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r-. Yes Maybe No <br />' r!tr <br />(e) storm water drainage? K _ <br />(f) Solid waste and disposal.? _ <br />Explanation: AlE—W GrCUj�'/�'y / J/"- PE U/!zE v�G'77o.� <br />(17) human Health. Will the proposal <br />result- in the creation of any <br />health hazard or potential health <br />hazard (excluding mental health)? X <br />Explanation: <br />(18) Aesthetics. Will the pr000sal re- <br />sult in the obstruction of any <br />scenic vista or view open to the <br />public, or will the proposal re- <br />sult in the creation of an aesthe- <br />tically offensive site open to <br />public view? <br />Explanation: <br />(19) Recreation. Will the proposal re- <br />sult in an impact upon the quality <br />or quantity of existing recrea- <br />tional opportunities? !<. <br />Explanation: <br />(20) Archcologi.cal/Historical. Will the <br />proposal result in an alteration of <br />a significant archeological or his- <br />torical site, structure, object or <br />building? <br />Explanation: <br />III. SIGNATURE <br />I, the undersigned, state that to the best of my knowledge <br />the above information is true and complete. It is understood that <br />the lead agency may withdraw any declaration of non-signficance <br />that it might issue in reliance upon this checklist shoul there <br />be any misrepresentation of lack of full disl u e n pirt. <br />Proponent: _ <br />IV. DECLARATION OF RESPONSIBLE OFFICIAL:T <br />The above described project- is a major action with <br />(significant, insignificant) impact and (will, will not) require an <br />Environmental Impact Statement. <br />Responsible Official <br />MW <br />