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t State of California—Natural Resources Agency <br />CALIFORNIA DEPARTMENT OFFISH AND WILDLIFE <br />2015 ENVIRONMENTAL FILING FEE CASH RECEIPT <br />RECEIPT# <br />30.2015 02D3 <br />LEADAGENCY <br />CITY OF SANTA ANA <br />Orange <br />WALNUT PUMP STATION IMPROVEMENTS PROJECT (PROJECT NO 11-6412) <br />CITY OF SANTA ANA PUBLIC WORKS <br />20 CIVIC CENTER PLAZA <br />I IH I UL6 PJINI MVUDCF(I(appll.M) <br />N/A <br />DATE <br />03/16/2015 <br />DOCUMENTNUMBE <br />201585000212 <br />PHONENUMBER <br />( 714 ) 647-3321 <br />SANTAANA I CA 192701 <br />Q Local Public Agency 0 School District E] Other Special District [:] State Agency [] Private Entity <br />CHECK APPLICABLE FEES: <br />[ Environmental Impact Report (EIR) <br />Q Mitigated/Negative Declaration (MND)(ND) <br />I7 Application Fee Water Diversion (State Water Resources Control Board only) <br />Q Projects Subject to Certified Regulatory Programs (CRP) <br />n County Administrative Fee <br />F1 Project that is exempt from fees <br />n Notice of Exemption (attach) <br />0 CDFW No Effect Determination (attach) <br />n Other <br />PAYMENTMETHOB; <br />Cash Credit MCheck r.10ther <br />$3,069.75 <br />$ <br />0.00 <br />$2.210.00 <br />$- <br />2,210.00 <br />$850.00 <br />$ <br />0.00 <br />$1,043.75 <br />$ <br />0.00 <br />$50.00 <br />$ <br />0b0 <br />TOTALRECEIVED $ 2.210.00 <br />PRISCILLA DIAZ, DEPUTY <br />ORIGINAL -PROJECT APPLICANT COPY-COMIASB COPY,LEADAGENCY COPY - COUNTY CLERK DEG 753.5a (Rev, 11114) <br />