Text · page 10 of 18
Read the whole document on one page (all 18 pages, each with its own heading)
This document was a scan. Its text was produced by character recognition and may contain errors; check the original for exact wording.
. NO | YES | N/A 5. Is the proposed action, [| C1 d use under the zoning regulati ons? oe _ a, A permitte | |_| b. Consistent with the adopted comprehensive plan? r of the existing built or natural YES 6. Is the proposed action consistent with the predominant characte Cis Ps landscape? MI eS a state listed Critical Environmental Area? 7. Is the site of the proposed action located in, or does it adjoin, - Tf Yes, identify: present levels? a, Will the proposed action result in a substantial increasein traffic above fr RR a 8. noo action? b. Are public transportation service(s) available at or near the site of the proposed site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near ‘NO | YES 9, Does the proposed action meet or exceed the state energy code requirements? technologies: If the proposed action will exceed requirements, describe design features and to an existing public/pr| ivate water.supply? pplys ‘NO | YES 10. Will the proposed action connect , oS KT} Ey} If No, desctibe method for providing potable'water: NO | YES 11. Will the proposed action connect to existing wastewater utilities? | If No, describe method for providing wastewater treatment: LI on either the State or National: Register of Historic — ast 7a) ure that is listedSes i 12, a. Does the site contain a struct ey jOoeoo: Places? b. Is the proposed action located in an:archeological sensitive area?” the proposed action, contain ing | 43. a: Does any portion of the siteof the proposed action, or lands adjoin wetlands or other waterbodies regulated by a federal, state or local agency? or waterbody? b. Would the proposed action physically alter, or encroach into, any existing wetland feet or acres: If Yes, identify the wetland or waterbody and extent of alterations in square the project site. Check all that apply: 14. Identify the typical habitat types that occur on, or are likely to be found on [l Shoreline — [K] Forest: [J Apricultural/grasslands [Early mid-successional. [Suburban ee - | oS ane [J Wetland L]Urban d habitats, listed ‘NO | YES 15. Does the site of the proposed action contain any species of animal, or associate ; . [e] E | by the State or Federal government as threatened or endangered? NO | YES 16. Is the project site located in the 100 year flood plain? non-point sources? NO | YES 17. Will the proposed action create storm water discharge, either from point or If Yes, ; . a. Will storm water discharges flow to adjacent properties? Ma NO [-]ves wl (tunoff and storm drains)? - b. Will storm water discharges be directed to established conveyance systems | | No [_IYES If Yes, briefly describe: _ Page 2 of 3