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• . . . . . . . ..... . �.1 <br /> l ,� � <br /> • � . 1 <br /> 'r�. , . . • Yca MaL No <br /> .., <br /> ' � (e) Storm water drainage? • X I <br /> � � (f) Solid waste and disposal7 _ X <br /> • • Explanation: � <br /> (17) Human Health. Will the proposal • ' <br /> • result in the creation of. any . <br /> � , health hazard or potential }iealth . � <br /> hazard (excluding mental health) ? _ ' X <br /> Explanation: <br /> � <br /> . . • i , <br /> � (10) Aesthetics. Will the pronosal re- . <br /> • sul—tin the obstruction o: any ' <br /> � scenic vista or view open to the � <br /> public, or will the proposal re- j <br /> sult in the creation of an aesthe- . ' <br /> tically offensive site open to � <br /> public view3 � • X <br /> Explanation: _ � <br /> ' (19) Recreation. Will thc proposal re- � <br /> ' sul— t—in impact upo. . the quality' • <br /> or quantity of existing recrea- ' <br /> tional opportunities? _ x <br /> Explanation: _ ' <br /> (20) A:cheological/tli:,torical. Will the ' <br /> ,proposal result in an alteration of • ,� <br /> , a significant archeological or his- <br /> torical site, structure, object or <br /> buildinq? � • _ X <br /> Explanation: � <br /> TII. SIGNATURi: <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 heckl'i • oul there <br /> Ibe any misrepresentation of lack ot full iscl re o m p r . <br /> . I <br /> Proponent{, ,. <br /> � IV. DECL11I2ATION Or RGSPONSIHLE OFF'ICIAIl:�tt"tiR'oo�''�Qy��'���r <br /> 1 <br /> i The above described project is a r�ajor action .with <br /> i <br /> (�ignificant, insignificant) impacL• and (will,, will not) requirc an <br /> i Environmental Impact Statement. • <br /> I � ' • � Responsible Official . . <br /> , . <br />