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. ' � ��es nr oe ��_ <br />. :� . • . . . , . <br />,(19) Reereatic�. Vill the �_�poeal reault !n ae inpact upon .ne qual![y <br />�, or quanticy aE existing reereational opportunities? • g <br />Explanation• ' <br />(20) Archeolostieal/His[orical. L/ill the proposal result in an alteratSon <br />ot a ei6nificant archeolagical or historical site� sttucture, objecc <br />or building? <br />' Ezplaoation• • <br />II. SIGNATURE <br />I� the undersigned, state that to [he best of�my <br />:rue and cooplete. I[ is underscood that the lead agency� <br />:iqnlficance that it might issue in reliance upon this che <br />:atlon or lack of full disc�osuze on my par[. , <br />Proponent <br />IV. DECLARpTION OF RESPONSIBLE OFFICZAL: <br />ihe abwe described project is a major action <br />.mpact and (vill, will no[) tequite an Envitonmental Imp <br />X <br />dge the above informacion is <br />hdrav a ec2a ation�f non- <br />should there�be ny q2srepresen- <br />a`ignificant, insignifican[) <br />atemen[. <br />Responsible Official <br />n <br />