3523 PAINE AVE 2016-01-01 MF Import

EVALUATION FOI TO BE COMPLETED BY APPI�CANT �GENCY USE ONL I c. Water Runoif (including storm water): I) Ducnbe the source of runoff (including scorm W�«rl and method of coliection and i disposal, if any (include quantitia, if known�. Where wdl this waier tlow? Will this water Flow into other waters? If so, dacr�be. �rt � `t'Z� a; 1C1'; i (N�.. �to��r- ,l `l.l. r� � CF= � I d T.!�': L�'� I! '_) Could waste matenais rnter ground or suriace Wacers' if so. generally dacnbe. I N''% d. Pr000sed measura to reducc or concrol suriace, ground, and runoff Wacer imoacts, ii 3nv: N � d��t .. �� w ��c �:.i' r—x ; �; . � , i, plina I a. Chack or circle rypes of vegetation faund on [he site: I i��ec' uous tree: alder, maple. aspen. other '� reen tree: tir, cedar. pme, other ,L shrubs �; grass _ pasturc crop ur grain _ wec soil plancs: cattail, buttercup, bulirush, skunk cabba¢e. ocher _ water plants: water lily. «Igrass, mil(oil, other _ other typa oi vege�acion b. Whac kind and amou�t of vegetacion will be removed or altered� � �Jnl _ i�� .� �� V,(� l:-'�` � � i c. List threatened or endangered soecies known to be on or near the sne. ,V.: /� •: I d. Proposed landscaping, use of native plants. or other measures eo presme or enhance ,'I vegetation on ihe site, iF any: / ' NA`�IV� i'Crlr.' i% 7 : � i � . r I �. Animab � a. Circle any birds and animals which have been observed on or near the site or are known ��I co be on or near the si[e: L�,>.vu r I i birds: hawk. heron. eagle. songbirds. other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I mammals: deer. bear, clk, beaver, other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • I fish: basa.salmon, trout, herting, shellfsh, other: . . . . . . . . . . . . . . . . . . . . . . . . . . . � Ib. Lisc any threatened or endangered specia known ro be on or near the site. I �li� '� ��i ,-'- '