EXHIBIT 5
OF 30-12-2012023-1119
ORANGE Recorded in Official Records, Orange County
Hugh Nguyen, Clerk-Recorder
NO FEE
ALIFORNI *SR0014710044$*
202385001140 11:58 am 12/20/23
487 Vitindx Z01
ORANGE COUNTY 0.00 50.00 0.00 0.00 0.00 0.00 0.00 0.00
CLERK-RECORDER
CEQA FILING COVER SHEET
THIS SPACE FOR CLERK'S USE ONLY
Complete and attach this form to each CEQA Notice filed with the County Clerk-Recorder
TYPE OR PRINT CLEARLY
Project Title
SANTIAGO MAIN ST ENTRANCE
Check Document being Filed:
Environmental Impact Report (EIR)
Mitigated Negative Declaration (MND) or Negative Declaration (ND) Notice of Exemption (NOE)
Other (Please fill in type):
FILED
DEC 2 0 2023
ORANGE COUNTY LERK-RECORDER DEPARTMENT
BY: DEPUTY
FILED IN THE OFFICE OF THE ORANGE
COUNTY CLERK-RECORDER ON December 20, 2023
Posted for 30 days
DEPUTY VANESSA DEVIA MARQUEZ
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MAYOR INTERIM CITY MANAGER
Valerie Amezcua Tom Hatch
MAYOR PRO TEM CITY ATTORNEY
Jessie Lopez Sonia R. Carvalho
COUNCILMEMBERS CLERK OF THE COUNCIL
Phil Bacerra Jennifer L. Hall
Johnathan Ryan Hernandez
David. Penaloza
Thai Viet Phan
Benjamin Vazquez PUBLIC WORKS AGENCY
20 Civic Center Plaza (M-36)
P.O. BOX 1988 • Santa Ana, California 92702
(714) 647-5690 • Fax (714) 647-5823
www.santa-ana.org
NOTICE OF EXEMPTION
From the Requirements of the California Environmental Quality Act (CEQA) Fee Exemption per California Government Code Section 6103 To: COUNTY CLERK From: City of Santa Ana
County of Orange Public Works Agency
P.O. Box 238 20 Civic Center Plaza (M-36)
Santa Ana, CA 92702 Santa Ana, CA 92702
Project Title: Santiago Main St Entrance
Project Number(s): 20-2731
Project Location: Main Street from Edgewood Road to Memory Lane Date enacted on 12/20/23, City: Santa Ana County: Orange ER Number: ER-2023-130 Date of Approval: to be approved on 08/06/24.
Project Description: The construction will include removal and infill of an existing asphalt road and parking lot, and other site improvements that include new bike trail and pedestrian trails, viewing decks, picnic areas, benches, landscaping and irrigation, and park lighting.
Applicant Name: City of Santa Ana, Public Works Agency
Applicant Address: 20 Civic Center Plaza M-36
Santa Ana, CA 92702
Name of Public Agency Approving Project: City Council
Name of Agency Carrying Out Project: Public Works Agency Exempt Status: FILED
Ministerial (Sec. 15268)
Declared Emergency (Sec. 15269 (a)) DEC 2 0 2023
Emergency Project (Sec. 15269 (b through e))
General Rule (Sec. 15061(b)(3)/(5)) ORANGE COUNTY CLERK R RECORDER DEPARTMENT Statutory Exemption: BY: DEPUTY
Categorical Exemption: 15304
Reason(s) Why Project is Exempt From CEQA:
15304 project involves minor alterations to the condition of land and vegetation; project will not involve removal of healthy, mature, scenic trees except for forestry purposes.
City Contact: Suzi Furjanic Title: Park Planning Manager Telephone: (714) 647-4241 Date: 12.20.23
Signature:
SANTA ANA CITY COUNCIL
Valerie Amezcua Jessie Lopez Thai Viet Phan Phil Bacerra Benjamin Vazquez Johnathan Pard Hernandez David Peratoza Mayor Mayor Pro Tem, Ward 3 Ward 1 Ward
[email protected] [email protected]: [email protected] [email protected] [email protected] [email protected] [email protected] CALFOR State of California - Department of Fish and Wildlife , 2023 ENVIRONMENTAL DOCUMENT FILING FEE
CASH RECEIPT
DFW 753.5a (REV. 01/01/23) Previously DFG 753.5a
Print Save
RECEIPT NUMBER:
30 — 12/20/2023 — 1119
STATE CLEARINGHOUSE NUMBER (If applicable)
SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY.
LEAD AGENCY LEADAGENCY EMAIL DATE
CITY OF SANTA ANA PUBLIC WORKS AGENCY 12/20/2023
COUNTY/STATE AGENCY OF FILING DOCUMENT NUMBER
Orange 202385001140
PROJECT TITLE
SANTIAGO MAIN ST ENTRANCE
PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL IPHONE NUMBER
CITY OF SANTA ANA PUBLIC WORKS AGENCY ( )
PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE
20 CIVIC CENTER PLAZA M-36 SANTA ANA CA 92702
PROJECT APPLICANT (Check appropriate box)
[2] Local Public Agency • School District • Other Special District • State Agency • Private Entity CHECK APPLICABLE FEES:
• Environmental Impact Report (EIR) $3,839.25 $ 0.00
• Mitigated/Negative Declaration (MND)(ND) $2,764.00 $ 0.00 • Certifled Regulatory Program (CRP) document - payment due directly to CDFW S1,305.25 $ 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 • County documentary handling fee $
• Other $
PAYMENT METHOD:
• Cash • Credit • Check • Other TOTAL RECEIVED $ 0.00
AGENCY OF FILING PRINTED NAME AND TITLE
ORIGINAL - PROJECT APPLICANT COPY - CDFW/ASB COPY - LEAD AGENCY COPY - COUNTY CLERK DFW 753.5a (Rev. 01/01/2023)