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. "�, ' . ' <br /> • � • ' � ' Yes Maybe No � <br /> � � . (e) Starm water drainaqe? � x <br /> (f) Solid waste and disposal? _ x � <br /> ' ' Explanation: ' ' <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 proposal re- <br /> sult ii�` i 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? • X <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? x <br /> Explanation: Informr:t � of h� v; at;nQ ��„F�}.. �Y I <br /> �ear•bv re5lden�� nrdbahla �+ould h� 1 imitarl <br /> (20) Arch^oloaical/Historical. Will the <br /> proposal result in an �lteratian of <br /> . a significant archeological or his- <br /> torical site, structure, object or <br /> building? _ X <br /> Explanation: <br /> III. SIG�ATURE <br /> I, the �.ndersigned, state that to the best o£ my knowledge <br /> the above information is true and co:nplete. It is understood that <br /> the lead agency may withdraw any declaration o on-signficance <br /> that it might issue in reliance upon this ch k ist sho ld there <br /> be any misrepresentation of lack of full di 1 �u e n y p rt. <br /> Proponent: � ,v� • <br /> IV. L`ECLIIRATION OF RESPONSIBL'c OFFiCIAL: � � /4%�f/�{/�" <br /> The above described project is a najor action with <br /> (significant, insignific�nt) impact and (will, will not) require an <br /> En� ironmental Impact Statelr;ent. � . <br /> . ' Respunsible Official . — <br />