Text · page 6 of 64
This document was a scan. Its text was produced by character recognition and may contain errors; check the original for exact wording.
Ye! PA TUR EBMIE
BY ee : see
Short Environmental Assessment Form
Part 1 ~ Project Information
Instructions for Completing
Part 1 Project Information, The appticant or project spousor fs respanathtle far the campletion of Part 1. Responses hecomte part of the
application for approval or fnnding, are subject to public review, and may be subject to fucther verification. Complete Part | based on
information currently available. If additional rescureh or investigation would be needed to fully respond to any item, please answer as
thoroughly as possible based on current information,
Complete all items in Part 1. You nnty also provide any additional information which you beliove will be needed by or useful to the
lead agency: attach additional pages as necessary to supplement ary item.
a Part 1 ~ Project aud Spon i information,
i
:+ Name of Action or Project:
iilage Pay,
Village Plat ;
7 Boekel el _CASr Ancora 9 14052)
Project Localion (ovr and aitach a location map):
j
Brief Descriptionlg i xt)
OSS LXITANS oswese ViLqg, zx DI MA ek mn
on ACU wane a) “eer
Bay Gray Curd
YyealMLny.
fincyg Jordoar”
Banquet er wy
Name of Applicant or Sponsor: ‘ ‘Telephone: tl (9-5 L}é} “2. { we
Address:
Casey Corcers
| ie B, Wo \n Jt a.
Pit ASO Vr \lage Play (
CUM,
i City/PO: Ea Sy Ayo’ 7 State: KIN Zip at
fo A 2
1. Does the proposed action only involve the legislative adoption ofa plan, local law, ordinance, NO YES
administrative rule, or regulation?
If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that C tet
| may be affected in the municipality and proceed to Part 2. Ifno, conlinns to question 2.
’
12. Does the proposed action require a permit, approval or funding from any other government Agency? \ NO YES |
Ni °7
| “ou @nevG,, oP PO So {OE
! if Yes, list agency(s) name and permit or approval: ry
j
i 3. a. Total acreage of the site of the proposed action? TE @ acres
1 b. Total acreage to be physically disturbed? S_ aeres
! «. Total acreage (project site and any contiguous properties) owned Ll '
l or controlled by the applicunt or project sponsor? ve t i? ares i
fen
t
_
4. Check all land nseg that occur on, are adjoining or near the pr posed! action: |
/ CE urban ea Rural (non-agriculture) EXT Industriat ee Commercial bast Residential (subarban) i
: Col vores: [C] Agriculture EE] Aquatic [Z] Other(Specily): i
| Be Parkiand i
Pape Tot > SEAT 2019