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. . a lta� No � <br /> „ . '.' • �l <br /> ; . " '�� J • , <br /> 1 ' ��• . (e) Storm water drainage? � � �L- � <br /> ! (f1 Solid waste and diapomal? X� <br /> � • Explanations VT�, „' � /-I��r OF C rnr�se '1A'I��E �1riJ <br /> � .(PS�1rJ. �T rIR�! a <br /> (1?) tiuman Eiealth. Will the proposal <br /> • resu t n the creation of. any <br /> ' health hazard or potential health X <br /> hesard (excludinq mental health)? _, ., � <br /> Explanations ---- <br /> , . <br /> ' (�8) Aesthetics. Will the pronosal re- <br /> • su t n t e obstruction of any <br /> scenic vista or view open to the <br /> public, or will the proposal re- <br /> ' • �ult in the creation of an aesthe- . <br /> tically offensive site open to X <br /> public view? — — <br /> FScplanation: <br /> � : (�9) Recreation. Will the proposal re- : <br /> � su t n an impact upon the' quality <br /> � or quantity of exiseing recrea- � <br /> � tional opportunitiest _. <br /> I <br /> Explanation: • <br /> . <br /> (20) ArcheoloRicsl/Historical. Will the � <br /> ,propoaal result in— en a�teration of <br /> a a�qnificant archeological or his- <br /> � ' torical site, structure, object or — X t <br /> � buildinq? � <br /> � Explanation: <br /> i <br /> � III. SIGNATURE • � <br /> � I, the undersigned, state that to the best of my knowledqe <br /> the above information is true and complete. It is understood that <br /> the lead aqency may wittidraw any declaration of non-si.�nficance <br /> that it might issue in reliance upon this checklist shoulS a=�re <br /> be any :nisrepresentation •of lack oP full disclosure on my p <br /> proponent: <br /> . Lovegen-Lov land & Assoeiales <br /> IV. OECLARATION OF R�SPONSIBLE FICI • b �Qe P. L gl �nd, A.I.A. <br /> � The above described projcc� ' a 'o� a tion <br /> ` 'll n ) require an <br /> (aiqnificant, insiqnific3�t) impac d <br /> Environmental impzct Statement. �� ' <br /> i <br /> � , • Res�onsib e UPficial � <br /> � ' • <br /> 1 . <br /> „ ' , , , <br />