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Ycs t�n�bc _ <br /> • (ly) Rccrcotlon. M'i11 thc nropo<�1 resul[ in an lmp�ct upon thc qu�lit�� <br /> or quantity oC existing rec�eational opportunitfes? _ X <br /> Explanu[Son: <br /> (20) Archeolop,ical/Historicnl. 41i11 thc proposal result in an alteration <br /> of a sipnificanc archeulogical or histori�al site, structure, objecc <br /> or building? _ Y___ <br /> Explanation: <br /> [II. SIGNATURE <br /> I, the undersigned, atate that to the bea[ af my knowledge the above information _ <br /> erue and complece. it is �nderstood that the lead agency mny withdraw ar.y declaretion of nc. <br /> siRnificanee that 1[ miFht lasue in reliance upon this checkliat should there be any mis:epr� � <br /> cetion or lack of full dinclosure on my part. <br /> Proponent: - .�,�,. <br /> r �IfrM <br /> IV. DECLARATION OF RESP04SIBLE OFFICIAL: <br /> The nbwe described project ie a major ection with (significant, insignificant) <br /> impa:t and (will, will not) require an Environrtental Impac[ Statenient. <br /> Responsible Official <br />