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Att 7 - CEQA Notice of Exemption Form.pdf

San Clemente City Council
October 17, 2023

Document
Att 7 - CEQA Notice of Exemption Form.pdf
Meeting
October 17, 2023
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San Clemente City Council
Original file
299 KB
Text extracted from the city's file for reading and search. Open the original on san-clemente.legistar1.com. That file is the official record.

Attachment 7
Notice of Exemption Appendix E
To: Office of Planning and Research From: (Public Agency): City of San Clemente P.O. Box 3044, Room 113 380 Avenida Pico, Bldg N
Sacramento, CA 95812-3044
San Clemente, CA 92672
County Clerk
County of: Orange (Address)
P.O. Box 238
Santa Ana, CA 92702
Project Title: Reservoir 13 Isolation Valve Replacement, Project No. 24405 Project Applicant: City of San Clemente Public Works Department Project Location - Specific:

City Reservoir 13 (see address below).

Project Location - City: San Clemente Project Location - County: Orange Description of Nature, Purpose and Beneficiaries of Project:

Critical water system infrastructure replacement due to failure of isolation valves at 3017 Eminencia Del Norte Reservoir 13.

Name of Public Agency Approving Project: City of San Clemente Name of Person or Agency Carrying Out Project: City of San Clemente Exempt Status: (check one):
• Ministerial (Sec. 21080(b)(1); 15268);
• Declared Emergency (Sec. 21080(b)(3); 15269(a));
• Emergency Project (Sec. 21080(b)(4); 15269(b)(c));
Categorical Exemption. State type and section number: Section 15301, Class 1 Existing Facilities • Statutory Exemptions. State code number: _
Reasons why project is exempt:

Class 1 consists of the operation, repair, maintenance, permitting, leasing, licensing, or minor alteration of existing public or private structures, facilities, mechanical equipment, or topographical features, involving negligible or no expansion of existing or former use.

Lead Agency
Contact Person: David Rebensdorf, Public Works Director Area Code/Telephone/Extension: (949) 361-6130 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 Signature: Date: Title:
• Signed by Lead Agency Signed by Applicant
thority cited: Sections 21083 and 21110, Public Resources Co Date Received for filing at OPR:
ference: Sections 21108, 21152, and 21152.1, Public Resources Coc Revised 2011

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