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HomeMy WebLinkAbout20230047 3 Lilac Pool House Construction ApplicationDocuSign Envelope ID: COD3A33C-4E36-4D9A-A6E8-EFD44128062F **HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED** CITY OF SARATOGA SPRINGS ZONING BOARD OF APPEALS CITY HALL - 474 BROADWAY V SARATOGA SPRINGS, NEW YORK 12866-2296 TEL: 518-587-3550 X2533 '^ on.AT www.saratoga-spfings.org APPLICATION FOR: INTERPRETATION, USE VARIANCE, AREA VARIANCE AND/OR VARIANCE EXTENSION APPLICANT(S)* Name ,Jim and Amber Sears Address 3 Lilac Lane Saratoga Springs NY 12866 Phone 518.307.6784 Email Primary Contact Person: H✓ Applicant OWNER(S) (//notapp� [FOR OFFICE USE] (Application #) (Date received) (Project Title) Check if PH Required Staff Review ATTORNEY/AGENT Witt Construction 563N Broadway Saratoga Springs NY 12866 5183219203 nfalco@wittconstruction.com Owner ❑✓ AttomeyiAgent * An applicant must be the property owner, lessee, or one with an option to lease or purchase the property in question. Applicant's interest in the premises: 0 Owner O Lessee 13 Under option to lease or purchase PROPERTY INFORMATION I . Property Address/Location: 3 Lilac Lane 2. Date acquired by current owner: 11/2/2018 4. Present use of property: Residential Tax Parcel No.: 154 18 -2 - 38 (for example. 165.52 — 4— 37) 3. Zoning District when purchased: RR1 S. Current Zoning District: RR1 6. Has a previous ZBA application/appeal been filed for this property? ❑ Yes (when? For what? } © No 7. Is property located within (check all that apply)?: ❑ Historic District ❑ Architectural Review District 13500' of a State Park, city boundary, or county/state highway? 8. Brief description of proposed action: For premise to build an accesory structure (Pool House) within the 50' Setback Boundary in relation to the zoning map and zoning code RR1 - Rural Residential Zoning in Saratoga Springs. 9. Is there an active written violation for this parcel? 13 Yes Q( No 10. Has the work, use or occupancy to which this appeal relates already begun? ❑ Yes 0 No 11. Identify the type of appeal you are requesting (check all thatapp/,): ❑ INTERPRETATION (p. 2) ❑ VARIANCE ExrENSION (p. 2) ❑ USE VARIANCE (pp. 3-6) 12 AREA VARIANCE (pp. 6-7) Revised 01/2021 DocuSign Envelope ID: COD3A33C-4E36-4D9A-A6E8-EFD44128062F ZONING BOARD OFAPPE UAPPLIC47IONFORM PAGEZ INTERPRETATION — PLEASE ANSWER THE FOLLOWING (add additional information as necessary): 1. Identify the section(s) of the Zoning Ordinance for which you are seeking an interpretation: Section(s) 2. How do you request that this section be interpreted? 3. If interpretation is denied, do you wish to request alternative zoning relief? r]Yes ❑No 4. If the answer to #3 is "yes," what alternative relief do you request?❑ Use Variance ❑ Area Variance EXTENSION OF A VARIANCE — PLEASE ANSWER THE FOLLOWING (add additional information as necessary): 1. Date original variance was granted: 2. Type of variance granted? ❑ Use ❑ Area 3. Date original variance expired:. S. Explain why the extension is necessary. Why wasn't the original timeframe sufficient? When requesting an extension of time for an existing variance, the applicant must prove that the circumstances upon which the original variance was granted have not changed. Specifically demonstrate that there have been no significant changes on the site, in the neighborhood, or within the circumstances upon which the original variance was granted: Revised 01/2021 DocuSign Envelope ID: COD3A33C-4E36-4D9A-A6E8-EFD44128062F ZONING BOARD OFAPPEALSAPPUG4TLON FORM USE VARMCE — PLEASE ANSWER THE FOLLOWING (add additional information as necessary): A use variance is requested to permit the following: PAGE 3 For the Zoning Board to grant a request for a use variance, an applicant must prove that the zoning regulations create an unnecessary hardship in relation to that property. In seeking a use variance, New York State law requires an applicant to prove all four of the following "tests". That the applicant cannot realize a reasonable financial return on initial investment for any currently permitted use on the property. "Dollars & cents" proof must be submitted as evidence. The property in question cannot yield a reasonable return for the following reasons: A. Submit the following financial evidence relating to this property (attach additional evidence as needed): 1) Date of purchase: Purchase amount: $ 2) Indicate dates and costs of any improvements made to property after purchase: Date Improvement Cost 3) Annual maintenance expenses: $ 4) Annual taxes: $ 5) Annual income generated from property: $ 6) City assessed value: $ Equalization rate: Estimated Market Value: $ 7) Appraised Value: $ Appraiser: Date: Appraisal Assumptions: Revised 01/2021 DocuSign Envelope ID: COD3A33C-4E36-4D9A-A6E8-EFD44128062F ZONING BOARD OFAPPEACSAPPUGIT/ONFORM PAGE 4 B. Has property been listed for sale with QYes If "yes", for how long? the Multiple Listing Service (MLS)? IoNo 1) Original listing date(s): Original listing price: $ If listing price was reduced, describe when and to what extent: 2) Has the property been advertised in the newspapers or other publications? ❑Yes ❑No If yes, describe frequency and name of publications: 3) Has the property had a "For Sale" sign posted on it? Yes ❑ No If yes, list dates when sign was posted: 4) How many times has the property been shown and with what results? 2. That the financial hardship relating to this property is unique and does not apply to a substantial portion• of the neighborhood. Difficulties shared with numerous other properties in the same neighborhood or district would not satisfy this requirement. This previously identified financial hardship is unique for the following reasons: Revised 0112021 DocuSign Envelope ID: COD3A33C-4E36-4D9A-A6E8-EFD44128062F ZONING BOARD OFAPPFALPAPPUG4TION FORM PAGE S 3. That the variance, if granted, will not alter the essential character of the neighborhood. Changes that will alter the character of a neighborhood or district would be at odds with the purpose of the Zoning Ordinance. The requested variance will not alter the character of the neighborhood for the following reasons: 4. That the alleged hardship has not been self-created. An applicant (whether the property owner or one acting on behalf of the property owner) cannot claim "unnecessary hardship" if that hardship was created by the applicant, or if the applicant acquired the property knowing (or was in a position to know) the conditions for which the applicant is seeking relief. The hardship has not been self-created for the following reasons. Revised 01/2021 ZONING BOARD OFAPPEALSAPPL/GgTIoN FORM PAGE 6 AREA VARIANCE — PLEASE ANSWER THE FOLLOWING (add additional information as necessary): The applicant requests relief from the following Zoning Ordinance article(s) Dimensional Requirements District Requirement Requested Rear Setback 100 ft 16 ft Other: To grant an area variance, the ZBA must balance the benefits to the applicant and the health, safety, and welfare of the neighborhood and community, taking into consideration the following: I . Whether the benefit sought by the applicant can be achieved by other feasible means. Identify what alternatives to the variance have been explored (alternative designs, attempts to purchase land, etc.) and why they are not feasible. The poolhouse design was placed on a proposed plot plan throughout the design process for the best location on site. The final proposed location was deamed the least intrusive on the original setback. The alternative design options would have further intruded setback as it would have seperated the additional storage shed or increased the footprint The lot is adjacent to side and rear lot lines and land purchasing would not have been a feasible solution as the setback would not be reached nontheless. 2. Whether granting the variance will produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Granting the variance will not create a detriment to nearby properties or an undesirable change in the neighborhood character for the following reasons: The poolhouse design will be designed with quality materials and compliment the aesthetics of the existing house structure as as well as adjacent structures near the lot. Any runoff will be accounted for with existing swales and gutters as required to ensure water intrusion is prevented. The design incorporates the existing grade as to not impede greatly on the exisitng site condtions. Revised 0112021 ZONING BOARD OFAPPE4LSAPPUC477ON FORM PAGE 7 3. Whether the variance is substantial. The requested variance is not substantial for the following reasons: The variance is not substantial as it is comparable to existing lots seen through satellite imagery. The building does not impede front or side setbacks and will be within the exisiting setback of the previously installed pool There are numerous homes that show that rear setback variaces may have been granted for poolhouse and pool structures. 4. Whether the variance will have adverse physical or environmental effects on neighborhood or district. The requested variance will not have an adverse physical or environmental effect on the neighborhood or district for the following reasons: The proposed structure does not impede tree lines, or greatly affect current grades on site. The design incoporates a drop in grade to the left side of the lot (storage structure). The footprint was contained as much as possible to meet all items that were incorporated into the design. S. Whether the alleged difficulty was self-created (although this does not necessarily preclude the granting of an area variance). Explain whether the alleged difficulty was or was not self-created: The difficulty may have been self-created however, with the new ordinance the setback concern was increased greatly. A complete redesign would have been a costly expenditure as well as the setback issue in concern not being substantially affected. The footprint incorporated as much as possible without further progressing into exisiting setback areas. Revised 01/2021 DocuSign Envelope ID: COD3A33C-4E36-4D9A-A6E8-EFD44128062F ZONING BOARD OFAPPEALSAPPLIGiTION FORM DISCLOSURE PAGE 8 Does any City officer, employee, or family member thereof have a financial interest (as defined by General Municipal Law Section 809) in this application? []No Yes If "yes", a statement disclosing the name, residence and nature and extent of this interest must be riled with this application. APPLICANT CERTIFICATION I/we, the property owner(s), or purchaser(s)/lessee(s) under contract, of the land in question, hereby request an appearance before the Zoning Board of Appeals. By the signature(s) attached hereto, I/we certify that the information provided within this application and accompanying documentation is, to the best of my/our knowledge, true and accurate. I/we further understand that intentionally providing false or misleading information is grounds for immediate denial of this application. Furthermore, I/we hereby authorize the members of the Zoning Board of Appeals and designated City staff to enter the property associated with this application for purposes of conducting any necessary site inspections relating to this appeal. oocusiynea ey: (applicant signature) (applicant signature) 9/14/2022 Date: Date: If applicant is not the currently the owner of the property, the current owner must also sign. D 5'.n by: Owner Signature:�-1-5 Sags t�31T1 11"30�15 p Owner Signature: Revised 01/2021 9/14/2022 Date: Date: DocuSign Envelope ID: COD3A33C-4E36-4D9A-A6E8-EFD44128062F CITY OF SARATOGA SPRINGS ZONING BOARD OF APPEALS City Had.(, - 474 f3raa.0iwn Saratoga, Spru*' y, Ne rY&rk,12866 . f c,_ r Ted.: 5.18 -58 7-3550 X2533 INSTRUCTIONS APPEAL TO THE ZONING BOARD FOR AN INTERPRETATION, USE VARIANCE, AREA VARIANCE AND/OR VARIANCE EXTENSION APPLICATION REQUIREMENTS 1. ELIGIBILITY: To apply for relief from the City's Zoning Ordinance, an applicant must be the property owner(s) or lessee, or have an option to lease or purchase the property in question. The Zoning Board of Appeals (ZBA) shall not accept any application for appeal that includes a parcel which has a written violation from the Zoning and Building Inspector that is not the subject of the application. 2. COMPLETE SUBMISSIONS: Applicants are encouraged to work with City staff to ensure a complete application. The ZBA will only consider properly completed applications that contain I original and I digital version of the followi III Completed application pages I and 8, the pages relating to the requested relief (p. 2 for interpretation or extension, pp. 3-5 for use variance, pp. 6-7 for area variance), and any additional supporting materials/ documentation. **HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED" 0 Completed SEQR Environmental Assessment Form — short or long form as required by action. http://www.dec. ny.gov/docs/permits_ej_operatio ns_pdf/seafpartone. pdf Q/Detailed "to scale" drawings of the proposed project — folded and no larger than 24"x 36". Identify all existing and proposed structures, lot boundaries and dimensions, and the relationship of structures to the lot dimensions. Also, include any natural or manmade features that might affect your property (e.g., drains, ponds, easements, etc.). Q//Photographs showing the site and subject of your appeal, and its relationship to adjacent properties. 3, APPLICATION FEE (NON-REFUNDABLE): Make checks payable to the "Commissioner of Finance". REFER TO THE CURRENT FEE WORKSHEET INCLUDED IN THIS DOCUMENT. Check City's website (www.saratoga-springs.org) for meeting dates. Revised OIJ2021 DocuSign Envelope ID: COD3A33C-4E36-4D9A-A6E8-EFD44128062F ZONING', BoAwAPPEAL APPLICATION /NsmucrloNS PUBLIC HEARING ADVERTISEMENT PAcE2 The Zoning Board of Appeals is required to hold a public hearing on each submitted application within ninety (90) days from when it is determined to be properly complete by City staff. City staff will prepare a legal notice for the public hearing and arrange to have the public hearing announcement printed in the legal notice section of a local publication at least 5 days before the hearing. PROPERTY OWNER NOTIFICATION Applicants are required to mail a copy of the public hearing legal notice to all property owners within the following distances from the boundaries of the land in question: Type of variance Distance for property owner notification Use variance 250 feet Area variance & Interpretation 100 feet This notice must be sent at least 7 days but not more than 20 d_ys before the date of the public hearing. City staff will email a copy of the "property owner notification letter" to the applicant. The applicant must then send the notification letter to the nearby property owners. Applicants may not include any other materials in this mailing. The mailing must be certified by the U.S. Post Office. Prior to the public hearing, applicants must present the Post Office "certificates of mailing" to the ZBA If "certificates of mailing' are not presented prior to the hearing, the hearing will be cancelled. Revised 0112021 DocuSign Envelope ID: COD3A33C-4E36-4D9A-A6E8-EFD44128062F 2071 LAND USE BOARD FEE WORKSHEET OPED Fees Type Application to Zoning Board orAppealsil)(21 2022 Fee Use Variance TOTAL WAR1ANCE $1100+$50/app Area Varlance. Residential $275/var+$50/2pp+$12S each add'I variance Area Variance -Multi -Family, Comm, Mixed -Use $660/var+$SD/app+$200 each add'I variance Interpretations Em $550+$50/app Post -Work Application Fee Add 50%App fee+$50/app Variance extensions 50%of Appfee+$50/app Application to Design Review Commission (1j TOTAL #STRUCTURE Demolition �5385 Residential Structures Principal $55 Accessory $SS Extension $35 Modification $55 Multi -Family, Comm, Mixed -Use Structures Sketch $165 Principal $550 Extension $200 Modification $330 Multifamily, Comm, Mixed -Use Accessory, Signs, Awnings Principal $140 Extension $75 Modification $L40 Post -Work Application Fee Add 50%App fee Application to Planning Board[1) TOTAL #STRUCTURE Special Use Permit [2) S990+$50/app Special Use Permit -extension $ 330 Special Use Permit • modification 121 $4S0+$50/app Site PI an Review -Intl. PUD: Sketch Plan $330 Residential $330+$200/unit Residential - extension $200 Residential - modificati on im $400 Non-residential $660+$130/1000sf Non-Residentlal -extension $300 Non -Residential -modification $650 Subdivision-incl.PUD: TOTAL #LOTS Sketch Plan —-1$330 Preliminary Approval (21 Residential: l-S lots $660+$50/3pp Residential: 6.10 lots $990+$50/app Residential: 11-20 lots $1320+$50/app Residential: 21+lots $1650+50/app Residential • extension $330 Final Approval (21 Residential $1320+$175/lot+$50/app Non- Residentlal-�52000/lot+$50/apP Final Approval Modification (2j Residential— $330+$50/app Non- Residential $550 +$50/app Final Approval Extension Residential $135 Non -Residential Other' TOTAL #LOT/ACRE Post•WorkAppllcatton Fee Add sax app fee Lot Llne Adjustment $350 Letter of Credit -modification or extension $440 Letter of Credit -collection up to 1%ofLoC Recreation Fee $200DAotorunit Land Disturbance $55/acrere SEQRA ELS Review, (Draft & Finalj TBD Legal Noticing PB requires Public Hearing $50/apP (11 Fees are based on per structure, except where noted. [2) Legal ad required; Includes City processing and publishing $ 0.00 TOTAL DUE For Adm Infstrative Use Total Paid at Intake Revised Fee Balance Due -_/_J Balance Paid Staffapproval Open Spo.ace3 (wP raaarPo Na) 3 GRANT ROAD ' Area = 40,894t Sq. FL 0.94f Acres I 11 (R.S. LOT 2) SJ. I o, a a4 1.g.5r f3 '� t Oxv�. wta � Two Slory I �0v `s Meuse (R.S. LOT i) fC !- ^` Cefe� I 1 54.8't W gg ) 30' K-a.9 l'ma J Td.ynen< so, d 10`33'19" exult eo, L = 04.71' rml. ry eo. ti, R 277.50' Grant Road To u'0 RIGHT OF WAY m 55 FT. 1 HEREBY CERTIFY TO'. 1.) DANIEL H. SHEA & HEATHER M. SHEA jjRjjj;j;gr RA.NCE COMPANY FROM AN ACTUAL FIELD SURVEY MADE RNG CODE OF PRACi10E ADOPTED BY TION OF PROFESSICNA LAND SURVEYORS. MAP REFERENCES, 1.) MAP ENTITLFD 'FLORAL ESTATES SEc110N 11, PHASE IV," DATED NOVEMBER 27. 20OZ LAST REVISED ON JUNE 15, 2004, MADE BY PAUL F, TOMMELL, LS., P.Q. AND FILED IN THE SARATOGA COUNTY CLERK'S OFFICE ON SEPTEM.BER 13' 2004 IN MAP DRAWER "F AS MAP NOS. 276A THROUGH 276M. 2) MAP ENTIT-ED "FLORAL ESTATES SUBDIVISION PLAN," DATED SEPTEMBER 11, 2001. MADE BY PAUL F. TOMMELL LS., P.C., AND FILM IN THE SARATOGA COUNTY CLERK'S OFFICE O DECEMBER 3, 20D2 IN MAP DRAWER "F AS MAP NOS. 224D THROUGH 224G.. NOTE: 1.) UTILITIES ARE UNDERGROUND. RECORD OF WORK, 1.) HOUSE LOCATION ADDED AND CERTIFICATIONS REVISED ON MARCH 2. 2006. �K 4 b 5 (R.S. 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BROADWAY (516) 587-9113 O '^ a z p 60 FAX Sears Poolbo'/,�i se 'I' NEW ORKP, 12866� ()WIST®w 2iIT�CONSTRUCilO,`I.COM HFE o'..Imti: aluw,v�o.�+n�+uwao s'm�s..�.: t_ern.aq PIo,U�b: MUM, Aa-1P.leun Npf m x�a �pama� myaN� Nm=mNQ Nm£3 m�R o pm IS rno a � p 2 I I II II t I I 1 I I I I I I I I I I _ I I I I 1 I I 1 I i I I t t3 I I rT� I I I t--1J I I I I I I ( t z= 1 I 1 I I L_yJ I I I I I 1 w v - A I r______ II I __ 1 _ T77I — I i l k I � I L--------- II "In o I I I IL ----- I ( E i i�l I I'p lei g I I I °I� i j.Q � # ----- o , tit �Irl ea rr r�, enY,• I I I t rl � r gl.li E" Ii1I II E li E I I I I I 3- I I I (,n,'I I 1 j if E. I' I I iv I I 1 1 IL1r- I t e� tI 1 III II �[ ) ail Ii 4------Iilli i' N !! r;1► I I I I( t• ' 1I'_�IT E a� ra moo$ e-,ai n1Ye ° $ p� 0 ?wm Z'�O p f DA t7 O Sbut T$Ie oa 3 +Sr o 9 ![I . Elevations 2. %ITT CONSTRUCTION, INC. r4m ro -Pk z Project Tit " 0o 563 N. BROA WAY (516) 587.41135�71 N /� N s NEWY I'I OGA$PREJG$ (518)587-0260 FAX Sears Poo 1b014se NEW YORK. 12866 )V11Y'['®WiTI'CONS'I-RVGTION.�M � F eyO HEE .�,fl0 ut«ee �r: wwvw�noa,�ew,euoeme�s..+_� i em.a..c ; , 5 x rd m wy�GG gHb T�i ''vv t EjJ¢3 i 4 I I I I aa' 'Yi >.z,' Z+Y' ray lad/ • - 4 a Q'�YI Td N m O 4D �m z i c rzv� og�S m��o mzv3 8Ny"- io�P zog�" <mgp mHmagy. ny2"o o��I1 y���2 DHA m��o 99v1DDDZ Y m Fo>. yr �^70C E 9 § SEi Y Yi •. ,rw�, � 2 y gg yy ea rn�• ra>>/e i ram• a•-ii4'e S{ eet Title o , ^ K Sections WITT CONSTRUCTION, INC. ro v, z Project Title 563 N. HROADWAY (516) 597-01 t] o ib m rz�� N S Sears Poo lbOuse I" NEWYO K, 32RING5 (1W3TC®7WfITCONSTItUC1'ION.COM ZF,1, O�260 FAXF r� �iNfE •Y6 o I—J F d� o o £ f O ? T 2 ^ O o a <' 2 $ ° m w m a H n =o m o m m c � o � m OR 6 C. 0 OR LA ;x n _ m rr II p Short Environmental Assessment Form Part I - Project Information Instructions for ComWetinE 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 New Accesory Structure Name of Action or Project: Sears Pool House Project Location (describe, and attach a location map): 3 Lilac Lane, Saratoga Springs, NY 12866 Brief Description of Proposed Action: Construction of a new residential accesory structure. Name of Applicant or Sponsor: Telephone: 5183219203 Witt Construction Inc. E-Mail: nfalco@wittconstruction.com Address: 563N Broadway City/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 be in may affected the municipality 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: Z El- 3. a. Total acreage of the site of the proposed action? .94 acres b. Total acreage to be physically disturbed? .0115 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? •94 acres 4. Check all land uses that occur on, are adjoining or near the proposed action: 5. ❑ Urban 0 Rural (non -agriculture) ❑ Industrial ❑ 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 ❑ Rl 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 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 NO YES ❑ ❑ Elaction? ❑ 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 ❑ Z 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: NO YES El Fv-1 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: NO YES ❑ 0 12. a. Does the project site contain, or is it substantially contiguous to, a building, archaeological site, or district which is listed on the National or State Register of Historic Places, or that has been determined by the of the NYS Office of Parks, Recreation and Historic Preservation to be eligible for listing 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? NO YES ❑ El Z El 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 ❑ Z Fv-1 ❑ Page 2 of 3 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 ❑ 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 plan? NO YES 0 ❑ 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? b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: NO YES ❑ RI a ❑ Exisiting grade to street 18. Does the proposed action include construction or other activities that would result in the impoundment of water or other liquids (e.g., retention pond, waste lagoon, dam)? If Yes, explain the purpose and size of the impoundment: NO YES ❑ ❑ 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 a❑ 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 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: Witt Construction Inc Date: 9/22/2022 Signature: Title: Production Mananger PRINT FORM I Page 3 of 3 EAF Mapper Summary Report Thursday, September 22, 2022 12:59 PM Disclaimer: The EAF Mapper is a screening tool intended to assist '70t *rt v , project assess sponsors reviewing nt fo m (EAF). N talll quest ons asked environmental in the EAF a 15 2 33 f �15 answered b the EAF Mapper. Additional information on an EAF Y PP Y a ib " question can be obtained by consulting the EAF Workbooks. Although 15 i'u aA the EAF Mapper provides the most up-to-date digital data available to DEC, you may also need to contact local or other data sources in order to obtain data not provided by the Mapper. Digital data is not a substitute for agency determinations. Part 1 / Question 7 [Critical Environmental No Area] Part 1 / Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 / Question 12b [Archeological Sites] No Part 1 / Question 13a [Wetlands or Other Yes - Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 / Question 15 [Threatened or No 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] No Short Environmental Assessment Form - EAF Mapper Summary Report I