01316r,
1
•
YES MAYBE NO
17. Human Health. Will the proposal result
n the creation of any health hazard or
1 potential health hazard (excluding
mental health)? X
Explanation:
18. Aesthetics. Will the proposal result
in the obstruction'of any scenic vista }
or view open to the public, or will the
proposal result in the creation of an
aesthetically offensive site open to
public view?
X 5
Explanation:
{ f
1yy i
i 1
.19. Recreation. Will the proposal result
in an impact upon the quality or quan-
tity of existing recreational oppor- g
tunities?
Explanation: i
20. Archeological/Historical. Will the
' proposal result in an alteration of i
f a significant archeological or his-
torical site,, structure, object or X f
L. building? .
Explanation:
C.
SIGNATURE
I, the undersigned, state that to the best of my knowledge the above information is
true and complete. It is understood that the lead agency may withdraw any declaration
or non -significance that it might issue in reliance upon this checklist should there
be any willful misrepresentation or willful lack of full disclosure on my part.
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