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428, Garage addition, to extend int, ApplicationREUEST FOR HEARING FOR ZONE VARIANCE CITY OF ROLLING HILLS The undersigned Mr. 8, Mrs. Dale Stucker Name #6 Flying Mane, Rolling Hills, CA 90274 (213) 377-6096 Street Address Telephone Number X(1) is/are the owner(s) or is/are in lawful possession of (2) has permission of the owner Legal description of property situated at 61A Lot #6 Flying Mane Street Address Southfield Tract Describe in detail the nature of the proposed use, including what aspects of the project require a Variance. Owner proposes. twelve (12) foot bedroom extension into required rear yard. A proposed garage addition is a extension of existing 38.56' front setback. 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. Site is small relative to Rolling HIills standards and is restricted by large front and rear yard setbacks. Therefore,. this request is in accordance with sites that have similar conditions and should be granted. Such change will not be materially detrimental to. the public welfare nor injurious to the property or improvements .2- al,n11 v3r. n..ty and "w •-4+nre property .is located because. The granting of this variance should not be detrimental to the public welfare or neighboring residepaes. FILING FEE A filing fee c,OgOS-must accompany the application. Make check payable to: • • COMPUTATION OF LOT COVERAGE CITY OF ROLLING RILLS LOT COVERAGE (Ordinance No. 188) Main buildings, accessory buildings, structures, tennis courts, swimming pools, service yards (enclosed or unenclosed), stables, or an area of not less than 200 square feet for the construction of a stable (with vehicle access thereto) shall not cover more than twenty (20%) percent of the net lot area; provided further that in addition to the above described improvements, the areas included within driveways, parking space, walks, patios, decks and asphalt or concrete paving of any kind excepting roads maintained by the Rolling Hills Community Association, shall not cover more than thirty-five (35%) percent of the net lot area. For the purposes of this Section 'net a: -a' shall exclude all perimeter easements a maximum of ten feet and that portion of the lot or parcel of land which is used :or roadway purposes, and shall also exclude any private drive or driveway which pro- vides ingress and egress to any other lot or parcel of land, and access strip portion of any flag lot. •HUE.DING AREA CALCULATIONS • NET LOT AREA _ _ - 2.6 , 2 8 8 _ Sq. ft.- RESIDENCE - - 3,476 sq. ft. GARAGE _ 540 sq. ft. SWIMMING POOL 525 • sq. ft. STABLE 20 0 aq. ft. OURT 0 sq. ft. TOTAL SQUARE FEET 4 , 8 5 3 % COVERED (MAY NOT EXCEED 20% OF NET LOT AREA) 18.5- % DRIVEWAY 2,230 sq. ft. PAVED WALKS AND PATIO AREA 100 sq. ft. POOL DECKING 200 sq. ft. TOTAL COVERAGE (MAY NOT EXCEED 35% OF NET LOT AREA) TOTAL SQUARE FEET 2,530 9.6 28.1 1 • . OWNER'S DECLARATION I. (We), declare under penalty of perjury that the.foregoing is true and correct. Executed at this 25th City of Rolling Hills day of April .„,„ ..„Is 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 Not_ry Public of the State where the signature is ffixed, or before another officer of that State authorized by its laws to take . acknowledgments, that be (it) owns the property described herein, and that the information in the accompanying this application is true to the best of his (its) knowledge and belief. Attach appropriate acknowledgment here. California, 199, FORMS ISSUED TO: NAME • PILED . • 1i 2 © , 19% 0RGANIZATION FEE $ Z- °" f Zs JOE IjDDR,'s$ RECEIPT NO.- eg 1' 4. . . g,ptM. : _ -. DATE- .... .... ... s .... . . DECISION OF PLANNING COMMISSION . The action of the Planning Commission will be final unless within twenty (20) days following the notice to the applicant of the decision, an appeal in writing is filed with the City Clerk by: A. The applicant; B. Any person who protested, either orally or in writing, as a matter of record prior to the final vote of the Planning Commission'on the matter and who, in addition, received or was entitled to receive the written notice specified in subdivision 2 of subsection. A of Section 17.40.060; or C. The City Council, upon the affirmative. vote of three members of the Council. In order to obtain a building permit, it will be necessary for the applicant to sign a copy of the findings that they understand and accept the conditons of approval. • • • CITY cr ROLLING HILLS ZONING CASE CERTIFIED PROPERTY OWNERS' LIST AFFIDAVIT STATE OF CALIFORNIA) ss. COUNTY OF LOS ANGELES) -Mr. E Mrs. Dale Stucker declare under. penalty of perjury that the attached list contains the names and addresses of all persons to whoa all property is assessed as they appear on the latest available assessment roll • -of the County within the aria described and .for a distance of aM thousand,. (1,000) feat from the exterior_ boundaries of property legally described -as: 61A Southfield Tract-; #6 Flying Mane • Executed at City of Rolling Hills 25th ,_] Conditional rise Permit `\ 12] Variance 0 Zone Change day of April • • • •, California, !lib Signature `" 1,-12 90. OWNER'S ACKNOWLEDGMENT 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 for 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. this Executed at City of Rolling Hills 25th day of April By. 19 90 , California Address City The undersigned REOUEST FOR HEARING • FOR SITE PLAN REVIEW CITY OF ROLLING HILLS Mr. Mrs. Dale Stucker Name #6 Flying Mane, Rolling Hills, CA 90274 Street Address is/are the owner(s) or is/are lawful possession of has permission of the owner (213) 377-6096 Telephone No. Legal description of property situated at 61A Southfield t.. Lot Tract #6 Flying Mane Street Address NATURE OF PROPOSED PROJECT Describe in detail the nature of'the proposed project, including what aspects of the project require a Site Plan Review. - Owner proposed to extend, the master bedroom, add .a bathroom, extend living room and den wall. Convert existing garage into a guest bedroom and bath. Add a three -car garage. Proposed areas require a site plan review. 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 to the below criteria: A. Is the project compatible with the General Plan, the zoning ordinance and surrounding uses? Explain how it compares to sizes, set -backs and other characteristics of neighboring houses. Set -backs and characteristics are compatible with neighboring developments. B. 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. Proposed project will not alter the existing topography, trees and drainage courses. 5 • • C. 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 re -direct drainage flow unless into an existing drainage courses. Explain the nature and extent of the impact of grading and proposed minimization measures. Proposed design shall not require grading, therefore, existing drainage courses, etc. shall remain. D. 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. The proposed site development will preserve the existing vegetation and landscaping. E. Does the site development plan substantially 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. Explain how the lot coverage proposed compares with lot coverage square footage and percentages on neighboring lots. The proposed project satisfies lot coverage requirements and is comparable with lot coverages and percentages of the neighboring lots. F. Is the site development plan harmonious in scale and mass with she site, the natural terrain and surrounding residences? Setbacks ;hall be regarded as minimums and more restrictive setbacks shall be imposed where necessary to assure proportionality and openness. ;xplain how the proposed project setbacks compare with the existing ;etbacks of neighboring properties. The existing residence is relatively small (2,576 s.f.).,,. and the proposed addition is minimal, therefore, the scale of the proposed development would be in propostion to the site'. Existing and proposed setbacks will be compatible with neighboring properties. 6 • i 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, trip data and landscaping and other on -site parking or storage areas. The proposed development should not alter or be detrimental to pedestrian traffic or vehicular circulation. 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. To the best of our knowledge this project will conform with the requirements of the California Quality Act. I hereby certify that the statements furnished above, and in attached exhibits, present the data and information required for the site plan review criteria eevaluation to be 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. DATE: /r S--/ `i t� FOR SIGNATURE - APPLICANT 7 • • CHECKLIST FOR PLAN SUBMITTAL (con't) 17. Show the existing buildable area which is that portion of a lot that constitutes the existing building pad and any contiguous portion of the lot within the area defined by the required minimum setbacks that has an average slope of ten (10%) percent or less. If there is not existing building pad, the buildable area shall mean that portion of a lot within allowable setbacks that has an average slope of ten (10%) of less. COMPUTATION OF LOT COVERAGE CITY OF ROLLING HILLS LOT COVERAGE (Title 17) Main buildings, accessory buildings, structures, tennis courts, swimming pools, service yards (enclosed or unenclosed), stables, or an area of not less than 200 square feet for the construction of a stable (with vehicle access thereto) shall not cover more than twenty (20%) percent of the net lot area; provided further that in addition to the above described improvements, the areas included within driveways, parking space, walks, patios, decks and asphalt or concrete paving of any kind excepting roads maintained by the Rolling Hills Community Association, shall not cover more than thirty-five (35%) percent of the net lot area. For the purposes of this Section "net area" shall exclude all perimeter easements for a maximum of ten feet and that portion of the lot or parcel of land which is used for roadway purposes, and shall also exclude any privatedrive or driveway which provides ingress and egress to any other lot or parcel of land, and access strip portion of any flag lot. BUILDING AREA EXISTING PROPOSED TOTAL CALCULATIONS NET LOT AREA 26,288sq. ft. sq. ft. 26.,288 sq. ft. RESIDENCE *(2576) 2,996±sq. ft. 480 sq. ft. 3,476±sq. ft. GARAGE *(420) 0 sq. ft. 540± sq. ft. 540±sq. ft. SWIMMING POOL 525 sq. ft. 0 sq. ft. 52.5 sq. ft. STABLE 200�sq. ft. 0 sq. ft. 200 sq. ft. TENNIS COURT 0 sq. ft. 0 sq. ft. 0 sq. ft. SERVICE YARD 0 sq. ft. 0 sq. ft. 0 sq. ft. OTHER 112± sq. ft. 0 sq. ft. 112 787. TOTAL SQUARE FEET 3,833 1,020 % STRUCTURE COVERAGE 14.6, % 3.9 % 18.5 % DRIVEWAY 2,230± sq. ft. 0, sq. ft. 2 230± sq. ft. PAVED WALKS AND PATIO AREA0 sq. ft. 0 sq. ft. 100 sq. ft. POOL DECKING 200 sq. ft. 0 sq. ft. 200 sq. ft. TOTAL SQUARE FEET 2,530± 0 2,530± %FLATWORK COVERAGE 9.6% 0 % 9.6% %TOTAL COVERAGE 24.2% 3.9 % 28.1% * 420 s.f. existing garage into living area 4 OWNER'S DECLARATION I. (We, declare under penalty of perjury that the foregoing is true and correct. Executed at this 25 th City of Rolling Hills day of April , California, 19 90 ressr .,. (2,? � Z 7y 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 acknowledgments, 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. FORMS ISSUED TO: NAME ORGANIZATION JOB ADDRESS H.N.M. FILED `2413o 19 f FEE �-7—S- `'' RECEIPT NO. 1%14 BY: 8 • OWNER'S ACKNOWLEDGMENT 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 for 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 City of Rolling Hills this 25th day of April , 1990 By: By: 9 , California Address City • • • CITY OF ROLLING HILLS ZONING CASE CERTIFIED PROPERTY OWNER'S LIST AFFIDAVIT STATE OF CALIFORNIA)ss. COUNTY OF LOS ANGELES) I, Donna. Rowland , declare under penalty of perjury that the attached list contains the names and addresses of all persons to whom all property is assessed as they appear on the latest available assessment roll of the County within the area described and for a distance of one thousand (1,000) feet from the exterior boundaries of property legally described as: t r See Application Executed at Haws-hnrnP ,California, this 26th day of April , 1990 Conditional Use Permit Variance Site Plan Review Zone Change Onn oN, 1r Ji I2�_ Signature 0 /20' Mrer_tar----t r SCALE 1" = 200' • • r CHECKLIST FOR PLAN SUBMITTAL (con't1 17. Show the existing buildable area which is that portion of a lot that constitutes the existing building pad and any contiguous portion of the lot within the area defined by the required minimum setbacks that has an average slope of ten (10%) percent or less. If there is not existing building pad, the buildable area shall mean that portion of a lot within allowable setbacks that has an average slope of ten (10%) of less. COMPUTATION OF LOT COVERAGE CITY OF ROLLING HILLS LOT COVERAGE (Title 171, Main buildings, accessory buildings, structures, tennis courts, swimming pools, service yards (enclosed or unenclosed), stables, or an area of not less than 200 square feet for the construction of a stable (with vehicle access thereto) shall not cover more than twenty (20%) percent of the net lot area; provided further that in addition to the above described improvements, the areas included within driveways, parking space, walks, patios, decks and asphalt or concrete paving of any kind excepting roads maintained by the Rolling Hills Community Association, shall not cover more than thirty-five (35%) percent of the net lot area. For the purposes of this Section "net area" shall exclude all perimeter easements for a maximum of ten feet and that portion of the lot or parcel of land which is used for roadway purposes, and shall also exclude any private drive or driveway which provides ingress and egress to any other lot or parcel of land, and access strip portion of any flag lot. BUILDING AREA EXISTING PROPOSED TOTAL CALCULATIONS NET LOT AREA RESIDENCE *(2576) GARAGE *(420) SWIMMING POOL STABLE TENNIS COURT SERVICE YARD OTHER 112± 27,288 sq. ft. sq. ft. 0 sq. ft. 525 sq. ft. 200 sq. ft. 0 sq. ft. 0 sq. ft. sq. ft. TOTAL SQUARE FEET 3,R33 % STRUCTURE COVERAGE 14 DRIVEWAY 2,230± sq. ft. PAVED WALKS AND PATIO AREA0 sq. ft. POOL DECKING 200 TOTAL SQUARE FEET tFLATWORK COVERAGE %TOTAL COVERAGE sq. ft. 2,530± 9.6 % 23 . b % sq. ft. 480 sq. ft. 540± sq. ft. 0 sq. ft. 0 sq. ft. 0 sq. ft. 0 sq. ft. 0 sq. ft. 1,020 3.9 % 0 sq. ft. 0 sq. ft. 0 sq. ft. 0 0 % 3.9 % * 420 s.f. existing garage into living area 4 2 7, 288 sq. ft. 3,476±sq. ft. 540±sq. ft. 525 200 sq. ft. sq. ft. 0 sq. ft. 0 sq. ft. 112 sq. ft. 4,853 18.5 % 2,230± sq. ft. 100 sq. ft. 200 sq. ft. 2,530± 9.6% 28.1% Arwi"ArA irev'd 1980) APP!NDIX $ ENVIRONMENTAL INFORMATION AND CHECKLIST FORM (Initial Study) Date Submitted: No. GENERAL INFORMATION 1. Name and address of developer or project sponsor: Mr. & Mrs. Dale Stucker 2. Address of project: #6 Flying Mane Rolling Hills, CA Assessor's Block and Lot Number Lot 61-A Southfield Tract 3. Name, address, and telephone number of person to be contacted concerning this project: Richard M. Linde & Assoc. Inc. 2200 Amapola Court, #200 Torrance, CA 90501 320-5028 4. List and describe any other related permits and other public approvals required for this project, including those required by city, regional, state and federal agencies: None 5. Existing zoning district: RAS-1 6. Proposed use of site (Project for which this form is filed): Single Family Residence PROJECT DESCRIPTION 7. Site size: 44,269± s.f. 8. Square footage: 3476± s.f. 9. Number of floors of construction: one • lILN!•1710 10. Amount of off-street parking provided: Three car garage 11. (Attach plans.) 12. Proposed scheduling: rn„gt-r„c Lion 1990 13. Associated projects: None 14. Anticipated incremental development: N/A 15. If residential, indicate the number of units, schedule of unit sizes, range of sale prices or rents, and type of household size expected: One residence 0111111111 16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities: N/A • 17. If industrial, indicate type, estimated employment per shift, and loading facilities: N/A 18. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project: N/A 20. Project is a existing residence and garage of approximately 30 years of age. Site is landscaped and the topography is relatively level. 21. The surrounding properties are single family residences, landscaped with front and rear yard setbacks comparable in dimension to this proposed project. 11L119-1111 19. If the project involves a variance, conditional use or rezoning application, state this and indicate clearly why the application is required Front and rear yard setback variance required. ENVIRONMENTAL SETTING 20. On a separate page, 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. 21. On a separate page, 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, and scale of development (height, frontage, set -back, rear yard, etc.). Attach photographs of the vicinity. ENVIRONMENTAL IMPACTS (Explanations of all 'yes' and 'maybe' answers are required on attached sheets.) YES MAYBE NO 22. Earth. Will the proposal result in: a. Unstable earth conditions or in changes in geologic substructures? X b. Disruptions, displacements, com- paction or overcovering of the soil? X c. Change in topography or ground surface relief features? X d. The destruction, covering or modification of any unique geologic or physical features? e. Any increase in wind or water erosion of soils, either on or off the site? x • 14LW9-19/0 • • f. Changes in deposition or erosion of beach sands, or changes in siltation, deposition or erosion which may modify the channel of a river or stream or the bed of the ocean or any bay, inlet or lake? g. Exposure of people or property to geologic hazards such as earth- quakes, landslides, mudslides, ground failure, or similar hazards? 23. Air. Will the proposal result in: a. Substantial -air emissions or deterioration of ambient air quality? b. The creation of objectionable odors? c. Alteration of air movement, moisture or temperature, or any change in climate, either locally or regionally? 24. Water. Will the proposal result in: a. Changes in currents, or the course or direction of water movements, in either marine or fresh waters? b. Changes in absorption rates, drainage patterns, or the rate and amount of surface water runoff? c. Alterations to the course of flow of flood waters? d. Change in the amount of surface water in any water body? e. Discharge into surface waters, or in any alteration of surface water quality, including but not limited to temperature, dissolved oxygen or turbidity? f. Alteration of the direction or rate of flow of ground waters? g. Change in the quantity of ground waters, either through direct addi- tions or withdrawals, or through interception of an aquifer by cuts or excavations? YES MAYBE NO x x alimmo x x X X X x x x w h. Substantial reduction in the amount of water otherwise available for public water supplies? i. Exposure of people or property to water -related hazards such as flooding or tidal waves? j. Significant changes in the temperature, flow, or chemical content of surface thermal springs? 25. Plant Life. Will the proposal result in: a. Change in the diversity of species, or number of any species of plants (including trees, shrubs, grass, crops, microflora and of plants? b. A reduction of the numbers of any unique, rare or endangered species of plants? c. Introduction of new species of plants into an area, or in a barrier to the normal replenish- ment of existing species? • d. Reduction in acreage of any agricultural crop? 26. Animal Life. Will the proposal result in: a. Change in the diversity of species, or numbers of any species of animals (birds, land animals including reptiles, fish and shellfish, benthic organisms, insects or microfauna)? b. Reduction of the numbers of any unique, rare or endangered species of animals? c. Introduction of new species of animals into an area, or result in a barrier to the migration or movement of animals? d. Deterioration to existing fish or wildlife habitat? 27. Noise. Will the proposal result in: a. Increases in existing noise levels? YES MAYBE x x x X x x ,MLM9-22A• • d. D►lterations to present patterns of circulation or move- ment of people and/or goods? e. Alterations to waterborne, rail or air traffic? f. Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? 35. Public Services. Will the proposal have an effect upon, or result in a need for new or altered governmental services in any of the following areas: a. Fire protection? . b. Police protection? c. Schools? d. Parks or other recreational facilities? e. Maintenance of public facilities, including roads? f. Other governmental services? 36. Energy. Will the proposal result in: a. Ose •of substantial amounts of fuel or energy? b. Substantial increase in demand upon existing sources of energy, or require the development of new sources of energy? 37. Utilities. Will the proposal result in a need for new systems, or substantial alterations to the following utilities: a. Power or natural gas? b. Communications systems? c. Water? d. Sewer or septic tanks? e. Storm water drainage? f. Solid waste and disposal? YES MAYS: PO x x x x X x X X ENEMMe x x X x X x MENWEED x • -2 3A! • 39. Buman Bealth. Will the.proposal result in: a. Creation of any health hazard or potential health hazard (excluding mental health)? b. Exposure of people to poten- tial health hazards? 39. Aesthetics. Will the proposal result in the obstruction of any scenic vista or view open to the public, or will the proposal re- sult in the creation of an aesthet- ically offensive site open to public view? 40. Recreation. Will the proposal result in an impact upon the quality or quantity of existing recreational opportunities? 41. Cultural Resources. a. Will the proposal result in the alteration of or the destruction of a prehistoric or historic archeological site? b. Will the proposal result in adverse physical or aesthet- ic effects to a prehistoric or historic building, structure, or object? c. Does the proposal have the potential to cause a physical change which would affect unique ethnic cultural •values? d. Will the proposal restrict existing religious or sacred uses within the potential impact area? 42. 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 commun- ity, reduce the number or restrict YES MAYBE N3 X x X X X X x X • J PILW -24A* • the range of a rare or endangered plant or animal or eliminate impor- tant examples of the major periods of California history or prehistory? b. Does the project have the potential to achieve short-term, to the disadvantage of long-term environ- mental goals? (a short term impact on the environment is one which occurs in a relatively brief, defin- itive period of time while long-term impacts will endure well into the future.) YES NAYBE- NO c. Does the project have impacts • which are individually limited, but cumulatively considerable? (A project may impact on two or more separate re- sources where the impact on each resource is relatively small, but where the ef- fect of the total of those impacts on the environment is significant.) d. Does the project have environ- mental effects which will cause sub- stantial adverse effect on human be- ings, either directly or indirectly? CERTIFICATION: I hereby certify that the statements furnished above and in the attached exhibits present the data and infor- mation 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 4-30.410 X x X x For NtCL• Mas. DALE g4-uc.tLF-4C1-, (Applicant)