HomeMy WebLinkAbout20250059 193 Lake Ave Area Variance Revised Application 1/23/2026Application
ation
®f
for
Area Variance for Two -Family Dwelling
(City ®f Saratoga Springs
Zoning Board ®f Appeals
Submitted January 20, 2026
Submitted By:
Justin M. Grassi, ]Esq.
Joiner Stever Grassi ]L]LP
68 West Avenue
Saratoga Springs, New York 12866
Table ®f Contents
Exhibit A Application Narrative
Exhibit B Application for Area Variance Approval
Exhibit C Short Environmental Assessment Form
Exhibit D Aerial "As Built" of Project Location
RYWIRIT A
193 LAKE AVENUE TO PERMIT IT TWO-FAMILY
Property and Project Information
193 Lake Avenue, LLC (the "Applicant") owner 193 Lake Avenue, Saratoga Springs with
Tax Map Number 166.46-3-21 (the "Property") in the Urban Residential — 3 zoning district, is
managed by Scott Peterson, Esq., who operates his law practice out of the converted residential
primary structure on the Property. The first story of this structure is comprised of the law office
with the upstairs containing a 2-bedroom unit. A Special Use Permit was issued on October 10
1979 for use of the downstairs as "professional office". In the rear of the property is a historic
barn built approximately 90 years ago for storing farm equipment and products. This barn has
unfortunately been substantially unutilized for decades.
Project Description
The Applicant submits to the City of Saratoga Springs Zoning Board of Appeals the
Variance Application attached hereto as Exhibit B. The Applicant desires to renovate the historic
barn and use it a second unit for a two-family residential use (the "Project"). Such second
dwelling unit use is permitted in the UR-3 zoning district of the UDO subject to the dimensional
standards set forth in UDO Article 3 Table 3-A. While the Project meets or exceeds most
dimensional metrics, or the structures are pre-existing non -confirming in nature, it does require
variance relief as set forth below:
Required
Proposed
Ordinance Section
8,000 square foot minimum
7,096 square foot lot area
Article 3 Table 3-A
lot area
One of the dwelling units
The Applicant/Owner of the Property shall
Article 8.4 (JJ)
must be occupied by the
continue to operate his law office out of the
owner of the property.
Primary Structure
Variance Analysis
Applicant believes the variances should be approved for the following reasons:
The benefit sought cannot be achieved by some method feasible to pursue other than an area
variance because Applicant desires to secure functional use of the barn constructed in 1935 to
the rear of the principal building. While Lake Avenue in 1935 would have supported the use
of a barn to house farming related products and equipment, Lake Avenue in 2025 has few
storage related necessities. The barn feature is therefore rendered impractical without
renovation or demolition. The Applicant desires not to demolish the barn structure but instead
repurpose it consistent with the goals of the UDO and Comprehensive Plan of the City of
Saratoga Springs. Due only to the unique circumstance that a law practice has operated on
the Property rather than a single-family residence, a variance is needed to achieve these
intended objectives.
2. An undesirable change will not be produced in the character of the neighborhood and a
detriment to nearby properties will not be created by the granting of the area variances
because the proposed barn renovation and use will not alter the current aesthetics of the
Property. The barn and primary structure currently exist on the site and no dimensional
changes will be made; the barn will simply be given a "face lift" renovation. A de minimis
traffic impact will result. The intensity of use of the Property would be consistent with other
properties directly adjacent and along the Lake Avenue corridor. The property directly
adjacent to the west is a busy orthodontic office mixed with residential use. Across the street
at 188 Lake Avenue is another chiropractic office mixed with residential and detached garage
appearing to have habitable space. Similarly, 186 Lake Avenue is a multi -family building
with detached garage. At 184 Lake Avenue exists a 3-unit primary structure and a large 3-
unit carriage home. Consistently, 182 Lake Avenue is also comprised of three units. In
summation, both the characteristics of converted residential for office use and multifamily
use are in the immediate vicinity of the Project and Lake Avenue generally.
The requested area variances are not substantial as they constitute allowing a permitted two-
family use with a marginal variation of the principal use. Put simply, the proposed second
unit would be compliant with the UDO if the Applicant resided in the space his office is
located and the lot were 12% larger. Approval of the current variances would also be entirely
consistent with the UDO aspirations for utilization of historic carriage houses and barns and
consistent with the intensity of uses in proximity to the Property.
4. The requested area variances will not have an adverse effect or impact on the physical or
environmental conditions in the neighborhood district because the variance sought will not
result in an increase in impervious square footage. The use would be contained within the
existing structure and the parking currently available would be used for the occupants.
5. The alleged difficulty may be considered self-created, however, as this Board is aware, a
finding of self-created difficulty shall not necessarily preclude granting of the area variances.
Summary
The Applicant proposes the approval of the enclosed Variance Application to permit a
second dwelling unit on the Property.
Dated: January 20, 2026 Res ectfully Submitted,
Ju. in M. Grassi, Esq.
Jones Steves Grassi LLP, Attorney for Applicant
Rvhihi+ R
**HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED**
It -UK ul-hlGt UStI
CITY OF SARATOGA SPRINGS
ZONING BOARD OF APPEALS
CITY HALL - 474 BROADWAY
SARATOGA SPRINGS, NEW YORK 12866-2296
-.'
TEL: 518-587-3550 X2533
www.sarataga-springs.org
APPLICATION FOR:
INTERPRETATION, USE VARIANCE,
AREA VARIANCE AND/OR VARIANCE EXTENSION
(Application #)
(Date received)
(Project Title)
Check if PH Required
Staff Review
APPLICANT(S) OWNERS //fnot applicant) ATTORNEY/AGENT
Name 193 Lake Avenue LLC (Scott M. Peterson) Justin Grassi
Address
193 Lake Avenue
Saratoga Springs, NY 12866
68 West Avenue
Saratoga Springs, NY 12866
Phone / / (518) 587-0800 /
JGrassi@saratogalaw.com
Email
Primary Contact Person: Applicant Owner QAttorney/Agent
An applicant must be the property owner, lessee, or one with an option to lease or purchase the property in question.
Applicant's interest in the premises: m Owner ❑ Lessee ❑ Under option to lease or purchase
PROPERTY INFORMATION
193 Lake Avenue, Saratoga Springs 166 46 3 21
1. Property Address/Location: Tax Parcel No.: -
(for example. /65.52 — 4 — 37)
11 /30/2020
2. Date acquired by current owner: 3. Zoning District when purchased:
Converted Residential Urban Residential - 3
4. Present use of property: 5. Current Zoning District:
6. Has a previous ZBA application/appeal been filed for this property?
❑ Yes (when? For what? )
m No
7. Is property located within (check all that apply)?: ❑ Historic District m Architectural Review District
m 500' of a State Park, city boundary, or county/state highway?
8. Brief description of proposed action: Conversion of the existing historic carriage house on the property into second
dwelling unit. Requires two variances, one for minimum lot size where 7,096 exists and 8,000 is required and one from
requirement that owner occupies a residence where owner occupies law office of principal structure.
9. Is there an active written violation for this parcel? ❑ Yes Ed No
10. Has the work, use or occupancy to which this appeal relates already begun? ❑ Yes O No
11. Identify the type of appeal you are requesting (check al/ that apply):
❑ INTERPRETATION (p. 2) ❑ VARIANCE EXTENSION (p. 2) ❑ USE VARIANCE (pp. 3-6) EA AREA VARIANCE (pp. 6-7)
Revised 01/2021
ZONING BOARD OFAPPEALSAPPL/CATION FORM PAGE 2
INTERPRETATION — PLEASE ANSWER THE FOLLOWING (add additional information as necessary):
I . Identify the section(s) of the Zoning Ordinance for which you are seeking an interpretation:
Section(s)
2. How do you request that this section be interpreted?
3. If interpretation is denied, do you wish to request alternative zoning relief? MYes ❑No
4. If the answer to #3 is "yes," what alternative relief do you request?[] Use Variance ❑ Area Variance
EXTENSION OF A VARIANCE — PLEASE ANSWER THE FOLLOWING (add additional information as necessary):
1. Date original variance was granted: 2. Type of variance granted? ❑ Use ❑ Area
3. Date original variance expired:
5. Explain why the extension is necessary. Why wasn't the original timeframe sufficient?
When requesting an extension of time for an existing variance, the applicant must prove that the circumstances upon which the original
variance was granted have not changed. Specifically demonstrate that there have been no significant changes on the site, in the
neighborhood, or within the circumstances upon which the original variance was granted:
Revised 01/2021
ZONINGBOARD OFAPPEALSAPPLICAT/ONFORM
PAGE 3
USE VARIANCE— PLEASE ANSWER THE FOLLOWING (add additional information as necessary):
A use variance is requested to permit the following:
For the Zoning Board to grant a request for a use variance, an applicant must prove that the zoning regulations create an unnecessary
hardship in relation to that property. In seeking a use variance, New York State law requires an applicant to prove all four of the following
"tests".
That the applicant cannot realize a reasonable financial return on initial investment for any currently permitted use on the property.
"Dollars & cents" proof must be submitted as evidence. The property in question cannot yield a reasonable return for the following
reasons:
A. Submit the following financial evidence relating to this property (attach additional evidence as needed):
1) Date of purchase: Purchase amount: $
2) Indicate dates and costs of any improvements made to property after purchase:
Date Improvement Cost
3) Annual maintenance expenses:
5) Annual income generated from property:
6) City assessed value: $
7) Appraised Value:
Appraisal Assumptions:
Revised 01/2021
4) Annual taxes: $
Equalization rate: Estimated Market Value: $
Appraiser: Date:
ZONING BOARD OFAPPEALSAPPL/CAT/ON FORM PAGE 4
B. Has property been listed for sale with DYes If "yes", for how long?
the Multiple Listing Service (MLS)? UNo
1) Original listing date(s): Original listing price: $
If listing price was reduced, describe when and to what extent:
2) Has the property been advertised in the newspapers or other publications? ❑Yes ❑No
If yes, describe frequency and name of publications:
3) Has the property had a "For Sale" sign posted on it? EDYes ❑ No
If yes, list dates when sign was posted:
4) How many times has the property been shown and with what results?
2. That the financial hardship relating to this property is unique and does not apply to a substantial portion of the neighborhood.
Difficulties shared with numerous other properties in the same neighborhood or district would not satisfy this requirement. This
previously identified financial hardship is unique for the following reasons:
Revised 01/2021
ZONING BOARD OFAPPE,4LSAPFLIG4TION FORM
3. That the variance, if granted, will not alter the essential character of the neighborhood. Changes that will alter the character of a
neighborhood or district would be at odds with the purpose of the Zoning Ordinance. The requested variance will not alter the
character of the neighborhood for the following reasons:
4. That the alleged hardship has not been self-created. An applicant (whether the property owner or one acting on behalf of the property
owner) cannot claim "unnecessary hardship" if that hardship was created by the applicant, or if the applicant acquired the property
knowing (or was in a position to know) the conditions for which the applicant is seeking relief. The hardship has not been self-created
for the following reasons:
Revised 01/2021
ZONING BOARD OFAPPEALSAPPLICATIDN FORM PAGE 6
AREA VARIANCE- PLEASE ANSWER THE FOLLOWING (add additional information as necessary):
The applicant requests relief from the following Zoning Ordinance article(s) Article 8.4, Principal Use Def
Dimensional Requirements District Requirement Requested
Subsection GG Dwelling - Historic Carriage House/Barn
"Conversion of a historic carriage house or barn into a dwelling is
only allowed on a lot with no . cinal -family dw Ilino"
"One of the dwelling units must be occupied by the owner of the
orooertv"
Other:
See Attached
Narrative
See Attached
Narrative
To grant an area variance, the ZBA must balance the benefits to the applicant and the health, safety, and welfare of the neighborhood and
community, taking into consideration the following:
1. Whether the benefit sought by the applicant can be achieved by other feasible means. Identify what alternatives to the variance have
been explored (alternative designs, attempts to purchase land, etc.) and why they are not feasible.
See Attached Narrative
2. Whether granting the variance will produce an undesirable change in the character of the neighborhood or a detriment to nearby
properties. Granting the variance will not create a detriment to nearby properties or an undesirable change in the neighborhood
character for the following reasons:
See Attached Narrative
Revised 01/2021
ZONING BOARD OFAPPE4LSAPPL/CAT1oN FORM PAGE 7
3. Whether the variance is substantial. The requested variance is not substantial for the following reasons:
See Attached Narrative
4. Whether the variance will have adverse physical or environmental effects on neighborhood or district. The requested variance will not
have an adverse physical or environmental effect on the neighborhood or district for the following reasons:
See Attached Narrative
5. Whether the alleged difficulty was self-created (although this does not necessarily preclude the granting of an area variance). Explain
whether the alleged difficulty was or was not self-created:
See Attached Narrative
Revised 01/2021
ZONING BDARD OFAPPEALSAPPL/CAT/ON FORM
DISCLOSURE
PAGE B
Does any City officer, employee, or family member thereof have a financial interest (as defined by General Municipal Law Section 809) in
this application? ❑ No Yes If "yes", a statement disclosing the name, residence and nature and extent of this interest must be filed
with this application.
APPLICANT CERTIFICATION
I/we, the property owner(s), or purchaser(s)/lessee(s) under contract, of the land in question, hereby request an appearance before
the Zoning Board of Appeals.
By the signature(s) attached hereto, I/we certify that the information provided within this application and accompanying
documentation is, to the best of my/our knowledge, true and accurate. I/we further understand that intentionally providing false or
misleading information is grounds for immediate denial of this application.
Furthermore, I/we hereby authorize the members of the Zoning Board of Appeals and designated City staff to enter the property
associated with this application for purposes of conducting any necessary site inspections relating to this appeal.
Scett� �et�a��
Date:
(applicant signature)
Date:
(applicant signature)
If applicant is not the currently the owner of the property, the current owner must also sign.
Owner Signature:
Owner Signature:
Revised 01/2021
Date:
Date:
CITY OF SARATOGA SPRINGS
r ZONING BOARD OF APPEALS
' t i Gi�fy Ha(,L - 474 (3raa.d way
` SarafvgaSpri "y, Nev,-York)12866
Tet. 518-587-3550 ?CZ533
"'ORATEO www-sara�vga-Spi,c�korg
INSTRUCTIONS
APPEAL TO THE ZONING BOARD FOR AN
INTERPRETATION, USE VARIANCE, AREA VARIANCE AND/OR VARIANCE EXTENSION
APPLICATION REQUIREMENTS
1. ELIGIBILITY: To apply for relief from the City's Zoning Ordinance, an applicant must be the property owner(s)
or lessee, or have an option to lease or purchase the property in question. The Zoning Board of Appeals (ZBA)
shall not accept any application for appeal that includes a parcel which has a written violation from the Zoning
and Building Inspector that is not the subject of the application.
2. COMPLETE SUBMISSIONS: Applicants are encouraged to work with City staff to ensure a complete application.
The ZBA will only consider properly completed applications that contain 1 origi'nal and 1 digital version of the
following:
❑ Completed application pages I and 8, the pages relating to the requested relief (p. 2 for interpretation or
extension, pp. 3-5 for use variance, pp. 6-7 for area variance), and any additional supporting materials/
documentation. "HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED"
❑ Completed SEQR Environmental Assessment Form — short or long form as required by action.
http://www.dec.ny.gov/docs/permits_ej_operations_pdf/seafpartone.pdf
❑ Detailed "to scale" drawings of the proposed project — folded and no larger than 24"x 36". Identify all
existing and proposed structures, lot boundaries and dimensions, and the relationship of structures to
the lot dimensions. Also, include any natural or manmade features that might affect your property (e.g.,
drains, ponds, easements, etc.).
❑ Photographs showing the site and subject of your appeal, and its relationship to adjacent properties.
3. APPLICATION FEE (NON-REFUNDABLE): Make checks payable to the "Commissioner of Finance".
REFER TO THE CURRENT FEE WORKSHEET INCLUDED IN THIS DOCUMENT.
Check City's website (www.saratoga-springs.o) for meeting dates.
Revised 01/2021
ZONING BOARD APPEAL APPLICATION INSTRUCTIONS
PAGE 2
PUBLIC HEARING ADVERTISEMENT
The Zoning Board of Appeals is required to hold a public hearing on each submitted application within ninety (90)
days from when it is determined to be properly complete by City staff.
City staff will prepare a legal notice for the public hearing and arrange to have the public hearing
announcement printed in the legal notice section of a local publication at least 5 days before the hearing.
PROPERTY OWNER NOTIFICATION
Applicants are required to mail a copy of the public hearing legal notice to all property owners within the following
distances from the boundaries of the land in question:
Type of variance Distance for property owner notification
Use variance 250 feet
Area variance & Interpretation 100 feet
This notice must be sent at least 7 days but not more than 20 das before the date of the public hearing.
City staff will email a copy of the "property owner notification letter" to the applicant. The applicant must then send
the notification letter to the nearby property owners. Applicants may not include any other materials in this mailing.
The mailing must be certified by the U.S. Post Office. Prior to the public hearing, applicants must present the Post
Office "certificates of mailing" to the ZBA. If "certificates of mailing" are not presented prior to the hearing, the
hearing will be cancelled.
Revised 01/2021
City of Saratoga Springs
OFFICE OF PLANNING AND ECONOMIC DEVELOPMENT FEES - 2026
Application to City Council FEE
Comprehensive Plan Amendment $1,800 + $300/acre
Zoning Ordinance Amendment $800 + $300/acre
Planned Unit Development (PUD) Amendment $800 + $300/acre
Application to Zoning Board of Appeals FEE
Use Variance $1,400 +$75/app
Area Variance - Residential (1 & 2 Family) $350/1st var+ $75/app + $150/ea add variance
Area Variance - 3+ Family and Commercial $1,000/1st var + $75/app + $200/ea add variance
Interpretations $650 + $75/app
Post Work Application Fee Application Fee x2 + $75/app
Variance Extensions 50% of Application Fee + $75/app
Demolition
$500
Residential Structures — 1 or 2 Family Principal or Accessory Structure
Materials Change - roof, windows, siding
$75
Fagade Change - removal/addition of windows, doors, porch
$150
Addition or new construction
$300
Approval Extension
50% of Application Fee
3+/Multi-Family, Comm Mixed -Use Principal or Accessory Structure
Equipment Install or Materials Change - roof, windows, siding, paint color
$150
Signs, awnings
$150
Fagade Change - removal/addition of windows, doors, porch
$300
Addition or new construction
$650
Approval Extension or Modification
50% of Application Fee
Post Work Application Fee
Application x2
to
Special Use Permit
Temporary Use Permit
Special Use Permit - Extension
Special Use Permit- Modification
Site Plan Review - incl. PUD
Sketch Plan
Site Plan Full
Residential
Non -Residential / Mixed -use
Administrative SPR
Residential
Non -Residential / Mixed -use
Extension
Residential
Non -Residential / Mixed -use
Subdivision - incl. PUD
Sketch Plan
Preliminary Approval
Residential: 1-5 Lots
Residential: 6-10 Lots
Residential: 11-20 Lots
Residential: 21+ Lots
Residential - Extension
Final Approval
Residential
Non -Residential
Final Approval Modification
Residential
Non -Residential
Final Approval Extension
Residential
Non -Residential
$500
$400
$550 + $75/app
$400 per sketch
$400 + $250/unit
$800 + $150/1,000 sf (Non -Res) + 250 unit (Res)
$400
$800
$250
$350
$400 per sketch
$700 + $75/app
$1,100 + $75/app
$1,450 + $75/app
$1,800 + $75/app
$350
$1,550 + $200/lot + $75/app
$2,400/lot + $75/app
$400 + $75/app
$800 + $75/app
$250
$350
Subdivisions and Site Plans are subject to Engineering Review- See DPW Fees
c.,i,..:b.:a n
Short 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:
193 LAke Ave Two -Family Area Variance
Project Location (describe, and attach a location map):
193 Lake Avenue
Brief Description of Proposed Action:
Owner and applicant seeks an Area Variance to allow a second dwelling unit on the property by converting existing barn into dwelling
unit.
Name of Applicant or Sponsor:
Telephone: (518) 587-0080
E-Mail:
jgrassi@saratogalaw.com
Justin Grassi
Address:
68 West Avenue
City/PO:
State:
Zip Code:
Saratoga Springs INew
York
112866
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
El
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? .16 acres
b. Total acreage to be physically disturbed? 0 acres
c. Total acreage (project site and any contiguous properties) owned
or controlled by the applicant or project sponsor? .16 acres
4. Check all land uses that occur on, are adjoining or near the proposed action:
❑ Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commercial m Residential (suburban)
❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify):
❑ Parkland
Page 1 of 3 SEAF 2019
5. Is the proposed action,
a. A permitted use under the zoning regulations?
b. Consistent with the adopted comprehensive plan?
NO
YES
I N/A
❑
✓❑
❑
❑
❑
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
❑
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
❑
❑
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
✓❑
❑
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
❑
❑
❑
❑
❑
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
7
❑
.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
20.Has 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
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF
MY KNOWLEDGE
Applicants onssor/name: Justin Grassi Date: 12/30/24 1 I Signature: , Title: Attorney For Applicant
PRINT FORM I Page 3 of 3