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
Print StartOver Save
RECEIPT NUMBER:
36 — 06132024 - 429
STATE CLEARINGHOUSE NUMBER (If applicable)
SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY. N/A
LEAD AGENCY LEADAGENCY EMAIL DATE
City of Rialto 06132024
COUNTY/STATE AGENCY OF FILING DOCUMENT NUMBER
San Bernardino
PROJECT TITLE
Traffic signal upgrades and signal enhancements (City Project #:230811) PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL [PHONE NUMBER City of Rialto Engineering Services Dept. (909)421-7279
PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE
335 W. Rialto Avenue Rialto CA 92376
PROJECT APPLICANT (Check appropriate box)
• Local Public Agency • School District • Other Special District • State Agency • Private Entity CHECK APPLICABLE FEES:
$4,051.25 $ 0.00
• Environmental Impact Report (EIR)
• Mitigated/Negative Declaration (MND)(ND) $2,916.75 $ 0.00 • Certified Regulatory Program (CRP) document - payment due directly to CDFW $1,377.25 $ 0.00 • 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 Control Board only) $850.00 $ 0.00 $ 50.00
E County documentary handling fee
• Other $
PAYMENT METHOD: #237219
TOTAL RECEIVED $ 50.00
• Cash • Credit E Check • Other
SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE
X Alicia Meza, Deputy Clerk
ORIGINAL - PROJECT APPLICANT COPY - CDFW/ASB COPY - LEAD AGENCY COPY - COUNTY CLERK DFW 753.5a (Rev. 01012024) - . r
Notice of Exemption
To: D Office of Planning and Research From: (Public Agency) City of Rialto PO Box 3044, 1400 Tenth Street, Room 222 150 South Palm Avenue Sacramento, CA 95812-044
Rialto, CA 92376
(Address)
County Clerk Posed on: 06-13-29 DATE FIL
County of San Bernardino
385 North Arrowhead Avenue Removed On: 07-19-24
San Bernardino, CA 92415 Recipe No: 36- 06132024-429
Project Title: Traffic signal upgrades and signal enhancements (City Project #: 230811) Project Location - Specific: The intersection of Cedar Avenue and Merrill Avenue Project Location - City: Rialto Project Location - County: San Bernardino Description of Nature, Purpose, and Beneficiaries of Project:
The project includes the construction of a protected left turn phasing, video detection system, pedestrian countdown heads, MUTCD compliant signage and pavement markings. This project will provide a green arrow for left turning vehicles while stopping both on-coming traffic and parallel pedestrian crossings to increase at the intersection..
Name of Public Agency Approving Project: City of Rialto SAN Name of Person or Agency Carrying Out Project: City of Rialto Engineering Services Departient CLERK
Exempt Status: (check one) 2024 JUN 13 PM 4:09 BOARD OF SUPERVISORS • Ministerial (Sec. 21080(b)(1); 15268); ORNIA
• Declared Emergency (Sec. 21080(b)(3); 15269(a)); THE
• Emergency Project (Sec. 21080(b)(4); 15269(b)(c));
• Categorical Exemption. State type and section number: Class 1(c), Section 15301 • Statutory Exemptions. State code number: _
involves no expansion of the existing use, and will not alter the configuration of the roadway, nor increase the roadway's capacity.
Lead Agency
Contact Person: Rodolfo Victorio Area Code/Telephone/Extension: 909-421-7279 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 • No Vitor Dare: 6/6/24 Til: Enginesing Probed Manager
Signature:
Signed by Lead Agency
Date received for filing at OPR:
• Signed by Applicant
Updated through 2009
PAGE: 1 OF 1
VENDOR NUMBER VENDOR NAME CHECK NUMBER CHECK DATE CHECK AMOUNT 999999 Clerk of the Board 237219 06/13/2024 $50.00
INVOICE DATE INVOICE NUMBER DESCRIPTION INVOICE AMOUNT
06/06/2024 06062024 CEQA Environmental Review Handling Fees Notice of $50.00