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Home My WebLink About207 Kelvin Place SEQR Short EAF617.20 Appendix B S hort E nvir o nmental As se s s m ent F orm fnstructions for Qompleting fPart 1. Responses to fiuther verifrcation. be needed to fully complete all items in Parl l. You may also provide any additional information which you believe will be needed by or usefulto the lead agency; attach additional pages as necessary to supplement any item. Part 1 - Project and Sponsor Information Name of Action or Project: 207 Kelvin Place Project Location (describe, and attach a location map): 207 Kelvin Place, Village of Cayuga Heights, Ny Applicant proposes to renovate the exi ce into living space and add a second floor over the rear of the existing garagestructure to create an additional 1061s . The propoied 4l4sfaddition is to be constructed on top ofthe existing garagefootprint and will not increase the build lot coverage, nor alter any ofthe current setbacks. See project narrative for more detailed information. Brief Description of Proposed Action: Name of Applicant or Sponsor: Josh Cope Telephone: 607.3s1.2109 Address: 509 Valley Rd CitylPO: Brooktondale 1. Does the proposed action only involve th" administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources thatmay be affected in the municipaliry and proceed to part 2. if no, continue to question 2. 2. Does the proposed action require a If Yes, list agency(s) name and pennit or approval: Village of Cayuga Heights Planning Board. Site plan Revrew 3.a. Total acreage of the site of the proposed acti,on? b. Total acreage to bephysically disturbed? c. Total aareage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? .29 acres 0 acfes .29 acres 4. Check all landuses that occw on, udio lUrban lRural(non-agriculture) !Industriaf ICommercial ZlResidential EAquatic Eother(specifr): (suburban) Page I of4 5.Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/ATztrlllo. ls tne proposed actron consistent with the predominant character of the existing built or natural landscape? NO YESTa urs pr()poseo acuon located rn, or does rt adlotn, a state listed Critical Environmental Area?If Yes, identi$z:NO YES a x 8. a. Will the proposed action result in a substan b. Are public transportation service(s) available at or near the site of the proposed action? c' Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NO YESannarlv9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements, describeGsign features and technologies: NO YES tr z 10. will the proposed action connect to uo.*@ If No, describe method for providing potable water: NO YES tr a ll Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: NO YES n z YESt2a. Does the site contain a structure that is listed on either the State or National Reqister of Historic Places? b. Is the proposed action located in an archeological sensitiv e arca? NO V x lrtl f 13. a. Does anyportion of the site of the proposed action, or lands adjoining th" p.opo*a *tion, "o.rtuiowetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody?If Yes, identifr the wetland or waterbody and extent of alterations in square feet or acres: NO YES lrl Iatr 14. Identi$r the typical habitat fypes that occw on, or are likely to be found on the project site. Check all thatE Shoreline !Forest [JAgriculturaVgrasstands trE;;t -iJ-.o"."r.torrutE Wetland Euroan @ Subwban pplv: j-,'oes ure srre or tne proposed acflon contam any species of anirnal, or associated habitats, listed by the State or Federal government as threatened or endangered? NOz YES tr 16. Is the project site located in the 100 year flood nlain?NO V NO YESf YESl7.wil1theproposedactioncreatestormwaterdi'" [f Yes, a. Will stom water discharges flow to adjacent properties?nNo lves b. Will storm water discharges be directed to established, conveyance systems (runoffand storm drains)?f Yes, briefly describe: ENO lVes z T IY Page 2 of 4 l8' Does the proposed acfion include constuction or other activities that result in the impoundment ofwder or olher liquids (e.g. retention pond, waste lagoorL darn)? If Yes, explain purpose and size: 19. Has the site ofthe proposed action or an adjoining prop".t5, solid waste rnanagement facility? IfYes, describe: 20. Has the site^of the proposed action or an adJoining p.op".ty corpleted) for hazardous wasto? If Yes, describe: I AFFIRM 1IIIAT THEINT'ORMATION PRO-VDE KNOWLEI}GE Part 2 - Impact Asscssment The L,ead Agency is respo all of the followingquestions nPart2 using the information contained in part otherwise a'aitable to tf.;;"i"*;;' wh;#*Jile th" qu t#T;i.".ir""",, responses treen reasonable considering the scale and context Nq or small impact may occur Moderate to large impaet may occufl. Will theproposed aotion create a material c regulations?r2. will the proposed action result in a change in the use or intansity of use of land?r3. will the proposed action impair ttre character or quality of the existing community?tr4. Will the proposed action have an impact on the environmental characteristics that carsed theestablishment of a Critical Environmental Area (CEA)?T 5' will the proposed action result in an advene change in the existing level oftraffic oraffect existing infrastructure for mass hansit, bikiig or walkway?-T will the proposed action cause an increase in the use of enerry and it fails to incorporme reasonably available enerpsr conservdion or renewahle entrw nnmrfirnirimg 0 T wrU th€ proposed action impact existing; a, public / private water supplies? b. public / private wastowder hednent utilities? T nd' wlll the proposed action impair the cluractor or quality of important historic, archaeological,architectural or aesthetic reso ces?T will the proposed action result in an adrrerse change to natural resourc€s (e.g., wetlands,waterbodieq groundwater, air quality, flora and fauna)? 9.x Page 3 of4 Will the proposed action result in an increase in the potential for erosion, flooding or drainageproblems? l1' Will the proposed action create ahazard,to environmental resources or human health? Part 3 - Determination of significance. The Lead Agency is responsible for the completion of part 3. For everyquestion in Part 2Ihatwas answered ..moderate to large impact *uv o""rrr,,- or if fJrere is a nee.l r^pramanr ^f +r.^ -*^'^^^^: ^^.: r rargc '.npac[ mav occur-'- or rl there ts 2 heed fn cvnlain why a parlicularelement of the proposed acti Paft 3 should, in sufficient d :olnp]tt: P.u{ J the project sponsor to avoid Deen mcluded by ficant. Each potential impact should b that the impact geographic rcope urrdmugnirude. Al ;*"#f"t, PRINT Check this box if you have determine that the proposed action may result in one or more potentially large or significant adyerse impacts and anenvironmental impact statement is required. :T:f-t-y:^T:jf:1":-:,*1:T'""j,.bused. on the information and analysis above, and any supporting documentation,that the proposed action will not resurt in any signifrcant adverse envrronmental i , Name of Lead Agency I rnnt or I ype Name ot ResBpn\ible Officer in Lead Agency Title of Responsible Officer Page 4 of4