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833, Construct a sport court & caba, Application
• REQUEST FOR HEARING CONDITIONAL USE PERMIT E \\V/ i9 DEC 1 t( 2012 NOTE: According to Section 17.24.020 of the Rolling Hills Municipal Code, illegal uses or struc'tlt) Y 4i Mikiagoli Trade conforming or shall be removed. Therefore, you may be required to modify or remove any unautho )'red fir'utlawf4Luse 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 of said permit, shall be subject to retroactive discretionary permit process, and is subject to higher application fee. PROPERTY OWNER: tithdictri tZ OWNER'S ADDRESS: �J 5 `T0 �% Fh �- L A Rs6A t . ?• t-i I E . TELEPHONE NO: ' .1OGeF EMAIL: PROPERTY'S ADDRESS: 9 aco1A-4l1 WI t I ove.• . LEGAL DESCRIPTION: LOT NO. og 41) ASSESSORS BOOK NO. ZOO PAGE /— S PARCEL 0 AGENT'S NAME: 1D�,70'Q,6..lk't tc k t 4 — i:JQ AGENT'S ADDRESS: a4b oZ U 1 ia- Awi »oof - , 'I�.0 E . CA, _ oto -i4 TELEPHONE NO: 1)`11- ��©?Co NATURE OF PROPOSED PROJECT Describe in detail the nature of the proposed use and under what Section of the Zoning Ordinance the conditional use is permitted in the zone. Y1.Lu) ��7- t �s�rza -�. to 1 It t?)2 .6..vorar - ur e.&.sz- Po Lov x.1,._ P . 0.A ' , °?(3rbs Coc�,1r 1 1(0 a r2. Q AA2/0„. cor(, Lo w)_.(2. ctA vs, z i s. t i i c7.7- ` rr rz, 1'7, t to f-U-. (-cm (Watt i & , etwoiyvto, 4 s, 4,rr1 )Ui P. g1-01V (5 (4k0.1.2 , of `sm.44- /Lh o YlItip . CO3�5 (DX�- --- v )1 ,sn --kivt.vim ',Oak 61. e30.14.1 5to 2s a I . - 17. t(o. ?OD AM CrL t3414 \/I=6,, 41-rut.0t . e) A ITv ODee VLD.i" `4'Cst.Q..t*55"F- �, .. Ili- C do tE7r � it Will the proposed use be compatible with the uses in the surrounding area, and if so, why? Cr 11 tU A 17i1Ae-1 u p ' Mi 9 %1.A I t.O 1.11 Cie c c ck? tQ l=- t) * Arvt r ru S ',vt j.o qdiAJZ., V Ak) MA 10t--ow Q �o "Ike.. p_eA'► w t-U Pat, W t A P k7 1 Avs,) P i 44As-- l t 9 Otvq e,IA,t‘ It ,vl - CA- 1to- t,t,111 12:.P A- Yl ►:fry G tAA- +0 ermi o $'kQ LA w tA'N t, Rb 0 tk,i- 0 Q, � Lt,1/1 © TtAk d wt L L--r 1 V1-3-e. 4D s an ot..r 4144o Vti vt.O t ,U,j s . ` , si-ot Nava_ wi U �", ►�,t2u. M'1I CAAAS.vki i' t,u IVivtcf2 f . `Q-- A-12-ta w i (AD i cc, e..cut t Aa'uo C.G. b►airuu �i- S (tom t l t O pn /At ►2. f1)'v t'a-Y1.4 k'2D'ui- o SlU"t1AdAio wow►-� is 9 itr w t V1A-f14/7.b t /34704,1af24 Ok [2 1 hp 011 _ Will the grant of this Conditional Use Permit be consistent with and in furtherance of the public health safety and general welfare? FILING FEE A filling fee must accompany the application. Make check payable to the CITY OF ROLLING HILLS, -13- op • REQUEST 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 of said permit, shall be subject to retroactive discretionary permit process, and is subject• to higher application fee. �t PROPERTY OWNER: `fM k2 (n V1 �`L ,N Q �. OWNER'S ADDRESS: C ' . IAA i PIk ► .0mD TELEPHONE NO: '-1 - 2�1 - 000EMAIL: PROPERTY'S ADDRESS: CI W1 I. Pt-A-4. 121 cc 1 • LEGAL DESCRIPTION: AGENT'S NAME: AGENT'S ADDRESS: TELEPHONE NO: 31 0 - 7P-2 - 1%79/09) LOT NO. ASSESSORS BOOK NO. PAGE PARCEL `177(-6t71712-b,t/A 'IA 1-Y7r ()I lkw16.Dv12.. ) RV. E. 90214 NATURE OF PROPOSED PROTECT Describe in detail the nature of the proposed project, including what aspects of the project require a Site Plan Review: • Pool MS lAtO i>Vppew, Taro k•Ze "JAI,t • I/VI 0 IA( af-i s u)4. Q; + o c-tsC r) t � � c,�. � 174-fiD a AfiaT its, pt t V) Q,tt) sit 2 Lvt,?wa2. } VIA co v.) t,_ 1--401 NAJD Ca va,6 &. tall ?)D. - d<torDetio Dvri 1)4 • A E4 . �e c(2- w� U bee. Loc. 0 Aft i ATZ- o.O P2AVV). �►np�.r� �Ish ��op. p Clsckt ta• " ,MAID t .1.1e. 5� W i 11 _ Coin 1C *JO 7, t70,40'�• -12- • • Describe and delineate on plans any new basement area square footage 'Z41,6 o 1 tM,lz..r— 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. eAnivul tzew l vo 1 1 e Agr-141o Oct vtwl i I.. 'T t2oot✓ wiU tW k-c til '['i Yis+i'no! 1-folks( en(umme-. W i 11 Pao w i1A, AaMAt21>I Upwc, A.47) WOO Ore. 11 l v040 `VV tct r) 1 101 bee, Cr) i2-134/? c/71 Viol Lt'►' . 0,0 062,ug, (t II p (.-u'`s t �� -ol o z i ti .1/ n C`1z.tn41 AE Flr�u.�a14. . 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. 0, + 1/1J, r Lcx,6-'tit10 I 1 v i o>< �'✓ t tc�. wl t t�� mac, lob , on k V10a.•olzymectFfM Ariuch , .1,-00/ .a Mto thi ii u. 1i -k i b 44.0p0 ti' V i VII t'2� 4,14 i omoAtt -i�,rc"��:►2' . t1-147o �( . St o�'e. > �4n - *tie u - 1 1kt 190 `IlJ�L f 41,.41otc . AviKJ e-00 tf 1 U`L(� 6b- 'f tie 1 c , A C. ow 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 redirect drainage flow unless into an existing drainage course. Explain the nature and extent of the impact of grading and proposed minimization on lots. I lt`vl i ev. IA ALn.41 1RJ ett s-e . ZU BSc • Lt LA- 1l f rti;r tsti A(27,-cb,- ev `( 4 trro j iNewo atev, Elope-, WI U 4 wl i w7 t' YIA-446-4 ttSe --, +4�G1 tua -t t �4G�sz . Qy, t C 9.1 \ tz Ionia c s.k) ANL ,i6MQ..e.. Iv- c n vinat — �i!¢is p . ``tom Lot,0 U)a-u-s Arai, air) fts- R 2,A.c y I 1 . 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. -13- L. _au) elz- • `=t'k 1 we t dA09 4•0,0 C,an/4590 will v o f0,1.1-turk40, nakuivuo ti3V 942.1,14-, L-1,t. • P jaV �w� 11 �, - 9.1 w l t Pie- 1 h 1/10,1,� f tzi Cf �,tJYJ 1 �}-1m^- csv' 1M t`too t- ei 4 k. O p-Q — • 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. 1 Vv[ 1.��✓ �'" VIDA AAA (A-10p, l ?NO ? 0111W)-P.a-M 0ec-12. �, o�a� . , Mtn � mi e,Cvev► i 1( O1.vL --�r -1.49 (Pwv` P kke,-)01A1.61A, .` t COOelLee. wi i5 1 ClZtol>402 6304\- ArdiNh ATus , Wiioo' -. Li'S t))/ 5tver*.4 ? 7 )u , 1A)t? tOit1 1XL uk CZt1p 4 eat U34.11s Ath Vt1117-T ` . ELLA-- Para Fin- *Q- 6.4&142Avw - 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. till,-P t% (co 'J t nl _Q)11 A4AP_.4 . (2x-cz o is Loc tz i9 1 �vQ, 1-)&10 Lc)t4in. L)12-Ple- tCL- 4/t2e.44 ft, r� hA4 e)3W EkkbAVI/Z-wr5,0 (2) c t ( �z- c4, ,rytuo 1 Q0 ,L + I t k %U 44- i + 0 ( s I VbticL t YLQA'O2 0 of t-C 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 ,p other on -site parking or storage areas. - t bW/ .(- : T)Q V .Ih)/-ti) 44410 1)R-E VQ/o u t P'eGW1.6.4 t'l C" lool (' f "1 t� l V ? wv> . -o ` (AQ. WloteoZ.1/. s t -k tz-oa,Cas .ca- t t(,t 5 A-o .. l v.: Fcz.c,t 4- f tz-e.tc, �rzove_ Am.v.. Loco _vt_ 1 ,ML,Vt e - 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. V\0 SLit9311 I-V1(1- 1v)(3l .i" 1,o.1 I ( Pv. WiLlarL.. &MAJIIADvt t))61` ,w `btul,l Yv4s2, Crni u.) 1 t t .. (Mc,0.wti v\61.1$-e • • 1 hereby certify that the statements furnished above, and in attached exhibits, presents the data and informatio required for the site plan review criteria valuat' o the best of my ability; and, that the facts, statement and other information presented are true nd �corr t to t best of my knowledge and belief. Date: ,p /a For: cLf6i744-Gl "/512A-Li Applicant 1 FILING FEE A filing fee must accompany the application. Make check payable to: CITY OF ROLLING HILLS -15- Exec this t'' . /- day of la - By: By: OWNER'S DECLARATION I (We) declare under penalty of perjury that the foregoing is true and correct.ll uteri i0aot i2o/I i p fills �- ; California, ,20 %2 ,e‘ /arae rrdg L/1.'ntfL ress City HiIISIC �- 97V 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: 246 N' t P '? DATE FILED REPRESENTATIVE: e a- - P--f?rJI T �r FEE: COMPANY NAME: P Cc:- WIE .- c J = niC RECEIPT NO: COMPANY ADDRESS: BY: 2- 2 ' A ern ZONING CASE NO e 'eke - "zruA gazd TENTATIVE HEARING DATE: COMPANY PHONE NO. ( (0 ) .17- CO 6 g PROJECT ADDRESS: 91 S . M; AA Ro i i t h c:1 Wilts , CA_ . 1102,7+ -22- • • 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 (1,50 (, )�C t ,4) lZ / /:-, , // /It / S /, , California J this 1-day of ) , 20 . AitedoNe)y(1---- By: �J 11-lM lei Address RW th/( CGi- ?6,1-7�i City -23- i • • DATE Y/ ZONING CASE NO. ADDRESS ALL STRUCTURES MUST BE SHOWN ON THE PLAN CALCULATION OF LOT COVERAGE AREA AND STRUCTURES EXISTING PROPOSED TOTAL NET LOT AREA 203,576 sq.ft. --- sq.ft. 203,576 sq.ft. RESIDENCE 5,600 sq.ft. --- sq.ft. 5,600 sq.ft. GARAGE 800 sq.ft. --- sq.ft. 800 sq.ft. SWIMMING POOLISPA 875 sq.ft. --- sq.ft. 875 sq.ft. POOL EQUIPMENT 37 sq.ft. --- sq.ft. 37 sq.ft. GUEST HOUSE --- sq.ft. =-- sq.ft. --- sq.ft. CABANA --- sq.fi. 558 sq.ft. 558 sq.ft. STABLE (dirt volume to be included in grading quantities) 650 sq.ft. --- sq.ft. 650 sq.ft. RECREATION COURT --- sq.ft. 1,350 sq.ft. 1,350 sq.ft. ATTACHED COVERED PORCHES --- sg4ft. --- sq.ft. --- sq.ft. ENTRYWAY/ PORTE COCHERE. BREEZEWAYS --- sq.ft. --- sq.ft. --- sq.ft. ATTACHED TRELLISES --- sq.ft. --- sq.ft. --- sq.ft. *DETACHED STRUCTURES: (circle all that applies) SHEDS,LTRELLISES,IGAZEBO, --- sq.ft. 200 sq.ft. 200 sq,ft. I BARBECUE.!OUTDOOR KITCHEN, --- sq.ft. 85 sq.ft. 85 sq.ft. ROOFED PLAY EQUP.- over 15 ft. --- sq.ft. --- sq.ft. --- sq.ft. high and over 120 sq. ft. in area, WATER FEATURES, ETC. --- sq.ft. --- sq.ft. --- sq.ft. SERVICE YARD 22 sq.ft. 74 sq.ft. 96 sq.ft. OTHER --- sq. ft. --- sq. ft. --- sq. ft. BASEMENT AREA --- sq.ft. 405 sq.ft. 405 sq.ft. (volume to be included in grading quantities) DEPTH OF BASEMENT 36" BELOW CABANA 36" BELOW CABANA TOTAL STRUCTURES % STRUCTURAL COVERAGE TOTAL STRUCTURES EXcLUDU Q UP TO 5 & UP TO 800 sq. ft. detached structures that are not higher than 12 ft. % STRUCTURAL COVERAGE 7,984 sq,ft. 3.92% 7,984 sq.ft. 3.92% -16- 2,672 sq.ft. 1.31 % 2,387sq.ft. 1.17% 10,656 sq.ft. 5.23 % 10,371 sq.ft 5.09% C Tulsa ) • • ALL FLATWORK MUST BE SHOWN ON THE PLAN PRIMARY DRIVEWAY(S) PAVED WALKS, PATIO AREAS, COURTYARDS POOL DECKING 7,958 sq,ft. 104 sq.ft. 8,062 sq.ft. 1,153 sq,ft. 2,579 sq,ft, 3,732 sq.ft. 1,575 sq.ft. --- sq.ft. 1,575 sq.ft. OTHER PAVED DRIVEWAYS, ROAD EASEMENTS, PARKING PADS --- sq.ft. --- sq.ft. --- sq. ft. TOTAL FLATWORK 10,686 sq.ft. 2,683 sq.ft. 13,369 sq.ft. % TOTAL FLATWORK COVERAGE 5.25', 1.32 % 6.57 % TOTAL STRUCTURAL & FLATWORK COVERAGE % TOTAL COVERAGE 18,670 sq,ft. 5,355 sq,ft 24,025 sq.ft. 9.17% 2.63 % 11.80 % TOTAL STRUCTURAL & FLATWORK COVERAGE 18,670sq.ft. 5,070 sq.ft. 23,740 sq.ft. Excl. the allowance of up CO 5 800 sq. ft. structures from previous page. % TOTAL COVERAGE 9.17% 2.49 % 11.66 % TOTAL DISTURBED AREA --- sq.ft. --- sq.ft. --- sq.ft. DISTURBED AREA GRADING QUANTITY (include future stable, corral and access way; basement and all other areas to be graded) --- % --- % ---cubic yards All structures (attached and detached) must be listed. * 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. -17- • • ALL FLATWORK MUST BE SHOWN ON THE PLAN PRIMARY DRIVE Y(S) PAVED WALKS, PATI AREAS, COURTYARDS POOL DECKING OTHER PAVED DRIVEWAYS, ROAD EASEMENTS. PARKING PADS TOTAL FLATWORK % TOTAL FLATWORK COVERAGE TOTAL STRUCTURAL & FLATWORK COVERAGE % TOTAL COVERAGE TOTAL STRUCT • L & FLATWORK CQ ERAGE 18,670 sq.ft. , sq.ft. 104- sq.ft. Y,1 2 sgSt, 11153 sq.ft. Zs 576? sq.ft. � �7�z sq.ft. 1 r C75 sq.ft. � ..ft. , 7g sq.ft. sq.ft. r sq.ft. sq. ft. 10, s 24 8 3 sq.ft. 13, 67 sq.ft. 5.2 1.32 6.57 18,670 sq.ft. 9.17 % Excl. the atlotiv rc of up to S 800 sq. fi. structures frgrfi previous page. TAL COVERAGE TOTAL DISTURBED AREA % DISTURBED AREA GRADING QUANTITY (include future stable, corral and access way: basement and all other areas to be graded) 6,06 o sq.ft. 2.97 % 9.17 % 2.65 C )PC-J0 sq.ft. 0ot) ,o04 sift. 24,730 sq.ft. 12.14 qo 24,079 sq.ft. 11.82 sq.ft. (6 8) 9 r d sq.ft. 3.5/ t✓0q(cubic yards All structures (attached and detached) must be listed. * 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. -17- DATE Z.C. NO. ADDRESS CALCULATION OF BUILDING PAD COVERAGE JDNO,1 BT._ TLDABL,F PAI-)_,AR A FXTSTINCY ANT) STRUWTI 1RRS BUILDING PAD RESIDENCE GARAGE POOL/SPA POOL EQUIPMENT CABANA/REC.RM GUEST HOUSE STABLE SPORTS COURT SERVICE YARD 23,790 cq.ft. 5,600 cq.ft. 800 Rq.ft. 875 sq.ft. 37 Nita sq.ft. --- sq.ft. - -- +4q.ft. 4q.ft. 22%ft. ATTACHED COVERED PORCHES Primary residence Accessory structures AREA OF ATTACHED COVERED PORCHES THAT EXCEED to% OF THE SIZE OF RESIDENCE/ACCS. STRUCTURE ENTRYWAY/PORTE COCHERE/ BREEZEWAY ATTACHED TRELLISES ALL DETACHED STRUCTURES (from I" page) ALL DETACHED STRUCTURES --- sq.ft. (from (``page not including allowed deductions) OTHER ( BASEMENT ) --- sq.ft. --- sq.ft. - -' cq.ft. TOTAL STRUCTURES ON PAD NO. I 7,334 sq.ft. % BUILDING PAD COVERAGE 30.82 , TOTAL STRUCTURES ON PAD NO. I 7,334 sq.ft. Nor inri attached trellises, Nor loci allowed deductions, And ind the area of covered porches that exceed 10% of the size of the residence/aces. structures. % BUILDING PAD COVERAGE 30.82 r, PROPOSED - -- sq.ft. - -- sq.ft. --- sq.ft. - sq.ft. sq.ft. --- sq.ft. sq.ft. - -- sq.ft. 74 sq.& sq.ft. --- cq.ft. - --Sq.ft. 200,cq.ft. 85,q.k. • U5 ft. 764 sq, ft. 3.21 gb ; 479 sq.ft. 2.01 qj TOTMI. 23,790 cq.ft. 5,600 sq.ft, 800 sq.ft. 875 sq.fr. 37 si.ft. --- sq.ft. --- sq.ft. --' sq.ft. --- sq.ft. 96 sq.ft. 85 cq,ft. 8,098sq.ft: 34.03gb 7,813,4q.ft. cc" 32, 33 7613 0 • • DATE Z.C. NO. ADDRESS CALCULATION OEDUILDING PAD COVERAGE PAD NO.2 BUILDABLE PAD AREA EXISTING PROPOSED TOTAL AND STRUCTURES 18,000 18,000 BUILDING VAU Sq.ft. --- Sq.ft. Sq.ft. RESIDENCE --- sq.ft. --- sq.ft. --- Sq.ft. GARAGE --- sq.ft. --- sq.ft. --- sq.ft. POOL/SPA --- sq.ft. --- sq.ft. --- Sq.ft. POOL EQUIPMENT --- sq.ft. --- sq.ft. --- sq.ft. CABANA/REC.RM --- sq.ft. 558 cq,ft. 558 5q.ft. GUESTHOUSE --- sq.ft. --- sq.ft. --- sq.ft. STABLE 650 sq.ft, --- 41.ft. 650 sq.ft. SPORTS COURT --- sq.ft. .1,350 sq.ft. 1,350 sq.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 --- gq.ft. --- sq.ft. --- sq.ft. PORCHES THAT EXCEED 10% OF THE SIZE OF RESIDENCE/ACCS. STRUCTURE ENTRYWAY/PORTE COCHERE/ BREEZEWAY ' --- sq.ft. --- s 1.ft. --- sq.ft. ATTACHED TRELLISES '`- sq.ft. --- c 1.ft. --- sq.ft. ALL DETACHED STRUCTURES (from i"page) --- Sq.ft. --- sq.ft. sq.ft. ALL DETACHED STRUCTURES (from lit page not including allowed '-- sq.ft. "- sq.ft. deductions) OTHER --- sq,fr. TOTAL STRUCTURES ON PAD NO.2 65 U sq.ft. °% BUILDING PAD COVERAGE 3.61 , TOTAL STRUCTURES ON PAD NO.2 650 q,ft. Nnr inel attached trellises, Not inel allowed deductions, andJncl. the area of covered porches that exceed 10% of the size of the residence/aces. structures. % BUILDING PAD COVERAGE 3.61 a{, -19- --- 1,908 sq.ft. 10.60 % 1,908 sq ft 10.60 % yosq.fc. 2,558 sq.ft. 14.21 % 2,558 sq.ft. • • DATE Z.C. NO. ADDRESS GRADING AND EXCAVATION INFORMATION Gradine Ouantities: Cubic Yds. Max. Devth Max. Devth Location CUT/EXCAVATION For house/addition For other structures (i.e. walls) List For driveway(s) For yard areas For basement excavation For pool/spa excavation Overexcavation 198.55 11'-6" TO 12'-0" TOTAL CUT 198.55 TOTAL EXPORT FILL For house/addition For other structures (i.e.walls) List For driveway(s) For yard areas For basements For basement wells For pool /spa Recompaction 38.77 48" 159.62 6" AVE LAWN AREA TOTAL FILL 198.39 TOTAL GRADING (Sum of total cut and total fill) 396.94 cu yd PAD/FLOOR ELEVATIONS Existins nad elevations Residential pad Other pad Finished floor Finished grade Proo osed pad elevations Finished floor Finished grade Basement -finished floor Basement -finished well wall DATE Grading Ouantities: Z.C. NO. ADDRESS GRADING AND EXCAVATION INFORMATION Cubic Yds. Max. Death Max. Depth Location CUT/EXCAVATION For house/addition For other structures (Le. walls) , List For driveway(s) For yard areas For basement excavation For pool/spa excavation Overexcavation TOTAL CUT TOTAL EXPORT FILL For house/addition For other structures (i.e.walls) List Pi TW 0 3 5 77 For driveway(s) For yard areas For basements For basement wells For pool/spa Recompaction TOTAL FILL 1561. l7 z. I" A-ve. L- -t IN 11VG-A i 98 31 TOTAL GRADING (Sum of total cut and total fill) Existing pad elevations Finished floor Finished grade Proposed pad elevations Finished floor Finished grade Basement -finished floor Basement -finished well wall 3614,c4- ac PAD/FLOOR ELEVATIONS Residential pad ©0S.91(0 tOo.ot Other ad -X - • a ). +q 2)41. 0b - °,i--o� , CA..((bt2 -20- DATE ZONING CASE NO. ADDRESS CONCEPTUAL LANDSCAPE PLAN REQUIREMENTS ` THE FOLLOWING PROPOSED ELEMENTS MUST BE SHOWN ON THE SITE PLAN SUBMITTED WITH PLANNING APPLICATION PLANTING AREA 1. NEW AREA(S) TO BE LANDSCAPED 2. EXISTING LANDSCAPING TO BE ALTERED (RE - LANDSCAPED) 451D(PriSibsq. ft 99, 5(Q0 '140sq. ft 3. TOTAL LANDSCAPING: NEW AND ALTERED AREAS 51(4(6,34-i'sq. ft. OTHER LANDSCAPE ELEMENTS 4. CHECK OFF ANY OF THE FOLLOWING ELEMENTS THAT MAY BE PROPOSED, AND SHOW LOCATIONS ON PROJECT SITE PLAN: WATER FEATURE: Ca'' GARDEN WALL (less than 3-Ft tall) D SITTING WALL / BENCH ❑ WALKWAY OR PATIO CtiY TRELLIS, CANOPY OR SIMILAR STRUCTURE Er -19- No* 'IA ,900-4 ••• - 1 • 0 INTERIOR: RICHIE-BRAY, INC Landscape Architecture Vla Amadoe, P*VdgCA9O214 010) 327-55. FAX : 0101 3770484 Richk.berld.le-bray.mm WAGNER RESIDENCE 131.41.01.12111302300111 1101111.101-111.15, CA 30271 P012213110R101240. 5111.1111E PHOTOGRAPHS OF EXISTING STABLE 044,41.1% 1-3-2012 DR IsR EX CON D Date Filed eeret Rea", Vi gad • INCORPORATED JANUARY 24, 1957 NO. 2 PORTUGUESE BEND ROAD ROLLING HILLS, CA 90274 (310) 377-1521 FAX (310) 377-7288 ENVIRONMENTAL INFORMATION QUESTIONNAIRE (To Be Completed By Applicant) Zoning Case No. GENERAL INFORMATION ICI 1. Applicant(s)1::' \ \ E ,!, , q ; Tel. (3I`I Address {)42320 Uk1A `1.,ADop, , p .\/, (:;... CA . 9C0.') 1 gOwner(s) � �eaUA�n 6 . , (. )aI S,- ,°17 2. Legal �, � .� e Address 49 rill b2L bov6 E is ' P -(..,Cl1) P) 1 i IAA r 3. Project Address g '(' `I t) fD t of'd �rrii to 0,70 *h 7) s 4 Assessor's Book No. t-A - rit nOd - (On Lot. No. 4. Other related permits anc other public approvals required for this project, , • , ,, including those required by city, regional, state and federal agencies:, ,,, , . - (1)1'3 \ c14011\P P ra,P1A,C1" i Alc,,,tm Ilultiev, ne.A1 ecteb5d7e, ?wit-- ro 5. Existing zoning district 6. Proposed project/use of siteOtiAttr PROTECT DESCRIPTION . 9,.• - 7. Site size 9.} DEC 14 2012 Thy of Rolling Hills By Net lot area 21 t """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." Total square footage of structures -74 e,..1 i} n1F 10. Number of floors of construction 0 li 11. Basement square footage \ 1 i n t Od 12 • Total combined flatwork and structural lot coverage 13. Will any exterior walls be removed or relocated? Which walls? V\d 14. Will any interior walls be removed or relocated? Which walls? 15. Will the entire building structure require a new roof? no rio /(wb4k#-i4 16. Will the existing roof remain intact, with less than 200 square feet added? tv 41'' 17. Driveway Access and Parking: a. Is a new driveway access way proposed? VIi (Requires Traffic Commission Review). b. Number of driveway(s) Existing? l Proposed? 1 (Second driveway requires approved Conditional Use Permit from Planning Commission). t I 0Width of driveway(s) Existing?31e i Proposed? (Maximum of 20 foot width unless approved by the Planning Commission). CdD Does first 20 feet of driveway have a maximum grade of 7%? (Maximum of 7% for first 20 feet of driveway required). Existing? 'r�-C� 7s' M.h/ Proposed? f n c:k4t.pp ., Grade of driveway(s)? Existing? Ce-- i »1 Proposed? In F) L06 (Maximum of 12% unless approved by the Planning Commission). (8; f. g• Has site plan been reviewed by Lo Angles County Fire Protection Engineer to meet current driveway access requirements? to Explain ? fdt U-)0,(Yt6(..1' Does.�lriivveway cover more than a maximum 20% of the area of the yard in which it is located? Explain h. Does uncovered parking area cover more than a maximum 10% of the area of the yard in which it is located? OD Explain Does vehicular accessway to stable and corral have a maximum slope of 25% or Tess? 0 0 Stable and corral average vehicular access slope t S 490 j. Does property have an above ground garage with a minimum capacity of 2 cars? U er,A) With guest house a minimum of 3 cars? Grading quantities shall be balanced. Amount cut \Ct . Amount fill ,q l ?,),.? (Include any basement cut in grading quantities). 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 . Percentage of Net Lot Area 20. If residential, include the unit size. Square feet 2 • • 21. If commercial, indicate the type of project, whether neighborhood, city or regionally oriented, square footage of sales area, estimated employment per shift and loading facilities. 22. If industrial, indicate the type of project, estimated employment per shift, and loading facilities. 23. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project. 24. Attach plans. • te"" • 25. Proposed scheduling. 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. tiph (, 6A her, 0 en UaRW.W Too 0 P.A1'2 ; t-' Per,4' ..ot- ,4c1. 4411 ! 1 i 1(L 1A v ?',2:\M &tA? e4 ,)AA 1 �-a '°� A� a ,N1Z4.1-.LtIzc„Cht6, Y1t' P--wt tAdif 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. �� f �ahaido, 17?)04‘0„tm..,h2) n 1\„ jua-t, - A . et cic.) 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. 1 60 6tr ' 'Lt a — aslt, RAIL LA ikAttObi, 1'\c etc) Foaut r k Micro tt3 \i re, . (QOt) .4goerbr7, rufita `:6-Dn.e? 61Le 29. Is the proposed protect consistent with: City of Rolling Hilis 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 studles 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 4 Yes No N/A — Historical Report Archaeological Report _ Paleontological Study Line of Sight Exhibits Visual Analysis Slope Map Fiscal Impact Analysis Air Quality Report Hazardous Materials/ Waste Issues: I. AESTHETICS — 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? Less Than• Potentially Significant Less Than Significant With Significant No Impact Mitigation Impact • Impact Incorporation ❑ ❑ ❑ ❑ ❑. ❑ ❑ ❑ ❑ ❑ ❑ ❑ H. AGRICULTURE RESOURCES: 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 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 Farmland of Statewide Importance (Farmland), as shown on the maps prepared pursuant to the Farmland Mapping and Monitoring Program of the California Resources Agency, to non-agricultural use? b) Conflict with existing zoning for agricultural use, or ❑ 0 a Williamson Act contract? c) Involve other changes in the existing environment which, due to their location or nature, could result in conversion of Farmland, to non-agricultural use? ❑ ❑ ❑tEr !. 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 0 ❑ 0 applicable air quality plan? 7 Less Than Potentially Significant Less Than Significant With Significant No Impact Mitigation Impact Impact Incorporation b) Violate any air quality standard or contribute substantially 0 0 0 to an existing or projected air quality violation? c) Result in a cumulatively considerable net increase of any ❑ ❑ 0 CT 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 concentrations? e) Create objectionable odors affecting a substantial 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 California Department of Fish and Game or U.S. Fish and Wildlife Service? ❑ ❑ ❑ ❑ 0 0 0 0 V c) Have a substantial adverse effect on federally protected ❑ 0 ❑ 0 wetlands as defined by Section 404 of the Clean Water Act (including, but not limited to, marsh, vernal pool, coastal, etc.) through direct removal, filling, hydrological interruption, or other means? d) Interfere substantially with the movement of any native ❑ ❑ ❑ �I 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 ❑ 0 ❑ biological resources, such as a tree preservation policy or ordinance? f) Conflict with the provisions of an adopted Habitat 0 0 ❑ Conservation Plan, Natural Community Conservation Plan, or other approved local, regional, or state habitat conservation plan? 8 Les .an • Potentially Significant With Less Than Significant Mitigation Significant No Impact Incorporation Impact Impact V. CULTURAL RESOURCES — Would the project: a) Cause a substantial adverse change in the significance 0 ❑ ❑ ®' of a historical resource as defined in §15064.5 of the State CEQA Guidelines? b) Cause a substantial adverse change in the significance 0 0 0 V of an archaeological resource pursuant to §15064.5 of the State CEQA Guidelines? c) Directly or indirectly destroy a unique paleontological ❑ 0 0 resource or site or unique geologic feature? d) Disturb any human remains, including those interred outside of formal cemeteries? VI. GEOLOGY AND SOILS — Would the project: a) Expose people or structures to potential substantial adverse effects, including the risk of loss, injury, or death involving: i) Rupture of a known earthquake fault, as delineated on 0 0 0 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 ❑ LT iii) Seismic -related ground failure, including liquefaction? 0 0 1❑ 1 iv) Landslides? 0 0 ❑ b) Result in substantial soil erosion or the loss of topsoil? . 0 0 0 c) Be located on a geologic unit or soil that is unstable, or 0 0 ❑ 0 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 1 B of the Uniform Building Code (1994), creating substantial risks to life and property? e) Have soils incapable of adequately supporting the use ❑ 0 ❑ 1❑� of septic tanks or alternative waste water disposal systems where sewers are not available for the disposal of waste water? 9 • Less Than Potentially Significant With Less Than Significant Mitigation Significant No Impact Incorporation Impact Impact VII. HAZARDS AND HAZARDOUS MATERIALS -- Would the project: a) Create a significant hazard to the public or the ❑ environment through the routine transport, use, or disposal of hazardous materials? b) Create a significant hazard to the public or the ❑ 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 ❑ 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 ❑ ❑ ❑ fS hazardous materials sites compiled pursuant to Government Code Section 65962.5 and, as a result, would it create a significant hazard to the public or the environment? 0 0 ❑ e) For a project located within an airport land use plan or, where such a plan has not been adopted, within two miles of a public airport or public use airport, would the project result in a safety hazard for people residing or working in the project area/. f) Fora project within the vicinity of a private airstrip, ❑ ❑ 0 '❑ would the project result in a safety hazard for people residing or working in the project area? g) Impair implementation of or physically interfere 0 ❑ ❑ with an adopted emergency response plan or emergency evacuation plan? h) Expose people or structures to a significant risk of ❑ ❑ ❑ t 0 0 0 Toss, injury or death involving wildland fires, including where wildlands are adjacent to urbanized areas or where residences are intermixed with wildlands? • Potentially Significant Impact VIII. HYDROLOGY AND WATER QUALITY — 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 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? 0 d) Substantially alter the existing drainage pattern of 0 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 0 exceed 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 0 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 0 structures which would impede or redirect flood flows? Less Than Significant With Mitigation Incorporation Less Than Significant No Impact Impact ❑ ❑ I; ❑ ❑ter 0 CI CI 0 El i) Expose people or structures to a significant risk of ❑ 0 Toss, 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 Less Than Potentially Significant Less Than Significant With Mitigation Significant No Impact Incorporation Impact Impact IX.LAND USE AND PLANNING — Would the project: a) Physically divide an established community? ❑ ❑ 0 b) Conflict with any applicable land use plan, policy, or ❑ ❑ ❑ regulation of an agency with jurisdiction over the project (including but not limited to the general plan, specific plan, local coastal program, or zoning ordinance) adopted for the purpose of avoiding or mitigating an environmental. effect? c) Conflict with any applicable habitat conservation plan or ❑ 0 ❑ natural community conservation plan? X. MINERAL RESOURCES — Would the project: a) Result in the loss of availability of a known mineral resource that would be of value to the region and the residents of the state? ❑ ❑ ❑ b) Result in the Toss of availability of a locally -important 0 0 mineral resource recovery site delineated on a local general plan, specific plan or other land use plan? XI. NOISE — Would the project result in: a) Exposure of persons to or generation of noise levels in ❑ ❑ ❑ excess of standards established in the local general plan or noise ordinance, or applicable standards of other agencies? b) Exposure of persons to or generation of excessive ❑ ❑ 0 groundborne vibration or groundborne noise levels? c) A substantial permanent increase in ambient noise levels in the project vicinity above levels existing without the project? d) A substantial temporary or periodic increase in ambient ❑ ❑ ❑ fl 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. f) For a project within the vicinity of a private airstrip, would the project expose people residing or working in the project area to excessive noise levels? ❑ ❑ ❑ �r ❑ ❑ ❑ 12 Potentially Significant Impact Less Than Significant With Mitigation Incorporation Less Than Significant No Impact Impact XII. POPULATION AND HOUSING — Would the project: a) Induce substantial population growth in an area, either 0 0 0 directly (for example, by proposing new homes and businesses) or indirectly (for example, through extension of roads or other infrastructure)? b) Displace substantial numbers of existing housing, ❑ 0 0 necessitating the construction of replacement housing elsewhere? c) Displace substantial numbers of people, necessitating the construction of replacement housing elsewhere? XIII. PUBLIC SERVICES a) Would the project result in substantial adverse physical impacts associated with the provision of new or physically altered governmental facilities, need for new or physically altered governmental facilities, the construction of which could cause significant environmental impacts, in order to maintain acceptable service ratios, response times or other performance objectives for any of the public services: Fire protection? 0 0 ❑ i9r- Police protection? 0 0 ❑ I Schools? ❑ 0 0 Parks? 0 ❑ ❑ Other public facilities? 0 0 ❑ XIV. RECREATION a) Would the project increase the use of existing 0 ❑ ❑ f 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 0 0 the construction or expansion of recreational facilities which might have an adverse physical effect on the environment? 13 Less Than Potentially Significant Less Than Significant With Mitigation Significant No Impact Incorporation Impact Impact XV. TRANSPORTATION/TRAFFIC — Would the project: L� a) Cause an increase in traffic which is substantial in 0 ❑ ❑ relation to the existing traffic Toad and capacity of the street system (i.e., result in a substantial increase in either the number of vehicle trips, the volume to capacity ratio on roads, or congestion at intersections? b) Exceed either individually or cumulatively, a level of _ ❑ ❑ 0 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 ❑ ❑ ❑ an increase in traffic levels or a change in location that results in substantial safety risks? d) Substantially increase hazards due to a design feature 0 0 0 (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? ❑ 0 ' ❑ ®'°� g) Conflict with adopted policies, plans, or programs 0 0 0 12/ supporting alternative transportation (e.g., but turnouts, bicycle racks)? XVI. UTILITIES AND SERVICE SYSTEMS - Would the project: a) Exceed wastewater treatment requirements of the ❑ 0 0 applicable Regional Water Control Board? b) Require or result in the construction of new water or 0 ❑ 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? 14 • • 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? Potentially Significant Impact CI XVII. STORM WATER QUALITY IMPACTS — Would the project: a) During construction result in potential impact on storm 0 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 handlir or storage, delivery areas or loading docks, or other outdoor work areas? d) Result in potential for discharge of storm water to impair ❑ 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 0 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? Less Than Significant With Mitigation Incorporation El Less Than Significant Impact ❑ ❑ ❑ ❑ No Impact v ❑ ❑ Itr— ❑ ❑ lay ❑ ❑ 14 ❑ ❑ ❑ ❑ ❑ ❑ LEr ❑ ❑ Less Than Potentially Significant With Less Than Significant Mitigation Significant No Impact Incorporation Impact Impact XVIII. 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? ,f b) Does the project have impacts that are individually ❑ ❑ 0 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? • • 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 WASTE AND SUBSTANCES 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: ` 1. c\At `C. 1'"J9A-ii I .TALL • 2. Address: a kk 016 / <maDo (L /.r . C.- - q09n+ 3. Phone Number: QDN(7 ` �_ l ' b9)(f) 4. Address of Site (street name and number if available, and ZIP code): c\ op Lc -4' Y) O Q $ 111;. oPy`l��- Local Agency (city/county): ° 6. Assessor's book, page, and parcel number: �,-A CA - VvL4p In©, (Do f `� � U 7.Specify any list pursuant to Section 65962.5 of the Government Code: STATE OF CALIFORNIA HAZARDOUS WASTE AND SUBSTANCES SITES LIST (available at Citv Hall). 8. Regulatory identification number: 9. Date of List: JULY 1992 Date For Signature Applicant -17- • • NOTE: In the event that the project site and any alternatives are not listed on any list compiled pursuant to Section 65962.5 of the Government Code, then the applicant must certify that fact as provided below. I have consulted the lists compiled pursuant to Section 65962.5 of the Government Code and hereby certify that the development project and any alternatives proposed in this application are not, contained on these lists. Date For Signature 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 For Signature Applicant Public:PLANNING MASTERS:City of Rolling Hills Environmental Questionnaire Rev. 2009.doc -18-