Site Plan Application I
E C ,+ E
Site Plea review Ippl c;atiion-x918 Ridge Road
Logging Road Upgrade
James Brown.
518.791.7710
Submi.5slon To:
Tom of Queensbury PAanniirgg Board
742 Bay Road, Quee nsb,u ry,, N Y 1281 'r
,SiP'lain Review Application Narrative
1918 Ridge Road
James Brown
Objectiv :
Plans are being,submitted for review that upgrade an existing logglinig road that extends from 1918 Ridge
Road to a clearing approximately 8�70' away. The,road willl be used to access firewood with the long-
term plan to support construction of a single home residence.
Niptabla ltpms;
I)i Variance for Lot Access- Due to graft/site cornpositibn access to lot 253.4-23 is best acquired
by utilizing an exl5ting path across lot 253.-1-24. Both lots,are owned bly Jamies Brown, no
notable negative impacts are anticipated by approval of this variance.
,2) Steep Graides-
a. Stoirm W to M r anagernent- The,site is corn posed of e'er rocky subgrade;the road base
La—
will be installed to, utilize BMPs that take advantage of this rocky abundaince resource, A
site visit was conducted with a Warren County Soil &Water representative, no notable
concerns were raised with the site plan/d8sig�n.
b. Winter Access- It is understood access during winter months wifl be diff icult Access
may,be considered through use of 8,track vehicle,
Agency Contact Information and Notes
Town of Quieensbury
Laura Moore, PI'anner, 518,76,1.8265, lmooreegueensbury,net
Notes: Primary point of contact for ower a year for numerous c;o,rnimunications/c�olordiniat�ionI to
meet requirements of the site, jplan review board. Laura has,been very helpful and knowledgeable.
Warren County Soil&Water
Nick Rolwell, Natural Resources Specialist, 518.6,23.3119, morn wel.112,3@nycap
�,.,rrxom
Notes: Site Visit on 4/5/2018, review of the site brought no notable concerns/issues, storm
water does,not pose a,substantial' risk to nearbywatleirbodies., The, site is very rocky which reduces
harmful run,off risk when constructing the improved roadway, Nick stated the lead aigenicy,rellaitinig to
storm,water design, review/approval is the Town, of Quelensbury.
Qpegnsbur
_y Fire Marshall
Notes. ,18,7 1,8206 contatted on 4/2/,2018. No requir8memits; need to, be, met for single
occuplancy residential dwelling or associated road,
Adirondack Park Agency
518,891,4050
Notes, If To'w,n of Queensbury approves plan no additional comments are,expected.
New York State Department of Transportation- Warren County,
James;C. Davis, 518.813.5792, Jarne�st,Dav!s@dot,nygov
Notes:Site Visit 11/310/2017, Permit issued 12/27/2017, Permit No:20170167622
General Infonnalion
Tax Parcel 11 'umber �L-53 1-24 awid�253.-,L-;L
Zoning District. LC-I OA
Lot size: X65, Cres
Detailed Description of Project [includes current & proposed.use]:
.fugently forested Vacant land wilh a".20-30'midelouing roppst: tiperacle existing,logging Toad Lo suR
roadP
L a-R
R
R
R
luR
R truck traffig
wide driving stufbce-870' long), The shlort tenn,plan 4 to p�rovide accessto gather firewoodJaccoss pror erty. Long term,pian
mm. P
I i�i�'O FV es odns't—ru-c--I i on o f a s i n g I e FO—M, i R-S-32 7en,C—L.,
Loi action ofproject:
191 S ki&e Road
Applicant Name: James Stewart Brown Address: 1815 Bay Road
o
Hme ionP1—
- e none Cell: 518.791-7710
-Work Phone CeH 7F—ax none
E-Mail.
'jamess;tewa,rtbrown(&,gmaill,,com
Agent's,Nt- Jamies Stewart Drown Aa—dress-,
Home Phone Cell:
Work Phone Pax
E-rnei I
Owner's NameJames Stewaft ►
Brown Address
Horne Phone cell
Work Phone Fax
E-mail
...........
2
Ske Plan Revlewappfication-Revised.October 2016
Town of Quams bury Plwi n ing Offici,-:742 Bay Road, Queensbury, NY' 12804
Site Development
Area/Type Existing sq. ft. Proposed Total sq. ft.
Addition, s . il"t.
A. Building fol rine NfA
B. Detached Garage NIA
C. ,accessory Structure(s) W
. :paved,gravel or other lard surfaced area 0 10,440 10,440
0
E. Porel7es.I Decks /
Other N/
G. Total Non-Penmeable (Add A-F] 0 111,440 10,440
H, Parcel Area [43,560 sq. Et„ /acre] 11 1,960,200(43acre)
11 . Perenta e of Impermeable Are-ar of Site: [=G/H]l 0 3% 53%
Setback Reguirements
Area Required Existing Proposed
Front[I 1 1010," NIA Greater thmi 150
l rn z NIA NIA /A
Shoreline N/A NIA NI
Side"hard [1 100" NIA Greater than I SO'
Side Yard [ ] NI N)A N/
Rear Yard [1] 1001 N/A GTeater than 1501'
'Travel Corridor 0 0 0
Height [max] 35' NIA Less,than 35'
Pea"rr eability 15% Less than l'%change
No.of parking spaces N/A WA NIA
3
Site Plan Review application—Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury,NY 12804
Additional or ad Information
1. Will the proposal require a Septic Vwiance from the"l'own Board of.Health?
1 If the parcel has,previous approvals, list application number(s).
3. Does this project require coverage under the New York Mate Pollutant Discharge Elfinhiation System
(SPD ES) Permit Pro rano ? No —
4.. Estimated prqJect duration: Start Date-EwLj�— End Date 9,10 1/'p s
5�. Estfirnated total cost of'project- S2jaW
6. Total area of land disturbance for prqject: -LgjADgg_ft
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 s,quare feet, yielding a percentage,
Zoning District Syrn.1301 Floor Area Ratio [FAR]
Waterfr-ont Residential WR 0,22
Commercial Moderate/ Intensive t`M/ 0.3
A. The combined area ofall square footage, as measurf
rom eteiorwall-, of all structures, on the property,
including all floors of the structuresragesbasemts an�d attics with more than five (5) feet of ceiling
height and covered porches. Building squate 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 shedsw.ill be included (See "FLOOR AREA RATIO").
Coni-mercia I or industrial. 'the total area in square feet as measured from the exterior of the outside wall's of a,
buildhig or, s,truct�ure, and when applicable, the surn total of all floor areas of the principal and accessory
buildings,or structures on the project site,.
A. Parcel Area
'ea
B. Existing FtoorArea,
sq. ft. [see above definition]
C. Prop9sed Additional Floor A,rLH- ft.
D. Proposed 'Total. Floor Area ft
—Total Allowable Floor Area (Area x (see above::table
�If D is larger than E. a vadance or revisions to your plan moray be needed, Consult with Staff.
4
'Site Plan Review,app pi i�atj on-Rev ised October 2016
Town of Qoeensbury PlannhtgOffice-742 Bay Road,Queenshury, NY 12804
Requirements for the Site Plan Approval- Standard Response,
1918 Ridge Road
A. The proposed project furthers or ils consistent with the policies of the Towni'5 Comprehensive
Plain,
The iraprovernent of this area is consistent with August 6, 2007 ComprehenEi've P[an's,Vision and Goals,
and policies.
B. The proposed projectcomplies with all other requirements of this Chapter, including the site
plan review standards as set forth in Paragraph P of this section,the dimensional, bulk and
densItyregulations of the zoning district in which it [is proposed)to be, located (Article 3 and
Table, 1), the applicable requirements,of alll other Articles thatapply,
The area is zoned LCIO, vacant forest land which is suitable for residential development.
C. The site plan encourages pledlestrian,activity internally and, if practicable,to and from the site
with pedestrian paths or sidewalks connected to adjacent areas,
N/A-This is,a residential develOpMent,
D. The site plan, must conform to,Chapter 136 Sewage and'Sewage Disposal, Chapter 147'
Stormwater Management Local Law, and other applicable local laws,
No plan for' ewagLt, prod uctio n/d isposa I at this point [in t i rn e.,
E. The proposed use shaill be in harmony with the generall purploise or intent of this Chapter,
specifically ta king 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 facilitles,which will
follow the approvall of the proposed use.
No notable public burden is anticiplated. Upgrading of an existing,road should results in little to no
adverse impacts,
R The establishment, maintenance and operation of the proposed use,willnot create public
hazards from traffic, traffic congestion cur the parking of vehicles and/or eciluipment or be
otherwise detrimental to the health,, safety or general welfare,of persons re5riclAng,or working [in,
the neighborholod or to the general welfare of the towni. Traffic access,and circulation, road
intersections, road aind clrliv8way widths and traffic controls wiH be adequate.
A Driveway Pernift has been obtained from the Department of Transportation-
Off-street parking aunldl 191oading facilities MH 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 Townos 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 cori,nection must be identified
and provided for in the site, plan under review for such future,linkage when the time airlses, The
Planning Board may require proof that the applicant has made contact with adjacent property
,owners for purposes of coordinating linkages with adjacent properties.
Adjacent property owners have not yet been clonitact8d regarding the improvement of the log8ing road.
But Call be 51ioul;d there are no issues with the planiling phase,
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 theAdironclack
Park or upon the adequate provision of supporting facilities and cervi es made necessary by the
project, taking into account the commerciall, 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 lin the
development considerations set forth herein, under§ 179-9-080 of this Chapter, and in so doinig,
the Planning Roard shall make a net overall evaluation of the,project iin relatfQn to the
development obilertives and general guldefines set forth in 179-9-1080 of this Article.
It is not anticipated that any undue adverse impacts will be realized with this development,
L The Iproviision for and arrangement of pedestrian traffic access,and circulation, walkway
structures,control of intersections with vehicular traffic and overall peclestrian convenience
shall be safe and adequate for pedestrian movement, Pedestrian connections between adjacent
sites shall be provided to,encourage pedestrian use.
N/A-This is a residential development,.
J. Stormwater drainage facilities will prevent an incr,ea,se,of post devellopmeTit drainage,flows as
compared to pre-development dlrainage flows. (Drainage of the site shall) recharge grolundl 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 wiith the drainage standards of Chapter 147 olf the Town Code and the Town of
Queensbury Subdivision Regulations where applicable.
No additional drainage flows are anticipated from this development,
K. The water supply and sewage disposal;facilities gill be adequate and will meet all applicable and
Current requirements set forth by Department of Health regulations and Chapter 136 of the
Town Code.
ShoWd a residence be established at a later date it will comply with the applicable regulatioils/codes.
L. The adequacy, type and arrangement of treesshruibs and'other suitable,plantings, landIscaping
and screenil ng shall)effective lly provide a visual!and/or noise buffer between the applicants a n d
adjoining lands, including the maximium, retention of existing:vegetation and maintenance,
including replacement of dead' or deceased plants.
Vie trees and landscaping will be suitably beautiful,
M. Fire lanes,,emiergency zones and fire hydraints will be adequate and meet the needs aind
requireliments of emergency service providers.
No, improvernents are anticipated to,be required,,
N. The dersiginof strudures, roadways and landscaping in areas susceptible tea poncling,flooding
and/or erosion MH minimize or avoid siuch impacts to the maximum,extent practicable.
Ditching, wales,, and proper stormwater iiianagement will be implennent,od.
0, The site plan confoirms to the design,standards, landscaping standards and performance
standards of this chapter.
Agreed.
§ 179-9-050, Checklist-Application fojSite Plan Review,
Application materials, and site plan shall include sufficient infomiation for the Board to review and provide a
decision, The applicant is to provide a site plan dra:wiqg and all attachments that address, items,A-V. "]"he
applicant may request,a waiver rrom AN and is to provide reasons �`or waiver ) requested. P'le,as,e labe:l
in.fo,riliation.to be submitted.
REQUIREME,NTS §I-i e e_t4
Aw Acinity inap drawn at the scale that shows the relationship,of the proposal 10 existing community facilities which affect 1613 3
or serve it, such as roads.shopping areas,schools,do, The map shall also show all properties,identify Qvvners,
subdivisions,streets and casements nithin 500 feet of the proped�y. Sucli a sketch ratty be superimposed on a United States
Geol *81 Sury y map of the area.
B, '11te sile plan shall be drawn at a scale of forty Viet to the inch(11'-40 Rd)Or such other scale as the Planning Board may
dccm.approprime,on standard 24"x 36"'sheets,with Contin cation on 8 V2"N I I"sheets as ncces.wy for written 17,18,19,20
Informo0on, The informadcrii,listed bclow shall be shown an the site plan and continuation sheers.
C. Name offfic prqject,boundaries,date,north arrow,and scale of the, lan., All
D. 'N arne and address of the owner of record,developer,and seal of the engineer,,architect or landscape architect. Ifflie
a licaint is not the record owner,a[elterof authorization shall be required:from the owner,
E The location and use of all existing anTP_I�P_osed—structuresw;thinthe property,includ—ing—a-11 dfm`r_nF,_ion_s Rf—hel-91-1t and
floor area,a[l eXte,TIOT entrances,and all anficipated future additions and alteratlorl& NIA
F The IoQz[on of all Present and proposed public arid private ways,effstreel parking areas,driveways, outdoor storage areas,_
sidewalks.ramps.,curbs,palhs, landscaping,wal Is and fences�. Location,type and.screening details for all waste disposal N/A
containers shall also,be shown. L
The location"height, intensity and bulb type(sodium,incwiidesccnt etc.),Mall external lighting fixtures, The direetion of
illuininalloni and methods to propernes njust 411so be shown in compliatlic 'N/,A
H The location,height,size,niatterials and design of all proposed signs. 1N/A
The location of all present and proposed utility systenvs including., 18
1. Sewage or septic syslcm„
2. Water Supply system;
3. Telephone, cable and electrical syslejtts,',and
4. Slorm drainage sysicin bicluding existing mid!proposed drain lines,culverts,catch Wins,headwalls,endwalls,
hydrants,rnw1holes and drainage swal ea,
J, Plans to prevent the,po I I ution of w, r,flace orgrou ndwater,erosion of soil both,during and after cons�ruofion,excessi vc runoff 18-28
and flooding of other properties,as applicable, A Stormwater Pollution Prevention Plan(SWPPP),for all,land,develop'n1ent
activities(excluding Agri cu Itural activifies)on the site Illat results in land distulbance,Of Line acre or n1ore, A SWPPP'shall
comply with the requirements of the DEC SPOES MSM General Permit and Chapter 147 WIN Town of Queenshury
Code. It shall rte at the discretion of the Planning Board as to whether a SWPPI"ar an,erosion and control)plan shall be
required For a site plan review project land disturbance of liess than,one acre.
KExisting and proposed topography at two-fbolt contour interval& or such oTher conitour i men-al as the Planning Board shall, —
al low. AIII elevations shal I ref6r to the nearest United States,Coasial and old
Gcefic Bench Mark. I f any of`the othe parrel 17.,19
Is with in the 1010-Pear floodplain,the area wil I I he shown and base flood eleval ions gi vcn. Areas shall be indicated wilb in
the proposed site and Within 50,feet of the proposed site when soil removal or fl I I fiig is req ui ired. showing the approxiniate
volfurne,in cubic yar4s, 11
L A landscape plan 511owing all existing natural land Features Ilmn,may,influence the design of the proposed use:such as rock
outcrops,sftands otrees,single trees eight or more inches in diognetan
er. forest cover d water sources and all proposed No
changes to these.features, including sizes,and types of prangs,,. Water sources,include ponds, lak-es, welland's and sigifflIcant
N Itereourses,aquifen,floodplains and draingge:retention areas,, clearing req
:M±Land Use Distritit b.oun I daries on the site plan,as%vel I P
any Overlay Districts that apply to the property. 16
6
Site Plan Review application...Revised October 2016,
Town of Qtieensbury Piartnting Office-742 Bay Road,Queensbury,NY 12804
REQUIREMENTS (CONTINUED) --§h-eet 4
N. Traffic flow patterns within die s[te,entrames and cxi is,loading and unloading areas, kis%vel I curb cuts fin the site and Typical
within 100 feet of the site. '117e PIkunning Board,may,at its discretion,require a detailed traffic study for large developments or
ror those in heavy traffic areas,which shall incluft: resideruial
t ra M i�
T, '11c prqj ccicd nium brT ofmotor Velajele flrp,lo anter or]cave the ske,c-slinlated,foT Weekly and
annual peak hour traffic levels;
2. The projecled traffic flow pattern including vehicular rnovernrntsat 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 allnUal peak hiour traffie level's and road capacity
I eyels s[uffl also be given.
0. For new construction or alterations to zany stnicture.a table containing the fo,flowing linfortnafion shall be included:
N/A
I, b9tiniated area Of StFUCI LITC to be used roar paxtku I at purposcs,such as retain operation,atylioe,
Storage,clp-
Z Estimated M2XjFnL1n1 nurnbCTDf ColplOyeeS,
3. Maximums seating capacity, where applicable;and
4, Nurnbar of parkilng Spaces existing and req fired for the intended use.
1, Floor Plans. MA
2. Elevations at a scale of one-quarter inch equalis one foot(U4"- I foot)for al]exterior facades of the proposed structure(s)
an(Ifor alterations tO or expansions of existing fiacades,showing dicsign features and indicating the type and color of materials
to,be used.
Q. Sol I logs,IvBter supply well and percolation test results, and storm Nvater runoff calculati ons as needed to determine and
raftigate project impacts. 22-28
Plans for disposal of construction Ifflid diniolifio:n waste,either tion-site or at an approved disposal facifiry, NIA
&
Plans for snow removall,including location(s)ofon-site snow storage.
<---
T. An,Environmental Assessment.Form("EAF'),as requIred by the SEQRA regulalions, with Part I co rnpleled by the Applicant N/A
shall be SUbrnitttd as part of the application, 11"the proposed piRj�cct requires aspecial use permit and an EAF has been
submitted in conjuncOon wkh a special LISC pernih application,a duplicate EAF is not required for the site plata application,,
U.
)'fan appl itation is for a parcel or parcels 0111 Whi-Ch NIOTt than one use is proposed,the appilif ant may!mi brniA a single
ses are accurately del inealed on a site plan drawn pursuant to the
application for a]I such uses,provided the:proposed arses N/A
rq!uj remejUs set forth above. The Planning Board maY,grant,the app]ication with respect to some Proposed Uses and not
others. For purposes of reviewing mi-application(and for SEQRA cornp]iance)all proposed uses on asingle parcel,of Oil
contiguous parcels shall be considered together.
V. A brief narnti ve stalement on how the project proposed ror re 6tw fir)tors or is consi stetu with the visi on,90,als and policies
in the'To wns Comprehen sive Man,, Jif
..........
7
Site Plart Review applicafion—RCASedr Octcyber 2016
Town of Queensbory Planning Office-742 Bay Road,Queensibury,NY 12804
Town of Queensbury Site Plan Pre-Submission Conference Form I Section 179-9-040
1. Applica n t N'ame': Brown
2. Tax AUP I'D I-Raft": 1q`jXRi,dy,tRflad
3. ZOMINg ChSsiflcatiffll TA-108,
4. Reason for Re,%lew: 1,ns,rade of ki Ral'loe L,i nt, mad
5. Zoning Section 4; 1111L""�
6. Pry-SuIbmission Meeting Notes: Provided Outstanding; Please provide by
Deed -- NEDT) "TO SOPw Y—
�<General Itifbinnaflon coo plrte
X
Sits Dvrl opinni Dala Complete
K Setback Requirements Conrtplete
X Add inunai Prqj�yet Infornnati on Comp lete
FAR addressed
�,Requiremients; for Ske,Plan-Siandards
YChecklist iwtns addressed
)(Envirommeoual Form completed TTZ
>(S,ign'alum c.Pa8(1 1=11pleteld
7�j
r
Lwk I ---z ("r
C-C-4.
e R
wn
L Li L'
C. kc C,L
L LJ f
u
-'7 14y
6 L
I'll
I It,4(ucta I
Appl!i ca n t "A gent: Date:
She Plan Revim applicalion- Revised Octobici.20,16
J'oXvjj of Qjj,",nsbRjiy Planning Office-742 BiyKoad, Qwulsbury, NY 12904
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 docurnentation required.
OWNER's AGENT FORM'
Complete the following if the OWNER of the property is not the sarne as the applicant
Owner-
Designates:
As agent regarding: Variance Site Plan Subdivision
For Tax Map No.-. sealon Block Lot
Deed Reference: Book Page Date
OWNER SIGNATUR& DATE:
APPUCANT's AGENT FORAJ-
Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented by another party:
Owner:
Designates:
As agent regarding: 'Variance Site Plan Subdivision
For Tax Map No.: Section Block Lot
Deed Reference: Book Page Date
OWNER SIGNATURE- DATE:
2-1 ENG I N EEHI N& EEE J?1,$CjD$_URE-,: Applications may be referred 'to the Town consulting engineer for review of septic design. stomi
drainage, etc. as determined by the Zoning or Planning Department. Fees fdr engineering review services will be charged directly to the applicant,
Fccs far cnginccTing review will not exceed S 1,000 without notl0caflon to the applicant,
11 AUTHOWLATION FOR SITE VJSJ_TS. By signing this page and submitting the application materials attached herein.,the Owner.Applicant.
and hisffier/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
4.1, OTHER PERMIT RESPONSIBILITIM, 00ier permits inay be required for consiruction or aheration activity subsequent to approval by the
,Zoning Board or Planning,Board. Itis the applicant's responsibility to obtain any additional permits.
5.) OFFICIAL MEETING MINUTEDj$CL0$UgE: 11 is the practice of the Community Development Department to, have a, designated
slenographer tape record the proceedings or meetings resulting from application, and minutes transcribed from these tapes constitutes the official
record of all proceedings.
6.1 AGREEM_ENT TO PROVIDE DOCUMENTATION REQUIRED: 1, the undersignW,have thoroughly read and understand the instructions
for submission and agree to the submission requiremenM I acknowledge no construction activities shall be commenced pfiurto issuance of valid
permit. I certify that the application. plans and supporting materials are a true and coniplete slaternent/description,of the existing lconditions and the
work proposcc[, and that all work will be performed, in accordance with the approved plans and in conformance with local zoning regulations, I
a&nowledgelhat prior lo o"upyingthe facilities proposed.I or my agents,will obtain acertificate ofoccupaneyw necessary. lalso understandthat
11we may be required to provide an as-bui It survey by a I icensed land surveyor,of a]I newly constructed racii ities prior to issuance of a certificate of
occupancy
f Itis re nd agree to the above.,
Isimps Brown
tignaturp, [Applicant) Print Name [Applicant] Date signed
�ignattrre [Agent] Print N arne [Agent] Date signed
Site Plan Review application—Revised October fl l.6
T'own,of Queensbury P'lanning,Office-742 Bay Road,Queensbury,NY 12804
Short Environmental Assessment Form
Part I - Project Information
Instructions for Complefi!ig
Part I - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses
become pail of the application f.br approval or funding,are subject to public review, and may be subject to further verificotion.
Complete Part I used on information currently available., If additional research or investigation would be needed to fully
respond to any,item, please ans,wer as,thorough ly as,poss,ible based on current information.
Complete all items in Part L You may also provide any additional information which you believe will be needed by or useful
to the lead agencyattach additional pages as necessary to supplement any item,
Part I - Project and Sponsor Information
MIS Ridge Road Access Road limpfolvement, Jarrue!s S. Brown
Nairne of Action or Project:
19113 Ridge Road Access Road Improll
Pripject Location(describle,and attach a location map);
119,18 Ridle Road, See attacbed Map
Brief Description of Proposed Action:
Wo�u Id like to,improve access,to the property through t:he upgrading oif an existing logging road. Project includes 8701"of road,,two Culverts.
rnftr cuVflll,
aunt of A Pip]ican t or Sponsor, Telephil 518,791,7710
Jarnes Brown E-Mail: Jamesslewartbirownftimail ol
Address.,
11815 Bay Road
citylpo. Stat : Zip,Code,-.
Oueensbury NY 12B4 5
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 o f the proposed action and the en vironintntarl resources that
may be affected in the municipality and proceed to Fart 2. lfnocontinue tai question I
2. Does the proposed action require a perm in approva I or funding from any other governmental Agency? NO YES
if Yes,list agenq(s)name and permit Or approval:
Town of Queensibury Planning Board
Ia, Total acreage of the site of theproposed action? 4 5 acres___
b,Tolial acreage ter be physically disturbed"? 2,5 acres
o,Total acreage(Project site and any Contiguous propeTtiels)owned
or coottolled by the applicant or project sponsor? 45 acres
Check all land uses that occur on, adjoining and near the proposed action.
El Urban W]Ruml (non-agriculture), E]Industrial E]Commercial DResidential(suburban)
01 Forest DAgriculture D'Aquafic E30ther(specif ).
Page 1 of 3
,Sl. Is the proposed action, ,N 0 —Y—E 7S- TN—/A
a, A permitted use under tile 7oning regulations?
b. Con si stent with the adopted coni prehensi ve plan?,
6. Is the proposed action consistent with,the predomirl 6an,ctler of the existing built or natural NO YES
landscape?
7, Is the site of Elie proposed action located in, or does it adjoin,a state listed Critical Environmental Area? NO Y ESF
If Yes,identify-
8. a. Will the proposed action result in asubstantial increase in traffic above present levels? NO
b.Are,public tramspurtafion service(s)available at,or near,the site of the proposed action?
c.Are any mm
pedestrian accoodat ions,o�r bicycle routes amai lable:on,or near site of the proposed action? IAL
" -0—
9. Does the proposed action rneettar emceed the state energy 00,de requirements? NO, -YES
If the proposed action mill exceed requirements,describe design,features and technologies,
Not Applicable
10. Will theproposed action �nnect to anexisting public/private water supply? NO YE I S
If No,describe method pear providing,potable water.
Not applicable. No water to be plovided for the road, 21 1:1
I LWM the proposed action oonnect to,existing wastewater,utilities? NO YES
7—
If No,describe method ,rorprovidingwastewatet treatment.,
NotApplicable
12, a-Does the site contain a structure that is listed on either tile State or National Register of'Historic -WO— YES
PlneO,
b. Is the proposed action located in an archeological sensitive a�rea'? 21 0
7 El
13. a, Does any portion of the site of the proposed action,or lands adjoining the proposed action,,contain NO 1 Y VS
wetlands,or other waterbodies regulated by a federal,Mate or local agency?
b- Would the proposed action physically alter', or encroach into,any existing wetland or waterbody?
If Yes, idond fy the wetland or waterbody and extent of a Iterations in square feet or acres: 7 11:1
pip, the t-ypilcal habitat types that occur on,or are likely to be found on the project site. Check all that apply:
Ell Shore)i no 0 Forest El Agrieu lwra Urasslands El Farly rn id-successi anal
0 Wetland [3 Urban, ElSuburban
1 . Does,the site of the proposed action conta in any species of animal,or associated habitats, listed N(5-- YE S
by the State or Federal govenunent as threatened or endangered")
,
-
r,
Li
16. Is the pn)jeet site located in the 100 year flood plain? NO YES71
V I—L I
17. Will the proposed action create storm water discharge,either from point or non-point:sol NO YES
If Yes,
a. Will storm water discharges flow to adJacent properti eg? NO []YES El Z
EMU storm water discharges be directed to established conveyance systenis,(runoff anuli stom drains)?
If Yes,briefly describe; Z NO OIYES
Page 2 of 3
8, Does the proposed action include constniction oast
er aotivitics that re-sult in the finpoundmem of YES
the
other liqui ds(e-g, rowntion pond, waste lagimm,dam)?
If Yes,,explain purpose and s Ize-
0
19, Has the site of the prorpOsed action or an adjoining property been the location of an actio or clovsed NO YES
solid waste management fkflilty?
If Yes,describe.:
20, Has the site of the proposed action or an adjoining properly ben the suki,ect of reniediation (ongoing or NO Y FE-5,
completed)for hazardous waste?
If Yes, seribe.
Z El
I AFFIRM THE INFORMATION PROVIDED ABOVE 1 �rRUE�AND ACCURATE TO THE DEST OF MY
KNOWLEDGE
Applicant/sponsor narne: James S. atown Date: June 2nd,20,17
Signature:
PRINT F Page 3 off'.
A gency Use Only I I f a pptica b lejl
te te-
ShortEnvironmen lot Assessment Form
Part 2 - InTact Assessment
Part 2, is to he completed by the Lead Agency.
Answer all of the following questions in Part 2 using the infonnation contaibcd in Part I and other romerials submitted by
the project span sor or o�therwise avai I able to the reviewer. When answering the qiiestions the rev iewler, shou Id be aided by
the concept"Have my responses been reasonable considering the s"Ie and context of the proposed actionT
No,or Moderate
small to large
impact impact
may may
occur mcur
I. Will the proposed action create a material conflict with an adopted land use plan or zoning
El
2,
'+ illl 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 qvallity of the existing cornmunity?
4. W i I I the oposedact on haw.an i rnpact on he environental characteristics chat caused the
establishmprent O ,f a Critiical Environmental Atrea(CEA)?m
5. Will the proposed action result i a an adverse change in the existi ng level of traffic or
,affect exinti n
,g infrastructure for MaS5 transit,biking or walkway?
..... .......
6. Will the proposed action cause an increase in the use of onergy and it fails to inco"Tate
reasonably a es? El 0
7. Will,the proposed action impact existing:
a- public I private water supplies? 10
b.public�primate wostewater,treatment utilities?
E]
S, Wil't t-he pro-posed action impair the character or quality of important historic, archaeological,
apchitecturallor aest.hetic resources? El El
91., Will the proposed action result in an adverse change to natural resources(e.g., wetlands, mm
water-bodies,,groundwater, air quality, flora and fauna)?
10, Will the proposed action result in an increase in the potential for erosion,flooding or drainage
probliems? E] D
health ......... =EJ
11. Arial the proposed acti on create a hazard to vironmental resources or hunian ?
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JA. gra 111 we faurw et
Project:L
Date:
Short Environmental Assessment Form
Part 3 Determination of Significance
For every question in Part 2 that was answered""nioderate to largo impact juay occur".or if there is a need to expNin why a,
pard"lar element of the proposed action may or will not result in,a significant adverse environniental,impact,please
cont,plete Part 3, Part-3 should,in sufflicient detail, idenfiFy the impeia,including any measures or design elientents that
have been included by the project sponsor to avoid or reduce irnpaets. Part 3 should also explain how the]lead agency
determined that the impact may or will not be significant.Each Wential impact should be assessed considering its setting,
probability of=,urring,duration, irreversibility,,geogTaphic scope and magnitude. Also consider the potentiall, for short-
terin,long-term and cuniulafivie hnpacts,
DCheck this biox if have determined,based on,the information and analysis,above,and any sup"hing do,eu-Imtatjon'
that the proposed action may result in one or more potentially large or significant adverse inTpacts and an
environmental impact statement is required.
Check this box if you have determined,based on the information and analysis above,and any supporting do cu
that the proposed action will not result in any signifleant adverse environmental impacts.
Name of Lead Agency Date
pane' a,i n.e of Res p o n s i b-le 10 ffl c e r i n Lead A gen cy 'Fit]e of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer cif different ftom',Responsible Officer)
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