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Short Environmental Assessment For
m
Part I « Project Information
Part 1 ~ Projaxt Information, "Tho ‘pplicant
application for approval er funding, are subjeor project spoasor fs respousthle for the complotion of Part 1. Responses become part of
ct
information currently available, ff additional to public review, and may be subject te further verlfloation. Complete Part 1 based
the
thoroughly as possible bused on curre
resea rch or Inves tigat ion would be needed to fully respond to any on
nt information, Item, please answer as
Complete all items in Part 1, You may
also provide any additional information
lead agenoy: attach additional DAGES which you belleve will be needed by or
AS necessary to supplement any item. usefia! to the
Part { ~ Project and Sponsor Info
rmation
Name of Action or Pro
M o VE-IN
ject:
WY
re A)
Freie ak a attach a lopation map):
4 Eras’ ;
Brief Desoiiption of Proposed Action:
Name of Applicant or Sponsor:
Telephone
Lackavaam bouSite Deelopte (arportion
Across bito f. | ; ba { _| Bait: aa nce jew Skidslhd “oeprully.ory
a Ahr te Ns
Clty/PO: 2)
Lacayat
k ly State: Zip Code:
—
{. Does the proposed action on ly involve the legis
adliu inistrative cule, or regulation
Wyance,
lative adoption of plan, foca{ faw, ordin ZI NO
? YES
If Yes, attaoh a narrative description of the ;
intent of the proposed action ard the envi ronm
may be affected in the municipality
and proceed to Part 2. Ifo, continue ental resources that |
2. Does the proposed action requite a permi to question 2,
t, approval or finding from any other :
If Yos, list age ong fame and permit or approval: government Agency? NO {| YES
. Lon
New otk Sh & Homes ald Co MUNITY
|
J. a, Total acreage of the site of the Wa [ LX]
prop
b, Total acreage to ba physically distuosed action? at Aeros
rbed?
¢. Total acreage (praject site and
any contiguous praperties) owned
et aered
or controlled by the applicant or proje
ct sponsor? _f acres.
4, Check all land uses that occur on, are adjoi
ning or uear the proposed actfon:
5. CD Urban ["] Rural (ron-agriculture) [7] industrial [~] Commerctal wt Residential (suburban)
[7] Parest ["] Agriculture [| Aquatic [CJ Other{Specify):
[7] Parkland
Pains | of 3
. SEAF 2019