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State of California - Deparh,,. nt of Fish and Wildlife <br />2014 ENVIRONMENTAL FILING FEE CASH RECEIPT <br />DFW 753.5a (Rev. 09/13) <br />A <br />RECEIPT# <br />1r l e v., d17 7tf tY ,rte <br />PR J-2CT A LI ANT Checl< <br />I <br />la A-11 <br />app opnote cox):-- <br />❑. Local Public Agency ❑ School District ❑ Other Special District <br />❑ State Agency__ <br />❑ Pfivate L.ntity <br />ChIECKAPPLICA6LE FEES: <br />_ <br />-- -- <br />❑ Environmental impact Report (EIR) <br />$3,029.75 $ <br />Mitigated /Negative Declaration(MND)(ND) <br />$2,181.25 $ <br />❑ Application Fee Water Diversion (State Water Resources Control Board only) <br />$850.00 $ <br />_ <br />❑, Projects Subject to Certified Regulatory Programs (CRP) <br />$1,030.25 $ <br />County Administrative Pee <br />$50.00 $ <br />Project that is exempt from fees <br />_ <br />Notice of Exempllon (attach) <br />- <br />CDFW No Effect Determination (attach) <br />❑ Other _ <br />$ <br />PAYMENT METHOD: <br />L] Cash ❑ Cmdlt ❑ Check ❑ Other <br />TOTAIRECEIVED S <br />WHITE - PROJECTNPPLICANT YELLOW- CDPWIAea PINK- LEADAGENCY G01DENR6D- G0DNIYGLERK <br />