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I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> i <br /> I <br /> I <br /> I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />18. <br /> <br />19. <br /> <br />20. <br /> <br />Does an!,' pan ol*lhe pro,ecl area revolve: <br />&, shoreland zoning dm.ct? <br /> <br />If ~, Identi~ miler ~V mad applicable state clarification(s), and descri~ measures <br />to protect mater ~fl~ reJo~ed ~n~ resource: <br /> <br />Describe anv physical alteration (e.g., dikes, excavation, fi[[. stream diversion) o( any <br />drainage system, lake, stream, and/or wetland. Describe measures lo minimize im- <br />pairment of the u~alet-related resources. Fstimate quantity of materiat to be dredged <br />and Jndicele where spoi;s u~i]] be deposited. <br /> <br />See act:ached <br /> <br />r~ No [] Yes <br />ho L--J <br /> <br /> a. Will the project require an appropriation of ground or surface water? 1( yes, explain <br /> (ih'dicate quantily and source): ~ No ~'~ Yes <br />Ur~l~r), cons:rucL~on de~arer~ng w~ll require a D.N.R. permit. <br /> <br /> b.~ll) the pro)ec~ a~ect groundwater levels in any wel~s (on or o~ the si~e)? 1~ yes. ex- <br /> <br />2I. <br /> <br />22. <br /> <br />Describe the erosion and sedimentation control measures to be used during and aher <br />construction o( the project. <br /> <br />S~e a:tached <br /> <br />Wi3) the pro)ect generate: ~ <br />1. surface and stormwater runoff?. " [] No Yes <br />2.. sanitary wastewater? I~ No ,-~-----) Yes <br />3. ~n~us~alwastew=~er? ~ ~o ~ Yes <br />4. coqling water (con,act and noncontact)? . . .. ~ No ~ Yes <br />]f yes. idenlf~ sources, volumes, qua]i~ {i~ other than norma] domestic sewage), <br />and ~e~tment methods. Give the basis or methodology of estimates. <br /> <br />See ar=ached <br /> <br />b. ]dentil,,' receiving waters, including groundwater, and evaluate the impacts of ~he <br /> discharges ]isted above. ]~ discharges to groundwater are anticipated, provide per- <br /> colasion/'permeabil[ty and other h,vdro~eo]ogica] test r{ata, if available. <br /> <br />See ac:ached <br /> <br />Will the projec~ generate (either during or after construction): <br />a. air pollution? <br />b. dust? <br />c. noise? <br />d. odors? <br />If yes. explain, inc~udin_o as ~ppropriate: distances tO sensitive land uses: expected lev. <br />eJs and duration of noise: ~..'pes and quantities of air poilu:ants ~om s~acks, mobiie <br />sources, and ~ugitive emissions (dust}: odor sources: and mitigative measures for any <br />impacts. Give the basis or me:hodoiogy of estimates. <br /> <br />See a:-~ched~= <br /> <br />23. <br /> <br />F-'I No ~ Yes <br />I i No 1~1 Yes <br />1"9 ~o -- ~ Yes <br />!x__J No !__l Yes <br /> <br /> <br />