728, Construct a retaining wall aft, Application• •
City (2/ Roiling
NO. 2 PORTUGUESE BEND ROAD
ROLLING HILLS. CALIF. 90274
VARIANCE (310) 377.1521
REOUEST FOR HEARING FAX: (310) 377.7288
E-mail: cityofrh@aol.com
NOTE: According to Section 17.24.020 of the Rolling Hills Municipal Code. illegal uses s or structures are required to be
made conforming or shall he removed. Therefore. you may he required to modify or remove any unauthori:ed or trnlaltfid
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 he subject to retroactive discretionary permit process. and is subject to higher
application fee.
PROPERTY OWNER: James Hao
OWNER'S ADDRESS: - 5 Sagebrush Lane, Rolling Hills, CA
TELEPHONE NO.: • (310) 377-5432
PROPERTY ADDRESS: 6 Sagebrush Lane, Rolling Hills, CA
LEGAL DESCRIPTION: LOT NO. 4 of Tract 30345
ASSESSOR'S BOOK NO. 7569 PAGE 011 PARCEL 014
AGENT'S NAME: Wynn Engineering, Inc.
AGENT'S ADDRESS: 27315 Valley Center Road, Valley Center, CA
TELEPHONE NO.: (310) 306-9728
Describe in detail the nature of the proposed use, including what aspects of the project require a Variance.
A single-family residence is proposed for this site off
Sagebrush Lane. The site has recently been graded to
stabilize a landslide that affected several properties.
A variance is requested to allow a proposed retaining wall
within a side -yard setback. The proposed retaining wall is a
double -planter wall to be located along a portion of the
driveway. The geotechnical engineer has located a specific
location for the dwelling to avoid placing it over any
deep fills.
' Criteria to be satisfied for cr. f Variance S
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.
Project site was regraded and compacted in 2003 after a
landslide occured due to slope failure. As a result, the
proposed residence has been located within the best area as
determined by Dale Hinkle, PE. Based on said location, a
retaining wall was necessary to allow a driveway to access the
existing pad. Placing the home further north on the pad would
place it in a deeper fill that may subject the structure to
differential settlement. For this reason a retaining wall
is proposed along the south side of the driveway.
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
it provides
use of the property which is consistent with the surrounding
residential uses. The variance is necessary to allow access
to a proposed single-family residence, which is a consistent
use as determined by the Zoning and General Plan designations.
Proposed landscaping along the double -planter wall will
minimize impacts and preserve scenic views.
FILING FEE
A filing fee must accompany the application. Make check payable to: CITY OF ROLLING HILLS.
Masters/Forms/Variance- Reu2006
•
REOLIEST FOR HEARING
FOR SITE PLAN REVIEW
NOTE: According to Section 17.24.020 of the Rolling Hills Municipal Code. illegal uses or structures are required to he
made confirming or shall he removed. Therefore. you ,nau he required to modify or remove any unauthori_ed or unlawful
use or Structure un 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 Irhic•h would require a discretionary permit hut which is conducted without
the acquisition of said permit, shall he subject to retroactive di.scretionan• permit process, and is subject to higher
application fee.
PROPERTY OWNER: James Hao
OWNER'S ADDRESS: 5 Sagebrush Lane, Rolling Hills, CA
TELEPHONE NO: (310) 377-5432
PROPERTY'S ADDRESS: 6 Sagebrush Lane, Rolling Hills, CA
LEGAL DESCRIPTION: LOT NO. 4 of Tract 30345
ASSESSORS BOOK NO. 7569 PAGE 011 PARCEL 014
AGENT'S NAME: Wynn Engineering, Inc.
AGENT'S ADDRESS: 27315 Valley Center Road, Valley Center, CA
TELEPHONE NO: (310) 306-9728
NATURE OF PROPOSED PROJECT
Describe in detail the nature of the proposed project, including what aspects of the project require a Site
Plan Review:
Site plan review for a proposed single-family residence off
Sagebrush Lane. Proposed residence has 5846 SF main level
area along with a 960 SF garage and 3303 SF basement area.
A pool (586 SF) and spa (58 SF) are also proposed.
Describe and delineate on plans any new basement area square footage 3303 SF
Basement aka i nrl iiaca game room. exercise room. p1.ayroom. theater,
storage and utility/laundry areas.
SITE PLAN REVIEW CRI"I'ERIA
Site plan review criteria upon which the Planning Commission must make art affirmative finding. Describe
in detail the project's conformance with the criteria below:
A. Is the project compatthle 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 proposed single-family residence Conforms to the elri1-.ing
General Plan and Zoning requirements for the RAS - 2 designation.
The surrounding properties are also RAS - 2 so this proiect is
compatible as proposed.
B. How does the project presen•e and integrate into the site design. to the lltaximuin extent feasible, et•isting natural
topographic features n,`the lot including surrounding native vegetation, mature trees, drainage courses, and land forms
(such as hillsides and ,a(Ws)? Explain how the project preserves and integrates existing natural features.
The project preserves the natural features of the area, sins-
native vegetation, drainage courses and hillside areas will not; he
impacted. The site design utilizes the existing nail area only_
C. How does the site de vrlopntent plan follow natural contours of the site to minimize grading? Extensive grading and
recontouring of existinc terrain to maximize buildable area shall not be approved. Graded slopes shall he rounded and
contoured so as to ble NI with existing terrain. Grading shall not modify existing drainage or redirect drainage flow
unless into an existi 1l! drainage course. Explain the nature and extent of the impact of grading and proposed
minimization on lots.
The proposed residence is sited on, ap exiet.incr building Pad area.
and requires only minor grading for the proposed driveway arress.
The existing horsetrails, drainaae courses and knoll area will
remain unchanged.
D. To what extent does 'he site development plan preserve surrnunding 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 ::one between private and public areas. Explain how the project preserves native vegetation,
integrates landscapinf and creates buffers.
Proposed landscaping will_ enhance the rural.. character by providing
a buffer around the proposed single-family residence, thereby
blending in with existing hillside vegetation. Existing natives
vegetation will not be affected by proposed site development.
•
E. How does the site development plan preserve the nation! and undcweloped state of the lot by minimizing building
coverage? Lot cover:we requirements shall he regarded as maximums and the actual amount of lot cover ee permitted
should depend upon the existing buildable area of the lot.
Proposed residence meets lot coverage requirements thereby
preserving the intent of natural development in this residential
area.
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 residence meets the required setbacks for the RAS - 2
Zoning designation. Surrounding properties are also zoned RAS - 2
so project setbacks are compatible.
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, landscaping and
other on -site parking or storage areas.
The proposed residence is located at the north end of an existing
cul-de-sac (Sagebrush Lane) so vehicle and pedestrian traffic will
be minimal. The cul-de-sac serves three parcels for residential
uses only.
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.
Site development is consistent with surrounding residential uses and
will not cause adverse environmental impacts.
i •
I hereby certify that the statements furnished above, and in attached exhibits, presents the data and
information required for the site plan review criteria evaluat'on to the best of my ability; and, that the facts,
statements and other information presented are true and c ect to the•hest of my knowledge and belief.
Date: 6( 91 o
P
FILING FEE
Signattrfe
ForA.Cg /-(,iI
Applicant
A filing fee must accompany the application. Make check payable to: CITY OF ROLLING HILLS
• •
DATE ZONING CASE NO. ADDRESS 6 Sagebrush Lane
ALL STRUCTURES MUST BE SHOWN ON THE PLAN
CALCULATION OF LOT COVERAGE
AREA AND
STRUCTURES EXISTING PROPOSED TOTAL
NET LOT AREA 87667 sq.ft. 87667 sq.ft. sq.ft.
RESIDENCE sq.ft. 5846 sq.ft. sq.ft.
GARAGE sq.ft. 960 sq.ft. sq.ft.
SWIMMING POOL/SPA sq.ft. 644 sq.ft. sq.ft.
POOL EQUIPMENT / Trash sq.ft. 143 sq.ft. sq.ft.
GUEST HOUSE sq.ft. sq.ft. sq.ft.
CABANA sq.ft. sq.ft. sq.ft.
STABLE (dirt volume to be included
in grading quantities) sq.ft. 450 sq.ft. sq.ft.
RECREATION COURT sq.ft. sq.ft. sq.ft.
ATTACHED COVERED
PORCHES sq.ft. sq.ft. sq.ft.
ENTRYWAY/ PORTE COCHERE,
BREEZEWAYS/16x16 .sq.ft. 256 sq.ft. sq.ft.
ATTACHED TRELLISES sq.ft. sq.ft. sq.ft.
*DETACHED STRUCTURES:
(circle all that applies)
SHEDS, TRELLISES, GAZEBO, sq.ft. sq.ft. sq.ft.
BARBECUE, OUTDOOR KITCHEN, sq.ft. sq.ft. sq.ft.
ROOFED PLAY EQUP.- over 15 ft. sq.ft. sq.ft. sq.ft.
high and over 120 sq. ft. in area,
WATER FEATURES, ETC. sq.ft. sq.ft. sq.ft.
SERVICE YARD sq.ft. sq.ft. sq.ft.
OTHER sq.ft. sq.ft. sq.ft.
BASEMENT AREA sq.ft. 3303 sq.ft. sq.ft.
(volume to be included in grading quantities)
DEPTH OF BASEMENT 9'
TOTAL STRUCTURES
% STRUCTURAL COVERAGE
0 sq.ft. 8299 sq.ft.
0 % 9.5
sq.ft.
TOTAL STRUCTURES
EXCLUDING UP TO 5 & UP TO
600 sq. ft. detached structures that
are not higher than 10 ft. sq.ft. 8299 sq.ft. sq.ft.
% STRUCTURAL COVERAGE °Io 9 . 5 %
•
ALL FLATWORK MUST BE SHOWN ON THE PLAN
PRIMARY DRIVEWAY(S)
PAVED WALKS, PATIO
AREAS, COURTYARDS
POOL DECKING
EXIST.
sq.ft.
sq.ft.
sq.ft.
PROP.
5940 sq.ft.
849 sq.ft.
1594 sq.ft.
OTHER PAVED DRIVEWAYS,
ROAD EASEMENTS, PARKING
PADS 1067 sq.ft. sq.ft..
1067 sq.ft. 8383 sq.ft.
TOTAL FLATWORK
% TOTAL FLATWORK
COVERAGE
TOTAL STRUCTURAL &
FLATWORK COVERAGE
TOTAL COVERAGE
TOTAL STRUCTURAL &
FLATWORK COVERAGE
Excl. the allowance of up to 5 — 600 sq. ft.
structures from previous page.
TOTAL COVERAGE
• TOTAL DISTURBED
AREA
% DISTURBED AREA
GRADING QUANTITY
(include future stable, corral and
access way; basement and all other
areas to be graded)
1.2 %
1067 sq.ft.
1.7 %
TOTAL
5940 sq.ft.
849 sq.ft.
1594 sq.ft.
1067 sq. ft.
9450 sq.ft.
9.6 % 10.8 %
16682 sq.ft.
19.0 %
17749 sq.ft.
20.2 %
1067 sq.ft. 16682 sq.ft. 17749 sq.ft.
1.2
(Landslide
repair)
60497 sq.ft.
19.0 % 20.2 %
basement
d/w
(Proposed
residence)
sq.ft. 18713 sq.ft.
— 1101cy
— 458 cy
21.3 %
1560 cubic yards
All structures (attached and detached) must be listed.
* Free standing accessory structures such as sheds, trellises, covered patios, gazebo, fountains, barbecue,
outdoor fire place, etc., are not counted towards coverages and disturbed area, unless their combined area
exceeds 600 sq. ft., or if there are more than 5 such structures on the property.
• •
DATE Z.C. NO. ADDRESS 6 Sagebrush Lane
CALCULATION OF BUILDING PAD COVERAGE
PAD NO. I
BUILDABLE PAD AREA EXISTING PROPOSED TOTAL
AND STRUCTURES
BUILDING PAD 24909cq.lt.
RESIDENCE cq. ft.
GARAGE cq.ft.
POOL/SPA cq. ft.
POOL EQUIPMENT / Trash sq.ft.
CABANA/REC.RM
GUEST HOUSE cq.ft.
STABLE cq. ft.
SPORTS COURT sq.ft.
SERVICE YARD cq.ft.
ATTACHED COVERED PORCHES
27551
5846
960
644
143
sq.ft. sq.ft.
cq.ft. sq.ft.
cq.ft. sq.ft.
sq.ft. sq.fr.
cq.ft. sq.ft.
sq.ft. cq.ft.
sq.ft. cq.ft.
450 sq.fr. cq.ft.
sq.fr. cq.ft.
sq.ft. cq.ft.
Primary residence sq.ft. sq.ft. sq.ft.
Accessory structures sq.fr. sq.ft. cq.ft.
AREA OF ATTACHED COVERED sq.ft. sq.ft. sq.fr.
PORCHES THAT EXCEED to% OF THE
SIZE OF RESIDENCE/ACCS. STRUCTURE
ENTRYWAY/PORTE COCHERE/
BREEZEWAY cq.ft. 256 cq.ft. c 1.ft.
ATTACHED TRELLISES cq.ft. cq.ft. sq.ft.
ALL DETACHED STRUCTURES sq.ft. cq.ft. cq.ft.
(from 1'' page)
ALL DETACHED STRUCTURES cq.ft. cq.ft. cq.ft.
(from 1' page not including allowed deductions)
OTHER cq.ft. cq.ft. cq.ft.
TOTAL STRUCTURES ON PAD NO. 1 0 cq.ft.
% BUILDING PAD COVERAGE 0 %
TOTAL STRUCTURES ON PAD NO. I sq.fr.
Not incl. attached trellises,
Not incl. allowed deductions,
and incl. the area of covered porches that
exceed 10% of the size of the residence/acts. structures.
% BUILDING PAD COVERAGE
8299 cq.ft.
30.1%
8299 cq.ft.
30 %
sq.ft.
er
sq.ft.
ao
OWNER'S DECLARATION
I (We) declare under penalty of perjury that the foregoing is true and correct.
Executed a , California,
6 this (2/9 6 day of , 20
/ I
By:
By:
5- (46r-g2(/' / L7
Address
Poet
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: James H a o DATE FILED fi ILI 0
l
REPRESENTATIVE: C;a ry Wynn FEE: ( 77,72
COMPANY NAME: Wynn Engineering, Inc RECEIPT NO:
COMPANY ADDRESS: BY:
27315 Valley Center Road ZONING CASE NO:
Valley Center, California 97087 TENTATIVE HEARING DATE:
COMPANY PHONE NO. (310) 306-9728 l i r iO
PROJECT ADDRESS:
6 Sagebrush Lane
• s
this
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 Iand 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 0%4 4, California
l /
day of ,20
By:
By:
SAgaitiisk
Address
% g//n
i,;Q )L �s
Cif)/
L
e/3-goz
CITY OF ROLLING HILLS
ZONING CASE
CERTIFIED PROPERTY OWNER'S LIST
AFFIDAVIT
• STATE OF CALIFORNIA )
COUNTY OF LOS ANGELES
CITY OF ROLLING HILLS )
j, Gary Wynn
) 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:
Lot 4 of Tract 30345
Executed at
E`er
PO LC(.1((s-;t10-5
day of Jv N C
RE
, California, this
,20,r('DY'
Date Filed
•
Ctiy oln Pins
ENVIRONMENTAL INFORMATION FORM
(To Be Completed By Applicant)
Zoning Case No.
GENERAL INFORMATION
1. Applicant(s) Wynn Engineering, Inc.
Address 27315 Valley Center Road,
2. Legal Owner(s) James Hao
Address 5 Sagebrush Lane, Rolling
3. Project Address 6 Sagebrush Lane
Assessor's Book No. 7569
011
INCORPORATED JANUARY 24, 1957
NO. 2 PORTUGUESE BEND ROAD
ROLLING HILLS. CALIF. 90274
(3101 377.1521
FAX: (310) 377-7288
E mail: cityolrh@aol.com
Tel. ( 310 )306-9728
Valley Center, CA 92082
Hills,
Tel. (310 )377-5432
CA 90274
014
Lot No. 4
4. 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 RAS - 2
6. Proposed projecVuse of site
PROJECT DESCRIPTION
7. Site size
2.42 acres
single family residence
8. Net lot area 2.01 ac . "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
11. Basement square footage 3303
8299
1 story plus basement
February 2002
Environmental Information Form
I-1
( NrVa...0 vr.Hvc:v. lncl I•..:...e
• •
12. Total combined flatwork and structural lot coverage 20%
13. Will any exterior walls be removed or relocated? Which walls? N/A — new construction
14. Will any interior walls be removed or relocated? Which walls? N/A
15. Will the entire building structure require a new roof? N/A
16. Will the existing roof remain intact, with less than 200 square feet added?
17. Driveway Access and Parking:
a. Is a new driveway accessway proposed? No (Requires Traffic Commission Review).
b. Number of driveway(s) Existing? 1 Proposed?
(Second driveway requires approved Conditional Use Permit from Planning Commission).
c. Width of driveway(s) Existing? 16 ' 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).
Existing? yes Proposed?
e. Grade of driveway(s)? Existing? 18% max Proposed?
(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? not yet
Explain submittal forthcoming
Does driveway cover more than a maximum 20% of the area of the yard in which it is
located? no
Explain
9-
N/A
h. Does uncovered parking area cover more than a maximum 10% of the area of the yard in
which it is located? no
Explain
i. Does vehicular accessway to stable and corral have a maximum slope of 25% or
less? ve s Stable and corral average vehicular access slope 10%
j. Does property have an above ground garage with a minimum capacity of
2 cars? yes With guest house a minimum of 3 cars?
18. Grading quantities shall be balanced. Amount cut 1559 cy Amount fill 12 cy
(Include any basement cut in grading quantities).
Excavation to be used for canyon fill to rebuild Sagebrush Lane.
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 1 8711 . Percentage of Net Lot Area 21
20. If residential, include the unit size. Square feet 6806 — Main level
3303 — Basement
1-2
10,109 — Total
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.
N/A
22. If industrial, indicate the type of project, estimated employment per shift, and loading facilities.
N/A
23. 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
24. Attach plans.
25. Proposed scheduling. To be determined after plan approvals
26. If the project involves a site plan review, variance, conditional use or rezoning application, state
this and indicate clearly why the application is required.
A site plan review is required for approval of
proposed single-family residence on Sagebrush Lane.
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.
Project site consists of an undeveloped parcel located
on a knoll, with an existing pad. Site was regraded and
compacted in 2003 after a landslide occurred due to slope
failure. Native plant and animal habitats have been restored
by incorporating a re -vegetation plan. No cultural or
historical aspects are present.
February 2002
Environmental Information Form
1-3
28. Describe the surrounding properties, including information on plants and animals and any cultural,
historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.), intensity
of land use (one -family, guest house, office use, etc.) and scale of development (height,
frontage, set -back, rear yard, etc.). Attach photographs of the vicinity. Snapshots or polaroid
photos will be accepted.
Surrounding properties consist of single—family residential
estates oer RAS — 2 zoning- and CTP_nara1 P1an designations.
Native plant and animal communities exist in hillside areas.
Landscaping and structures are designed to minimize impacts
on scenic views. No cultural or historical aspects
are known to be oresent,
29. Is the proposed project consistent with:
City of Rolling Hills General Plan
Applicable Specific Plan
City of Rolling Hills Zoning Ordinance
South Coast Air Quality Management Plan
Congestion Management Plan
Regional Comprehensive Plan
30. Have any of the following studies been submitted?
Geology Report
Hydrology Report
Soils Report
Traffic Study
Noise Study
Biological Study
Native Vegetation
Preservation Plan
Solid Waste Generation Report
Public Services/
Infrastructure Report
l-4
Yes
x
x
x
x
No WA
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. Onco 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 thatan effect may be significant. tf 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
Than
PSignnificant Significant Less
tion Significant No
Impact Incorporation ration Impact Impact
Issues:
Z AESTHETICS — Would the project:
a) Have a substantial adverse effect on a scenic vista? 0 0 0 El
b) Substantially damage scenic resources, including but 0 0 0 8
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 ES
quality of the site and its surroundings?
d) Create a new source of substantial light or glare which Cl 0 0 tig
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 0
Farmland of Statewide Importance (Farmland), as
shown on the maps prepared pursuant to the
Farmland Mapping and Monitoring Program of the
California Resources Agency, to non-agricultural use?
b) Conflict with existing zoning for agricultural use, or a 0 0 0
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?
❑ ❑ ❑
HI. AIR QUALITY— Where available, the significance
criteria established by the applicable air quality
management or air pollution control district may be
relied upon to make the following determinations.
Would the project:
a) Conflict with or obstruct implementation of the 0 0 ❑ rs
applicable air quality plan?
February 2002
Environmental Information Form
1-6
Potentially Significantet Than
Less Than
Significant Mitigation Significant No
Impact Incorporation Impact Impact
b) Violate any air quality standard or contribute ❑ ❑ 0 13
substantially to an existing or projected air quality
violation?
c) Result in a cumulatively considerable net increase of 0 0 0 IEI
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 0 0 P
concentrations?
e) Create objectionable odors affecting a substantial 0 0 0 IS
number of people?
IV. BIOLOGICAL RESOURCES — Would the
project:
a) Have a substantial adverse effect, either directly or 0 0 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 ta
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 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?
d) Interfere substantially with the movement of any native 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 ❑
biological resources, such as a tree preservation
policy or ordinance?
f) Conflict with the provisions of an adopted Habitat 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
Potentially
Significant
Impact
Less Than
Significant With
Mitigation
Incorporation
Less Than
Significant No
Impact Impact
V . CULTURAL RESOURCES — Would the project:
a) Cause a substantial adverse change in the significance 0 0 0 MI
of a historical resource as defined in §15064.5 of the
State CEQA Guidelines?
b) Cause a substantial adverse change in the 0 0 0 IS
significance of an archaeological resource pursuant to
§15064.5 of the State CEQA Guidelines?
c) Directly or indirectly destroy a unique paleontological ❑ 0 0 lip
resource or site or unique geologic feature?
d) Disturb any human remains, including those interred ❑ 0 ❑ tig
outside of formal cemeteries?
V1. GEOLOGY AND SOILS —Would the project:
a) Expose people or structures to potential substantial
adverse effects, including the risk of loss, injury, or
death involving:
i) Rupture of a known earthquake fault, as delineated 0 ❑ 0
on the most recent Alquist-Priolo Earthquake Fault
Zoning Map issued by the State Geologist for the
area or based on other substantial evidence of a
known fault? Refer to Division of Mines and Geology
Special Publication 42.
ii) Strong seismic ground shaking? ❑ 0 ❑ Ca
iii) Seismic -related ground failure, including 0 0 0 SI
liquefaction?
iv) Landslides? ❑ 0 0 IS
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 0 0 I6
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 fll
1 B of the Uniform Building Code (1994), creating
substantial risks to life and property?
e) Have soils incapable of adequately supporting the ❑ 0 0 rig
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
Significant
Impact
Less Than
Significant With
Mitigation
Incorporation
Less Than
Significant No
Impact Impact
VII. HAZARDS AND HAZARDOUS MATERIALS -
Would the project:
a) Create a significant hazard to the public or the 0 0 0 El
environment through the routine transport, use, or
disposal of hazardous materials?
b) Create a significant hazard to the public or the 0 ❑ 0 ra
environment through reasonably foreseeable upset
and accident conditions involving the release of
hazardous materials into the environment?
c) Emit hazardous emissions or handle hazardous or 0 0 0 611
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
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 ❑ ❑ 59
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 fig
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 ❑ Is
adopted emergency response plan or emergency
evacuation plan?
h) Expose people or structures to a significant risk of 0 ❑ 0
loss, injury or death involving wildiand fires, including
where wildlands are adjacent to urbanized areas or
where residences are intermixed with wildlands?
February 2002
Environmental Information Form
1-9
i •
Less ThanPoten0alPotentially With ithSignificant Mitigation Significant No
ImpactIncorporation Impact Impact
VIII. HYDROLOGY AND WATER DUALITY —
Would the project:
a) Violate any water quality standards or waste discharge 0 ❑ 0
requirements?
b) Substantially deplete groundwater supplies or ❑ 0 0 IS
interfere substantially with groundwater recharge
such that there would be a net deficit in aquifer
volume or a lowering of the local groundwater able
level (e.g., the production rate of preexisting nearby
wells would drop to a level which would not support
existing land uses or planned uses for which permits
have been granted?
c) Substantially alter the existing drainage pattern of the 0 0 0 IN
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 rig
site or areas including through the alteration of the
course of a stream or river, in a manner which would
result in flooding on- or off -site?
e) Create or contribute runoff water which would exceed 0 ❑ 0 FA
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 ❑ ra
g) Place housing within a 100-year flood hazard area as 0 0 ❑ Eg
mapped on a federal Flood Hazard Boundary or Flood
Insurance Rate map or other flood hazard delineation
map?
h) Place within a 100-year flood hazard area structures 0 0 0
which would impede or redirect flood flows?
i) Expose people or structures to a significant risk of loss, 0 0 0 13
injury or death involving flooding, including flooding as
a result of the failure of a levee or dam?
j) Inundation by seiche, tsunami, or mudflow? 0 0 ❑
1-10
February 2002
Environmental Information Form
• •
IX. LAND USE AND PLANNING - Would the
project:
a) Physically divide an established community?
Potentially
Significant
Impact
Less Than •
Significant Willi
Mitigation
Incorporation
I eqg Than
Significant No
Impact Impact
❑ D ❑rsa
b) Conflict with any applicable land use plan, policy, or 0 0 0 ES
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 D 0 0 IFI
natural community conservation plan?
X. MINERAL RESOURCES - Would the project:
a) Result in the loss of availability of a known mineral 0 0 0 NI
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 ❑ ❑
mineral resource recovery site delineated on a local
general plan, specific plan or other land use plan?
X1. NOISE - Would the project result in:
a) Exposure of persons to or generation of noise levels in 0 0 ❑ fig
excess of standards established in the local general
plan or noise ordinance, or applicable standards of
other agencies?
b) Exposure of persons to or generation of excessive 0 0 0 ES
groundborne vibration or groundbome noise levels?
c) A substantial permanent increase in ambient noise 0 0 0 1511
levels in the project vicinity above levels existing
without the project?
d) A substantial temporary or periodic increase in ambient 0 0 0 MI
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 MI
where such a plan has not been adopted, within two
miles of a public airport or public use airport, would
the project expose people residing or working in the
project area to excessive noise levels.
f) For a project within the vicinity of a private airstrip, would 0 0 0 0
the project expose people residing or working in the
project area to excessive noise levels?
February 2002
Environmental Information Form
• •
Potentially SiLess • gnificantThanWith 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
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 ❑ ❑ 19)
necessitating the construction of replacement
housing elsewhere?
c) Displace substantial numbers of people, necessitating 0 ❑ ❑
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 ❑
Police protection? 0 ❑ ❑
Schools? 0 0 ❑
Parks? 0 0 ❑
Other public facilities? 0 0 ❑ 4d
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?
February 2002
Environmental Information Form
1-12
•
Potentially
Significant
Impact
Less Than
Significant With
Mitigation
Incorporation
Less Than
Significant No
Impact Impact
XV. TRANSPORTATION/TRAFFIC—Would the
project:
a) Cause an increase in traffic which is substantial in 0 0 0
relation to the existing traffic load and capacity of the
street system (i.e., result in a substantial increase in
either the number of vehicle trips, the volume to
capacity ratio on roads, or congestion at
intersections?
b) Exceed either individually or cumulatively, a level of 0 0 0 rgi
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 0 IR
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 ❑ ria
(e.g., sharp curves or dangerous intersections) or
incompatible uses (e.g., farm equipment)?
e) Result in inadequate emergency access? 0 0 ❑ la
f) Result in inadequate parking capacity? 0 0 0 5g
g) Conflict with adopted policies, plans, or programs 0 0 0 TS
supporting alternative transportation (e.g., but
turnouts, bicycle racks)?
XVI. UTILITIES AND SERVICE SYSTEMS —
Would the project:
a) Exceed wastewater treatment requirements of the 0 ❑ ❑IEI
applicable Regional Water Control Board?
b) Require or result in the construction of new water or ❑ ❑ ❑ 113I
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 0 ❑ ❑
project from existing entitlements and resources, or
are new or expanded entitlements needed?
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 outdoc
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
13
Less Than
Significant With
Mitigation
Incorporation
Less Than
Significant No
Impact Impact
❑ 0
❑ ❑ ❑ Mg
❑ O 0 El
❑ ❑ ❑ 14
❑ D 0 Ea
❑ 0 0 fE
❑ ❑ 0 El
❑ 0 0 6a
❑ ❑ 0 MI
❑ ❑ 0 Ea
February 2002
Environmental Information Form
• •
Potential) Less ThanLess Than
Significant Significant with S ificant No
Mitigation g
Impact Incorporation Impact Impact
XVIII. 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
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 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 0 0
will cause substantial adverse effects on human
beings, either directly or indirectly?
February 2002
Environmental Information Form
1-15
NOTE: Before the Lead A ncy can accept this application as complete, the applicant must consult the
lists prepared pursuant to Section 65962.5 of the Government Code and submit a signed statement
indicating whether the project and any alternatives are located on a site which is included on any such list,
and shall specify any list.
HAZARDOUS WASTE AND SUBSTANCES STATEMENT
The development project and any alternatives proposed in this application are contained on the lists
compiled pursuant to Section 65962.5 of the Government Code. Accordingly, the project applicant is
required to submit a signed statement which contains the following information:
1. Name of applicant:
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 OF
CALIFORNIA HAZARDOUS WASTE AND SUBSTANCES SITES LIST (available at
City Hall).
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 not contained on
these lists.
Date 0 �- a
For
, ii4))
Signature/ ` J
j -S1501-6-$ n-b
Applicant
CERTIFICATION: I hereby certify that the statements furnished above and in the attached exhibits
present the data and information required for this initial evaluation to the best of my ability, and that the
facts, statements, and information presented are true and correct to the best of my knowledge and belief.
Date
6_g-oc
For
Signature/
Applicant
1-17
rn. ES H/ka
February 2002
Environmental Information Form