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y� � <br />� TO B! COMPLETED BY �PPLICANT <br />c. Water [tunoff (including stortn watcr): <br />� <br />I) Dacribe the source of runoff (including storm water) and me[hod of collxtion and <br />d'upoul. iC any (ineluCo qwntitia. if known). Whace wiU this water flow? Wiil this wa�er <br />flaw inco ocha wacer�'! [C so, dcscribe. <br />�t�y 1 wr �I vti W �� � i��.�.��% �i'i :n I �I ��+ITr � I�i % <br />htlb n►3TI21►�UTbb To ykit r.�I�T'. �KM S�Ici�12 <br />�fJf�M J�I" ��. Icl6�" . <br />2) Could wuce materials enter ground or surface waten? tf so. genenliy dacribe. <br />4�C�-j 'W' Ir.lhj I��tT81�.1�1�1111 �-t�1�LCl?7 S�IZVIC$ <br />� u-t �t� ►� e � To � ��°�ce oi � �i� <br />, <br />d. Proposed measura to reduce or control surfac0. ground, and runofF water impacu, if <br />'n�'�'d-4 6FF�T1YElJi bPssl�}'}617 171?#di�� �HTI=Ol� <br />�M, �rKoV�e �Y 'r�a �t1tf op� �v� <br />s. Ptann <br />a. Check or circta typa of ve eution found on the site: <br />�deciduous trea alder mapl upen, ocher <br />evecgrern traa fir r pina ocher • <br />shruha <br />X a� <br />_ putuce <br />_ crop or gnin <br />wec wil planes: ntuil, buttercup. 6ullnuh, skunk ca6bage, ocher <br />water plaats: water lity. eelgcass, miifoil, other <br />_ other typa of vegetauon ' <br />b. What kind and amounc of vegeta[ion will be removed or aitered? <br />W� {cL� LL�Mih�y� bq��/�I�JI�6��E � E1V�-� j.Tl=�J W� <br />c. u[ thrraiened or endangered spcc�a known co be on ar nrar ihe site. <br />�� <br />d, pro�Oxd landuaping. use of na[ive plann. or ather measura �o prnerve or enhance <br />vegetation on the site. if any: <br />41� �de6 I'Kal°osft-1E�'�h �.�411G��Y6 I°�t L.�SIt-tP.�' ti� <br />ikP3e5 � SI-tKt.l ��1`d�tb KOUH Iv C�1612- • <br />5. Anianls <br />a. Circle any bicds and animals which have tr:n obsorved �an oc near.the site or are known <br />to be on or near tha sica ��I <br />birds: hawk. hecon. agle. wngbirds. o�her. . . . �� . . . . . . . . .. . . . . . . . . . . <br />mamrtub: deei. bar. elk beaver. ocher. ��1'�.I� ...................... <br />f • b I n trout herring shellfuh, athor. • � • • • • • • • • • • • • • • • <br />u6. asr, sa mo . . . <br />b. L'uc any thrcatened or ondangered specia known ta be on or r.ear the sice. <br />tjoH 6 <br />EVALUATiON FOR <br />�GENCY USH ONLY <br />