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..� �;�' • ' ' � � a bc No <br /> '� • . <br /> .% f (c) Storm water drainaqe? _ � <br /> � (f) Solid wastc and disposal? x <br /> ' " Explanation: <br /> �17) fiuman Health. Will the proposal <br /> , resultin the creltion of any <br /> health hazard or potential health <br /> hazard (excl.uding mcntal heal.tl�) ? x <br /> Explanation: <br /> (18) Acsthetic:;. Will the proposal re- <br /> sult in—the �hstruction of any <br /> scenic vista or view open to f.he <br /> public, or will the prcposal re- <br /> sult in the creation of an aesthe- . <br /> tically offensive site open to <br /> public view7 x <br /> Explanation: <br /> (19) P.ecreation. Will the praposal re- � <br /> � sult in an impact upon the quality <br /> or quantity of existing recrea- <br /> tional opportunities7 x <br /> &xplanation: <br /> (20) Archeological/Historical. Will the <br /> proposal result i� an alteration of <br /> , a significant archeological or his- <br /> torical site, structure, object or <br /> building7 a <br /> Explanation: <br /> III. SIGNATURE <br /> I, the undersigned, state that to the best of my knowleda�. <br /> the above information is true and complete. It is understood th3t <br /> the lead agency may withdraw any declaration of non-siynficance <br /> that it might issue in reliance upon this chec �list should there <br /> be any misrepresentation of lack of full disc ure on my part. <br /> Propone J// <br /> IV. DECLARATION OF RESPONSIIILE OFFICI • : � v ' � ' / <br /> � .� u/�Sh. <br /> The above described project is a najor action with <br /> (significant, insianificant) impact and (will, will not) require an <br /> Enviromnental Impact Statement. <br /> , ' Responsible Official • <br />