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Tq EE CO�IPI FTFIt m�rri,�n�T <br />3. 1': �tcr �j� �4� w.� <br />]. Stlf�:ll'C: / Y'a.�� ftR• �Y�(%:i:r� <br />_� <br />I[VALCATION FryA <br />AGbNI'Y I:SI 11\I.\' <br />f� u?16� E��raw �.w <br />1) Is �hcrc any SLfLlCC w;IIL'f budy un c• in Ihc inuncJialt vitinily of thc silc (incluJing <br />yaar-round and sr.isonal xlrc:inu, sallwa�cr. Idcs, p��ndc, wrilan;ls)? If y�s. Jcrcribc typc <br />and provide namex. If ap�:ropri�lc, zUlc whai slrc:im or ri�•cr ii (luwx imn. <br />St'��Or�A't. �ORG, i�JGt:G StnJ.!�,,C F, i FM= 1�� C SJvf'ii� <br />e r F rt� �7�L�! <br />?) N'ill Ihe project reyuire any aori over, in, ur �djacen� W(wi�hin 20J fecQ thc Jr,scribed <br />waien'! I� )CS, pIl':111' lIl`�l'f1I)� �IfIII JIIJI'II :IV:IIIJbI: �II:111�'^ 1�r <br />�F�;, X{'�P2.Ojc. ��o' AiJRy. -L,2A��N(� Fi'2 Cen�G BarhNy <br />�a.c� � 6�,z , <br />J) f:siimaic ihc umouni uf fill und dredgc matcrial tha� would 6c placcd in ur remuvcd <br />from surfacc aaler or �cciland; nnd indic:uc �hc �rca of thc siic ihat wuuld bc affcctcd. In- <br />dica�c ihe source of fill m:ucrial. <br />HvµE <br />a) Will ihc propo<al royuire surfacc aatcr uithdr�wais or diversions? Give grncr�l dc- <br />ccrip�ion, purpose, and ap�roxim�lc quan�i�ics if known. <br />ND <br />5) Docs the proposal lie within n 100-year floodpl�in'! �f so, nutc lucation on thc xitc <br />plan. 1' <br />n� <br />6) Docs �hc propusal im•ulvc any Ji>chargcs of wostc matcrials lo xurfacc w�ters? If so, <br />describc �he qpe of woste cnd anticipateJ volume of discharge. - <br />Yt'n - s� Cwei�ur,c�e-�a(le • U5e' o� o•� s�*c rze,7�cr�o,� sysrr�, <br />Wirl�• ca�..,m��r.cx� �luw �L�IhI1�c�p��, ' �-, fwM..c, <br />b. Gruund: <br />I I Wiil ground water 6c withdrau�n, ar will water be discharged lo ground waur? Givc <br />gener�l d.scription, purpose, and upprorimate qu�ntiiies if known. <br />��U%�C - L���GL"�' i i�'J SI� /Lr."`, Y7/-1 1 � I i G�✓1 • <br />21 Describe was�e maierial Ihai uill be dizcharged imu ihe ground from sep�ic lanks or <br />othcr sourccx, if any (for example: Domcstic sewasc; indusvial, cnntainin� Ihe following <br />chcmical� ...; agricultur�l; c!c.). Dcscribc thc Fcncral si�c uf Ihc sys�cm, thc numbcr of <br />such scxtcros, Ihc numbcr u( huuscs io bc scncd (if applicablc), or thc numbcr uf animals ur <br />hum�ns thc s�stcni(s) ;irc czpcctcd �o scrvc. <br />l«�i�"C <br />'r <br />��::. <br />, : J`�s; <br />� � 1�';1��.{ . <br />.';� � �.': :¢r <br />-„ . <br />FJ <br />�, <br />