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_ ,_.�- <br /> ___ ... _ <br /> ' ' • � (�) 8toz�a vat�r drainaqe? _ x <br /> , � • (!) Solid wasta and disposal? _ �, <br /> _ =fCQ13Mt�0A: E• � additional surface drainage will occue. <br /> (17) Human ealth. Will the proposal , • <br /> sesu t n t e creation of any <br /> Malth hazard or potential health <br /> hasard (excludinq mental health)? _ x <br /> Explaeution: . <br /> (18) Aesthetics. Will th'e pronosal re- <br /> � sul�in tFe obstsuction of any <br /> 'scenic vista or vfew open to the <br /> public, oz will the proposal re- <br /> sult in the creation of an eesthe- <br /> lically offensive site open to <br /> pubiic view? • ' _ x <br /> Explaaation: ' <br /> (19) Aecreation. Will the proposal re- <br /> su t ia an impact upon the quality <br /> or quantity of existing recrea- <br /> tional opportunities? _ x <br /> 8xplanation: _ <br /> (20) Archeolo ical/Historical. Will the <br /> p;oposa result in an alteration of <br /> � a significant archeological or his- <br /> • torical site, structure, object or <br /> building? _ X <br /> E�cplanation: � <br /> III. SIGNATURE ' <br /> I, the undersigned, state that to the best of my knowledge <br /> the above information is true and complete. It is understood that <br /> the lead agency may withdraw any declaration of non-signficance <br /> that it might issue in reliance upon this chec ' st sho�d t:her.e i <br /> De any misrepresentation of lack of full di clasu -e o X pai-�1:. �•-- . <br /> Proponent: � ?��..-`� `` <br /> IV. DECLARATIO.T OF RESPONSIBLE OFFICZAL: <br /> The above described project is a najor action wi.t•h <br /> (significant, insignificant) impact and (will, will not) requi.re an <br /> Environmental Impact Statement. <br /> Responsible Official . <br />