EXHIBIT 4
Recorded in Official Records, Orange County
Hugh Nguyen, Clerk-Recorder
ORANGE NO FEE
* 5R0015306833*
202485001102 10:30 am 12/19/24
428 Vitindx Z01
CALFORNIA 0.00 50.00 0.00 0.00 0.00 0.00 0.00 0.00
ORANGE COUNTY
CLERK-RECORDER 30-1211912024-1085
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
CIVIC CENTER REHABILITATION SHELTON TO FLOWER
Check Document being Filed:
• Environmental impact Report (EIR)
• Mitigated Negative Declaration (MND) or Negative Declaration (ND) • Notice of Exemption (NOE)
Other (Please fil in type):
FILED
DEC 19 2024
HUGH NGUYEN, CLERK-RECORDER
• BY: _MG. _DEPUTY
FILED IN THE OFFICE OF THE ORANGE
COUNTY CLERK-RECORDER ON Decomber 10, 2024
Posted for 30 days
DEPUTY MELISSA GOMEZ
Filing fees are due at the time a Notice of Determination/Exemption Is filed with our office. For more Information on fillng fees and No Effect Determinations, please refer to California Code of Regulations, Title 14, section 753,5.
MAYOR CITY MANAGER
Valerie Amezcua Alvaro Nuñez
MAYOR PRO TEM CITY ATTORNEY
Thai Viet Phan Sonla R. Carvalho
COUNCILMEMBERS CLERK OF THE COUNCIL
Jennifer L. Hall
PUBLIC WORKS AGENCY
20 Civic Center Plaza (M-36)
P.O. BOX 1988 • Santa Ana, Califomia 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: Civic Center Rehabilitation Shelton to Flower Project Number(s): 25-6711
Project Location: Civic Center Rehabilitation from Shelton to Flower in the City of Santa Ana City: Santa Ana County: Orange ER Number: ER-2024-114 Date of Approval: 07/16/2024 Project Description: Reconstruction/resurfacing of asphalt concrete pavement. Portland cement concrete pavement, sidewalk, curb & gutter, cross gutter, and curb ramp repairs. Traffic Improvements include traffic loops and striping.
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) DEC 19 2024
Declared Emergency (Sec. 15269 (a))
Emergency Project (Sec. 15269 (b through e)) HUGH NGUYEN, CLERK-RECORDER General Rule (Sec. 15061(b)(3)/(5)) BY:_ M.G. _DEPUTY
• Statutory Exemption:
• Categorical Exemption: 15301(c)
Reason(s) Why Project Is Exempt From CEQA:
15301(c) consists of existing streets, sidewalks, gutters, bicycle trials, and similar facilties.
City Contact: Alexandru Bangean Title: Senior Civil Engineer Telephone: (714) 647-5665 Signature: f Date: 12/17/2024
SANTA ANA CITY COUNCIL
Valerie Amazcua Thai Viet Phan Jessle Lopez Benjamin Vazquez Phil Bacora Johnathan Ryan Hernandez David Penaloza Mayor Mayor Pro Tem, Ward 1 Ward 3 Ward 2 Ward 4 Ward 5 Ward 6 [email protected] ([email protected] [email protected] [email protected] [email protected] [email protected] [email protected] yag State of California - Department of Fish and Willife 2024 ENVIRONMENTAL DOCUMENT FILING FEE
CASH RECEIPT
DFW 753.5a (REV. 01/01/23) Previously DFG 753.5a
Print Startowar FiSave
RECEIPT NUMBER:
30 — 12/19/2024 — 1085
STATE CLEARINGHOUSE NUMBER (If applicable)
SEE INSTRUCTIONS ON REVERSE, TYPE OR PRINT CLEARLY.
LEAD AGENCY LEADAGENCY EMAIL DATE
CITY OF SANTA ANA 12/19/2024
COUNTY/STATE AGENCY OF FILING DOCUMENT NUMBER
Orange 202485001102
PROJECT TITLE
CIVIC CENTER REHABILITATION SHELTON TO FLOWER
PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL PHONE NUMBER CITY OF SANTA ANA, PUBLIC WORKS AGENCY (714) 647-5665
PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE
20 CIVIC CENTER PLAZA M-36 SANTA ANA CA 92702
PROJECT APPLICANT (Check appropriate box)
L2 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/Negative Declaration (MND)(ND) $2,916.75 $ 0.00 • Certifed Regulatory Program (CRP) document - payment due directly to CDFW $1,377.25 $ 0.00 • Exempt from fee
•E Notice of Exemption (altach)
• CDFW No Effect Delerminalion (attach)
• Fee previously paid (attach previously issued cash recept 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 TITLE
elones MELISSA GOMEZ, DEPUTY
ORIGINAL - PROJECT APPLICANT COPY - CDEWIASE COPY - LEAD AGENCY COPY - COUNTY CLERK DFW 753.5n (Rev, 01/01/2023)