B. EAFShort Environme11tal Assessment Form
Part 1 -Project lllformation
Instructions for Completing
Part 1-Project Information. The upplic:mt or project sponsor is responsible for the completion of Part I. Responses
become part of the application for approval or funding, are subject to public review, and may be subject to further verification.
Complete Part I based on information currently available. lf additional research or investigation would be! needed to fully
respond to any item, please answer as thoroughly as possible based on current infonnation.
Complete all items in Part I. 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 lnformntion
Name of Action or Project:
Proposed O'Reilly Auto Parts Store
Project Location (describe, and attach a location map):
662 Glen Street, Queensbury, NY
Brief Description of Proposed Action:
The app~cant is seeking minot adjustment to the previously approved front yard variance based on actual constructed field conditions . The front
yard variance was previously reviewed and approved by the Town of Queensbury Zoning Board of Appeals.
Name of Applicant or Sponsor: Telephone: 516-438-9900
O'Reilly Auto Enterprises. LLC c/o Bohler Engineering MA, LLC E-tvlu il : rosterhoudt@bohlereng .com
Address:
17 Computer Drive West
City/PO : State: Zip Code:
Albany NY 12205
I. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES
administrative nde. or regulation?
D 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 Pan 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: [Z] D N/A-the requested modification to the front yard variance does not require additional permits or approvals.
3.a. Total acreage of the site of the proposed action? +1-0. 76 acres
b. Total acreage to be physically disturbed'? +/-0.00 acres
c. Total acreage (project site and any contiguous propcrth:s) owned
or controlled by the applicant or project sponsor? +1-0. 76 acres
4. Check all land uses that occur on, adjoining and ncar the proposed action .
IZJ Urban 0Rural (non-agriculture) 0 Industrial 1Z1 Commercia I fZ1 Residential {suburban)
OForest 0Agriculture 0Aquntic OOther (specify):
OParkland
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5. Is the proposed action, NO YES N/A
a. A pennitted usc under the zoning regulations? D 0 D
b. Consistent with the adopted comprehensive plan? D [.t] D
6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES
landscape? D [Z]
7. Is the site of the proposed action located in, or does it adjoin. a state listed Critical Environmental Area? NO YES
IfYes, identify: 0 D
8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES
[l] D
b. Arc public transponation scrvice(s) available at or ncar the site of the proposed action? D 0
c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? D 0
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:
D [{]
10. Will the proposed action connect to an existing public/private water supply'! NO YES
If No, describe method for providing potable water: D [l]
I I. Will the proposed action connect to existing wastewater utilities? NO YES
If No, describe method for providing wastewater treatment: D [Z]
12. a . Does the site contain a structure that is listed on either the State or National Register of Historic NO YES
Places? [Z] D b. Is the proposed action located in an archeological sensitive arc~a? D 0
13. a . Does any ponion 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? [ ] [l]
b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? [{] D f f Yes, identitY 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 allthal apply:
0Shoreline 0Forest 0 AgriculturaVgrasslands 0 Early mid-successional
0 Wetland DUrban 1Zl 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? 0 D
16. Is the project site located in the I 00 year flood plain? NO YES
l.tl I I
17. Will the proposed action create storm water discharge. either from point or non-point sources? NO \'ES
If Yes.
a . Will stonn water discharges flow to adjacent properties'! 0No DYES 0 D
b. \V ill stonn water discharges be directed to established conveyance systems ( nmoff and storm drains)?
If Yes, briefly describe: 0NO DYES
NlA -lbe appllr::anlls seeking a mine£ mcdilir::alicn lc lbe pcellicusl)! app[c~ted fcool )!aal selbar::l! lla[iance
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18. Does the proposed action include constn1ction or other activities that result in the impoundment of NO YES
water or other liquid s (e.g. retent io n pond. waste lagoo n, dam)?
IfYes, explain purp os e and size : Ill D
19. Has the site of the proposed action or an adjoining property been the location of an activ e or closed NO YES
I solid waste mana gement facility ?
If Yes. describe : 0 D
.20. Has the site of the proposed a..:tion or an adjoining property been the subject of remediation (ongoing or NO YES
completed)lo r hazardous waste?
If Y cs, describe: 0 D
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Date : ·l f -"{;) -f>j Applican t/sponsor name: Mike Young , VP Real &tate Ottvalopment and Fadllllas
Signature: 1/f/'.-1'/1 /11 /
fl :r
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