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Site Plan Application & narrative 169 Haviland Road Queensbury, NY 12804 Hutchins Engineering Phone: (518)745-0307 Fax: (518)745-0308 April 16, 2018 Town of Queensbury Planning Board 742 Bay Road Queensbury NY 12804 Re: 1454 State Route 9 LLC 1454 State Route 9, Tax Map ID: 288.12-1-21 Dear Planning Board Members: This office represents 1454 State Route 9 LLC and David Kenny with regards to the preparation of the site plan outlining some proposed improvements to the above-referenced facility. Specifically, it is proposed to remove the existing restaurant building and a portion of the existing Clarion Hotel and construct a new 12,500-SF retail building. This project will move the buildings farther away from Route 9 and allow for the 75-foot front setback to be maintained. Additionally, it will provide aesthetic and logistical improvements for the space layout as well as site layout and traffic flow. No work will be required within the Route 9 right-of-way. We respectfully request to be placed on the agenda for the May meeting. Please contact me if you have any questions or if you require additional information. Best Regards, G. Thomas Hutchins, P.E. Cc: Mr. Dave Kenny N G.Thomas Hutchins, P.E. thutchins@hutchinsengineering.com General Information Tax Parcel ID Number: 288.12-1-21 Zoning District: Commercial Intensive(HC-INT) Lot size: 3.37 Acres Detailed Description of Project [includes current&proposed use]: Remove front portion of building,including restaurant and section of two-story hotel;Construct a 12,000+/-SFwretail wspace with associated stormwater management control devices and parking areas Location of project: 1454 State Route 9 Applicant Name: 1454 State Route 9,LLC Address: 1454 State Route 9 Lake George NY 12845 ___ ...WW Home Phone Cell: (518)796-7652 Work Phone Fax (518)793-6028 WWW E-Mail: djjkenny@gmail.com / Cc:lakob Is@aol.com(Laura Kof ls) w Agent's Name: Address: 169 Haviland Road Hutchins Engineering Queensbury NY 12804 Home Phone Cell: Work Phone Fax (518)745-0307 1 (518)745-0308 E-mail. ._ _.... ..............................�..... __........ thutchins@hutchinsengineering.•om Owner's Name Address (Same as Applicant) Home Phone Cell __........................_ ........................ w .. _._. .__ Work Phone Fax E-mail 2 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 Site Development Data ............... ........ ..... Area/Type Existing sq. ft. Proposed Total sq. ft. i Additions . ft. A. Building footprint Existing Building 36,714 -10,067 26,647 � Proposed Retail Building 0 12,650 12,650 C. Accessory Structure(s) 0 0 0 .................. .__. .. D. Paved,gravel or other hard surfaced area 60,991 -1,739 59,252 Asphalt .......................... �w �... ... _...a E. Porches/Decks 0 0 0 _... F. Other Concrete Walks 775 2,462 3,237 G. Total Non-Permeable [Add A-F] 98,480 3,306 101,786 _. ... . H. Parcel Area [43,560 sq. ft. /acre] 146,639 0 146,639 I. Percentage of Impermeable Area of Site [I=G/H] 67.16% 2.25% 69.41% Setback Requirements Area Required Existing F—­Proposed ,,,.— w 75, m 47.4' E. m Front[1] (Existing Bldg) 75.0'(New Bldg) ..... ......... Front[2] .... ._. Shoreline ......... _.......... Side Yard[1] North 20' 21.2'(Existing Bldg) 25.3'(New Bldg) Side Yard[2] South 20' 7.2'(Existing Bldg) 25.0'(New Bldg) .......... .... Rear Yard [1] 25' 155.4'(Existing Bldg) 155 4'(Existing Bldg-Same) ... .__........................._._. Rear Yard[2] ........ __..._..._W Travel Corridor Height [max] 40' 40° 40" ............. Permeability 30% 32.84% 30.59% No. of parking spaces 131 159 131 3 Site Plan Review application–Revised October 2016 Town of Queensbury Planning Office-742 Bay Road, Queensbury,NY 12804 Additional Pro"+pct 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): N/A 3. Does this project require coverage under the New York State Pollutant Discharge Elimination System (SPDES) Permit Program? _. .m mmmNo wwwwwwwwwwwwwww 4. Estimated project duration: Start Date 2019 End Date 2020 5, Estimated total cost of project: .....15M(All Phases) 6. Total area of land disturbance for project: 0.95 Acres 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 Floor Area Ratio [FAR] W Waterfront Residential WR 0.22 ........ ...... ..................................................... ....... Commercial Moderate/Intensive CM/Cl 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 146,639 s , ft. B.Existing Floor Area 63,506 s ft. see above de......................_...w. 3, finition _. ............ C. Proposed Additional Floor Area -1,540 sq. ft. D Proposed Total Floor Area61,966 -................. E. Total Allowable Floor Area 43,991 (Area x .30 ) see above table .. _ ......... *If IJ is larger than E. a variance or revisions to your plan may be needed. Consult with Staff. 4 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 § 179-9-080 Reguireinents for Site Plan ApIgroval. 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. proposed project policies .. _.._ The ro osed ro ect furthers or consistent with the olicies of the Town's Comprehensive Plan. _...._....... .............. _ .................... ___._ ....._. _. 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 local laws. E The proposed use shall be in harmony with the general purpose or intent of this 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 services and facilities which will follow the approval of the proposed use. -The establishment,maintenance IT............................ ___....................... w_w..w F. and operation of the proposed use will not create public hazards from traffic,traffic congestion or the 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 19oading 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. 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 property owners for purposes of coordinating 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 in relation to the development objectives and general guidelines set forth in§ 179-9-080 of this Article. ww_.w w 1 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 drainage flows. 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 in conformance with the drainage standards of Chapter 147 of the 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 Health regulations and Chapter 136 of the Town Code. I, 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 fire hydrants will be adequate and meet the needs and requirements of emergency service providers. r N. The design of structures,roadways and landscaping in areas susceptible to ponding,flooding and/or erosion will minimize or avoid such impacts to the maximum extent practicable. The site plan conforms to the design standards, G p gn landscaping standards and performance standards of this chapter. 5 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 Applicant/Owners: 1454 State Route 9, LLC Location: 1454 State Route 9 179-9-080 Responses to standards questions A-0 A. The proposed project to improve the site is consistent with the policies of the Town's Comprehensive Plan. B. The proposed project complies with all other requirements of this Chapter. C. The proposed residential project has been designed to improve internal pedestrian activities as necessary and applicable to this type of use. D. The existing residence conforms with Chapter 136 Sewage and Sewage Disposal; the proposed project is designed to conform with Chapter 147, the Stormwater Management Local Law and all other applicable laws. 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 to the greatest extent feasible. 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 project has been designed to improve internal pedestrian activities as necessary and applicable to this type of use. The proposed project has been designed to be in compliance with Chapter 147 as applicable. K. There will be no change in water or wastewater demand for the proposed project on Town of Queensbury Municipal Water and Sewer. L. The proposed project has been designed to provide an attractive, well-landscaped facility while meeting all functional requirements. M. The project has been designed in effort to meet the needs of emergency service providers adequately. M 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 conforming to the design standards, landscaping standards,and performance standards of this Chapter. § 179-9-050 Checklist-Application for Site Plan Review. Application materials and site plan shall include sufficient information for the Board to review and provide a decision. The applicant is to provide a site plan drawing and all attachments that address items A-V. The applicant may request a waiver from A-V and is to provide reasons for waiver(s) requested. Please label information to be submitted. WWWW...W-_WWWWWWWWW. 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, S1 subdivisions,streets and easements within 500 feet of the property. Such a sketch may be superimposed on a United States Geological S rvey 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 8 1/2"x 11"sheets as necessary for written S1-S4 information. P.a.. .................i..........The information listed below shall be shown on the site plan nd continuation sheets. C Name of the project,boundaries,date,north arrow,and scale of the plan. D. Name and address of the owner of record,developer,and seal of the engineer,architect or landscape architect. If the 51-54 applicant isred from mnot the record owner,a letter of authorization shall be requithe owner. E The location and use of all existing and proposed structures within the property,including all dimensions of height and S1,S2 floor area,all exterior entrances,and all anticipated future additions and alterations. 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 Sl,S2 containers shall also be shown. G The location,height,intensity and bulb type(sodium,incandescent,etc.)of all external lighting fixtures. The direction of N/A illumination and methods to eliminate glare onto adjoining properties must also be shown in compliance with§ 179-6-020. .w Il The location,height,size,materials and design of all proposed signs. N/A 1. 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 S1-S3 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 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 one 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 S3 Code. It 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 one 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-year floodplain,the area will be shown and base flood elevations given. Areas shall be indicated within S1-S4 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 m A landscape plan showing all existing natural land features than 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 S4 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. N/A 6 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 REQUIREMENTS (CONTINUED) Sheet# N. Traffic flow patterns within the site,entrances and exits,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; 2. The projected traffic flow pattern including vehicular movements at all major intersections likely Sl,S2 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. 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 retain operation,office, Sl,S2 Storage,etc.; 2. Estimated maximum number of employees; 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) Elevations and/or alterations to or expansions of existing facades,showing design features and indicating the type and color of materials Al to be used. Q, Soil logs,water supply well and percolation test results,and storm water runoff calculations as needed to determine and mitigate project impacts. N/A R. Plans for disposal of construction and demolition waste,either on-site or at an approved disposal facility, N/A S Plans for snow removal,including location(s)of on-site snow storage. Existing 'I 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. APP 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 S1,S2 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 in the Town's Comprehensive Plan. 4 7 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 Town of Queensbury Site Plan Pre-Submission Conference Form / Section 179-9-040 1. Applicant Name: 1454 State Route 9,LLC 2. Tax Map ID 288.12-1-21 Location: 1454 State Route 9 r 3. Zoning Classification Commercial Intensive(HC-INT) o 4. Reason for Review: &M�q') t° (c.� 5. Zoning Section#: f r 6. Pre-Submission Meeting Notes: Provided Outstanding; Please provide by 1 Deed _ m_.. _.... General Information complete Site Development Data Complete Setback Requirements Complete 1 Additional Project Information Complete J p FAR addressed Requirements for Site Plan-Standards Checklist items addressed Environmental Form completed Signature Page completed o "� �w�. ro+r"11CUO � �;,� �� A '�- � ry qry/y��m � ( +y,ry u '.: -� b M^A(;.(..h ,,.. 't 9 ti +�.„b,` Q��// ^. ( L��'I�- 6. SII 9�[. LJ t AJ "Wo 0e, .. .cryV. � . AP !'cL�� 11 1'.) SAV( w ( Staff Representative: Applicant/Agent: Date11311:3 pp g ��______ m 8 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.) i 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: Designates: As agent regarding: Variance Site Plan Subdivision For Tax Map No.: Section Block Lot Deed Reference: Book Page Date OWNER SIGNATURE: DATE: w__ww_W 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: 1454 State Route 9,LLC Designates: Hutchins Engineering As agent regarding: Variance ✓ Site Plan Subdivision For Tax Map No.: 288.12 Section 1 Block 21 Lot _._ DATE: 09 Deed Re 46 Pae 12 31 Da I, g / OWNER SIGNATURE;Reference: 396 ook 1... � , mm 2. ENGINEERING FEE 1:ISCLOSVRE: 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. AlfTHORIZA°I`ION 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 RESPDNSIII'ILI I IESc. 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. OFFICIAL MEETING; MINU'T'ES DISC:110WR;E: 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. AGREEM1e N"T'"1`0 PROVIDE DOC:IJMENTATION RE C11RED: 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 area 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 read and agree to the above. Laura a Kohls 4/13/2018 9Z-— _1"___2- -------11111111— -__.. ..,------------- � m. a t , tore ppR`�at� ]" Print Name [Applicant] Date signed G.Thomas Hutchins,P E 4/13/2018 ttt ent] 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 Information Instructions for Com Matin 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-Project and Sponsor Information ......... ........ Name of Action or Project: Adirondack Outlet Mall New Building Project Location(describe,and attach a location map): 1454 State Route 9,Town of Queensbury,Warren County Brief Description of Proposed Action: Remove front portion of building,including restaurant and section of two-story hotel;Construct a 12,000 +/-SF retail space with associated stormwater management control devices and parking areas Name of Applicant or Sponsor: Telephone: (518)796-7652 1454 State Route 9,LLC E-Mail: dljkenny@gmail.com / Cc:lakohls aol.com Address:mmmmmmITITmm ....._._.. ._..---------------- 1454 State Route 9 City/PO: State: Zip Code: Lake George NY 12845 ............... 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 r 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: m... Town of Queensbury g proposed 37 acres 3.a.Total acreage of the site of the ro osed action. 3 b.Total acreage to be physically disturbed 0,.,95,..acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 7.00 acres .. ................. .... ......................................................................................... 4. Check w_ q k all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial [Z]Commercial 0Residential(suburban) OForest ❑A riculture ❑Aquatic El Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A .m_ 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? 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: , ...................—_._ _._. ,, ................ 21 0 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO i YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 1:1 71 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: 1:1 ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: El 0 11.Will the proposed action connect to existing wastewater utilities? (NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? F71 El 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 N07 YES wetlands or other waterbodies regulated by a federal,state or local agency? EL �+ 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 m Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban m 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? Li 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 store water discharges be directed to established conveyance systemsrunoff 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)? -- --- ... — I Yes,explain purpose and size: . -- ------........... ......... ._ ... nn .., ng 19.Has the site of the proposed action or an adjoining property been the location of an active or closed� ed NO YES solid waste management facility? If Yes,describe 1-1✓ 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 ... u s,Mem.b. .e...r1ppazcant/spome ... �.... Date: 4/1 3/2018 . ------ .... ........... .. — ------ Signature: . _._ PRINT FORM Page 3 of 3 EAF Mapper Summary Report Friday, April 13, 2018 10:36 AM Disclaimer: The EAF Mapper is a screening tool intended to assist egg 1 P 1,2 1P p i ,I „; project sponsors and reviewing agencies in preparing an environmental 4 8 112 6 111 assessment form(EAF),Not all questions asked in the EAF are answered by the EAF Mapper.Additional information on any EAF 2 88i2 7question can be obtained by consulting the EAF Workbooks. Although the EAF Mapper provides the most up-to-date digital data available to DEC,you may also need to contact local or other data sources in order 28 8 1-58 to obtain data not provided by the Mapper.Digital data is not a 2 at+A 12 f-19 substitute for agency determinations. f ` 288 -1-57 ff /// %/%/ i ass �-55. ��/iP,�� � � ��;� , G%% �'1 % it% // / Toronto ` ; OiOout rc V�n 47i,•olri l wm° ,�'�u1,.1 1 1 1'� 288.12-'1-2 4 ` � t �� ��� � r r 1 u'1 Boston I 288.-t-55 di �rVUdll ani m, P w i !5ttf N prardlttAttce HERE,Gsu-mK IapCa n1d � id f - a n7a a h?ENT I� P°R Win, E ii PtltsUtr h $1 „,, n ftl�d`ri Od,hins 44d,n d e nr E ira t �� des bra ,a�r�+ors, ��y�, a i ' Oren treeROsp contribiuitcrs,and the GIS 1� � 9 F NOiCsn,E N gee'Eshjii�b eilend,tFCCC, clun Columbus tkS i iVfwwf � INC RET HENT 288.-T-53 �� ri�r V 1 i a, �d b asr,CETP, i,Jn0 CM, Vunilly 28871fro t 2�J.. Wa�f��i�(' ng Kcarg),IL iri Part 1 /Question 7 [Critical Environmental No Area] Part 1 /Question 12a [National Register of No Historic Places] Part 1 /Question 12b [Archeological Sites] Yes Part 1 /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 1 /Question 15 [Threatened or No 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 r V Short Environmental Assessment Form - EAF Mapper Summary Report