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� <br />. • <br />(e) Storn aat�.r dr.ainage? �� <br />(f) Sulid ;�r: �t^ and cli�po:�ai? l�-- — <br />Ezplana�icn: �-? -. ' ? - _ � <br />c.�a--__�_.%r%.' C,4"--�' — <br />(17) F:uman i:c�lth. ;•1i11 tr.� p:oposal <br />� resul.t in tii� c•rcatio:: cz any <br />health iiazard cr. potcnti��1 healtli <br />hazard (e::cluding T�_n:al i.e�.lth;'t • (� <br />Explanation: ~ <br />(1C) F.esthetics. :4i11 the prc:�osal re- <br />sult• in ti;e cbstr.uction o` any <br />scenic vista or vie•,: ooen to the ' <br />public, or i�ill i:5e propossl re- <br />sult in �:he creation of an aesthe- <br />ti.cally offensive site upen to � <br />public vi�=_w? • � . <br />Explanation: � : � �%y-<!c',/�= n �- <br />(19} Recreation. 47i11 tn� or000sal re- <br />sult in an impact u�oa tne aucliLy <br />or quantit� of exis:_r.c recrea= <br />ticnal opportar.ities? <br />E�cplar.ation: • <br />(20) AreFeolc�ical/Historical. Will ihe <br />,proposulf r=sult �in �n alteration of <br />. a significant archeological or his- <br />torica' site, st:ructure, o�ject or <br />huildiiig? _ <br />Explanation: <br />IIS. SIGNP.TURE <br />v"� <br />� <br />', I, the undersignerl, state that to the best�o� my knowledge <br />the above infarmation is true and complete. It is understood tha� <br />the lead agency r�ay Hithdrac; any c�claration of non-sign=icance <br />that it nigh,t issue ia reliance upon this cher_};1'ist should there <br />be any misrepresentatian o� lack oi full disc sure n m r. <br />Proponent• <br />IV. DECLHR?TION OF RESFO\'SIBLE Ot'FICIAL: � <br />The above described oroject is a t�ajor action caith <br />(signi�icant, insi.iaificant) impacL• and (will, will not) require aa <br />Enviroamental Zmpact Statemcnt. � . <br />, ' ' ResponsiJ�le Officiai , <br />