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J <br /> . .. • , . , Y� Maybe No <br /> • � " � (e) Storm water drainaqe7 � � <br /> ' (f) Solid z�raatc and disposal? � <br /> . — .�-. <br /> ' ' Explanation: /�/7t/7� �!✓rr B�, �7lGi�lu'.`/� yd � ' <br /> �W �v�c,r�/�i.� <br /> (17} fiuman Firalth. Will the proposal • <br /> • result in the creation of. any <br /> , health hazard or potential health <br /> hazard (excluding mental health) ? _ ' �( <br /> Explanation: ' <br /> ' (18) Aesthetics. �•lil.l the pronosal ra- . <br /> suli: i-`n the obstruction o� any , <br /> scenic vista or view open to the ' <br /> pnblic, or will the proposal re- � <br /> . sult in the creation of an aesthe•- , ' <br /> tically offensive site open to _ - � � <br /> public vie�v? , <br /> Explanation: � • <br /> (19) Recreation. Will the proposal re- � <br /> � sult in an impact upon the quality � <br /> or quantity of existing recrea- �, , <br /> tional opportunities? _ � <br /> Explanation: � <br /> — � I <br /> (20j Archeological/Historical. Will the � <br /> ,pr,oposal result in an alteration of <br /> � , a significant archeological or his- � <br /> torical site, structure, object or ; <br /> building? ' • _ � i <br /> . i <br /> FScplanation: ;i <br /> . � <br /> - I ' <br /> .. <br /> , <br /> III. SIGNATURE . � � ' <br /> '. I, the undersigned, state that to the best of my knowledge ' I <br /> the above information is true and complete. It is understood that � j <br /> the lead agency may iaith3raw any declaration of non-signficance : �i <br /> that it might issue in reliance upon this checklist should there � <br /> be any misrepresentation of lack of full disclosure. on my part. ii <br /> Proponent: �� �„/� n ! <br /> � IV. DECLARFITION OF RESPONSIBLE OFFICIAL: I <br /> The above described project is a r�ajor action .with � <br /> (significant, insignificant) impact and (will, will not) req�ire an <br /> Enviromnental Impact Statement. • <br /> • • ��� � �����r���� <br /> � ' ' • Responsible Official . • <br /> i,. <br />