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d. Will the proposed action generate liquid wastes? Yes No If Yes: i. Total anticipated liquid waste generation per day: gallons/day ii. Nature of liquid wastes to be generated (e.g., sanitary wastewater, industrial; if combination, describe all components and approximate volumes or proportions of each): iii. Will the proposed action use any existing public wastewater treatment facilities? Yes No If Yes: Name of wastewater treatment plant to be used: Name of district: 9 9 Does the existing wastewater treatment plant have capacity to serve the project? Yes No Is the project site in the existing district? Yes No Is expansion of the district needed? Yes No Do existing sewer lines serve the project site? Yes No Will a line extension within an existing district be necessary to serve the project? Yes No If Yes: Describe extensions or capacity expansions proposed to serve this project: 9 9 iv. Will a new wastewater (sewage) treatment district be formed to serve the project site? Yes No If Yes: Applicant/sponsor for new district: 9 9 Date application submitted or anticipated: What is the receiving water for the wastewater discharge? v. If public facilities will not be used, describe plans to provide wastewater treatment for the project, including specifying proposed receiving water (name and classification if surface discharge or describe subsurface disposal plans): vi. Describe any plans or designs to capture, recycle or reuse liquid waste: 9 9 e. Will the proposed action disturb more than one acre and create stormwater runoff, either from new point Yes No sources (i.e. ditches, pipes, swales, curbs, gutters or other concentrated flows of stormwater) or non-point source (i.e., sheet flow) during construction or post construction? If Yes: 9 i. How much impervious surface will the project create in relation to total size of project parcel? Square feet or acres (impervious surface) Square feet or acres (parcel size) ii. Describe types of new point sources. iii. Where will the stormwater runoff be directed (i.e. on-site stormwater management facility/structures, adjacent properties, groundwater, on-site surface water, or off-site surface waters)? 9 9 If to surface waters, identify receiving water bodies or wetlands: Will stormwater runoff flow to adjacent properties? Yes No iv. Does the proposed plan minimize impervious surfaces, use pervious materials or collect and re-use stormwater? Yes No 9 9 9 9 9 9 Page 6 of 15 FEAF 2026 9