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1 <br /> ' • �. 1 _ J <br /> _ , • • • Yea hf_aybe No <br /> . �� (e) Storm water drainage? . � ` <br /> (f) Solid waste and disposal? ' � <br /> . ' . Explanation: U_ ...,,-eN. �.>,��e rP,� ',ti. - • <br /> - -� <br /> • • �-�u , [� ?fe���alFtl + SMA e.nr�,-re� �. ' ^+.iN �h .rt12Y KJ�ICFi- <br /> 6ll SZEEV 3�e��4. <br /> (17) Fluman Health. �4i11 the proposal ' . <br /> ., . • •, z'esult in the creation of. any � <br /> . health hazard or potential health <br /> . • , hazard (excluding mental health) ? � . � <br /> Explanation: • <br /> . • • <br /> ' .' (f8) Aesthetics. �•7i11 the pronosal re- <br /> sult in the ubstruction oP any ' <br /> � scenic vista or view onen to the • ' � • <br /> ' ptiblic, or will the proposal re- ' <br /> _ sult in the creation of an aesthe- . <br /> tically offensive site open to . ' , � <br /> public view? _ � <br /> FScplanation: • <br /> ' ' (19) Recreation. Wi21 the pronosal re- • ' <br /> � sult in an impact upon the quality . • <br /> ' . or quantity oE exisfing recrea- � - <br /> tional oppertunities? . _ . � ' <br /> • Explanation: ' , <br /> � <br /> . ' • <br /> (20) Arclleological/Historical. .'Will the ' � <br /> ,proposal .result in an alteration' of <br /> � a 'siqnificant archeological or his- . ' ' ; <br /> torical site, structure, object o'r , . ' ' ' ; <br /> , building? , _ � <br /> ' Explanation: � � <br /> III. SIGVATURE e � <br /> ;_ ' � I, the undersiyned, state. that to the best�of my kaowledge - <br /> . the above information is true and comnlete. It is undezstood that <br /> the lead agency may withdraw any declaration of non-siynficance ' <br /> that it night issue in reliance unon this chectl�st should there <br /> • be any misrepresentation of lack of full disclosu:e . o part. <br /> , � � Proponen :� ��.r .��., � <br /> . N. DECL}1RATION OF £�ESPONSIBLE OFFICI?.L: - ' <br /> ' The above described project is a najor action..with � <br /> (significant,�• insignificant_) impact and (will, will not) require an <br /> Environmental Impact Sta'tement. ' . , ' <br /> ,. ' " " ' Responsible Official . . <br /> � <br /> � <br /> :... <br />