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11 . 1i!'\'".!�!)'.!ii:i:'I'i:l, li,.. ,,C'I f' <br /> Oti):�1)[il::�[.1U115 '�� :��i. �r..f�:: tlllO °I71";A'�lU° .Il::;l7('PS N'C 1'CCfllll'C�� <br /> S'CS T'J;�\��)O �`�O <br /> (J) );;:r1h . 14i11 ihc pi�r�;�o;;.J re::iilt i�c -- --- -- <br /> (��) [Jn^inUlc c:a•ili coi�di7ionc or in <br /> cl�a.��;es in �;eulo;*,ic et�bstrucin,es? — ---- '�`. <br /> (b) Disr;i�;tinns , disi:]^cements, coi�- <br /> �1iIC11.011 Ui.' OVG'COVCI'llif�T, OI i�lC :;OI).`� _' '_ �� <br /> � (c) Chmi;;!� 'in te;,u�;�r�+�,hy or groinir] � <br /> :,w•tacc relief i'a.,;urc,? •— --- �, <br /> (d) The destruciion, coverini; or modi- <br /> fic�:t:o;i o; a:ny unique gcolo;;ic or ��,lrysia�l <br /> �/ <br /> fea(w�cs? -- ---- -'-'- <br /> (c) Any ineiense in �^.ind or r�airr x <br /> cro:ion of soi]s, eith:+�� en or off the sile'? _ _ <br /> (f) Chan};cs in deposition or erosion <br /> � u` benc4i ��.,:�icls , or ch�t�i�n:: i�i silfaiion , <br /> depo:�iiion or ero:;ion ��l�iul� ni<i;�� ino:ify <br /> ihe chaanel of a rivcr or stream or ihc <br /> bed o; ihe ocean oi� a�ry ba}� , inlci or . � <br /> l�ilce? _ . � <br /> ]3xplanation: _ _._ <br /> (2) /sir. �i'ill the proposal result in: <br /> (a) Air emissions or deterioration of — � <br /> ambicnt air qnalit,? _ _ <br /> (U) Thc crcation of oLjcction;�ble \i <br /> oclors? � A <br /> (c) /+ltcrntion o; nir mo� c;nent, mois- � <br /> . turc o�� tcini�cralurc , oi• any Cll�ll�(: 711 � <br /> cliinnic, citlicr locally or reg�ionally? _ . <br /> ]i�:pinnation: _.__ — <br /> � � �- <br />