497, Construct a 1770 sq ft barn wi, ApplicationN UEST FOR HEARING
FOR ZONE VARIANCE
CITY OF ROLLING HILLS
The undersigned SOUTH BAY ENGINEERING CORPORATION
Name
304 Tejon Place, Palos Verdes Estates, CA 90274
Street'Addrese Telephone Number
c is/are the owners) or is/are in lawful possession of
has permission of the owner
Legal description of property situated at 25 RS 67/31-32
Lot Tract
7 Maverick Lane
Street Address
Describe in detail the nature of the proposed use, including what aspects of the
project require a Variance.
(310) 375-2556
A portion of the existing house and garage and a portion of the proposed
garage addition are encroaching in the southerly side yard setback.
Criteria to be satisfied for grant of Variance
Such change is based upon the following described errceptional or extraordinary
circumstances or conditions that do not apply generally to other property in the
'same vicinity and sone.
The encroachment requiring a variance is an existing condition and appears
to be a common occurrence in the surrounding area.
Such change will not be materially detrimental to the public welfare nor injuriouo to
the property or improvements in such vicinity and zone where property is locatmA **rmws(
The garage addition is not in close proximity to neighboring houses, approx.
60 feet behind closest neighbor. The proposal will not have a detrimental affect
on the property or the mighbnrhnod .
FILING FEE'
A filing fee c, " + must accompany the application. Make check payable toe
OWNER'S DECLARATION
, (we), declare under penalty of perjury that the foregoing is true and correct.
Executed at
this day of
Address
. California,
19
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 he (it) owns the property described herein, and that the
information in the accompanying this application is true to the beat of hie (its)
knowledge and belief. Attach appropriate acknowledgment here.
FORMS ISSUED TO:
VANE FILED •
ORGANIZATION PEE $
JOa ADDR,ES$ R,tCEIPT NC9. '
DATE. BY'
DECISION OF PLANNING COMMISSION
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:
1•
A. The applicant;
B. Any person who protested, either orally or in writing, as a hatter of record
prior to the final vote of the Plannity Commission on the matter and Who, in
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 conditone of approval.
1
CITY OF ROLLING G HILLS
ZONING CASE
CERTIFIED PROPERTY OWNERS• LIST
AFFIDAVIT
STATE OF CALIFORNIA)ss.
c0UNT'Y OF LOS ANGELES)
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 off'• ene thousand„ (1,000)
fort from than exterior_ boundaries of property legally described 'ass:
.9
Executed at
Conditional Use Permit
Variance
Zone Change
3
•
day of
, California, thin
19 •
Signature
•
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.
1, (We), the undersigned, acknowledge that the above statement
has been fully read and its admonition is completely understood.
Executed at , California
this day of , 19 .
By:
By:
Address
City
4
•
DATE
6/30/93
BUILDING AREAS
NET LOT AREA
BUILDING PAD(S)
RESIDENCE
GARAGE
SWIMMING POOL/SPA
STABLE
RECREATION COURT
( )
SERVICE YARD
CTSER
ZONING CASE NO.49-7 ADDRESS
APPLICANT B. Howroyd
TOTAL STRUCTURES
% STRUCTURAL COVERAGE
% PAD COVERAGE
DRIVEWAY
PAVED WALKS
& PATIO AREAS
POOL DECKING
TOTAL FLA'IWORK
% TOTAL FLATWORK
COVERAGE
CALCULATION OF LOT COVERAGE
EXISTING
1109,197 sq.ft.
vilsq.ft.
3,970 sq.ft.
440 sq.ft.
623 sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
5,O33sq.ft.
4.6_%
7,628 sq.ft.
658 sg. ft .
931 sq.ft.
9,217 sq.ft.
8.44 %
TOTAL STRUCIURAL
& FLATWORK COVERAGE 14,250 sq.ft.
% TOTAL COVERAGE 13.05 %
PROPOSED
sq.ft.
4(pOsa.ft.
994
100
1,294
96
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
2,484 sq.ft.
2. ,%
-612
- 72
sq.ft.
sa. ft
sq.ft.
TOTAL
109,197
#7 Maverick Lane
sq.ft.
1 G5sq. ft.
4,964 Isg.ft.
540
623
1,294
96
7,517
6.9
7,016
586
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
931. sq.ft.
-684 sq.ft. 8,533 sq.ft.
-.006 %
7.8
sq.ft. 16,050
$ 14.70
sq.ft.
-7-
• •
DATE 6/30/93
PAD_NO. 1
BUILDABLE PAD AREA
RESIDENCE
GARAGE
STABLE (BARN)
POOL
REORENTION COURT
( ) sq.ft.
OTC sq.ft.
ZONING CASE N0. ADDRESS #7 Maverick Lane
APPLICANT B. Howroya
CALC)LATION OF BUILDING PAD COVERAGE
TOTAL STRUCTURES ON PAD NO. 1
% BUILDING PAD CAGE
PAD NO. 2
BUILDABLE PAD AREA
RESIDENCE
GARAGE
STABLE (BARN)
POOL
RECREATION COURT
( ),
i -T1
�—..r.ANOVE. sq.ft.
q.ft.
4,964 sq.ft.
540 sq.ft.
sq.ft.
(.1P2 sq.ft.
4,560
1,294
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
OTC sq.ft.
TOTAL STRUCTURES ON PAD NO. 2 sq.ft.
% BUILDING PAD COVERAGE 28
-8-
•
PROPERTY OWNER:
OWNERS ADDRESS:
TELEPHONE NO:
PROPERTY ADDRESS:
REOUEST FOR HEARING
FOR SITE PLAN REVIEW
CITY OF ROLLING HILLS,
IN4Fr4sai kAg. Av_irsdeto vhysicor,
#7 Maverick Lane, Rolling Hills
(310) 396-2030
#7 Maverick Lane, Rolling Hills
LEGAL DESCRIPTION: LOT NO Pcl 28 R.S. 67-31
ASSESSORS BOOK NO 7567 PAGE 018 PARCEL 028
AGENT'S NAME: South Bay Engineering Corporation
AGENT'S ADDRESS: 304 Tejon Place, Palos Verdes Estates, CA 90274
TELEPHONE NO: (310) 375-2556
***,***************************+**************************************
NATURE OF PROPOSED PROJECT,
Describe in detail the nature of *the proposed project, including what
aspects of the project require a Site Plan Review:
Construct a 1,770 sq. ft. barn with loft
SITE PLAN REVIEW CRITERIA,
Site plan review criteria upon which the Planning Commission must make
an affirmative finding. Describe in detail the project's conformance
with the criteria below:
A. Is the project compatible with the General Plan, the Zoning
Ordinance and surrounding uses? Explain how it compares to the
sizes, setbacks and other characteristics of neighboring houses.
The project is in conformance with the oPneral plan and the equestrian
emphasis of Rolling Hills
Site Plan Review
Application -9-
B. How does the project preserve and integrate into the site design,
to the maximum extent feasible, existing natural topographic
features of the lot including surrounding native vegetation, mature
trees, drainage courses, and land forms (such as hillsides and
knolls)? Explain how the project preserves and integrates existing
natural features.
The building is recessed into the downhill slope. The West wall is
designed as a retaining wall to maintain the natural slope.
C. How does the site development plan follow natural contours of the
site to minimize grading? Extensive grading and recontouring of
existing terrain to maximize buildable area shall not be approved.
Graded slopes shall be rounded and contoured so as to blend with
existing terrain. Grading shall not modify existing drainage
redirect drainage flow unless into an existing drainage course.
Explain the nature and extent of the impact of grading and proposed
minimization on lots.
The existing drainage pattern will not be altered other than diversion
around the structure.
D. To what extent does the site developmentplan 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.
Native vegetation will be maintained or replaced on the slope,
except for the structure and corral areas.
Site Plan Review
Application -10-
• •
E. How does the site development plan preserve the natural and
undeveloped state of the lot by minimizing building coverage? Lot
coverage requirements shall be regarded as maximums and the actual
amount of lot coverage permitted should depend upon the existing
buildable area of the lot. Explain how the lot coverage proposed
compares with lot coverage square footage and percentages on
neighboring lots.
The lot coverage is less than 15% including structures and flatwork
which is half of allowable and low for the neighborhood.
F. Is the site development plan harmonious in scale and mass with the
site, the natural terrain and surrounding residences? Setbacks
shall be regarded as minimums and more restrictive setbacks shall
be imposed where necessary to assure proportionality and openness.
Explain how the proposed project setbacks compare with the existing
setbacks of neighboring properties.
The proposed structure is recessed into the raj -in -:el slnpa to lessen
the visual impact and due to the slope it i.s nnohtriisiva
G. Is the site development plan sensitive and not detrimental to
convenience and safety of circulation for pedestrians and vehicles?
Explain how the number and types of vehicles relate to the driveway
location, design, trip data, landscaping and other on -site parking
` or storage areas.
The proposed stable will not impact pedestrian or vehicular safety or
have any visual impact on the streetscape.
Site Plan Review
Application -11-
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.
The proposed stable will not negatively impact the Environmental Quality
i hereby certify that the statements furnished above, and in attached
exhibits, presents the data and information required for the site plan
review criteria evaluation to the best of my ability; and, that the
facts, statements and other information presented are true and correct
to the best of my knowledge and belief.
3/10/93
Date:
Signature
For: Bernie Howroyd
Applicant
Site Plan Review
Application -12-
OWNER'S DECLARATION
I (We) declare under penalty of perjury that the foregoing is true and
correct.
Executed at
this 7
/-/ ( , California,
day of 4 77.(2/ , 1991
7 A/A ,,�///F�) « L /J
,42. / . ra 9v 27•
(address)
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: Bernie Howroyd DATE FILED 4Y4/ 3
REPRESENTATIVE: Douglas McHattie FEE: 11 a f4
COMPANY NAME: South Bay Enzineerine CorpAECEIPT NO: ��53$')
COMPANY ADDRESS: 304 Te ion Pl . BY: , C %}S11,
Palos Verdes Estates, CA 90274
COMPANY PHONE NO. (310) 375-2556
PROJECT ADDRESS: 7 Maverick Lane
Rolling Hills, CA 90274
Site Plan Review
Application -13-
ZONING CASE NO: 4- 9 7
TENTATIVE HEARING DATE:
OWNER'S ACKNOWLEDGEMENT
Property development in Rolling Hilis is governed by ordinances of
the City of Rolling Hilis ("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 Hilis. 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.
this
Executed at pc) L ` i/U (7 /-/ /G G 5-
tv
day of r4 /
By:
By:
Site Plan Review
Application -14-
, California
, 192Z.
7 /7,�1 - /2/ c,f LA)
Address
/et /!. ,-, 9ez74
City
CITY OF ROLLING H•8
ZONING CAGE
CERTIFIED PROPERTY OWNER'S LIST
AFFIDAVIT
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
I
Carol Jones
ss
, 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:
SEE ATTACHED LIST
Executed at Palos Verdes Estates , California,
this twenty-ninth
Conditional Use Permit
Variance
Site Plan Review
Zone Change
Site Plan Review
Application -15-
day of March
Ars
/SIG7E
VIRE
1993•
Date Filed
AIL
implit Sopor
i
NO 2 PORTUGUESE SENC ROB:
ROLLING HILLS CALF 902-4
(213) 377.1521
FAX (213) 377-7288
ENVIRONMENTAL INFORMATION FORM
(To Be Completed By Applicant)
March 29, 1993 Zoning Case No.
GENERAL INFORMATION
1. Applicant, address and telephone no. South Bay Engineering Corporation
304 Tejon Place, Palos Verdes Estates, CA 90274 (310) 375-2556
2. Legal Owner, address and telephone no. (if different from
above) - iowLu 1 ##7 Maverick Lane (818).240-8688
Mom. 4,4141, 14L rbvrvgo
3. Address of project #7 Maverick Lane
Assessor's Book, Page, Parcel No. 7567-018-028
Lot No. Pcl . 28 R.S. 67-31
4. 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: R. H. Community,
Assn., Los Angeles Co. Building & Safety Division
5. Existing zoning district RAS-2
6. Proposed use of site (project for which this form is filed):
Construction of stable, garage addition
PROJECT DESCRIPTION
7. Site size
2.912 AC
8 . Net lot area 2.507 AC
House & Garage = 7704
9. Total square footage of structures Stable = °1294
10. Number of floors of construction Stable has loft , garage (1 story)
-1-
• 11. Basement squa footage - -0-
12. Total combined flatwork and structural lot coverag^ 16,050 s.f.
13. Will any exterior walls be removed or relocated? Which walls?
Garage wall will move 20' southeast.
14. Will any interior walls be removed or relocated? Which walls?
Ex. garage will be incorporated into residence area.
15. Will the entire building structure require a new roof? no
16. Will the existing roof remain intact, with less than 200
square feet added? Roof will remain intact, over 200 sq.ft. added.
17. Will cut and fill be balanced? yes Amount cut 250 CY
Amount fill 250 CY
18. If residential, include the unit size, approximate sale price
and household size. expected. $1,000,000 single family
19. 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. n/a
20. If this is industrial project indicate the type of project,
estimated employment per shift, and loading facilities. n/a
21. If institutional, indicate the major function, estimated
employment per shift, estimated occupancy, loading facilities,
and community benefits to be derived from the project. n/a
22. Attach plans.
23. Proposed scheduling. Construction start immediately after approvals.
24. If the project involves a variance, conditional use or
rezoning application, state this and indicate clearly why the
application is required. Variance required for existing side yard
encroachment.
Are the following items applicable to the project or its effects?
Discuss below all items checked yes (attach additional sheets as
necessary).
Yes No
25. Change in existing features of any bays, tidelands,
beaches, lakes or hills, or substantial alteration
of ground contours.
26. Change in scenic views or vistas from existing
residential areas or public lands or roads.
- 2-
27. C ar� in 'pattern, scale or cha tsr _of ' g :..=rz1
area'�3f project.
/ 28. Significant amounts of solid waste or litter.
2L
29. Change in dust, ash, smoke, fumes, or odors in
vicinity.
X 30. Change in ocean, bay, lake, stream or ground water
quality or quantity, or alteration of existing
draining patterns.
X 31. Substantial change in existing noise or vibration
levels in the vicinity.
32. Site on filled land or on slope of 10 percent or
more.
X 33. Use or disposal of potentially hazardous -materials,
such as toxic substances, flammable or explosives.
X 34. Substantial change in demand for municipal services
(police, fire, water, sewage, etc.).
X 35. Substantially increased fossil fuel consumption
(electricity, oil, natural gas, etc.).
X 36. Relationship to a larger project or series of
projects.
ENVIR0N2NTAL SETTING
37. 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.
The site slopes to the East at approximately 23%, is stable ground and
currently used for a corral
Garage proposed in existing level driveway area contiguous to
existing building.
-3-
th ill..rcunding,properties, ng information or
plants and ar als 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.
The neighboring properties are single family residential on sloping lots.
The proposed stable is out of view of immediate neighbors.
The proposed. garage is an extension of existing house.
ENVIRONMENTAL IMPACTS
(Please explain all "yes" and "maybe" answers on separate
sheets.)
39. 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?
Grading for stable foundation
c. Change in topography or ground
surface relief features?
Grading to enlarge corral
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?
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?
_4
YES MAYBE NO
x
•
40. Air. Will the proposal result in:
YES MAYBE HQ
a. Substantial air emissions or
deterioration of ambient air qaulity?
b. The creation of objectionable
odors? Only as related to equestrian habitat
c. Alteration of air movement,
moisture or temperature, or any change
in climate, either locally or
regionally?
41. Water. Will the proposal result in:
a. Changes in currents, or the
course or direction of water move-
ments, in either marine or fresh
waters? /(
b. Changes in absorption rates,
drainage patterns, or the rateand
amount of surface water runoff? i
c. Alterations to the course or
flow of flood waters?
d. Change in the amount of surface
water -in any water 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 additions
or withdrawals, or through interception.
of an aquifer by cuts or excavations?
h. Substantial reduction in the
amount of water otherwise available
for public water supplies? j(
i. Exposure of people or property
to water -related hazards such as
flooding or tidal waves? �C
-5-
•
j. Significant changes in the
temperature, flow, or chemical
content of surface thermal springs?
42. 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 aquatic plants)?
b. 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 replenishment of
existing species?
d. Reduction in acreage of any
agricultural crop?
43. 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 micro -
fauna)?
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 move-
ment of animals?
d. beterioration to existing fish
or wildlife habitat?
44. Noise. Will the proposal result in:
a. Increases in existing noise
levels?
YES MAYBE HQ
x
X
b. Exposure of people to severe
noise levels? )C
-6-
45. Light and glare. Will the proposal
produce new light or glare?
46. Land Use. Will the proposal result in a
substantial alteration of the present or
planned land use of an area?
47. Natural Resources. Will the proposal
result in:
a. Increase in the rate of use of
any natural resources?.
YES MAYBE E2
b. Substantial depletion of any
nonrenewable natural resource?
48. Risk of Upset. Will the proposal involve:
a. A risk of an explosion or the
release of hazardous sustances
(including, but not limited to, oil,
pesticides, chemical or radiation)
in the event of an accident or upset
conditions?
x
b. Possible interference with an
emergency response plan or an emer-
gency evacuation plan?
49. Population. Will the proposal alter the
location, distribution, density, or growth
rate of the human population of an area?
50. Housinar. ,Will the proposal affect existing
housing, or create a demand for additional
housing? i(
51. Transportation/Circulation. Will the
proposal result in:
a. Generation of substantial
additional vehicular movement? X
b. Effects on existing parking
facilities, or demand for new
parking?
c. Substantial impact upon existing
transportation systems? _ 2<
-7-
Yes $ ybe two
d. Alterations to present patterns
of circulation or movement of people
and/or goods?
e. Alterations to waterborne, rail
or air traffic?
f. Increase in traffic hazards to motor vehicles, X
52. 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? X
b. Police protection?
c. Schools? i<
d. Parks or other recreational
facilities? is
e. Maintenance of public facilities,
including roads?
f. Other governmental services? X
53. Enercrv. 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?
54. 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?
-8-
• •
YES MAYBE NO
f. Solid waste and disposal?
55. Human Health. Will theproposal result
in:
a. Creation of any health hazard or
potential health hazard (excluding
mental health)?
b. Exposure of people to potential
health hazards?
56. Aesthetics. Will the proposal resultin
the obstruction of any scenic vista or
view open to the public, or will the
proposal result in the creation of an
aesthetically offensive site open to
public view?
57. Recreation. Will the proposal result
in an impact upon the quality or quantity
of existing receational opportunities?
58. _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 aesthetic effects
to a prehistoricor historic
building, structure, or object?
c. Does the proposal have the poten-
tial 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?
n
•
59. Mandatory Findings of Significance.
a. Does the project have the poten-
tial 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
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 the poten-
tial 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, definitive
period of time while long-term
impacts will endure well into the
future.)
c. Does the project have impacts
which are individually limited, but
cumulatively considerable? (A
project may affect two or more separate
resources where the impact is relatively
small, but where the effect of the total
of those impacts on the environment is
significant.)
d. Does the project have environ-
mental effects which will cause
substantial adverse effect on human
beings, either directly or
indirectly?
YES MAYBE NO
E: :n th'• e•.ent .n3: tnc pro site a-. an, a:terr.jt..':
are not listed on any list compiled pursuant to Section 65962.5 c:
the Government Code, then the applicant must certify that fact as
provided below.
I have consulted the lista 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 n21 contained on these lists.
Date
For
(Signa_..:re)
(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 ay (/cnowledge� /f�`and belief.
Date 3'' 3 G ``� 3 //s- J '/ '7- 'c
J
(Signature)
For /3/!2/L/A R (7 / / LI) V i)
(Applicant)