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HomeMy WebLinkAbout20230524 12 Ballston Chipotle Site Plan EAFShort Environmental Assessment Form Part I - Project Information Instructions for ComlLleting Part 1— Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1— Project and Sponsor Information Name of Action or Project: 12 Ballston Avenue - Proposed Chipotle Project Location (describe, and attach a location map): 12 Ballston Avenue, Saratoga Springs, NY 12866 Brief Description of Proposed Action: The project scope includes the following improvements to the existing site; removal of the existing vacant dilapidated building, construct a new one-story restaurant building with onsite parking, improved site drainage and landscaping, and improved vehicular and pedestrian access. Name of Applicant or Sponsor: Telephone: (781) 690-0275 CollabDev 2 LLC E-Mail: jroche@collabdevelops.com Address: i529 Main Street, Suite 107 City/PO: State: Zip Code: Boston MA 02129 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 a be in El 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: Saratoga Springs Planning Board - Site Plan Review, Design Review Board - Architectural Review, ZBA Area Variances - ❑ ❑ 3. a. Total acreage of the site of the proposed action? 0.32 acres b. Total acreage to be physically disturbed? 0.39 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 0.39 acres 4. Check all land uses that occur on, are adjoining or near the proposed action: [2'Urban ❑ Rural (non -agriculture) ❑ Industrial Q Commercial 0 Residential (suburban) ❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑ Parkland Page 1 of 3 SEAF 2019 5. Is the proposed action, NO a. A permitted use under the zoning regulations? ❑ b. Consistent with the adopted comprehensive plan? ❑ 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? If Yes, identify: YES N/A Z ❑ ❑ NO YES 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? If the proposed action will exceed requirements, describe design features and technologies: NO YES El YES ❑ ❑ NO ❑ ❑t✓ 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: -- The existing building is currently connected to the municipal water service and the proposed new building will be connected to the municipal water service in its place. NO YES ❑ ❑ 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: The existing building is currently connected to the municipal sewer service and the proposed new building will be connected to the municipal sewer service in its place. 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 Commissioner 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 HYE ❑ ❑ NO YES ❑✓ ❑ YES ❑ NO 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: ❑ ❑ a 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 Z ❑ 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 stone water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: NO YES ❑ Z ❑ ❑✓ 21 ❑ The proposed project will Improve the stormwater management on the site. 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 ❑ ❑ .1.9. 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 20.11as 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 El P-1 I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/naIGr! Date: 6 l9 Z3 Signature: Title: r�'J tl L ,x / PRINT FORM I Page 3 of 3