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Home My WebLink About20200078 Caruso 2-Family Dwelling EAF Short Environmental Assessment Form Par�t 1 - Project Infor�mation Instructions for Completin� Part 1—Pro'ect 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 L 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. art 1—Pro'ect and S onsor Informatio Name of Action or Project: Caruso Homes Builders I Project No.20191180 I Proposed 2 Family Dwelling Project Location(describe, and attach a location map): 173 LAKE AVE,Saratoga Springs NY 12866 Brief Description of Proposed Action: Demolition of small wood framed commercial space and construction of new 2 family residential dwelling. Name of Applicant or Sponsor: T elephone: 518-478-8596 Caruso Home Builders E-Mail: Anthony@Carusohomebuilders.com Address: 19 Railroad Place, Suite 201 City/PO: State: Zip Code: Saratoga Springs NY 12866 1. oes t e ro ose achon on invo ve t e e is ahve a o hon o a an oca aw or inance NO YES mimstrahve ru e or re 1 ahon. 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 any other government Agency? NO YES If Yes,list agency(s)name and permit or approval: � � 3. a. �otal acrea e of the site of the ro osed action .161 acres b. �ota acrea e to e sica istur e .105 acres c. �otal acrea e ro'ect site and an conti ous ro erties owne or controlled b the a licant or ro'ect s onsor .161 acres 4. heck all land uses that occur on,are ad'oinin or near the ro osed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial � Commercial ✓❑ Residential(suburban) ❑Forest ❑ Agriculture � Aquatic ❑ Other(Specify): ❑Parkland 9'<�:?� 1 c�1 .� SEAF 2019 5. Is the proposed action, NO YES N/A a. ermitte use un er t e zomn re u ations. � � � b. onsistent wit t e a o te com re ensive an � � � NO YES 6. Is the proposed action consistent with the predominant character of the existing built or naturallandscape? ❑ ❑� 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? NO YES If Yes, identify: � � NO YES 8. a. i t e ro ose achon resu t m a su stanha increase in tra ic a ove resent eve s � � 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 ro osed action meet or exceed the state ener code re uirements. 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: ❑ ❑� 11. Will the proposed action connect to existing wastewater utilities? NO YES If No, describe method for providing wastewater treatment: ❑ �❑ 12. a.Does the project site contain,or is it substantially conriguous to,abuilding,archaeological site,or distric NO YES hich is listed on the Narional or State Register of Historic Places,or that has been determined by the � � ommissioner of the NYS Office of Parks,Recrearion and Historic Preservarion to be eligible for lisring on the tate Re 'ster 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, contai NO YES wet an s or ot er water o ies re 1 ate a e era state or oca 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: 9>�;;� ? c�i .; 14. dentify the typical habitat types that occur on, or are likely to be found on the project site Check all that apply: ❑Shoreline ❑ Forest ❑AgriculturaUgrasslands ❑ Early mid-successional ❑Wetland ❑ Urban ❑ Suburban 15. Does the site of the ro osed action contain an s ecies of animal, or associated habitats,listed b the State or NO YES Federal overnment as threatened or endan ered. ❑ ❑ 16. Is the ro'ect site located in the 100- ear flood lan. NO YES � ❑ 17. ill the ro osed action create storm water dischar e either from oint or non- oint sources 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 ro osed action include construction or other activities that would result in the im oundment of water NO YES or o er i ui s e. . re en ion on , was e a oon, am If Yes, explain the purpose and size of the impoundment: ❑ ❑ 19. as t e site o t e ro ose achon or an a oinm ro ert een t e ocahon o an achve or c ose so i wast NO YES management facility If Yes, describe: � � 20. as t e site o t e ro ose action or an a oimn ro ert een t e su ect o reme iahon on oin 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 Applicantlsponsor/name: Anthony Caruso Date: ��18/20 Si nature Title: Sole Member PRINT FORM �>�� ;-�