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`i <br /> � ' ' ,. • , � . . • . ' Ycn Ma be No � <br /> , <br /> � � (e) Storm .wa:.cr drainagc7 • � _ <br /> � � • (f) Solid wastc and dis�osal? x _ <br /> � • Explanation: 1JTti��I H�1T E� /�/•+�J/Of� 7D 71!£ /✓E+�J <br /> ' 8�����„��r 1 <br /> (17) Iiuman Flealth. Will the proposal � ' <br /> • result in the creati.on of. any <br /> � , health hazard or potential health , k <br /> hazard (excluding mental he.xlth) ? _ _ <br /> Explanation: <br /> ' (18) Aesthetics. P7i11 the pro�osal re- • <br /> • sult i the obstruction of any <br /> sceni.c vista or view open tn the ' . <br /> puUlic, or will the proposal re- <br /> sult in the creation of an aesthe- . <br /> � tically offensive site open to � <br /> public vicw? _. <br /> Explanation: <br /> (19) Recreat•ion. Will the proposal re- � <br /> ' � ' sult- in an impact upon l•he qualit:y' � <br /> or quantity oE exiseing recrca- ' x ; <br /> tional opportunities? _ — I <br /> Explanation: ' <br /> (20) Archcoloqical/Historical . Will the ' <br /> ' ,propc5sal re�ul.t in an alteration of . <br /> ! a significant archeological or l�is- <br /> i � torical site, :,tructure, object or — � <br /> building? <br /> Explanation: <br />#. ` � . <br /> III. SIGNATUR� • <br /> - I, the undersigned, state t:�at to the best of my knowledge <br /> ' the aboe� information is true and compleL•e. It is understood that <br /> 1 the lead agency may withdr.aw any declaration ot non-signficance <br /> ; that it mi9ht iscue in reliance u�on tl�is check ist should there <br /> � <br /> be any misrepresentation of lack of full di�• oj�? * my part. <br /> Proponent: �� -� <br /> ={/, DGCL7IRATION OF RESPONSIIIL� 0:'I'ICI�1L: <br /> The above described praject i� a najor action with . <br /> (signific��nt, in,igni�icant) impacL• and (wi11,, will not) require an I <br /> � Environmenl•al Impact Statement. _ <br /> I � , � . Respan:;ible Ufficial • <br /> I ' . <br /> i _ � ' •7 <br />