Page 84 - _ 180314 Special Yucaipa GSA Packet

NOTIFICATION OF LAKE OR STREAMBED ALTERATION

8. PROJECT LOCATION
A. Address or description of project location.
(Include a map that marks the location of the project with a reference to the nearest city or town, and provide driving
directions from a major road or highway)

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B. River, stream, or lake affected by the project.
C. What water body is the river, stream, or lake tributary to?

D. Is the river or stream segment affected by the project listed in the
state or federal Wild and Scenic Rivers Acts? □ Yes □ No □ Unknown
E. County

F. USGS 7.5 Minute Quad Map Name G. Township H. Range I. Section J. ¼ Section

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K. Meridian (check one) □ Humboldt □ Mt. Diablo □ San Bernardino

L. Assessor’s Parcel Number(s)

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M. Coordinates (If available, provide at least latitude/longitude or UTM coordinates and check appropriate boxes)

Latitude: Longitude:
Latitude/Longitude
□ Degrees/Minutes/Seconds □ Decimal Degrees □ Decimal Minutes

UTM Easting: Northing: □ Zone 10 □ Zone 11

Datum used for Latitude/Longitude or UTM □ NAD 27 □ NAD 83 or WGS 84

Yucaipa Groundwater Sustainability Agency - March 14, 2018 - Page 80 of 226
FG2023 Page 3 of 9 Rev. 1/13