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<br />-4- <br /> <br />I\7 . STATEMENT OF NO SIGNIFICANT ENVIRONMENTAL IMPACTS <br /> <br />If you feel that the project will have no significant environmental <br />impacts, indicate your reasons below. Be specific. (Attach_addi- <br />tional sheets, if necessary.) <br /> <br />CERTIFICATION: I hereby certify that the statements furnished above and in <br />the attached exhibits present the data and information re- <br />quired for this environmental evaluation to the best of my <br />ability, and that the facts, statements, and information <br />presented are true and correct to the best of my knowledge <br />and belief. <br /> <br />Date Submitted by <br /> <br />(signature) <br /> <br />Name <br /> <br />(please type or print) <br />Indicate interest in the subject territory: <br /> <br />A. Registered voter <br /> <br />B. Landowner <br /> <br />C. Other interest <br /> <br />(specify) <br /> <br />(Do not write below this line) <br /> <br />Executive Officer'~ Findings~ <br />Emergency Project - Exempt <br /> <br />Categorically Exempt - Class <br /> <br />Environmental Evaluation Checklist and Initial <br />Study Required <br /> <br />Date <br /> <br />GREGORY H. McWILLIAMS <br />Executive Officer <br /> <br />11/17/76 <br />