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825, To be allowed to exceed the ma, ApplicationREQUEST FOR HEARING CONDITIONAL USE PERMIT 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 modify 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: OWNER'S ADDRESS: TELEPHONE NO: PROPERTY'S ADDRESS: LEGAL DESCRIPTION: AGENT'S NAME: AGENT'S ADDRESS: TELEPHONE NO: AK JP( vicE Dir%s()A/ St-r 2 � �1:7-711-cti/ j- 9ogo7 6 2) q'I 2 `'I 3 7 EMAIL: _____ vn> zil Fits F,1_71 D. LOT NO.. P 7 5 l'o) -00 ?T" i) / 5" ASSESSORS BOOK NO. PAGE PARCEL JErIObt.Ed ( NATURE OF PROPOSED PROTECT ; 76.95' 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. eie3j/cr4 G r1/1.41 /i/%1,11 IT42I/' 644,t( , 95r //r%(A4 T ffo2s / Z i%v� sx -12- • • Will the proposed use be compatible with the uses in the surrounding area, and if so, why? ao ocF/i 06 [y i 7y- /fig- <2/2.Ro4//(4 9- /i (r-�� 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- • TELEPHONE NO.: 79e3 62 36 76 l r Describe in detail the nature of the proposed use, including what aspects of the project require a (_/(X C� ,� Z SSG 14A_ (J it A, i),.c„, a 11 E--e toT 6/) - Itt_QK - G .0 c/o ro Variance. VARIANCE REOUEST FOR HEARING NOTE: According to Section 17.24.020 of the Rolling Hills Municipal Code, illegal uses or structures are required to be made conforming or shall be removed. Therefore, you may be required to modify 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: /7f%/2K t JhN iG!_= D/ cKSDi' OWNER'S ADDRESS: l ,>i - I L/� (/�2 /_/-2/), /l Ki1 9ogo) TELEPHONE NO.: (5z)2 3 /3 '9' EMAIL: dr PICK 5OV PROPERTY ADDRESS: q EiKr P// -7 4 LEGAL DESCRIPTION: LOT NO. 0* 7 ,� �� - �%�� — O/ - AGENT'S NAME: ASSESSOR'S BOOK NO. dEr 017LCy PAGE PARCEL AGENT'S ADDRESS: (0 O//7 f f/A DJ C 6 o J 5n, 926ge -12- Criteria to be satisfied for grant of Variance Such change is based upon the following described exceptional or extraordinary circumstances or conditions that do not apply enerally to other pro erty in the same vicinit and zone. /Ciro 0 i r di r- / F /9'AV (7 4 /2l1/i-c 1/4.1I1I /AJb �j/ /4 3/27 _A 1 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 19241 c/'A fv-z) {' i fir% GOt%iAG0 J % i r-r FILING FEE A filing fee must accompany the application. Make check payable to: CITY OF ROLLING HILLS. -13- CALCULATION OF LOT COVER.9 AREA AND STRUCTURES EXISTING PROPOSED TOTAL NET LOT AREA 42,295 SQ. FT. SQ. FT. 42,295 SQ. FT. RESIDENCE 3,261 SQ. FT. SQ. FT. 3,261 SQ. FT. GARAGE 948 SQ. FT. SQ. FT. 948 SQ. FT. SWIMMING POOL/SPA 756 SQ. FT. SQ. FT. 756 SQ. FT. POOL EQUIPMENT 32 SQ. FT. SQ. FT. 32 SQ. FT. GUEST HOUSE SQ. FT. SQ. FT. SQ. FT. CABANA SQ. FT. SQ. FT. SQ. FT. STABLE (DIRT VOLUME TO BE INCLUDED IN GRADING QUANTITIES) SQ. FT. RECREATION COURT SQ. FT. SQ. FT. SQ. FT. ATTACHED COVERED PORCHES PRIMARY RESIDENCE 258 SQ. FT. ACCESSORY STRUCTURES (AT STABLE) SQ. FT. ENTRYWAY PORTE COCHERES BREEZE WAYS SQ. FT. ATTACHED TRELLISES SQ. FT. *DETACHED STRUCTURES (CIRCLE ALL THAT APPLY) SQ. FT. SHEDS, TRELLISES, GAZEBO BARBEQUES, OUTDOOR KITCHEN SQ. FT. ROOFED PLAY EQUIPMENT (OVER 15' HIGH, 120 sq.ft. IN AREA) SQ. FT. WATER FEATURES SQ. FT. SERVICE YARD 96 SQ. FT. OTHER SQ. FT. BASEMENT AREA (VOLUME TO BE INCLUDED IN DIRT QUANTITIES) DEPTH OF BASEMENT TOTAL STRUCTURES (exlude basement) % STRUCTURAL COVERAGE TOTAL STRUCTURES EXCLUDING UP TO 5 & UP TO 800 sq.ft. DETACHED STRUCTURES THAT ARE NOT HIGHER THAN 12 sq. ft. % STRUCTURAL COVERAGE 600 SQ. FT. SQ. FT. 200 SQ. FT. 600 SQ. FT. 258 SQ. FT. 200 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. 96 SQ. FT. SQ. FT. 1196 SQ. FT. SQ. FT. 1196 SQ. FT. 8.88 FT. FT. 8.88 FT. 5,351 SQ. FT. 800 SQ. FT. 6,151 SQ. FT. 12.65 % 1.89 % 14.54 % 5,351 SQ. FT. 800 SQ. FT. 6,151 SQ.FT. 12.65 % 1.89 % 14.54 % Page 1 • EXISTING PROPOSED TOTAL PRIMARY DRIVEWAYS 3,805 SQ. FT. SQ. FT. 3,805 SQ. FT. PAVED WALKS, PATIO AREAS COURTYARDS 1,815 SQ. FT. SQ. FT. 1,815 SQ. FT. POOL DECKING 830 SQ. FT. SQ. FT. 830 SQ. FT. OTHER PAVED DRIVEWAYS ROAD EASEMENT, PARKING PADS SQ. FT. SQ. FT. SQ. FT. TOTAL FLATWORK 6.450 SQ. FT. SQ. FT. 6.450 SQ. FT. % TOTAL FLATWORK COVERAGE TOTAL STRUCTURAL AND FLATWORK COVERAGE FT. % TOTAL COVEAGE TOTAL STRUCTURAL AND FLATWORK COVERAGE (EXCLUDE THE ALLOWANCE OF UP TO 5 & 800SQ.FT. STRUCTURES FROM THE PREVIOUS PAGE) 15.25 11,801 SQ. FT. 27.90 11,801 SQ. FT. % TOTAL COVERAGE 27.90 % TOTAL DISTURBED AREA % DISTURBED AREA GRADING QUANTITY (INCLUDES FUTURE STABLE, CORRAL AND ACCESS WAY; BASEMENT AND ALL OTHER AREAS TO BE GRADED) 20,694 SQ. FT. 48.9 % ALL STRUCTURES (ATTACHED AND DETACHED) MUST LISTED 15.25 800SQ. FT. 12,601 SQ. 1.89% 29.79 800 SQ. FT. 12,601 SQ. FT. 1.89 % 29.79 % 9,570 SQ. FT. 22.7 % 30,264 SQ. FT. 71.6 CUT: CU. YDS. *FREE STANDING ACCESSORY STRUCTURES SUCH AS SHEDS, TRELLISES, COVERED PATIOS, GAZEBO, FOUNTAINS, BARBEQUE, OUT DOOR FIREPLACE, 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. (X)<X) = EXISTING STRUCTURE TO REMAIN. Page 2 PAD No. 1: Residential Pad BUILDING PAD AREA AND STRUCTURES EXISTING PROPOSED TOTAL BUILDING PAD 21,410 SQ. FT. SQ. FT. 21,410 SQ. FT. RESIDENCE 3,261 SQ. FT. SQ. FT. 3,261 SQ. FT. GARAGE 948 SQ. FT. SQ. FT. 948 SQ. FT. SWIMMING POOL/SPA 756 SQ. FT. SQ. FT. 756 SQ. FT. POOL EQUIPMENT 32 SQ. FT. SQ. FT. 32 SQ. FT. GUEST HOUSE SQ. FT. SQ. FT. SQ. FT. CABANA/REC. ROOM SQ. FT. SQ. FT. SQ. FT. STABLE SQ. FT. SQ. FT. SQ. FT. RECREATION COURT SQ. FT. SQ. FT. SQ. FT. ATTACHED COVERED PORCHES PRIMARY RESIDENCE 258 SQ. FT. SQ. FT. ACCESSORY STRUCTURES SQ. FT. SQ. FT. AREA OF ATTACHED COVERED PORCHES THAT EXCEED 10% OF THE SIZE OF RESIDENCE/ACC. STRUCTURES SQ. FT. SQ. FT. ENTRYWAY/PORTE COCHERE BREEZEWAY SQ. FT. SQ. FT. ATTACHED TRELLISES SQ. FT. SQ. FT. ALL DETATCHED STRUCTURES SQ. FT. SQ. FT. (FROM FIRST PAGE) ALL DETATCHED STRUCTURES (FROM 1ST PAGE NOT INCLUDING ALLOWED DEDUCTIONS) SQ. FT. SQ. FT. OTHER SERVICE YARD 96 SQ. FT. SQ. FT. TOTAL STRUCTURES PAD No. 1 5,351 SQ. FT. 258 SQ. FT. SQ. FT. SQ. FT. SQ. FT. SQ. FT. SQ. FT. SQ. FT. 96 SQ. FT. SQ. FT. 5,951 SQ. FT. % OF BUILDING PAD COVERAGE 25.0 % % 27.8 % TOTAL STRUCTURES PAD No. 1 NOT INCLUDING ATTACHED TRELLISES NOT INCLUDING ALLOWED DEDUCTIONS AND INCLUDE THE AREA OF COVERED PORCHES THAT EXCEED 10% OF THE SIZE OF THE RESIDENCES AND ACCESSORY STRUCTURES % BUILDING PAD COVERAGE (XXX) = EXISTING STRUCTURE TO REMAIN. 5,351 SQ. FT. 25 Page 3 SQ. FT. % 5,351 SQ. FT. PAD'No.2: Stable BUILDING PAD AREA AND STRUCTURES EXISTING PROPOSED TOTAL BUILDING PAD SQ. FT. 6,410 SQ. FT. 6,410 SQ. FT. RESIDENCE SQ. FT. SQ. FT. SQ. FT. GARAGE SQ. FT. SQ. FT. SQ. FT. SWIMMING POOL/SPA SQ. FT. SQ. FT. SQ. FT. POOL EQUIPMENT SQ. FT. SQ. FT. SQ. FT. GUEST HOUSE SQ. FT. SQ. FT. SQ. FT. CABANA/REC. ROOM SQ. FT. SQ. FT. SQ. FT. STABLE SQ. FT. 600 SQ. FT. 600 SQ. FT. RECREATION COURT SQ. FT. SQ. FT. SQ. FT. ATTACHED COVERED PORCHES PRIMARY RESIDENCE ACCESSORY STRUCTURES (AT STABLE) AREA OF ATTACHED COVERED PORCHES THAT EXCEED 10% OF THE SIZE OF RESIDENCE/ACC. STRUCTURES ENTRYWAY/PORTE COCHERE BREEZEWAY ATTACHED TRELLISES ALL DETATCHED STRUCTURES (FROM FIRST PAGE) ALL DETATCHED STRUCTURES (FROM 1ST PAGE NOT INCLUDING ALLOWED DEDUCTIONS) OTHER SQ. FT. SQ. FT. SQ. FT. SQ. FT. SQ. FT. SQ. FT. SQ. FT. SQ. FT. TOTAL STRUCTURES PAD No. 2 SQ. FT. % OF BUILDING PAD COVERAGE TOTAL STRUCTURES PAD No. 2 NOT INCLUDING ATTACHED TRELLISES NOT INCLUDING ALLOWED DEDUCTIONS AND INCLUDE THE AREA OF COVERED PORCHES THAT EXCEED 10% OF THE SIZE OF THE RESIDENCES AND ACCESSORY STRUCTURES % BUILDING PAD COVERAGE SQ. FT. SQ. FT. 200 SQ. FT. SQ. FT. SQ. FT. SQ. FT. SQ. FT. SQ. FT. SQ. FT. 800 SQ. FT. 12.5 SQ. FT. 200 SQ. FT. SQ. FT. SQ. FT. SQ. FT. SQ. FT. SQ. FT. SQ. FT. 800 SQ. FT. 12.5 740 SQ. FT. 740 SQ. FT. 11.5 % 11.5 (XXX) = EXISTING STRUCTURE TO REMAIN. Page 4 fi GRADING AND EXCAVATION INFORMATION Grading Quantities: CUT/EXCAVATION For house / addition For other structures (Le. walls) List STABLE PAD For driveway(s) For yard areas (Includes Filled Slope) For basement excavation For pool / spa excavation Overexcavation TOTAL CUT TOTAL EXPORT FILL For house / addition For other structures (i.e.walls) List STABLE PAD 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 Basement -finished floor Basement -finished well wall Proposed pad elevations Finished floor Finished grade Cubic Yds. 260 260 456 Max. Depth 2.8' 5.1' Max. Depth Location 456 (Additional fill to come from 260cy basement and foundation spoils, per previous approval) 516 PAD/FLOOR ELEVATIONS Residential pad 1188.02 1187.02 1178.00 1177.00 Other pad STABLE 1175.00 Page 5 DATE 07 I07 - la ZONING CASE NO. ADDRESS 49 EAST FILG) c/9 9oa74. CONCEPTUAL LANDSCAPE PLAN REOUIREMENTS, 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- �/� ft LANDSCAPED) sq. 3. TOTAL LANDSCAPING: NEW AND ALTERED AREAS sq. ft. 1 rb (vs'2 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: GARDEN WALL (less than 3-Ft tall) SITTING WALL / BENCH WALKWAY OR PATIO TRELLIS, CANOPY OR SIMILAR STRUCTURE ?ke -19- tteq 645t+fd. OWNER'S DECLARATION I (We) declare under penalty of perjury that the foregoing is true and correct. Executed at e G H/a-/ ( , California, this `(0 day of J u/L1 , 20 / 2 J By:—J4/Ule.0 V / k$c (J By: y cn,5 r 'jam b Address OLL I iv 6- J-// L 4,5' City NOTE: The Owner's Declaration can only be used if this application is signed in California. If this application is signed outside of California, the applicant should acknowledge before a Notary Public of the State where the signature is fixed, or before another officer of that State authorized by its laws to take acknowledgements, that he (it) owns the property described herein, and that the information accompanying this application is true to the best of his (its) knowledge and belief. Attach appropriate acknowledgment here. APPLICANT: REPRESENTATIVE: COMPANY NAME: COMPANY ADDRESS: COMPANY PHONE NO. ( PROJECT ADDRESS: DATE FILED FEE: RECEIPT NO: BY: ZONING CASE NO TENTATIVE HEARING DATE: -20- g4 telt( l WNER'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 this //a- // , California day of c_JUZ-!/ 20 1 Z By:��%, By: 7 q ect4-e/C,a,ee Address U e ei i '&, City 6 -21- • aeerf ^6 Red&49 qeti4 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) Date Filed Zoning Case No. GENERAL INFORMATION 1. Applicant(s) ,9?I /2K V ICKSO,L Tel. (5-6 Za 92.3'9311y Address �" ' --J- SGA 27/ �, Zo,(16_13b711of (A- pg2 3 /C,kyd,(% Tel. (..{„a) ! z -4/✓'vq Address SL-iz 771L L0 6 G - 9.0g03 L-15 Eft--5P-16L/) I�►2 2. Legal Owner(s) 3. Project Address Assessor's Book No. 7567 - (2D'3 - ©(S Lot No. 4. Other related permits and other public approvals required for this project, including those required by city, regional, stat and federal agencies: (ix r-yy 0GOI/t/f (�i�-F,� i 5. Existing zoning district R t _- 6. Proposed project/use of site TA'/9G/0-- /e2a/4-/ G PROTECT DESCRIPTION 7. Site size, / / 6iZ E- 8. Net lot area L- Z "Net Lot Area" means the total area included within the lot lines of the lot or parcel orprop 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 6��T` 1- 10. Number of floors of construction -I 11. Basement square footage 451- l' • 12. Total combined flatwork and structural lot coverage 7O ,l f 13. Will any exterior walls be removed or relocated? Which walls? 1/4" 14. Will any interior walls be removed or relocated? Which walls?/4J 15. Will the entire building structure require a new roof? \I J $S 16. Will the existing roof remain intact, with less than 200 squad feet added? 17. Driveway Access and Parking: a. Is a new driveway access way proposed? (Requires Traffic Commission Review). b. Number of driveway(s) Existing? % Proposed? (Second driveway requires approved Conditional Use Permit from Planning Commission). c. Width of driveway(s) Existing? Proposed? (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 require Existing? e. Grade of driveway(s)? Existing? (Maximum of 12% unless approved by the Planning Commission). g• Proposed? Proposed? Has site plan been reviewed by Los/pi/vies County Fire Protection Engineer to meet current driveway access requirements? Explain Does dry cover more than a maximum 20% of the area of the yard in which it is located? Explain h. Does uncovered parking cover more than a maximum 10% of the area of the yard in which it is located? ' . Explain Doe vehicular accessway to stable and corral have a maximum slope of 25%'or Tess? LASS Stable and corral average vehicular access slope 20% . Does property have an above ground garage with a minimum capacity of 2 cars? .__(� With guest house a minimum of 3 cars? y04' 18. Grading quantities shall be balanced. Amount cut . Amount fill (Include any basement cut in grading quantities). 19. Area of disturbance. 40% of net lot area maximum; any remedial grading (temporary disturbance), any graded slopes and building pad areas, and any nongraded area where impervious surfaces will remain or are proposed to be added. Square feet 2.7a7) . Percentage of Net Lot Area 617 . 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. A/l7. 23. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project. kin 24. Attach plans. /' 25. Proposed scheduling.1{: (� Moo rit 19120JF:r y 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. 05 I/frP,2o1k.Li 0)/Lc- ,f%E-A / 4itigi riaijki AA/2k--4 i/% cc/4US,R 7T1143 it ZiiiGr. 2 it: OW14- 2,05F A/U4 0112.1e1V44, gEcAtif Q /2,.9i v l c �..5. 1-0 % Get76,M S L4: 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. T 11/21/4-5( S-ki, i ki r /�i/LEA• - 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. 0i220v412,,11 /LJiVd. r ir'c .1.4/ 7/bt iba0 AL ‹d/Gill ✓*MI mil' I . 4#n,4i / //LA //O/GM, rDit. /ROL!„r/l/6 c, $ D /! / f r 4l cii-c Oil sC%(/I/i � /1; 4 - 7-5 ,c7/4/‘z_A fr--/444,R7 0)/1 IA bliffioe. A',/ f / if A of/ 29. Is the or000sed protect 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 anv of the following studies been submitted? Geology Report Hydrology Report Soils Report 4 Traffic Study Noise Study Biological Study Native Vegetation Preservation Plan Solid Waste Generation Report _ Public Services/ Infrastructure Report Yes Historical Report Archaeological Report Paleontological Study _ Line of Sight Exhibits Visual Analysis Slope Map Fiscal Impact Analysis _ Air Quality Report _ Hazardous Materials/ Waste N/A EVALUATION OF ENVIRONMENTAL IMPACTS: 1. A brief explanation is required for all answers except "No Impact" answers that are adequately supported by the information sources a lead agency cites in the parentheses following each question. A "No Impact" answer is adequately supported if the referenced information sources show that the impact simply does not apply to projects like the one involved (e.g. the project falls outside a fault rupture zone). A "No Impact" answer should be explained where it is based on project -specific factors as well as general standards (e.g. the project will not expose sensitive receptors to pollutants, based on a project -specific screening analysis). 2. All answers must take account of the whole action involved, including off -site as well as on -site, cumulative as well as project -level, indirect as well as direct, and construction as well as operational impacts. 3. Once the Lead Agency has determined that a particular physical impact may occur, then the checklist answers must indicate whether the impact is potentially significant, less than significant with mitigation, or less than significant. "Potentially Significant Impact" is appropriate if there is substantial evidence that an effect may be significant. If there are one or more "Potentially Significant Impact" entries when the determination is made, an EIR is required. 4. "Negative Declaration: Less Than Significant With Mitigation Incorporated" applies where the incorporation of mitigation measures has reduced an effect from "Potentially Significant Impact" to a "Less Than Significant Impact." The Lead Agency must describe the mitigation measures, and briefly explain how they reduce the effect to a less than significant level (mitigation measures from Section XVII, "Earlier Analyses," above may be cross-referenced). 5. Earlier analyses may be used where, pursuant to the tiering, program EIR, or other CEQA process, an effect has been adequately analyzed in an earlier EIR or negative declaration. See State CEQA Guidelines Section 15063(c)(3)(D). In this case, a brief discussion should identify the following: a. Earlier Analysis Used. Identify and state where they are available for review. b. Impacts Adequately Addressed. Identify which effects from the above checklist were within the scope of and adequately analyzed in an earlier document pursuant to applicable legal standards, and state whether such effects were addressed by mitigation measures based on the earlier analysis. c. Mitigation Measures. For effects that are "Less Than Significant With Mitigation Measures Incorporated," describe the mitigation measures which were incorporated or refined from the earlier document and the extent to which they address site -specific conditions for the project. 5 • 6. Lead agencies are encouraged to incorporate into the checklist references to information sources for potential impacts (e.g., general plans, zoning ordinances). Reference to a previously prepared or outside document should, where appropriate, include a reference to the page or pages where the statement is substantiated. 7. Supporting Information Sources: A source list should be attached, and other sources used or individuals contacted should be cited in the discussion. 8. This is only a suggested form, and lead agencies are free to use different formats; however, lead agencies should normally address the questions from this checklist that are relevant to a project's environmental effects in whatever format is selected. 9. The explanation of each issue should identify: a. the significance criteria or threshold, if any, used to evaluate each question; and b. the mitigation measure identified, if any, to reduce the impact to Tess than significance. 6 Less Thane Potentially Significant Less Than Significant With Significant No Impact Mitigation Impact • Impact Incorporation Issues: I. AESTHETICS — Would the project: a) Have a substantial adverse effect on a scenic 0 ❑ 0 vista? b) Substantially damage scenic resources, including ❑ 0 0 I but not limited to, trees, rock outcroppings, and / historic buildings within a state scenic highway? 1 c) Substantially degrade the existing visual character ❑ El❑1 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? L AGRICULTURE RESOURCES: In determining whether impacts to agricultural 0 Cl 0 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 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 Williamson Act contract? c) Involve other changes in the existing environment 0 ❑ ❑ which, due to their location or nature, could result in conversion of Farmland, to non-agricultural use? ❑ ❑ ❑ 0 ❑ ❑ 1!!. 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 ❑ ❑ ❑ applicable air quality plan? 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 0 to an existing or projected air quality violation? c) Result in a cumulatively considerable net increase of any ❑ 0 0 �1 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 CI CI X concentrations? e) Create objectionable odors affecting a substantial number 0 0 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 ❑ 0 ❑ 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 protected ❑ ❑ ❑ 91( 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 ❑ 0 0 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 ❑ ❑ ❑ Conservation Plan, Natural Community Conservation Plan, or other approved local, regional, or state habitat conservation plan? 8 Les Ran 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 0 ❑ 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 4<' of an archaeological resource pursuant to §15064.5 of the State CEQA Guidelinees? c) Directly or indirectly destroy a unique paleontological ❑ 0 0 9( resource or site or unique geologic feature? d) Disturb any human remains, including those interred ❑ 0 0 outside of formal cemeteries? /LI. 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 ❑ ❑ ❑ 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 ❑ iii) Seismic -related ground failure, including liquefaction? 0 0 0 iv) Landslides? ❑ 0 0 b) Result in substantial soil erosion or the loss of topsoil? 0 0 ❑ c) Be located on a geologic unit or soil that is unstable, or 0 0 ❑ C�/ that would become unstable as a result of the project, J� 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 ❑ ❑(13/ 1 B of the Uniform Building Code (1994), creating substantial risks to life and property? e) Have soils incapable of adequately supporting the use ❑ ❑ ❑ of septic tanks or alternative waste water disposal systems where sewers are not available for the disposal of waste water? 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 ❑ 0 ❑ environment through the routine transport, use, or disposal of hazardous materials? b) Create a significant hazard to the public or the 0 ❑ 0 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 0 0 ❑ l( 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 0 0 ❑ 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 0 ❑ ❑ 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, 0 ❑ 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 ❑ ❑ 0 loss, 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 DUALITY — Would the project: a) Violate any water quality standards or waste 0 discharge requirements? b) Substantially deplete groundwater supplies or 0 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 CI 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? d) Substantially alter the existing drainage pattern of the site or areas including through the alteration of the course of a stream or river, in a manner which would result in flooding on- or off -site? e) Create or contribute runoff water which would 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? CI g) Place housing within a 100-year flood hazard area as mapped on a federal Flood Hazard Boundary or Flood Insurance Rate map or other flood hazard delineation map? h) Place within a 100-year flood hazard area structures which would impede or redirect flood flows? Less Than Significant With Mitigation Incorporation 0 0 CI i) Expose people or structures to a significant risk of 0 0 loss, injury or death involving flooding, including flooding as a result of the failure of a levee or dam? j) Inundation by seiche, tsunami, or mudflow? 0 Less Than Significant Impact 0 0 0 CI No Impact IX.LAND USE AND PLANNING — Would the project: a) Physically divide an established community? Potentially Significant Impact Less Than Significant With Mitigation Incorporation Less Than Significant No Impact Impact 0 El b) Conflict with any applicable land use plan, policy, or 0 0 El 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 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 loss of availability of a locally -important mineral resource recovery site delineated on a local general plan, specific plan or other land use plan? CI 0 0 0 XI. NOISE — Would the project result in: a) Exposure of persons to or generation of noise levels in 0 0 0 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 CI 0 • groundborne vibration or groundborne noise levels? c) A substantial permanent increase in ambient noise levels CI 0 in the project vicinity above levels existing without the project? d) A substantial temporary or periodic increase in ambient 0 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 CI CI where such a plan has not been adopted, within two miles of a public airport or public use airport, would the project expose people residing or working in the project area to excessive noise levels. f) For a project within the vicinity of a private airstrip, would 0 0 CI 1( the project expose people residing or working in the project area to excessive noise levels? 12 Less Than Potentially Significant Less Than Significant With Mitigation Significant No Impact Incorporation Impact Impact XII. POPULATION AND HOUSING — Would the project: a) Induce substantial population growth in an area, either directly (for example, by proposing new homes and businesses) or indirectly (for example, through extension of roads or other infrastructure)? b) Displace substantial numbers of existing housing, 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? CI CI CI 9( Police protection? El 0 EI )2( Schools? 0 0 0 Jr. Parks? El CI CI % Other public facilities? CI 0 0 PC XIV. RECREATION a) Would the project increase the use of existing neighborhood and regional parks or other recreational facilities such that substantial physical deterioration of the facility would occur or be accelerated? b) Does the project include recreational facilities or require the construction or expansion of recreational facilities which might have an adverse physical effect on the environment? 1 3 Less Than Potentially Significant Less Than Significant Significant No Impact With Mitigation IncorporationImpact Impact XV. TRANSPORTATION/TRAFFIC — Would the project: a) Cause an increase in traffic which is substantial in El 0 0 )2( relation to the existing traffic load and capacity of the street system (Le., 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 CI 0 CI il 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 El El 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 . (e.g., sharp curves or dangerous intersections) or incompatible uses (e.g., farm equipment)? e) Result in inadequate emergency access? CI 0 0 A41# f) Result in inadequate parking capacity? CI 0 0 Ag) Conflict with adopted policies, plans, or programs 0 0 0 supporting alternative transportation (e.g., but turnouts, bicycle racks)? XVI. UTILITIES AND SERVICE SYSTEMS — Would the project: a) Exceed wastewater treatment requirements of the applicable Regional Water Control Board? b) Require or result in the construction of new water or 0 0 0 )1 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 0 0 CI 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 CI CI 1/ 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? XVII. STORM WATER QUALITY IMPACTS — Would the project: a) During construction result in potential impact on storm 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? Potentially Significant Impact 0 0 0 d) Result in potential for discharge of storm water to impair El 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 significant harm on the biological integrity of the waterways and water? f) Result in potential for significant changes in the flow 1:1 velocity or volume of storm water runoff that can causE environmental harm: g) Result in potential for significant increases in erosion of 0 the project site or surrounding areas? Less Than Significant With Mitigation Incorporation CI Less Than Significant No Impact Impact 1:1 RI/ )&{ 15 Less Than Potentially Significant With Less Than Impact Significant Mitigation Significant No Impact Incorporation Impact act XVIII. MANDATORY FINDINGS OF SIGNIFICANCE a) Does the project have the potential to degrade the 0 0 0 quality of the environment, substantially reduce the habitat of a fish or wildlife species, cause a fish or wildlife population to drop below self-sustaining levels, threaten to eliminate a plant or animal community, reduce the number or restrict the range of a rare or endangered plant or animal or eliminate important examples of the major periods of California history or prehistory? b) Does the project have impacts that are individually 0 CI CI 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 Y1S( 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: JZI»ILR 22CP•Se7/1/ 2. Address: 111 .E.,(4- rStgpil 2-013gri-Cfrii e4 g0c30-3 3. Phone Number: 5_0-) 9 2 3 -LP LI ti 4. Address of Site (street name and number if available, and ZIP code): 1/9 5i-sr Fir51_a Da RoLL/A/4 5. Local Agency (city/county): Rok,1,(/6 1,4 eotivr 6. Assessor's book, page, and parcel number: Oa-5 -0 If- 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-