01071(1)
Earth. will the proposal result in:
a Maybe
(a)
Unstable earth conditions or in changes in geologic substructures?
b Yes
(b)
Disruptions, displacements, compaction or overcovering of the soils?
c Yes
(c)
Change in topography or ground surface relief features?
(d)
The destruction, overcovering or modification of any unique geologic
d No
or physical features?
(e)
Any increase in wind or water erosion of soils, either on or off -the
e Yes
site?
(f)
Changes in desposition or corosion of beach sands, or changes in
siltation deposition or erosion which may modify the channel of a
f No
river or stream or the bed of the ocean or any bay, inlet or lake?
(2)
Air.
Will the. proposal result in:
a Yes
(a)
Air emissions .or deterioration of ambient air quality?
b Maybe
(b)
The creation of objectionable odors?
(c)
Alteration of air movement, moisture or temperature, or any change in
c No
climate, either locally or regionally?.
(3) Water.
Will the proposal result in:
(a)
Changes in currents, or the course or direction of water movements, in
a No
either marine or fresh waters?
(b)
Changes in absorption rates, drainage patterns, or the rate and amount
b Yes
of surface water runoff?
c No
(c)
Alterations to the course or flow of flood waters?
d No
(d)
Change in the amount of surface water in any water body?
(e)
Discharge into surface waters, or in any alteration of surface water
e Yes
quality, including but not limited to temperature, dissolved oxygen or
turbidity?
f No
(f)
Alteration of the direction or rate of flow of ground waters?
(g)
Change in the quantity of ground waters, either through direct
additions or withdrawals, or through interception of an aquifer
N_No
by cuts or excavations?
SURVEYING . ENGINEERING PLANNING MANAGEMENT
r