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353 Describa tha project iAtd, 48it exiatsr
be t cra th, a,
nclttdirig iti o, mi, ation an. topogrAphy, aoil stabil ty, � ants anc
» riitaa .grid any c>il.tt� a1 h atarical or, aIenid aspectd 4 Cieac�ibe
K ariy ex3stincj stkuotureb,on i tla ;site � ,itil Ud 406of this att:uctutrea -j
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34o, Do!: ceibe; the stxrr6Und,ing pt.Odtti�!ar lhd'lUdihq ihf6tm4tLib,4
Yi nn Plarits ananimala aniiyuJ.tUralo histilzical of aconic as�►acta
iridic ate i`1 ' type 0 larl �Ya� CtdAidd tie 1.0 t~ommerd�.ai�. � etc � j
itttenaity of.and ttae (wid y # epartmerit hcriaes � ShOp"g, d :partmerit
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) � . �ezd�merit the . ht� frohtaga, et�l aCk;
ster��a� etC: � ane at;aXe off' de�
der arty ete
CRP1`XVI dATX0N: -1 hotdby, certify that the Gtatemanta ��trriiahed
ire and in the attar.-heci exhibit& preaaiit the data and irifcrt� atidn
edqui:red f6r, this initial eVal- Wition to -the best of r4y abilityar►d
that the faatl� r atattnidhta j and... ititormat�.ch ��ea�nted ale true' ani
6treGt to the bent Of my knbwladge a�1d bei i f
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part- art �c�h tiva ted Mw���q�# y� =iw"
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ttial pr`•opanl to divido 41 dot64 td, stash. 2 partobal 0trtrprox.
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a &,ttd 'P1d d 41$11W-O OVIO fP-
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YES
MAYB17 NO
4
PLANT LIpE Will the proposal result in substantial:
a. lege ;in the diversity of spc,,cies, ornumber.
of any spec-, ,6s of plants (including trees ,
shrubs; grass, crops, and aquatic plants)?
b. Reduction of the numbers o£
am un que,, rare
or endangered species; of plantsl
X.
c. rntr..oductian of new species of plants into an
area, or in 'a le t to the normal replenish-
ment of exi,stinb specaes7
d. Reduction in acreage o£ any agrirultura crop?
5i
ANIMAL—LIFE.. W11 the proposal result in substantial
a. C�Tan e in the diversity of species,
or numbers
ofany spGca.es of animals (birds)1,, and ahijnols
including reptiles fish and alzell £1 s1'a
benthic organisms or insects)?
b deduction in the numbers of any unique rttr'o
- _ -
or i
endangered speces o£ animals?
introduction,
Y
c. o£ iew species of animals into
'area,
an or result in a barrier to the migrrt;ion
oY movement of animals?
d. Deterioration to, existing fish or wildlife
ha bitat?
6.
NOISE. Will the proposal result in substantial:
a.
ncreases in existing noise levels?
b. Exposure of people to. severe ndiLsel levels?
X
7.
LIGHT AND GLARE,Wil 1 the Proposal produce
signii cant light and glare?
94
LAND USE. Will the proposal result in a
substantial alto r.t�.on o£' the
present or planned,
land r 1? use of an a
t
x
5
NATURAL RESOURCES': Will the proposal. result In'
substantial--
a. Increase in the rate o£ use of any natural
resources?
b, Depletion, o£' any non�re.newnhle natural
.�.
resources?
�!
10-.
RISK OF UFSE '. Will the pro osal involve:
a. pp
A s Ne
explosion or
release o£ hazard-
substantOs (includ;ing, but not limited to,
chemicals or radiation) in the
s_5
ev
event
t of an accide 0
r upset conditions?b. Possible interference with an emergency
response plan or ;emergency evacuation plain?
ll.
POPULATI;ON., Will the proposal alter the location,
is�bution density or
growth rate of the human
population?
X
HOU5T"NC., Will the proposal affect existing 'housing.
or create a -
demand for sdd;ttional housing?" g?
.
r
y
xv
TRA.NSPQRTATION/CTRCULAtl,ON. Will the proposal
Te.Sult in
a. Generation of substantial additional vehicle,
movement?
b. Effects on ,existing parkinf; facilities; or
or
now parking?
c SuiAcand
xal impact on existing transpertatiion
'
systems?
X
dg.: Si ni.ficant alterations to present patterns
of circulation or movement of P60 le and/or
goods?
e: Alterations to waterborne, rail or air tra:ff;c?
f. Increase in traffic hazards to motor, vehicles
,?
bicyclists or ' pedestrians? '
14 ,.
PU ERVICES. Will the proposal have an ef,r;edt
r ,result in a need for new or altered
u on or!
upon,
o ate rnme nt
g al services
a. Fire protection?
b. Police protection?
c S ch G o l s?
d,, Parks or other recreational facilities?
e fi9aintenance of public facilities, iricludzig
-- �,,c.
reads.
f. Other overnmental serviLes.
15.,
ENERGY. Will thel proposal result in;
�1s`e of substantial amounts of fuel.or en
a' e.� gY?
b. Substantial increase in demand upon existing,
`
sources of energy, or require the development
Of new sources of energy?
1G.
tTIIITTES. Will the propsal result in a, need for
systems, or, substantial alterations to the
following;
a. Power ar natural ,has?
b. Communications systems?
C. Mater availability,
..5
d. Sewer or septic tank?
,
e . Storm 'water drainage?
f. Solid waste and disposal?
17'+
HUMAN HEA
� TIJ Will the proposal result in,
a. Creation of any health hazard or poterii:ial
health hatard (excluding mental health`r'`
X
b. Expo cure of people to potential heal o
.."
hataxds?
X
la
At$tATTCS. Will the proposal result: 1'q
_
o s`Ti` E�ructlon of any soc nio vista or view,
the public, or will the proposal result 1.'
Croatian of a'n aeathotically offensive �;
to public view.
ES MAYBE
N4
L
19. REC .. ,,
REATYUN. Wil] ;the proposal result xn; an, am ac.t
p
upon ,the cualYty or nitanti«y ofexis'tiiigrecxeatian1'
op po`rtunxties7
2-0. CULTURAL_, RESOURCES.
T. Will t e. ;proposal. result in' the altextx o'n
o� o'x the destxt�ctxo�ti o 1.a pxeh stcix c or
.
h�'S O'riC atrchacolog�tCal s� te?
b. will pxapo'sal result in ad-, o Phys .oal
ox aest�ie lit oi�ects to' a prehi. tors or
historxC bui.d'3ng,. structure or ;object?
C. Does' the proposal. have, the potential `to Cause
a physical Changef wh thi wou d aft ectunique,
ethnic cu tura;l us.lues ?'
df will the" p.ropotal 6-kist;iAg veligloua
or sacxed�uses wtnieGonf�'lslarwpact
�xea?
4
�. DISCUSSIdN C1F' EN TRO�tMEI�TA ; VAI,U.'�' ION
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CIBIRTXIF GC.��IaN: hey Eby cert y that the st a emon s fuxr is:c
,car an.cl �,ri the �.i tached 'Exhibit-S pt
s e an � the da � �r�d �n���mata rani
required f6r this initial ovaluation td the best of my ab lityt•and
lz hat the factatd informAti,nn ptes`ente.d ate truo ana,
cr)xzect to the bs,st of my kiim4 ,ed,ge arid'
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