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Home My WebLink About20230771 75 Weibel Special Use Permit EAFShort Environmental Assessment Form Part 1 - Project Information Instructions for Completing 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: Marijuana Dispensary Project Location (describe, and attach a location reap): 75 Weibel Avenue Brief Description of Proposed Action: Applicant is proposing a Marijuana Dispensary within a portion of an existing commercial building. The site includes an existing parking lot for 23 cars, an existing full access driveway,a proposed sidewalk connection and an area reserved for future parking if needed. Name of Applicant or Sponsor: Telephone: 838-207-4667 Excelsior Cannabis LLC E-Mail: amandacarterl6@live.com Address: 109 Congress Street City/PO: State: Zip Code: Cohoes NY 12047 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, administrative rule, or regulation? NO YES If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in 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: ❑ 3. a. Total acreage of the site of the proposed action? 1.IDacres b. Total acreage to be physically disturbed? 09 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 1.03 acres 4. Check all land uses that occur on, are adjoining or near the proposed action: 5. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial ❑✓ Commercial 0 Residential (suburban) ❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): Landfill ❑ 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 ❑ Fv-1 ❑ ❑ ❑ Fv-1 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES 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 Fv-1 ❑ 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? NO YES ❑ ❑ ❑ ❑ 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 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: NO YES 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: NO YES 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 YES ❑ ❑ 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 ❑ ❑ Rl 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 0 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 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 Z ❑ ❑ ❑ ❑� ❑✓ 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 Previous city landfill adjacent to site. ❑ �✓ 20.Has the site of the proposed action or an adjoining property been the subject of rcmediation (ongoing or completed) for hazardous waste? If Yes, describe: NO YES Previous city landfill adjacent to site. ❑ ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: Gavin Vuillaume Date: August 28, 2023 Signature: _ Title: Landscape Architect PRINT FORM Page 3 of 3 EAF Mapper Summary Report Tuesday, August 1, 2023 4:00 PM t53:='1-21 A MA A -21-2 453--t -17 Disclaimer: The EAF Mapper is a screening tool intended to assist — project sponsors and reviewing agencies in preparing an environmental assessment form (EAF). Not all questions asked in the EAF are tS 3--1-22 I answered by the EAF Mapper. Additional information on any EAF question can be obtained by consulting the EAF Workbooks. Although the EAF Mapper provides the most up-to-date digital data available to --tur ___—----- al,n Rb 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 I u53l'_#-it'1 substitute for agency determinations. 5 C . a v I 1S3A-23 1 r`�:,I f a. aar e 4iv�<iarr r0onipq 53.-1-1 K$ Springs µ4514r VL 74fGlltd — Ham�llan ISM. ��IattF 153A-11-2 6uttilo- II-Y rr,lk ' Albany egg �j I # ounM��n I-T, I S:DLr,e=, Esr HERE Garmin, L°` = Ir?i�rmac Ih . EF.i�f '- Sourcin-Brl HERE, a-r,i � USGS, II1_t�"I,:t; Ir cRE iEPJT p I a E !I lapar METi. l.. l I,`.:,I.: , .'_u:l I -I. ' ..II 'IIII :I 'I a 4:rsr r l rlria:Horq Kong:. Esrl Koreet E5rI 'Thadllr. � IGCC.:r:Opf. � tFl ntn ,t,-r: ; - 'T-i i I-„=rSrr.z=1?,{ip :.r-h!r.., -. 1 .he GIS Use; I� I-1=r�?: - ; ?V a:t; Esn HEk.= koo.-�2� Part 1 / Question 7 [Critical Environmental Area] Part 1 / Question 12a [National or State Register of Historic Places or State Eligible Sites] Part 1 / Question 12b [Archeological Sites] Part 1 / Question 13a [Wetlands or Other Regulated Waterbodies] Part 1 / Question 15 [Threatened or Endangered Animal] Part 1 / Question 16 [100 Year Flood Plain] Part 1 / Question 20 [Remediation Site] IM No No Yes - Digital mapping information on local and federal wetlands and waterbodies is known to be incomplete. Refer to EAF Workbook. No Digital mapping data are not available or are incomplete. Refer to EAF Workbook. Yes Short Environmental Assessment Form - EAF Mapper Summary Report I