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State of California - Department of Fish and Wildlife NOTIFICATION OF LAKE OR STREAMBED ALTERATION FISH AND GAME CODE SECTION 1602 DFW 2023 (REV. 01101118) Page 8 13. PERMITS List any local, State, and federal permits required for the project and check the corresponding box(es). Enclose a co70f each permit that has been issued. A. CWA Section 404 Non Reporting NWP (#6 Survey Activities) ❑Applied Q Issued B. CWA Section 401 Certification (Pre -Certified 401, Notice of Applicability) DApplied El Issued C. USFWS and NMFS FESA Section 7 Letter of Concurrence B Applied ❑Issued D. Unknown whether ❑local, ❑State, or ❑federal permit is needed for the project. (Check each box that applies) El Continued on additional 14. ENVIRONMENTAL REVIEW A. Has a draft or final document been prepared for the project pursuant to the California Environmental Quality Act (CEQA) and/or National Environmental Protection Act (NEPA)? ❑Yes (Check the box for each CEQA or NEPA document that has been prepared and enclose a copy of each.) []No (Check the box for each CEQA or NEPA document listed below that will be or is being prepared.) QNotice of Exemption Study ❑Initial Stud ❑Negative Declaration ❑THP/ NTMP ❑ Mitigated Negative Declaration ❑Environmental Impact Report ❑Notice of Determination (Enclose) ❑Mitigation, Monitoring, Reporting Plan ❑NEPA document (type): Cat Ex. B. State Clearinghouse Number (if applicable) C. Has a CEQA lead agency been determined?Yes (Complete boxes D, E, and F) []No (Skip to box 14.G) D. CEQA Lead AgencyCalifornia Department of Transportation (Caltrans) E. Contact Person Andrew Chan, Caltrans Environmental Planner F. Telephone Number 209-948-7879 G. if the project described in this notification is not the "whole project" or action pursuant to CEQA, briefly describe the entire project Cal. Code Re s., tit. 14, § 15378). The entire project is described in this notification. ❑Continued on additional page(s) H. Has a CEQA filing fee been paid pursuant to Fish and Game Code section 711.4? El Yes (Enclose proof of payment) []No (Briefly explain below the reason a CEQA filing fee has not been paid) Note: if a CEQA filing fee is required, the Lake or Streambed Alteration Agreement may not be finalized until paid.