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. �. <br />••(19)' Rrrrcatlon. 6!ill the proposa] resul[ in an irt:pact upon thc qua:i[y <br />' or quanei[y o: existing recrcational oppor[unities? <br />Er.planation: None. <br />(20) Archeolot;Scal/Nis[orical. 4)ill the proposal resul[ in an al[eration <br />of a sip,nifican[ archeological or historical si[e, structure, object <br />or building? <br />Explanation: None. <br />III. SIGNATURE <br />, �, �,.�� �>� ,.� <br />X <br />X <br />I, the undersigned, sr.ate that to the best of my know2edge the above inforn:ation is <br />true and conplete. It is under�tood [hat the lead agency may witlidraw any declaratio.• of nca— <br />siRnificance [hat i[ miSht issue in reliance upon this checklist�hould there be any misreprese-. <br />ta[ion or lack of full disclosu:e on my part. n �, <br />P.E. <br />IV. DECLARATION OF RESPOrSIBLE OFFICIAL: <br />.The above described project is a major action with (significant, insignificant) <br />impact and (will, will not) require an Environnien[al Inpact S[aterienC. <br />Responsible Official <br />9 <br />