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Appendix G
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED AGTIONS Only
OVER
1
PART I . PROJEGT INFORMATION (To be or Project Sponsor
1. APPLICANTiSPONSOR
Villageof CayugaHeights - O"er9 o{ Tp,oaTccs
2. PROJECT NAME
proposed Local Law "B" 0f2011 - Portable Sheds
3. PROJECT LOCATION:
Municipality Village of Cayuga Heights County TomPkins
4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map)
The entire Village of Cayuga Heights, Tompkins County, New York.
PROPOSED ACTION IS:
! ruew fl Expansion lZ ru oo ifi cation/alteration
6. DESCRIBE PROJECT BRIEFLY:
revision of zoning ordinance to permit portable sheds, subject to specific limitations, on properties within the Village of Cayuga
Heiehts.
7. AMOUNTOFLANDAFFECTED:-/AN/*' Z'l rQ.Atlc> - ^fl?rax. 2,1 >q..*r )tes
Initially entireVillage €G Ultimately entireVillage z1spss '
8. WILL PROPOSED ACTION COMPLYWITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
! vus E *o lf No, describe briefly
the zoning ordinance is being revised to permit such portable sheds
WHAT IS PRESENT LAND USE IN VICINIry OF PROJECT?
[] Residentiat ! tndustrial
Describe:
Pl Commercial ! Agriculture I ParUroresVOpen Space a
the law will effect all zoning districts (commercial, residential, and multiple housing)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY
(FEDERAL, STATE OR LOCAL)?
f] ves Zl *o lf Yes, list agency(s) name and permivapprovals:
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
! v"r E *o lf Yes, list agency(s) name and permiUapprovals:
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REOUIRE MODIFICATION?lves Z*s
I CERTIFY THAT THE MATION ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
ApplicanUsponsor Hei Mayor Kate Supron Date:2/14/1 I
Signature:
lf the action is in the Coastal Area, and you are a state agency, complete the
Goastal Assessment Form before proceedinq with this assessment
PART II - IMPACT ASSESSMENT (To be eted Lead
A.DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4?
! ves E] *o
lf yes, coordinate the review process and use the FULL EAF.
B.WILLACTIONRECEIVECOORDINATEDREVIEWASPROVIDEDFORUNLISTEDACTIONSINONYCRR,PART6lT.6? lfNo,anegative
declaration may be superseded by another involved agency.!v"' E ruo
C. COULD ACTION RESULT lN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible)
C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal,
potential for erosion, drainage or flooding problems? Explain briefly:
C2. Aesthetic, agricultural, archaeological, histbric, or other natural or cultural resources; or community or neighborhood character? Explain briefly:
no
C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
no
C4. Acommunity'sexistingplansorgoalsasofficiallyadopted,orachangeinuseorintensiiyof useoflandorothernatural resources?Explainbrietry:
no
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly:
no
C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly:
no
C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly:
no
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA (CEA)?
! ves E] *o tf Yes, exptain briefly:
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
! Ves Z] ttto lf Yes, exptain briefty:
PART lll - DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or othenrvise significant. Each
effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e)
geographic scope; and (f) magnitude. lf necessary, add attachments or reference supporting materials. Ensure that explanations contain
sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. lf question D of Part ll was checked
yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA.
[l Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the F
- EAF and/or prepare a positive declaration.
E Checkthisboxifyouhavedetermined,basedontheinformationandanalysisaboveandanysupportingdocumentation,thattheproposedaction
NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination
Village of Cayuga Heights Board of Trustees 2t14n1
Name of Lead Agency
Title of Responsible Officer