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700, An addition of approx 922 sq f, Applicationf This page is part of your document- DO NOT DISCARD 10; ABM MAR 2 8 2005 By T1TLE(S) CITY OF ROLLING HILLS L E A FEE r, FEE 0?2 L C-20 CODE 20 CODE 19 CODE 9 05 0559003 '—"RECORDED/FILEDIN OFFICIAL RECORDS LOS ANGDELES ERCOUNTY CALIFORNIA 12:41 PM MAR 10 2005 SHEET D.T.T 4 Assessor's Identification Number (AIN) To be completed by Examiner OR Title Company in black ink. Number of AIN's Shown THIS FORM NOT TO BE DUPLICATED 1 RECORDING REQUESTED BY AND MAIL TO CITY OF ROLLING HILLS 2 PORTUGUESE BEND ROAD ROLLING HILLS, CA 90274 (310) 377-1521 (310) 377-7288 FAX I U5. U559003 The Registrar -Recorder's Office requires that the form be notarized before recordation. AFFIDAVIT OF ACCEPTANCE FORM STATE OF CALIFORNIA COUNTY OF LOS ANGELES ) §§ CITY OF ROLLING HILLS ) ZONING CASE NO. 700 SITE PLAN REVIEW VARIANCES CONDITIONAL USE PERMIT LOT LINE ADJUSTMENT XX I (We) the undersigned state: I am (We are) the owner(s) of the real property described as follows: 40 CHUCKWAGON ROAD, ROLLING HILLS, (LOT 23-CF) CA 90274 This property is the subject of the above numbered case and conditions of approval I am (We are) aware of, and accept, all the stated conditions in said ZONING CASE NO. 700 SITE PLAN REVIEW VARIANCES CONDITIONAL USE PERMIT LOT LINE ADJUSTMENT XX I (We) certify (or declare) under the penalty of perjury that the forego' is true and ect. S' fnaturib. [.-osiJC Name typed or printed eo �� Io CVb iCw4Jc uv'1 Address MOP It /*1 t i 15, CA- City/State (J Signatures must be acknowledged by a notary public. T Recorder's Use Only jarJ Name typed or printed C h utlC.W r u►n Address ii f i (l/ S, (A-- City/State State of California ) County of Los Angeles ) On /iD/oc- before me, 6R-T r' ° ?7 / r 6/t JV � . £ 91Z/ personally appeared personally known to me (asis of satisfac ) to be the person(s) whose narne(s) 4s1 subscribed to the within instrument and acknowledged to me that 14eieheteDexecuted the same in h s/hcr/ uthorized capacity(ies) and that by hhisNaerat )signature(s) on the instrument the person(s), or the entity upon behalf of which the rsonLsLadeci exex�c to 1 t6�stxunae C T aMal NON - COMB taiillegito CM* W*Cl111101.041111114 4 by han official seal. Signature of Notary SEE EXHIBIT "A" ATTACHED HETO AND MADE A PART HEREOF GRtTA ME1%1DE5 Commission # 1404065 81 Notary Public - California MyConan.Expires Mat 13 200 • RESOLUTION NO. 2005-07. E---)(werr rW 05 0559003 A RESOLUTION OF THE PLANNING COMMISSION OF THE CITY OF ROLLING HILLS GRANTING A VARIANCE TO PERMIT CONSTRUCTION OF ADDITIONS, PORTION OF WHICH WOULD ENCROACH INTO THE SIDE YARD SETBACKS AND A VARIANCE TO EXCEED THE MAXIMUM PERMITTED DISTURBED AREA OF THE LOT AT AN EXISTING SINGLE FAMILY RESIDENCE IN ZONING CASE NO. 700 AT 40 CHUCKWAGON ROAD, (LOT 23-CF), (LONG). THE PLANNING COMMISSION OF THE CITY OF ROLLING HILLS DOES HEREBY FIND, RESOLVE AND ORDER AS FOLLOWS: Section 1. Application was duly filed by Mr. and Mrs. David Long with respect to real property located at 40 Chuckwagon Road, Rolling Hills (Lot 23-CF) requesting a Variance to encroach with 185 square feet of a 922 square feet additions into the side setbacks, (encroachment of 43 sq.ft. into the east side setback and 142 sq.ft. into the west side setback) and a Variance to exceed the maximum permitted . disturbed area of the lot at an existing single family residence. Section 2. The Planning Commission conducted duly noticed public hearings to consider the applications on December 21, 2004, January 18, 2005, and at a field trip visit on January 18, 2005. The applicants were notified of the public hearings in writing by first class mail. Evidence was heard and presented from all persons interested in affecting said proposal and from members of the City staff. The Planning Commission reviewed, analyzed and studied said proposal. The applicants and their representative were in attendance at the hearings. Section 3. In 1982 a Variance was granted to encroach with an addition into the easterly side setback. The proposed addition will follow the building line of the previously constructed encroachment on the easterly side and along the existing building line on the westerly side. In 1992 a Conditional Use Permit was granted to convert a stable into a guest house and to further encroach with a proposed addition into the side setback. That addition was not constructed. Section 4. The Planning Commission finds that the project qualifies as a Class 3 Exemption (State of CA Guidelines), and is therefore categorically exempt from environmental review under the California Environmental Quality Act. Section 5. Section 17.16.120 requires the side setback for every residential parcel in the RA-S-1 Zone to be twenty (20) feet from the side property line. The • applicants are requesting to construct a 922 square foot addition, 185 square feet of which would contii e the encroachment into the side setbacks. With respect :; • to this request for a Variance, the Planning Commission finds as follows: Reso. 2005-07 T.nna 1 • A. There are exceptional and extraordinary circumstances and conditions applicable to the property that donot apply generally to the other property or class of usein the same zone. The lot is irregular in shape, narrowing to 70-feet in width over much of its depth. The existing house was built from side setback to side setback, which creates a difficulty in constructing the addition elsewhere on the property. Previous additions were constructed in the side setbacks and the proposed additions will follow the building line of the previously constructed additions. There are no easements along the side property lines on subject property; therefore, there aren't any restrictions on planting in the remaining areas of the setback. y_B..._ . The. Variance is necessary for thepreservationand enjoyment of a substantial property right possessed by other property in the same vicinity and zone, but which is denied to the property in question. The existing residence is modest in size and the addition would cause the residence to be of the size of the average home in the vicinity. C. The granting of the Variance would not be materially detrimental to the public welfare or injurious to the property or improvements in such vicinity and zone in which the property is located. The proposed addition will be constructed on an existing building pad, will be the least intrusive to surrounding properties, will be screened and landscaped with mature trees and shrubs, is of sufficient distance from nearby residences, so that it will not impact the view or privacy of surrounding neighbors, and will permit the owners to enjoy their property without deleterious infringement on the rights of surrounding property owners. D. In granting of the Variance the spirit and intent of the Zoning Ordinance will be observed in that the proposed addition will be orderly, attractive and shall protect the rural character of the community. The proposed addition will not encroach into the existing or potentially future .equestrian uses on the property. A suitable area for a future stable and corral will be set aside. E. The Variance request is consistent with the General Plan of the City of Rolling Hills because the proposed structures comply with the General Plan requirement of low profile, low -density residential development with sufficient open space between surrounding structures. Section 6. Based upon the foregoing findings and the evidence in the record, the Planning Commission hereby approves the Variance for Zoning Case No. 700 to permit a 922 square foot addition, 185 square feet of which would encroach into the side setbacks, subject to the requirements of Section 9 of this Resolution. Section 7. Sections 17.38.010 through 17.38.050 of the Rolling Hills Municipal Code permit approval of a Variance from the standards and requirements of the Zoning Ordinance when exceptional or extraordinary circumstances applicable to the property and not applicable to other similar properties in the same zone prevent the owner from making use of a parcel of Reso. 2005-07 Lon 7 y r 05 0559003 property to the same extent enjoyed by similar properties in the same vicinity. A Variance to Section 17.16.070 (B) is required because it states that the lot disturbance shall be limited to 40% of the net lot area. With respect to this request for a Variance for lotdisturbance of 53.3%, the Planning Commission finds as follows: A. There are exceptional and extraordinary circumstances and conditions applicable to the property or to the intended use that do not apply generally to the other property or class of use in the same zone. The Variance for the maximum permitted disturbance is necessary because the disturbance already exceeds the maximum permitted by 12.6% (disturbance is already 52.6%). The additional disturbance will be minimal and will be created only when the future stable is constructed. The additions will be constructed on an existing building pad and no further disturbance of the pad will be required. B. The Variance is necessary for the preservation and enjoyment of a substantial property right possessed by other property in the same .vicinity and zone, but which is denied to the property in question. The Variance is necessary because of the existing conditions of the lot, and due to the requirement that every single family residence must set aside an area of 1,000 square feet for a future stable and corral. C. The granting of the Variance would not be materially detrimental to the public welfare or injurious to the property or improvements in such vicinity and zone in which the property is located. The proposed addition will be constructed on an existing building pad, will bethe least intrusive to surrounding properties, will be screened and landscaped with mature trees and shrubs, is of sufficient distance from nearby residences, so that it will not impact the view or privacy of surrounding neighbors, and will permit the owners to enjoy their property without deleterious infringement on the rights of surrounding property owners. Section 8. Based upon the foregoing findings and the evidence in the record, the Planning Commission hereby approves the Variance for Zoning Case No. 700 to permit a disturbed area of 53.3% of the net lot area, subject to the conditions specified in Section 9 of this Resolution. Section 9. The Variance approval regarding the encroachment of the proposed addition into the side setbacks approved in Section 6, and the Variance regarding the exceedance of the disturbed net lot area approved in Section 8 of this Resolution are subject to the following conditions: A. The Variance approvals shall expire within two years from the effective date of approval as defined in Section 17.38.070(A) of the Zoning Ordinance unless otherwise extended pursuant to the requirements of that section. B. It is declared and made a condition of the approval, that if any conditions thereof are violated, this approval shall be suspended and the privileges granted thereunder shall lapse; provided that the provided that the Reso. 2005-07 T .nna • • 05 0559003 ca City has given the applicants written notice to cease such violation, the opportunity for a hearing has been provided, and if requested, has been held, and thereafter the applicant fails to correct the violation within a period of thirty (30) days from the date of the City's determination. C. All requirements of the Building Code, the Zoning Ordinance, and of the zone in which the subject property is located must be complied with, unless otherwise set forth in this approval. D. The lot shall be developed and maintained in substantial conformance with the site plan on file marked Exhibit A and dated January 27, 2005 except as otherwise provided in_these conditions. E. Structural lot coverage shall not exceed 6,052 square feet or 19.67% in conformance with structural lot coverage limitations. F. Total lot coverage of structures and paved areas shall not exceed 8,496 square feet or 27.6% in conformance with total lot coverage limitations. G. The disturbed area of the lot shall not exceed 53.2% in conformance with disturbed area limitations, as approved by this Variance. H. Residential building pad coverage on the 6,405 square foot existing residential building pad shall not exceed 5,122 square feet or 79.96%. The guest house pad coverage shall not exceed 23.3%, which includes the future stable. I. There shall be no grading for this project. J. There shall be a minimum of 6-foot clearance between the southwestern corner of the structure and the top of the slope. K. If landscaping is planned in connection with this project, the landscaping shall include water efficient irrigation, to the maximum extent feasible, that incorporates low gallonage irrigation system, utilizes automatic controllers, incorporates an irrigation design using "hydrozones," considers slope factors and climate conditions in design, and utilizes means to reduce water waste resulting from runoff and overspray. To the maximum extent feasible, native vegetation and trees should be used in the landscaping scheme for this project, if planned. If trees are to be planted, they shall at full maturity not exceed the ridge height of the residence nor should they block neighbors' view. L. During construction, dust control measures shall be used to stabilize the soil from wind erosion and reduce dust and objectionable odors generated by construction activities in accordance with South Coast Air Quality Management District, Los Angeles County and local ordinances and engineering practices. M During construction, conformance with local ordinances and engineering practices so that people or property is not exposed to landslides, mudflows, erosion, or land subsidence shall be required. Reso. 2005-07 T.nnv 4 05 0559003 N. During construction, conformance with the air quality management district requirements, storm water pollution prevention practices, county and local ordinances and engineering practices so that people or property are not exposed to undue vehicle trips, noise, dust, objectionable odors, landslides, mudflows, erosion, or land subsidence shall be required. O. During construction, the Erosion Control Plan containing the elements set forth in Section 7010 of the 2001 County of Los Angeles Uniform Building Code shall be followed to minimize erosion and to protect slopes and channels to control storm water pollution as required by the County of Los Angeles. P. During and after construction, all parking shall take place on the project site. Q. During construction, the property owners shall be required to schedule and regulate construction and related traffic noise throughout the day between the hours of 7 AM and 6 PM, Monday through Saturday only, when construction and mechanical equipment noise is permitted, so as not to interfere with the quiet residential environment of the City of Rolling Hills. R. The property owners shall be required to conform to the Regional Water Quality Control Board and County Health Department requirements for the installation and maintenance of storm water drainage facilities. S. The property owners shall be required to conform to the Regional Water Quality Control Board and County Public Works Department Best Management Practices (BMP's) related to solid waste and storm water pollution prevention. T. Notwithstanding Sections 17.46.020 and 17.46.070 of the Rolling Hills Municipal Code, any modifications to the property, which would constitute additional structural development, including the construction of a stable, shall require the filing of a new application for approval by the Planning Commission. U. Prior to granting a final inspection and/or certificate of occupancy, all utility lines to the residence shall be placed underground. V. If a construction fence is erected during construction, it shall not be located in any easement. W. If an above ground drainage system is utilized, it shall be designed in such a manner as not to cross over any equestrian trails. The drainage system(s) shall not discharge water onto a trail, shall incorporate earth tone colors, including in the design of the dissipater and be screened from any trail and neighbors views to the maximum extent practicable, without impairing the function of the drainage system. Reso. 2005-07 T.nna • 05 0559003 X. The property on which the project is located shall contain an area of minimum of 1,000 square feet to provide an area meeting all standards for a stable (450 square feet) and corral (550 square feet) with access thereto. Y. The . City's requirements related to outdoor lighting, roofing material and construction and all other requirements for the zone in which the project is located shall be complied with. Z. Prior to issuance of a building permit, the project shall be reviewed and approved by the Rolling Hills Community Association. AA. The applicants shall execute an Affidavit of Acceptance of all conditions of the Variance approvals, pursuant to Sections 17.38.060 or the approval shall not be effective. AB. All conditions, when applicable, of the Variance approvals must be complied with prior to the issuance of a building permit from the County of Los Angeles. • PASSED, APPROVED AND ADOPTED THIS 15th DAY OF FEBRUARY, 2005. ROGL/R SOMMER, CHAIRMAN ATTEST: < . n 1- 'V MARILYN KERN, DEPUTY CITY CLERK Reso. 2005-07 T,nna 4It 0555003 STATE OF CALIFORNIA) COUNTY OF LOS ANGELES ) §§ CITY OF ROLLING HILLS) I certify that the foregoing Resolution No. 2005-07 entitled: A RESOLUTION OF THE PLANNING COMMISSION OF THE CITY OF ROLLING HILLS GRANTING A VARIANCE TO PERMIT CONSTRUCTION OF ADDITIONS, PORTION OF WHICH WOULD ENCROACH INTO THE SIDE YARD SETBACKS AND A VARIANCE TO EXCEED THE MAXIMUM PERMITTED DISTURBED AREA OF THE LOT AT AN EXISTING SINGLE FAMILY RESIDENCE IN ZONING CASE NO. 700 AT 40 CHUCKWAGON ROAD, (LOT 23-CF), (LONG). was, approved and adopted at a regular meeting of the Planning Commission on February 15 2005 by the following roll call vote: AYES: Commissioner DeRoy, Hankins, Margeta, Witte and Chairman Sommer. NOES: None. ABSENT: None. ABSTAIN: None. and in compliance with the laws of California was posted at the following: Administrative Offices. Reso. 2005-07 Long DEPUTY CITY LERK 7 • C4f o/ Ro ilin y VARIANCE REOUEST FOR HEARING • INCORPORATED JANUARY 24, 1957 NO. 2 PORTUGUESE BEND ROAD ROLLING HILLS, CALIF. 90274 (310) 377-1521 FAX: (310) 377-7288 E-mail: cityofrh@aol.com NOTE: According to Section 17.24.020 of the Rolling Hills Municipal Code, illegal uses or structures are required to be made conforming or shall be removed. Therefore, you may be required to mods 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: 'PAV Ottf4, 6 OWNER'S ADDRESS: TELEPHONE NO.: PROPERTY ADDRESS: LEGAL DESCRIPTION: AGENT'S NAME: AGENT'S ADDRESS: TELEPHONE NO.: +0 itdle.44kevA6c 44 eD. L310) 5 -%I21 LOT NO. '2 -" i- ASSESSOR'S BOOK NO. PAGE PARCEL Gizl C�u�tl° 20`- VI A 'P W ...e) V 0 214- Describe in detail the nature of the proposed use, including what aspects of the project require a Variance. . The Project consists of 922 sq. ft. of additions to an existing single-family residence in the form of enlargements to the kitchen, family room, 2 secondary bedrooms and a new bathroom. The existing home has encroachments into both side yard setbacks of 2.5 feet on the west side of the property, and 5.0 feet at the east. The additions are extensions of existing flanking wings, projecting parallel from existing structures resulting in further encroachments of a maximum of 7.5 feet on the west and maintaining the same encroachment of 5.0 feet on the east. These encroachments require a variance for construction. ®Printed on Recycled 1>tifl:;i Criteria to be satisfied for grant of V 'ance Such change is based upon th llowing described exceptional or eeordinary circumstances or conditions that do not apply general y to other property in the same vicinity and zone. Exceptional conditions exist at No. 40 Chuckwagon Road in that the parcel is dramatically narrower than other properties in the area. The Longs' property is possible the narrowest parcel in the city of Rolling Hills with an average property width of 88 ft. by a depth of 540 feet. The average building pad width is 67 feet. In the area of the additions the pad width is as small as 54 feet. This extremely narrow building pad results in hardships improving the existing home. Given the topography of the lot, the siting of the existing home, and the narrowness of the pad, the only location for additions requires building in the side yard setbacks. The proposed additions in setbacks total an area of 185 sq. ft. and are improvements necessary for the preservation and enjoyment of the property as possessed by others. These extraordinary circumstances do not generally apply to other properties in the area. The adjacent property to the west (lot 22CF) is.3.535 acres and is zoned RAS-2. Said property has 35 feet side yard setbacks. Given the mature landscaping between the properties and the topographical differences, the additional encroachments between 0 and 5 feet will not negatively impact the property. The property to the east (lot 24CF) will not be impacted in that encroachments are no worse the current nonconforming conditions, and are small in scale at only 43 sq. ft. Mature landscaping on the property insure that granting the variance will not be materially detrimental to the public welfare or injurious to properties or improvements in the vicinity. The granting of the variance allows the property's hardships to not to interfere with the Long's property rights, respecting and observing the spirit and intent of the city. 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 In so much that the above -mentioned hardships are unique to this property, the variance will not grant any special privileges. In fact, the variance is necessary to allow this property to remain similar in nature and size to the surrounding homes. The variance request is consistent with the General Plan of the City of Rolling Hills. FILING FEE A filing fee must accompany the application. Make check payable to: CITY OF ROLLING HILLS. • • DATE \ t ' 4 ZONING CASE NO. ADDRESS APPLICANT AREA AND STRUCTURES NET LOT AREA RESIDENCE GARAGE SWIMMING POOL/SPA POOL EQUIPMENT STABLE (F ) RECREATION COURT COVERED PORCHES, ENTRYWAY/PORTE COCHERE, TRELLISES/ BREEZEWAYS SERVICE YARD OTHER r—"'I-I 0i' kiOLM BASEMENT AREA (Volume to be included in grading TOTAL STRUCTURES % STRUCTURAL COVERAGE PRIMARY DRIVEWAY(S) PAVED WALKS, PATIO AREAS, COURTYARDS POOL DECKING OTHER PAVED DRIVEWAYS, ROAD EASEMENTS, PARKING PADS TOTAL FLATWORK % TOTAL FLATWORK COVERAGE CALCULATION OF LOT COVERAGE ?, EXISTING�����g 42:)sq.ft. '2. Gle sq.ft. Cob 1 sq.ft. Go sq.ft. sq.ft. a sq.ft. sq.ft. ?7 2_ sq.ft. sq.ft. +RO sq.ft. quantities.) PROPOSED sq.ft. sq.ft. sq.ft. �- sq.ft. -- sq.ft. 450 sq.ft. sq.ft. wardi sq.ft. sq.ft. sq.ft. TOTAL 7701759 sq.ft. 1 Ce 1$ sq.ft. Gob 1 sq.ft. 61935 sq.ft. Sc' sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. 41 CPSo sq.ft. 1 i �7'L� sq.ft. Col 0 52. sq.ft. ✓•� } % * y'& t _1- % CO%J°c%sq.ft. 2. 605 sq.ft. 40 0 sq.ft. sq.ft. 21 2•3 sq.ft. sq.ft. I'2-1 sq.ft. C.05 sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq. ft. sq.ft. e2-4sq.ft. % �.�5% • • TOTAL STRUCTURAL & FLATWORK COVERAGE % TOTAL COVERAGE TOTAL DISTURBED AREA % DISTURBED AREA C h ?) sq.ft. 22% 140sq.ft. 9j.17 % i'i'cf7'; sq.ft. % sq.ft. % i4 9 sq.ft. C0 2- % (4''1+o q.ft. % 5 DATE I -' I ' `�" ZONING CASE NO. PAD NO. 1 BUILDABLE PAD AREA CFI 4a 5 sq.ft. (0 3q ( re' RESIDENCE ; ti Co I n sq.ft. GARAGE 00l sq.ft. STABLE (BARN) sq.ft. POOL 1 3 0 sq.ft. RECREATION COURT sq. ft. Y, 6770 44, e.4fra4-4.41/ei-t.4„._ OTHER 1� N/ f YAr-17 9 C' sq.ft. ADDRESS G4tUG+11 12-1;) APPLICANT J—vhl CALCULATION OF BUILDING PAD CQVJRAQE TOTAL STRUCTURES ON PAD NO, 1 51 e)5' sq.ft. S'(1 `''ico' 1 _ % BUILDING PAD COVERAGE d . D % lj �',a' PAD NO. 2, BUILDABLE PAD AREA %91 a sq.ft. RESIDENCE sq.ft. GARAGE sq.ft. STABLE (BARN) FcnUt a * ' sq.ft. POOL —" sq.ft. RECREATION COURT f ) sq.ft. OTHER 1 t'raU 4 0 sq.ft. TOTAL STRUCTURES ON PAD NO. 2 % BUILDING PAD COVERAGE 34) sq.ft. 23,3 % CERTIFIED PROPERTY OWNERS' LIST AFFIDAVIT STATE OF CALIFORNIA COUNTY OF LOS ANGELES I, JANE KOBZEFF declare under penalty of perjury, that the attached list contains the names and addresses of all persons who are shown on the latest available assessment roll of the County of Los Angeles as owners of the subject property and as owners of the property within a distance of 1000 feet from the exterior boundaries of property legally described as follows: Property address: APN #: Legal description: 40 Chuckwagon Road, Rolling Hills 7567-006-026 Lot 23 of Record of Survey recorded in Book 73, Pages 12-14 Los Angeles. County Recorder Date: NovPmhpr 2LL _ 7004 Signed: Subscrib nd sworn to before me this 24th Notary Public day of November, 2004 FRANCENE D. URALMAN NOTARY PUBLIC - CALIFORNIA r,, - - g COMMISSION # 1324574 E LOS ANGELES COUNTY _My . Exp. October 9, 2005 p v�'4v•Yv Comm • C:\DATA\WORD\MAPPING\MASTERS\CertOwnersList. doc OWNER'S ACKNOWLEDGEMENT Property development in Rolling Hills is governed by ordinances of the CITY OF ROLLING HILLS ("City") and by private deed restrictions enforced by the ROLLING HILLS COMMUNITY ASSOCIATION ("RHCA"). The land development permit process of the City and the RHCA are completely independent and separate. Both must be satisfied and approval given by both the City and the RHCA to develop property in Rolling Hills. An approval by either the City or the RHCA does not mean or imply or ensure approval by the other. The suggested sequence of property development is to obtain City approvals first. I, (We), the undersigned, acknowledge that the above statement has been fully read and its admonition is completely understood. Executed at d t-La,r J1, ` LL 5 , California this 316 k- day of City By: aTer,142 By: 1) Cl/uQckJfocw 12� Address %GuIIT/ hi I/1 %/5) CJ 636'Oit U OWNER'S DECLARATION I (We) declare under penalty of perjury that the foregoing is true and correct. Executed at this �i (14.- GLI:AJL 1LL( . day of �, l_ p By: ( 7) gm6r- 57-----:- By: 40C- CoHlite.44WASCi4 Address -LL(LI 6- th LLS City , California, ,20Q 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. A PPLICAN 1 :i . REPRESENTATIVE: 44?-45,5 6Lij Jr4 COMPANY NAME: G % 64A4tempalhaciti COMPANY ADDRESS: 2A'24 VIA riA N r YE_ �-A gov4 COMPANY PHONE NO. (31,6 ) 313 • $d 17 PROJECT ADDRESS: 4 c*I uc .WA1/44 DA 1 E FILED V2-3-a`( FEE: I , 1-(S-v RECEIPT NO: g 13 BY: ZONING CASE NO TENTATIVE HEARING DATE: DEC. -08' 04 (WED) 10 : 40 CRISS GUNDERSON ARCH • TEL:310 373 8277 • P. 001 TOTAL STRUCTURAL & FLATWORK COVERAGE It sq.ft. % TOTAL COVERAGE '2 % TOTAL DISTURBED AREA % DISTURBED AREA \ ea k S7-sq.ft. +113 sq.ft. 2..2 4 sq.ft. 0,1e _q.ft. I e051445CAq.ft. E/3.3 % • CiIt o Q /e4n ENVIRONMENTAL INFORMATION FORM (To Be Completed By Applicant) Date Filed GENERAL INFORMATION 1 Applicant(s) P,kVlc, Address 4.4, 2. Legal Owner(s) �I Addresst �1 3. Project Address 4c G.-i-iU‘,I-W TI, ' , )2.• • Assessor's Book No. Zoning Case • INCORPORATED JANUARY 24, 1957 NO. 2 PORTUGUESE SENO ROAD ROLLING HILLS, CALIF. 90274 (310) 377.1521 FAX: (310) 377.7288 (.•mail: pityofrh@ ol•com Tel. ( 310 ) 5 4-Ca • ,V-1 Lot No. 2:2- - 4. Other related permits and other public approvals required for this project, including those required by city, regional, state and federal agencies: col .f iU14 I r( A'-'. LA C-c a 41Y -1 I i~plf • 4i 'tY 5. Existing zoning district • fi 6. Proposed project/use of site • AVID 11104 Ta I N6L1 ~ FAM) LY l f # PROJECT DESCRIPTION 7. . Site size 4'7t SC j . F. (-± f)/111-) 8. Net lot area '3o,'? . "Net Lot Area" means the total area included within the lot lines of the lot or parcel of property, exclusive of: (a) the entire area within a recorded roadway easement plus the area within ten (10) feet measured perpendicular to the edge of the roadway easement; (b) the ten (10) foot perimeter of the lot perpendicular to the property lines; (c) any private drive or driveway that provides access to any other lot or parcel; and (d) the access strip portion of a flag lot." 9. Total square footage of structures 10, Number of floors of construction t 1. Basement square footage i I-1 • February 2002 Environmental Information Form t Prrnred crn Hocyf:led 1'nIii;r • • 12. Total combined flatwork and structural lot coverage iCoi�OC.4 13. Will any exterior walls be removed or relocated? Which walls? Na -- IT.41,j iJ 14. Will any interior walls be removed or relocated? Which wails?►�'a 15. Will the entire building structure require a new roof? iNIC) 4 to 16. Will the existing roof remain intact, with less than 200 square feet added? f\le) 17. Driveway Access and Parking: a. Is a new driveway accessway proposed? Nb (Requires Traffic Commission Review). b. Number of driveway(s) Existing? I Proposed? (Second driveway requires approved Conditional Use Permit:from Planning Commission). c. Width of driveway(s) Existing? VI N. 15: 'p-1 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 required). e 1J Existing? 5 / /0 Proposed? e. Grade of driveway(s)? Existing? 3 �� Proposed? 6 (Maximum of 12% unless approved by the Planning Commission). ' f. Has site plan been reviewed by Los Angles County Fire Protection Engineer to meet current driveway access requirements? i.o Explain Neff -4) P. g. Does driveway cover more than a maximum 20% of the area of the yard in which it is located? �'J•- Explain 2�� .1.qa h. Does uncovered parking area cover more than a maximum 10% of the area of the yard In which it Is located? No Explain b rv6\ It�ICy I. Does vehicular accessway to stable and corral have a maximum slope ppf 25% or less? Y1r Stable and corral average vehicular access slope I O /d . j. Does property have an above ground garage . with a minimum capacity of 2 cars? %r.aS With guest house a minimum of 3 cars? '`f'f 18. Grading quantities shall be balanced. Amount cut C . Amount fill CD . (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 j6911-0 . Percentage of Net Lot Area 53,3 o . 20. If residential, include the unit size. Square feet 31 Lp 1 t 1-2 February 2002 Environmental Information Form • • ' 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. 1 22. If industrial, indicate the type of project, estimated employment per shift, and loading facilities. 23, If institutional, indicate the major function, estimated employme t'per shift, estimated occupancy, loading facilities, and community benefits to be derived from the:project. 24. Attach ptans. ✓ 25. Proposed scheduling. OTrtt'-=t cbN5r14,t '1ltiV,Ar 26. tf the project involves a site plan review, variance, conditional .use or rezoning- application, state this and indicate clearly why the application is required. Y, wig �E : API) m c5Ne Bu) L-r)1t.1(, ENVIRONMENTAL SETTING 27. Describe the project site as it exists before the project, including information on topography, soil stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing structures on the site, and the use of the structures. Attach photographs of the site. Snapshots or polaroid photos will be accepted. r1 - tn.&pt: ci.-, 176Wt4 f\-11,L. Fr--e4,/1 ciflAc-,e.1Wt6.C$ '1c' 1411i5 LY �}iaat vr/ rz. S1,0I6. 1' C,r - 1 4.44k1►J N/r''•"i" o\!-fS'r-. k1:'r I CY R'dl. wI • Gib 1 .0 b w r, i r-icv/ '.•. 1,4-1.(t)`:c4k "' ,9 . cr r rc,f' •l 16 N r'2 'Y February 2002 yi* " �. ,� �,P ,• gT 1 D141.3 Environmental Information Form • • 28. Describe the surrounding properties, including information on plants and animals arid any cultural, historical or scenic aspects, Indicate the type of and use (residential, commercial,' etc.), intensity of land use (one -family, guest house, office use, etc.} and scale of deveiopment (height, frontage, set -back, rear yard, etc). Attach photographs of the vicinity. Snapshots or polaroid photos will be accepted. y1t mo'F'rp Rl 4:-:, 6oci L.,kiz ..-fiv h'f l.t cA~t:,; i)(14.t .hp'p p 1 A 'Y',t/ '1A-rlvi% 17.f•1G>;5 G- 9't1fr i 1-�I"T . rao i,t 5s7fL i'h ytF -. 1`vcc 1oii g,_ 7,,e0v PL. ) At1'5. 41 IcTC ?kie.V. i M Pia f fie.% 1 G*CVr"./' 1 t-1 11 P-91 "(Iz A. q-+ de> f� °,�' .�tG.*:: i 1 i,r �.1 `� C. 1 i✓ .� . 29, is the proposed project consistent with: City of Rolling Hills General Plan Applicable Specific Plan City of Rolling Hills Zoning Ordinance South Coast Air Quality Management Plan Congestion Management Plan Regional Comprehensive Plan 30, Have any of the following studies been submitted? Na Geology Report i Hydrology Report _ Soils Report Traffic Study Noise Study Biological Study Native Vegetation Preservation Plan Solid Waste Generation Report Public Services/ Infrastructure Report 1-4 Yes No N/A Historical Report Archaeological Report Paleontological Study Line of Sight Exhibits Visual Analysis Slope Map Fiscal Impact Analysis Air Quality Report Hazardous Materials/ Waste February 2002 Environmental information Form • • 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. 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 less than significance. February 2002 Environmental Information Form 1-5 Potentially Significant Impact Issues: Less Than Significant With Mitigation Incorporation Less Than Significant No Impact Impact I. AESTHETICS —Would the project: a) Have a substantial adverse effect on a scenic vista? 0 0 0 Cr b) Substantially damage scenic resources, including but 0 0 ❑ L2 not limited to, trees, rock outcroppings, and historic buildings within a state scenic highway? c) Substantially degrade the existing visual character or 0 0 0-- 7 quality of the site and its surroundings? d) Create a new source of substantial Tight or glare which 0 0 0 Pry would adversely affect day or nighttime views in the area? IL AGRICULTURE RESOURCES: In determining whether impacts to agricultural 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 0 ❑ ❑ Farmland of Statewide Importance (Farmland), as shown on the maps prepared pursuant to the Farmland Mapping and Monitoring Program of the California Resources Agency, to non-agricultural use? b) Conflict with existing zoning for agricultural use, or a ❑ 0 0 121" Williamson Act contract? c) Involve other changes in the existing environment which, due to their location or nature, could result in conversion of Farmland, to non-agricultural use? III. AIR DUALITY— 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? 1-6 0 ❑ ❑ ❑ ❑ ❑ February 2002 Environmental Information Form • • Potentially Significant Impact Less Than Significant With Mitigation Incorporation Less Than Significant No Impact Impact b) Violate any air quality standard or contribute 0 ❑ 0 substantially to an existing or projected air quality violation? c) Result in a cumulatively considerable net increase of ❑ ❑ 0 any criteria pollutant for which the project region is non -attainment under an applicable federal or state ambient air quality standard (including releasing emissions which exceed quantitative thresholds for ozone precursors? d) Expose sensitive receptors to substantial pollutant ❑ ❑ 0 concentrations? e) Create objectionable odors affecting a substantial ❑ 0 ❑ number of people? IV. BIOLOGICAL RESOURCES — Would the project: a) Have a substantial adverse effect, either directly or ❑ ❑ 0 through habitat modifications, on any species identified as a candidate, sensitive, or special status species in local or regional plans, policies, or regulations, or by the California Department of Fish and Game or U.S. Fish and Wildlife Service? b) Have substantial adverse effect on any riparian habitat 0 0 0 or other sensitive natural community identified in local or regional plans, policies, regulations or by the California Department of Fish and Game or U.S. Fish and Wildlife Service? c) Have a substantial adverse effect on federally 0 ❑ 0 protected wetlands as defined by Section 404 of the Clean Water Act (including, but not limited to, marsh, vernal pool, coastal, etc.) through direct removal, filling, hydrological interruption, or other means? ie d) Interfere substantially with the movement of any native 0 ❑ 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 0 0 biological resources, such as a tree preservation policy or ordinance? f) Conflict with the provisions of an adopted Habitat 0 0 0 Conservation Plan, Natural Community Conservation Plan, or other approved local, regional, or state habitat conservation plan? February 2002 Environmental Information Form 1-7 Less Than Potential; Significant Significant With Mitigation Impact Incorporation V . CULTURAL RESOURCES —Would the project: a) Cause a substantial adverse change in the significance ❑ 0 of a historical resource as defined in §15064.5 of the State CEQA Guidelines? b) Cause a substantial adverse change in the 0 significance of an archaeological resource pursuant to §15064.5 of the State CEQA Guidelines? c) Directly or indirectly destroy a unique paleontological 0 resource or site or unique geologic feature? d) Disturb any human remains, including those interred ❑ outside of formal cemeteries? 0 0 Less Than Significant . No Impact Impact CI 0 0 ❑ 17 iii) Seismic -related ground failure, including 0 0 ❑ liquefaction? iv) Landslides? 0 ❑ b) Result in substantial soil erosion or the loss of topsoil? 0 0 0 c). Be located on a geologic unit or soil that is unstable, 0 ❑ ❑ or that would become unstable as a result of the project, and potentially result in on- or off -site landslide, lateral spreading, subsidence, liquefaction or collapse? d) Be located on expansive soil, as defined in Table 18- 0 0 0 1B of the Uniform Building Code (1994), creating substantial risks to life and property? e) Have soils incapable of adequately supporting the 0 0 ❑ i VI. GEOLOGY AND SOILS — Would the project: a) Expose people or structures to potential substantial adverse effects, including the risk of loss, injury, or death involving: i) Rupture of a known earthquake fault, as delineated 0 0 0 on the most recent Alquist-Priolo Earthquake Fault Zoning Map issued by the State Geologist for the area or based on other substantial evidence of a known fault? Refer to Division of Mines and Geology Special Publication 42. ii) Strong seismic ground shaking? use of septic tanks or alternative waste water disposal systems where sewers are not available for the disposal of waste water? ❑ February 2002 Environmental Information Form 1-8 • • Potentially Silzss Than gnificant 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 0 0 environment through the routine transport, use, or disposal of hazardous materials? b) Create a significant hazard to the public or the 0 0 ❑ .1: 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 ❑ ❑ I/ 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 0 7 hazardous materials sites compiled pursuant to Government Code Section 65962.5 and, as a result, would it create a significant hazard to the public or the environment? e) For a project located within an airport land use plan 0 0 0 l 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 0 07 would the project result in a safety hazard for people residing or working in the project area? g) Impair implementation of or physically interfere with an 0 0 0 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? February 2002 Environmental Information Form 1-9 Less Potentially Significant Than Less Than Significant mitigation Significant No Impact Incorporation Impact Impact VIII. HYDROLOGY AND WATER QUALITY — Would the project: a) Violate any water quality standards or waste discharge 0 0 0 requirements? b) Substantially deplete groundwater supplies or ❑ 0 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 the 0 0 ❑ Q site or areas including through the alteration of the course of a stream or river, in a manner which would result in substantial erosion or siltation on- or off -site? d) Substantially alter the existing drainage pattern of the 0 0 0 . site or areas including through the alteration of the course of a stream or river, in a manner which would result in flooding on- or off -site? e) Create or contribute runoff water which would exceed 0 the capacity of existing or planned storm water drainage systems or provide substantial additional sources of polluted runoff? f) Otherwise substantially degrade water quality? ❑ ®" 0 0 0 g) Place housing within a 100-year flood hazard area as ❑ 0 ❑ mapped on a federal Flood Hazard Boundary or Flood Insurance Rate map or other flood hazard delineation map? h) Place within a 100-year flood hazard area structures 0 which would impede or redirect flood flows? i) Expose people or structures to a significant risk of loss, 0 injury or death involving flooding, including flooding as a result of the failure of a levee or dam? ❑ ❑ ❑ ❑ j) Inundation by seiche, tsunami, or mudflow? ❑ 0 ❑ p 1-10 February 2002 Environmental Information Form • • IX. LAND USE AND PLANNING — Would the project: a) Physically divide an established community? b) Conflict with any applicable land use plan, policy, or 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 Toss 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 0 0 0 mineral resource recovery site delineated on a local general plan, specific plan or other land use plan? I P4s Than Potentially Significant With Less Than Significant Mitigation Significant No Impact Incorporation Impact Impact ❑ ❑ ❑ 0 0 0 0 0 ❑ 0 ❑ LEI XI. NOISE— Would the project result in: a) Exposure of persons to or generation of noise levels in 0 0 0 17 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 ❑ groundborne vibration or groundborne noise levels? / c) A substantial permanent increase in ambient noise ❑ 0 0 levels in the project vicinity above levels existing without the project? d) A substantial temporary or periodic increase in ambient 0 0 g 0 O noise levels in the project vicinity above levels existing without the project? e) For a project located within an airport land use plan or, 0 0 0 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 the project expose people residing or working in the project area to excessive noise levels? February 2002 Environmental Information Form • • • • Potentially Signifiicn caT WWitti Less Than Significant Mitigation Significant No Impact Incorporation Impact Impact XII. POPULATION AND HOUSING— Would the project: a) Induce substantial population growth in an area, either 0 0 0 Eir directly (for example, by proposing new homes and businesses) or indirectly (for example, through extension of roads or other infrastructure)? b) Displace substantial numbers of existing housing, 0 0 0 ffi necessitating the construction of replacement housing elsewhere? c) Displace substantial numbers of people, necessitating 0 0 0 J 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? 0 0 0 II Police protection? ❑ 0 ❑ Schools? 0 0 0 Parks? 0 0 0 l Other public facilities? 0 0 0 XIV. RECREATION a) Would the project increase the use of existing 0 ❑ 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? 1-12 0 0 0 February 2002 Environmental Information Form • • Potentially Significant . Impact XV. TRANSPORTATION/TRAFFIC—Would the project: a) Cause an increase in traffic which is substantial in relation to the existing traffic Toad 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? Less Than Significant With Mitigation Incorporation Less Than Significant No Impact Impact b) Exceed either individually or cumulatively, a level of 0 0 0 i service standard established by the county congestion management agency for designated roads or highways? c) Result in a change in air traffic patterns, including either 0 ❑ 0 12 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 l (e.g., sharp curves or dangerous intersections) or incompatible uses (e.g., farm equipment)? ,,� e) Result in inadequate emergency access? 0 CI f) Result in inadequate parking capacity? ❑ 0 ❑ 12/: g) Conflict with .adopted policies, plans, or programs 0 0 0 i 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 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 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 project from existing entitlements and resources, or are new or expanded entitlements needed? ❑ ❑ ❑ ❑ ❑ 0 Q ❑ ❑ ❑ L1 ❑ 0 ❑ [� February 2002 Environmental Information Form 1-13 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 handling or storage, delivery areas or loading docks, or other outdo( work areas? d) Result in potential for discharge of storm water to impair the beneficial uses of the receiving waters or areas that provide water quality benefit? e) Result in potential for discharge of storm water to cause significant harm on the biological integrity of the waterways and water? f) Result in potential for significant changes in the flow velocity or volume of storm water runoff that can cause environmental harm? g) Result in potential for significant increases in erosion of the project site or surrounding areas? 1-14 Potentially Significant Impact El Less Than Significant With Mitigation Incorporation Less Than Significant Impact O 0 0 ❑ 0 0 ❑ 0 ❑ ❑ 0 0 ❑ 0 ❑ ❑ 0 0 ❑ 0 0 ❑ 0 0 ❑ 0 0 No Impact February 2002 Environmental Information Form Potentially Significant Impact XVIII. MANDATORY FINDINGS OF SIGNIFICANCE Less Than Significant With LessTh MitigationSignificant Incorporation Impact a) Does the project have the potential to degrade the 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 0 ❑ [ 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 ❑ will cause substantial adverse effects on human beings, either directly or indirectly? No Impact February 2002 Environmental Information Form 1-15 • NOTE: Before the Lead Agencycan 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: 2. Address: 3. Phone Number: 4. Address of Site (street name and number if available, and ZIP code): 5. Local Agency (city/county): 6. Assessor's book, page, and parcel number: 7. Specify any list pursuant to Section 65962.5 of the Government Code: STATE 0 F CALIFORNIA HAZARDOUS WASTE AND SUBSTANCES SITES LIST (available at City Hail). 8. Regulatory identification number: 9. Date of List: JULY 1992 Date For Signature Applicant 1-16 February 2002 Environmental Information Form 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 fot contained on these lists. Date ' �,'+.' ' For tiAVIv \JAN Ca 1.4:;N,Cv 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 ar1d correct to the best of my knowledge and belief. Date 11-' 1'�'" Signature For t #Vi t;� Applicant 1-17 February 2002 Environmental Information Form