EXHIBIT 5
OF
LUNA
30-061271 2025-0483
U
202585000622
FILED
1. 6
CALIFORAT June 27, 2025
HUGH NGUYEN
ORANGE COUNTY CLERK - RECORDER
CLERK-RECORDER
CEQA FILING COVER SHEET By Deputy clerk
Complete and attach this form to each CEQA Notice filed with the County Clerk-Recorder
TYPE OR PRINT CLEARLY
Project Title
;
MAIN STREET REHABILITATION
Check Document being Filed:
Environmental Impact Report (EIR)
Mitigated Negative Declaration (MND) or Negative Declaration (ND) V Notice of Exemption (NOE)
Other (Please fill in type):
FILED IN THE OFFICE OF THE ORANGE
COUNTY CLERK-RECORDER ON 06/27/2025
Posted 06/27/2025 Removed
Returned to agency on.
DEPUTY 483
iling fees are due at the time a Notice of DetermInation/Exemption is filed with our office. For more Informatlo n filing fees and No Effect Determinations, please refer to California Code of Regulations, Title 14, sectlon 753.
MAYOR CITY MANAGER
Valerie Amezcua Alvaro Nunez
MAYOR PRO TEM CITY ATTORNEY
COUNCILMEMBERS Sonia R. Carvalho
CLERK OF THE COUNCIL
Jennifer L. Hall
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) 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: Main Street Rehabilitation
Project Number(s): 20-6959
Project Location: Main Street (Memory Lane to North City Limits) andBedford Rd & Mainplace Dr City: Santa Ana County: Orange ER Number: ER-2025-58 Date of Approval: 05/24/2019 Project Description: Application of slurry seal, crack seal, and minor pavement resurfacing with asphalt concrete. The work also includes replacement/installation of missing or damaged curbs, gutters, sidewalk, driveway approaches wheelchair ramps, 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 Exempt Status:
• Ministerial (Sec. 15268)
Declared Emergency (Sec. 15269 (a)) FILED
• Emergency Project (Sec. 15269 (b through e))
• General Rule (Sec. 15061(b)(3)/(5))
JUN 27 2025
Statutory Exemption:
• Categorical Exemption: 15301(b) HUGH NGUYEN, CLERK-RECORDER Reason(s) Why Project is Exempt From CEQA: KD _DEPUTY
15301(b) consists of repair/maintanance of existing public facilities. BY:_ City Contact: Samantha Chenelia Title: Assistant Engineer Telephone: (714) 647-5033 Signature: Date: 66/27/25
CAuFoR State of California - Department of Fish and Wildlife i 2025 ENVIRONMENTAL DOCUMENT FILING FEE
CASH RECEIPT
DFW 753.5a (REV. 01/01/25) Previously DFG 753.5a
Print Save
RECEIPT NUMBER:
30-06/27/2025-0483
STATE CLEARINGHOUSE NUMBER (If applicable)
SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY.
LEAD AGENCY LEAD AGENCY EMAIL DATE
CITY OF SANTA ANA 06/27/2025
COUNTY/STATE AGENCY OF FILING DOCUMENT NUMBER
ORANGE COUNTY 202585000622
PROJECT TITLE
MAIN STREET REHABILITATION
PROJECT APPLICANT NAME [PROJECT APPLICANT EMAIL PHONE NUMBER CITY OF SANTA ANA (714) 647-5033
PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE
20 CIVIC CENTER PLAZA M-36 SANTA ANA CA 92702
PROJECT APPLICANT (Check appropriate box)
X Local Public Agency • School District • Other Special District • State Agency • Private Entity CHECK APPLICABLE FEES:
• Environmental Impact Report (EIR) $ 4,123.50 $
• Mitigated/Negative Declaration (MND)(ND) $ 2,968.75 $ • Certified Regulatory Program (CRP) document - payment due directly to CDFW $ 1,401.75 s * Exempt from fee
* Notice of Exemption (attach)
• CDFW No Effect Deterination (attach)
• Fee previously paid (attach previously issued cash receipt copy) • Water Right Application or Petition Fee (State Water Resources Control Board only) $ 850.00$ • County documentary handling fee $ 50.00 $
• Other $
PAYMENT METHOD:
• Cash D Credit • Check • Other TOTAL RECEIVED $ 0.00
SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE
X Kalci Da Deputy Clerk
ORIGINAL - PROJECT APPLICANT COPY - CDFWIASB COPY - LEAD AGENCY COPY - COUNTY CLERK DFW 753.6a (Rev. 01012025)