HomeMy WebLinkAbout15 Environmental Assessment Form Fillable Revised 2/2024 Page 1 of 5
CITY OF PALM DESERT
DEPARTMENT OF DEVELOPMENT SERVICES
73510 Fred Waring Drive, Palm Desert, California 92260
Phone (760) 776-6483 ▪ planning@palmdesert.gov
ENVIRONMENTAL ASSESSMENT APPLICATION
The following instructions are intended to provide the necessary information and procedures to submit and facilitate
the processing of an Environmental Assessment Application. Adherence to these instructions will ensure that the
application can be processed in the most expeditious manner possible.
SECTION I – APPLICATION SUBMITTAL REQUIREMENTS
APPLICATION SUBMITTAL REQUIREMENTS - FIRST SUBMITTAL
(COMPLETED BY APPLICANT AND VERIFIED BY STAFF INTAKE)
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Each item listed below is required for submittal unless a waiver is granted by Planning
Division Staff. Any waiver must be confirmed by initialing the form by the staff person granting
the waiver. Refer to Section B for the minimum required information on each item.
APPLICATION INFORMATION
Planning Application Form
PROJECT EXHIBITS
Supplemental Information
FEES
Filing Fees Paid
SECTION II – SUBMITTAL ITEMS CHECKLIST
1. FILING FEES
Application related filing fees are to be paid at the time of application. As part of the submittal process the
receipt showing payment of fees which will be copied and submitted along with the other application materials.
CEQA related fees are to be identified and paid at the time the application is deemed complete.
REQUIRED AT TIME OF APPLICATION SUBMITTAL
Environmental Assessment Application Fee: Fees | City of Palm Desert
* Payable to the City of Palm Desert
2. APPLICATION
The Planning Application form must be completed including the project description, requested information, and ownership
signatures.
3. ENVIRONMENTAL ASSESSMENT FORM
All project requests shall submit a completed environmental assessment form.
SECTION III – ENVIRONMENTAL ASSESSMENT FORM
Project Name (if any): __________________________________________________________________________
Project Location (street address/general location): __________________________________________________
_____________________________________________________________________________________________
CITY OF PALM DESERT
ENVIRONMENTAL ASSESSMENT FORM
Page 2 of 5
Precise Legal Description of the Property (lot and tract number, or meets and bounds): ___________________
_____________________________________________________________________________________________
Proposed Use of the Site (project for which the form is filed; describe the total undertaking, not just the
current application approval being sought): _______________________________________________________
_____________________________________________________________________________________________
Relationship to a Larger Project or Series of Projects (describe how this project relates to other activities,
phases, developments planned, or now underway): _________________________________________________
_____________________________________________________________________________________________
List and describe any other related permits and other public approvals required for this project to go forward,
including those required by the City, Regional, State, and Federal agencies (indicate subsequent approval
agency name and type of approval required): _____________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
I. EXISTING CONDITIONS:
1. Project Site Area (size of property in square feet or acreage): _______________________________________
2. Existing Zoning: Proposed Zoning: _____________________________________________________________
3. General Plan Designation: ____________________________________________________________________
4. Existing Use of the Project Site: ________________________________________________________________
5. Existing Use on Adjacent Properties (Example: north, shopping center; south, single-family dwellings;
etc.):
North: _________________________________________________________________________________
South: _________________________________________________________________________________
East: __________________________________________________________________________________
West: __________________________________________________________________________________
CITY OF PALM DESERT
ENVIRONMENTAL ASSESSMENT FORM
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6.Site Topography (describe): ___________________________________________________________________
7.Are there any natural or manmade drainage channels through or adjacent to the property? ☐ No ☐ Yes
8.Grading (estimate number of cubic yards of earth being moved): ____________________________________
9.List the number, size, and type of trees being moved: _____________________________________________
10.Describe any cultural, historic, or scenic aspects of the project site: ________________________________
11.Residential Project (Note: If not residential, do not complete this section):
A.Number and type of dwelling units (specify number of bedrooms): ________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
B.Schedule of Unit Sizes: __________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
C.Number of Stories: __________________ Height(ft): ___________________
D.Largest Single Building (square feet): _____________________ Height(ft): ____________________
E.Type of Household size Expected (population projection of the project): ____________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
F.Describe the Number and Type of Recreational Facilities: _______________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
G.Is There any Night Lighting of the Project: ☐ No ☐ Yes
H.Range of Anticipated Sale Prices or Rent: $______________ to $______________
CITY OF PALM DESERT
ENVIRONMENTAL ASSESSMENT FORM
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I.Percent of total Project Devoted to:
Building: ............................................................................_____________ %
Paving (including Streets): ................................................_____________ %
Landscaping and Open Space (Recreation Area) ............_____________ %
12.Commercial, Industrial, Institutional, or Other Projects:
A.Type of Use(s) and Major Function(s). If proposed project includes offices, specify type and number:
______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
B.Number of Square Feet in Total Building Area: _______________________________________________
C.Number of Stories: ______________ Height(ft): ________________
D.Largest Single Building (square feet): ______________ Height(ft): ______________
E.Number of Square Feet in Outdoor Storage Area: _____________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
F.Total Number of Required Parking Spaces: __________________________________________________
Number of Parking Spaces Provided: _________________________________________________________
G.Hours of Operation: ____________________________________________________________________
H.Maximum Number of Clients, Patrons, Shoppers, etc. at One Time: _______________________________
I.Maximum Number of Employees at One Time: ________________________________________________
J.If Patron Seating is Involved, State the Number: _______________________________________________
K.Is There any Night Lighting of the Project: ☐ No ☐ Yes
CITY OF PALM DESERT
ENVIRONMENTAL ASSESSMENT FORM
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L. Percent of Total Project Devoted to:
Building: ............................................................................ ______________%
Paving (including Streets): ................................................ ______________%
Landscaping and Open Space (Recreation Area) ............ ______________%
Are the following Items applicable to the project or its effects? Discuss below all items checked yes (attach additional
sheets as necessary).
YES NO
1. Change in existing features of hillside, or substantial alteration ☐☐
of ground contours.
2. Change in the dust, ash, smoke, fumes, or odors in the project ☐☐
vicinity.
3. Subject to or resulting in soil erosion by wind or flooding.☐☐
4. Change in ground water quality or quantity, or alteration of ☐☐
existing drainage patterns.
5. Change in existing noise or vibration level in the vicinity.☐☐
Subject to roadway or airport noise. (Has the required
acoustical report been submitted)?
6. Involves the use or disposal of potentially hazardous materials,☐☐
such as toxic substances, flammables, or explosives.
7.Involves the use of substantial amounts of fuel or energy.☐☐
8.Changes in demand for municipal services (police, fire,☐☐
sewage, etc.).
9.Changes in demand for utility services beyond those presently ☐☐
available or planned in the near future.
10.Significantly affects any unique or natural features, including ☐☐
mature trees.
11.Change in scenic views, vistas from existing residential areas,☐☐
public land, or public roads.
12.Results in the dislocation of people.
13.Generates controversy based on aesthetics or other features of ☐☐
the project.
14.Attached are additional pages for the explanation of items that ☐☐
were answered “YES.”