01086(15) Energy. Will the proposal result in:
ja No� (a) Use of substantial amounts of fuel or energy?
b No (b) Demand upon existing sources of energy or require the developnent,of
new sources of energy?
(16). Utilities. Will the proposal result in a need for new systems or alterations
to tfollowing utilities?
a Yes (a) Power or natural gas?
b Yes-- (b) Communications systems?
c Yes (c) Water?
d Yes (d) Sewer or septic tanks?
e Yes (e) Storm water drainage?
f Yes (f) Solid waste and disposal?
(17) Human Health.
No
(18) Aesthetics.
No
(19) Recreation.
No
a
5
(20) Archeological/Historical..
No
III. 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 of 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.
Proponent:
Mike Brown Group Four, Inc.
Agent for Applicant
SURVEYING ENGINEERING
PLANNING MANAGEMENT
ry