EXHIBIT 5
BIRTH AND DEATH RECORDS
HUGH NGUYEN FICTITIOUS BUSINESS NAMES
CLERK-RECORDER MARRIAGE LICENSES/RECORDS
NOTARY REGISTRATION
ORANGE COUNTY ARCHIVES
PASSPORTS
PROPERTY RECORDS
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA (M-36) P.O. BOX 1988
SANTA ANA, CA 92702
Office of the Orange County Clerk-Recorder
Memorandum
SUBJECT: NOTICE OF EXEMPTION
The attached notice was received, filed and a copy was posted on 12/12/2024 It remained posted for 30 (thirty) days.
Hugh Nguyen
Clerk - Recorder
In and for the County of Orange
By: Melissa Gomez Deputy
Public Resource Code 21092.3
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 Public Resource Code 21152
All notices filed pursuant to this section shall be available for public inspection, and shall be posted *** within 24 ours of receipt in the office of the County Clerk. Each notice shall remain posted for a period of 30 day:
** Thereafter, the clerk shall return thé notice to the local lead agency *** within a notation of the period it wa posted. The local lead agency shall retain the notice for not less than nine months.
Additions or changes by underline; deletions by ***
FAX: (714) 834-2675 OCRECORDER.COM OCARCHIVES.COM
(714) 834-2500
OF Recorded in Official Records, Orange County
JUNTY Hugh Nguyen, Clerk-Recorder
O L NO FEE
* S ROO 15293905$*
202485001076 8:25 am 12/12/24
CALIFORNI 428 Vitindx Z01
0.00 50.00 0.00 0.00 0.00 0.00 0.00 0.00
ORANGE COUNTY
CLERK-RECORDER 30-1211212024-1059
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
BRISTOL-TOLLIVER STREET URBAN GREENING
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 12 2024
HUGH NGUYEN, CLERK-RECORDER
BY: MG _DEPUTY
FILED IN THE OFFICE OF THE ORANGE
COUNTY CLERK-RECORDER ON Decamber 12, 2024
Posted for 30 days
DEPUTY MELISSA GOMEZ
Onling tes a lo tect Determination, please roor to calfon old or outations, Tore , stom 5-..M ...
MAYOR CITY MANAGER
Valerie Amezcua Alvaro Nuñez
MAYOR PRO TEM CITY ATTORNEY
Thai Viet Phan onia R. Carvalh
COUNCILMEMBERS LERK OF THE COUNC
Phil Bacerra Jennifer L. Hall
Johnathan Ryan Hernandez
Jessie 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, CA92702
Project Title: Bristol-Tolliver Street Urban Greening
Project Number(s): 24-6600
Project Location: Bristol St. and Tolliver St.
City: Santa Ana County: Orange ER Number: ER-2024-110 Date of Approval: 03/18/2025 Project Description: The Project features the transformation of vacant, City-owned parcels at the intersection of Bristol Street anc Tolliver Street into a new 1.25-acre community park. This includes drought-tolerant landscaping, shade trees, recreational features, pedestrian pathways, signage, lighting, picnic benches etc.
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: DEC 12 2024
• Ministerial (Sec. 15268)
Declared Emergency (Sec. 15269 (a)) HUGH NGUYEN, CLERK-RECORDER Emergency Project (Sec. 15269 (b through e)) MG.
General Rule (Sec. 15061(b)(3)/(5)) DEPUTY
Statutory Exemption:
Categorical Exemption: 15303 (Class 3), 15304 (Class 4), 15332 (Class 32) Reason(s) Why Project is Exempt From CEQA:
The Project involves development of a new community park which constitutes: construction and location of limited numbers of new, small facilities or structures; minor public alterations in the condition of land, water, and vegetation which do not involve removal of healthy, mature, scenic trees; and an in-fill development project.
City Contact: Gilbert Castillo Title: Senior Engineer Telephone: (714) 647-5647 Signature: the cit Date: 12/11/24
SANTA ANA CITY COUNCIL
Valeria Amezcua Thai Viet Phan Jessle Lopez Johnathan Ryan Hernandez Benjamiar azquez. David Penaloza
Mayor Mayor Pro Tem, Ward 1 Ward 3 Ward 5 Ward 6
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] pyare State of Califomia - Department of Fish and Willife 2024 ENVIRONMENTAL DOCUMENT FILING FEE
CASH RECEIPT
DFW 753.5a (REV. 01/01/23) Previously DFG 753.5a
Print Estarover Save
RECEIPT NUMBER:
30 — 12/12/2024 — 1059
STATE CLEARINGHOUSE NUMBER (If applicabie)
SEE INSTRUCTIONS ON REVERSE. TYPE ORPRINT CLEARLY.
LEAD AGENCY LEADAGENCY EMAIL DATE
CITY OF SANTA ANA 12/12/2024
COUNTY/STATE AGENCY OF FILING DOCUMENT NUMBER
Orange 202485001076
PROJECT TITLE
BRISTOL-TOLLIVER STREET URBAN GREENING
PROJECT APPLICANT NAME ¡PROJECT APPLICANT EMAIL (PHONE NUMBER:
CITY OF SANTA ANA, PUBLIC WORKS AGENCY (714) 647-5647
PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE
20 CIVIC CENTER PLAZA M-36 SANTA ANA CA 92702
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/Negative Declaration (MND)ND) $2,918.75 $ 0.00 • Certified Regulatory Program (CRP) document - payment due directly to CDFW $1,377.25 $ 0.00 I 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:
• Check • Other TOTAL RECEIVED $ 0.00
• Cash • Credit
SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE
Ilgomer MELISSA GOMEZ, DEPUTY
ORIGINAL - PROJECT APPLICANT COPY - CDFWIASB COPY - LEAD AGENCY COPY - COUNTY CLERK DFW 753.5a (Rev. 01/01/2023)