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' <br />Yes Maybe No <br />• (a) Storm water drainage? <br />(f) Solid waste and disposal? <br />Explanat?.jn: <br />(17) Human Health. Will the proposal <br />result in the creation of. any <br />health hazard or potential health <br />hazard (excluding mental health)? <br />Explanation: <br />• <br />(18) Aesthetics. Will the proposal re- <br />sult in the obstruction of any <br />scenic vista or view open to the <br />public, or will the proposal re- <br />sult in the creation of an aesthe- <br />tically offensive site open to <br />public view? <br />Explanation: <br />(19) Recreation. Will the proposal re- <br />su t in an impact upon the quality <br />or quantity of existing recrea- <br />tional opportunities? <br />JG <br />Explanation: <br />(20) Arrheolo,ical/F:istorical. Will the <br />.proposal result in an alteration of <br />a significant archeological or his- <br />torical site, structure, object or <br />building? <br />Explanation: <br />III. SIGNATURE • <br />I, the undersigned, state that to the <br />best of my knowledge <br />the above information is true and complete. <br />It is understood that <br />the lead agency may withdraw any declaration <br />of non-signficance <br />that it might issue in reliance upon this checklist <br />should there <br />be any misrepresentation of lack of full discl <br />sure on my paaxt. <br />Proponent: <br />IV. DECLARATION OF RESPONSIBLE OFFICIAL: <br />The above described project is a major <br />action with <br />(significant, insignificant) impact and (will, <br />will not) require an <br />Environmental Impact Statement. <br />Responsible Official <br />