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20190049 Carruthers Area Variance SEQR Short En won ental Assess - ment Form Part I - Pr(yea Information Instructions for Cotnpl ])art I —P"(dect Information. The:11)PHU"I't or vroject sponsor is responsible for thecompleti(),,()f p; applicationIrt 1. Responses become part of;tic inforfor approval or funding, are sL1bjCCt tO pUblic review, and may •be subject to further verification. Complete Part I based on mation currently available. If additional research or investigation would be.needed to filly respond to any item, leas e 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 suppicillelitcilly item. Part I —Project and Sponsor J11f0,-1H,,1ti011 Carruthers of Action or Project. nle C C arruthers Residence Second Story Addition p1,01ect Location(describe,and attach a location niap)- 52 Walton Street,Saratoga Springs, NY 12866 1-3riel'Description of Proposed Action- Addition of master bedroom suite over existing first floor living space at rear of house. Xame of Applicant cit.Sponsor.: Matthew Hurff 518,584.7514 Address: E-M'i': matt@fharch.com Frost Hurff Architects,41 Long Alley City/flo.- Stats—F Saratoga Springs State: Zip Code: NY 12866 1 Does the proposed action only involve the legislative adoption oralar local law,ordinance., 7� 4, administrative rule, or regulation? NO y F S If Yes,attach a narrative description of the intent of the proposed action and the environmental resOL11-CeS that be affected in tile municipality and proceed to Part 2. If no,cOlItinUe to question 2. 2. Does the proposed action.require a perill it, fro rn any other er g '�M PI-0 v',)I oi-I tj tic]I ng overn me tit Agency? N 0 y I S If Yes,list agency(s)name and pernnit or appro W11:Building permit-City of Saratoga Springs 3. a.Total acreage of the site of the proposed action.9. 0 1 acres b. Total acreage to be physically disturbed? 0 acres c.Total acreage(project site,Land any contiguous properties)owned or controlled by the applicant or project sponsor? .158 acres 41. Check all land Uses that OCCUr oil,are a4joining or near the proporsed action: 5. 21 Urban 0 Rural(non-agriculture) El Industrial EJ Cornniercial 0 Residential (suburban) El Forest Ej Agriculture c ecJAqUatiOtherSpify): El Parkland Page SEAF 2019 Is the proposed action, NO YES N/A a. A permitted arse Under the zonincrregulations? i I CEl- b. Consistent with the adopted comprehensive plan? [ZI- 6. Is the proposed action consistellt with thepredominant character of the existing bulit or natUral landscape? NO YES 7. Is the site of the proposed action located ill, Or does it adjoin,a state listed Critical Environmental Arelli? NO YES If Yes, identify: 8S. a. Will the proposed action result in a substantial increase in traffic above present levels? NO Yl; 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 ot'the proposed z action? 9. Does the proposed action meet or exceed the state energy code requirements? NO Y FIS 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 LittlitiCS? NO VELS If No,describe method for providing wastewater treatment: 12. a. Does the project site contain,or is it substantially contiguous to,a building, archaeological site,or disti-ict which is listed on the National or State Register of Historic Places, or that has been determined by the NO YES C0111111issiOtlel'of the NYS 0111ce of Parks, Recreation and Historic Preservation to be eligible for listitig oil the State Register.of[J'stol-'C Places? b. Is the project site,or any portion of it i , located in or adjacent to an area designated as sensitive for arch,aeoloorical sites on the NY State Historic Preservation Office(SHPO)archaeological site inveintory? 13. a. Does ally portion of the site of the proposed action,or lands adjoining theproposed action, contain NO Y I'd S wetkinds or other waterbodies regulated by a f�-derzfl,state or local agency? 0 ,any existing wetland or waterbody? b. Would the proposed action physically alter,or encroach into. I El 11'Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 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: ElShoreline 0 Forest Agri cultural/grass]ands Early mid-successional 0 Wet]and 21 Urban Suburban 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?' 16. Is the project site located in the I 00-year flood plan? NO YES 0 17. Will the proposed action crecate storm water discharge,either from point or non-point sources? NO YES If Yes, Ez E] a. Will storm water discharges flow to adjacent properties.? 0 E1_ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes, brielly describe: 18. Does the proposed action include construction or other activities that would result in the impoundnient of water NO YES or other liquids(e.g., retention pond,waste lagoon,dam).9 I('Yes, explain the purpose and size, of the impoundment: -1-9. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES rnanageniL-nit facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remeditation(ongoing or NO YES completed) for hazardous waste? If Yes,describe: I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Signature: J�'t I e:Architect PRINT FORM ' puuc3n[ )