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Yes Maybe
No
.
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1.
(3) Water. Will the proposal result in:
f
2 ;
3;
(a) Changes in currents, or the
p'
bi
course or direction of water move-
S,
meets, in either marine or fresh
K
61
waters?
r
7=
(b) Changes in absorption rates,
981!
drainape'patterns, or the rate and
`
10
amount of surface water runoff?
,.
12j
(c) Alterations to the course or
E<
13
flow of flood waters?
�.
'
14
15�
(d) Change in the amount of sur-
X
�;
.
16
face water in any water body?
17
(e) Discharg;e into surface waters,PP
19I
or in any alteration -of surface
20
water- quality,.including but not
'
21,
limited to temperature, dissolved
X
22
oxygen or turbidity?
e
23
24•
(f) Alteration of the direction
X
25
or rate of flow of ground waters?
�'
26�
27(
quantity of
(R) Change in the q y
.28
ground waters, either through
'
29
direct additions or withdrayals,
30
or through interception of an
X
31
aquifer by cuts •or excavations?.
32
33
(h) Deterioration in ground water
..
34
quality, either through direct in-
35
jection, or through the seepage.of
36
leachate, phospl}ates, detergents,_
3.7
waterborne virus or bacteria, or
38
other substances into the ground
X
,
39
waters?
40
41
(i) Reduction in the amount of
42
water otherwise available for
7L
{
43
public water supplies?
44
45
Explanation: or- R.E,t�,f.0•�IOhi t�1,..1►{f.l
46
WILL OE IPMOVIVER
,.
47
48
(4) Flora. Will the proposal result in:
49
S0
(a) Change in the diversity of
S1
species, or numbers of any species
a
52
of flora (including; trees, shrubs,
53
grass, crops, microflora and
54
aquatic plants)?
.55
56
(b) Reduction of the numbers of
'
S7
any unique, rare or endangered
flora?
58
species of
-33-
F
1
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