HomeMy WebLinkAbout1620 e brundage _envirotech report 6.22.20_51-126111. LOCATION OF THE FACILITY
Describe the physical location of the facility.-
1. Assessor's Parcel Number(s)
Facility: 019- 260 -01
Discharge Point: 019 - 260 -01
2. Latitude
Facility: 35.355632
Discharge Point: 35.355223
3. Longitude
Facility:
-118.984845
Discharge Point: -118.984583
IV. REASON FOR FILING
Check all that apply.-
W1 New Discharge or Facility
❑Change in Design or Operation
❑Change in Quantity/Type of Discharge
❑Changes in Ownership /Operator (see instructions)
❑Waste Discharge Requirements Update or NPDES Permit Reissuance
❑Other:
V. CALIFORNIA ENVIRONMENTAL QUALITY ACT (CEQA)
I
Name of Lead Agency
Has a public agency determined that the proposed project is exempt from CEQA?
❑Yes R No
If yes, state the basis for the exemption and the name of the agency supplying the
exemption on the line below.-
Has a "Notice of Determination" been filed under CEQA?
❑ Yes ❑ No
If Yes, enclose a copy of the CEQA document, Environmental Impact Report (EIR), or
Negative Declaration. If No, identify the expected type of CEQA document and
expected date of completion.
Expected CEQA Documents:
Expected CEQA Completion Date:
❑ EIR ❑Negative Declaration
Form 200 (10/97) 3