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City of Santa Ana Environmental Checklist <br />Environmental Factors Potentially Affected <br />The environmental factors checked below would potentially be affected by this project (i.e., the <br />project would involve at least one impact that is a "Potentially Significant Impact"), as indicated by <br />the checklist on the following pages. <br />? Aesthetics ? Agriculture and Forest ? Air Quality <br /> Resources <br />? Biological Resources ? Cultural Resources ? Geology/Soils <br />? Greenhouse Gas ? Hazards and Hazardous ? Hydrology/Water <br /> Emissions Materials Quality <br />? Land Use/Planning ? Mineral Resources ? Noise <br />? Population/Housing ? Public Services ? Recreation <br />? Transportation/Traffic ? Utilities/Service Systems ? Mandatory Findings of <br /> Significance <br />Determination <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 <br />NEGATIVE DECLARATION will be prepared. <br />® 1 find that although the proposed project could have a significant effect on the environment, there <br />will not be a significant effect in this case because revisions to the project have been made by or <br />agreed to by the project 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 <br />ENVIRONMENTAL IMPACT REPORT Is required. <br />? 1 find that the proposed project MAY have an impact on the environment that is "potentially <br />significant" or "potentially significant unless mitigated" 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 effects that <br />remain to be addressed. <br />? 1 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 <br />ENVIRONMENTAL IMPACT REPORT or NEGATIVE DECLARATION pursuant to applicable <br />standards, and (b) have been avoided or mitigated pursuant to that earlier ENVIRONMENTAL <br />IMPACT REPORT or NEGATIVE DECLARATION, including revisions or mitigation measures that <br />are imposed upon the project, nothing further is required. <br />Signature <br />Printed Name <br />Date <br />For <br />The gat a t Meditation Center June 2013 <br />Initial Study tly/Mitlaat tigated Negative Declaration 3-2 ICF00215.12 <br />31 C-55