San Joaquin Valley Air Pollution Control District
CEQA Project Details
www.valleyair.org
A: General Information
Project title:
Applicant:
Mailing Address:
City:
Zip:
Contact person:
State:
Phone:
E-mail:
B: Consultant/Agent
Name:
Mailing Address:
City:
Zip:
Contact person:
State:
Phone:
E-mail:
C: Project Location
Street Address:
City/Nearest Community:
Zip:
Assessor’s parcel number(s)
Township
County:
Range
Section
D: Project Description
Briefly describe the project:
Central Region Office: 1990 E. Gettysburg Ave. Fresno, CA 93726-0244 TEL (559) 230-6000 FAX (559) 230-6061 WEBwww.valleyair.org
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CEQA Project Details 1/21/2011
San Joaquin Valley Air Pollution Control District
CEQA Project Details
www.valleyair.org
List all approvals and permits required for the proposed project. Include those required by city,
county, regional, state, and federal agencies:
E: Property and Vicinity Description
Property size (acres or sq. ft):
Project size (acres or sq. ft):
Williamson Act Contract: Yes
No
Contract #:
Expiration:
Attach a vicinity/area map showing location of the project in sufficient detail to identify the
location and distance to any sensitive receptors (schools, hospitals, residences, etc.) and any
airport within two miles of the project site.
Does the project site contain any scenic resources, including but not limited to trees, rock
outcroppings, and historic buildings within a state scenic highway? Yes No
If yes, identify the scenic resource(s).
Is the project located within a flood zone? Yes No
Are there any faults on site? Yes No
If yes, where is the nearest fault?
Are there unstable soils on site? Yes
No
F: Land Uses
What is the existing zoning?
What are the existing land uses? (List crop types if it’s an existing farming operation)?
What are the existing land uses for properties located to the:
North:
South:
East:
West:
G: Project Construction
If the project results in the expansion of an existing building or construction of new buildings or
facilities provide the following information:
Photographs of the project site from the north, south, east and west project boundaries, labeled
on the back of each photograph.
Central Region Office: 1990 E. Gettysburg Ave. Fresno, CA 93726-0244 TEL (559) 230-6000 FAX (559) 230-6061 WEBwww.valleyair.org
Page 2 of 4
CEQA Project Details 1/21/2011
San Joaquin Valley Air Pollution Control District
CEQA Project Details
www.valleyair.org
A site plan for the project showing the following:
o All property or boundary lines of the parcel with dimensions
o All property or boundary lines of the project site with dimensions
o Streets and easements bordering on the property
o All existing structures (labeled “existing”) with dimensions, square footage and
distances from other structures and property lines.
o All proposed structures (labeled “proposed”) with dimensions, square footage and
distances from other structures and property lines.
o Any existing building or structures planned for removal should be shown with dashed
lines.
o The use and number of floors should be labeled on each structure
o Parking and driveways
o Sewers and septic tanks: If public sewage disposal will be used, provide the name of
the service provider:
o Water wells. If public water will be used, provide the name of the service provider:
A description of any construction that would occur on site, including anticipated construction
start and end dates, site preparation work, any hauling or demolition activities and vertical
construction.
H: Re-use of Existing Buildings or Facilities:
If the project involves re-use of existing buildings or facilities provide the following information:
Photographs of the project site from the north, south, east and west project boundaries, labeled
on the back of each photograph.
A description of the previous site use:
Central Region Office: 1990 E. Gettysburg Ave. Fresno, CA 93726-0244 TEL (559) 230-6000 FAX (559) 230-6061 WEBwww.valleyair.org
Page 3 of 4
CEQA Project Details 1/21/2011
San Joaquin Valley Air Pollution Control District
CEQA Project Details
www.valleyair.org
A description of any construction that would occur on site, including anticipated construction
start and end dates, site preparation work, any hauling or demolition activities and vertical
construction.
I: Project Operation
Will the project result in an increase in industrial wastewater discharged? Yes
If yes, what are the provisions for disposal?
No
Will the project result in an increase in use, discharge, or transportation of hazardous materials?
Yes No
If yes, list the hazardous materials and describe any special permits or materials handling
requirements:
Will the project result in increased noise which could be heard outside the project boundaries
(other than traffic)? Yes No
If yes, identify the source(s) and briefly describe how this impact would be minimized:
Will the project result in increases in light glare? Yes No
If yes, identify the source(s) and briefly describe how this impact would be minimized:
Will the project result in an increase in average number of daily light-duty vehicle trips, including
employees and/or customers in light glare? Yes No
If yes, what is the expected increase?
Will the project result in an increase in average number of daily heavy-duty vehicle trips,
including deliveries and shipments? Yes No
If yes, what is the expected increase?
Central Region Office: 1990 E. Gettysburg Ave. Fresno, CA 93726-0244 TEL (559) 230-6000 FAX (559) 230-6061 WEBwww.valleyair.org
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CEQA Project Details 1/21/2011