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TO !E COMPLETED BV APPLIC�hT
<br />EVALUATION FOR
<br />AGENCY USE ONLY
<br />c. Water Runoff (including storm water):
<br />I) pacribe the source of runoff (including storm water) and mcthod of collection and
<br />disposal, if any (include quantitia, if known). Where will this water flow? Will this water
<br />tlow into other waters? if so, dacribe.
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<br />2) Could waste materials enter dround or sur(ace waters? If so, generally dacribc.
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<br />cl. Proposed measures to reduce or control sur(ace, ground, and runoff water impacts, if
<br />a ny:
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<br />4. Pl�nb
<br />u. Check or circle cypes of vegetation found on tha site:
<br />� deciduous tree: alder, maple, azpen, other
<br />_ evergreen tree: fir, cedar, pine, other
<br />� shrubs
<br />X a�
<br />_ pasture ,
<br />erop or grain
<br />_ wet wi1 planu: asttail, buttercup, bullrush, skunk cabbage, ather
<br />_ w�ter plants: water lily, eelgrass, milfoil, other
<br />_ other tyFxs of vegetatiun
<br />b. What kind and amount of vegetation will be removed or altercd?
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<br />c. List threatencd or endangered species known to be on or near the site.
<br />N �
<br />d. Proposed landscaping, use of native piants, or other measures to preserve or enhance
<br />vegetation on the site, if any:
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<br />5. Animals
<br />a. (:ircle any birds and animais which have been observed on or near the site or are known
<br />to he on or nwr the site: ��
<br />birds: hawk, lieron, eagle, songbirds, other : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
<br />mammais: deer, bear, elk, beaver, ocher: . . , . . , . , , , ,
<br />fish: bass, sa�mon, trout, herring, shellfish, other: .. .. . . . � � � � �
<br />.....................
<br />b. List any threatened or endangered species known to be on ar no�r thc sitc.
<br />NOt�J�'11�" W�A� 1�.I�J� Op'�f'�NI��'i1h1�.
<br />s.
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