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Home My WebLink About20210134 Riley Accessory Structure EAF Short Enviroszmentnl Assessment Form Part 1 - Project Iriformc�tio�7 Instructions for Completin� Part 1—Pro,ject Information. The applic.�nt or pro.ject s�msor is responsible for the completion of Part 1. Responses become pait ol the apPlication lor appro��il or funding. are suhjcct tu pul,lic rcvic�v, an�l ma�'bc subjcct to furthcr��crificahon. Complete Part 1 based on iuluruialiui�cw�rci�tla ri�-ail�il�lu. 11:i��liti�,n.i1 i�cscar�li ur i>>t�csti�,t�tit�i��oitl�l 1,e�iec�le�tu liille rc,j�u�xl tu.m�� il�m,�,le,i,�antitvcr<i, tlioroughl�� as possible based on cuircnt infoi-mation. Complete all items in Part 1. Yvu rnay als��provfde an}� additional inibm�ation��hich Vou belicve t��ill be needed by or useful to the lead aeenc}�:attacl�aelditional paec;s as necessarv to suPplem�nt am• item. Part 1—Projcct and Sponsor Int'ormxtion Stephen and Shelley Riley Name of Action or Project: Finished Accessory Structure I'roj�ct Location(dcscribc, and attach a location map): 24 Ruggles Road,Saratoga Springs,NY 12866 I3ricf Description of Proposed l�ction: 10x14 Accessory Structure Shed will be finished on the inside Name of Applicant or Sponsor Telephone: 9174552461 Stephen and Shelley Riley L-Mail: idratherbeoutdoors@gmail.com Addre�,: 24 Ruggles Road Ciri�/PO: State: 7,ip Code: Sarabga Springs NY 12866 1. Doe�the proposed action only involve the legisl�tive adoption of a plan,local lu�v,ordinance, NO YES administrative nile,or regulation7 If Yes,attach a narrative description of the intent of the proposed action and tl�e environmental resources that � � may be affec[ed in Ihe municipali[v and procced to P�rt 2. If no,contii�uc to question 2. 2. Does the proposed action require a permit,apl�ro�al or funding from an}�other�u��rnment ngenc��'? NO YTS If Yes,list agency(s)name and perniil or appro��al:Saratoga Springs Building Permit,Accessory Structure under 144 ❑ ❑ Square feet(finished) �/ 3. a. Total acrcage of the site of the proposed action'? 36o sgft��r�, b.Total acreage to be physically disturbed'? 360sqft��i�zy c.Total acrcag�(project site and an��contiguous properlies)owned or eontrolled by the applicant or project spunsor' 9 2 acres ' d. Check all land uses that occur on,are adjoining or near thc proposed action: �Urban ❑✓ Rural(non-a�riculture) ❑ [ndustrial ❑ Commercial ❑ Residcntial(stthurban) � ❑ Forest ❑ /\griculture ❑ Aqualic 0 Other(Speciiy}: ❑Parkland I':i�� I ��I� � SEA�2019 �. [s l6�E�rc�I�ose�i acliun, NO YI;S N//� �. A per�nittcd usc undcr thc zoning rcgulation,'? ❑ � ❑ h. Consislcnl ��ill� llic uclu�>�r�]cum��rchcnsicc p];m'? l-1 � � NO YI:S (. Is thc proposcd actiun consistcnt��itl�Ihc prcdomin��nt charactcr of th�cxisting huilt or nal�u��l land,capc? ❑ a 7. Is th�sitc ol th�1�r��P��sed actiun I�,cat�d in,ur does ii adjoin_a state listed Critical Em�ironmental /�rca7 NO YES ll�Ycs, id�ntil��: � ❑ NO YT,S S. a. Will thc proPoscd acliun result in a,ubstantial incrcasc in trallic abo��c�,i�csent lc��cls`' � ❑ b. Are public transponation se»�ices a��ailable at or near the site of tl�e proposcd action? � ❑ c. Are am�Pede,ttian accommo�atic�ns ur hic��cic routes a��iluhlc un or ncar the si�c ol�lhc proposed � ❑ action° 9. Does the proposcd action meet or excceel the,tate encrg��codc ruquircments? NO Y}?ti If the proposcd action��ill c�cecd requirement,,descr7bc design features und technologies: �� ❑ ❑� 10. Will the proposed action connect�o an e�istii�g puhGc/pri��ute��uter suppl�•'? NO YES If No,desenbe me[hod for proeiding potable��ater � � 1 1_ Will the proposed action conncct to e�isting��aste��ater utilitics7 NO YF_�S If No,descnhe method 1�or pro��iding��°astca�at�r trcatm�nt: ❑� ❑ I 2. a. Uoes the project site contain,or is it subslantially cuntiguous lo,a building,urchaeolo�ical site,or disU�ict r]p y]�;5 which is listed on the Na�ional or State Register of His�oric Places,or lhat has bern determine�l by the � ❑ Commissioner of the NYS Office of Park�,Recrcation and His[uric Vresetl��[iim to be eligible for lis[ina on the State Rea�ster of[Iistoric Placcs? h. Is the projcct,tiitc,or any poilion of it,locaicd in or adjaccnt lu an arca dcsignatcd as scnsiti��c li�r � � archacological sices on the NY 5tatc Histonc I'rescivahon(�ffice(SITYU)archacolugical site inventory'1 13. a_ nocs am'por(ion ol the sitc of thc proposcd action,or lands adjoining tlle proposc�l action,contain NU YI,S wetland,ur uther��aierbodics regulatcd b�'a l�ederal,statc or luc<tl a�enc��? � ❑ b. Would the�roposed action�hvsicall��allcr.or encroach irtfu,titty esisting��elland or��aterhud��'� � � If�Yes,identify the��etland or�vaterhod��and e�tent of<iltcrations in squarc fect or acres: � - � ��i,�� ' �ii" 14. Identif�� tlie t��pical Itabitat t}�pes that occur on,or are likely to be found on the project site. Chcck all that apply: ❑Shoreline ✓Q Forest ❑ngricultural/grasslands ❑ Early mid-successional ❑Welland ❑ Urban ❑ Suhurhan 1�. Docs the sit�of the pi-opos�d action conlain any speciu,oC animal,or associated habit�ts,listed by the Slate or NO Y��:S Pederal go��emmcnt as threatened or cndangcrcd'? ❑`� ❑ lC. Is the project site localed in dlc 100-ycar flood plan? NO Yh;S � ❑ 17. Will the Proj�osed action create storm��ater dischnrge,eitl�er from point or non-point sources? N� Y�� If Ycs. �✓ ❑ a. Will stoi�n water discharges flow to�djaccnt properties? �✓ � b. Will storm��aler discllarges be dirccicd to established conveyance systems(runoff and storm drains)'7 �✓ � If Yes,brietl��describe: 18. Docs the proposed action include constiuction or other activitics that would result in the impoundmcnt of�vater NO YliS or olher liquids(e.g.,ictcntion pond,��aste lagoon.dam)? If Yes,explain the purpese and size of lhe itnpoundmcnr. � � 19. Has the site of tLie proposed action or an adjoining properh�been the location of an active or closed solid��°aste NO I'�S management facilit��'? If Yes,describe: � � � 20.Has the site of Qte proposed ac�ion or an a�joining property bcen the subject of remediation(ongoing or NO YES completed)for hazardous��aste? If Yes,describe: � � I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE APplicant/sPc sor/ � e: Ste,phe and Shelley R ley I�,��`. 11/25/20 Signature�/Y�� -Z! TiUe:owners PRINT FORM p�,�,� ; �,r�;