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Site Plan Application and EAF General Information Tax Parcel ID: 308.16-1-55,56,58 & 61 Zoning District: CLI Lot size: 415,413 SF (9.54 Acres) Current Use: A-1 Treeworks at 308 Corinth Road & C&J Automotive at 310 Corinth Road Proposed Use: New firewood processing facility, raw wood storage yard, wood chip storage yard & on grade vehicle parking area Project Location: 308 & 310 Corinth Road Applicant Name Address: Seaton Property Holdings 339 Clendon Brook Road,b Home Phone Cell: 518-796-1316 Work Phone 518-792-5602 Fax E-Mail: seatonmartin@hotmail.com Agent's Name: Ethan P. Hall Address: 134 Dix Ave, Glens Falls Home Phone Cell: I Work Phone Fax 518-741-0268 518-741-0274 E-mail ephall@nycap.rr.com Owner's Name: Seaton Property Holdings Address 339 Clendon Brook Road,b Horne Phone Cell 518-796-1316 Work Phone 518-792-5602 Fax E-mail Site Plan Review Revised June 2016 Town of Queensbury Planning Office-742 Bay Road-Queensbury, NY 12804-518-761-8220 2 Additional Prosect information 1. Will the proposal require a Septic Variance from the Town Board of Health? No 2. If the parcel has previous approvals, list application number(s): SP 65-2013 3. Doesthis project require coverage under the New York State Pollutant Discharge Elimination System (SPDES) Permit Program? No 4. Estimated project duration: Start Date 312017 End Date 9/2017 5_ Estimated total cost of project: $150,000 6. Total area of land disturbance for project: 158,000 SF (3.5d Floor Area Ratio Worksheet FLOOR AREA RATIO (FAR) --The relationship of building size to lot size, derived by dividing the total building floor area by the lot size in square feet, yielding a percentage. Zoning District Symbol FloorArea Ratio[FAR] Waterfront Residential WR 0.22 Commercial Moderate/Commercial Intensive CM 1 Cl 0.3 Main Street MS 0.3 A. The combined area of all square footage, as measure from exterior wails of all structures on the property, including all floors of the structures, garages, basements and attics with more than five (5) feet of ceiling height and covered porches_ Building square footage does not include: Open deck, docks and that portion of covered docks extending over water and one storage shed of one hundred twenty (120) square feet or less. Any additional sheds will be included. (See"FLOOR AREA RATIO"). B. Commercial or industrial: the total area in square feet as measured from the exterior of the outside walls of a building or structure, and when applicable, the sum total of all floor areas of the principal and accessory buildings or structures on the project site. A. Parcel Area sq.ft, B. Existing Floor Area sq.ft. (see definition above) C. Proposed Additional Floor Area sq.ft. D. Proposed Total Floor Area sq,ft. E. Total Allowable Floor Area (Area x ) (see above table) *if D is larger than E, a variance or revisions to your plan may be needed. Please consult w/Staff. Site Pian Review Revised June 2016 Town of Queensbury Planning Office-742 Bay Road-Queensbury, NY 12804-518-761-8220 3 Site Development Data Area I Type Existing sq. ft. Proposed Total sq. ft. Addition sq. ft. A. Building footprint 8,993 SF 15,000 SF 231993 SF B. Detached Garage 4,323 SF 4,323 SF C. Accessory Structure(s) 1,200 SF 1,200 SF D. Paved, gravel or other hard surfaced area 52,425 SF 79,227 SF 131,652 SF E. Porches I Decks F. Other G. Total Non-Permeable [AddA-F] 65,741 SF 95,427 SF 161,168 SF H. Parcel Area [43,560 sq.ft_ I acre] 415,413 SF 415,413 SF 1. Percentage of Impermeable Area of Site [1=GIH] 15.$3/o 0 38.80% Setback Requirements Area Required Existing Proposed Front[1] 50'-0" 46'-4" 492`-3" Front[2] Shoreline 75,_0,p NA NA Side Yard [1] 300-01F 22'-7" 35'-0" Side Yard [2] 301-0" 35'-0" 35'-0" Rear Yard [1] 30'-0" 871'-4" 344'-7" Rear Yard [2] Travel Corridor Height[max] 60'-0" 35'-0" 401_0.. Permeability 30% 85-38% 62.41% No. of parking spaces Varies 18 30 Site Plan Review Revised June 2016 Town of Queensbury Planning Office-742 Bay Road Queensbury, NY 12804,518-761-8220 4 § 979-9-080 Requirements for Site Plan A royal: The Planning Board shall not approve a Site Plan unless it first determines that such site plan meets the following Standards. Please prepare responses to each of the following topics. STANDARDS A. The proposed project furthers or is consistent with the policies of the Town's Comprehensive Pian. B. The proposed project Gomplieswith all other requirements of this Chapter,including the site plan review standards asset forth in Paragraph F of this section,the dimensional, bulk,and density regulations of the zoning district in which it is proposed to be located(Article 3 and Table 1), the applicable requirements of all other Articles that apply. C. The site plan encourages pedestrian activity internally and, if practicable, to and from the site with pedestrian paths or sidewalks connected to adjacent areas. D. The site plan must conform to Chapter 136 Sewage and Sewage Disposal, Chapter 147 Stormwater Management Local Law, and other applicable local laws. E. theproposed useshallbein harmony with the general purpose or interit ofthis Chapter,specifically taking iltoaccountthe beation,character and size of the proposed use and the description and purpose of the district in which such use is proposed, the nature and intensity of the activities to be involved in or conducted in connection with the proposed use and the nature and rate of any increase in the burden on supporting public servioss.and facilities which will follow the approval of the proposed use F. The establishment,maintenance and operation of the proposed use will not create public hazards from traffic,traffic congestion orthe parking of vehicles and/or equipment or be otherwise detrimental to the health, safety or general welfare of persons residing or working in the neighborhood or to the general welfare of the town.Traffic access and circulation, road intersections, road and driveway widths, and traffic controls will be adequate. G. Off-street parking and loading facilities will be appropriately located and arranged and sufficient to meet traffic anticipated to be generated by the new use. The establishment of vehicle links between parking areas of adjacent properties are provided where feasible. This furthers the Town's goal of reducing curb cuts and reducing congestion.A twenty-foot wide connection is required. ltadjacent properties are either undeveloped or previously developed without having made provision for future linkage, then a future connection must be identified and provided for in the site plan under review for such future linkage when the time arises. The Planning Board may require proof that the applicant has made contactwith adjacent property owners for purposes ofcoordinating linkages with adjacent properties. H. The project shall not have an undue adverse impact upon the natural,scenic,aesthetic,ecological,wildlife,historic,recreational or open space resources of the town or the Adirondack Park or upon the adequate provision of supporting facilities and services made necessary by the project,taking into account the commercial,industrial,residential,recreational or other benefits that might be derived from the project In making the determination hereunder,the Planning Board shall consider those factors pertinent to the project contained in the development considerations set forth herein under§179-9-080 of this chapter,and in so doing,the Planning Board shall make a net overall evaluation of the project inrelationto the development objectives and general guidelines setforth in§179-9-080ofthisArticle. L The provision for and arrangement of pedestrian traffic access and circulation,walkway structures,control of intersections with vehicular traffic and overall pedestrian convenience shall be safe and adequate for pedestrian movement Pedestrian connections between adjacent sites shall beprovidedto encourage pedestrian use. J. Stormwater drainage facilities will prevent an increase of post development drainage flows as compared to pre-development drainage flows. Drainage ofthe site shall recharge ground waterto the extent practical. Surface waters flowing off site shall not degrade any streams or adversely affect drainage on adjacent properties orpublic roads. Facilities shall be inconformance with the drainage standards of Chapter 147ofthe Town Code and the Town of Queensbury Subdivision Regulationswhere applicable. K. The water supply and sewage disposal facilities will be adequate and will meet all applicable and current requirements set forth by Department of Health regulations and Chapter 136 of the Town Code. L The adequacy, type and arrangement of trees, shrubs and other suitable plantings, landscaping and screening shall effectively provide a visual and/or noise buffer between the applicants and adjoining lands, induding the maximum retention of existing vegetation and maintenance, including replacement of dead or deceased plants. M, Fire lanes,emergency zones,and fire hydrants will be adequate and meetthe needs and requirements of emergency service providers. N. The design of structures, roadways and landscaping in areas susceptible to ponding, flooding and/or erosion will minimize or avoid such impactsto the maximum extent practicable. D.The site plan conforms to the design standards,landscaping standards and performance standards ofthis chapter. Site Plan Review Revised Jime 2016 Town ofQueensbury Planning Office-742 Bay Road Queensbury, NY 12804-518-761-8220 5 RUCINSKI HALL ARCHITECTURE Ronald Richard Rucinski Ethan Peter Hall 134 Dix Ave Glens Falls NY 12801 Voice 518 741 0268 Fax 518 741 0274 Email ephall@nycap.rr.com Response to A-O Standards — New Firewood Processing Facility —A-1 Treeworks, 308-310 Corinth Road The following are responses to questions A thru O of the site plan review standards. A. The project is a firewood processing and tree service facility located in the CLI zone and is therefore consistent with the Town's Comprehensive Plan B. The facility has been designed in accordance with all requirements set forth in Chapter 179- 9-080 and no variances are being sought. C. There are no pedestrian activities along Corinth Road. All site layouts have been designed with pedestrian access assumed to be made on site by vehicular travel. D. The site will be served by private sanitary sewer system and sized for the proposed processing area. E. The proposed structure is an allowed use in the CLI zone. F. The proposed use is a very small traffic generator in that the employees come to the site in the morning to get the company vehicles and then go off site to perform tree service jobs. The employees who will be doing the firewood processing will come to the site in the morning and stay for the day. The log trucks will be in and out of the site several times a day making deliveries and firewood delivery vehicles will also be making several trips per day for deliveries. G. Off street parking will be provided as indicated on the plans. H. The proposed facility is made up of several existing buildings and there is an approved building which will be constructed in the spring of 2017 and there is one new building proposed under this proposal. The buildings will be on an existing partially cleared lot which is basically flat and is consistent with other uses in the CLI zone. I. There are no pedestrian traffic areas along Corinth Road so this portion does not: apply. J. Storm water is being contained on site by retention areas and stone filled filter strips along the edges of the proposed drives. The existing soils are well drained sands and the existing grading of the lot is generally flat and will remain this way so that all hard surfaces will be contained on site. K. The proposed structure is connected to a private sanitary system and will be connected to the municipal water system. L. The existing tree area along the eastern property line will be maintained as it currently exists, additional clearing will take place as indicated with 30' buffers to remain along the north and west property lines. There will be no landscaping other than what currently exists at the buildings along Corinth Road, M. The traffic lanes on site are sized to allow for emergency vehicle access and there is an existing hydrant just to the east of the property. N. All areas have been designed to avoid ponding or flooding and take place on existing hard surfaces. O. There will be tree buffer provided along the eastern property line as described previously. YAIA-1 TreeworkslPaperwork1Response to A-O standards.doc 1 § 179-9-050 Application for Site Plan Review Absent any waiver or waivers, an application for Site Plan Review shall include the following.- REQUIREMENTS ollowing:REQUIREMENTS Sheet# A A vicinity map drawn at the scale that shows the relationship of the proposal to existing community facilities which affect or serve it, such as roads, shopping areas, schools, etc. The map shall also show all properties, identify owners, subdivisions, streets, and easements within 500 feet of the property.Such a sketch may be superimposed on a United States Geological Survey map of the C-1 & C area. B The site plan shall be drawn at a scale of forty feet to the inch(1"=40 feet) or such other scale as the Planning Board may deem appropriate,on standard 24"x36'sheets,with continuationon8)12"x11"sheetsasnecessaryforwritteninformation.The C-1 &� information listed below shall be shown on the site plan and continuation sheets. G Name of the project, boundaries,date, north arrow,and scale of the plan. All D Name and address of the owner of record,developer,and seal of the engineer, architect,or landscape architect.If the applicant is not the record owner, a letter of authorization shall be requiredfrom the owner All E The location and use of afl existing and proposed structures within the property, including all dimensions of height and floor area, all exterior entrances, and all anticipated future additions and alterations. C-1 & i The location of all present and proposed public and private ways, off-street parking areas, driveways, outdoor storage areas, sidewalks,ramps,curbs,paths,landscaping,walls,and fences. Location,type,and screening details for all waste disposal containers shall also beshown. C-1 $� G The location, height, intensity, and bulb type.(sodium, incandescent, etc.)of all external lighting fixtures. The direction of illumination and methods to eliminate glare onto adjoining properties must also be shown in compliance with§179-6-020. C-2 R The location,height,size,materials,and design of all proposed signs C-1 & 6 I The location of all present and proposed utility systems including; 1. Sewage orsepticsystem; 2. Water supply system; 3. Telephone,cable,and electrical systems; and C-1 & C 4. Storm drainage system including existing and proposed drain lines,culverts,catch basins,headwalls, endwalls,hydrants, a manholes,and drainage swales. J Plans to prevent the pollution of surface or groundwater, erosion of soil both during and after construction, excessive runoff, and flooding of other properties, as applicable. A Stormwater Pollution Prevention Plan (SWPPP) for all land development activities (excluding agricultural activities) on the site that results in land disturbance of 1-acre or more. A SWPPP shall comply with the requirements of the DEC SPDES MS-4 General Permit and Chapter 147 of the Town of Queensbury Code. It shall be at the C-1 & C discretion of the Planning Board as to whether a SWPPP or an erosion and control plan shall be required far a site plan review project land disturbance of lessthan 1-acre. K Existing and proposed topography at two-foot contour Intervals,or such other contour interval as the Planning Board shall allow. All elevations shall refer to the nearest United States Coastal and Geodetic Bench Mark- If any portion of the parcel is within the 100- C_1 & C year floodplain,the area will be shown, and base flood elevations given_Areas shall be indicated within the proposed site and within 50 feet of the proposed site where soil removal or filling Is required,showing the approximate volume in cubic yards. L A landscape plan showing all existing natural land features that may influence the design of the proposed use such as rock outcrops stands of trees,single trees eight or more inches In diameter,forest cover, and water sources,and ail proposed changes to thee C-1 & features including sizes and types of plants.Water sources include ponds, lakes,wetlands and watercourses,aquifers,floodplains, and drainage retention areas. M Land Use District boundaries within 500 feet of the site's perimeter shall be drawn and identified on the site plan,as well as any Overlay Districts that apply to the property. C-1 &S Site Plats Review Revised June 2016 Town of Queensbury Planning Office-742 Bay Road Queensbury,NY 12604-515-761-8220 6 REQUIREMENTS CONTINUED Sheet# N Traffic flow patterns within the site,entrances and exits,and loading and unloading areas,as well as curb cuts on the site and within 100 feet of the site.The Planning Board may,at its discretion, require a detailed traffic study for large developments or for those in heavy traffic areas,which shall include: 1. The projected number of motor vehicle trips to enter or leave the site,estimated for weekly and annual peak hour traffic levels; C-1 & C 2. The projected traffic flow pattern including vehicular movements at all major intersections likely to be affected by the proposed use of the site; 3. The impact of this traffic on levels of service on abutting public streets and at affected intersections. Existing and proposed weekly and annual peak hour traffic levels and road capacity levels shall also be given. b For new construction or alterations to any structure,a table containing the following information shall be included, 1. Estimated area of structure to be used for particular purposes such as retail operation,office, storage, etc.; 2. Estimated maximum number of employees; C-1 & 3. Maximum seating capacity,where appiicable;and i 4. Number of parking spaces existing and required for the intended use. Q P 1. Floor Plans. 2. Elevations at a scale of one-quarter inch equals one foot (114"= 1 foot)for all exterior facades of the proposed structure(s) and/or alterations to or expansions of existing facades, showing design features and indicating the type and color of materials to be used. A-1 Q Soil logs,water supply well and percolation test results,and storm runoff calculations,as needed to determine and mitigate project impacts. C-1 R Plans for disposal of constructien.and demolition waste, either on-site or at an approved disposal facility. C-1 S Plans for snow removal,including Iocation(s)of on--site snow storage. C- & T An Environmental Assessment Form("EAF"),as required by the SEQRA regulations,with Part 1 completed by the Applicant shall be submitted as part of the application_ If the proposed project requires a special use permit and an EAF has been submitted in conjunction with a special use permit application,a duplicate EAF is not required for the site plan application.. YES U If an application is for a parcel or parcels on which more than one use is proposed, the applicant may submit a single application for all such uses provided the proposed uses are accurately delineated on a site plan drawn pursuant to the requirements set forth above. The Planning Board may grant the application with respect to some proposed uses and not others. For purposes of reviewing Yes an application (and for SEQRA compliance) all proposed uses on a single parcel or on contiguous parcels shall be considered together_ V A brief narrative statement on how the project proposed for review furthers or is consistent with the vision,goafs and policies inthe Town's Comprehensive Plan. FYes Site Pian Review Revised June 2015 Town of Queensbury Planning Office-742 Bay Road-Queensbury, NY 12804 518-761-8220 7 S VS Pre-Submission Conference Form [179-9-040] 1. Tax Map ID 308.16-1-55,56,58 & 61 2. Zoning Classification CLI 3. Table of Allowed Uses r subject to Site Plan Review 4. Ordinance Section# �� ��"' )(qC 5. Pre-Submission Meeting Notes; Outstanding Items To Be Addressed Include: Deed E�] Yes [:J No General Information complete Yes EJ No �! i��j(0' 1 Site Development Data Complete Yes No Setback Requirements Complete Yes [] No I Additional Project Information Complete Yes [] No *Coverage under DEC SWPPP Program Yes � No FAR Worksheet complete Yes No Standards addressed Yes Ca No Checklist items addressed Yes [2/No Environmental Form completed YesNo Signature Page completed Yes [YNo n � �cv C L,,�Coo CC r �c�c-��o(If v/2(`� rtl/� 'i11e �r / /� scf 1 C L V CS k � C� _ �L 5 _ P IV c �l PU,c S` S� S�� S�� 61. Pct)C'C°t— c �? C�(_) L) I(CCEI+ � pP P � �C- �ke�{.S *AQplicant.must provide office with Notice of Intent(NOi) WPPP Acceptance Farm. DEC letter issuing germit number: Notice of Termination (NOT)' Staff Representative: Cc C),A 7 , C) Applicant I Agent: Date: Site Plan Review Revised June 2016 Town of Queensbury Planning Office.742 Bay Road-Queensbury, NY 12804-518-761-8220 8 Signature Page This page includes the 1.)Authorization to Act as Agent Form:2.) Engineering Fee Disclosure; 3.)Authorization for Site Visits; 4.) Other Permit Responsibilities; 5.) Official Meeting Disclosure and 6.)Agreement to provide documentation required. OWNER'S AGENT FORM: Complete the following ifthe OWNER of the property is not the same as the applicant Owner: Designates: As agent regarding: Q Variance =Site Plan Q Subdivision For Tax Map No.: [] Section Q Block Q Lot Deed Reference: 0 Book Page Date OWNER SIGNATURE: DATE: APPLICANT'S AGENT FORM: Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented by another party Owner. Martin Seaton Designates: MULWISK1 mall /A1;fliteGLU[e As agent regarding: 0 Variance 0 Site Plan Subdivision For Tax Map No.: 0 Secti [] Block 0 Lot Deed Reference: B 0 Page Date APPLICANT SIGNATURE: DATE: f CI 2.) ENGINEERING FEE DISCLOSURE: Applications may be referred to the Town consulting engineer for review of septic design, storm drainage, etc. as determined by the Zoning or Planning Department. Fees for engineering review services will be charged directly to the applicant. Fees for engineering review will not exceed$ 1,000 without notification to the applicant. 3.) AUTHORIZATION FOR SITE VISITS: By signing this page and submitting the application materials attached herein, the Owner, Applicant, and hislherltheir agent(s) hereby authorize the Zoning Board or Planning Board and Town Staff to enter the subject properties for the purpose of reviewing the application submitted. 4.) OTHER PERMIT RESPONSIBILITIES: Other permits may be required for construction or alteration activity subsequent to approval bythe Zoning Board or Planning Board. It isthe applicant's responsibility to obtain any additional permits. 5.) OFFICIAL MEETING MINUTES DISCLOSURE: It isthe practice of the Community Development Department to have a designated stenographer tape record the proceedings of meetings resultingfrom application, and minutes transcribedfrom those tapes constitutes the official record of all proceedings. 6.) AGREEMENT TO PROVIDE DOCUMENTATION REQUIRED: I,the undersigned, have thoroughly read and understand the instructions for submission and agree to the submission requirements, I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans and supporting materials are a true and complete statement/description of the existing conditions and the work proposed, and that all work will be performed in accordance with the approved plans and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents, will obtain a certificate of occupancy as necessary. I also understand that I/we may be required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy I have re gree to the above. Martin Seaton 1� Ae Zol,,1 Sig re A lica Print Name [Applicant] Date signed Ethan P. Hall /2CW., ZO I6 gnature[Agent] Print Name (Agent] Date signed Site Pfan Review Revised June 2016 Town of Queensbury Planning Office- 742 Bay Road -Queensbury, NY 12804 518-761-8220 9 Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. 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. Complete all items in Part 1_ You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item_ Part 1-Project and Sponsor Information Name of Action or Project: A-1 Treeworks-New Wood Processing Facilitry Project Location(describe,and attach a location map): 346&314 Corinth Road,Queensbury NY 12804 Brief Description of Proposed Action: Construction of a new 75'x 200'wood framed pole barn for firewood processing and the development of 3.5 acres of currently vacant land for firewood processing and bulk log storage. Name of Applicant or Sponsor: Telephone: 518-792-5602 Seaton Property Moldings LLC E-Mail: seatonmartin@hotmail.com Address: 339 Clendon Brook Road City/PO: TN tate: Zip Code: Queenbury w York :::]92804 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name andpermit or approval: ❑ ❑ Town of Queensbury Building Permif,NYS pEC Stormwater Permit 3.a.Total acreage of the site of the proposed action? 9.54 acres b. Total acreage to be physically disturbed? 3.5 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 9.54 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban m Rural(non-agriculture) ®tndustrial R]Commercial 0Residential(suburban) ❑Forest ❑Agriculture El Aquatic ❑Other(specify): ❑Parkland Page I of 3 5. Is the proposed action, NO YES NIA a_A permitted use under the zoning regulations? EJ ❑ 21 b. Consistent with the adopted comprehensive plan? ❑ Z ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ R1 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ❑ ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES RI 0 b.Are public transportation service(s)available at or near the site of the proposed action? ❑ 0 c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ R 4. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: However the new building will be unheated and is strictly for the protection of the equipment from the weather ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: El will be no plumbing inside the new facility 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? � ❑ b.Is the proposed action located in an archeological sensitive area? ❑ 13. a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban 0 Suburban 15-Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? ❑ ❑✓ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? Q NO ❑YES ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: 0 NO ❑YES Page 2 of 3 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: F] 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: R1 ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: � ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor n Ethan P.Hall-ArchitecMgent for the Applicant Date:December 9,2016 Signature: PRINT FORM I Page 3 of 3 EAF Mapper Summary Report Friday, December 09, 2016 7:48 AM Disclaimer: The EAF Mapper is a screening tool intended to assist protect sponsors and reviewing agencies in preparing an environmental �3fl9.9- -z._�t_ 1 4 assessment form(EAF).Not all questions asked in the EAF are 30 1�! -g 1- .L.3 ALSI,1=42 ,A -� answered by the EAF Mapper.Additional information on any EAF A& N r_` r ' 013.3 1 22309.9;918 question can be obtained by consulting the EAF Workbooks. Although 3 C3$12 1.-8 1I ~ 30X19-1-i 9, the FAF Mapper provides the most up-to-date digital data available to 3(3$�12 2I -1�, DEC,you may also need to contact local or other data sources in order 3€18.1 -L f� 1 4 } 3 1� ��� to obtain data not provided by the Mapper.Digital data is not a 08.1G 1 41 348 92`2`.4' 3t?81'2-2=#Y r substituiefor agency determinations. 313 1:-2-a3D8:'1,22-5.3 309.13-�}t 9 t06161-92.2 309.13-i-7 tyl�ntreal 3T8.16-1 308 16-1-53 � 8.16-1- 8313Et 08.16-1-45QU @n 3`?f ti,t•-y•;4 �� 309-13-1-1 t v�.is-9-4ta t - + 1'406- 76306,161-82. I 309 1 3-1-3 Toronto 0&.16-1-47 . 68'I16�. -�66J� 345.16-1-of • t! 30913-1-2r f'I:�- Ft".,•Il'•.1r, — I 308 16-1-8+3 t art Albany Boston X8.16-1-49 308 1: 0 1'-1-64308 16-1-79 3U$ i ei E ii—' t1 :.i i i'it�. E7 .. 4Fe4eEAtid Pr a tt e 1516-1-54 lntt P3 t 1l fdl -N-?Ssni Fsri �•� _ 308 -r NNE •i -,^�_,_,_..-.- r tu1ETl;�ss-i-China �Hcng Igj �srl Prtt:t+ut[}h Scrrs,,� rl, 9F3 96 1 5'i r l��rea l=sri Thailan Y,ly n •-,�-��3t7.$Yie-2�5 - ��L �p_yl� Ai9,:'.�C:'. Cdrrbta�:� LL�'ar�rfl�,'�S,IntGzmap Ad s. d the US tNC7EF1ENT P.N QG a.r.Esi in -- 156 16-2-1# COritryanrt3 ararar st r. ETi,Esn China Part 1 1 Question 7 [Critical Environmental No Area] Part 1 /Question 12a [National Register of No Historic Places] Part 1 1 Question 12b [Archeological Sites] Yes Part 1 I Question 13a [Wetlands or Other No Regulated Waterbodies] Part 1 1 Question 15 [Threatened or Yes Endangered Animal] Part 1 1 Question 16 [100 Year Flood Plain] Digital mapping data are not available or are incomplete. Refer to EAF Workbook. Part 1 1 Question 20[Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report I