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Home My WebLink About509 Wyckoff Documents tU IxJ9 a # s , coN ®� srR OPD s€vt€aN ROAD HlGLri ° T, I 1 C 00F CL o co � mz NJ 7-- . •• E "'"`,.fig° co 0 �'`� €3� 4 4✓, T u3 ILus o,a Ile i Co to 11 t zo o ' y c G UZI 2O q C�� Oros • "�' e S a 113e �� IV a� gam• {� (� 617.20 Appendix B Short Environmental Assessment Form Instructions for CompletinS Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review, and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. F ct and Sponsor Informationn or Project:on(describe,and attach a location map): ion of Proposed Action: d �� c ct Ll'�4p_0 . OL4 - Z-�5 Name of Applicant or Sponsor Telephone: V'& E-Mail: Address: State: Zip Code: City/PO: ::,�?�� 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmentalAAgency? NO YES If Yes,list agencx(s name and p rmit or a roval: ❑ t•-1L - acres 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? c.Total acreage(project site and any contiguous properties)owned acres or controlled by the applicant or project sponsor? 4. Check all land uses that occur on,adjoining and near the proposed action. s Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial Z�Xesidemial(suburban) ❑Forest ❑Agriculture El Aquatic ❑Other(specify): ❑Parkland Page I of 4 NO YES N/A 5. Is the proposed action, ❑ it ❑ a. A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? ❑ 0 NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural ❑ M landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: YES 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO 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? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES yNd If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ V NO YES 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic ❑ Places? b.Is the proposed action located in an archeological sensitive area? ❑ ❑ 13. a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands 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? `® El- If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑AgriculturaUgrasslands ❑Early mid-successional ❑ Wetland ❑Urban Suburban NO YES 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed ❑ rVq by the State or Federal government as threatened or endangered? NO YES 16.Is the project site located in the 100 year flood plain? O YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? If Yes, YES El a.Will storm water discharges flow to adjacent properties? NO ❑ b.Will storm water discharges be directed to established conveyance systems(runoff d torm drains)? If Yes,briefly describe: u Page 2 of 4 18.Does the proposed action include construction to other act' mt)�s that result in the impoundment of NO YES or water or other liquids(e.g.retention pond,was g 0 If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: action or an adjoining property been the subject of remediation(ongoing or NO YES 20.Has the site of the proposed completed)for hazardous waste? If Yes,describe: HAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACC E TO THE BEST OF MY URAT I AFFIRM T �C? KNOWLEDGE Lei Date: "� Applic sponsor name: Sign ture: 1 and other materials submitted by the project sponsor or Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following mg questions in Part 2 using the information contained in Partul otherwise available to the reviewer. When gthe t�t of the p oposed actionthe reviewer � d be guided by the concept responses been reasonable considering the s ale and Con No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ ❑ regulations? intensity of use of land? El 2. Will the proposed action result in a change in the use or 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ L1 establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? (� b.public/private wastewater treatment utilities? L-1 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 z Ralph Var . - , alder Ralph Varn Builder 413 West Court Street Ithaca,New York 14850 Thursday, September 4, 2014 Re: 509 Wyckoff Road Expansion Existing Sorority members 38 Proposed Sorority members after expansion 46 Number of existing parking spaces Sincerely yours, Ralph Varn Ralph Varn Builder