Laserfiche WebLink
Es ALUATION FOR <br />TO BE COMPLETED B) APPLICAST AZENCY USE ONLY <br />�. Water n���' <br />Surface I �.� j) C M4P . <br />1) Is there anv surface. water body on or in the immediate vicinity of the site describe <br />type <br />ear —round and seasonal streams. saltwater, lakes, ponds. wetlands)? If yes. describe type �CcnG{ lt/� �c <br />.and provide names. If appropriate. state what stream or river it flows into. Or d �UYI <br />No iL�'Ddyk 7%- <br />2) Will the project require any work over. in. or adjacent to (within 200 feet) the described I ` �� <br />waters' If yes, please describe and attach available plans. i <br />ii Estimate :he amount of fll and dredge material that would be placed in or removed <br />from surface water or wetlands and indicate :he area of the site that would be affected. In. <br />dicate the source of till material. S ^' <br />U� 3rd &W- StJ <br />None / <br />3) Will the proposal require surface <br />water <br />withdrawals <br />ithdra als or diversions? Give general de- <br />scription. purpose. and approximateq <br />On -site water <br />within a 100-year iloodplain? If so. note ocat lion on the site Ct/►t� �� f�/tIIAtt <br />S) Does the proposal lie <br />plan. <br />No({?((/I <br />describe the thehype of waste and anticipated volume of discharge. <br />any discharges of waste als to surface waters? If so, <br />No <br />b. Ground: <br />I) Will ground water be withdrawn• or will water be discharged to ground water? Give <br />general description. purpose, and approximate quantities if known. <br />No <br />2) Describe waste material that will be discharged into the ground from septic tanks or <br />other sources, if any (for example: Domestic sewage; industrial, containing the following <br />chemicals ...: agricultural; etc.). Describe the general size of the system, the number of <br />ed (if applicable), or the number of animals or <br />such systems. the number bf houses to be sery <br />humans the system(s) are expected to serve. <br />None <br />