HomeMy WebLinkAbout07-26-2021 SEQAR FORM Part 2Agency Use 003�, [If applicable]
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Date-
Short Eit),ii�oititteiitalAsvessiiteyit Form
Part 2 - Impact Assessinent
Part 2 is to be completed by the Lead Agenc-,.
Answer all of the following questions in Part 2 using the infon-nation contained in Part I 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 Moderate
Small
to targe
impact
impact
may
may
occur
occur
1.
Will the proposed action create a material conflict -,vith 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?
2/
F1
3.
Will the proposed action in4)air the character or quality of the existing community?
Z-
E
4.
Will the proposed action have an impact on the environmental characteristics that caused the
establishment of a Critical Environniental Area (CFA)?
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 -,valkway?
6.
Wil I the proposed action cause an increase in the use of energy and it fails to incorporate
reasonably available energy conservation or renewable energy oppoiftinities?
7,
Will the proposed action impact existing:
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a. public; private water supplies?
b. public /private wastewater treatment utilities?
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R.
Will the proposed action impair the character or quality of important historic, archaeological,
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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 fanna)?
10.
Will the proposed action result in at increase in the potential for erosion, flooding or drainage
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problems*-.,
11,
Will the proposed action create a hazard to environmental resources or human health?
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Agency Use Only [ff applicable]
Project:Cd�tr 1
Date:rJtt4JV 161 )-611
Short Environmental Assessment Form
Part 3 ,determination of Significance
PFor every question in Part 2 that xt-as answered "moderate to large impact may occur", or if there .is a need to explain Nvby a
particular clement 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 howthe lead agency
determined that the utxpact 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 shorn
term. Ion- tertu and cumulative impacts.
Check this box if you have determined, based on the infornkktion and analysis above, and any supporting documentation,
that the proposed action may result in one or more potentially large or si-gnificant adversee impacts =San
/ cnNrironntental impact statement is required.
Check this box if you have del ermined, based on the information and analysis above; and any supporting docuniewation,
IIL.T.. iii ttI at the propos/e�dNayc�tio(nn Will tLgI T rre�sullt`bin any si mifiicant adverse
` enviirpoarnpe�ntal impacts. �%
V 1r5 iI POOlil) 1t IllOdr1..� �/WtW )-FOOL
'game of 1., l Agency bate
rnV) O' ha w
Print o • 17e e ot Re onst Offi .er in Lead Agency Tit e esp tsi Officer
Si r o Res onsib e Officer in Lead Agency 5ig11a11 ofPreparer (i.t'differem from Responsible Officer)
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PRIVY FORM � page 2 oft