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DPR 510 (New 4/2003)(Excel 2/11/2005

PROJECT MANAGER CERTIFICATION I certify that this project has been completed in compliance with the above conditions. PROJECT MANAGER SIGNATURE DATE

COMMENTS:

DPR 183 (Rev. 9/2015)(Word 9/3/2015) 1

State of California – Natural Resources Agency DEPARTMENT OF PARKS AND RECREATION Project ID No. 16.17.A.17

PROJECT EVALUATION (PEF) PCA No.

PROJECT CONCEPT PROJECT TITLE

Propane Tank Installation at Danielson Campground PARK UNIT NAME

Point Mugu SP DISTRICT NAME

Angeles FACILITY NO.

PROJECT MANAGER

Dale Skinner PHONE NO.

310 699 1717EMAIL

dale.skinner@parks.ca.govDISTRICT PROJECT MANAGER

Jerry West PHONE NO.

818 880 0364EMAIL

jerry.west@parks.ca.govPROJECT BID DATE

CONSTRUCTION START DATE

FUNDING SOURCE

PROJECT DESCRIPTION

Identify the scope of the project in detail, including its purpose, location, and potential impacts. If the ground is to be disturbed, describe the depth and extent of excavation. Describe the existing site conditions, including previous development. Note if work will impact or extend beyond park property. Indicate if work will be done in conjunction with, or as part of, other projects. (Use additional pages if necessary.) This project would install a propane tank for the shower building at Danielson Campground. A concrete pad surrounded by a fence would be installed for the new propane tank. Fifty feet of new line 30 inches deep and 18 inches wide would be installed from the concrete pad to the restroom. Digging will be by hand.

DOCUMENTS ATTACHED

7.5 minute (quad) map of project area (Required) Site Map (Required - Scale should show relationship to existing buildings, roads, landscape features, etc.) DPR 727 Accessibility Review and Comment Sheet (Required – Attach DPR 727 or emailed project exemption from

the Accessibility Section.) Sea-level Rise Worksheet (for coastal park units) Graphics (Specify - photos, diagrams, drawings, cross-sections, etc.): Other (Specify):

REGULATORY REQUIREMENTS IS AN APPLICATION, PERMIT, OR CONSULTATION REQUIRED? YES MAYBE NO CONTACT

Coastal Development Permit DFG Stream Alteration Permit State & Federal Endangered Species Consultation Corps of Engineers 404 Permit RWQCB or NPDES Permit DPR Right to Enter or Temporary Use Permit PRC 5024 Review Stormwater Management Plan Encroachment Permit (Specify Agency): Native American Consultation Other (Specify):

COMMENTS:

Project ID No.16.17.A.17

PROJECT EVALUATION (PEF) PCA No.

DPR 183 (Rev. 9/2015)(Word 9/3/2015) 3

YES MAYBE NO D. PLANT LIFE – WILL THE PROJECT: 1. Adversely affect any native plant community? 2. Adversely affect any unique, rare, endangered, or protected plant species? 3. Introduce a new species of plant to the area? 4. Adversely affect agricultural production? 5. Adversely affect the vigor or structure of any tree? 6. Encourage the growth or spread of alien (non-native) species? 7. Interfere with established fire management plans or practices?

YES MAYBE NO E. ANIMAL LIFE – WILL THE PROJECT: 1. Adversely affect any native or naturalized animal population? 2. Adversely affect any unusual, rare, endangered, or protected species? 3. Adversely affect any animal habitat? 4. Introduce or encourage the proliferation of any non-native species?

YES MAYBE NO F. CULTURAL RESOURCES – WILL THE PROJECT: 1. Adversely affect a prehistoric or historic archeological site, or tribal cultural resource? 2. Adversely affect a prehistoric or historic building, structure, or object? 3. Cause an adverse physical or aesthetic effect on an eligible or contributing building,

structure, object, or cultural landscape? 4. Diminish the informational or research potential of a cultural resource? 5. Increase the potential for vandalism or looting? 6. Disturb any human remains? 7. Restrict access to a sacred site or inhibit the traditional religious practice of a Native

American community?

YES MAYBE NO G. AESTHETIC RESOURCES – WILL THE PROJECT: 1. Adversely affect a scenic vista or view? 2. Significantly increase noise levels? 3. Adversely affect the quality of the scenic resources in the immediate area or park-wide? 4. Create a visually offensive site? 5. Be incompatible with the park design established for this unit or diminish the intended

sense of “a special park quality” for the visitor?

YES MAYBE NO H. RECREATIONAL RESOURCES – WILL THE PROJECT: 1. Be in a public use area? 2. Have an adverse effect on the quality of the intended visitor experience? 3. Have an adverse effect on the quality or quantity of existing or future recreational

opportunities or facilities? 4. Have an adverse effect on the accessibility of recreational facilities (e.g., ADA

requirements)?

YES MAYBE NO I. SEA-LEVEL RISE AND EXTREME EVENTS (COASTAL UNITS ONLY): 1. Has this project been evaluated for potential impacts from sea-level rise, coastal storm

surge, and other extreme events, using the Department’s Sea-Level Rise and Extreme Events Guidance Document or an equivalent process? Please attach the Sea-Level Rise Worksheet (provided in the guidance document) or other detailed evaluation.

2. Based on the evaluation described above, will the project be adversely impacted by frequent flooding or permanent inundation during its expected lifetime?

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Concrete pad should be no less than 3500 PSI and reinforced with steel. Most propane companies have an engineered drawing on file with needed details. Fence should be 6' tall with a locking entry gate. Fence should be made constructed of chain link with brown privacy screening. Seismic automatic shut will be installed on tank service. Trenching will be 18" deep.

Jerry WestDMC

Jerry West

1/20/17

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Source: Esri, DigitalGlobe, GeoEye, Earthstar Geographics,CNES/Airbus DS, USDA, USGS, AEX, Getmapping, Aerogrid, IGN,IGP, swisstopo, and the GIS User Community

Figure 1 - Project Location Map - Point Mugu State Park.

Project Location

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