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Site Plan Application RUCINSKI HALL ARCHITECTURE Ronald Richard Rucinski ti Ethan Peter Hall 134 Dix Avenue Glens Falls NY 12801 Voice 518 741-0268 Fax 518 741-0274 Email ephall@nycap.rr.com Transmittal To: Laura Moore —Town of Queensbury From: Ethan Hall Date: 14 February, 2017 Re: Gustke Residence— 129 Eagan Road — Site Plan Review Please find attached the following information for submission for site plan review for the above referenced project: • Four (4) copies of full size of drawings 16029-1, C-1, C-2, F-1, A-1, A-2 & A-3. • Eleven (11) copies of reduced scale drawings 16029-1, C-1, C-2, F-1, A-1, A-2 & A-3. • Site Plan Review application • Short form EAF • Site Plan Review Fee If there are any additional items required please let me know. Y:\Gustke Residence\RHA-002\Paperwork\Transmittal-14 Feb 2017-SP.doc General Information Tax Parcel ID: 315.8-1-8 Zoning District: WR Lot size: 1.7 Acres Current Use: Seasonal single family residence Proposed Use: Year-round single family residence Project Location: 129 Eagan Road Applicant Name Address: Michael & Erin Gustke PO Box 699, Glens Falls Home Phone Cell: 315-317-6433 Work Phone Fax E-Mail: MichaelGustke@gmail.com Agent's Name: Rucinski Hall Architecture Address: 134 Dix Ave, Glens Falls li� Home Phone Cell: Work Phone 518-741-0268 Fax 518-741-0274 E-mail ephall@nycap.rr.com Owner's Name: Michael & Eric Gustke Address PO Box 699, Glens Falls lil Home Phone Cell 315-317-6433 Work Phone Fax E-mail MichaelGustke@gmail.com Site Plan Review Revised June 2016 Town of Queensbury Planning Office-742 Bay Road-Queensbury, NY 12804•518-761-8220 2 Additional Protect 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): None known 3. Does this project require coverage under the New York State Pollutant Discharge Elimination System (SPDES) Permit Program? No 4. Estimated project duration: Start Date 512017 End Date 1212017 5. Estimated total cost of project: $150,000 6. Total area of land disturbance for project: 6,660 SF Floor Area Ratio Worksheet FLOOR AREA RATIO(FAR)--The relationship of building size to lot size, derived by dividing the total building floor area bythe lot size in square feet,yielding a percentage. Zoning District Symbol Floor Area Ratio[FAR] Waterfront Residential WR 0.22 Commercial Moderate/Commercial Intensive CMI Cl 0.3 Main Street MS 0.3 A. The combined area of all square footage, as measure from exterior walls 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 74,476 sq.ft. B. Existing Floor Area y t v sq. ft. (see definition above) C. Proposed Additional Floor Area 1,038 sq. ft, D. Proposed Total Floor Area 2,008 sq,ft. E. Total Allowable Floor Area 16.384 (Area x 9.2 '] (see above table) *if D is larger than E, a variance or revisions to your plan may be needed. Please consult w/Staff. Site Plan Review Revised June 2016 Town of Queensbury Planning Office-742 Bay Road-Queensbury, NY 12804.518-761-8220 3 Site Development Data Area 1 Type Existing sq. ft. Proposed Total sq. ft. Addition sq.ft. A. Building footprint 970 SF 748 SF 1,718 SF B. Detached Garage C. Accessory Structure(s) D. Paved, gravel or other hard surfaced area 3,625 SF 1,317 SF 4,942 SF E. Porches/Decks F. Other G. Total Non-Permeable [AddA-F] 4,595 SF 2,065 SF 6,660 SF H. Parcel Area [43,560 sq.ft. 1 acre] 74,476 SF 74,476 SF I. Percentage of Impermeable Area of Site [I=GIH) 6.17% 8.94% Setback Requirements Area RequVed Existing Proposed Front[1] 30'-0" 341'-8" 294'-9" Front[2] NA NA NA Shoreline 50'-0,P 271'-7" 272'-4" Side Yard [1] 20'-011 11'-10" 13'-5" Side Yard [2] 20'-011 28'-6" 25'-4" Rear Yard [1] 30'-0" NA NA Rear Yard [2] NA NA NA Travel Corridor NA NA NA Height[max] 281-01f 18'-0" 36'-0" Permeability 75% 93.83% 91.06% No. of parking spaces 2 2 4 Site Plan Review Revised June 2016 Town of Queensbury Planning Office-742 Bay Road-Queensbury, NY 12804•518-761-8220 4 § 179-9-080 Requirements for Site Plan Approval: 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 complies with all other requirements of this Chapter,including the site plan review standards as set 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 bcai laws. E. the proposed use shall be in harmony with the general purpose or intent ofthis Chapter,specifically taking into account the location,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 servioes.and facilities which will follow the approval of the proposed use. F. The establishment,maintenance and operation of the proposed use w0l not create public hazards from traffic,traffic congestion or the parking of vehicles andlor 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 ntersections, 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 ofvehicle 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. If adjacent 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 contact with adjacent properly 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 s❑doing,the Planning Board shall make a net overall evaluation of the project inrelationto the development objectives and general guidelines setforth in§179-9-080 ofthisArticle. I. 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 be provided to encourage pedestrian use. J. Stormwater drainage facilities will prevent an increase of post development drainage flows as compared to pre-development drainageflows. Drainage of the site shall recharge ground water to the extent practical. Surface waters Flowing off-site shall not degrade any streams or adversely affect drainage on adjacent properties or public roads. Facilities shall be inconformancewith the drainage standards of Chapter 147ofthe Town Code and the Town of Queensbury Subdivision Regulations where 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 Heafth 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, including the maximum retention of existing vegetation and maintenance, including replacement of dead or deceased plants. M. Fire lanes,emergency zones,and fre hydrants will be adequate and meet the 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 impactstothe maximum extent practicable. O.The site plan conforms tothe design standards,landscaping standards and performance standards ofthis chapter. f Site Plan Review Revised Ji me 2016 Town of Queensbury Planning Office.742 Bay Road Queensbury, NY 12804-518-761-8220 5 RUCINSKI HALL ARCHITECTURE Ronald Richard Rucinski Ethan Peter Hall 134 Dix Avenue �JG Glens Falls NY 12801 Voice 518 741 0268 Fax 548 741 0274 Email ephall@nycap.rr.com Response to A-4 Standards —Gustke Residence — 129 Eagan Road The following are responses to questions A thru O of the site plan review standards. A. The project is to demolish an existing seasonal single family residence which is a converted camp that was originally built in the 1930's and to construct a single family residence in the same general location as the existing residence and therefore the project is consistent with the Town's Comprehensive Plan B. The project requires variances from the requirements of 179-3-040 including grading work within 50' of slope greater than 15%, setback relief from side yard setback, lot frontage and overall height. These variances have been applied for though the Town Zoning Board of Appeals. C. The site is a single family residence and therefore pedestrian activities are limited. D. The project includes a new disposal system that will be designed and installed in accordance with the local and state regulations_ E. The proposed use is a single family residence in the WR zone and is in keeping with the surrounding area and will have similar aesthetic features to the surrounding homes in the area. F. The existing property is located on Eagan Road and no increase in traffic is anticipated in or around the subject parcel due to this project. G. Off street parking is provided as depicted and the proposed driveway is in conformance with the Town requirements. H. Steps have been taken to minimize any adverse effects on the environment. The lot coverage is minimal. Additionally the Owner is planning to construct a compliant sewage disposal system for the property which further aids in correcting existing negative environmental impacts. 1. The site is accessed from Eagan Road and this item will not change or be effected by the proposed project. J. Steps have been taken to manage the roof and pavement drainage through eave trenches and vegetated swales placed at the southeast property line away from the proposed well. The percolation rate of the soil is very good and the soil make-up is mainly medium sands and gravel and the ground water location is at least 60" below existing ground surface in the area of the new proposed septic system. K. Existing water supply is drawn from a pushed point and will be abandoned in favor of a new drilled well at the location indicated. Additionally a compliant sewage disposal system for the project is being proposed. L. The existing lot is developed and new landscaping will be provided in planting bed areas similar to those currently provided. M. The existing site is on Eagan Road which is adequate for emergency vehicle access. N. All proposed work will prevent ponding, flooding and/or erosion. O. The site plan takes as many steps as possible to conform to all design standards and reduce the environmental impact as much as possible for the project and has less impact than the existing residence. Proposed lighting will be recessed downcast fixtures with cut-off lenses mounted at the personnel entrances to the proposed single family residence. YAGustke ResidenceTHA-0021Paperwork\Response to A-O standards.doc § 179-9-050 Application for Site Plan Review Absent any waiver or waivers, an application for Site Plan Review shall include the following: 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 A�! easements within 500 feet of the property.Such a sketch may be superimposed on a United States Geological Survey map of the a rea. B The site pian 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,onstandard 24"x36'sheets,with continuationon8)12"x11"sheetsasnecessaryforwritten information.The Yes information listed below shall be shown on the site plan and continuation sheets. C 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 required from the owner Al! E The location and use of all 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 & , F 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 C` & shall also be shown. C The location, height, intensity, and bulb type.(sodium, incandescent, etc.)of ail 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-1 & H The location,height,size,materials,and design of all proposed signs NA 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 iiciuding existing and proposed drain lines,culverts,catch basins,headwalls, endwalls,hydrants, manholes,and drainage swains. 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 Pian (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, k 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 for 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 w!II be shown,and base flood elevations given.Areas shall be indicated within the proposed site and within 0 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 all proposed changes to these Waiver 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 feel of the site's perimeter shall be drawn and identified on the site plan,as well as any Overlay Districts that applyto the property. C-9 &� Site Plan Review Revised June 2016 Town of Queensbury Planning Office•742 Bay Road-Queensbury, NY 12804.518-761-8220 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 hourtraffic levels and road capacity levels shall also begiven. O 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 & C 3. Maximum seating capacity,where applicable;and 4. Number of parking spaces existing and required for the intended use. O 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 A-1 - alterations to or expansions of existing facades, showing design features and indicating the type and color of materials to be used. Q Soil logs,water supply well and percolation test results,and storm runoff calculations,as needed to determine and mitigate project impacts. Hutchia R Plans for disposal of construction.and demolition waste, either on-site or at an approved disposal facility. C-1 Ci S Plans for snow removal,including location(s)of on-site snow storage. C-2 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 aspecial use permit application,a duplicate EAF is not required forthe 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 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,goals and policies inthe Town's Comprehensive Plan. Yes Site Plan Review Revised June 2016 Town of Queensbury Planning Office-742 Bay Road-Queensbury, NY 12804.518-761-8220 7 Town of Queensbury Site Plan Pre-Submission Conference Form /Section 179-9-040 1.. Applicant Name: r� 2. Tax Map ED _1� Location: [ C-L Gf it 3. Zoning Classification (Z 4. Reason for Review: IV,% e C�`t�,• ' �S 5. Zoning Section#: I-) q— f p_y(R 0 G 6. Pre-Submission Meeting Notes: Prov` ed Outstanding; Please provide by Deed General Inforrnation complete Site Development Data Complete U> Setback Requirements CompleteG Additional Project Information Complete FAR addressed V Requirements for Site Plan-Standards Checklist items addressed Environmental Form completed Signature Page completed - cc A CC 1XV I 4V C o n + rVc f 0 -6 S � r r�� s� nr-e, ' e C c [vr,�� Pc_ C_ r►.t c, i— c c k f . 141- f Staff Representative: 0 r-c 0c Applicant/Agent: Date: f Z 1 s Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road, Queensbury,NY 12804 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;S.)Official Meeting DiscIosure and 6.)Agreement to provide documentation required. OWNER'S AGENT FORM: Complete the following if the OWNER of the property is not the same as the applicant Owner: Designates: As agent regarding: Variance Site Plan Subdivision For Tax Map No.: Section Block Lot Deed Reference: Book Page Date OWNER SIGNATURE: DATE: APPLICANT'$AGENT FORM: Complete the following if the APP IC Tis ble 1Pattend tate meeting or wishes to be represented by another party: Owner. Designates: [dAAAv, -AAA- . r::I*pr4 As agent regarding: Variance V"'Site Plan Subdivision For Tax Map No.. Section Block Lot Deed Reference: Book Page Date OWNER SIGNATURE: DATE' 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 his/her/their 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 by the Zoning Board or Planning Board. It is the applicant's responsibility to obtain any additional permits. 5.) OFFICIAL MEETING MINUTES DISCLOSURE: It is the practice of the Community Development Department to have a designated stenographer tape record the proceedings of meetings resulting from application, and minutes transcribed from 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,1 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,1 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 read and agree to the above. (y l r l�Q� 1�jtvSt�C I � Si e [Ac Pr�N [Applicant] Date signed 2fe_401ZW ignature [Agent Print Name [Agent] Date signed 9 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 Short Environmental Assessment Form Part I -Project ject 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 1 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, Part1-Project and Sponsor]Information Name of Action or Project: New Residence Project Location(describe,and attach a location map): Demolition of existing season camp and replacement with new single family residence Brief Description of Proposed Action: The existing seasonal camp will be demolished and a new single family residence wilf be built on the existing footprint of the existing with an addition on the side away from the river. Name of Applicant or Sponsor: Telephone: 315-317-6433 Michael&Erin Gustke E-Mail: MichaalGustke@gmail.com Address. PO Box 699 Glens Fal =NY Zi Code: Glens Falls 12801 1.Does the proposed action only involve the legislative adoption of 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 and permit or approval: Town of Queensbury Building Permit ❑ 3.a_Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? 0.12 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsors? 1,71 acres 4. Check all Iand uses that occur on,adjoining and near the proposed action. ❑Urban ®Rural(non-agriculture) ❑Tndustrial ❑Commercial ®Residential(suburban) mForest ❑Agriculture ®Aquatic 00ther(specify): ❑Parrkland Page 1 of 3 S. Is the proposed action, NO YES NIA a.A permitted use under the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ P 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 b.Are public transportation scivice(s)available at or near the site of the proposed action? ❑ ❑ 21 F-1- c. c.Are any pedestrian accom odations or bicycle routes available on or near site of the proposed action? Z ❑ 9.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: 10. Will the proposed action connect to an existing public/privatc water supply? NO YES If No,describe method for providing potable water: ❑ 1].Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: r" A neva on-site sewage disposal system has been designed lt�—II 12_ a- Does the site contain a structure that is listed on either the State or National Register of historic NO YES Places? RI ❑ 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: 21 Shoreline Q Forest ❑Agricultural/grasslands El Early mid-successional ❑ Wetland ❑Urban ❑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? ❑NO ❑YES ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑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.- 19. ize:I9.Has the site of the proposed action or an adjoming property been the location of an active or closed NO YES solid waste management facility? 1f Yes,describe: � ❑ 20.Has the site of the proposed action or an adjoining property been the subject of rem,ediatian(ongoing or NO YES completed)for hazardous waste? If Yes,describe: [W1 ❑ T AFFIRM THAT THE INFORMA'T'ION PROVIDED ABOVE IS'TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor c:Etc P-Hail-ArchitacM9antfor the Applicant Date:January 30,2017 Signature. PRINT FORM Page 3 of EAF Mapper Summary Report Monday, January 30,2017 3:54 PM ! } Disclaimer. The EAF Mapper is a saeening Inns1 intended to assist Proied sPoneas and r8vievdng agencies in preparing an envsronmental F30,3--20-1-1;2 34 .124�-9.1 assessment form(FAF).Notre questions asked in the EAr are 348.24 1 3 1ar"i"dby the EAF Mapper.Additional informalim an any EAF question can be obtained by coruulling the PAF Wnrkboeks Although 1 =•z the EAF Mapper provides the most up-to-date digital data evadable sa DEC,YOU May also need to contact local or other data sources in order to obtain data net Provided by the Mapper,Digital data is not a -- -�� substitute for agency determinations. 4-9—73-�-141� 9-.�1��•'-� Y� h` r btava--m o.n. trea81118-4 Que 15.6;;1 3-1.5 8-1 ?15 9-1I-4-315.8-1-2 s' I. 31�..tBJI-1 =18.5-7-111.73 ' Toronto - r I r.. F EI dEt Re3re t� is d7bany i r. ehnit,: 'Poston I fv �� SOLtCQS isrr ld ERE 17etliym�.,17i�3 5-i 2.17 Glenelfd r PravtQenca Intarsrbep.Ric-?t=fulEivrri-tgR6U EF,, N , tsp�,y ,tapan,METl:F—r!�Ct£ina{ gp�gj.,5sri Prit_trurgh SarcesarEsr�YI E Kcrea,�riiTfmland) Mapmylrtdra.t�'�C. £ofarrbrsa. t: f" %op ensil—Wap-emir WiUrs. DEL0610 t3 s Ir:ermap, •,f Lsa Conrrreinify srytxsau WC tEMEW P,NRCen.Esn War ,F,,t FTI F-Sr,c urfa Part 1 /Qttestion 7 [Critical Environmental No Area] Part 1 f Question 12a [National Register of No Historic Places] Part 1 /Question 12b [Archeological Sites] Yes Part 11 Question 13a[Wetlands or Other Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 11 Question 15[Threatened or No 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[Remedlation Site] No Short Environmental Assessment Form-EAF Mapper Summary Report Agency Use Only]If applicable] Project: Date: Short Environmental Assessment Form Part 2-Impact Assessment Part 2 is to be completed by the Lead Agency. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? ❑ ❑ 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment of a Critical Environmental Area(CEA)? S. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,billing or walkway? ❑ ❑ 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate El reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ L1a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? ❑ ❑ 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ Elproblems? 11. Will the proposed action create a hazard to environmental resources or human health? ❑ ❑ PRINT FORM Pagel oft Agency Use Only[If applicable] Project: Date: Short Environmental Assessment Form Part 3 Determination of Significance For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting, probability of occurring,duration,irreversibility,geographic scope and magnitude. Also consider the potential for short- term,long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT FORM Page 2 oft Severe Slope abillilzatilon ermanen;Rjr stabilize eroded or damaged slopes using vegetation instead cif hard armoring ..r 41 -� J5 �.. Sy.stem Advantages • Strength-uses tensile strength of roots with optional geogrid reinforcement • Immediate vegetation establishment and superior long term growth • Less hydrostatic pressure through superior drainage • Easy to instal"ightweight components with minimal footings required • Customizable vegetation—preseed and/or use seed, plugs,or live stakes Specs and CADS of 'oww.fiitrexx,com!soeCi`iCotior'is filt exx 877-542-7699 Severe Slope Stcb!'7C4 G� Excavation Is often necessary prior to installation GroSoW are installed one to three rows at a time Successful vegetation establishment adds to to achieve an even grads, and wrapped with geogrid for reinforcement, slope protection. 00000 Made in USA3 It Filtre)ox Channel Protection uses GroSoxO as the basis for establishing vegetation. These vegetated Soft Blocks' use heavy duty Filtrexx tubular netting filled with composted GrowingMedia— to provide a stable and fertile environment for plant growth. Compost has the ability to bind heavy metals, pesticides, herbicides, and other contaminants, reducing their leachability and transport in runoff,while select plant materials have the ability to take up pollutants trapped by compost. This combination makes the Flltrexx system an ideal management practice in stormwater and riparian applications, 1-SDA V [l 1 L R C S �}$Qrrlty Cr3rr15 of Engineers Rt..,the Brandi B Leaf lope,In Canpfi—with NaWm,and GroSma are Registered Trademarks nf FrIttw lnlemadonat.Gnwringhie dia and Soft Blocks are Tmdemadt d Flt—H—abonal.US Patents 7,226,240;7,452,165;7,654,242;8,272,812; 8,439,607;8.740,503;.,d 8.827,078 may apply&patent per hnp,All tights rrs.ved.Panted May 2015.