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� <br />� <br /> � Y�s IAivne �o <br /> (c) SCorm watcr drainagc7 x <br /> (f) Solid waGte and disposai? � � <br /> Yce Mnybe No <br /> 7;r.planaLion: M1ll tl�rae nyct.cmo e-« to be InaLnlled on atte <br /> and xtll connect t:o exisCing yublte and privetc eyet.ems, <br /> (19) PuLiic Services. IYill llie propasn] (17) liuman Health. Will the propocal <br /> hnve nn effeet��pon. or result in a result in the creation of any <br /> nced for new governmentul servicee hcalth h�,>��rd or poCential hea7th <br /> ;n nny af t.he fotlmvfng areae? hazazd (excluding mental health)7 _ _ � <br /> Exylanation: <br /> (n) F3re protectfon? _ r _ _ � � <br /> (b) Policeprntectlon? - _ _�_ � (18) Ae,thetics. Y7i11 the pronosal re- <br /> su—�C in the obstruction of any <br /> sceni.c vista or vi.ew open to the <br /> ,�(c,) Schoole? _ — x public, or will the proi�osal re- <br /> �+�;d) Pnrtcs or other recreaii.'.nol sult in the crcation ot an aesthe- / <br /> tically offensive site open to <br /> faciliqeh? _ _ .� PuUlic view? � x <br />�, E:cplanatfon: ' <br /> (e) n7ainternnce of oubi,c faclHlies, . <br /> fncluding ronds? _. __ � — � <br /> � (19) Fccreation. IPill the proposal re- <br /> (f) Olhcr gocernmeninl servicea? _ _ ,� eu _tj��-in an impact upon the qualiiy � <br /> , , or quantity oE cr.isti.ng recrea- <br /> Cxplonnticn�. The eite le en arca elready develoned nnd xill tional opportunities7 _ _ x . <br /> add only s11RhLlv to m�f A r��i �-^LSan �YP1.]nation: <br /> Q5) Ener�. iVill lbe proposnl resnit in: (Zpj prcheolo9ical/Ni storical. Will the <br /> (n) Uhe of e,ubstantiat nmounls of Nel � Proposal result in an alteration of <br /> a si9nificant archeological or his- <br />� or energy? ._ — x— torical site, attucCure, object or <br /> building? X <br /> (L) 1?emnnd upon exislln�;sovrces of Explanation• � <br /> ener�}', or rcyuire ihe developme»t o( _ <br /> ctv caurres of cncrgy? x _ _ � ' <br /> Ezpinnnt�on: 7'he t�utldin uses 7I2. SIGPIATUI2C ' <br /> pae bul iC s smell in ecale nnd economv neaeures ere uaed Z, the undersigned, sCaCe that to the best of my knowledye I <br /> the above information is true and complcCe. IL is undm-stoo� L:ia;. I <br /> wherever poasft,le, end no direcL lot lighting te provlded, Che le�d agency may wiChdra�i any declaration of non-si.gnficance f <br /> (i6) Utilitti.s. IPill Ihe proposnl result fn that it might iesue in reliance upon this checl:lisC should there I <br /> a need for new systen:s, or ellerotione be any mi�representation ot lack o[ full disclosure or. :.iy part. � <br /> to lhv, follo�ving utililice: <br /> Pruponent: P .e I!ut.�er`� <br /> x IV. DECLAT2ATION OP RCSPONSII3LE OPPICIAL. Ron td tch lE; �5a ruc o £.ng�m���T <br /> (n) Pcwcr or natural ges? _ _ _ <br /> The above dcacribed project ia a najor action wf.th <br /> (b) Commun(entlons 6yFtems4 ' _ — (si nificant insi nificant im act end <br /> 9 � 4 1 p (w111, will not) requira an <br /> � Environmental Impact 6tatement. <br /> (c) lYeter? x — — <br />, • (d) Sewer or septic Innke? x __ _ Respone ble OIf c al � <br /> i <br /> I . <br />