1. (a) Identify the Regionwide Permit(s) which Apply.

   1. (1) Identify the regionwide permit(s) under which you are applying for coverage.
   2. (2) Certify that you have reviewed the regionwide permit(s) under which you are applying for coverage and that your project includes only authorized activities described in one or more regionwide permits.
2. (b) Project Location. Identify the location of the project, including its street address, name of local jurisdiction (whether an incorporated City or unincorporated area of a County), Assessor's Parcel Number (APN), and latitude and longitude coordinates.

3. (c) Existing Conditions.

   1. (1) Describe the existing condition of the project site, including any existing vegetation, structures, public access, water areas, and uses.
   2. (2) Provide one or more photographs of existing site conditions.
   3. (3) Provide the identification number of any Commission permits that have been issued for the site.
   4. (4) Identify any known threatened or endangered species, or any species that the California Department of Fish and Wildlife or a federal wildlife agency has determined are candidates for listing as threatened or endangered that may be found at the project site.
4. (d) Project Description. Provide a narrative project description that summarizes the project and its purpose.
5. (e) Timeline. State the month and year work is proposed to begin and the expected completion date.
6. (f) Project Site Plan. Submit a project site plan (or set of plans if all the information cannot be shown on one drawing) that shows the nature, scope, and location of the proposed work and clearly distinguishes between existing and proposed conditions. The project site plan must be at a scale that allows the details of the proposed project to be clearly illustrated.
7. (g) Total Project Cost. Indicate the total project cost. As defined in Appendix M, section (d), “Total project cost” means all expenditures, including the cost for planning, engineering, architectural, and other services, made or to be made for designing the project, plus the estimated cost of construction of all aspects of the project both inside and outside the Commission's jurisdiction.

8. (h) Information on Government Approvals. State whether each of the following government approvals is required for your project. For each required approval that has been received, submit a copy of the approval. If you have applied for but not received a required approval, state the date you submitted your application and provide the name and phone number or email address of your contact person at the agency, if any. If you have not yet applied for a required approval, state the estimated date by which you will submit your application and provide the name and phone number or email address of your contact person at the agency, if any.

   1. (1) Water quality certification or waste discharge requirements from the San Francisco Bay Regional Water Quality Control Board.
   2. (2) An approval from the California Department of Toxic Substances Control.
   3. (3) A “biological opinion” from a state or federal agency as the result of endangered species consultation.
   4. (4) A “take” authorization from the California Department of Fish and Wildlife or any federal agency.
   5. (5) A discretionary approval from the local government with jurisdiction.

9. (i) Environmental Impact Documentation.

   1. (1) State if any government agency has made a determination that your project is statutorily or categorically exempt from the need to prepare environmental impact documentation under the California Environmental Quality Act (CEQA) or the National Environmental Policy Act (NEPA). If so, submit a copy of that determination or a statement that identifies and supports the statutory or categorical exemption.
   2. (2) State if any government agency has prepared or is in the process of preparing an Environmental Impact Report (EIR), Environmental Impact Statement (EIS), Negative Declaration, or Mitigated Negative Declaration (MND) for your project. If such a document has been prepared, submit a copy of the document. If any agency is in the process of preparing such a document, provide the name and phone number or email address of your contact person at the agency.

Your application must include the following information:

Note: Authority cited: Section 66632, Government Code; and Section 29201, Public Resources Code. Reference: Sections 65940 and 66632, Government Code; and Sections 21160 and 29520, Public Resources Code.

History

1. New section filed 5-4-2026; operative 7-1-2026 (Register 2026, No. 19).