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L\Pam Whiffing\2008\Zoning B=d_Applicafionz_010708\AREA VARIANCE 5-I6-07.doc AREA VARIANCE APPLICATION REVIEW PROCESS 1. Required Pre-Submission meeting with staff to determine general completeness to be held no later than 1 week prior to deadline day. Call (518) 761-8238 for appointment. 2. Submittal of complete application: 1 original & 14 copies of the application package by monthly deadline. 3. Determination of application completeness. All necessary information must be provided and appropriate fee(s) paid for consideration for placement on an agenda for that month. 4. Incomplete applications will not be considered for placement on any agenda until all missing information has been supplied. 5. Submittal to the Warren County Planning Board, if applicable. 6. Zoning Board meeting, generally the third and fourth Wednesday of each month. You will be advised in writing as to which meeting to attend. 7. Following the meeting, you will be provided with a copy of the resolution stating the Board's decision on your application. If your application was approved, the next likely step is a Building Permit. Final plans/drawings must be provided for the next phase of review. If your application was denied your project cannot proceed as submitted. OCUMENTATION REQUIREMENTS: Please submit 1 original and 14 copies of the completed 41npplication package to include: . Completed Application - pages 1 -9 completed, signed & dated Pre-Submission Meeting Notes - signed by staff • Denial Letter - from the Zoning Administrator • Waiver Request - any request for a waiver from the applicant regarding submission requirements. • Copv of Deed • Survev-stamped, dated & signed ZONING STAFF & CONTACT INFORMATION Craig Brown, Zoning Administrator craigb@queensbury.net Sue Hemingway, Office Specialist (518)761-8238 Visit our website at wvvw.ciueensbury.net for further information and forms. Q,Town of Queensbury • Zoning Office • 742 Bay Road • Queensbury, NY 12804• 518-761-8238 ( 0 ) N:\Barb's Work\FORMS b APPLICATIONS\ZONING BOARD APPS\ZONING-WORD DOCS\AREA VARIANCE 424-07.doc GENERAL INFORMATION Tax Parcel ID number 296.18-1-47 Zoning District •-' HC-INT Detailed Description of Project (include current &proposed use): Applicant is proposing to construct a Walgreens and Chili's Restaurant which require relief from sreEi variancde Location of Project: 820 State Route 9 Will the proposal require a Septic Variance from the Town Board of Health? no If the parcel has previous approvals, list application number(s) Applicant Name: NPA II, LLC Address: 217 Montgomery St. :- Suite 7 Home Phone: Cell., Work Phone: Fax: Email: Applicant's Bartlett, Pontiff, Address: 1 Washington St - PO Box 2168 A ent Name: tewart & Rhodes, PC Glens Falls, New York 12801 Home Phone: Cell: Work Phone: Fax: Email: Owner's Name: same as applicant Address: Home Phone: Cell.• Work Phone: Fax. Email: QTown of Queensbury•Zoning office •742 Bay Road •Queensbury,NY 12804. 518-761-8238 11 ( 1 ) Site Development Data Area /Type Existing sq.ft. Proposed Total sq.ft. Additions A. Building footprint ZQ(p12� �`f ,loZ� Z7i0'�7DS B. Detached Garage C. Accessory Structure(s) D. Paved, gravel or other hard surfaced area qi �� g8r b 3 g 1537 E. Porches/Decks (J`t"� F. Otherj G. Total Non-Permeable [Add A-F] If©rJ- U� (03, Z88 (r 15�14 Z H. Parcel Area 143,560 sq.ft. /acre] I. Percentage of Impermeable Area of Site [I=G/H] Setback Requirements Area Required Existing TProposed Front[1] ZS ' Front[2] Shoreline Side Yard [1) ZnIo' 2 p' ZD1 Side Yard [2] Zvr 2�' ZD , Rear Yard [1] ZS r ZS I ZS_r Rear Yard [2] Travel Corridor N n Height [max] t�112' 404 4� � Permeability °2,bra Z Z °1 Z D`Zv No. of parking spaces I SS} r LI f 14j • Town of Queensbury Planning Office- 742 Bay Road Queensbury,NY 12804 518-761-8220 3 Floor Area Ratio Worksheet •Floor Area Ratio [FAR] is the relationship of building site to lot size dividing the total building square footage by the lot size in square feet, yielding a percentage. The applicable ratios are as follows: Zoning District Symbol Floor Area Ratio[FAR] Waterfront Residential WR-3A 0.22 WR-1A ProfessionalOffice PO 0.22 Highway Commercial Moderate HC-Mod 0.3 Highway Commercial Intensive HC-Int 0.3 Neighborhood Commercial NC-1A 0.22 NC-10 Commercial Industrial CI-1A 0.3 Light Industrial LI-1A 0.3 Heavy Industry HI 0.3 Enclosed Shopping Center ESC-25A See Zoning Administrator Building square footage includes all floors of the primary structure, covered porches, and basements that may be suitable for living space. Detached storage buildings greater than 100 sq. ft. and detached garages are included in the FAR calculations. Building square footage does not include: open decks, •docks and that portion of covered docks extending over the water, and one shed 100 sq. ft. or less. All additional sheds are included in the FAR calculations. Ar&Coveredor Existing Area [sq. ft.] Proposed Area s . ft. Pre Z _ _ 22 r r vin s ace nclosed Dorches Covered docks Guest House A artment Detached Gara e s Shed 1 shed 100 so.ft or less ex t Covered Dock or Boathouse onion on land'_ Other describe A. Lot area: Acres x 43,560 = z B. Total allowable Floor Area =A x see table for value Z ZZD, o C. Existin Floor Area: total from above lines D. Remaining Area: potentially developable=B minus C 2 o2 Uri a E. Proposed Area of Construction Note: if E is larger than D, a variance or revisions to your plan may be needed. Please consult w/Staff. • Town of Queensbury Planning Office- 742 Bay Road • Queensbury,NY 12804. 518-761-8220 4 lease provide maps/plans depicting the following items [if information is-not submitted, an explanation of why must be provided] :A GENERAL SHOWN ON 1 Title,Name,Address of applicant&person responsible for preparation of drawing T )e 2 Deed I 1 3 North arrow,Tax Map ID,date prepared and scale[minimum 1 in.=40 ft.] e- 4 Boundaries of the property plotted to scale,zoning boundary S e& 5 Principal structures,accessory structures with exterior dimensions 8 Site Improvements Incl.outdoor storage areas,driveways,parking areas,etc.: existing 8 proposed C I I +CI,IA 7 Setbacks for all structures and Improvements: existing$proposed C 8 Elevations and floor plans of all proposed and affected structures Z' r I p /1_rr r[1'r5 , 9C lT -, WATER &SEWER l SHOWN ON SHEET# 1 Project sewage disposal facilities,design details,construction details,flow rates,and number of bedrooms proposed i 2 Water supply p.e. welq 8 septic on adjoining l ts o with separotlon distances to existing or proposed on-site water p 2, su I ands 3 Separaticn distances for proposed sewage disposal system to well and water bodies 4 Exisflmlgj public or private water supply[well, lake,etc.]. Method of securing public or private water, location,design and construction of water supk Including daily water usage C 3r I 5 Percolaflon lest location and results •.C. PARKING/PERMEABLE AREAS SHOWN ON SHEET# 1 - Number of spaces required for project including calculations and justification: existing$proposed I ot 2 No. of existing parking spaces, number to be removed, number to maintain and type of surfacing material [e.g., rf ravel, av l� 3 Provision for pedestrian and handicap access and parking: existing$proposed ii 4 Design details of Ingress,egress,loading areas and cutting: existing$proposed l�r/ 5 Location and character ci green areas [existing and proposed], modification to green area, buffer zone to remain W undisturbed 6 Lighting,location and design of all existing and proposed outdoor lightingp, A *N.f.5 D. ADDITIONAL SITE DEVELOPMENT AND MISCi .LANEOUS SHOWN ON SHEET# 1 On-site&adjacent watercourses,streams,rivers,lake and wetlands 2 Utility/energy distribution system[gas,electric,solar,telephone]: existing&_proposed 3 Location,design and construction details of all existing and proposed site Improvements Including: drains,culverts, C4'3 retaining wells.fences,fire&emergency zones and hydrants,etc. 7 4 Square footage of bldg.area proposed for office,manufacturing,retail sales or other commercial activities: existing r ro osed e Signage: Locatlon,size,type,design and setback: existing&proposed C�II�l IV• f Waiver Request: provide letter with application requesting any waivers: please reference specific items g Commercial/Int ustrial Development requires submission of Landscaping, Stormwatar Management, Grading Lighting Plans (I. h Identification of Federal,State or County permits required for the project together with a record of application for all neciessacyp2anits rDe Town of Queensbury Planning Office- 742 Bay Road- Queensbury,NY 12804. 518-761.8220 rj L\Pam Whiting\2008\Zoning Soum Applicafl nS 010708\AREA VARIANCE 5-16-07.q COMPLIANCE WITH ZONING ORDINANCE Requesting relief from SECTION: S,-q2 Need relief from the requirement(s) listed below which can not be met by the project as proposed. (Check all that apply) ❑ Setback ❑ Buffer Zone Lot Width r Other The following questions reflect the criteria for granting this type of variance. Please complete them; use additional sheets if needed. I. Will an undesirable change will be produced in the character of the neighborhood or a detriment to nearby properties will be created by the granting of the area variance? 2. Can the benefit sought by the applicant be achieved by some method, feasible for the applicant to pursue, other than an area variance? 3. Is the requested area variance is substantial? 4. Will the proposed variance will have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district? 5. Is the alleged difficulty self-created? This consideration shall be relevant to the decision of the Zoning Board of Appeals, but shall not necessarily preclude the granting of the area variance. Q Town of Queensbury • Zoning Office • 742 Bay Road- Queensbury, NY 12804 • 518-761-8238 (4 ) COMPLIANCE WITH ZONING ORDINANCE • Requesting Relief from Section: Table 4 Summary of Dimensional/Bulk Requirements Need relief from the requirement(s) listed below which can not be met by the project as proposed: Permeability The following questions reflect the criteria for granting this type of variance. Please complete them; use additional sheets if needed. 1. Will an undesirable change be produced in the character of the neighborhood or a detriment to nearby properties will be created by the granting of the area variance? No, please see cover letter. 2. Can the benefit sought by the applicant be achieved by some method, feasible for the applicant to pursue, other than an area variance? Due to the proposed layout of the Center, this is the only alternative possible. 3. Is the requested area variance substantial? Not when considering the project as a whole and the good that will come of this renovation. 4. Will the proposed variance have an adverse effect or impact on the physical or • environmental conditions in the neighborhood or district? No the only impact will be the revitalization of the Center, which will be positive for the Center as well as the surrounding areas. 5. Is the alleged difficulty self-created? This consideration shall be relevant to the decisions of the Zoning Board of Appeals, but shall not necessarily preclude the granting of the area variance. It may be considered self- created due to the subdivision of the Home Depot parcel, however it should not be considered detrimental to this request. Doc#261942.1 • C\Pom WNt1n9\2008\Zonin9 B=($AppliC0io 010708\AREA VA RIANCE 5-16-07.do DO NOT WRITE ON THIS PAGE: ITEMS TO BE IDENTIFIED BY STAFF DURING PRE-SUBMISSION MEETING You should use this page for guidance when drafting your application: however, it will be completed by a staff member. Submittal of a stamped and signed SURVEY MAP depicting existing and proposed conditions shall include the items as noted below. Failure to include all required information may result in a determination of incompleteness and a delay in the processing of your application. Legend:R IRequired):NA (Not Applicable) R NA GENERAL Title, name, address of applicant & person responsible for preparation of drawing Deed North arrow,Tax Map ID, date prepared and scale (minimum I in. = 40 ft.) Boundaries of the property plotted to scale, zoning boundary Location of principal structures, accessory structures with exterior dimensions Location of site improvements incl. outdoor storage areas, driveways (existing & proposed) parking areas, etc. Setbacks for all structures and improvements Elevations and floor plans of proposed structures WATER&SEWER Location of on-site sewage disposal facilities, design details, construction details, flow rates, and number of bedrooms proposed Location of water supply (i.e.,well) and septic on adjoining lots with separation distances to existing or proposed on-site water supply and septic Separation distances for proposed sewage disposal system to well and water bodies Location and description of existing public or private water supply (well, lake, etc.). Method of securing public or private water, location, design and construction of water supply including daily water usage Percolation test location and results PARKING / PERMEABLE AREAS Number of spaces required for project including calculations and justification Number of existing parking spaces, number to be removed, number to maintain and type of surfacing material (e.g., gravel, paved) Provision for pedestrian and handicap access and parking Location and design details of ingress, egress, loading areas and cutting Location and character of green areas (existing and proposed), modification to green area, buffer zone to remain undisturbed Lighting, location and design of all existing or proposed outdoor lighting Q,Town of Queensbury• Zoning Office • 742 Bay Road • Queensbury, NY 12804 • 518-761-8238 ( 5 ) L\Pom WNting\2008\2onng Bo d_Applicdf M 010708\AREA VARIANCE 5-1"7-doc ADDITIONAL SITE DEVELOPMENT AND MISCELLANEOUS Location of on-site & adjacent watercourses, streams, rivers, lake and wetlands Location of proposed & existing: utility/energy distribution systems (gas, electric,solar, telephone) Location, design and construction of all existing and proposed site improvements including: drains, culverts,retaining walls, fences,fire& emergency zones and hydrants Location and amount/portion of building area proposed for office, manufacturing, retail sales or other commercial activities Signage: Location, size, type, design and setback Waiver Request: provide letter with application requesting any waivers Commercial / Industrial Development requires submission of a Landscaping Plan,Stormwater Management Plan, Grading Plan and a Lighting Plan The Board may request other elements as considered necessary. Identify any Federal, State or County permits required for the project. Please submit record of application for approval status of all necessary permits required from Federal,State and County officials. — Date: / - ��✓ Staff Member:,1444 QTown of Queensbury Zoning Office • 742 Bay Road • Queensbury, NY 12804- 518-761-8238 ( 6 ) Oct 15 08 10:56a Kelly & Dutch 315-478-5241 p•2 "_ __" ___. .�.�.. . •+ fYYrILtl1 YUNI lFf P45E 02/02 LlrOn wrl[J�.'Oar^�'6bW_/IiEN.C.t0LTAV��.'4VM.'C.sO]st SIGNATURE PAGE 7ha page inchrdes the Authorkeoflan to Act as Agent Form. Engineering Fee Disja5vm. AUthorLation for 1 Ste VWTS Other Pem*ResPcAPbWtties and Agreemerd to provide document0fon required. OWNER'S AGeO FORAk Comptate the folbwing if the OWNER of the property is not the same as 1he OPPtcan I Owner NPA IZ LLC oeslgnote[ Bartlett, Pontiff. Stewart & Rhodes, PC +I 1 As agent regm6rg _vorbml. a _9fe Plan _.5ub�an For Tax Mop Na: —Se=9on —Wa --Lot De Reference: __Book `Page Data ed btvNEt SIGNANRe DATE: I - APRIC.ANF'S AGEM FORM f Complete fne tono"n[q if the AppurANF is Imobb to attend the meelirg or vilshes to be represented by another parfr. Owner. Desgnales N agenlfegordGl¢, __Vorance Sft Plan __Subc%Wdan ForTaz Map Ncz _Section _Nock _Lot OWNER SIGNATURE DATE DISF'LOSrJRF AppScaBons may be mlerred to Ise Torn coroofin9 ervIneW far review of sep'c design, ssnel the 7nn'rng or Pfunnin9 DoPcIr^ent. Fees to*s4neO't^9 review seMeas wR be Storm dminaae eta.as dek r*Wd fry rarfew wH rlot esead FIA00 wifidul noRRcaMcsn la the t chorgeddltecsyla"aroleant. Fens fdrersgflwaril9 ( 1 �nsn]R vnTFO YffllS: BY si nln9 lha pope and sub,lMn6 are ePPrccMn mate6o'r otlached Weir,the Owner. APP pad WrIorph er ag�(sj nereby cufhpm P q The Zor" Bod err Plmuirp Board and Town staff to enter the abled prope MM forme pwpose of revkving the apPO=6«s subrtdtted. R FACF f.101F_ other pecNb mar'tJc !nr t:orlsAlretldn�d�pn a�n`�sub>PqutN'd to apprdvC by me apning Board a Plare frg Board. I is ttte appreanirs responsio&y to obtain MW addrimol Peonil- n FriClal MFfnlf�, rnr osCLOSIIB>= R is ale practice df the Cdr*Imtr'BY Derelapment Deft.b hoe a dmigrwled oenogophw tape record the procegcegsof mestoVs msut ln9 tram Mpi=m ; ono erlolutes t cns=lbed from f is boas eoid5Me31hs ofedd record dt t 0 psoceedes9s. ft 1he m h d Oi=MVdnc7 between such retold and the hadseirrn miww toko t N this amfgnasedstenoSaPher.Tree hasdwimm reroutes Shall be deerrled The offdd record. (the undemg Pd,have fherpsr9nJYn:ad and undemfand the @atrla"m for 1S1GrRlaa did agree to the subrr-I ce l teadflalrerds.T adarawtedpe no GanshvCSan cc*des shoT be commenced p*x to lssuome of a v0W pram@. I oerrstY not the cpyTcc^x%p�Wld s M01,fing matelots ere o kue andeampbta t70 M w ee and in candfiorl9 and the work proAa�4 ar+dtno'at wick wF beP to occuP}d'r41f3e p'opoad formyogents ccrfoarlmsce with foci 2onirpre9L0a1bns. 10cWmwkdge i1'ef Pear rasa tndersfvrsd W r mw d to vkle an asbadr .rB obhs"rleesltr3cate otxcuporrcY�necessmY• oc sate eeuponcy. survey by c Ccrlaed tared silrveYs'rr d OaR'1rA'cor151ryrotad tacYRfes pr�� I tyre raw Ltd a;AU4. IGNATURE OF APPL�NT e SIGNATURE OF Date �1tr� .ymi>aI O51m•742 t3cy RaaG-quc ovb=y.NY 12E04'SI8-761-ffi3S (71 e8£-0L £0 S6 100 td FROM WARREN CO SWCD FAX NO. : 5186233519 Oct. 07 2003 02:54PM P2 „RE collly -$off & WATER 51 Elm Street,Warrensburq,NY, 12885 Erna.1 district0n4c0P-r'r.c0m Phone. 518-623-5119 Wcbsite www.warrenswcd.orq fay-519-623-3519 CONSERVATION DISTRICT TO: Jon l.apper,Attorney for Bartlett,Pontiff,Sewwart&Rhodes,PC FROM: Dave Wick, District Manager yA,.4� •-' " DATE: October 7,2003 SUBJECT: Halfway Brook North- Stormwater Sedimentation Project This letter hereby affirms our strong support for the above mentioned project. This project,when complete,will greatly improve upon the stormwater runoff pollution issue: on Halfway Brook,which is a waterway that our office has worked diligently to improve over the past decade. This project is an integral part of the stormwater improvements to Halfway Brook,and we fully endorse the efforts to utilize this land for stormwater runoff improvements. Also,having been involved in this project and its design from its inception, we have a strong interest in reviewing the revised designs before implementation and would appreciate this opportunity. • We look forward to continuing to work with you on this important endeavor. • Warren ( aun#tj iguarb of rrutsnru RESOLUTION NO. 627 OF 2003 Resolution introduced by Supervisors Monroe, Belden, Morrell, Bennett, Brower, O'Connor, Bentley, Tessier and Montesi AUTHORIZING CONVEYANCE OF CERTAIN PROPERTY UNNECESSARY FOR HIGHWAY PURPOSES TO NORTHWAY PLAZA ASSOCIATES, LLC BY QUIT CLAIM DEED WHEREAS, the County of Warren is the reputed owner of certain real property lying and existing adjacent to Route 9 in the Town of Queensbury, consisting of approximately .156 acre, hereinafter referred to as the subject property, and, WHEREAS, Northway Plaza Associates, LLC, reputed owner of property adjacent to the subject property, has asked that Warren County quit claim its interest in the property to Northway Plaza Associates, LLC, and WHEREAS, Joseph DiFabio, P.E., Regional Transportation Maintenance Engineer for the Regional Director of Transportation Region No. 1 , has certified that the property is not necessary for state highway purposes and has recommended the conveyance, and WHEREAS, the Warren County Department of Public Works has advised, by memo dated October 6, 2003, that the Department does not have any need for the subject property, and WHEREAS, in consideration of the conveyance of the subject property and another parcel owned by the State of New York, Northway Plaza Associates, LLC, has agreed to the pay the cost of engineering and construction of a stormwater drainage project, which is of considerable importance to the Warren County Soil and Water Conservation District, and generally beneficial to nearby Halfway Brook, now, therefore, be it RESOLVED, thatthe conveyance, upon recommendation of the County Attorney, is considered a Type 2 action under SEQRA, since only a conveyance of property is yTt x` 03 UTION NO, 627 OF 20 RESOL page Z Continued referred to hereinabove will be subject to review by other governmental agencies, and 5`.f be it further RESOLVED, that the Warren County Board of Supervisors hereby determines that considering the information provided by the New York State Department of Transportation and the Warren County Department of Public Works, that the subject property is not needed for highway and/or department purposes,and considering the size and location of the parcel, it is hereby determined that the subject property is not needed for any other county purpose, and be it further RESOLVED, that the Warren County Board of Supervisors hereby further determines that the aforementioned drainage project to be undertaken by Northway Plaza Associates, LLC, will be beneficial to the environment and particularly Halfway Brook, and hence to the County of Warren, and therefore is adequate consideration for the conveyance, and be it further RESOLVED, that tha r h� •^ ^^ ^` " STATE OF NEW yORK ) )ss.: COUNTY OF WARREN ) do hereby certify that I ervisors of the County of Warren, the Board adopted by 1,)OAN PARSONS,Clerk,of the Board of Sup m day of October, 2003. and the whole thereof ork onsthe 17n duly the foregoing is a true and correct Lake George, of Supervisors of the County hand and affixed the official seal of the Board o IN WITNESS WHEREOF, I have hereunto set my Supervisors on this 17th day of October, 2003. O„ Clerk, B and of Supervisors W 0 unty APPLICATION TO PURCHASE SURPLUS PROPERTY NEW YORK STATE AL ESTATE DIVISION OFTRANSPORTATION Region No. Surplus Property References No. I(we)hereby make application to purchase a portion of publicly-owned lands(including access rig the New York State Department of Transportation. My name.address and telephone number are as follows: Name: Northway Plaza Associates, LLC Address: 217 Montgomery Street, Suite 700 Syracuse, New York 13202 State Zip CityTelephone No.: 315-422-3356 William M. Dutch The property is located more specifically as follows: County: Warren Highway RouteNo.: oad and NYS Route 9 Approximate Size: 6,791 sq. ft. Describe parcel's current relationship to highway:(which side of highway,approximate shape,why parcel is believedtobeexcess-includeasketchifappropriate). (See Attached) I (we)understand that the Department will make a preliminary review to determine ownership,existi highway boundaries and the possibility of declaring the parcel to be surplus.To assist with the review,I(we) understand that where substantial investigation is require,a$95 administrative fee wil I be charged and that th payment will not be refunded, nor will it be applied toward the purchase price if the parcel is subsequently de to be surplus to the Department's needs. Lastly,I understand that it is the Department's policy to offer all surplus properties publicly(unless i constrained by law from doing so) and that I(we)ma be required to purchase the property through a public I process. NORT Y PLAZ OCI S, LLC William M. Dutc Date �,30-c7 Signature lar sized parcel is located on the east side of NYS Route 9. The parcel is being The purchased p purpose of filtering and • purchased to construct a stormwater treatment basin which will serve the pure g infiltrating the stormwater which currentlyruns untreated down the Glen Street high(NyS Route 9) into Halfway Brook. • • 1 I 617.20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM •PURPOSE: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequently, there are aspects of a project that are subjective or immeasurable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action. FULL EAF COMPONENTS: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data,it assists a reviewer in the analysis that takes place in Part 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially-large impact. The form also identified whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large,than Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions • Identify the Portions of EAF completed for this project: ®Part I ❑Part 2 ❑Pan 3 Upon review of the information recorded on this EAF(Parts 1, 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore, a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required,therefore,a CONDITIONED negative declaration will be prepared.*. ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore,a positive declaration will be prepared. *A Conditioned Negative Declaration is only valid for Unlisted actions. NAME OF ACTION NAME OF LEAD AGENCY PRINT OR TYPE NAME OF RESPONSIBLE OFFICER IN LEAD AGENCY TITLE OF RESPONSIBLE OFFICER SIGNATURE OF RESPONSIBLE OFFICER IN LEAD AGENCY SIGNATURE OF PREPARED(IF DIFFERENT FROM RESPONSIBLE OFFICER) Date 2 e PART I—PROJECT INFORMATION PREPARED BY PROJECT SPONSOR • Notice: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies,research or investigation. If information requiring such additional work is unavailable,so indicate and specify each instance. NAME OF AcrION: Walgreens Pharmacy&Chili's Restaurant LOCATION OF ACTION: Northway Plaza,Town of Queensbury,Warren County include suwt addtass mmici ali and Coup NAME OF APPLICANT/SPONSOR: Clough,Harbour&Associates LLP 315-471-3920 BDstNEss TELEPHONE WNAmEOF0WNER(1FD1FgFERENT): S acuse0315-�671-1500 ADDRESS CITY/POP TY Falls Bridge Development,LLC E.S acuse57STREET ADDRESS CrTY/POP DESCRIPTION OF ACTION: Creation of approximately 14,550 sq.ft.Walgreens Pharmacy&5,500 sq.ft.Chili s Restaurant located at the comer of NYS Route 9 and Quaker Road in the Town of Queensbury,NY. The scope of work will include the buildings,parking, utilities and drainage. • Please complete each question—Indicate N.A.if not applicable. A. SITE DESCRIPTION Physical setting of overall project,both developed and undeveloped areas. 1. Present land use: ❑Urban ❑Industrial ®Commercial ❑Residential(suburban) ❑Rural(non-farm) ❑Forest ❑Agriculture ❑ Other 2. Total acreage of project area: 34 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland(Non-agricultural) 0.86 acres 0.41 acres Forested 0 acres 0 acres Agricultural(includes orchards,cropland,pasture,etc.) 0 acres 0 acres Wetland(Freshwater or tidal as per Articles 24,25 of ECL) 0 acres 0 acres Water Surface Area 0 acres 0 acres Unvegetated(Rock, earth or fill) 0 acres 0 acres Roads,buildings and other paved surfaces 22.44 acres 23.76 acres Other(Indicate type)Landscaping/Greenspace 11_74 acres 9.83 acres 3. What is predominant soil type(s)on project site? Udorthents a. Soil drainage: ® well drained 100%of site ❑Moderately well drained 100%of site ❑Poorly drained_%of site • b. If any agricultural land is involved, how many acres of soil are classified within soil group I through 4 of the NYS Land Classification System? _Acres(See 1 NYCRR 370).: 3 4. Are there bedrock outcroppings on project site? ❑ Yes Z No. a. What is depth to bedrock? (in feet): 5. Approximate percentage of proposed project site with slopes? • ® 0-10% 83 % ® 10-15% 15 % Z 15% or greater 2 %. 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? ❑ Yes ® No 7. Is project substantially contiguous to,to a site listed on the Register of National Natural Landmarks? ❑ Yes Z No 8. What is the depth of the water table: 13'-23' (in feet) 9. Is the site located over a primary,principal,or sole source aquifer? ❑ Yes ® No. 10. Do hunting,fishing or shall fishing opportunities presently exist in the project area? ❑Yes ®No. 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑ Yes ® No. According to: Site has existing commercial development. Identify each species: 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations)? ❑ Yes ®No. Describe: 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ❑Yes ®No. If yes,explain: • 14. Does the present site include scenic views known to be important to the community? ❑Yes ®No. 15. Streams within or contiguous to project area? No . 16. Lakes,ponds,wetland areas within or contiguous to project area? Name: Size(in aces) acres) Name: Size(in Name: Size(in acres) 17. Is the site served by existing public utilities? ® Yes ❑No. a. If yes,does sufficient capacity exist to allow connection: ®Yes ❑No. b. If yes,will improvements be necessary to allow connection: ®Yes ❑ No. 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25- AA, Section 303 and 304? ❑ Yes ®No. 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ❑Yes ®No. 20. Has the site ever been used for the disposal of solid or hazardous wastes? []Yes ® No. B. PROJECT DESCRIPTION 1. Physical dimensions and scale of project(fill in dimensions as appropriate). a. Total contiguous acreage owned or controlled by project sponsor 34+/-acres. b. Project acreage to he developed: 11.90+/-acres initially; 11.90+/-acres ultimately. • C. Project acreage to remain undeveloped 22.10 acres. d. Length of project, in miles: NA (if appropriate). e. If the project is an expansion, indicate percent of expansion proposed NA % f. Number of off-street parking spaces existing 1,477 ;proposed 1,567. g. Maximum vehicular trips generated per hour 250+/- (upon completion of project). 4 h. If residential, number and t of houI one Twosing units: fSM laitially 0 1 01 0 p 1 0 1 0 1 0 • i. Dimensions(in feet)of largest proposed structure 32_50 height; 114 width; 130 length. j. Linear feet of frontage along a public thoroughfare project will occupy is? 319 R. 2. How much natural material(i.e.,rock,earth,etc.)will be removed from the site? 0 Tons/cubic yards. 3. Will disturbed areas be reclaimed: ®Yes ❑ No ❑N/A a. If yes,for what intended purpose is the site being reclaimed? Grading of site b. Will topsoil be stockpiled for reclamation? ®Yes ❑ No c. Will upper subsoil be stockpiled for reclamation? ®Yes ❑ No 4. How many acres of vegetation(trees, shrubs,ground covers)will be removed from site? 0.41 acres. 5. Will any mature forest(over 100 years old)or other locally-important vegetation be removed by this project? ❑ Yes ® No 6. If single phase project: Anticipated period of construction 44=5 months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated NA (number). b. Anticipated date of commencement phase 1 _month_year,(including demolition). c. Approximate completion date of final phase month_year. d. Is phase 1 functionally dependent on subsequent phases? ❑ Yes ❑No 8. Will blasting occur during construction? ❑Yes ®No 9. Number of jobs generated: during construction? 60 ; after project is complete? 40 10. Number of job eliminated by this project? 0 • 11. Will project require relocation of any projects or facilities: ❑Yes ® No If yes,explain 12. Is surface liquid waste disposal involved? ❑ Yes ®No a. If yes, indicate type of waste(sewage, industrial,etc.)and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? ❑ Yes ® No Type: 14. Will surface area of an existing water body increase or decrease by proposal? ❑ Yes ® No Explain: 15. Is project,or any portion of project, located in a 100 year flood plain? ❑Yes ® No 16. Will the project generate solid waste? ® Yes ❑No a. If yes,what is the amount per month? 0.4-0.5 Tons. b. If yes,will an existing solid waste facility be used: ®Yes ❑No c. If yes,give name Town of Oueensbury Transfer Station. ;location Corinth Rd.,Oueensburv.NY d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ❑ Yes ®No e. If yes,explain:_ 17. Will the project involve the disposal of solid waste: ❑ Yes ®No. a. If yes, what is the anticipated rate of disposal: tonstmonth. b. If yes, what is the anticipated site life: years. 18. Will project use herbicides or pesticides? ❑ Yes ® No. 19. Will project routinely produce odors(more than one hour per day)? ❑Yes ® No • 20. Will project produce operating noise exceeding the local ambient noise levels? ❑ Yes ® No 21. Will project result in an increase in energy use? ❑ Yes Z No If yes, indicate type(s) ' r 5 22. If water supply is from wells, indicate pumping capacity_gallons/minute 23. Total anticipated water usage per day 1,600 gallons/day. • 24. Does project involve Local, State or Federal funding? ❑ Yes ® No If yes,explain— 25. Approvals Required: T e Submittal Date` City,Town,Villa a Board Yes ® No City,Town,Village Ping.Board ® Yes No Site Plan Review City,Town,Zoning Board Yes No Greens ace& Sign Variance City,County Health Department ❑ Yes No Water Service Application Other Local Agencies Yes ® No Other Regional Agencies ® Yes No Warren Coun PB State Aizencies Yes No NYS DOT,NYS DEC Federal Agencies Yes No C. ZONING and PLANNING INFORMATION 1. Does proposed action involve a planning or zoning decision? ®Yes ❑ No ) es, indicate decision re wired: zonin amendment ®zonin vaziance s ecial use ermit subdivision site lam new/revision of master plan I LJ resource managementplan I Other: 2. What is the zoning classification(s)of the site? C-Commercial 3. What is the maximum potential development of the site if developed as permitted by the present zoning? N/A 4. What is the proposed zoning of the site? same • 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? same 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ® Yes ❑ No 7. What are the predominant land use(s)and zoning classifications within a t/4 mile radius of proposed action? Commercial Residential&Undeveloped S. Is the proposed action compatible with adjoining/surrounding land uses within a t/4 mile? ® Yes ❑No 9. If the proposed action is the subdivision of land,how many lots are proposed? a. What is the minimum lot size proposed? 10. Will proposed action require any authorization(s)for the formation of sewer or water districts? ❑ Yes ®No 11. Will the proposed action create a demand for any community provided serviced (recreation, education, police, fire protection)? ❑Yes ®No a. If yes,is existing capacity sufficient to handle projected demand? ❑Yes ❑ No 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑ Yes ® No a. If yes, is the existing road network adequate to handle the additional traffic? ❑ Yes ❑No D. INFORMATIONAL DETAILS Attach any additional information as may be needed to clarify your project. If there are, or may be, any adverse impacts associated with your proposal, please discuss such impacts and measures which you propose to mitigate or • avoid them. 6 E. VERIFICATION I certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor a e: Cl o h,Harbour&Associates LLP Date: October 5,2 08 • Signature: �r t !n ��(g Title: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. • • 7 PART 2—PROJECT IMPACTS AND THEIR MAGNITUDE RESPONSIBILITY OF LEAD AGENCY • GENERAL INFORMATION(Read Carefully) ■ In completing the form, the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. ■ The examples provided are to assist the reviewer by showing types of impacts and, wherever possible, the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential large Impact response, thus requiring evaluation in Part 3. ■ The impacts of each project,on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. ■ The number of examples per question does not indicate the importance of each question. ■ In identifying impacts,consider long term, short term and cumulative effects . INSTRUCTIONS(Read Carefully) a. Answer each of the 20 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question, check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur, but threshold is lower than example,check column 1. • d. Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. e. If reviewer has doubt about size of the impact,then consider the impact as potentially large and proceed to PART 3. f. If a potentially large impact checked in column 2 can be mitigated by change(s)in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. I ? 3 Small to Potential Can Impact be Moderate Large Mitigated by Ira act Impact Pict Chan e IMPACT ON LAND 1. Will the proposed action result in a physical change to the project site? ❑ Yes ❑ No Examples that would apply to column 2: ■ Any construction on slopes of 15% or greater, (15 foot rise per 100 foot of length),or where the general slo es in the project area exceed 10%. ❑ ❑ ❑ Yes ❑ No ■ Construction of paved parking area for 1,000 or more vehicles. nE ■ Construction of land where the depth to the water table is less than 3 feet. ■ Construction on land where bedrock is exposed or generally within 3 feet of existingground surface. ❑ ❑ Ye ■ Construction that will continue for more than 1 year or involve more than one phase or stage. ❑ ❑ ■ Excavation for mining purposes that would remove more than 1,000 ton;-of- natural material(i.e.,rock or soil)per year. ❑ ❑ ❑ Yes ❑ No ■ Construction or expansion of a sanitary landfill. El Yes No ■ Construction in a desi ated floodwa . Yes No • ■ Other impacts: ❑ ❑ Yes Ll No 2. Will there be an effect to any unique or unusual land forms found on the site? (i.e.,cliffs,dunes,geological formation,etc.) ❑ Yes ❑No 0 Specific land forms: Yes ❑No 8 1 2 3 small to Potential Can Impact be Moderate Large Mitigated by Im act Im act Project Change • 3. Will proposed action affect any water body designated as protected? (Under articles 15,24,25 of the Environmental Conservation Law,ECL) ❑ Yes ❑No Examples that would apply to column 2: ■ Developable area of site contains a protected water body. ElYes El No ■ Dredging more than 100 cubic yards of material from channel of a protected stream. ❑ ❑ ❑Yes ❑ No ■ Extension of utility distribution facilities throu h a protected water bod T1 Yes 0 No ■ Construction in a designated freshwater or tidal wetland. ❑ El Yes LJ No ■ Other impacts: ❑ ❑ Yes No 4. Will proposed action affect any non-protected existing or new body of water? ❑ Yes ❑No Examples that would apply to column 2: ■ A 10%increase or decrease in the surface area of any body of water or more than a 10 acre increase or decrease. ❑ ❑ ❑Yes ❑No ■ Construction of a body of water that exceeds 10 acres of surface area. Yes No ■ Other—impacts: ❑ --0 Yes El No 5. Will Proposed Action affect surface or groundwater quality or quantity? ❑Yes ❑No Examples that would apply to column 2: ■ Proposed action will require a discharge permit. Yes No ■ Proposed action requires use of a source of water that does not have approval to serve proposed(project)action. ❑ ❑ ❑ Yes ❑ No ■ Proposed action requires water supply from wells with greater than 45 gallons per minute pumping capacity. ❑ ❑ ❑ Yes ❑No ■ Construction or operation causing contamination of a water supply s stem. ❑ Yes No ■ Proposed action will adversely affect groundwater. rl Yes rl No ■ Liquid affluent will be conveyed off the site to facilities which presently do not exist or have inadequate capacity. ❑ ❑ ❑Yes ❑ No • ■ Proposed action would use water in excess of 20,000 gallons per da . El Yes F1 No ■ Proposed action would likely cause siltration or other discharge into an existing body of water to the extent that there will be an obvious visual contrast to natural conditions. ❑ ❑ ❑Yes ❑No ■ Proposed action will require the storage of petroleum or chemical products eater than 1,100 gallons. El [I ❑Yes ❑ No ■ Proposed action will allow residential uses in areas without water and/or sewer services. ❑ ❑ ❑Yes ❑No ■ Proposed action locates commercial and/or industrial uses which may require new or expansion of existing waste treatment and/or storage facilities. ❑ ❑ ❑ Yes ❑No ■ Other' acts: Yes No 6. Will proposed action alter drainage flow or patterns,or surface water runoff: ❑Yes ❑No Examples that would apply to column 2: ■ Proposed action would change flood water flows. Yes No ■ Proposed action ma cause substantial erosion. Yes No ■ Proposed action is incompatible with existing ❑drainage patterns. Yes No ■ Proposed action will allow development in a designated floodwa . Yes No ■ Other impacts: IMPACT ON AIR 7. Will proposed action affect air quality? ❑Yes No Examples that would apply to column 2: ■ Proposed action will induce 1,000 or more vehicle trips in any given hour. Yes No ■ Proposed action will result in the incineration of more than 1 ton of refuse per hour. ❑ ❑ ❑ Yes ❑No ■ Emission rate of total contaminants will exceed 5 lbs. per hour or a heat • source producing more than 10 million BTU`s per hour. ❑ ❑ ❑Yes ❑No ■ Proposed action will allow an increase in the amount of land committed to industrial use. El ❑ ❑Yes ❑No ■ Proposed action will allow an increase in the density of industrial development within existing industrial areas. ❑ ❑ ❑ Yes ❑No ■ Other impacts: Yes No 9 1 2 Small to Potential Can Impact be Moderate large Mitigated by Im act lro act Prn'ect Chan c IMPACT ON PLANTS AND ANIMALS • 8. Proposed action affects any threatened or endangered species? ❑Yes ❑No Examples that would apply to column 2: ■ Reduction of one or more species listed on the New York or Federal list, using the site,over or near site,or found on the site. ❑ ❑ ❑Yes ❑ No ■ Removal of any portion of a critical or significant wildlife habitat. Yes El No ■ Application of pesticide or herbicide more than twice a year, other than for agricultural purposes. ❑ ❑ ❑ Yes ❑No ■ Other impacts: Yes No 9. Will Proposed action substantially affect non-threatened or non-endangered s ecies? ❑Yes ❑No Exam les that would apply to column 2: ■ Proposed action would substantially interfere with any resident or migratory fish,shellfish or wildlife species. ❑ ❑ ❑Yes ❑ No ■ Proposed action requires the removal of more than 10 acres of mature forest (over 100 years of age)or other locall im ortant vegetation. ❑ ❑ ❑ Yes ❑ No llHPACT ON AGRICULTURAL LAND RESOUICES l0. Will the Proposed action affect agricultural land resources? LJYes ❑ No Examples that would apply to column 2: ❑ ❑ ❑Yes ❑No ■ Proposed action would sever, cross or limit access to agricultural land (includes cropland,hayfields,pasture,vineyard,orchard,etc.) ❑ ❑ ❑Yes ❑No ■ Construction activity would excavate or compact the soil profile of agricultural land. ❑ ❑ ❑Yes ❑No ■ Proposed action would irreversibly convert more than 10 acres of agricultural land or if located in an Agricultural District, more than 2.5 acres of agricultural land. ❑ ❑ ❑Yes ❑ No ■ Proposed action would disrupt or prevent installation of agricultural land • management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g., cause a farm field to drain poorly due to increased runoff. ❑ ❑ [-]Yes ❑No ■ Other impacts: IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources? ❑Yes ❑ No (if necessary, use the Visual EAF Addendum in Section 617.20, Appendix B.) Examples that would apply to column 2: ■ Proposed land uses, or project components obviously different from, or in sharp contrast to current surrounding land use patterns, whether man-made or natural. ❑ D ❑Yes ❑ No ■ Proposed land uses or project components visible to users of aesthetic resources which will eliminate, or significantly reduce, their enjoyment of the aesthetic qualities of that resource. ❑ ❑ [-]Yes ❑No ■ Proposed components that will result in the elimination, or significant screening,of scenic views known to be important to the area. ❑ ❑ [-] Yes [-]No ■ Other impacts: ❑ Yes No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES ' 12. Will proposed action impact any site or structure of historic, pre-historic or paleontological importance? ❑Yes ❑No Examples that would ap2ly to column 2: ■ Proposed action occurring wholly or partially within or substantially contiguous to any facility or site listed on the State or national Register of historic places. ❑ ❑ ❑Yes ❑No ■ Any impact to an archaeological site or fossil bed located within the project site. ❑ ❑ [-] Yes [-]No • ■ Proposed action will occur in an area designated as sensitive for archaeological sites on the NYS Site Inventory. ❑ I ❑Yes ❑No ■ Other impacts: Li Yes LJ No 10 t 2 3 small to Potential Can Impact be Moderate Large Mitigated by Im act Im ct Project Change IMPACT ON OPEN SPACE AND RECREATION • 13. Will proposed action affect the quantity of quality of existing or future open spaces or recreational opportunities? ❑Yes ❑No Examples that would apply to column 2: ■ The permanent foreclosure of a future recreational o ortunit . ❑ ❑ Yes No ■ A major reduction of an open space important to the community. ❑ ❑ Yes Lj No ■ Other impacts: ❑ I ❑ ❑ Yes ❑ No IMPACT ON CRITICAL ENVIRONMENTAL AREAS 14. Will proposed action impact the exceptional or unique characteristics of a critical environmental area (CEA) established pursuant to subdivision 6 NYCRR 617.14(g)? [-]Yes ❑ No. List the environmental characteristics that caused the designation of the CEA.: Examples that would apply to column 2: ■ Proposed action to locate within the CEA. ❑ ❑ ❑ Yes ❑No ■ Proposed action will result in a reduction in the uantit of the resource. ❑ ❑Yes No ■ Proposed action will result in a reduction in the qualityof the resource. ❑Yes No ■ Proposed action will impact the use, function or enjoyment of the resource. Yes No ■ Other impacts: ❑ ❑ ❑Yes No IMPACYON TRANSPORTATION 15. Will there be an affect to existing transportation systems? Yes ❑No. Examples that would apply to column 2: ■ Alteration of present patterns of movement of Eeople and/or goods. ❑Yes No ■ Proposed action will result in major traffic problems. Li UYes No ■ Other impacts: Li ❑ ❑ Yes ❑ No • IMPACT ON ENERGY 16. Will proposed actio m n affect the comunity's sources of fuel or energy sup1 ? ❑Yes ❑No. Examples that would apply to column 2: ■ Proposed action will cause a greater than 5%increase in the use of any form of energy in the municipality. ❑ ❑ [:]Yes ❑No ■ Proposed action will require the creation or extension of an energy transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. ❑ ❑ ❑Yes ❑No ■ Other impacts: El Yes El No NOISE AND ODOR IMPACTS 17. Will there be objectionable odors, noise, or vibrations as a result of the Proposed Action? ❑Yes ❑No.Examples that would apply to column 2: ■ Blasting within 1,500 feet of a hos ital, school or other sensitive facility. Yes No ■ Odors will occur routinely(more than one hour per day). LlYes Lj No is Proposed action will produce operating noise exceeding the local ambient noise levels for noise outside of structures.. ❑ ❑ El Yes ❑No ■ Proposed action will remove natural barriers that would act as a noise screen Yes No ■ Other impacts: ❑ ❑ Yes ❑No IMPACT ON PUBLIC HEALTH- ill. Will Proposed action affect public health and safety? Yes ❑ No. Examples that would apply to column 2: ■ Proposed action may cause a risk of explosion or release of hazardous substances (i.e., oil, pesticides, chemicals, radiation, etc.) in the event of accident or upset conditions, or there may be a chronic low level discharge or emission. ❑ ❑ ❑ Yes ❑No ■ Proposed action may result in the burial of"hazardous wastes" in any form yes No • (i.e.toxic,poisonous,highly reactive,radioactive, irritatin ,infectious,etc.) ❑ ❑ ❑ ❑ ■ Storage facilities for one million or more gallons of liquefied natural gas or ❑ ❑ ❑Yes ❑No other flammable liquids. ■ Proposed action may result in the excavation or other disturbance within 2,000 feet of a site used for the disposal of solid or hazardous waste. ❑ ❑ ❑Yes ❑No ■ Other impacts: Yes Lj No ll 2 g 1h:npact Potential Can Impact be e Large Mitigated by Im act Pro ect Chan^e IMPACT ON GROWTH AND CHARACTER • OF COMMUNITY OR NEIGHBORHOOD 19. W ill Proposed action affect the character of the existing community: El El ❑yes ❑No [:]Yes ❑ No. Examples that would apply to column 2: ■ The permanent population of the city,town or village in which the project is ❑ ❑ ❑yes ❑No located is likely to grow by more than 5%. ■ The municipal budget for capital expenditures or operating services will ❑ ❑yes [:]No increase b more than 5% er year as a result of this ro'ect. ❑ ❑ y� No ■ The Pro osed action will conflict with officiall ado ted lans or oals. ❑ LJ yes No ■ The Pro osed action will cause a than a in the density of land use. ■ The Proposed action will replace or eliminate existing facilities,structures or ❑ ❑ []Yes [:]No areas of historic im ortance to the comm unit . ■ Development will create a demand for additional community services (e.g., ❑ ❑ ❑ yes ❑No schools, police,fire,etc.). Yes ❑ No ■ Pro osed action will set an important precedent for futurero'ects. ❑ Yes No ■ Pro osed action will create or eliminate em to went. Yes No ■ Other' acts: 20. Is there, or is there likely to be, public controversy related to potential adverse environmental ' acts? ❑Yes ❑No If any action in Part 2 is identified as a potential large impact, or if you cannot determine the magnitude of impact,proceed to Part 3. • P 12 • PART 3—EVALUATION OF THE IMPORTANCE OF IMPACTS RESPONSIBILITY OF LEAD AGENCY • Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions: Discuss the following for each impact identified in column 2 of Part 2: 1. Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available,decide if it is reasonable to conclude that this impact is important. To answer the question of importance,consider: • The probability of he impact occurring • The duration of the impact • Its irreversibility,including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether known objections to the project relate to this impact (Continue on attachments) •