HomeMy WebLinkAbout20210757 Myrtle Street Site Plan EAF Full Envi�onmental Assessment Fo�m
Pc�rt 1 -P�oject and Setting
Instructions for Completing Part 1
Part 1 is to be completed by the applicant or project sponsor. 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; indicate whether missing information does not exist,
or is not reasonably available to the sponsor; and,when possible,generally describe work or studies which would be necessary to
update or fully develop that information.
Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that
must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the
answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any
additional information. Section G requires the name and signature of the applicant or project sponsor to verify that the information
contained in Part lis accurate and complete.
A.Project and Applicant/Sponsor Information.
Name of Action or Project
Myrtle Street Medical-Saratoga Hospital
Project Location(describe,and attach a general location map):
55 Myrtle Street at the intersection of Morgan Street and Myrtle Street
Brief Description of Proposed Action(include purpose or need):
Lot line adjustment to combine(3)adjoining parcels and the construction of approximately 105,000 s.f.of new medical office buildings and associated
services along with adaptive reuse of the existing+/-4,000 s.f.house,and associated on-site and off-site support infrastructure.
Name of Applicant/Sponsor. Telephone:5�s-5s3-sa5�
The Saratoga Hospital E-Mall:
kronayne@saratogahospital.org
Addl'eSS:211 Church Street
Clty/PO:Saratoga Springs State:NY Zlp COde:12866
Project Contact(if not same as sponsor;give name and title/role): Telephone:518-587-0080
Jones Steves,Attorneys at Law(Matt Jones) E-Mall:mjones@saratogalaw.com
Address:
68 West Avenue, PO Box 4400
Ciry/PO: State: Zip Code:
Saratoga Springs NY 12866
Property Owner (if not same as sponsor): Telephone: 518-583-8457
The Saratoga Hospital E-Mall: kronayne@saratogahospital.org
Address:
211 Church St
Ciry/PO: State: Zip Code:
Saratoga Springs NY 12866
Page 1 of 13
B.Government Approvals
B.Government Approvals,Funding,or Sponsorship. ("Funding"includes grants,loans,t�relief,and any other forms of financial
assistance.)
Government Entity If Yes: Identify Agency and Approval(s) Application Date
Required (Actual or projected)
a. Ciry Counsel,Town Board, ❑Yes�No
or Village Board of Trustees
b. Clty,TOwn oI'Vlllage �Yes❑NO Planning Board-Site Plan Review, Lot Line July 2021
Planning Board or Commission Adjustment
c. Ciry, Town or ❑Yes�No
Village Zoning Board of Appeals
d. Other local agencies ❑Yes�No
e.County agencies ❑Yes�No
f.Regional agencies ❑Yes�No
g. State agenCles �Yes❑NO NYS Department of Health, NYS DEC, NYS +/-December 2021
OPRHP water line extension, SWPPP effect Itr
h.Federal agencies ❑Yes�No
i. Coastal Resources.
i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? ❑Yes mNo
ii. Is the project site located in a communiry with an approved Local Waterfront Revitalization Program? ❑YesmNo
iii. Is the project site within a Coastal Erosion Hazard Area? ❑YesmNo
C.Planning and Zoning
C.1.Planning and zoning actions.
Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the ❑YesmNo
only approval(s)which must be granted to enable the proposed action to proceed?
• If Yes,complete sections C,F and G.
• If No,proceed to question C2 and complete all remaining sections and questions in Part 1
C.2.Adopted land use plans.
a.Do any municipally- adopted (ciry,town,village or county)comprehensive land use plan(s)include the site �Yes❑No
where the proposed action would be located?
If Yes,does the comprehensive plan include specific recommendations far the site where the proposed action ❑YesmNo
would be located?
b.Is the site of the proposed action within any local or regional special planning district(for example: Greenway; ❑YesmNo
Brownfield Opportuniry Area(BOA);designated State or Federal heritage area;watershed management plan;
or other?)
If Yes,identify the plan(s):
c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, ❑YesmNo
or an adopted municipal farmland protection plan?
If Yes,identify the plan(s):
Page 2 of 13
C.3. Zoning
a. Is the site of the proposed action located in a municipaliry with an adopted zoning law or ordinance. m Yes❑No
If Yes,what is the zoning classification(s)including any applicable overlay district?
UR-1 and OMBD-2
b. Is the use permitted or allowed by a special or conditional use permit? m Yes❑No
c.Is a zoning change requested as part of the proposed action? ❑Yes�No
If Yes,
i. What is the proposed new zoning for the site?
C.4.Exisfing community services.
a.In what school district is the project site located? Saratoga Springs City School District
b.What police or other public protection forces serve the project site?
Saratoga Springs Police Department
c.Which fire protection and emergency medical services serve the project site?
Saratoga Springs Fire Department
d.What parks serve the proj ect site?
West Side Recreation Park, Northside Recreation Park
D.Project Details
D.1.Proposed and Potential Development
a.What is the general nature of the proposed action(e.g.,residential,industrial,commercial,recreational;if mixed,include all
components)? Commercial/medical office buildings and related uses
b. a.Total acreage of the site of the proposed action? �9.33 acres
b.Total acreage to be physically disturbed? �3.s acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 4s.o� acres
c.Is the proposed action an expansion of an existing project or use? ❑Yes�No
i. If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units,
square feet)? % Units:
d.Is the proposed action a subdivision,or does it include a subdivision? ❑Yes�No
If Yes,
i. Purpose or type of subdivision?(e.g.,residential,industrial,commercial;if mixed,specify types)
ii. Is a cluster/conservation layout proposed? ❑Yes❑No
iii. Number of lots proposed?
iv. Minimum and m�imum proposed lot sizes? Minimum M�imum
e.Will the proposed action be constructed in multiple phases? �Yes❑No
i. If No,anticipated period of construction: months
ii. If Yes:
• Total number of phases anticipated �
• Anticipated commencement date of phase 1 (including demolition) .lune month 2022 year
• Anticipated completion date of final phase �eC month 2031 year
• Generally describe connections or relationships among phases,including any contingencies where progress of one phase may
determine timing or duration of future phases:
The 75,OOOsf inedical office buildinq proposed in Phase 1 is the main structure with the renovation of existinq structures for qeneral office space
Future bulidout is proposed for an additional 30,OOOsf inedical office for future medical space for multiple practices and practice consolidation.
Page 3 of 13
£Does the project include new residential uses? ❑Yes�No
If Yes,show numbers of units proposed.
One Familv Two Familv Three Familv Multible Familv four or more
Initial Phase
At completion
of all phases
g.Does the proposed action include new non-residential construction(including expansions)? �Yes❑No
If Yes, 40'per code, +/-50'to highest point of appurtances
i.Total number of structures+/-2 new principal structures
ii. Dimensions(in feet)of largest proposed structure: � height 13o Width; and 240 length
iii. Appro�mate extent of building space to be heated or cooled: �05,00o square feet
h.Does the proposed action include construction or other activities that will result in the impoundment of any ❑Yes�No
liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage?
If Yes,
i. Purpose of the impoundment:
ii. If a water impoundment,the principal source of the water: ❑ Ground water❑Surface water streams ❑Other specify:
iii. If other than water,identify the rype of impounded/contained liquids and their source.
iv. Approximate size of the proposed impoundment. Volume: million gallons; surface area: acres
v. Dimensions of the proposed dam or impounding structure: height; length
vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete):
D.2. Project Operations
a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? ❑Yes�No
(Not including general site preparation,grading or installation of utilities or foundations where all excavated
materials will remain onsite)
If Yes:
i.What is the purpose of the excavation or dredging?
ii. How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site?
• Volume(specify tons or cubic yards):
• Over what duration of time?
iii. Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them.
iv. Will there be onsite dewatering or processing of excavated materials? ❑Yes❑No
If yes,describe.
v. What is the total area to be dredged or excavated? acres
vi. What is the m�imum area to be worked at any one time? acres
vii. What would be the m�imum depth of excavation or dredging? feet
viii. Will the excavation require blasting? �Yes�No
ix. Summarize site reclamation goals and plan:
b.Would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment �Yes�No
into any existing wetland,waterbody,shoreline,beach or adjacent area?
If Yes:
i. Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic
description):
Page 4 of 13
ii. Describe how the proposed action would affect that waterbody or wetland,e.g. excavation,fill,placement of structures,or
alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres:
iii.Will the proposed action cause or result in disturbance to bottom sediments? ❑Yes❑No
If Yes,describe:
iv. Will the proposed action cause or result in the destruction or removal of aquatic vegetation? ❑Yes❑No
If Yes:
• acres of aquatic vegetation proposed to be removed:
• expected acreage of aquatic vegetation remaining after proj ect completion:
• purpose of proposed removal(e.g.beach clearing,invasive species control,boat access):
• proposed method of plant removal:
• if chemicaUherbicide treatment will be used,specify product(s):
v. Describe any proposed reclamation/mitigation following disturbance:
c.Will the proposed action use,or create a new demand for water? mYes❑Ivo
If Yes:
i. Total anticipated water usage/demand per day: �0,50o gallons/day
ii. Will the proposed action obtain water from an existing public water supply? mYes❑No
If Yes:
• Name of district or service area: city ot saratoga sPrings
• Does the existing public water supply have capaciry to serve the proposal? m Yes❑No
• Is the project site in the existing district? m Yes❑No
• Is expansion of the district needed? ❑Yes�No
• Do existing lines serve the project site? m Yes❑No
iii. Will line extension within an existing district be necessary to supply the project? mYes❑No
If Yes:
• Describe extensions or capaciry expansions proposed to serve this project:
The watermain will be extended up Morgan and Myrtle to create a loop for the water system.
• Source(s)of supply for the districr
iv. Is a new water supply district or service area proposed to be formed to serve the project site? ❑ Yes�No
If,Yes:
• Applicant/sponsor for new district:
• Date application submitted or anticipated:
• Proposed source(s)of supply for new district
v. If a public water supply will not be used,describe plans to provide water supply for the project
vi.If water supply will be from wells(public or private),wl�at is the maximum pumping capacity: gallons/minute.
d.Will the proposed action generate liquid wastes? m Yes❑No
If Yes:
i. Total anticipated liquid waste generation per day: �0,50o gallons/day
ii. Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial;if combination,describe all components and
approximate volumes or proportions of each):
Sanitary Wastewater
iii. Will the proposed action use any existing public wastewater treatment facilities? �Yes❑No
If Yes:
• Name of wastewater treatment plant to be used: saratoga county sewer�istrict#�
• Name Of d1StnCt: Saratoga County Sewer District#1
• Does the existing wastewater treatment plant have capaciry to serve the project? �Yes❑No
• Is the project site in the existing district? �Yes❑No
• Is expansion of the district needed? ❑YesmNo
Page 5 of 13
• Do existing sewer lines serve the project site? ❑Yes�No
• Will a line extension within an existing district be necessary to serve the project? �Yes❑No
If Yes:
• Describe extensions or capaciry expansions proposed to serve this project:
Sanitary sewer mains will be extended within the City ROW to serve the project site.
iv. Will a new wastewater(sewage)treatment district be formed to serve the project site? ❑Yes�No
If Yes:
• Applicant/sponsar for new district:
• Date application submitted or anticipated:
• What is the receiving water for the wastewater discharge?
v. If public facilities will not be used,describe plans to provide wastewater treatment far the project,including specifying proposed
receiving water(name and classification if surface discharge or describe subsurface disposal plans):
vi. Describe any plans or designs to capture,recycle or reuse liquid waste:
e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point �Yes❑No
sources(i.e.ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-point
source(i.e.sheet flow)during construction or post construction?
If Yes:
i. How much impervious surface will the project create in relation to total size of project parcel?
Square feet or 5�74 acres(impervious surface)
Square feet or �s.33 acres(parcel size)
ii. Describe types of new point sources. curbs, pipes,swales
iii. Where will the stormwater runoff be directed(i.e.on-site stormwater management faciliry/structures,adjacent properties,
groundwater,on-site surface water or off-site surface waters)?
Directed to pocket ponds, underqround infiltration chambers, infiltration basin,bioretention basin and a qreen roof with over flow directed to an
extended city drainage system.
• If to surface waters,identify receiving water bodies or wetlands:
• Will stormwaterrunoff flow to adjacentproperties? ❑Yes�No
iv. Does the proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? �Yes❑No
£ Does the proposed action include,or will it use on-site,one or more sources of air emissions,including fuel ❑Yes�No
combustion,waste incineration,or other processes or operations?
If Yes,identify:
i.Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles)
ii. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,crushers)
iii. Stationary sources during operations(e.g.,process emissions,large boilers,electric generation)
g.Will any air emission sources named in D2.f(above),require a NY State Air Registration,Air Faciliry Permit, ❑Yes�No
or Federal Clean Air Act Title IV or Title V Permit?
If Yes:
i. Is the proj ect site located in an Air qualiry non-attainment area? (Area routinely or periodically fails to meet ❑Yes❑No
ambient air qualiry standards for all or some parts of the year)
ii. In addition to emissions as calculated in the application,the project will generate:
• Tons/year(short tons)of Carbon Dioxide(COz)
. Tons/year(short tons)of Nitrous Oxide(Nz0)
. Tons/year(short tons)of Perfluorocarbons(PFCs)
• Tons/year(short tons)of Sulfur Hexafluoride(SF6)
• Tons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs)
• Tons/year(short tons)of Hazardous Air Pollutants(HAPs)
Page 6 of 13
h.Will the proposed action generate or emit methane(including,but not limited to, sewage treatment plants, ❑Yes�No
landfills,composting facilities)?
If Yes:
i. Estimate methane generation in tons/year(metric):
ii.Describe any methane capture,control or elimination measures included in project design(e.g.,combustion to generate heat or
electriciry,flaring):
i.Will the proposed action result in the release of air pollutants from open-air operations or processes,such as ❑Yes�No
quany or landfill operations?
If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust):
j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial �Yes�No
new demand for transportation facilities or services?
If Yes:
i. When is the peak traffic expected(Check all that apply): ❑Morning �Evening ❑Weekend
❑Randomly between hours of to
ii. For commercial activities only,projected number of truck trips/day and type(e.g., semi trailers and dump trucks):
3
iii. Parking spaces: Existing +/-6 Proposed 3ss(52s Fuu) Net increase/decrease 3ss(52s Fuu sui�d)
iv. Does the proposed action include any shared use parking? �Yes❑No
v If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe:
implement a three way stop at project site drive, Morgan Street and Myrtle Street intersection
vi. Are public/private transportation service(s)or facilities available within'/z mile of the proposed site? �Yes�No
vii Will the proposed action include access to public transportation or accommodations for use of hybrid,electric �Yes❑No
or other alternative fueled vehicles?
viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing �Yes❑No
pedestrian or bicycle routes?
k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand �Yes❑No
for energy?
If Yes:
i. Estimate annual electriciry demand during operation of the proposed action:
1,400,000 kWh
ii. Anticipated sources/suppliers of electriciry for the project(e.g.,on-site combustion,on-site renewable,via grid/local utiliry,or
other):
National Grid
iii. Will the proposed action require a new,or an upgrade,to an existing substation? �Yes�No
L Hours of operation. Answer all items which apply.
i. During Construction: ii. During Operations:
• Monday-Friday: �am-�pm . Monday-Friday: �am-�pm
• SatuTday: 9am-7pm • SatuTday: 7am-7pm
• Sunday: 9am-5pm • Sunday: 7am-7pm
• H011days: 9am-5pm • HO11dayS: 7am-7pm
Page 7 of 13
m.Will the proposed action produce noise that will exceed existing ambient noise levels during construction, �Yes❑No
operation,or both?
If yes:
i. Provide details including sources,time of day and duration:
Noise will be qenerated durinq construction of the facility, Durinq operations noise levels will be qenerated to similar medical office buildinqs.
ii. Will the proposed action remove existing natural barriers that could act as a noise barrier or screen? ❑Yes�No
Describe:
n.Will the proposed action have outdoor lighting? m Yes❑No
If yes:
i. Describe source(s),location(s),height of fixture(s),direction/aim,and proximiry to nearest occupied structures:
pole mounted parkinq lot liqhts directinq liqht away from adlacent properties,dimminq and zone shut down controls included, Dark Sky compliant
ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen? ❑Yes�No
Describe:
o. Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yes�No
If Yes,describe possible sources,potential frequency and duration of odor emissions, and proximity to nearest
occupied structures:
p.Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) ❑Yes�No
or chemical products 185 gallons in above ground storage or any amount in underground storage?
If Yes:
i. Product(s)to be stored
ii. Volume(s) per unit time (e.g.,month,year)
iii. Generally,describe the proposed storage facilities:
q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, ❑Yes �No
insecticides)during construction or operation?
If Yes:
i. Describe proposed treatment(s):
ii. Will the ro osed action use Inte ated Pest Mana ement Practices? ❑ Yes ❑No
r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal � Yes ❑No
of solid waste(excluding hazardous materials)?
If Yes:
i. Describe any solid waste(s)to be generated during construction or operation of the faciliry:
• Construction: 2 tons per 1 month (unit of time)
• Operation: 1 tons per 1 month (unit of time)
ii. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste:
• COnStrilCtlOn:all items which can be recycled will be stored separately during construction and recycled by a local waste hauler
• Opel'atlOn: all items which can be recycled will be have a separate dumpster and recycled by a local waste hauler
iii. Proposed disposal methods/facilities for solid waste generated on-site:
• COnStrilCtlOn: a local hauler will collect and remove waste from the site
• Opel'atlOn: a local waste hauler will removed the collected waste generated and disposed of within the dumpsters on site
Page 8 of 13
s.Does the proposed action include construction or modification of a solid waste management faciliry? ❑ Yes� No
If Yes:
i. Type of management or handling of waste proposed for the site (e.g.,recycling or transfer station,composting,landfill,or
other disposal activities):
ii. Anticipated rate of disposal/processing:
• Tons/month,if transfer or other non-combustion/thermal treatment,or
• Tons/hour,if combustion ar thermal treatment
iii. If landfill,anticipated site life: years
t.Will the proposed action at the site involve the commercial generation,treatment, storage,or disposal of hazardous�Yes❑No
waste?
If Yes:
i. Name(s)of all hazardous wastes or constituents to be generated,handled or managed at faciliry:
See attached Appendix A
ii. Generally describe processes or activities involving hazardous wastes or constituents:
See attached Appendix A
iii. Specify amount to be handled or generated �.s tons/month
iv. Describe any proposals for on-site minimization,recycling or reuse of hazardous constituents:
See attached Appendix A
v. Will any hazardous wastes be disposed at an existing offsite hazardous waste faciliry? �Yes❑No
If Yes:provide name and location of faciliry:
See attached Appendix A
If No:describe proposed management of any hazardous wastes which will not be sent to a hazardous waste faciliry:
E.Site and Setting of Proposed Action
E1.Land uses on and surrounding the project site
a.Existing land uses.
i. Check all uses that occur on,adjoining and near the project site.
❑ Urban ❑ Industrial � Commercial � Residential(suburban) ❑ Rural(non-farm)
❑ FOI'est ❑ AgnCultul'e ❑ AquatlC � Othel'(SpeClfy): single-family residence, multi-family residence, medical office
ii. If mix of uses,generally describe:
b.Land uses and covertypes on the project site.
Land use or Current Acreage After Change
Covertype Acreage Project Completion (Acres+/-)
• Roads,buildings,and other paved or impervious
surfaces 0.89 5.74 +4.95
• Forested 1.25 0.93 -.32
• Meadows,grasslands or brushlands(non- 18.16 14.39 -4.63
agricultural,including abandoned agricultural)
• Agricultural
(includes active orchards,field,greenhouse etc.)
• Surface water features
(lakes,ponds,streams,rivers,etc.)
• Wetlands(freshwater or tidal)
• Non-vegetated(bare rock,earth or fill)
• Other
Describe:
Page 9 of 13
c.Is the project site presently used by members of the coimnunity for public recreation? ❑Yes�No
i. If Yes: explain:
d.Are there any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals,licensed �Yes❑No
day care centers,or group homes)within 1500 feet of the project site?
If Yes,
i. Identify Facilities:
Saratoga Hospital, Division Street School, Hansel and Gretle Daycare,Wesley community
e.Does the project site contain an existing da�n? ❑Yes�No
If Yes:
i. Dimensions of the dam and impoundment:
• Dam heighr feet
• Dam length: feet
• Surface area: acres
• Volume impounded: gallons OR acre-feet
ii. Dam's existing hazard classification:
iii. Provide date and summarize results of last inspection:
f.Has the project site ever been used as a municipal,commercial or industrial solid waste management faciliry, ❑Yes�No
or does the project site adjoin property which is now,or was at one time,used as a solid waste management faciliry?
If Yes:
i. Has the faciliry been formally closed? ❑Yes❑ No
• If yes,cite sources/documentation:
ii. Describe the location of the project site relative to the boundaries of the solid waste management faciliry:
iii. Describe any development constraints due to the prior solid waste activities:
g.Have hazardous wastes been generated,treated and/or disposed of at the site,or does the project site adjoin ❑Yes�No
property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste?
If Yes:
i. Describe waste(s)handled and waste management activities,including approximate time when activities occurred:
h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any ❑Yes� No
remedial actions been conducted at or adjacent to the proposed site?
If Yes:
i. Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site ❑Yes❑No
Remediation database? Check all that apply:
❑ Yes—Spills Incidents database Provide DEC ID number(s):
❑ Yes—Environmental Site Remediation database Provide DEC ID number(s):
❑ Neither database
ii. If site has been subject of RCRA corrective activities,describe control measures:
iii. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? ❑Yes❑No
If yes,provide DEC ID number(s):
iv. If yes to(i),(ii)or(iii)above,describe current status of site(s):
Page 10 of 13
v. Is the project site subject to an institutional control limiting property uses? ❑YesmNo
• If yes,DEC site ID number:
• Describe the rype of institutional control(e.g.,deed restriction or easement):
• Describe any use limitations:
• Describe any engineering controls:
• Will the project affect the institutional or engineering controls in place? ❑Yes❑No
• Explain:
E.2. Natural Resources On or Near Project Site
a.What is the average depth to bedrock on the project site? >6 feet
b.Are there bedrock outcroppings on the project site? ❑YesmNo
If Yes,what proportion of the site is comprised of bedrock outcroppings? %
c.Predominant soil type(s)present on project site: windsor Loamy Sand 100 %
%
%
d.What is the average depth to the water table on the proj ect site? Average: 4 feet
e.Drainage status of project site soils:❑ Well Drained: %of site
� Moderately Well Drained: so%of site
� Poorly Drained 20%of site
f.Approximate proportion of proposed action site with slopes: � 0-10%: 90 %of site
� 10-15%: �� %of site
❑ 15%or greater: %of site
g.Are there any unique geologic features on the project site? ❑Yes�No
If Yes,describe:
h. Surface water features.
i. Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, ❑Yes�No
ponds or lakes)?
ii. Do any wetlands or other waterbodies adjoin the project site? ❑Yes�No
If Yes to either i or ii,continue. If No,skip to E2.i.
iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, ❑Yes❑No
state or local agency?
iv. For each identified regulated wetland and waterbody on the project site,provide the following information:
• Streams: Name Classification
� Lakes or Ponds: Name Classification
• Wetlands: Name Approximate Size
• Wetland Na (if regulated by DEC)
v. Are any of the above water bodies listed in the most recent compilation of NYS water qualiry-impaired ❑Yes❑[Vo
waterbodies?
If yes,name of impaired water body/bodies and basis for listing as impaired:
i.Is the project site in a designated Floodway? ❑Yes�No
j.Is the project site in the 100-year Floodplain? ❑Yes�No
k Is the project site in the 500-year Floodplain? ❑Yes�No
L Is the project site located over,or immediately adjoining,a primary,principal or sole source aquifer? ❑Yes�No
If Yes:
i. Name of aquifer:
Page 11 of 13
m. Identify the predominant wildlife species that occupy or use the project site:
Rodents, Insects,Birds,snakes,deer
n.Does the project site contain a designated significant natural communiry? ❑Yes�No
If Yes:
i. Describe the habitadcommunity (composition,function,and basis for designation):
ii. Source(s)of description or evaluation:
iii. Extent of community/habitat
• Currently: acres
• Following completion of project as proposed: acres
• Gain or loss(indicate+or-): acres
o.Does project site contain any species of plant or animal that is listed by the federal government or NYS as ❑Yes�No
endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species?
If Yes:
i. Species and listing(endangered ar threatened):
p. Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species of ❑YesmNo
special concern?
If Yes:
i. Species and listing:
q.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? ❑Yes�No
If yes,give a brief description of how the proposed action may affect that use:
E.3. Designated Public Resources On or Near Project Site
a.Is the project site,or any portion of it,located in a designated agricultural district certified pursuant to ❑Yes�No
Agriculture and Markets Law,Article 25-AA, Section 303 and 304?
If Yes, provide counry plus district name/number:
b.Are agricultural lands consisting of highly productive soils present? ❑Yes�No
i. If Yes: acreage(s)on project site?
ii. Source(s)of soil rating(s):
c. Does the project site contain all or part of,or is it substantially contiguous to,a registered National ❑Yes�No
Natural Landmark?
If Yes:
i. Nature of the natural landmark: ❑Biological Communiry ❑ Geological Feature
ii. Provide brief description of landmark,including values behind designation and approximate size/extent:
d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? ❑Yes�No
If Yes:
i. CEA name:
ii. Basis for designation:
iii. Designating agency and date:
Page 12 of 13
e.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district �Yes❑No
which is listed on the National or State Register of Historic Places,or that has been determined by the Commissioner of the NYS
Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places?
If Yes:
i. Nature of historic/archaeological resource: ❑Archaeological Site �Historic Building or District Eligable
ii. Nanle: Carleton Terrace(55 Myrtle)
iii. Brief description of attributes on which listing is based:
As noted in 1/4/2022 from Weston Davey, NYS OPRHP
£Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑Yes�No
archaeological sites on the NY State Historic Preservation Office(SHPO) archaeological site inventory?
g.Have additional archaeological or historic site(s)or resources been identified on the project site? ❑Yes�No
If Yes:
i.Describe possible resource(s):
ii. Basis for identification:
h.Is the project site within fives miles of any officially designated and publicly accessible federal,state,or local �Yes❑No
scenic or aesthetic resource?
If Yes:
i. Identlfy I'eSOUI'Ce:All city and state parks within city limits,Yaddo, NYRA
ii. Nature of,or basis for,designation(e.g., established highway overlook,state or local park,state historic trail or scenic byway,
etC.): State park, Historic gardens, Historic race track
iii. Distance between project and resource: up to 5 mi�es miles.
i. Is the project site located within a designated river corridor under the Wild, Scenic and Recreational Rivers ❑Yes�No
Program 6 NYCRR 666?
If Yes:
i. Identify the name of the river and its designation:
ii. Is the activiry consistent with development restrictions contained in 6NYCRR Part 666? �Yes❑No
F.Additional Information
Attach any additional information which may be needed to clarify your project.
If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any
measures which you propose to avoid or minimize them.
G. Verif'ication
I certify that the information provided is true to the best of my knowledge.
appiicanr�sponsor Name Matthew C. Brobston (owner rep) Date 1/19/2022
Signature_ �'�G �� Title Associate Principal
PRINT FORM Page 13 of 13
Appendix A
to
Full Environmental Assessment Form —Part I
of
The Saratoga Hospital — Myrtle Street Medical Project
This Appendix A supplements the responses to section D2 "Project Operations" speci�cally
subsection "t" on page 9 of the FEAF—Part I.
t. Will the proposed action at the site involve the commercial generation, treatment, storage, or
disposal of hazardous waste? Answer: YES
i. Nc�me(s) of c�ll haza��lous wc�stes or constituents to be gene�ated, han�lled o�
managed at facility:
Response: The medical office buildings which are the subject of this site plan review
will be owned and operated by The Saratoga Hospital. The activities within these
facilities and grounds will be subjectto the operational protocols and guidelines of
The Saratoga Hospital as contained in the attached Waste Disposal Program
originated by the hospital in August 1986 and last revised in November 2021 (see
attached Appendix A-1: Saratoga Hospital Waste Disposal Program).
Consistent with Appendix A-1, the hospital has identi�ed the types of waste, the
disposal category, and the collection method for the various types of waste at hospital
facilities. Depending upon the medical practices occupying the of�ces at the Myrtle
Street Medical Project, some or all of these waste types will be found within the
facilities and the grounds.
ii. Gene�ally describe processes or activities involving haza�dous wastes or
constituents:
Res�onse: The processes and activities involving hazardous waste or constituents are
associated with the hospital staff's diagnosis and treatment of inedical conditions of
patients in need of inedical care. Appendix A-1 describes each type of inedical waste
generated together with the methodology for collection of the individual categories of
waste.
As it pertains to radioactive waste, the hospital has developed protocols set forth in a
document entitled "Radioactive Waste Disposal" last revised on August 23, 2021 (see
Appendix A-2). This document establishes the protocols for the disposal of
radioactive waste generated by the Hospital in the treatment of patients. These
protocols will be applicable to any disposal of radioactive waste generated at the
Myrtle Street Medical Project.
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V:�IVIAIN FILES\Saratoga CareA2021 Morgan Street Site Plan\SEQRA�Part I Hazardous Waste Responses 01.13.22.docx
The Hospital also maintains protocols for radioactive materials used in its Nuclear
Medicine, PET Scan procedures. These protocols will be continued, as applicable, at
the Myrtle Street Medical Project. The protocols are set forth in the"Spill Procedures
for Radioactive Materials" (see Appendix A-3) and"Procedure for Receiving
Radioactive Packages" (see Appendix A-4).
iii. Specify amount to be han�lled oN gener�ted.
Response: 1.6 tons/month
iv. Describe any pNoposnls for on-site minimizc�tion, �ecycling or�euse of hazardous
constituents:
Res�onse: In the attached "Recycling Policy" (see Appendix A-5)the Hospital has
outlined the procedures and protocol elements for the recycling of electronics, lamps,
and batteries. These protocols will be applicable to the Myrtle Street Medical Project.
v. Will any hnzardous wnstes be�lisposed at an existing offsite hnzar�lous w�ste
facility?
Response: YES
If Yes:p�ovide name and location of fncility:
Response: Regulated waste - Future Healthcare Systems, Inc., Bridgeport CT.,
Universal Waste -US Ecology Burlington Inc., Willston, VT. Note: Nuclear waste is
handled under the protocols set forth in Appendix A-2, attached hereto.
If No:�lescribe p�opose�l mc�nagement of any haza�dous wastes which will not be
sent to a hc�zardous wc�ste facility:
Response: NA
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V:�IVIAIN FILES\Saratoga CareA2021 Morgan Street Site Plan\SEQRA�Part I Hazardous Waste Responses 01.13.22.docx
A-1: Saratoga Hospital Waste Disposal Program
Saratoga Hospital
Title: Waste Disposal Program Last Review/Revised Date: 11/2021
Origination Date: 8/1986 Replaces Policy: N/A
Manual: EOC
Document Owner: Director of Facilities Operations
Final Approval: AVP, Support Services
Scope: Saratoga Hospital
Purpose Statement:
To reduce the likelihood of disease transmission and injury, a waste disposal program has been
established which follows specific guidelines and regulations established by New York State
Department of Health, the Centers for Disease Control and Prevention, the Environmental
Protection Agency, The Joint Commission, and local regulatory agencies.
Policy Elements:
WASTE DISPOSAL GUIDELINES
The following guidelines are intended to clarify the de�nitions and handling of waste at Saratoga
Hospital and Offsite locations to prevent hazards from infection or injury during the collection,
storage processing transportation, and disposal of waste. Not all waste associated with the
delivery of health care is regulated. Regulated medical waste is waste which has the potential for
disease transmission if not properly managed. Hazardous waste is waste which has the potential
for causing injury if not properly managed.
Except for regulated medical waste designated as "sharps", disposal into a biohazard labeled, red
bag-lined containers is required. On the clinical units, red bag containers are maintained in all
soiled utility rooms. Red bag containers are only placed in patient rooms where there is a
likelihood that significant amounts of regulated medical waste may be generated, such as with a
patient with a high volume of liquid or post-surgical drain.
All waste at Saratoga Hospital and Offsite locations is transported from the clinical units by
Environmental Services personnel or unit personnel in a manner consistent with regulatory
guidelines.
A label, with hospital name and address, will be placed on all regulated medical waste that states
it is from Saratoga Hospital or offsite location. It is stored in a secured area prior to removal by a
contracted regulated medical waste handler.
Waste Disposal Program Page 1 of 6
Waste T e Dis osal Cate or Collection Method
BIOLOGICALS: includes serums, For non-sharps, discard into
vaccines, antigens, antitoxins, and Regulated Medical covered waste container lined
all preparations made from living Waste with a red bag.For sharps,
organisms used in treatment discard into plastic puncture-
immunization, or dia nosis resistant"Sha s" container.
Large amount of fluid=place
in disposable, closeable
BODY FLUIDS CONSIDERED container, add solidifying
POTENTIALLY agent and discard entire
INFECTIOUS includes free container in red bag.
flowing: Solid items saturated or
* amniotic fluid visibly dripping- discard into
* cerebrospinal fluid container lined with a red bag
* pericardial fluid (a�ailable in high-use areas,
* pleural fluid and all diriy utility rooms).
� saliva during dental procedures Regulated Medical Note: The determining
* semen
Waste factor for solid materials to be
* synovial fluid considered regulated medical
* vaginal secretions, and waste is if they are saturated
* any other body fluid� to the point of
visiblv contaminated with blood dripping. Individuals are
urged not to squeeze any item
and items saturated or visiblv to determine if it is saturated.
drip�in,�with those,fluids Rather, health care workers
must use their experience and
training to make the
determination.
If free-flowing, and in a
container and an amount
which can be safely handled,
discard fluid into the
hopper/toilet, and flush into
sewer system.
If large amount of fluid-place
in a diposable, closeable
BLOOD AND BLOOD Regulated Medical container, add solidifying
PRODUCTS Waste agent and discard entire
container in red bag.
If solid item saturated or
visibly dripping, discard into
container lined with a red bag
(a�ailable in high-use areas,
and all diriy utility rooms).
Note: The determining
factor for solid materials to be
Waste Disposal Program Page 2 of 6
considered regulated medical
waste is if they are saturated
to the point of
dripping. Individuals are
urged not to squeeze any item
to determine if it is saturated.
Rather, health care workers
must use their experience and
training to make
the determination.
Chemotherapy treatment
drugs mixed and not used in
treatment would be discarded
as a hazardous waste.
Sharps items associated with
CHEMOTHERAPY AGENTS Chemo Hazardous the delivery of chemotherapy
Waste have more than 3% of waste
left in the vile would also be a
hazardous waste and
collected in a RCRA hazard
container.
Trace amounts of chemo
hazardous waste are placed
into container labeled as
Chemo waste.
TRACE CHEMOTHERAPY Sharps items associated with
AGENTS Trace amounts of the delivery of chemotherapy
Gowns, sharps, gloves etc. Chemo waste are considered both and
regulated medical waste;
dispose into designated
puncture-resistant"Sharps"
container, labeled Chemo
hazardous.
DIAPERS Standard Waste Disposed into container
which is lined with a clear or
white lastic ba .
DRESSINGS Regulated Medical Discard into container lined
SATURATED/VISIBLY waste with biohazard labeled red
DRIPPING BLOOD bag.
PERSONAL PROTECTIVE
EQUIPMENT (GLOVES, MASK, Standard Waste Discard into waste container
GOWN and SHOE COVERS) lined with a clear or white
NOT SATURATED WITH plastic bag.
BLOOD
Waste Disposal Program Page 3 of 6
PERSONAL PROTECTIVE
EQUIl'MENT (GLOVES, MASK,
GOWN and SHOE COVERS) Discard into covered waste
SATURATED WITH BLOOD Regulated Medical container lined with
OR OTHER POTENTIALLY Waste biohazard labeled red bag.
INFECTIOUS BODY FLUID
(see Body Fluids)
HUMAN PATHOLOGICAL
WASTE NOT IN If solid specimen, place in
FORMULIN includes tissue, covered container lined with
organs, body parts and body fluid Regulated Medical a red bag. If free-flowing
specimens removed during waste liquid, flush down
surgery, autopsy, or other medical hopper/toilet into municipal
procedure; excludes urine sewer system.
and eces except as laboratory
s ecimens
Dispose into waste container
ISOLATION ROOM WASTE not lines with a clear or white
considered Regulated Medical Standard Waste plastic bag, except if isolation
Waste. waste fits into other
categories (i.e., sharps,
saturated dressin s, etc.
ISOLATION ROOM WASTE if
waste derived from patient with Discard into covered waste
highly dangerous communicable Regulated Medical container lined with a red
diseases, such as Class IV waste bag, which has been placed in
etiologic agents (Ebola or patient room.
Marburg viruses, Lassa fever, etc.)
or small ox
INSTRUMENTS Discard into plastic,
( ) Regulated Medical puncture-resistant"Sharps"
DISPOSABLE includes trocars, container immediately after
IV insertion guidewires, and other Waste
sharp disposable instruments use.
IV TUBING AND BAGS NOT
VISIBLY CONTAMINATED
In instances where the barrel of
the syringe is attached to the end Dispose into waste container
of the IV tubing,there is no needle Standard Waste lined with a clear or white
attached and it did not come into plastic bag.
contact with infectious agents the
entire set-up can be disposed of as
standard waste.
Waste Disposal Program Page 4 of 6
IV TUBING AND BAGS WITH
VISIBLE BLOOD
CONTAMINATION or Known to Discard into container lined
Have Been Contaminated with Regulated Medical with a biohazard red bag (in
One of the other Body Fluids waste the diriy utility room)
Considered Potentially Infectious
(see Bod Fluids
For non-sharps, discard into
LABORATORY WASTE See container lined with a
Cultures and Stocks, Regulated Medical biohazard red bag. For
Culture Dishes/Devices, Waste sharps, discard into plastic,
Biologicals, and Sharps puncture-resistant"Sharps"
container.
Dispose into waste container
PERUMENSTRUAL PADS Standard Waste lined with a clear or white
lastic ba .
Hazardous Waste (Refer to Radiology
RADIOACTIVE WASTE Department-specific policies
for detailed instructions)
SHARPS includes hypodermic,
intr�avenous, and other medical
needles and attached syringes,
scalpel blades, disposable sharp
instruments, blood vials, and other
glass in contact with infectious Discard immediately after use
agents (slides & cover slips) used Regulated Medical into plastic,puncture-resistant
in medical care, and also Waste designated "Sharps"
discarded unused sharps container.
In instances where only the barrel
of the syringe (no needle attached)
is utilized, then the barrel can be
disposed of as standard waste
provided it did not come into
contact with infectious a ents.
SPONGES SATURATED WITH Regulated Medical Discard into covered waste
BLOOD Waste container lined with a
biohazard red ba .
Trash collection-use gloves
for collection while in dirty
STANDARD WASTE includes utility rooms when needed.
Remove when in hallways.
all other waste not considered Standard Waste Keep trash container covered
Regulate Medical and Hazardous
Waste. when transporting through
facility. Keep garbage storage
area clean to prevent odor and
harbora e of ests.
Waste Disposal Program Page 5 of 6
URINE : considered Regulated Flush liquid urine down
Medical Waste only as a lab hopper/toilet into municipal
specimen or if visibly Standard Waste sewer system. For items
contaminated with blood contaminated with urine,
discard into waste container
lined with a clear or white
lastic ba .
References: CFR 40 Part 259
NYCRR 4053 (b)(5)
10 NYCRR Part 70, Section 1389
NYSDOH "Managing Regulated Medical Waste --- Interpretive
Guidelines for Implementing Revisions to Public Health Law 1389 AA-
GG," December, 1995.
Waste Disposal Program Page 6 of 6
A-2: Radioactive Waste Disposal
Saratoga Hospital
Title: Radioactive Waste Disposal Last Review Dates: 9/2/2020
Origination Date: Last Revised Date: 8/23/2021
Manual: Radiation Safety—Radioactive Materials—
Nuclear Medicine/PET(Saratoga Hospital,Wilton Medical Replaces PoliCy: NA
Arts)
Document Owner: Supervisor Nuclear Medicine Page:l of 4
Final Approval: Joe Pekala, Supervisor Nuclear Medicine/PET
Policy:
In view of recent problems with shallow-land burial sites used by
commercial waste disposal firms, New York State Department of Health in
encouraging its licensees to reduce the volume of wastes sent to these facilities.
Important steps in volume reduction are to segregate radioactive from
nonradioactive waste, to hold short-lived radioactive waste for decay in storage,
and to release certain materials in the sanitary sewer in accordance with Section
16.8. New York State Sanitary Code (10 NYCRRI6).
1) All radioactivity labels must be defaced or removed from containers and
packages prior to disposal in ion-house waste. If waste is compacted all labels
that are visible in the compacted mass must be defaced or removed.
2) Remind employees that nonradioactive waste such as leftover reagents, boxes,
and packing material should not be mixed with radioactive waste.
3) Occasionally monitor all procedures to ensure that radioactive waste is not
created unnecessarily. Review all new procedures to ensure that waste is
handled in a manner consistent with established procedures.
4) In all cases, consider the entire impact of various available disposal routes.
Consider occupational and public exposure to radiation, other hazards
associated with the material and routes of disposal (e.g, toxicity,
carcinogenicity,pathogenicity, flammability).
5) In New York State the Department of Environmental Conservation regulates
releases to the environment and has enacted regulations on the transport of low-
level radioactive waste in New York State (6 NYCRR Part 381). These
regulations require that a properly executed manifest and valid transport permit
issued by Department of Environmental Conservation accompany all waste
shipments. For further information contact:
New York State Department of Environmental Conservation
Division of Hazardous Substance Regulation
Bureau of Radiation
50 Wolf Road
Albany, New York 12233-0001
Saratoga Care will use two forms of waste disposal in their radioactive materials
program:
1) "Decay in Storage" for radionuclides that have a half-life of 65 days or
less and'
2) Radionuclides with a half-life greater than 65 days will be returned to
the vendor.
(Please Note that�atient excreta is exem�t froin the re�llator�process�
PROCEDURE FOR DISPOSAL BY DECAY-IN-STORAGE (DIS)
Short-lived material (physical half-life less than 65 days) may be
disposed of by DIS. If you use this procedure, keep material separated
according to half-life.
1. Consider using separate containers for different types of waste, e.g.,
capped needles and syringes in one container, other injection
paraphernalia such as swabs and gauze in another, and unused
dosage in a third container. Smaller departments may find it easier
to use just one container for all DIS waste. Because the waste will
be surveyed with all shielding removed, the container in which
waste will be disposed of must not provide any radiation shielding
for the material.
2. When the container is full, seal it with string or tape and attach an
identi�cation tag that includes the date sealed, the longest-lived
radioisotopes in the container, and the initial of the person sealing
the container. The container may then be transferred to the DIS area.
3. Decay the material for at least 10 half-lives.
4. Prior to disposal as in-house waste, monitor each container as
follows:
a. Check your radiation detection survey meter for proper
operation;
b. Plan to monitor in a low-level (less than 0.05 millirem
per hour) area;
c. Remove any shielding from around the container;
d. Monitor all surfaces of each individual container;
e. Discard as in-house waste only those container that
cannot be distinguished from background. Record the
date on which the container was sealed,the disposal date,
and type of material(e.g.,paraphernalia,unused dosage).
Check to be sure no radiation labels are visible.
f. Container that can be distinguished from background
radiation levels must be returned to storage area for
further decay or transferred for burial.
5. If possible,Mo-99/Tc-99m generators should be held 60 days before
being dismantled because of the occasional presence of a long-lived
contaminant. When dismantling generators, keep a radiation
detection survey meter(preferably with a speaker) at the work area.
Dismantle the oldest generator �rst and then work forward
chronologically. Hold each individual column in contact with the
radiation detection survey meter in a low background(less than 0.05
mR/hr)area. Log the generator date and disposal date for your waste
Page 2 of 4
disposal records. Remove or deface the radiation labels on the
generator shield.
References: New York Code of Rules and Regulations (NYCRR)Part 16,
Radiation Guide, 10.1 rev2
Decay-In-Storage Waste Procedure
All radioactive decay-in-storage waste will meet the following criteria:
1. Container will be held for a minimum of 10 half-lives and,
2. Cannot be distinguished from background radiation levels when monitored
with a thin window Geiger counter(all shielding must be removed),
3. All radioactive materials will have a half-life of less than 65 days,
4. All information will be documented on the Decay-In-Storage log located in
the Hot Lab.
Radioactive Sharps Container will be capped when full. Given a number and
stored in the Hot Lab leaded cabinets. Then number will be assigned according
to the date the container was put into the Hot Lab and will use the following
format: ex.2018-06-15. If there are more than one container stored on the same
day use a letter suffix to identify the container (ex. a, b, c). The 10 half-life period
will begin when the container is placed in the cabinet.
Note: When the sharps container is put into service attach a RAM label without a
number.
Ancillary Waste (Gastric Emptying waste, radioaerosol units, gloves etc.) will be
stored in the large yellow plastic bags located in the leaded cabinets. When the
bag is full, it will then be closed, given a number using the same format
described above and stored in the leaded cabinet. The 10 half-life period will
begin when the bag is closed.
Y-90 Waste will be stored in the mayo jars used during the procedure. The jars
will be labeled and stored in the leaded cabinet. The jars will be labeled with the
same format as described above and the 10 half-life period will begin when the
jars are placed in the cabinet.
Page 3 of 4
Na1-131 waste will be stored in their original shielded shipping container. The
container will be labeled and stored in the leaded cabinet. Then container will
be labeled with the same format as described above and the 10 half-life period
will begin when the container are placed in the cabinet.
Page 4 of 4
A-3: Spill Procedures for Radioactive Materials
SARATOGA HOSPITAL
people you trust.care you deserve.
Title: Spill Procedures for Radioactive Materials
Area Manual: The Saratoga Hospital, Wilton Medical Arts
Contact Person: Supervisor/Nuclear Medicine
Scope: Nuclear Medicine, PET
Procedure:
Minor Spills
• Less than 1 millicurie of radioiodines or cobalt-60,
• Less than 10 millicuries of other radionuclides,
• Less than 30 millicuries of a diagnostic radiopharmaceutical)
NOTIFY: Notify persons in the area that a spill has occurred.
PREVENT THE SPREAD: Cover the spill with absorbent paper.
CLEAN UP: Use disposable gloves and remote handling tongs. Carefully fold
the absorbent paper and pad. Insert into a plastic bag and dispose of in the
radioactive waste container. Also insert into the plastic bag all other
contaminated materials such as disposable gloves.
SURVEY: With a low-range thin-window GM survey meter, check the area
around the spill, hands, and clothing for contamination.
REPORT: Report incident to the Radiation Safety Officer and to the Supervisor
of Nuclear Medicine (phone numbers are available to Medical Imaging Office).
. Ma�L Spills
• Greater than 1 millicurie of radioiodines or cobalt-60,
• Greater than 10 millicuries of other radionuclides,
• Greater than 30 millicuries of a diagnostic radiopharmaceutical)
CLEAR THE AREA: Notify all persons not involved in the spill to vacate the
room.
SHIELD THE SOURCE: If possible, the spill should be shielded, but only if it
can be done without further contamination or without significantly increasing
your radiation exposure.
1 of 2
CLOSE THE ROOM: Leave the room and lock the door(s)to prevent entry.
CALL FOR HELP: Notify the Radiation Safety Officer immediately.
PERSONNEL DECONTAMINATION: Contaminated clothing should be
removed and stored for further evaluation by the Radiation Safety Officer. If
the spill is on the skin, flush thoroughly and then wash with mild soap and
lukewarm water. If contamination remains induce perspiration by covering
the area with plastic, then wash again.
The Radiation Safety Officer will supervise the clean-up of the spill and will
complete a report.
References: New York Code of Rules and Regulations (NYCRR)Part 16, Radiation
Guide, 10.1 rev2
2 of 2
A-4: Procedure for Receiving Radioactive Packages
Title: Procedure for Receiving Radioactive Packages
Area Manual: Wilton Medical Arts
Contact Person: Supervisor/Nuclear Medicine
Scope: Nuclear Medicine, PET Scan
Policy:
All radioactive packages will be received during the normal work hours between
7am and 9pm. Couriers will contact the Materials Management dock receiver
prior to arrival at the facility. The dock receiver can be contacted at 518-580-
2039. The dock receiver will meet the courier at the loading dock and then
immediately escort the courier to the Radioactive Materials (RAM) storage closet,
unlock the closet and allow the courier to place the RAM in the closet. The
courier can then take any empty packages to be returned to the radiopharmacy.
If the package appears to be damaged, immediately contact one of the
individuals identified below. Ask the carrier to remain at the facility until it can
be determined that neither the driver, nor the delivery vehicle is contaminated.
The closet will then be locked by the Wilton Medical Arts dock receiver
as the courier leaves the department.
Alternate Procedure:
In the event that the dock receiver is not available the courier can proceed
to the main entrance and check in with the receptionist. The receptionist will
escort the courier to the closet and unlock and relock the closet.
Transfer of PET radiopharmaceuticals to and from the facility and the
PET/CT mobile unit.
All transfers of PET radiopharmaceuticals will be directly performed by a
PET technologist who is trained in the facility's policy and procedures relating to
the handling of radioactive materials.
Upon receipt of the PET radiopharmaceutical the PET technologist will
unlock the RAM closet, remove the package, relock the closet and then
immediately transport the isotope to the PET trailer Hot Lab. Check in procedures
will be performed as outlined in the "Procedure for Safely Opening Packages
Containing Radioactive Materials" policy.
After use, any used or unused PET doses will be repackaged into the
original shipping container and transferred back to the RAM closet for the"Decay
in Storage" process as outlined in the"Radioactive Waste Disposal" policy.
1 of 2
If you have any questions concerning this memorandum, please call one of
the personnel listed below. Telephone numbers can be obtained from the Medical
Imaging Department at 583-8461.
� Radiation Safety Officer
• Supervisor/Nuclear Medicine
� Nuclear Medicine Technologist on call
References: New York Code of Rules and Regulations (NYCRR)Part 16, Radiation
Guide, 10.1 rev2
2 of 2
A-5: Recycling Policy
Saratoga Hospital
Title: Recycling Policy Reference #: New
Origination Date: November 2021 Last Review/Revised Date:
Manual: EOC Replaces Policy:
Document Owner: Director of Facility
Operatios Page:l of 2
Scope: Saratoga Hospital and Affiliates
Purpose Statement:
Saratoga Hospital takes part in a program to reduce the amount of regulated waste using a recycling
program for electronics, lamps and batteries.
Policy or Procedure/Protocol Elements:
Policy Element(s)
The Director of Faciliy Operations oversees the waste recycling program.
Procedure/Protocol Elements
The items collected and disposed of using proper procedures meeting EPA, DEC, local and state
law,
- Batteries
- Alkalin
-Nickel Cadmium (Ni-Cd)
-Nickel Metal Hydride (Ni-MH)
- Lithium Ion (Li-lon)
- Lead Acid Batteries
- Lamps
- Flourscent Lamps (Silver and Green Tips)
- U- Flourescent Lamps
- Mercury Lamp
- Electronics
- C omputers
- Monitors
- Cords and accessories
- Telephones
- Refrigerators (Freon recovered)
- Medical Equipment
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Procedure:
The batteries are brought to the hazardous waste room in the hospital where they are packaged
and prepared for shipment.
The lamps are brought to the lamp room where they are packaged and prepared for shipment.
Electronics are collected in a Gaylord on the receiving dock where it is prepared for shipment.
All recycling waste is picked up by a licensed vendor to handle, transport and recycle all lines of
recycling.
Saratoga Hospital receives a manifest to track the waste to the recycling plant.
Final Approval: Jeff Casale, Associate Vice President, Support Services
Revision Dates:
Review Dates:
References: Environment of Care Essentials for Health Care EC.03.01.01
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