3003 W CASINO RD BLDG 40-50 2018-01-02 MF Import

' � _ TO !E COMPLETED BY APPLICANT EVALU�TION FOR • ACENCY USE ONLY ' ]. W�tK a. Surf�oe: I) Is there any surfaa wtter body on or in the immediate vicinity of the site (includin{ � year-round and suaonal streams, ultwater, laka, ponds, wetlanda)? If ya, deuribe type and provide nama. If appropriate, sute whrt strnm or river it flowa into. RAIN WATER IS THE ONLY SOURCE OF SURFACE WATER AND THIS IS CONTROLLED THRU THE BUILDING STORM WATER SYSTEM DOWN POWDER MILL GULCH. NO CHANGE IN RUNOFF WILL RESULT. 2) Will the project require rny work o�ar, in, or adjaeent to (within 200 fat) the dacribed ; wa[ers? If ya, pluse dacribe and atuch available plrns. I I� NO 3) Estimate the amount af fiil and dredge m�terial that would be placed in or removed , from surfaa waur or weU�nda �nd indicate the area of the site that would be affected. In- i diau the wura of fill material. � i NONE i 4) Will the propowl require surf�a water wiihdnwals or divenions? Give {ener�l de- �cription, purpo�e, and approaimace quantitia if known. NO S) Daes the propoui lie within a 100-year tloodpl�in? If w, note location on the site ptan. NO 6) Doa the propoal involve any diuhar{a of wute m�teriab to surfaa waten7 If a, dacribe the type of wute and �ntieipaud volume of d'uelurye. NO • b. Ground: I) Will {round wuer be withdnwn, or will water be dischar�ed to `round w�ta1 Give {enenl dacription, purpae, �nd approximate quanticia if known. NO 2) Daeribe wute material tAat wiil be diulur{ed into the `round from xptie anks or other wurca, if any (for ex�mple: Domatic uwa{e; induatrial, wnuinin{ the followin� chemiala . . .: a�ricultural; etc.). Dacribe the eeneral siu of the system, the number of sueh syaems, the number of howa to be served (if applieable),or the number of animals or hum�ns the :yttem(s) are expated to serve. NONE 4.