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� <br /> � <br />! <br /> I <br /> f . � . ' . . � . <br />� • • ' y�es Maybe No • <br /> j • <br /> (b) Chaeges in absorption rates, drai.nage patterps, or the rat� and <br /> 2mount of sur.fac� c;ater runoff? �- — X <br />� — — — <br />, (c) Alterations to the course or flow of flood waters? <br /> � x <br />' (d) Change in the amoune of surface water in any water body? . _ __ <br />� (e) Discharge into surface waters, or in any alteration of <br />� surfaee wdter quality, including but not limited to — -- <br /> temperature, dissolved oxygen or turbidityZ �- <br /> (f) Alteration of the direction or rate of flow of ground wa[ers? _ � � <br /> �8) Change in the quantity of ground waters, eitt;er chrough � <br /> direct additions or withdrawals, or through interception X ' <br /> of an aquifer by cuts or excavatians? — — — . ; <br /> (h) Deterioration in ground water qua:ity, eieher through direct ' • <br /> injection, or through the seepage of leachate, phosphates, <br /> , detergents, wa�erbarne virus or bacteria, or other substances X <br /> into the ground waters? -- -- '�' <br /> (i) Reduction in the amount of water otheraise available for public X <br /> water supplies? -'—'— —� <br />� 4'��'Explanation: hoCmc.'�u, MPL'-w�ic�Y .�;� oP $Jo��•�G! A*�0 ���Y �� - <br /> w��� INc�Htfe Qaurfi= <br /> 1 - <br /> (4) Flora. Will the proposal result- in: ' <br /> (a) Change in the diversity of species; or numbers of any species <br /> of flora (includ3ng trees, shzubs, grass, crops, microflora and � , <br /> equatic plants)? -^— — — <br /> (b) Reduction of the numbers of am� unique, rare or endange=ed X <br /> species.of flora? — "— —' <br /> (c) Introduction of new species of flora into an area, or in a Y <br />' barrier ta the normal replenishment of existing species? __ _ <br /> I — — X <br /> (d) Reduction in acreage of any agricultural crop? <br /> I <br /> Explanation: Site is presently a graveled lot unon _ <br /> com let3on landsca in� will be �rovi�ed arou:�rl neiv <br /> structure. ' <br /> (5) Fauna. Will the proposal result in: <br /> i (a) Changes in the diversity af species, •or numbers of any species ' <br /> of fauna (birds, land animals including reptiles, f:ish and � <br /> shellfish, benthic organisms, insects or microfauna)? — <br /> (b) Reduction of the numbers of any unique, rare or endangered X . <br /> species of fauna? ---- <br /> (c) Introduction of new species of fauna into an area, or result X <br /> in a batrier to the migration or movement of fauna? __ _ <br /> . • x <br /> (d) Deterioration to existing fish or srildlifa habitat? . _ — <br /> Explanation:, — — <br /> I <br /> .,_ <br />