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!k <br /> � �J <br /> TO �E COI{PLETED �Y AYVLICANT EVALUATION FOR <br /> A(:ENCY USE ONLY <br /> c. W�ler Runoff(including storm waier): <br /> I) Dcscribe thc wurce of runoff (including storm walcr) and mcthud of a�llcclion and �-'I�.D/6'�� <br /> dispoaal, if any (include quantitics, if known). Wh�re will this watcr flow? Will this water <br /> Ilow into olher waters? If so, dcs�ribe. On site rain water wi11 be col2ected in on site <br /> water retention faciZities and metered into drainage ditch <br /> on east side of property, <br /> 2) Cuuld waste m•r�crials entcr ground ur xurfacc watcrz'! If zo, gcncrally Jcscribc. <br /> No <br /> d. Proposed measures to rcducc or control surfacc, ground, and runoff watcr impacts, if <br /> any: . On site retention facilities <br /> 4. Plants <br /> :i. Chcck or circle �yp.a of vcgc�ation found on ihc sitc: ��/�J�� <br /> _ dcciduous trec: alder, maplc, aspcn, oiher <br /> _ evergreen tree: �r, ccdar, �inc, olhcr <br /> _ shrubs <br /> �y erau <br /> _ �+aswre <br /> _ crop or gnin <br /> _ wet wil planu: cattail, buttercup, bullrush, skunk cabbage, othcr <br /> _ w•aur plants: water lily, aelgrass, milfoil, alher <br /> _ other lypa of vege�ation <br /> b. What kind and amount of vcgetation will be rcmoved or al�crcd? <br /> Sod & Weed <br /> c. List threatened or cndangered speciu known to be on or near the sitc. <br /> None <br /> � v�a. <br /> f�`� � Proposcd landscaping, usc of native plams, or other measura to prcserve or enhance � W�� (a � <br /> .��7 veReta�ion on thc site, if any: p�a��.- �.� �� <br /> As required by County a�d� SQ, Fj-�,w c� <br /> �ol mF Pa,rkn� aR.c <br /> 5. Animals <br /> �sf �.%n ��c�i� <br /> a Cirde any birds and animals which havc bccn obscrvcd on nr near thc si�e or arc known <br /> io bc on or near thc silc: 'None <br /> birJs: hawk, hcnin, c;iglc. uinKbirJx, othcr: . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . /-�'�(j��� <br /> mammalx: dccr, lx:v. clk. bcavcr, athcr: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> fi+h: 6a.z, mlmon, uout, hrrring, shcllfish, o�hcr: . . . . . . . . . . . . .. . . . . . . . . . . . . . . <br /> b. I.is1 nny thrcatcncd or cnJangcrcd .�cies knnwn lo bc on or ncar thc xitc. None <br /> . _ 5 _ . <br />