HomeMy WebLinkAbout20190808 Geronimo Conservation Subdivision Application Law Office of Julie A. Gazetos, P.C.
Julie A. Gazetos,Esq.
57 Chapman Street (518) 636-6188
P.O.Box 8 Fax (518) 430-3088
Ballston Spa,NY 12020 julie@gazetoslaw.corn
www.gazetoslaw.com
August 14,2019
City of Saratoga Springs
Planning Board
HAND -DELIVERED
RE: Geronimo Minor Conservation Subdivision Application
Dear City of Saratoga Springs Planning Board Members:
Please find enclosed the Application and required documents in request of approval for
a two-lot minor Conservation Subdivision of 301 Old Ballston Avenue, Ballston Spa,NY in
the City of Saratoga Springs. The property, tap max number 203-1-37,is owned by Geronimo
Properties,-TLC,in which I am a member/manager along with my husband,Morgan Gazetos,
and his parents,Melanie O'Brien and Nicholas Gazetos.
The proposed subdivision will formally divide the property that is already physically
divided by Northiline Road. As our application demonstrates,the subdivision will conform with
the City's master plan for smart growth,while preserving the beauty of the property through the
conserved area and minimal land disturbance of.40 acres.
As such, the following documents are enclosed for your review:
1. Subdivision Application
2. Final Subdvision Approval Checklist
3. Conservation Subdivision Plat Completedness Checklist
4. Subdivision Plat Completedness Checklist
5. SEQR Short EAF with Supplement
6. Set of Plans, including 2 large scale,with all items as required
7. Letter from Saratoga County Sewer District#1
8. Letter from Village of Ballston Spa RE:Water Connection
9. Proposed Declaration of Restrictive Covenants
10. Application Fee
4
Law Office of Julie A. Gazetos, P.C.
Julie A. Gazetos,Esq.
57 Chapman Street (518) 636-6188
P.O.Box 8 Fax (518) 430-3088
Ballston Spa,NY 12020 Fax
www.gazetoslaw.com
Thank you in advance for your consideration of the application. We look forward to
working with all of you during this process.
Very Truly Yours,
L411;0 / g
Ar r
ulie A. Gazetos
End.
t
'FOR OFFICE USC]
Or(OF SARATOGA SPRINGS
PLANNING ilk BOARD (Application#)
f-
El
i-.. ; ,•pp,,-.\- .---: City Hall-474 Broadway (Date received)
7:1 :;(''!itt-,)41 .'7
— .. • Saratoga Springs, New York 12866-2296
/4N)FORAT c;\c' Tel:5 i 8-587-3550 fax:518-580-9480
http://wvvw.saratoga-springs.org
APPLICATION FOR:
SUBDIVISION APPROVAL (Rev:03/2018)
Application Check List-AN submissions must include completed application check list and all required
items.HANDWRITTEN APPLICATIONS WILL.NOT BE ACCEPTED!!
Geronimo Minor Subdivision
Proiect Name:
301 Old Ballston Avenue, Ballston Spa, NY 12020
Property Address/Location:
203-1-37Rural Residential
Tax Parcel#: Zoning District:
(for example: 16532-4-37)
Total Acres:4.81 2
Land to be Subdivided Into:
Lots
APPLICANTV OWNER(S)(If not applicant) ATTORNEY/AGENT
Morgan J. Gazetos
Name
57 Chapman St.
Address
Ballston Spa, NY 12020
518-260-9878
Phone
Email morganbuilds@hotmail.com
Identify primary contact person: I Applicant 11 Owner 0 Agent
*An applicant must be the property owner, lessee,or one with an option to lease or purchase the property in question.
Application Fee: A check for the total amount below payable to: "Commissioner of Finance" MUST accompany this application.
o Sketch Plan—$300
0 Preliminary Subdivision Plat Approval
1-9 Lots $600 51+Lots $1,500
10-25 Lots $900
26-50 Lots $1,200 Fee submitted $
J Final Subdivision Plat Approval 1,640.00
Residential - $1,200 plus $120/lot $
Non-Residential - $1,800/lot $
El Final Approval Modification
Residential- $300 $
Non-Residential- $500 $
Submission Deadline—Check City's website(vvww.saratoga-springs.org)for application deadlines and meeting dates.
Does any City officer, Does any City officer,employee or family member thereof have a financial interest(as defined by General
Municipal Law Section 809)in this application? YES NO 1 . If YES,a statement disclosing the name, residence, nature and
extent of this interest must be filed with this application.
I,the undersigned owner or purchaser under contract for the property, hereby request Subdivision consideration by the Planning
Board for the identified property above. I agree to meet all requirements under the Subdivision Regulations for the City of Saratoga
Springs.
Furthermore,l hereby authorize members of the Planning Board and designated City staff to enter the property associated with this
application for purposes of conducting any necessary site inspections relating to this application.
"1/
Applicant Signature: Date Ai /'
If applicant is not current owner,owner must also sign.
Owner Signature: Date:
S TORMWAIER MANAGEMENT
241 Attachment 7
City of Saratoga Springs
Appendix G
City of Saratoga Springs
PLANNING BOARD
City Hall-474 Broadway
,. -. Saratoga Springs,New York 12866-2296
µ'`3` •` ' Tel:518-587-3550 Fax:518-580-9480
http://www.saratoga-springs.org
APPLICATION FOR CONSERVATION SUBDIVISION PLAT
COMPLETENESS CHECKLIST
*TO BE COMPLETED BY THE APPLICANT FOR SUBMISSION AS PART OF THE APPLICATION*
All items identified in the checklist below should be shown on the"conservation analysis map"
that is required to be submitted with the application.
Does the project have any of the following Conservation Features?
Yes No Feature Type Describe Feature Value
Constrained Land:
NYS Wetland(specify
X class of NYS wetlands)
X Federal Wetlands
X Watercourse (specify
stream classification)
X Other water bodies
X 100-year floodplains
Steep slopes: minimum
area 2,000 square feet
with slopes over 25%
X (describe soil and
vegetation type; erosion
potential)
X Other natural features
Stream corridors-within
X 100 feet horizontal
distance of stream bank
241 Attachment 7:1 01-0i-2014
SARATOGA SPRINGS CODE
Yes No Feature Type Describe Feature Value
X Wooded areas of 1 acre Lot 2 is primarily wooded area; 2 acres
or more to be conserved.
Trees uncommon by
X virtue of size, age or
species(specify)
X Rock outcropping
Cultivated land(specify
X lessee)
X Water resource protection
areas
X Cultural features
Historic sites(specify if
X state or nationally listed,
eligible for listing, or
locally identified)
Archaeological sites
(burial grounds,
X cemeteries,building
foundations, etc.)
X Hedgerows and stone
walls
Scenic vista/viewsheds
X from public roads,trails
or parks
Existing or planned trail
X connections
X Buffer to adjacent
properties
Other features,specify
[Revised 11-2005]
241 Attachment 7:2 01-01-Zola
[FOR OFFICE USE1
CITY OF SARATOGA SPRINGS
6
1)4. (Application#)
PLANNING BOARD
(Date received)
City Hall-474 Broadway
'.,
Saratoga Springs, New York 12866-2296
Tel:518-587-3550 fax:518-580-9480
htt www.sarato a-s rin s.or
p// g p g g
Rev.03/2018
PRELIMINARY/ FINAL SUBDIVISION APPROVAL
REQUIRED SUBMITTAL CHECKLIST
. Project Name: Geronimo Minor Subdivision
2. Checklist Prepared By: Julie A. Gazetos Date: 8/13/19
Listed below are the minimum submittal requirements as set forth in The City of Saratoga Springs' Subdivision
Regulations. The Planning Board reserves the right to request additional information, as necessary, to support
an application. The Board also reserves the right to reject the application if these minimum requirements are
not met. Please complete the checklist below and provide with your submission.
REQUIRED ITEMS: *2 hard copies and 1 digital copy of ALL materials are required.
CHECK EACH ITEM **HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED**
I. Completed Subdivision Application (2 hard copies -*I w/original signature-and I digital) and Fee
2. SEQR Environmental Assessment Form-short or long form as required by action.
3. Set of plans including: (2) large scale plans (sheets must be 24" x 36", drawn to a scale of not more
than 1"=50 feet). One digital version of all submittal items (pdf) shall be provided.
4. Basic or Full Storm Water Pollution Prevention Plan as required per City Code Chapter 242.
5. Copy of signed DPW water connection agreement for all projects involving new water connections
to the City system
6. Engineering Report for Water and Sanitary
7. Complete Streets Checklist
8. Project Cost Estimate-Quantities of work items and estimate of costs
REQUIRED ITEMS ON SUBDIVISION PLAT,AS APPLICABLE:
I. Name of Subdivision
3. Property line survey prepared by a licensed land surveyor. Subdivision plat must reference such survey
with all corners set and marked on plan. Reference NGVD 1929 datum. A copy of the original
property survey must also be included.
4. North arrow and map scale
City of Saratoga Springs Subdivision Checklist 1
5. Parcel tax map number
6. Site location map
7. Site vicinity map (all features within 300 feet of property)
8. Identification of current zoning with corresponding area requirements
9. Building setback lines, either listed or shown on plans
10. Title block with subdivision name; name and address of applicant; and name and address of property
owner(if different)
I I. Name, address and phone number of subdivision surveyor and/or engineer
12. Names of all adjacent property owners within 300 feet (include both sides of street)
13. Identification of size, elevations, material, and slopes of all existing and proposed utilities within 400 ft
of site.
14. Parcel street address (existing and any proposed postal addresses)
Yes No N/A 15. Identification of existing or proposed easements, covenants or legal rights-of-way on this property
in n 16. References to all prior variances or special use permits
n17. Existing and proposed contours and spot grades (at 2 foot intervals)
Z n 18. Identification of all watercourses, designated State wetlands, buffers, Federal wetlands, floodplains,
rock outcroppings, etc.
n n n 19. Identification of all existing or proposed sidewalks or pedestrian paths (show type, size and condition
of existing sidewalks)
n n pi 20. Location, design specifications and construction material for all proposed site improvements (drains,
culverts, retaining walls, berms, fences, etc.)
D El 21. Location and distance to fire hydrant
n22. Erosion and sediment control plan—including designated concrete truck washout area
, n n 23. Approximate location, dimensions and areas for proposed lots and proposed public recreational land
24. Proposal for utility systems and lateral connections
n25. Location and width of proposed streets
City of Saratoga Springs Subdivision Checklist 2
STORMWAIER MANAGEMENT
241 Attachment 6
City of Saratoga Springs
Appendix F
City of Saratoga Springs
PLANNING BOARD
1
City Hall-474 Broadway
Saratoga Springs,New York 12866-2296
µ'`3` •` ' Tel:518-587-3550 Fax:518-580-9480
http://www.saratoga-springs.org
APPLICATION FOR FINAL SUBDIVISION PLAT
COMPLETENESS CHECKLIST
*TO BE COMPLETED BY THE APPLICANT FOR SUBMISSION AS PART OF THE APPLICATION*
Project Name: Geronimo Minor Subdivision
Checklist Prepared By: Julie A. Gazetos Date: 8/10/2019
Listed below are the minimum submittal requirements for plat content and presentation for a
Final Subdivision Plat application before the Saratoga Springs Planning Board. If the
subdivision is initiated with a final application, items on the preliminary application checklist
must be submitted in addition to the items listed below. The Board reserves the right to request
additional information, as necessary, to support an application. The Board also reserves the
right to reject the application if these minimal requirements are not met.
Yes No Your final submittal should include the followingitems,as applicable:
N/A pp
1. Name of subdivision
Geronimo Minor Subdivision
2. Name, address and phone number of owner and purchaser under contract
Geronimo Properties,LLC Julie A. Gazetos
57 Chapman St. (520) 668-5351
Ballston Spa,NY 12020
Yes No Your final submittal should include the followingitems,as applicable:
N/A pp
3. North arrow and map scale
Scale may not be smaller than 50 feet to one inch
4. Standard title block and map key
241 Attachment 6:1 01-0i-2014
SARATOGA SPRINGS CODE
Yes No
N/A
5. Site location map
6. Scaled topography at two-foot contours
7. Identification and size of all utilities within 250 feet of the site
8. Notation of any self-imposed restrictions, and locations of any building
lines proposed to be established in this manner, if required by the
Planning Board
9. Indications of compliance with requirements of the NYS Dept. of Health
and/or NYS Dept. of Environmental Conservation
10.Lots numbered as approved by the Office of the City Engineer with lot
line dimensions for each parcel boundary
11. Parcels with tax map numbers and postal addresses
12.Existing zoning, setback lines, and required area and bulk requirements
13.Names of adjacent owners within 250 feet
14.Location of watercourses, marshes,vernal pools,rock outcrops,wooded
areas and other important natural features
15.All monuments erected, corners, and other points established in the filed
in their proper places
16.Identification of existing and proposed easements; covenants or legal
right-of-way boundaries with dimensions, azimuths, or angle data and
horizontal and vertical curve data, existing and proposed streets; and
other pertinent features such as existing or proposed railways,buildings,
cemeteries, drainage ways;bridges, etc. on the property
241 Attachment 6:2 0i-0i-2014
STORMWAIER MANAGEMENT
Yes No Your final submittal should include the followingitems,as applicable:
N/A pp
19. Standards of accuracy of elevations meeting the City of Saratoga Springs
requirements shall be noted on the plat
20. Signature and seal of a professional engineer and land surveyor,both
registered in New York State, or a qualified land surveyor under section
7208,paragraph(n)of the Education Law
21.Location and dimensions of all property to be set aside for recreation
uses, or other public or private reservation and conditions, if any,of the
dedication or reservation; or a statement of intent to contribute a fee in
lieu of land for recreation
22.Plan/Profile of each street and utility easement, with acceptable
horizontal scale not to exceed 50 feet to one inch and vertical scale of
five feet to one inch
23.All pavement, storm drains, gas lines and water lines to scale with
appurtenances and inverts
24.Pavement and utility stationing including all horizontal and vertical
control points and grades according to scale
25. Certificate of adequacy of proposed water supply and sanitary waste
sewer disposal systems as required by the NYS Dept. of Health;the NYS
Dept. of Environmental Conservation; and/or the NYS Public Service
Commission
26.A copy of a signed water connection agreement with the City DPW for
all projects involving new water connections to the City system
27.An estimate of construction costs for the purpose of establishing a letter
of credit or bond to cover the full cost of all required improvements
28.Final design of bridges, culverts
29. Such certificates, affidavits, endorsements, or agreements as may be
required by the Planning Board
241 Attachment 6:3 0i-0i-2014
SARATOGA SPRINGS CODE
Yes No Your final submittal should include the followingitems,as applicable:
N/A pp
30.If an on-site water supply is to be utilized, a note stating:
X "All lot sales shall be contingent upon a contract addendum which
specifies the location of water for the lot and guarantees the available
flow capacity and water supply complies with the standards of Saratoga
Springs and the NYS Dept. of Health standards."
X31.Final design for all sanitary sewers, storm drains, gas lines and water
lines with all appurtenances, and stationing(labeled to show size and
material of each). Where appropriate a report prepared by the applicant's
engineer explaining the means for compliance with the NYS SWPPP
regulations
32.If a final application is being submitted following approval of a
preliminary subdivision plat, a narrative description of the conditions to
Xbe met as specified in the approving decision and how the conditions
have been addressed
NOTE: This form may be modified at the discretion of the City of Saratoga Springs Planning
Board without amendment to the City Subdivision Regulations.
[Revised 11-2005]
241 Attachment 6:4 01-01-2014
DECLARATION OF
RESTRICTIVE COVENANTS
THIS DECLARATION OF RESTRICTIVE COVENANTS is made this day of
, 2019, by Geronimo Properties, LLC ("Declarant"), a limited
liability company with an address at 57 Chapman Street, Ballston Spa, New York.
RECITALS
WHEREAS, Declarant is the owner in fee of certain real property in the City of Saratoga
Springs, Saratoga County,New York, more particularly described as follows: ALL THOSE
CERTAIN LOTS, PIECES OR PARCELS OF LAND designated as "Deed Restricted
Conservation Area,"totaling 2.54± acres as shown on map entitled"Geronimo Minor
Subdivision,"prepared by Corner Post Land Surveying, PLLC, dated December 26, 2018,
revised July 29, 2019, and filed in the Office of the Saratoga County Clerk as Map Number
and
WHEREAS, Declarant has applied for subdivision of property in accordance with the City of
Saratoga Springs Residential Conservation Subdivision Ordinance and related Conservation
Area and No Cut Buffer Planning Board Policy. As consideration for the benefits of that
provision, Declarant must restrict certain activities on the Open Space (Conservation Area)
portion of that real property described on"Final Plat" as referenced above;
NOW, THEREFORE, Declarant hereby declares that the Property shall be held, owned,
transferred, conveyed, leased, occupied, or otherwise disposed of and used subject to the
following restrictive covenants, which shall run with the land and be binding on Declarant, its
successors, and assigns, lessees, or other occupiers and users (collectively Declarant).
1. Prohibitions. Declarant is and shall be prohibited from the following: filling, draining,
cutting, flooding, dredging, impounding, clearing, burning, excavating, erecting,
constructing, releasing wastes or otherwise conducting or allowing any similar activity on
the Open Space portion of the Property; introducing exotic or non-native species to the
Open Space portion of the Property (except biological controls pre-approved in writing
by the City), and from changing the grade or elevation, impairing the flow or circulation
of waters reducing the reach of waters, and any other discharge or activity requiring a
permit under any environmental, clean water or water pollution control laws and
regulations, as amended. The following are expressly excepted from this paragraph: (a)
cumulatively very small impacts associated with hunting, fishing, and similar recreational
activities, consistent with the continuing natural condition of the Open Space portion of
the Property, and (b) ordinary and necessary maintenance.
2. Other Restrictions. The Declarant represents and warrants that no restriction of record
on the use of the Open Space portion of the Property, nor any presently existing future
estate or interest in the Open Space portion of the Property, nor any lien, obligation,
covenant, limitation, lease, mortgage or encumbrance of any kind precludes the
imposition of the restrictions, covenants, obligations or agreements of this Declaration, or
the maintenance of the Open Space portion of the Property in accordance herewith.
1
3. Existing Conditions. The Declarant represents and warrants that no structures of any
kind, and that no violations of any these Restrictive Covenants, exist on the Open Space
portion of the Property at the time of execution of this Declaration.
4. Reserved Rights. The Restrictive Covenants set forth in this Declaration are created
solely for the protection of the Open Space portion of the Property, and for the
consideration and values set forth above, and Declarant reserves the right to engage in all
acts or uses not prohibited by this Declaration and not inconsistent with the conservation
purposes hereof. It is expressly understood and agreed that the terms of this Declaration
do not grant or convey to members of the general public any rights of ownership, entry or
use of the Open Space portion of the Property. Said restrictive covenants do not apply to
utility easements and associated future access and maintenance of utilities.
5. Recording. A Final Plat depicting the boundaries of the Open Space portion of the
Property was recorded on , 2019 with the
Saratoga County Clerk as Map Nos. . The Declarant shall record
this Declaration in the records of the Saratoga County Clerk, who shall ensure that this
Declaration is indexed against the Open Space portion of the Property, and shall provide
the City of Saratoga Springs with a copy of the Declaration, as recorded, within 30 days
of execution hereof.
6. Right of Entry. The City of Saratoga Springs and their authorized agents shall have the
right, but not obligation, to enter and go upon the lands of Declarant at all reasonable
times and with seven (7) days prior notice, absent and emergency, to (a) inspect the
Property to determine and verify compliance with the Restrictive Covenants set forth in
this Declaration; (b) monitor the status, condition and location of wetlands and natural
resources; (c) conduct research and development of the natural ecosystem; (d) enforce the
terms of this Declaration; and (e) take any and all actions necessary and appropriate to
remedy or abate any violations thereof. The City of Saratoga Springs and their
authorized agents agree to hold harmless the current and future owner(s) for any and all
claims for personal injuries alleged to be sustained while on or inspecting the Open
Space, except for any such claims arising out of owner(s) negligence.
7. Enforcement. The Declarant grants to the City of Saratoga Springs a discretionary right
to enforce the Restrictive Covenants set forth in this Declaration in a judicial action
against any person or other entity violating or attempting to violate these Restrictive
Covenants provided, however, that no violation of these Restrictive Covenants shall
result in a forfeiture or reversion of title. In any enforcement action, an enforcing agency
shall be entitled to a complete abatement of and restoration for any violation, as well as
any other judicial remedy such as civil or criminal penalties and an award of reasonable
attorneys' fees and expenses.
8. Notice to Government. Any permit application or request made to any governmental
entity and affecting the Open Space portion of the Property shall expressly reference and
include a copy (with the recording stamp) of this Declaration.
9. Property Transfers. Declarant shall include the following notice on all deeds,
mortgages, plats, or any other legal instruments used to convey or encumber any interest
in the Property (failure to comply with this paragraph will not impair the validity or
enforceability of these Restrictive Covenants):
NOTICE: This Property Subject to Declaration of Restrictive Covenants was recorded at Book
at Page in the County of Saratoga on of
, 2019.
2
SARATOGA COUNTY SEWER DISTRICT # 1
P.O. Box 550
Telephone (518) 664-7396
Via Email
June 7, 2019
Julie Gazetos
Law Office of Julie A. Gazetos, P.C.
57 Chapman St.
P.O. Box 8
Ballston Spa, NY 12020
RE: 301 Old Ballston Ave South -Sewer Connection (New Home)
City of Saratoga Springs
Dear Julie Gazetos:
Mechankville, NY 12118
Fax (518) 664-6280
DAN ROURKE, P.E.
EXECUTIVE DIRECTOR
Saratoga County Sewer District #1 (SCSD #1) will allow the connection of one (1) single family home at the
above referenced property upon the execution of a SCSD #1 Residential Lateral Permit and inspection.
Please feel free to contact me at (518) 664-7396 if you have any questions regarding this matter.
Sincerely,
Andrew J. Marsden
Senior Quality Assurance Inspector
AJM/ag
COMMISSIONERS:
WAYNE A. HOWE, CHRMN.
GEORGE CANNON
RICHARD C. DOYLE
C. DANIEL KEEGAN
PAUL HOTALING
RICHARD M. LOEWENSTEIN
FRANK J. BISNETT
KYLE M. FILLION
JAMES A. THOMPSON
COUNSEL:
STEPHEN M. DORSEY
SARATOGA COUNTYATTORNEY
SUPPLEMENT SHORT EAF
Part 1/ Question 12 (b): During walk through of grounds, Surveyor did not find any
evidence of any archaeological sites as determined by the EAF Mapper.
Additionally, the owners have thoroughly walked the property and have not
discovered any such site. The future land disturbance will be minimal and much of
the forested lands will be formally conserved.
Part 1/Question 13 (a): The Surveyor made a dedicated effort to look for wetlands
on the property, which resulted in a negative finding. The .40 acres that will be
disturbed is not near any waterways or wetlands. No wetlands will be disturbed.
Part 1/Question 15: The future land disturbance will be minimal and much of the
forested lands will be formally conserved. It is unlikely that the listed threatened or
endangered animals will be negatively affected by the .40 acre disturbance that is
planned with this subdivision.
Short Environmental Assessment Form
Part 1 -Project Information
instructions for Completinp.
Part I — Project Information. The applicant or project sponsor is responsible for the completion of Part I. Responses become Part of the
application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part I based on
in cuff ently 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
Name of Action or Project:
Geronimo Minor Subdivision
Project Location (describe, and attach a location map):
301 Old Ballston Avenue, Ballston Spa, NY
Brief Description of Proposed Action:
Proposed two lot residential subdivision of a 4.79 acre parcel located In RR Zoning District Of the City of Saratoga Springs. The parcel is physically
divided into 4 separate pieces by railroad tracks, Old Ballston Avenue and Northline Rd. Approval Is being sought to subdivide the parcel into 2 lots,
one of which will consist of all lands north of Northline Rd (3 pieces of the property), with an existing single-family residence, and the second lot will be
the contiguous lot on the south side of Northline Rd with a proposed single-family residence built within a total disturbed land area of .40 acres..
Name of Applicant or Sponsor: Telephone: (518) 260-9878
Geronimo Properties, LLC; Morgan J. Gazelos, Member/Manager E -Mail: morganbuilds@hotmail-com
Address:
57 Chapman Street
citState: Zip Code:
y/po:
Ballston Spa NY 12020dinance
1. Does the proposed action only involve the leLpislative adoption of a plan, local law, or NO YES
administrative rule, or regulation?
If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that z
may be affected in the municipality and proceed to Part 2. If no, continue to question 2.
2. Does theproposed action require a permit, approval or funding from any other government Agency? NO YES
If Yes, list agency(s) name and permit or approval:
El
3. a. Total acreage of the site of the proposed action? 4.79 acres
b. Total acreage to be physically disturbed'? .4p acres
c. Total acreage (project site and any contiguous properties) owned 4.79 acres
or controlled by the applicant or project sponsor?
4. Check all land uses that occur on, are adjoining or near the proposed action:
5. [] Urban Rural (non -agriculture) El Industrial g] Commercial 91 Residential (suburban)
0 Forest Agriculture El Aquatic [] Other(Specify):
0 Parkland
Page 1 of 3
5. Is the proposed action, NO
YES
N/A
a. A permitted use under the zoning regulations?
El
b. Consistent with the adopted comprehensive plan?
,r%
NO
YES
G. Is the proposed action consistent with the predominant character of the existing built or natural landscape?
7. Is the site of theproposed 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
[Z]
El
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:
10. Will theproposed 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 theproject site contain, or is it substantially contiguous to, a building, archaeological site, or district
NO
YES
which is listed on the National or State Register of Historic Places, or that has been determined by the
Commissioner of the NYS Offlice 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?
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?
V/
b. Would theproposed action physically alter, or encroach into, any existing wetland or waterbody?
yf
I
If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres:
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:
El Shoreline Forest [Z] 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
NO
YES
Federal government as threatened or endangered?
Frosted Elfin, Karner Blue
16. Is the project site located in the 104 year flood plan?
NO
YES
17. Will the proposed action create storm water discharge, either from point or non -point sourceV9
NO
YES
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:
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, darn)?
If Yes, explain the purpose and size of the impoundment:
-been the location of an active or closed solid waste
-19. Has the site of the pro -posed action ora adjoining property
NO
YES
management facility?
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 waste?
If Yes, describe:
RI
El
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF
MY KNOWLEDGE
Applicant/sponsor/name: Geronimo Properties, LLC; Morgan J. Gazetos Date: 8/13/2019
Signature: Title: Member/Manager
PRINT FORM I Page 3 of 3
EAF Mapper Summary Report
Tuesday, August 13, 2019 2:14 PM
Part 1 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 1 Question 15 [Threatened or
Endangered Animal - Name]
Part 1 / Question 16 [1 go Year Flood Plain]
Part 1 / Question 20 [Remediation Site]
No
Yes
Yes - Digital mapping information on local and federal wetlands and
waterbodies is known to be incomplete. Refer to EAF Workbook.
Yes
Frosted Elfin, Karner Blue
Digital mapping data are not available or are incomplete. Refer to EAF
Workbook.
No
Short Environmental Assessment Form - EAF Mapper Summary Report 1
Disclaimer: The EAF Mapper is a screening too] intended to assist
project sponsors and reviewing agencies in preparing an environmental
assessment form (EAF). Not all questions asked in the EAF are
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
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.
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Part 1 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 1 Question 15 [Threatened or
Endangered Animal - Name]
Part 1 / Question 16 [1 go Year Flood Plain]
Part 1 / Question 20 [Remediation Site]
No
Yes
Yes - Digital mapping information on local and federal wetlands and
waterbodies is known to be incomplete. Refer to EAF Workbook.
Yes
Frosted Elfin, Karner Blue
Digital mapping data are not available or are incomplete. Refer to EAF
Workbook.
No
Short Environmental Assessment Form - EAF Mapper Summary Report 1
TAX MAP SITE PLOT
T.M. # 203-1-37
CITY OF SARATOGA SPRINGS
SCALE: 1" = 400'
TOWN OF MILTON
66 Front Street
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Qffriends 518-885-5711
From the Office oftheMayor
July 17, 2019
Mr. Morgan Gazetos
57Chapman St.
Ballston Spa, NY 12020
Dear Mr. Gazetos,
I understand that you are applying to the City of Saratoga Springs for the subdivision of your property at
301 Old Ballston Avenue to create a second lot on which you intend to construct a new house, and that
you have inquired of the Village whether we are able to provide water sen/ice to that house if your
subdivision plans are approved. I am pleased to inform you that the Village of Ballston Spa will be able to
provide water to another house in this location.
TheVl|4gehasastandard1appingfeeof$SO8.|naddbion'/understandthetthe|argesizeofthewa1er
main in that location will require additional hardware besides that included in the standard water tap.
This will result in additional costs that we will also expect to be reimbursed for. When you get close to
being ready, please contact DPW Head Jeff Gawrys to discuss detailed arrangements.
Tig t Mayor
Larry Woolbrig t.