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Yee- Ma• � No <br />/e) Storm water drainage? • _ X _ <br />(f) Solid waste and,disposal? _ X _ <br />Explanation: See Attactment � <br />(17) Human Health. Will the proposal <br />• result in the creation of:any <br />� health hazard or potential health <br />hazard (er.cluding mental health)? _ ' X <br />Explanation: <br />(�B) Aest_ he� tics. Will the pr000sal re- <br />• sul,t in the obstruction of any <br />scenic vista or view open to the <br />priblic, or will the proposal re- <br />su3t in the creation of an aesthe- <br />• tically of_`ensive site open to <br />public view? <br />FScplanation: _ _ <br />(19) Recreation. Will the proposal re- <br />su�n an impact upon the quality <br />oz quantity of exisfing recrea- <br />tional opportunities? • <br />Explanation: <br />: (20) Archeolovica?./hi=_torical. Will t?-e <br />,proposal result�in an alteration of <br />: a significant archeological or his- <br />' torical site, structure, object or <br />building? . <br />i5cplanation: <br />__ � X <br />X <br />_ X <br />�. <br />III. SIGNATURE • <br />� I, the undersigned, state that to the best�of my knowled3e <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 saight issue in reliance upon this checklist should there <br />•be any misrepresentation of lack oi full disclosure on my part. <br />Proponent: � <br />N. D£CLARATION OF RESPONSIBLE OFFICIAL: E���� 8��t Can�any <br />� The above described project is a najor action with <br />(significant, insianificant) impact and (will,, will not) require an <br />Snviro=unental Impact Statement. . � • <br />. • • • Responsible Official • <br />r . . <br />D <br />• T <br />f <br />4 <br />