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<br />� "�, TO �E CONPLETED BY APPLICAVT
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<br />c. Waur Runoff (including storm waur):
<br />I) Describe the source of runoff (including storm watcr) and mcthud of culicction and
<br />disposal, if any (include quantities, if known). Wherc will this watcr flow? 1Vill thit water
<br />flox• into other watera'! If so, dcscribc. �
<br />D�J sr,� s,-iti,n /3e9�e�!ri�h s y y r�rr� -,� rf�,E
<br />C� w; rtow V-y� G✓t' (-ri i'o �'t�G. twP,t� -
<br />Inrf ; At- Ft2a.h � r,� p c�l o �c Cu (i�i',G�=i�
<br />2) Could wasie mutcrials entcr ground or surfacc vvatcrs'! If xo, gcncrally dcscribe.
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<br />d. Propused mcasures lo reduce ar control turface, ground, and runoff water imp�cts, if
<br />�ny: n -� r
<br />�`f."'i t::tlil.«v lY fT'�rt � G, �i � 7
<br />d. Plants
<br />a. Chcck or cirdc typc, of vcgci�tiun found on thc siic:
<br />rdcciduous �rer. aldcr, maplc, axpcn, other FrLvi r
<br />_ cvcrgreen Irte: fir, ccdur, pinc, oihcr
<br />shrubs
<br />ygrass
<br />_ p�cture
<br />_ crop or grain
<br />_ wet soil planis: catlail, buttercup, bullrush, skunk cabbage, othcr
<br />_ waier plants: w�ur lily, eelgrass, milfoil, othcr
<br />_ oihrr types of vegetation
<br />b. 11'hal kind and amount of vegct�tion will be removcd or al�crcd°
<br />�ry� .
<br />c. List Ihrealened or endangercd species known to bc on or near ihc sitc.
<br />Nv�;c
<br />E�ALUATIO� FO0.
<br />AGE�CY CSE 0?1LY
<br />d. Proposed landsc�ping, usc of n�iivc planu. ar uthcr me�sures io prc.crvc ar enhancc
<br />vic elation on lhe xilc, if an : � �/ �� ��,�u�
<br />� y�s , � s' �'1P� � e �/L,� - or na �nv,+l.�l - �/, c-✓en: ��,v, sa�, " w
<br />w�- w��� 3t' � s� pE - s' ��.u,c.�� � pr�o ri N� c G'-eL �;,°
<br />+� a'r��
<br />s, ,��im.�s
<br />a. Cirele nny birds and nnimuls which havc bccn obscrvcd un ur nc:v Ihc .i�e ur are known
<br />lu bc on or near thc sitc:
<br />birdx: hawk, htrun, caglc, sungbirds, uthcr: .al.g!:`� ........ ....... .... ... .. .
<br />msmm�ls: dcer, bcar, elk, bcaver, aher: ... . .... �- .... .... ..... . ..... .... ..
<br />fish: bass, sulmon, iraut, hcrring, alxllfish, oihcr: ..- ... . .............. . . . .. . .
<br />b. List any ihrcatrncd or cnd�ngcrcJ .; cci ' m vn tu be un or ncsr Iho si1c.
<br />�lD�G
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