HomeMy WebLinkAboutpart 2 page 2.PDFShort Envir onmental Assessment F orm
Pqrt 3 Determination of Significance
For every question inPart 2 that was answered "moderate to large impact may oecur", or if there is a need to explain why a
particular element of the proposed action may or will not result in a significant adverse environmental impact, please
complete Part 3. Part 3 should, in sufficient detail, identifu the impact, including any measures or design elements that
have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency
determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting,
probability of occurring, duration, ineversibility, geographic scope and magnitude. Also consider the potential for short-
term, long-term and cumulative impacts.
Check this box ifyou have determined, based on the information and analysis above, and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required.
Check this box ifyou have determined, based on the information and analysis above, and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
Village of Cayuga Heights Board of Trustees November 16 ,2015
Name of Lead Agency
Officer in Lead Agency
ble Officer in Lead Agency
Date
Mayor
Title of Responsible Offrcer
Signature of Preparer (if different from Responsible Officer)
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