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� <br /> _ . h <br /> t <br /> ;. ,y <br /> i0 BE COMPLETED BY APP��GNT EVALUATION FOR <br /> AGENCY USE ONLY . <br /> y5 � <br /> t�]�y <br /> C�H <br /> A H fn <br /> y �H �. Wa�er Rm:oi� fuding storm waier): <br /> � n :1 Ducnbe th. �rct af runoif (including storm wate:) and mediod oP collection and <br /> H� oi:pcual. if any �i�._�ude quanuiia, i( known�. Where wlll this waier Flow? Wiil this wa[er <br /> � H� �low into other waiers? ff so, descnbe. ��( N �J �f'l.t�A TE 2 l,l�i«- <br /> � z� ��o�.0 7-v St �uEk S�;S�f m . <br /> �d <br /> �/� �p ?) Couid waste ma�enals enter ground or suriace wacers7 If so, generally ducn6a dJ0 <br /> y�V � <br /> � y� Ih-i H <br /> y H d. proocsed measuros io reduce cr c.mrol suriace. grouna, and runoif waier �mpacts, ii ��. <br /> C �� iny: ��u.'t.R e0i11i}�F.c17ov- I <br /> 3 I�z H tn <br /> H O p� <br /> 3. Fiulb <br /> a. Check or cirde cypa oi vegeutian (ound on the siia <br /> _ Ceciduous irtt: alder, maple,upen, other <br /> evergreen tree: fir, cedar. pine, ocher <br /> shrubi <br /> �e� Zi Brau BLNc K tS L�C.0 y �'iNtS <br /> _ pazture <br /> _ crop ar gnin <br /> .�,�, wet wil plann: cattail, buttereup, bullrush, skunk cabbage, oiher <br /> �� wa�er planu: water lily, eelgrass, milfoil, oiher <br /> � o�her typn of vegaation <br /> b. Wphat kind and amount of vegeution will be rcmeved ar al[ered? <br /> .,�,� iO .�H�KBL�'k. Y UiiVL S — �r+ RSS <br /> a List threacened or endangered speciu known m be an or near ehe aite. ' <br /> � (�� N v ni � <br /> d. Proposed landscaping, use of native plana. or o�her measura to praer+e or mhance <br /> vegetation on the sice, if any: NO/y � <br /> ��� <br /> +.� 5. Anisub <br /> a. Circle any 6irds and animals which have been observed on or near the sice or are knawn <br /> , to be on or near the aite: <br /> birds: hawk. heron. aagle. songbirds. ather: . ... . . . . . . . .. ... . . . . . . ...... . .. . <br /> mammals: deer. bear, elk. beaver. other: .. .... .. . . . ... . .. .. . . .. . ...... .. ... <br /> fish: bass,salmon, trout, hcrring, sheilfish, ocher. . . . . . ... .. . . . . . ....... ... . .. <br /> b. Lisc any threat^.ned or endangered specia known ro be on or near the site. �ON E. , <br /> , � ���� <br /> 5. <br />