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Yes Maybe No <br /> (19) Recreation. Will the proposal result in an impact upon the quality X <br /> or quantity of existing recreational opportunities? <br /> Explanation: Not apl2licabl <br /> (20) Archeo3ogical/1istorical. Will the proposal result in an alteration <br /> of a significant archeological or historical site, structure, object X <br /> or building? -- <br /> Explanation: Not ap2lieable <br /> III. SIGNATURE <br /> I, the undersigned, state that to the best of mymaythe above informatofnnon- <br /> is <br /> true and complete. It is understood that the lead agency )' withdraw <br /> aration <br /> significance that it might issue in reliance upon this checklist should there be any misrepresen- <br /> tation or lack of full disclosure on my part. N <br /> Proponent: <br /> G-' n �✓ <br /> By: E. Frank 11of k5ster, P.E. <br /> IV. DECLARATION OF RESPONSIBLE OFFICIAL: <br /> Harvey R. D66 & Assoc. ,Inc . <br /> The above described project is a major action with (significant, insignificant) <br /> impact and (will, will not) require an Environmental Impact Statement. <br /> Responsible Official <br />