HomeMy WebLinkAbout04-28-15 Planning and Development Board Meeting AgendaCITY OF ITHACA
108 E. Green Street — 3rd Floor Ithaca, NY 14850-5690
DEPARTMENT OF PLANNING, BUILDING, ZONING & ECONOMIC DEVELOPMENT
Division of Planning & Economic Development
JOANN CORNISH, DIRECTOR OF PLANNING & DEVELOPMENT
PHYLLISA A. DeSARNO, DEPUTY DIRECTOR FOR ECONOMIC DEVELOPMENT
Telephone: Planning & Development – 607-274-6550 Community Development/IURA – 607-274-6559
Email: dgrunder@cityofithaca.org Email: iura@cityofithaca.org
Fax: 607-274-6558 Fax: 607-274-6558
NOTICE OF MEETING
The regular meeting of the PLANNING & DEVELOPMENT BOARD will be held at 6:00 p.m. on APRIL 28TH, 2015 in COMMON
COUNCIL CHAMBERS, City Hall, 108 E. Green Street, Ithaca, NY.
AGENDA ITEM Start Time
1. Agenda Review 6:00
2. Privilege of the Floor (3‐minute maximum per person) 6:01
3. Subdivision Review
A. Project: Minor Subdivision 6:10
Location: 201 Pearl St., Tax Parcel #66.‐4‐5
Applicant: Gil & Naama Menda
Actions: Declaration of Lead Agency PUBLIC HEARING Determination of Environmental
Significance Consideration of Preliminary & Final Subdivision Approval
Project Description: The applicant proposes to subdivide the 0.298‐acre (13,000 SF) parcel into two lots: Lot
57, measuring 0.149 acres (6,500 SF) with 130 feet of street frontage on Worth St. and 50 feet of street
frontage on Pearl St. and containing an existing single‐family home; and Lot 58, measuring 0.149 acres
(6,500 SF) with 50 feet of street frontage on Pearl St. and containing a decommissioned swimming pool. The
property is in the R‐1b Zoning District, which has the following minimum area requirements: 6,000 SF lot
size for one‐family homes and 7,500 SF for other uses, 50 feet of street frontage for one‐family homes and
60’ for other uses., 25‐foot front yard and 10‐foot side yard setbacks, and a rear yard setback of 50 feet or
25%, but no less than 20 feet. This is an Unlisted Action under the City of Ithaca Environmental Quality
Review Ordinance and the State Environmental Quality Review Act, and is subject to environmental review.
4. Site Plan Review
A. Project: Carey Building Renovations & Addition 6:22
Location: 314‐320 E. State St./M.L.K., Jr. Blvd.
Applicant: Carey Building Associates
Actions: Consideration of Project Changes, Conditions, and Recommendation to the BZA
Project Description: Due to unforeseen code compliance issues, the floor‐to‐floor height between the third
and fourth floors must be increased ― resulting in building height of 82’ instead of originally approved
77’10”. The applicant must return to the BZA to request new variance in order to exceed the CBD‐60 Zoning
District’s maximum height restriction of 60 feet for the five‐story addition. Although the applicant intends
the final height not to exceed 82’, he requests an additional 1 foot of building height (83’) to accommodate
any potential unforeseen future adjustments.
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B. Project: Lake St. Park Enhancements 6:40
Location: Lake Street at Fall Creek
Applicant: City of Ithaca
Actions: Declaration of Lead Agency PUBLIC HEARING Determination of Environmental
Significance Potential Consideration of Preliminary & Final Site Plan Approval
Project Description: The applicant proposes to undertake enhancements to improve the accessibility and
functionality of the park. Proposed work includes adding a concrete walkway and falls overlook, installing
metal guardrails behind the existing stone retaining wall, installing a movable gate for controlled access to
the Ithaca Falls Natural Area, replacing the existing bike racks, adding an accessible curb ramp, improving
the landscaping, and other site improvements. The project is in the P‐1 Zoning District and requires
approvals from the Board of Public Works (BPW) and Common Council. This is a Type I Action under the City
of Ithaca Environmental Quality Review Ordinance (“CEQRO”), §176‐4 B. (h)[2] and [3], and the State
Environmental Quality Review Act (“SEQRA), §617.4 (11), and is subject to environmental review.
C. Project: Mixed‐Use Housing 7:00
Location: 210 Hancock St. (former Neighborhood Pride store)
Applicant: Ithaca Neighborhood Housing Services (INHS)
Actions: Declaration of Lead Agency Review of FEAF, Parts 2 & 3
Project Description: The applicant proposes to redevelop the entire 2.01‐acre parcel currently containing
the vacant former grocery store, a smaller commercial building, and a 110‐space parking lot. The applicant
proposes to construct thirteen 2‐story townhomes and a 4‐story, approximately 65,000‐SF, mixed‐use
building with approximately 50 apartments and three ground‐floor commercial spaces, totaling
approximately 10,000 SF. 70 parking spaces will be provided ― approximately one third of which will be on
the ground floor of the apartment building. The applicant also proposes to convert portions of Adams St.
and Lake Ave. (both of which are public streets) into “living streets” by making them narrower, providing
green areas, and installing bike and pedestrian amenities. The project is in the B‐2a Zoning District and will
likely require Subdivision in the future. The project will require the following approvals: a Parking Variance
from the Board of Zoning Appeals (BZA); approval from the Board of Public Works (BPW) for improvements
to property in the public way; approval for funding from the Ithaca Urban Renewal Agency (IURA); and
approval from Common Council. This is a Type I Action under the City of Ithaca Environmental Quality
Review Ordinance, §176‐4 (h)(2),(k), and (n), and the State Environmental Quality Review Act, §617.4 (9),
and is subject to environmental review.
D. Project: Retail Building/Restaurant 7:30
Location: 719‐25 S. Meadow St.
Applicant: Douglas Druen for Texas Roadhouse
Actions: Declaration of Lead Agency PUBLIC HEARING Determination of Environmental
Significance
Project Description: The applicant proposes to construct a 7,163‐SF retail building/restaurant on portion of
the 3‐acre site, which contains three existing retail buildings (one of which will be removed). Site
development also includes a concrete ramp to the main entrance, an outdoor waiting area, a rear loading
and trash area, landscaping, lighting, and signage. The applicant is requesting to build a 43’‐long, 3’‐high
architectural wall as an alternative to the requirement in the Southwest Area Design Guidelines that a
minimum of 60% of a lot’s street frontage should be occupied by building mass. In accordance with the
guidelines, the Planning Board may allow a portion, not to exceed a third of the required 60% building
frontage, to be occupied by an integrated architectural wall. This is an Unlisted Action under the City of
Ithaca Environmental Quality Review Ordinance and the State Environmental Quality Review Act, and is
subject to environmental review.
"An Equal Opportunity Employer with a commitment to workforce diversification." 2
E. Project: Tompkins Financial Headquarters 7:45
Location: 118 & 119 E. Seneca St.
Applicant: Trowbridge Wolf Michaels, LLP for Tompkins Trust Company
Actions: Declaration of Lead Agency (draft resolution pending) CEQR Discussion
Project Description: The applicant proposes to construct a seven (7) story, 110,000‐SF office building as a
new corporate headquarters at 118 E. Seneca St., and to relocate the existing drive‐through teller to the
ground‐floor parking area of 119 E. Seneca Street. The new building will have a ground‐floor footprint of
approximately 6,600 SF (66’ x 100’) and will include retail services, building core, and other amenities
related to the building. There will be 20‐25 parking spaces accommodated on site to the north of the
ground‐floor footprint and under the building overhang. Each floor plate above the ground floor will be
16,300 SF. The front of the building will be set back several feet from the street line to align with the Hilton
Garden Inn. 119 E. Seneca Street will include a new 985‐SF drive‐through teller building. Existing parking
and drive aisles will be modified to create a teller window drive‐up lane, a vacuum‐actuated drive‐up teller
station, and a through‐lane for traffic. In addition to the drive lane associated with the teller stations, a new
ATM will be added to the site. Both sites are in the CBD‐100 Zoning District. This is a Type I Action under
the City of Ithaca Environmental Quality Review Ordinance (“CEQRO”), §176‐4 B. (1) (h)[4] and (n), and the
State Environmental Quality Review Act (“SEQRA”), §617.4 (6.)(iv), and is subject to environmental review.
The project requires DESIGN REVIEW.
F. SKETCH PLAN: State Street Triangle Project (Trebloc Building Site) 8:00
G. SKETCH PLAN: Cornell Fine Arts Library ― Rand Hall Addition 8:10
5. Zoning Appeals 8:20
• #2978: 120. S. Aurora St. (Marriott Hotel) ― Sign Variance
• #2979: 314‐320 E. State St.\M.L.K., Jr. Blvd. (Carey Building) ― Area Variance (Height)
• #2980: 406 W. Court St. (Christopher George Real Estate) ― Special Permit
• #2981: 312 Elmwood Ave. (Katherine Morris) ― Area Variances [NEWLY ADDED APPEAL]
6. Old/New Business
• Review of State SEQR Forms
8:30
7. Reports
A. Planning Board Chair (verbal)
9:30
B. Director of Planning & Development (verbal)
C. Board of Public Works Liaison (verbal)
8. Approval of Minutes: 2/24/15 & 3/24/15 9:50
9. Adjournment 9:55
ACCESSING MEETING MATERIALS ONLINE
Site Plan Review & Subdivision Applications (and Related Documents)
Site Plan Review application documents are accessible electronically via the “Document Center” on the City web site
(www.cityofithaca.org/DocumentCenter), under “Planning & Development” > “Site Plan Review Project Applications,” and in the relevant year/month
folder. Subdivision application materials can be similarly located, but in the “Subdivision Applications” folder.
Zoning Appeal Materials are also accessible electronically via the “Document Center” on the City web site, under “Board of Zoning Appeals."
"An Equal Opportunity Employer with a commitment to workforce diversification." 3
PROPOSED RESOLUTION Minor Subdivision
Declaration of Lead Agency City of Ithaca Tax Parcel #66.-4-5
201 Pearl Street
City of Ithaca Planning & Development Board
April 28, 2015
WHEREAS: an application has been submitted for review and approval by the City of Ithaca Planning
and Development Board for a Minor Subdivision of City of Ithaca Tax Parcel #66.-4-5, by owners Gil
and Naama Menda, and
WHEREAS: the applicant proposes to subdivide the 0.298-acre (13,000 SF) parcel into two lots: Lot 57,
measuring 0.149 acres (6,500 SF) with 130 feet of street frontage on Worth St. and 50 feet of street
frontage on Pearl St. and containing an existing single-family home; and Lot 58, measuring 0.149 acres
(6,500 SF) with 50 feet of street frontage on Pearl St. and containing a decommissioned swimming pool.
The property is in the R-1b Zoning District, which has the following minimum area requirements: 6,000
SF lot size for one-family homes and 7,500 SF for other uses; 50 feet of street frontage for one-family
homes and 60’ for other uses; 25-foot front yard and 10-foot side yard setbacks; and a rear yard setback
of 50 feet or 25%, but no less than 20 feet, and
WHEREAS: this is an Unlisted Action under the City of Ithaca Environmental Quality Review
Ordinance and the State Environmental Quality Review Act, both of which require environmental
review, and
WHEREAS: this is considered a Minor Subdivision in accordance with the City of Ithaca Code, Chapter
290, Article 1, §290-1, Minor Subdivision – Any subdivision of land resulting in creation of a maximum
of one additional buildable lot, and
WHEREAS: State Law specifies that, for actions governed by local environmental review, the Lead
Agency shall be that local agency which has primary responsibility for approving and funding or
carrying out the action, now, therefore, be it
RESOLVED: that the City of Ithaca Planning and Development Board does hereby declare itself Lead
Agency for the environmental review for the action of Subdivision approval for City of Ithaca Tax
Parcel #66.-4-5, by owners Gil and Naama Menda.
Moved by:
Seconded by:
In favor:
Against:
Abstain:
Absent:
Vacancies: 1
PROPOSED RESOLUTION Minor Subdivision
CEQR ― Negative Declaration City of Ithaca Tax Parcel #66.-4-5
201 Pearl Street
City of Ithaca Planning & Development Board
April 28, 2015
WHEREAS: an application has been submitted for review and approval by the City of Ithaca Planning and
Development Board for a Minor Subdivision of City of Ithaca Tax Parcel #66.-4-5, by owners Gil and Naama Menda,
and
WHEREAS: the applicant proposes to subdivide the 0.298-acre (13,000 SF) parcel into two lots: Lot 57, measuring
0.149 acres (6,500 SF) with 130 feet of street frontage on Worth St. and 50 feet of street frontage on Pearl St. and
containing an existing single-family home; and Lot 58, measuring 0.149 acres (6,500 SF) with 50 feet of street frontage
on Pearl St. and containing a decommissioned swimming pool. The property is in the R-1b Zoning District, which has
the following minimum area requirements: 6,000 SF lot size for one-family homes and 7,500 SF for other uses; 50 feet
of street frontage for one-family homes and 60’ for other uses; 25-foot front yard and 10-foot side yard setbacks; and a
rear yard setback of 50 feet or 25%, but no less than 20 feet, and
WHEREAS: this is an Unlisted Action under the City of Ithaca Environmental Quality Review Ordinance and the
State Environmental Quality Review Act, both of which require environmental review, and
WHEREAS: this is considered a Minor Subdivision in accordance with the City of Ithaca Code, Chapter 290, Article
1, §290-1, Minor Subdivision – Any subdivision of land resulting in creation of a maximum of one additional buildable
lot, and
WHEREAS: the Planning Board, being the local agency which has primary responsibility for approving and funding
or carrying out the action, did on April 28, 2015 declare itself the Lead Agency for the environmental review, and
WHEREAS: the City of Ithaca Conservation Advisory Council and the Tompkins County Planning Department have
been given the opportunity to comment on the proposed project and all comments received to date on the
aforementioned have been considered, and
WHEREAS: this Board, acting as Lead Agency in environmental review, did on April 28, 2015 review and accept as
adequate: a Short Environmental Assessment Form (SEAF), Part 1, submitted by the applicant, and Part 2, prepared by
Planning staff; a plat entitled “Survey Map, Lands of Gil and Naama Menda, City of Ithaca, Tompkins County, New
York, Tax Map No. 66.-4-5,” dated 10/22/14 and prepared by Regan Land Surveying; and other application materials,
and
WHEREAS: the Planning and Development Board recognizes that information received and reviewed for this
Subdivision indicates indicates the resultant parcels conform to area requirements in the R-1a Zoning District, now,
therefore, be it
RESOLVED: that the City of Ithaca Planning and Development Board determines the proposed Subdivision will result
in no significant impact on the environment and that a Negative Declaration for purposes of Article 8 of the
Environmental Conservation Law be filed in accordance with the provisions of Part 617 of the State Environmental
Quality Review Act.
Moved by:
Seconded by:
In favor:
Against:
Abstain:
Absent:
Vacancies: 1
PROPOSED RESOLUTION Minor Subdivision
Preliminary & Final Approval City of Ithaca Tax Parcel #66.-4-5
201 Pearl Street
City of Ithaca Planning & Development Board
April 28, 2015
WHEREAS: an application has been submitted for review and approval by the City of Ithaca Planning and Development
Board for a Minor Subdivision of City of Ithaca Tax Parcel #66.-4-5, by owners Gil and Naama Menda, and
WHEREAS: the applicant proposes to subdivide the 0.298-acre (13,000 SF) parcel into two lots: Lot 57, measuring 0.149
acres (6,500 SF) with 130 feet of street frontage on Worth St. and 50 feet of street frontage on Pearl St. and containing an
existing single-family home; and Lot 58, measuring 0.149 acres (6,500 SF) with 50 feet of street frontage on Pearl St. and
containing a decommissioned swimming pool. The property is in the R-1b Zoning District, which has the following
minimum area requirements: 6,000 SF lot size for one-family homes and 7,500 SF for other uses; 50 feet of street frontage
for one-family homes and 60’ for other uses; 25-foot front yard and 10-foot side yard setbacks; and a rear yard setback of 50
feet or 25%, but no less than 20 feet, and
WHEREAS: this is an Unlisted Action under the City of Ithaca Environmental Quality Review Ordinance and the State
Environmental Quality Review Act, both of which require environmental review, and
WHEREAS: this is considered a Minor Subdivision in accordance with the City of Ithaca Code, Chapter 290, Article 1,
§290-1, Minor Subdivision – Any subdivision of land resulting in creation of a maximum of one additional buildable lot,
and
WHEREAS: the Planning Board, being the local agency which has primary responsibility for approving and funding or
carrying out the action, did on April 28, 2015 declare itself the Lead Agency for the environmental review, and
WHEREAS: legal notice was published and property posted, and adjacent property owners notified in accordance with
Chapters 290-9 C. (1), (2), & (3) of the City of Ithaca Code, and
WHEREAS: the Planning and Development Board held the required Public Hearing on April 28, 2015, and
WHEREAS: the City of Ithaca Conservation Advisory Council and the Tompkins County Planning Department have been
given the opportunity to comment on the proposed project and all comments received to date on the aforementioned have
been considered, and
WHEREAS: this Board, acting as Lead Agency in environmental review, did on April 28, 2015 review and accept as
adequate: a Short Environmental Assessment Form (SEAF), Part 1, submitted by the applicant, and Part 2, prepared by
Planning staff; a plat entitled “Survey Map, Lands of Gil and Naama Menda, City of Ithaca, Tompkins County, New York,
Tax Map No. 66.-4-5,” dated 10/22/14 and prepared by Regan Land Surveying; and other application materials, and
WHEREAS: the Planning Board did on April 28, 2015 make a Negative Declaration of environmental Significance for the
project, and,
WHEREAS: the Planning and Development Board recognizes that information received and reviewed for this Subdivision
indicates the resultant parcels conform to area requirements in the R-1b Zoning District, now, therefore, be it
RESOLVED: that the City of Ithaca Planning and Development Board does hereby grant Preliminary and Final Subdivision
Approval to the proposed Minor Subdivision of City of Ithaca Tax Parcel #66.-4-5, by owners, Gil and Naama Menda,
subject to the submission of three (3) paper copies of the final approved plat, all having a raised seal and signature of a
registered licensed surveyor.
Moved by:
Seconded by:
In favor:
Against:
Abstain:
Absent:
Vacancies: 1
PROPOSED RESOLUTION Lake Street Park Enhancements
Declaration of Lead Agency Lake Street at Fall Creek
City of Ithaca Planning & Development Board
April 28, 2015
WHEREAS: 6 NYCRR, Part 617, of the State Environmental Quality Review Law and Chapter 176.6 of
the City Code, Environmental Quality Review, require a Lead Agency be established for conducting
environmental review of projects in accordance with local and state environmental law, and
WHEREAS: State Law specifies that, for actions governed by local environmental review, the Lead
Agency shall be that local agency which has primary responsibility for approving and funding or
carrying out the action, and
WHEREAS: an application has been submitted for review and approval by the City of Ithaca Planning
and Development Board for enhancements to the Lake Street Park, and
WHEREAS: the applicant proposes to undertake enhancements to improve the accessibility and
functionality of the park. Proposed work includes adding a concrete walkway and falls overlook,
installing metal guardrails behind the existing stone retaining wall, installing a movable gate for
controlled access to the Ithaca Falls Natural Area, replacing the existing bike racks, adding an accessible
curb ramp, improving the landscaping, and other site improvements. The project is in the P-1 Zoning
District and requires approvals from the Board of Public Works (BPW) and Common Council, and
WHEREAS: this is a Type I Action under the City of Ithaca Environmental Quality Review Ordinance
(“CEQRO”), §176-4 B. (h)[2] and [3], and the State Environmental Quality Review Act (“SEQRA),
§617.4 (11), and is subject to environmental review, and
WHEREAS: it has been requested that the Ithaca Urban Renewal Agency (IURA), the City of Ithaca
Board of Public Works (BPW), and Common Council, all potentially involved agencies, consent to the
City of Ithaca Planning and Development Board being Lead Agency for this project, and
WHEREAS: the IURA and Common Council, both concured by resolution to the City of Ithaca
Planning and Development Board being Lead Agency for this project, and the BPW did not respond
within 30 days to the Planning Board’s request of concurrence, now, therefore, be it
RESOLVED: that the City of Ithaca Planning and Development Board does hereby declare itself Lead
Agency for the environmental review for the Lake Street Park Enhancement project.
Moved by:
Seconded by:
In favor:
Against:
Abstain:
Absent:
Vacancies: 1
PROPOSED RESOLUTION Lake Street Park Enhancements
CEQR ― Negative Declaration Lake Street at Fall Creek
City of Ithaca Planning & Development Board
April 28, 2015
WHEREAS: an application has been submitted for review and approval by the City of Ithaca Planning
and Development Board for enhancements to the Lake Street Park, and
WHEREAS: the applicant proposes to undertake enhancements to improve the accessibility and
functionality of the park. Proposed work includes adding a concrete walkway and falls overlook,
installing metal guardrails behind the existing stone retaining wall, installing a movable gate for
controlled access to the Ithaca Falls Natural Area, replacing the existing bike racks, adding an accessible
curb ramp, improving the landscaping, and other site improvements. The project is in the P-1 Zoning
District and requires approvals from the Board of Public Works (BPW) and Common Council, and
WHEREAS: this is a Type I Action under the City of Ithaca Environmental Quality Review Ordinance
(“CEQRO”), §176-4 B. (h)[2] and [3], and the State Environmental Quality Review Act (“SEQRA),
§617.4 (11), and is subject to environmental review, and
WHEREAS: the Planning Board, being the local agency which has primary responsibility for approving
and funding or carrying out the action, did on April 28, 2015 declare itself Lead Agency for the
environmental review of the project, and
WHEREAS: the City of Ithaca Conservation Advisory Council, Tompkins County Planning
Department, and other interested parties have been given the opportunity to comment on the proposed
project and all comments received have been considered, and
WHEREAS: the Planning Board, acting as Lead Agency in environmental review, has on April 28, 2015
reviewed and accepted as adequate: a Full Environmental Assessment Form (FEAF), Part 1, submitted
by the applicant, and Parts 2 and 3, prepared by Planning staff; and the following drawings: “Layout
Plan (L201)” and “Guardrail and Planning Buffer Section (A4),” both on the same sheet and dated
4/21/15; “Demo Plan (L101),” “Grading Plan (L301),” “Planting Plan ( L401),” and “Site Details
(L501),” dated 12/13/14 and all prepared by Trowbridge Wolf Michaels, LLP; and other application
materials, now, therefore, be it
RESOLVED: that the City of Ithaca Planning and Development Board determines the proposed project
will result in no significant impact on the environment and a Negative Declaration for purposes of
Article 8 of the Environmental Conservation Law be filed in accordance with the provisions of Part 617
of the State Environmental Quality Review Act.
Moved by:
Seconded by:
In favor:
Against:
Abstain:
Absent:
Vacancies: 1
PROPOSED RESOLUTION Lake Street Park Enhancements
Preliminary & Final Approval Lake Street at Fall Creek
City of Ithaca Planning & Development Board
April 28, 2015
WHEREAS: an application has been submitted for review and approval by the City of Ithaca Planning
and Development Board for enhancements to the Lake Street Park, and
WHEREAS: the applicant proposes to undertake enhancements to improve the accessibility and
functionality of the park. Proposed work includes adding a concrete walkway and falls overlook,
installing metal guardrails behind the existing stone retaining wall, installing a movable gate for
controlled access to the Ithaca Falls Natural Area, replacing the existing bike racks, adding an accessible
curb ramp, improving the landscaping, and other site improvements. The project is in the P-1 Zoning
District and requires approvals from the Board of Public Works (BPW) and Common Council, and
WHEREAS: this is a Type I Action under the City of Ithaca Environmental Quality Review Ordinance
(“CEQRO”), §176-4 B. (h)[2] and [3], and the State Environmental Quality Review Act (“SEQRA),
§617.4 (11), and is subject to environmental review, and
WHEREAS: the Planning Board, being the local agency which has primary responsibility for approving
and funding or carrying out the action, did on April 28, 2015 declare itself Lead Agency for the
environmental review of the project, and
WHEREAS: the City of Ithaca Conservation Advisory Council, Tompkins County Planning
Department, and other interested parties have been given the opportunity to comment on the proposed
project and all comments received have been considered, and
WHEREAS: the Planning Board, acting as Lead Agency in environmental review, has on April 28, 2015
reviewed and accepted as adequate: a Full Environmental Assessment Form (FEAF), Part 1, submitted
by the applicant, and Parts 2 and 3, prepared by Planning staff; and the following drawings: “Layout
Plan (L201)” and “Guardrail and Planning Buffer Section (A4),” both on the same sheet and dated
4/21/15; “Demo Plan (L101),” “Grading Plan (L301),” “Planting Plan (L401),” and “Site Details
(L501),” dated 12/13/14 and all prepared by Trowbridge Wolf Michaels, LLP; and other application
materials, and
WHEREAS: the City of Ithaca Planning and Development Board did on April 28, 2015 determine the
proposed project would result in no significant impact on the environment and issued a Negative
Determination of Environmental Significance, now, therefore, be it
RESOLVED: that the City of Ithaca Planning and Development Board does hereby grant Preliminary
and Final Site Plan Approval to the project.
Moved by:
Seconded by:
In favor:
Against:
Abstain:
Absent:
Vacancies: 1
Trowbridge Wolf Michaels Landscape Architects LLP
1001 West Seneca Street, Suite 201 Ithaca, New York 14850 ph: 607.277.1400
www.twm.la
April 17, 2015
JoAnn Cornish, Director of Planning and Development
Department of Planning and Development
City of Ithaca
108 East Green Street
Ithaca, NY 14850‐5690
Re: Supplemental Information for 210 Hancock Street Redevelopment
Dear JoAnn:
We are pleased to provide the attached exhibits and the following updates and supplemental
information for the Redevelopment of 210 Hancock Street.
The attached supplemental graphics illustrate the architectural concepts for the project from a variety of
viewpoints as follows:
Aerial view of the proposed site and neighborhood looking west;
View 1: From corner of Hancock Street and Lake Avenue looking northwest;
View 2: From Hancock Street looking down interior “street” looking north;
View 3: From corner of Hancock Street and First Street looking north; and
View 4: From First Street, mid block looking south.
If you have any questions or require further information, please do not hesitate to call. We are looking
forward to presenting the project for PRC review and answering questions at your April 21, 2015
meeting.
Sincerely,
Peter Trowbridge, RLA, FASLA
Principal
Exhibits:
1. Board 1: Aerial View and Precedent, April 16 2015
2. Board 2: Perspective Views, April 16 2015
3. Board 3: Perspective Views, April 16 2015
210 Hancock Street Redevelopment
Inspiration: Fall Creek Gimme Coffee Building Hickey’s (ICCC Building)
Tremen King Building Concept Diagram
AERIAL VIEW AND PRECEDENT
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RESIDENTIAL
BUILDING ENTRANCE
“BUILDING 4 - RED BRICK”
“BUILDING 3 - WHITE BRICK”
“BUILDING 2 - BROWN BRICK”
“BUILDING 1 - RED BRICK”
DESIGN STRATEGIES
1. BREAK BUILDING INTO SMALL-
ER SUB “BUILDINGS” TO REDUCE
MASSING.
2. ORGANIZE POINTS OF ENTRY
AND CONNECTIONS THROUGH
BUILDING AT BREAKS
3. PUSH AND PULL MASSING OF
“BUILDINGS” TO DEVELOP VARI-
ETY ALONG STREET FACADE AND
CREATE DEFINED EXTERIOR
SPACES
4. USE MATERIALITY TO CREATE
INDIVIDUAL IDENTITY FOR EACH
“BUILDING”PUSH
PUSH
PULL
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BREA
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BREA
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210 Hancock Street Redevelopment
View 1 - From Corner of Hancock Street and Lake Avenue
View 2 - From Hancock Street looking down Interior “Street”
PERSPECTIVE VIEWS
210 Hancock Street Redevelopment
View 3 - From Corner of Hancock Street and First Street
View 4 - From First Street, mid block looking South
PERSPECTIVE VIEWS
PROPOSED RESOLUTION Mixed-Use Housing
Declaration of Lead Agency 210 Hancock Street
Ithaca Neighborhood Housing Services (INHS)
City of Ithaca Planning & Development Board
April 28, 2015
WHEREAS: 6 NYCRR, Part 617, of the State Environmental Quality Review Law and Chapter 176.6 of
the City Code, Environmental Quality Review require that a Lead Agency be established for conducting
environmental review of projects in accordance with local and state environmental law, and
WHEREAS: State Law specifies that for actions governed by local environmental review the Lead
Agency shall be that local agency which has primary responsibility for approving and funding or
carrying out the action, and
WHEREAS: an application has been submitted for review and approval by the City of Ithaca Planning
and Development Board for a mixed-use housing development to be located at 210 Hancock Street, and
WHEREAS: the applicant proposes to redevelop the entire 2.01-acre parcel currently containing the
vacant former grocery store, a smaller commercial building, and a 110-space parking lot. The applicant
proposes to construct thirteen 2-story townhomes and a 4-story, approximately 65,000-SF, mixed-use
building with approximately 50 apartments and three ground-floor commercial spaces, totaling
approximately 10,000 SF. 70 parking spaces will be provided ― approximately one third of which will
be on the ground floor of the apartment building. The applicant also proposes to convert portions of
Adams St. and Lake Ave. (both of which are public streets) into a shared use path, by making them
narrower, providing green areas, and installing bike and pedestrian amenities. The project is in the B-2a
Zoning District and will likely require subdivision in the future. The project will require the following
approvals: a Parking Variance from the Board of Zoning Appeals (BZA), approval from the Board of
Public Works (BPW) for improvements to property in the public way, approval for funding from the
Ithaca Urban Renewal Agency (IURA), and approval from Common Council, and
WHEREAS: this is a Type I Action under the City of Ithaca Environmental Quality Review Ordinance,
§176-4 (h)(2),(k), and (n) and the State Environmental Quality Review Act, §617.4 (9), and is subject to
environmental review, and
WHEREAS: it has been requested that the Ithaca Urban Renewal Agency (IURA), the City of Ithaca
Board of Public Works (BPW), and Common Council, all potentially involved agencies, consent to the
City of Ithaca Planning and Development Board being Lead Agency for this project, and
WHEREAS: the IURA and Common Council, both concur by resolution to the City of Ithaca Planning
and Development Board being Lead Agency for this project, and the BPW did not respond within 30
days to the Planning Board’s request for concurrence, now, therefore, be it
RESOLVED: that the City of Ithaca Planning and Development Board does hereby declare itself Lead
Agency for the environmental review for the mixed-use housing project at 210 Hancock Street.
Moved by:
Seconded by:
In favor:
Against:
Abstain:
Absent:
Vacancies: 1
PROPOSED RESOLUTION City of Ithaca Planning & Development Board
Declaration of Lead Agency Retail/ Restaurant Building
719-25 S. Meadow St.
April 28, 2015
WHEREAS: 6 NYCRR, Part 617, of the State Environmental Quality Review Law and Chapter
176.6 of the City Code, Environmental Quality Review require that a Lead Agency be established
for conducting environmental review of projects in accordance with local and state environmental
law, and
WHEREAS: State Law specifies that, for actions governed by local environmental review, the
Lead Agency shall be that local agency which has primary responsibility for approving and
funding or carrying out the action, and
WHEREAS: the City of Ithaca Planning and Development Board has one pending application for
Site Plan Approval for a 7,163 SF retail/restaurant building to be located at 719-25 S. Meadow St
and
WHEREAS: the applicant proposes to construct a 7,163-SF retail building/restaurant the 3-acre
site, which contains three existing retail buildings (one of which will be removed). Site
development includes a concrete ramp to the main entrance, an outdoor waiting area, a rear
loading and trash area, landscaping, lighting, and signage. The project is on the SW-2 Zoning
District. The applicant is proposing to build a 43’-long, 3’-high architectural wall as an
alternative to the requirement in the Southwest Area Design Guidelines that a minimum of 60%
of a lot’s street frontage should be occupied by building mass. In accordance with the guidelines,
the Planning Board may allow a portion, not to exceed a third of the required 60% building
frontage, to be occupied by an integrated architectural wall, and
WHEREAS: This is an Unlisted Action under the City of Ithaca Environmental Quality Review
Ordinance and the State Environmental Quality Review Act, and is subject to environmental
review, now, therefore, be it
RESOLVED: that the City of Ithaca Planning and Development Board does hereby declare itself
Lead Agency for the environmental review of the proposed project, to be located at 719-25 S.
Meadow Street in the City of Ithaca.
Moved by:
Seconded by:
In Favor:
Against:
Abstain:
Absent:
Vacancies: 1
PROPOSED RESOLUTION City of Ithaca Planning & Development Board
CEQR – Negative Declaration Retail/ Restaurant Building
719-25 S. Meadow St.
April 28, 2015
WHEREAS: the City of Ithaca Planning and Development Board has one pending application for
Site Plan Approval for a 7,163 SF retail/restaurant building to be located at 719-25 S. Meadow St
WHEREAS: the applicant proposes to construct a 7,163 SF retail building/restaurant on the 3-
acre site, which contains three existing retail buildings (one of which will be removed). Site
development includes a concrete ramp to the main entrance, an outdoor waiting area, a rear
loading and trash area, landscaping, lighting, and signage. The project is on the SW-2 Zoning
District. The applicant is proposing to build a 43’-long, 3’-high architectural wall as an
alternative to the requirement in the Southwest Area Design Guidelines that a minimum of 60%
of a lot’s street frontage should be occupied by building mass. In accordance with the guidelines,
the Planning Board may allow a portion, not to exceed a third of the required 60% building
frontage, to be occupied by an integrated architectural wall, and
WHEREAS: This is an Unlisted Action under the City of Ithaca Environmental Quality Review
Ordinance and the State Environmental Quality Review Act, and is subject to environmental
review, and
WHEREAS: the Planning Board, being the local agency which has primary responsibility for
approving and funding or carrying out the action, did on April 28, 2015 declare itself Lead
Agency for the environmental review of the project, and
WHEREAS: the City of Ithaca Conservation Advisory Council, Tompkins County Planning
Department, and other interested parties have been given the opportunity to comment on the
proposed project and any received comments have been considered, and
WHEREAS: the Planning Board, acting as Lead Agency in environmental review, has on April
28, 2015 reviewed and accepted as adequate: a Full Environmental Assessment Form (FEAF),
Part 1, submitted by the applicant, and Part 2, prepared by planning staff; and the following
drawings “Boundary and Topographic Survey” prepared by Gallas Surveying Group and dated
5-16-11; “Site Layout Exhibit (Fig-1)”, “Demolition Plan (C2.0)”, ‘Site Layout Plan (C3.0)”, “
Overall Site Plan (C3.1)”, “Grading and Drainage Plan (C4.0)”, “Utility Plan (C5.0)”, “Erosion
Control Plan (C6.0)”, “Erosion Control Details (C6.1)”, “Construction Details (C7.0, C7.1, C7.2
and C7.3)”, “Landscape Plan (L1.0)” all dated 3/12/15, “Building Extension Wall Exhibit (EX-
1)”, “Landscape Elevations (L3.0 and L4.0”, “Exterior Elevations (A2.0 and A2.1)” dated 4/2/15,
and all prepared by Greenberg Farrow; and other application materials, now, therefore, be it
RESOLVED: that the City of Ithaca Planning and Development Board determines that the
proposed project will result in no significant impact on the environment and a Negative
Declaration for purposes of Article 8 of the Environmental Conservation Law be filed in
accordance with the provisions of Part 617 of the State Environmental Quality Review Act.
Moved by:
Seconded by:
In Favor:
Against:
Abstain:
Absent:
Vacancies: 1
PROPOSED RESOLUTION City of Ithaca Planning & Development Board
Preliminary and Final Retail/ Restaurant Building
719-25 S. Meadow St.
April 28, 2015
WHEREAS: the City of Ithaca Planning and Development Board has one pending application for
Site Plan Approval for a 7,163 SF retail/restaurant building to be located at 719-25 S. Meadow St
WHEREAS: the applicant proposes to construct a 7,163 SF retail building/restaurant on the 3-
acre site, which contains three existing retail buildings (one of which will be removed). Site
development includes a concrete ramp to the main entrance, an outdoor waiting area, a rear
loading and trash area, landscaping, lighting, and signage. The project is on the SW-2 Zoning
District. The applicant is proposing to build a 43’-long, 3’-high architectural wall as an
alternative to the requirement in the Southwest Area Design Guidelines that a minimum of 60%
of a lot’s street frontage should be occupied by building mass. In accordance with the guidelines,
the Planning Board may allow a portion, not to exceed a third of the required 60% building
frontage, to be occupied by an integrated architectural wall, and
WHEREAS: This is an Unlisted Action under the City of Ithaca Environmental Quality Review
Ordinance and the State Environmental Quality Review Act, and is subject to environmental
review, and
WHEREAS: the Planning Board, being the local agency which has primary responsibility for
approving and funding or carrying out the action, did on April 28, 2015 declare itself Lead
Agency for the environmental review of the project, and
WHEREAS: legal notice was published and property posted, and adjacent property owners
notified in accordance with Chapter 290-9 C. (1), (2), & (3) of the City of Ithaca Code, and
WHEREAS: the Planning and Development Board held the required Public Hearing on April 28,
2015, and
WHEREAS: the City of Ithaca Conservation Advisory Council, Tompkins County Planning
Department, and other interested parties have been given the opportunity to comment on the
proposed project and any received comments have been considered, and
WHEREAS: the Planning Board, acting as Lead Agency in environmental review, has on April
28, 2015 reviewed and accepted as adequate: a Full Environmental Assessment Form (FEAF),
Part 1, submitted by the applicant, and Part 2, prepared by planning staff; and the following
drawings “Boundary and Topographic Survey” prepared by Gallas Surveying Group and dated
5-16-11; “Site Layout Exhibit (Fig-1)”, “Demolition Plan (C2.0)”, ‘Site Layout Plan (C3.0)”, “
Overall Site Plan (C3.1)”, “Grading and Drainage Plan (C4.0)”, “Utility Plan (C5.0)”, “Erosion
Control Plan (C6.0)”, “Erosion Control Details (C6.1)”, “Construction Details (C7.0, C7.1, C7.2
and C7.3)”, “Landscape Plan (L1.0)” all dated 3/12/15, “Building Extension Wall Exhibit (EX-
1)”, “Landscape Elevations (L3.0 and L4.0”, “Exterior Elevations (A2.0 and A2.1)” dated 4/2/15,
and all prepared by Greenberg Farrow; and other application materials, and
WHEREAS: the Planning and Development Board did on April 28, 2015 make a Negative
Declaration of Environmental Significance for the proposed subdivision, now, therefore, be it
RESOLVED: that the City of Ithaca Planning and Development Board does herby grant
preliminary and final site plan approval to the project subject to the following conditions:
i. Submission of project details, including but not limited to tree protection, lighting,
signage, pavements, curbs, fences, seat walls, dumpster enclosure, drainage structures,
bikes racks and OTHER, and
ii. Submission and drawing and/or a narrative indicating planned route for construction
traffic, and
iii. Approval in writing from the Ithaca Fire Department that the proposed project meets their
requirements for emergency response, and
iv. Submission of planting details to the following City standards:
a. All planting beds to be excavated to a minimum depth of two feet,
b. Tree pits in lawn to be excavated to depth of root ball plus 6” and shall be 3X the
width of the root ball,
c. A minimum depth of 24” of soil shall be used in all treelawns an planting beds,
d. All trees in lawn areas to receive 5’ diameter mulch rings
e. All trees and plants to comply with applicable requirements of ANSI Z60.1
“American Standard for Nursery Stock”,
f. No plants or trees shall be located beneath building overhangs,
g. Structural soil shall be used under all sidewalks, and
v. OTHER RELEVANT ITEMS
Moved by:
Seconded by:
In Favor:
Against:
Abstain:
Absent:
Vacancies: 1
PROPOSED RESOLUTION Site Plan Review
Approval of Signage Marriott Hotel
120 S. Aurora St.
City of Ithaca Planning & Development Board
April 28, 2014
WHEREAS: the Marriott Hotel at 120 S. Aurora Street was approved by the Planning Board on
November 13, 2012, and
WHEREAS: the Planning Board did on June 24, 2014 approve façade and materials changes for
the project, and
WHEREAS: the applicant has submitted a sign package and is now requesting a Sign Variance
for relief from the number and size of allowed wall signs in the CDB-140 Zone, and
WHEREAS: the signs in question consist of two Marriott wall signs at the top of the building;
one sign facing S. Aurora Street and the other facing E. Green Street, and
WHEREAS: as originally proposed in January 2015, the signs were to be 208.6 SF and 108.8 SF;
however, the applicant reduced the size of the signs to 114.75 SF facing S. Aurora Street and
74.16 SF facing E. Green Street, due to concerns of the both the Planning Board and the BZA that
the size of the signs would potentially have a negative impact on downtown character, and
WHEREAS: the Board has reviewed and accepted drawings entitled: “View 1 - East State
Street,” “View 2 - East Green Street,” and “Nighttime Rendering,” dated 2/24/15 and prepared by
Cooper Carry, depicting the reduced size of the signs, now, therefore, be it
RESOLVED: that the City of Ithaca Planning and Development Board does hereby approve the
signs as proposed in the above-referenced drawings, subject to the applicant receiving the
required Sign Variance.
Moved by:
Seconded by:
In Favor:
Against:
Abstain:
Absent:
Vacancies: 1
1
APPEAL #2981 312 ELMWOOD AVENUE
(KATHERINE MORRIS)
Appeal of Kate Morris for Area Variances from Section 325-8, Column 6, Percentage of Lot
Coverage, Column 10, Lot Area, Column 11, Front Yard, and Column 13, Other Side Yard,
requirements of the Zoning Ordinance.
On December 13, 2010, a Building Permit was issued to Don Morris, one of the owners of 312
Elmwood Avenue. The rear exit stair at 312 Elmwood Avenue had to be replaced because it had
become unsafe. The contractor hired to construct the stairs realized the stairs would need a new
supporting structure to level the stairs, due to the sloping terrain in the back yard. Subsequently, Don
Morris was issued a Building Permit to construct a 217-SF deck/landing for the rear stairs.
The property at 312 Elmwood Avenue is a non-conforming two-family dwelling in an R-1b zone,
which only allows single-family homes. Though the work is not considered an “extension” as
defined by the Zoning Ordinance, the new permanent landing which now stabilizes the rear stair
increased the permissible lot coverage of 25%. With the addition of the deck, the lot coverage is now
25.9%. The property at 312 Elmwood Avenue also has three existing deficiencies. The lot size is
6,915 SF of the required 7,500 SF. The front yard is 11.1’ of the required 25’ and the other side yard
is 7’ of the 10 feet required by the ordinance. A variance for these deficiencies should have been
obtained in 2010 ― prior to the issuance of the Building Permit. The applicant has sold the property
at 312 Elmwood Avenue and will close the sale on June 1, 2015. In order to help finalize the sale the
house, the applicant needs a valid Certificate of Compliance stating that the property at 312 Elmwood
Avenue is compliant with City of Ithaca Housing regulations. A Certificate of Compliance cannot be
issued unless the applicant is first granted variances for the above-listed zoning deficiencies.
CITY OF ITHACA
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CITY OF ITHACA
108 E. Green Street — 3rd Floor Ithaca, NY 14850‐5690
DEPARTMENT OF PLANNING, BUILDING, & ECONOMIC DEVELOPMENT
JOANN CORNISH, DIRECTOR OF PLANNING & ECONOMIC DEVELOPMENT
PHYLLISA A. DeSARNO, DEPUTY DIRECTOR FOR ECONOMIC DEVELOPMENT
Telephone: Planning & Development – 607‐274‐6550 Community Development/IURA – 607‐274‐6559
Email: dgrunder@cityofithaca.org Email: iura@cityofithaca.org
Fax: 607‐274‐6558 Fax: 607‐274‐6558
TO: Board of Zoning Appeals
FROM: Planning & Development Board
DATE: April 29, 2015
SUBJECT: Comments for Zoning Appeals 2978, 2979, 2980 & 2981
On April 28, 2015 members of the Planning and Development Board discussed the above‐listed zoning appeals
and agreed to forward the following recommendations:
APPEAL #2978 120 S. AURORA STREET (ITHACA MARRIOTT)
Sign Variance
Appeal of Hotel Ithaca, LLC for Ithaca Properties owners of 120 S. Aurora Street from Section 272‐6 B. (2), of the
Sign Ordinance which allows only two walls signs per business on a building in the commercial zoning district and
limits each sign to a maximum of 50 SF apiece.
In November of 2014, Hotel Ithaca, LLC received four variances from the Board of Zoning Appeals for business
signs, which will be placed on the proposed multi‐story Marriott Hotel at 120 South Aurora Street. The applicant
now returns, seeking approval for two additional “Marriott” wall signs. The first proposed “Marriott“ sign will be
located on the exterior of the 10th floor facing Aurora Street and will be approximately 114.75 SF. The second
“Marriott” sign will be located close to the penthouse level and will face Green Street. This sign will be
approximately 74.16 SF.
In the commercial zone, where 120 South Aurora Street is located, Sign Ordinance Section 272‐6 B. (2) states a
business can have only one pole sign, or two wall signs. Furthermore, the Sign Ordinance states in this Section
that each sign cannot be larger than 50 SF. The applicant believes that because of the building’s massing, these
two additional signs are appropriately sized for advertising the location of the hotel.
The proposed Marriott Hotel at 120 South Aurora Street is in the CBD‐140 zone where signs are a permitted use.
However, Section 272‐18 requires that the applicant receive variances from the Board of Zoning Appeals for the
non‐compliant number and size of signs before a Sign Permit can be issued.
The Planning Board worked with the applicant over several months to come up with wall signage that would
meet Marriott’s needs while at the same time maintaining the downtown character. The applicant agreed to the
current proposal in which the both east and west wall signs are reduced in size and the east sign is positioned
slightly lower.
APPEAL #2979 314‐320 EAST STATE STREET (CAREY BUILDING)
Area Variance (Height)
“An Equal Opportunity Employer with a commitment to workforce diversification.”
1 of 3
Appeal of Jason Henderson for Frost Travis, owner of the Carey Building, located at 314‐320 East State Street, for
an Area Variance from Section 325‐8, Column 9, Height in Feet, requirements of the Zoning Ordinance.
On August 19, 2014, the applicant was granted a height variance under Appeal #2949 for the property at 314‐
320 East State Street. In order to construct an additional five stories to the existing two‐story building at 314‐
320 East State Street, the applicant requested a variance to exceed the CBD‐60 Zoning District’s height limitation
of 60 feet, to a height of 77’, 10”. The proposed addition to this building is designed to include an office use on
the third floor and apartments on floors four through seven.
After the variance was granted in August of 2014, a Building Permit was issued and construction began several
months ago at 314‐320 East State Street. However, it was recently discovered that to install mechanical
equipment and to address structural issues, the five‐story addition would end up taller than previously
anticipated. As a result, the applicant has returned to the BZA to request an new variance in order to exceed
the CBD‐60 Zoning District’s maximum height restriction of 60 feet for the five‐story addition and request a
variance for the addition to have a maximum height of 83’.
The property at 314‐20 East State Street is in both the CBD‐60 and the CBD‐100 Zones, but the existing building
footprint is in the more restrictive zone. Though the proposed mixed‐use is permitted in both zones, Section
325‐39 of the Zoning Ordinance states that a Zoning Variance must be granted before a Certificate of Occupancy
can be issued.
The Planning Board recognizes that a code issue, outside of the appellant’s control, is driving the need for more
height. Concern about the height of the building‐ and its relationship to the Downtown Ithaca Historic Register
District –has been expressed both by the Planning Board and Historic Ithaca. The appellant has also stated that
although the final height is not expected to exceed 82’, he is requesting an additional 1 foot (83’) to
accommodate any potential unforeseen future adjustments. The Board supports granting this appeal provided
that the appellant make all efforts not to exceed 82’.
APPEAL #2980 406 W. COURT STREET
Special Permit
Appeal of Tracy L. Martineau for a Temporary Special Permit for a home occupation, as required by Section 325‐
9 C. (1)(i) of the Zoning Ordinance.
The applicant proposes to operate a property management office from a room in the first‐floor apartment of the
property located at 406 W. Court Street in a two‐family home. Due to modern technology, the applicants states
most of her work can be done off‐site and there will be little need for clients to come to her office. She also
states her work will be “low‐key” and create little traffic.
The Planning Board can identify no long range planning issues with this appeal and supports granting it.
APPEAL #2981 312 ELMWOOD AVENUE
Area Variance
“An Equal Opportunity Employer with a commitment to workforce diversification.”
2 of 3
Appeal of Kate Morris for Area Variances from Section 325‐8, Column 6, Percentage of Lot Coverage, Column 10,
Lot Area, Column 11, Front Yard, and Column 13, Other Side Yard, requirements of the Zoning Ordinance.
On December 13, 2010, a Building Permit was issued to Don Morris, one of the owners of 312 Elmwood Avenue.
The rear exit stair at 312 Elmwood Avenue had to be replaced because it had become unsafe. The contractor
hired to construct the stairs realized the stairs would need a new supporting structure to level the stairs, due to
the sloping terrain in the back yard. Subsequently, Don Morris was issued a Building Permit to construct a 217‐
SF deck/landing for the rear stairs.
The property at 312 Elmwood Avenue is a non‐conforming two‐family dwelling in an R‐1b zone, which only
allows single‐family homes. Though the work is not considered an “extension” as defined by the Zoning
Ordinance, the new permanent landing which now stabilizes the rear stair increased the permissible lot coverage
of 25%. With the addition of the deck, the lot coverage is now 25.9%. The property at 312 Elmwood Avenue
also has three existing deficiencies. The lot size is 6,915 SF of the required 7,500 SF. The front yard is 11.1’ of
the required 25’ and the other side yard is 7’ of the 10 feet required by the ordinance. A variance for these
deficiencies should have been obtained in 2010 ― prior to the issuance of the Building Permit. The applicant has
sold the property at 312 Elmwood Avenue and will close the sale on June 1, 2015. In order to help finalize the
sale the house, the applicant needs a valid Certificate of Compliance stating that the property at 312 Elmwood
Avenue is compliant with City of Ithaca Housing regulations. A Certificate of Compliance cannot be issued unless
the applicant is first granted variances for the above‐listed zoning deficiencies.
“An Equal Opportunity Employer with a commitment to workforce diversification.”
3 of 3
Short Environmental Assessment Form
Part 1 - Project Information
Instructions for Completing
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.
Part 1 - Project and Sponsor Information
Name of Action or Project:
Project Location (describe, and attach a location map):
Brief Description of Proposed Action:
Name of Applicant or Sponsor: Telephone:
E-Mail:
Address:
City/PO: State: Zip Code:
1.Does the proposed action only involve the legislative adoption of a plan, local law, ordinance,
administrative rule, or regulation?
If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that
may be affected in the municipality and proceed to Part 2. If no, continue to question 2.
NO YES
2.Does the proposed action require a permit, approval or funding from any other governmental Agency?
If Yes, list agency(s) name and permit or approval:
NO YES
3.a. Total acreage of the site of the proposed action? ___________ acres
b.Total acreage to be physically disturbed? ___________ acres
c.Total acreage (project site and any contiguous properties) owned
or controlled by the applicant or project sponsor? ___________acres
4.Check all land uses that occur on, adjoining and near the proposed action.
9 Urban 9 Rural (non-agriculture) 9 Industrial 9 Commercial 9 Residential (suburban)
9 Forest 9 Agriculture 9 Aquatic 9 Other (specify): _________________________
9 Parkland
Page 1 of 3
Page 2 of 3
5.Is the proposed action,
a.A permitted use under the zoning regulations?
b.Consistent with the adopted comprehensive plan?
NO YES N/A
6.Is the proposed action consistent with the predominant character of the existing built or natural
landscape?
NO YES
7.Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area?
If Yes, identify: __________________________________________________________________________
_______________________________________________________________________________________
NO YES
8. a. Will the proposed action result in a substantial increase in traffic above present levels?
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 YES
9.Does the proposed action meet or exceed the state energy code requirements?
If the proposed action will exceed requirements, describe design features and technologies:
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
10.Will the proposed action connect to an existing public/private water supply?
If No, describe method for providing potable water: ______________________________________
_______________________________________________________________________________________
NO YES
11.Will the proposed action connect to existing wastewater utilities?
If No, describe method for providing wastewater treatment: ________________________________
_______________________________________________________________________________________
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?
NO YES
13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain
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?
If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: _______________
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
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 Agricultural/grasslands Early mid-successional
Wetland Urban Suburban
15.Does the site of the proposed action contain any species of animal, or associated habitats, listed
by the State or Federal government as threatened or endangered?
NO YES
16.Is the project site located in the 100 year flood plain?NO YES
17.Will the proposed action create storm water discharge, either from point or non-point sources?
If Yes,
a.Will storm water discharges flow to adjacent properties? NO YES
b.Will storm water discharges be directed to established conveyance systems (runoff and storm drains)?
If Yes, briefly describe: NO YES
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
18.Does the proposed action include construction or other activities that result in the impoundment of
water or other liquids (e.g. retention pond, waste lagoon, dam)?
If Yes, explain purpose and size: ____________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
19.Has the site of the proposed action or an adjoining property been the location of an active or closed
solid waste management facility?
If Yes, describe: _________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
20.Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or
completed) for hazardous waste?
If Yes, describe: __________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Applicant/sponsor name: ___________________________________________ Date: ___________________________
Signature: _______________________________________________________
Page 3 of 3
Page 1 of 2
Agency Use Only [If applicable]
Project:
Date:
Short Environmental Assessment Form
Part 2 - Impact Assessment
Part 2 is to be completed by the Lead Agency.
Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by
the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by
the concept “Have my responses been reasonable considering the scale and context of the proposed action?”
No, or
small
impact
may
occur
Moderate
to large
impact
may
occur
1. Will the proposed action create a material conflict with an adopted land use plan or zoning
regulations?
2.Will the proposed action result in a change in the use or intensity of use of land?
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
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?
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)?
10.Will the proposed action result in an increase in the potential for erosion, flooding or drainage
problems?
11.Will the proposed action create a hazard to environmental resources or human health?
Page 2 of 2
For every question in Part 2 that was answered “moderate to large impact may occur”, or if there is a need to explain why a
particular element of the proposed action may or will not result in a significant adverse environmental impact, please
complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that
have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency
determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting,
probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-
term, long-term and cumulative impacts.
Check this box if you have determined, based on the information and analysis above, and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required.
Check this box if you have determined, based on the information and analysis above, and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
_________________________________________________ _______________________________________________
Name of Lead Agency Date
_________________________________________________ _______________________________________________
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
_________________________________________________ _______________________________________________
Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from Responsible Officer)
Short Environmental Assessment Form
Part 3 Determination of Significance
Agency Use Only [If applicable]
Project:
Date:
Page 1 of 13
Full Environmental Assessment Form
Part 1 - Project and Setting
Instructions for Completing Part 1
Part 1 is to be completed by the applicant or project sponsor. 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; indicate whether missing information does not exist,
or is not reasonably available to the sponsor; and, when possible, generally describe work or studies which would be necessary to
update or fully develop that information.
Applicants/sponsors must complete all items in Sections A & B. In Sections C, D & E, most items contain an initial question that
must be answered either “Yes” or “No”. If the answer to the initial question is “Yes”, complete the sub-questions that follow. If the
answer to the initial question is “No”, proceed to the next question. Section F allows the project sponsor to identify and attach any
additional information. Section G requires the name and signature of the project sponsor to verify that the information contained in
Part 1is accurate and complete.
A. Project and Sponsor Information.
Name of Action or Project:
Project Location (describe, and attach a general location map):
Brief Description of Proposed Action (include purpose or need):
Name of Applicant/Sponsor: Telephone:
E-Mail:
Address:
City/PO: State: Zip Code:
Project Contact (if not same as sponsor; give name and title/role): Telephone:
E-Mail:
Address:
City/PO:State: Zip Code:
Property Owner (if not same as sponsor): Telephone:
E-Mail:
Address:
City/PO:State: Zip Code:
Page 2 of 13
B. Government Approvals
B. Government Approvals, Funding, or Sponsorship. (“Funding” includes grants, loans, tax relief, and any other forms of financial
assistance.)
Government Entity If Yes: Identify Agency and Approval(s)
Required
Application Date
(Actual or projected)
a.City Council, Town Board, 9 Yes 9 No
or Village Board of Trustees
b.City, Town or Village 9 Yes 9 No
Planning Board or Commission
c.City Council, Town or 9 Yes 9 No
Village Zoning Board of Appeals
d.Other local agencies 9 Yes 9 No
e.County agencies 9 Yes 9 No
f.Regional agencies 9 Yes 9 No
g. State agencies 9 Yes 9 No
h.Federal agencies 9 Yes 9 No
i.Coastal Resources.
i.Is the project site within a Coastal Area, or the waterfront area of a Designated Inland Waterway?9 Yes 9 No
ii.Is the project site located in a community with an approved Local Waterfront Revitalization Program? 9 Yes 9 No
iii.Is the project site within a Coastal Erosion Hazard Area?9 Yes 9 No
C. Planning and Zoning
C.1. Planning and zoning actions.
Will administrative or legislative adoption, or amendment of a plan, local law, ordinance, rule or regulation be the 9 Yes 9 No
only approval(s) which must be granted to enable the proposed action to proceed?
•If Yes, complete sections C, F and G.
•If No, proceed to question C.2 and complete all remaining sections and questions in Part 1
C.2. Adopted land use plans.
a.Do any municipally- adopted (city, town, village or county) comprehensive land use plan(s) include the site 9 Yes 9 No
where the proposed action would be located?
If Yes, does the comprehensive plan include specific recommendations for the site where the proposed action 9 Yes 9 No
would be located?
b.Is the site of the proposed action within any local or regional special planning district (for example: Greenway 9 Yes 9 No
Brownfield Opportunity Area (BOA); designated State or Federal heritage area; watershed management plan;
or other?)
If Yes, identify the plan(s):
_______________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
c.Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, 9 Yes 9 No
or an adopted municipal farmland protection plan?
If Yes, identify the plan(s):
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Page 3 of 13
C.3. Zoning
a.Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. 9 Yes 9 No
If Yes, what is the zoning classification(s) including any applicable overlay district?
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
b.Is the use permitted or allowed by a special or conditional use permit?9 Yes 9 No
c.Is a zoning change requested as part of the proposed action?9 Yes 9 No
If Yes,
i.What is the proposed new zoning for the site? ___________________________________________________________________
C.4. Existing community services.
a.In what school district is the project site located? ________________________________________________________________
b.What police or other public protection forces serve the project site?
_________________________________________________________________________________________________________
c.Which fire protection and emergency medical services serve the project site?
__________________________________________________________________________________________________________
d.What parks serve the project site?
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
D. Project Details
D.1. Proposed and Potential Development
a.What is the general nature of the proposed action (e.g., residential, industrial, commercial, recreational; if mixed, include all
components)?
_________________________________________________________________________________________________________
b. a. Total acreage of the site of the proposed action? _____________ acres
b.Total acreage to be physically disturbed?_____________ acres
c.Total acreage (project site and any contiguous properties) owned
or controlled by the applicant or project sponsor?_____________ acres
c.Is the proposed action an expansion of an existing project or use?9 Yes 9 No
i.If Yes, what is the approximate percentage of the proposed expansion and identify the units (e.g., acres, miles, housing units,
square feet)? % ____________________ Units: ____________________
d.Is the proposed action a subdivision, or does it include a subdivision? 9 Yes 9 No
If Yes,
i.Purpose or type of subdivision? (e.g., residential, industrial, commercial; if mixed, specify types)
________________________________________________________________________________________________________
ii. Is a cluster/conservation layout proposed? 9 Yes 9 No
iii.Number of lots proposed? ________
iv.Minimum and maximum proposed lot sizes? Minimum __________ Maximum __________
e.Will proposed action be constructed in multiple phases?9 Yes 9 No
i.If No, anticipated period of construction: _____ months
ii.If Yes:
•Total number of phases anticipated _____
•Anticipated commencement date of phase 1 (including demolition) _____ month _____ year
•Anticipated completion date of final phase _____ month _____year
•Generally describe connections or relationships among phases, including any contingencies where progress of one phase may
determine timing or duration of future phases: _______________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Page 4 of 13
f.Does the project include new residential uses?9 Yes 9 No
If Yes, show numbers of units proposed.
One Family Two Family Three Family Multiple Family (four or more)
Initial Phase ___________ ___________ ____________ ________________________
At completion
of all phases ___________ ___________ ____________ ________________________
g.Does the proposed action include new non-residential construction (including expansions)? 9 Yes 9 No
If Yes,
i.Total number of structures ___________
ii.Dimensions (in feet) of largest proposed structure: ________height; ________width; and _______ length
iii.Approximate extent of building space to be heated or cooled: ______________________ square feet
h.Does the proposed action include construction or other activities that will result in the impoundment of any 9 Yes 9 No
liquids, such as creation of a water supply, reservoir, pond, lake, waste lagoon or other storage?
If Yes,
i.Purpose of the impoundment: ________________________________________________________________________________
ii.If a water impoundment, the principal source of the water: 9 Ground water 9 Surface water streams 9 Other specify:
_________________________________________________________________________________________________________
iii.If other than water, identify the type of impounded/contained liquids and their source.
_________________________________________________________________________________________________________
iv.Approximate size of the proposed impoundment. Volume: ____________ million gallons; surface area: ____________ acres
v.Dimensions of the proposed dam or impounding structure: ________ height; _______ length
vi.Construction method/materials for the proposed dam or impounding structure (e.g., earth fill, rock, wood, concrete):
________________________________________________________________________________________________________
D.2. Project Operations
a.Does the proposed action include any excavation, mining, or dredging, during construction, operations, or both? 9 Yes 9 No
(Not including general site preparation, grading or installation of utilities or foundations where all excavated
materials will remain onsite)
If Yes:
i .What is the purpose of the excavation or dredging? _______________________________________________________________
ii.How much material (including rock, earth, sediments, etc.) is proposed to be removed from the site?
•Volume (specify tons or cubic yards): ____________________________________________
•Over what duration of time? ____________________________________________________
iii.Describe nature and characteristics of materials to be excavated or dredged, and plans to use, manage or dispose of them.
________________________________________________________________________________________________________
________________________________________________________________________________________________________
iv.Will there be onsite dewatering or processing of excavated materials? 9 Yes 9 No
If yes, describe. ___________________________________________________________________________________________
________________________________________________________________________________________________________
v.What is the total area to be dredged or excavated? _____________________________________acres
vi.What is the maximum area to be worked at any one time? _______________________________ acres
vii.What would be the maximum depth of excavation or dredging? __________________________ feet
viii.Will the excavation require blasting?9 Yes 9 No
ix.Summarize site reclamation goals and plan: _____________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
b.Would the proposed action cause or result in alteration of, increase or decrease in size of, or encroachment 9 Yes 9 No
into any existing wetland, waterbody, shoreline, beach or adjacent area?
If Yes:
i.Identify the wetland or waterbody which would be affected (by name, water index number, wetland map number or geographic
description): ______________________________________________________________________________________________
_________________________________________________________________________________________________________
Page 5 of 13
ii.Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, or
alteration of channels, banks and shorelines. Indicate extent of activities, alterations and additions in square feet or acres:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
iii.Will proposed action cause or result in disturbance to bottom sediments? 9 Yes 9 No
If Yes, describe: __________________________________________________________________________________________
iv.Will proposed action cause or result in the destruction or removal of aquatic vegetation?9 Yes 9 No
If Yes:
•acres of aquatic vegetation proposed to be removed: ___________________________________________________________
•expected acreage of aquatic vegetation remaining after project completion:________________________________________
•purpose of proposed removal (e.g. beach clearing, invasive species control, boat access): ____________________________
____________________________________________________________________________________________________
•proposed method of plant removal: ________________________________________________________________________
•if chemical/herbicide treatment will be used, specify product(s): _________________________________________________
v.Describe any proposed reclamation/mitigation following disturbance: _________________________________________________
_________________________________________________________________________________________________________
c.Will the proposed action use, or create a new demand for water? 9 Yes 9 No
If Yes:
i.Total anticipated water usage/demand per day: __________________________ gallons/day
ii.Will the proposed action obtain water from an existing public water supply? 9 Yes 9 No
If Yes:
•Name of district or service area: _________________________________________________________________________
•Does the existing public water supply have capacity to serve the proposal? 9 Yes 9 No
•Is the project site in the existing district? 9 Yes 9 No
•Is expansion of the district needed? 9 Yes 9 No
•Do existing lines serve the project site? 9 Yes 9 No
iii.Will line extension within an existing district be necessary to supply the project? 9 Yes 9 No
If Yes:
•Describe extensions or capacity expansions proposed to serve this project: ________________________________________
____________________________________________________________________________________________________
•Source(s) of supply for the district: ________________________________________________________________________
iv.Is a new water supply district or service area proposed to be formed to serve the project site? 9 Yes 9 No
If, Yes:
•Applicant/sponsor for new district: ________________________________________________________________________
•Date application submitted or anticipated: __________________________________________________________________
•Proposed source(s) of supply for new district: _______________________________________________________________
v.If a public water supply will not be used, describe plans to provide water supply for the project: ___________________________
_________________________________________________________________________________________________________
vi.If water supply will be from wells (public or private), maximum pumping capacity: _______ gallons/minute.
d. Will the proposed action generate liquid wastes?9 Yes 9 No
If Yes:
i.Total anticipated liquid waste generation per day: _______________ gallons/day
ii.Nature of liquid wastes to be generated (e.g., sanitary wastewater, industrial; if combination, describe all components and
approximate volumes or proportions of each): __________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
iii.Will the proposed action use any existing public wastewater treatment facilities?9 Yes 9 No
If Yes:
•Name of wastewater treatment plant to be used: _____________________________________________________________
•Name of district: ______________________________________________________________________________________
•Does the existing wastewater treatment plant have capacity to serve the project?9 Yes 9 No
• Is the project site in the existing district?9 Yes 9 No
• Is expansion of the district needed?9 Yes 9 No
Page 6 of 13
•Do existing sewer lines serve the project site?9 Yes 9 No
•Will line extension within an existing district be necessary to serve the project?9 Yes 9 No
If Yes:
•Describe extensions or capacity expansions proposed to serve this project: ____________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
iv.Will a new wastewater (sewage) treatment district be formed to serve the project site?9 Yes 9 No
If Yes:
•Applicant/sponsor for new district: ____________________________________________________________________
•Date application submitted or anticipated: _______________________________________________________________
•What is the receiving water for the wastewater discharge? __________________________________________________
v.If public facilities will not be used, describe plans to provide wastewater treatment for the project, including specifying proposed
receiving water (name and classification if surface discharge, or describe subsurface disposal plans):
________________________________________________________________________________________________________
________________________________________________________________________________________________________
vi.Describe any plans or designs to capture, recycle or reuse liquid waste: _______________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
e.Will the proposed action disturb more than one acre and create stormwater runoff, either from new point 9 Yes 9 No
sources (i.e. ditches, pipes, swales, curbs, gutters or other concentrated flows of stormwater) or non-point
source (i.e. sheet flow) during construction or post construction?
If Yes:
i.How much impervious surface will the project create in relation to total size of project parcel?
_____ Square feet or _____ acres (impervious surface)
_____ Square feet or _____ acres (parcel size)
ii.Describe types of new point sources. __________________________________________________________________________
_________________________________________________________________________________________________________
iii.Where will the stormwater runoff be directed (i.e. on-site stormwater management facility/structures, adjacent properties,
groundwater, on-site surface water or off-site surface waters)?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
•If to surface waters, identify receiving water bodies or wetlands: ________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
•Will stormwater runoff flow to adjacent properties?9 Yes 9 No
iv.Does proposed plan minimize impervious surfaces, use pervious materials or collect and re-use stormwater?9 Yes 9 No
f.Does the proposed action include, or will it use on-site, one or more sources of air emissions, including fuel 9 Yes 9 No
combustion, waste incineration, or other processes or operations?
If Yes, identify:
i.Mobile sources during project operations (e.g., heavy equipment, fleet or delivery vehicles)
_________________________________________________________________________________________________________
ii.Stationary sources during construction (e.g., power generation, structural heating, batch plant, crushers)
________________________________________________________________________________________________________
iii.Stationary sources during operations (e.g., process emissions, large boilers, electric generation)
________________________________________________________________________________________________________
g.Will any air emission sources named in D.2.f (above), require a NY State Air Registration, Air Facility Permit,9 Yes 9 No
or Federal Clean Air Act Title IV or Title V Permit?
If Yes:
i.Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet 9 Yes 9 No
ambient air quality standards for all or some parts of the year)
ii.In addition to emissions as calculated in the application, the project will generate:
•___________Tons/year (short tons) of Carbon Dioxide (CO2)
•___________Tons/year (short tons) of Nitrous Oxide (N2O)
•___________Tons/year (short tons) of Perfluorocarbons (PFCs)
•___________Tons/year (short tons) of Sulfur Hexafluoride (SF6)
•___________Tons/year (short tons) of Carbon Dioxide equivalent of Hydroflourocarbons (HFCs)
•___________Tons/year (short tons) of Hazardous Air Pollutants (HAPs)
Page 7 of 13
h.Will the proposed action generate or emit methane (including, but not limited to, sewage treatment plants,9 Yes 9 No
landfills, composting facilities)?
If Yes:
i.Estimate methane generation in tons/year (metric): ________________________________________________________________
ii.Describe any methane capture, control or elimination measures included in project design (e.g., combustion to generate heat or
electricity, flaring): ________________________________________________________________________________________
_________________________________________________________________________________________________________
i.Will the proposed action result in the release of air pollutants from open-air operations or processes, such as 9 Yes 9 No
quarry or landfill operations?
If Yes: Describe operations and nature of emissions (e.g., diesel exhaust, rock particulates/dust):
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial 9 Yes 9 No
new demand for transportation facilities or services?
If Yes:
i.When is the peak traffic expected (Check all that apply): Morning Evening Weekend
Randomly between hours of __________ to ________.
ii.For commercial activities only, projected number of semi-trailer truck trips/day: _______________________
iii.Parking spaces: Existing _____________ Proposed ___________ Net increase/decrease _____________
iv.Does the proposed action include any shared use parking?9 Yes 9 No
v.If the proposed action includes any modification of existing roads, creation of new roads or change in existing access, describe:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
vi.Are public/private transportation service(s) or facilities available within ½ mile of the proposed site?9 Yes 9 No
vii Will the proposed action include access to public transportation or accommodations for use of hybrid, electric 9 Yes 9 No
or other alternative fueled vehicles?
viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing 9 Yes 9 No
pedestrian or bicycle routes?
k.Will the proposed action (for commercial or industrial projects only) generate new or additional demand 9 Yes 9 No
for energy?
If Yes:
i.Estimate annual electricity demand during operation of the proposed action: ____________________________________________
_________________________________________________________________________________________________________
ii.Anticipated sources/suppliers of electricity for the project (e.g., on-site combustion, on-site renewable, via grid/local utility, or
other):
________________________________________________________________________________________________________
iii.Will the proposed action require a new, or an upgrade to, an existing substation?9 Yes 9 No
l.Hours of operation. Answer all items which apply.
i. During Construction:ii.During Operations:
•Monday - Friday: _________________________•Monday - Friday: ____________________________
•Saturday: ________________________________•Saturday: ___________________________________
•Sunday: _________________________________•Sunday: ____________________________________
•Holidays: ________________________________•Holidays: ___________________________________
Page 8 of 13
m.Will the proposed action produce noise that will exceed existing ambient noise levels during construction,9 Yes 9 No
operation, or both?
If yes:
i.Provide details including sources, time of day and duration:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
ii.Will proposed action remove existing natural barriers that could act as a noise barrier or screen?9 Yes 9 No
Describe: _________________________________________________________________________________________________
_________________________________________________________________________________________________________
n.. Will the proposed action have outdoor lighting? 9 Yes 9 No
If yes:
i.Describe source(s), location(s), height of fixture(s), direction/aim, and proximity to nearest occupied structures:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
ii.Will proposed action remove existing natural barriers that could act as a light barrier or screen?9 Yes 9 No
Describe: _________________________________________________________________________________________________
_________________________________________________________________________________________________________
o.Does the proposed action have the potential to produce odors for more than one hour per day?9 Yes 9 No
If Yes, describe possible sources, potential frequency and duration of odor emissions, and proximity to nearest
occupied structures: ______________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
p.9 Yes 9 No Will the proposed action include any bulk storage of petroleum (combined capacity of over 1,100 gallons)
or chemical products 185 gallons in above ground storage or any amount in underground storage?
If Yes:
i.Product(s) to be stored ______________________________________________________________________________________
ii.Volume(s) ______ per unit time ___________ (e.g., month, year)
iii.Generally describe proposed storage facilities: ___________________________________________________________________
________________________________________________________________________________________________________
q.Will the proposed action (commercial, industrial and recreational projects only) use pesticides (i.e., herbicides,9 Yes 9 No
insecticides) during construction or operation?
If Yes:
i.Describe proposed treatment(s):
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
ii.Will the proposed action use Integrated Pest Management Practices?9 Yes 9 No
r.Will the proposed action (commercial or industrial projects only) involve or require the management or disposal 9 Yes 9 No
of solid waste (excluding hazardous materials)?
If Yes:
i.Describe any solid waste(s) to be generated during construction or operation of the facility:
•Construction: ____________________ tons per ________________ (unit of time)
•Operation : ____________________ tons per ________________ (unit of time)
ii.Describe any proposals for on-site minimization, recycling or reuse of materials to avoid disposal as solid waste:
•Construction: ________________________________________________________________________________________
____________________________________________________________________________________________________
•Operation: __________________________________________________________________________________________
____________________________________________________________________________________________________
iii.Proposed disposal methods/facilities for solid waste generated on-site:
•Construction: ________________________________________________________________________________________
____________________________________________________________________________________________________
•Operation: __________________________________________________________________________________________
____________________________________________________________________________________________________
Page 9 of 13
s.Does the proposed action include construction or modification of a solid waste management facility?9 Yes 9 No
If Yes:
i.Type of management or handling of waste proposed for the site (e.g., recycling or transfer station, composting, landfill, or
other disposal activities): ___________________________________________________________________________________
ii.Anticipated rate of disposal/processing:
•________ Tons/month, if transfer or other non-combustion/thermal treatment, or
•________ Tons/hour, if combustion or thermal treatment
iii.If landfill, anticipated site life: ________________________________ years
t.Will proposed action at the site involve the commercial generation, treatment, storage, or disposal of hazardous 9 Yes 9 No
waste?
If Yes:
i.Name(s) of all hazardous wastes or constituents to be generated, handled or managed at facility: ___________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
ii.Generally describe processes or activities involving hazardous wastes or constituents: ___________________________________
_________________________________________________________________________________________________________
________________________________________________________________________________________________________
iii.Specify amount to be handled or generated _____ tons/month
iv.Describe any proposals for on-site minimization, recycling or reuse of hazardous constituents: ____________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
v.Will any hazardous wastes be disposed at an existing offsite hazardous waste facility?9 Yes 9 No
If Yes: provide name and location of facility: _______________________________________________________________________
________________________________________________________________________________________________________
If No: describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
E. Site and Setting of Proposed Action
E.1. Land uses on and surrounding the project site
a.Existing land uses.
i.Check all uses that occur on, adjoining and near the project site.
9 Urban 9 Industrial 9 Commercial 9 Residential (suburban) 9 Rural (non-farm)
9 Forest 9 Agriculture 9 Aquatic 9 Other (specify): ____________________________________
ii.If mix of uses, generally describe:
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
b.Land uses and covertypes on the project site.
Land use or
Covertype
Current
Acreage
Acreage After
Project Completion
Change
(Acres +/-)
•Roads, buildings, and other paved or impervious
surfaces
•Forested
•Meadows, grasslands or brushlands (non-
agricultural, including abandoned agricultural)
•Agricultural
(includes active orchards, field, greenhouse etc.)
•Surface water features
(lakes, ponds, streams, rivers, etc.)
•Wetlands (freshwater or tidal)
•Non-vegetated (bare rock, earth or fill)
•Other
Describe: _______________________________
________________________________________
Page 10 of 13
c.Is the project site presently used by members of the community for public recreation?9 Yes 9 No
i.If Yes: explain: __________________________________________________________________________________________
d.Are there any facilities serving children, the elderly, people with disabilities (e.g., schools, hospitals, licensed 9 Yes 9 No
day care centers, or group homes) within 1500 feet of the project site?
If Yes,
i.Identify Facilities:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
e.Does the project site contain an existing dam?9 Yes 9 No
If Yes:
i.Dimensions of the dam and impoundment:
•Dam height: _________________________________ feet
•Dam length: _________________________________ feet
•Surface area: _________________________________ acres
•Volume impounded: _______________________________ gallons OR acre-feet
ii.Dam=s existing hazard classification: _________________________________________________________________________
iii.Provide date and summarize results of last inspection:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
f.Has the project site ever been used as a municipal, commercial or industrial solid waste management facility,9 Yes 9 No
or does the project site adjoin property which is now, or was at one time, used as a solid waste management facility?
If Yes:
i. Has the facility been formally closed?9 Yes 9 No
•If yes, cite sources/documentation: _______________________________________________________________________
ii.Describe the location of the project site relative to the boundaries of the solid waste management facility:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
iii.Describe any development constraints due to the prior solid waste activities: __________________________________________
_______________________________________________________________________________________________________
g.Have hazardous wastes been generated, treated and/or disposed of at the site, or does the project site adjoin 9 Yes 9 No
property which is now or was at one time used to commercially treat, store and/or dispose of hazardous waste?
If Yes:
i.Describe waste(s) handled and waste management activities, including approximate time when activities occurred:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
h.Potential contamination history. Has there been a reported spill at the proposed project site, or have any 9 Yes 9 No
remedial actions been conducted at or adjacent to the proposed site?
If Yes:
i.Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site 9 Yes 9 No
Remediation database? Check all that apply:
9 Yes – Spills Incidents database Provide DEC ID number(s): ________________________________
9 Yes – Environmental Site Remediation database Provide DEC ID number(s): ________________________________
9 Neither database
ii.If site has been subject of RCRA corrective activities, describe control measures:_______________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
iii.Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database?9 Yes 9 No
If yes, provide DEC ID number(s): ______________________________________________________________________________
iv.If yes to (i), (ii) or (iii) above, describe current status of site(s):
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Page 11 of 13
v.Is the project site subject to an institutional control limiting property uses?9 Yes 9 No
•If yes, DEC site ID number: ____________________________________________________________________________
•Describe the type of institutional control (e.g., deed restriction or easement): ____________________________________
•Describe any use limitations: ___________________________________________________________________________
•Describe any engineering controls: _______________________________________________________________________
•Will the project affect the institutional or engineering controls in place?9 Yes 9 No
•Explain: ____________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
E.2. Natural Resources On or Near Project Site
a.What is the average depth to bedrock on the project site? ________________ feet
b. Are there bedrock outcroppings on the project site?9 Yes 9 No
If Yes, what proportion of the site is comprised of bedrock outcroppings? __________________%
c.Predominant soil type(s) present on project site: ___________________________ __________%
___________________________ __________%
____________________________ __________%
d.What is the average depth to the water table on the project site? Average: _________ feet
e.Drainage status of project site soils: 9 Well Drained:_____% of site
9 Moderately Well Drained: _____% of site
9 Poorly Drained _____% of site
f.Approximate proportion of proposed action site with slopes: 9 0-10%:_____% of site
9 10-15%: _____% of site
9 15% or greater: _____% of site
g.Are there any unique geologic features on the project site?9 Yes 9 No
If Yes, describe: _____________________________________________________________________________________________
________________________________________________________________________________________________________
h.Surface water features.
i.Does any portion of the project site contain wetlands or other waterbodies (including streams, rivers,9 Yes 9 No
ponds or lakes)?
ii.Do any wetlands or other waterbodies adjoin the project site?9 Yes 9 No
If Yes to either i or ii, continue. If No, skip to E.2.i.
iii.Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal,9 Yes 9 No
state or local agency?
iv.For each identified regulated wetland and waterbody on the project site, provide the following information:
•Streams: Name ____________________________________________ Classification _______________________ •Lakes or Ponds: Name ____________________________________________ Classification _______________________•Wetlands: Name ____________________________________________ Approximate Size ___________________ •Wetland No. (if regulated by DEC) _____________________________
v.Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired 9 Yes 9 No
waterbodies?
If yes, name of impaired water body/bodies and basis for listing as impaired: _____________________________________________
___________________________________________________________________________________________________________
i.Is the project site in a designated Floodway?9 Yes 9 No
j.Is the project site in the 100 year Floodplain?9 Yes 9 No
k.Is the project site in the 500 year Floodplain?9 Yes 9 No
l.Is the project site located over, or immediately adjoining, a primary, principal or sole source aquifer?9 Yes 9 No
If Yes:
i.Name of aquifer: _________________________________________________________________________________________
Page 12 of 13
m.Identify the predominant wildlife species that occupy or use the project site: ______________________________
______________________________ _____________________________________________________________
______________________________ _____________________________________________________________
n.Does the project site contain a designated significant natural community?9 Yes 9 No
If Yes:
i.Describe the habitat/community (composition, function, and basis for designation): _____________________________________
________________________________________________________________________________________________________
ii.Source(s) of description or evaluation: ________________________________________________________________________
iii.Extent of community/habitat:
•Currently: ______________________ acres
•Following completion of project as proposed: _____________________ acres
•Gain or loss (indicate + or -): ______________________ acres
o.Does project site contain any species of plant or animal that is listed by the federal government or NYS as 9 Yes 9 No
endangered or threatened, or does it contain any areas identified as habitat for an endangered or threatened species?
p.Does the project site contain any species of plant or animal that is listed by NYS as rare, or as a species of 9 Yes 9 No
special concern?
q.Is the project site or adjoining area currently used for hunting, trapping, fishing or shell fishing?9 Yes 9 No
If yes, give a brief description of how the proposed action may affect that use: ___________________________________________
________________________________________________________________________________________________________
E.3. Designated Public Resources On or Near Project Site
a.Is the project site, or any portion of it, located in a designated agricultural district certified pursuant to 9 Yes 9 No
Agriculture and Markets Law, Article 25-AA, Section 303 and 304?
If Yes, provide county plus district name/number: _________________________________________________________________
b.Are agricultural lands consisting of highly productive soils present?9 Yes 9 No
i.If Yes: acreage(s) on project site? ___________________________________________________________________________
ii.Source(s) of soil rating(s): _________________________________________________________________________________
c.Does the project site contain all or part of, or is it substantially contiguous to, a registered National 9 Yes 9 No
Natural Landmark?
If Yes:
i.Nature of the natural landmark: 9 Biological Community 9 Geological Feature
ii.Provide brief description of landmark, including values behind designation and approximate size/extent: ___________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
d.Is the project site located in or does it adjoin a state listed Critical Environmental Area?9 Yes 9 No
If Yes:
i.CEA name: _____________________________________________________________________________________________
ii.Basis for designation: _____________________________________________________________________________________
iii.Designating agency and date: ______________________________________________________________________________
Page 13 of 13
e.Does the project site contain, or is it substantially contiguous to, a building, archaeological site, or district 9 Yes 9 No
which is listed on, or has been nominated by the NYS Board of Historic Preservation for inclusion on, the
State or National Register of Historic Places?
If Yes:
i.Nature of historic/archaeological resource: 9 Archaeological Site 9 Historic Building or District
ii.Name: _________________________________________________________________________________________________
iii.Brief description of attributes on which listing is based:
_______________________________________________________________________________________________________
f.Is the project site, or any portion of it, located in or adjacent to an area designated as sensitive for 9 Yes 9 No
archaeological sites on the NY State Historic Preservation Office (SHPO) archaeological site inventory?
g.Have additional archaeological or historic site(s) or resources been identified on the project site?9 Yes 9 No
If Yes:
i.Describe possible resource(s): _______________________________________________________________________________
ii.Basis for identification: ___________________________________________________________________________________
h.9 Yes 9 No Is the project site within fives miles of any officially designated and publicly accessible federal, state, or local
scenic or aesthetic resource?
If Yes:
i.Identify resource: _________________________________________________________________________________________
ii.Nature of, or basis for, designation (e.g., established highway overlook, state or local park, state historic trail or scenic byway,
etc.): ___________________________________________________________________________________________________
iii.Distance between project and resource: _____________________ miles.
i.Is the project site located within a designated river corridor under the Wild, Scenic and Recreational Rivers 9 Yes 9 No
Program 6 NYCRR 666?
If Yes:
i.Identify the name of the river and its designation: ________________________________________________________________
ii.Is the activity consistent with development restrictions contained in 6NYCRR Part 666?9 Yes 9 No
F. Additional Information
Attach any additional information which may be needed to clarify your project.
If you have identified any adverse impacts which could be associated with your proposal, please describe those impacts plus any
measures which you propose to avoid or minimize them.
G. Verification
I certify that the information provided is true to the best of my knowledge.
Applicant/Sponsor Name ___________________________________ Date_______________________________________
Signature________________________________________________ Title_______________________________________
Page 1 of 10
Full Environmental Assessment Form
Part 2 - Identification of Potential Project Impacts
Part 2 is to be completed by the lead agency. Part 2 is designed to help the lead agency inventory all potential resources that could
be affected by a proposed project or action. We recognize that the lead agency=s reviewer(s) will not necessarily be environmental
professionals. So, the questions are designed to walk a reviewer through the assessment process by providing a series of questions that
can be answered using the information found in Part 1. To further assist the lead agency in completing Part 2, the form identifies the
most relevant questions in Part 1 that will provide the information needed to answer the Part 2 question. When Part 2 is completed, the
lead agency will have identified the relevant environmental areas that may be impacted by the proposed activity.
If the lead agency is a state agency and the action is in any Coastal Area, complete the Coastal Assessment Form before proceeding
with this assessment.
Tips for completing Part 2:
•Review all of the information provided in Part 1.
•Review any application, maps, supporting materials and the Full EAF Workbook.
•Answer each of the 18 questions in Part 2.
•If you answer “Yes” to a numbered question, please complete all the questions that follow in that section.
•If you answer “No” to a numbered question, move on to the next numbered question.
•Check appropriate column to indicate the anticipated size of the impact.
•Proposed projects that would exceed a numeric threshold contained in a question should result in the reviewing agency
checking the box “Moderate to large impact may occur.”
•The reviewer is not expected to be an expert in environmental analysis.
•If you are not sure or undecided about the size of an impact, it may help to review the sub-questions for the general
question and consult the workbook.
•When answering a question consider all components of the proposed activity, that is, the Awhole action@.
•Consider the possibility for long-term and cumulative impacts as well as direct impacts.
•Answer the question in a reasonable manner considering the scale and context of the project.
1.Impact on Land
Proposed action may involve construction on, or physical alteration of, NO YES
the land surface of the proposed site. (See Part 1. D.1)
If “Yes”, answer questions a - j. If “No”, move on to Section 2.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a.The proposed action may involve construction on land where depth to water table is
less than 3 feet.E2d 9 9
b.The proposed action may involve construction on slopes of 15% or greater.E2f 9 9
c.The proposed action may involve construction on land where bedrock is exposed, or
generally within 5 feet of existing ground surface.
E2a 9 9
d.The proposed action may involve the excavation and removal of more than 1,000 tons
of natural material.
D2a 9 9
e.The proposed action may involve construction that continues for more than one year
or in multiple phases.
D1e 9 9
f.The proposed action may result in increased erosion, whether from physical
disturbance or vegetation removal (including from treatment by herbicides).
D2e, D2q 9 9
g.The proposed action is, or may be, located within a Coastal Erosion hazard area.B1i 9 9
h.Other impacts: _______________________________________________________
___________________________________________________________________
9 9
Agency Use Only [If applicable]
Project :
Date :
Page 2 of 10
2. Impact on Geological Features
The proposed action may result in the modification or destruction of, or inhibit
access to, any unique or unusual land forms on the site (e.g., cliffs, dunes, NO YES
minerals, fossils, caves). (See Part 1. E.2.g)
If “Yes”, answer questions a - c. If “No”, move on to Section 3.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a. Identify the specific land form(s) attached: ________________________________
___________________________________________________________________
E2g 9 9
b. The proposed action may affect or is adjacent to a geological feature listed as a
registered National Natural Landmark.
Specific feature: _____________________________________________________
E3c
9 9
c. Other impacts: ______________________________________________________
___________________________________________________________________
9 9
3. Impacts on Surface Water
The proposed action may affect one or more wetlands or other surface water NO YES
bodies (e.g., streams, rivers, ponds or lakes). (See Part 1. D.2, E.2.h)
If “Yes”, answer questions a - l. If “No”, move on to Section 4.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a. The proposed action may create a new water body. D2b, D1h 9 9
b. The proposed action may result in an increase or decrease of over 10% or more than a
10 acre increase or decrease in the surface area of any body of water.
D2b 9 9
c. The proposed action may involve dredging more than 100 cubic yards of material
from a wetland or water body.
D2a
9 9
d. The proposed action may involve construction within or adjoining a freshwater or
tidal wetland, or in the bed or banks of any other water body.
E2h
9 9
e. The proposed action may create turbidity in a waterbody, either from upland erosion,
runoff or by disturbing bottom sediments.
D2a, D2h
9 9
f. The proposed action may include construction of one or more intake(s) for withdrawal
of water from surface water.
D2c
9 9
g. The proposed action may include construction of one or more outfall(s) for discharge
of wastewater to surface water(s).
D2d
9 9
h. The proposed action may cause soil erosion, or otherwise create a source of
stormwater discharge that may lead to siltation or other degradation of receiving
water bodies.
D2e
9 9
i. The proposed action may affect the water quality of any water bodies within or
downstream of the site of the proposed action.
E2h
9 9
j. The proposed action may involve the application of pesticides or herbicides in or
around any water body.
D2q, E2h
9 9
k. The proposed action may require the construction of new, or expansion of existing,
wastewater treatment facilities.
D1a, D2d
9 9
Page 3 of 10
l.Other impacts: _______________________________________________________
___________________________________________________________________
9 9
4.Impact on groundwater
The proposed action may result in new or additional use of ground water, or NO YES
may have the potential to introduce contaminants to ground water or an aquifer.
(See Part 1. D.2.a, D.2.c, D.2.d, D.2.p, D.2.q, D.2.t)
If “Yes”, answer questions a - h. If “No”, move on to Section 5.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a.The proposed action may require new water supply wells, or create additional demand
on supplies from existing water supply wells.
D2c 9 9
b.Water supply demand from the proposed action may exceed safe and sustainable
withdrawal capacity rate of the local supply or aquifer.
Cite Source: ________________________________________________________
D2c 9 9
c.The proposed action may allow or result in residential uses in areas without water and
sewer services.
D1a, D2c 9 9
d.The proposed action may include or require wastewater discharged to groundwater.D2d, E2l 9 9
e.The proposed action may result in the construction of water supply wells in locations
where groundwater is, or is suspected to be, contaminated.
D2c, E1f,
E1g, E1h
9 9
f.The proposed action may require the bulk storage of petroleum or chemical products
over ground water or an aquifer.
D2p, E2l 9 9
g.The proposed action may involve the commercial application of pesticides within 100
feet of potable drinking water or irrigation sources.
E2h, D2q,
E2l, D2c
9 9
h.Other impacts: ______________________________________________________
__________________________________________________________________
9 9
5.Impact on Flooding
The proposed action may result in development on lands subject to flooding. NO YES
(See Part 1. E.2)
If “Yes”, answer questions a - g. If “No”, move on to Section 6.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a.The proposed action may result in development in a designated floodway.E2i 9 9
b.The proposed action may result in development within a 100 year floodplain.E2j 9 9
c.The proposed action may result in development within a 500 year floodplain.E2k 9 9
d.The proposed action may result in, or require, modification of existing drainage
patterns.
D2b, D2e 9 9
e.The proposed action may change flood water flows that contribute to flooding.D2b, E2i,
E2j, E2k
9 9
f.If there is a dam located on the site of the proposed action, is the dam in need of repair,
or upgrade?
E1e 9 9
Page 4 of 10
g.Other impacts: ______________________________________________________
___________________________________________________________________ 9 9
6.Impacts on Air
The proposed action may include a state regulated air emission source. NO YES
(See Part 1. D.2.f., D,2,h, D.2.g)
If “Yes”, answer questions a - f. If “No”, move on to Section 7.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a.If the proposed action requires federal or state air emission permits, the action may
also emit one or more greenhouse gases at or above the following levels:
i.More than 1000 tons/year of carbon dioxide (CO2)
ii.More than 3.5 tons/year of nitrous oxide (N2O)
iii.More than 1000 tons/year of carbon equivalent of perfluorocarbons (PFCs)
iv.More than .045 tons/year of sulfur hexafluoride (SF6)
v.More than 1000 tons/year of carbon dioxide equivalent of
hydrochloroflourocarbons (HFCs) emissions
vi.43 tons/year or more of methane
D2g
D2g
D2g
D2g
D2g
D2h
9
9
9
9
9
9
9
9
9
9
9
9
b.The proposed action may generate 10 tons/year or more of any one designated
hazardous air pollutant, or 25 tons/year or more of any combination of such hazardous
air pollutants.
D2g 9 9
c.The proposed action may require a state air registration, or may produce an emissions
rate of total contaminants that may exceed 5 lbs. per hour, or may include a heat
source capable of producing more than 10 million BTU=s per hour.
D2f, D2g 9 9
d.The proposed action may reach 50% of any of the thresholds in “a” through “c”,
above.
D2g 9 9
e.The proposed action may result in the combustion or thermal treatment of more than 1
ton of refuse per hour.
D2s 9 9
f.Other impacts: ______________________________________________________
__________________________________________________________________
9 9
7.Impact on Plants and Animals
The proposed action may result in a loss of flora or fauna. (See Part 1. E.2. m.-q.) NO YES
If “Yes”, answer questions a - j. If “No”, move on to Section 8.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a.The proposed action may cause reduction in population or loss of individuals of any
threatened or endangered species, as listed by New York State or the Federal
government, that use the site, or are found on, over, or near the site.
E2o 9 9
b.The proposed action may result in a reduction or degradation of any habitat used by
any rare, threatened or endangered species, as listed by New York State or the federal
government.
E2o 9 9
c.The proposed action may cause reduction in population, or loss of individuals, of any
species of special concern or conservation need, as listed by New York State or the
Federal government, that use the site, or are found on, over, or near the site.
E2p 9 9
d.The proposed action may result in a reduction or degradation of any habitat used by
any species of special concern and conservation need, as listed by New York State or
the Federal government.
E2p 9 9
Page 5 of 10
e. The proposed action may diminish the capacity of a registered National Natural
Landmark to support the biological community it was established to protect.
E3c
9 9
f. The proposed action may result in the removal of, or ground disturbance in, any
portion of a designated significant natural community.
Source: ____________________________________________________________
E2n
9 9
g. The proposed action may substantially interfere with nesting/breeding, foraging, or
over-wintering habitat for the predominant species that occupy or use the project site. E2m
9 9
h. The proposed action requires the conversion of more than 10 acres of forest,
grassland or any other regionally or locally important habitat.
Habitat type & information source: ______________________________________
__________________________________________________________________
E1b
9 9
i. Proposed action (commercial, industrial or recreational projects, only) involves use of
herbicides or pesticides.
D2q
9 9
j. Other impacts: ______________________________________________________
__________________________________________________________________
9 9
8. Impact on Agricultural Resources
The proposed action may impact agricultural resources. (See Part 1. E.3.a. and b.) NO YES
If “Yes”, answer questions a - h. If “No”, move on to Section 9.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a. The proposed action may impact soil classified within soil group 1 through 4 of the
NYS Land Classification System.
E2c, E3b 9 9
b. The proposed action may sever, cross or otherwise limit access to agricultural land
(includes cropland, hayfields, pasture, vineyard, orchard, etc).
E1a, Elb
9 9
c. The proposed action may result in the excavation or compaction of the soil profile of
active agricultural land.
E3b
9 9
d. The proposed action may irreversibly convert agricultural land to non-agricultural
uses, either more than 2.5 acres if located in an Agricultural District, or more than 10
acres if not within an Agricultural District.
E1b, E3a
9 9
e. The proposed action may disrupt or prevent installation of an agricultural land
management system.
El a, E1b
9 9
f. The proposed action may result, directly or indirectly, in increased development
potential or pressure on farmland.
C2c, C3,
D2c, D2d
9 9
g. The proposed project is not consistent with the adopted municipal Farmland
Protection Plan.
C2c
9 9
h. Other impacts: ________________________________________________________
9 9
Page 6 of 10
9. Impact on Aesthetic Resources
The land use of the proposed action are obviously different from, or are in NO YES
sharp contrast to, current land use patterns between the proposed project and
a scenic or aesthetic resource. (Part 1. E.1.a, E.1.b, E.3.h.)
If “Yes”, answer questions a - g. If “No”, go to Section 10.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a. Proposed action may be visible from any officially designated federal, state, or local
scenic or aesthetic resource.
E3h
9 9
b. The proposed action may result in the obstruction, elimination or significant
screening of one or more officially designated scenic views.
E3h, C2b
9 9
c. The proposed action may be visible from publicly accessible vantage points:
i. Seasonally (e.g., screened by summer foliage, but visible during other seasons)
ii. Year round
E3h
9
9
9
9
d. The situation or activity in which viewers are engaged while viewing the proposed
action is:
i. Routine travel by residents, including travel to and from work
ii. Recreational or tourism based activities
E3h
E2q,
E1c
9
9
9
9
e. The proposed action may cause a diminishment of the public enjoyment and
appreciation of the designated aesthetic resource.
E3h
9 9
f. There are similar projects visible within the following distance of the proposed
project:
0-1/2 mile
½ -3 mile
3-5 mile
5+ mile
D1a, E1a,
D1f, D1g
9 9
g. Other impacts: ______________________________________________________
__________________________________________________________________
9 9
10. Impact on Historic and Archeological Resources
The proposed action may occur in or adjacent to a historic or archaeological NO YES
resource. (Part 1. E.3.e, f. and g.)
If “Yes”, answer questions a - e. If “No”, go to Section 11.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a. The proposed action may occur wholly or partially within, or substantially contiguous
to, any buildings, archaeological site or district which is listed on or has been
nominated by the NYS Board of Historic Preservation for inclusion on the State or
National Register of Historic Places.
E3e
9 9
b. The proposed action may occur wholly or partially within, or substantially contiguous
to, an area designated as sensitive for archaeological sites on the NY State Historic
Preservation Office (SHPO) archaeological site inventory.
E3f 9 9
c. The proposed action may occur wholly or partially within, or substantially contiguous
to, an archaeological site not included on the NY SHPO inventory.
Source: ____________________________________________________________
E3g
9 9
Page 7 of 10
d.Other impacts: ______________________________________________________
__________________________________________________________________
9 9
e.If any of the above (a-d) are answered “Yes”, continue with the following questions
to help support conclusions in Part 3:
i.The proposed action may result in the destruction or alteration of all or part
of the site or property.
ii.The proposed action may result in the alteration of the property’s setting or
integrity.
iii.The proposed action may result in the introduction of visual elements which
are out of character with the site or property, or may alter its setting.
E3e, E3g,
E3f
E3e, E3f,
E3g, E1a,
E1b
E3e, E3f,
E3g, E3h,
C2, C3
9
9
9
9
9
9
11.Impact on Open Space and Recreation
The proposed action may result in a loss of recreational opportunities or a NO YES
reduction of an open space resource as designated in any adopted
municipal open space plan.
(See Part 1. C.2.c, E.1.c., E.2.q.)
If “Yes”, answer questions a - e. If “No”, go to Section 12.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a.The proposed action may result in an impairment of natural functions, or “ecosystem
services”, provided by an undeveloped area, including but not limited to stormwater
storage, nutrient cycling, wildlife habitat.
D2e, E1b
E2h,
E2m, E2o,
E2n, E2p
9 9
b.The proposed action may result in the loss of a current or future recreational resource.C2a, E1c,
C2c, E2q
9 9
c.The proposed action may eliminate open space or recreational resource in an area
with few such resources.
C2a, C2c
E1c, E2q
9 9
d.The proposed action may result in loss of an area now used informally by the
community as an open space resource.
C2c, E1c 9 9
e.Other impacts: _____________________________________________________
_________________________________________________________________
9 9
12.Impact on Critical Environmental Areas
The proposed action may be located within or adjacent to a critical NO YES
environmental area (CEA). (See Part 1. E.3.d)
If “Yes”, answer questions a - c. If “No”, go to Section 13.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a.The proposed action may result in a reduction in the quantity of the resource or
characteristic which was the basis for designation of the CEA.
E3d 9 9
b.The proposed action may result in a reduction in the quality of the resource or
characteristic which was the basis for designation of the CEA.
E3d 9 9
c.Other impacts: ______________________________________________________
__________________________________________________________________
9 9
Page 8 of 10
13.Impact on Transportation
The proposed action may result in a change to existing transportation systems. NO YES
(See Part 1. D.2.j)
If “Yes”, answer questions a - g. If “No”, go to Section 14.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a.Projected traffic increase may exceed capacity of existing road network.D2j 9 9
b.The proposed action may result in the construction of paved parking area for 500 or
more vehicles.
D2j 9 9
c.The proposed action will degrade existing transit access.D2j 9 9
d.The proposed action will degrade existing pedestrian or bicycle accommodations.D2j 9 9
e.The proposed action may alter the present pattern of movement of people or goods.D2j 9 9
f.Other impacts: ______________________________________________________
__________________________________________________________________
9 9
14.Impact on Energy
The proposed action may cause an increase in the use of any form of energy. NO YES
(See Part 1. D.2.k)
If “Yes”, answer questions a - e. If “No”, go to Section 15.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a.The proposed action will require a new, or an upgrade to an existing, substation.D2k 9 9
b.The proposed action will require the creation or extension of an energy transmission
or supply system to serve more than 50 single or two-family residences or to serve a
commercial or industrial use.
D1f,
D1q, D2k
9 9
c.The proposed action may utilize more than 2,500 MWhrs per year of electricity.D2k 9 9
d.The proposed action may involve heating and/or cooling of more than 100,000 square
feet of building area when completed.
D1g 9 9
e.Other Impacts: ________________________________________________________
____________________________________________________________________
15.Impact on Noise, Odor, and Light
The proposed action may result in an increase in noise, odors, or outdoor lighting. NO YES
(See Part 1. D.2.m., n., and o.)
If “Yes”, answer questions a - f. If “No”, go to Section 16.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a.The proposed action may produce sound above noise levels established by local
regulation.
D2m 9 9
b.The proposed action may result in blasting within 1,500 feet of any residence,
hospital, school, licensed day care center, or nursing home.
D2m, E1d 9 9
c.The proposed action may result in routine odors for more than one hour per day.D2o 9 9
Page 9 of 10
d.The proposed action may result in light shining onto adjoining properties.D2n 9 9
e.The proposed action may result in lighting creating sky-glow brighter than existing
area conditions.
D2n, E1a 9 9
f.Other impacts: ______________________________________________________
__________________________________________________________________
9 9
16.Impact on Human Health
The proposed action may have an impact on human health from exposure NO YES
to new or existing sources of contaminants. (See Part 1.D.2.q., E.1. d. f. g. and h.)
If “Yes”, answer questions a - m. If “No”, go to Section 17.
Relevant
Part I
Question(s)
No,or
small
impact
may cccur
Moderate
to large
impact may
occur
a.The proposed action is located within 1500 feet of a school, hospital, licensed day
care center, group home, nursing home or retirement community.
E1d 9 9
b.The site of the proposed action is currently undergoing remediation.E1g, E1h 9 9
c.There is a completed emergency spill remediation, or a completed environmental site
remediation on, or adjacent to, the site of the proposed action.
E1g, E1h 9 9
d.The site of the action is subject to an institutional control limiting the use of the
property (e.g., easement or deed restriction).
E1g, E1h 9 9
e.The proposed action may affect institutional control measures that were put in place
to ensure that the site remains protective of the environment and human health.
E1g, E1h 9 9
f.The proposed action has adequate control measures in place to ensure that future
generation, treatment and/or disposal of hazardous wastes will be protective of the
environment and human health.
D2t 9 9
g.The proposed action involves construction or modification of a solid waste
management facility.
D2q, E1f 9 9
h.The proposed action may result in the unearthing of solid or hazardous waste.D2q, E1f 9 9
i.The proposed action may result in an increase in the rate of disposal, or processing, of
solid waste.
D2r, D2s 9 9
j.The proposed action may result in excavation or other disturbance within 2000 feet of
a site used for the disposal of solid or hazardous waste.
E1f, E1g
E1h
9 9
k.The proposed action may result in the migration of explosive gases from a landfill
site to adjacent off site structures.
E1f, E1g 9 9
l.The proposed action may result in the release of contaminated leachate from the
project site.
D2s, E1f,
D2r
9 9
m.Other impacts: ______________________________________________________
__________________________________________________________________
Page 10 of 10
17. Consistency with Community Plans
The proposed action is not consistent with adopted land use plans. NO YES
(See Part 1. C.1, C.2. and C.3.)
If “Yes”, answer questions a - h. If “No”, go to Section 18.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a. The proposed action’s land use components may be different from, or in sharp
contrast to, current surrounding land use pattern(s).
C2, C3, D1a
E1a, E1b
9 9
b. The proposed action will cause the permanent population of the city, town or village
in which the project is located to grow by more than 5%.
C2 9 9
c. The proposed action is inconsistent with local land use plans or zoning regulations. C2, C2, C3 9 9
d. The proposed action is inconsistent with any County plans, or other regional land use
plans.
C2, C2 9 9
e. The proposed action may cause a change in the density of development that is not
supported by existing infrastructure or is distant from existing infrastructure.
C3, D1c,
D1d, D1f,
D1d, Elb
9 9
f. The proposed action is located in an area characterized by low density development
that will require new or expanded public infrastructure.
C4, D2c, D2d
D2j
9 9
g. The proposed action may induce secondary development impacts (e.g., residential or
commercial development not included in the proposed action)
C2a 9 9
h. Other: _____________________________________________________________
__________________________________________________________________
9 9
18. Consistency with Community Character
The proposed project is inconsistent with the existing community character. NO YES
(See Part 1. C.2, C.3, D.2, E.3)
If “Yes”, answer questions a - g. If “No”, proceed to Part 3.
Relevant
Part I
Question(s)
No, or
small
impact
may occur
Moderate
to large
impact may
occur
a. The proposed action may replace or eliminate existing facilities, structures, or areas
of historic importance to the community.
E3e, E3f, E3g 9 9
b. The proposed action may create a demand for additional community services (e.g.
schools, police and fire)
C4 9 9
c. The proposed action may displace affordable or low-income housing in an area where
there is a shortage of such housing.
C2, C3, D1f
D1g, E1a
9 9
d. The proposed action may interfere with the use or enjoyment of officially recognized
or designated public resources.
C2, E3 9 9
e. The proposed action is inconsistent with the predominant architectural scale and
character.
C2, C3 9 9
f. Proposed action is inconsistent with the character of the existing natural landscape. C2, C3
E1a, E1b
E2g, E2h
9 9
g. Other impacts: ______________________________________________________
__________________________________________________________________
9 9
Full Environmental Assessment Form
Part 3 - Evaluation of the Magnitude and Importance of Project Impacts
and
Determination of Significance
Part 3 provides the reasons in support of the determination of significance. The lead agency must complete Part 3 for every question
in Part 2 where the impact has been identified as potentially moderate to large or where there is a need to explain why a particular
element of the proposed action will not, or may, result in a significant adverse environmental impact.
Based on the analysis in Part 3, the lead agency must decide whether to require an environmental impact statement to further assess
the proposed action or whether available information is sufficient for the lead agency to conclude that the proposed action will not
have a significant adverse environmental impact. By completing the certification on the next page, the lead agency can complete its
determination of significance.
Reasons Supporting This Determination:
To complete this section:
•Identify the impact based on the Part 2 responses and describe its magnitude. Magnitude considers factors such as severity,
size or extent of an impact.
•Assess the importance of the impact. Importance relates to the geographic scope, duration, probability of the impact
occurring, number of people affected by the impact and any additional environmental consequences if the impact were to
occur.
•The assessment should take into consideration any design element or project changes.
•Repeat this process for each Part 2 question where the impact has been identified as potentially moderate to large or where
there is a need to explain why a particular element of the proposed action will not, or may, result in a significant adverse
environmental impact.
•Provide the reason(s) why the impact may, or will not, result in a significant adverse environmental impact
•For Conditional Negative Declarations identify the specific condition(s) imposed that will modify the proposed action so that
no significant adverse environmental impacts will result.
•Attach additional sheets, as needed.
Determination of Significance - Type 1 and Unlisted Actions
SEQR Status: Type 1 Unlisted
Identify portions of EAF completed for this Project: Part 1 Part 2 Part 3
Agency Use Only [IfApplicable]
Project :
Date :
Upon review of the information recorded on this EAF, as noted, plus this additional support information
and considering both the magnitude and importance of each identified potential impact, it is the conclusion of the
as lead agency that:
A. This project will result in no significant adverse impacts on the environment, and, therefore, an environmental impact
statement need not be prepared. Accordingly, this negative declaration is issued.
B. Although this project could have a significant adverse impact on the environment, that impact will be avoided or
substantially mitigated because of the following conditions which will be required by the lead agency:
There will, therefore, be no significant adverse impacts from the project as conditioned, and, therefore, this conditioned negative
declaration is issued. A conditioned negative declaration may be used only for UNLISTED actions (see 6 NYCRR 617.d).
C. This Project may result in one or more significant adverse impacts on the environment, and an environmental impact
statement must be prepared to further assess the impact(s) and possible mitigation and to explore alternatives to avoid or reduce those
impacts. Accordingly, this positive declaration is issued.
Name of Action:
Name of Lead Agency:
Name of Responsible Officer in Lead Agency:
Title of Responsible Officer:
Signature of Responsible Officer in Lead Agency: Date:
Signature of Preparer (if different from Responsible Officer) Date:
For Further Information:
Contact Person:
Address:
Telephone Number:
E-mail:
For Type 1 Actions and Conditioned Negative Declarations, a copy of this Notice is sent to:
Chief Executive Officer of the political subdivision in which the action will be principally located (e.g., Town / City / Village of)
Other involved agencies (if any)
Applicant (if any)
Environmental Notice Bulletin: http://www.dec.ny.gov/enb/enb.html
Page 2 of 2