce the Impact to less than significance. 5 • 10/09/2009 17:29 3103738 7 u rile ,r,i ��.��,m. ,»,u� �•u,in r,•rr, ��r� i u:, .� i�.1,,.6falLl' �;'ilil:'.:,4:"' ii.�S"! ;1 f',n�'��::.f;;1i'ifP��:�ulljl„•�� 1`�f�,.pll'•;II';'9 ndl�G "yl:.�� ,;�f.� �'n��l..�i�, .j `,;k^Pr.{i4i.�-r;i:'ip�a.��yZt,�;;t,••�.�; 1 Issues; AgSTHETICS — Would the project: • a) Have a substantial adverse effect on a scenic vista? ❑ b) Substantially damage scenic resources, including but not limited to, trees, rock outcroppings, and historic buildings within a state scenic highway,? c) Substantially degrade the existing visual character or quality of the site and its surroundings?. d) Create a new source of substantial light or glare which ❑ would 'adversely affect day or nighttime views in the area? CRISS GUNDERSON CH PAGE 07/18 419:91:' 1 L 'AGRICULTURE RESC?uRCES: • In determining whether Impacts to agricultural 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 Conservatiori as an optional model to use In assessing impacts on agriculture and farmland. Would the project: II ❑ a) Convert Prime Farmland, Unique Farmland,:or . . Farmland of Statewide Importance.(Farmland), as •shown on the maps prepared pursuant to the Farmland Mapping and Monitoring Prograc Iof the California Resources Agency, to non•ag se? b) Conflict.with existing zoning for agricultural use, or a Williamson Act contract? 0 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 ❑ ❑ O ❑ 0 ❑ 0 I, AR DUALITY,-- Where available, the significance criteria established by the applicable'alr quality management or air pollution control district may be relied upon to make the following determinations. Would the project i7 a) Conflict with or obstruct implementation of the applicable air quality plan? PAGE 08/18 10/09/2009 17:29 3103738 iii r'e�,lj;ki''i` ""�I:Gm �{�f i 11!� Nnr;;�aiit.Y;u;r � ci;i•r-i�aq,, ,C`S. un „Ciii'ir i�iiiptGiwii!µL'ul;f^giciC;i j i,�..,. If::i it',;i7iyinuinili . b) Violate•any air qualitycted air quality violdard or bation? ute substantially to an existing or prolected c) Result in a cumulatively considerable prolect fe t In creis ane o attainment under an app f any criteria pollutant for which c�le federal or state ambient (including releaSing emissions air quality standard forthresholds ozone precursors?�ch exceed quantitativesholds d) Expose sensitive receptors to substantial pollutant concentrations? e) Create objectionable odors affecting a substantial number of people? CRISS GUNDERSONRCH ❑ 3101P- g .AL REPaHRCES r Would the project: a) Have a substantial adverse effect, either species directly or ified through habitat modifications, on any pgIn as a candidate, sensitive, or special status species • local or regional plans, to�°ash and Gamecies, or tor U•S rFlsh and Californiathe Departrner Wildlife Service? b) Have substantial a � a adverse Identified In local habitat any riparian or other sensitive n the California reglonat plans, policies, regulations or by Department of Fish and Game or U.S. Fish and Wildlife Service? c) Have a substantial adverse Sec on 404 of the leer Wa protected wetlands as defined by Act'(including, but not limited to, marsh, vemal pool, coastal, etc.) through direct removal, filling, hydrological interruption, or other means? d) Interfere substantially f sib �r wildlife species e movement of w with nativeresident or migratory species orre corridors, established native resident or migratory sites? or impede the use of native wildlife nursery e) Conflict with any policies or ordinances protecting biological resources, such as a tree preservation policy or ordinance? f) Conflict with the provisions of an adopted Habitatta&lion Conservation Plan, Natural Community. Plan, or other approved local, regional, or state habitat conservation plan? ❑ ❑ ❑ 17 . V Q ❑ i 0 Q ❑ ❑ i� Q ❑ 0 0 ❑ i 0 0 0 7 0 ❑ 0 0 ❑ 0 i 0 0 13 277 10/09/2009 17:29 31037388 CRISS GUNDERSON -111 :ri�P@ni;,`u�!�I1iIS:IC;p�,fi_; 4�s;imii€?,• ..me�. J rt.di �r, q JSi; Ytm: 'u;i;;IK"'P`fii�i7ri1; A1 i:IGJP'16'i'ti71 t' ;71d� 1'i;fe j Y;l: Cil :arx; IFi�niCjL'S;u•'r rn. r r,r tll '; il,f;,P,it1uPI m 1W31, re ;:!': me..t aq yvSoillu �'iLRttj;i�;I'fi:i',hljl'I'1 Yhl6' li�Pa�ninni� {''rrrhf � it�.�{IY:�ul;ir�,'r�.�_,�......r 'irt�r:${;iu:.r'rvn'v,uiiii r h �o,,n,pp�,:�."13L,;�s;:a-.... vfJ,��;'a.�f�,1(..a,��...... jii� jr';h;?Irj!K' li„ji';6L;1„i^,:' „i 'k �; jiGn:,ra..�i� •� ..7 a.f 1_4 RAL RESQURCES -Would the pro ect: El El Cause a substantial adverse change .1 � tossig5 if thece of a historical resource.as defined in § State CEQA Guidelines? ❑ II of an archaeological b) Cause a substantialal resource pursuant to §15064 5 of significance aeologic the State CEQA Guidelines? • ❑ ❑ c) Directly or indirectly destroy ealunic efeature?lntological resource or site or unique geologic ❑ Q d) Disturb any human remains, including those interred outside of formal cemeteries? y1, GOLOGY ANDS ItWould the project: - a) Expose people or structures to potential substantial''. adverse effects, including the risk of loss,injury, or death involving: ❑ CI i Rupture of a known eatthquake fault, as delineated on ❑ the most recent Atquist-Prioio Earthquake Fault Zoning Map issued by the State Geologist for the area or ' based on other substantial evidence of Special ai own fault? Refer to Division of Mines and Geology p a Publication 42. ❑ ❑ / 11) Strong seismic ground shaking? II ❑ Q Ili) Seismic -related ground failure, Including liquefaction? 0 iv) Landslides? ❑ ❑ ❑ Of/ b) Result in substantial soil erosion or the'loss of topsoil? ❑ ❑ 0 c) Be located on a geologlas a unit or soil that ais f the project, 17 and would become unstable and potentially result in °nuefac liquefaction codllapse��ateral � spreading, subsidence,q ❑ p d) Be located on expButiding Code (1994)ansive soil, as �c crin eating 18-ble iB of the Uniform substantial risks to life and property? 1-1r7 e) Have soils incapable of adequately,supporting the use ' of septic tanks or alternative waste ate wale foter di the al , systems where sewers are no disposal of waste water? o Tir PAGE 10/18 10/09/2009 17:29 3103738 7 ll' the project: a) Create a significant to ghazard routine transport, use, or c or the environment disposal of hazardous materials? b) Create a significant hazard to the public or the environment through reasonably foreseeable upset • and accident conditions into the environment? the release of hazardous ma c) Emit hazardous emissions or handle hazardous or acutely hazardous materials; substances, owaste e within one -quarter mile of an existing proposed school? d) Be located on a site which is included on ralit st to of hazardous materials sites comp P Government Code Sectionn ficant hazard to the public or the would it create a significant the environment? e) For a project located within an airport land use p an or, where such a plan has not b d use ad, wit, hin two miles of a public airport or public 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, ) eo le would the project result in a safety hazard for people residing or working in the project area? g) Impair implementation of or physically interfere nte f emergency with an adopted emergency response plan, evacuation plan? h) Expose people or'structures to a significant risk of loss, injury or death involving wildland fires, including • where wildlands intermixed with w ldlands? ajacent to urbanized areas or residences where resideres are CRISS GUNDERSON RCH Cd 0 0 I ❑ 12( CI° 0 I CI CI ❑ ° Z( 0 d ❑ 7 Q CI i3 ° 19/(39/2099 17:29 31037382 7 yfll. HYDROLOGY AND WATPR QIJAL1TY —Would the project: a) Violate any water quality standards or waste discharge requirements? b) Substantially deplete groundwater supplies or 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 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 ❑ ❑ ❑ 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 ❑ the capacity. of existing or planned storm water drainage systems or provide substantial additional sources of polluted runoff? f) Otherwise substantially degrade water quality? • ❑ g) Place housing within a 100-year.flood hazard area as ❑ ❑ 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 d which would impede or redirect flood flows? i) Expose people or structures to a significant risk of ❑ loss, 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? .❑ CRISS GUNDERSON RCH i7 CI CI ❑ ❑ 10 10/09/2009 17:29 .3103738277 410 CRISS GUNDERSON RCH PAGE 12/18 IX.LANQ USE AND.ELANNING — Would the project: a) Physically divide an established community? ❑ b) Conflict with any applicable land use plan, policy, or ❑ • 0 0 regulation of an agency with jurisdiction over the project (including but not limited to the general plan, specific plan, local coastal program, orzoning ordinance) adopted for the purpose of avoiding or mitigating an environmental effect? c) Conflict with any applicable habitat conservation plan or 0 GI GI I/ • natural community conservation plan? X. MINERAL. RESOURCES — Would the project: a) Result in the loss of availability of a known mineral ❑ 0 ❑ 12( 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 CI CI1 • 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 bf noise levels In El. 0 CI 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 I/ groundbome vibration or groundborrie noise levels? c)• A substantial permanent increase in ambient noise levels ❑ ❑ 0 11( in the project vicinity above levels existing without the project? d) A substantial temporary or periodic increase in ambient 0 0 Elnoise levels in the project vicinity above levels existing without the project? • e) For .a project located within an airport land use plan or, ❑ CI CI 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 ❑ ❑ d i the project expose people residing or working in the project area to excessive noise levels? 11 10/09/2009 17:29 3103738 7 • CRISS GUNDERSONRCH, PAGE 13/18 f7diu6a, [ XIII . JOPljLA11O11 AND HOUSIlk a - Would the project: a) Induce substantial population growth In an area, either 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 ❑ ❑ necessitating the construction of replacement housing elsewhere? Ihn hkijl' f;Pfl,;jR ,dfSwL'jGriIRIiCi:f::"ireh c) Displace substantial numbers of people, necessitating the construction of replacement housing elsewhere? ❑ ❑ ❑ ❑ ❑ ❑ 2c,11 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: Fire protection? - ❑ ❑ ❑ BicPolice protection? ❑ ❑ ❑ dz. El • ❑ ❑ Pa rks? ❑ CI ❑ Other public facilities? ❑ CI ❑ Q 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 ❑ ❑ 0 the construction or expansion'of recreational facilities which might have an adverse physical'effect on the environment? • ❑ ❑ ❑ 12 • CRISS GUNDERSON ARCH PAGE 14/18 10/09/2009 17:29 31037387 6k4RrA°,1,�, I,%.�lull il�� 113,,q" 1J a .,cumr,rci•ii.1 ,r, iu uc,rllriu anv. r, ml ,uu , n,:� e•r•unr iv:. �cu�u, r 'a' un+aeiy nin'' ,i• , 4. 1,•, •a noun a nurnnn;:,.n k (11YcN'�E uu n �(��11 i 1 {•. ,1 �n ;G1,1 f-h 11 �. r, '� i u F� La Cf'PFS t., „:ggunw nwf mGi.lafnl`1e14;u,u.ai1 ii'I"i li i1"I. iL mi d. 1 n•�,:d+1, u.f�IF�r� ��n .m�r1,o „2�� , , ,���au ;;ii� „,i','I:;;S�'I'�,,, ,� aiFi1'.4G;S! ��u16t� l�i 16J.f}:.: •�n P.i...�,��r d �� �il4i f � 11,fi: iiil�mnnuuni�"•.� v �P ,Ji�,l. 'i,� .,.�l�i �C•�.il,� I,,�(,,,h�,iia �� �`e.,,lld nllicmu1i;71?a'�Y%!��U Y�tl,i.•�:..t... 'p II ' � i jt u� �.:rn•i' i � ' �1� u ,P�4 � f a 1POlflI'PCt:�acGpadtu�'d ! ..:...... b Ida,,�l .�.{i1i6�n•i}!t!tf`f.�. �Jirtuuu��n�.,,t�..� ppr i i4' 6,•� °,.J'q �` �l�'{ F ..,i �� I i it i I RI I F.18i �;)r..a�. •.'SJ.h•i......... .. r,� ir�i� � � r --.: �� 5 , . .,, :'.{.6 �;,I�, :I�'_i�a�r � isJ��7�i,�,,,C.k.tu.F..: ,.' XV. MANSPORTATION/TRAFFIQ — Would the project: o a) Cause an increase in traffic which is substantialof the relation to the existing traffic load and capacity street system (i.e„ result In a substantial increase in either the number ofn a is a trip ,te the vol o s� to capacity ratio on roads, or cog El 0b) Exceed either individually or cumulatively, a level of service standard established by the county congestion management agency for designated roads or highways? ❑ 0 c) Result In a change In air traffic patterns, Including either an increase in traffic levels or a change In location that results In substantial safety risks? CI CId) Substantially increase hazards due to a'lesign feature CI (e.g., sharp curves or dangerous intersections) or incompatible uses (e.g., farm equipment)? ❑ ❑ e) Result in inadequate emergency access? • ❑ f) Result in inadequate parking capacity? CI CI • I la .g) Conflict with adopted policies, plans, or programs • supporting alternative transportation (e.g., but turnouts, bicycle racks)? izz VI, m: lL. T1ES-ANO SEP;yiCE YAMS —Would the project: a) Exceed wastewater treatment of the ❑ Cl p 17 applicable Reional WteConol•Board? p D ❑ b) Require or result in the construction of new water or wastewater treatment facilities or expansion of existing facilities, the construction of which could cause significant environmental effects? • c) Require or result in the constructionof existing facllit es�the. . ter 0 0 X drainage facilities or expansion construction of which could cause significant environmental effects? ❑ ❑ ❑ d) Have sufficient water supplies available to serve the project from existing entitlements and resources, or are new or expanded entitlements needed? 10/09/2009 17:29 3103738277 CRISS GUNDERSON�CH PAGE 15/18 ICI) 11 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 0 0 0 regulations related.to solid waste? I>Y Ili6i11� c!tr l: dA gaTii`.a ii�{{iu 0 CI gills ,STORM WATE QUALITY IMPACTS — Would the project: a) During construction result In potential impact on storm 0 0 in water runoff? b) Post -construction result in potential impact on storm C1 0 0 water runoff c) Result In potential for discharge of storm water from 0 0 0 areas from material storage, vehicle or equipment fueling, vehicle or equipment maintenance (including washing), waste handling, hazardous materials handlir or storage, delivery areas or loading docks, or other outdoor work areas? d) Result in potential for discharge of storm water to impair 0 r 0 0 the beneficial uses of the receiving waters or areas tha provide water quality benefit? e) Result in potential for discharge of storm water to cause t 1 0 0 significant harm on the biological integrity of the waterways and water? f) Result in potential for significant changes in the flow ❑ 1a 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? 14 ti ,I n 10/09/2009 17:29 3103738 CRISS GUNDERSONPCH PAGE 16/18 XVIII. MANDATORY FINDINGS OF SIGNIFICANCE a) Does the project have the potential to degrade the • G7 • " 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 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 will ❑ cause substantial adverse effects on human beings, either directly or indirectly? 15. 10/09/2009 17:29 3103738277 CRISS GUNDERSON�CH PAGE 17/18 NOTE: Before the Lead Agency can accept this application as complete, the applicant must consult the lists prepared pursuant to Section 65962.5 of the•Government Code and submit a signed statement indicating whether the project and any alternatives are located on a site which is included on any such list, and shall specify any list. HAZARDOUS WASTEAND_$IfBSTANCES STATEMENT The development project and any alternatives proposed 'in this application are contained on the lists compiled pursuant to Section 65962.5 of the Government Code. Accordingly, the project applicant is required to submit a signed statement which contains the following Information: 1. Name of applicant: 2. Address: 3. Phone Number: 4. Address of Site (street name and number If available, and ZIP code): 5. Local Agency (city/county): 6. Assessor's book; page, and parcel number: 7. Specify any list pursuant to Section 65962.5 of the Government Code: STATE OF CALIFORNIA HAZARDOUS WASTE AND SU@STANCIzS SITES LIST 1,ayailatAint City HO, 8. Regulatory identification number: 9. Date of List: JULY 1992 Date For signature' Applicant -16 - 10/09/2009 17:29 3103738 7 CRISS GUNDERSON*CH PAGE 18/18 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. ! 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 apptt>ration. are contained on these lists. Date \ ' I Signature For ',,/efzL.G- 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 1 o ' ` Signature For Wirtecth-l."C- Applicant Public:PLANNING MASTERS:City of Rolling Hltls Envlronmental Questionnaire Rev. 2009.doc -17-