1918 WALL ST 2018-01-02 MF Import

Yes Maybe No Q. Human Health. Will the proposal result in the creation of any health hazard or,potential - health hazard (excluding mental health)? X Explanation: R. Aesthetics. Will the proposal result in the obstruction of anv scenic vista or view open to the public, or will the proposal result in the creation of an aesthetically offensive site open to public view? X iixpinnafiun: S. Recreation. Will the proposal result in an Impact upon the quality or quantity of existing recreational opportunities? X Explanation: T. Archeological/Historical: Will the proposal result in an alteration of a significant archeological or historical site, structure, object or building? _ X Explanation: Facility will alter environment immediately adjace:Lt to _historically significant Carnegie Building 111. SIGNATURE 1, the ondentlgned, state that to the hest of my knowledge the above information Is true and complete. It it understood that the lead agency may withdraw any declaration of non -significance that it might issue in reliance upon this check- list should there be any willful misrepresentation or willful lack of full disclosure on my part. - Proponent - /V YLIrA-e_ ROBERT DODGE, Sheriff WAC 197-10-370 WITHDRAWAL OF AFFIRMATIVE THRESHOLD DETERMINATION If at any time after the entry of a declaration of significance, the proponent modifies the propnsa! so that, In the judgment of the lead agency. a]I significant advorHo environmental Impacts resulting therefrom arc elin:inated, the declaration of slgnlfican shall he withdrawn and a declaration of non-si.gniftcance.entered instead. The lead agency shall nlHo revise the registers at its SRPA Public Information Center according] If the proponent of a proposal is a private applicant., the proposal shall not be consid erect modified until all license applications for the proposal are revised to reflect th modification. 7