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HomeMy WebLinkAboutApplication section 7617,20
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FORM
Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may
be significant. The question of whether an action may be significant is not always easy to answer. Frequently, there are aspects of
a project that are subjective or -unmeasurable. It is also understood that those who determine significance may have, little or no formal
knowledge of the environment or may not be technically expert in environmental analysis. in addition, marry who have knowledge
in one particular area may not be- aware of the broader concerns affecting the question of •significance.
The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process
has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action.
Full EAF Components: The full EAF is comprised of three parts:
Part 1: Provides objective data and information about`a given project and its site. By identifying basic project data, it assists
a reviewer in the analysis"that takes place in Parts 2 and 3.
Part 2: Focuses on identifying the range of possible impacts that may occur from a projector action. It provides guidance
as to whether an impact is likely to be considered small to moderate or whether it is a potentially -large impact. The
form also identifies whether an impact can be mitigated or reduced.
Part 3: If any impact in Part 2 is identified as potentially -large, then Part 3 is used to evaluate whether or not the impact is
actually important.
THIS AREA FOR LEAD AGENCY USE ONLY
DETERMINATION OF SiGNIMANCE --Type 1 and Unlisted Actions
identify the Portions of EAE completed for this project: 0 Part 1 ElPart 2 E]Part 3
Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and
considering both the -magnitude and importance of each impact, it is reasonably determined by the lead agency that:-
ElA. The project will not result in any large and important impact(s) and, therefore, is one which will not have a
significant impact on the environment, therefore a negative declaration will be prepared.
B. Although the project could have a significant effect on the environment, there will not -be a significant effect
for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore
a CONDITIONED negative declaration will be prepared.*
ElC. The project may result in one or more large and important impacts that may have a significant impact on the
environment, therefore a positive declaration will be prepared.
*A Conditioned Negative Declaration is only valid for Unlisted Actions
Name of Action
Name of mead Agency
Print or Type Name of Responsible Officer in Lead Agency Title of Resppnsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) -
website Date
Page 1 of 21
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PART 1 --PROJECT INFORMATION, -
Prepared by Project Sponsor r4
NOTICE- This document is designed to assist in determining whether the action proposed may have a significant effect on the
environment_ Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the
application for approval and maybe subject to further verification and public review. Provide any additional information you believe_
will be needed to complete Parts 2 and 3- _
It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies,
research or investigation_ If information requiring such additional work is unavailable, so indicate and specify each instance.
Name of Action Black Oak Wind Farm
Location of Action (include Street Address, -Municipality and County)
Black Oak Rd, Enfield NY
Name of Applicant/Sponsor Enfield Energy LLC
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Page 2 of 2.1
a
Please Complete Each Question --Indicate N.A. if not applicable
A. SITE DESCRIPTION
Physical setting of overall project, both developed and undeveloped areas.
1. Present Land Use: E]Urban El industrial 1:1 Commercial
EIResidential (suburban)
f 1 Rural {non-farm)
E forest IZI Agriculture E Other
2. Total acreage of project area: 925 acres.
APPROXIMATE ACREAGE
PRESENTLY
AFTER COMPLETION
Meadow or Brushland (Non-agricultural)
121,6 acres
140 acres
Forested
701.8 acres
_ 670 acres
Agricultural (Includes orchards, cropland, pasture, etc.)
69.7 acres
60 acres
Wetland (Freshwater or tidal as per Articles 24,25 of ECL)
9 acres
9 "acres
Water Surface Area
4.2 acres
4.2 acres
Unvegetated (Rock, earth or fill)
8.2 acres
8.2 acres
Roads, buildings and other paved surfaces
10.5 acres
11.8 acres
Other (Indicate type)"
acres
acres
3. What is predominant soil type(s) on project site?
a. Soil drainage: Well drained 45 % of site ✓ Moderately well drained 45 % of
site.
ElPoorly drained 10 % of site
b. if any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land
Classification System? 0 acres (see 1 NYCRR 370).
_
Yes No
4. Are there bedrock outcroppings on project site?LE El
a. What is depth to bedrock 0-20 (in feet)
5. Approximate percentage of proposed. project site with slopes:
✓©0-10% 55 % 010-15% 30% ✓ 15% or greater 15 %
6. Is project substantlall contiguous to, or contain,a building, site, or district, listed on the State or National Registers of
17-7
Historic Places? Li •r Yes t±i No
7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? Yes No
8. What is the depth of the water table? 20 (in feet)
g. Is site located over a primary: principal, or sole source aquifer? Yes No
10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? 0 Yes No
Page 3 of 21
17. Is the site served by existing public utilities? Yes E No
a. If YES, does sufficient capacity exist to allow connection? R Yes E]No
b. If YES, will improvements be necessary to allow connection? Yes No
® Agriculture and Markets Law, Article 25 -AA, Section'303 and
18. Ps the site located in an agricultural district, pursuant to A nculture
304. ■ Yes No
19. Is the site located in or substantfall contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL;
and 6 NYCRR 617? Yes No
20. 'Has the site ever been used for the disposal of solid or hazardous wastes? Yes No
B. Project Description
1. Physical dimensions and scale of project (fill in dimensions as appropriate). .
a. Total contiguous acreage owned or controlled by project sponsor: 176 acres.
b. Project acreage to be developed: acres initially; 50 acres ultimately.
c. Project acreage to remain undeveloped: 875 acres.
d. Length of project, in miles: (if appropriate)
e. if the project is an expansion, indicate percent of expansion proposed.
f. Number of off-street parking spaces existing proposed
g. Maximum vehicular trips generated per hour: (upon completion of project)?
h. If residential: Number and type of housing units:
One Family Two Family Multiple Family Condominium
Initially
Ultimately
i. dimensions (in feet) of largest proposed structure: height; width; length.
j. Linear feet of frontage along a public thoroughfare project will occupy is? ft.
2. Haw much natural material (.e. rock, earth, etc.) will ;be removed from the site? 0 tons/cubic yards.
3. Will disturbed areas be reclaimed Yes No N/A
a. If yes, for what intended purpose is the site being reclaimed?
To return to as natural as possible, to be maintained as grassland and brushland
b. Will topsoil be stockpiled for reclamation? Yes ONO
c. Will upper subsoil be stockpiled for reclamation? Yes No
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? 11 acres.
Page 5of21
5. Will any mature forest (over 100 years old) or other locally -important vegetation be removed by this project?
Yes ril No
6. If single phase project: Anticipated period of construction: 9 months, (including demolition)
7. If multi -phased:
a. Total number of phases anticipated (number)
b. Anticipated date of commencement phase 1: month year, (including demolition)
c. Approximate completion date of final phase: month year.
d. Is phase 1 functionally dependent on subsequent phases? E Yes E]No
8. Will blasting occur during construction? El Yes No
9. Number of jobs generated: during construction 100+ after project is complete 1-4 FTE
10. Number of jobs eliminated by this project 0
11. Will project require- relocation of any projects or facilities? E]Yes H1 No
If yes, explain:
12. Is surface liquid waste disposal involved? E]Yes No
a. If yes, indicate type of waste (sewage, industrial, etc) and amount
b. Name of water body into which effluent will be discharged
13. Is subsurface liquid waste disposal involved? M Yes No Type
14. Will surface area of an existing water body increase or decrease by proposal? E]Yes El No
If yes, explain:
15. Is project or any portion of project located in a 100 year flood plain? Yes No
16. Will the project generate solid waste? E]Yes M No
a. If yes, what is the amount per month? -tons
b. If yes, will an existing solid waste facility be used? 171 Yes No
c. If yes, give name location
d. Will any wastes not go into a sewage disposal system. or into a sanitary landfill? DYes
No
e. if yes, explain:
17. Will the project involve the disposal of solid waste? LJ Yes No
a. if yes, what is the anticipated rate of disposal? tons/month.
b. If yes, what is the anticipated site life? years.
18. Will project use herbicides or pesticides? Yes E No
19. Will project routinely produce odors (more than one hour per day)? Yes No,
20. Will project produce operating noise exceeding the local ambient noise levels? Yes L.JNo
21. Will project result in an increase in energy use? E]Yes [i] No
If yes, indicate type(s)
r
22. If water supply is from wells, indicate pumping capacity gallons/minute.
23. Total anticipated water usage per day 0 gallons/day.
24. Does project involve Local, State or Federal funding? Yes MNo
If yes, explain:
_ _ _ . __ .... _ _ ,. _.:.......:.. .._ ... ._ ...._.....
possibility of federal and state incentives for renewable energy development.
Page 7 of 21
25. Approvals Required:
Type Submittal Date
town board
City, Town, Village Board. Yes D No
City, Town, Village Planning Board Lj Yes No
City, Town Zoning Board Yes El No
City, County Health Department LJ Yes No
Other Local Agencies Yes No
Tompkins County Planning
Other Regional Agencies Yes ElNo
DEC
State Agencies E Yes E No
Federal Agencies Yes No
C. Zoning and Planning Information
1. Does proposed action involve a planning or zoning decision? EYes No
If Yes, indicate decision required:
ElZoning amendment Zoning variance Lj New/revision of master pian Subdivision
LIJ
Site plan use Special permit Resource management plan Other
� S p
Page 8 of 21
g, Is the proposed action compatible with adjoining/surrounding land uses with a '/4 mile? €. —. a Yes
9.' If the proposed action is the subdivision of land, now many lots are proposed?
a. What is the minimum lot size proposed"?
Page 9 of 21
10. Will proposed action require any authorization(s) for the formation of sewer or water districts? Yes No
. . ... ..... . . ... ..... . ... . .. .. ..... ..
11. Will the proposed action create a demand :for any community provided services (recreation, education, police, fire protection?
E]Yes No
a. If yes, is existing capacity sufficient to handle projected demand? E]Yes LJ No
12. Will the proposed action result in the generation of traffic significantly above present levels? m - Yes E3No
a. If yes, is the existing road network adequate to handle the additional traffic, [Eyes El No
During construction only
D. Informational Details
Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts
associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them.
E. Verification
I certify that the information provided above is true to the best of my knowledge,
Applicant/Sponsor Name John Rancich Date
Signature
Title President
If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this
assessment.
Page 1O of 21
PART 2 - PROJECT IMPACTS AND THEIR MAGNITUDE
Responsibility of Lead Agency
General Information (Read Carefully)
In completing the form the reviewer should be guided by the question: Have my responses and determinations been
reasonable? The reviewer is not expected to be an expert environmental analyst.
The Examples -provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of
magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for
most situations. But, for any specific project or site other examples and/or Power thresholds may be appropriate for a
Potential Large Impact response, thus requiring evaluation in Part 3.
The impacts of each project, on each site, in each locality, will vary: Therefore, the examples are illustrative and have been
offered as guidance. They do not constitute an 'exhaustive list of impacts and thresholds to answer each question.
The number of examples per question does not indicate the importance of each question.
In identifying impacts, consider long term, short term and cumulative effects,
Instructions (Read carefully)
a. Answer each of the 20 questions in PART 2, Answer Yes if there will be any impact.
b. Maybe answers should be considered as Yes answers.
C. If answering Yes to a question then check the appropriate box(colurnn 1 or 2)to indicate the potential size of the impact If .
impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than
example, check column -1.
d. identifying that an Impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any
large impact must be evaluated in PART 3 to determine significance. ;Identifying an impact in column 2 simply asks that it
be looked at further.
e. If reviewerhas doubt about size of the impact then consider the impact as potentially large and proceed to PART 3.
f. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate
impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible_ This must be
explained in Part 3.
Page 11 of 21
1
2
3
Small to
Potential
Can Impact Be
Moderate
Large
Mitigated by
Impact
Impact
Project
Change
Impact on Land
1. Will the Proposed Action result in a physical change to the project
site?
NO YES
Examples that would apply to column 2
• Any construction on slopes of 15% or greater, (15 foot
Yes
E]No
rise per 100 foot of length), or where the general slopes
in the project area exceed 10%.
° Construction on land where the depth to the water table
0 Yes
oNo
is less than 3 feet.
• Construction of paved parking area for 1,000 or more
LiYes
ONo
vehicles.
• Construction on land where bedrock is exposed orYes
N'o
generally within 3 feet of existing ground surface.
• Construction that w7l continue for more than 1 year or
o Yes
ONo
involve more than one phase or stage.
• Excavation for mining purposes that would remove
1:1 Yes
ONO
^, more than 1,000 tons of natural' material (i.e., rock or
soil) per year.
Page 11 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
• Construction or expansion of a santary landfill.r [DYes No
• Construction in a designated floodway. E3 . Yes E]No
• Other impacts: 0 E. Yes No
2. Will there bean effect to any unique or unusual land' forms found on
the site? (i.e., cliffs, dunes, geological formations, etc.)
ANO YES
• llSSppllecific land forms: Yes No
Impact on Water
3. Will Proposed Action affect any water body designated as protected?
(Under Articles 15, 24, 25 of the Environmental Conservation Law,
ECL) „
NO El YES
Examples that would apply to column 2
• Developable area of site contains a protected water body. El El Yes No
• Dredging more than 100 cubic yards of material from channel of El El Yes 0 No
a protected stream.
• Extension of utility distribution facilities through a protected water El 1:1 [:] Yes E]No
body.
• Construction in a designated freshwater or tidal wetland. F-1 0Yes 11 No
• Other impacts: El 11 nYes 11 No
4. Will Proposed Action affect any non-protected existing or new body of
water?
EjNO []YES
Examples that would apply to column 2
• A 10% increase or decrease in the surface area of any body of E D E]Yes 0 No
water or more than a 10 acre increase or decrease.
• Construction of a body of water that exceeds 10 acres of surface 0 E]Yes MNo
area.
• Other impacts: Yes No
Page 12 of 21
5. Will Proposed Action affect surface or groundwater quality or
quantity?
ENO MYES
Examples that would apply to column 2
• Proposed Action will require a discharge permit.
• Proposed Action requires use of a source of water that does not
have approval to serve proposed (project) action.
• Proposed Action requires water supply from wells with greater
than 45 gallons per minute pumping capacity.
• Construction or operation causing any contamination of a water
supply system.
• Proposed Action will adversely affect groundwater.
• Liquid effluent will be conveyed off the site to facilities which
presently do not exist or have inadequate capacity.
• Proposed Action would use water in excess of 20,000 gallons
per day.
• Proposed Action will likely cause siltation or other discharge into
an existing body of water to the extent that there will be
obvious visual contrast to natural conditions.
• Proposed Action will require the storage of petroleum or
chemical products greater than 1,100 gallons.
• Proposed Action will allow residential uses in areas without
water and/or sewer services.
• Proposed Action locates commercial and/or industrialuses
which may require new or expansion of existing waste treatment
and/or storage facilities.
Other impacts:
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
El0
Yes
No
El
3
E]Yes
ED No
EJ
El
E]Yes
EINo
Li
11
E]Yes
FNo
El
11 Yes
ONo
Yes
E]No
ElYes
No
El
0Yes
n__No
11
El
I Yes
No
D Yes
LJ No
E]Yes
No
Li
DYYes
No
Page 1'4 of 21
1
2
3
Small to
Potential
Can Impact
Be
Moderate
Large
Mitigated
by
Impact
impact
Project
Change
6. Will Proposed Action alterdrainage flow or patterns, or surface water
runoff?
NO YES
Examples that would apply to column 2
• Proposed Action would change flood water flows
Li
El
Yes
No
• Proposed Action may cause substantial erosion,
0
DYes
ONo
• Proposed Action is incompatible with existing drainage patterns.
EDYes
DNo
• Proposed Action will allow development in a designated
l
El
OYes
0No
floodway.
• Other impacts:
El
El
Yes
IDNo
IMPACT ON AIR
7. Will Proposed Action affect air quality?
ElNO nYES
Examples that would apply to column 2
• Proposed Action will induce 1,000 or more vehicle trips in any
0
El
DYes
E]No
given hour -
Proposed Action will result in the incineration of more than 1 ton
E]Yes
DNo
of refuse per hour -
Emission rate of total contaminants will exceed 5 lbs. per hour
El
11
Yes
DNo
or a heat source producing more than 10 million BTU's per
hour.
• Proposed Action will allow an increase in the amount of land
El
EYes
0No
committed to industrial use.
• Proposed Action will allow an increase in the density of
El
11
MYes
DNo
industrial development within existing industrial areas -
Other impacts:
Yes
EJNo
IMPACT ON PLANTS AND ANIMALS
8. Will Proposed Action affect any threatened' or endangered species?
1.7 NO El YES
Examples that would apply to column 2
• Reduction listed the New York
El
Yes
ONo
of one or more species on orEl
Federal list, using the site, over or near
the site, or found on the site.
Page 1'4 of 21
• Removal of any portion of a critical or significant wildlife habitat.
• Application of pesticide or herbicide more than twice a year,
other than for agricultural purposes.
• Other impacts:
g. Will Proposed Action substantially affect non -threatened or non -
endangered species?
NO YES
Examples that would apply to column 2
• Proposed Action would substantially interfere with any resident
or migratory fish, shellfish or wildlife species.
• Proposed Action requires the removal of more than 10 acres of
mature forest (over 100 years of age) or other locally important
vegetation.
• Other impacts:
IMPACT ON AGRICULTURAL LAND RESOURCES
10. Will Proposed Action affect agricultural land resources?
L NO 0 YES
Examples that would apply to column 2
• The Proposed Action would sever, cross or limit access to
agricultural land (includes cropland, hayfields, pasture, vineyard,
orchard, etc.)
• Construction activity would excavate or compact the sal profile of
agricultural land.
• The Proposed Action would, irreversibly convert more than 10
acres of agricultural land or, if located in an Agricultural District,
more than 2.5 acres of agricultural land.
Page 15 of 21
1
2
3
Small to
Potentiaf
Can Impact Be
Moderate
Large
Mitigated by
Impact
Impact
Project Change
11Yes E]No
0
E]Yes 1:1No
El0 Yes No
ral
LJ Yes No
El ; ClYes 1:1 No
Yes 0 No
Yes 0 No
0Yes
0 N
El
1
OYes
ONO
ral
LJ Yes No
El ; ClYes 1:1 No
Yes 0 No
Yes 0 No
• Other impacts:
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12. Will Proposed Action impact any site or structure of historic,
prehistoric or paleontological importance?
NO n YES
Examples that would apply to column 2
• Proposed Action occurring wholly -or partially within or
substantially contiguous to any facility or site listed on the State
or National Register of historic places.
• Any impact to an archaeological site or fossil bed located within
the project site.
• Proposed Action will occur in an area designated as sensitive
for archaeological sites on the NYS Site Inventory.
Page 16 of 21
i
Yes No
1
2
No
3
D
Small to
Potential
Can Impact Be
Moderate
Large
Mitigated by
Impact
Impact
Project
Change
• The Proposed Action would disrupt or prevent installation of
E
D
DYes
E] No
agricultural land management systems (e.g., subsurface drain
lines; outlet ditches, strip,cropping); or create a need for such
measures (e.g. cause a farm field to drain poorly due to
increased runoff).
• Other impacts:
El
E]Yes
No
L- ------- - . ....
IMPACT ON AESTHETIC RESOURCES
11 _ Will Proposed Action affect aesthetic resources? (if necessary, use
the Visual EAF Addendum in Section 617.20, Appendix B.)
NO 'YES
Examples that would apply to column 2
Proposed land uses, or project components obviously differentYes
■
no No
from or in sharp contrast to current surrounding land use
patterns, whether man-made or natural.?
• Proposed land uses, or project components visible to users of
E
I_.,J
D Yes
No
aesthetic resources which will eliminate or significantly reduce
their enjoyment of the aesthetic qualities of that resource.
• Project components that will result in the elimination or
0 Yes
LJ No
significant screening of scenic views known to be important to
the area.
• Other impacts:
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12. Will Proposed Action impact any site or structure of historic,
prehistoric or paleontological importance?
NO n YES
Examples that would apply to column 2
• Proposed Action occurring wholly -or partially within or
substantially contiguous to any facility or site listed on the State
or National Register of historic places.
• Any impact to an archaeological site or fossil bed located within
the project site.
• Proposed Action will occur in an area designated as sensitive
for archaeological sites on the NYS Site Inventory.
Page 16 of 21
i
Yes No
Yes
No
D
El Yes
D No
1
Small to
Moderate
Impact
• Other impacts: El
IMPACT ON OPEN SPACE AND RECREATION
2
3
Potential
Can Impact Be
Large
Mitigated by
Impact
Project Change
0
ID Yes E]No
13. Will proposed Action affect the quantity or quality of existing or future
open spaces or recreational opportunities?
F] NO El YES
Examples that would apply to column 2
• The permanent foreclosure of a future -recreational opportunity.
El
El
ElYes
-E]No
• A major reduction of an open space important to the community.
El
M
DYes
DNo
• Other -impacts:
E]
Yes
[]No
IMPACT ON CRITICAL ENVIRONMENTAL AREAS
14. Will Proposed Action impact the exceptional or unique
characteristics of a critical environmental area (CEA) established
pursuant to subdivision 6NYCRR 617.14(g)?
F-1 NO El YES
List the environmental characteristics that caused the designation of
the CEA.
.. . . . ...... ........................... . . ....... ... ..... ......
Examples that would apply to column 2
• Proposed Action to locate within the CEA!
. .... . .....
E]Yes
0No-
• Proposed Action will result in a reduction in the quantity of the
Yes
No
resource?
• Proposed Action will result in a reduction in the quality:of the
M7
DYes
No
resource?resource?
• Proposed Action will impact the use, function or enjoyment of the
El
El
f 7- Yes
No
resource?
1
2
3
Small to
Potential
Can Impact Be
Moderate
Large
Mitigated by
Impact
Impact
Project Change
IMPACT ON TRANSPORTATION
15. Will there bean effect to existing transportation systems?
ENO YES
Examples that would apply to column 2
• Alteration of present patterns of movement of people and/or
El
11
[]Yes D No
goods.
• Proposed Action will result in major traffic problems.
Yes ONo
• Other impacts:
°
Yes ONo
IMPACT ON ENERGY
16, Will Proposed Action affect the community's sources of fuel or
energy supply?
NO EYES
Examples that would apply to column 2
El
EJ
• Proposed Action will cause a greaterthan 5% increase in the
Yes No
use of any form of energy in the municipality.
• Proposed Action will require the creation or extension of an
EJ
11
nYes E No
energy transmission or supply system to serve more than 50
single or two family residences or to serve a major commercial
or industrial use-
• Other impacts:
Q
OYes E]No
'Project will generate —115 GW of electricity annually
NOISE AND ODOR IMPACT
17. Will there be objectionable odors, noise, or vibration as a result of
the Proposed Action?
FINO EYES
Examples that would apply to column 2
0
0
• Blasting within 1,500 feet of a hospital, school or other sensitive
Yes No
facility.
• Odors will occur routinely (more than one hour per day).
13
, Yes No
• Proposed Action will produce operating noise exceeding the
E]
Yes -nNo
local ambient noise levels for noise outside of structures.
• Proposed Action wilt remove natural barriers that would act as a
Oyes O No
noise screen.
• Other impacts:
D
Yes U No
Page 18 of 21
IMPACT ON PUBLIC HEALTH
18. Will Proposed Action affect public health and safety?
E NO FIYES
• Proposed Action may cause a risk of explosion or release of
hazardous substances (i.e. oil, pesticides, chemicals, radiation,
etc.) in the event of accident or upset conditions, or there may be
a chronic low level discharge or emission.
• Proposed Action may result in the burial of "hazardous wastes"
in any form (i.e. toxic, poisonous, highly reactive, radioactive,
irritating, infectious, etc.)
• Storage facilities for one million or more gallons of liquefied
natural gas or other flammable liquids.
• Proposed Action may result in the excavation or other
disturbance within 2,000 feet of a site used for the disposal of
solid or hazardous waste.
• Other impacts.
IMPACT ON GROWTH AND CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
19. Will Proposed Action affect the character of the existing community?
0 N YES
Examples that would apply to column 2.
• The permanent population of the city, town or village in which the
project is located is likely to grow by more than 5%.
• The municipal budget for capital expenditures or operating
services will increase by more than 5% per year as a result of
this project.
• Proposed Action will conflict with officially adopted plans or
goals.
• Proposed Action will cause a change in the density of land use.
• Proposed Action will replace or eliminate existing facilities,
structures or areas of historic importance to the community.
• development will create a demand for additional community
services (e -g. schools, police and fire, etc.)
1 2 3
Small to Potential Can Impact Be
Moderate targe Mitigated by
Impact Impact Project Change
11 0 IjYes E]No
R E E]Yes E]No
El . . El ElYes nNo
1 1 >Yes ONo
El
El,
Yes
13 No
11
E]Yes
No
Yes
E]No
nYes
ONO -
E]Yes
ONo
El
E]Yes
rJNo
Yes
E]No
Page 19 of 21
If Any Action in Part 2 Is Identified as a Potential Large Impact or If you Cannot Determine the Magnitude of
Impact, Proceed to Part 3
1
2
3
Small to
Potential
Can Impact Be
Moderate
targe
Mitigated by
Impact
Impact
Project Change
• Proposed Action will set an important; precedent for future
E
0
0 Yes O No.
projects.
• Proposed Action will create or eliminate employment.
H1
El
DYes O No
• Other impacts:
0
0
Dyes 0 No
project will create employment
20. Is there, or is there likely to be, public controversy related10 potential
adverse environment impacts?
E]NO YES
If Any Action in Part 2 Is Identified as a Potential Large Impact or If you Cannot Determine the Magnitude of
Impact, Proceed to Part 3
Part 3 - EVALUATION OF THE IMPORTANCE OF IMPACTS
Responsibility of Lead Agency
Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may
be mitigated.
Instructions (If you need more space, attach additional sheets)
Discuss the following for each impact identified in Column 2 of Part 2:
1. Briefly describe the impact.
2. Describe (if applicable) how the impact could be mitigated or reduced to a small to moderate impact by
project change(s).
3. Based on the information available, decide if it is reasonable to conclude that this impact is important_
To answer the question of importance, consider:
1 The probability of the impact occurring
! The duration of the impact
1 Its irreversibility, including permanently lost resources of value
1 Whether the impact can or will be controlled
1 The regional consequence of the impact
1 Its potential divergence from local needs and goals
! Whether known objections to the project relate to this impact.
_.._... ....._._............... ..... .......... ............................................. .. .. : _................................__.........................................:........ .......... ....................._.._...._..--
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