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Short Eavironmental Assessment For
m
Part I ~ Project Information
Lusiructlons for Completing
Part 1 ~ Proloeé information, The eppli
cant or project sponsor is responsibio for the completion
application for approval or funding, are of Part 1. Responses become batt of
subject to public review, and may be subje the
information currently available. Ff additional! ct to further vertfication. Complete Part
rasearoh or investigation would be needed 1 based on
thoroughly as possible based on curre to fully respond to any item, ploass answer
nt information. ag
Complete all {tems in Part 1, You may also
provide any additional Information which
lead agenoy; attact additional DAGES a8 you believe will be needed by or useful to
necessary to supplement any Item. the
Part { Project and Spouser Info
rmation
| Name of Ac
tion or Pr oject: / 0
VF -| N
Al y
Projent Lanattiown fdagariha aad alfeol
e innation many
£3 Green St.
Brief Description ofProposed Action:
Name of Applicant or Sponsor:
Telephon
Lack ayiate bouSite Deal pert Lerportion
Ase bs f. 4, ba /
: rom Qc Ht (Lerjew § Kid the
City/PO: e)
State:
- Lack awa
I. Does the proposed WY
Zip Code:
[qty
action ouly involve the legislative adopt
adratnistative rule, or regulation? ion of'a pian, local faw, ordinance,
NO YES
If Yes, attach a narrative description of the intent
may be affected fn the mun icipality and
of the proposed action and the environmental resou |
proceed to Part 2. If no, continue to rces that KK] [J
2 Dots the proposed action require a permi question 2,
t, approval or funding from mny other gove
if Yes, list ager ai & and permit or approval: rnment Agency? NO | YES
New Vorb . Lon |
fe ames ald Comunity Wa
3. a, Total acreage of the site of the prop
b, Total acroage to ba physically distu
osed action’? : a acres
U [x]
rbed?
¢. Total acreage (project site and any ai acres
contiguous properties) owned
or controlled by the appticant or proje
ct sponsor?
f ROIOS
4, Check all land uses that occur on, are
adjoining or near the propased action:
5. [7] Urban ["] Rural (non-agriculture) [7 indusirtat [| Commerctal ae
Residential (suburban)
I] Forest C] Agricutture [-] Aquatic [7] Other(Specify):
Co] Parkland
Penne te nt te
1
Pawe | of 3
. SEAF 2019