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� ) <br />9. Agency NoquiringChecl:list Ci*y �'.; a,•-.r /����c2i�uo' . <br />5. Nnmc uf Pruposnl, if npplicnblc: <br />f' U�r�r .�i,r, <br />6. NnWrc nnil ltricf Ucscriplion of lhc Proposiil (includin� Uul not <br />llmiled lo its size, genernl design clemcnts, mid uthr.r foclors - <br />O�nt will give nn uccurnte underslunJing of ils scope und <br />nulure): <br />� Urtn , Ir� . JC-%' �u . /'� : � �i i"�"'-f.rn .. <br />i?• /;�.:�,,r.. .3:�nr,��1 <br />7. I,ocnlion of Proposnl (describr. the physical ,etting of Uie <br />proposnt, ns wcll ns ihe e�tent ot thc Innd nrm uffected Uy nny <br />envi�ronmentN impacls. incL�ding uny other informntion nceded <br />to give nn nccurute im�ersinnding of the environmeniN selling <br />of lhe p�roposnl): �� <br />_�P7� '/YbYY '—'v/-�'? t< <br />6. lislimnlr.d Unic for Completion o( Ihe Proposed Action: <br />_E��%-` - �'-%�%% <br />9. List of nll Pcrmits, Licenses or Covcrnment Approvnls Ileqwred <br />for Ihe 1'roposnl {Seder�l, stnle and locnl--including rezones): <br />�—.,-1��,. �/�•a�Nr�r _ <br />�� or � <br />%� � r uc' f' /—c F-cr-�/- -.ru�.- ' <br />10. Do yau havc nny pinns for Cuturc additions, e>:n:u�sion, or <br />further nctivlty rclnted lo or mnnected with lhis- proposN? If <br />ycs, expinln: / <br />ll llo you kno�v o[ nny pinns by others which muy ntfeet thc <br />property cuvered b�� your proposnl? If yrts, expinin: <br />72. Altnch any otlier npplicntlon (m�m thnt hus been completed <br />m�;urJing the proposnl; if none hns been wmpleled, Uul is <br />expectod to be filed al some future date, describc thc nnture <br />ot such applicution form: <br />�oM� _ <br />ll, iiNVIItO;::�1E1:'PAI, 1.'.IPAC'I'S <br />(6xplanuiions oC nil "yes imd "mnylie" nn�wer� �re requircil) <br />(1) Gnrth. �Vill lhc proposnl resull in: <br />(oj l]nstuUle corlh conditions or in <br />chnngesin geologic substruclures? <br />(b) Disniplions, dlsPlncements, cam- <br />pnctlon or ovcrcovering of thc soil? <br />(c) Chmige in lopo�•uphy or gromid <br />surtace rclicC fentures? <br />Ycs idnVbc ivo <br />✓ <br />� �— � <br />✓ <br />(d) Thc deslruction, covcring or modi- <br />[iention o( nny unique gcolagic or physicnl ✓ <br />fealarec? — — — <br />(c) Any incrensc in vrind or wntcr <br />crosimi aC soils� CIIFICP 0!1 OC 4I� lI1C Sllc? <br />(q Chan�es in deposi�ion or n.osion <br />ot Umch snnds, or chrmges in silt�tioc. <br />deposition or crosion which mny modi:y <br />thc chnnncl of a rivcr or strenm or Wc <br />Ucd oC lhc ocenn or nny �uY � iNcl or <br />lnkc? <br />�,. <br />lixpinnntion: %7iin�v-c ra o-�,_,�_`��,� r1�,%..��:tuli�n <br />. � < o ' -'1�'___ --._ <br />(2) Air. Will the proposnl reeull in: <br />(n) Air emissions or deteriorntiou ��f <br />nmLienl nir quNity? <br />(b) The m•ention o[ objectionnUlc <br />odorc? <br />(c) Altcrntion of nir movemmit, mois- <br />lurc ar temperunire, or uny chnngc in <br />dimntc, cilhcr locully or regionnlly? <br />Lxpinnntton: <br />— -- � <br />— -- ✓ <br />— — ✓ <br />