779, Extension modification to comm, ApplicationCil ofi2 P! $ Jd.•!l
VARIANCE
REOUEST FOR HEARING
INCORPORATED JANUARY 24, 1957
NO. 2 PORTUGUESE BEND ROAD
ROLLING HILLS, CALIF. 90274
(310) 377-1521
FAX: (310) 377-7288
E-mail: cityofrh@aol.com
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 modem 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.
PROPERTY OWNER: AL L3 E R i ' 1J g,ta i G /n)
OWNER'S ADDRESS: /839 E. 28t 57: 5/001.41./-1/L2..Ca. 90755"
TELEPHONE NO.: (5 6 2) 5 9 y- 4 Z 9 3
PROPERTY ADDRESS: 3 ME-4O614) L Q.tC 1,44)6
LEGAL DESCRIPTION: LOT NO. / 9
ASSESSOR'S BOOK NO. 74-69 PAGE 00 ? PARCEL 002
AGENT'S NAME: Bac. To ,ci G 10(►/iV E'EN?/A
AGENT'S ADDRESS: 2583 4 /14R/3oA/4h 4VA:". Lor//7.4 La, go v/ 7
TELEPHONE NO.: (.7/0i 3 2-5- 5-6- 8 0
Describe in detail the nature of the proposed use, including what aspects of the project require a Variance.
CIA IQ, -G A) 77-h - /=4 ) TVA /.2D 5C7x /9CK
le L /ic l wort 5 7.A /3 Z- 6 E Co.2i2A �G ‘i/i2c/-/A-9 r
Panted on Recycled Pape'
Criteria to be satisfied for erailef Variance
Such change is based upo ie following described exceptional 11,extraordinary circumstances or
conditions that do not apply generally to other property in the same vicinity and zone.
rip 8/(1) li/,,Q6-' /5 So Gi rTi E-' 1. r1/4_..413c.e= Ak'<,4 tc)r Tia,i.>
Such change will not be materially detrimental to the public welfare nor injurious to the property or
improvements in such vicinity and zone where property is located because
id/ LL A/A' a AJU E 7-*
FILING FEE
A filing fee must accompany the application. Make check payable to: CITY OF ROLLING HILLS.
DATE _
ZONING CASE NO.
ADDRESS
• 5Nd„,)1,1
ALL STRUCTURES MUST BE SHOWN ON THE PLAN
CALCULATION OF LOT COVERAGE
AREA AND
STRUCTURES
NET LOT AREA
RESIDENCE
GARAGE
SWIMMING POOUSPA
POOL EQUIPMENT
GUEST HOUSE
CABANA
STABLE (dirt volume to be included
in grading quantities)
RECREATION COURT
ATTACHED COVERED
PORCHES
ENTRYWAY/ PORTE COCHERE,
BREEZEWAYS
EXISTING
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
ATTACHED TRELLISES
*DETACHED STRUCTURES:
(circle all that applies)
SHEDS, TRELLISES, GAZEBO,
BARBECUE, OUTDOOR KITCHEN,
ROOFED PLAY EQUP.- over 15 ft.
high and over 120 sq. ft. in area,
WATER FEATURES, ETC.
SERVICE YARD
OTHER ___
BASEMENT AREA
(volume to be included in grading quantities)
DEPTH OF BASEMENT
TOTAL STRUCTURES
% STRUCTURAL COVERAGE
TOTAL STRUCTURES
EXCLUDING UP TO 5 & UP TO
800 sq. ft. detached structures that
are not higher than 12 ft.
% STRUCTURAL COVERAGE
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
%
-13-
PROPOSED
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq. ft.
sq.ft.
TOTAL
5-&013 sq.ft.
3 0E1 /
CIio
in 0
sq.ft.
sq.ft.
sq.ft. sq.ft. 3
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft. sq.ft.
sq.ft. sq.ft.
sq.ft. sq.ft.
sq.ft. sq.ft.
sq.ft. J sq.ft.
sq.ft. sq.ft.
sq.ft. 21O& sq.ft.
II,(/
sq.ft. 613 / 8' sq.ft.
% —2' 7 %
sq.ft.
%
sq.ft.
%
c() 4/ 0
ALL FLATWORK MUST BE SHOWN ON THE PLAN
PRIMARY DRIVEWAY(S) sq.ft.
PAVED WALKS, PATIO
AREAS, COURTYARDS sq.ft.
POOL DECKING sq.ft.
OTHER PAVED DRIVEWAYS,
ROAD EASEMENTS, PARKING
PADS sq.ft.
TOTAL FLATWORK
% TOTAL FLATWORK
COVERAGE
TOTAL STRUCTURAL &
FLATWORK COVERAGE
% TOTAL COVERAGE
TOTAL STRUCTURAL &
FLATWORK COVERAGE
Excl. the allowance of up to 5 — 800 sq. ft.
structures from previous page.
% TOTAL COVERAGE
sq.ft
sq.ft.
sq.ft.
TOTAL DISTURBED
AREA sq.ft.
% DISTURBED AREA %
GRADING QUANTITY
(include future stable, corral and
access way; basement and all other
areas to be graded)
All structures (attached and detached) must be listed.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
/ 7 q'? sq.ft.
Z2 sq.ft.
sq.ft.
sq. ft.
0 7q Inotor
y Ll-q sq.ft.
sq.ft. (77 77 sq.ft.
sq.f
%
sq.ft.
sq.ft.
cubic yards
* Free standing accessory structures such as sheds, trellises, covered patios, gazebo, fountains, barbecue, outdoor
fire place, etc., are not counted towards coverages and disturbed area, unless their combined area exceeds 800 sq.
ft., or if there are more than 5 such structures on the property.
-14-
TOTAL STRUCTURES ON PAD NO. 1 sq.ft.
Nor inc-1 attached trellises,
Not incL allowed deductions,
andincl. the area of covered porches that
exceed 10% of the size of the residence/aces. structures.
% BUILDING PAD COVERAGE
To
DATE
+ • •
Z.C. NO. ADDRESS
CALCULATION OF BUILDING PAD COVERAGE
PAD NO. 1
RTTTUDART,E PATS AREA EXISTING PROPOSED TOTAL
AND STRUCTURES
BUILDING PAD sq.fr, sq.ft. l&0sq.ft.
RESIDENCE sq.ft. sq.ft. 3 os-4 q.ft.
GARAGE sq.ft. sq.ft. 6/ / 0 sq.ft.
POOL/SPA sq.ft. sq.ft. Le—sCq.ft.
POOL EQUIPMENT sq.ft. sq.ft. _�' Lsq ft
CABANA/REC.RM sq.ft. sq.ft. sq.ft.
GUEST HOUSE sq.ft. sq.ft. sq.ft.
STABLE sq.ft. sq.ft. sq.ft.
SPORTS COURT sq.ft. , sq.ft. sq.ft.
SERVICE YARD sq.ft. sq.ft. /6' sq.ft.
ATTACHED COVERED PORCHES ?-2'4
Primary residence sq.ft. sq.ft. ✓ sq.ft.
Accessory structures sq.ft. sq.ft. - -------,..q..
(-
AREA OF ATTACHED COVERED sq.ft. sq.ft. 1 ` gq ftt>
PORCHES THAT EXCEED 1o% OF THE
SIZE OF RESIDENCE/ACCS. STRUCTURE
ENTRYWAY/PORTE COCHERE/
BREEZEWAY sq.ft. sq.ft. sq.ft.
ATTACHED TRELLISES sq.ft. sq.ft. sq.ft.
ALL DETACHED STRUCTURES sq.ft. sq.ft. sq.ft.
(from is` page)
ALL DETACHED STRUCTURES sq.ft. sq.ft. sq.ft.
(from 15`page not including allowed deductions)
OTHER sq.ft. sq.ft. sq.ft.
TOTAL STRUCTURES ON PAD NO. 1 sq.ft. sq.ft. sq.ft.
% BUILDING PAD COVERAGE
sq.ft. sq.ft.
Lf7t
eo n
-15-
r
4/6t ria(4/ 7/2o4o
DATE
PAD NO. 2
Z.C. NO. ADDRESS
CALCULATION OF BUILDING PAD COVERAGE
BUILDABLE PAD AREA EXISTING PROPOSED
AND STRUCTURES
BUILDING PAD cq.ft. sq.ft. jr3 ( sq ft
RESIDENCE sq.ft. sq.ft. cq.ft.
GARAGE sq.ft. cq.ft. cq.ft.
C
POOL/SPA cq.ft. cq.ft. (fro cq.ft.
POOL EQUIPMENT sq.ft. cq.ft. 7 (-f sq.ft.
CABANA/REC.RM cq.ft. sq.ft. sq.ft.
GUEST HOUSE cq.ft. sq.ft. sq.ft.
STABLE sq.ft. cq.ft. cq.ft.
SPORTS COURT cq.ft. cq.ft. cq.ft.
SERVICE YARD sq.ft. sq.ft. sq.ft.
ATTACHED COVERED PORCHES
Primary residence sq.ft. sq.ft. sq.ft.
Accessory structures sq.ft. cq.ft. cq.ft.
AREA OF ATTACHED COVERED cq.ft. cq.ft. cq.ft.
PORCHES THAT EXCEED 10% OF THE
SIZE OF RESIDENCE/ACCS. STRUCTURE
ENTRYWAY/PORTE COCHERE/
BREEZEWAY
ATTACHED TRELLISES
TOTAL
sq.ft. cq.ft. cq.ft.
gq.ft. sq.ft. cq.ft.
ALL DETACHED STRUCTURES
(from 1" page) sq.ft.
ALL DETACHED STRUCTURES
(from 1"page not including allowed sq.ft.
deductions)
OTHER sq.ft.
TOTAL STRUCTURES ON PAD NO. 2 sq.ft.
% BUILDING PAD COVERAGE
TOTAL STRUCTURES ON PAD NO. 2 sq.ft.
Not_incL attached trellises,
Not inrl allowed deductions,
and inrl the area of covered porches that
exceed 10% of the size of the residence/accs. structures.
% BUILDING PAD COVERAGE %
sq.ft. sq.ft.
sq.ft. cq.ft.
sq.ft.
sq.ft.
cq.ft.
cq.ft.
sq.ft. (13 /4
sq.ft.
-Y77, Lf)
16-
g,t,4,0(i6e-t F 'e L ' 4/'
O''(—i IO Z.C.\O.
•
ADDIZT5S 3 M / O'L L.
Gradimz Quantities:
GRADING ±\ D F. C& VAT|A \I%{CRGL\T!O
Cubic Y2 « \ last Doe d . a . Dcrt En(a
CUT/EXCAVATION
r hou /additoo _
For on structures (i.s.ed G)
List
For dri wad s)
For yard areas
For basement k.xcavGan
For pool/spaexcava,en
Overexcavation
(15 7
TOTAL CUT 06'7
TO.\LEXPORT
T:T I L
For /adABon
For oerst ctu s
List
,.or i'eva s)
r cas
For bas m cotsForbamen[m6R
For pool/spa
SU
\� .
Recompaction
TOTAL FILL !t'
TOTAL GRADING (Sum gtotal a&and 2lfill) 2 3l4-
E.i n pad /eva o s
Finished fioor
Finished grade
Proposed pad elevations
Finished flo
Finish d Er de
Basement -finished ftoor
i3asement-finishedl ll 2!
P. FLOCRTtf%kT ONS
Residential t-4.-.d
7 4-.§
7.
Ot erpad_ 9c:3 o
w: a:2 swag: try m ;w vz2 Dw 2(1110 am
-9' (2b0-11s-e-d y/z\o
OWNER'S DECLARATION
I (We) declare under penalty of /perjury that the foregoing is true and correct.
Executed at /C h ���u Y! /S' , California,
this 40' I day of FC�%eI/11)9-hr 4 20 P I�
By:
By:
01- %1 ask L..1941
Address
R. .,CA- 0479
City I
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: A 16 Yi fjtb! DATE FILED
REPRESENTATIVE: [a'l k Y/ 2. FEE:
COMPANY NAME: akip, cm /�� RECEIPT NO:
/ /
COMPANY ADDRESS: BY: 7
ZONING CASE NO 7
TENTATIVE HEARING DA11:
COMPANY PHONE NO. ( 1
PROJECT ADDRESS:
-20-
•
DATE Z.C. NO. ADDRESS
GRADING AND EXCAVATION INFORMATION
Grading Ouantities: Cubic Yds. Max. Depth Max. Depth 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
TOTAL CUT
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
TOTAL FILL
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
PAD/FLOOR ELEVATIONS
Residential pad Other pad
-19-
• i
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 °l r r 9i (; /` S , California
this "I'4 day of FIEPAO'MY , 20 ('fl .
By:
By:
s ow/pad
Address
aJ, (. - W c9-7
City
-21-
•
CITY OF ROLLING HILLS
ZONING CASE
CERTIFIED PROPERTY OWNER'S LIST
AFFIDAVIT
STATE OF CALIFORNIA )
COUNTY OF LOS ANGELES ) §§
CITY OF ROLLING HILLS )
I� , 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:
this
Executed at ., California,
day of ,20
Signature
Public/ Planning Masters / City of Rolling Hills Site Plan Review Application rev. 2009.doc
-22-
Date Filed
GENERAL INFORMATION
T ! •
Cu o RoL in
� r/ �
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: c lyolth@aol.com
1. Applicant(s) . E. co i C I rk Tel. (5_412,_) 5 9 5 - 9 Zq
Address 1'2)32.Sth S1-}_S�c�N 1-lr`� Ca-. `107C
2. Legal Owner(s) /a5 A f3dtJG Tel. ( )
Address
3. Project Address 3 ["1 l_A D o v.) t_/aaK Lt..)
Assessor's Book No. 19(oq - 04,? - 002. Lot No. f�1
4. Other related permits and other public approvals required for this project, including those required
by city, regional, state and federal agencies:
LAC, 0OW
5. Existing zoning district R - 1
6. Proposed project/use of site S • �• •
PROJECT DESCRIPTION
7. Site size I.1-3 1 !\c.
8. Net lot area L for D f 3 s. it "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.
1f
9. Total square footage of structures 4c) 5 P,
10. Number of floors of construction 0 n) .
1 1. Basement square footage 2. 1 0'C7
1-1
February 2002
Environmental Information Form
Nn,n..d ,�n Fi�•.�hd �: �;,�.
• •
12. Total combined tlatwork and structural lot coverage c) I O (,
13. Will any exterior walls be removed or relocated? Which walls? N
14. Will any interior walls be removed or relocated? Which walls? l\) A
15. Will the entire building structure require a new roof? V E S
16. Will the existing roof remain intact, with Tess than 200 square feet added? N A
17. Driveway Access and Parking:
a. Is a new driveway accessway proposed? /ES (Requires Traffic Commission Review).
b. Number of driveway(s) Existing? ° r`? 1 Proposed? dt\1 L
(Second driveway requires approved Conditional Use Permit from Planning Commission).
c. Width of driveway(s) Existing? Proposed? f G
(Maximum of 20 foot width unless approved by the Planning Commission).
d. Does first 20 feet of driveway have a maximum grade of 7%?
(Maximum of 7% for first 20 feet of driveway required).
Existing? Proposed?
e. Grade of driveway(s)? Existing? Proposed? ( 0
(Maximum of 12% unless approved by the Planning Commission).
f. Has site plan been reviewed by Los Angles County Fire Protection Engineer to meet
current driveway access requirements? N o
Explain
Does driveway cover more than a maximum 20% of the area of the yard in which it is
located? NI
Explain
h. Does uncovered parking area cover more than a maximum 10% of the area of the yard in
which it is located? m c�
Explain
g-
i. Does vehicular accessway to stable and corral have a maximum slope of 25% or
less? t•l Stable and corral average vehicular access slope 1\f A
j. Does properly have an above ground garage with a minimum capacity of
2 cars? 1/4/ES With guest house a minimum of 3 cars? YES
18. Grading quantities shall be balanced. Amount cut 0 Z t . Amount fill t t ci 7 .
(Include any basement cut in grading quantities).
19. Area of disturbance. 40% of net lot area maximum; any remedial grading (temporary disturbance),
any graded slopes and building pad areas, and any nongraded area where impervious surfaces
will remain or are proposed to be added.
Square feet lq,(flG, f . Percentage of Net Lot Area 35 , l .
20. If residential, include the unit size. Square feet 3 0 y 4
February 2002
Environmental information Form
1-2
i •
• 21. 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.
N A
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.
25. Proposed scheduling. S /X- 2
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.
GJ t t C . tZ . v t E k) — C'`t r2 la 17 (;-1
ENVIRONMENTAL SETTING.
27. Describe the project site as it exists before the project, including information on topography, soil
stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing
structures on the site, and the use of the structures. Attach photographs of the site. Snapshots
or polaroid photos will be accepted.
February 2002
Environmental Information Form
• 1-3
• •
28. Describe the surrounding properties, including information on plants and animals and any cultural,
historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.), intensity
of land use (one -family, guest house, office use, etc.) and scale of development (height,
frontage, set -back, rear yard, etc.). Attach photographs of the vicinity. Snapshots or polaroid
photos will be accepted.
29. Is the proposed project consistent with:
City of Rolling Hills General Plan
Applicable Specific Plan
City of Rolling Hills Zoning Ordinance
South Coast Air Quality Management Plan
Congestion Management Plan
Regional Comprehensive Plan
30. Have any of the following studies been submitted?
Geology Report
Hydrology Report
_ Soils Report
Traffic Study
Noise Study
Biological Study
— Native Vegetation
Preservation Plan
Solid Waste Generation Report
Public Services/
Infrastructure Report
1-4
No 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
February 2002
Environmental Information Form
Potentially
Significant
Impact
Issues:
Less Than
Significant With
Mitigation
Incorporation
Less Than
Significant No
Impact Impact
I. A ESTH ETICS — Would the project:
a) Have a substantial adverse effect on a scenic vista? 0 0 0
b) Substantially damage scenic resources, including but 0 0 0 CY
not limited to, trees, rock outcroppings, and historic
buildings within a state scenic highway?
c) Substantially degrade the existing visual character or 0 0 0 El ---
quality of the site and its surroundings?
d) Create a new source of substantial light or glare which 0 0 ❑
would adversely affect day or nighttime views in the
area?
II. AGRICULTURE RESOURCES: —/
In determining whether impacts to agricultural 0 0 0 L�
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 ❑
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 a 0 0 0 f�
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?
❑ ❑ ❑
III. AIR QUALITY— Where available, the significance
criteria established by the applicable air quality
management or air pollution control district may be
relied upon to make the following determinations.
Would the project:
a) Conflict with or obstruct implementation of the 0 0 0
applicable air quality plan?
February 2002
Environmental Information Form
1-6
• •
Potentially
Significant
Impact
Less Than
Significant With
Mitigation
Incorporation
Less Than
Significant
Impact
b) Violate any air quality standard or contribute 0 ❑ 0
substantially to an existing or projected air quality
violation?
c) Result in a cumulatively considerable net increase of 0 0 0
any criteria pollutant for which the project region is
non -attainment under an applicable federal or state
ambient air quality standard (including releasing
emissions which exceed quantitative thresholds for
ozone precursors?
d) Expose sensitive receptors to substantial pollutant
concentrations?
e) Create objectionable odors affecting a substantial
number of people?
No
Impact
IV
❑ ❑ ❑ if
O 0 ❑
I V. BIOLOGICAL RESOURCES — Would the
project:
a) Have a substantial adverse effect, either directly or 0 0 0 111
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 0 0 0
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?
c) Have a substantial adverse effect on federally ❑ ❑ 0 LEY
protected 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
resident or migratory fish or wildlife species or with
established native resident or migratory wildlife
corridors, or impede the use of native wildlife nursery
sites?
e) Conflict with any policies or ordinances protecting
biological resources, such as a tree preservation
policy or ordinance?
f) Conflict with the provisions of an adopted Habitat
Conservation Plan, Natural Community Conservation
Plan, or other approved local, regional, or state
habitat conservation plan?
O 0 0 l�
❑ 0 0 170
❑ 0 0
February 2002
Environmental Information Form
1-7
• •
Potential) • Less Than
Significant Significant With Less Than
g Significant ficant NoImpactIncorporation Impact Impact
V . CULTURAL RESOURCES — Would the project:
a) Cause a substantial adverse change in the significance 0 0 0
of a historical resource as defined in §15064.5 of the
State CEQA Guidelines?
b) Cause a substantial adverse change in the 0 0 ❑ 1217'
significance of an archaeological resource pursuant to
§15064.5 of the State CEQA Guidelines?
c) Directly or indirectly destroy a unique paleontological 0 0 0 51
resource or site or unique geologic feature?
d) Disturb any human remains, including those interred 0 0 0 CV
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 0 ❑ 0
on the most recent Alquist-Priolo Earthquake Fault
Zoning Map issued by the State Geologist for the
area or based on other substantial evidence of a
known fault? Refer to Division of Mines and Geology
Special Publication 42.
ii) Strong seismic ground shaking? 0 0 0 1E17
iii) Seismic -related ground failure, including 0 0 0 EV
liquefaction?
iv) Landslides? 0 0 0 p/
b) Result in substantial soil erosion or the loss of topsoil? 0 0 0 0'
c) Be located on a geologic unit or soil that is unstable, 0 0 0 p'
or that would become unstable as a result of the
project, and potentially result in on- or off -site
landslide, lateral spreading, subsidence, liquefaction
or collapse?
d) Be located on expansive soil, as defined in Table 18- 0 0 0 p/
1B of the Uniform Building Code (1994), creating
substantial risks to life and property?
e) Have soils incapable of adequately supporting the 0 0 0 f/
use of septic tanks or alternative waste water disposal
systems where sewers are not available for the
disposal of waste water?
February 2002
Environmental Information Form
{-8
• •
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 io 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
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?
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) For a project within the vicinity of a private airstrip,
would the project result in a safety hazard for people
residing or working in the project area?
Impair implementation of or physically interfere with an
adopted emergency response plan or emergency
evacuation plan?
h) Expose people or structures to a significant risk of
loss, injury or death involving wildland fires, including
where wildlands are adjacent to urbanized areas or
where residences are intermixed with wildlands?
g)
Potentially
Significant
Impact
Less Than
Significant With
Mitigation
Incorporation
Less Than
Significant No
Impact Impact
❑ 0 0 Er
❑ ❑ ❑ C11'
❑ 0 0 Cir
❑ ❑ ❑ E{
❑ ❑ 0 l"
❑ 0 0 trd
❑ 0 0 V
❑ 0 0 IV
February 2002
Environmental Information Form
1-9
• •
Potentially
Significant
Impact
Less Than
Significant With
Mitigation
Incorporation
Less Thal
Significant No
Impact Impact
VIII. HYDROLOGY AND WATER QUALITY —
Would the project:
a) Violate any water quality standards or waste discharge ❑ 0 0 (�
requirements?
b) Substantially deplete groundwater supplies or ❑ 0 ❑ Et'
interfere substantially with groundwater recharge
such that there would be a net deficit in aquifer
volume or a lowering of the local groundwater able
level (e.g., the production rate of preexisting nearby
wells would drop to a level which would not support
existing land uses or planned uses for which permits
have been granted?
c) Substantially alter the existing drainage pattern of the 0 0 0
site or areas including through the alteration of the
course of a stream or river, in a manner which would
result in substantial erosion or siltation on- or off -site?
d) Substantially alter the existing drainage pattern of the ❑ 0 ❑ p/
site or areas including through the alteration of the
course of a stream or river, in a manner which would
result in flooding on- or off -site?
e) Create or contribute runoff water which would exceed ❑ 0 0 fY
the capacity of existing or planned storm water
drainage systems or provide substantial additional
sources of polluted runoff?
f) Otherwise substantially degrade water quality? 0 0 0 /�
g) Place housing within a 100-year flood hazard area as 0 0 0 fE
mapped on a federal Flood Hazard Boundary or Flood
Insurance Rate map or other flood hazard delineation
map?
h) Place within a 100-year flood hazard area structures 0 0 0 fEK
which would impede or redirect flood flows?
i) Expose people or structures to a significant risk of Toss, 0 0 0 0/
injury or death involving flooding, including flooding as
a result of the failure of a levee or dam?
j) Inundation by seiche, tsunami, or mudflow? 0 0 0 ❑/
February 2002
Environmental Information Form
I-10
Potentially
Significant
Impact
Less Than •
Significant With
Mitigation
Incorporation
Less Than
Significant No
Impact Impact
IX. LAND USE AND PLANNING —Would the
project:
a) Physically divide an established community? ❑ 0 ❑ Env-
b) Conflict with any applicable land use plan, policy, or 0 0 0 [�
regulation of an agency with jurisdiction over the
project (including but not limited to the general plan,
specific plan, local coastal program, or zoning
ordinance) adopted for the purpose of avoiding or
mitigating an environmental effect?
c) Conflict with any applicable habitat conservation plan or 0 0 0 IEK
natural community conservation plan?
X. MINERAL RESOURCES — Would the project:
a) Result in the loss of availability of a known mineral 0 0 0 t/
resource that would be of value to the region and the
residents of the state?
b) Result in the loss of availability of a locally -important ❑ 0 0
mineral resource recovery site delineated on a local
general plan, specific plan or other land use plan?
X I. NOISE— Would the project result in:
a) Exposure of persons to or generation of noise levels in 0 ❑ 0 t�
excess of standards established in the local general
plan or noise ordinance, or applicable standards of
other agencies? /
b) Exposure of persons to or generation of excessive 0 0 0 try'
groundborne vibration or groundborne noise levels?
c) A substantial permanent increase in ambient noise 0 0 0 t/
levels in the project vicinity above levels existing
without the project?
d) A substantial temporary or periodic increase in ambient 0 0 0 IV
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 0 137
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 0 0 0 C�
the project expose people residing or working in the
project area to excessive noise levels?
February 2002
Environmental Information Form
• •
Less •
Potentially Signiricanmt anNith Less Than
Significant MitigationSignificant No
Impact Incorporation Impact Impact
XII. POPULATION AND HOUSING— Would the
project:
a) Induce substantial population growth in an area, either 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 0 0 0
the construction of replacement housing elsewhere?
XIII. PUBLIC SERVICES
❑ EY
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 0 GI
Police protection? 0 0 ❑ 57
Schools? 0 0 0
Parks? 0 0 0 1:1/
Other public facilities? 0 0 ❑ C�
XIV. RECREATION
a) Would the project increase the use of existing 0 0 0 t�
neighborhood and regional parks or other
recreational facilities such that substantial physical
deterioration of the facility would occur or be
accelerated? —/
b) Does the project include recreational facilities or 0 0 0 C�
require the construction or expansion of recreational
facilities which might have an adverse physical effect
on the environment?
February 2002
Environmental Information Form
1-12
Potentially
Significant
Impact
Less Than
Significant With
Mitigation
Incorporation
Less Than
Significant FJo
Impact Impact
XV. TRANSPORTATION/TRAFFIC—Would the
project:
a) Cause an increase in traffic which is substantial in 0 0 0
relation to the existing traffic load 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 0 t�
service standard established by the county
congestion management agency for designated
roads or highways?
c) Result in a change in air traffic patterns, including either 0 ❑ 0 [
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 t�
(e.g., sharp curves or dangerous intersections) or
incompatible uses (e.g., farm equipment)?
e) Result in inadequate emergency access? ❑ 0 0 p�
f) Result in inadequate parking capacity? 0 ❑ 0 p/
g) Conflict with adopted policies, plans, or programs 0 0 0 f�
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 0 0
applicable Regional Water Control Board? /
b) Require or result in the construction of new water or 0 0 0 t2
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 0 0 0 CY
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 0
project from existing entitlements and resources, or
are new or expanded entitlements needed?
February 2002
Environmental Information Form
1-13
Potentially
Significant
Impact
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 0
to accommodate the project's solid waste disposal
needs?
g) Comply with federal, state, and local statutes and
regulations related to solid waste?
0
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 0
water runoff?
c) Result in potential for discharge of storm water from areas 0
from material storage, vehicle or equipment fueling,
vehicle or equipment maintenance (including washing),
waste handling, hazardous materials handling or
storage, delivery areas or loading docks, or other outdo(
work areas?
d) Result in potential for discharge of storm water to impair
the beneficial uses of the receiving waters or areas that
provide water quality benefit?
e) Result in potential for discharge of storm water to cause
significant harm on the biological integrity of the
waterways and water?
f) Result in potential for significant changes in the flow
velocity or volume of storm water runoff that can cause
environmental harm?
g) Result in potential for significant increases in erosion of
the project site or surrounding areas?
1-14
❑
Less Than
Significant With
Mitigation
Incorporation
0
Less Than
Significant
Impact
El
No
Impact
❑ ❑ l�
❑ ❑ Et
February 2002
Environmental Information Form
• •
Potentialy
Significant
Impact
Less Than
Significant with
Mitigation
Incorporation
Less Than
Significant No
Impact Impact
XVIII. MANDATORY FINDINGS OF
SIGNIFICANCE
a) Does the project have the potential to degrade the ❑ ❑ 0 l�
quality of the environment, substantially reduce the
habitat of a fish or wildlife species, cause a fish or
wildlife population to drop below self-sustaining
levels, threaten to eliminate a plant or animal
community, reduce the number or restrict the range
of a rare or endangered plant or animal or eliminate
important examples of the major periods of California
history or prehistory?
b) Does the project have impacts that are individually 0 ❑ 0 t7'
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 0 0 ❑ 11
will cause substantial adverse effects on human
beings, either directly or indirectly?
February 2002
Environmental Information Form
1-15
r
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 (-15- 10
Signature'
For A • bc46//‘)S E/rJ
Applicant
CERTIFICATION: Ihereby 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 I / c - 1 0
Signature
For (A) L 00 5 T(. /„)
Applicant
1-17
February 2002
Environmental Information Form