Attachment 4
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
Purchase Contract with HASA, Inc. for 12.5% Sodium Hypochlorite deliveries to City Reservoirs 5A, 10, and 14 Project Title:
Project Applicant: City of San Clemente Public Works Department Project Location - Specific:
City Reservoirs 5A, 10, and 14 (see addresses below).
Project Location - City: San Clemente Project Location - County: Orange Description of Nature, Purpose and Beneficiaries of Project:
Sodium Hypochlorite is needed onsite at City Reservoirs 5A, 10, and 14 for the Reservoir Management System for water treatment. Locations: Reservoir 5A, 721 Ave. Salvador, San Clemente, CA 92672; Reservoir 10, 9 Via Floritas, San Clemente, CA 92672; Reservoir 14, 4159 ½ Costero Risco, San Clemente, CA 92672.
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 David Rebensdorf, Public Works Director
Contact Person: 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
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.
Revised 2011
•