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i <br /> � <br /> � . • . . . ' v�s ri, h� tr�� I <br /> — --�— -•-- <br /> � (19) Rec:eation. ?diil 'he proposal result ln a❑ :mpnct upon the quality I <br /> c: quan[ity of exieting recrcation�l oppor[un!tics2 _ �� <br /> Explanatio��: • � <br /> • I <br /> (20) Archeolo;,ical/ti[s[orical. 4H11 tlie proposal result in an alr.eral'ion � <br /> oE a significan: archeological or historlcal si[e, structu:e, object <br /> or buildinj,T _ x <br /> Explana[ion: - <br /> II. SIGNAT[JRE <br /> � I, [he. unde.-signed, etntc that to [he best of my knnulr.dge the above information is <br /> .-ue an3 complete. It is understood that [he lead agency may ui[hJraw any declaration of �on- <br /> iignificance �ha[ it miFht issue in reliance upon chis checklist ;;hould there e cny misrepres�� <br /> ntion or lack of tull di�clo�ure on my part. � <br /> . Yropanent:�G�iG'�/i��C/ / r.G�`'��/�� <br /> .; � � <br /> IV. UF.CI.�1_RATION OF RESP0;7SIBLx GPFICIAL: <br /> ' The aUcrre descriUed pro;Ject is a najor action with (significant, insi�nificant) . <br /> � mpac[ and (�:ill, will not) require an f:nvirnnnental Im,�act Sta[ement. <br /> ' Responsl.ble Official � <br /> 1 <br /> � � <br /> . � . <br /> ' F <br /> ..� <br /> l <br /> �� <br />