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47, Construct a retaining wall alo, ApplicationMUEST FOR HEARING FOR ZONE VARIANCE CITY OF ROLLING HILLS The undersigned k 00,1 o.p L` j A-I--AoC-� Name .2_4 z 4— \ I1 t__ ) — h7A.1._cS \ e2 = , E E. Czi 3) Street Address Telephone Number g) is/are the ems) or is/are in lawful possession of (2) has permission of the owner Legal description of property situated at J6 Lot �•S S"8 Tradt EL-1b c24 vl= — p (4 Ll_s Street Address Describe in detail the nature of the proposed use, including what aspects of the project require a Variance. e 2r�tK1G—.. Faf. A s FA &tt„_Y . %JA(2-1)60.1{r. 1 , 1.a� 6EiA <, A. R., i=►M.ttit�14d Tp r-t L-L_ r.> % i �.f2 Tf-k F E.2o s 1 o nl t�Q t...J ti! 'i" t l E r t t� i� { E b T H- E. �v-r Criteria to be satisfied for grant of Variance Such change is based upon the following described exceptional or extraordinary circumstances or conditions that do not apply generally to other property in the •same vicinity and zone. r t)na1 fl 1 bN s ?r t l o-z-- 1 o e2 L c'mS Sucb change will not be materially detrimental to the public welfare nor injurious to the property or improvements in such vicinity and zone where prr.-7•t ..is lccated because. to N) ATU2,4L. /' IT10 , • FILING FEE A .filing fee cm0m010u0.0.mL must accompany the application. Make check payable to: OMER'S DECLINATION i. (ye), declare under penalty of perjury that the foregoing is true and correct. Executed at PA c. OS • California, this 2 8 tti day of /`7ASJ • 1l22, Z 9 2 4- I/',LI LA S E.G r/,4 Address P,)d2 P¢ NOTE: The Owner's Declaration can only be used if this application is signed io California. If this application is signed outside of California, the applicant should acknowledge before a Notiry Public of the State where the signature is ffixed, or before anotheofficer of that State authorised by its laws to take r . 4cknowledgments, that be •(it) owns the property described herein, and that the information in the accompanying this application is true to the best of his (its) knowledge and belief. Attach appropriate acknowledgment here. ro s ISSUED TO: VANE ORGANIZATION aoa DECISION OF PLANNING COMMISSION . PILED PRE $ ROarm *D. Dr • • 1! The action of the Planning Commission will be final unless within twenty (20) days following the notice to the applicant of the decision, an appeal in writing is filed with the City Clerk by: A. The applicant; B. Any person who protested, either orally or in writing, as a matter of recora prior to the final vote of the Planniuy Commission on the utter and who, is addition, received or was entitled to receive the written notice specified in subdivision 2 of subsection A of Section 17.40.060; or C. The City Council, upon the affirmative.vote of three members of the Council In order to obtain a building permit, it will be necessary for the applicant to sign a copy of the findings that they understand and accept the conditons of approval. OWNER'S ACKNOWLEDGMENT Property development in Rolling Hills is governed by ordinances of the City of Rolling Hills ("City") and by private deed restrictions enforced by the Rolling Hills Community Association ("RHCA"). The land development permit process of the City and the RHCA are completely independent and separate. Both must be satisfied and approval given by both the City and the RHCA to develop property in Rolling Hills. An approval by either the City or the RHCA does not mean or imply or ensure approval by the other. The suggested sequence for property development is to obtain City approvals first. I, (We), the undersigned, acknowledge that the above statement has been fully read and its admonition is completely understood. Executed at psfI_05 £E %> Aa44I T 3 , California this 2 8 day of /v%A cri , 19 9 0. By: By: 2924 1r'A 444 5r6r4v04 Address � C. Cam. 940274 City 9 ROE UEST FOR HEARING FOR ZONE VARIANCE CITY OF ROLLING HILLS The undersigned ‘--1 O\A) fa fa Q Di LACsi, Name 7-9 Z 4 VIA LA L L- v A C'. i. l=, Street Address (1) is/are the owner(s) or is/are in lawful possession of has permission of the owner 31r-4-y19 Telephone Number Legal description of property situated at 77$ 4 c)5 b S - 6 Lot Tract Street Address Describe in detail the nature of project require a Variance. C dtasTR t1CTt 1Q �D .I R c � t) -r the proposed use,' including what aspects of the v N G-1 WALL,. U)A L L ALG. 1 r i v c \A.i Atv) I L--I A T PROP Q. -r- t,) Criteria to be satisfied for grant of Variance Sucb change is based upon the following described exceptional or extraordinary circumstances or conditions that do not apply generally to other property in the 'same vicinity and zone. ) NI s Re' i S r 0 4 �- i-I C (�. ��) is Y i O C� A \ )A L t...eek C r f) 2 0 P r-, -r et). Such change will not be materially detrimental to the public welfare nor injurious to the property or improvements in such vicinity and zone where prr--. y•is ic:ated because. I-1cIC-7 F Co_ IR-riZucTtnt- NA)A LL \n) Cv-kccktr) f SVP czvl se- 0 • _5L 1- 0_, a►61co_ eTq t3Lc, G-,4- SAFT=TL,! FILING FEE 71 tiling fee(01 m0s01,0.n JA- must accompany the application. Hake check payable to: • OWNER'S 0®CtAAATICO 1, (We), declare under penalty of perjury that the foregoing is true and correct. Executed at this �.,. day of J l • California, 1sp NOTE: The Owner's Declaration can only be used if this application is signed in California. If this application is signed outside of California, the applicant should acknowledge before a Not_ry Public of the State where the signature is ffixed, or before another officer of that State authorised by its laws to take . acknowledgments, that be (it) owns the property described herein, and that the information in the accompanying this application is true to the bast of his (its) knowledge and belief. Attach appropriate acknowledgment here. FORKS ISSUED TO: %.013 MANZ FILED /O ORGANIZATION SEE $ �^� JOS ) ,DREs$ 0 ; .z.t . NO. 'co . DATE • . DECISION OF PLANNING COMMISSION The action of the Planning Commission will be final unless within twenty (20) days following the notice to the applicant of the decision, an appeal in writing is filed with the City Clerk by: • A. The applicant; B. Any person wbo protested, either orally or in writing, as a matter of record prior to the final vote of the Planning Commission on the matter and who, in addition, received or vas entitled to receive the written notice specified in subdivision 2 of subsection A of Section 17.10.060E or C. The City Council, upon the affirmative. vote of three meabers of the Council. In order to obtain a building permit, it will be nebessary for the applicant to sign a copy of the findings that they understand and accept the conditons of approval. REQUEST FOR HEARING FOR SITE PUN REVIEW CITY OF ROLLING MILLS The undersigned g o ?) Ul7 Ar.t_ c Name 2-9 2-4- VIA LA SFt,IJA Street Address 45;19 Telephone No. 1 is/are the ; (s) or is/are lawful possession of (2) has permission of the owner Legal description of property situated at (% �• Sg b -!v. Lot Trac A5 r IELr 1) QA) P—OL-LIG Street Address NATURE OF PROPOSED PROJECT Describe in detail the nature of the proposed project, including what aspects of the project require a Site Plan Review. n E f f= Awe. l L'( P E i 0 r tQC— , A TT' A C. C—k 13 LI t F- 1A,1 I 1 ► 1 ? 6,.1 T \(4c. P-1 S �`r' IP A( ( ,SITE PLAN REVIEW CRITERIA Site Plan Review criteria upon which the Planning Commission must make an affirmative finding. Describe in detail the project's conformance to the below criteria: A. Is the project compatible with the General Plan, the zoning ordinance and surrounding uses? Explain how it compares to sizes, set -backs and other characteristics of neighboring houses. i 5 i `E I S C U v PAT,4P,LE. 1 S t N€ LE B. Does the project preserve and integrate into the site design, to the maximum extent feasible, existing natural topographic features of the lot including surrounding native vegetation, mature trees, drainage courses, and land forms (such as hillsides and knolls)? Explain how the project preserves and integrates existing natural features. Y� C. Does the site development plan follow natural contours of the site to minimize grading; extensive grading and recontouring of existing terrain to maximize buildable area shall not be approved? Graded slopes shall be rounded and contoured so as to blend with existing terrain. Grading shall not modify existing drainage or re -direct drainage flow unless into an existing drainage courses. Explain the nature and extent of the impact of grading and proposed minimization measures. yE S #'4 P :44 it 40 In i,i,s,Q A-.O `4Q A /saP,Pp rs NAA/F,�.d b014E/2 T.y4e- Rao Pora.,o a t j,v, ► dN9r e Sew/e tz" t� r dA09413, D. Does the site development plan preserve surrounding native vegetation and supplement it with landscaping that is compatible with and enhances the rural character of the community? Landscaping should provide a buffer and transition zone between private and public areas. Explain how the project preserves native vegetation, integrates landscaping and creates buffers. ,JG 11.41401211Y or T/40 L.d 7" IS porn o o• ViteerC7i1 'tome ,.-/51-,PE PLAt4 T,,a&, Wild- Do eitWcLL E. Does the site development plan substantially preserve the natural and undeveloped state of the lot by minimizing building coverage? Lot coverage requirements shall be regarded as maximums and the actual amount of lot coverage permitted should depend upon the existing buildable area of the lot. Explain how the lot coverage proposed compares with lot coverage square footage and' percentages on neighboring lots. . L.b Y Go V l S W L t— R +_.o LJ -r k WI,A4-‘1C 1 wt, LI AA Q.' L1 i t2 ikA .F , r. i r . t H H-o t_t t s Es ic-. ►�1 C—i� ro LI S T1 F E ►M b ST . N A�-ru 2A l_ t, L �� A R t AP A Is the site development plan harmonious in scale and mass with he site, the natural terrain and surrounding residences? Setbacks Nall be regarded as minimums and more restrictive setbacks shall be mposed where necessary to assure proportionality and openness. xplain how the proposed project setbacks compare with the existing 3tbacks of neighboring properties. Ye' _ -%' De- /cl a Pe)/o,v r As 44)aL .,v, T,c%.,•l� a3 4 A e td5 ZS _AV fc.4e-E iew t' cif / B 0 . 6 G. Is the site development plan sensitive and not detrimental to convenience and safety of circulation for pedestrians and vehicles? Explain how the number and types of vehicles relate to the driveway location, design, trip data and landscaping and other on -site parking or storage areas. Af5 7960/C LS AO f/N441d' '4/'1 /G4i 60677/27drA6rdr AiWgr ? . tv ♦c c. No T ,t3e ,4 r ee-AT DOr 4 Z. oX' nee) FF /G. A u2gl.4 Q a u r) P4 KIN c. s2G 4 ' I o Po PA7(j /,t/ 729 %,L/E I) 4. A ni 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. I hereby certify that the statements furnished above, and in attached exhibits, present the data and information required for the site plan review criteria eevaluation to be the best of my ability; and, that the facts, statements and other information presented are true and correct to the best of my knowledge and belief. DATE: 5 /ZS /qd r FOR 14 C7vJ MZ t' W pt LL A CSC APPLICANT 7 OWNER'S DECLARATION I. (We, declare under penalty of perjury that the and correct. Executed at /7.11 ZOS- this 2 a '9? 1��'•Q2� &37.4 76'5 day of foregoing is true , California, 19 90 i,t) e. Wu 2 924- P/A LA eLvAt (Address) P. ✓.C. Ca. 90 274- NOTE: The Owner's Declaration can only be used if this application is signed in California. If this application is signed outside of California, the applicant should acknowledge before a Notary Public of the State where the signature is fixed, or before another officer of that State authorized by its laws to take acknowledgments, that he (it) owns the property described herein, and that the information accompanying this application is true to the best of his (its) knowledge and belief. Attach appropriate acknowledgment here. FORMS ISSUED TO: NAME ORGANIZATION' JOB ADDRESS H.N.M. FILED FEE RECEIPT NO. BY: 19 8 CITY OF ROLLING HILLS ZONING CASE CERTIFIED PROPERTY OWNER'S LIST AFFIDAVIT STATE OF CALIFORNIA)ss. COUNTY OF LOS ANGELES) I, c c ,o-r- r- 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: Executed at 1- �-o s ���Q c7�, �STA� �� ,California, this 1 vJ P b LI 2T N4- Conditional Use Permit Variance Site Plan Review Zone Change day of M,AY , 19 W,. V Signature CHECKLIST FOR PLAN SUBMITTAL (con'tl 17. Show the existing buildable area which is that portion of a lot that constitutes the existing building pad and any contiguous portion of the lot within the area defined by the required minimum setbacks that has an average slope of ten (10%) percent or less. If there is not existing building pad, the buildable area shall mean that portion of a lot within allowable setbacks that has an average slope of ten (10%) of less. COMPUTATION OF LOT COVERAG$ CITY OF ROLLING HILLS /AT COVERAGE (Title 17) Main buildings, accessory buildings, structures, tennis courts, swimming pools, service yards (enclosed or unenclosed), stables, or an area of not less than 200 square feet for the construction of a stable (with vehicle access thereto) shall not cover more than twenty (20%) percent of the net lot area; provided further that in addition to the above described improvements, the areas included within driveways, parking space, walks, patios, decks and asphalt or concrete paving of any kind excepting roads maintained by the Rolling Hills Community Association, shall not cover more than thirty-five (35%) percent of the net lot area. For the purposes of this Section "net area" shall exclude all perimeter easements for a maximum of ten feet and that portion of the lot or parcel of land which is used for roadway purposes, and shall also exclude any private drive or driveway which provides ingress and egress to any other lot or parcel of land, and access strip portion ofany flag lot. WILDING AREA gXISTING PROPOSED TOTAL CALCULATIONS NET LOT AREA .-- sq. ft. /03, bz9sq. ft. /o3i6, z y sq. ft. RESIDENCE — sq. ft. 4i077 sq. ft. 6i077 sq. ft. GARAGE sq. ft. 7--3 sq. ft. 7S3 sq. ft. SWIMMING POOL sq. ft. —= sq. ft. sq. ft. STABLE sq. ft. Zoo sq. ft. �00 sq. ft. TENNIS COURT sq. ft. sq. ft. — sq. ft. SERVICE YARD — sq. ft. J 6 sq. ft. 96 sq. ft. OTHER — sq. ft. sq. ft. -- sq. ft. TOTAL SQUARE FEET — _5; 1 ?1 7f r?6 12( STRUCTURE COVERAGE % • 6 . 1 % 6,47 DRIVEWAY --- sq. ft. 3r z44 sq. ft. 31z1-6 sq. ft. PAVED WALKS AND PATIO AREA—sq. ft. 1, 4-08 sq. ft. J 14og sq. ft. POOL DECKING sq. ft. sq. ft. sq. ft. TOTAL SQUARE FEET 4-/ b s4 4-1(o 5-4-2( tFLATWORK COVERAGE % 4 S % 4'S% %TOTAL COVERAGE % / (• 4" % i t . 4- % • . 'Abws"LrA•. trev'd 1990) • • 1 GIL APPENDIX 11 ENVIRONMENTAL IN?ORMATION AND CHECKLIST !FORM (Initial Study) Date Submitted: No. GENERAL INFORMATION 1. Name and address of developer or project sponsor: \x,1 / � P� ice. SEi.._VA - IPALo 2. Address of project: aA=,-rFt-uN t1 (2.AV -- kl C—, 14t t-t- S Assessor's Block and Lot Number 3. Name, address, and telephone number of person to be contacted concerning this project: i)v�t� ` � I-(a��t� - 5��►-�-r-t P,A Y EL r.i G— tit E 1= 21 �.! �� — b tL T' Tt� r•! 1- t_�- -- -074,1_0S E.cu E5 E S rATES L List and describe any other related permits and other public approvals required for this project, including those required by city, regional, state and federal agencies: 5. Existing zoning district: R- - / 6. Proposed use of site (Project for which this form is filed): N E LEE, FAA4 +--Y PLEEs I r> tJC PROJECT DESCRIPTION 7. Site size: Z 38 ,4c,a . 8. Square footage: /03., ' Z-q 9. Number of floors of construction: • 10. Amount of off-street parking provided: N %A 11. (Attach plans.) 12. Proposed scheduling: As,4,7-› 13. Associated projects: r.1 / A 14. Anticipated incremental development: t.1/A 15. If residential, indicate the number of units, schedule of unit sizes, range of sale prices or rents, and type of household size expected: vtilea 2:ES{hen-lrtAt_ 16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities: 17. If industrial, indicate type, estimated employment per shift, and loading facilities: 18. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project: SOUTH BAY ENGINEERING •RPORATION WALLACE 20. The site is undeveloped. It slopes continously in a southeasterly direction. There are geological exploratory roads, trenches and borings over the bottom half. 21. The property is located in the RAS-1 zone; surrounded on three sides by single family ranch style one story homes. Native grasses exist on the upper two thirds of the property with chapparell at the bottom. Gophers abound on the site. 22c. Grading is required to create a pad for the development. 24b. Since there will be a house constructed on the graded pad, an insignificant amount of rainfall will be transported in non-erodable devices to a point of discharge on the downhill portion of the lot. 27a. As this is a vacant piece of land, any development will increase the noise that is now heard. The home will be developed within standards of the building code, the increase will be minimal. • •• ML1f9.111A • 19. If the project involves a variance, conditional use or rezoning application, state this and indicate clearly why the application is required: A UAR1,kr i t-F_ ?a S. 2.A 1t I ►.t Oi2rl� 1 tJ (S EF OE1> S jaE,Aite ALfjr MBA st_-12F rr Ott _L. Qt/�2= TH E F2n�tQ�i poi 0J0 Tf4 M.th1i nF "171-4Lp T ENVIRONMENTAL SETTING 20. On a separate page, describe the project site as it exists before the project, including information on topography, soil stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing structures cm the site, and the use of the structures. Attach photographs of the site. 21. On a separate page, describe the surrounding properties, including information on plants and animals and any cultural, historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.), intensity of land use, and scale of development (height, frontage, set -back, rear yard, etc.). Attach photographs of the vicinity. ENVIRONMENTALIMPACTS (Explanations of all 'yes' and 'maybe' answers are required on attached sheets.) 22. Earth. Will the proposal result in: a. Unstable earth conditions or in changes in geologic substructures? b. Disruptions, displacements, com- paction or overcovering of the soil? c. Change in topography or ground surface relief features? d. The destruction, covering or modification of any unique geologic or physical features? e. Any increase in wind or water erosion of soils, either on or off the site? YES MAYBE NO • • *LIM-1,A• • f. Changes in deposition or erosion of beach sands, or changes in siltation, deposition or erosion which may modify the channel of a river or stream or the bed of the ocean or any bay, inlet or lake? g. Exposure of people or property to geologic hazards such as earth- quakes, landslides, mudslides, ground failure, or similar hazards? 23. Air. Will the proposal result in: - a. Substantial air emissions or deterioration of ambient air quality? b. The creation of objectionable odors? c. Alteration of air movement, moisture or temperature, or any change in climate, either locally or regionally? 24. Water. Will the proposal result in: a. Changes in currents, or the course or direction of water movements, in either marine or fresh waters? b. Changes in absorption rates, drainage patterns, or the rate and amount of surface water runoff? c. Alterations to the course of flow of flood waters? d. Change in the amount of surface water in any eater body? e. Discharge into surface waters, or in any alteration of surface water quality, including but not limited to temperature, dissolved oxygen or turbidity? f. Alteration of the direction or rate of flow of ground waters? g. Change in the quantity of ground waters, either through direct addi- tions or withdrawals, or through interception of an aquifer by cuts or excavations? YES MAYBE NO L h. Substantial reduction in the amount of water otherwise available for public eater supplies? i. Exposure of people or property to water -related hazards such as flooding or tidal waves? j. Significant changes in the temperature, floe, or chemical content of surface thermal springs? 25. Plant Life. Will the proposal result in: a. Change in the diversity of species, or number of any species of plants (including trees, shrubs, grass, crops, microflora and of plants? b. A reduction of the numbers of any unique, rare or endangered species of plants? c. Introduction of new species of plants into an area, or in a barrier to the normal replenish- ment of existing species? • d. Reduction in acreage of any agricultural crop? 26. Animal Life. Will the proposal result in: a. Change in the diversity of species, or numbers of any species of animals (birds, land animals including reptiles, fish and shellfish, benthic organisms, insects or microfauna)? b. Reduction of the numbers of any unique, rare or endangered species of animals? c. Introduction of new species of animals into an area, or result in a barrier to the migration or movement of animals? d. Deterioration to existing fish or wildlife habitat? 27. Noise. Will the proposal result in: a. Increases in existing noise levels? YES MAYBE NO . MLW9-21A b. Exposure of people to severe noise levels? 28. Light and Glare. Will the proposal produce new light or glare? 29. Land Use. Will the proposal result in a substantial alter- ation of the present or planned land use of an area? 30. Natural Resources. Will the proposal result in: a. Increase in the rate of use of any natural resources? b. Substantial depletion of any nonrenewable natural resource? 31. Risk of Upset. Will the proposal involve: a. A risk of an explosion or the release of hazardous substances (including, but not limited to, oil, pesticides, chemicals or radiation) in the event of an accident or up- set conditions? b. Possible interference with an emergency response plan or an emer- gency evacuation plan? 32. Population. Will the proposal alter the location, distribution, density,'or growth rate of the human population of an area? 33. Rousing,. Will the proposal af- fect existing housing, oc create a demand for additional housing? 34. Transportation/Circulation. Will the proposal result in: a. Generation of substantial addi- tional vehicular movement? b. Effects on existing parking facilities, or demand for new parking? c. Substantial impact upon existing transportation systems? YES MAYPE MO L $LW9-22Aa • d. %iterations to present patterns of circulation or move- ment of people and/or goods? e. Alterations to waterborne, rail or air traffic? f. Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? 35. Public Services. Will the proposal have an effect upon, or result in a need for new or altered governmental services in any of the following areas: a. Fire protection? b. Police protection? c. Schools? d. Parks or other recreational facilities? e. Maintenance of public facilities, including roads? f. Other governmental services? 36. Energy. Will the proposal result in: a. Use•of substantial amounts of fuel or energy? b. Substantial increase in demand upon existing sources of energy, or require the development of new sources of energy? 37. Utilities: Will the proposal result in a need for new systems, or substantial alterations to the following utilities: a. Power or natural gas? b. Communications systems? c. Water? d. Sewer or septic tanks? e. Storm water drainage? f. Solid waste and disposal? -7- /ES MAYSt r • • • SLIM -23k* • 38. Human Realth. Will the.proposal result in: a. Creation of any health hazard or potential health hazard (excluding mental health)? b. Exposure of people to poten- tial health hazards? 39. Aesthetics. Will the proposal result in the obstruction of any scenic vista or view open to the public, or will the proposal re- sult in the creation of an aesthet- ically offensive site open to public view? 40. Recreation. Will the proposal result in an impact upon the quality or quantity of existing recreational opportunities? 41. Cultural Resources. a. Will the proposal result in the alteration of or the destruction of a prehistoric or historic archeological site? b. Will the proposal result in adverse physical or aesthet- ic effects to a prehistoric or historic building, structure, or object? c. Does the proposal have the potential to cause a physical change which would affect unique ethnic cultural .values? d. Will the proposal restrict existing religious or sacred uses within the potential impact area? INES_ MAYBE N3 42. Mandatory Findings of Significance. a. Does the project have the potential to degrade the quality of the environment, substantially reduce the habitat of a fish or wildlife species, cause a fish or wildlife population to drop below self sustaining levels, threaten to eliminate a plant or animal commun- ity, reduce the number or restrict -8- .Z. 4. IILWI-24A• • • the range of a rare or endangered plant or animal or eliminate impor- tant examples of the major periods of California history or prehistory? b. Does the project have the potential to achieve short-term, to the disadvantage of long-term environ- mental goals? (a short term impact on the environment is one which occurs in a relatively brief, defin- itive period of time while long-term impacts will endure well into the future.) YES MAYBE- NO c. Does the project have impacts - which are individually limited, but cumulatively considerable? (A project may impact on two or more separate re- sources where the impact on each resource is relatively small, but where the ef- fect of the total of those impacts on the environment is significant.) d. Does the project have environ- mental effects which will cause sub- stantial adverse effect on human be- ings, either directly or indirectly? CERTIFICATION: I hereby certify that the statements furnished above and in the attached exhibits present the data and infor- mation required for this initial evaluation to the best of my ability, and that the facts, statements, and information presented are true and correct to the best of my knowledge and belief. Date MAY 25; >L0C (jur.) For t-4o1/4,QA2s`� Wtki_i_�G (Applicant) -9-