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1 <br /> Yes Maybe No <br /> (� Solid waste and disposal? X ^� <br /> Explanation: See attaclied sheet <br /> (1?) Hwnan H�alih. Will the proposal result in the <br /> creation of any heulth hazard or potential health <br /> hazard (excluding mental health)? .�— <br /> Expianation: .. <br /> (lii) Aesthetics, Will the propo,al result in the ob- <br /> struction ol' any scenic vista or vicw open to lhe <br /> public, or will the proposal resuit in the creatimi <br /> ol' un aesthetically offensive sile open [o public X <br /> v iew? <br /> Explanation: see attached sheet <br /> (19) Recreation, Will the proposal result in an impact <br /> upon the quality or quantity of existing recrea• <br /> tional opportunitics? �— <br /> Gxplunation: <br /> (20) ArcheolosicallHistcrical. Will the proposa! re- <br /> sult in an alteration o(a signific�ant archeological X <br /> or historical site, structure, abject or building? — <br /> Explanation: - <br /> III, SIGNATURE <br /> 1, the undersigned,state that to the best of my knowledge the above informa- <br /> tion 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 ch�cklist should <br /> there be any misrepru;entation or lack of full disclasure on �art. � � �� <br /> �'-��u> G ��� =�i+-� <br /> Proponent:� : Quittton <br /> , '-1'-S. <br /> IV. DECLARATION OF RESPONSIBLE Uf FICIAL: <br /> The ahove described project is a major action with (significant, insignificant) , <br /> impact and (will, �vill not) require an Environmental Impact Statement. __� <br /> Responsible Of icial <br />