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Santa Clara County Clerk- Recorder's Office
"County State of Californiaty of Santa Clara oUN
Office of the County Clerk -Recorder• ���\� I I�%�°+
Document No.: 15175
Business .Division Number of Pages:
Filed and Posted On: 10/30/2008
County Government Center ��TA c��'.L1�3�7 Through: - 11/29/2008
70 West Hedding Street, E. Wing, 1' Floor CRO Order Number: 146741
San Jose, California 95110 (408) 299-5665 Fee Total: 50.00
REGINA ALCOMENDRAS, County Clerk- Recorder
CEQA DOCUMENT DECLARATION by Veronica Aguirre, Deputy Clerk -Recorder,
ENVIRONMENTAL FILING FEE RECEIPT
PLEASE COMPLETE THE FOLLOWING:
1. LEAD AGENCY: City of Cupertino
2. PROJECT TITLE: DIR-2008-29
3. APPLICANT NAME: Michelle Doyle (Conoco Phillips) PHONE: 408.777.3308
4. APPLICANT ADDRESS: 21855 Homestead Road
5. PROJECT APPLICANT IS A: ❑ Local Public Agency ❑ School District ❑ Other Special District ❑State Agency
O Private Entity
6. NOTICE TO BE POSTED FOR 30 DAYS.
7. CLASSIFICATION OF ENVIRONMENTAL DOCUMENT
a. PROJECT THAT IS SUBJECT TO DFG FEES
❑ ,1. ENVIRONMENTAL IMPACT REPORT (PUBLIC RESOURCES,CODE §21152) $ 2,606.75
$ 0.00
❑ 2. NEGATIVE DECLARATION (PUBLIC RESOURCES CODE §21080(C) $ 1,876.75
$ 0.00
❑ 3. APPLICATION FEE WATER DIVERSION (STATE WATER RESOURCES CONTROL BOARD ONLY) $ 886.25
$ 0.00
❑ 4. PROJECTS SUBJECT TO CERTIFIED REGULATORY PROGRAMS $ 886.25
$ 0.00
❑ 5. COUNTY ADMINISTRATIVE FEE (REQUIRED FOR a_1 THROUGH as=4 ABOVE) $ 50.00
$ 0.00
Fish & Game Code §711.4(e)
b. PROJECT THAT IS EXEMPT FROM DFG FEES
ED 1. NOTICE OF EXEMPTION ($50.00 COUNTY ADMINISTRATIVE FEE REQUIRED) $ 50.00
$ 50.00
❑ 2. A COMPLETED "CEQA FILING FEE NO EFFECT DETERMINATION FORM" FROM THE DEPARTMENT
OF FISH & GAME, DOCUMENTING THE DFG'S DETERMINATION THAT THE PROJECT WILL HAVE NO
EFFECT ON FISH, WILDLIFE AND HABITAT, OR AN OFFICIAL, DATED RECEIPT I PROOF OF PAYMENT
SHOWING PREVIOUS PAYMENT OF THE DFG FILING FEE FOR THE *SAME PROJECT IS ATTACHED
($50.00 COUNTY ADMINISTRATIVE FEE REQUIRED)
DOCUMENT TYPE: ❑ ENVIRONMENTAL IMPACT REPORT ❑ NEGATIVE DECLARATION $ 50.00
$ 0.00
c. FILING THAT IS NOT SUBJECT TO DFG OR COUNTY ADMINISTRATIVE FEES
• ❑ NOTICE OF PREPARATION
8. OTHER: FEE (IF APPLICABLE):
$
9. TOTAL RECEIVED.........................................................................................................................................
$ 50.00
*NOTE: "SAME PROJECT MEANS NO CHANGES. IF THE DOCUMENT SUBMITTED IS NOT THE SAME (OTHER THAN DATES), A -NO EFFECT
DETERMINATION" LETTER FROM THE DEPARTMENT OF FISH AND GAME FOR THE SUBSEQUENT FILING OR THE APPROPRIATE FEES ARE
REQUIRED.
THIS FORM MUST BE COMPLETED AND ATTACHED TO THE FRONT OF ALL CEQA DOCUMENTS LISTED ABOVE (INCLUDING COPIES)
SUBMITTED FOR FILING. WE WILL NEED AN ORIGINAL (WET SIGNATURE) AND TWO COPIES. INCLUDE THIRD COPY IF YOU REQUIRE
AN ENDORSED COPY FOR YOUR RECORDS.
CHECKS FOR ALL FEES SHOULD BE MADE PAYABLE TO: SANTA CLARA COUNTY CLERK -RECORDER
PLEASE NOTE: FEES ARE ANNUALLY ADJUSTED (Fish & Game Code §711.4(b); PLEASE CHECK WITH THIS OFFICE AND THE DEPARTMENT
OF FISH AND GAME FOR THE LATEST FEE INFORMATION.
"...NO PROJECT SHALL BE OPERATIVE, VESTED, OR FINAL, NOR SHALL LOCAL GOVERNMENT PERMITS FOR THE PROJECT BE VALID,
UNTIL THE FILING FEES REQUIRED PURSUANT TO THIS SECTION ARE PAID." Fish & Game Code §711.4(c)(3)
09-09-2008
File#: 15175 1013012008
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014
Notice of Exemption
To: County Clerk -Recorder
70 W. Hedding Street, 1St Floor
East Wing—Business Division
San Jose, CA 95110
Project Title: DIR-2008-29
Project Location - (be specific): 21855 Homestead Road
Project Location - (City): Cupertino Project Location - (County): Santa Clara
Description of Project: Director's Minor Modification for an air cleaner tank for gasoline at an
existing, service station.
Name of Public Agency approving project:
Name of Person or Agency carrying out project: Michelle Doyle (Conoco Phillips)
Exempt Status: (check one)
—Ministerial (Sec. 21080(b)(1); 15268);
—Declared Emergency (Sec. 21080(b)(3); 15269(a));
—Emergency Project (Sec. 21080(b)(4); 15269(b)(c));
x Categorical Exemption. State type and section number: 15301 –Existing Facilites
_Statutory Exemption. State code number:
Reasons why project is exempt:
meet California Air Resoi
Lead Agency
Contact Person Colin Jun
Signature: T -1
S4
involves the erect
Area code/telephone number (408) 777-3257
Date: October 16, 2008 Title: Senior Planner
G: IPlanninglERCLExempt12008exemptldir200829. doc
Reference: ConocoPhillips EVR Submittal
21855 Homestead Road
Copies
Doc Date
Pages
Description
1
6/20/08
Transmittal
Check No. 303943
Stantec Consulting Inc.
Planning Fee $1,297.00
6020 West Oaks Boulevard Suite 200
3
Rocklin CA 95765
Tel: (9 16) 824-0910
Fax: (916) 824-0929
Stantec
To: Colin Jung
From:
Michelle Doyle
Company: City of Cupertino
❑
For Your Information
Address: 10300 Toree Avenue
❑
For Your Approval
Cupertino, CA 95014
❑
For Your Review
Phone:
EI
As Requested
Date: August 20, 2008
File: 2008268106
Delivery: Golden State Overnight
Reference: ConocoPhillips EVR Submittal
21855 Homestead Road
Copies
Doc Date
Pages
Description
1
6/20/08
1
Check No. 303943
Planning Fee $1,297.00
2 sets
3
11 x 17 submittal plans
S ANTEC C SULTING INC.
Michelle Doy
Project Coo dinat r
Tel: (916) 824- 10
Fax: (916) 824-09
michelle.doyle@stantec.com
One Team. Infinite Solutions.
m f:lproject\00-tracking\roseville\conocophillips\evr\transmittals\cupeilino ping tmtl 8-20-08.doc