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Notification No THP No. AGREEMENT REGARDING PROPOSED STREAM OR LAKE ALTERATION THIS AGREEMENT;entered into between the State of California, Department of Fish and Game, hereinafter called the Department, P' y"7 v n I Xf Y 1, i —, State of- ". _ hereinafter called the operator, is as follows: 1S W EREAS, pursuant to Division 2, Chapter 6 of California Fish and Game Code, the operator, on the, day of 19;notified the Department that he intends to substantially divert or obstruct the natural flow of, or substantially change the[bed, channel, or bank of, or use material from the streambed of, the following water�a4y Phae in the County of —.State of California, S T R WHEREAS, the Department, (represented by has made anj�sp tion of subject area on the —j�.2—day of 197 and) has determined that such operations may substantially adversely affect existing ish and wildlife resources including: THEREFORK-the Department hereby proposes measures to protect fish and wildlife during the operator's work. The operator hereby agrees to accept the following recommendations as part of his work: Numbers from the list of,reeommendations on the back of this page and the following special recommendations: I. All work in or near the stream or lake shall be confined to the period L Z EF 27�6f I.- —A A C�, Z r The operator, as designated:by the signature on this agreement, shall be responsible for the execution of all elements of this agreement. A copy of this agreement must be provided to contractors and subcontractors and must be in their possession at: the work site. If the operator's work changes from that stated in the notification specified above, this agreement is no longer valid and a new notification shall be submitted to'the Department of Fish and Game. Failure to comply with the provisions of this agreement and with other pertinent Code Sections, including but not limited to Fish and Game Code Sections 5650, 5652 and 5948, may result in prosecution. Nothing in this agreement authorizes the operator to trespass on any land or property, nor does it relieve the operator of responsibility for compliance with4pplicable federal, state, or local laws or ordinances. THIS ..AGREEMENT IS NOT INTENDED AS AN APPROVAL OF A PROJECT. OR OF SPECIFIC PROJECT FEATURES BY THE, DEPARTMENT OF FISH AND GAME, INDEPENDENT REVIEW AND RECOMMENDATIONS WILL BE PROVIDED BY; THE,,, DEPARTMENT AS APPROPRIATE ON THOSE PROJECTS WHERE LOCAL, STATE,; OR FEDERAL PERMITS ORS OTHER ENVIRONMENTAL REPORTS ARE REQUIRED. This agreement becomes.effe�Pve on' 757Za nj[! _- Operator e me epr Title Tale t` Organization f 4=, Date *if in5nr*rtinn WNS nut math. erns 011t words within oare,ntheses Department of Fish and Game, State of California Date r M 1r1'. r. _9 P.71 87 02406