Notice Of Completion
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Appendix C
Notice of Completion & Environmental Document Transmittal
Mail to: State Clearinghouse, P.O. Box 3044, Sacramento, CA 95812-3044 (916) 445-0613
SCH #
For Hand Delivery/Street Address: 1400 Tenth Street, Sacramento, CA 95814
Project Title:
Lead Agency:
Contact Person:
Mailing Address:
Phone:
City:
Zip:
County:
Project Location: County:
City/Nearest Community:
Cross Streets:
Zip Code:
Longitude/Latitude (degrees, minutes and seconds):
°
′
″ N /
°
′
″ W Total Acres:
Assessor's Parcel No.:
Section:
Twp.:
Range:
Base:
Within 2 Miles:
State Hwy #:
Waterways:
Airports:
Railways:
Schools:
Document Type:
CEQA:
NOP
Draft EIR
NEPA:
NOI
Other:
Joint Document
Early Cons
Supplement/Subsequent EIR
EA
Final Document
Neg Dec
(Prior SCH No.)
Draft EIS
Other:
Mit Neg Dec
Other:
FONSI
Local Action Type:
General Plan Update
Specific Plan
Rezone
Annexation
General Plan Amendment
Master Plan
Prezone
Redevelopment
General Plan Element
Planned Unit Development
Use Permit
Coastal Permit
Community Plan
Site Plan
Land Division (Subdivision, etc.)
Other:
Development Type:
Residential: Units
Acres
Office:
Sq.ft.
Acres
Employees
Transportation: Type
Commercial: Sq.ft.
Acres
Employees
Mining:
Mineral
Industrial:
Sq.ft.
Acres
Employees
Power:
Type
MW
Educational:
Waste Treatment: Type
MGD
Recreational:
Hazardous Waste: Type
Water Facilities: Type
MGD
Other:
Project Issues Discussed in Document:
Aesthetic/Visual
Fiscal
Recreation/Parks
Vegetation
Agricultural Land
Flood Plain/Flooding
Schools/Universities
Water Quality
Air Quality
Forest Land/Fire Hazard
Septic Systems
Water Supply/Groundwater
Archeological/Historical
Geologic/Seismic
Sewer Capacity
Wetland/Riparian
Biological Resources
Minerals
Soil Erosion/Compaction/Grading
Growth Inducement
Coastal Zone
Noise
Solid Waste
Land Use
Drainage/Absorption
Population/Housing Balance
Toxic/Hazardous
Cumulative Effects
Economic/Jobs
Public Services/Facilities
Traffic/Circulation
Other:
Present Land Use/Zoning/General Plan Designation:
Project Description:
(please use a separate page if necessary)
Note: The State Clearinghouse will assign identification numbers for all new projects. If a SCH number already exists for a project (e.g. Notice of Preparation or
previous draft document) please fill in.
Revised 2010
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