HomeMy WebLinkAbout20240054 128, 132 Washington Garage Demo & Construction SEQRAShort Environmental Assessment Form
Part I - 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 I — Project and Sponsor Information!
128/132 Washington Street, Saratoga Springs, NY 12866
Name of Action or Project:
Demolition of Existing Garage
Project Location (describe, and attach a location map):
see site plan
Brief Description of Proposed Action:
Applicant is seeking approval of the existing garage that is presently in poor condition. T
The existing garage was constructed in the 1950's, it is not historic and is in poor structural condition. The garage is located over the property line and
is not compliant with any current building or zoning requirements.
Name of Applicant or Sponsor:
Telephone: (518) 275-5359
Lori Sames - Owner/Applicant
E-Mail: Iorisames@vahoo.com
Address:
HA
r b
City/PO: State:
Zip Code:
r >r1 /
z AC:1_66
1. 1 Does the DroX-sed acttob only thvolve the lezistative a o Uon o a an oca aw or mance
NO
YES
ladministrative rue or re u ation.
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. 1 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:
a
❑
3. a. Wotal acreage of the site of the proposed_a= acres
b. ota acrea a to be vhysically distur a n1 acres
c. otal acreage(Project site and any contiguous properties) owne
or controlled by the applicant or project sponsor .18 acres
4. heck all land uses that occur on, are adjoining or near the pro osed action.
0 Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commercial 0 Residential (suburban)
❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify):
Parkland
Page 1 of 3
5. Is the proposed action,
a. IA permitteduse under the zoning regulations
b.[Consistent with the adol)ted comprehensive an
NO
❑
❑
YES
❑
N/A
❑
❑
NO
❑
YES
❑✓
6. Ils the proposed action consistent with the predominant character of the existing built or natural landsca e?
7. 1 Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area?
NO
YES
If Yes, identify:
8, a. Will the Rrol2osed action result ina substantial increase in traffic above resent eves
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
❑
RI
9. Does the provosed action meet or exceed the state energy code requirements.
If the proposed action will exceed requirements, describe design features and technologies:
This is not aeelicable. The structure is unheated and not subject to energy code requirements. The removal of the structure is not
NO
YES
subject to energy code requirements.
❑
❑
10, lWill the proposed action connect to an existing public/private water supply.
If No, describe method for providing potable water:
NO
YES
11. lWill 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 districl
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?
NO
YES
❑
❑
❑
❑
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 ro osed action, or land; —adjoining the proposed action, contain
'reaulated
NO
YES
wet an s or other water o res by a federal, state or l7cal a enc
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:
❑
❑
❑
❑
&3
14. 4dentify 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
NO
YES
Federal government as threatened or endangered
16. 1 Is thet site localed in t -
NO
YES
El
17. fTVill the oroposed action create storm water dischar a either from voint 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
21
YES
❑
❑
R
❑✓
❑
1$. I Does the proposed action include construction or other activities that would result in the impoundment of —waterl
NO
YES
or other liquids e.g., retentio-n—pond, waste lagoon, dam)
If Yes, explain the purpose and size of the impoundment:
❑
❑
19. 114as the site of the proposed action or an adjoining ra a een the location of an active or closed solid wastq
NO
YES
management facility
If Yes, describe:
❑
❑
20.plas the site of the proposed action or an adjoining ro erbeen the siglect of reme cation on om o
NO
YES
om leted for hazardous waste
If Yes, describe:
❑
❑
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF
MY KNOWLEDGE j / r
Applicant/sponsor/name: I' Date: 31 Z?/z`f'
[Signature aTitle: ��WZI(j ��