HomeMy WebLinkAboutNOE 40-12142023-228 State of California-Department of Fish and Wildlife
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2021 ENVIRONMENTAL FILING FEE CASH RECEIPT
DFW 753.5a(REV.01/01/21)Previously DFG 753.5a
RECEIPT NUMBER:
40-12142023-228
STATE CLEARINGHOUSE NUMBER(If applicable)
SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY.
LEAD AGENCY LEADAGENCY EMAIL DATE
ARROYO GRANDE CITY pholub@arroyogrande.org 12/14/2023
COUNTY/STATE AGENCY OF FILING DOCUMENT NUMBER
COUNTY OF SAN LUIS OBISPO
PROJECT TITLE
ARROYO GRANDE CREEK STREAM GAUGE (SITE#739) MODIFICATIONS PROJECT
PROJECT APPLICANT NAME (PROJECT APPLICANT EMAIL 'PHONE NUMBER
CITY OF ARROYO GRANDE pholub@arroyogrande.org (805)473-5400
PROJECT APPLICANT ADDRESS CITY STATE IP CODE
300 E BRANCH STREET ARROYO GRANDE CA 93420
PROJECT APPLICANT(Check appropriate box)
® Local Public Agency ❑ School District El Other Special District 0 State Agency E Private Entity
CHECK APPLICABLE FEES:
❑ Environmental Impact Report(EIR) $3,445.25 $
❑ Mitigated/Negative Dedaration(MND)(ND) $2,480.25 $
❑ Certified Regulatory Program(CRP)document-payment due directly to CDFW $1,171.25 $
® Exempt from fee r
IN Notice of Exemption(attach)
0 CDFW No Effect Determination(attach)
❑ Fee previously paid(attach previously issued cash receipt copy)
❑ Water Right Application or Petition Fee(State Water Resources Control Board only) $850.00 $
ID County documentary handling fee $ $50.00
D Other $
PAYMENT METHOD:
ElCash IN Credit 0 Check 0 Other TOTAL RECEIVED $ $50.00
SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE
A or AnthonyTrujillo, Deputy County Clerk-Recorder
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Filed in County Clerk 's Office
Elaina Cano
San Luis Obispo - County Clerk-Recorder
40-12142023-228
12/14/2023
FISH
Pages: 4
Fee: $ 50.00
By a t r u j i l l o, Deputy
,IIIV EV'Elliit'itiMitirill'Ill
ORIGINAL-PROJECT APPLICANT COPY-CDFW/ASB COPY-LEAD AGENCY