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APP~~ E (Initial Study/Part 2) <br />-Page 1 <br />Application No. NA Part 1 Submitted on December 23 1999 <br />APPENDIX E -(PART 2) ~~) <br />INTITAL STUDY <br />(ENVIROI`1MENTAL CHECKLIST FORM) <br />(To be filed pursuant to San Leandro Administrative Code <br />§28.1.135(a)) <br />T• BACKGROUND <br />1. Name, Address and phone Number of Proponent: _ aret Weitkam <br />Baptist Homes of the West (ABHOW), 6120 Stoneridge Mall Road, 3'~ Floor, Pleasantn~ <br />C,A 94533 925/924-0100 -~ <br />2• Agency Requiring Checklist Ci of San Leandro <br />3. Name of Proposal, if applicable ABHOW Senior Hous' Develo went <br />II. ENVIRONMEN'T'AL IMPACTS <br />(Explanation of all answers is required. Attach additional sheets if necessary). <br />1. EARTH. <br />Will the proposal result in: <br />a. Unstable earth conditions or in changes in <br />geologic substructures? <br />b. Disruptions, displacements, compaction or <br />overcovering of the soil? <br />c. Change in topography or ground surface relief <br />features? <br />d. The destruction, covering or modification of any <br />unique geologic or physical .features? <br />e. Any increase in wind or water erosion of soils, <br />either on or off the site? <br />f. Changes is deposition or erosion of beach sands, <br />orchanges in siltation, deposition, or erosion <br />which may modify .the channel of a river or <br />stream or the bed of the ocean or any bay, inlet <br />or lake? <br />g. ~ Exposure of people or property to geologic <br />hazards such as earthquakes, landslides, <br />mudslides, ground failure, or similar hazards? <br />YES MAYBE NO <br />x <br />x <br />x SOURCE <br />1, 3* <br />1, 3 <br />1, 3 <br /> x 1, 3 . <br /> x 1, 3 <br /> x 1, 3 <br />x 1, 3 <br />*Refers to appropriate note on page 7. <br />ABHOW Senior Housing - [S -Part 2 <br />