20220845 Ver 2_SHORT INFO DEQ_20231109

Full 00m
pJag.4 J VprQz mtwV the fW!
�Ol#fbrmon on this plan [a,n,7r
• All prlOPa-Sed tisgetsS. d n f
of r!p W or fdft e J�
3• ' Loc"1101 Of rl P Oha+re ita Full %n 'Nc+rrr�' W;,t�r LevLzj armv&
4-. r f�ff an b-m placed hWOw the Fullfon
. of any on ur C#1 b�Gdln , ratI1 Irkffw Its d=k; $tm
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aofI

L Ddscrrlbe the edstIng l®r'd Uw ar condidon 0; the she at the tRme of this appolutforl Immentla4
6, Nicafbe W xosed work (fnrjude dimusion as to haw h r + ryl g -of s reline tips bean avnided, or
7, Vtl; la4nWI be 00�dUCtOd ftom find? I� Frem W".r'
� lak leveJ ? Mormul WaUr L
>iarr a:ral :.� ORMUONAS all ekca+r n, b0c"11, Ap rc; MM WAiils, atc1 In sgtMrg feet;
Tempar VY 1_ npff,= In &q f"t
9- T artmW:t oPf irnrJaM aMUeffie nomat pool lake iewF,4 2 MMMl W t35r t iknd 5.3 feet land.
vft:1
I'�i'r'nar�=.1s !;ap Cts �Inei�,Qirg Qiid[ fif>r ExcZathn f5P rap., : etalrOng a► alw, OtO In squar-a feet,
laarinL ;4kat-ruCt=cn Cz:. ij.-r, in1sgttm feet;
10, fey ef.s_:L a the YW4ton -Ahove the r V=1 Pool � Notnil Wffter t I and feet
hYOW*,M tL itrgWuKi {number of tnm,. fur fnshnce); _.at±JIL 24LW&gG
gig ti �g oc r. f, $a -i'ne ;PfOJact prC F~?rr, oernfy to tfa fd1owing:
E : = C: umpor.an: )ere { cen'tl = - tfM rill 1nfarr`'-tr0F aDM6ned herai, IS tV11% sac; u; ate
WId =TlPleteto the hsct of my kww;alec end teJW
. OmPOMNIE 'IffebY rBgu wh that tfre O�fflMng luthodty taw andtake act ors on
fe!�urtst the 2 ocl ,M�E r ascna* period ofWne
o .ryr..°i�rt�agarL,ri r ir8.�
Z." Y'AaJsf6;;; *,.0 faint, i t at4.
f� _1 i-*r.at#V the foFJmwrq iWarmatlon i!.,. plan and pm6-wa s: 5kM.
.!I y 6 qf_j
- :,N64 -WL& aL M dedrllt
r.F, fe' Jp, � ::;'.fiatDi pf:~:_t"--oweal,$ s.., ���:.c ?1�± - Fl t4Pcer Levbl *{swath
; L r f rlp MP o" 311 to be plater kOW the A-! 9DRdf NOMMI Water bwet eleirat
s_ •.: _ .: �' $,1�' �.:.. � _ sL� SC,"ft ��: �•• ; � �'] �$ L�'`;',+ •, r�*.�fnfng Ffal�, r?�cs, �t,c.
T of k Nor. or dry k� lovfth2 �ma
zI! PcMdf Nor[W E r LEI elmtlon
�� d �d;rm [�q+�r�n� �i'I� ir•�nc�n4i� Qiali� I Eici�l.�i o�'V4'�J11.�i.,ery
, �-. 12 Kwoi'wtmn3 treks 11417 HW Ndh..0 4� Ae6gk "di t•w� ��it.i t
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