HomeMy WebLinkAboutSanta Clara County - Environmental Declaration
, Co'unty of Santa CIa ..4
, ,
Office of the County Clerk-Recorder
Busines~ Division .
y
/'
/'
j/
'>--l.
\\.Y~'.
" 0...,
County Government Center
70 West Hedding Street, E. Wing, 151 Floor
San Jose, California 95110 (408) 299-5665
For CLERK-RECORDER'S USE ONLY
POSTED ON 1).= _~-c'JrHROUGH / _:2-9;'<:::>
IN THE OFFICE OF THE COUNTY CL~RK-RECORDER
REGINA ALCOM DRAS, G.mJN;rY CLERK
BY . ~ ..----. ~ .
.-'-- :.,.....- ~-~
,~~~IR E
8~\(1)-'
NAME OF APPLICANT: L'\\'-{ t)-? ,~~ \fui
c:~(\ .;;;\Y,a.. c:> ~\ \ ~ ..; i"\-t'C..IC Q. R-.G..u...b
CLAS!;IFICATION OF ENVIRONMENTAL DOCUMENT:
ENVIRONMENTAL DECLARATIO
',,--,\ ./
u. ...;/"
'~/"
'-, .'
FOR CLt5ND6R~:ED
DEe 03 2007
("-\'
l ~I ~-(
F1~~~'Vl:k~;
y __,~Uly
I- i
NAME OF LEAD AGENCY:
1.
2.
3.
( )
..
ov=
CLERK-RECORDER FILE NO.
[-14485
( )
Y<
NOTICE OF PREPARATION
NOTICE OF EXEMPTION
$50.00 COUNTY CLERK FEE REQUIRED
CA Dept. of Fish and Game Receipt #
"'7 " LtC: ')L/f"
.-/ .'.7-- - _.-
NOTICE OF DETERMINATION:
NEGATIVE DECLARATION PURSUANT TO PUBLIC RESOURCES CODE & 21080(C)
( )$1850.00 REQUIRED ~$1ROO nn ~T.A.TE !=!Ut-!G FEE AND $50.00 COUNTY CLEHK FEE)
A COMPLETED FORM FROM THE DEPARTMENT OF FISH & GAME DOCUMENTING THE DFG'S DETERMINATION
THAT THE PROJECT WILL HAVE NO EFFECT ON FISH AND WILDLIFE, OR AN OFFICIAL, DATED RECEIPT I
PROOF OF PAYMENT SHOWING PREVIOUS PAYMENT OF THE DFcp FILING FEE FOR THE SAME PROJECT
IS ATTACHED: $50.00 COUNTY CLERK FEE REQUIRED .
ENVIRONMENTAL IMPACT REPORT PURSUANT TO PUBLIC RESOURCES CODE & 21152
( )
( .)
4. Other:
$2550.00 REQUIRED ($2500.00 STATE FILING FEE AND $50.00 COUNTY CLERK FEE)
A COMPLETED FORM FROM THE DEPARTMENT OF FISH & GAME DOCUMENTING THE DFG'S DETERMINATION
THAT THE PROJECT WILL HAVE NO EFFECT ON FISH AND WILDLIFE, OR AN OFFICIAL, DATED RECEIPT I
PROOF OF PAYMENT SHOWING PREVIOUS PAYMENT OF THE DFG FILING FEE FOR THE SAME PROJECT
IS ATTACHED: $50.00 COUNTY CLERK FEE REQUIRED
'? ""
.,-) C.J
NOTICE TO BE POSTED FOR
DAYS.
THIS FORM MUSTBE COMPLETED AND ATTACHED TO THE FRONT OF ALL ENVIRONMENTAL DOCUMENTS LISTED ABOVE
(INCLUDING COPIES) SUBMITTED FOR FILING.
CHECKS SHOULD BE MADE PAYABLE TO: SANTA CLARA COUNTY CLERK-RECORDER.
Board of Supervisors: Donald F. Gage, Blanca Alvarado, Pete McHugh, Ken Yeager, Liz Kniss
County Executive: Peter Kutras, Jr.
02-08-2007
Q[itp of ~ilro~ - 1 44 8 5
COMMUNITY DEVELOPMENT DEPARTMENT
7351 Rosanna Street, Gilroy, CA 95020
Planning Division
Engineering Division
COUNTY CLERK Building, Life & Environmental Safety Division
Housing & Community Development
COUNTY OF SANTA CLARA
(408) 846-0440 FAX: (408) 846-0429
(408) 846-0450 FAX: (408) 846-0429
(408) 846-0430 FAX: (408) 846-0429
(408) 846-0290 FAX: (408) 846-0429
DATE: November 29. 2007
NOTICE OF EXEMPTION
CITY FaE NUMBER: Christmas Hill
Park Rehabilitation
PROJECT TITLE: City of Gilroy Christmas Hill Park Rehabilitation [c/o Chris Orr]
PROJECT LOCATION - SPECIFIC: 7050 Miller Avenue
PROJECT LOCATION - CITY: Gilrov COUNTY: Santa Clara
DESCRIPTION OF NATURE, PURPOSE, AND BENEFICIARIES OF PROJECT: Rehabilitation of
parking lots and pathways to improve and expand accessibility to group areas. picnic areas. amphitheatre. sports
fields special events. and passive use areas.
NAME OF PUBLIC AGENCY APPROVING PROJECT: City of Gilrov
NAME OF PERSON OR AGENCY CARRYING OUT PROJECT: Chris Orr
EXEMPT STATUS: (CHECK ONE)
_ MINISTERIAL [SEC. 21080(b)(I); 15268];
_ DECLARED EMERGENCY [SEC. 21080(b)(3); 15269(a)];
_ EMERGENCY PROJECT [SEC. 21080(b)(4); 15269(b)(c)];
STATUTORY EXEMPTIONS. STATE CODE NUMBER:
X CATEGORICAL EXEMPTION. STATE TYPE/SECTION: Class: 2, Section 15302
REASONS WHY PROJECT IS EXEMPT: (Replacement or Reconstruction)
LEAD AGENCY CONTACT PERSON: Chris Orr TELEPHONE: (408) 846-0263
IF FILED BY APPLICANT:
1. Attach certified document of exemption findings.
2. Has a notice of exemption been filed by the public agency appr~vi~
DA TE RECEIVED FOR FILING AT OPR: J'i
/')
the~rojec~? ~S'_ NO
/17l./,,-.
!/ (Signatutt.,arid Title)
Kelly Ramirez, Planning Division Technician
_ Signed by Lead Agency
---.2L Signed by Planning Technician
"First In Service to the Community"
JI
E-14485
CALIFORNIA ENVIRONMENT At QUALITY ACT (CEQA)
Compliance Certification Form
Grantee/Applicant: City of Gilroy
Project Name: Christmas Hill Park Rehabilitation
Project Address: 7050 Miller Ave. Gilroy. CA 95020
When was CEQA analysis completed for this project? Date
What document(s) was filed for this project's CEQA analysis: (check all that apply)
Dlnitial Study 9INotice of Exemption DNegative Declaration DMitigated Negative
Declaration
DEnvironmentallmpact Report DOther:
Please attach the Notice of Exemption or the Notice of Determination as appropriate.
If these forms were not completed please attach a letter from the Lead Agency
explaining why, certifying the project has complied with CEQA and noting the date that
the project was approved by the Lead Agency.
Lead Agency Contact Information:
Agency Name: City of Gilroy
Contact Person: Chris Orr
Mailing Address: 7351 Rosanna S1. Gilroy. CA 95020-6197
Phone: (408) 846-0263
Email:
ch ris .orr@ci.qilroy.ca.us
Certification:
I hereby certify that the Lead Agency listed above has determined that it has complied with the
California Environmental Quality Act (CEQA) for the project identified above and that the
project is described in adequate and sufficient detail to allow the project's construction or
acquisition.
I certify that the CEQA analysis for this project encompasses all aspects of the work to be
completed with grant funds.
/')" (7 r"
I /""\ '-/
'. Y. i J' / !
(/:j/1 I, L-L.
/\~ "'.' r~ ,_ '
L/ i-+ L:, L~' 1- i" Li .i' !;-{ .\-
Authorized Representative
(Printed Name and Title)
Authorized Re,
(Signature) ,
6-14-2006
E-14485
CALIFORNIA ENVIRONMENTAL QUALITY ACT (CEQA)
Compliance Certification Form
Grantee/Applicant: City of Gilroy
Project Name: Christmas Hill Park Rehabilitation
Project Address: 7050 Miller Ave, Gilroy. CA 95020
When was CEQA analysis completed for this project? Date
What document(s) was filed for this project's CEQA analysis: (check all that apply)
Dlnitial Study 'tiNotice of Exemption DNegative Declaration DMitigated Negative
Declaration
DEnvironmentallmpact Report DOther:
Please attach the Notice of Exemption or the Notice of Determination as appropriate.
If these forms were not completed please attach a letter from the lead Agency
explaining why, certifying the project has complied with CEQA and noting the date that
the project was approved by the lead Agency.
Lead Agency Contact Information:
Agency Name: City of Gilroy
Contact Person: Chris Orr
Mailing Address: 7351 Rosanna St. Gilroy. CA 95020-6197
Phone: (408) 846-0263
Email:
ch ris. orr@ci.qilroy.ca.us
Certification:
I hereby certify that the Lead Agency listed above has determined that it has complied with the
California Environmental Quality Act (CEQA) for the project identified above and that the
project is described in adequate and sufficient detail to allow the project's construction or
acquisition.
I certify that the CEQA analysis for this project encompasses all aspects of the work to be
completed with grant funds.
/~'1' \
/' j ''i /. (
c I ~ , r i
/ ,)' /(fl
1 ....~, f.,. ',,, '...... j I
Authorized R8.ptesentatNe
(Signature) ,../ '
. !-
C_-.,. L ,.\ /:'? t_~, )-..
/ \
,..~
!
I Date
,J._,_ "'''-
i",",C,tl
'.- 1.\
Authorized Representative
(Printed Name and Title)
6-14-2006
"
State of California - The Resources Agency
DEPARTMENT OF PARKS AND RECREATION
E-14485
PROJECT APPLICATION
2002 Resources Bond Act
PER CAPITA GRANT PROGRAM
PROJECT NAME
Christmas Hill Rehabilitation
Project Grant Amount
Grant Applicant (Agency, address, and zip code)
City of Gilroy
_u 7.l.~.L...g2sanrl_~~~___ ________________ _ ..,__
Gilroy, CA 95020
PROJECT LATITUDE AND LONGITUDE .,
360 59' 48" N 1210 35' 07
Will THE PROJECT AFFECT A HISTORICAL RESOURCE? DYES ~NO
Grant Applicant's Representative Authorized in Resolution
Estimated Total Project Cost
$220,000
$368,000
~~~~: Clara I N,~A:~~TOC~TY
PROJECT ADDRESS (including zip code)
7050 Miller Ave.
Gilroy, CA 95020
I
Jay Baksa - City Administrator
Name (typed or printed) and Title
jay.baksa@ci.gilroy.ca.us (408)846-0204
E-mail Address Phone
Person with day-la-day responsibility for Project (if different from authorized representative)
Chris Orr - Operations Supervisor chris.orr@ci.gilroy.ca.us (408)846-0263
Name (typed or printed) and Title E-mail Address Phone
Brief description of Project
Rehabilitation of parking lots and p~thways to improve and expand
accessibility to group areas, picnic areas, amphitheatre, sports fields,
special events, and passive use areas
Rehabilitation of San Ysidro basketball courts.
Land Tenure for Dev, Projects.. Project is: 36 acres
Acres available under a
year lease
For Acquisition Projects Project land will be N I Aacres
N / A Acres to be acquired in fee simple by Grant Applicant
~Acres to be acquired in other than fee simple (explain)
__Acres owned in fee simple by Grant Applicant
Acres other interest (explain)
Date
DPR 632 (6/03)
2002 Per Capita Procedural GUide
25
.
State of California - The Resources Agency
DEPARTMENT OF PARKS AND RECREATION
PROJECT APPLICATION
2002 RESOURCES BOND ACT
E-14485
ROJECT NAME
~hristmas Hill Park Rehabilitation
irant Applicant (Agency, add....., and zip code)
~i ty of Gilroy
7351 Rosanna st.
3ilroy, CA 95020-6197
Roberti.z'berg.tiarrls Block Grant Program
(Each Project must have Its own Application.)
Project Grant amount $ 11 9 . 01 0
Estimated Total Project Coat $ 3 68 , 000
COUNTY I NEAREST CITY
Santa Clara Gilrov
PROJECT ADDRESS (Including ~ code)
7050 Miller Ave.
Gilroy, CA 95020
.
'ROJECT LATITUDE AND LONGITUDE
3 60- 59 I 48" N 1 21 0 3 5' 07 II
~LL THE PROJECT AFFECT A HISTORICAL RESOURCE? _YES ...x...NO
;rant Applicant's Representative Authorized in Resolution
Jav Baksa - cit~nmini~tr~tnr
Name or printed) and TItle
jav_baksa~ci_9ilroy_ca.us (408\846-0204
Emall address Phone
'erson with day-to-day responsibility for Project (if diffel8nt from authorized representative}
~~r~s arr - Operations Supervisor chris_orr~ci_9ilrov_ca.us (408\846-0263
Name (typed or printed) and Title EmaH address Phone'
~rief description of Project
Rehabilitation of parking lots and pathways to improve and expand
accessibility to group areas, picnic areas, amphitheatre, sports fields,
special events, and passive use areas.
Rehabilitation of San Ysidro basketball courts.
For Dev. Projects. Project Land Tenure is 36 acres
Acres available under a
year lease
For Acquisition Projects. Project land will be N I"A. acres
N I A Acres to be acquired in fee simple by Grant Applicant
N / A Acres to be acquired in other than fee simple (explain,
x
Acres owned in fee simple by Grant Applicant
Acres other interest (explain)
Signed
I certify t
CPR 632 (6/03)
2002 RZH Block Grant Procedural Guide 30
-r
"_."',...."'-<'-.,~ .,,~ ,"" ~""'I>""."",~~""'."._f_~_...'. '''"#,,,,'''''~'''''''''_'4'.''-'''."'"'''''''~''''''''~
,"""""""",."__V_""","-",_c",'=--..;;;,,,,,,,,,,,,,_.."',",,_-;.iAA"~',,"."..,~,-'dM.',"'_"
STATE OF CALIFORNIA - THE RESOl S AGENCY
DEPARTMENT OF FISH AND GAME
ENVIRONMENTAL FILING FEE CASH RECEIPT
..,~, ~,"'1l" /~
.-i'
Project,
o Notice ofExemptio;-'
o DFG No Effect Determination (Form Attached)
Lead Agency:
County/State Agency of
Project Title:
Project Applicant Name:
Project Applicant Addre
City
Project Applicant (chec
o Local Public Ag
Check Aoolicable Fee
o
o
o
o
o
o
Environl
Negativ1
Applicat
Projects
County
Date:
~ument No.:
Fish & Game Receipt #
Document #
324054
E-14485
Lead Agency:
CITY OF GILROY
County of Filing: Clerk-Recorders Office-Santa Clara County - Receipt # I 1547037
Project Title: City of Gilroy Christmas Hili Park Rehabilitation (c/o Chris Orr)
lr: (
)
Project Applicant Name:
CITY OF GILROY
I 0 Private Entity
Project Applicant Address
and Phone Number:
7351 Rosanna Street, Gilroy Ca 95020
(408) 846-0290
Project Applicant is a: Local Public Agency
CEOA Document Type:
Date:
12/03/2007
I
10,00 $
10.00 $
10,00 $
;0.00 $
,0,00 $
Notice of Exemption (No FG fee)
County Administrative Fee: $50.00
$50.00
,,-----
Total received: _,'/
~..
Signature and title of person rec;eiving payment
Veronica Aguirre, CROS III
TOTAL RECEIVED $
Signature and title of person receiving payment:
WHITE-PROJECT APPLICANT YELLOW-DFG/ASB
PINK-LEAD AGENCY
GOLDENROD-COUNTY CLERK
DFG 753.5a (Rev. 1/07)
-----_.,-_._--_.._~.._~-_.--------_.- --,_.-
:::
r"",: ;',-,
, '.--,--,'-~?-