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ENVIRONMENTAL FACTORS POTENTIALLY AFFECTED: <br />The environmental factors checked below would be potentially affected by this project, involving at least one impact that <br />is a "Potentially Significant Impact" as indicated by the checklist on the following pages. <br />❑ <br />Aesthetics <br />❑ <br />❑ <br />Biological Resources <br />❑ <br />Greenhouse Gas Emissions <br />❑ <br />Land Use / Planning <br />❑ <br />rl <br />Population / Housing <br />❑ <br />Transportation <br />❑ <br />Tribal Cultural Resources <br />Agriculture/Forestry Resources <br />Cultural Resources <br />Hazards & Hazardous Materials <br />Mineral Resources <br />Public Services <br />Utilities / Service Systems <br />Wildfire <br />❑ Air Quality <br />❑ Geology / Soils <br />Hydrology / Water Quality <br />Noise <br />Recreation <br />❑ Mandatory Findings of Significance <br />❑ Energy <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 a NEGATIVE <br />DECLARATION will be prepared. <br />I find that although the proposed project could have a significant effect on the environment, there will not be a <br />significant effect in this case because revisions in the project have been made by or agreed to by the project <br />proponent. A MITIGATED NEGATIVE DECLARATION will be prepared. <br />I find that the proposed project MAY have a significant effect on the environment, and an ENVIRONMENTAL <br />IMPACT REPORT is required. <br />❑ I find that the proposed project MAY have a "potentially significant' or "potentially significant unless mitigated" <br />impact on the environment, but at least one effect 1) has been adequately analyzed in an earlier document pursuant <br />to applicable legal standards, and 2) has been addressed by mitigation measures based on the earlier analysis as <br />described on attached 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, because all potentially <br />significant effects (a) have been analyzed adequately in an earlier EIR or NEGATIVE DECLARATION pursuant to <br />applicable standards, and (b) have been avoided or mitigated pursuant to that earlier EIR or NEGATIVE <br />DECLARATION, including revisions or mitigation measures that are imposed upon the proposed project, nothing <br />further is required. <br />Signature <br />Printed Name <br />Date <br />For <br />Initial Study Form Page 2 of 15 FORM "J" <br />75D-200 <br />