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� ': ' , � Yes Ma� No <br /> � �, � (e) Storm wa : drainage? _ g <br /> (f) Solid waste and disposal7 X <br /> ' ' Explanation: _ffi2mF�.c1�,rT BE �.rrd�oEo � J�.t/E.✓ �.;w.�c6 <br /> (17) Human Health. Will the proposal � <br /> , • result in the creation of. any • <br /> health hazard or potential health <br /> hazard (excluding mental health) ? ' • X <br /> FScplanation: <br /> � (18J Aesthetics. �9i11 the pronosal re- <br /> sul— t— in the obstruction o` any <br /> scenic vist.a or view open to the ' I <br /> public, or will the proposal re- i <br /> sult in the creation of an aesthe- , • I <br /> tically offensive site open to � <br /> public view? g <br /> Explanation: <br /> (19) Recreation. Will the proposal re- ' <br /> sult in an impact upon the quality <br /> or quantity of existing recrea- <br /> tional opportunities? X <br /> Explanation: <br /> (20) Archeological/Fiistorical. Will the <br /> ,pr000sal result in an alteration of <br /> , a significant archeological or his- ' <br /> torical site, structure, object or <br /> building? , X <br /> Explanation: ' <br /> �. <br /> III. SIG:IATURE � <br /> . I, the undersigned, state that to the best of my knowledqe <br /> the above information is true and comolete. It is understood that <br /> the lead agency may withdraw any declaration of non-signficance <br /> � that it night issue in reliance upon this checklist should there <br /> be any misrepresentation of lack of full disclosure on my part. <br /> i . <br /> r , <br /> Proponent: 1< '<c- � . Z-/,�-.f— <br /> f <br /> IV. DECLARATION OF RESPONSIBLE OFFICIAL: � ' <br /> The above described project is a r�ajor action with ' <br /> (significant, insignificant) impact and (will, will not) require an <br /> Envirocvnental Impact Statement. ' • <br /> , ` ' Responsible Official . <br />