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�. ': <br /> � <br /> Y <br /> • [f <br /> i� <br /> }f <br /> TO BE CONPLETED BY �ppLICANT EVALUATION FOR <br /> �GENCY USE ONLY <br /> m�� :. �Vhai ¢eneral types oi soils are iound on the siie (for examol clay:sand, gravel, peac. ' <br /> � TUCKI) If you cnow the ctassification oi agriculwral soils, speciiy t and note any prime <br /> ay� i�rmlana. <br /> H z� <br /> � H� <br /> � yM d. Are there suriate indications or hisrory o( unstable soils in che immediate vicinityT If so. <br /> � �� descnoa /„��; <br /> t<1 Q <br /> OH� ' <br /> ��g e <br /> ❑g a. Descnoe ihe purpose, type and approximate yuanuues of �ny lilling or grading pro- WpJid ���C <br /> Zy y[�J ooseJ. Indicaie source oi fill. �i�o f� u..�' ,FSfin/K �rrD�- i-vu-n 0/1�0"�• 4�i, (y � <br /> t" r+y riLL, in,• fr/Lo.vT 5i0£ D -r �4iLDi.tJG q Wu�� <br /> � <br /> �,l.ta.�^>, <br /> g �v�, . ' � /� <br /> � y y i Could erosion occur as a «,ult o(clearing, tonstrucuon, or use�! If so, generally descnba ��' ��� / <br /> yo� N�, u,� �y F���� �N <br /> __—.— G,,.�-�(I Ejvi I�iM�j` <br /> . f�i.,., -Q / <br /> g. About what percent of the site will be covcred with impervious surfaca after projecc �� C/ � ` <br /> constrvctian (for ezample, asphalt or buildinas)? 9,J'aJp ����, <br /> � � <br /> �� <br /> h. Proposed measuru io reduce or control erosion, or ocher impacts to the earth, if any: <br /> ���� 7-/£ • /NyD .$Ei�/£�f S�/SrfM <br /> ....,� 2. Air Z.C�. <br /> a, Wnrt types of emissions to the air would result (rom the proposal (i.e.. dust, automobile. �� ' J <br /> odon. i�dustrial wood smokel � p 1 P ���^�� <br /> �rina conscr�etian and when the ro ect is com leted? If <br /> �� � any, Qenna:�y describe and give approzimate quantitia if knawn. "� <br /> �o �u57�u�-tlb•�J GQu��rne .vr- �°{'�'►`'"' <br /> �h�. <br /> ��� �i���c� <br /> b. Are there any aff-site sourca of emiuions or odor that may affect your proposal? If so, ,��ft,o�a'"'� � <br /> generally ducnbe. �JOy� /T'NU t�J.� Wy� s�i�_Qj(f.lN <br /> � (�� v <br /> �h�` ' <br /> , • c. Proposed measuru to reduce or control cmiuions or other impacts to air, if any: <br /> AJON Cr. <br /> 3. <br />