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Home My WebLink AboutShort Environmental Assessment Form (SEAF) Part 1 – November 29, 2018Short Environmental Assessment Form Part I - Project Information Instructions for Comnleting 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 1 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 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 1- Project and Sponsor Information 5ohd 1Vldo a - Name of Action or Project: 3�(3 jj(9 isr*7 (Zr-/ Project Location (describe, and attach a location map): Brief Description of Proposed Action: �.5 rf 1 a "er "x -fie h cmc 04 3 2`1 Ne 1.60., (Z 1 }v w k1, C' 6� �a y- �e — 5 CO J CLM Subdividin5 adsot n.s7_5 1z>4 -V k4e.> lrc�r y'V,ysverc Name of Applicant or Sponsor: Telephone: �� o?- 327 -Do Z'-�/ E -Mail: LCJW 02 _ V Q'ao . ey - Address: 317 (V City/PO: State: Zip Code: 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, I 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 governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: �I 3.a. Total acreage of the site of the proposed action? 'fj acres b. Total acreage to be physically disturbed? /I acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? acres 4. Check all land uses th k Tccur on, adjoining and near the proposed action_ ❑ Urban ural (non -agriculture) ❑ Industrial ❑ Commercial Residential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other (specify): ❑Parkland Page 1 of 3 S. Is the proposed action, NO a. A permitted use under the zoning regulations? ❑ b. Consistent with the adopted comprehensive plan"? ❑ 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? If Yes, 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 mutes available on 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: 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain 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: YES NO _❑ NO N/A j❑ : . LJ YES 191 YES I jNOO YES 0" ❑ LJ ❑ NO YES IT ❑ ANO YES L.�.J ❑ NO YES a❑ NO YES ❑ ❑ NO YES F❑ ❑ LJ ❑ 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 El Urban 2Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? ❑ ❑ 16. Is the project site located in the 100 year flood plain? NO I YES 17. Will the proposed action create storm water discharge, either from point or non -point sources? NO YES It Yes, �j�`' a. Will storm water discharges flow to adjacent properties? G_,K0 ❑YES L�J EJ b. Will storm water discharges be directed to established conveyante systems(runoff and storm drains)? If Yes, briefly describe: NO ❑YES Page 2 of 3 18. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: • 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? If Yes, describe: NO YES F ;F] NO YES R,F� NO YES FI I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE 'f Applicant/spons r name J 4:1 bef Date: Signature: I `- • �h"— r PRINT FORM Page 3 of 3 EAF Mapper Summary Report urty Kd Da nby ---I Wednesday, August 22, 2018 12:50 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 QL 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_ Sc4xcr @fir; WERE. G3vgmk: _ %'SGS. Intwer' REMPENT P NRC". Esri Japan, VET i. Esri China :14.2 Xsv a). I=sri Kcres. Esri J!,ailandj. !,4C -:CC, —_ 0perStreeIA3P Mntritu.tM, 8170 the GIS U3s CC?e-n.rity Part 1 / Question 7 [Critical Environmental Area] Part 1 / Question 12a [National Register of Historic Places] Part 1 / Question 12b [Archeological Sites] Part 1 / Question 13a [Wetlands or Other Regulated Waterbodies] Part 1 / Question 15 [Threatened or Endangered Animal] Part 1 / Question 16 [100 Year Flood Plain] Part 1 / Question 20 [Remediation Site] No No ?otunto NO J�frat �Irtiilald is - Ccljrnbus 'pItteblegb :rn7ak �nlar:� Mrn�esl f.6 arry $s1L4a7f! �y�� 3rr�l.let+cr SUIYi�l2. ?CSrt 1�ERE. CisrrR� USC-6tYatU99r , WGRUtENT P,1+CitQm. Esti Jspark REFI. :Ira &VicItilm eiopc li<=Gf. Esti No Yes - Digital mapping information on local and federal wetlands and waterbodies is known to be incomplete. Refer to EAF Workbook. No Digital mapping data are not available or are incomplete. Refer to EAF Workbook. No Short Environmental Assessment Form - EAF Mapper Summary Report I