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/0 -2r/5—033AR <br /> A SAN FRANCISCO BAY AREA <br /> � 30INT AQUATIC RESOURCE PERMIT APPLICATION <br /> • / o32&3 ? ' 2,763,7-5- <br /> • <br /> 6 3,7_3_ f& cdt <br /> This form is for use in San Francisco, Contra Costa, Alameda Counties, Marin <br /> County (except Estero San Antonio watershed), San Mateo County(except Gazos <br /> Creek Watershed), and the portions of the following counties that drain to San <br /> Francisco Bay: Sonoma, Napa, Solano, Santa Clara <br /> Please consult JARPA Instructions before completing the form <br /> Copies of this form are being submitted to the following agencies: <br /> Agency Contact Phone Type of Application/ Status <br /> Application Permit# <br /> ESan Francisco Bay Brian Wines 510-622-5680 CWA Section Select One <br /> Regional Water Quality 401 Water Quality <br /> Control Board (RWQCB) Certification <br /> ® US Army Corps of Katerina 415-503-6765 CWA Section 404 File No.2013283 P3D <br /> Engineers(Corps) Galacatos Nationwide Permit Pending <br /> 42 Verification <br /> -7CA Dept of Fish and Scott Wilson 707-944-5500 DFG Section 1602 — Soled One <br /> Game(DFG) Lake and <br /> Streambed <br /> Alteration <br /> Agreement <br /> EUS Environmental Select One <br /> Protection Agency(EPA) <br /> NUS Fish and Wildlife As suggested by Select One <br /> Service (FWS) US EPA for Sec.7 <br /> consultation <br /> []National Marine i Select One <br /> Fisheries Service(NMFS) <br /> ❑US Coast Guard Select one <br /> ❑San Francisco Bay Select One Select One <br /> Conservation and <br /> Development Commission <br /> (BCDC) <br /> FICA Lands Commission Select One Select One <br /> [Federal Funding Select One <br /> Agency <br /> NI Lead Local Agency Adam Weinstein 925-931.5606 CEQA Select One <br /> ❑ Other Local Agency - Local Permit Select One <br /> Select One <br /> Local Permit Other Local Agency � <br /> Page 1 <br /> For the most recent version of the form in Micreso`l Word,vigil i+1 tp_Uiarna.abaq.ca.eov. Or contact Jennifer Krebs,510-622-2315 <br /> Version 1106 <br /> 1 <br />