CITY OF SAN CLEMENTE
910 CALLE NEGOCIO STE 100
SAN CLEMENTE, CA 92673
HUGH NGUYEN
CLERK-RECORDER
Office of the Orange County Clerk-Recorder
Memorandum
SUBJECT: NOTICE OF EXEMPTION
The attached notice was received, filed and a copy was posted on 03/21/2023 It remained posted for 30 (thirty) days.
Hugh Nguyen
Clerk - Recorder
In and for the County of Orange
By: Carina Cortes Deputy
Public Resource Code 21092.3
BIRTH AND DEATH RECORDS
FICTITIOUS BUSINESS NAMES
MARRIAGE LICENSES/RECORDS
NOTARY REGISTRATION
ORANGE COUNTY ARCHIVES
PASSPORTS
PROPERTY RECORDS
The notice required pursuant to Sections 21080.4 and 21092 for an environmental impact report shall be posted in the office of the County Clerk of each county*** in which the project will be located and shall remain posted for a period of 30 days. The notice required pursuant to Section 21092 for a negative declaration shall be so posted for a period of 20 days, unless otherwise required by law to be posted for 30 days. The County Clerk shall post notices within 24 hours of receipt.
Public Resource Code 21152
All notices filed pursuant to this section shall be available for public inspection, and shall be posted *** within 24 hours of receipt in the office of the County Clerk. Each notice shall remain posted for a period of 30 days. *** Thereafter, the clerk shall return the notice to the local lead agency *** within a notation of the period it was posted. The local lead agency shall retain the notice for not less than nine months.
Additions or changes by underline; deletions by***
(714) 834-2500 ♦ FAX: (714) 834-2675 ♦ OCRECORDER.COM ♦ OCARCHIVES.COM ATTACHMENT 5
Notice of Exemption
To:
County Clerk
County of _O_r
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e _________ _
12 Civic Center Plaza, P.O. Box 238
Santa Ana, CA 92701
30-03\:2\ \2023-02\3 FormD
From: (Public Agency) City of San Clemente
Engineering Division, 910 Calle Negocio, Suite 100
San Clemente, CA. 92673; Attn: Belgin Cuhadaroglu
(Address)
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Project Title: City of San Clemente Marine Safety Building Concrete Repairs ::0 ;,,; r,..,)
Project Location - Specific:
620 Avenida Del Mar, San Clemente, California, 92672.
Project Location - City: San -------- Clemente
--
Description of Nature, Purpose and Beneficiaries of Project:
Project Location - County: Orange
The Marine Safety Building exterior surfaces have deteriorated due to the marine environmental 0 m -0 C:
effects and are in need of repair to prevent the failure of the building. Beneficiaries: Public users of the beach. ;;o m -
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0 Recorded in Official Records, Orange County
Hugh Nguyen, Clerk-Recorder
Name of Public Agency Approving Project:
Name of Person or Agency Carrying Out Project:
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Exempt Status: (check one)
202385000217 3:35 pm 03/21/23
477 Vitlndx Z01
D Ministerial (Sec. 21080(b)(l); 15268); 0.00 50.00 0.00 0.00 0.00 0.00 0.00 0.00 D Declared Emergency (Sec. 21080(b)(3); 15269(a));
0 Emergency Project (Sec. 21080(b)(4); 15269(b)(c));
!Kl Categorical Exemption. State type and section number: Section 15301, Class 1 c:: 0 Statutory Exemptions. State code number: z -------------------+-----=;--� ln 2 Reasons why project is exempt: ('I �
Consistent with Section 15301, Class 1, the project consists of repairing the deteriorated or damaged struct� fal' §
component of the existing facility. No addition or enlargement or expansion to the existing structure. / f Lead Agency
Contact Person: Kiel Koger
If filed by applicant:
I. Attach certified document of exemption finding.
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Area Code/Telephone/Extension: {949} 361-6187� �
2. Has a Notice of Exemption been filed by the public agency approving the project? � Yes 0No Signature: --�--- --• -_-- �--�"'_---____ -- _ -_ Date: 3/15/2023 Title: Public Works Director □ Signed by Lead Agency
Date received for filing at OPR: _________ _
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Signed by Applicant Revised 2005
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0 LETTER OF TRANSMITTAL
City of San Clemente
Engineering Division
Belgin Cuhadaroglu, Associate Civil Engineer
Phone: (949) 361-6128 Fax: (949) 361-8316
To: County Clerk
County of Orange
12 Civic Center Plaza
P.O. Box 238
Santa Ana, CA 92701
Date: March 15, 2023
Subject: Notice of Exemption - Marine
Safety Building Concrete Repairs
Project No.: TBD
THE FOLLOWING ITEMS ARE TRANSMITTED HEREWITH:
At Your Request
For Your Review
For Your Approval
For Signature
For Revision
X For Action
For Your Information
For Your Files
Please post the enclosed Notice of Exemption for 30 days as required by CEQA guidelines.
Please return to my attention with a notation of the posting period.
Please contact me if you have �y questions.
Belgin Cuhadaroglu
910 Calle Negocio, Suite 100, San Clemente, California 92673 State of California - Department of Fish and Wildlife
2023 ENVIRONMENTAL DOCUMENT FILING FEE
CASH RECEIPT
DFW 753.5a (REV. 01/01/22) Previously DFG 753.5a
SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY.
LEAD AGENCY I LEAD AGENCY EMAIL
CITY OF SAN CLEMENTE
COUNTY/STATE AGENCY OF FILING
PROJECT TITLE
RECEIPT NUMBER:
30 - 03/21/2023 - 0213
STATE CLEARINGHOUSE NUMBER (If applicable)
DATE
03/21/2023
DOCUMENT NUMBER
202385000217
CITY OF SAN CLEMENTE MARINE SAFETY BUILDING CONCRETE REPAIRS
PROJECT APPLICANT NAME
CITY OF SAN CLEMENTE
PROJECT APPLICANT ADDRESS
910 CALLE NEGOCIO SUITE 100
PROJECT APPLICANT (Check appropriate box)
0 Local Public Agency D School District
CHECK APPLICABLE FEES:
0 Environmental Impact Report (EIR)
0 Mitigated/Negative Declaration (MND)(ND)
PROJECT APPLICANT EMAIL PHONE NUMBER
(949)361-6187
CITY STATE ZIP CODE
SAN CLEMENTE CA 92673
D Other Special District D State Agency D Private Entity $3,a39.2s $ _________ o_
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$2,1e4.oo $ _________ o_
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D Certified Regulatory Program (CRP) document - payment due directly to CDFW $1,203.25 $ _________ o_.o_o � Exempt from fee
0 Notice of Exemption (attach)
0 CDFW No Effect Determination (attach)
0 Fee previously paid (attach previously issued cash receipt copy) 0 Water Right Application or Petition Fee (State Water Resources Control Board only) 0 County documentary handling fee
$850.00 $
$
D other $
PAYMENT METHOD:
0 Cash O Credit
ORIGINAL -PROJECT APPLICANT
0 Check O Other
COPY - CDFW/ASB
TOTAL RECEIVED $
AGENCY OF FILING PRINTED NAME AND TITLE
DEPUTY CLERK, CARINA CORTES
COPY· LEAD AGENCY COPY -COUNTY CLERK
0.00 0.00
0.00 DFW 753,5a (Rev, 01012022)
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Fi n li tion 202300000 74703
3/21 /23 3 35
47 Viti d:x:
t Title Count
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EIR:
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Paid
Doo n
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D
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#
20238500021
7 Time
Reoo
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3: 35
pm
50 00
---- --------
T t 0 00
Pa t Typ
NO FE
Am oun
t Due
THANK YO
Amount
50 0
0 0 00
PLEAS E RETAI N THI S RECEIP
FO R YOUR RECORD
W1tf 1. ocrecord er. co
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