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X . ESTIMATED_ 800 INCREASE: <br />Basis for estimate: <br />XI. <br />Initial: Z G.S #/day <br />L) X Zoo 2: �l�f-- <br />Ultimate: #/day <br />, 3 y Z. 16J 1d4' <br />NATURE OF AREA TO BE SERVED BY THE PROPOSED SEWER EXTENSION: <br />(a) Residential: Number of New Homes <br />Number of Existing Homes: <br />(b) Commercial/Industrial (Describe): o�v r{. <br />(o R_o ee.+ <br />-+c6:4-_ 1 7 Y, o 0 6 <br />(c) Other Describe <br />XII. Will the proposed sewer project be designed an�cconstructed as <br />d escribed in of <br />Standard Utilities Specifications prepared byhe City <br />Minnesota? _�_ <br />XIII. DETERMIr4ATION AS Tme�a NEED FOR AoardyieguMatTnn AS <br />1 nnesota nv ran <br />;SSMENT WORKSHEET: <br />Yes No <br />Please check as appropriate: <br />Is the ultimate flow increase 500,000 gallons per day (gpd) or more <br />and is the project service area within a city served either by the <br />Metropolitan Waste Control Commission (M'WCC) or the Western Lake <br />Superior Sanitary Sewer District System (WLSSD)? and is the project <br />Is the ultimate flow increase 500,000 gpd or more a <br />service area within a city with a population of 20,000 or more not <br />served by either MWCC or WLSSD <br />Is the ultimate flow increase 100,000 gpd or more and is the project <br />service area within a city not servleas CC ed by or WLSSD with a <br />population less than 20,000 b or more and is the project <br />is the ultimate flow increase 50,000 gpdl he e or <br />service area within an incorporated city not served by <br />WLSSD with a population less than 10,000? 000 d or more and is the project <br />Is the ultimate flow increase 50, gp _ <br />service area in .an unincorporated sewered arheabove conditions, then the? <br />If a yes answer was appropriate for any of t <br />preparation of an EAW is mandator;f. Oo you anticipate that adraft or <br />Environmental Assessment Worksheet Edatewill <br />comp�etpone®fhthe <br />�---- <br />county? Approximate <br />In <br />TOP THE REFtKtr(LtV r-A I L i„11" "ram• -- <br />ARE IN RECEIPT OF THE REQUIRED PERMIT S) ISSUED RY THIS AGENCY AND AS DEFINED RY <br />1 „j manco tit tiNFSOTA STATE STATUTE 115.0a SU80I V I ;ION 3. -- <br />S49ned: <br />Printed: <br />Signed: <br />Printed: <br />oineer <br />P- <br />7 �. <br />ut%riTed ity Pe.resentdtive <br />4'� %P - �4 <br />Reg. No. , 2 fr 7 1) <br />Title.. <br />