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Home My WebLink About20211217 90 Catherine Subdivision EAF 617.20 Appendix B Slrort Environmental Assessmenl Form Instructions far Completin� Part i - Project I�formxfion. The applicant or project sponsor is responsible for the cum�letian of I'art I. Res�c�nses become part of the application for approval or funding, are subject to public: review,a��d mny 6e subjeec to furt�ier verificatio:�. Complete Part 1 based an infprmation currently available. Ifaddition�l research or investigation would be needed to f��lly respond tn any item, pEease answer as thoroughly as possible based c�n current informatios�. Camplete all items in Part 1. You may also prc�vide any adclitional i��formatic�n whieh you believe will be needzd by or useful to#he Eead agency; aitach additiona] pages�s necessary to supplement any item. p�rt 1 - �roject�nd S�yonsor[nt'ormatioii � Name of Aetion or Aroject: Donfon 2-Lot Subdivision Project Location (descsibc,and attach a locltion map): 90 Catherine St. Brief Description of Proposed Action: S�bdi�ision of �0,675 +1- sf. lat into two (2} resictential parcels: Lot 1 inclu�ies the existing residence and measures 5,441 sf, with an average Lot width 51.75 ft. Lot 2 is a prapsed residential Lot with an area of 5,234 sf, ar�d an a�erage Lot width of 50 ft. Name of Applicant or Spons�r: Telephone: 516-647-��15 Denise Danl�n D;5�?ao?�, ,eo,n Q9rna Add�eSS: 150 Brompton Rd. c.;ty��o: sta�e: z�p c•o�i�: Garden City NY 11530 l. Does the praposed a�tion onfy i�lvolve the legislative ndoption of a pl�n, loeal law,c�rdinance, NO YES administrative rule,or regulation? [f Yes,attach a narrative deseription of tha intent of the proposed acCion and the emRironi�iental resources that � may be affected in the munici�ality and praceed to Part?. If no,continue to question 2. 2. Does the proposed action require a permii,approval or fwlding from any ather goveri�menta] Agency? 1�0 '�'CS If Yes, list agency(s)name and permit or a�praval: Saratoga Springs Zoning Board and Plar�ning Board ✓ 3.a.Total acrea�e of the site of t1�e propased action? a zasosazs acs�es b.Total acrea�e to be physic�lly distiirb�d? � acre4 c.7'otal acreage(project site and any contiguous praperties)owned or controlled by the ap�rlicant or project spansor'? o.zasosazs �cres 4. Ct�ecic all land uses that occur on,adjoininb and near the proposed acticm. . / ❑ Urban ❑ [�ural {norra�riculiure) Q Industrial ❑ Commercial 1� R�sidential (suburhan) o Forest ❑ Agriculture ❑ Ac�u�tic ❑ Qther(specify): _ ❑ Parkland Pa�e 1 of 4 5. Is the proposed action, NO YGS N/,+► a. A permitted use under the zonin�re�ulatians? � b. Consistent wiCh the adopted comprehensive plan? � b. [s the proposed action consistent with the predominant character of the existing 6uilt or s�atura] h0 1'CS landscape? ✓ 7. Is tl�e site of ttie proposed action located in,or does it adjoin,a state listed Critical Em�ironmetital Area7 Nl7 YES It`Yes, identify: � 8. a. Will the proposed action resiilt in a stihstantial increase in traffic above present levels? NO Y�S � U. .Are pt�blic transportation service(s)auailable at or near the s�te of'the propc�sed action? � c. ,qre any�edestrian accommodations or bicycle routes a�ai[able on or near site oF the pr�posed action? �/ 9. Uoes the proposed action meet or exceed the state ener�y code requirernents`' NO YES Iftlle�rroposed�ction wil] exceed requirements,describ�cfesi�n features and technolagies: — ✓ 10. Will the prop�sed action connect to an existing publie/private��ater supply? NO YF,S [lf Yes,does the existing sys[errt have ca�acity to provide ser�ice? ❑NQ ❑ YES] If No,describe method for pravidin�;�otable water: � E I. Will the proposed action connect to existing wrastewater utilities'� IV� Y[:S [[f Yes,daes the existing system have capacity ta provide ser�ice? ❑ NO ❑ YES] If No,describe method for providing wnste.vater treatment: � i2, a. Does the site contain a structure that is listed on eitl�er the State or National Register of Historic n'O 1`ES P�aces? � b. [s d�e propos�d action loc�ted in an arcl�eologic�l 'sensitive are�`' � ]3. a. Does any poetion ofthe site ofthe proposed action,c�r lands adjc7inin�the proposed aclion,contain NO YES weTlands or other waterbodies regulated by a federal,state or local a<�ency? � b. Would the proposed actio�i physically alter,or encroach inta,any existing�vetland or��lterbody? � If Yes, identify the wetland or waterbody and extent of alterations in sc�tiare feet or�cres: [4. [dentify the typical habitat types that occur on,or�ire ]ikely to be found on the p��ject site. Check all tl�at a�pl_y: ❑ 5hareline ❑ Forest ❑ Agricultural/grasslands ❑ �arly mid-succession��l ❑ Wetland ❑ Urban � Suburban 15. Does the site of ttie propos�d action contain any species�f animal,ar associated habitats, listed NO YES by tEie State or Federa�governme�tit�s tl7reateiied or endan,�ered? � 16. Es Ehe project site located in the 100 year f]oc�d �lain? NO 1'[:S ✓ ]7. Will the proposed action create storm water discharge,either from point or nan-poini sot�eces? N(] 1"ES If Yes, a. Will storrr�water discharges flow to adjacent �roperiies'? ❑ N� ❑ YES ✓ b. lA,'il� storm water discharges be directed to established com�eyance systeins{runoffand storm draii�s)? If Yes,bri�;fly descril�e: ❑ NO � YES v1 Page 2 of 4 ]8. Does the praposed action include construction or other activitie:s that result in the im�oimdment of` NO Y'ES water ar other]iquids(e.g. retention pond,waste ]agaon,dam}? If Yes,explairi purpose and size: � 19. �-Ias t��e site of the proposed action or an adjoining�roperty been the loc�tion of an active or closed iV0 1'ES solid waste mana�ement facility? If Yes,describe: �/ 20, Has the site of tf�e proposed action or an adjoinitig property been the sub}ect of remediation (ongoing or PVO YES completed) for hazardous waste? If Yes,describe: � l AFF1R��1 THAT TII'� INFORI�9AT10N PROV[DCd A�30VE IS TRUE AiVD ACCLIR.4TG"1'O"(�IIE 13�;5'I'OF 14'!Y K�O W LEQC E .A�plicant/ ansor name: D1te: � Signature:��i��' L -- P�rt 2- Impact Assessment. The Lead Agency is responsible far the cotn�letian of F'aE�t 2. Ans�v�r�ill �f the follo�vin;, questions in Part 2 using d7e information contained in Part 1 and other materills submitted bV th� project sponsor or otherwise available to the reviewer. When answering the questions the reviewer shoulci be guide�i by the ccmce�t"Have my responses bezn reasonablz considering the scale and context oftkie praposed action?" No,or h7oder:zte s�nall fo laege irnpact impact fyi�y mfly occur oerur 1. 4�lill ihe proposed action c�'eate a snaterial canflict with an adopted land use plan or zoning regulations? 2. Will the�roposed action result in a chan2e in the use or intensity of use of land? 3. Wi[I the proposed actian impair the cf�araeter or nuality of the existing cammunity? 4. �'�ill the proposed action have an impact on th�e em�ironiliental charactzristics tltat catised the establ'sshment ot a Critical Enviroilmeiltal Are�(CEA)? 5. 1�4'il4 the prap�sed action result ii7 an ldverse c�ange isi the existing level of traffic or afi��ect existin�infrastructure for mass transit, L�iking or walkway? G. Will the proposec� action cause an increase in ttie use of energy �nd it fails to incorporate reasonably available er��rgy conservation or renewable energy opp�rtuniti�s? 7. 1Vil] fhe proposed action impact existing: a. public/�rivate water suppl'ses? b. public/private w�stewater treatment utilities? 8. Will the proposed action impair the character or qualicy of important historic,archaeologiczil, archite�tural or aesthetic resources`? 9. Will the proposed actic�n result in an adverse cli�nge to��ltural resources(e.g., ��etl�nds, waterbodies,grountiwater,air g�aality, flora<<nd fauna)? Page 3 a1�4 No,o�• lVsocterate small to lar�e im�fact i�n�►act may may occur occur 10. Wil] the praposed action resul# in an increase in the potential for erosinn, flo�ding or draii�age problems? ] l. �Uil] tl�e proposed action creaie a hazard to environmeiztal resources or human health? Part 3- Determivation of signific�nce. The Le�d A�eney is responsible for the com�letiuu of Part 3. For e��ery question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain �r�hy a particiilar element oftl�e proposed ac[ion m�y or�vill not result in a signific�nt adverse environmental irnpact, ple��se cornplete Part �. Part 3 should, in sufficient detail, ide�tiTify the im�act, including any measures or design elements that �7ave bee�i incltided l�y the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead ��ency determin�d that the impact may or will noc be sigi�ificant. Each ��otential impact should be assessed considerin4� its setting, �robahility of occurring. cturation, irreversibility, geographic scope Znd mag�litude. Also consider the potential for short-ker'm, long-te¢-m a��d cumulative impacts. ❑ Check this box ifyou have determined, based on the informat`son and analysis ahove, and any su�portine dc�c�nttentation. that the proposed aciion may result in one or more qotentially lar�e or signiticant adverse impacts and an environmental impact statement is required. ❑ Check Yhis box if you have detem�ined, b�sed on the inforniation and analysis abo�e, and a��y su�pc�rting doc�imentation, that the proposed action will not result in any sianificant adverse erjvirc�nmental impacts. Name of Lead Agency Date Print or Ty�e Name of Respansible Officer in Lead A�ency 7'itle of Resg�onsible Officer � Sigilature of Responsible Officer in Lead Agency Sigi�ature of Pre�arer(if'different from Responsibl�Otficer) Page 4 of 4