HomeMy WebLinkAboutNOE 40-05312024-093 s State of California-Department of Fish and Wildlife
2024 ENVIRONMENTAL DOCUMENT FILING FEE
,, CASH RECEIPT
DFW 753.5a(REV.01/01/24)Previously DFG 753.5a
RECEIPT NUMBER:
40-05312024-093
STATE CLEARINGHOUSE NUMBER(If applicable)
SEE INSTRUCTIONS ON REVERSE.TYPE OR PRINT CLEARLY.
LEAD AGENCY LEADAGENCY EMAIL DATE
ARROYO GRANDE CITY aperez@arroyogrande.org 05/31/2024
COUNTY/STATE AGENCY OF FILING DOCUMENT NUMBER
COUNTY OF SAN LUIS OBISPO
PROJECT TITLE
HARRIS DOMESTIC WELL-PPR23-001
PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL PHONE NUMBER
MICHAEL HARRIS mike@harris5.com (916)802-1659
PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE
5940 GRANITE GLEN CT GRANITE BAY CA 95746
PROJECT APPLICANT(Check appropriate box)
o Local Public.Agency 0 School District 0 Other Special District 0 State Agency 0 Private Entity
CHECK APPLICABLE FEES:
❑ Environmental Impact Report(EIR) $4,051.25 $
❑ Mitigated/Negative Declaration(MND)(ND) $2,916.75 $
❑ Certified Regulatory Program(CRP)document-payment due directly to CDFW $1,377.25 $
to Exempt from fee
® Notice of Exemption(attach)
❑ CDFW No Effect Determination(attach)
❑ Fee previously paid(attach previously issued cash receipt copy)
❑ Water Right Application or Petition Fee(State Water Resources Contrd Board only) $850.00 $
E) County documentary handling fee $ $50.00
❑ Other
PAYMENT METHOD:
❑ Cash ❑ Credit ❑ Check 50 Other TOTAL RECEIVED $ $50.00
SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE
�f Anthony Trujillo, Deputy County Clerk-Recorder
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if fi �r//I/
Filed in County Clerk's Office
Elaina Cane
San Luis Obispo - County Clerk-Recorder
40-05312024-093
05/31/2024
FISH
Pages: 2
Fee: $ 50.00
By atrujillo, Deputy
Ill tiiliktr;;l 1iiitalil1
Elaina Cano
San Luis Obispo
County Clerk-Recorder
Main Office: (805) 781-5080
Atascadero: (805) 461-6041
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Receipt: 24-15599
ProductName Extended
FISH FISH AND WILDLIFE $50.00
FILING
#Pages 1
Document# 40-05312024-093
Document Info. CITY OF ARROYO GRANDE
Filing Type NOE
Sub-Total $50,00
Service Fee $1.49
Total $51.49
Tender(Credit Card OTC) $51.49
Transaction ID 21662231303
Service Fee $1.49
Credit Card# 'k**"4101
Entry method Chip
Auth Code 097189
Credit Card Invoice# BPI641$2078
Signature
PLEASE KEEP FOR REFERENCE
5131124 3:08 PM atrujillo
San Luis Obispo
Notice of Exemption Appendix E
To: Office of Planning and Research From: City of Arroyo Grande
P.0. Box 3044,Room 113 300 East Branch Street
Sacramento,CA 95812-3044 Arroyo Grande,CA 93420
(805)473-5400
County Clerk
County of:San Luis Obispo
1055 Monterey Street
San Luis Obispo,CA 93408
Project Title and Number: Harris Domestic Well-PPR23-001
Project Applicant: Michael Harris APN 007-781-055(Unaddressed Parcel)
Name Address
Email: mike@harris5.com Phone: (916)802-1659
Project Location—Specific:
Northeast of the Intersection of Noyes Road and Equestrian Way(APN 007-781-055)
Project Location—City:Arroyo Grande Project Location—County:San Luis Obispo
Description of Nature, Purpose and Beneficiaries of Project:
Drilling a well at the subject parcel in order to provide domestic/drinking water to a future proposed residence.
The proposed well would be drilled to a depth of four hundred feet(400'),depending on the depth of permeable
sands.The well is proposed to pump at about 10-20 gallons per minute(gpm).
Name of Public Agency Approving Project: City of Arroyo Grande
Name of Person or Agency Carrying Out Project: Michael Harris
Exempt Status:
Ministerial(Sec.21080(b)(1); 15268);
Declared Emergency(Sec.21080(b)(3);15269(a));
Emergency Project(Sec.21080(b)(4);15269(b)(c));
El Categorical Exemption,State type and section number: 15303
Statutory Exemptions.State code number:
Reasons why project is exempt:
This project falls within the Class 3 exemption because approval of the project would result in the installation of
one small well structure.Furthermore,none of the exceptions outlined in State CEQA Guidelines section 15300.2
apply here. It will be located to avoid sensitive habitats,scenic resources and will have no cumulative impacts.
Lead Agency
Contact Person: Andrew perez Area Code/Telephone/Extension: (805)473-5425
Email: aperez@arroyogrande.org
Address: 300 E Branch St,Arroyo Grande,CA 93420
If filed by applicant:
1. Attach certified document of exemption finding.
2. Has a Notice of Exemption been filed by the public agency approving the project? Yes EINo
Signature: ,4 t?? 41" II Date: 05/31/2024 Title: Planning Manager
nSigned by Lead Agency EISigned by Applicant
Authority cited:Sections 21083 and 21110,Public Resources Code. Date Received for filing at OPR:
Reference:Sections 21108,21152,and 21152.1,Public Resources Code.