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TO BE COMPLETED BY APPLICANT EV,aLCATION FOR <br /> AGENCY USE ONLY <br /> 3. Water <br /> a. Surface: <br /> 1) Is there any surface water body on or in the immediate vicinity of the site(including <br /> year-round and seasonal streams,saltwater,lakes,ponds,wetlands)? If yes,describe type <br /> and provide names. If appropriate,state what stream or river it flo��s into. <br /> Puget Sound is]ocated approximately 6,000 feet north of the site. <br /> 2)Will the project rcquire any wo.rk ovcr,in,or adjacent to(within 200 fcet)the describcd <br /> waters? If yes,please describe and attach available plans. <br /> No <br /> 3)Estimate the amount of fill and dred�e material that would be placed in or removed <br /> from surface water or wetlands and indicate the area of the site that would be affected. <br /> Indicate the source of fill material. <br /> Does not apply <br /> 4)Will the proposal require surface water withdrawals or diversions? Give general <br /> description,purpose,and approximate quantities if l:nown. <br /> Does not apply <br /> 5)Does the proposal lie within a 100-year floodplain? If so,note location on lhe site plan. <br /> No <br /> 6)Does the proposal involve any discharges of waste materials to surface waters? If so, <br /> describe the type of waste and anticipated volume of discharge. <br /> No—Does uot apply <br /> 4. Ground: <br /> 1) Will ground water be withdrawn,or will water be discharged to ground water? Give <br /> Qeneral description,purpose,and approxunate quantities if known. <br /> No—Does not apply <br /> 2)Describe waste material that will be discharged into the ground from sepCic tanks or <br /> other sources,if any(for example: Domestic sewage;industrial,containing the <br /> following chemicals. . . ;a�ricultural;etc.). Describe the�eneral size of the system,the <br /> number of such systems,the number of houses to be served(if applicable),or the number of animals or humans <br /> the system(s)are expected to serve. <br /> Does not apply <br /> 5 <br />