HomeMy WebLinkAbout08-23-2021 Negative Declaration SEQR- KlessigAgency Use 0111yoff a �licablej
Shavt Form
Part Z is to be completed by the lead Agenc-.
Answer all of the following questions iia Pari' using the hifonuation contained hi fart ! and other materials submitted by
the project sponsor or othei-wise available to the reviewer, When auswering the questions the reviewer should be guided by
the concept "Hage my responses leen reasonal)le. considering the scale and context of the proposed action'?"
No. or Moderate
small
to 12roe
impact
impact,
may
May
occur
occur
1.
Will theproposed action Create a material conflict with an adopted land use plan or Zoialug
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I
regulations?
it
''
Will the proposed action result. in a change in the use or intensity of use of land?
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Will the proposed action inll)air the character or quality of the existing comtnmDiT?
4_
Will the proposed action have an 'impact on tete en-,ironmental characteristics that caused die
establishment of a Critical Area. (CEA)?
I S.
A-Vill the proposed action result in an adverse change in the existing level of traff c or
affect existing infrastructure for mass transit, biking or -,},alk-,,'ay?
6.
Will the proposed action c wLse an increase in the use of enet t°5 and it fails to incorporate
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reasonably available energy conservation orren.ewable energy opportunities?
7.
Will the proposed action impact existintM:
t
a. pubtic i pi�vatc water supplies?
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b. public 1 priv= wastevuter treatment utilities?�
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I_ 1
R.
Will the proposed action impair the character or quality of in>l>ortant historic, archaeological.
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4
architectural or aesthetic resources?
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c}.
Will the proposed action result in an adverse chane to natural resources (e -.g.. -wetlands,
wat:erbodles, groundwater, air quali(y, flora and fauna)?
10.
`Pill the proposed action result in an increase in the potential for erosion, flooding or drainage
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Problems?
1
11.
Will the proposed action create a hazard to environ.memal resources oi- human health?
PRA T FORM I Page I of 2
Age. r Use Only [If
applicable] _
Date,-
Short
ate;
Sh rt Envirarrrrrerrtal Assessment Form
Part 3 determination of Significance
For tveq question in fart 2 that tvas answered "moderate to large impact may occur", or if tbore is a treed to explain wliy a
Particular element of the proposed action may or will not result its a significant ads. ease ern irontrtental impact, please
complete Part 3. Part 3 should; in sufficient detail, identiA7 the impact, hicludvig 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 oecun-ing, duration, i.n•eversibility. geographic scopc and magnitude. Also consider the potential for short-
term, long-tertn and cumulative impacts,
Check this box if you have determined. based on the inforntiltion and analysis above, and any sul)porting docamentation,
that thee proposed action may result irr one or more potentially large or significard adverse impacts and all
environmental in -Tact statement is required.
Check this box if you have deiern ined, Lased ort the infornlat.iczn and analysis above. and any, supportin} documentation,
that the proposed action will not rest}lt in any significant adverse environmental impacts. �J�r,,,�r� )
PB067-r-d �t , �#3 c: � /
Nla-me of lead Agen -y liate
,1
prirx TzI)e rre expo le C fi cer in Lead Agency- Title o Rex nsible Office.],
r of Resportsib e Cifil er ilt Lead ALency Signature of Prep'arer( 1 different from Reshotts ible Officer) {
FP S T FORM I Pate 2 of 2