01505C.
RR
YES MAYBE NO
s
17. Human Health. will the proposal result
in the creation of any health hazard or
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?
Explanation:
19. Recreation. Will the proposal result
n an mpact upon the quality or quan-
tity of existing recreational -oppor-
tunities? _.__
Explanation:
20. Archeological Historical. Will the
proposal result in an alteration of
.a significant archeological or his- }
torical site, structure, object or
building? JL_
Explanation:
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 relian n checklist should there
be any willful misrepresentation or willful la of full di los on rt.
PROPONEN
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