Text · page 23 of 227
Read the whole document on one page (all 227 pages, each with its own heading)
14. Identify the typical habitat types that occur on, or arc likely to be found on the project site. Check all that apply: □Shoreline D Forest D Agricultural/grasslands D Early mid-succcssional □Wetland D Urban D Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, Jistcd by the State or NO YES Federal government as threatened or endangered? □ 16. Is the project site located in the I00-year flood plan? NO □ YES 0 □ NO YES 17. Will the proposed action create storm water discharge, either from point or non-point sources? lfYes, 0 0 □ □ a. Will storm water discharges flow to adjacent properties? b. \Vill discharges be directed to established conveynn.ce systems (runoff and storm drains)? 0 storm water If Yes, briefly describe: 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids (e.g., retention pond, waste lagoon, dam)? □ If Yes, explain the purpose and size of the impoundmcnt: 0 .19, Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? □ If Yes, describe: 0 ., 20.Has the site of the proposed action or an adjoining prope1ty been the subject of remediation (ongoing or NO YES completed) for hazardous waste? 0 □ If Yes, describe: I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: Timothy Michaels Date:1/20/2026 Signature:£!.. Title: Mayor PRINT FORM Pagc3of3