RES 74133 - Laserfiche WebLink

4110 4110 • NOTICE OF INTENT Append ixEE�-7D7 NOTIFY BOTH/ D-1 I T1:19 FORM SERVES AS THC NOTICE OF COMPLETION UNDER THE CALIFORNIA LJ STATE CLEARINGHOUSE ❑METROPOLITAN CLEARINGHOUSE OFFICE OF THE GOVERNOR ENVIRONMENTAL QUALITY ACT IF A REVIEW IS REQUIRED AT THE STATE LEVEL ON THE ENVIRONMENTAL IMPACT REPORT OR NEGATIVE DECLARATION. OFFICE OF PLANNING ANTI RESEARCH 1400 10TH STREET 1 I SAERAMCNTO. CALIFORNI• 65814 1, (916) 445-0813 STATE OF CALIFORNIA FORM ova-I 111-731 STATE CLEARINGHOUSE NUMBER (SCH. NO) 11-8) TRANSACTION (91 SEE INSTRUCTIONS ON REVERSE SIDE - II SPONSOR (OR AGENCY RESPONSIBLE FOR REPORT/ (12-45) !DIVISION 146-74) ()ATE THIS FORM SUBMITTED (7S-80■ 01 Mo. GAY Y(AR 02 PROJECT TITLE 112-]1) AGENCY ACTION OATE Is rINStll'S-HU, 03 ADDRESS 112-45) CITY (46-601 (COUNTY (61-751 O OA IIP CODE .76-al, I 04 CONTACT PERSON 112-36) !TITLE 137-651 }AREA CODE (66.681 PHONE 169-751 EFI. I76-001 05 112-71) PROJECT DESCRIPTION OF NATURE, PURPOSE, OENEFICIARIE9 ON THESE S LINES CAPSULIZE 3`Ic 112 71) PROJECT DESCRIPTION. YOU ARE 06 ENCOURAGED TO ATTACH ADDITION- AL INFORMATION ON THE PROJECT 07 112-711 FOR THE BENEFIT OF THE.REVIEW- ' _ — ER. IF YOU DO. THE STATE CLEF-F 08 112-711 INGHOUSE WILL NEED 25 CGPIE`, OF ANY ATTACHMENTS. PLEAE 112.71) CHECK WITH THE METROPOLITAN 09 CLEARINGHOUSE FOR THEIR SOS- 10 71) MISSION REQUIREMENTS. I 11 PROJECT LOCATION CITY (12.451 PROJECT LOCATION COUNTY 146-791 (48-56) I57-661 `- FEDERAL FUNDS MATCHING FUNDS OTHER 12 8RANT 1(2.20) OTHER (21.29) STATE (30.38) IDEAL 139-471 NON-FEDERAL FUNDS TOTAL FUNDS 13, SOURCE OF OTHER FEDERAL FUNDS (12.34) FED. CATALOG NO. SOURCE OF STATE PLATEN 135-57) !SOURCE OF OTHER NON-FER. luN05,154.90', 14 /FLINGING AGENCY PROGRAM TITLE 112-801 FEDERAL CATALOG NUM9EP 1 15' FUNDING AGENCY NAME 112.451 ISUB-AGENCY 146-791 CONGRESSIONAL DISTRICT SENATE DISTRICT ASSEMBLY DISTRICT STATE. COUNT V- MUTT 16 WIDE WIDE COUP 12.13 14-15 10.17 18.19 20.21 22-23 24-25 26-27 2649 30-31 32-33 34.35 34.37 38-39 40-41142-43144.45 45-47 48.4L 50.51 52 53 54 •5 SN G 00 = 0 O II . TYPE OF ,ACTION: PROJECT SUBJECT TO REVIEW UNDER: IF PROJECT IS PHYSICAL IN NATURE OR REOWRES AN (CHEER AS MANY AS APPROPRIATE) ENVIRONMENTAL DOCUMENT. LIST THE u.S. GEOLOGICAL :112 NEW SURVEY OUAORANG LE MAP IN WHICH THE PROLE(I IS ❑ 58 U.S. OFFICE OF MANAGEMENT AND 900GET LOCATED. 13 13 MODIFICATION IN CURRENT CIRCULAR A•95 1 - GRANT -CUR. SCN. NO. • ' • ❑22 CONTINUATION GRANT 114-21/114 - ❑ 59 MODEL CITIES PLANNED VARIATION 2. SCH.NO.FROM PRE. R. 3. ' 123-301 ❑ 60 NATIONAL ENVIRONMENTAL POLICY ACT 4. Il 17. 0 3 APPL IC AT IONL IF A PPE ❑ 61 CALIFORNIA ENVIRONMENTAL QUALITY ACT S. _ -PRE. SCH. NO. 132-391 ❑ 62 SUBDIVISION REVIEW (SECTION 11550.1 OF REOUE STCO FUND START BUSINESS A PROFESSIONS CODE/ DOES YOUR AGENCY HAVE A CIVIL RIGHTS AFFIRMATIVE (40.451 MON -DAY • YEAR ACTION POLICY AND PLAN' FUNDS DURATION NOS. ❑ 63 STATE ADMINISTRATIVE MANUAL (SEC. 09111 YES ❑ 67 NO 0 6 — (3 64 HEALTH RELATED (SEC. 437,5 OF HEALTH EST. PROJECT START 146.481 AND SAFETY COOEI WILL THE PROJECT REQUIRE RELOCATION' 149-541 MON • DAY- YEAR EST. PROJECT DURATION MOS. ❑ 65 LEASE OF STATE LANDS 1 (55.571 [3 66 OTHER: YES (3 h9 NO ❑]0 15 ENVIRONMENTAL DOCUMENT REVIEW REQUIRED? YES 012 NO 0 1 I F YES - IF NO - ' 1O ❑ 14 ENVIRONMENTAL IMPACT STATEMENT (REPORT) ATTAC NED ❑15 DRAFT EIR ❑ 16 FINAL EIR 25 FEDERAL PROGRAM DQCS NOT PEQUIRE AN ENVIRONMENTAL D?:JMEI, O 26 PROJECT EXEMPT UNDER STATE CATEGOR(CAL C xC U RI ION. 9 C17 NEGATIVE DECLARATION ATTACHED LASS 16 NONE ATTACHED - DOCUMENT WILL BE FORWARDED ON 121-28) APPROXIMATELY t uMON DAY YEAR 119-241 - LIST LOCAL COURTr WIDE, REGIONAL. STATE OR FEDERAL AGENCIES WITH WHICH COORO INATION HAS BEEN ESTABLISHED. 19'