1910 W CASINO RD 2018-01-01 MF Import

EVALUATION FOR TO BE COMPLETED BY APPUCANT AGENCY USE ONLY ' 3. Wud a. Surface: I) Is there any surface water body on or in the immediate vicinity of the �ite (including year-round and seasonal streams, saltwater, lakea, ponda, wetlands)? If yes, dacribe type and provide nama. If appropriate, state what stresm or river it Ilowe into. No ?) Will the project requirc any work over, in, or adjacent to (within 200 feet) the dacribed watera2 If ya, pinu dacribe and ettach available plam. NO 3) Estimate the amount of fill and dredge ma[erial that wauld be plaxd in or removed from surfaa water ar wetlands and indicate the area o( the site that would be �ffated. In- diate the wura o(fill muerial. N�K.G 4) Wdl the propaal requirc surfaa waier withdraw�l: or divenionsY Give �enml de• scription, purpene, and �pproaimate quantitia if known. _NO _ . _ _ S) Dou the prupa�l lie within a 100-yar Iloodpl�in? If w, note loadon on the �ite ' plan. NO --- 6) Doa the propaal involve any dischar{a of wi�te materiala to �urface waten? If w, daaibe the type of waua�nd anticipated volume of di�char{e. N� , b. Ground: I) Wiil {round w�ter be withdnwn, or will Wuer be di�charted to eround watml Give �enenl dacription, purpae, and approximate qu�ntitia if known. NO 2) Deuribe wasu material th�t will be diuhareed into the {round frcm uptic unlu or other saurea, if any (for eaample: Domatic aew��e; indwtrial, conuinin{ the tollowin` chemiali . . .; a{ricultunl: etc.). Deuribe the �enenl siu of the ryrtem, the number of wcd:yicem�.the number of Aowa to be �erved (if appliable),or the number af�nimal�or humam the:yitem(�) �rc expee[ed to�ern. No . 4.