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74910 - 2018_04_23 - EAF Short Environmental Assessment Form Part I -- Project Information Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be deeded to fully respond to any iteral,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 Faden Enterprises Inc,Russel Faden Name of Action or Project: 894 NYS Route 9 Site Plan Project Location(describe,and attach a location map): 894 NYS Route 9,Queensbury,NY 12804 Brief Description of Proposed Action: The proposed project site is located on a 1.3+1-acre site on the corner of NYS Route 9 and Montray Road in Queensbury, NY.A one-story building approximately 11,400 s.f.in size is proposed with an associated parking area located in front of and north of the structure.The building will contain approximately 2,500 s.f.of restaurant space with 50 seats and 8,900 s.f.of retail space.The project shall be serviced by an existing water and sanitary main located along NYS Route 9.Stormwater will be collected using a series of catch basins and piping leading to a proposed subsurface infiltration basin. Name of Applicant or Sponsor: -- - —� 'relc1)11011e: 538-796-3716 �_- .--------........._......................__-......_......,._,_..._,I...,_... ------- Faden Enterprises Inc, Russel Faden E-Mail: russelifaden@yahoo.com Address: 29 Liz Ann Drive City/PO: State: Zip Code: Saratoga Springs NY 12866 1. Does the proposed action only involve the legislative adoption of a plan, local law,ordinance, —NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a pennit,approval or funding from any other governmental Agency'? NO YES If Yes, list agency(s)name and permit or approval: F-1 ❑ Town of Queensbury Planning Board,Warren County Planning Board 4 3.a. Total acreage of the site of the proposed action? 1.3 acres b. Total acreage to be physically disturbed? _. _1.74 acres c. Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.74 acres 4. Clieck all land uses that occur on,adjoining and near the proposed action. []Urban ❑Rural(non-agriculture) ❑Industrial [Zl Commercial ❑Residential (suburban) ml'orest ❑Agriculture ❑Aquatic [--]Other(specify):_T_-_T_ ❑Parkland Paget 43 5. Is the proposed action, NO YES NIA a. A permitted use under the zoning regulations? "❑ ❑ b. Consistent with the adopted comprehensive plan'? ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area'? NO YES If Yes, identify: _._..._-- ✓❑ ❑ 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES ❑✓ ❑ b. Are public transportation 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? ❑ o 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: _ ❑ 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places'? ✓❑ ❑ b, is the proposed action located in an archeological sensitive area'? ❑ ❑ 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal, state or local agency'? ❑� ❑ b. Would the proposed action physically alter,or encroach into,any existing wetland or water•body? ❑ 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: [Z]Forest ❑Agriculturallgrasslands ❑Farly mid-successional ❑ Wetland m Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered'? z ❑ 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 W]YLS ❑ ❑✓ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO W]YLS Stormv�.atex.,shall_bs�s�Jlestesisz��site thrn�rnhn�,� a.�� rkin_p�Lar��.ar�tf.��nv�y�cl�nio�uJzs�€dam.lr�f�lration..�.Yste.m.._..__.._ Page 2 of 3 18,. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g. retention pond, waste lagoon,dam)? If Yes, explain purpose and size: Sub.surtace-infiffrahm-hasb—OiEaAo-h datarrrtiinacl in SWPPP- ........... 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:.......... ............ .............................. ............................................................................................................. 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: N[ r.t.�Apy El Z Y00141.See attached Rerneoigg2!L§j�ent. ............ __---- I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BESTOF MY KNOWLEDGE Applicant/sponsor narne: Faden Enterprises, Inc Date: 4/18118 Signature 3 j PRINT FC3R Page 3 of 3 EAF Mapper Summary Report Friday, April 13, 2018 10:56 AM Disclaimer: The EAF Mapper is a screening tool intended to assist projoct sponsors and reviewing agencies in preparing an environmentat assessment form(LAF).Not all questions asked in the FAF are 9-ci 1 45 answered by the EAF Mapper.Additional information on any FAF question can be obtained by consulting the EAF Workbooks. Although i the EAF Mapper provides the most up-to-date digital data avaitable to DFG'you may also need to contact loca}or other data sources in order to obtain data not provided by the Mapper,Digital data is not a i.1 7-1 fit, 11 substitute for agency determinations. filOn 0-vat ............ 6A 7-1-4-6-1 Tol.fxI tO 'y rE *fena* Sojx�-, Esiri,H.ER E.Q ,f.jrj V- ENIEN T F. Esri jBpan.IAETJ,--E-sri China,Hong Kcng$,Esri HERE,! sils 'n't .......... a,EsFijh- -,id coluiAL INCR rltvIEN T F A .'Csn, EsfiJEpr,-,,,,J0E I,' and !�'e C-Is Us E--C C M rna n I tk Part 1 /Question 7 [Critical Environmental No Area] Part 1 / Question 12a [National Register of No Historic Places] Part I / Question 12b [Archeological Sites] Yes Part 1 /Question 13a [Wetlands or Other No .Regulated Waterbod ies] 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 I /Question 20 [Remediation Site] Yes Short Environmental Assessment Form - EAF Mapper Summary Report NEW YORK Department of STAU OF OPPORIUNITY Environmental Conservation Environmental Site Remediation Database Search Details Site Record Administrative Information Site Name: Northway Plaza Shopping Center Site Code:V00141 Program: Voluntary Cleanup Program Classification: C EPA IC Number: Location DEC Region: 5 Address. Route 9 and Quaker Ridge Road City:Queensbury Zip: 12804 County:Warren Latitude: 43.331185792 Longitude: -73.673966452 Site Type, Estimated Size. 0 Acres Site re f°( and Operator(s) Current Owner Name: NORTHWAY PLAZA ASSOCIATES Current Owner(s)Address: SUITE 1100/217 MONTGOMERY STREET SYRACUSE,NY, 13202 Site Description The Northway Plaza Shopping Center is a medium to large-size shopping plaza at Exit 19 off the Northway in Queensbury that has been converted to primarily office space.At one corner of the site was a Montgomery Ward Automotive Service Center, currently a Monro Muffler Brake facility and Convenient Medical Care Office. At this relatively small corner of the proorpty is the primary location of historic and current contamination. The surrounding area is a light commercial setting consisting primarily of retail shopping facilities. The Aviation Mail is nearby.A community cemetery is immediately adjacent to the site and the contaminated area. The area is serviced by public water. Contaminants of Concern (including Materials Disposed) Contaminant Name/Type methyl-tert-butyl ether(MTBE) xylene(mixed) benzene toluene ethylbenzene Site Environmental Assessment As of January 26, 1998 a dissolved and free product petroleum contamination plume was present at the location. Historic product thickness varied to as high as 1,44 feet in thickness. Dissolved levels were as high as 7-10,000 PPB.A public water supply is present throughout the area, several remediation systems have been utilized at the location. A corrective action plan was implemented by the volunteer to address on-site contaminants. Site Health Assessment DON has insufficient information to evaluate the potential for human exposures. For more Information: E".-i-nevi! Us Return To Results i Refine This Search