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Home My WebLink About20181125 2018.116_SEQRA_Short_EAFShort Environmental Assessment Form Part 1- 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: Proposed Landscape Trellis Project Location (describe, and attach a location map): 57 Ballston Avenue, Saratoga Springs, NY Brief Description of Proposed Action: The proposed action involves constructing a 13' x 40' trellis which would be attached to the rear of the existing building. Name of Applicant or Sponsor: RW Preservation LLC Telephone: E -Mail: gil@sp-Ilc.net Address: 501 Santa Monica Boulevard, Suite 310 City/PO: Santa Monica State: California Zip Code: 90401 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, 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. NO YES ✓ 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? If Yes, list agency(s) name and permit or approval: NO YES ❑ ✓ 3.a. Total acreage of the site of the proposed action? 2.17 acres b. Total acreage to be physically disturbed? 0.01 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 2.17 acres 4. Check all land uses that occur on, adjoining and near the proposed action. 14 Urban ■ Rural (non -agriculture) ■ Industrial 114 Commercial ■ Residential (suburban) • Forest • Agriculture ■ Aquatic ■ Other (specify): ■ Parkland Page 1 of 3 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A ❑ ✓ ❑ ❑ ❑ ✓ 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES ❑ ✓ 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: NO YES ❑ ✓ 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 routes available on or near site of the proposed action? NO YES ✓ ❑ ❑ ✓ ❑ 1 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: NO YES ❑ ✓ 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: NO YES ❑ ✓ Not applicable for this application 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: NO YES ❑ ✓ Not applicable for this application 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? NO YES ✓ ❑ ❑ ✓ 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: NO YES ✓ ❑ ✓ ❑ 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 !r" 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? NO YES ❑ ✓ 16. Is the project site located in the 100 year flood plain? NO YES 1 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? ❑ NO YES❑ b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: ❑ NO YES 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: NO YES 1 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: NO YES ❑ I / I 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 ❑ I ✓ 1 Properties within the City have had remediation projects completed. I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor; , - Gil S -tson - W Preservation LLC Date: i 2.--/8/19) Signature: PRINT FORM Page 3 of 3 EAF Mapper Summary Report Wednesday, November 30, 2016 9:21 AM Disclaimer: The EAF Mapper is a screening tool intended to assist 778.-4-201.1117 rtular ¢ _ project sponsors and reviewing agencies in preparing an environmental / 1 65.74 4 a 1$5.75-1-27 15.7-0 4 4 assessment form (EAF). Not all questions asked in the EAF are 1 f4 74-4-2 — y1 65' 75 _�j _26 j �a5-75 1 54 answered by the EAF Mapper. Additional information on any EAF 1/65' 74:/4-1/41 question can be obtained by consulting the EAF Workbooks. Although 65.74- y 165.75-11-25165.75-1-2 3 i—j IC/rc the EAF Mapper provides the most up-to-date digital data available to 165.82-2}4616`5.82-2-8 '1 .75-1-24165.75(1-22165 75_148�r ; DEC, you may also need to contact local or other data sources in order 1.1'.55: 82-2-7t 6.5.82_2,9 t 1165.75-1-i1 / to obtain data not provided by the Mapper. 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Kcres, Esri Thai + r bflpi ficyl H aatk:� - 4 dumhuE ' G+eLd?atled9 ,Inter map, 165.82 -2 -30 i •165.82-2'24 'Zi OpenStreel1 p ripai tnthe2 IN Ci EMENT R, NRC`in,Esri 16,5.8.2-2-271,65.8P P9 �\ Ua� Com nilnitp+ ,83.-:1=18 e f L igImAf .waallEmoyETI, Earl C3+ina :Heng Part 1 / Question 7 [Critical Environmental No Area] Part 1 / Question 12a [National Register of No Historic Places] Part 1 / Question 12b [Archeological Sites] Yes Part 1 / Question 13a [Wetlands or Other No Regulated Waterbodies] Part 1 / Question 15 [Threatened or Yes Endangered Animal] Part 1 / Question 16 [100 Year Flood Plain] Digital mapping data are not available or are incomplete. Refer to EAF Workbook. Part 1 / Question 20 [Remediation Site] Yes Short Environmental Assessment Form - EAF Mapper Summary Report 1