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~� SAN JOADUINUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL. LTH ^S01D <br /> Ik NON—LOP SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS f/ CJ L .. 4� LEAD AGENCY 7 <br /> SITE CODE PROG/ELEMENT 2� J�� ! BILLING CODE ASSIGNED TO y J <br /> TITLE OF SUBMITTAL: TYPE CODE <br /> r <br /> a DATE RECEIVED DATE ON SUBMITTAL g f / OT REQUEST OT REQUEST DATE <br /> i PERMIT FEE PD CK #/CASH DATE REVIEW FEE CK #/CASH DATE STAFF R€VIEW DUE: <br /> OT SCHEDULED:',t <br /> $ $2— A2— v OT COMPLETED:'� <br />+ ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> a <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE�g� 4-) I� PAR DUE <br /> � I <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> 1 <br /> i <br /> PERMIT ISSUEDW / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> [WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> a <br /> FOR AGENCY USE ONLY <br /> 5 SITE MITIGATION PROGRAM FEE BASE MINIMUM HOURS MINIMUM AMOUNT RECEIVED DATE RECEIPT AMOUNT <br /> r SCHEDULE FEE FOR SERVICE FEE RECEIVED 8Y # DUE <br /> r <br /> i UGT CORRECTIVE ACTION OVERSIGHT (CAP) $53.00/ <br /> is <br /> HOUR 5 HOURS $265.00 <br /> HAZARDOUS MATERIAL TRANSMISSION $53.00/ <br /> PIPELINE ASSESSMENT OVERSIGHT HOUR 5 HOURS $265.00 <br /> ENVIRONMENTAL ASSESSMENT WORKPLN/ $53.00/ <br /> f REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> I <br /> i OTHER GOVERNMENT AGENCY OVERSIGHT $53.00/ <br /> ` WORKPLAN/REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> i <br /> BASE AMOUNT RECEIVED DATE PERMIT ISSUANCE <br /> PERMIT ACTIVITY FEES FEE RECEIVED BY # DATE <br /> { WELL/BORING PERMIT APPLICATION $89.00 <br /> a <br /> (monitoring/extraction/vapor wells, EACH <br /> soil borings, vapor surveys, etc.) APPLC <br /> i WELL DESTRUCTION PERMIT APPLICATION $60.00 <br /> EACH <br /> i APPLC <br /> J EH 29 (BILFRM128 revised 5/91) <br />