HomeMy WebLinkAboutDRC2010-00805 CUP Non Const'State of California —The Resources Agency
DEPARTMENT OF FISH AND GA'
7010 ENVIRONMENTAL FIL-,NG FEE CASH RECEIPT
F PT# 400754
STATE CLEARING HOUSE# (1fapplicable)
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PROJECTAPPLICANTNVME(. I
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- .- W,- Local PublicAgency School.District___,,
StateAgency
LJ Private Entity
CHECK APPLICABLE FEES:
J Environmental Impact Report (EIR)
$2,792.25
$
LI Mitigated/Negative,Declaration (ND)(MND)
$2,010.25
$
LI Application Fee Water Diversion (State Water Resources Control Board Only)
$850.00
$
L] Projects Subject to Certified Regulatory Programs (CRP)
$949.50
$
—��ounty Administrative Fee
$50.00
$
J* N Project that is exempt from fees
,,EI—fTotice of Exemption
DFG No Effect Determination (Form Attaphed)
L] Other
$
PAYMENT METHOD:
L3 Cash LJ Credit jjl�eheck LJ Other
TOTALRECEIVED
$
SIGNATURE
TITLE
+TE - PROJECT APPLICANT
YELLOW - DFGIASB
PINK-LEADAGENCY GOLDEN ROD - COUNTY CLERK
FG 753.5a (Rev. 11 /09)