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V <br /> ENVIRONMENTAL FACTORS POTENTIALLY AFFECTED: The environmental factors checked below <br /> would be potentially affected by this project and involve at least one impact that is a "Potentially <br /> Significant Impact' or a "Less Than Significant with Mitigation," as indicated by the checklist on the <br /> following pages. <br /> ❑Aesthetics ❑Agricultural Resources ❑Air Quality <br /> []Biological Resources ❑Cultural Resources ❑Geology & Soils <br /> ❑Hazards & Haz. Materials Hydrology &Water Quality ❑Land Use & Planning <br /> ❑Mineral Resources ❑Noise ❑Population & Housing <br /> ❑Public Services ❑Recreation ❑Transportation/Traffic <br /> ❑Utilities & Services Systems ❑Mandatory Findings of Significance <br /> DETERMINATION: (To be completed by the Lead Agency) <br /> On the basis of this initial evaluation: <br /> ❑ I find that the proposed project COULD NOT have a significant effect on the environment,and <br /> a NEGATIVE DECLARATION will be prepared. <br /> ❑ I find that although the proposed project could have a significant effect on the environment, <br /> there will not be a significant effect in this case because revisions in the project have been <br /> made by or agreed to by the project proponent. A MITIGATED NEGATIVE <br /> DECLARATION will be prepared. <br /> ❑ I find that the proposed project MAY have a significant effect on the environment, and an . <br /> ENVIRONMENTAL IMPACT REPORT is required. <br /> ❑ 1 find that the proposed project MAY have a"potentially significant impact" or "potentially <br /> significant unless mitigated" impact on the environment,but at least one effect 1)has been <br /> adequately analyzed in an earlier document pursuant to applicable legal standards,and 2)has <br /> been addressed by mitigation measures based on the earlier analysis as described on attached <br /> sheets. An ENVIRONMENTAL IMPACT REPORT is required, but it must analyze only the <br /> effects that remain to be addressed. <br /> ❑ I find that although the proposed project could have a significant effect on the environment, <br /> because all potentially significant effects(a)have been analyzed adequately in an earlier EIR <br /> or NEGATIVE DECLARATION pursuant to applicable standards,and(b)have been avoided <br /> or mitigated pursuant to that earlier EIR or NEGATIVE DECLARATION, including revisions <br /> or mitigation measures that are imposed upon the proposed project,nothing further is required. <br /> Signature Date <br /> Printed Name Title <br />