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� • • Yes�aybe No <br /> (e) Storm water drainage? i/ � <br /> � (f) Solid �vaste and disposal? —� � <br /> �� � <br /> ' Explahation: {7-5 i,z���s.��.� _. S��C g�„q1� �/y;�c � <br /> (17) fluman Flealth. Will thc proposul <br /> , • resul--t n the creation of any <br /> health hazard or potential health <br /> hazard (excluding mental healt.h) ? �/ <br /> Explanation: <br /> � (18) Aesthetics. Will the pronosal re- <br /> su�tin the obstruction of any <br /> scenic vista or view open to th� <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 /> FScplanation: <br /> (19) Recre�tion. [9i11 the proposal re- ' <br /> � sul— t n an impact upon the quality <br /> or quantity of existing recrea- � <br /> tional opportunities? l� <br /> Explanation: <br /> (20) Archeolor;cal/Ristorical. Will thN <br /> ,proposal result in an alteratlon of <br /> a significant archeologic�: or his- ' <br /> torical site, structure, object or ' <br /> building? . • � <br /> � Explanation: <br /> . <br /> III. SIGNATIIRE <br /> , I, the undersigned, state that to tlie 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 i <br /> that it might issue in reli.ance upon this checklist should there <br /> be any misrepresentation of lack of full discl//qs)�ure qn my part. � I � <br /> Proponent: �/�l�J �j �`/ � <br /> IV. DECLARATION OF RESPONSIBLE OFFICIAL: <br /> The above described project is a r�ajor action with <br /> (significant,: insianificant) impact and (will, wi12 not) require an <br /> Envizonmental im-+act Statement. . � • <br /> , � , ' Responsible Official . <br />