SEQRA.Neg.Dec.Resolution regetye
:,i r iZen—x SEAR
IFs 17.21
Appendix F yL
State Environmental Quality Review
NEGATIVE DECLARATION
Notice of Determination of Non-Significance
Project Number Ay 43- 1992 Date 8/25/92
This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article
8 (Slate Environmental Quality Review Act) of the Environmental Conservation Law.
The Town of Oueensbury Planning Board as lead agency,
has determined that the proposed action described below will not have a significant effect on the
environment and a Draft Environmental Impact Statement will not be prepared.
Name of Action: Polk Subdivision
SEAR Status: Type 1 ]
Unlisted ❑
Conditioned Negative Declaration: ❑Yes
® No
Description of Action:
Three lot subdivision in a CEA, Assembly Point, Lake George.
Creation of 2 substandard lots, and two lots without required road frontage.
Location: (include street address and the name of the municipailtylcounty. A location map of appropriate
scale is also recommended.)
East side of Assembly Point, on Assembly Point, Queensbury, NY 12804
Warren County
` SEQR Neyalive Declaration
�I Page 2
nonsons Supporting This Determination:
(:lee, fi 17.G(g) for requirements of this del I7.0(b) for (;cin()ilioned Negalivo Declaralion)
liavino considered and thoroughly ana
having considered the s criterialyzed till relevant areas of environmental concern and
impact as the same is set forth
for determining whethr e a Project has a significant environmental
h in Section 617.11 of the Official Compilation of Codes, Rules
tate
and Regulations for the S of Alew Yor•I:, thi.v Poard finds that the action about to he undertaken
by this Poar•cl will have no significant environmental x nd the Chairman of the Planning
Board is hereby authorized to eecute a si n
non-significance
and file -is may be necessary a statement or a negative declaration fli, may he required by law. of
If Conditioned Negative Declaration, Provide on atfact,I, eut the specific mitigation measures imposed.
ror Further Information:
Contact Person:
Lee York, Senior Planner
Address:
Bay at Haviland Roacl, Oueensbrn v, llew York 12804
lelophone Number.
(518) 745-4437
For Type I Actions and Conditioner) Negative Declarations a Copy of this Notice Sent to:
Commissioner, Department of Environmenlal Con.^.ervntinn 50 Wolf (toad, Albany, New York 12233-0
Of 001
Appropriate negional office of the Doparlmenl of 1 nvironmenfal Conservation
located."lice the Chief Executive Officer of the polilic�al ';nbdivision in which the action will be principally
Applicant (if any)
Other involved agencies (if any)
I
7)-7c
617.21 SEOR
Appendix A n '
(1 i
Stale Environtrontal Quality Review
FULL ENVIRONMENTAL ASSESSMENT FORM
rpnse: The full fAl k designed In help apph(nnh and agtm u•+ deltnnme. ui an orderly mannt•r, whether a project
r action may be signihi ant the question of whether an a, urn may [it- ,igndn ant is nut always easy In answer 1 requent
Iv. there are aspects of a projet t that are sedile, twe• fir unnu•,isure•eble It is akt, untlerslood that those who delr•rmme
>ignitu.ance nr•fy have little or no formal koowle(lg,• of the t•nvunn,uenl ur inav be technically export fit envuunmenial
dn,elysis. In addition, many who have knowledge it,one Imm(uLrr area nfdv not be aware of the hrnader roncerns affecting
the question of signilf(ance.
Ile full I Al is intended to provide a nu•Ihod wherehy applfc ant, and agent u•% tan he assured that the determine non
process has been orderly, comprehensive of nature, yet Iltxlblt to,Blow introdw nun of information to fit a project or action
Full EAF Components: Tile full I-AI is (ongntsed of three pail,
Part 1: Provides objective clad and ntlurin,Won ahout a gi,,,•n projet t and its site Isy identdying basic project
data. it assists d reviewer fit flit •in.dysis Ili,,( bike, plat ,• in Park 2 and I
Part 2: focuses nit edtntrlytng the Fang,• of pussihle utpat Is heat may if, i ur fruit a prup•e I or a( lien It provides
guidant a is to wliethe•r an impat t is likely to bt , mi,nitred +moll It,flit ider,eIf-()r whether it is a Potentially
large umpa(I I he form ahn altliltlle% wbelht•r an flnp,u I tat lit, mdigdted or reduced
Part 7: If any impact in Part 2 is identified ds potentially Loge, then Pall I is used to evaluate whether or not the
impact rs actually important
DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions
Identity the Portions of EAF completed for this project: X Part 1 I I Part 2 ❑Part 1
Upon review of the information recordt-d on tills t Al (fart, 1 anti 2 and I if appropriate). and any other supporting
inhmnalion, and considering both the nt,igdude and hnport.m(e of tat It nmpm t, it is reasonably determined by the
lead agency that:
1-1 A. The prole( t will not resrdl in any large and important inr )at Its) and, therefore, is one which will not
have a significant inrpa( I on flit envuonnec•nt, thomlore a negative declaration will be prepared.
1-1 D Although the fouler t could have a signifo ,flit eftet f nit the envuunnienl. there will not be a sigmfi(ant
effect for this Unlisted Action because the nnUgdtlon me,istues(lest filled Oil PAR f I have been required,
therefurt• a CONDITIONED negative declaration will be prepared.'
I. I C. The project may result in one or more large and unportant unpm Is that tray have d significant inipacl
on the ,•nvnooment, lheretort a positive declaration will be prepared.
A Conditioned Negative Uet lardtion n ()lily v,ehd flit Unlisted At loons
JOHN L . POLK , JR . AREA VARIANCE APPLICATION
- ---------Name• of A, lion - --------
-wevnty �rrt"A SL
TOWN OF QUEENSBURY TONING BOARD OF APPEALS
_ Nafne ()I Lead Agent y
-T-he-edere-T ="r Chairman
Pant or I ype Nartie of Responsible Officer fit I earl Agvm y I ale of Responsible lhNt er
i , aturtul Respunihle t)tlf.ef Init'ddAgtn, y 'itgo,hurt•(lPrep,uer(11 different from responsible officer)
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