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State of California - Department of Fish and Wildlife <br />2024 ENVIRONMENTAL DOCUMENT FILING FEE <br />CASH RECEIPT <br />DFW 753.5a (REV. 01/01/24) Previously DFG 753.5a <br />MAR 0 8 2024 <br />AC RECEIPT #. 3567458 <br />k <br />RECEIPT NUMBER: <br />01-02/23/2024-057A <br />STATE CLEARINGHOUSE NUMBER (If applicable) <br />SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY. <br />LEADAGENCY LEADAGENCY EMAIL DATE <br />CITY OF SAN LEANDRO _� _ 02/23/2024 <br />COUNT.'/STATE AGENCY OF FILING DOCUMENT NUMBER <br />ALAMEDA 24 - 057 A <br />PRO,Jt_, :T TITLE <br />CITY OF SAN LEANDRO WATER POLLUTION CONTROL PLANT TREATMENT WETLAND AND <br />SHORELINE RESILIENCY PROJECT <br />PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL PHONE NUMBER <br />HAYES MOREHOUSE (510) 577-3437 <br />PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE <br />835 EAST 14TH STREET SAN LEANDRO CA 94577 <br />PROJECT APPLICANT (Check appropriate box) w <br />F Local Public Agency F� School District [] Other Special District [] State Agency Private Entity <br />CHECK APPLICABLE FEES: <br />❑ Environmental Impact Report (EIR) $4,051.25 $ 0.00 <br />Q Mitigated/Negative Declaration (MND)(ND) $2,916.75 $ _ 2,916_75 <br />❑ Certified Regulatory Program (CRP) document - payment due directly to CDFW $1,377.25 $ 0_00 <br />❑ Exempt from fee RECEIVED <br />❑ Notice of Exemption (attach) <br />❑ CDFW No Effect Determination (attach) APR 0 9 2024 <br />❑ Fee previously paid (attach previously issued cash receipt copy) <br />CITY CLERK'S OFFICE <br />❑ Water Right Application or Petition Fee (State Water Resources Control Board only) $850.00 $ 0.00 <br />[Z County docurnentary handling fee $ 50.00_ <br />❑ Other $ <br />PAYMENT METHOD: <br />❑ Cash ❑ Credit E Check ❑ Other TOTAL RECEIVED $ 2,966.75 <br />SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE <br />DEPUTY CLERK <br />