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P <br />TO BE COMPLETED SY APPLICANT <br />h] <br />3. Water <br />y <br />a. Surface: <br />1) Is these any surface water body on or in the immediate vicinity of the site (including <br />year—round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type <br />H3 <br />and provide names. If appropriate, state what stream or river it Flows into. <br />K c~a <br />0 <br />No <br />H0 <br />to <br />td xS <br />'_) Will the project require any work over, in, or adjacent to (within 200 feet) the described <br />yC <br />waters? If yes, please describe and attach available plans. <br />H0 8 <br />Site is within 200 feet of Snohomish River delta F, <br />ca. o <br />a?proximately 9 feet above mean high water. <br />ZH <br />r <br />3) =stim.te the amount of fill and dredge material that would De placed in or removed <br />I..i*� <br />rn H <br />From surfs water or wetlands and indicate the area of the site that would be affected. In- <br />O <br />n t7Ca <br />dlcatc .�: source of till material. <br />�r <br />Nont. <br />x y rrA <br />y O (A <br />Will tnc proposal require surface watt withdrawals or diversions^. Give general de- <br />scri ieion, purpose, and approximate quantities if !tt wn. <br />No <br />.�� 5) Does the proposal lie within a 100—year floodplain? If so, note location on the site <br />plan. <br />No <br />5) Does the proposal involve any discharges of waste materials to surface waters If so. <br />describe the type of waste and anticipated volume of discharge. <br />r No <br />b. Ground: <br />1) Will ground water be withdrawn, or will water be discharged to ground water? Give <br />general description, purpose, and approximate quantities if known. <br />(�' No <br />2) Describe wa_te material that will be discharged into the ground from septic tanks or <br />ether sources, if any (for example: Domestic sewage; industrial, containing the following <br />chemicals . .; .gricultural: etc.). Describe the general size of the system, the num'xr of <br />such syster,_ . the number of houses to be served (if applicable), or the number of animals or <br />humans th ..ystrm(s) are expected to serve. <br />None <br />4. <br />EVALUATION FOR <br />AGENCY USE ONLY <br />