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Tra t RAND

WM aGt CONSTRUCTION METHODS «(for iconstruction application)

Hours of Construction Prapased Commencement Date Proposed Completion Date __

“‘NOTESUTEMS BELOW MARKED WITH ASTERISK MAY REQUIRE A SEPARATE APPLICATION TO THE AGENT INDICATE

DOES THE PROJECT ?

a) Invoive the construction of new structures of expansion/improvement of existing facilities?

If yas, explain

Invaive demolition or removal and disposal of existing structures?

if yes, explain

Raquira municipal servicing?

If yas, explain

.

Involve moorage of float homa(s) os liveaboard vessels?

lf yas, axplain

lavolve dyke construction of affact existing dykes?

{f yes, explain

¢ ry

Involve diversion, impoundment or consumption af water? “(Water Licanse Application!

Hf yas, explain

Generate wastes requiring disposal? «= * (Waste Managament Permit Apolicatian)

If yes, descrida type arid quantity

involve usa, production or handling of hazardous materials? — “1408 worte Manegerant Parnit Apotections C) YES “a NO)

if yes, explain

Involve use or application of pesticides of herbicides? (MOE Pesticide Permit Application) CO-ves

i¥ yes, explain

Involve ocean dumping of material? © *(DOE Ocean Dumping Permit Application! OD ves. Zao. Be

if yes, explain

invalve use of lend in the Agricultural Land Resatve?

Indicate Municipal or Regional district zoning,