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• Q. Human Health. Will the proposal result in the <br />creation of any health hazard or potential <br />health hazard (excluding mental health)? <br />Explanation: <br />R. Aesthetics- Will the proposal result in the <br />obstruction of any scenic vista or view open <br />to the public, or will the proposal result in <br />the creation of an aesthetically offensive site <br />open to puhlIr view? <br />R,xpl.anation: _ <br />S. Recreation. Will the proposal result in an <br />impact upon the quality or quantity of existing <br />recreational opportunities? <br />Explanation: <br />T. Archeological/Historical. Will the proposal result <br />In an alteration of a significant archeological <br />or historical site, structure, object or building? <br />Explanation: <br />lit. SIGNATURE. <br />Yes Maybe No <br />X <br />X <br />X <br />Y— <br />x <br />1, the undersigned, state that to the hest of my knowledge the above informarin. <br />is true and complete. it is understood that the lead agency may withdraw Any <br />declaration of non -significance that it might issue in reliance upon this'chec!: <br />list should there be any willful misrepresentation or willful lack of full <br />disclosure on my part. <br />Proponent R>;J 9 4--C <br />ROBERT DODGE, SHERIHF <br />WAC 197-10-370 WITHDRAWAL OF AFFIRMATIVE THRESHOLD DETERMINATION <br />If at Any time after the entry of a declaration -of significance, the proponent modific_. <br />the proposal so that, In the judgment of the lend agency, All significant adverse <br />environmental impacts resulting therefrom are eliminated, the declaration of slgniflcrt:ce <br />shall he withdrawn and A declaration of non-significance.entcred instead. The lend <br />.agency shall also revise the registers at its SRPA Public Information Center Accordingly. <br />If the proponent of a proposal is a private Applicant, the proposal shall not be consid- <br />ered modified until all license applications for the proposal are revised to reflect -,he <br />modification. <br />7 <br />