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Home My WebLink About20190908 Towers Residence EAF Short 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 inform ttion currently tvailable. additianal 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 I.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 -3bAN i t. urProttlau itr..113a14141 Tif IC__ __e___SALAWALCUNISAAA 3f0.11444ifkis Name,of Action or Project: Project Location(describe,and attach a location map): q I UNI 10/4 AVE4N1 U4. S MATO GA SPX WAVe4/ Brief Description of Proposed Action: *I'S,Ar% D oLt AP41 emsri AJci uwiusAbtziperie jciiizobfrrez eik,IL a fr. oisr4 C-0 r4S-rttAkeT tiolk LW. CA NU 0),, 14.1,01,j C S e "b CALA 44 IS P6Acc cam> Atir4 UP/K. Name of Applicant or Sponsor: 'Telephone: S' q/Co2 V / Ma.Perift.liVik tot sw."1/ Siztjt4 1-rwes E-Mail- ' iiiielmest31044bmcN teGite*R.-Cusb.i Address: UNIoN Ayier.4 u City/PO: State: Zip Code: 5P614.453GA SPILW r NEW We& 12 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 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 in' other government Agency? NO YES If Yes, list agency(s)name and permit or approval: C.Mit Of & JtN41 MlIJ POLL Ibuivholmftitt"tit"t ipi.ne- 3. a. Total acreage of the site of the proposed action? 0. G acres 40 2_ b.Total acreage to be physically disturbed'? 0acres c. Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0•34 acres 4. Che land uses that occur on,are adjoining or near the proposed action: 5. l irban D Rural(non-agriculture) D Industrial Commercial HiTcsidential (suburban) Forest D Agriculture Aquatic D Otlicr(Specify): El Parkland SEAF 2019 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? V.4 vrtio 1-riAIL popietrwiL. OF IVA I I cxti Noir4"4 kr...1 LQ Pirth‘D b. Consistent with the adopted comprehensive plan? II Ikr Ellil NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? . Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes, identify: n NO YES X. 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? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: I. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: _ 12LI . a. Does the project 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 II istone Places,or that has been determined by the Commissioner of the NYS Office of Parks, Recreation and Historic Preservation to he eligible for listing on the State Register of Historic Places'? EP • b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive mi archaeological sites on the NY State Historic Preservation Office(SHP0)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? b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? LI Ii Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: OShoreline Et Forest El Agricultural/grasslands 0 Early mid-successional 0 Wetland El Urban burban 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? Rt- El 16. Is the project site located in the 100-year flood plan? NO YES 1- -E1 YES 17. Will the proposed action create storm water discharge,either from point or NO non-point sources NO 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,dam)? If Yes,explain the purpose and size of the impoundment: 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste No Yl management facility? If Yes, describe: Itel.' 20.1-las 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: wor I CERTIFY TIMTHE INFORMATION PROVIDED ABOVE IS'FRIA AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: Date: Signature: _ Title: -- . PRINT FORIVI1