HomeMy WebLinkAbout06-28-2021 SEQR Negative Declaration-SmithN`rD Agency Use Only 11f applicable]
Project:
Date:
Short Environmental Assessment Forni
Part 2 - ImpactAssessinent
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 I and other materials submitted by
the priject sponsor of otherwise available to the reviewer. When ansNvering the questions the reviewer should be guided by
the concept "Have my responses been reasonable considering the scale and context of the proposed action?"'
PR[NT FORM I Page I oft
No. or
Moderate
small
to large
impact
impact,
may
may
occur
occur
1. Will the proposed action create a material conflict with an adopted land use plan of zoning
r,771
El
regulations?
LIni
2. Will the proposed action result in a change in the use or intensity of use of land?
(�(
LAJ
El
3. Will the proposed action iinlaair the character or quality of the existing community?
0
4. Will the proposed action have an impact on the environmental characteristics that caused the
establishment of a Critical Ew6ronrnerital Area (CF -A)"
5. Will the proposed action TCSI.Ilt in all adverse change in the existing level of traffic or
infrastructure for
affect existing triass 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?
L11 -hi
7- Will the proposed action impact existing:
a. public / private water supplies?
b, PUbk / private wastewater treatment utilities?
8. Will the proposed action iirpair the character or quality of important historic, archaeological,
F�,-;j
1^1
architectural or aesthetic resources?
i
1
9, Will the proposed action result in an adverse ebange to natural resources (e.g., wetlands.
waterbodies. flora fauna)?
r—, --I
&J
groundwater, air quality, and
10. Will the proposed action result in an increase in the potential for erosion. flooding or drainage
rVI
E��
El
problems?
IL Will the proposed acTiou create a hazard CO environmental resources or human health?
PR[NT FORM I Page I oft
Agency Use Only [If applicable]
Pro.jedl
Date; I
Short Environmental Assessment Form
Part 3 Determination of Significance
For every question in Part 2 that was ansm cred "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. Pail 3 should also explain bo -w the lead agency
determined that the impact may orwill not be significant. Each potential impact should be assessed considering its setting,
probability of occurring, duration, irreversibility., geographic scope and magnitude. Also coi.i si der the potential for short-
term, long-term and cumulative impacts.
Cl
Check this box if you have determined, based on the information and analysis above, and any supporting documentation,
that
supporting
the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required,
F-.�, Check this box if you have deter pined, based on the information and analysis ;above, and any supportingdocumentation.,
L^j t at the poroUose action will n result in any significant g i cant ad verse en vironmenta I imp acts.
JLO
L/ 'game of Le aJ Agency Date
Print or e of R onsiL* fffiler in Lead Agency e of P, V-1-p0n, ibl- Icer'
, "ff, C
e 1 4 - 1; -%rer (if different from Respons.-ible Officer)
r S ble ffic- in Lead Agency Sign,,wir of Prel
V4
EPRINT FORM Page 2 oft