City Hall West 11333 Valley Boulevard, El Monte CA 91731-3293 I Phone: (626)258-8626 I Fax: (626)580-2293
CITY OF EL MONTE
Economic Development Department
Planning Division
ENVIRONMENTAL INFORMATION
I. GENERAL INFORMATION
1. Address of proposed project: __________________________________________________________________
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2. Proposed Use:
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3. Zoning: ________________ General Plan Designation: ____________________________________________
4. List and describe any other related permits and other public approvals required for this project, including those required by city,
regional, state and/or federal agencies:
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II. PROJECT DESCRIPTION
Prepare a complete description of the proposed project, including all of the following information:
1. Site Size (width and depth) and square footage:
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2. Type of vehicular access and if, public or private street, name and size:
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3. Number of Floors of Construction:
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4. Amount of off-street parking provided:
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5. Proposed scheduling, including anticipated increments:
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6. Associated Projects:
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City Hall West 11333 Valley Boulevard, El Monte CA 91731-3293 I Phone: (626)258-8626 I Fax: (626)580-2293
7. If residential, indicate the number of units, unit sizes, range of sales prices or rents, and expected household size:
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f commercial, indicate type (neighborhood, city or regionally orientated) square footage of sales area and warehousing and loading
facilities:
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f industrial, indicate major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits from
project:
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0.
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f institutional, indicate major function, estimated employment shift, estimated occupancy, loading facilities, and community benefits from
project:
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III. ECONOMIC IMPACTS
1. Indicate the potential number of construction jobs that would be created if the project site should be developed: __________
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2. Indicate the potential number of permanent jobs that would be created from the development:
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3. Indicate the current assessed valuation of the property:
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4. Indicate the estimated assessed value of the property after the project is built:
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City Hall West 11333 Valley Boulevard, El Monte CA 91731-3293 I Phone: (626)258-8626 I Fax: (626)580-2293
5. Indicate the projected sales tax resulting from the development:
____________
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IV. ENVIRONMENTAL SETTING
1. Describe the project site as it currently exists, including information on topography, plants and animals, and any cultural,
historical or scenic aspects. Describe any existing structures on the site and their use. Attach photographs of the site: _______
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____________
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2. Describe the surrounding properties, including information of plants and animals and any cultural, historical or scenic aspects.
Indicate the type of land use, intensity (one-family, apartments, shops, department stores, etc.) and scale of development (height,
frontage, setback, etc.) Attach photographs of vicinity: __________________________________________________
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DOES THE PROJECT HAVE THE POTENTIAL TO RESULT IN ANY OF THE FOLLOWING (ANSWER YES OR NO):
Yes No
1. Change in existing features of any bays, tidelands, beaches, lakes or hills, or substantial alteration of
ground contours?
2. Change in scenic views or vistas from existing residential areas or public lands and roads?
3. Change in patterns, scale or character of general area of project?
4. Significant amounts of solid waste or litter?
5. Change in dust, ash, smoke, fumes or odors in vicinity?
6. Change in ocean, bay, lake, stream or ground water quality, or alteration of existing drainage patterns?
7. Substantial change to existing noise or vibration levels in the vicinity?
8. Site on filled land or slope of 10 percent or more?
9. Use disposal of potentially hazardous materials?
10. Substantial change in demand for municipal services (police, fire, water, sewage, etc)?
11. Substantial increase fossil fuel consumption (electricity, oil, natural gas, etc)?
12. Relationship to a larger project or series of projects?
DISCUSS ON FOLLOWING PAGE ALL ITEMS ANSWERED YES (ATTACH ADDITIONAL SHEETS IF NECESSARY)
City Hall West 11333 Valley Boulevard, El Monte CA 91731-3293 I Phone: (626)258-8626 I Fax: (626)580-2293
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CERTIFICATION
I hereby certify that the statements furnished above and in the attached exhibits present 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.
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Date Signature
Updated 6-2016