HomeMy WebLinkAboutFull Environmental Assessment Form (FEAF), Part 1, January 17, 2018Full Environmental Assessment Form
Part I -Project and Setting
Instructions for Completing Part 1
Part 1 is to be completed by the applicant or project s pon so r . Responses become part of the application for approval or funding ,
are subject to public review , and may be subject to further verifica t ion.
~' . .
Comp lete Part 1 based on information currently availab le . If additiona l research or investigation would be needed to fully respond to
any item, please answer as thoroughly as possible based on current information ; indicate whether missing information doe s not exi st,
or is not reasonably-available to the sponsor ; and ,.~~~ pos sible , ~enerally des cr.ibe work or studies which would be necessary to
update or fully develop that information . ·
Applicants /sponsors mu st complete all items in Sections A & B. In Sect ions C, D & E, most item s contain an initial question that
must be answered either "Yes" or "No ". If the answer to the initial question is "Yes", complete the s ub-que stion s that follow . If the
answer to the initial question is "No ", proceed to the next question. Section Fallow s the project sponsor to identify and attach any
additional information. Section G requires the name and sjgnature of the project sponsor to verify that the information contained in
Part 1 is accurate and complete. · ·
A. Project and Sponsor Information.
Name of Action or Project:
Petricola-Bartholf Partnership Rezoning and Subdivision of Lands on Hornbrook Road, Town of Danby
Project Location ( describe, and attach a general location map):
Brief Description of Proposed Action (include purpose or need):
~~ +-~ ,a ,_ ~-
Name of Applicant/Sponsor: Telephone: 607-2728061
Petricola=Bartholf Partnership E-Mail:
Address:
1 ?.9 Hn-rnh-rnrik RnAd
City/PO: State: I Zip Code:
Tthat"ll nanhu NPw Vn-rk 1 dSHi.ll
Project Contact (if not same as sponsor; g1ve name and title /role): Telephone:
E-Mail:
Address:
City/PO: State: I ZipCode :
Property .Owner (if not same as sponsor): Telephone:
E-Mail:
Address:
City/PO: State: I Zip Code :
Page 1 of 13
B. Governme nt Approva ls
B. Governme nt Approvals, Fu ndin g, or Sponsorship. ("Fu ndin g" include s gr an ts, loans , tax relief , and any other fonns of financial
assistanc e.)
Gove rnment Ent ity If Yes: Identify Agency and Approval(s) Application Date
Required (Actual or projected )
a. C ity Council, Town Board , 0Y es 0 No 7"1>u> '4.> ~6 ,+it-() 1 /11 /r v or Village Board of Trustees
b. City, Town or Village jgf.y es O No ,r /-Ii-,4/ }V/ ,ve, 1/11/11 Planning Board or Commission no A-i.v
c . City Council , Town or 0 Yes 0 No
Village Zo ning Board of Appeals
d. Other local agencies DYe s DNo
e. County agencies w es D No t_ U O ,0,-1., p.t,,s.~w, "'~ I /1 7 / />"
f. Regional agencies OY es D No
g. State agencies DY es D No
h . Federal agencies 0 Yes 0 No
i. Coastal Resource s.
i. Is the project site within a Coastal Area , or the waterfront area of a Designated Inland Waterwa y? 0 Yes'21No
ii. Is the project site located in a community with an approved Loca l Waterfront Revitalization Program ? D Yes l21No
iii. ls the project site within a Coasta l Erosion Hazard Area ? .. -.. ., O Yes~o
C. Planning and Zoning
C.l. Planning and zoning actions .
Will administrative or legislative adoption , or amendment of a plan, local law , ordinance , ru le or regulation be the O Yes ~o
only approval(s) which must be granted to enab le the proposed action to proceed?
• If Yes, comp lete sections C, F and G .
• If No, pro ceed to question C.2 and complete a ll r emaining sections an d questions in Part I
C.2. Adopted laod use plans.
a. Do any municipall y-adopted (c ity, town, village or county) comprehensive land use plan(s) includ e the s ite O Yes G!aNo
where the propo sed action would be locate d?
If Yes, does the comprehensive plan include spec ific recommendations for the site where the propo sed actio n O Yes [ltN o
would be located ?
b. Is the s ite of the propo se d action within any local or regional special planning district (for examp le: Gree nwa y D Yes c@No
Brownfield Opportunity Area (BOA); designa ted State or Federal heri tage area ; watershed management plan;
or other?)
If Yes , identify the plan(s):
c. ls the proposed action located wholly or partiall y within an area listed in an adopted municipal open space plan , 0 Yes181No
or an adopted municipal farmland protection plan?
If Yes , identify the plan(s):
Page 2 of 13
C.3. Zoning
a. ls the site of the proposed action located in a municipality with an adopted zoning law or ordinance. ~esONo
lfYes , what is the zo nin g cla ss ification(s) including any applicable;iverla y :J._~?-f..•,-./
:;::z.o ~, IJ,. ,e_ LC) ,~1 'J) GM~& _.r"lf er,
_A ~ -~-· f:_4~ II...·. I,.., Vu. I kAAl'Af l.: / ,·-/... ~ ov~{&tA.1 ,
0 .J 1 I
b. Is thi use pennitted or allowed by a spec ial or conditional use pennit ? OYes~o
c. Is a zoning change reque sted as part of the proposed action ? p0.Yes0 No
If Yes ,
i. What is the propo sed new zoning for the site? C tJM p.. r!.~ '°, J4.'-..:uiJ c__
C.4. Exis.ting community services.
a . In what school district is the project site located? ..LY l~;t,D,t..
b. What police or other public protection forces serve the project site?
s,n,,,.r/t. pe,t;/ t. "-
c. Which fire protection and emergency medical serv ices serve th;J>roject site?
!) ,4,),,,._ ~~
d. What parks serve the project site? D t) 'rSdA.J
D. Project Details
D.1. Proposed and Potential Development
a . What is the general nature of the proposed action (e.g., residential , industrial , c~merci~recreational ; if mixed , include all
components)?
b . a. Total acreage of the site of the proposed action? ).,I //l. acres
b. Total acreage to be physically disturbed?
.
acres
c. Total acreage (project site and any contiguous properties) owned
J... 3..., or controlled by the applicant or project sponsor? acres
c. Is the proposed action an expansion of an existing project or use? rgv es[]No
i. If Yes, what is the approximate percentage of the proposed expansion and it?-1-fy the units ( e.g ., acres , miles, housing units ,
square feet)? % t> Units: /J r-
d. Is the proposed action a subdivision, or does it include a subdivision? ®e s []N o
IfYes , €3
i. Purpose or type of subdivision? (e.g., residential , industrial, ommercial if mixed , specify type s)
ii. Is a cluster /conservation layout proposed? OYes~o
iii. Number of lots proposed?
iv. Minimum and maximum proposed lot sizes? Minimum Maximum
e. Will proposed action be constructed in multiple phases? DYe s fiZt_No
i. If No, anticipated period of construction: --month s
ii. IfY~s:.
• Total number of phases anticipated --
• Anticipated commencement date of phase l (including demolition) --month __ year
• Anticipated completion date of final phase __ month ___y ear
• Generally describe connections or relationships among phases, including any contingencies where progre ss of one ph ase may
detennine timing or duration of future phases: ·
Page 3 of 13
f. Does the project include new residential uses? 0 Ye~No
If Yes, show numbers of units proposed .
. One Family Two Family Three Family Multiple Family (four or more)
Initial Phase
At completion
of all phases ..
g. Does tlie proposed action include new non-residential construction (including expansions)? O Yes(llN o
If Yes,
i. Total number of structures
ii. Dimensions (in feet) of largest proposed structure: height;' width; and length
iii. Approximate extent of building space to be heated or cooled: square feet
h. Does the proposed action include construction or other activities that will result in the impoundment of any
liquids, such as creation of a water supply, reservoir, pond, lake, waste 0 1agoon or other storage?
0 Yes ~No
If Yes,
i. Purpose of the impoundment:
ii. If a water impoundment, the principal source· of the.water: D Ground water D Surface water streams O Other specify:
iii. If other than water, identify the type of impounded/~ontained l_iqµids and their source.
iv. Approximate size of the proposed impoundment. Volume: million gallons; surface area: acres
heigh~; • . length v. Dimensions of the proposed dam or impounding structure:
v i. Construction method/materials for the proposed dam or impounding structure (e.g., earth fill, rock, wood, concrete):
D.2. Project Operations
a. Does the proposed action include any excavation, mining, or dredging, during construction, operations, or both? LJYesQQ.No
(Not including general site preparation, grading or installation of utilities or foundations where all excavated
materials will remain onsite)
If Yes:
i. What is the purpose of the excavation or dre~ging?_
ii. How much material (including rock, earth, sedim.ents, etc.) is proposed to be removed from the site?
• Volume (specify tons or cubic yards):
• Over what duration of time?
iii . Describe nature and characteristics ofmaterialsto ·be excavated or dredged, and plans to use, manage or dispose of them .
. '
iv. Will there be onsite dewatering or processing ~f.excavated materials?
If yes, desc!lbe.
'I , OYesONo
v. What is the total area to be dredged or excavated? acres
vi. What is the maximum area to be worked at any one time? acres
vii . What would be the maximum depth of excavation or dredging? feet
viii. Will the excavation require blasting? O Yes O No
ix . Summarize site reclamation goals and plan:
b. Would the proposed action cause or result in alteration of, increase or decrease in size of, or encroachment
into any existing wetland, waterbody, shoreline, beach or adjacent area?
O Yes~o
If Yes:
i. Identify the wetland or waterbody which would be affected (by name, water index number, wetland map number or geographic
description):
Page 4of 13
ii. Des.cribe how the proposed action wou ld affect that waterbo dy or wetland , e .g. excavation, fill , placement of structures, or
alteration of channe ls, bank s and shor eline s. Indicate extent of activities , alterations and additions in square feet or acres:
iii. Will propo sed action cause or result in disturbance to bottom sed iment s? 0 Yes0 No
IfYe s, describe :
iv. Will proposed act ion cause or re sult in the destruction or removal of aquatic vegetation?
If Yes:
0 Yes0 No
• acres of aqu at ic vegetatio n proposed to be removed :
• expec ted acreage of aquat ic vegetatio n remaining after project comp letion:
• purpose of proposed removal (e.g. beach cleari ng, invasive specie s control, boat access):
• proposed method of plant removal:
• if chemical/herbicide treatment will be used , specify produ ct(s):
v. De scribe any proposed reclamation /mitigat ion following disturbance :
c. Will the propo sed action use , or create a new demand for water? 0 Yes ~o
If Ye s:
i. Total anticipated water u sag e/demand per day: gallons /day
ii. Will the propo sed action obtain water from an existing public water supply? 0 Yes 0N o
If Yes:
• Name of district or service area:
• Does the existing public water supply have capacity to serve the proposal? 0 Yes 0 No
• Is the project site in the existing di strict ? 0Y es 0 No
• Is expansion of the district needed? 0 Yes 0 No
• Do existing lines serve the project site? 0 Yes 0 No
iii. Will line extension within an exi sting district be nece ssary to supply the project ? 0Y es 0N o
If Yes:
• Describe extensions or capacity expans ions propo se d to serve this project:
• Source(s) of supply for the district:
iv. Is a,new water supply district or service area proposed to be formed to serve the project site? 0 Yes 0 No
If, Yes: , ·
• ·_1pplicant/sponsor for new district:
• Date application submitted or anticipated:
• Proposed source(s) of supply for new district:
v. If a public water supply will not be used, describe plans to provide water s upply for the project:
vi. If water supply will b e from wells (public or private), maximum pumping capacity : ga llons/minute .
d. Will the proposed action generate liquid wastes? 0 Yes ~o
If Yes :
i. Total anticipated liquid waste generation per day: gallons /day
ii. Nature ofliquid wastes to be generated (e.g., sanitary wastewater , industrial; if combination , describe all components and
approximate volumes or proportions of each):
iii. Will the proposed action use any existing public wastewater treatment facilities? 0Y e~o
If Yes:
• Name of wastewater treatment plant to be used:
• Name of district:
• Does the existing wastewater treatment plant have capacity to serve the project? 0 Yes0No
• Is the project site in the existing district? 0 Yes[]No
• Is expansion of the district needed? 0 Yes 0No
Page 5 of 13
• Do e x istin g sewer lines serv e the pr oje ct s ite? OY e s ~No
• Will line exten s ion within an ex istin g di strict be n ece s sary t o serve th e proj e ct ? OY e s ~No
If Ye s:
• De scribe exten sion s or capa c ity expan s ion s propo s ed to serv e thi s proj e ct:
iv. Will a new wastewater (sewage ) treatment di stri ct b e form ed to s erve the proj ec t s ite ? O Y e s 00J o
If Yes:
• Applicant/spon s or for new district:
• Date application submitted or anticipated :
• What is the receiving water for the wa stewater discharge ?
V. If public facilities will not be used , de scribe plan s to provide wastewater treatm e nt for th e project , includ ing s p ec ifyin g pro pose d
receiving water (name and cla ss ification if s urface di scharge , or de s cribe sub surface di spo s al plan s):
vi. Describe any plans or designs to capture , recycle or reu s e liquid waste :
.
e. Will the proposed action disturb more than one acre and create stormwater runoff, either from new poin t OY es [i{No
sources (i.e. ditches, pipes , swale s , curbs , gutters or other concentrated flow s of stormwater) or non-poi nt
source (i.e. sheet flow) during construction or post construction?
If Yes:
i. How much impervious surface will the project create in relation to total size of project parcel ?
__ Square feet or __ acres (impervious surface)
__ Square feet or __ acres (parcel size)
ii. Describe types of new point sources.
iii. Where will the stormwater runoff be directed (i.e. on-site stormwater management facility /structure s , adjacent properti es ,
groundwater , on-site surface water or off-site surface waters)?
• If to surface waters , identify receiving water bodies or wetlands:
• Will stormwater runoff flow to adjacent properties? OY es ~o
iv. Does proposed plan minimize impervious surfaces , use pervious materials or collect and re-use stormwater ? OYe~N o
f. Does the proposed action include, or will it use on-site , one or more sources of air emissions , including fuel OYes~No
combustion, waste incineration , or other processes or operations?
If Yes, identify:
i. Mobi le sources during project operations (e.g., heavy equipment, fleet or delivery vehicle s)
ii. Stationary sources during construction (e.g., power generation , structura l heating , batch plant, crusher s)
iii. Stationary sources during operations (e.g., process emissions , large boilers, electric generation)
g. Will any air em iss ion sources named in D.2.f (above), require a NY State Air Registration , Air Facility Permit,
or Federal C lean Air Act Title IV or Title V Permit?
OYe s ~N o
If Yes:
i. Is the project site located in an Air qu ality no n-attainment area? (Area routinely or periodically fail s to meet OYe s ~o
ambient .air qua lity standards for all or some parts of the year)
ii. In addit ion to emissions as ca lcul ate d in the app licatio n , the projec t will generate:
• To ns/year ( short to n s) of Carbon Dioxide ( CO 2)
• Tons/year (short tons) of Nitro us Oxide (N20)
• Tons/year (short tons) of Perfluo rocarbons (PF Cs)
• Tons/year (s h ort tons) of Sulfur Hexafluoride (SF 6)
• Tons/year (s hort tons) of Carbon Dioxide equiva lent ofHydroflourocarbons (HFCs )
• Tons/year (short tons) of Hazardo u s Air Poll u tants (HAPs)
Page 6 of 13
h . Will the propo sed action generate or emit methane (including, but not limited to , sewage treatment plant s,
landfills , composting faci lities)?
O Yes!StlNo
If Yes :
i. Estima t e methane generat ion in ton s/year (metric):
ii. Describe any meth ane capture, co ntr ol or elimina tion measure s included in project design (e.g., combust ion to generate heat or
e lec.tricity , flaring):
i . Will the propo sed action result in th e release of air pollutants from open -air operations or proc esses, such as O Yes~o
quarry or landfill operations ?
If Yes: :Oescribe operation s and nature of emi ssion s ( e.g., diese l exhaust, rock particulate s/dust):
j . Will the propo se d action res ult in a sub sta ntial increase in traffic above pr esent leve ls or ge nerate substantial O Yes [l'N o
new demand for tran sportation facilities or services?
I f Yes:
i. When is the peak traffic expected (Chec k all that a pply):
D R_andomly between hour s of to
OMomin g D Eveni ng OW eekend
ii . For commercial activities only, proj ec ted number of se mi-trailer tru ck trips /day :
iii. Parking space s: Existing Propo sed Net increase/decrease
iv. Doe s the propo sed action includ e any shared use parkin g? QY es&f No
v . If the proposed action includes any modification of ex ist ing road s, cr eatio n of new road s or change in ex ist ing access, descr ibe:
v i. Are public /private tran sportation servi ce(s) or facilities available within ½ mile of the proposed site?
vii Will the proposed action include access to public transportation or accommodation s for use of hybr id, electric
~Y es O No
Ye~No
or other alternative fue led vehicles?
viii. Will the proposed action include plan s for pedestrian or bicycle accommodations for connections to existing O Yes~o
pedestrian or bicycle routes?
..
k. Will the proposed action (for commercial or indu strial projects only) generate n ew or additional demand OY es 00J o
for energy?
If Yes :
i. Estimate annual e lectricity demand during operation of the propo se d action:
ii. Anticipated sources /suppliers of electricity for the project ( e .g., on-site combustion, on-sit e renewable , via grid/local utility, or
other):
iii. Will the proposed action require a new , or an upgrade to, an existing substation? OY es !E_No
I. Hours of operation. Answer all items wh ich apply.
i. During Construction: ii. During Operations :
• Monday -Friday: • Monday -Friday :
• Saturday: • Saturday:
• Sunday: • Sunday :
• Ho lidays: • Holidays :
Page 7 of 13
m . Will tile proposed action produce noise that will exceed existing ambient noi se levels during construction, O Ye s ~o
operation , or both?
If yes:
i. Provide detail s includin g sources , time of da y and duration :
D Yesll(No ii. Will proposed action remove existing natu ral barriers that could act as a noise barrier or scree n ?
Describe :
n .. Will th e proposed ac tion ha ve outdoor lighting ? O Yes ~o
If yes:
i. Desc ribe so urce (s), location(s), he ight of fixture(s), direction/aim , and proximity to neare st occupied structu re s:
ii. Will propo se d action rem ove existing natural barriers th at could act as a light barrier or scr ee n ? 0 Yes txi;io
De scribe :
o. Doe s th e propo sed action ha ve th e potential to produce odors for more than one hour per day ? O Yes !XfNo
If Yes, de scrib e po ss ible so urc es, potential frequency and duration of odor emis sions , and pro x imity to neare st
occupied structure s:
p . Will the proposed action include any bulk sto ra ge of petroleum ( combined capacity ofover I , I 00 gal lons) 0Y es[!.t-lo
or chemical-products 185 gallons in above ground storage or any amount in under ground storage?
If Yes: ..
i. Product(s) to be stored
ii. Volume(s) ___ per unit tune (e.g., month, year)
iii. Generally describe proposed storage facilities:
q . Will the proposed action (commercial, indu strial and recreational project s only) u se pesticide s (i.e., herbicides ,
insecticides) during con struction or operation?
D Yes [XNo
If Yes:
i. Describe proposed treatment(s):
ii. Will the orooosed action use Integrated Pest Manavement Practice s? D Yes IJaNo
r. Will the proposed action (commercial or industrial projects only) involv e or require the mana geme nt or disposal D Yes ~o
of solid waste ( excluding hazardous materials)?
If Yes:
i. Describe any solid waste(s) to be generated during construction or operation of the facility:
• Construction: tons per (unit of time)
• Operation: tons per (unit of time)
ii. Describe any proposals for on-site minimization, recycling or reuse of materials to avoid di sposal as so lid waste:
• Construction:
• Operation:
iii. Proposed disposal methods/facilities for solid waste generated on-site:
• Construction:
• Operation:
Page 8 of 13
s. Do es th e propo sed ac tion includ e cons tru ct ion or m o dification of a so lid waste manage ment faci l ity?
If Yes:
0 Yes ~o
i. Ty pe_ of man ageme nt or handlin g of wast e prop ose d for t he site ( e.g ., recyc ling or tra nsfer stat ion, com p o st ing , lan dfi ll, or
oth er di sp os al activiti es): -------------------------------------
ii. Anti c ipated rat e o f d isp osal/pro cess ing :
• ____ T ons/mo nth , if tr an sfe r or oth er non-comb ust ion/therma l treat m en t, or
• ____ T ons/ho ur , if combu st ion or th ermal tr eatm ent
iii. If landfill , anti cipated s ite life: ______________ years
t. Will propo sed action at th e s ite inv olve th e comm ercial ge nerat ion , tr eatm ent , sto rage, o r dis posa l of hazardo us
was te?·
If Y es:
i. N ame(s) of all hazardou s wa ste s or con stitu ents to be generat ed , handl ed or man age d at fac ility : ___________ _
ii. Generall y de scrib e proce sses or activitie s involvin g hazardou s wa stes or c on stitu ent s : _______________ _
iii. Specify amount to be handled or generated __ ton s/month
iv. De scribe any propo sal s for on-site minimization , rec yclin g or r euse of hazard ous con stitu ents: ____________ _
v . Will any hazardou s waste s be dispo sed at an ex isting offsite hazardou s waste facility ?
If Yes: provide name and location of facility : ______________________________ _
If No: describe proposed management of any hazardou s wa ste s which will not be sent to a hazardou s wa st e facility:
E. Site and Setting of Proposed Action
E.l. Land uses on and surrounding the project site
a. Existing land uses .
i. Check all uses that occ~, adjoining and near the project site .
D Urban D Industrial Commercial D Residential (suburban) D Rural (non-farm)
D Forest D Agriculture D Aquatic D Other (specify):
ii. If mix of uses, generally describe :
b . Land uses and covertypes on the project site.
• Land use or Current Acr eage Aft er Chan ge
Covertype Acreage Proje ct Compl etion (A cres +/-)
• Roads, bui l dings, and other paved or impervious :i J_ 0 surfaces
• Forested
• Meadows, grasslands or brushlands (non-~ a_ agricultural, including abandoned agricultural) 0
• Agricultural
(includes active orchards, field, greenhouse etc.)
• Surface water features
(lakes, ponds, streams, rivers, etc.)
• Wetlands (freshwater or tidal)
• Non-vegetated (bare rock, earth or fill)
• Other
Describe:
Page 9 of 13
c. Is the project site presently used by members of the comm unity for pub lic recreation ? D Yes ~o
i. If Yes : ex pla in:
d . Are there any facilities serv ing childr e n, the elderly, people w ith disabilities (e .g., sch ool s, hospital s, licensed 0 Yes ~o
day care centers, or gro up hom es) within 1500 feet of the project site?
If Yes ,
i. Identi fy Faciliti es:
e. Doe s the project s ite contai n an existing dam ?
If Yes:
0 Yes ~o
i. Dimen sion s of the dam and impoundment:
• Dam heig ht: feet
• Darn length : feet
• Surface area: acres
• Volume impounded : gallons OR acre -feet
ii. Dam's ex isting hazard cl ass ification :
iii. Provide date and summarize results oflast inspection:
f. Has the project site ever been used as a municipal , commercial or industrial solid was te manag eme nt facility , D Yes lKJ.No
or doe s the project site adjoin property which is now , or was at on e time , use d as a so lid wa st e managemen t faci lity?
If Yes:
i. Has the facility been formally clo sed? O YesD N o
• If y es, cite so urces /documenta tion :
ii. Describe the location of the project site relativ e to the boundarie s of the solid waste mana gement facility:
iii. Describe any development constraint s due to the prior solid waste activit ies:
g . Have hazardous waste s been generated, treated and/or disposed of at the site, or does th e project site adjo in
property which is now or was at one time used to commercially treat , store and/or dispose ofhazard 9us w aste ?
D Yes~o
If Yes:
i. Describe waste (s) handled and waste management activities, including approximate time wh en activities occurre d :
h. Potential contamination history. Has there been a reported sp ill at the propo sed project site, or h ave any 0 Yes ~No
remedial actions been conducted at or adjacent to the proposed site?
If Yes:
i. Is any portion of the site listed on the NYSDEC Spills Incident s database or E nvironm ental Site D YesCTNo
Remediation database? Check all that apply:
D yes -Spills Incidents databas~ . Pr.ovide DEC ID number(s):
D Yes -Environmental Site Remediation database Provide DEC ID numb er(s):
D Neither database
ii. If site has been subject of RCRA co~ctive activities , describe control mea sures:
iii. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remedi ation database ? DY es lll No
If yes, provide DEC ID number(s):
iv. Jfyes to (i), (ii) or (iii) above, describe current status of site(s):
Page 10 of 13
v. Is the project s ite subject to an institutional control limiting property uses? OYe~o
• If yes , DEC site ID number:
• Describe the type of institutional control ( e.g., deed restrictio n or easement):
• De scribe any use limitations:
• Describe any engineering controls:
• Will the project affect the institutional or engineering controls in place ? O Yes [JN o
• Expla in :
E.2. Natural Resources On or Near Project Site
a. What is the average depth to bedrock on the proj ect site? feet
b. Are there bedrock outcroppings on the project site? O YesQgNo
If Yes, what proportion of the site is compri sed of bedrock o utcroppings? %
c. Predominant soil type(s) present on project site : ~MJ A(av-tH" <""' wt 7 10 %
~:& .... 'iti (oi (1 ~l) %
%
d . What is th e average depth to the water table on the project site? Average : feet
e. Drainage statu s of project site soi ls:~W ell Dr ained : --% of site
Moderatel y Well Drained: --% of site
D Poorl y Drained __ %of s ite
f. Approximate proportion of propo sed action site with slope s: ~0-10 %: 'OC> % of site
D 10-1s %: --% of site
D 15% or greater: % of site
"
g. Are th·ere any unique geologic feature s on the project site? O Yesll)No
If Ye s, des cribe :
h . Surface water features.
i. Does any portion of the project site contain wetlands or other waterbodies (including streams, riv ers, O Yes lll No
ponds or lakes)?
ii. Do any wetlands or other waterbodies adjoin the project s ite? O Yes ll)No
If Yes to either i or ii, continue. If No, skip to E.2.i.
iii. Are any of the wetlands or waterbod ies within or adjoining the project site regulated by any federal , O Yes lllN o
state or local agency?
iv. For each identified regulated wetland and waterbody on the project site, provide the following information:
• Streams : Name Classificatio n
• Lakes or Ponds : Name C lassification
• Wetlands: Name Approximate Size
• Wetland No. (ifregulated by DEC)
v. Are any of the above water bodies listed in the most recent compilation ofNYS water quality-impaired O Yesll)No
waterbod ies ?
If yes , name of impaired water body/bodies and basis for listing as impaired:
i. Is the project site in a designated Floodway? O Yes~o
j. Is the project site in the 100 year Floodplain? O Yes[8No
k. Is the project site in the 500 year Floodplain? O Yes~o
I. Is the project site located over, or immediately adjoining, a primary , principal or sole source aquifer? lll YesDNo
If Yes:
i. Name of aquifer: Principal Aquifer
Page 11 of 13
m. Identi fy the predominant wildlife spec ies that occupy or use the project site:
n. Doe s the proj ect site contain a designated signi ficant natural community? 0 Yes ll)N o
If Yes:
i. Describe the habita t/co mmunity (composition , function , and basis for designation):
ii. Source(s) of description or evaluation:
iii. Extent of community/habitat:
• Currently: ac r es
• Following comp letion of project as proposed: acres
• Gain or loss (indicate + or-): acres
o. Does project site contain any species of plant or animal that is listed by the federal government or NYS as ll!Yes0No
endangered or threatened, or does it contain any areas identified as habitat for an endangered or threatened spec ies?
p. Does the project site contain any species of plant or anima l that is listed by NYS as rare , or as a species of U Yes ll!No
specia l concern?
q. Is the project s ite or adjoining area currently used for hunting , trapping, fishing or shell fishing ? 0 Yes ~o
If yes, give a brief description of how the proposed action may affect that use:
E.3. Designated Public Resources On or Near Project Site
a. Is the proje ct site, or any portion of it, located in a designated agricultural district certified pursuant to O YesllJNo
Agriculture and Markets Law, Article 25-AA , Section 303 and 304?
If Yes, provid e county plus di strict name /number:
b. Are agricultural lands co nsist ing of highly productive soils present ? 0Y es~o
i. If Yes: acreage(s) on project site?
ii. Source(s) of s oil rating(s):
c. Doe s the project site contain all or part of, or is it substan tiall y contiguou s to, a reg istered Nationa l 0 Yesll)No
Natural Landmark?
If Yes:
i. Nature of the natural landmark : D Biological Community D Geological Feature
ii. Provide brief description of landmark , including values behind designation and approximate size /extent:
d . Is the project site located in or does it adjoin a state listed Critical Environmental Area? 0 Yesl2JNo
If Yes:
i. CEA name:
ii. Basi s for designation:
iii. Designating agency and date:
Page 12 of 13
e. Does the project s ite contain , or is it sub stantiall y co ntig uou s to , a building, archaeological site, or district 0 Ye ~o
w hi ch is listed on , or ha s been nominated by t h e NYS Board of Historic Pr eserva tion for inclusion on , the
State or Nat ional Re gister of Histor ic Place s?
If Yes:
i. Nature of hi sto ric /archaeolo g ica l resource: 0Ar chaeo logical Site OHi sto ric Buildin g or D istric t
ii. Name:
iii. Brief de sc ription of attribute s on w hich listing is ba sed:
f. Is th e project s ite, or any portion of it, located in or adjace nt to a n area de s ignated as se nsitive for 0 Yes ll]No
archaeological s ite s on th e NY Sta t e Hi storic Preservatio n Office (S HP O) arc haeolog ical site inventory ?
g. Have additional archaeological or hi storic si te(s) or r eso urc es been identifie d on th e project s ite? 0Y es ~o
If Yes:
i. De scribe pos sible resource(s):
ii. Ba s is for identification :
h. Is the project site within fives mil es of any officially de sig nat ed and publicl y acce ss ible federal , state , or local 0Y es ~o
sce nic or aesthetic resource ?
If Ye s:
i. Identify re source :
ii. Nature of, or basi s for , designation (e .g., esta bli shed highwa y overlook , state or local park , state hi storic trail or sc enic byway ,
etc .):
iii. Di stan ce between project and resource: miles .
i. I s the project site located within a de signated river corridor under the Wild , Scenic and Recreation a l River s 0Ye s ll]No
Program 6 NYCRR 666?
If Yes :
i. Identify the name of the river and its designation:
ii. Is the activity consistent with development restrictions contained in 6NYCRR Part 666 ? 0Ye s [)N o
F. Additional Information
Attach any additional infonnation which may be needed to clarify your project.
If you have identified any adverse impacts which could be associated with your proposal , pl ease describe those impact s plu s any
measures which you propose to avoid or minimize them.
G. Verification
I certify that the infonnation provided is true to the best ofmy knowledge .
Applicant/Sponsor Name 13: 6 ~ n.(" 3 Q: ft TI'( O L.~ Date __ l~/_1_1~/_I_V _______ _
/ f,7/11> Signature~ &;t£,I Title -----------------
PRINT FORM Page 13 of 13
EAF Mapper Summary Report Monday , December 11, 2017 1:08 PM
7.-1-~, 12
Disclaimer : The EAF Mapper 1s a screening tool intended to assist
project sponsors and reviewing agencies in prepanng an environmental
assessment form (EAF). Not all questions asked in the EAF are
answered by the EAF Mappe r. Additional information on any EAF
question can be obtained by consulting the EAF Workbooks . Although
the EAF Mapper provides the most up-to-date digit al 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 determ inations .
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Set.re.es . Esri . HERE, Del.OJ . USG$, l___/,·C~ela1d
lntermsp, INCREMENT P. NRCan. Esri . c.
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® OpenSi"eetMsp conlributas l arn1~-ca.1e O INCREMENT P. NRCan, Es ri
Us ~C -omrrunih• I CKIIIIII ~ •. \•},, _i., METI Es 'Chin ,.........,, '' , ,·,r:i n.1 .·• .J'{asr.~~;· · 11 8 ,. -·t1
B.i.i [Coastal or Waterfront Area]
B .i.ii [Local Waterfront Revitalization Area]
~ . . ~ . . .. -'.. •.. . ...
C.2 .b . [Special Planning District]
E .1.h [DEC Spills or Remediation Site -
_r::>~t_en!i~I ~<'.~t~!1_1_in~~i?_n History]
E.1 .h .i [DEC Spills or Remediation Site -
Listed] .... --· -·-~..-~ . -· -·-·
E.1 .h.i [DEC Spills or Remediation Site -
Environmental Site Remediation Database] ........... -............. , ___ , ..... ,,._, ..... ·----·-..... --··--···"·· .. .,.,_ -..... _
E.1 .h.iii [Within 2 ,000' of DEC Remediation
Site]
E.2 .g [Unique Geologic Features]
No
No
Digital mapping data are not available or are incomplete . Refer to EAF
Workbook .
Digital mapping data are not available or are incomplete . Refer to EAF
Workbook .
Digital mapping data are not available or are incomplete . Refer to EAF
Workbook .
. Digital mapping data are not available or are incomplete . Refer to EAF
Workbook .
No
No
E .2 .h .i [Surface Water Features] . No .. . -J. ·····--· ...... ---__ ,.. ______________ _,,_,_, ·-. '·-···---· --•. -..... ~ -· .. .....
E.2.h .ii [Surface Water Features] , No
-. ................ _ ..... . . .. -· -·-. ·--·-·· ······--·--···---·-----··-·-··~"--·--··-·-· ..
E.2.h.iii [Surface Water Features] · No
,• ,_._,..,..._ • • •· " • ~-··--·--•• • • •, • • •· • .,.,. -•---··• ' •••• _._. .,... ·•·••• -,_,. .,_ • .., v• ,-. •• ~...,._,_....,. .,-.. '• -·· ,, . ..., _ _. • ...,, _ __. -.,,
E.2 .h.v (Impaired Water Bodies] .No
....... ~ ···-···-·--···· -·· ... ··--·---··----··-·-·· ·--·-·--··-·-·>••·-··---·-· .. ·········· .. · .. --······ .... ·--·-----·---·--··· -··-··· '
E.2 .i. [Floodway] . Digital mapping data are not available or are incomp lete. Refer to EAF
.Workbook .
E .2 .j . (100 Year Floodplain] · Digital mapping data are not available or are incompl ete. Refe r to EAF
:workbook.
E·.2.k ... [500 Year Floodplain] i Digital mapping data are not available or are incomplete . Refer to EAF
'Workbook .
...... -······· -···-····· -·---·--------·--------·-··-··----.
i Yes
I ··-·-..... ~ ............ ___ .. _..,.. __ .......,_., ___________ , »-----------------... .,..-----·------................ .,. ___ _. ·---E .2.1. [Aquifers]
E.2 .1. [Aquifer Names] · Principal Aquifer
---• .,,. _ _, •·• ••-•-..,-_,_,_,,.,_,...-.w,-• ·-·-·-·-·--·--------.-.!....-----
E .2 .n. [Natural Communities] : No
Full Environmental Assessment Form -EAF Mapper Summary Report l