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<br /> <br /> <br /> <br /> <br />ENVIROMENTAL ASSESSMENT QUESTIONNAIRE FOR <br />SAN JOAQUIN COUNTY WATER COURSE ENCROACHMENT PERMIT <br /> <br /> <br />This environmental assessment questionnaire must be completed for all San Joaquin County <br />Water Course Encroachment applications. Please provide an explanation where requested. <br />Incomplete answers may result in delays processing permit applications. Failure to complete <br />the questionnaire may result in rejection of the application. <br /> <br /> <br />1. Has an environmental assessment of initial study been made or is one being <br /> made by a local or State permitting agency in accordance with the California <br /> Environmental Quality Act? <br /> No _ <br /> Yes _ If yes, identify the Lead Agency, type of document prepared or <br /> which will be prepared, and the State Clearing House number. <br /> <br /> _____________________________________________________ <br /> <br /> _____________________________________________________ <br /> <br /> _____________________________________________________ <br /> <br /> _____________________________________________________ <br /> <br /> _____________________________________________________ <br /> <br />2. Will the project require certification, authorization or issuance of a permit by any local, <br />State or federal environmental control agency. <br /> No _ <br /> Yes _ If yes list all other governmental permits or approval necessary for <br /> this project or use, including U. S. Army corps of Engineers’ 404 <br /> and Section 10 permits, State Water Quality Certification, <br /> Department of fish and Game 1600 agreement. Attach copies of all <br />applicable permits. <br /> <br />_______________________________________________________ <br /> <br />_______________________________________________________ <br /> <br /> _______________________________________________________ <br /> <br /> _______________________________________________________ <br /> <br /> _______________________________________________________ <br /> <br />