HomeMy Public PortalAboutTM 22-004 CEQAP.O. TOWN OF MAMMOTH LAKES
ox 1609, Mammoth Lakes, CA 93546
Phone (7 60) 965-3630i Fax (7 60) 934-7493
htt:1 o nof a othia es.ca.
Notice of Exemption
To: /1 State Clearinghouse
Office of Planning and Research
P.O. Box 3044, 1400 Tenth Street
Sacramento, CA 95812-3044
County Clerk
County of Mono
P.O. Box 237
Bridgeport, CA 93517
Project Title: Variance 21-001
Project Location — Specific: 182 Davison Road (APN: 031-071-002-000)
Project Location — City: Mammoth Lakes Project Location — County: Mono
Description of Nature, Purpose, and Beneficiaries of Project: Variance 21-001 allows for a reduction of the
standard 20 -foot rear yard setback to 10 feet 6 inches feet to allow construction of a new single-family residence
with an attached garage. The application was filed by Elliott Brainard on behalf of the property owners, the
Dauernheim Family Trust in accordance with Chapters 17.72 (Variances) of the Town of Mammoth Lakes Municipal
Code, for a property located within the Residential Multi -Family 2 (RMF-2) zoning district at 182 Davison Road. The
proposed project meets all the requirements of the Town of Mammoth Lakes Municipal Code and General Plan.
Name of Public Agency Approving Project: Town of Mammoth Lakes
Name of Person or Agency Carrying Out Project: Elliott Brainard
Exempt Status: (check one)
❑ Ministerial (Sec. 21080(b)(1); 15268):
❑ Declared Emergency (Sec. 21080(b)(3); 15269(a)):
❑ Emergency Project (Sec. 21080(b)(4); 15269(b)(c)):
Categorical Exemption (State type and Section number): State CEQA Guidelines Section 15303,
New Construction or Conversion of Small Structures
❑ Statutory Exemptions (State code number):
Reason why project is exempt: The project is categorically exempt from the provisions of the California
Environmental Quality Act (CEQA) pursuant to CEQA Guidelines Section 15303, New Construction or Conversion
of Small Structures. The project qualifies for this exemption because the project consists of the construction of a
new single-family residence, which has been determined by the State to not have a significant effect on the
environmental pursuant to CEQA Guidelines Section 15303(e). Additionally, none of the exceptions set forth in
CEQA Guidelines Section 15300.2, which would disqualify the project from using a categorical exemption, are
present.
Therefore, since the project meets all the criteria to qualify for the New Construction or Conversion of Small
Structures categorical exemption pursuant to CEQA Guidelines Section 15303, and none of the exceptions set forth
in CEQA Guidelines Section 15300.2 are applicable, no additional environmental review is warranted or necessary
and the CEQA exemption is appropriate.
Lead Agency Contact Person: Michael Peterka, Assistant Planner Phone: (760) 965-3669
If filed by applicant:
1. Attach certified document of exemption finding.
2. Has a Notice of Exemption been filed by the public agency approving the project? 1=IYes ❑ No
Signature:���i,C� I/ etA,//v Date: May 12, 2022 Title: Assistant Planner
Signed by Lead Agency Date received for filing at OPR
Signed by Applicant
State of California - Department of Fish and Wildlife
2022 ENVIRONMENTAL DOCUMENT FILING FEE
CASH RECEIPT
DFW 753,5a (REV, 01/01/22) Previously DFG 753.5a
SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY,.
LEAD AGENCY
Town of Mammoth Lakes
RECEIPT NUMBER:
26 — 05/13/2022 —
STATE CLEARINGHOUSE NUMBER (If applicable)
LEADAGENCY EMAIL DATE
nbobroff@townofmammothlakes.ca,gov 05/13/2022
COUNTY/STATE AGENCY OF FILING
Mono
DOCUMENT NUMBER
TM -004
PROJECT TITLE
Variance 21-001
PROJECT APPLICANT NAME
Town of Mammoth Lakes
PROJECT APPLICANT ADDRESS
Po Box 1609
PROJECT APPLICANT (Check appropriate box)
® Local Public Agency E School District
PROJECT APPLICANT EMAIL
nbobroff@townofmammothlakes.ca.gov
CITY STATE
Mammoth Lakes CA
PHONE NUMBER
(760) 9653669
ZIP CODE
93546
E Other Special District State Agency
Private Entity
CHECK APPLICABLE FEES:
❑ Environmental Impact Report (EIR)
❑ Mitigated/Negative Declaration (MND)(ND)
O Certified Regulatory Program (CRP) document - payment due directly to CDFW
• Exempt from fee
O Notice of Exemption (attach)
O CDFW No Effect Determination (attach)
❑ Fee previously paid (attach previously issued cash receipt copy)
O Water Right Application or Petition Fee (State Water Resources Control Board only)
O County documentary handling fee
❑✓ Other County Processing Fee
PAYMENT METHOD:
O Cash 0 Credit 0 Check ❑ Other
$3,539.25
$2,548.00 $ 0.00
$1,203.25 $ 0.00
0.00
$850,00 $
$
TOTAL RECEIVED
0.00
50.00
50.00
SIGNATURE
AGENCY OF FILING PRINTED NAME AND TITLE
Mono County Deputy Clerk/Recorder
ORIGINAL - PROJECT APPLICANT
COPY - CDFW/ASB COPY - LEAD AGENCY
COPY - COUNTY CLERK DFW 753 5a (Rev 01012022)