Page 86 - _ 180314 Special Yucaipa GSA Packet

NOTIFICATION OF LAKE OR STREAMBED ALTERATION

10. PROJECT DESCRIPTION
A. Describe the project in detail. Photographs of the project location and immediate surrounding area should be included.
- Include any structures (e.g., rip-rap, culverts, or channel clearing) that will be placed, built, or completed in or near
the stream, river, or lake.

- Specify the type and volume of materials that will be used.
- If water will be diverted or drafted, specify the purpose or use.

Enclose diagrams, drawings, plans, and/or maps that provide all of the following: site specific construction details; the
dimensions of each structure and/or extent of each activity in the bed, channel, bank or floodplain; an overview of the
entire project area (i.e., “bird’s-eye view”) showing the location of each structure and/or activity, significant area
features, and where the equipment/machinery will enter and exit the project area.

□ Continued on additional page(s)
B. Specify the equipment and machinery that will be used to complete the project.

□ Continued on additional page(s)
C. Will water be present during the proposed work period (specified in box 4.D) in
the stream, river, or lake (specified in box 8.B). □ Yes □ No (Skip to box 11)

D. Will the proposed project require work in the wetted portion □ Yes (Enclose a plan to divert water around work site)
of the channel?
□ No

FG2023 Page 5 of 9 Rev. 1/13
Yucaipa Groundwater Sustainability Agency - March 14, 2018 - Page 82 of 226