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47392 - Luzerne Holdings _ Access Road Modification Application Site Plan Review Revised June 2009 General Information Tax Parcel ID Number: X308.12-1-7.13 0)� I z%SCC 7, 2 LuZ,e�--,e Zoning District: CLI Detailed Description of Project[include current&proposed use]: CONSTRUCTION OF A 60 BY 80 STORAGE GARAGE AND ASSOCIATED PARKING. GARAGE AND PARKING AREA WILL BE USED TO STORE EQUIPMENT FROM SURVEY BUSINESS A 20FT WIDE ACCESS DRIVE WILL BE INSTALLED IN AN EASEMENT ALONG THE WEST PROP. LINE Location of project: WEST DRIVE & LUZERNE ROAD p lu an ,Nat l " LUZERNE HOLDINGS, INC " 169 HAVILAND ROAD HO 518-792-8474 518-792-8511 MATT@1-SURVEY.COM " ANt dtlr 169 HAVILAND ROAD NACE ENGINEERING QUEENSBURY, NY 12804 Hgme Phone l- Q4 phon (518) 79-2515 (518) 792-8511 ..............�._. � mll TCENTER36@YAHOO.COM.COM . . ..... w t"' N SAME AS APPLICANT 4 f0 , ome,P orwe-- � �1 i Work Pb n � � _. Town of Queensbury Planning Office- 742 Bay Road •Queensbury, NY 12804• 518-761-8220 2 LUZERNE ROAD STORAGE-ADDITION-ACCESS ROAD MODIFICATION Site Plan Review Revised June 2009 Site Plan Review Application REVIEW PROCESS: 1. Required Pre-submission meeting with staff to determine general completeness to be heig n I t r than 1 week PriQr to d,egdline d- . Call (518)761-8220 for an appointment 2. Submittal of complete application: 1 original and 14 copies of the application package by monthly deadline. 3. Determination of application completeness. All necessary information must be provided and appropriate fee(s)paid for consideration for placement on an agenda for that month. I 4. Incornglete,.appligptions will not be con idere for l arra nt on arw a ends larntil all_ mi in inf fma 'on h s b@9n submitted. 5. Submittal to Warren County Planning, if applicable. 6. Planning Board meeting, generally the third &fourth Tuesday of each month. You will be advised in writing as to which meeting to attend. 7. Following the meeting you will be provided with a copy of the resolution stating the Board's decision on your application. If your application was approved, the next likely step is a Building Permit. Final drawings must be provided for the next phase of review. If your application was denied your project cannot proceed as submitted. 0 'MENTATION E IRE NT Please submit 1 original & 14 copies of the completed application package to include: 0 92=12tegil n: pages 1-11 completed, signed &dated 0 Pm&Utmission Meetln Nates: signed by staff 0C2py 2f tg 0 Inv: Chechlisl L Plot Plan Fee 0 - 10,000 sf = $100 10,001- 30,000 sf = $250 30,001- 100,000 sf= $500 100,000 + sf = $1000 ZONIN TAFF &CONTACT INFOR.I&T_I Craig Brown, Zoning Administrator craigb@gueensbury.net Keith Oborne, Land Use Planner keltho,@_queensbuU.net Pam Whiting, Office Specialist 518-761-8220 pamw@gueensbu[y.net Visit our website at www. ueensbu .net for further information and forms Town of Queensbury Planning Office- 742 Bay Road•Queensbury, NY 12804 • 518-761-8220 1 Site Plan Review Revised June 2009 Site Development Data Area/Type Exisfiing sq ft. Prc poseud Total sq,ft. A. Building footprint . .. �..µ .. -Tymmm27,050 4,800 31,850 B. Detached Garage C. Accessory Structure(s) D, Paved,gravel or other hard surfaced area 62,554 32,546 95,100 ..... _.... E. Porches/ Decks F. Other G. Total Non-Permeable [Add A-F] 89,604 37,346 126,950 H. Parcel Area [43,560 sq. ft. /acre] 281,398 281,398 281,398 .. . I. Percentage of Im ermeable Area of Site I=G/H . ............. Percentage p [ ] 31.8 % 13.3 45.1 Setback Requirements Area Required Existing Proposed Front [1] 50.0 114.4 114.4 Front[2] 50.0 1 82.7 82.7 Shoreline _-� .....v Side Yard [1] 30.0 60.0 60.0 Side Yard [2] Rear Yard [1] 30.0 1 410.1 208.6 ... Rear Yard [2] Travel Corridor Height [max] 5o 15 28 Permeability 30.0% 68.2% 54.9% No. of parking spaces 9 ADDITIONAL Town of Queensbury Planning Office- 742 Bay Road •Queensbury, NY 12804• 518-761-8220 3 Site Plan Review Revised June 2009 Add tional Pro,eot 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): 3. Does this project require coverage under the NYS DEC Stormwater Pollution Prevention Program? NO 4.. Estimated project duration: Start Date SPR 2018 End Date FALL 2018 5. Estimated total cost of project: $ 300,000 6. Total area of land disturbance for project:. 72 848 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 by the lot size in square feet, yielding a percentage. Zoning District Sym bol FloorAr6a Ratio,[FAR) W.. r . -denttial ---'. W..�....�....... ._........�� ri..w .. aterfront Residential WR 0.22 Commercial Moderate CM 0.3 Commercial Intensive CI 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. Parcel Area NA sq. ft. Existing Floor Area NA sq. ft. see above definition Proposed Additional Floor AreaNA sq wft Proposed Total Floor Area NA sq. ft. Total Allowable Floor Area NA Area x see above table Town of Queensbury Planning Office- 742 Bay Road •Queensbury, NY 12804 • 518-761-8220 4 Luzerne Holding, Inc. 179-9-080 Responses to Standards Questions A-0 A. This site involves a commercial use (storage facility and parking area) in a Commercial Light Industrial,zoned for this type of use. B. The proposed project, as presented, is believed to be in compliance with applicable code parameters. C. The proposed project has been designed to allow internal pedestrian activities as necessary and applicable to this type of use. D. The proposed project has been designed to be in compliance with Chapters 136 and 147,as applicable. Specifically,stormwater management in accordance with NYSDEC standards is provided for the entire site. E, The proposed project has been designed to be in harmony with the general purpose or intent of this Chapter. F. The proposed project has been designed to be in compliance with principles of good site access, traffic flow, and safety and general welfare of the neighborhood. G. The proposed project has been designed with the intent to provide safe,adequate,and functional off-street parking and loading facilities. H, The proposed project has been designed to not impact natural,scenic,aesthetic ecological, wildlife,historic,recreational, or open space resources of the Town. I. The proposed use in the Commercial Light Industrial zone does not lend itself to pedestrian uses between adjoining properties. Circulation between the buildings is maintained within the subject parcel owned by the Applicant. J. The proposed project has been designed to recharge all site runoff to groundwater through appropriate NYSDEC stormwater management practices. The proposed project has been designed to be in compliance with Chapter 147,as applicable. K Presently,no additional water supplies or wastewater systems are proposed for the new storage buildings. L. The proposed project has been designed to maintain a vegetated buffer to the south and west and the existing vegetation and landscaping over the entire parcel will be maintained. M. The project has been designed in effort to meet the needs of emergency service providers adequately. N. The site grading and drainage provisions have been developed with the intent of avoiding flooding and ponding with the exception of areas required for stormwater controls. 0. The site has been designed with the intent of maintaining the existing vegetation and landscaping as feasible. Site Plan Review Revised June 2009 § 179-9-050 Apgfication for Site Plan Review Application for site plan approval shall be made to the Planning Board using forms supplied by the Board.Application materials and the site plan shall include sufficient information for the Board to make its findings under§ 179-9-070 and 179-9-080 below. In determining the content of the site plan and supporting documentation,the Planning Board may waive certain requirements if the Planning Board deems such requirements or information unnecessary for the type of project proposed. Any such waiver shall be made in writing, and shall contain statements of the reasons why the waived information requirements are not necessary for an informed review under the circumstances. The Planning Board may grant such waivers on its own initiative or at the written request of an applicant. Such request shall set forth the specific requirements that are requested to be waived and the reasons for the requested waiver. Absent any waiver or waivers, an application for Site Plan Review shall include the following: hown REQUIREMENTS ' on Sheet A A vicinity map drawn at the scale that shows the relationship of thes 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 SP1 Survey map of the 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"x 36"sheets,with continuation on 81/2'x 11"sheets as necessary for written information. SPl The 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. SPl p 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 SP1 ._......... 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. SPl WWW 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 SPl containers shall also be shown. 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. SP1 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 or septic system; 2. Water supply system; 3. Telephone,cable,and electrical systems; and SP1&2 4. Storm drainage system including existing and proposed drain lines, culverts, catch basins, headwalls, endwalls,hydrants,manholes,and drainage swales. J Plans to prevent the pollution of surface or groundwater,erosion of soul broth 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 SP2 shall be at the 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 less than 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 RMl within the 100-year floodplain,the area will be shown, and base flood elevations given. Areas shall be indicated within the SP1 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 all proposed changes to these features including sizes and types of plants. Water sources include ponds, lakes, wetlands and NA watercourses,aquifers,floodplains,and drainage retention areas. Town of Queensbury Planning Office- 742 Bay Road •Queensbury, NY 12804• 518-761-8220 6 _ Site Plan Review Revised June 2009 M I Land Use District boundaries within 500 feet of the site's pahmetar shall be drawn and identified on the site plan, as well as any Overlay Districts that apply to the property. SP1 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; NA 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 g public streets and at affected intersections. Existing and proposed weekly and anhual peak hour traffic levels and road capacity levels shall also be given. O Fornew construction or alterations to any structure,a table containing the following information shall b..._ e 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; SP1 3. Maximum seating capacity,where applicable;and 4. Number of parking spaces existing and required for the intended use. _._... ._--........... P 1. Floor Plans 2. Elevations at a scale of one-quarter inch equals one foot(1/4"=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 ATTAC to be used. Q Soil logs,water supply well and percolation jest results and storm runoff calculations,as needed to determine and miliigate project impacts, SP1 R Plans for disposal of construction and demolilion waste,either on.-site or at an approved disposal facility. S Plans of,snow removal,including location(s)of on-site snow storage. ATTAC T shalAn El bersun tted en ase art of then'Foapplication.("EA ")„as required by the SEQRA regulations„with Part 1 completed try the Applicant p If the proposed project requires a special use permit and an EAF has been ATACH Srne submitted in conjunction with a special use permit application,a duplicate EAF is not required for the site plan application, r a arcetl or arcels on which more than one use is proposed,..,� .. U afpplicatioln fo rally such uses provided the ro osed uses are accurate) delineated on the applicant may submit a single an PP P P P y 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 NA 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. \F-"A brief narrative statement on how the project proposed for review furthers or is consistent with the vision„goals and policies in the Town's Comprehensive Plan, ATACH Town of Queensbury Planning Office- 742 Bay Road -Queensbury, NY 12804•518-761-8220 7 Site Plan Review Revised June 2009 Pre-Submission Conference Form 17 - -1 41;1 1. Ta MapID ce. - )"S Buz. c 2. Zoning Classification CLI 3. Reason for Review: SITE PLAN REVIEW - ACCESS ROAD MODIFICATION 4. Zoning Section#: IL 5. Pre-Submission Meeting Notes; Outstanding Items To Be Addressed Include: Deed i/ Yes No General Information complete JL Yes No Site Development Data Complete Yes No Setback Requirements Complete Yes No Additional Project Information Complete Yes No FAR Worksheet complete Yes No Standards addressed Yes No Checklist addressed Environmen al Formcomleted Yes No p Yes No Signature Page completed ff des No '� :'�� . rr'd - 1r �mm�,�,. .� B p ,,.,�',,..,.y,v.� fJ `' cl t, r I �� M ,tea (14 4C) IdI ". a Staff Representative: .o,, Cb. Applicant/Agent: Date: Town of Queensbury Planning Office- 742 Bay Road •Queensbury, NY 12804• 518-761-8220 8 Site Plan Review Revised June 2009 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 if the OWNER of the property is not the same as the applicant Owner: LUZERNE HOLDINGS INC Designates: NACE ENGINEERING As agent regarding: Variance ✓ Site Plan Subdivision For Tax Map No.: 308.12 Section 1 Block 7.13 Lot Deed Reference. , - 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: LUZERNE HOLDINGS INC Designates: NACE ENGINEERING As agent regarding: Variance ✓ Site Plan Subdivision For Tax Map No.:Deed ere 308.1.2 Section 1 Block '7.13 Lot regg ," 5'00 "" age Date OWNER SIGNATURE _. DATE: ENGINEEM96EE I C tMtE:, 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. 21 AWTHg?RIZATIQN FOR 911E VJ$_1T-S,. 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. 4jOTHE_RP IMI!T REP N IIBILITlg 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. 6.1 OFFICIAL M E'TING MINUTES QI CL RE: 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. AO—RgEMEW IQ PRQVIDE DQCUMENTATION_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 surrey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy I have read and agr .tc. above. 1/16/18 S" rlatureApplicant Print Name [Applicant] Date signed o THOMAS CENTER, PE 1/16/18 Signature [A nt] Print Name[Agent] Date signed Town of Queensbury Planning Office- 742 Bay Road •Queensbury, NY 12804• 518-761-8220 11 Short Environmental Assessment Form Part 1 - Project Information Justructiousfor Coi ge1iwi y 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. Part 1.... ........_��.na.w.w-..,...----_�.�..-�� _w... ....... __- .. ... ....�. w........._e �___ -__ ,,, .�.,,....,,_... .W..�...0 ... .........v ,...... -Project and Sponsor Information LUZERNE HOLDINSG INC Name of Action or Project: LUZERNE STORAGE-ADDITION ._ . ..-.._............. ,. .... ..... .. _..,.... .. .... ------- m- ..... Project Location(describe,and attach a location map): LUZERNE ROAD&WEST DRIVE Brief Description of Proposed Action: CONSTRUCT A 60 X 80 STORAGE BUILDING AND ASSOCIATED PARKING FOR STORAGE OF SURVEY BUSINESS EQUIPMENT, Name of Applicant or Sponsor: Telephone: 518-792-8474 LUZERNE HOLDINGS E-Mail: -u...,..._. _... MATT@1-SURVEY.COM Address: 169 HAVILAND ROAD Ci /PO; State; Zip Code. QUEENSBURY NY 12804 �_ . ,,,. .�mm _ .. ...�._-,� 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 F7 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 QUEEBSURY SITE PLAN REVIEW AND BUILDING PERMIT El F71 3.a. Total acreage of the site of the proposed action? 6.64 acres b. Total acreage to be physically disturbed? q.7 acres c.Total acreage(project site and any contiguous properties) owned 11 or controlled by the applicant or protect sponsor, 1 .00 acres ... - and Check all luses that occur on, adjoining and near the proposed action. ❑Urban E3 Rural(non-agriculture) ❑Industrial m Commercial 91Residential(suburban) ❑Forest ❑Agriculture El Aquatic ❑Other(specify) ❑Parkland .° Page 1 of 3 5. a 1 s the propermitos use action, NO YES N/A .A pted use under the zoning regulations? b. Consistent ❑ with the adoted comprehensive .plan? 11— p -171 El — .......... 1 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES sitte E-1YJ7. Is the of the proposed action located in,or does it adjoin, a state listed Critical Environmental Area. NO YES If Yes,identify .. ................. ..........-- --__ I"I'll ­­­11­ "I'll,11111111-1 1-111­­­­­..... .....l 11-- -111-1111 11.---1-- ____ _ 11 - ­_­ I ­ 1-11,11, 1 1-1111- - �_. I ✓I Z 1:1 Will Fhe'.-prop—osed actionresultin a substantial—in—crease—intra'ffic—above—pres'entlev e_Is ­""...... ? NO r_71 El b. Are public transportation service(s)available at or near the site of the proposed action? YJ El c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? on rneet or excLed the state energy co.c requitements9 NO YES Does h—e proj;n:—sed If the proposed action will exceed requirements,describe design features and technologles� ......... El 77 10. Will the proposed acti(;�'�onnec�too an existing public/private water supply? NO YES IfNo, describe method for providing potable water: ............. F] Voo' .......... _.TI I. Will theproposed action connect to existing wastewater utilities'? NO YES If No, describe method for providing wastewater treatment: ONSITE WASTEWATER SYSTEM Z, 1:1 . ........... 12. a.Does the site contain a structure [bat 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. s­any....`portion of the site of the proposed action,or lands adjoining the proposed action,contain NO to wetlands or other waterbodies regulated by a federal, state or local agency? b _Z L). _.__ Would the proposed action physicaily alter,or encroach into,any existing wetland or waterbody? I if Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: -- Ell ........................ 14. ldentif�the typical habitat types that occur on,or are likely to be found on the project sitc. Check all that apply: El Shoreline W1 Forest 0 Agriculturad/grasslands El Early rflid-SLICCCSsional El Wetland ❑Urban El Suburban proposed action contain any species of animal, or associated habitats,listed NO YES _.i5,Does he�iteo�the by the State or Federal government as threatened or endangered? ... __....... 16. Is the project site located in the 100 year flood plain? NO YES _7 WiFfthe 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? [Z] NO DYES D Z b. Will Morin water discharges be directed to established conveyance systems(runoffand storm drains)? If Yes,briefly describe: 91 No DYES 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,darn)? If Yes,explain purpose and size,� ........... 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: ........ ...... Fv E I . . ....... ...... .......................... ' " _­'_""' "' "_ "" F .............. 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: ... ..... Li ............. .............. .............. I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: MATT STEVES,LQZFnNfjJ0LD1NGS N H Date: 2-16-16 Signature: PRINT FORM Page 3 of 3 EAF Mapper Summary Report Monday, February 15, 2016 3:42°PM 1 CII 1 @r: The EAF Mapper IS a screening toot Intended to assist project sponsors and tevWeuw in ,agendes in preparing an envlrcanowtat assessment Iona(EAF) Not all tiuestioris asked in the EAF arra F ar SWOred Illy the EAF Mapper,AddttWona$laainrrnalloat ort any['AF tgtaWWII can Fre obtain ti by consulting,time EAF°Workborks, Atbaough W I r the EAr Mapper provides the rnnst 4,tpw104ato digital data availatrte to , DECa yotr irmy also need to Contact krcal or other data Sources in order to Obtain data not provided by the Mapper,Digital data is ocat'a i CT) substitute For agency delermtnations. 9 2 (A t i qqu 12 ' t Mkn''N t �� i*1 ,r p �r tt�PitP v a '112e q,.� 1 } .l�. u r x�✓ 4 q--r 4�Pt"S d G'Rt'VM,� ! / ! ;11 �;4. ^��sd 1 2113,ln xd�ac q*cr � kF���c ld�d� �� �-! ! �,t� � � � 'H1 Futka PaPorrptro qruF G q ���al9�rr�F Ti � +t omi l�i ai� r� l���a��tF�a��q TrrlmtraM'I�� mr raaFrars t ^n�r�� ��t„ tFFC ,ur�t"m, 3CI8 Ire 2"tlr.F rw i Bpi rsr btu m n d , .^It a tdrrl t srr 1wmr w a�,.'F WF tG F.,rm t t iir Part 1 /Question 7 [Critical Environmental No Area] Pert 1 /Question 12a [National Register of No Historic Piaces) Part 1 /Question 12b [Archeological Sites] Yes Part 1 1 Question 13a [Wetlands or Other No Regulated Waterbodies] Part 1 /Question 15 [Threatened or Yes Endangered Animal] Part 1 /Question 16 [100 Year Flood Plain] Digital mapping data are not available or are incomplete. Refer to EAF Workbook. Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report 1