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584, Build a new SFR, ApplicationREQUEST FOR HEARING FOR SITE PLAN REVIEW PROPERTY OWNER U K (2U 2. 1 C. OWNER'S ADDRESS: 3 (p 4 `i (o Q i2 AN.I C G (?)l.a.) n 444-(7 77742 9 0 5 U3 TELEPHONE NO: (31 O 3 l (o - '7 2 PROPERTY'S ADDRESS: i3 L A C.1414 Ai:..12, C, n14dvn1 (2 i) tJ Ot2 LEGAL DESCRIPTION: LOT NO. 8 2. ((, 14 ASSESSORS BOOK NO.16 (09 PAGE . 014 PARCEL el._ AGENT'S NAME: ( O L T O L t4 C1 t t e-E.. a 11J c, AGENT'S ADDRESS: -10 '1 5 t t3. t2 Cj r u a a 0 R. l-LE . ') 0 27 4 TELEPHONE NO: (3 l O) 9 4 4- - (0 O 1 Q NATURE OF PROPOSED PROJECT Describe in detail the nature of the proposed project, including what aspects of the project require a Site Plan Review: C,o1.2 C.-i 10t\i OG ,L\ SING,Ll:.. 17/\t"\►t_L tJGC .` QU112t S C P c r) tcJC--7 • • 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. c.' ►'Z.t= 0 17 12.t=C1= 1 CdMPAQ/a►'"" Ll.. I 1 \/•) I T I-t L. 41 C'J L T (a C k Zotl &, Qt-nolo. P-i1 i5 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. t IHc_ 0C.71L.t2tc, ("/A/C1 PA(") tic) --; L-:x h)p It.1 r0 T t-F14 GAtJDN C ril-(t I n 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 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 (4rr Oddi.td Ci P_/aD1rZA& P(() P05lE.:0 I -f Pt— /.4c,c%4c7 ©t r L. /I P Tr) l A) L-)c 15 7 /i'J ( t( A- aJ / a 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. / 5 ti/ (? C!- /i \ /V c, c� //V £ iki 0 1 P//\/�� • • .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. Explain how the lot coverage proposed compares with lot coveragesquare footage and percentages on neighboring lots. 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. .-r/3/1Cam"5 111-2C 2 '7/, i >. A ( 7-/ o 0(2_ ' /si i ?4cec- 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, landscaping and other on -site parking or storage areas. /9 <--` it9 e) 5 el' /7 V/ ©iL f,� / 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. �� 5 el- &" L rV //,ram ©'V/`%l= /i/-/ /A/i 0,,( rr", Tio ) • • I hereby certify that the statements furnished above, and in attached exhibits, presents the data and information required for the site plan review criteria evaluation to the best of my ability; and, that the facts, statements and other information presented are true and correct to the best of my knowledge and belief. /% Date: - Z - �J 8/cam,.G��� .�! 77/C7`� Signature For: \)0 k/U (C. Applicant l:rLr.CKLIST FOR PLAN SUBMIT* The following information must be included on any plan submitted for checking to the Rolling Hills Planning Commission for: 1. Conditional Use Permit (including grading requirements). 2. Variance (including grading requirements). 3. Site Plan Review (including grading requirements). 4. Subdivisions and Lot Line Adjustments Provide fifteen (15) sets of plans that show the following: 1. Name, address and telephone no. of applicant, and name, address and telephone number of architect and civil engineer.: - . - _ 2. Plot plans must be stamped by a licensed civil engineer or land surveyor. 3. Vicinity map drawn to scale with requested improvements dimensioned to property line and residences of all contiguous properties. 4. North arrow and scale of plans. 5. Existing contours of the entire lot. 6. Show setbacks, easements, horse trails on entire lot. 7. Outline and show square footage of building pads within allowable setbacks in accordance with Municipal Code Title 17 (form attached). 8. Computation of lot coverage in accordance with Municipal Code Title 17 (form attached). 9. All slopes shall not be steeper in slope than two horizontal to one vertical, or exceed a vertical height of thirty feet (30'). All slopes shall be marked with grade. (Municipal Code Title 15). 10. Shade all cut and fill slopes. Show shaded area square footage, cut and fill totals, and the percentage of lot to be disturbed. (Title 15). 11. Show all retaining walls and sections through walls, height and elevations. Show height for all buildings. 12. Show proposed drainage pattern of graded areas. 13. Designate the area(s) for which the Variance, Conditional Use Permit or Site Plan Review is requested. 14. Show outline of residence and any additional structures. All structures must be physically measured and square footage of each structure must be shown on drawing. A note must be on the drawing certifying to those measurements. • Cu //2/&, JI/h • INCORPORATED JANUARY 24, 1957 COMPUTATION OF LOT COVERAGE LOT COVERAGE (TITLE 17) NO. 2 PORTUGUESE BEND ROAD ROLLING HILLS. CALIF. 90274 (310) 377.1521 FAX: (310) 377-7288 E-mail cityofrh@aol.com Main buildings, accessory buildings, structures, tennis courts, swimming pools, service yards (enclosed or unenclosed), stables, or an area of not less than 1,000 square feet for the construction of a stable and corral (with vehicle access thereto) shall not cover more than twenty percent (20%) 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 percent (35%) of the net lot area. For the purposes of this Section "net area" shall exclude: 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. COMPUTATION OF BUILDABLE AREA AND COVERAGE THEREOE A policy of the City is to address coverage of an identified "EXISTING BUILDABLE AREA". Coverage thereof is based upon the calculation of the "footprint" square footage of the residence, garage, stable (bam), and other accessory structures proposed and/or developed on said "buildable area." For purposes of this calculation, "buildable area" shall be defined as stated in Section 17.12.020 of the Rolling Hills Municipal Code which declares existing "buildable area" as the portion of a lot that constitutes the existing building pad and any other contiguous portion of the lot WITHIN ALLOWABLE SETBACKS THAT HAS AN AVERAGE SLOPE OF TEN PERCENT (10%) OR LESS. If there is no existing building pad, it shall mean that portion of a lot within allowable setbacks that has an average slope of ten percent (10%) or less. December 12, 1996 h ii Punted on Recycled Paper • • Property Line Easement Line Setback Line NET LOT AREA vizzimmzA ROADWAY EASEMENT EXCLUDE 10 FEET AT PERIMETER PLUS ROADWAY EASEMENTS .11 • DATE ZONING CASE NO. BUILDING AREAS NET LOT AREA BUILDING PAD(S) RESIDENCE GARAGE SWIMMING POOL/SPA STABLE RECREATION COURT ( ) SERVICE YARD OTHER (5 t -1 t= o ) TOTAL STRUCTURES % STRUCTURAL COVERAGE % TOTAL PAD COVERAGE DRIVEWAY PAVED WALKS AND PATIO AREAS POOL DECKING TOTAL FLATWORK % TOTAL FLATWORK COVERAGE TOTAL STRUCTURAL COVERAGE % TOTAL COVERAGE CALCULATION 0 EXISTING 1941113 sq.ft. 20,352 sq.ft. 2640 sq.ft. (o8 0 sq.ft. sq.ft. 2.4V0 sq.ft. sq.ft. q sq.ft. 8 0 sq.ft. sq.ft. 2.02 % I G).34 ,% 4 8 ! 3 sq.ft. 838 sq.ft. sq.ft. SGS I sq.ft. 2,9 % & FLATWORK 9 S 8 7 sq.ft. 4.c12 % ADDRESS APPLICANT F LOT COVE RAGE PROPOSED ! 94.7/3sq.ft. 25,72p, sq.ft. 5 / 6 7 sq.ft. NO sq.ft. sq.ft. 4 ti 0 sq.ft. sq.ft. 9 (a sq.ft. sq.ft. sq.ft. TOTAL / 94, 7 /3 sq.ft. 25.72E3 5 / 6 7 sq.ft. /4 0 8 sq.ft. sq.ft. 450 sq.ft. sq.ft. sq.ft. 9 6 sq.ft. sq.ft. 7/2/ sq.ft. 3. 6k, % 2 Z68 % 4506 sq.ft. 4506 sq.ft. /638 sq.ft. sq.ft. sq.ft. /63 8 sq.ft. sq.ft. 6 / 44 sq.ft. 3 , /6 % sq.ft. /3, 26 5 sq.ft. 6..82 % • • DATE ZONING CASE NO. ADDRESS APPLICANT CALCULATION OF BUILDING PAD COVERAGE PAD NO. BUILDABLE PAD AREA 220/6 sq.ft. RESIDENCE6 / 67 sq.ft. GARAGE / 4 D 8 sq.ft. STABLE (BARN) sq.ft. POOL `-" sq.ft. RECREATION COURT sq.ft. OTHER sq.ft. TOTAL STRUCTURES ON PAD NO. 1 65 7 S sq.ft. % BUILDING PAD COVERAGE 29.36 % PAD NO. 2 BUILDABLE PAD AREA RESIDENCE GARAGE STABLE (BARN) POOL RECREATION COURT ( OTHER 37/Z sq.ft. sq.ft. sq.ft. 5 O sq.ft. sq.ft. sq.ft. —�- sq.ft. TOTAL STRUCTURES ON PAD NO. 2 46 0 sq.ft. % BUILDING PAD COVERAGE / 2. / Z % • • OWNER'S DECLARATION I (We) declare under penalty of perjury that the foregoing is true and correct. Executed at O /2 %2A ^1 C this 2 nd day of 5 cP r-7/36-,P By: 1/1/0// By: , California, ,19 98 3656 70 4A>c6 /3 L 1/V. Address o,2/.?4AIcz.' Ca, 90 e3 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: 1/ Z / C DATE FILED REPRESENTATIVE: j, C1 f./,/A,1 i i /t FEE: COMPANY NAME: /3 0 . V,) lC�r/. l e.0P/AILS RECEIPT NO: COMPANY ADDRESS: BY: 707 S /e- VG /2 S /'() /27 20/ ZONING CASE NO: E, Ca. 9 0 2 7 4 TENTATIVE HEARING DATE: COMPANY PHONE NO. ( 3/0) 23"4 4 - 6D I O PROJECT ADDRESS: 6 L. Om �`/2 /3 L, C,'/4)A i tR 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 i o R /2 A A)C G , California this 2 r'—' day of 5 / 1 /3 L / , 19 By:glee( By: 31o55 7-02rt/aGt5. P L!D Address i o/2t2An}C6- Ca, 90s 03 City Date Filed • C14 0/aetinq �ru ENVIRONMENTAL INFORMATION FORM (To Be Completed By Applicant) • INCORPORATED JANUARY 24, 1957 Zoning Case No. NO. 2 PORTUGUESE BEND ROAD ROLLING HILLS, CALIF. 90274 (310) 377.1521 FAX: (310) 377-7288 E-mail: cityofrh@aol.com 584 GENERAL INFORMATION 1. Applicant(s) \) , Q U Z. t Tel. (3 (0) 3 ((r+ - h Z 3 3 Address 3 to (5 4.; le)at2 1NcC %3Lv/_7 44-D `0i2,2,4Ncc (a. 9 U 5[) 2. Legal Owner(s) A-/ , n f//- Tel. ( ) Address 3. Project Address 45 Ca, LAc kLt.)/-\ i Cry Q, r.4 O cJ R. D t\\ oQ i 14 Assessor's Book No. 7't !n 9 - 0 (4- - U D 9 Lot No. S 2„ 4. Other related permits and other public approvals required for this project, including those required by city, regional, state and federal agencies: Los 4n?C�C:CoONTY l3LD7'"Y 5. Existing zoning district ' A S �.. 6. Proposed project/use of site S I N G, La V A M I L O 1 i 0 c PROJECT DESCRIPTION 7. Site size '-a . (0 2 ( A e 8. Net lot area 4-.4' 7 Ac. . "Net Lot Area" means the total area included within the lot lines of a lot or parcel of property, exclusive of: (a) the entire area within a recorded roadway easement plus the area within ten (10) feet measured perpendicular to the edge of the roadway easement; (b) the ten (10) foot perimeter of the lot perpendicular to the property lines; (c) any private drive or driveway that provides access to any other lot or parcel; and (d) the access strip portion of a flag lot." 9. Total square footage of structures % / 2. 1 10. Number of floors of construction 0 N.1 11. Basement square footage / CIO 0 12. Total combined flatwork and structural lot coverage 1331 13. Will any exterior walls be removed or relocated? Which walls? 14. Will any interior walls be removed or relocated? Which walls? 15. Will the entire building structure require a new roof? 5-05-98 . -1- Printed on Recycled Paper • • 16. Will the existing roof remain intact, with less than 200 square feet added? 17. Grading quantites shall be balanced. Amount cut 2. 0 30 (Include any basement cut in grading quantities.) . Amount fill 21 43 Q . 18. Area of disturbance. 40% 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 3110 25 Percentage of Net Lot Area 19,9 5 c% 19. If residential, include the unit size. Square feet 20. ff commercial, indicate the type of project, whether neighborhood, city or regionally oriented, square footage of sales area, estimated employment per shift and loading facilities. 21. If industrial, indicate the type of project, estimated employment per shift, and loading facilities. 22. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project. 23. Attach plans. 24. Proposed scheduling. J A L, 1 9 9 �i 25. If the project involves a site plan review, variance, conditional use or rezoning application, state this and indicate clearly why the application is required. St-ie PL4N) czAD C'1 Are the following items applicable to the project or its effects? Discuss below all items checked yes (attach additional sheets as necessary). YES 11.4 ❑ 26. Change in existing features of any bays, tidelands, beaches, lakes or hills, or substantial alteration of ground contours. ❑ ' 27. Change in scenic views or vistas from existing residential areas or public lands or roads. ❑ 28. Change in pattern, scale or character of general area of project. -2- YEa l!4 ❑ 29. Significant amounts of solid waste or litter. ❑ A 30. Change in dust, ash, smoke, fumes, or odors in vicinity. ❑ 31. Change in ocean, bay, lake, stream or ground water quality or quantity, or alteration of existing draining patterns. ❑ X 32. Substantial change in existing noise or vibration levels in the vicinity. ❑ X 33. Site on filled land or on slope of 10 percent or more. ❑ 34. Use or disposal of potentially hazardous materials, such as toxic substances, flammable or explosives. ❑ 35. Substantial change in demand for municipal services (police, fire, water, sewage, etc.). ❑ 1. 36. Substantially increased fossil fuel consumption (electricity, oil, natural gas, etc.). ❑ 37. Relationship to a larger project or series of projects. ENVIRONMENTAL SETTING 38. 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. /-/S %Al Cx/.5 i /n/G, /-/od5L QA) A /Q/0er / ht)/r/I/ /a G A ti apt) ON 2'- E A S 7 4/ /A)'5-7 .S/ "..5- Oi 72I P6'2 E,(L's i /niG7 /-/0 v s E D x) 74G' //o,Q7 / q' 5, u i AI ,R ,A /34/7A1 f' 39. 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. PRo Rti. /5 L o CA Ems: _ /A)/ 2i //,J /CJ .14/264'J c i� 5/A) C-, LC= /-74 / / 1 0"-.7 /= S C A) 2 A c/24 4. p : ' s 0 nI .- a /it% /-/C/c, /-i r. -3- EVALUATION OF ENVIRONMENTAL IMPACTS: VI. 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). VII. 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. VIII. "Potentially Significant Impact" is appropriate if there is substantial evidence that an effect is significant. If there are one or more Potentially Significant Impact" entries when the determination is made, an EIR is required. IX. "Potentially Significant Unless 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 V, "Earlier Analysis," above may be cross-referenced). X. 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 Section 15063(c)(3)(D) of the State CEQA Guidelines. Earlier analyses are discussed in Section V, above. XI. 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. A source list should be attached, and other sources used or individuals contacted should be cited in the discussion. Issues (and Supporting Information Sources): Potentially Significant Potentially::. . Unless i �s Than ... ... Significant.;: M ligation;;;; `! : : :Si ant No ..:„.. Incorporated Impa ;;> Impact.,;>: I. LAND USE AND PLANNING. Would the proposal: a) Conflict with general plan designation or zoning? 0 0 0 W. b) Conflict with applicable environmental plans or 0 0 0 K polices adopted by agencies with jurisdiction over the project c) Be incompatible with existing land use in the 0 0 0 vicinity? d) Affect agricultural resources or operations (e.g. 0 0 0 X* impacts to soils or farmlands, or impacts from incompatible land uses)? e) Disrupt or divide the physical arrangement of an 0 0 0 r established community (including a low-income or minority community)? II. POPULATION AND HOUSING. Would the proposal: a) Cumulatively exceed official regional or local ❑ 0 0 population projections? -4- • Potentially Significant Potentially Unless Less Than Signficant Mitigation Significant No Impact Incorporated Impact Impact b) Induce substantial growth in an area either 0 0 0 K directly or indirectly (e.g. through projects in an undeveloped area or extension of major infrastructure)? c) Displace existing housing, especially affordable ❑ ❑ 0 t` housing? III. GEOLOGICAL PROBLEMS. Would the proposal result in or expose people to potential impacts involving: a) Fault rupture? b) Seismic ground shaking? c) Seismic ground failure, including liquefaction? 0 0 0 d) Seiche, tsunami, or volcanic hazard? 0 0 0 e) Landslides or mudflows? 0 0 0 4. f) Erosion, changes in topography or unstable soil 0 0 0 0 conditions from excavation, grading, or fill? g) Subsidence of the land? 0 0 ❑ P h) Expansive soils? 0 0 0 1;ii i) Unique geologic or physical features? 0 0 0 01 IV. WATER. Would the proposal result in: a) Changes in absorption rates, drainage patterns, 0 0 0 or the rate and amount of surface runoff? b) Exposure of people or property to water related , 0 0 0 X hazards such as flooding? c) Discharge into surface water or other alteration 0 0 0 i of surface water quality (e.g. temperature, dissolved oxygen or turbidity)? d) Changes in the amount of surface water in any 0 0 0 V water body? e) Changes in currents, or the course or direction of 0 0 0 g water movements? ❑ ❑ ❑ ❑ ❑ ❑ �( f) Change in the quantity of ground waters, either 0 0 0 through direct additions or withdrawals, or through interception of an aquifer by cuts or excavations or through substantial Toss of groundwater recharge capability? g) Altered direction or rate of flow of groundwater? 0 0 0 Pr h) Impacts to groundwater quality? 0 0 0 I$ i) Substantial reduction in the amount of 0 0 0 IA' groundwater otherwise available for public water supplies? V. AIR QUALITY. Would the proposal: a) Violate any air quality standard or contribute to 0 0 0 an existing or projected air quality violation? -5- • Potentially Significant Potentially Unless Less Than Significant Mitigation Significant No Impact Incorporated Impact Impact b) Expose sensitive receptors to pollutants? 0 0 0 'I c) Alter air movement, moisture, or temperature, or 0 0 ❑ l cause any change in climate? d) Create any objectionable odors? 0 0 0 g VI. TRANSPORTATION/CIRCULATION. Would the proposal result in: a) Increased vehicle trips or traffic congestion? 0 0 0 Irg b) Hazards to safety from design features (e.g., 0 0 ❑ bid sharp curves or dangerous intersections) or incompatible uses (e.g., farm equipment)? c) Inadequate emergency access or access to 0 0 0 ITA nearby uses? d) Insufficient parking capacity on -site or off -site? 0 0 0 0 e) Hazards or barriers for pedestrians or bicyclists? 0 0 0 I' f) Conflicts with adopted policies supporting 0 0 0 P' alternative transportation (e.g., bus turnouts, bicycle racks)? g) Rail, waterborne or air traffic impacts? 0 0 0 ig VI I. BIOLOGICAL RESOURCES. Would the proposal result in impacts to: a) Endangered, threatened or rare species or their 0 0 0 habitats (including but not limited to plants, fish, insects, animals, and birds)? b) Locally designated species (e.g., heritage 0 0 0 g trees)? c) Locally designated natural communities (e.g., 0 0 0 i' oak forest, coastal habitat, etc.)? d) Wetland habitat (e.g., marsh, riparian and vernal 0 0 • 0 /' pool)? e) Wildlife dispersal or migration corridors? 0 0 0 7 VI I I. ENERGY AND MINERAL RESOURCES. Would the proposal: a) Conflict with adopted energy conservation plans? b) Use non-renewable resources in a wasteful and 0 ❑ 0 inefficient manner? c) Result in the loss of availability of a known mineral resource that would be of future value to the region and the residents of the State? IX. HAZARDS. Would the proposal involve: a) A risk of accidental explosion or release of hazardous substances (including, but not limited to: oil, pesticides, chemicals or radiation)? ❑ ❑ ❑ O 0 ❑ �( ❑ ❑ ❑ b) Possible interference with an emergency 0 0 O response plan or emergency evacuation plan? -6- • • Potentially Significant Potentially Unless Less Than Signficant Mitigation Significant No Impact Incorporated Impact Impact c) The creation of any health hazard or potential 0 0 0 health hazard? d) Exposure of people to existing sources of 0 0 0PL potential health hazards? e) Increased fire hazard in areas with flammable 0 0 0 `4Q brush, grass, or trees? X. NOISE. Would the proposal result in: a) Increases in existing noise levels? 0 0 0 'Ff b) Exposure of people to severe noise levels? 0 0 0 ti( XI. PUBLIC SERVICES. Would the proposal have an effect upon, or result in a need for new or altered government services in any of the following areas: a) Fire protection? 0 0 0 b) Police protection? 0 0 0 71 c) Schools? 0 0 0 Cif d) Maintenance of public facilities, including roads? 0 0 0 l� e) Other governmental services? 0 0 ❑ IA XII. UTILITIES AND SERVICE SYSTEMS. Would the proposal result in a need for new systems or supplies, or substantial alterations to the following utilities: a) Power or natural gas? 0 0 0 b) Communications systems? 0 0 0 g c) Local or regional water treatment or distribution 0 0 0 fi' facilities? d) Sewer or septic tanks? 0 0 0 1 e) Storm water drainage? 0 0 ❑j f) Solid waste disposal? 0 0 0 1ii g) Local or regional water supplies? 0 0 0 X XIII. AESTHETICS. Would the proposal: a) Affect a scenic vista or scenic highway? 0 0 0 -EX b) Have a demonstrable negative aesthetic effect? 0 0 0 04 c) Create light or glare? 0 0 0 17( XIV. CULTURAL RESOURCES: Would the proposal: a) Disturb paleontological resources? 0 0 0 b) Disturb archaeological resources? 0 0 0 Fi c) Affect historical resources? 0 0 0 d) Have the potential to cause a physical change 0 0 0 kr which would affect unique ethnic cultural values? e) Restrict existing religious or sacred uses within 0 0 0 04 the potential impact area? -7- • • Potentially Significant Potentially Unless Less Than Significant Mitigation Significant No Impact Incorporated Impact Impact XV. RECREATION. Would the proposal: a) Increase the demand for neighborhood or 0 0 01 regional parks or other recreations facilities? b) Affect existing recreational opportunities? 0 0 0 XVI. MANDATORY FINDINGS OF SIGNIFICANCE. a) Does the project have the potential to degrade 0 0 0IX the quality of the environment, substantially reduce the habitat of a fish or wildlife species, cause a fish or wildlife population to drop below self-sustaining levels, threaten to eliminate a plant or animal community, reduce the number or restrict the range of a rare or endangered plant or animal or eliminate important example of the major period of California history or prehistory? b) Does the project have the potential to achieve 0 0 0 IRi short-term, to the disadvantage of long-term, environmental goals? c) Does the project have impacts that are 0 0 0 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.) d) Does the project have environmental effects 0 0 0 J&( which will cause substantial adverse effects on human beings, either directly or indirectly? XVII. EARIJER ANALYSES. Earlier Analyses may be used where, pursuant to the tiering, program EIR, or other CEQA process, one or more effects have been adequately analyzed in an earlier EIR or negative declaration. See Section 15063(c)(3)(D) of the State CEQA Guidelines. In this case a discussion should identify the following on attached sheets. a) Earlier analyses used. Identify earlier analyses 0 0 0 0 N.) I f' and state where they are available for review. b) Impacts adequately addressed. Identify which 0 0 0 ❑ ('j , A 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 mitigation measures based on the earlier analysis. c) Mitigation measures. For effects that are "Less 0 0 0 0 0 I A than Significant with Mitigation 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. -8- • • 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 AUG, lei I99$ For 1/ci,U Z / C. 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 AdZ>. /SJ / 99 A Signatur For yl/f4 A) ) . �v Z / Applicant forms\environm. 1998app - 10 - • • CERTIFIED PROPERTY OWNERS' LIST AFFIDAVIT STATE OF CALIFORNIA, COUNTY OF LOS'ANGELES I, ELIZABETH ROM '; declare under penalty of perjury, that the attached list contains the names and addresses of all persons who are shown on the latest available assessment roll of the County of Los Angeles as owners of the subject property and as owners of property within a distance of 1000' feet from the exterior boundaries of property legally described as follows: LOT 82 „ ROLLING HILLS TRACT APN 7569-014-013 #5 BLACKWATER CANYON ROAD, ROLLING HILLS Date: September 8, 1998 Signed: Subscribed/and sworn to before me this Notary Public 8 th day of September 1998. FRANCENE D. URALMAN Comm. # 1157312 ►n NOTARY PUBLIC-CALIFORNIA Los Angeles County `" My Comm, Expires Oct, 2, 2001 T RECORDING REQUESTED BY AND MAIL TO: CITY OF ROLLING HILLS 2 PORTUGUESE BEND ROAD ROLLING HILLS, CA 90274 (310) 377-1521 (310) 377-7288 FAX The Registrar -Recorder's Office requires that the form be notarized before recordation. AFFIDAVIT OF ACCEPTANCE FORM STATE OF CALIFORNIA ) COUNTY OF LOS ANGELES ) §§ CITY OF ROLLING HILLS ) ZONING CASE NO. 584 SITE PLAN REVIEW VARIANCE CONDITIONAL USE PERMIT L T Recorder's Use Only I (We) the undersigned state: I am (We are) the owner(s) of the real property described as follows: 5 LOWER BLACKWATER CANYON ROAD (LOT 82-RH), ROLLING HILLS, CA This property is the subject of the above numbered case. I am (We are) aware of, and accept, all the stated conditions in said ZONING CASE NO. 584 SITE PLAN REVIEW VARIANCE — CONDITIONAL USE PERMIT _ I (We) certify (or declare) under the penalty of perjury that the foregoing is true and correct. Signature Signature Name typed or printed Name typed or printed Address Address City/State City/State Signatures must be acknowledged by a notary oublic. State of California ) County of Los Angeles ) On before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness by hand and official seal. Signature of Notary SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF