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�A <br /> ._. .. . . . . . . . . . .._ _"__"'__'"__. _ � . <br /> n <br /> ,r. � . . � ( <br /> l <br /> � ' Yes Maybe No <br /> (b) Changes in absorption raees, drainage pattexns, or the rate and <br /> amount of surface water xunoff? � _ _ <br /> (c) Alterations ta the course ar flow of flood waters? _ _ � <br /> (d) Change in the amount of surface water in any vater body? _ _ � <br /> (e) Discharge into surface waters, or in any alteration of <br /> aurface water quality, including but not limited to <br /> temperature, dissolved oxygen or turbidityl _ __ � <br /> (f) Alteration of the direction or rate of flow of ground watera? �y <br /> �S) Change in the quantity of ground waters, either through <br /> direct additions or withdraaals, or through interception <br /> of an aquifer by cuts or excavations? _ _ � <br /> (h) Deterior:,tion in ground water quality, either through direct <br /> inje�tion, or through the seepage of leachate, phosphates, . <br /> detergents, waterborne virus or bacteria, or other substances <br /> into the ground waters? _ _ � <br /> (i) Reduction in the amount of water otherwiae available for public <br /> �water aupplies? . ,� _ ^ <br /> p�•.�Yrre.nY .� .c!':� d:i// neerC e.•�te.r- {-c: c.u.ki���i cLlr_qn�.�� <br /> � . � �'{�G '<. <br /> Explanation: /_3„ � /:+'. ,,� i.,�/� i.ia' rr�,:,F, r� �F iw��e(J�cu53car-F�.Ze. ���t- <br /> �C• G. ' ' �1r:' a ,r� •c<>. ' � � � 5 t G � , i:. P ^ �.:; � oncC✓1�'�`aj"eK <br /> . , b� G <br /> ��� �Crav�nc�� c1.c...u�,c'.15 �Fc<� VC.ri"•�cC 1-v [Y. �n��'7�• :.' : ji: C�.i - O�- �✓ere� � � <br /> (4) Flora. idill the proposal result in: ' y �j'P��'��t�� �°' <br /> (a) Change in the diversity of species; or numbers of any species <br /> of flora (including trees, shrubs, grass, crops, microflora and <br /> equatic plants)? _ _ � <br /> (b) Reduction of the numbers of any unique, rare or endangered <br /> species,of Flora? \/ <br /> �� <br /> (c) Introduction of new species of flora into an area, or in a ! <br /> barrier to the normal replenishmenC of exis[ing species? <br /> (d) Reduction in acreage oE any agricultural crop? _ � �_ <br /> Explanation: <br /> (5) Fauna. Will the proposal resul[ in: <br /> (a) Changes in the diversi[y of species, or numbers of any speci.es <br /> of f�una (birds, lan�l animals including repCiles, fish and <br /> shellfish, ben[hic organisms, insects or microfauna)? __ � <br /> (b) Reduction of the numbers of any unique, rare or endangered <br /> species of fauna? <br /> _ �. <br /> (c) Introduction of new species of fauna into an area, or resulC <br /> in a barrier to the migra[ion or movemen[ of fauna� _ � <br /> (d) Deteriara[ion to exis[ing fish or wildlife ha6i[at? _ � <br /> Explanacior�: <br />