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Home My WebLink About20220262 29 Madison Ave Area Variance EAF-Part 1 Sho�t Envi�onmental Assessment Fo�m Pa�t I - P�oject Information Instructions for Completin� Part 1—Project Information. The applicant or project sponsor is responsible for the complefion 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 infarmation. 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: Carlson-Molloy Residence Project Location(describe,and attach a location map): 29 Madison Avenue, Saratoga Springs New York 12866 Brief Description of Proposed Action: The proposed project will remove an existing pool and add 525 SF to an existing residence and carriage house.The project goals are to accommodate a young family that will be making the residence their year-round home. Name of Applicant or Sponsor: Tele hone: P 518.580.8818 Balzer&Tuck Architecture E-Mall: purban@balzertuck.com Address: 468 Broadway Ciry/PO: State: Zip Code: Saratoga Springs NY 12866 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES 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 municipaliry 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? NO YES 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? .o� 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: 0 Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial � Residential(suburban) ❑Forest ❑ Agriculture � Aquaric ❑ Other(Specify): ❑Parkland Page 1 Of 3 SEAF 2019 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ � ❑ b. Consistent with the adopted comprehensive plan? ❑ � ❑ NO YES 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? NO YES 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 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? NO YES If the proposed action will exceed requirements,describe design features and technologies: The project will feature high efficiency mechanical equipment and insulation values that are�reater than required by energy code ❑ � 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ ❑✓ 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ ❑✓ 12. a.Does the project site contain,or is it substantially conriguous to,abuilding,archaeological site,or district NO YES which is listed on the Narional or State Register of Historic Places,or that has been determined by the � � Commissioner of the NYS Office of Parks,Recrearion and Historic Preservarion to be eligible for lisring 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: Page 2 of 3 14. Identify the rypical 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 ❑ Urban � Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats, listed by the State or NO YES Federal government as threatened or endangered7 ❑✓ ❑ 16. Is the project site located in the 100-year flood plan7 NO YES ❑✓ ❑ 17. Will the proposed action create storm water discharge, either from point or non-point sources7 NO YES If Yes, � � a. Will storm water discharges flow to adjacent properties7 � � b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)7 � � If Yes,briefly describe: 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)7 If Yes,explain the purpose and size of the impoundment: � � �9. Has the site of the proposed action or an adjoining properry been the location of an active or closed solid waste NO YES management facility7 If Yes,describe: � � 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed) for hazardous waste7 If Yes, describe: ❑� � I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: Michael J Tuck Date: 03.28.2022 Signature:��l Title:Architect PRINT FORM Pabe 3 of 3