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S , • �` <br /> ,�.�_., <br /> ��.� , <br /> ; <br /> �; <br /> �, <br /> _ s,,,.. <br /> � �:s; an}� environm�mai miormauon you know aoout tttat has been preparao, or wiil be preparea. direcdy related co <br /> l"IS OfOD05�1. �;L'L? /�,�� <br /> � <br /> A�� <br /> 9Ht~A <br /> H �� � Do vou �now� wnether aopucauons arc pendme for eovernmemal approvals oi uther proposals direcdy afLcting the <br /> K �n �ropertc covereo by your proposai�! If yes, ezpiam. NQ� _ <br /> H xl <br /> � N� <br /> VJ H <br /> � �o�� <br /> O H C 10. List any ¢overnmrnt approvais or perm�u ihat will be needed (or your proposal, i(known. /'v�0/'✓� <br /> � �g <br /> �H Y (7 <br /> Z i-+ �j(LO/AJ(o G�'-Ja/LS <br /> yH <br /> r H H �BC.(G µbPJ�S P�{ �� <br /> ti <br /> � �y • � <br /> [�1 ! I. Give bntf, complete descrtpuon oi your proposal, mcluding the p�oposed usu and the size of ehe pro�ect and site. <br /> y 0 y Thcrc are severai quuuons later m ihis checklist that ask you to describe certnin aspeces o( your proposal. You do not <br /> __.T,___, need to repeac chose answers on ih�s page. P,LNro TQ ',(j t�i<D � 54?O�F 8�A6. <br /> WI�fISET [ N7" <br /> o�/�� tJ F� �'�" {�q'SI UTTj�CG V�! <br /> . 07�0_�SF Br.Saa���t <br /> �� �f'i4�G -� . <br /> �" "" 12. Location o( che proposal. Give suifician� miormauan ior a person io undersund the preciu location of yout pro- <br /> �� �osed pro�ea, including a sveei addras, if any, and section. township, and range, i(known. If a proposal would accur <br /> over a range oi area, provide ehe range or boundaria of the site(s). Prmide a Iegai dacripcion, site plan, vicinity map, <br /> and iopographic map, if reawnably available. While you should submit any plans required by the agency, you are not <br /> required to duplicate maps ar detailed plans submitted with any permit applicapons related to this ehecklict. <br /> � NOD �A�T /ll/J/LiNL Ul�� �t'. <br /> G`� �'f.,ef 7T, l.Uf; <br /> �„�0 1 <br /> I�� <br /> TO BE COMPLETED BY APPLICANT EVALUATION FOR <br /> �GENCY USE ONLY <br /> �'� B. ENVIRONMENTAL ELEMENTS <br /> s <br /> , I. Farth � <br /> a. General ducnption of the site (circle one • Flat: olling, hilly, steep siopa, mountainou:, <br /> � ocher - <br /> b. What is the steepat slapc on ihe si�e lapprozimate percent slope)? ��j <br /> � <br />