3.12 3.12
NON-SIGNIFICANCE\Consent to Plaminig Board Lead Agent—Maurice Combs Project—4-6-15
RESOLUTION CONSENTING TO QUEENSBURY PLANNING BOARD
BEING DESIGNATED AS LEAD AGENCY REGARDING MAURICE
COMBS CORINTH ROAD SUBDIVISION APPLICATION 6-2015 AND
AREA VARIANCE APPLICATION 11-2015
RESOLUTION NO. ,2015
INTRODUCED BY:
WHO MOVED ITS ADOPTION
SECONDED BY:
WHEREAS, the Town of Queensbury is in receipt of a Full Environmental Assessment Form
relating to Planning Board Subdivision Application 6-2015/Zoning Board of Appeals Variance
Application 11-2015 submitted by Maurice Combs concerning the proposed subdivision of a 9.24 acre
parcel located at 636 Corinth Road, Queensbury, New York into seven (7) lots and the extension of
the Town's Water District to encompass such area, such project referred to as the Combs Corinth
Road Subdivision(the"Project"), and
WHEREAS, since the Project requires both variances and Site Plan Review approval by the
Town's Zoning Board of Appeals and Planning Board, the Planning Board, as the official agency in
this instance to review environmental assessment concerns within the Town, has concluded that it is the
most involved agency and should be Lead Agency for the purposes of State Environmental Quality
Review Act (SEQRA)review relating to the Project, and
WHEREAS, the Town Planning Board has accordingly notified the Queensbury Town Board
that the Planning Board is seeking lead agency status in accordance with SEQRA and has requested
that the Town Board consent to the Planning Board being designated as Lead Agency, and
WHEREAS, the Town Board wishes to provide such consent,
NOW, THEREFORE, BE IT
RESOLVED, that the Queensbury Town Board hereby authorizes, directs and consents to the
Planning Board acting as Lead Agency for SEQRA review of the proposed subdivision of a 9.24 acre
parcel located at 636 Corinth Road, Queensbury, New York known as the Combs Corinth Road
Subdivision and Water District Extension(the"Project")referred to in the preambles of this Resolution
and authorizes and directs the Town Supervisor to execute such consent 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 any other involved agencies of this determination.
Duly adopted this 6h day of April, 2015, by the following vote:
AYES
NOES
ABSENT:
Town of Queensbury
Community Development Office
742 Bay Road, Queensbury,NY 12804
Town of Queensbury Planning Board
Request for Lead Agency Status
Subdivision 6-2015 & Area Variance 11-2015 Maurice Combs
Tax Map ID 308.18-1-1 / Property Address: 636 Corinth Road
March 18, 2015
To those listed:
The Town of Queensbury is in receipt of the hereto-attached long environmental assessment form (EAF) for
Applicant proposes subdivision of a 9.24 acre parcel into 7 lots ranging in size from 1.01 to 1.45 acres.
Subdivision: Pursuant to Chapter A-183 of the Zoning Ordinance subdivision of land shall be subject to Planning
Board review and approval. Variance: Relief requested from lot size requirements of the MDR zone.
The project is a Type I action.
The application requires a subdivision and variance review by the Town of Queensbury Planning Board & Zoning
Board of Appeals. Thus, the Town Planning Board, as the official agency, in this instance, to review
environmental assessment concerns within the Town of Queensbury has concluded that it is the most involved
agency and should be lead agency for the purposes of the State Environmental Quality Review Act (SEQR)
review.
Accordingly, this memorandum constitutes notice that the Town of Queensbury Planning Board is seeking lead
agency status pursuant to SEQRA. If you agency is considered to be an involved agency under Part 617 of Title 6
NYCRR and if you agency consents to the Planning Board being designated as lead agency, please indicate by
signing the attached sheet, and return this form to
Craig Brown, Director of Planning & Zoning
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
You have thirty (30) days from the date of this notice to object to this notice /designation. Thank you.
To: Town of Queensbury Town Board
Town of Queensbury Zoning Board of Appeals
NYS Department of Environmental Conservation
NYS Department of Health
Phone: 518.761.82201 Fax: 518.745.4437 1 742 Bay Road,Queensbury,NY 12804 1 www.queensbury.net
• Town of Queensbury
Community Development Office
742 Bay Road, Queensbury,NY 12804
Town of Queensbury Planning Board
RESOLUTION - SEEK LEAD AGENCY STATUS IN CONNECTION WITH
SUBDIVISION 6-2015 & AREA VARIANCE 11-2015 MAURICE COMBS
Tax Map ID 308.18-1-1 /Address: 636 Corinth Road
WHEREAS, the applicant proposes subdivision of a 9.24 acre parcel into 7 lots ranging in size from 1.01 to 1.45
acres. Subdivision: Pursuant to Chapter A-183 of the Zoning Ordinance subdivision of land shall be subject to
Planning Board review and approval. Variance: Relief requested from lot size requirements of the MDR zone.
Planning Board may conduct SEQR review and provide a recommendation to the Zoning Board of Appeals.
WHEREAS, the Planning Board of the Town of Queensbury has determined to begin an environmental review
process under the State Environmental Quality Review Act (SEQRA).
WHEREAS, the Planning Board of the Town of Queensbury has identified the project to be a Type 1 action for
purposes of SEQR review pursuant to 6 NYCRR 617.
WHEREAS, the Planning Board is the agency most directly responsible for approving the action because of its
responsibility for approving the land uses for the property.
NOW, THEREFORE BE IT RESOLVED, the Planning Board of the Town of Queensbury hereby indicates its desire to
be lead agency for SEQRA review of this action and authorizes and directs the Zoning Administrator to notify
any other potentially involved agencies of such intent. That Part I of the SEQRA form will be sent to the
following agencies: Town of Queensbury Town Board, Town of Queensbury Zoning Board of Appeals; NYS
Department of Environmental Conservation, NYS Department of Health.
MOTION TO SEEK LEAD AGENCY STATUS IN CONNECTION WITH THE SUBDIVISION OF 6-2015 AND AREA
VARIANCE 11-2015 FOR MAURICE COMBS, Introduced by Brad Magowan who moved for its adoption, seconded
by Stephen Traver:
Per the draft resolution provided by Staff.
Duly adopted this 17th day of March, 2015, by the following vote:
AYES: Mr. Deeb, Mr. Ferone, Ms. White, Mr. Magowan, Mr. Traver, Mr. Hunsinger
NOES: NONE
ABSENT: Mr. Ford
Cc: Hutchins Engineering; McPhillips Fitzgerald Cullum
Phone: 518.761.82201 Fax: 518.745.4437 1 742 Bay Road.Queensbury,NY 128041 www.queensbury.net
Town of Queensbury
\\ Community Development Office
742 Bay Road, Queensbury, NY 12804
Town of Queensbury Planning Board
Request for Lead Agency Status
Subdivision 6-2015 Maurice Combs
636 Corinth Road
DATE: March 18, 2015
RE: Request for Lead Agency Status
Subdivision 6-2015 Maurice Combs
Tax Map ID 308.18-1-1 / Property Address: 636 Corinth Road
The consents to the designation of the Town of
Queensbury Planning Board as lead agency for the above project.
Name / Title of Official:
Date:
Phone: 518.761.8220 I Fax: 518.745.4437 1 742 Bay Road.Queensbury,NY 12804 I www.queensbury.net
Full Environmental Assessment Form
Part 1 -Project and Setting
Instructions for Completing Part 1
Part 1 is to be completed by the applicant or project sponsor. Responses become part of the application for approval or funding,
are subject to public review,and may be subject to further verification.
Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to
any item,please answer as thoroughly as possible based on current information; indicate whether missing information does not exist,
or is not reasonably available to the sponsor; and,when possible,generally describe work or studies which would be necessary to
update or fully develop that information.
Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that
must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the
answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any
additional information. Section G requires the name and signature of the project sponsor to verify that the information contained in
Part I is accurate and complete.
A.Project and Sponsor Information.
Name of Action or Project:
COMBS CORINTH ROAD SUBDIVISION
Project Location(describe,and attach a general location map):
636 CORINTH ROAD,TOWN OF QUEENSBURY,WARREN COUNTY
Brief Description of Proposed Action(include purpose or need):
REMOVAL OF EXISTING SINGLE-FAMILY RESIDENCE;DEVELOPMENT OF 7-LOT RESIDENTIAL SUBDIVISION;EXTENSION OF TOWN
OF QUEENSBURY WATER DISTRICT TO ENCOMPASS ENTIRE PROJECT AREA
Name of Applicant/Sponsor: Telephone: (518)792-5758
MAURICE COMBS E-Mail:
Address:
96 VANDUSEN ROAD
City/PO: State: Zip Code:
QUEENSBURY NY 12804
Project Contact(if not same as sponsor;give name and title/role): Telephone:
E-Mail:
Address:
City/PO: State: Zip Code:
Property Owner (if not same as sponsor): Telephone:
E-Mail:
Address:
City/PO: State: Zip Code:
Page 1 of 13
B.Government Approvals
B.Government Approvals Funding,or Sponsorship. ("Funding"includes grants,loans,tax relief,and any other forms of financial
assistance.)
Government Entity If Yes: Identify Agency and Approval(s) Application Date
Required (Actual or projected)
a.City Council,Town Board, ®Yes❑No TOWN OF QUEENSBURY TOWN BOARD
or Village Board of Trustees
b.City,Town or Village ®Yes❑No TOWN OF QUEENSBURY SUBDIVISION FEBRUARY 2015
Planning Board or Commission APPROVAL
c.City Council,Town or IZ Yes❑No
TOWN OF QUEENSBURY AREA VARIANCE FEBRUARY 2015
Village Zoning Board of Appeals
d.Other local agencies ❑Yes❑No
e.County agencies ❑Yes®No
f.Regional agencies ❑Yes®No
g. State agencies ®Yes❑No NYSDEC SPDES GP-0-15-002 STORMWATER
NYSDOH REALTY SUBDIVISION
h.Federal agencies ❑Yes®No
I _
i. Coastal Resources.
i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? ❑Yes®No
If Yes,
ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? ❑Yes®No
iii. Is the project site within a Coastal Erosion Hazard Area? ❑Yes®No
C.Planning and Zoning
C.1.Planning and zoning actions.
Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the ❑Yes®No
only approval(s)which must be granted to enable the proposed action to proceed?
• If Yes,complete sections C,F and G.
• If No,proceed to question C.2 and complete all remaining sections and questions in Part 1
I C.2.Adopted land use plans.
a.Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include the site ®Yes❑No
where the proposed action would be located?
If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action ®Yes❑No
would be located?
b.Is the site of the proposed action within any local or regional special planning district(for example: Greenway ❑Yes®No
Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan;
or other?)
If Yes,identify the plan(s):
c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, ❑YesONo
or an adopted municipal farmland protection plan?
If Yes,identify the plan(s):
Page 2 of 13
C3. Zoning
a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. YesDNo
If Yes,what is the zoning classification(s)including any applicable overlay district?
MODERATE DENSITY RESIDENTIAL(MDR)
b. Is the use permitted or allowed by a special or conditional use permit? ❑Yes®No
c. Is a zoning change requested as part of the proposed action? ❑Yes®No
If Yes,
i. What is the proposed new zoning for the site? ____
C.4.Existing community services.
a. In what school district is the project site located? QUEENSBURY UNION FREE SCHOOL DISTRICT
b.What police or other public protection forces serve the project site?
WARREN COUNTY SHERIFF
c. Which fire protection and emergency medical services serve the project site?
WEST GLENS FALLS FIRE DEPARTMENT&WEST GLENS FALLS EMS
d. What parks serve the project site?
N/A
D.Project Details
D.I.Proposed and Potential Development
a. What is the general nature of the proposed action(e.g.,residential,industrial,commercial,recreational;if mixed,include all
components)?
b. a.Total acreage of the site of the proposed action? 9.24 acres
b.Total acreage to be physically disturbed? 4.62 acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 9.24 acres
c.Is the proposed action an expansion of an existing project or use? 0 Yes0 No •
i. If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units,
square feet)? % Units:
d.Is the proposed action a subdivision,or does it include a subdivision? ®Yes DNo
If Yes,
i. Purpose or type of subdivision?(e.g.,residential,industrial,conunercial; if mixed,specify types)
RESIDENTIAL
H. Is a cluster/conservation layout proposed? DYes®No
iii. Number of lots proposed? 7
iv. Minimum and maximum proposed lot sizes? Minimum 1.01 AC Maximum_ 1.45 AC
e.Will proposed action be constructed in multiple phases? ®YesDNo
i. If No,anticipated period of construction: months
ii. If Yes:
• Total number of phases anticipated 2
• Anticipated commencement date of phase I (including demolition) 5 month 2015 year
• Anticipated completion date of final phase 12 month 2017 year
• Generally describe connections or relationships among phases, including any contingencies where progress of one phase may
determine timing or duration of future phases: _PHASE I:ROAD CONSTRUCTION&UTILITY;PHASE IL:CONSTRUCTION OF
7 NEW HOMES
Page 3 of 13
• f. Does the project include new residential uses? ®Yes CI No
If Yes,show numbers of units proposed.
One Family Two Family Three Family Multiple Family(four or more)
Initial Phase
At completion
of all phases _ 7
g. Does the proposed action include new non-residential construction(including expansions)? El Yes No
If Yes,
i.Total number of structures
ii. Dimensions(in feet)of largest proposed structure: height; width; and length
iii. Approximate extent of building space to be heated or cooled: square feet
h.Does the proposed action include construction or other activities that will result in the impoundment of any ❑Yes®No
liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage?
If Yes,
i. Purpose of the impoundment:
ii. If a water impoundment,the principal source of the water: 0 Ground water['Surface water streams ❑Other specify:
iii. If other than water,identify the type of impounded/contained liquids and their source.
iv. Approximate size of the proposed impoundment. Volume: — million gallons;surface area _ ___ acres
v. Dimensions of the proposed dam or impounding structure: height; length
vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood, concrete):
D.2. Project Operations
a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? ❑Yes®No
(Not including general site preparation,grading or installation of utilities or foundations where all excavated
materials will remain onsite)
If Yes:
i.What is the purpose of the excavation or dredging?
ii. How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site?
• Volume(specify tons or cubic yards):
• Over what duration of time?
iii. Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them.
iv. Will there be onsite dewatering or processing of excavated materials? nYesElNo
If yes,describe.
v. What is the total area to be dredged or excavated? acres
vi. What is the maximum area to be worked at any one time? acres
vii. What would be the maximum depth of excavation or dredging? feet
viii. Will the excavation require blasting? QYesONo
ix. Summarize site reclamation goals and plan:
b.Would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment DYes0No
into any existing wetland,waterbody,shoreline,beach or adjacent area?
If Yes:
i. Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic
description): _
Page 4 of 13
ii. Describe how the proposed action would affect that waterbody or wetland,e.g.excavation,fill,placement of structures,or
• alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres:
iii. Will proposed action cause or result in disturbance to bottom sediments? DYesDNo
If Yes,describe:
iv. Will proposed action cause or result in the destruction or removal of aquatic vegetation? DYesDNo
If Yes:
• acres of aquatic vegetation proposed to be removed:
• expected acreage of aquatic vegetation remaining after project completion:
• purpose of proposed removal(e.g.beach clearing,invasive species control,boat access):
• proposed method of plant removal:
• if chemical/herbicide treatment will be used,specify product(s):
v. Describe any proposed reclamation/mitigation following disturbance:
c.Will the proposed action use,or create a new demand for water? 0Yes ON°
If Yes:
i. Total anticipated water usage/demand per day: 3,100 gallons/day
ii. Will the proposed action obtain water from an existing public water supply? 0Yes ON°
If Yes:
• Name of district or service area: TOWN OF QUEENSBURY WATER DEPARTMENT
• Does the existing public water supply have capacity to serve the proposal? YesD No
• Is the project site in the existing district? 0 Yes 0 No
• Is expansion of the district needed? l YesD No
• Do existing lines serve the project site? YesD No
iii. Will line extension within an existing district be necessary to supply the project? 0Yes ONo
If Yes:
• Describe extensions or capacity expansions proposed to serve this project: 900 LF OF NEW 6"D.I.P.WATERLINE FOR
SUBDIVISION
• Source(s)of supply for the district:
iv. Is a new water supply district or service area proposed to be formed to serve the project site? YesDNo
If,Yes:
• Applicant/sponsor for new district:
• Date application submitted or anticipated:
• Proposed source(s)of supply for new district:
v. If a public water supply will not be used, describe plans to provide water supply for the project:
vi.If water supply will be from wells(public or private),maximum pumping capacity: gallons/minute.
d.Will the proposed action generate liquid wastes? 0 Yes 0No
If Yes:
i. Total anticipated liquid waste generation per day: 3,100 gallons/day
ii. Nature of liquid wastes to be generated(e.g.,sanitary wastewater, industrial; if combination,describe all components and
approximate volumes or proportions of each): SANITARY WASTEWATER
iii. Will the proposed action use any existing public wastewater treatment facilities? 0Yes EN° —
If Yes:
• Name of wastewater treatment plant to be used:
• Name of district:
• Does the existing wastewater treatment plant have capacity to serve the project? ElYes0No
• Is the project site in the existing district? OYesEINo
• Is expansion of the district needed? 1=1 Yes EINo
Page 5 of 13 •
• • Do existing sewer lines serve the project site? ❑YesQNo
• Will line extension within an existing district be necessary to serve the project? ❑YesQNo
If Yes:
• Describe extensions or capacity expansions proposed to serve this project: _
iv. Will anew wastewater(sewage)treatment district be formed to serve the project site? U Y es0No
If Yes:
• Applicant/sponsor for new district:
• Date application submitted or anticipated:• What is the receiving water for the wastewater discharge?
v. If public facilities will not be used,describe plans to provide wastewater treatment for the project,including specifying proposed
receiving water(name and classification if surface discharge,or describe subsurface disposal plans):
vi. Describe any plans or designs to capture,recycle or reuse liquid waste:
e. Will the proposed action disturb more than one acre and create stormwater runoff,either from new point ®YesQNo
sources(i.e. ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-point
source(i.e. sheet flow)during construction or post construction?
If Yes:
i. How much impervious surface will the project create in relation to total size of project parcel?
Square feet or 1.5 acres(impervious surface)
Square feet or 9.24 acres(parcel size)
ii. Describe types of new point sources. ROOFS,DRIVEWAYS,ROADWAY
iii. Where will the stormwater runoff be directed(i.e.on-site stormwater management facility/structures,adjacent properties, T i
groundwater,on-site surface water or off-site surface waters)?
SHALLOW VEGETATED INFILTRATION AREAS,DRYWELLS
• If to surface waters,identify receiving water bodies or wetlands:
• Will stormwater runoff flow to adjacent properties? ❑Yes®No
iv. Does proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? ❑Yes®No
Icombustion,waste incineration,or other processes or operations?
If Yes,identify:
i. Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles)
_ HEAVY EQUIPMENT
ii. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,crushers)
iii. Stationary sources during operations(e.g.,process emissions,large boilers,electric generation)
g.Will any air emission sources named in D.2.f(above),require a NY State Air Registration,Air Facility Permit, ❑Yes®No
or Federal Clean Air Act Title IV or Title V Permit?
If Yes:
i. Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet ❑YesQNo
ambient air quality standards for all or some parts of the year)
ii. In addition to emissions as calculated in the application,the project will generate:
• Tons/year(short tons)of Carbon Dioxide(CO2)
• _ Tons/year(short tons)of Nitrous Oxide(NA))
• Tons/year(short tons)of Perfluorocarbons(PFCs)
• Tons/year(short tons)of Sulfur Hexafluoride(SF6)
• Tons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs)
• Tons/year(short tons)of Hazardous Air Pollutants(HAPs)
Page 6 of 13
h. Will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, EIYesEl No
landfills,composting facilities)?
If Yes:
i. Estimate methane generation in tonsl-year(metric):
ii. Describe any methane capture, control or elimination measures included in project design(e.g.,combustion to generate heat or
electricity,flaring):
i.Will the proposed action result in the release of air pollutants from open-air operations or processes,such as ❑Yes®No
quarry or landfill operations?
If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust;rock particulates/dust):
j. Will the proposed action result in a substantial increase in traffic above present levels or generate substantial DYes®No
new demand for transportation facilities or services?
If Yes:
1. When is the peak traffic expected(Check all that apply): ❑Morning ❑Evening ❑Weekend
❑Randomly between hours of to
ii. For commercial activities only,projected number of semi-trailer truck trips/day:
iii. Parking spaces: Existing Proposed _ Net increase/decrease
iv. Does the proposed action include any shared use parking? DYesDNo
v. If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe:
vi. Are public/private transportation service(s)or facilities available within 1/2 mile of the proposed site? DYesDNo
vii Will the proposed action include access to public transportation or accommodations for use of hybrid,electric DYesD No
or other alternative fueled vehicles?
viii. Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing DYesDNo
pedestrian or bicycle routes?
k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand DYesDNo
for energy?
If Yes:
i. Estimate annual electricity demand during operation of the proposed action: _ _
ii. Anticipated sources/suppliers of electricity for the project(e.g.,on-site combustion,on-site renewable,via grid/locaI utility,or
other):
iii. Will the proposed action require a new,or an upgrade to,an existing substation? DYesf No
1.Hours of operation. Answer all items which apply.
i. During Construction: ii. During Operations:
• Monday-Friday: 7:00 A.M.TO 5:00 P.M. —. • Monday-Friday: ____
• Saturday: — 7:00 A.M.TO 2:00 P.M. • Saturday:
• Sunday: • Sunday: -- — —....__.-
• Holidays: _. _ • Holidays:
Page 7 of 13
m.Will the proposed action produce noise that will exceed existing ambient noise levels during construction, ®Yes❑No
operation,or both?
If yes:
i. Provide details including sources,time of day and duration:
HEAVY EQUIPMENT OPERATIONS DURING SITE WORK PHASES
ii. Will proposed action remove existing natural barriers that could act as a noise barrier or screen? ®Yes❑No
Describe: EXISTING VEGETATION-SMALL TO MEDIUM TREES _ ,- _ — ---
n.. Will the proposed action have outdoor lighting? m Yes❑No
If yes:
i. Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest occupied structures:
BUILDING MOUNTED LIGHTING
ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen? ®Yes❑No
Describe:EXISTING VEGETATION-SMALL TO MEDIUM TREES
o.Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yes WINo
If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest
occupied structures:
p.Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) ❑Yes❑No
or chemical products 185 gallons in above ground storage or any amount in underground storage?
If Yes:
i. Product(s)to be stored
ii. Volume(s) per unit time (e.g.,month,year)
iii. Generally describe proposed storage facilities: _— —
q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, ❑Yes ❑No
insecticides)during construction or operation?
If Yes:
i. Describe proposed treatment(s):
H. Will the proposed action use Integrated Pest Management Practices? ❑ Yes 0 N
r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal ❑ Yes 0 No
of solid waste(excluding hazardous materials)?
If Yes:
i.Describe any solid waste(s)to be generated during construction or operation of the facility:
• Construction: _ tons per (unit of time)
• Operation: tons per (unit of time)
ii. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste:
• Construction:
—
• Operation:
iii. Proposed disposal methods/facilities for solid waste generated on-site: —• Construction:
• ---------------
Operation: _____ — ___ -------_.__---
Page 8 of I3
s. Does the proposed action include construction or modification of a solid waste management facility? ❑ Yes 0 No
• i If Yes:
i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or
other disposal activities):
ii. Anticipated rate of disposallprocessing:
• Tons/month,if transfer or other non-combustion/thermal treatment, or
Tons/hour,if combustion or thermal treatment
iii. If landfill,anticipated site life: __— years
t. Will proposed action at the site involve the commercial generation,treatment, storage,or disposal of hazardous ❑Yes®No
waste?
If Yes:
Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility:
ii. Generally describe processes or activities involving hazardous wastes or constituents:
iii.Specify amount to be handled or generated tons/month
iv. Describe any proposals for on-site minimization,recycling or reuse of hazardous constituents: _
v. Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? Yes No
If Yes: provide name and location of facility:
If No:describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility:
E.Site and Setting of Proposed Action
E.1.Land uses on and surrounding the project site
a. Existing land uses.
i. Check all uses that occur on,adjoining and near the project site.
❑ Urban ❑ Industrial ❑ Commercial 0 Residential(suburban) ❑ Rural(non-farm)
Forest ❑ Agriculture ❑ Aquatic ❑ Other(specify):
ii. If mix of uses,generally describe:
b.Land uses and covertypes on the project site.
Land use or Current Acreage After I Change
Covertype Acreage f Project Completion j (Acres+1-)
• Roads,buildings,and other paved or impervious 0.78 { 1.55 0.77
surfaces
• Forested 7.46 3.69 (3.77)
• Meadows,grasslands or brushlands(non- 1.00 4.00 3.00
agricultural,including abandoned agricultural)
• Agricultural I
(includes active orchards,field,greenhouse etc.)
• Surface water features
(lakes,ponds,streams,rivers,etc.)
• Wetlands(freshwater or tidal)
• Non-vegetated(bare rock,earth or fill)
• Other f
Describe:
• Page 9 of 13
• c. Is the project site presently used by members of the community for public recreation? ❑Yesfl No
i. If Yes: explain:
d.Are there any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals,licensed ❑Yes®No
day care centers,or group homes)within 1500 feet of the project site?
If Yes,
i. Identify Facilities:
e. Does the project site contain an existing dam? ❑Yes®No
If Yes:
i. Dimensions of the dam and impoundment:
• Dam height: --- feet
• Darn length: feet
• Surface area: acres
• Volume impounded: gallons OR acre-feet
ii.Dam's existing hazard classification:
iii. Provide date and summarize results of last inspection:
f. Has the project site ever been used as a municipal,commercial or industrial solid waste management facility, ❑Yes®No
or does the project site adjoin property which is now,or was at one time,used as a solid waste management facility?
If Yes:
i.Has the facility been formally closed? 0 Yes❑ No
• If yes,cite sources/documentation:
ii. Describe the location of the project site relative to the boundaries of the solid waste management facility:
in Describe any development constraints due to the prior solid waste activities:
g.Have hazardous wastes been generated,treated and/or disposed of at the site,or does the project site adjoin ❑Yes®No
property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste?
If Yes:
i. Describe waste(s)handled and waste management activities,including approximate time when activities occurred:
h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any ❑Yes® No
remedial actions been conducted at or adjacent to the proposed site?
If Yes:
i_Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site ❑Yes❑No
Remediation database? Check all that apply:
❑ Yes—Spills Incidents database Provide DEC ID number(s):
❑ Yes -Environmental Site Remediation database Provide DEC ID number(s):
❑ Neither database
ii. If site has been subject of RCRA corrective activities,describe control measures:
iii. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? ❑Yes®No
If yes,provide DEC ID number(s):
iv. If yes to(i), (ii)or(iii)above,describe current status of site(s):
Page 10 of 13
v. Is the project site subject to an institutional property uses 173YesONo
•
ifyes. DEC site ID number:
_--_--
___--
---__—_
--_—
—
o Describe the type of institutional control �.e.. deed restriction or easem :
" Describe any use limitations:
_
• Describe any engineering controls:
• Will the project affect the institutional urnogincedng controls inplace? 0 YesONo
• Explain:
E.2. Natural Resources On or Near Project Site
a.Wha is the average depth m bedrock un the project site? 6+fee
•
b.Are there bedrock outcroppings oo the project site? 0 Yr0No
[f Yes,what proportion o[the site is comprised of bedrock outcroppings? _%
r. Predominant soil type(s)present oo project site: OAKVILLE LOAMY FINE SAND 10l6
| d. What is the average depth mthe water table oo the project site? Average: feet
e.Drainage status of project site soils:0 Well Drained: %of site
L Moderately Well Drained: %ofsite
L Poorly Drained %of site
[Approximate proportion of proposed action site with slopes: 00'10%: 100 6ofadc
10'15f: %ofsite
__
U l5%mg�o�: %ofui�
g.Are there any unique geologic��amzcvoo the pr�octsite? yeo�3Nn
If Yes,d,uo�hc
b. Surface water features.
�Does any yo�i000[the pn�:otsite com�owetlands o,other*xt�bodicu(including streams,dv�m. ]YcoONo
ponds or�keo)?
Doa�.cduodsoro��~a�d,mbeou�o��cpmjuotsite? 0Ycm0No
If Yes�vi��/o,�ooudzme. [[No,o�y�E2i
iii. Are�yof the vod�d or~u��ndieowbbiuorudjo�iug the pr�c�xi�n:gu��dbr�yb:de�m|. YcwONo
v��or|ocdagency?
iv. For each iduodfiedm,gui�edvnduudand=utcrhodyoo the pn�ocx,ho.provide�efbDopdogiuoon�iun:
• Streams: Name Classification
• Lake or Ponds: Name Classification —* Wetlands: Name Approximate
o yrguod No. (if regu&u*dhyDEC)
v. Are any of the above~�vrbodies botodio the umm,cue,�:ompUmiouo[ vl8n�ezqouUty'bop�n:d []Yes 0�o
waterbodies?
If yes,name ofimpa�ed~*�rhudy�od�o and basis for lioboga,imp�o,d: __ _
i{o�epndovt site ivado�go�edF}oodwuy? [ luoONo
j.[o�epo�oot site io the lOO year P(oodpl�o? 0luu0No
k.lv�epn�eotobeio�e 500 year Floodplain? 0Yvo0«o
1.[xU`cp/�oct site located ove�or immediately adjoining,aprioay.p�ocipulor sole source uqui��c?
����ra[-U�o
If Yes:
i.Name of aquifer: .PRINCIPAL AQUIFER ____. ___
Page l { ofl3
m. Identify the predominant wildlife species that occupy or use the project site:
n.Does the project site contain a designated significant natural community? ®Yes❑No
If Yes:
i.Describe the habitat/community(composition,function,and basis for designation): PITCH PINE-SCRUB OAK BARRENS •
ii. Source(s)of description or evaluation:
iii. Extent of communityihabitat:
• Currently: 700.0 acres
• Following completion of project as proposed: acres
a Gain or loss(indicate T or-): acres
o.Does project site contain any species of plant or animal that is listed by the federal government or NYS as ®Yes❑No
endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species?
p. Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species of ❑Yes0No
special concern?
q. Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? ❑Yeslo
IIf yes,give a brief description of how the proposed action may affect that use:
E.3. Designated Public Resources On or Near Project Site
a.Is the project site,or any portion of it,located in a designated agricultural district certified pursuant to ❑Yes INo
Agriculture and Markets Law,Article 25-AA,Section 303 and 304?
If Yes, provide county plus district name/number: ___
b.Are agricultural lands consisting of highly productive soils present? ❑Yes®No
i. Ll 1 es:acreages)on project site -
I ii. Source(s)of soil rating(s):
c. Does the project site contain all or part of or is it substantially contiguous to,a registered National ❑Yes®No
Natural Landmark?
If Yes:
i. Nature of the natural landmark: ❑Biological Community ❑ Geological Feature
ii.Provide brief description of landmark,including values behind designation and approximate size/extent:
d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? ❑Yes®No
If Yes:
i.CEA name: _
ii. Basis for designation:
iii.Designating agency and date:
Page 12 of 13
r e. Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district ❑v es❑No
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?
If Yes:
i. Nature of historiciarchaeological resource: ❑Archaeological Site ❑Historic Building or District
ii. Name:
iii. Brief description of attributes on which listing is based:
f. Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑Yes®No
archaeological sites on the NY State Historic Preservation Office(SHPO) archaeological site inventory?
g.Have additional archaeological or historic site(s)or resources been identified on the project site? ❑Yes❑No
If Yes:
i.Describe possible resource(s):
ii. Basis for identification:
h. Is the project site within fives miles of any officially designated and publicly accessible federal,state,or local ®Yes❑No
scenic or aesthetic resource?
If Yes:
i. Identify resource:WARREN COUNTY BIKEWAY
ii. Nature of,or basis for,designation(e.g.,established highway overlook,state or local park,state historic trail or scenic byway,
etc.): SCENIC BYWAY —— _
iii. Distance between project and resource: 2.5 miles.
i. Is the project site located within a designated river corridor under the Wild,Scenic and Recreational Rivers ❑Yes0No
Program 6 NYCRR 666?
If Yes:
i. Identify the name of the river and its designation:
ii. Is the activity consistent with development restrictions contained in 6NYCRR Part 666? ❑Yes❑No
F.Additional Information
Attach any additional information which may be needed to clarify your project.
If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any
measures which you propose to avoid or minimize them.
G. Verification
I certify that the information provided is true to the best of my knowledge.
Applicant/Sponsor Name MAURICE COMBS Date 2/16/2015
Signature M W-1. LCf j �,� (� Title OWNER
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