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HomeMy WebLinkAboutFull Environmental Assessment Form (FEAF), Part 1 – September 9, 2018Full Environmental Assessment Form Part 1 -Project and Setting Instructions for Completing Part 1 Part 1 is to be completed by the applicant or project sponsor. Responses becom e part of the application for approval or funding, are subject 1o public review, and may be subject to further verification. Complete Part 1 ba se d on information currently available. If additional re search or investigation would be needed to fully re spond to any item, plea se answer as thcroughly as possible based on current information ; indicate whether missing information does not exist, or is not reasonably avai labl e to the sponsor; and, whe n possible, generally describe work or studies which wo uld be nece ssary to update or fully develop that information. Applicants'sponsors must complete all items in Sections A & B. In Sections C, D & E, most it ems contain an initial que st ion tlat must be answered either "Yes" or ''No". If the answer to the initial question is "Yes", complete the sub-questions that follow. If the answer to the initial question is 'No", proceed to the next question . Section Fallows the project sponsor to identify and attach any additional infcrmation . Section G requires the name and signature of the project sponsor to verify that the information contained in Part lis accurate and complete. A. Project and Sponsor Information. Name of Action or.Project: 809 Cc""-~..-+ 12-o~( . Project Location ( describe , and attach a general location map): s¼v-&t\('J .ft.,( bd,: v,l'{O'vt Brief Descripti on of Proposed Action (include purpose or need): .s~le.. o{ ne"-'f,/ '1.. 't) <-t. ..l e... <?(_~"-{~~1'. -S'~ ""-J.ar~ J\A.loe;f,'v ,'.r ,'""'- Name of Applicant/Sponsor. Telephone: "07 -S-12..-~o.po Da.,lA ,/ M.e:c_s;.-{.,-&>b er.ft• E-Mail: d Vf-J ~(} Jo, L 'e GL t:/ ""7 q,'/, ~ Address: 7 ~ Con.i.-tir-'T ~~,/ ' C ity /PO: <!. /Je.n,~(1,-StattJ Y I Z ip Code: Project Contact (ifnot same as sponsor; give name and title /role): Telephone: E-Mail: Address: City/PO: State: I Zip Code: Property Owner (if not same as sponsor): Telephone: E-Ma il: Address: City/PO: State: I Zip Code: Page 1 of 13 B. Government Approva l s B. G overnm ent Approvals, Funding, or Sponsorship. ("Fundin g" includes grants, loans , tax relief , and any other forms of financial assistance.) Gove rnm ent Entity If Yes: Identify Agency and Approval (s) Application Date Required (Actual or proj ected) a. City Counci l, Town Board , []Y es~o or Village Board of Trustees ,I b. City, Town or Village (jl'iesc:9No pf"""II\:"'' B,oa...r4(, 'fl II I 2.ot 8 Planning Board or Commission s-. .. ,l ,-.1,· s ,.,,.,,.. ~,,,,...,""" c. City Council, Town or OYes~o Village Zoning Board of Appeals d . Other local agencies []Yesl2JN'o e. County agencies []Yes~o f. Regional agencies []Y esl!!No g. Stat e agencies OYe s[ENo h. Federal agencies []Ye s[l1No i. Coastal Resources . i. Is the pr oject site within a Coastal Area, or the wateifront area of a Designated Inland Waterway? O YesbZlNo ii. I s the project site located in a community with an approved Local Waterfront Revital ization Program ? 0 Yes l2JNo iii. Is the project site within a Coastal Erosion Hazard Area? O Yes liZ!'No C. Planning and Zoning C.1. Planning and zoning actions. / Will administrative er legislative adoption, or amendment of a plan , local law, ordinance, rule or r egula tion be the ~es[!lNo only approval(s) which must be granted to enable the proposed action to proceed ? • If Yes, complete sections C, F and G . • If No, proceed to question C.2 and complete all remaining sections and questions in Part 1 C.2 . Adopted land use plans. ~ a. Do any municipa lly-adopted (city, town , village or county) comprehensive land u se plan(s) include the site •Yes l!J No where the proposed action would be located? O Yes l!fN o If Yes, does the comprehensive plan include specific recommendation s for the site where the proposed act ion would be located? ,, b. Is the site of the proposed action within any local or regiona l special planning district (for example: Greenway •Yes~o Brownfield Opportunity Area (BOA); designated State or Federal heritage area; watershed mana gement plan; or other?) IfYes, identify theplan(s): ,, c. Is the proposed action located wholly or partially within an area listed in an adop ted m uni cipal open space plan , •Yes~o or an adopted municipal farmland protection plan? If Yes , identify the p lan (s): Page2 of13 C.3. Zoning ,. a. Is the site of the proposed action located in a mmicipality with an adcpted zoning law or ordinance. []YesONo If Yes , wha t is the zoninl)lass ification(s) incl udin g any appli~ overlay district? L,ow ~"' ~, ~ B ~1,•J. t. t'\ "'· b . Is the u se permitted or allowed by a spec ial or conditional use permit? l:ttYesONo .. c. Is a zoning change requested as part of the proposed action? ll:PresllfNo IfYes, n I . t I .,.. i. What is the proposed new zoning for the site? --.. " I - C.4. Existing community services. a. In what schoo l district is th: project sit e located? t+6a. '{( b . What police er other public protection forces serve the project site? To""o C.. S.t...en.CL fJ'(S Tv-o""-".e.r~ I ' c. Which fire protection and emerge n cy medical services serve the project site? h ei1-.L • .,/ d . What parks serve the project site? 1._A. D. Project Details D.l. Proposed and Pot entia l D eve lopment a. What is the genera l nature of the proposed tctioo (e.g ., resi dential, incbstrial , commercia l, recreational; if mixed , include_all components)? e.e. ~I !~+i~ '( b. a. Total acreage of the site of the proposed action? t 3+-f~= 19 acres b. Total acreage to be physically disturbed? 0 acres c. Total acreage (project site and any contiguous properties) owned or contro lled by the appli cant or project sponsor? ~.3 acres • c. Is th e proposed action an expans ion of an existing project or use? OY e!CrNo i. If Yes, what is the apJYOximate percentage of the proposed expan sion and identify the units ( e.g., acres, miles , housing units , square feet)? % Units: d. Is the proposed act ion a subdi vision, or does it include a s ubdivision? lld\'es •No IfYes, -~~ i. Purpose or type of subdi vision? ( e. ., residential , · dustrial , commercial; if mixed , specify types) ii. Is a clu ster/conservat im layout proposed ? •Yes~ iii . Number of lots proposed? 3 i; lb iv. Minimum and maximum proposed lot sizes ? Minimum Maximum e. Will proposed actioo be constructed in multiple ph ases? Cc:,,...(-\de.cA months 0 Yes[0No i. If No, anticipated p eriod of cons tru cti on: ii. IfYes: • Total number of ph ases anticipated --• Anticipated canmencement date of pha se 1 (includin g demolition) month __ year --• Anticipated completion date of final ph ase __ month __yea r • Generally describe connections or relatiooships amon g phases, including any contingenc ies whe re pr ogre ss of one phase may determine timing er duration of future phases: Page 3 of 13 f. Does the project include new residential uses? BafesONo lfY es, show numbers of units proposed . One Family Two Family Three Family Multiple Family (four or more) Initial Phase l At completion of all phases l g. Does the proposed action include new non-residential construction (including expansions)? OYeslldi<f o IfYes, 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: sq uare feet h. Does the proposed action include construction or other activities that will result in the impoundment of any OYes[B1<l'o liquid s, such as creation of a water supply , reservoir , pond , lake , waste lagoon or other storage? IfYes , i. Purpose of the impoundment: ii. Ifa water impoundment , the principal source of the water: D Ground water D Surface water streams •Other specify: iii. If other than water, identify the type of impounded/contained liquids and their source. iv. Approximate size of the proposed impoundment. Volume: million gallons; surface area: acres v. Dimensions of the proposed dam or impounding structure: height ; length vi. 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? LJYesWo (Not including general site preparation, grading or installation of utilities or fcundations where all excavated materials will remain onsite) IfYes: i .What is thepmpose of the excavation or dredging? ii. How much material (incluiing rock, earth , sediments, 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 of materials to be excavated or dredged , and plans to use , manage or dispose of them. iv. Will there be onsite dewatering or processing of excavated materials? OYesONo If yes , describe. v. What is the total area to be dredged or excavated? acres vi. What is the maximum area to be wo rked at any one time ? acres vii. What would be the maximum depth of excavation or dredging? feet viii. Will the excavaion require blasting? []YesONo ix. Summarize site reclamation goals and plan: . b. Would the proposed action cause or result in alteraticn of, increase oc decrease in s ize of , or encroachment LJYes~o into any existing wetland , waterbody, shoreline, beach or adjacent area? IfYes: i. Identify the wetland or waterbody which would be affected (by name, water index number, wetla nd map number or geographic description): Page4 of 13 ii. Describe how the proposed action would affect that waterbodyor wetland, e.g. excavation, fill , placerrent of structures, or alteration of channels, banks and shorelines. Indicate extent of a:tivities, alterations and additions in square feet or acres: iii. Will proposed action cause er result in disturbance to bottom sediments? IfYes, describe: iv. Will proposed action cause er result in the destruction or removal of aquatic vegetation? If Yes: • acres of aquatic vegetation proposed to be removed : __________________________ _ • expected acreage of aquatic vegetation remaining after project completion: _________________ _ • puipose of proposed removal (e.g. beach clearing , invasive species control, boat access): ____________ _ • proposed method of plant removal :--------------------------------- • if chemical/herbicide treatrrent will be used, specify product(s): _____________________ _ v. Describe any proposed reclamation/mitigation following disturbance: ______________________ _ c. Will the proposed action use, or create a new demand for water? If Yes: i. Total anticipa:ed water usage /demand per day: ___________ gallons /day ii. Will the proposed action obtain water from an existing public water supply? IfYes: • Name of district or service area: • Does the existing public water suwly have capacity to serve the proposal? • Is the project site in the existingdistrict? • Is expansion of the district needed? • Do existing lines serve the project site? iii. Will line extemion within an existing district be necessary to supply the project ? If Yes: ,,. 0Ye s[l211'fo OYes[iJ!(o 0 Yes 0N o 0Yes0N o 0Yes0No 0Ye s0N o 0Yes~o • Describe extensions or capacity expansions proposed to serve this project: _________________ _ • Source(s) of supply for the district: -------------------------------,,c--- iv . Is a new water supply district or service area proposed to be formed to serve the project site? 0 Yes~ If , Yes: • Applicant/sponsor for new district :--------------------------------- • Date applicatioo submitted or anticipated : _____________________________ _ • Proposed source(s) of supp ly for new district: ____________________________ _ v. If a public water supply will not be used , de scnb e plans to provide water supp ly for the project: ___________ _ vi . If water supply will be from wells (public or private), maximum pumping capacity: ___ gallons/minute. d. Will the proposed action generate licpid wastes? IfYes: i. Total anticipattrl liquid waste generaticn per day: _______ gallons/day ' / O YesCBNo ii . Nature of liquid wastes to be generated (e.g., sanitary wastewater , industrial; ifcombination, describe all components and approximate volumes or proportions of each): iii. Will the proposed action use any existing public wastewater treatrrent facilities? 0Yesl!:]No IfYes: • Name of wastewater treatrrent plant to be used : ----------------------------• Name of district: • Does the existing wastewater treatment plant have capacity to serve the project? • Is the project site in the existing district? • Is expansio n of the distric t needed? Page 5 of 13 OYes[]N o OYes[JNo OYes[JN o ~ • Do existing sewer lines serve the project site? 0 Yes~o • Will line extension within an existing district be necessary to serve the project? 0 Yes~o IfYe s: • Describe extensions or capacity expansions proposed to seive this project: iv . Will a new wastewater (sewage) treatment district be formed to serve the project site? 0 Yes~o IfYes: • Applican t/s ponsor for new district: • Date application submitted or anticipated: • What is the receiving water for the wastewater discharge? V. If public :fucilities will n ot be u sed, describe plans to provide wastewater treatm:nt for the project , including specifying proposed receiving water (name and classification if surface discharge , or describe subsurface disposal plans): vi. Describe any plans or designs to capture , recycle or reuse liquid waste: /' e. Will the proposed action disturb more than one acre and create stormwater runoff , either from new point DYeslIJf,lo sour ces (i.e. ditches , pipes , swales , curbs , gutters or other concentrated flows of stormwater) or non-point source (i.e . sheet flow) during construction or post construction? IfYes: i. How much impervious surface will the project crea1e 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 /structures, adjicent properties , groundwater , on-site surface wateror off-site surface waters)? • If to surface waters, identify receiving water bodies or wet lands: • Will stormwater runoff flow to adjacent properties ? 0Yes0N o iv . Does proposed plan minimize impervious surfaces , use pervious materials or collect and re-use stormwater? DYesDN_,p f. Does the proposed action include , or will it u se on-site, one or more sources of air emissions , including fuel DYes(BN o combustion, waste incineration, or other processes or operations? IfYes , identify: i. Mobile sources during project operations (e.g., heavy equipment, fleet or delivery vehicle s) ii. Stationary sources during construction (e .g ., po wer generation, structural heating , batch plant , crushers) iii . Stationary sources during operati ons (e.g., process emiss ions , large boilers , electric generation) - g. Will any air emission sources named in D.2.f (above), require a NY State Air Registration , Air Facility Permit, OYe s(g'No or Federal Oean Air Act Ti tle IV or Title V Permit? IfYes: i. Is the project site l ocated in anAir quality non-attainment area? (Area routinely or periodically fails to meet DYe s DN o ambient air quality standards for all or some parts of the year) ii. In addition to emissions as calculated in the application , the project will generate: • Tons/year (short tons) of Carbon Dioxide (CO 2) • Tons/year (short tons) of Nitrous Oxide (N 20) • Tons/year (short tons) of Perfluorocarbons (PFCs) • Tons/year (short tons) of Sulfur Hexafluoride (SF6 ) • To ns/year (short tons) of Carbon Dioxide equivalent ofHy droflourocarb ons (HFCs) • T ons/y ear (short tons) of Hazardous Air Pollutants (HAPs) Page 6 of 13 / h. Will the proposed action generate or emit methane (including , but not limited to, sewage treatment pl ants, O YesMNo landfills, composting facilities)? If Yes: i. Estimate methane gener ation in tons/year (metric): ii. Describe any methane capture, control or eliminatio n measures included in project design ( e.g., combu stion to generate heat er e lectricity, flaring): . -i . Will the proposed action result in the release of air po llutants from open-air operations or processes , such as 0 Yes~o quarry or landfill operations? If Yes: Describe ope r ations and nature of emissions ( e.g., diesel exhaust, rock partic ul ate s/dust): / j. Will the proposed a ction result in a sub stan tial incre ase in traffic above present leve ls or generate substantial 0 Yest;3No new demand for tran sportation faci litie s or serv ice s? IfYes: i. When is the peak traffic expected (Check all tha t awly): •Morning D Evening •Weeken d D Randomly between hours of to ii. For commercial activities only ,projected number of semi-trailer truck trips/day: iii. Parking spaces: Existing Proposed Net increase /decrease iv. Does the proposed action include any shared use parking? 0Ye s0 No v . If the proposed action includes any modification of existing roads, creation of new roads or change in existing access , descnbe: vi. Are public /private transportation service(s) or facilities availab le within ½mile of the proposed site? O Yes O No vii Will the proposed act ion include access to public transportation or accommodations for use of hybrid, e lectric 0 Yes 0 No or ot her a lternative fueled vehic les? viii. Will the proposed actio n include plans for pedestrian or bicycle accorrurodations for connections to existing 0 Ye s0 No ped estrian or bicycle routes? / k. W ill the proposed action (for commercia l or industrial projects only) generate new or additional demand 0 Yes ~No for energy? IfYes: i. Estimate annual electricity demand during ope rat ion of the proposed action: ii. Anticipated sources/suppl iers of electricity for the project (e .g, on-site combu stion, on -site renewab le , via grid/loca l utility , or othe r): iii. Will the proposed action re quire a new , or an upgrade to, an existing substation? 0 Yes0 No 1. Hours of operatio n. Answer all items which apply. i. During Construction : ii. During Operations: • Monday -Friday: • Mond ay -Friday : • Saturday: • Saturday: • Sunday: • Sunday: • Holidays : • Holidays: Page 7 of 13 -/' m . Will the propo sed action produce noise that will exceed existing ambient noise levels during construction , OYe sC'.JNo operation , or both? If yes: i. Provide details including sources, time of day and duration: ii. Will proposed action remove existing natural barriers that could act as a noise barrier or scree n ? DYe s DN o Describe: n .. Will the propo sed action have outdoor lighting? 0Ye s0No If yes: i. Describe source(s), locatior(s), height offixture(s), directio dtaim , and proximity to nearest occupied structures: I ii. Wi ll proposed action remove existing natural barriers that cc uld act as a light barrier or screen? 0Yes0No Describe: / o . Does the proposed action have the potential to produce odors for more than one hour per day? •Yes~o If Yes , describe possible sources, potential freq.iency and d1 lration of odor emissions, and proximity to nearest occupied structures: - ./ p. Will the proposed action include any bulk s torage ofpetroleuf (combined capacity of over 1,100 gallons) OY esE:fNo or chemical product s 185 gallons in above ground storage or any amount in underground storage? lfYes: I i. Product(s) t o be stored ii. Volume(s) ___ per unit time (e.g., mo ~th, year) iii. Generally describe proposed storage facilities: q . Will the proposed action (commercial, inwstrial and recreational projects only) use pesticides (i.e~ herbicide s, •Ye s •N o insecticides) during construction or operation? If Yes: i. Describe proposed treatment(s): ' ii . Will the proposed action use Integrated Pe st Management Pi:actices? D Yes •No r . Will the pr oposed action ( commercial or industrial projects onJ y) involve or require the management or dispo sa l D Yes •No of solid wast e ( excluding hazardou s materials)? If Yes: i. De scribe any so lid waste(s) to be generated during constructipn or operation of the facility: • Construction: tons per I (unit of time) • Operati on: tons per (unit of time) ii. Describe any proposals for on-sit e minimization , rec)Cling 01 reuse of materials to avoid di sposal as solid waste: • Con stru ction: I • Operation: I iii. Prop os ed dispo s al methods/facilitie s for solid waste generated on-site : • Construction: • Operation: I Page 8 of 13 s. Does the proposed action include construction or modification of a solid waste management facility? If Yes: D YesllJ"No i. Type of management or handling of waste proposed for the site ( e .g., recycling or transfer station, composting , landfill, or other disposal activities):-------------------------------------- ii. Anticipated rate of disposal/processing: • ____ Tons /month , if transfer or other non-combustion/thermal treatment, or • ____ Tons/hour, if combustion or thermal treatment iii. If landfill, anticipated site life: _______________ years t. Will proposed action at the site involve the commercial generation, treatment, storage, or disposal of hazardous waste? IfYes: OYes[9No i. Name(s) of all hazardoos wastes or constituents to be generated , handled or managed at facility : ___________ _ ii. Generally describe processes or activities involvi~ hazardous wastes or constituents: _______________ _ iii. Specify amount to be handled or generated __ tons/month iv. Describe any proposals for on-site minimization , rec)Cling or reuse of hazardous constituents: ____________ _ v. Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? OYesONo If Yes: provide name and location of facility:--------------------------------- If No: describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility: E. Site and Setting of Proposed Action E.1. Land uses on and surrounding the project site a. Existing land uses. i. Check all uses that occur on, adjoining and~the project site. 9"Ilural(non-farm) ~an D Industrial D Commercial Re s idential (suburban) Forest D Agricultu r e D Aquatic D Other (specify): ii. If mix of uses , generally describe: b. Land use s and covertypes on the project site. Land use or Current Acreage After Change Covertype Acreage Project Complet ion (Acres +/-) • Roads, buildings, and other paved or impervious ~\IJ-'1 teoo rp surfaces 0 Forested . ;:11.f-• 0 • Meadows, grass land s or brushlands (non-D agricultural, including abandoned agricultura l) l°t • Agricultural 0 (includes active orchards, field , greenhouse etc.) D • Surface water features t) (lakes, ponds , streams, rivers , etc.) C> • Wetlands (freshwater or tidal) 0 D • Non-vegetated (bare rock, earth or fill) 0 0 • Other Describe: Page 9 of 13 /" c. Is the project site presently used by members of the community for public recreation? DY esl.ld'N o i. IfYes: explain: d. Are there any facilities serving children, the elderly , people with disabilities (e .g., schools, hospitals , licen sed OY es([JNo day care centers, or group homes) within 1500 feet of the project site? If Yes, i. Identify Facilities: - e. Does the project site contain an existing dam? 0Yesl0N o IfYes: i. Dimensions of the dam and impoundment: • Dam height: feet • Dam length : feet • Surface area: acres • Volume impounded: gallons OR acre-feet ii . Dam's existing hazard classification: iii. Provide date and summarize results oflast inspection: / f. Has the project site ever been used as a municipal, commercial or industrial solid waste management facility, OY esC;i'No or does the project site adjoin property which is now, or was at one time, used as a solid waste management facility? IfYes: i. Has the facility been formally closed? D Yes D No • If yes, cite source s/documentation: ii. Describe the location of the project site relative to the boundaries of the solid waste management facility: iii. Describe any development constraints due to the prior solid waste activities: / g. Have hazardous wastes been generated , treated and'or disposed of at the site , or does the project site adjoin 0Yesl2f No property which is now or was at one time used to commercially treat, store and/or dispose of hazardous waste? If Yes: i. Describe waste(s) handled and waste management activities , includingapproximate ti.me when activitiesoccurred: ./ ,,, h . Potential cc:ntamination history. Has there been a reported spill at the proposed project site, or have any OYesCl'N o remedial actions been conducted at or adjacent to the proposed site? IfYes: i. Is any portion of the site listed on the NYSDEC Spills Incidents datab!l>e or Environmental Site 0Yes0 No Remediation database? Check all that ai:ply: D Yes -Spills Incidents database Provide DEC ID number(s): D Yes -Environmental Site Remediation database Provide DEC ID number(s): D Neither database ii. If site has been subject of RCRA corrective activities, des::ribe control measures: iii. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? DY eslllNo If yes, provide DEC ID number(s): iv . If yes to (i), (ii) or (iii) above , describe current status ofsite(s): Page 10 of 13 v. ls the project site subject to an in;titutional control limiting property uses? 0Yes0No • If yes , DEC site ID number: • Describe the type of institutional ccntrol (e.g., deed restriction or easement): • Describe any use limitations: • Describe any engineering controls: • Will the project affect the institutional or engineering controls in place ? 0Yes •No • Explain: E.2. Natural Resources On or Near Project Site a. What is the average depth to bedro ck on the project site? ? ~o. feet , b. Are there bedrock outcroppings on the project site? OYesE:fNo IfY es, what proportion of the site is comprised of bedrock outcroppings? % c . Predominant so il type(s) present on project site: c.La.-.c [(JO % / % % -d. What is the average depth to the water table on the project site? Average: ~ ;ll> feet , - e. Drainage status of project site soils:M Well Drained : 3.2._% of site 1Sd1vtoderately Well Drained: ~%ofs ite ~oorly Drained ~%ofsite -f . Approximate proportion of proposed action site with sbpes: ~ 0-10%: __ %ofsite 0 10-15%: --% of site 0 15% or greater: __ %ofsite g. Are there any unique geologic features on the project site? UYesll!N o If Yes , describe: h. Surface water features. i. Does any portion of the project si te ccntain wetlands or other waterbodies (including streams, rivers, ll!Ye sONo ponds or lakes)? ii. Do any wetlands or other watetbodies adjoin the project site? ll!YesONo If Yes to either i or ii, continue . If No, skip to E.2.i. iii. Are any of the wetlands er waterbodies within or adjoining the project site regulatcrl by any federal, ll!Yes •No state or local agency? iv. For each identified regulated wetland and waterbody on the project site, provide the following information: • Streams: Name 898-339 Classification B • Lakes or Ponds: Name Classification • Wetlands: Name Federal Waters, Federal Waters, Federal Waters, ... Approximate Size • Wetland No. (if regulated by DEC) V. Are any of the above water bodies listed in the most recent compilation ofNYS water quality-impaired 0Yesll!No watetbodies? If yes, name of impaired water body/bodies and ba sis for listing as irq)aired : i. ls the project site in a de signated Floodway? OYesEJNo j. l s the project site in the 100 year Floodplain? OYe s(OMo k. Is the project site in the 500 year Floodplain? •Yes~ I. Is the project site located over , or immediately adjoiring, a primary, principal or sole srurce aquifer? 0Yesll!No If Yes: i. Name of aquifer: Page 11 of 13 m. Identify the predominant wildlife spe~thatoccupy or use the project site : M~!!:I, f2.t,,."'J._ ~ff1.&.t.LS ~C: f?.t>..c.oo, > !," (..;~_.,.(£ f!z2k ~d ~ Q f4 C. G-Qy- n. Does the project site contain a designated significant natural community? 0Yesll}No IfYes: i. Describe the habita t/comnrunity (composition, function, and basis for designation): ii. Source(s) of description or evaluation: iii. Extent of community/habitat: • Currently: acres • Following completion 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 llJYesO No endangered or threatened, or does it contain any areas identified as habitat for an endangered or threatened species? Northern Harrier p. Does the project site contain any species of plant or animal that is listed by NYS as rare, or as a species of UYesll!N o special concern? ,, q. ls the proje ct site or adjoining area currently used for huntin g, trapping, fishing or she ll 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 project site, or any portion of it , located in a designated agricultural district certified pursuant to llJYes[]No Agriculture and Markets Law, Article 25-AA, Section 303 and 304? If Yes , provide county plus district name/number: TOMP002 , b . Are agricultural lands consisting of highly productive soils present? •Yes~o i. If Yes: acreage(s) on project site? ii. Source(s) of so il rating(s): ' c. Does the project site contain all or part 0£: or is it substantia lly contiguous to, a registered Nat ion al 0YesllJNo Natural Laoomark? 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 ordoes it adjoin a state listed Critical Environmental Area? OYesllJNo If Yes: i. CEA name : ii. Basis for designation: iii. Designating agency and date: Page 12 of 13 / e. Does the project site contain, or is it substantially contiguous to, a building, archaeological site, er district OYesO'No which is listed on, or has been nominated by the NYS Board of Historic Preservation for inclusion on , the State or National Register ofHistoric Places? IfYes: i. Nature ofhistoric /archaecfogical resource: •Archae o logical Site •Historic Building or District ii. Name: iii. Brief description of attributes on which listing is based: f. Is the project site, or any portion of it, located in or adjacent to an area designated as sensitive fcr 0Yesl2)No archaeological sites on the NY State Historic Preservation Office (SHP0) archaeological site inventory? . - g. Have additional ardlaeological or historic site(s) or resources been identified on the project site? OYes~o IfYes: i. Describe possible resource(s): ii . Basis for identificaticn: - h. Is the project site within fives miles of any officially designated and publicly accessible federal, state , or local OYes~o scenic or aesthetic reoource? If Yes: i. Identify resource: ii. Nature of, or basis for, designation ( e.g., established highway overlook, state or local park , state historic trail cr scenic byway , etc.): iii. Distance between project and resource: miles. i. Is the project site located within a designated river corridor under the Wild, Scenic and Recreational Rivers 0Yesl2)No Program 6 NYCRR 666? If Yes: i. Identify the name of the river and its designation: ii. Is the activity consistent with devehpment restrictions cootained in 6NYCRR Part 666? OYesONo F. Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal , please describe those impacts plus any measures which you propose to avoid or minimize them. G. Verification I certify that the infolillation provided is true to the best ofmy knowledge . Applicant/Sponsor Name f)'<d h~ Date __ C?-=----1--...%,1 ..... P ________ _ Signature Bf(Ax,,/ (h~ Title~'f_-_CJ_--={J? ____ _ PRINT FORM Page 13 of 13 I I I EAF Mapper Summary Report B .i.i [Coastal or Waterfront Area] Souce : Esri, H ERE , Gli!lqliijJ U SGS , lnterm.sp , iNCREME NT P. NROs.n, Esri Ja~n . M ETI , Esri Cb ina {Hong Kong }, Es r i Korea , Eni !Th ailan d}, N GCC , © OpenS!reetMap co n!ributOl's , a nd th e GIS Us e ColT\l'l1..lnily No B .i.ii [Local Waterfront Revitalization Area] 1No Monday , August 27 , 2018 4:04 PM Disclaimer: The EAF Mapper is a screening tool intended to assist project sponsors and reviewing agencies in prepar ing an en vironmenta l assessment fo rm (EAF ). Not all questions asked in the EAF are answered by the EAF Mapper . Addltiona l infor mation on any EAF question can be obtained by consulting the EAF Workbooks . Although the EAF Mappe r provides the most up-to-date digltal data availab le to DEC, you may also need to co ntact local or other data sources in order to obtain data not provided by the Mappe r. Digital data is not a substitute for agency determinations. ' 111So11ces;~,\.1h~E. Garmin , ' ~ 1 bu n Pitt:bW9h U SG&llln .... ~......_, INCR E M EN T is b o um • •. , =•.•....- P.,t>!RC41n, Es r i J aµa n, M ET I, }V11SW.i6iOira {H eng Kcng). Es ri clnn~ti .-1 I l r ·, C.2 .b. [Special Planning District] Digital mapping data are not available or are incomplete. Refer to EAF Workbook. E.1.h [DEC Spills or Remediation Site -Digital mapping data are not available or are incomplete . Refer to EAF Potential Contamination History] Workbook . E .1.h.i [DEC Spills or Remediation S ite -Digita l mapping data are not available or are incomplete . Refer to EAF Listed] Workbook . E.1.h.i [DEC Spills or Remediation Site -'Digital mapping data are not available or are incomplete. Refer to EAF Environmental Site Remediation Database] Workbook . E.1 .h.iii [Within 2 ,000' of DEC Remediation 1 No S ite] I E.2.g [Unique Geologic Features] I No E.2 .h.i [Surface Water Features] IYes E .2.h.ii [Surface Water Features] Yes E .2 .h.iii [Surface Water Features] Yes -Digital mapp ing information on local and federal wetlands and waterbodies is known to be incomplete . Refer to EAF Workbook . 1 E .2.h.iv [Surface Water Features -Stream 898-339 Name] E .2.h.iv [Surface Water Features -Stream B Class ification] E .2.h .iv [Surface Water Features -Wetlands Federal Waters ,Name] 1E.2 .h.v [Impaired Water Bodies] No I E.2 .i. [Floodway] Digital mapping data are not available or are incomplete . Refer to EAF Workbook. 1 E.2.j. [100 Year Floodplain] Digital mapp ing data are not avai lable or are incomplete. Refer to EAF Workbook . Full Environmental Assessment Form -EAF Mapper Summary Report 1 : E.2.1. [Aquifers] 1::rkbook E.2 .n. [Natural Communities] No E.2 .o. [Endangered or Threatened Species] Yes E.2 .o. [Endangered or Threatened Species -, Northern Harrier Name] . E.2.p. [Rare Plants or Animals] I No E.3 .a . [Agricultural District] !Yes I • E.3 .a . [Agricultural District] ITOMP002 E.3.c . [National Natural Landmark] No E.3 .d [Critical Environmental Area] 1 No E.3 .e . [National Register of Historic Places] 'Digital mapping data are not available or are incomplete . Refer to EAF Workbook . E.3.f . [Archeological Sites] 'No I 'E.3 .i. [Designated River Corridor] I Full Environmental Assessment Form -EAF Mapper Summary Report 2