CALIFORNIA DEPARTMENT OF FISH AND WILDLIFE 

2015 ENVIRONMENTAL FILING FEE CASH RECEIPT 

Complete the information and submit with each set of documents 

presented for filing. Please provide an original set and (3) three sets 

of copies for filing. 

Project Title: Proposed Amendments to Rule 74.15.1, Boilers, Steam Generators, Process Heaters 

Name of Agency filing attached document: Ventura County Air Pollution Control District 

The above named agency is fil ing as: @Lead Agency QResponsible Agency Qrrustee Agency 

Address of Filing Agency: 669 County Square Drive, Ventura, CA 93003 

Document Type (check one): QEnvironmentallmpact Report QNegative Declaration 

0 Mitigated Neg. Declaration @ Exemption 

Project Applicant: Ventura County APCD 

Project Applicant Address: 669 County Square Drive, Ventura, CA 93003 

Project Applicant Phone Number: _80_5_-...:...64_5.:....-_14_0 .:....~--------------------

Project Applicant is (check one): QLocal Public Agency 0School District 00ther Special District 

Ostate Agency 0Private Entity 

If the agency presenting this document is filing as the responsible agency, provide a copy of the Lead 

Agency's filed documents and complete the following: 

Lead Agency: _______________________________________________________________ __ 

LeadAgency'sP ~ectTitle : ______________________________________________________ _ 

Lead Agency's State Receipt #: ----------------------------------------------------- LeadAgency'sDocume~#: ____________________________________________________ _ 

Check Applicable Fees (check all that apply): 

0Negative Declaration ($2,210.00) ~Ca ego call y Exempt 

QEnvironmentallmpact Report ($3,069.75) @Statutorily Exempt 

0County Administrative Fee ($50.00) 0 No Effect Determination Form 

0Filed by responsible agency; fees paid by lead agency (Attach a copy of Lead Agency's filing & receipt). 

0Fees have already been paid (Attach a copy of the prior filing and proof of payment). 

Prepared by: Stan Cowen Air Quality Engineer 

Print Name 

~v-. Print Title 

Signature: );~ 06/23/2015 805-645-1408 

Date Phone# 

DO NOT WRITE BELOW THIS LINE 

The following will be completed by the Ventura County Clerk's Office. 

Signature of person receiving payment: ----------------------· Total Received: $ _____ _ 

Deputy County Clerk 

Posted: _ ________ through ------------

S:/2015 Forms REV 01/01/2015 
TO: 

NOTICE OF EXEMPTION FROM CEQA 

County Clerk 

County of Ventura 

800 South Victoria A venue 

Ventura, CA 93009 

FROM: Ventura County Air Pollution Control District 

669 County Square Drive 

Ventura, CA 93003 

DATE: June 23, 20 15 

Project Title: Adoption of Revisions to Rule 74.1 5.1 , Boilers, Steam Generators, and Process Heaters 

Project Location -- Specific: District-Wide 

Project Location -- City: Project Location-- County: Ventura County 

See above 

Description of Nature, Purpose and Beneficiaries of Project: 

Revisions to Rule 74.15.1 will reduce NOx emissions from new or replacement boilers, steam 

generators, and process heaters (size range from 2 to 5 million BTU/hr). 

Name of Public Agency Approving Project: 

Ventura County Air Pollution Control District 

Name of Person or Agency Carrying Out Project: 

Ventura County Air Pollution Control District 

Exempt Status: 

Categorical Exemption pursuant to Section 15307 (Actions by Regulatory Agencies for 

Protection of a Natural Resource) and Secti on 15308 (Actions by Regulatory Agencies for 

Protection of the Environment) of the CEQA Guidelines, and no exceptions to these exemptions 

apply. 

Reasons Why Project Is Exempt: 

Project will help improve air quality by reducing NOx emissions, which are precursors to ozone 

formation. This rule adoption will help Ventura County to attain the state and federal ambient 

air quality standards. 

Contact Person: 

Stan Cowen: 

Air Pollution Control District 

Telephone: (805) 645-1408 

Date Received for Filing: _.....::(; ___::;__,-- ? l_s-__ 

Stan Cowen 

Air Quality Engineer 

ATTACHMENT l 
MARK A. LUNN 

CLERK AND RECORDER 

Cashier LEELO 

VENTURA COUNTY CLERK AND RECORDER 

Hall of Administration, Main Plaza 

800 South Victoria Avenue 

Ventura, CA 93009 

805-654-2295 http://recorder.countyofventura.org 

Receipt for Services 

Batch # 955443 

Customer VENTURA COUNTY AIR POLLUTION CONTROL DISTRICTREVISIONS TO VCAPCD RULE 74.15.1 

l)ntc: 06/23/2015 Time: 02: I 7:02PM 

Doc. Type Instrument No GF Number Rec Fees PCOR Survey Fees Taxes Total 

CEIRE 20 150623-1001 2378-0 50.00 0.00 0.00 0.00 50.00 

Total Fee: 50.00 

CHECK 1239 50.00 

Payment Total: 50.00 

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