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Application_5 e.The proposed action may diminish the capacity of a registered National Natural E3c ❑ ❑ Landmark to support the biological community it was established to protect. f. The proposed action may result in the removal of,or ground disturbance in,any E2n ❑ ❑ portion of a designated significant natural community. Source: g.The proposed action may substantially interfere with nesting/breeding,foraging,or over-wintering habitat for the predominant species that occupy or use the project site. Elm ❑ ❑ h.The proposed action requires the conversion of more than 10 acres of forest, El b ❑ ❑ grassland or any other regionally or locally important habitat. Habitat type& information source: i.Proposed action(commercial,industrial or recreational projects,only)involves use of D2q ❑ ❑ herbicides or pesticides. j.Other impacts: ❑ ❑ 8. Impact on Agricultural Resources The proposed action may impact agricultural resources. (See Part 1.E.3.a. and b.) ❑NO ❑ YES If"Yes", answer questions a-h. If"No", move on to Section 9. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur a.The proposed action may impact soil classified within soil group 1 through 4 of the E2c,E3b ❑ ❑ NYS Land Classification System. b.The proposed action may sever,cross or otherwise limit access to agricultural land E 1 a,Elb ❑ ❑ (includes_croiiland,hayfields,pasture,vineyard,orchard,etc). c.The proposed action may result in the excavation or compaction of the soil profile of E3b ❑ ❑ active agricultural land. d. The proposed action may irreversibly convert agricultural land to non-agricultural Elb,E3a ❑ ❑ uses,either more than 2.5 acres if located in an Agricultural District,or more than 10 acres if not within an Agricultural District. e. The proposed action may disrupt or prevent installation of an agricultural land El a,Elb ❑ ❑ management system. f.The proposed action may result,directly or indirectly,in increased development C2c,C3, ❑ ❑ potential or pressure on farmland. D2c,D2d g.The proposed project is not consistent with the adopted municipal Farmland C2c ❑ ❑ Protection Plan. h.Other impacts: ❑ ❑ 9. Impact on Aesthetic Resources The land use of the proposed action are obviously different from,or are in ❑NO ❑ YES sharp contrast to, current land use patterns between the proposed project and a scenic or aesthetic resource. (Part 1.E.1.a,E.1.b,E.3.h.) If"Yes", answer questions a-g. If"No", go to Section 10. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur Page 5 of 10 a.Proposed action may be visible from any officially designated federal, state,or local E3h ❑ ❑ scenic or aesthetic resource. b. The proposed action may result in the obstruction,elimination or significant E3h,C2b ❑ ❑ screening of one or more officially designated scenic views. c.The proposed action may be visible from publicly accessible vantage points: E3h i. Seasonally(e.g.,screened by summer foliage,but visible during other seasons) ❑ ❑ ii. Year round ❑ ❑ d.The situation or activity in which viewers are engaged while viewing the proposed E3h action is: i. Routine-tr vel by residents,including travel to and from work E2q, ii.Recreational or tourism based activities E 1 c ❑ ❑ e.The proposed action may cause a diminishment of the public enjoyment and E3h ❑ ❑ appreciation of the designated aesthetic resource. f. There are similar projects visible within the following distance of the proposed Dla,Ela, ❑ ❑ project: Dlf,D1g 0-1/2 mile %2-3 mile 3-5 mile 5+ mile g. Other impacts: ❑ ❑ 10. Impact on Historic and Archeological Resources The proposed action may occur in or adjacent to a historic or archaeological 0 NO ❑ YES resource. (Part 1.E.3.e, f. and g.) If"Yes", answer questions a-e. If"No", go to Section 11. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur a.The proposed action may occur wholly or partially within,or substantially contiguous E3e ❑ ❑ to,any buildings,archaeological site or district which is listed on or has been nominated by the NYS Board of Historic Preservation for inclusion on the State or National Register of Historic Places. b.The proposed action may occur wholly or partially within,or substantially contiguous E3f ❑ ❑ to,an area designated as sensitive for archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory. c.The proposed action may occur wholly or partially within,or substantially contiguous E3g ❑ ❑ to,an archaeological site not included on the NY SHPO inventory. Source: d.Other impacts: ❑ ❑ e.If any of the above(a-d)are answered"Yes",continue with the following questions to help support conclusions in Part 3: i. The proposed action may result in the destruction or alteration of all or part E3e,E3g, ❑ ❑ of the site or property. E3f The proposed action may result in the alteration of the property's setting or E3e,E3f, ❑ ❑ ! E3g,Eta, Page 6 of 10 integrity. E 1 b E3e,E3f, ❑ ❑ iii. The proposed action may result in the introduction of visual elements which E3g,E3h, are out of character with the site or property,or may alter its setting. C2,C3 11. Impact on Open Space and Recreation The proposed action may result in a loss of recreational opportunities or a ❑ NO ❑ YES reduction of an open space resource as designated in any adopted municipal open space plan. (See Part I. C.2.c,E.1.c.,E.2.q.) If"Yes", answer questions a- e. If"No", go to Section 12. Relevant No,or Moderate Part I small to large 1 Question(s) impact impact may may occur occur a.The proposed action may result in an impairment of natural functions,or"ecosystem D2e,E l b ❑ ❑ services",provided by an undeveloped area,including but not limited to stormwater E2h, storage,nutrient cycling,wildlife habitat. E2m,E2o, E2n,E2p b.The proposed action may result in the loss of a current or future recreational resource. C2a,Elc, ❑ ❑ C2c,E2q c. The proposed action may eliminate open space or recreational resource in an area C2a,C2c ❑ ❑ with few such resources. Elc,E2q d. The proposed action may result in loss of an area now used informally by the C2c,E I c ❑ ❑ 1 community as an open space resource. e. Other impacts: ❑ ❑ 12. Impact on Critical Environmental Areas The proposed action may be located within or adjacent to a critical ❑NO ❑ YES environmental area(CEA). (See Part 1. E.3.d) If"Yes", answer questions a-c. If"No", go to Section 13. Relevant No,or Moderate Part I small to large 1 Question(s) impact impact may may occur occur a. The proposed action may result in a reduction in the quantity of the resource or E3d ❑ ❑ characteristic which was the basis for designation of the CEA. b. The proposed action may result in a reduction in the quality of the resource or E3d ❑ ❑ characteristic which was the basis for designation of the CEA. c.Other impacts: ❑ ❑ 13. Impact on Transportation The proposed action may result in a change to existing transportation systems. ❑NO ❑ YES (See Part 1. D.2.j) If"Yes", answer questions a-g. If"No", go to Section 14. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur a.Projected traffic increase may exceed capacity of existing road network. D2j ❑ ❑ Page 7 of 10 1 b.The proposed action may result in the construction of paved parking area for 500 or D2j ❑ ❑ more vehicles. c.The proposed action will degrade existing transit access. D2j ❑ ❑ d.The proposed action will degrade existing pedestrian or bicycle accommodations. D2j ❑ ❑ f.The proposed action may alter the present pattern of movement of people or goods. D2j ❑ ❑ g.Other impacts: ❑ ❑ 14. Impact on Energy The proposed action may cause an increase in the use of any form of energy. ❑ NO ❑ YES (See Part 1. D.2.k) If"Yes", answer questions a- e. If"No", go to Section 15. 1 Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur a.The proposed action will require a new,or an upgrade to an existing,substation. D2k ❑ ❑ b. The proposed action will require the creation or extension of an energy transmission Dl f, ❑ ❑ or supply system to serve more than 50 single or two-family residences or to serve a Dlq,D2k commercial or industrial use. c.The proposed action may utilize more than 2,500 MWhrs per year of electricity. D2k ❑ ❑ d.The proposed action may involve heating and/or cooling of more than 100,000 square Dig ❑ ❑ feet of building area when completed. e.Other Impacts: 15. Impact on Noise, Odor,and Light The proposed action may result in an increase in noise, odors, or outdoor lighting. ❑NO ❑ YES (See Part 1. D.2.m.,n., and o.) If"Yes", answer questions a-f If"No", go to Section 16. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur a.The propose action may produce sound above noise levels established by local D2m ❑ ❑ regulation. b. The proposed action may result in blasting within 1,500 feet of any residence, D2m,Eld ❑ ❑ hospital, school, licensed day care center,or nursing home. c. The proposed action may result in routine odors for more than one hour per day. D2o ❑ ❑ d.The proposed action may result in light shining onto adjoining properties. D2n ❑ ❑ e.The proposed action may result in lighting creating sky-glow brighter than existing D2n,Ela ❑ ❑ area conditions. f.Other impacts: ❑ ❑ 16. Impact on Human Health The proposed action may have an impact on human health from exposure 0 NO ❑ YES Page 8 of 10 1 to new or existing sources of contaminants. (See Part l.D.2.q.,E.1. d. f.g. and h.) If"Yes", answer questions a-m. If"No", go to Section 17. Relevant No,or Moderate Part I small to large Question(s) impact impact may may cccur occur a.The proposed action is located within 1500 feet of a school,hospital,licensed day E l d ❑ ❑ care center,group home,nursing home or retirement community. b. The site of the proposed action is currently undergoing remediation. Elg,Elh ❑ ❑ c.There is a completed emergency spill remediation,or a completed environmental site Elg,Elh ❑ ❑ remediation on,or adjacent to,the site of the proposed action. d.The site of the action is subject to an institutional control limiting the use of the Elg,Elh ❑ ❑ property(e.g.easement,deed restriction) e. The proposed action may affect institutional control measures that were put in place Elg,Elh ❑ ❑ to ensure that the site remains protective of the environment and human health. f. The proposed action has adequate control measures in place to ensure that future D2t ❑ ❑ generation,ttratment and/or disposal of hazardous wastes will be protective of the environment and human health. g.The proposed action involves construction or modification of a solid waste D2q,Elf ❑ ❑ management facility. h.The proposed action may result in the unearthing of solid or hazardous waste. D2q,Elf ❑ ❑ i. The proposed action may result in an increase in the rate of disposal,or processing,of D2r,D2s ❑ ❑ solid waste. j.The proposed action may result in excavation or other disturbance within 2000 feet of Elf,Elg ❑ ❑ a site used for the disposal of solid or hazardous waste. Elh k.The proposed action may result in the migration of explosive gases from a landfill Elf,Elg ❑ ❑ site to adjacent off site structures. 1.The proposed action may result in the release of contaminated leachate from the D2s,Elf, ❑ ❑ project site. D2r m.Other impacts: 17. Consistency with Community Plans The proposed action is not consistent with adopted land use plans. ❑NO ❑ YES (See Part It C.1, C.2. and C.3.) If"Yes", answer questions a-h. If"No",go to Section 18. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur a.The proposed action's land use components may be different from,or in sharp C2,C3,Dla ❑ ❑ contrast to,current surrounding land use pattern(s). Ela,Elb b.The proposed action will cause the permanent population of the city,town or village C2 ❑ ❑ in which the project is located to grow by more than 5%. c.The proposed action is inconsistent with local land use plans or zoning regulations. C2,C2,C3 ❑ ❑ d.The proposed action is inconsistent with any County plans,or other regional land use C2,C2 ❑ ❑ plans. e. The proposed action may cause a change in the density of development that is not C3,Dlc, ❑ ❑ Page 9 of 10 supported-by existing infrastructure or is distant from existing infrastructure. Dld,Dif, D1d,Elb f.The proposed action is located in an area characterized by low density development C4,D2c,D2d ❑ ❑ that will require new or expanded public infrastructure. D2j g.The proposed action may induce secondary development impacts(e.g.,residential or C2a ❑ commercial development not included in the proposed action) ❑ h.Other: ❑ ❑ 18. Consistency with Community Character The proposed project is inconsistent with the existing community character. ❑NO ❑ YES (See Part 1. C.2,C.3,D.2, E.3) If"Yes", answer questions a-g. If"No",proceed to Part 3. Relevant No,or Moderate. Part I small to large Question(s) impact impact may may occur occur a. The proposed action may replace or eliminate existing facilities,structures,or areas E3e,E3f,E3g ❑ ❑ of historic importance to the community. b. The proposed action may create a demand for additional community services(e.g. C4 ❑ ❑ schools,poli(le and fire) c.The proposed action may displace affordable or low-income housing in an area where C2,C3,Dlf ❑ ❑ there is a shortage of such housing. Dlg,Ela d.The proposed action may interfere with the use or enjoyment of officially recognized C2,E3 ❑ ❑ or designated public resources. e.The proposed action is inconsistent with the predominant architectural scale and C2,C3 ❑ ❑ character. f.Proposed action is inconsistent with the character of the existing natural landscape. C2,C3 ❑ ❑ Ela,Elb g. Other impacts: Egg,E2h ❑ ❑ 1 Page 10 of 10 1 Full Environmental Assessment Form Part 3-Evaluation of the Magnitude and Importance of Project Impacts and Determination of Significance Part 3 provides the reasons in support of the determination of significance. The lead agency must complete Part 3 for every question in Part 2 where the impact has been identified as potentially moderate to large or where there is a need to explain why a particular element of the proposed action will not,or may,result in a significant adverse environmental impact. Based on the analysis in Part 3,the lead agency must decide whether to require an environmental impact statement to further assess the proposed action or whether available information is sufficient for the lead agency to conclude that the proposed action will not have a significant adverse environmental impact. By completing the certification on the next page,the lead agency can complete its determination of significance. Reasons Supporting This Determination: To complete this section: • Identify the impact based on the Part 2 responses and describe its magnitude. Magnitude considers factors such as severity, size or extent of an impact. • Assess the importance of the impact. Importance relates to the geographic scope,duration,probability of the impact occurring,number of people affected by the impact and any additional environmental consequences if the impact were to occur. • The-assessment should take into consideration any design element or project changes. • Repeat this process for each Part 2 question where the impact has been identified as potentially moderate to large or where there is a need to explain why a particular element of the proposed action will not,or may,result in a significant adverse environmental impact. • Provide the reason(s)why the impact may,or will not,result in a significant adverse environmental impact • For Conditional Negative Declarations identify the specific condition(s)imposed that will modify the proposed action so that no significant adverse environmental impacts will result. • Attach additional sheets,as needed. Determination of Significance-Type 1 and Unlisted Actions SEQR Status: ❑ Type 1 ❑ Unlisted Identify portions of EAF completed for this Project: ❑ Part 1 ❑ Part 2 ❑ Part 3 Upon review of the information recorded on this EAF,as noted,plus this additional support information and considering both the magnitude and importance of each identified potential impact,it is the conclusion of the as lead agency that: ❑ A. This project will result in no significant adverse impacts on the environment,and,therefore,an environmental impact statement need not be prepared. Accordingly,this negative declaration is issued. ❑ B. Although this project could have a significant adverse impact on the environment,that impact will be avoided or substantially mitigated because of the following conditions which will be required by the lead agency: There will,therefore,be no significant adverse impacts from the project as conditioned,and,therefore,this conditioned negative declaration is issued. A conditioned negative declaration may be used only for UNLISTED actions(see 6 NYCRR 617.d). ❑ C. This Project may result in one or more significant adverse impacts on the environment,and an environmental impact statement must be prepared to further assess the impact(s)and possible mitigation and to explore alternatives to avoid or reduce those impacts. Accordingly,this positive declaration is issued. Name of Action: Name of Lead Agency: Name of Responsible Officer in Lead Agency: Title of Responsible Officer: Signature of Responsible Officer in Lead Agency: Date: Signature of Preparer(if different from Responsible Officer) Date: For Further Information: Contact Person: Address: Telephone Number: E-mail: For Type 1 Actions and Conditioned Negative Declarations,a copy of this Notice is sent to: Chief Executive Officer of the political subdivision in which the action will be principally located(e.g.,Town/City/Village of) Other involved agencies(if any) Applicant(if any) Environmental Notice Bulletin: http://www.dec.nv.gov/enb/enb.html 1 EXHIBIT F "No`w 1 12 AIL. -7:12 .�I■11111■It•. 12— - AI1► .111■1111■IIIUll,. — A111111 . ,11111■11111■11111111111. 9 12 .111■111111111■, 411111■11111■11111111111■111. .11111■11111■11111■It. `11111■11111■11111■11111■11111■I►. s ' . 11111■11111■11111■11111\, �''�IIIII■11111■11111■11111■11111►, .1■1111111111111111111111111111 . 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IT •§ I COVERED PORCHEDGE( MDYE) 1�1 1e x7°o.H.DoOR " tut (2)1.76X9114 ,������ (CONC.FLOOR) LVL(FLUSH) _�� (2)1.75 x 10"LVL ` L 11'-1" H %--.. HEADER %--.. rail �1 EXTERIOR PORCH COLUMNS 0 0 0 I COORD.STYLE AND FINISH 4'-0 718" 11'-11 1/4" 1'.6" d" 4'-8" i 1'-6", 9'"10 1/4" 10'•1 3/4" WITH BUILDER(LOAD BRG.- -_ 11 MIN.80005 LOAD EA.) 60" 164" 160" , 260" 4B- «. , NOTE; BUILT-UP STUD 34%10 DROPPED PORCH IF SITE REQUIRES MORE THAN COLUMNS AT POINT BEAM AT PERIMETER ONE TREAD TO GRADE.INSTALL LOADS(TYPICAL) LANDING,TREATED STAIR, GUARDS,AND HANDRAIL PER CODE-SEE NOTES(TYPICAL) O FIRST FLOOR PLAN 28,_0" 15'-01/2 10'-0" ,,,2'-11 1/2" N ) R TT LINEN b : LINE OF EXTERIOR _ - -2.5-_ -k--- L-J i WALL BELOW J ... iinn FAN i 18 15'_0" '' MASTER 4 BATH O 0 11'-9 112" 1 26 MASTER zy > f /cLos:T II III IIII zv BEDROOM ~ 5 _ B.F.\/ 3%7 1/2" ..- 11'-41/2" M t- 11'-91/2" SMOKE 26 ALARM y 2 Y N 5._0.. - 5'-9112" s elb 4 BEDROOM 3 _ f ��' 4 c.o. 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ALARM I I \ ® :6) 1- ill 4-0" DN ALF-WALL CLOS_LANDING SMOKE B.F. o ?.‘„, BELOW 5'-5 /4" ALARM 1 o LOFT s BEDROOM 2 4 1 1 ,, O" O" ki, I 11.-1" 0 s, I I I L J LINE OF EXTERIOR 3'-6 3/4" A 9'-2" 3'-3 1/4" , 6'-0" A 6�-0" ` WALL BELOW 16'-0" 12'-0" 0 SECOND FLOOR PLAN i EXHIBIT G RESOLUTION REQUESTING QUEENSBURY PLANNING BOARD TO SEEK LEAD AGENCY STATUS REGARDING PROPOSED SUBDIVISION AND EXTENSION OF SEWER DISTRICT AND CONSENTING TO PLANNING BOARD SERVING AS LEAD AGENCY RESOLUTION NO. 210, 2013 INTRODUCED BY: Mr. John Strough WHO MOVED ITS ADOPTION SECONDED BY: Mr. Brian Clements WHEREAS, the Queensbury Town Board has been asked to approve an extension of the Route 9 Sanitary Sewer District to serve a planned 29-lot residential subdivision to be developed on property adjacent to Sweet Road, and WHEREAS, prior to taking any further action or making a decision about whether to approve the requested Sewer District extension, it will be necessary for the extension and the proposed subdivision it will serve to be reviewed together as one project (the Combined Project) in a Coordinated Review under the New York State Environmental Quality Review Act (SEQRA), for potential environmental effects, and WHEREAS, the Town of Queensbury's Planning Board will be undertaking a detailed review of the planned subdivision for purposes of deciding whether to approve the subdivision, and WHEREAS, it appears that there would be significantly greater development activities associated with the residential subdivision than with the extension of the Sewer District, and WHEREAS, the Planning Board has the necessary knowledge and experience to review and evaluate the potential environmental effects of the Combined Project, NOW,THEREFORE,BE IT RESOLVED, that the Queensbury Town Board hereby requests that the Queensbury Planning Board seek Lead Agency status for purposes of conducting the Coordinated Review of the Combined Project as required under the New York State Environmental Quality Review Act(SEQRA), and BE IT FURTHER RESOLVED, that in the event the Queensbury Planning Board seeks to be Lead Agency for SEQRA Coordinated Review of the Combined Project, the Queensbury Town Board hereby consents to the Planning Board serving in that capacity,and BE IT FURTHER RESOLVED, that the Town Board hereby directs the Applicant to provide any and all information about the proposed subdivision and sewer district extension, whether or not the information was previously supplied to the Town Board, to make the necessary copies of all such information and provide it to the Planning Board for its use in evaluating the potential environmental effects of the Combined Project, and BE IT FURTHER RESOLVED, that the Queensbury Town Board hereby authorizes and directs the Town Supervisor to execute any documents and take any other necessary actions to effectuate the terms of this Resolution and further authorizes and directs the Town's Department of Community Development to notify, if and when appropriate, any other Involved Agencies of the Town Board's consent to the Planning Board serving as Lead Agency for SEQRA Coordinated Review of the Combined Project. !Duly adopted this 6th day of May,2013,by the following vote: AYES : Mr. Strough,Mr. Montesi,Mr.Metivier, Mr. Clements NOES : None ABSENT: Mr.Brewer