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(e) Storm waCer drainage? <br />(i) Solid waste and disposal? <br />Er.planation: <br />(17) Human tjeal.th. i9i11 ti�e proposal <br />resu].t in the creation of anV <br />health hazard or potenti.al health <br />hazard (er.cluding mental health)? <br />E�:planation: <br />(18) Aesthetics. P7i11 the pronosal rc- <br />sult in the obstruction of any <br />scenic vista or view open to the <br />public, or will the proposal re- <br />sult in L-he creation of an aestlte- <br />tica].ly offensivc site open to <br />puUlic view? <br />Explanation: <br />(19) Recreation. [+Iill the proposal re- <br />sult in an impact upon t}�e qualit}� <br />or quantity of existing recrca- <br />tional oppor.turiities? _ <br />�xplanation: <br />(20) Archeoloc!ical/Ilistorical. P7i11 f'�e <br />proposal resuit in an altcratio: �i <br />a significani archeological or h�.s- <br />torical site, structure, object or <br />building? — <br />�xplanation: <br />III. SIGNATURli <br />Maybe No <br />./ <br />✓ <br />✓ <br />��' <br />� <br />I, the undersigned, state that to the best of my ):noa�l_�igc <br />the above information is true and complete. It is wlderstood thai. <br />the lead agency may withdraw any declaration of non-signficance <br />that iL- might issue in reliance upon this checiclist should there <br />Ue any misrepresentation of lack of full disclosure on my part. <br />i� / <br />Proponeni: /�/� 4 r�✓ / Orls� �Z riS% `C � <br />i �` �' � /� `�' <br />TV. D�CLARATION OI' RESPONSIIlLE OFFICIAL: �`' ��"�''�"� ��' � <br />The above descriUed project is a r�a;�r a�ation with <br />(significant, insignificant) impact and Roill, will not) require an <br />Environmental Lnpact SCai:ement. <br />Responsiblc Official <br />