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058-740-043
�y -- � I- 9 / 1 ,I IV. ENVIRONMENTAL IM;,CTE 'Explanations o aflIfYOsll and "maybe" answers are required on `attached sheet(s)) 1. EARTH, Willthe proposal result i significant; YES a. Unstable MAYBE N0 earth conditions or in changes in eojo is substructures? truc:tuxes � _ ., b. Disruptions, displacements„ compaction or overcover'ing a the soa c, Change in topographyor ground surface relief featue; . g? d.. Destruction, covering or rnodificanon of. any unique geologic or physical features'? e. Increase inwind or water erosion of soils, either, on or off-site?. f. Changes in deposition or erosion of beach sands, or changes in siltation, deposition or erosion which may modify the channel of a riven or stream or the bed of the ocean or any bay, inlet or lase? g. Loss of prime agriculturally productive $;oils ` outside designated urban areas? h, Exposure of people or property to geologic hazards, such as earthquakes, landslides mud- slides, ground failure or similar hazards? 2� ATR.; Will the proposal result in substantial: a. .Air emissions or deterioration, of ambi en't six quality? b. The creation of objectionzbl;e odors, smoI:e or fumes? co Alteration of air movement,Mo. isurei; or temperature, or any change in climate', locally or xegional.ly? 3, WATER. Will the Proposal result in, sub�stariti p � a1: F.—Changes i.n currents,, 'cours'e � orthe or 'direction of water" ,movements in either marine or fresh waters? b. Changes in ab-sgrption rates dramag e patterns -=- , or the rate and amount of suz•face runoff? e. Need for off-site surface cirainae imprave- men'ts y Int lWing vegetation 1 emov[al channel - ization or culveext installation? d. Alterations to the course or flow of flood waters''? e . Change' in the amount, ofsurface water in any water ,body? Dischaxg'e .into surface wators, or in any, alteration of surface lvdtj r duality, int luding but nat, limited totempexatttYe, dssplved bV990 or turbid 9. +4lteratian of tire. direction OT rate of flaw "� ' = -• of gro;�nd water,57 h . Change xn the ruanti Y Or quall y of ,9rcaund e thea through direct a"dditions or Wxtl� drawals, or through interception of an. aquifer b cuts or exoawstpris? i Ftductian in tho .amo`unit 'OfWaterptherivise " aailabl e for public: water ✓fir supplios 7� Exposure of people'Or property to Ovate related hazards sLtoil as li�od' ng`f 4/ ----- hiAX BE NO in.substaxttxalYES '. PLANT ,LIFE Will the proposal result T tinge in the da:vexsity of species or nunber Of any species of plants (including trees shrubs, ss, p , grass crops ; and a uatic lants 7 b# Reduction of the ziuxn ers 'of - any unique , rare orendangered species of plants? c•° Introduction of new species of plants unto an aria, " or in a ba'rrie,r to the normal replenish - meat of, eXlsting species? d. Reduction ill acreage; of an�r agricultural crop'? ANIMAL ;LIFE, Will the proposal result i.n substsnti al a. CF tinge in the diversity , of specieso numbers r. of any species of animals ' (birds, land animas including reptiles; fish and shell fi.sh', benthi.c organisms or insects) b. Redirct.i,on in the numbers of any unique, rare of enda lgered species of animals? Co Tn.troduetion; of new species of animals into an are or result in a barl'ie'r to the ma.gration. or. movement. of animals? da Deterioration to O fisting flsh or wildlife "-- habitat? b 'OISE, Will the proposal: resin t in subs tartta al a.; Increases in existing noise Levels? b, Exposure of people t.o severe noise levels? 7. LIGHT AND GLARE.` Will the proposal produce s� na.t�cant and glare? g laght g _ 8, LAND USE, will- the propos-al result; in d su , t zifit ial altelstion of the -5. present or Panned land use of an area? 9. NATURAL ;R1380URCE8: Will the proposal restzl.t in FUR tantXal;, - a. Zncrea5e in tha rate f use of any xZattix:al resources? b,• Depletion of ani nanvxerieW ,ble natural resources' 10: RTS.K OF tjP5ET. Wall the proposal involve: a.A tis : of exp? osi:ori or, the release of` �hataxd ous substances (including, but not limited to, ai.1; Pestrcdes, chemicals or ,radiation) ill the eveni; -of accident _an ar upset con, Iti,ons? b. Possible intcr.ference tva th an emergency, resp;tinse 'plan or e;merg0no evacution PIa X t ll.l POPULATIO I. will the ;preptisa1 alter the locatio�; ist`rl u.taon, density, or growth rale of, the human papula•tion?' 2 . HOUS;rNG, Wali the T t^opos�.J affect eistang bousin, or trea�tq a demand fc r': add �taonal ho'usi'ng? M w. r YES MAYB't NO 1'3", TRANSPORTATIONIC, TRCULAT'CON: Will the proposa]' 'in _ result a. Generation of substantial. additional vehicle movement? b. Effects on existingparking facilities, Or demand for new, parking? C.. Substantial impact on existing transportation systems? d, Significant alterations to present patterns of circulation or movement of people and/or goods? e, Alterations to waterborne, rail or air traffic? f. Increase in traffic -hazards to motor vehicle blcycii.sts or pedestrians? , 14, PUBLIC SERVICES . 11il1. the proposal have an e f fect upon, or result in a neod for new or altered governmental ser ices a. Fire protection? b. Polica protection? c. Schools? �X d, Parks or other ,recreational facilities'? P, Maintenance . o f public � c facil incl: P z t� es ,, uding .,...._. ,......�. - roads f'. Other governmental services? 15� ENERGY, Will the proposal resultin. a;. Use of substantial amounts of fu el energy? b. Substantial increase in demand upon existing" sources of energy, ox require the de��el;opment of new sources of enexV? 15. UTILITIES. Will: the proposal result, in a need for Hew systems, or L substantial alterations to the following; a. Potvex ox natural gas? b. Communications sys terns ? --�- c Water availa,bi.l`a.ty. --- d, Sewer o.r septic' tazilc? e Storm water drainage'?,,--- - 1V and dispasal"� -`--• f. Solidaste a Y 17. HUMAN NEALTFI. Wil 'the proposal '�esul;t in a Create on of any health hazard or potential `he,althhaza�xd �e::xcS�atiirtg�-menta b Exposure of peo ;le to p pot ent� si. health - - Hazards? 1$, AtSTIBTIC.` _l res l t}ie proposa u1t lri the o Sti.tl, t_l, 1 of eny scciiic V 7 5 Ca off' view" opoi% to' the public, or will the proposal result in the creation of an acstlietiCIA offensive' site open to gub1 C tr'i014? YI S NO 19.. RECRDATION. Will the. proposal result: in an impact upon It, e quaff ity or quantij;y ofexi:st,ing recrea.ional . opportunities? 20 . GUL'i'URAL AE8OURCE'S . a. Will,tFe proposal: result in the alteration Of or the des ruction of. a' preha story c o; r histat'ic 14rchaeo1ogical sifte? Will the proposal resial,t in adverse, p41%sical _. or aesthetic: effects to a prehistoric �. historic building,'structure or object? C,, Does the proposal have the pote,ial. to :a physical change ��rhich Mould a�£ect unique ethnic cultural values? d.. Will the proposal xestrict existing religloujILI `-~— 4 or sacred uses within, the potential impact area'? V. DISCUSSION OF EX'i IRONMENTAL bV LUAT'rQ1V AP 5`8-74.-43 See attached. , 1 4 w S ApPITcant' Mary K-, M111er-Mahan Assessor'sParcel if Log # 86-04-21-01 DATA a EET A. Pro sect Desgr 1 pt i on 1_» Type of Project-: Tentative parol Map. i 2. Brief Description: Division' of 2Q.2 :acres into two pardels. of, 1.1 acres, each 3;» Location On the north and west side of Surooramo Mime Road,, approximately 1.000 feet south of its intersect10 with Roak, r^ H 1' l 1 M 1 he Road P' Conc.ow area 4. S. Proposed scansity of: Development: 1 d.u./1'0 acres, Amount of impervious Sur^facine: Unkndwn 6 Access and Nearest pub1 i'c RoadC.s 7': PI^ontage on Surcease M i no Road, a 'H1ghwaY private road, access to 70fra'lr dig B nd, 3 8 miles",_ 7 Method of Sewage Disposal: Septic tank, ieachfie1d, 8... Source of Water SuPP1Y= Individual wells.' 9. l�roxim tY of Power 1J nos: .2 ells north, at Surcease/i�i� Bend.; 10 Potential for further land diVisi'ans andclevolopment: nivision would allow one homesite por parcel. No further division permitted under existing FR -10 zohins. B. i=ry ponmental Set - i nsa PFiVs i ca�� EM�i rnL= 7 Torra n :. a. General'i`oPosr'aphic Character= Knoll and south slope.. b.: Sl apes.' 16-40:% ; Elevati'an: 22002320' A.s.L. d., LA rn i ti ng ,rectors: S1. opes over 3p,t'. 2r" Sci Is - TY Pes and Charactes ristic': Dobbins Graenst6ne Hpw caw, 20-200.0 red -brown loam clav;,Orey-brown, 1:oam-clay:to coarse sandy loam, slow, to moderate permeability; Well vita i n i;ng . 3. b» Limiting Nactors. Modorate to very high erossigl. Naturral; H16'zards 'of the L,and rthquake Zone:' 9 m:i1e south 0 8 1 Bend fault. b. Eros ion,,, Pptent i ai; = Mode► -ate to 11 i gh . Lands- i ide Patent al : Mti'dorate to Hi r,h . d. Fire Haxard:. Wibh to', extreme.: �a. Expans i Ve Sa,i "1 Potenta `' Moderate 4. . HYtlro1ogy a n Surface. 'Water:nterrn l t4ent stream f i aw i rig' thi �oug�a ield5 Gulch into Lak© O',Ovl.l.le=�1�'t m1 las, Sh, _ .. i