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20200296 385 Broadway Mixed Use 2018 old application �,��`,"`' } ��� CITY OF SARATOGA SPRINGS IFD_R_OFFICE_USEI /, �� '"!� �. " J. �� ,�;;t '� � ;; "i: DE51GN REVIEW COMM155101�! : r ,�- � , � {Application#} _ ����'; �;,t.�� .� City Hall-474 Broadway ' '-�'' Saratoga 5prings, New York I 28b6 '�`°''Yc=:,�t�,: '`'� Tel:518-587-3550 x.515 fax:518-580-948D {Date recei�edJ www.saratoga-sp ri ngs.org ARCHfTECTURAL� HIST�RlC REVI�W APPLICAT14N APPL.ICANT{S)� OWNER� (Ifnota�plicanr� A7TORNEY�AGENT Name 385 Bway LLC cJo Burns Managment 3$5 Bway Sarataga, LLC Phinney Des�gn Group Address ��32 Vllestern A�e 553 Crescent Ave 142 Grand Ave Albany, NY 122Q3 Saratoga Springs, NY 12866 5aratoga 5prings, NY 128fi6 Phone ��18}45E-7155� �5�8y456-7155 � �518)587-712D� ext 15 Email Prosecrans@burnsmgmt.corn tnewkirk@golfsarataga.com bdrake@phinneydesign.cam Identify primary contact person: 0 Applicant � �wner 8 AttorneylAgent �An applicant must be the property owner, lessee, or one with an aption to lease ar pur�hase the property in question. Applicant's interest in premises: B Uwner ❑ Lessee ❑ Under option to lease or purchase PRDPERTY INFD}�MA�ION Prop�rty AddresslLocation: �85 Broadway Tax Parcel #: �6� 59 _ �( _ 77 {forexample: l65.52-4-37} Current Zoning District: T6 Property use: 8 Residential 0 Non-residentiall�ixed-use Type of Re�iew: � Ar�hitectural 8 Historic � Extensionlmodifi�ation (of current approvak} Summary description of proposed attion: ThE awner is praposing to repiace the existing �uilding with a �5}story, mixed use �uilding. The first floor and basement would eansist of parking, retail, and a res#aurant. 7he upper fioor levels will �onsist of residential apartment units. Has a pre�ious application heen filed with the DRC for this property? 8 No ❑ Yes—date(s}? -App. Na.(s)? Re�ised U�1�[118 APP�ICA7IQN FEE (payahle to "Commissianer of Finance"}: Residential Structures {principal, ac�essory} $�Q Non-residential l mixed-use stru�tures [principal} $350 Residential apprn�al —extension $70 Non-residential signs, awnings>accessory structures $I 2Q Residential - administrati�e action $50 fVvn-residentia!appro�al�-extension $I?[l Nan-residential mixed-use sketch $12d Non-residential -administraci�e actian ��?p___ _ �A "campfete" appfi�ation consists of 1 h__ard cop�� {original)_,_and I__electronic_co�y of a�pliGation&ALL other mat�rials as required belaw: New Construction/Additions 8 Colvr photographs showing site�exterior details of existing structures and adjacent properties 8 5ite plan,drawn tv s�ale,shawing existing&proposed canstructian, property lines&dimensions, required& prapvsed sethacks&lot �o�erage,site features [fen�es,waEks,trees,etc.);on no larger than 2'x3'sheet—smaller preferred if legible 8 Elevation drawings showing design af all sides of existing& prapvsed constru�tian—label dimensions,colors, materials, lighting��xture & lamp rype,wattage}, etc.-indude�ompass bearing&scale; no larger than 2'x3'sheet—smaller permitted if legible 8 Floor plans for propased strueture;on sheet nv larger than 2'x3'—smaller permitted if legible ❑ Product literature,specifications and samples of proposed materials and colors Change in exterior building materials [windows, doors, raof, siding, etc.}, or�olar (in non-residential districts only] 0 Color photographs shawing sitelexterivr details of existing structures and that illustrate afFe�ted Features ❑ Ele�ativn drawings shvwing all sides aF existing&propased construaion—label dimensions, colors, materials, lighting(fixture&larnp type,wattage), etc.-include com�ass bearing&scale; no larger than�'x3'sheet—smaller permitted if legihle 0 Product literature,specifi�ations and samples vf prvpased materials and�olars Wltfllf] {I'Of1C Yal"C� SQtf]�C�(S I[] �"'�iStOfIC �IStI'ICtS 011�� (Front setbacks:UR-I &INST-HTR=30';L1R-4=25';L}R-2,UR-3&NCL1D-I=!D'} - Installation, removal or change in material of dri�e- and walkways - Installation or remo�a!of architectural, s�ulptural or�egetati�e screening o�er 3' in height - Installation af aceessory utility structures ar radialsatellite transmissionlreception de�ices (mare than �' diameter} Far any of abo�e: CI Color photographs shawfng sitelexterior details of existVng stru�tures,and af adjacent praperties ❑ Site pian shvwing existing&propased canstru�tion:in�lude property lines&dimensions, required&proposed setbacks&lot co�erage,site features(fences,walks,trees, ete.} street names,cvmpass bearing&scale; na larger than 2'x3'sheet—smaller preferred if legihle ❑ Produet literature,specifiGativns and samples of proposed materials and cvlors 5i�nage 1 Awnin�s ❑ Color photographs showing site�exterior details of existing stru�tures, and adjacent properties ❑ Plan showing Iocation vf prvpvsed signlawning structure on buildinglpremises: no larger than I I"x 17" ❑ 5caled illustration of proposed sign/awning structure and lettering{front�iew& profile}: include a!I dimensions o{structure;type, dimensions and sryle of lettering ar logo;descriptiQn of cvlors, materials, mvunting method and hardware ❑ ❑escriptions,spe�ifications of prvposed lighting in�luding fixture&lamp type,wattage, mounting method,and location ❑ Product literature,specifi�ations and samples of propased materials and colors Demolition ❑ Color photographs shawing sitelexterior details of existing structures,arrd of adjacent praperties ❑ 5ite plan showing existing and any propased struetures- include dimensions,sethacks,street names,cvmpass hearing,a�d s�ale ❑ Written description af reasons for demalition and,in addition: ❑ Fvr structures of"architectural�historical signifieance", demonstrate"good�ause"why stru�ture�annat he preserved ❑ For stru�tures in an ar�hitectural district that might be eligible for listing on National Register of Historic Places, or for a "contri6uting"struct�re in a National Register district(contact City staff}, pro�ide�slans for site develapment fallowing demalition- include a timetable and letter of credit far project completion Tele�ommunication facilities ❑ Co1ar photographs showing site�existing structures,and of adjacent properties ❑ 5ite plan showing existing and praposed stru�tures: include dimensions,set6acks,street names, compass 6earing,and s�ale ❑ Scaled illustration of proposed stru�tures: include all dimensians;�alors, materials, lighting, mountfng details ❑ Consult Article 24�-I 2.2�of the City's Zvning Ordinan�e and City staff ta ensure compliance weth requirements far�isual impact assessment and existing and propased�egetati�e screening Re�ised�313018 Request fflr extension of current appro�al 0 Identify date of original ❑RC appro�af: Current expiratian date: �rg.App. Na. ❑ ❑escrPbe why this extension is ne�essary and whether any significant changes ha�e occurced either on the site ar in the neighborhvod. SEQR En�ironmental Assessment Form 8 Applicants proposing the following must complete"Part I"af tf�e SEQR 5hort En�ironmental Assessment Form (a�aila6le here: http:llwww.dec.ny.govldv�slperm its_ej_operatians�dfJseafpartone.pdfj: -Constrr�ction or expansion of a multi-Family residential stru�ture(4 units �-} -Construction or expansivn{ex�eeding 4,OOD sq.ft.gross flaor area}of a principal or accessory non-residenrial structure -Telecamrrtunicatians facility, radio antennae,satellite dishes - Demalitian Disclasure DQes any City afficer, employee or family member thereof ha�e a financial interest{as defined by General Municipaf Law 5ectian 809} in this applicatian? 8 No ❑ Yes- lf yes, a statement disclosing the name, residence, nature,and extent of this interest must be filed with this application. Certification Ifwe, the property vwner(s}, or pur�haser[s}Ilessee(s} under contract, of the land in questian, hereby request an appearance before the Design Re�iew Cammission. 6y the signaeure(s} atta�hed hereto, flwe cer-tify ti�at the informatian pro�ided withirr this application and accompanying dacumentation is, to the best of mylour knowledge, true and accurate. Ilwe lurther understand that intentionally pro�iding false�r misleading infarmation is grounds for immediate denial of this application. Ilwe herehy authorize the memkaers of the Design Re�iew Cammission and designated City staff ta enter the property associ�ted with this application fvr purposes of conducting any necessary site inspections relating ro rhis application. Furthermore, Ilwe agree ta meet all requirerrrents under Article Vll for Historic Re�iew or-Article VIII for Architectural Re�iew of the Zoning Cod i the City of Saratoga Springs. � ��� oate: �:`7�a3 � 1� {applicant signature} Date: {applicant signature} If applicant is nat the currEntly the vwner of the property,the current owner must alsa sign. �wner 5ignature: ❑ate: �wner 5'rgnature: ❑ate: Re�ised[]312{118 F�R�FFIGE U5E dNL This application has been reviewed by the Zoning Enforcement Officer and is being forwarded ta the Commission. 5ignature: f]ate: Additional Comments: Re�ised 031?018 0 U � � z �° � .��,,,�•.�.� --�. -� g � �°� � r �;,.� - �x� .��, � p r � ,�" '�` "�'� '�� �a��"�`�.��wl`� '"�t�-{�' � �`��'� `��"� Q o ,q .�r�� �w- .,., r._ � }��,���5 �+� �,� C�M'�j•�A�r� .K`µ-��ek y O �� .,,,��� `7� e`y/'� :�Y���l"%`� �������gA,� r -F'p,Mf �;�n N � ,��`�i.� ,�-+�n, �+�" ; M" �, %�?�"�a� ;��s i�r �a�� �as ` `� "�„ U ��; �s �9 p�, ���.��,"���',��^ ; ,� �� �r � �,fi, ' w �. � � << �" _ , �..d� � r `� �`�y� ,�'"'" ,e�B'`�` �. �k.;.'y�.r< O '"h .qr. �� r����� �' -�a� ��"'; �'`�'1�-� � :�i6► � �. � ,`,'� d e F '�. � '`"� J ,w �'"" � - y�'� .� � a�-`� ��� �' a',�^�a�, va ��8'tr' F.F � "�i, �,�,,. 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I I o N t� w m c a I � — a a _______ I — w I I � O o � a V r w I I � N � Y I I _ ___ I {/� r I ' � � � — a � � � — I m E __ — � ' o � U �YYY a � � I, � v � > -- v I p � � � I m °A � 'v, - I � � `Ir I I - �_ i _ ' --- I !!' � �w r... I d � I I� J�: iI � I � I � � , � i � � r: I, W .� �� � - ', z i �'-� � � � � �i Z' i =k � Z k � �, � _ _u= ' � Z�� we , I� I a ao. � � - �, � I, � �E _ '� �a I � � v � � I � �� v � ill ` E E E II 3 I � � 1 k t I II 6� w w � m � II 5 � � �n�n�n a '� I II o�� ]' � I I � I � � � ���.��'Ill..l 3 � I II I Q 3 O w I I I� I� I� I� I - w� M I I I I I I I �� 1'reser��atioi� Founc�ation Nc�ven�ber 7, 201� ��(�y-l- Ms. Tamie Ehinger, Chair F�ri ��� D�sign Revie�v Commissie�n ���i�:s��tv A T�o � City Hall F O E2 Y E A R 5 474 Broadway � Sarato�;a Sprin�s, NY 12866 � °", RE: 385 Braadway—New Construction ,x Dear"I'amie: 9 �, . � � R The Saratoga Springs Preservation Foundat�on has reviewed the application for the proposed mixed use project at 385 Broadway. The praject site is witktin the Braadway Historic National Register listed Broadway ��ar�or aereccors Histaric District wiEh a period of significance from 1&65 - 1920. The first four blocks of Mdtti,�W ve�«h to the south com�rise part of the city's historic business district, charact�rized by two- Pr���aen� and three-story brick iommercial arrd hotel buiidings dating fmm tl�e heyda�y of Sarato�a James Gold �pl'tri�5. �"ice PF-esident cC S��r�t�r" The existing circa 1950's one stary building is a non-contributing strueture to t!►e histonc �d�,»N.�a��o d�strict t13at is c�n a partion of the farn�er site af the rnassive United �tates Hatel. The rr��sur�r Foundation does not nbject tn the dernolition of the structz�re. Carnline Cardone Brennan Drake Upon initial review the F'oundation was pleased that the historic research that wa�s dane Sandra�'�x was reflect�d in the design that takes cues frotn the United States Hotel and Acfelphi ��r israei Hote]—graceful three-story porch with sler►der colurnns and decorative scrollwork in tlfe Samantha Kercull �ou��as xe„� spandrels, paired ���indows with drip moldings, and dec�rative 6rick patEerns. The Riclzard King Foundation was also pleased that the proposed height of the structure is less than the r��cnene Pa�uerte-pe�c� maxiinurn 70' that allovus for additional height for the parape�. The height of Ehe e�rnice Gindy Spence Dmitri}Yennalaycv ss the same height as the Adelphi Hotel and the fifth flaor i� set back and is a�nansard roof, whieh was typical of many of the historic hotefs of Saratoga Springs. James Kettlewell e�n�,-;�US However,the Foundation had several recommendations to improve the project. s�r„ancha eos5h3n + Use slate rather than standing-seam metal for the roof material, which is in- E"�°t"'e r�;re��°r keeping with the historic grand hotels that na l�nger exist. N,�o��sah,� • Give the porch columns a definitive base rather than carry th�ston�of the first �z�h�s��;��=PT��a�n� floc�r ta the base of the eol�mi�s. Director Increase the depth of ihe co�-t�ice and the width of the brackets. • Incarporate a cornerstone wit}� a date. • Improve the appearance of the north fa�acle by�dding decorative detail and changin�materials. • Use of a composite wood window as vinyl is not an appropnake material. The Foundation is very appreciative of the changes made based on the feedbac[c received. I 12 �princ Airrcf. tiuirc _'�13 53raro�;., Sprrn�;s, NY I'Nl,l� i I?�_i�ir-�n i�i PEr th�.Historic District Design Guidelines for New Gonstruction—Ner�% Buildings: • Architectural styles fc�r new constructic�n should reflect�nd represent the period in which it was�ui1t. 'The styl� of new construction should E�e co�tlpatible with surrc�unciing buildings but should not give the false impressiott af b�ing historie. Construction inethods and materials can different�ate new construction fr�m historic structures. • The plaGemenE and oneniation of new l�uildings shc�uld�e consistent �vith neighboring buildi��gs. Maintaining a consiste��t streetscape a�id fa�ade setback is r�coznmended. • Building mass shau�ld be appropriate ta tl�e size of the lot. A large lnt.can ;e»erally accazrnnodate a larger structure, while a sma�l structur� is more appropriate for a smaller lot. • BuiIding height and scale shc�uld be consistent with the existin€� streetscape and nei�hboring buildin�patterns. �Iistoric streetscapes otten have a variation in bui�ding scale and massing that cc�ntrihute to the visual interest and unique historic character of the street. Variation is promoted,but extreme c�ifferenec should be avoicled. • Rooflizres and sh�pes should be eonsistent wiCh surrt�unding histaric structures. � New cotistruction windo��s and doors s��ou[d cornplement t�1e window and door size, patterns and rhythm of neighbonng histaric buildings. • Fa�ade rhythin should maintain the verticaf ar horizontal eznphasis that is prevalent on the street. + New eonstruction materials should be con�patible with and coznplement the surrounding histonc buildings. Contemporary materials may be used provided they do not negatively impac:t historic character of the neighboring buildings. The use of vinyl is discouraged. 'I'he Foundatian supparts this project. It is an exemplary exa�ple of ner�� construction that is thoughtfully cfetailed, minc�ful of scale, appropriately��ses materials, and designed with surroundin�histone building context in mind. The Foundation appreciates tt�e tirrte investment that the applicant is making in the develapment of this]arge multi-use builc�irtg. Tharilc you in aclvance for your thoughtfi.il conaideration. Sincerely, � � � A���� � �"_ _ V Matthew E. 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A�W���' ��_. , , , . . , � � , , � �'y ��''�> �� „ +� �, i..- _ . � . ��� �`.,���� , , � M, .. .a_,' °�t._.,.,- �' � \ a�' �= � Ful!E�rvirarr��rerrtrrl Assessyne►rt Farrn Part I -Prr�ject and Setti�ab Instructions for Completing Part i Part 1 is to be com�leted b�•tE�e ap�licant or project spansor. Responses become part oftEte appiicatic�n for approval or funding, are s�hject to public revicw, and may be subject tc� furtl�er verification. Co�t�plete Part f hased o�i �nfon�ation currently available. [f additional res�arcl� or investigation wc�uld hc needed to fully respond ta any item, please answer as t�larougl�ly as possible based on currezit infol-���ation; inc�icate whethee snissing information d�es not�exist, or is not r�asonably available to the spo3lsor;and,v�-hen possible,generaliy describe work or sttEdies w�hich w�uld be necessary to update ar fully deVelop chai inror���atior�. Applicantslsponsors rnust complete all items in Sectians A& E3. In Sections C, �& E,most �tems contain an initiai question that rnust be ans���ereci either"Yes�or`'No''. If the ans�ver to the ir�itial question is`'Yes";complete ihe sub-qtiestions ti�at fo�lo���. If the answer to the initial qu�stion is"No",proceed to the nexk question. Section F allo���s the project spc�nsor So identify arrd att�ch any additic�nal information. Scction G requires the name and signature of�the project sponsor to verify that the information c�nta�ned in C'ast I is accurate and cornplete. A. Project and Spcansor Informafion. Name of Action or Project: 385 Brasdway Apartments Project Locati�n (describe, and attach a general location map): 385 Broadway, Saratoga 5prings I3rief E�escription of Proposed Actio�t{incl�ide puepose ar need): The proposed aciion consiats of a mixed use corr�mercieliresidential building which incfudes on-site parking and municipa!water and sewer connections. Name ofApplica��tlSponsor: Telephone:�5�g��,�6-7155 385 Bway Saratoga LLC/Pefer Rosecrans(contact person) E-Mail: prosecrans@bu rnsm grnt.carr� Ad�ress:1732 Western Avenue CitV/P0:Alb�ny St�te: �ew YorK �!P Cade:12203 Praject Contact(if mot sam�as sponsor;gi�e name a�d titLelrole): Telephc�nc: Sarne E-M�il: Address: CitylPO: Stai.e: rip Code: �'raperty O�tner (ifnot same as spansar): Telcphone: ���8)330-5312 385 Bway Saratoga LLC,Thamas Newkirk,Managing Member E-Mail: tnewkirk@golfsaratoga.com Adciress: 553 Grescent Avenue CityfPO: Statc: Zip Code: 5aratoga 5prings New Yorfc �286fi Page 1 of 13 B. Govcrnment Approvals B. Ga��ernment Approvals, Fundfrtg,crr Sponsorship. ("Fundin�" inc[udes grants, loans,tax relief;and any other fa���s of financial assistance,} Got�ernment Entit}� If Yes: [dentify Agency�arrd Appro��al(s) .Ap�Iicatiun Date Required (Actual or projected) a. City Counci�, Tow�l Board, �Yes(,Z�Nn or Vil�a;e Board of Trustees b. Cify, To4vn or Villa�e �Yes�1��o 5aratoga P€anning Board,Site Plan approval May 24,2018 Plan�nin�Board or Cornn�ission c. City Corincil, To�vn ar �YesmNo Vil�a�e Z.oning Board of A�peals d.Qther]ocal a�et�cies �Yes❑No 5arattiga DRC, Histaric Review ENay 23,2018 e. County agenCies (,"�Yes❑No Saratoga Coun9y Planning,Advisory Opinion f. Regional a`�encies ❑Yes�No g. State agencies ❑Yes�T�10 h. Pederai agcncies DYes�No i. Coastal Resource5. r. Iti the project site within a Coasta] Area, or the waterfront area of a Designated [nland Waterway? ❑Yes G7�No ir. Is the pa-aject site facated in a comn�unity �r�ith ail apgrovccj Local Wateriront Revitaliratson Pra�ran�'? 0 Yes�No iri. ls the project site witktin a Caastal Erosion ��arard Area? Q Yes�No C� PEa��nFng and Zoning C.1. �fanning and zoning actior�s. Wiil ad���inistrative or legis[ative adopti�n, or amendment of a plan, loca! ia���,ordinance,rule ar reg��lation be the ❑Yes�No only approval(s)which must be tranted to enable the proposed action to proceed? • [f Yes,comp(ete sections C, P and G. ! If No,proc�ed to question C.,2 a�7d complete all remaining sections and questioils in Part I C.2. Adoptec� Cand use plans. a. Do any znunicipaliy- adopted (city,to���n, ��illa�e ar county-)comprei�ensive land use pla�i(s) include the site �YesONo where tlie proposec� aciion would be located? If Yes, does the cornprehensive plan include specifie rEcor�imendatians fi�r the site�Nhere the propased acYion �Yes❑No �vaulc� be located? b. Is t}tc:s�te af the proposed actian�vithin any loc�Z or re�ional speeial planning district(for example: Greemvay �Yes❑No E3ro���ntzeld QpporEunity Arca(BOA}; �esi�nated STate or Federa! heeitaee area;�vatershec�rr€ana�ement pIan; nr other?) �� ]f Yes, iden�ify tl�e plan(s): NYS Heritage Areas:Mohawk Valiey Neritage Corridor, NYS Heritag�Areas:Saratoga c. [s the propased aetion {ocated �tiholly or partially �vithan an area Iisted in an adopted muni�ipa] open space plan. [❑Yesm?�o �r at1 adopted municipal tsnnland pratectioii pfan? �f Yes, sclentify the plan(s): Page 2 of 13 C.3. Zonin�; a. [s the site of th�proposed actinn located in a municipa�ity with an adopted zoning law or ordinance. �Yes�No If Yes, wha� is the zoning classitication(s) ineluding any applicable overlay district? T-6,Commercial Core b. 1s the use permitted or al�o���ed E�}� a s�ecial or conditic�nal use pennit? �Yes[]No c. Is a zonin�chan�c requested a�s part of fhe proposcd action? ❑yz��t�o I�`Yes, r. What is the propE�sed ne��zoning for the site`.' C.�. Existi�g com�nunity services. a. In what sc��ool distr'sCt is tP1e project site located? City of Sarataqa Sar�ngs _ b. What polsce or other public prote�c�ion fc�rces serve the projeet site? C�of 5aratopa SprNncLs P_olice Dept. _ _ c. Wllich fire �rotectiotl ane�emergency inedieal services serve the projec! site`? City of Saratoga Springs Fire Dept. d. What parks serve the project site� Congress Park D. Project Details D.1. Proposed and Pateatial De��elopment a. What is t}3e genera] nature c�f tl�e proposed action (e.<�., residential, industrial,commercial, recreational; if mixed. i�lclude all con3ponents)? Mixed use eommercfal/residential b. a. Total acrea�e c�f the site of the propasec�actionry 0.73 acres b. Total acrea�e to be phvsicaily disturbed'? 0.79 acres c. Total acreage(praject siie and �ny contigitous properties)o�vned car controlled by tl�e applicant or project spc�nsor? 0.73 acres c. Is t��e proposer�action an e�pansiotl of�n�xistitt�praject or use? �Yes�Na i. !f Yes,what is the appro�imate percentage of the proposed eapansion and identify the units(e.�., acres,mil�s,housing u�lits. square fect)? % U�its: d. Is t��e proposed action a subdivisic�n,ar does iti incl�ide a subdivision? ❑y�y��;� if Yes, i. Puipose or type of subdivision?(e.g�.,residential, industrial,comrnercial; if��ixed,s�ecify types} ii. Is�clusterlcanservation lavnut proposed? � �YesQI�10 rri. Number of lots proposed? ii•. Mini���urn and maximum proposed lot sizes? ]�`finimurn Max����uz» e. Will propose.d actian be conskrtiicted i� rnultiple pl�ases? ❑Yes�No r. 1 f No. anticipated period of constr�zction: �� n�onths rr. lf Yes: • Total number of�hases anticipated • Antic�pated cammencement dlte of phase 1 (including demo�ition) inanth ycar • Anticipated cnmpletion date of f»��phase month veas� • Generall��c�eseribe connections or�-efatianships among pl7ases, including any contin�encies��here pragress of one�hase n�ay detern�ine timing or duration of tufure pflases: Page 3 of 1� f. D�es the pra�ect include iiet��residcntial uses? �Ycs(]\o if Yes, shaw nu���6crs of units proposed. One Fami�y Two Familv Thr�ee F�milv M�iltip�e Fai�iilv fot�r or more Initiaf Phase 72 -- — At eoiz�pletion ___ __ _ of ail phases 72 g. D�cs ihe�rc�posed action includ�ne�� �on-residentiaf construciion (includin�e�pansions)? �Ycs�No ]f Y�s, r. `Fota] number of stru�tures 1 ii. Dimensions(in feet)01'larEest proposed structure: +1-65 height;_ �1- 170'w�dth; and +1-28o' len�th iir. Appro�imate extcnt�f building s�ace to be heated or cooled: � _ +1- ioo,000 square feet h. Does tEie pro�ase;d ac€ic�n iriclude cottst�-uction or otfier activities tl�at 4vill resu➢t in the impouncirnent of aa�y []Yes�No liquids,suc13 as creation af a�vater supply,reservoir, pand, lake, �a�aste la�oon or other storage? If Yes, r_ Purpose of the in�poundment ii. lf a water irnpoundment,the principal source of the water: � � Ground water❑Surface water streams �Other specify: iii. If other than �vater, identify the type of in�pounded/contai��ec3 liquids and their source. ii�. Approximate size ofthe propased i�npound�t�ent. Valun�e; �nilCio:��allons; surface area: acres r. Dimensions of tlle pr�poscd da�n or impounding structure: hei�ht; length i•r Constructior� rrFethod/materials for the proposed dam or impounding structure{e.�., earCh fill,rock,wood, cnncrete): D.2. Pro_ject Operations a. Docs the proposed actic�F� include any excavatio�3, �nining,or di•edging, durin�consteuction, operations, or both7 �Yes�No (Not including�eneral site preparati�n,�rading Ur installatior� of utiliEies ar fottndatians���l�ere afl excavated materials will rerrtain onsite) If 5'es: r.What is ihe purpase of tllc excavatfon or c�redging? Buih�ing foundation - --- _– _ _ _ _ __ ii I lo��mucl� material(ir�cluding rock,earth. sedi�nents, etc.) is prc�posed ta 6e removed' from the siEe? � Volu�ne(specify tons or cubic yards): +�_g,goo yds • Over what duration of time? 5 waeks � rri. Describe nature and characteristics oi�materials to be excavated ar cired�ed.at�d plans to use,manage ar dispose of them. Material cnnsists of uncontrolled fill containing sand qravel clavey silt and oceasinnal bnck and cok�bles alonq wrth weathered shaEe and 6imestane. iv. Will there be onsite dewatering or processin�of excavateci rrtaterials? � ❑Yes�Nv Ifyes, describe. v. What is the tota]area to be dredgecl or excavated? o.ss acres � vi. 1t�hat is the maxitnum area to be�v�rked at any one tinle? 0.68 acres vir Wk�at���ould be the maximum deptl�of excavat�on or dredging? � 10�14 feet vrii. �rill the eacavati�n require blasting? �y�s��o rx. Su�nmarize site reeiamatian�oals and plan: _ The reclamation of the proposec4_excavation is the deveiopment of a mixed-use building. __ b. Would the�ropased actiotl cause or result in alteration of, increase or decrease i� size of, ar encroachment �Yes�No intn arry exist�ng wetl�nd,w�terbody,shoreline, beae�� c�r adjace�nt area`? If Ycs: r. [de�z�tify the wetland or waterbody�vhich would be affecied (by nat��e,�3�ater index ntn��ber,�vetlanc€ map number or geographic descripTion): Page 4 of 1 a if. Describe I�o�,r tht ��ro�o�scc� action wo�ilci affect that w�aterbody or�vet��i�d, e.�. excavatior�, fiil,placen�ent of struct�ires,or alteration of channels, banks and shorelines. [ndicate exlent of acfivities, aEteratians and additions in square feet or acres: — --- — -------..-- ___ aii. l�ill proposed �}ctioe�cairse or result in distur�ance to bott�m sec�iments? ❑Yes❑No [f Yes,describe: ir. W ili proposed actian cause or resu[t in the destruction or rcmovaE of aquatic vegetation? ❑Yes❑Na !f Yes: • acres of aquatic vegetation proposeci te�be remo�red: • expecte�acrea�e of aquatic vegetation rernaining after projeet co�npletion: • purpose of proposed ren�ovai(e.g.beaeh ciearirig, invasive species cc�ntrol, boat access): • proposed inethocf of p�ant removal: _ _ T� • if ct�emicallh�rb[cide treattn�nt will be usecf,specify product{s): ��. Dcscribe any �roposed reclamation/rnitigatian follo���in,�disturbance: c. VVi16 the proposed actioi� use,or ci-eaie a rlew demand for water? �Yes[�10 IFYes: i. 'I`otal antici�ated���ater usa�e/de;nand pe�-day: �p���p �allans/day ri. Wil] the proposed action obtain wafer from an existing pub[ic water supply7 ��es❑No if Yes: • Name c3f district or service area: Cit oy f Sarataga Springs • []aes the existin�;public 4vater supply have capaciry to serve the proposal? � �Yes❑No • is the prc�ject site in the existinb district? �Yes[�No • [s expansion of the district needed? ❑Yes�iti?a • Da exisiin� �ines serve the prajecf site? �Yes❑No rii. 1�'ill ]ine eatension u�ithin an c�:is4iz�g dis�trict be necessary� to su�ply the project? ❑Yes�lo If Yes� • Describe exte�isic�ns ar capacity et�ansions proposed to serve this pf•oject: __ __ _ __ ___ __ • Source(s)of supply for the district:_ ___ _ iv. [s a ne�v wat�r supply district ar service area proposed to be formed to serve the project site? ❑ YesmNo If,Yes: • Applican�,'sponsor for ncw district: • Date a�piication subn�itted or anticipated: � ^ • Proposed source(s}of supply for ne�v district: � i�. If a public water s�pply will not be used,describe platls to provide r��ater supp�y for t31e prc�ject: ___ ______._-- - —__.� l�i, [f water supply�vill bc fram wells(public or private},ma�i�a�um pu�nping capacity�:_ �allonslminute. d. Wi11 the proposed action ger�erate ]iquid ti��ast�s? �Yes�No If Yes: i. 'Total anticipated liquid�vaste generatic�n per day: 10,550 gallons/day ii, Nature of liquid u-astes to be�enerated (e.��., sa��itary wastewater, industrial; if combination,describe all campo�ients and approximate volumes or prcrpc�rtions of each): �. � Sanita Waste+,vater ?�.`.__---..__ _ rir. Will the proposed action use any existing public�vastewater treatment facilities? �1'esONo If Yes: • Name of wastetvatcr treatment plant to be used: Saratoga County Sewer District No. 1 + T��ame qf district: _City nf Saratoga Springs • Does the existing�tirastewater treatme��t plartt have capacit}� to se��e the project? �Yes❑No" • ls tk7e praject site in the e,r•isting district? �Yes[fNo • Is etpansion ofThe district needed? �Ycs�No Pa�e 5 of 1� • Do existin�sewer�i�les serve the;project sixe? �Yey[�\o • Will line extension within an e�cisting district be necessaiy to serve the prUject? QYeS�T�'� If Yes: • Describe extensions or capacity expansions proposed to serve tE�is prc�ject: iv. Will a new wastewater{sewage)treatment d'astrict be fonned to serve the project site? ❑Yes�T�;c� If Yes: + Applicantlsponsor for ne���disirici: _ ____ _ T_ _— __ _ .__ • Datc applicatian subrtiiried or anticipat:ed: • What i�the receiving water fai-fhe�vaste���ater discharge? v. Ifpublie faciiities���i�l not be used, deseribe plans to p�-avide�uastewater treatment for the project. inciuding specifr�in�proposed receiving rvater(name and classification if surface dischar�e,or desceibe subsurrace disposal plans): r-i. Descri�e any plans or designs to capture, recycle or reuse l�quid waste: �fnLa�ali�able __- - e. Wil(tl�e proposed action disturb more tha� one acre and create stormwatcr runaff cither from new point ❑Yes�No so��rces(i.e�, ditehes, pipes, swales,curbs,��utters or othe�-concentrated flows of starmwater)or non-point source(i.e. sheet fl�w)durin�constructron c�r post constr��etian? I f Yes: r. How much impervious surfa�ce will the project create in relatio�l to total size of projeet parcel? Square feet or _ _acres{impervious surfaee) Square feet ar ,_ _acres (pareel size} ir. Dcscribe types of new�point sources. -__ ._ __ __ _ ____ _ iir. Where�vill the storn�watcr rw�otf be directed(i.e. on-site stormwater r�iana�ei�lent facility/strUctures,adjacerrt properties, �rou��Fvater,on-site sueface water or off-site surface waters)? • If to surface waters, identify receiving���ater bodies or wetlands: • Wi[l stormwater runc�ff flow to adjacent properties? ❑Yes❑No rq�. []oes proposed plaF� minin�ize i�npei�vio�is surfaces, use pc:rvious n�aterials or collect and re-use storn����atcr? ❑Yes❑No f. Does the proposed action it�c6«de, ar��ill it�ise oti-site,one or mor� s�urces af air en�issiotls, incluclin�� iuel ❑Yes�No co�rsbustion,���aste incineratio�i, ar cather processes ar operations`� If Yes. identifv: i. Mc�bilz sources durin�proj�ct operatinns(e.�;., heavy equiprnenC, fleet or delivery vehicles) — - ----.__ __ _._,.. ___ _ ___ ii. Statianary sourc�s during construction(e.�;.,pa���er�ener�tion, structurai heating,batcl�plant,crushers) iii. Statio�za�-�-sources during operatio��s(e.g.,process en�issians, large boilers, electric generation) g. Wil] a��y air emission sources namcd in k�.2.f(above),require a NY State Air Registration,Air Facilit�� Permit, []YesQjNo or Federal Clean Air Act Title IV or Title V Perrr�it`? If Yes: r. [s the project site located in an Air qualitv non-attainn�ent area° (Area ro�tinei�� or periodically fails to�71eet ❑Yes❑No ambient air yualit�- standarc�s for ali or so�ne parts of the vear) ri. [i� ad�itior� to emissio�ls as calc��lated in the application,tP�e}�roject r��ill generate: • Tonslyear(sE�ort toi�s)of Casl�on Dio�ide(CO2) • Tonslvear(short tons}of Niteol�s Oxide(N�U) • To��s/year(sl�a�t tons) of Perfluorocarbons(FFCs) • 7'c�ns/yeaa�{short tons)of Sulfur]�exail�iorPde(SF6) • Tonslyear(short tons)of Carbon Dioaide equivalent of N_ydrof�fo�u-ocarbons (HFCs} � _ "�ons/year(shacrt tans)of lfazar-dous Air PoIlut��nts(I-tAPs} Page 6 of 13 h. 4'4'ill the proposed action�enerate or emit n�ethane(incfudiri�,but not liinited to, se�vage treatment p2ants, ❑Yes�T�o landfills,composting facilities)? If Yes: r. �stimate methar7e�enez-atio�i in tonsivear(n�etric): � rr. Describe ai�y trtethazle capturc, coi�trof or el�rnination measures included in pro�ect design(e.g., combustion to generate heat or electricity, flaring): _ i. ��i[l the proposed action result in the release of air-pollutants from open-air operations or processes,such as ❑Yes�No � quarry or landfll operatiar�s? If Yes: Describe operations and�sat�n�e of emissions(e.g.,diesel e�aust,rock particulates/dust): j. Will the proposed acCion result in�substantial increase in traffie above present levels or generate s�ibstantia] �Yes�Na ners��den�and for transportaFion facilities or services? If Yes: r. When is lE�e peak traffic expected(Checl:all that apply): ❑Mo���in� ❑ Evenin� �Weekea�d ❑ Randomly between l�ours of to ri. For comrnercial activities on[y,projected number of semi-trailer ti-uck trips/day: __ iit. Pa��kin�spaces Existing Proposed� ___ Net increase/decrease iv, Does the pro}aoscd acTion include�ny shared �se pas-king? []Yes(]Na v, lf the proposed action includes any modiftcation of existi���rQads,creation afne:�v roads or change in existing aecess, describe: vi. Are public/privatc transportation service(s)or faciiities available within Y mile ofthe proposed site? �YesONo vrr Wi�l the propased actior� include �ccess to public trans�ortation or acec�mmoda[ions for use of hybrid,e[ectric ❑Yes❑No or other alternatiwe fueled vehicles? vrri. Wil] the proposed aciian include pians �ar pedestrian or bicycle accommodations for connections do existin� ❑Ycs❑No peciestrian or bicy�cle routes? k. Wi[I the proposed action (for cotnmercial or indusirial prajects on(�}�enerate ne���ar additional dertiand �YesQiVo for ener�y? If Yes: r. Estimate annua] electricity demand during o�eration of the proposed action: +�-45D,460 KwH ir. A�ticipated sourcesfsuppliers af electricity for the project(e.e.,an-site rombustion, on-site rene�vable, via grid/local t�tility, or other): National Grid(supplier},via grid(source) iii. WiC[tlze proposed action requ'rre a new,ar an upgrade to,an existing substation? ! ❑Yes�Na � 1. I-lours of operation. Ans�ver all items which apply. i. During Construction; ri. During C7perations: • Monday- Eriday: 7 am-9 pm • Manday- Friday: 24 hours • Saturciay:__ 7 am-5 pm • Saturday: 24 hours • Sunciay: none • Sti�tday: 24 hours • Holidays: _ none • Halidays: 24 hours Page 7 of 13 n�. Will tt�e{�raposcci acti�i� prc�duce��aise ti�at will exceed ekisting arnbient noise levels during construction_ ❑Ycs�No aperatioi�,on c��th? If yes: r. P�-ovide details including sources,time of day anci duration: _. . __ _---- rr. Will praposcd actiot� retnove existing natural barriers tl�at cc�uld act as a noise barrier or screen? ❑Yes�No Describe: n.. Will the propased actio�i have o�rtdoor [ightin�? �Yes�No If ves: r. Describe so€i2-ce(s), loc�tion(s),height of fixture(s),direction/aim, and proxiFz�ity to nearest occupi�d structur�s: Liqhtinq will be Encated on the buildinq facade and cast downward ii. Will proposed actian z-emove existing natural barriers that could act as a iight barrier or screen? ❑Yes�No Describe: o. Does ihe propossd actian have the potential to praduce odors for mc�re than one Eiour per day? ❑Yes�Nc� [f Yes,describe possibte sourees,pntential freyuency and dui�ation of ador emissia�is,anci proxi��ity to nearest occupied structures: p. Will t�e propose� action include any bulk stora�e ofpciroleurn(cambine�d capaciey of over 1,100 gallons� ❑Yes�Na or chemical products 185 gallons in abave groF�cld storaee or an1� an�ount i�z undergroucld starage? If Yes: i. Product(s)to be siored ri. Vo€ume(s} per unit time (e.g.,month,year) iir. Generally describe proposed storaae facilities: q. Will the praposed ac#ion(commc:rcial, industrial and recreationa] prajeets only)use pesticides(i,e.,herbicides, ❑ Yes �Nc� it�secticicles)during construction or c�peration? If Yes: i. Describ�ptop�sed tseatmeni(s}: ii. 1�1�i11 the rt� osed actio�l use[nte�rated Pest Maua ement Practices? � ❑ Yes �No r. �Vil�the proposed action (con�inercial or industria]projects only) invoive or reqtiire tfle mana�ement or d'ssposa] � Yes ❑No of sol'ad waste(e�cluding hazardous materials)? If Yes: r. I?escribe any solid�waste(s}to be gencrated d�ring constftietion or operation of the facility: • Canstruction: � _+l-8 tons per month (u�tit of�timc) • Operation : +l-6.9 tons per morth (unit of titne} ri. Descri�e any proposals for on-site minitniration, rec��clin�or reuse of matersaCs ta avoici disposal as solid�t�aste: • CanstruCt[on: none at this time • Operation: Recycled materials such as;plasfic,aluminum,paper and card6oard will be collected separately and transported by a licenaecf hauler rrr. Proposed disposal methads/facilities for solid waste generated on-site: • Coi�structiOn: Canstruction waste will be transported by a licensed hauler to a certified CD facility • Operation: Trash will be collected and transported to a ce�tifred colfection facility by a licensed hauler Page 8 of 13 s. Docs thc proposed actir7n include construction or trte�dificatic�n of a soiid �uaste mana�etnent facilit�? ❑ Yes� No If Yes: 4 i. Ty�3e of rt�atlage���ent or handling of��aste proposed fcrr the site(�.g.,recycling or transfer station, compt�stin�, la�dfi(I,or otl�er dispasal activities): ---�_ _ __.. ii. Ar�ticipaied rate of dis�osaUprocessing: • "l,c�ns/month, if transfer or other non-combustionithennal treatment,or • Tons/hour, ifcombustion or thermal treatment rii. If landfill,anticipated site life:, _ _ ��ears t. Will proposed action at the site involve the commercia] genera4ian,treatment, stora�;e,or cfispasa[ nf hazardous ❑Ycs�;�cs �vaste? If Yes: i. Name(s)of ali hazardous�vasies or constitueazts to be generated,handled or mana�ed at facility: ir. Genera�ly describe processes or activities involving hazardous wastes or constituents: iii. Specify amount to be handled or ge:ierated tons,�month � � iv. Dcseribe an.y proposals far on-site n�inimization,recyclin�Qr reuse otha-r_ardous constituents: v. Will any hazardoits�vastes be disposeci at an eaistinn offsite hazardous waste facilit��? � --�es No If Yes: provide na�ne and location of facifityv: 4 IfNo: descrit�e proposed rnanagc;ment of any hazardous wastes which will nat be sent to a hazardaus w�aste facility: E. Site and Settin�of�'ra�osed Actian E.1. LancJ uses on and surroundin;the project site a. E�isting land�ses. i. Check all uses that occur on, adjoinir�g and near ihe project site. � Urban ❑ Irsdustrial ❑ Cortlmcrcial ❑ Resic�ential(suburban) ❑ Rural{non-farn3) ❑ Forest ❑ A�;riculture ❑ Aquatic � Oiher(specify): __ ir. If mix of uses,generally describe: b. Land uses a��d covertypes oi�the project site. Land use or CwTent Acre�ge After Change Coverivpe Acrea�e Pro�ect Completion (Acres�-/-) � • Roads,buildi�lgs,and oYlier paved or impervious sur�aces 0.68 ac 0.73 ac �.05 ac • Forested NA NA Np • Mcadows,�rasslands or i�rushlands(non- agricultural, incluciin�abandoned agr€cultural) NA NA NA • A�ricultur3] �A NA �1,q (includes active orcllards, field,greenhouse ete.) • Surface�i�ater features (lakes, ponds,s�treai�s, rivers, etc.) Na rva r�A • 1��'etlands (f3�csh�vater ai-tidal) �vq NA NA • Non-v�getated(bare rock, earth ar �II) �q NA t�A • Other Describe:Landscape:Grass,Tree __ _ . O.Q5 ac 0 ac -.OS ac Page 9 of 13 c. Is the project site �i-esently used bv members ofthe communit}�for public recreation? ❑Yas�Na i. lf Yes:explain: d. Are the�•e ai�y facilities serving children,the elderl_y, peaple�a�iih disabilities(e.g.,schoo�s, hospitals, licensed �YesO�c� day care centers,or�roup homes)within 1 S00 feet of tl�e proj�ect site? If Yes, i. ]dentify Facilities: Saratoga Central catholic High school is lacated on Braadway,south of the project site. e. Does the project site contafn an existing dam? ❑Yes�]Na If Yes: i Dimensions of t�e dam �nd inzpoundment: • Darn height: feet • Dam lengih: feet • Surface area: acres • Volume inlpaunded: ____ gallons OR acre-feet ii. Dam's eaistin��zazard classification: iii. Provide date and summarize results of Iast inspection: � f. �las the�roject site evcr€�een used as a municipal,cnmmercia] or indush•ial salicf waste managerne��t faeility, ❑�'es�No or does the project site adjain pro�e�-cy���hich is now, or was at ane time, used as a salid�vaste rz�ana�en�ent faci�ity? If Yes: i. Has the faciliey becn fonnal!}' closed? �yz�� ?�o • lf y�s,cite sources/dacumentation: __...._ _ __.. ___ ii. Describe the locati�n c�Ft11e projecE site relative to the boundaries of the solid waste management facility: rii. Describe any development constxaints due to the prior solid �vaste activiCies: g. I-Iave hazardous �i�asles been generated,tF�eated anc3,'or disposcd of at the site, or does Ehe prc�jert site adjoin ❑Yes�N� property whieh is now or u�as at one timc used to co�nmerciallv treat, stor-e at�d/ar dispose of ha�zare�c���s waste? If Yes: r. Describe waste(s)handled and�r�aste��ia��agement activities, incllading appro.r•imate time when aetivities occun-ed: h. Potensia] contamination history. Has there been a reported spilI at t�e proposed project site, or have any ❑Yes� No remedial actions been canducted at or adjacent to ti�e proposed site? [f Yes: i. Is any portion of the site �isted on tE�e NYSDEC Spil[s pnridents database oa-Envv�ann�ental Site ❑Yes�No Remediation datak�ase? Chech all tl�at apply: ❑ Yes—Spil�s [ncidents database Provide DEC ID nuix�ber(s): � Yes--Environtnental Site R.eznediatior� database Provide DEC iD nurnber(s): ❑ Neither database ii. ]f site has been subject ot RCRA corrective activities,desci•ibe contro] measures: iii. Is the pro_ject within 2000 feet of an}� site rn the NYSDEC Envirom�ienCal Site Re�nediation c�atabase? �Yes�No lfyes,provide DEC ID number(s):Va�a75 ,C5a6057 i��. Ifyes to(i},(ii)or(iii}�bove,desca�ibe euri-ent status of site(s): V00475;_60 Lake_Ave 6re station site remediation is com lete C546057; 53 Putnam Street(sanitation garaga), site remediatian is currently under review �� Pa�e 10 of 13 v, Is tl�e project site sub�ect to an institirtioi�al cor�trol limiting property uses? ❑Yes�'�'o • Ifyes, DEC site ID rnamber: • Describe the type of institutianal control (�.g.,deed restriction o�-easement): • Describc anv use Ii�l�itatic�ns: • I�escribe an} engineering eo«trols: • UVi�I tl�e projeet affeet the iaistit�itionaE orengir�eering controls in place? ❑Yes�No • Lxpl�in: E.2. Natura!IZcsources On or Near Project 5ite a. What is the aver�ge depth t.o bedrock on the pra�ect site? �2 (�eet b. Are there bedre�ck outcroppin<�s an the project sit�? ❑Yes�No If Yes,w-hat propc�riion of the site�s cornprised c�f�cdre�ck outcroppinbs? % c. Prccl�n�i�i�nt sotl type(5)present or�prr�ject site: uncontrolled fill,sand,silt 100 % % % d. What is the average depth to the�vater table on Yf�e pro_ject site? Averaee: �4 teet e. Drainage staius c�f project sitc soils:❑ Well Drained: °fo of site � Moderately� Wel� Drained: �00%of site ❑ Pooriy Drained °io of site £Appi•oximate proportic�n of proposed actian site wit}1 slnpes: � 0-10%: 100 %of site � i0-1�4%: %ofsite ❑ l 5%a or greater: %of site g.Are there any unique geoEo�;�c feaTures an t�le praject site? ❑'Yes�Na If Yes,describe: h.Surfac�water features. r. Does any portiot� of the project site contain wetlands or ot6er�vaterbodies(inclue�i��g strean�s,rivers, ❑Yes�No ponds or Cakes�`? ir. I�o any wetla�tds ar other water6odies ad.�oin the project site? �Yes�No IfYes ta either i or ii, continue. lf No, skip to E2.i. iri. Are�ny of tlze we�lands or waierbodics �vichin or ad�oi�ling tlze projeet site regulated l�yr any fcderal, ❑Yes�1�a state or�ocal a��ncy? ir. For each identified regulated���etland and waterbody on the prc7ject site,pra�ride the follo��ing informatian: . Sireams: Name Classification � Lakes or F'c�nds: Name Classifiealic�n " Wetlands: 1�1ame Appre�xim�te Size " Wetland Na. (if regtflated by DEC) _ __ v. Are any of the abave���ater bodies iisted in the most recent compilation of NYS wafer qualiry-impaired ❑Yes�No waterbodies? I�yes. nat7�e orirnpaieed «�ater 6ody/badies and E�asis for-fl�sting as impaired:____ i. Is the project site in a designated Floodway? ❑Yes�?Vo j. Is the proJect site in the ]00 yzar Floodplain'? ❑Yes(�Nt� k. Is the project site in the S00 vear Floodplaii7? ❑Yes�No l. Is the project site located over,oa-i�i7rr�ediately adjoining,a prirnaiy,principa� or sole source aquifer? ��'es❑No 1 f Yes: i Name af ac��iifCr: Principal Aquifer Page 11 of 13 i3�. ]d�ntify the predominant rvildlife s��ecies that occupy or use the project site� none n. �€�es ihe prajcct site contain a designated signiiicant natural con�muniTv`> ❑Yes[,�\o 1 f Yes: i. Describe t�1c habitaticomr��unity(cot��positian, function, and basis fc�r designatian}: ii. So«rce(s)of descriptioc� oc�evaluation: �i ` rrr. Exten4 of com�nun�tylhabitat: � • Currently: acres • �al�flw�ing eompletion c�f pr�jeet as praposed: acres • Gain or loss(indieate�ar-): acres o. �oes project site con�ain any species ofplant oc animal that is]isted by�Che federal government or NYS as ❑Yes�No endangered or tl�reatened, or does it conEain any areas identifiet�as habitat for an endan��ered or threatened species? p. Does the project site coa�tain arry species of pla��t or animal tE1at is listed by l``YS as rare,or as a species of ❑Yes��Io special cancern? q. Is the project sitc e�r ad}oining area currently used for hunt�n�,trapping, fishing or sheif fishin�? DYes�f No [f yes, gi��e a brvef description of ho�v th�proposed action��7ay affect that use:. _ E.3- Dcsignated Pul�lic Resa�rces Qn or Near Project Site a. ]s the projecc site, or at3} portion of if, located in a designated agricultural district certifed pursuant to ❑Yes�No �griculture and Markets Law,Article?�-AA, Section 303 and 304? ff Yes, provic�e county p[t�s district namelnumber: b.Are agricultural la�lds�onsisting of llighl�-producti�e soils present? ❑Yes�No i. If Yes: acreage(s}on pro�ect site? rr. Sourcc(s)aFsoil rating{s): ��u _� _ c. I�oes the project site contain all ar part of. or is iE substa»tia�lv conti�uous to,a registered?��at�ional ❑Yes[,�]No Natural La��drnark? If Yes: i i�lature ofthe natura� landmark: ❑ BiologicaP Commu��ity ❑ Geo[ogical Feature rr. Providc brief descri�tior�of iat7dmar�:, including values behind desi,gnation and a�praxrmate size�extent: d. [s the project site located in or c�oes it ad_jc�in a scate listed Critical L•nviron�nenta] Area? ❑Yes�No If Yes: i. CEA nanze: ___.._ ---- ____ rr. I3asis for designation; rri. Desit���ating agency and date: � `T� Page 12 of 13 e. Does the pr�ject site contain,or is it substantially contiguous to, a building, arcE�aeo(ogical site. c�r district �Yes❑No which is listed on, or has been nominated by the NYS I3oard of E{istoric Preservalion for inclusion on, the State or\�ational Register of�-Cistoric Places? If Yes: i. Nature ofhistoricfarchaeological resource: �Archaeologica� Site �Historic Building or District ri. Name:W�st Side Historic District,Braadway Historic District rii. Brief description orattributes on which listing is based: Ffistoric buildings exist within the reighborhaod f. [s the project site,or ai-�y portio��of it, located i�� or adjacent to an area designated as sensiti��e for �YesONa at•claaeolo;�rical sites on the NY Siate Historic Prese�vatior�Of�ice 4SI�PO)arcl�aeological site i��ventory? g. H�ve additiona! a�-chaealo�ical or Ijistoric site(s)or resources been ider�tificd on the pi•oject site? ❑Yes�l�to If Yes: r. Describe possible resource(s}: Pending respanse from NYS OPRHP ii Basas for ic�entification: h. Is t(Ze project site within fives€17ifes of any officially desi�nated and pubEicly accessibie federal, state,or local ❑Yes�No scenie or aesthetic resource? If Yes: i. Identify resource: rl. Nature of,or basis for,designation{e.g., established hi�hway overlook,state or lcacal park,state historic trail or scenic by�vay, etc.): .__..__.___.�__�_ �. __ rrr. �istance between project and resource: mile�s. i. Is the presject site located within a designated river corridar under the Wild, Scenic and Recreational Rivers ❑Yes�Na I'ro�ram 6 NYCRR b66? if Yes V i. Ic3e��tify the name ofthe river aFld its designati�m: ii Is the activity consistent�vith development restrictions contained in 6NYCRR Part 666? D�Yes❑No F. Additional Information Attach any additianai information which Q1�a�� be needed to clarify yoG�r project. If you have identified any adverse inzpaets�vhich could €�e associated with vour proposal,please describe those impacts plus any measures which yot�propose to avoid ar«�inimize theit�. G. Veri�cation I certify ihat the informatio� pro�ided is tr�ae to the best of my knowledge. Applicant/Spansor Name ✓��/����f�� ����r"��.C�� �i � Date � � � � �/ �" Si�nature Title �/�`y����'� �����✓�-'� �it�'a�i.�s 2- ���kr�It PRINT FORM Page 13 oi� 13