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PERMFILE49574
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PERMFILE49574
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Entry Properties
Last modified
8/24/2016 10:54:33 PM
Creation date
11/20/2007 2:06:22 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1987016
IBM Index Class Name
Permit File
Doc Date
2/9/1987
Doc Name
LIMITED IMPACT 110 & SPECIAL TEN DAY 111 PERMIT APPLICATION FORM
Media Type
D
Archive
No
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<br />U.S. DEPARTMENT OF AGRICULTURE <br />SO[L CONSERVATION SERVICE <br />DENVER, COLORADO <br />ENVIRONMENTAL EVALUATION WORKSHEET <br />Landuser or Project <br />vl~ <br /> <br />CO-ECS-7 <br />10/BS <br />- b/z~W~-S-h-SS <br />Alternative <br />Field Office <br />By ~~,_c-~t--i._~..- Date ~ - ~ ~1 - ~~~ <br /> <br /> <br />Enviraneental Concerns I lepacts <br />Applicablel5hort~ Longl <br />Yesl No ITera ~ TerelNotes (Attach additional sheets as needed) <br />Erosion and sedimentation I- I ~ ~ gZiJ~<• ,>,-F ~.-.,~_,._-, <br />Water table alterations I C I I C I <br />Land use chanties ;~) # ! rJ I C` ! <br />Air quality changes ~ I c I l ~ I <br />Wildlife habitat ~ ~'` ~ ~ C <br />Sueae fisheries ~ O <br />Wetlands c ~ <br />Threatened or endangered species ~ C <br />All perennial streae5 including <br />mild ,,,d ~.e„~..~~.e.~ ! ! (~ ! c` <br />Interaittent streaes ~ 1 c l l e l <br />Cultural resources including <br />national landear4a ~ ~ L ~ ' ~ <br />~- ! ! D <br />Water quality including receiving ; <br /> <br />a5hart-ters~ Consider this to be the installation period. Lang-term Consider this alter the installation period <br />to the end o+ the project (eeasure) life. Code beneficial (+li adverse (-)i none (0)i unkno~n (?). <br />-OVER- <br />L/ <br />~;..r~ s ~ 5 ~~~~, ..,,fit- , ~_ -~ <br />~. <br />c' v~ <br />«~~ <br />
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