Text · page 32 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 are likely to be found on the project site. Check all that apply: □ Shoreline 0 Forest O Agricultural/grasslands D Early mid-successional . □Wetland D Urban D Suburban l 5. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the S(ate or NO YES Federal govemment as threatened or endangered? 16. Is the project site located in the l 00-year flood plan? NO □ YES □ □ 17. Will, the proposed Ction Create storm watel' discharge, either from point or non•point aourCes? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? □ b. Will storm water discharges be directed to established conveyance systems (nmoff and storm drains)? If Yes, briefly describe: □ 18. Does the proposed action include constrnction or other activities that would result in the impoundment of water NO YES or other liquids (e.g., retention pond, waste lagoon, dum)? □ If Yes, explain the purpose and size of the impoundment: 0 J.9. Has the site of the proposed action or an adjoining property been the location ofan active or closed solid waste NO YES management facility? □ If Ycs, describe: . 0 20.Has the site of the proposed action or an adjoining propet1y been the subject of remediation (ongoing or NO YES completed) for hazardous waste? □ If Yes, describe: 0 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 Page 3 of3