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HomeMy WebLinkAboutShort Environmental Assessment Form (SEAF) Part 1, October 27, 2017Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part I. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verificati cn.Complete Part 1 based on information currently available. If additional research or investigation would be needed to fullyrespond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Brief Description of Proposed Action: Tv1r� � Co C>wvie.J-fAr{_e.,,( +1::> 2 /11�1�}(;,-tl 11r'<c+s () .(. J {{"J.. VV'/� Mjs-e.l +' '1o{J,� 4(fn�y � /3 a,+ f-(ll._I 4� I q. � lo ro+4er -Jo�'-' -+ q k,:J 0 1..v"' v.rt f' � + /11 j � � 4-rce I , To-h,, ( ov-1 · · I.Does e proposed action only involve the legislative acbption of a plan, local law, ordinance, administrative rule, or regulation? If Yes attach a narrative description of the intent of the proposed action and the environmental resources that may b� affected in the rmnicipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed actioo require a permit, approval or funding from any other governmental Agency? If Yes, list agency(s) name and permit or approval: d . ?3.a. Total ocreage of the site of the propose action. b.Total acreage to be physically disturbed? . c.Total acreage (project site and any c?ntiguous properties) owned or controlled by the applicant or proJect sponsor? 70� � acres------- k all land use�occur on, adjoining and near the proposed actioo. . . . NO YES 4· Che e O Urban ural (non-agriculture) · D Industrial D Commerc1a! ORes1dent1al (sururban) c:;Jtorest OAgriculture OAquatic O0ther (specify): _________ _ QParkland Page 1 of 3 ; r 5.ls the proposed action,NO a.A permitted use under the zoning regulations?D b.Consistent with the adopted comprehensive plan?D 6.Is the proposed action consistent with the predominant characterofthe existing built or naturallandscape? 7.Is th_e sit� of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area?IfYes, identify: 8.a. Will the proposed action result in a substantial increase in traffic above present levels? b.Are public transportation service(s) available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available rn or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements?If the proposed action will exceed requirements, describe design features and technologies: IO. Will the proposed action connect to an existing public/private water suwly? If No, descnbe method for providing potable water: V a..c 4� 1-- 11.Will the proposed action connect to existing wastewaterutilities? I «� I If No, describe method for providing wastewater treatment: /J-0 h l>W7e.., -!Vo 6a� ·-t/a e, hf 12.a. Does the site contain a strucure that is listed on either the State or National Register of HistoricPlaces? b. Is the proposed action located in an aicheological sensitive area? 13.a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, containwetlands or other waterbodies regulated by a federal, state or local agency? b.Would the proposed action physically altei; or encroach into, any existing wetland or waterbody?If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: YES NIA 0 D I L--r-D NO YES D � NO YES [lJ D NO YES [a' D (a D H" D NO YES D 0 NO YES G-' D NO YES 0" D NO YES [Z] D [Z] l JNO YES D [Z] ca' D 14. Identify the typical�tat types that occ� o� are likely to be found on th �ect si�e. OJ.eek �11 that awly:D Shoreline orest :Agncultural/grasslands arly m1d-successional D Wetland 0Urban OSuburban I 5. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? 16.Is the project site located ii the I 00 year flood plain? 17.Will the proposed action create storm water discharge, either from point or non-point sources?If Yes, a.Will storm water dischatges flow to adjacent iroperties?\LZfNO DYES b. Will storm water discharges be di'ected to established conveyance systems sand storm drains)?If Yes, briefly describe: 0 OYEs Page 2 of3 NO YES D 0 NO YES li/f I NO YES G D 18.Does the proposed action include construction or other activities that result in the inpoundment of NO YES water or other liquids ( e.g. retention pond, waste lagoon, dam)? IfYes, explain purpose and size: g D 19.Has the site of the µ:-oposed action or an adjoining property been the location of an active or cl osed NO YES solid waste management facility'? IfYes, describe: 0 D 20.Has 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: 0 D I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE �d�:����tJD.re Applicant/sponsor name: /0-2 2--11 Signature: PRINT FORM I EAF Mapper Summary Report ' '< ';Scu�_:-.Esr i, !;I . ·,, DeLa-me, U SGS, fntermsp, INCREMENT P; NRCan, Esri Japan, METI. Esri China (Hong Kong). Esri Kores, Esri lThsiland). Mapmylndis, NGCC, :; ® OpenSteetMap comributcrs, and the GIS : Use-Comm.mity Part 1 / Question 7 [Critical Environmental Area] Part 1 / Question 12a (National Register of 'Historic Places] ;Part 1 / Question 12b [Archeological Sites] No No 'No I Monday, October 23, 2017 1 :24 PM Disclaimer: The EAF Mapper is a screening tool intended to assist project sponsors and reviewing agencies in preparing an environmental assessment form (EAF), Not all questions asked in the EAF are answered by the EAF Mapper, Additional information on any EAF question can be obtained by consulting the EAF Workbooks. Although the EAF Mapper provides the most up-to-date digital data available to DEC, you may also need to contact local or other data sources in order to obtain data not provided by the Mapper. Digital data is not a substitute for agency determinations, Toronto -:-; !..,...'.1. _ •• ....,,.I' •I _I f'Oetrol t ,. fleYd,nd ; 11 clnnati I J '1 :.R�ter ,/� _B011ton �-Pro,lctence So11ce; ;�, �OflP.E, DeL�.diGGS, lnterma,.:, INC#.EMENT P. NRCar., Esri _w;i,dP,P./3Jl,.,!'{IETI, Esr i China : Hong : Part 1 / Question 13a [Wetlands or Other ; Regulated Waterbodies] ; Part 1 / Question 15 [Threatened or 1 Endangered Animal] [Yes -Digital mapping information on local and federal wetlands and )waterbodies is known to be incomplete, Refer to EAF Workbook. 'Part 1 / Question 16 (100 Year Flood Plain] 'Part 1 / Question 20 [Remediation Site] 1Yes ; Digital mapping data are not available or are incomplete. Refer to EAF1workbook. No Short En vironmental Assessment Form -EAF Mapper Summary Re port