20240365 Smalley Impact corrections

Project
Location Address: pIAS I
Parcel #: � z O 2 1
Parcel/lot size r
Disposal area required (sq ft Iudlor acreage)
I, W
rules reg g sediment and
Name of Individual and Com
to dispose of their dredge ma
c
Owner. LL �
Date: LA - I nn5 U
Along with form, please pros
Aerial of parcel/lot (County 1
Photo of proposed spoil site
Identified proposed spoil site
_, am aware that the site must adhere 4 all state regulations and
and water quality. And give permission or
at the above stated location
Signature
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