00745f'Al
1
Yes Maybe No
' 1 (17) llujnan licalt:h. Will the proposal
2 ulT ii►�ilic creation of any
3 health hazard or. potential health
41 hazard (excluding mental health)? X
5
61 Explanation:.
7
91
(18) Aesthetics - Will the proposal 1'
10� r��suxL in the obstruction of any
111 scenic vista or view open to the
121 public, or %A ll the proposal re-
131 s.ult in thr creation of an '•
14 aesthetically offensive site open X �
15 to public view?
16 .
17 Explanation:
18
19
20 (19) krcreaLion. Will the proposal
21 ' result:- 111 an ir:pact upon the
22 quality or quantity of existing
23 recreational opportunities?
24 i
25 Explaeiati.on:
26
27
28 (20) Arc};col.�c.�l/}li..t:'ori.cal. Will the tl
29 prohc -';_ 1. rc:.:u i.ii w�: aTCerat i.on of
30 a sigili.ficant archeological or his-
31 tori.cal sire, structure, object
32 or building? X.
33
34 Explanation: --_--- -.
35
36
37 1II SIOA'lURE;
'3Y
39 I, the undersigned, ,Late that to the best of my knowledge
40 the above information is true and cowpi cLe. It is understood
41 that the lead agency nay withdraw any declaration of non-signi- .
42 ficance that it might 'issue in reliance upon this checklist
43 should there be any misrepresentation or ck of 11 dis 11DS
44 on my' part.
45
46 Proponen �f
47
48 WAC 197-10'-370 WI'1'•li•DI AWAL OF AFFI1:}•iATIVI's 1.11RES110ID
49 DETL'1 PM1,17V *1.11 . 1Trat any time after the entry of a declara-
50 Lion of significance, the proponent modifies the proposal 3
51 so that, in the judf;inent of the lead a},ency, all significant �
52 adverse environmental impacts r.esulti.ne. therefrom are elimin-
53 ated, the declaration of significance :hull be withdrawn
54 and a declaration of non -significance entered instead. The
1�5 lead agency shall cl::o revise the reF,iStcr.s at its SEYA
56 public i.nforiaation center accordingly. If the pro-
57 ponent of a proposal. is a private applicant, the proposal
58 shall not be consi.dered modified until all license applica-
59 tions for the proposal are revised to reflect the modification.
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