10115 4TH AVE W 2016-01-01 MF Import

-_-. _ __- ---- -- -- -_--_�_---- - _-:. ...... ._ ^. . - ---: .. - ��----�- 70 BE COMPLETED BY APPLICANT 3. Water n. Surface: 1) Is there any surface wacer body on or in tde immediate vicinity of the si[e (including year—round and seasonal streams. saltwater, laka, ponds. wetlands)? If ya, dacribe type and provide names. If appropriate, sute whac stream or river it tlows into. NONE 3) W itl the projecc require any wark over, in. or adjacenc to (wichin 200 feet) the dacribed waters° 1( ya, please ducribe and actach available pians. NO 3) Escimate the amouat oC fill and dredge material that would be placcd in or removed From surtace wacer or wetlands and indicate the area of the site tha[ would be affecced. In- dicaro the source of fill material. NUNE 4) Will the proposal require surface water wi[hdrawals or diversions? Give general de- scription, purpose, and approximate quan[i[ia if known. NU 5) Does the proposai lie wi[hin a 100—year floodplain? If so, note locacion on the siee plan. NORTH CR.EEK DRAINAGE BASIN 6) Doa the proposal involve any dischargrs of wazte materials to surface wa[ers? !f so, dacnbe the type oF waste and anticipated volume oC discharge. NO b. Ground: 1) Will ground water be wi[hdrawn, or will water be discharged ta ground water? Give general dacription, purpose, and approximate quancitia if known. JUdT �VATER TO ..'PLANTS AND GRLT:NLRY 2) Dacrihe waste material that will 6e discharged inta the ground from sepcic tanks ar other sourca. if any (for esample: Domrs[ic sewage; industrial, containing the following chemir.als ..: acnculn�ral: acJ. D�scri6e the ¢eneral size o( the system. the number e( such s�stems, the number oi housu to 6e served �if applica61e1, or the number ot animals er humans the system(s) are ezpccted to serve. NONE EVALUATION FOR AGENCY USE ONLY