Cities Index.
Exhibit 5

Santa Ana City Council
October 15, 2024

Document
Exhibit 5
Meeting
October 15, 2024
Body
Santa Ana City Council
Original file
100 KB
Text extracted from the city's file for reading and search. Open the original on santa-ana.primegov.com. That file is the official record.

Exhibit 5
Prey sea of colon patente an and water 2024 ENVIRONMENTAL DOCUMENT FILING FEE

CASH RECEIPT
DFW 753.5a (REV. 01/01/23) Previously DFG 753.5a
sprint Stanover
RECEIPT NUMBER:
30 — 09/05/2024 — 0771
STATE CLEARINGHOUSE NUMBER (if applicable)
SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY.

LEAD AGENCY LEADAGENCY EMAIL DATE
CITY OF SANTA ANA 09/05/2024

COUNTY/STATE AGENCY OF FILING DOCUMENT NUMBER
Orange 202485000782

PROJECT TITLE

MEMORIAL PARK AQUATICS CENTER

PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL PHONE NUMBER CITY OF SANTA ANA, PUBLIC WORKS AGENCY (714) 571-4241

PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE
20 CIVIC CENTER PLAZA (M-36) SANTA ANA CA 192702
PROJECT APPLICANT (Check appropriate box)
[ Local Public Agency • School District • Other Special District • State Agency • Private Entity CHECK APPLICABLE FEES:
• Environmental Impact Report (EIR) $4,051.25 $ 0.00
• Mitigated/Negalive Declaration (MND)(ND) $2,916.75 $ 0.00 • Certified Regulatory Program (CRP) document - payment due directy to CDFW $1,377.25 $ 0.00 • Exempt from fee
• Notice of Exemption (attach)
• CDFW No Effect Determination (attach)
• Fee previously pald (atlach 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

SIGNATURE AGENCY OF FILING PRINTED NAME AND YITLE

X CARINA HERRERA, DEPUTY
ORIGINAL - PROJECT APPLICANT COPY -COWASS COPY - LEAD AGENCY COPY - COUNTY CLERK DFW 783.6n (Rev. 01/01/2023) COUNTY ORANGE 30-09105-2024-0771
Recorded in Official Records, Orange County
Hugh Nguyen, Clerk-Recorder
NO FEE

CALTFORNE
* $ R 001 5135 4 0 25*
ORANGE COUNTY 202485000782 10:05 am 09/05/24
CLERK-RECORDER 477 Vitindx Z01
CEQA FILING COVER SHEET 0,00 50.00 0.00 0.00 0.00 0.00 0.00 0.00 Complete and attach this form to each CEQA Notice liled with the County Clerk-Recorder

TYPE OR PRINT CLEARLY
Project Title

MEMORIAL PARK AQUATICS CENTER
Check Document being Flled:

Environmental Impact Report (EIR)
Mitigated Negative Declaration (MND) or Negative Declaration (ND) ) Notice of Exemption (NOE)
Other (Please fill in type):

FILED
SEP 05 2024

ORANGE COUNTY CLERK-RECORDER DEPARTMENT
BY:_ C.H DEPUTY

FILED IN THE OFFICE OF THE ORANGE
COUNTY CLERK-RECORDER ON Sopiembor 5, 2024
Posted for 30 _ days

DEPUTY CARINA HERRERA
iling fees are due at the time a Notice of Determination/Exemption Is flled with our office. For more Informatio n filing fees and No Effect Determinations, please refer to Callfornia Code of Regulations, Title 14, secton 763.!

MAYOR CITY MANAGER
Valerle Amezcua Aivaro Nuñez

MAYOR PRO TEM CITY ATTORNEY
Thai Vlet Phan Sonia R. Carvalho

COUNCILMEMBERS CLERK OF THE COUNCIL
Phil Bacerra Jennifer L. Hall
Johnathan Ryan Hemandez
Jessle Lopez
David Penaloza
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: Memorial Park Aquatlcs Center
Project Number(s): 22-1415
Project Location: Flower St from West St Gertrude Pl to West Anahurst Pl. Date enacted on 09/04/24, City: Santa Ana County: Orange ER Number: ER-2024-83 Date of Approval: 1o be approved on 10/15/24.

Project Description: The construction will include removal of an existing aquatic center & pool. Park improvements include a new aquatic center, two swimming pools (recreational & competition) & pool deck with seating areas, Additional improvements will include exterior lighting, cameras, landscape, irrigation & site furnish 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 FILED Exempt Status:
• Ministerial (Sec. 15268) SEP 05 2024
Declared Emergency (Sec. 15269 (a))
Emergency Project (Sec. 15269 (b through e)) ORANGE COUNTY CLERK-RECORDER DEPARTMENT General Rule (Sec. 15061(b)(3)(5)) BY: C.H _DEPUTY
Statutory Exemption:
/ Categorical Exemption: 15302
Reason(s) Why Project is Exempt From CEQA:
15302 consists of replacement or reconstruction of existing structures and fallities where the new structure will be located on the same site as the structure replaced and will have substantially the same purpose and capacity as the structure replaced.

City Contact: Suzi Furjanic Title: Park Design Manager Telephone: (714) 571-4241 Signature: Furgame Date: 9.4.24

SANTA ANA CITY COUNCIL
Valorta Annezcua Thai Viet Phan Jessie Lopez Bandma argues Phil Bacerra David analone Mayor Pro Tem, Ward 1 Ward 3 Ward 4 | Johnathan Rard Hermandez. [email protected] [email protected] [email protected] [email protected]@[email protected]/[email protected]@santa-ana.or

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