State of California – Health and Human Services Agency Department of Public Health

CALIFORNIA DEPARTMENT OF PUBLIC HEALTH /
PROPOSITION 84 FUNDING PROGRAM, MS 7408
P.O. Box 997377
SACRAMENTO, CA 95899-7377
(916) 449-5600
CDPH PROPOSITION 84 PROGRAM
Fax: (916) 449-5656
e-mail: / SCHEDULE FOR CEQA COMPLIANCE
NOTE: This schedule for CEQA compliance shall be completed by the CEQA Lead Agency or the applicant.
Complete this compliance schedule and mail it along with any required additional information to:
California Department of Public Health
Proposition 84 Funding Program, MS 7408
P.O. Box 997377
Sacramento, CA 95899-7377
For additional information (i.e. CEQA compliance information, CEQA Exemptions) visit:
http://www.cdph.ca.gov/certlic/drinkingwater/Pages/ERU.aspx
PUBLIC WATER SYSTEM AND/OR APPLICANT (Please print or type)
Public Water System Name / System ID Number / CDPH Assigned ID Project #
CALIFORNIA ENVIRONMENTAL QUALITY ACT (CEQA) (Please print or type)
For your convenience use these following guidelines to fill in the CEQA schedule dates below.
1. / Enter the date for submitting the Notice of Preparation to State Clearing House (SCH), at P.O. Box 3044, Sacramento, CA 95812-3044.
2. / Enter the date for starting the SCH review. Submit the Notice of Completion and fifteen (15) copies of the document to SCH.
3. / Enter the date for making CEQA findings, certifying/adopting the CEQA document and mitigation monitoring plan and approving the project. Submit a resolution or similar document, all certified or adopted documents, and comments and responses to CDPH.
4. / Determinations: Enter the date for filing the Notice of Determination with the County Clerk and SCH. Exemptions: Enter the date for filing the Notice of Exemption filed with the County Clerk after the project was approved.
ENVIRONMENTAL MILESTONE / ENVIRONMENTAL DOCUMENT / STATUS
CEQA Exempt / Neg. Dec. / EIR
1. / Submit Notice of Preparation of EIR to State Clearinghouse (SCH) / Complete
2. / Circulate Draft EIR or Proposed Negative Declaration through SCH / Complete
3. / Certify/adopt Documents & make CEQA findings / Complete
4. / File a Notice of Determination or Exemption at County Clerk’s Office and SCH / Complete

CDPH Prop 84 CEQA Compliance Schedule

ERU Updated 1/29/2009