HomeMy WebLinkAboutEnvironmental Assessment Form.- Kendal Addition 617.20
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FORM
Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may
be significant. The question of whether an action may be significant is not always easy to answer. Frequently, there are aspects of
a project that are subjective or unmeasurablo. It is also understood that those who determine significance may have little or no formal
knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge
in one particular area may not be aware of the broader concerns affecting the question of significance.
The full.EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process
has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action.
Full EAF Components: The full EAF is comprised of three parts:
Part 1: Provides objective data and information about a given project and its site. By identifying basic project data,it assists
a reviewer in the analysis that takes place in Parts 2 and 3.
Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance
as to whether an impact is likely to be considered small to moderate or whether it is a potentially-large impact. The
form also identifies whether an impact can be mitigated or reduced.
Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is
actually important,
THIS AREA FOR LEAD AGENCY USE ONLY
DETERMINATION OF SIGNIFICANCEf- Type 1 and Unlisted Actions
Identify the Portions of EAF completed for this project: Part 1 Part 2 Part 3
Upon review of the information retarded on this EAF(Parts 1 an 2 and 3 if appropriate), an any other supporting information, and
considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that:
• A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a
significant impact on the environment, therefore a negative declaration will be prepared.
B. Although the project could have a significant effect on the environment, there will not be a significant effect
for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore
a CONDITIONED negative declaration will be prepared,*
EIC. The project may result in one or more large and important impacts that may have a significant impact on the
environment, therefore a positive declaration will be prepared.
*A Conditioned Negative Declaration is only valid for Unlisted Actions
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Name of Lead Agent
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
S+gnature of Responsible Officer in gency Signature of Preparer(if different from responsible officer)
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Page 1 of 10
PART 2 - PROJECT IMPACTS AND THEIR MAGNITUDE
Responsibility of Lead Agency
General Information(Read Carefully)
I In completing the form the reviewer should be guided by the question: Have my responses and determinations been
reasonable? The reviewer is not expected to be an expert environmental analyst.
! The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of
magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for
most situations. But,for any specific project or site other examples and/or lower thresholds may be appropriate for a
Potential Large Impact response,thus requiring evaluation in Part 3.
The impacts of each project, on each site, in each locality,will vary. Therefore,the examples are illustrative and have been
offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question.
? The number of examples per question does not indicate the importance of each question.
I In identifying impacts, consider long term, short term and cumulative effects.
Instructions (Read carefully)
a. Answer each of the 20 questions in PART 2. Answer Yes if there will be any impact.
b. Maybe answers should be considered as Yes answers.
C. If answering Yes to a question then check the appropriate box(column 1 or 2)to indicate the potential size of the impact. If
impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than
example, check column 1.
d. Identifying that an Impact will be potentially large(column 2)does not mean that it is also necessarily significant. Any
large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it
be looked at further.
e. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3.
f. If a potentially large impact checked in column 2 can be mitigated by change(s)in the project to a small to moderate
impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be
explained in Part 3.
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
Impact on Land
1. Will the Proposed Action result in a physical change to the project
site?
NO M YESFmJ
Examples that would apply to column 2
• Any construction on slopes of 15%or greater, (15 foot ❑ El 0 Yes �No
rise per 100 foot of length), or where the general slopes
in the project area exceed 10%.
• Construction on land where the depth to the water table 0 Yes O No
is less than 3 feet.
Construction of paved parking area for 1,000 or more ❑ El Yes ONo
vehicles.
Construction on land where bedrock is exposed or E] Yes E]No
generally within 3 feet of existing ground surface.
• Construction that will continue for more than 1 year or E] Yes F]No
involve more than one phase or stage.
Excavation for mining purposes that would remove El D Yes ®No
more than 1,000 tons of natural material (i.e., rock or
soil)per year.
Page 11 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
Construction or expansion of a santary landfill. ❑ 0 ElYes [71 No
• Construction in a designated floodway. ❑ M E]Yes E]No
Other impacts: ❑ El E]Yes O No
2_ Will there bean effect to any unique or unusual land forms found on
the site?(i.e.,cliffs, dunes, geological formations,etc.)
ElNO E]YES
• Specific land forms: ❑ ❑ E]Yes [DNo
Impact on Water
3. Will Proposed Action affect any water body designated as protected?
(Under Articles 15,24,25 of the Environmental Conservation Law,
ECL)
El NO El YES
Examples that would apply to column 2
• Developable area of site contains a protected water body. 0 Yes El No
• Dredging more than 100 cubic yards of material from channel of Yes E]No
a protected stream.
• Extension of utility distribution facilities through a protected water E]Yes 0 No
body.
• Construction in a designated freshwater or tidal wetland. E]Yes E]No
• Other impacts: 11 Yes E1 No
4. Will Proposed Action affect any non-protected existing or new body of
water?
®. NO YES
Examples Examples that would apply to column 2
• A 10% increase or decrease in the surface area of any body of ❑ ❑ E]Yes F1 No
water or more than a 10 acre increase or decrease.
• Construction of a body of water that exceeds 10 acres of surface ❑ ❑ FiYes No
area.
• Other impacts: ❑ ❑ E]Yes ❑No
Page 12 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
5. Will Proposed Action affect surface or groundwater quality or
quantity?
MNO ®i YES
Examples that would apply to column 2
• Proposed Action will require a discharge permit. Yes Fi No
• Proposed Action requires use of a source of water that does not ® ® E]Yes 1:1 No
have approval to serve proposed (project)action.
• Proposed Action requires water supply from wells with greater E]Yes No
than 45 gallons per minute pumping capacity.
• Construction or operation causing any contamination of a water E]Yes E]No
supply system.
Proposed Action will adversely affect groundwater. L -J Yes M No
Liquid effluent will be conveyed off the site to facilities which ❑Yes 11 No
presently do not exist or have inadequate capacity.
Proposed Action would use water in excess of 20,000 gallons E]Yes No
per day.
Proposed Action will likely cause siltation or other discharge into M E]Yes E]No
an existing body of water to the extent that there will be an
obvious visual contrast to natural conditions.
4 Proposed Action will require the storage of petroleum or ❑ ❑ E]Yes No
chemical products greater than 1,100 gallons. 1:1
Proposed Action will allow residential uses in areas without ❑ 11 Yes 11 No
water and/or sewer services.
• Proposed Action locates commercial and/or industrial uses ❑ ❑ Yes ®No
which may require new or expansion of existing waste treatment
and/or storage facilities.
• Other impacts: Dyes ®No
Surface water patterns may be changed.However,potential changes will be mitigated through the Storm Water Pollution
Protection Plan(SWPPP).
Page 13 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
6- Will Proposed Action alter drainage flow or patterns, or surface water
runoff?
El NO YES
Examples that would apply to column 2
• Proposed Action would change flood water flows E]Yes 1:1 No
• Proposed Action may cause substantial erosion. El 17Yes E]No
• Proposed Action is incompatible with existing drainage patterns. El []Yes 11 No
• Proposed Action will allow development in a designated ❑ D 11 Yes E]No
floodway.
• Other impacts: E]Yes No
Drainage patterns will be affected.However,no significant negative impact will occur. The project will satisfy local and
state design standards.
IMPACT ON AIR
7. Will Proposed Action affect air quality?
El NO ®YES
Examples that would apply to column 2
• Proposed Action will induce 1,000 or more vehicle trips in any ❑ ❑ E]Yes 0No
given hour.• Proposed Action will result in the incineration of more than 1 ton ❑ ❑ 0 Yes 0 No
of refuse per hour.
• Emission rate of total contaminants will exceed 5 lbs. per hour ❑ ❑ E]Yes E]No
or a heat source producing more than 10 million BTU's per
hour.
• Proposed Action will allow an increase in the amount of land ❑ ❑ Yes r7l No
committed to industrial use.
• Proposed Action will allow an increase in the density of ❑ []Yes []No
industrial development within existing industrial areas.
• Other impacts: ❑ ❑ []Yes DNo
IMPACT ON PLANTS AND ANIMALS
S. Will Proposed Action affect any threatened or endangered species?
r7m NO F1YES
Examples that would apply to column 2
• Reduction of one or more species listed on the New York or ❑ ❑ FYes E]No
Federal list, using the site,over or near
the site,or found on the site.
Page 14 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
• Removal of any portion of a critical or significant wildlife habitat. 1:1 0 E]Yes 11 No
• Application of pesticide or herbicide more than twice a year, 0 E]Yes D No
other than for agricultural purposes.
• Other impacts: ® Li Yes 0 No
9, Will Proposed Action substantially affect non-threatened or non-
endangered species?
NO M YES
Examples that would apply to column 2
• Proposed Action would substantially interfere with any resident El ❑ E]Yes No
or migratory fish, shellfish or wildlife species.
• Proposed Action requires the removal of more than 10 acres of ❑ r—q Yes �No
mature forest(over 100 years of age)or other locally important
vegetation.
Other impacts: E]Yes 17No
IMPACT ON AGRICULTURAL LAND RESOURCES
10. Will Proposed Action affect agricultural land resources?
NO r7l YES
Examples that would apply to column 2
• The Proposed Action would sever, cross or limit access to Q E Yes ®No
agricultural land (includes cropland, hayfields, pasture, vineyard,
orchard, etc.)
Construction activity would excavate or compact the soil profile of Yes 0 No
agricultural land.
The Proposed Action would irreversibly convert more than 10 Yes ❑No
acres of agricultural land or, if located in an Agricultural District,
more than 2.5 acres of agricultural land.
Page 15 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
• The Proposed Action would disrupt or prevent installation of ❑ ❑ ❑Yes ❑No
agricultural land management systems(e.g., subsurface drain
lines, outlet ditches, strip cropping); or create a need for such
measures (e.g. cause a farm field to drain poorly due to
increased runoff).
• Other impacts: ❑ ❑ []Yes E] No
F____ - I
IMPACT ON AESTHETIC RESOURCES
11. Will Proposed Action affect aesthetic resources? (If necessary, use
the Visual EAF Addendum in Section 617.20,Appendix B.)
FNO ❑YES
Examples that would apply to column 2
• Proposed land uses, or project components obviously different ❑ ❑ ❑Yes ❑No
from or in sharp contrast to current surrounding land use
patterns,whether man-made or natural.
• Proposed land uses, or project components visible to users of ❑ ❑ E]Yes ❑No
aesthetic resources which will eliminate or significantly reduce
their enjoyment of the aesthetic qualities of that resource.
• Project components that will result in the elimination or ❑ ❑ ❑Yes ❑ No
significant screening of scenic views known to be important to
the area.
• Other impacts: ® ❑ ❑Yes ❑No
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12 Will Proposed Action impact any site or structure of historic,
prehistoric or paleontological importance?
ElNO ®YES
Examples that would apply to column 2
• Proposed Action occurring wholly or partially within or ❑ ❑ r Yes E] No
substantially contiguous to any facility or site listed on the State
or National Register of historic places.
• Any impact to an archaeological site or fossil bed located within ❑ ❑ ❑ Yes ❑No
the project site.
• Proposed Action will occur in an area designated as sensitive ❑ ❑ [] Yes r No
for archaeological sites on the NYS Site Inventory.
Page 16 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
Other impacts: Q Yes 11 No
IMPACT ON OPEN SPACE AND RECREATION
13. Will proposed Action affect the quantity or quality of existing or future
open spaces or recreational opportunities?
NO ®YES
Examples that would apply to column 2
• The permanent foreclosure of a future recreational opportunity. ® 17 Yes F7No
• A major reduction of an open space important to the community. r7Yes E]No
• Other impacts: E]Yes DNo
IMPACT ON CRITICAL ENVIRONMENTAL AREAS
14. Will Proposed Action impact the exceptional or unique
characteristics of a critical environmental area(CEA)established
pursuant to subdivision 6NYCRR 617.14(g)?
.ENO nYES
List the environmental characteristics that caused the designation of
the CEA.
Examples that would apply to column 2
• Proposed Action to locate within the CEA? ® MYes MNo
• Proposed Action will result in a reduction in the quantity of the El ® E]Yes ❑No
resource?
• Proposed Action will result in a reduction in the quality of the El Yes 0No
resource?
Proposed Action will impact the use,function or enjoyment of the L-J Yes ❑No
resource?
Other impacts: 0Yes []No
Page 17 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
IMPACT ON TRANSPORTATION
15. Will there be an effect to existing transportation systems?
� NO YES
Examples Examples that would apply to column 2
• Alteration of present patterns of movement of people and/or ® MYes 0 No
goods.
• Proposed Action will result in major traffic problems. ElYes M No
• Other impacts: Yes r77 No
IMPACT ON ENERGY
16. Will Proposed Action affect the community's sources of fuel or
energy supply?
M NO MYES
Examples that would apply to column 2
• Proposed Action will cause a greater than 5% increase in the ❑ ❑ r7 Yes F1 No
use of any form of energy in the municipality.
• Proposed Action will require the creation or extension of an ❑ ❑ E]Yes F7 No
energy transmission or supply system to serve more than 50
single or two family residences or to serve a major commercial
or industrial use.
• Other impacts: ❑ ❑ ❑Yes ❑No
NOISE AND ODOR IMPACT
17. Will there be objectionable odors, noise,or vibration as a result of
the Proposed Action?
n NO ❑YES
Examples that would apply to column 2
• Blasting within 1,500 feet of a hospital,school or other sensitive ❑ ❑ ❑Yes ®No
facility.
• Odors will occur routinely(more than one hour per day). F1 0Yes F1 No
• Proposed Action will produce operating noise exceeding the ❑ Yes r7 No
local ambient noise levels for noise outside of structures.
• Proposed Action will remove natural barriers that would act as a 0 0Yes 0 No
noise screen.
Other impacts: Yes El No
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
IMPACT ON PUBLIC HEALTH
18. Will Proposed Action affect public health and safety?
rE7NO ®YES
• Proposed Action may cause a risk of explosion or release of ❑ ❑ E]Yes 0No
hazardous substances(i.e. oil, pesticides, chemicals, radiation,
etc.)in the event of accident or upset conditions,or there may be
a chronic low level discharge or emission.
Proposed Action may result in the burial of"hazardous wastes" ❑ ❑ E]Yes E]No
in any form(i.e.toxic, poisonous, highly reactive, radioactive,
irritating, infectious, etc.)
Storage facilities for one million or more gallons of liquefied ❑ ❑ 0Yes IDNo
natural gas or other flammable liquids.
Proposed Action may result in the excavation or other ❑ ❑ ❑Yes E]No
disturbance within 2,000 feet of a site used for the disposal of
solid or hazardous waste.
• Other impacts: ❑ ❑ DYes ONo
IMPACT ON GROWTH AND CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
19. Will Proposed Action affect the character of the existing community?
nNO EYES
Examples that would apply to column 2
• The permanent population of the city,town or village in which the ❑ ❑Yes []No
project is located is likely to grow by more than 5%.
• The municipal budget for capital expenditures or operating ❑ ❑ ❑Yes E]No
services will increase by more than 5% per year as a result of
this project.
• Proposed Action will conflict with officially adopted plans or ® 11 Eyes 11No
goals.
Proposed Action will cause a change in the density of land use. ❑ ❑ ❑Yes E]No
Proposed Action will replace or eliminate existing facilities, []Yes E]No
structures or areas of historic importance to the community.
° Development will create a demand for additional community ®Yes �No
services (e.g. schools, police and fire,etc.)
Page 19 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
Proposed Action will set an important precedent for future E]Yes E]No
projects.
Proposed Action will create or eliminate employment. El 0 D Yes 177 No
Other impacts: El 0 El Yes D No
Project may result in a small increase in need for community services. However,the increase would easily be absorbed by
existing services. There will be a small increase in employment.
20, Is there,or is there likely to be, public controversy related to potential
adverse environment impacts?
E]NO E]YES
If Any Action in Part 2 Is Identified as a Potential Large Impact or If you Cannot Determine the Magnitude of
Impact, Proceed to Part 3
Page 20 of 21