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HomeMy WebLinkAboutPB Packet SUB-2020-02 444 Jersey HillDevelopment Review Application Building Permit Number: NA Project Title: Hardesty Subdivision Project Address: 444 Jersey Hill Rd Tax Parcel ID: 8.-1-23.1 Type of Application: IMajor Subdivision I Type of Development: Iresidential I Stage of Review: Sketch Preliminary x- Final Additional meeting Estimated site improvement / project cost: (Exclude cost of land acquisition & professional fees) Total number of lots proposed (existing + new): 3 Are new roads or public utilities proposed? no Applicant / Agent Name: trV�a C71 Title: nC,-')0k,� Address: L414<1 .�°2�fS y �c�l �cj • Phone: Email: k OY-A64 0 �(�-I W Consultant J Name: Title: Address: Phone: Email: Owner / Lessee / Engineer / Attorney / Other (circle one) Name: Title: Address: Phone: Email: ALL APPLICATIONS: The information on this application form is submitted in addition to other information, plats, and plans required by the Town of Danby. I attest that all information so submitted is complete and accurate to the best of my knowledge. Also, by filing this application, permission is granted to members of the various Town Boards, Committees, Planning and Code Enforcement staff, and/or any other persons designated by the Town that may be involved in the review of this application, to enter the property specified above to inspect in connection with the review of this application. Owne s, gna a date Applicant/Agent signature date 2 4 e � �9. 760 Short Environmental Assessment Form Part I - Project Information Instructions for Completing 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 Name of Action or Project: Hardesty Subdivision Project Location (describe, and attach a location map): 444 Jersey Hill Road, Town of Danby Brief Description of Proposed Action: s U(� C)IVIO �S +l-1 Ac-Oc PSR&E WTV 3 4- %-� IkLJ� PAILC Name of Applicant or Sponsor: zt Ct, CL -U Address: �) Telephone: tJ '� 9� 2— q -7 O E -Mail: l'l1aY�sPf l/, � � �a ►t � i� •��}7i 4 JL City/PO: State: Zip Code: q lwvy,UA I r�., I tq �} 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinancd, NO YES administrativerule, 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 government Agency? If Yes, list agency(s) name and permit or approval: 3. a. Total acreage of the site of the proposed action? acres b. Total acreage to be physically disturbed? %j 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 that occur on, are adjoining or near the proposed action: 5. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commercial ❑ Residential (suburban) ❑ Forest Agriculture ❑ Aquatic ❑ Other(Specify): ❑ Parkland Paae I of YES 5. Is the proposed action, 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: S. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation services available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near the 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: NO YES N/A ❑ ❑ ❑ I� ❑ NO YES NO YES NO YES YES IIST{ ❑ V1 ❑ NO YES NO YES 19 ■ NO YES 12. a. Does the project site contain, or is it substantially contiguous to, a building, archaeological site, or district NO YES which is listed on the National or State Register of Historic Places, or that has been determined by the ❑ F]Commissioner of the NYS Office of Parks, Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b. Is the project site, or any portion of it, located in or adjacent to an area designated as sensitive for ❑ ❑ archaeological sites on the NY State Historic Preservation Office (SHPO) archaeological site inventory? 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain NO YES 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: ISI Pa' -Te 2 of 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: E3 Shoreline ❑ Forest ❑ Agricultural/grasslands ❑ Early mid -successional ❑ Wetland ❑ Urban ❑ Suburban 15. 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 in the 100 -year flood plan? 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, a. Will storm water discharges flow to adjacent properties? b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: 18. Does the proposed action include construction or other activities that would result in the impoundment of water or other liquids (e.g., retention pond, waste lagoon, dam)? If Yes, explain the purpose and size of the impoundment: 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 �0 ❑� NO YES ��� NO1,� YES ��I❑I Iy ❑ NO ' YES LGJ ❑ NO YES 0 1-1 NO YES I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: N Date: Signature: 1 C1C'q✓� �J �l/� Title: PRINT FORM I Page 3 of EAF Mapper Summary Report Danby ScLrces: Esri, HERE, Garmin, USGS, Intermap• INCREMENT P,' NRCan, Esri *�'4re fe rti, NIETI, Esri China (Hong Kong), Esri Kcrea, Esri f Thailand), NGCC, (c) OpenStreell0ap contributcrs, and the GIS User Ccmm;nity Part 1 /Question 7 [Critical Environmental Area] Part 1 / Question 12a [National or State Register of Historic Places or State Eligible Sites] 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 No No No Wednesday, January 08, 2020 2:47 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. i3t t,sh'.) M1cnCcal Tormnto • 1 � Albazry [7fr< it Boston IevAmd _,Prwttlertce -3tsittabtrgh Scu�s:Fs�ii. HERE. Garmin, Is Columbus USGIS Unti3#A3i p. INCRELIENT P, NRCan. EsriJapac., METl, cfnnati Was ftyrt&a ;Hong Kong), Esri Digital mapping data are not available or are incomplete. Refer to EAF Workbook. No Short Environmental Assessment Form - EAF Mapper Summary Report I AGRICULTURAL DATA STATEMENT Town of Danby Tax Parcel No. Tompkins County Agricultural District No. 1 0cD NOTE: Section 283-a of the Town Law (effective July 1, 1993) requires that any application for a Special Permit, Site Plan Approval, Use Variance or Subdivision Approval on property within an Agricultural District containing a farm operation, OR on property with boundaries within five hundred (500) feet of a farm operation that is located in an Agricultural District, include an Agricultural Data Statement. ALL applications requiring an Agricultural Data Statement must be referred to the Tompkins County Planning Board in accordance with amended section 239-m and 239-n of the General Municipal Law (effective July 1, 1993). Part L Agricultural Data Statement Name of Applicant Mailing Address Description of Project .5 U (3 D 1 V1 DC- (,S- i+ %—> A -C R E- S- ( 4 - Names and addresses of those owners of land within Tompkins County Agricultural District #1 or #2 that contain farm operations AND are located within five hundred (500) feet of the project property: L `SCE 2. 3. 4. 5. Attach to this form a copy of a tax map showing the site of the proposed project relative to the locations of farm operations identified above. Farm Operations are defined as "...the land used in agricultural production, farm buildings, equipment and farm residential buildings" according to Section 301, Article 25 AA of the Agricultural and Markets Law. Rev. June 27, 2019 Address Tax ID Owner 390 Jersey Hill Rd 8.4-21.8 Julie Menardi, Myles Menardi 394 Jersey Hill Rd 8.-1-23.222 Raymond A Seely, Mabel Seely Raymond A Seely, Mabel Seely 400 Jersey Hill Rd 8.-1-23.3 Jersey Hill Rd 8.-1-23.226 Jacob Jordan 450 Jersey Hill Rd 8.-1-25 Lloyd Sheffield Paul & Harriet Moore Trust 423 Gunderman Rd 8.4-24.2 80 Bruce Hill Rd 8.4-24.1 William Cuyle, Judith Cuyle 84 Bruce Hill Rd 8.-1-24.4 Peter Moore Farm Operations? (Y/N)* N Y *farm operations are "the land used in agricultural production, farm buildings, equipment and farm residential buildings" (1) Tompkins County Natural Resources Inventory Map 833.3 0 416.67 833.3 Feet WGS_1984_Web_Mercator Auxiliary_Sphem C Tompkins County GIS 2011 Legend Address Open Water Streams Int—ni tseeems PerennialSt.— ❑ Watershed Resources Council PARCELS Building Ag District 2012 Ag Dist 1 ■ Ag Dist 2 13 Municipalities Citations 1: 5,000 This map is a user generated static output from an Internet mapping site and Notes is for reference only. Data layers that appear on this map may or may not be Th ls map was eutomahcaly generated accurete, cunenl, or otherwise reliable. using Geocodex Essentials. Your tax dollars THIS MAP IS NOT TO BE USED FOR NAVIGATION at work) 4w 4w ft- s aw 4m 41111111, 211 - .. 1 hi 4,4. 01111, 1111111, alls 40& jis AM 40P 833.3 0 416.67 833.3 Feet WGS_1984_Web_Mercator Auxiliary_Sphem C Tompkins County GIS 2011 Legend Address Open Water Streams Int—ni tseeems PerennialSt.— ❑ Watershed Resources Council PARCELS Building Ag District 2012 Ag Dist 1 ■ Ag Dist 2 13 Municipalities Citations 1: 5,000 This map is a user generated static output from an Internet mapping site and Notes is for reference only. Data layers that appear on this map may or may not be Th ls map was eutomahcaly generated accurete, cunenl, or otherwise reliable. using Geocodex Essentials. Your tax dollars THIS MAP IS NOT TO BE USED FOR NAVIGATION at work)