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Home My WebLink About20260446 285 West Ave Subdivision EAFShort 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 1— Project and Sponsor Information Name of Action or Project: Proposed Subdivision Lands of Schloeder and Christina M. Macri Project Location (describe, and attach a location map): 285 West Avenue Saratoga Springs NY Brief Description of Proposed Action: Subdivide an existing 0.99ac lot into 3 lots. Name of Applicant or Sponsor: Telephone: 518 383-0634 Pat Jarosz, Gilbert Vanguilder Land surveyor, PLLC E-Mail: pjarosz@gvglandsurveyor.com Address: 988 Route 146 City/PO: State: Zip Code: Clifton Park NY 12065 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 Elmay 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: ✓ 0- 3. a. Total acreage of the site of the proposed action? 0.99+/- acres b. Total acreage to be physically disturbed? >1 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 0.99 acres 4. Check all land uses that occur on, are adjoining or near the proposed action: 5. m Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commercial ❑ Residential (suburban) ❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑ 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 0- ❑ ❑ FV/ 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 2 ❑ 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 ❑ El 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 F Fv-(1 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: Private septic NO YES 7 ❑ 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 ❑✓ ❑ V F-1 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 V 0- El Page 2of3 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 m 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 El 16. Is the project site located in the 100-year flood plan? NO YES ❑✓ El 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 7 F-1- ❑ ❑ ❑ 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 El 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 Applicant/sponsor/name: Pat Jarosz Gilbert VanGuilder Land Surveyor, PLLC Date: 1/12/2026 Signature: Title: Project Manager PRINT FORM Page 3 of 3 EAF Mapper Summary Report Monday, January 12, 2026 12:56 PM 178.10-1-6 7 178.10-1-3 178.10-1-1 St Sources: Esri HERE G. �—tf5' rrnap IP C Ekv1E. T P, hRCan,IE ii Ji aura rg Kon �5 ri KKo��8ri �'I�i�`?d;�r4•''e�5t�getllla4� ca 178.48-1-3 TS.48 i 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] No m Yes 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 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 to confirm data provided by the Mapper or to obtain data not provided by the Mapper. 178.-4-2 4.1 Barrie }: Kinpsim Montpe Toronto ' HamlrtanRochester 1 on Buffalo 178.41-1-6 Albany I '..{: S r .s Br. HERE G rr-�i I'S S II t r{ a.- INREP,V T' a r tiIRCar i, Es li ! pa 1 k lE 1 rsr i 'I,i{ , it �)r,ct Kr Esr{ itfibe!�ICutors; and :{Thai a-1 : RG C perS,re_-t%-1= i wrN{ { k r ar , t" &S omi-nunty It Usel �vl;�iRiLl�lt�' Esn HERE Digital mapping data are not available or are incomplete. Refer to EAF Workbook. No Digital mapping data are not available or are incomplete. Refer to EAF Workbook. No Short Environmental Assessment Form - EAF Mapper Summary Report 1