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e, Will the proposed action be constructed in multiple phases? [] Yes [Xi No
i, If No, anticipated period of construction: 12_ months
ii, Tf Yes:
* Total number of phases anticipated
¢ Anticipated commencement date of phase | (including demolition) month year
« Anticipated completion date of final phase month year
e Generally describe connections or relationships among phases, including any contingencies where progress of one phase
maydetermine timing or duration of future phases:
f. Does the project include new residential uses? [1] Yes [X] No
If Yes, show numbers of units proposed.
One Family Two Family Three Family Multiple Family (four or more)
Initial Phase
At compietion
ofall phases
g. Does the proposed action include new non-residential construction (including expansions)? 1 Yes (] No
If Yes,
i. Total number of structures _4 (replacement booster pump structure)
ii, Dimensions (in feet) of largest proposed structure: ? height; © width; and__7 length (approx.50sf)
iii. Approximate extent of building space to be heated or cooled: _ twa space wil not be heated or cooled square feet
h. Does the proposed action include construction or other activities that will result in the impoundment of any [Ves KiNo
liquids, such as creation of a water supply, reservoir, pond, lake, waste lagoon or other storage?
If Yes,
i, Purpose of the impoundment:
ii. (fa water impoundment, the principal source of the water: [J Ground water [Surface water streams [] Other specify:
iif, Lf other than water, identify the type of impounded/contained liquids and their source.
iv. Approximate size of the proposed impoundment. Volume: million gallons; surface area: acres
y, Dimensions of the proposed dam or impounding structure: height; length
vi, Construction method/materials for the proposed dam or impounding structure (e.g., earth fill, rock, wood, concrete):
D.2. Project Operations
a, Does the proposed action include any excavation, mining, or dredging, during construction, operations, or both? [ ]¥es [X]No
(Not including general site preparation, grading or installation of utilities or foundations where all excavated
materials will remain onsite)
If Yes:
i. What is the purpose of the excavation or dredging?
ii, How much material (including rock, earth, sediments, etc.) is proposed to be removed from the site?
* Volume (specify tons or cubic yards):
© Over what duration of time?
iti, Describe nature and characteristics of materials to be excavated or dredged, and plans to use, manage or dispose of them.
iy, Will there be onsite dewatering or processing of excavated materials? [] Yes{_]No
If yes, describe.
y. What is the total area to be dredged or excavated? acres
vi, What is the maximum area to be worked at any one time? acres
vil. What would be the maximum depth of excavation or dredging? feet
viii. Will the excavation require blasting? [Yes []No
ix. Summarize site reclamation goals and plan:
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