Verizon @ Lake Jennings; M&M Telecom, Inc. - Chris Harrison 760-505-9921

County of San Diego, Planning & Development Services A P P L I C A T I O N F O R A N E N V I R O N M E N T A L I N I T I A L S T U D Y ( A E I S ) Z O N I N G D / W S / O / V PDS-367

For Applications NOT covered by a previously completed CEQA document NOTE: If tha proposed profact was consfdered In • pravious CEQA document (Negative Declaration or EIR) which has racalvad previous environmental review, do not complete this form. Complete PDS-366 for an environmental review update.

1. Comptete the attached application so possibte environmental impacts of your project may be assessed. If a question is not applicabte to your project, fill in "N/A."

2. Provide a current United States Geographical Survey (USGS) quadrangle map showing the exact, accurate project location or a ctear 8.5 x 11" copy with Vne project delineated in the middte of the copy.

3. Provide dear, representative, color photographs looking into the project site from the North, South, East and West.

4. Provide any additional data, information, or special study reports that may be necessary to detemiine whether the project may have a significant effect on the environment, to evaluate any adverse impacts and detennine how they may l>e mitigated.

COUNTY USE ONLY Project Numt>er(s)

THIS FORM IS BEING COMPLETED BY:

M&M Telecom, Inc. - Chris Harrison

Name (Ptease Print)

N/A Senior Planner 5-19-15 Ager>cy (If applicable) Title

1738 Alvarado Street

Date

Address

Oceanside CA 92054 760-505-9921 760-454-4505 City State Zip

9452 Audubon Road, Lakeside, CA 92040 -Phone Numt)er

APN 398-400-17-00 Fax Number

Project Location (including APN)

/ ftereby certify that the statements furnished below and in the attached exhibits present the data ar»d information required for adequate evaluadon of this prefect to the best of my ability, that ttte facts, sratomanls, and /nfomiatfon presentod are true and correct to tfte best of my knowledge and belief I further understand ttiat additional information may be required to be subm/tted before an adequate evaluation can be made by the County of San Diego.

Signature:_ Date:

sod

MUP15-015

5510 O V E R L A N D A V E , S U f T E 110. S A N D I E C O . C A 9 2 1 2 3 • (858) 565-5981 • (888) 267-8770 LdCOUDl

PDS-367 (Rev. 09/21/2012] PAGE 1 of 13

Verizon @ Lake Jennings; M&M Telecom, Inc. - Chris Hamson 760-505-9921

G E N E R A L P R O J E C T I N F O R A T I O N

I. PROJECT APPROVALS 1. Indicate all discretionary permits, approvals, or findings from the County of San Diego needed to

comptete the pnDject tfiat are anticipated at this time.

PLANNING & DEVELOPMENT SERVICES ISSUED PERMITS:

n Administrative Permit • • Borrow Pit • • Grading and Clearing • • Lot Area Averaging •

• Agrkxiltural Preserve • J Amendment to the Preserve •

• Cancellation • Z] Boundary Adjustment • [H Certificate of Compliance • Final Map Modifications • • General Plan Amendment • Habitat Loss Permit • Landscape Plans [Kl Major Use Permit

• Modification • D Time Extension

• Minor Grading Permit • Minor Use Permit

n Modification/Waiver • Time Extension •

• Open Space Easement Encroachment

n Specific Plan Amendment Tentative Map

J Expired Map LH Resolution Amendment • Revised Map D Time Extension Tentative Parcel Map • Amendment of Conditions • Expired Map Q Revised Map • Time Extension Variance Other ^^^9^^ Waiver

DEPARTMENT OF PUBLIC WORKS ISSUED PERMITS:

• County Right of Way Permits • Construction Permit • Encroachment Permit • Excavation Permit

• Grading Permit • Grading Pemiit Plan Change

N/A

• Improvement Plans D Map Modification • Remandment of Relinquished Access

Rights • Condemnation of Right-of-Way

DEPARTMENT OF ENVIRONMENTAL HEALTH ISSUED PERMITS: N/A

• Exploratory Borings, Direct-push Samplers, and Cone Penotrometers Pemnits • Groundwater Wells and Exploratory or Test Borings Permit • Septic Tank Permit • Underground Storage Tank Permit • Water Well Permit

PDS-367 (Rev. 09/21/2012) PAGE 2 of 13

Verizon @ Lake Jennings; M&M Telecom, Inc. - Chris Harrison 760-505-9921

PROJECT APPROVALS (cont) 2. IrKlicate other permits, approvals, or findings required

jurisdictions that are anticipated at this time. from regional, state, and federal

N/A

PERMIT AGENCY WITH JURISDICTION

If previously granted, date of approval

• Annexation to a City or Special District Local Agency Formation Commission (LAFCO)

• State Highway Encroachment Permit http://www.dot.ca.gov/hqAraifops/(ievefopsen//pemiits/

CalTrans

• 401 Pennit - Water Quality Certification http://www. swrcb. ca.gov/n^cb9/Pn>grams/Sp&ci9l_ Progr am&/401_Certfftcation/401_cert'fication. html

Regtenal Water Quality Control Board (RWQCB)

• 404 Permit - Dredge and Fill f7ttp.//Wmv. swrcb. ca.gov/nwqcb 1/Program__ Informatfon/wq wetcert.html

US Army Corps of Engineers (ACOE)

• 1603 - Streamt)ed Alteration Agreement t)ttp://www.acwanet.com/regulatoryAMldlife/straambed_all _agmnts.asp

CA Department of Fish and WiWIife (CDFW)

• Sectk>n 7 - Consultation or Section 10a Permit -Incidental Take http://www. fws.gov/

US Fish and WiWIife Services (USFWS)

• Air Quality Pemnit to Construct http://www.sdapcd.co.san-diego.ca. us/fac^pennits.pdf

Air Pollution Control District (APCD)

• Air Quality Permit to Operate - Titte V Perniit http://www. sdsf)cd. co. san-diego. ca. us/njies/randr htmmEGULA TION% 20XIV

APCD

• National Polkjtant Discharge Elimination System (NPDES) Pemiit http://www.swrcb ca gov/rwqcb9/

RWQCB

• General Industrial Stormwater Permit http://www.swrcb.ca.gov/rwqcb9/

RWQCB

• General Construction Stormwater Permit http://www.swrx^.ca.gov/nMjcb9/

RWQCB

• Waste Discharge Requirements Permit http://www.swrcb.ca.gov/nAfqc^9/

RWQCB

• Water District Approval Designated Water District

• Sewer District Approval Designated Sewer District

• School District Approval Designated School Districts

• Others:

PDS-367 (Rev. 09/21/2012) PAGE 3 of 13

Verizon @ Lake Jennings; M&M Telecom, Inc. - Chris Harrison 760-505-9921

II. CODE COMPLIANCE/VIOLATION ISSUES Descrit>e any known open or active code compliance/violation issues on the proposed project site. Indicate related Viotetion Numbers. If no open or active code compliance/violation issues are present or known, ptease state "NONE" or "UNKNOWN", as appropriate. (Use additional sheets if necessary):

None Known at this Time

P R O J E C T D E S C R I P T I O N

III. FEATURES OF THE PROJECT (Note: Filling out SectJons IV. and VII. of this form may help In completing a full proiact description) DESCRIBE IN DETAIL the features of the project. This description should adequately reftect the construction and devetopment (for exampte. grading) as weH as the ultimate use and intention of the site (for exampte. a 40,000 sq. ft. industrial fadlity). The nan^tive must be supptemented by a project pten or map of appropriate scate and tegibiNty.

• Include technical aspects of the project such as the conskjerations of land use, density and intercity, engineering requirements, and visual or aesthetic features.

• Include environmental constraints or characteristics, or compliance with environmental regulations/polteies which may have influenced the initial project design such as avoidance of geok>gk; hazards known to the site, steep topography, avokjance of impacts to sensitive resources (for example biologicaL natural, water, cultural), compliance with the Resource Protection Ordinance, storm discharge requirements. Air Pollution Control District (APCD) permit requirements, project accessitnlity. hazards (for exampte fkx)dway avoidance, noise buffering), etc.

• Include description of all the stages of project devetopment that couW cause physical changes in the envirwiment including construction, operation and maintenance.

• If the project will be phased, the anticipated phasing schedule shouto k>e described. • Include the objectives of the proposal in a discusston that identifies why the applicant is undertaking

the proposed project (for exampte, provision of housing or commercial sen/ices, reduction in traffic congestion, reduction of a flood hazard at a reasonat)le cost).

Lack of deteil may result in project delay and the requirement to resubmit a more detailed project description. (Use additronal sheets if necessary):

Applicant: Verizon Wireless proposes the project which consists of a new Wireless Telecommunication

Facility (WCF) with the following improvements: 1) Installation of a 50-foot high faux water tank,

2) Installation of (12) antennas (in (3) sectors of (4) antennas each; 3) Installation of (12) RRU in (3)

sectors of (4) RRU each; 4) Installation of (1) 4-foot diameter micro-wave dish antenna, 5) Installation of

(2) E/911 GPS antennas, 6) Installation of a 192 SF (12' x 16') equipment enclosure with associated

equipment, 7) Installation of a 15kW enclosed standby generator wtth a 54 gallon diesel tank 8) Installation

of new 200 AMP electrical sen/ice, and 9) Installation of new Telco service.

PDS-367 (Rev. 09/21/2012) PAGE 4 of 13

Verizon @ Lake Jennings; M&M Telecom, Inc. - Chris Harrison 760-505-9921

IV. ENVIRONMENTAL ASPECTS OF PROJECT TTifs sectton rs to help evaluate all reasonaMy foreseeable impacts of the proposed project An answer to each que^tfon is required to have well-reasoned and substantiated conclusions, when possible, regarding potential environmental eftects of t#ie proposed project. If an answer is unknown, explain why the answer Is unknown. Use add/tfona/ sheets If necessary:

YES NO UNKNOWN

1. LAND USE: 0 • • Will the project be a land use not presently existing in the surrounding neighborhood?

2. AGRICULTURE n f x l [ "1 RESOURCES:

Has the property been in any agricultural use within the last 20 years? If yes, please describe below and include the timeframe and use of the land:

3. POPULATtON AND HOUSING: • 0 Will existing housing be removed to allow construction of the proposed project?

4, GEOLOGICAL ISSUES: • H Q Are there any identified or suspected geologic hazards on the site or in the immediate area (landslides,

subsidence, earthquake faults, slopes > 25%, etc.)?

5. WATER RESOURCES; • 0 Does the project propose to use groundwater for any purpose (for exampte water supply, irrigation, grading)?

(Note: If it is stated that the project will not use groundwater for any purpose, the project will be conditioned to either install all necessary public water infrastructure or may be limited from using groundwater)

PDS-367 (Rev. 09/21/2012) PAGE 5 of 13

Verizon @ Lake Jennings; M&M Telecom, Inc. - Chris Hanison 760-505-9921

YES NO UNKNOWN

5, WATER I I n n I I Are there any existing water wells on the property? If yes, RESOURCES '—' '—' —' state how many are cunently in-use. (Show all wells on (oonl): sHe/plot plans or maps)

I I I i project require new stormwater/drainage ^ ^ ^ fadlities?

6. AIR QUALITY: [x^ Will the project generate smoke, fumes, or odors?

7. TRANSPORTATION I I [ x l I 1 Will the project affect pedestrians or horse riders or /CIRCULATION: — — — vehicular traffic (including btoycles) in the immediate

area?

I I n n Is there any traffic congestion during commute hours at '—' '—' — any nearby street intersections providing access to the

project that will be substantially affected? If yes, list the intersection(s):

PDS-367 (Rev. 09/21/2012) PAGE 6 of 13

Verizon @ Lake Jennings; M&M Telecom, Inc. - Chris Hamson 760-505-9921

YES NO UNKNOWN

8, BIOLOGICAL r n r~ Will the project require the removal of natural vegetation RESOURCES: — — — (excluding landscaping and agriculture)?

[ x ] Has t f^ project site been cleared/graded in the past 5 years prior to the submittal of this application? If yes, explain and include details as to the extent times, and reasons for clearing or Permit Number:

[ x l Are there any known or identified unique, rare, threatened, or endangered animals or plants residing on the site or in dose proximity?

I I r n Are there any existing Btotogical Open Space Easements on the project site or affected by project improvements off-site?

PDS-367 (Rev. 09/21/2012) PAGE 7 of 13

Verizon @ Lake Jennings; M&M Telecom, Inc. - Chris Harrison 760-505-9921

YES NO UNKNOWN

9. HAZARDS: CH 0 D Are there any potentially hazardous and/or toxic materials exist on either this site or nearby property? (Examptes of hazardous and/or toxic materials indude, but are not limited to PCB's; radioadive sutjstances; pestiddes and herbiddes; fuels, oils, solvents, and other fiammabte liquids and gases. Mso note, underground storage of any of the above.) If yes, explain and list the material(s) and location(s):

fxT r~ WiW the proposed project involve the temporary or long-— — term use, storage or discharge of hazardous and/or

toxic matenals?

• 0 Will the project involve the buming of wastes? If yes, explain what materials will be bumed:

10. NOISE n [ x l WiH the project cause a substantial change in existing noise tevels in the vtoinity?

n [ x ] Will the project place new residents in an area of cun^nt or antidpated high traffic noise or noise from other sources?

11. PUBLIC r n [71 SERVICES: ' '

Will the projed involve the siting of any schoots?

PDS-367 (Rev. 09/21/2012) PAGE 8 of 13

Venzon @ Lake Jennings; M&M Telecom, Inc. - Chris Harrison 760-505-9921

12. UTILITIES AND SERVICES:

YES NO

• El UNKNOWN

Does the projed propose to have septic or an on-site sewage treatment fadlity (for exampte package treatment plants)?

I I [x~] Will the project require annexation to any service agency?

13. AESTHETICS F l f x l F l (INCLUDES '—' '—' '—' LANDFORMS):

Will the project be more visible to the public than are its neighbors (larger than average, not screened by landscaping)?

The project site is located adjacent to large SDG&E overherhead transmission corridor towers that are

significantly larger than the proposed faux water tank, and do not blend in at all with the surrounding community.

I I I I Does the property contain natural features of scento I—I I—I 1—I value or rare unique charaderistics, induding but not

limited to trees, rock outcroppings?

I I n n I I ^® project introduce glare, reflecting materials or '—' '—' '—' unusually bright cotors?

14. CULTURAL AND | I f x l f l HISTORICAL '—' '—' '—' RESOURCES:

Will the project disturb any archaeotogical resource such as rock art, grinding and milling features, or artifacts?

PDS-367 (Rev. 09/21/2012) PAGE 9 of 13

Verizon @ Lake Jennings; M&M Telecom, Inc. - Chris Harrison 760-505-9921

YES NO UNKNOWN

14. CULTURAL AND HISTORICAL RESOURCES (oonK.):

I I r n ^^ '^ projed involve the demolition or modification of a stnjdure(s) greater than 50 years in age? If yes, explain and supply pidure(s) of structure.

• S • Are there any existing Archaeotogtoal Open Space Easements on the project site?

15. MISCELLANEOUS [ Y j Have all known easements including all easements on ^e property Title report been shown? (Show all easements on site/plot plans or maps)

V. OFFSITE IMPROVEMENTS Describe all of the off

Venzon @ Lake Jennings; M&M Telecom, Inc. - Chns Harnson 760-505-9921

3. DRAINAOe STORMWATER/

FLOOD CONTROL:

YES NO

• El Are new ofT-«ite drainage/stomiwater/nood control tecilittes or ImprovamentB to the axlsling off-site drainage/stomiwat»r/f1ood control facilities proposed? If yes, describe:

4. PATHS: I I [ Y ] Are pedestrian and/or b»cyde paths proposed?

V I . G R A D I N G : DO NOT complete this section if this application is for one or more of the following exclusively: Agricultural Preserve, General Plan Amendment, Rezone, or Spedfic Plan AmendmenL

YES NO

f x ] ^ WiH grading or filling be required? If yes, please provide Vne foBowing informatton:

Vol. of cut:

VOL of fill:

125

86

cubic yards. Max cut stope ratio:

cut>ic yards. Max fill slope ratio:

2:1

2:1

Max. height:

Max. height: 0

If soil is to be imported/exported ptease describe the source of import/export locatton, if known. (Use additional sheets if necessary):

TBD

j I fx] Will grading or filling be required off-site? Explain (Use additional sheets if necessary):

I 1 n n Is t)lasting anticipated? If so, ptease indtoate the possibte location of blasting sites on the grading plan & detail the areas expeded to t>e blasted (if known):

• LLl Are retaining walls proposed? If yes, what is max. height? walls on site/plot plan or map)

ft. (Show all retaining

PDS-367 (Rev. 09/21/2012) PAGE 11 of 13

Verizon @ Lake Jennings; M&M Telecom, Inc. - Chris Hamson 760-505-9921

V I I . P R O P O S E D S ITE U T I L I Z A T I O N : Comptete ONLY if this application is for one or more of the foltowing: Administrative Pennits, Grading Permits, Major Use Pemiits, Minor Use Permits, Site Plans, and Variances.

1. Total area 1.02 acres

Total net acres (total minus area of public and private streets and parkland dedication)

Stories

1.02

2. Number of buiWings FT Height 10' 1

3. Numt)er of attached residential units N/A

4. Number of floor area: Commerdal uses

5. Number of off-street parking spaces N/A

Detached N/A 1 existing, not a part of application

N/A Industrial uses N/A

VIII. C O M M E R C I A L / I N D U S T R I A L S ITE U T I L I Z A T I O N : Comptete ONLY for proposed projects assodated with Commerdal or Industrial development (induding Day Care Centers and Cottage Industries). F i out to the extent known.

A . P r o j e c t O p e r a t i o n s N/A - unmanned wireless Communication Facility

Number of average daily vehide trips ger>erated by the project

Fadlities to be open on weekdays fiom

On weekends from a.m. to

a.m. to

p.m.

Each Shift Total numt)er of emptoyees

Numt)er of dients, customers, or users EACH weekday

Radius of tf>e service area

Total ftoor area square feet Type of uses

Number of off-site parking spaces provided

North American Standard Industrial Classification Code(s) (http://www. census, gov/epcd/www/naicstab. htm):

p.m.

B. Industrial Waste

YES NO UNKNOWN

1. n n Win industrial waste be discharged? If yes, attach a discussion of the provisions for disposal.

PDS-367 (Rev. 09/21/2012) PAGE 12 of 13