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Home My WebLink About2022 FeesState of California - Department of Fish and Wildlife 2022 ENVIRONMENTAL DOCUMENT FILING FEE CASH RECEIPT DFW 753.5a (REV. 01/01/22) Previously DFG 753.5a SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY. STATE CLEARINGHOUSE NUMBER (If applicable) LEAD AGENCY LEAD AGENCY EMAIL DATE COUNTY/STATE AGENCY OF FILING DOCUMENT NUMBER PROJECT TITLE PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL PHONE NUMBER PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE PROJECT APPLICANT (Check appropriate box) Local Public Agency School District Other Special District State Agency Private Entity CHECK APPLICABLE FEES: Environmental Impact Report (EIR) $3,539.25 $ Mitigated/Negative Declaration (MND)(ND) $2,548.00 $ Certified Regulatory Program (CRP) document -payment due directly to CDFW $1,203.25 $ Exempt from fee Notice of Exemption (attach) CDFW No Effect Determination (attach) Fee previously paid (attach previously issued cash receipt copy) Water Right Application or Petition Fee (State Water Resources Control Board only) $850.00 $ County documentary handling fee $ Other $ PAYMENT METHOD: Cash Credit Check Other TOTAL RECEIVED $ SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE ORIGINAL - PROJECT APPLICANT COPY - CDFW/ASB COPY - LEAD AGENCY COPY - COUNTY CLERK DFW 753.5a (Rev. 01012022) X RECEIPT NUMBER: State of California - Department of Fish and Wildlife 2022 ENVIRONMENTAL DOCUMENT FILING FEE CASH RECEIPT DFW 753.5a (REV. 01/01/22) Previously DFG 753.5a NOTICE Each project applicant shall remit to the county clerk the environmental filing fee before or at the time of filing a Notice of Determination (Pub. Resources Code, § 21152; Fish & G. Code, § 711.4, subdivision (d); Cal. Code Regs., tit. 14, § 753.5). Without the appropriate fee, statutory or categorical exemption, or a valid No Effect Determination issued by the California Department of Fish and Wildlife (CDFW), the Notice of Determination is not operative, vested, or final, and shall not be accepted by the county clerk. COUNTY DOCUMENTARY HANDLING FEE The county clerk may charge a documentary handling fee of fifty dollars ($50) per filing in addition to the environmental filing fee (Fish & G. Code, § 711.4, subd. (e); Cal. Code Regs., tit. 14, § 753.5, subd. (g)(1)). A county board of supervisors shall have the authority to increase or decrease the fee or charge, that is otherwise authorized to be levied by another provision of law, in the amount reasonably necessary to recover the cost of providing any product or service or the cost of enforcing any regulation for which the fee or charge is levied (Gov. Code, § 54985, subd. (a)). COLLECTION PROCEDURES FOR COUNTY GOVERNMENTS Filing Notice of Determination (NOD): Collect environmental filing fee or copy of previously issued cash receipt. (Do not collect fee if project applicant presents a No Effect Determination signed by CDFW. An additional fee is required for each separate environmental document. An addendum is not considered a separate environmental document. Checks should be made payable to the county.) Issue cash receipt to project applicant. Attach copy of cash receipt and, if applicable, previously issued cash receipt, to NOD. Mail filing fees for CRP document to CDFW prior to filing the NOD or equivalent final approval (Cal. Code Regs. Tit. 14, § 753.5 (b)(5)). The CRP should request receipt from CDFW to show proof of payment for filing the NOD or equivalent approval. Please mail payment to address below made attention to the Cash Receipts Unit of the Accounting Services Branch. If the project applicant presents a No Effect Determination signed by CDFW, also: Attach No Effect Determination to NOD (no environmental filing fee is due). Filing Notice of Exemption (NOE) (Statutorily or categorically exempt project (Cal. Code Regs., tit. 14, §§ 15260-15285, 15300-15333)) Issue cash receipt to project applicant. Attach copy of cash receipt to NOE (no environmental filing fee is due). Within 30 days after the end of each month in which the environmental filing fees are collected, each county shall summarize and record the amount collected on the monthly State of California Form No. CA25 (TC31) and remit the amount collected to the State Treasurer. Identify the remittance on Form No. CA25 as “Environmental Document Filing Fees” per Fish and Game Code section 711.4. The county clerk shall mail the following documents to CDFW on a monthly basis: A photocopy of the monthly State of California Form No. CA25 (TC31) CDFW/ASB copies of all cash receipts (including all voided receipts) A copy of all CDFW No Effect Determinations filed in lieu of fee payment A copy of all NODs filed with the county during the preceding month A list of the name, address and telephone number of all project applicants for which an NOD has been filed. If this information is contained on the cash receipt filed with CDFW under California Code of Regulations, title 14, section 753.5, subdivision (e)(6), no additional information is required. DOCUMENT RETENTION The county shall retain two copies of the cash receipt (for lead agency and county clerk) and a copy of all documents described above for at least 12 months. RECEIPT NUMBER The first two digits automatically populate by making the appropriate selection in the County/State Agency of Filing drop down menu. The next eight digits automatically populate when a date is entered. The last three digits correspond with the sequential order of issuance for each calendar year. For example, the first receipt number issued on January 1 should end in 001. If a county issued 252 receipts for the year ending on December 31, the last receipt number should end in 252. CDFW recommends that counties and state agencies 1) save a local copy of this form, and 2) track receipt numbers on a spreadsheet tabbed by month to ensure accuracy. DO NOT COMBINE THE ENVIRONMENTAL FEES WITH THE STATE SHARE OF FISH AND WILDLIFE FEES. Mail to: California Department of Fish and Wildlife Accounting Services Branch P.O. Box 944209 Sacramento, California 94244-2090 ORIGINAL - PROJECT APPLICANT COPY - CDFW/ASB COPY - LEAD AGENCY COPY - COUNTY CLERK DFW 753.5a (Rev. 01012022)