PRELIMINARY DETERMINATION APPLICATION - FRESHWATER … · NOI'E: Unless otherWise specified, each item JIUSt be answered Cl\ the applicatiCI\ . form am this dlecklist. If a particular

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--- middotmiddot NOIE Unless otherWise specified each item JIUSt be answered Cl the applicatiCI

form am this dlecklist If a particular itaD does not fit the circumstances orcharacteristics of yoor activity iniicate by arterirq NA (Not Applicable) bull Pleasetype or print Cl the lines provided middot

lliE FtR WIlHIN 1HIS PAaltHZ AND ~ cmxmtSl KlST BE FIIUD CX11 cxtPUlELYOR IHE APPUCTI~ WILL BE RElUIMD lHEmBY IElAYIH 1HE FRXamp9SllG OF YaJRAPPLICATI~

I APPLICANT SDlI~ - Fill in the follCJWing infamaticln_name of periiCI applyirq_business_mailing~

~ JJJidler for daytillle ~

II CMNER SfrlI~ - Fill in the follCJWing infamaticrl_name of the prcperty awnar middot_businasa_mailing~_signatutw of owner or a bulligned and notarized letter of

autharizatiCil i8 prcwidld

middot-middot middot

Briefly de8criba tbl cbjectiw of )Wr middotIIIJPlicaticn in llllt~ tt) tt syp ot i-tgyastsdescribed below otailed 1Jwtructiaw far -=b type of ~ Cln be fQnl below in-s---4~ apprcpriate --~-middot middot

middot~middot

middot----

-------

____~~ middot-rmiddot~--

TICE If the film

Is less clear th~n th

is notice It Is due

to tlle

quality of t~e docum

ent film

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1he OEM will verify the exact locaticm of freshwater wtlancW em your property if idezrtitled in the field (located by a ~ified profictllJ) ant provided en a site plan 1he tEM will rpt identity the wtland edJe for the applilltbullt

Refer to the encloeed Freshwaterwetlams ARgtlicaticn Olecklist SUbaecticn B for site plan recpiraDants for this type of 8Rgt]icatiat 00 1171 SUIInT PLANS INDI~ FRlPCmD SITE AmWTICHgt Fat lHIS TYPE OF ~

_A site drawin) cSaigrwd in accordance with tha ~ of SUbMctiat A ~~ awt be provided

_lhe wtlard dJa awt be tlagiJid in tha field with f1agll or JIIUkars ~or1~~ly

_Field wtlard dalinaaticrw YUctl ar illutzated at tha aite plalw aJbaitted tor mH NViw 1IIWt reflect an actual field N

located and auvwrws Wl8tland dja

~All othpound applicable state regulated Wlltland anu eq 50 ft perimeter Wlltland 8Rgt]icable 100 foot or 200 foot rivwzblnk watlards and 100 year floodplain limits by elavatiat JUSt be delinMtecS and labeled lt1 the site planabull

_lbe sib rJan awt illuatnte ard icWttity the field locaticn of tlw watlanl ediJe by lllltlered or letter reference markara as placed by a ~ifiecl profianal

PRgtHmD sm AWW4IltJf

The OEM wiE r~iew pzq)OSEd site alteratia1S of arrt am all typcfrl w~-ktl may be plqiOEiEd Gtl ya1r property Yoo mst briefly describe yaAr lbullrltilOSed

alteratio~ tJn t2te ~lication fom in the space provided far deGCIjption ard purpose or aitUication Ibis review will determina the poundollowlJ~

a Whether or mt thereis a wetland present am if the Wetlams Act

~lies to the prbull posed site alteratim

b Whether or mt the plqiCEI8d site alteratim represents a significant alteratim to the W8tlani present anJIor

c Whether the pzbull paed site alteraticnl may be ~ withalt the

need of a fomal pemit or if it ilust be nwiewacl tbra1gh the rEM

fonnal pemit process for parmi ssim to alter a flesbllrater__ _ -- middot~~middot~ middot- ~~ middot-=-middot-~ -middot gt

Refer to the enclcaed FJeshwater wetlaiDI ~licatial Cllacklist SUblectimc for site plan recpiraDants for this type of applicatim

1 GEmlW SITE P1Nf RErampJIREMENIS__Triplicate site plans size 8 12 X 11 minimml 24 X 36

naxinun

_All site plan markinJs DUSt be permanently fixed no pans pencils ~ or other nmkinJa are acceptable Blueline

prints ru ~ias of original cJrawinls are acoaptable

__Title Block JlllSt ~roo sJtt_ pldns ard OCI1tain the follaring

_nameproject_street__tax asabullsorbulls plat am lot I1Jid)ars

_subclivisial lot lllltms_citytown__date of preparatial am name of preparar__scale

__Plans t be lUibared ~y (eg 1 of 1 1 of 3 2 of 3 etc)

__scale of site plalw JIUit be no llllaller than 1 bull 100

A larger aale eg 1 bull 40 a pnaterred

_Plans DUst bMa a lel)lnd wucb ~ an 111BrkinJ1 am sydx)ls

utilized

middot~

middot~middot

_street atuttin site with filcad reference points ~g utility pole lJJIIiler hCAlse IIJitber etc

_t ~bull ~ ll($ nd direction to nearest street intersection __magrCotJc north arrow _ e1tir prrperty balndaty outline and dimension _insert nap showin) l~tion of site in OCIIIIIJnity_fixEd refereryenle points iniicated below _stawwalls _buildinJs _fences _edlfe of fieldsIWcods _trails __pmdnJ lots

3 SITE PINsect tiJST SIQ11HE FOWJmlj WEIIAN[) fEAWRfS

__lbl watland edge and all IJJII)cw ar lettarecl reference markerSI Ihe watland edge DUSt be f1aggad in tw field with flags ar markers lJJIt)ared or 1~ cxrwecutively as placed by a CJJ~llifial profiCI1al

~ __All rivvs areas subjct to tarm flcIWIIII)8 and other flCJWinJ bodibull of water DUSt be dalinMtad and labeled on the site planBath chamal DJe8 DUSt be mMl alCDJ with tw flaw dinction

J __All other applicable state regulated wtland areu eq 50 foot periDater watland and the applicable 100 foot ar 200 foot riverbank wtland DUSt be dalimatad and labeled on tha site plialE

__lba location and CXlltau elevation of the 100 year floodplainballmlt Datum to be NatiCI1al Gecdatic Vertical Datum (NMgt)(tEl)

4 SITE PIAN BfPzpmmmj Fq 3m 1 nc lXPIS OF AIlRATiasect

1HE FOIU~me mJR RIQJIRIJINlS IIB1 IE II1lBllWlm Cll EVmY PIAN t1imE SITE AIlmATICIIS ARE Jllaalm

I middot~ _PI~ fillinJ ardar asvatialllt be adiil I I lid by prcwiding1 tqlogrllpUe CXIl1tcur lU elvaticnl at 2 inWvala (1 intcvals preferred) to inclde both of tbl follawin) middot

_mtin cxrttour Una elwation ~ cxrttour Una elwation

I _Specific~ DUSt be prcYided m tw plan ilISicatinq no gracSa ~ an rwpired to carzy cut tba altmatim if fillinngradinl) ar aavatim ia not pamptpMid

_Prapceat limit of all ~ clearin ard IUrfaoa middot ~ DUSt be illutrated ard labeled

_All ~and~cwicrv-~ CDIbola t be illustrate and labelei (eqbull tak8d haybalbull silt f-aloghay cSama lOIIJVS rip-rap JUlct plantiJJ)a etc)

I II I

s fiElD PRK w BE PEmtft1ED

l1lis work 1lllSt be oarpleted prior to ~licatiat fiiJhni ssiat ~

proposed wrk

__boundaly of propl6ed limits of fillin clearinJ and soil disbubance rrust be flaqJed

_pond tEitentiayholdinJ basins JIUSt be aJtlined by flaggin) anVor othelwise clearly marked

_sulxtivisiat lots nust be clearly Jll1d)ered

_be followinJ 1lllSt be staked ani marked __comer locations of prqlOS8d stiUcturea __comer locations of prqlCIS8d septic systems _eenterlines of roadways pipelines or utility lines JIUSt be flaWed

(distanoa between flags shcWd be lK) grater than 100)

middot-~ ~

6 RecalilaQents for buildim oawtructia)

__aJtlina and locatiat of all ptqxead buildings decks pools tennis ~ ltXllrta parking lots etc

__prcpoaad driveway or aooesa road aJtline ani locatia ~ septic system or -rlinas _proposed utility linea inludinJ qu water electric telephale __prcpoaed subdrains _limits of ptcpceed lawrVlandacapiDJ

__prcpoaed xoadwaya (see detailed~ for roads and drh~ays)

_prcposed culverts subdrains drainage systalll swales discJlar9es sewers lrtentiaVdstentiat basins

_prcposed structures drivaeya septic systala wells _prcposed utility lines inludinJ gas water electric ard telEIP1one _limits of Pl paei lawnllarDJcapiBJ _prcposed diacaJd aitea for aoil llbJDI8 tteea rocks bculdars etc _prcposed lot aJtlU ani llllilars _existin IDS PI poaecS CXX1tcaDs at 2bull intarvala

---middotmiddotmiddot 9 Requirements for lXId excavatial or drecklim

__pi~~ poRi site ard artline__r-eiilod of excavatioo or cbadqinj_Cl)~t1 section of poRi shcwinJ depth ard side slqJeS__sc profile to within a foot below prqlOS8d pond battan_prqxlamp8d water el-atioo__proposed dam weir spillway in detail_existinJ ard piq)OMC1 cXIltcmw of pond__locatioo ard outline of ~il dispcul aite with cdstinj ard

prqxl88d cartcura

10 Requiranants for plantirps

__total arM of aectioo to be nplanted JIIJSt be mown 00 the plan_type ot aoil to be utilized far planting follawinJ c1istwbme

~PCt of grua mix to be ul to eatabliab aoil stabilizatiooand lCIyen1 term -intalance of diatubed aoil-~ ot llhrubl ard tr to be replanted incldinJ

_haighta of planta_derwitiea ot p1arlta

specibull of planta_tu of yaar tar plantinJ_will planta be nplaoed it not IIUIViving at least 1 grawinJ

11 ReplantilJI

middotWherl clearim sznadim filliM gcayaticn (uch u ~aticn ccrzvatiat toreplace lost flood toraga ara in floodplaiJW adjaclnt to rivers) ~disturbarg a callS tar adjaclnt to wtlardll and in wgatats habitat it ishighly daairable far ycm project to mitigate ad lou ot ~tad areas byreplantinj SUCh rtplantiDJ hal~ to mitigate the leu of wildlife habitat and tobuffer iJipacta tq othar val~ clatad with thll wtland ~ Yourplan if incorparatjnJ uch MIPa llhculd incldl the follawinJ

_total u of -=ticn to be 1llplanted at be llhcwn cn the plan_type of ell to be utilized far planting follawinJ c1istwbmeip8Ct of graM aix to be t to tablillh ell tabllizaticnand lCIyen1 tea~of~ ell

-~of llhzD ard a- to be nplantlaquol incldinJ_specibull of planta_dllwitt ot planta-~ofplanta_tt of )Wr far plantinrJ_will planta be nplaold if net uviving

at leut 1 CJICIIiniJ 1

12 Reallirements For water Gas sewer Oil or utility Power Lines

locatia ani width of easanent=exact location of utility oenterljne__size of proposed utility lines__corlbtruction methods ~ ani specificatim narra ~vl __tarporaJy ~a access permanent maintenanoe routes

_cross sections ani profiles of the utility__erosia1-sedimentatia caltlol plan pxe post ani duriryen

cxnrtructia_anticipated subdraininJ effects a wetlands_prqmtylinelocatiaw

SlJBSECI~ c

ENGINmUlli mxlJIR001flS - -~middot -0-middotJImiddot - -L _ ~ - middot ___ ---- bull ~

Proposed regradin ani dlarqes in the drainagerunoff characteristics of an area tDJSt be pzeparal ani oartified (stallped) and signed by a Reg~ ProfessiaW En)ineer

1hese CllanJes inlude

Pipiryen of riversstreallllCollectia of statDIlatar runoff ar sutlsurtaoe groundwater ani its discharge into ar liMaY frail artt traamlater wetJams ) Olarqe in runoff factors of large ~ areas ~iryen into -wetlandsRegradinJ of large areas of wtland watershad Loss of Flood storage caPability arability to Dlderate floodirq

RNJirements

l__Pravida a narrative to define all anticipated ilpacta of the

prqxlSed systaa at the ability of the wtland to IIICdarate tloodinj up to a 100 year stcmD m

2 bull__Ollverting ar bridgin) ot riVW8 and ~ and CllanIM in 11tatm

water runoff~ (pipiryen ~ tc) t be acxxmpmis by the follcwinl

__ctign criteria t lata at leut a ten (10) yar atom m ~ dlaign criteria far ilplct anal~ ~ JWJ1ire ~ to a 100 yu tam

__state IIJIdcipal andlar DOT ~ - aa Rlialble __syst- design ctrawinJI (with crou aectiaw and profilbull) __mth ltXIIpltatiaw and ~ibull of zf~ Jllltariala _peak flow rat - eodat1n and prw~ --~ and cxnl~ regardinJ the anticipated

illpiCta of the project PX wt1and valUM

---middotmiddotmiddot __tcpo map defining CXJII)late waterabad areas affectinJ the

piq)C6al __charts and ~ marJtad for specific applicati~o-n - middot_culvert size type material slope inverts and lengths ___rip-rap design details - of adacplte size to withstani

expected velocities (DOT standalds aooeptable) __entrancedischarge structuras __stream bottan 8levatiC11 and normal water surface elevatiCIlS __set culvert belai stream bottan to allai fish passage

(ltXIlSider reduced flai in CCIIIpl) __arosiCIl and slaquoJimant ocrrtro1s __CyenJinearin1 avaluatiCIl of peak fiows upon the ability of

the watland to moderate fioodinJ __water vclumes to be ~ ttore and after deYalqment __water V8locity (exi8ting and ptcpoMd) and avaluatiCIl of

anticipated inpacta __inpact Cl1 local floodinJ __changaa of water elevation in nceiviryen1 wat1and areas

3 __1he facUitiee tor retentiCIl dMmtcm or MdiJiattaticm such as hol~ basins or subterranean gallaya dJywllla etc DUSt be designed to limit ~ of iltcmlletar zunoff tram the projectto pre-dllwlcped cxnUtiaw up to a 100 yur ~ stcrm Design criteria for mh facllitt t include the following

_primuy releue ~ --~apUlway __hol~ cWca (berm) d8taUa with cn-cticll __hydrograp of~ and autputa w tu (hcurs) __granwater table in wt IMUCI c- rsa ~1700) __percolaticm rata (infUtraticm) lt- rsa SD-1600) __math CXJIlUtatiaw __CX4)ibull of 8A)licable liiBpe charta and rt1J1109Iapw __outlU of waterlltwd to buin __tnrtaark in pn1 cawtructian - shy

4 __Erceicm t1t and ccminllt1cn cantro1a t be ~y ctignm to wittwtlnd tpJrary and pcJIIIUW1tcxnUtiaw DwM cantro1a include

__oU-wtc~

_rip-np dlai9rw to prcbullbullJt arrt ercia __fiCIIII dif~ __-rqy cliaipatam to prcbullbullbullt art eroaiCin __utabil iziryen1 ~tion __cblck csshy

(Nota Design criteria ba-s em t curtW1t RI EramCI and Sedi1DMIt OJntrol Hardxdt ~ UIDSCS)

--- - -~ --

SUBSEa( c

S__A maintenarD schedule shcwinJ ~ible perscms agencies etc DUSt be provided to address the follcMnJ itans

__clean~ and rEIIOIIal of oi~ products and siltssanls ft~

oil -Water separators___cleanin) of pipinJ systans - irKlXlinJ catch basin SIJitlG

and manholds __cleaninJ of riversstremD allverts to irKlme intake and

discharqe structures__periodic inspectiat of slcpe bam dike or CXIlttol

structure integrity and stability__retention detentiat sedimantatiat basins or subterranean

facilities middot

6__fotmicipal or private sewer water oil gas or powerline installatialS

- ~middot- 4 - - ~at-bull 6 --1 --

__existirg and prcpl68d CXX1ta1rs at 2 intelvals _profile and cross sectialS__talplraly allverts or divarsiCI1S at stremD cross~

__OCI1Structiat secpln08

--~te ercsiat and sec11JW1t CXIlttols rKludinJ CXIlttols for dewateriDJ

__eR)ineer DUSt assure no intarolptiayrelocatiat of qrcundwater arxvor streamsrivers

__math OCIIpltatiC11S and refeta108 matariala used

_locatiat and width of nt__exact locatiat of utility omtrlim__size of pipe or line __CXIlSbuctiat mathods ~ anl specificatiat narrative __ta~poraey OCI1Structiat aoaaa pamanent maintenance rcutes __prqlerty line locatiat

7 __SUbdrain installatiat

__existirg anl (n~ ccntclum at 2 CD1tcA1r intarvals (1

intarvals preterrecl)_profile__size type of pipe slqle len)th and invart elavatiCI1S __diKharga stmcture and locatian _Eh)inMr liL18t uait a narratiw ciltininJ anticipatad

iJipacta to adjacent Wlltlanl ara__CJAlllquiata eJadaViiW1t cxtattola __lllth CCIIpltatiaw anl retenuoe JBtpoundials ueed

Dm1 Plein WtcW

Department policy xequtr zero dilacwwat of tlocd storage capacity ani no detriJDantal obsbuctiaw in tloodway

----Requirements

l__Irovide a written statanent with refereroe documentatia1 defirirq flcxxi el~tial during a 100-year frequency storm fran a1e the following

FEMA usovscs USGS USCDE RPE SlUDlC

2bull__Provide the identificaticn of the 100 year flood lxlurdary with the flood elevaticn mcpnt888d in the tG1D (MSL) Datum horiza1tal scaliJll fran FEMA Maps ia not acceptable middot

J__Provide fill anVor structunt volua within the bue flood elevaticn alltD with excavaticn CXlllpCeaticn voluma to balance erw=roachment

4__Provide an adecpate flood acceas ftaD the rivw to the ~ orrpensating area at the rmmal elaticn of the aubject rivarbull ~

s_Provide the neoeesaey axaaia1 and -i1t CXII1bola ~

6_bull_Provide a list of all aasuaptial8 Jlllllda and cxnluaicxw drawn

7 __Identity q fl~ changa8 and expected illpCt (include all math carpltaticxw)

s__Provide cieeign drawinJ with two toot CCI1tcur intervals tor existinJ and propoaed contours

9__Provide the lmmlt floor elavaticn (tGID) ot arrJ ptqxaad building (Nota apovalltter will include the ccnliticn ot state lluildinJ cxx1a ~ beinJ reqdxwi - the 1~ floor elevaticn ia lawar than the bue flood elavaticn)

lO_Provide mth Otllpltaticrw of till and ClCIII8aticn volw cartitied by a reiatend protaiawl qU (Note a RIS may IIUIIIit tqx) and~ data to prav that tita ia nat within the fl~ain buduy)

u_Pravida cxpJ of all mew1Ce JBtciala ~

12_Ictntity ttw elaticn ot the~ in the CXIIpiWatinJ area (Wilt -en) bull

I I I I

----middotmiddot bullr

Department policy~ that the piq)OS8Cl alteraticn have no detrimental affect en the water quality of the subject wetlarm

__Applkant shall provide an analysis of the anticipated inpacts cn water quality of treshwater wetlands resultinJ fran the poposed alteratiaw Analysis shall provide infonnatiltXl ltXl

_sauoes of ocntaminaticn _types of ocntaminatiltXl _dapositiltXl rates quantities and degJee of

ocntaminatiltXl _analysis of iDpact frail various sourcestypes __MitiqatiltXl features prqxlSed _ shy

IEPARIMENl OF ENVIRH1ENrAL ~DMSION OF GRXlNIWATER AND~ wmANIE- FRESHWATER WElIANOO SECTIOl

291 PRHlWE SmEETmJVIriNCE RRXE ISlAND 02908-5767 1qercy Use Only

Application No

mxampSSnG FEE see Fee Sdledule Q1 Rsverae side nus QBIGINM APPLICATICf (BWE Fa~() CxIIPIErm amKLIST AIL stJPPtRlIlG PlANStxXlJMENlS I AND APPLICATICf FEE KlST BE REruRNm It) DIE ABJIJEmiddot AIJmSS

APPUCANI NraquogtE--------------- shyOOING BJSnmiS AS------------ shyMAIUNG Aamssmiddot-------==~--=~--CITi~--------middotSTATL__ZIP___ lUmE2 -__~--~-----Hae

Area cede NUI1Dar

SBlICH IIOONmS NAMEOOING BJSnmiS~~AS~--------------------

~-------------~~~-~~-----CITi~-------------middotsua2~-~ZIP_______ Signature ot ownr (aignatur nat ner nry if aigrm Dateanl notarized lttc ot autharizaticn baa beln pmvidm)

CITl~ OP IDCAlIctf~=~~~~===~=~TAX ASSESSCRS PIA1 AND It1t II)(S) OF APPLICMICif S11~------Sl1Url AallTIIG SrlE NEAREST S1REEl IHWciYTI~CifiANDWftrrsrDISTANCZciNIDWnDIRIXriUifunutI---S fDCED REFDma IOINr (ut utility plla no anVar Ia no)

hHAT IS I11E ~ 10 SlIZ fKII All71lDG stmEJ_ lilt wt_North _Salth

SIClICJf NBRIEF ~ N1D 1JRRlSE C APIUCMICif apg DS Cit II)(sea page 1 of AFP]icaticn ~) 1 ANY IWVICUS AJifiL a 1HIS

S1lZ _YSJI)RVJDZ APPLICMlQIIIIIIQ__

2 ANY IWVICUS CXIIPIADfr CRVlCUTICif Kit DDS

S1lZ -- _II)PRN1Ii5FJIZshy

I HAVE RlQJES1B) NID AUDDtiZID H DIVI811GMICI CXIIPIIAlItlf raquogt) MJBII1SSltW OF AIL llfE~~ Df tll1aVIR PCIIC CXIfmDIIID D DIB tmUII) AIIIILta4ICif I BDBi amIFi UNtERP9WJIY Cl 1M DI1d I bullvz PIISCINU IXNCDifD raquogt) M Praquo11LDR WlJH DIE IMJiatiTiaf SUJMlllI)HERXN 1HlS DlliV1JlalS ampUIIClrlDG DIIS DmllaTlDf DID 80 Itt 1ft I4JCfLTJXIf MSED elf MlIHQUIRY OF DIESI DGnVIIlalS NlillfttY JaSIICIISIBla Pat C111N11DG DIE INrtROTICf SJittl11ffHEREIN I HDGIIY 8IMZ DilT JMIIICIW4ICif J8 Dil ~ raquogtgt CXIGUlZ

----l -------NOTICE If the film

Ia leas clear than this notice It Is due to the quality of the docum

ent film

51 bull

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middot bull

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bullbull 0

middotl COs~

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barcode 556387

barcodetext SDMS Doc ID 556387

--- middotmiddot NOIE Unless otherWise specified each item JIUSt be answered Cl the applicatiCI

form am this dlecklist If a particular itaD does not fit the circumstances orcharacteristics of yoor activity iniicate by arterirq NA (Not Applicable) bull Pleasetype or print Cl the lines provided middot

lliE FtR WIlHIN 1HIS PAaltHZ AND ~ cmxmtSl KlST BE FIIUD CX11 cxtPUlELYOR IHE APPUCTI~ WILL BE RElUIMD lHEmBY IElAYIH 1HE FRXamp9SllG OF YaJRAPPLICATI~

I APPLICANT SDlI~ - Fill in the follCJWing infamaticln_name of periiCI applyirq_business_mailing~

~ JJJidler for daytillle ~

II CMNER SfrlI~ - Fill in the follCJWing infamaticrl_name of the prcperty awnar middot_businasa_mailing~_signatutw of owner or a bulligned and notarized letter of

autharizatiCil i8 prcwidld

middot-middot middot

Briefly de8criba tbl cbjectiw of )Wr middotIIIJPlicaticn in llllt~ tt) tt syp ot i-tgyastsdescribed below otailed 1Jwtructiaw far -=b type of ~ Cln be fQnl below in-s---4~ apprcpriate --~-middot middot

middot~middot

middot----

-------

TICE If the film

is notice It Is due

to tlle

ent film

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~~~ Ei~

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bull 1 I~

bull 1

I bull a

~ middot

middot I

-1 bull

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a 11 I

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ibull I

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~1 ~lj-I

middotI

-middot-

naxinun

utilized

middot~

middot~middot

I II I

proposed wrk

middot-~ ~

prqxl88d cartcura

11 ReplantilJI

SlJBSECI~ c

RNJirements

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--- - -~ --

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----Requirements

I I I I

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Area cede NUI1Dar

ent film

51 bull

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----Requirements

I I I I

Application No

Area cede NUI1Dar

ent film

51 bull

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I I I I

Application No

Area cede NUI1Dar

ent film

51 bull

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bullbull 0

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----Requirements

I I I I

Application No

Area cede NUI1Dar

ent film

51 bull

I~ i I

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----Requirements

I I I I

Application No

Area cede NUI1Dar

ent film

51 bull

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--- - -~ --

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facilities middot

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----Requirements

I I I I

Application No

Area cede NUI1Dar

ent film

51 bull

I~ i I

middot

middot bull

i - r4

bullbull 0

middotl COs~

middot -

barcode 556387

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__oU-wtc~

--- - -~ --

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facilities middot

- ~middot- 4 - - ~at-bull 6 --1 --

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----Requirements

I I I I

Application No

Area cede NUI1Dar

ent film

51 bull

I~ i I

middot

middot bull

i - r4

bullbull 0

middotl COs~

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barcode 556387

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--- - -~ --

SUBSEa( c

facilities middot

- ~middot- 4 - - ~at-bull 6 --1 --

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----Requirements

I I I I

Application No

Area cede NUI1Dar

ent film

51 bull

I~ i I

middot

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i - r4

bullbull 0

middotl COs~

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barcode 556387

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--- - -~ --

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facilities middot

- ~middot- 4 - - ~at-bull 6 --1 --

Dm1 Plein WtcW

----Requirements

I I I I

Application No

Area cede NUI1Dar

ent film

51 bull

I~ i I

middot

middot bull

i - r4

bullbull 0

middotl COs~

middot -

barcode 556387

--- - -~ --

SUBSEa( c

facilities middot

- ~middot- 4 - - ~at-bull 6 --1 --

Dm1 Plein WtcW

----Requirements

I I I I

Application No

Area cede NUI1Dar

ent film

51 bull

I~ i I

middot

middot bull

i - r4

bullbull 0

middotl COs~

middot -

barcode 556387

----Requirements

I I I I

Application No

Area cede NUI1Dar

ent film

51 bull

I~ i I

middot

middot bull

i - r4

bullbull 0

middotl COs~

middot -

barcode 556387

I I I I

Application No

Area cede NUI1Dar

ent film

51 bull

I~ i I

middot

middot bull

i - r4

bullbull 0

middotl COs~

middot -

barcode 556387

Application No

Area cede NUI1Dar

ent film

51 bull

I~ i I

middot

middot bull

i - r4

bullbull 0

middotl COs~

middot -

barcode 556387

ent film

51 bull

I~ i I

middot

middot bull

i - r4

bullbull 0

middotl COs~

middot -

barcode 556387

Documents

PRELIMINARY DETERMINATION APPLICATION - FRESHWATER … · NOI'E: Unless otherWise specified, each item JIUSt be answered Cl\ the applicatiCI\ . form am this dlecklist. If a particular