HomeMy WebLinkAbout18 Eastlake - EAF Short Form 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 I 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 I.You may also provide any additional information 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:
Eastlake Recreation Center Addition
Project Location(describe,and attach a location map):
18 Eastlake Road, Ithaca, NY
Brief Description of Proposed Action:
Project 1 - Enclose a building alcove to create a greeting area and lounge.
Project 2 - Construct a non-heated storage space on the back side of the tennis court.
Project 3 - Enclose the exterior support frames at each end of the tennis court.
Name of Applicant or Sponsor: Telephone:(607)257-7778
David Johnson E-Mail:office.at.eastlakerec@gmail.com
Address:
18 Eastlake Rd
City/PO: State: Zip Code:
Ithaca NY 14850
1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES
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.
2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES
If Yes,list agency(s)name and permit or approval: ❑
3. a. Total acreage of the site of the proposed action? 3.97 acres
b.Total acreage to be physically disturbed? 0.05 acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 3.97 acres
4. Check all land uses that occur on,are adjoining or near the proposed action:
❑ Urban ❑ Rtval(non-agriculture) ❑ Industrial ❑. Commercial 0 Residential(suburban)
❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify):
❑ Parkland
Page 1 of 3 SEAF 2026
5. Is the proposed action, NO YES N/A
a. A permitted use tinder the zoning regulations? I F7 IT
b. Consistent with the adopted comprehensive plan? L 1 ❑✓ ❑
NO YES
6. Is the proposed action consistent with the predominant character of the existing built or natural landscape?
❑ ❑✓
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
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 services available at or near the site of the proposed action? ❑
c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑ ❑
action?
9. Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies:
❑ ❑✓
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water: ❑ ❑
11. Will the proposed action connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment:
The Recreation Center is on an existing septic system. ❑ ❑✓
12.a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site, or district NO YES
which is listed on the National or State Register of Historic Places,or that has been determined by the
Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the ❑ ❑
State Register of Historic Places?
b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ ❑
archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory?
13. a.Does any portion of the site of the proposed action,or lands adjoining the proposed action, contain NO YES
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:
Page 2 of 3 SEAF 2026
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 NO YES
Federal government as threatened or endangered? ❑ ❑
Lake Sturgeon
16. Is the project site located in the 100-year or 500-year flood plain? NO YES
❑✓ ❑
17. Will the proposed action create storm water discharge,either from point or non-point NO YES
sources?If Yes, ❑
a. Will storm water discharges flow to adjacent properties? ❑✓ ❑
b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ ❑✓
If Yes,briefly describe:
Roadside runoff ditches
18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES
or other liquids(e.g.,retention pond,waste lagoon, dam)?
If Yes, explain the purpose and size of the impoundment: ❑ ❑
19.Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES
management facility?
If Yes,describe: ❑ ❑
20.11as the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES
completed) for hazardous waste?
If Yes,describe: F7 ❑
NO YES
21.Is the project located within, or within %3 mile of,a disadvantaged community? IZI ❑
If No, could impacts from the project affect a disadvantaged community?
If Yes to either question in 21,answer the following question.
a. Identify the potential pollution impacts of the project,either direct or indirect,that may occur within the
disadvantaged community(e.g.,wastewater discharges, air emissions,noise,odors,solid or hazardous waste
generation or management):
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF
MY KNOWLEDGE
Applicant/spons ame: David Johnson Date: 7/27/2026
Signature: Title:owner
Page 3 of 3 SEAF 2026
EAF Mapper Summary Report Sunday, July 5, 2026 4:13 PM
Disclaimer: The EAF Mapper is a screening tool intended to assist
36:1-37J1� project sponsors and reviewing agencies in preparing an environmental
assessment form(EAF).Not all questions asked in the EAF are
37.1-6-6.6 answered by the EAF Mapper.Additional information on any EAF
question can be obtained by consulting the EAF Workbooks.Although
37.1-6-6.2 the EAF Mapper provides the most up-to-date digital data available to
36.-2-17.40 I f DEC,you may also need to contact local or other data sources to
ff7! 37.5-6.6A confirm data provided by the Mapper or to obtain data not provided by
the Mapper.
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Part 1 /Question 7 [Critical Environmental No
Area]
Part 1 /Question 12a [National or State No
Register of Historic Places or State Eligible
Sites]
Part 1 /Question 12b [Archeological Sites] No
Part 1 /Question 13a [Wetlands or Other Yes - Digital mapping information on local, New York State, and federal
Regulated Waterbodies] wetlands and waterbodies is known to be incomplete. Refer to the EAF
Workbook.
Part 1 /Question 15 [Threatened or Yes
Endangered Animal]
Part 1 /Question 15 [Threatened or Lake Sturgeon
Endangered Animal - Name]
Part 1 /Question 16 [100 or 500 Year Digital mapping data are not available or are incomplete. Refer to EAF
Floodplain] Workbook.
Part 1 /Question 20 [Remediation Site] No
Part 1 /Question 21 [Disadvantaged No
Community]
Short Environmental Assessment Form - EAF Mapper Summary Report /