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18. Does the proposed ac~on include construction or other activities that result in the impoundment of NO YES water or other liquids te.g. retention pond, waste lagoon, dam)? If Yes, explain purpose arid size: I; ------------------------ 19. Has the site of the pro:posed action or a11 adjoining property been the location of an active or closed NO YES solid waste managemdpt facility? IfYes, describe: _ _- - t - - - - - - - - - - - - - - - - - - - - - - - - - 20. Has the site of the pro osed action or an adjoining property been the subject ofremediation (ongoing or completed) for hazard ;us waste? If Yes, describe: I I AFFIRM THAT THE ~ORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE i Applicant/ , Date: lob\.oQ.;tl,o Signature: --.'.:l!....t:e:.~~~~~:.___ _ _ _ _ _ _ _ _ _ _ __