Site Plan Application1
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
TOWN OF QUEENSBURY
Site Plan Review Application
Review Process:
1. Required Pre-submission meeting with staff to determine general completeness to be held no later than 1
week prior to deadline day.Call (518) 761-8265 or (518) 761-8220 for an appointment.
2. Submittal of complete application: 1 original and 14 copies of the application package by monthly deadline.
3. Determination of application completeness. All necessary information must be provided and appropriate
fee(s) paid for consideration for placement on an agenda for that month.
4.Incomplete applications will not be considered for placement on any agenda until all missing
information has been submitted.
5. Submittal to Warren County Planning, if applicable.
6. Planning Board meeting, generally the third & fourth Tuesday of each month. You will be advised in
writing as to which meeting to attend.
7. Following the meeting you will be provided with a copy of the resolution stating the Board’s decision on
your application. If your application was approved, the next likely step is a Building Permit. Final
drawings must be provided for the next phase of review. If your application was denied, your project cannot
proceed as submitted.
DOCUMENTATION REQUIREMENTS (hard copy & electronic):
Please submit 1 original & 14 copies of the completed application package to include:
x Completed Application pages 2-9, signed & dated
x Pre-Submission Meeting Notes:signed by staff
x Copy of Deed
x Checklist & Plot Plan
x Environmental Assessment Form for any non-residential project
x Fee:$100 (0 – 10,000 sq. ft.); $250 (10,001 – 30,000 sq. ft.); $500 (30,001 -100,000 sq. ft.); $1,000
(100,000+ sq. ft.)
Staff & Contact Information:
Craig Brown, Zoning Administrator craigb@queensbury.net
Laura Moore, Land Use Planner lmoore@queensbury.net
Sunny Sweet, Office Specialist – Planning sunnys@queensbury.net (518) 761-8220
Visit our website at www.queensbury.net for further information and forms
2
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
General Information
Tax Parcel ID Number: ____________________
Zoning District: ____________________
Lot size: _____________________
Detailed Description of Project [includes current & proposed use]:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Location of project:
________________________________________________________________________________
Applicant Name: Address:
Home Phone Cell:
Work Phone Fax
E-Mail:
Agent’s Name:Address:
Home Phone Cell:
Work Phone Fax
E-mail
Owner’s Name Address
Home Phone Cell
Work Phone Fax
E-mail
309.17-1-17.2
CLI
9.38 ACRES
Two buildings are to be added and existing gravel drive area is to improved and altered to maintain impervious area around the
existing warehouse facility (Previously approved as part of SP72-2021). The applicant would like to modify this site plan approval by
proposing to construct a berm and privacy fence at the southern property boundary.
27 Silver Circle
Joseph Gross 27 Silver Circle, Queensbury, NY
(518) 361-0607
(518) 792-0216
Jgross@grosselectricinc.com
Chris Keil / Jon Lapper
900 Route 146, Clifton Park, NY
(518) 371-7621
ckeil@edpllp.com
Joseph Gross
27 Silver Circle, Queensbury, NY
(518) 361-0607
(518) 792-0216
Jgross@grosselectricinc.com
3
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
Addition sq. ft.
Total sq. ft.
A. Building footprint
B. Detached Garage
C. Accessory Structure(s)
D. Paved, gravel or other hard surfaced area
E. Porches / Decks
F. Other
G. Total Non-Permeable [Add A-F]
H. Parcel Area [43,560 sq. ft. / acre]
I. Percentage of Impermeable Area of Site [I=G/H]
Setback Requirements
Area Required Existing Proposed
Front [1]
Front [2]
Shoreline
Side Yard [1]
Side Yard [2]
Rear Yard [1]
Rear Yard [2]
Travel Corridor
Height [max]
Permeability
No. of parking spaces
*total= - 31,200 SF new buildings - 4,186 SF
removed gravel + 1,243 SF added gravel
two bldgs @ 80'x200' and
2,000 SF covered loading
dock
EAST
WEST
* Existing setbacks acquired from
previous approved plans SP
PZ140-2016 JOSEPH P. GROSS
*
2022
No change
No change
No change
No change
No change
No change
No change
32,350 (office) 0 32,350
31,950 (add. bldgs) 34,000 65,950
202,121 -34,143* 167,978
266,421 -143 266,278
408,593 408,593 408,593
65.20% -0.03% 65.17%
50 FT
97.6 FT (office) 97.6 FT (no change)
30 FT
67.9 FT (warehouse bldg) 30 FT (80x200 bldg #1 & #2)
30 FT
31.8 FT (office) 122 FT (80x200 bldg#1)
30 FT
34.3 FT (pole barn) 50 FT (80x200 bldg #2)
60 FT
29.06 FT (office addition) 27.3 FT (80x200 bldg)
30%34.8% 35.8%
NA NA NA
4
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
Additional Project Information
1. Will the proposal require a Septic Variance from the Town Board of Health? _______________
2. If the parcel has previous approvals, list application number(s): _________________________
3. Does this project require coverage under the New York State Pollutant Discharge Elimination System
(SPDES) Permit Program ? _______________
4. Estimated project duration: Start Date __________ End Date __________
5. Estimated total cost of project: _______________
6. Total area of land disturbance for project: _______________
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]
Waterfront Residential WR 0.22
Commercial Moderate/ Intensive CM/ CI 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 ___________________________ sq. ft.
B. Existing Floor Area ___________________________ sq. ft. [see above definition]
C. Proposed Additional Floor Area ___________________________ sq. ft.
D. Proposed Total Floor Area ___________________________ sq. ft.
E. Total Allowable Floor Area ___________________________ (Area x _____) [see above table]
*If D is larger than E. a variance or revisions to your plan may be needed. Consult with Staff.
AV138-2016, SP140-2016, SP14-2015, SP72-2021
No
Yes
Dec 2021
June 2022
$1 million
2.79Acres (2021) 3,500 SF (2022)
408,593
64,300
32,000
96,300
122,578 0.3
5
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
§ 179-9-080 Requirements for Site Plan Approval.
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.The proposed project furthers or is consistent with the policies 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.
F.The establishment, maintenance 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 l9oading 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.
I.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.
L.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.
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.
O.The site plan conforms to the design standards, landscaping standards and performance standards of this chapter.
YES
YES
Yes, to an extent that is practical. This is an industrial site with warehouses and loading docks to accommodate truck traffic.
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
6
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
§ 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.
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,
subdivisions, streets and easements within 500 feet of the property. Such a sketch may be superimposed on a United States
Geological Survey 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 l/2 “x 11” sheets as necessary for written
information. The information listed below shall be shown on the site plan and 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
applicant is not the record owner, a letter of authorization shall be required from the owner.
E.The location and use of all existing and proposed structures within the property, including all dimensions of height and
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
containers shall also be shown.
G.The location, height, intensity and bulb type (sodium, incandescent, etc.) of all external lighting fixtures. The direction of
illumination and methods to eliminate glare onto adjoining properties must also be shown in compliance with § 179-6-020.
H.The location, height, size, materials and design of all proposed signs.
I.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
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
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
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.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
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 refer to
SP72-2021
All Sheets
22x34"
All sheets
All sheets
All sheets
All sheets
N/A refer to SP72-2021
N/A
N/A refer
to
SP72-202
1
N/A refer
to
SP72-202
1
Sheets 5
Sheet 5
N/A refer to SP72-2021
7
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
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.
O.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,
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)
and/or alterations to or expansions of existing facades, showing design features and indicating the type and color of materials
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.
R.Plans for disposal of construction and demolition waste, either on-site or at an approved disposal facility.
S.Plans for snow removal, including location(s) of on-site snow storage.
T.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.
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
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.
NA
N/A
refer to
SP72-20
21
N/A refer
to
SP72-2021
N/A refer to
SP72-2021
N/A refer to
SP72-2021
N/A refer to
SP72-2021
See
attached
N/A
N/A refer to
SP72-2021 and
cover letter
7RZQRI4XHHQVEXU\6LWH3ODQ3UH6XEPLVVLRQ&RQIHUHQFH)RUP6HFWLRQ
$SSOLFDQW1DPH BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
7D[0DS,' BBBBBBBBBBBBBBBB /RFDWLRQ BBBBBBBBBBBBBBBBBBBBBBB
=RQLQJ&ODVVLILFDWLRQ BBBBBBBBBB
5HDVRQIRU5HYLHZ BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
=RQLQJ6HFWLRQ BBBBBBBBBBBBBBBBBBBBBBBB
3UH6XEPLVVLRQ0HHWLQJ1RWHV 3URYLGHG2XWVWDQGLQJ 3OHDVHSURYLGHE\
'HHGBBBB BBBBBBBBBBBBB
*HQHUDO,QIRUPDWLRQFRPSOHWH BBBB BBBBBBBBBBBBB
6LWH'HYHORSPHQW'DWD&RPSOHWH BBBB BBBBBBBBBBBBB
6HWEDFN5HTXLUHPHQWV&RPSOHWH BBBB BBBBBBBBBBBBB
$GGLWLRQDO3URMHFW,QIRUPDWLRQ&RPSOHWH BBBB BBBBBBBBBBBBB
)$5DGGUHVVHGBBBB BBBBBBBBBBBBB
5HTXLUHPHQWVIRU6LWH3ODQ6WDQGDUGV BBBB BBBBBBBBBBBBB
&KHFNOLVWLWHPVDGGUHVVHG BBBB BBBBBBBBBBBBB
(QYLURQPHQWDO)RUPFRPSOHWHG BBBB BBBBBBBBBBBBB
6LJQDWXUH3DJHFRPSOHWHG BBBB BBBBBBBBBBBBB
6WDII5HSUHVHQWDWLYH BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
$SSOLFDQW$JHQW BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 'DWH BBBBBBBBBBB
-RVHSK *URVV
6LOYHU &LUFOH DFUHV
&/,
0RGLILFDWLRQ RI DSSURYHG SODQ WR DOWHU WKH EXIIHU DUHD ZLWK D EHUP DQG IHQFH RQ WKH VRXWK VLGH RI WKH SURSHUW\ DQG DGGLWLRQDO VLWH ZRUN
DPHQGPHQW
[
1$
;
;
;
DGG DOWHUDWLRQ WR EXIIHU DUHD
UHFKHFN QXPEHUV QRWH XSGDWH
DGG VLWH SODQ
DGG VTXDUH IRRWDJH RI DUHD LQ EHUP DUHD
UHDIILUP VHTU
XSGDWH GDWHV
/DXUD 0RRUH YLD HPDLO
$SSOLFDQW SURSRVHV WR PRGLI\ DQ SUHYLRXVO\ DSSURYHG VLWH SODQ IRU DOWHUDWLRQ WR WKH EXIIHU DUHD WR LQVWDOO
EHUP DQG IHQFH ,Q DGGLWLRQ VLWH ZRUN IRU SUHYLRXV JUDYHO DUHD WR JUHHQ DUHD 3URMHFW IRU QHZ ZDUHKRXVH
EXLOGLQJV DQG FRYHUHG ORDGLQJ DUHD UHPDLQV WKH VDPH DQG FXUUHQWO\ XQGHU FRQVWUXFWLRQ 6LWH 3ODQ IRU
PRGLILFDWLRQ RI DSSURYHG VLWH SODQ
,WHPV UHYLHZHG VLWH SODQ DSSOLFDWLRQ PRGLILFDWLRQ VFUHHQLQJ GHWDLOV JUDGLQJ LQIRUPDWLRQ
,WHPV WR EH XSGDWHG RU SURYLGHG
QHHG GHHG
JHQHUDO LQIRUPDWLRQ DGG DOWHUDWLRQ WR EXIIHU DUHD
UHFKHFN QXPEHUV RQ VLWH GDWD VKHHW PD\EH DGG QRWH QH[W WR QXPEHU
RQ VLWH SODQ GUDZLQJ DGG VTXDUH IRRWDJH RI WKH EHUP DUHD WR EH GLVWXUEHG
XSGDWH VLJQDWXUH GDWHV
UHSODFH SUH DSSOLFDWLRQ IRUP RI ZLWK WKLV RQH IRU
Chris Keil 4/15/2022
9
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.)
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: _______________
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: ____________________________________
Designates: ____________________________________
As agent regarding: _____ Variance _____ Site Plan _____ Subdivision
For Tax Map No.: _____ Section _____ Block _____ Lot
Deed Reference: _____ Book _____ Page _____ Date
OWNER SIGNATURE: ___________________________________DATE: _______________
2.) ENGINEERING FEE DISCLOSURE: 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.) AUTHORIZATION 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 RESPONSIBILITIES: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.
5.) OFFICIAL MEETING MINUTES DISCLOSURE: 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.) AGREEMENT TO PROVIDE DOCUMENTATION REQUIRED: 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 are a 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.
____________________________ ___________________________ __________________
Signature [Applicant] Print Name [Applicant] Date signed
____________________________ ___________________________ __________________
Signature [Agent] Print Name [Agent] Date signed
I I I hahahahahahahahhhhhhahhahhhhhhhahahhhhhhhhhhhhhhhhhahhhhaahhhhhahahhhaaahahhaaave read and d d d d d d d d d d d ddd agaagagagagaaaaaagagaaaaagaaarereree e e e e ee eee e totottt the above.
_________________________________________________________
SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSi na icant]
Map No.:_____ Section __
ferererrrrrrrrrreneneneeeneneneneneneneeneneeeneneeeeeeeeneeeenneenccccecececccccc:::_________________________________BoBoBoBoBoBoBoBoBoBoBoBookokokokk ____
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
DISISISIIISIIIISIIIIISIIIIIIIIICLOSURE: Applications may be r
_______________________________________________________
i [A
ignatutuuuuuuurerrrrrrr [[[[[[[[[[[[[[[[ApApApApApApApApApApApApApApApAppplplpllplpllplpllplplplplplpiciciciiiiiciiiiiciiii
27 Silvers Circle LLC (Joseph Gross)
Jon Lapper; EDP
X
309.17 1 17.2
5561 31 5/23/2017
4/15/2022
Joseph Gross 4/15/2021
Chris Keil 4/15/2021
Short Environmental Assessment Form
3DUW3URMHFW,QIRUPDWLRQ
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 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:
Project Location (describe, and attach a location map):
Brief Description of Proposed Action:
Name of Applicant or Sponsor: Telephone:
E-Mail:
Address:
City/PO: State: Zip Code:
1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance,
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.
NO YES
2. Does the proposed action require a permit, approval or funding from any other governmental Agency?
If Yes, list agency(s) name and permit or approval:
NO YES
3.a. Total acreage of the site of the proposed action? ___________ acres
b. Total acreage to be physically disturbed? ___________ acres
c. Total acreage (project site and any contiguous properties) owned
or controlled by the applicant or project sponsor? ___________acres
4. Check all land uses that occur on, adjoining and near the proposed action.
Urban Rural (non-agriculture) Industrial Commercial Residential (suburban)
Forest Agriculture Aquatic Other (specify): _________________________
Parkland
1BHFPG
27 Silver Circle - New fence and privacy berm
27 Silver Circle, Queensbury, NY 12804 (refer to drawing set)
Two buildings are to be added and existing gravel drive area is to improved and altered to maintain impervious area around the existing
warehouse facility. This was approved as part of Town of Queensbury SP72-2021
Chris Keil / Jon Lapper
(518) 347-7142
ckeil@edpllp.com
900 Route 146
Clifton Park NY 12065
✔
✔Town Planning Board - Privacy fence
0.08
0.08
57
✔✔
Page 2 of
5. Is the proposed action,
a. A permitted use under the zoning regulations?
b. Consistent with the adopted comprehensive plan?
NO YES N/A
6. Is the proposed action consistent with the predominant character of the existing built or natural
landscape?
NO YES
7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area?
If Yes, identify: __________________________________________________________________________
_______________________________________________________________________________________
NO YES
8. a. Will the proposed action result in a substantial increase in traffic above present levels?
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?
NO YES
9. Does the proposed action meet or exceed the state energy code requirements?
If the proposed action will exceed requirements, describe design features and technologies:
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
10. Will the proposed action connect to an existing public/private water supply?
If No, describe method for providing potable water: ______________________________________
_______________________________________________________________________________________
NO YES
11. Will the proposed action connect to existing wastewater utilities?
If No, describe method for providing wastewater treatment: ________________________________
_______________________________________________________________________________________
NO YES
12. a. Does the site contain a structure that is listed on either the State or National Register of Historic
Places?
b. Is the proposed action located in an archeological sensitive area?
NO YES
13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain
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 waterbody?
If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: _______________
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply:
Shoreline Forest Agricultural/grasslands Early mid-successional
Wetland Urban Suburban
15. Does the site of the proposed action contain any species of animal, or associated habitats, listed
by the State or Federal government as threatened or endangered?
NO YES
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?
If Yes,
a. Will storm water discharges flow to adjacent properties? NO YES
b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)?
If Yes, briefly describe: NO YES
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔✔
✔
18. Does the proposed action include construction or other activities that result in the impoundment of
water or other liquids (e.g. retention pond, waste lagoon, dam)?
If Yes, explain purpose and size: ____________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
19. Has the site of the proposed action or an adjoining property been the location of an active or closed
solid waste management facility?
If Yes, describe: _________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or
completed) for hazardous waste?
If Yes, describe: __________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
NO YES
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Applicant/sponsor name: ___________________________________________ Date: ___________________________
Signature: _______________________________________________________
1BHFPG
_______________________________________________________________________________________________________________________________________________
_______________________________________________________________________
✔
✔
✔
Chris Keil 4/15/2022
PRINT FORM
Page 1 of 2
$JHQF\8VH2QO\>,IDSSOLFDEOH@
3URMHFW
'DWH
6KRUW(QYLURQPHQWDO$VVHVVPHQW)RUP
3DUW,PSDFW$VVHVVPHQW
Part 2 LVWREHFRPSOHWHGE\WKH/HDG$JHQF\
Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by
the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by
the concept “Have my responses been reasonable considering the scale and context of the proposed action?”
No, or
small
impact
may
occur
Moderate
to large
impact
may
occur
1. Will the proposed action create a material conflict with an adopted land use plan or zoning
regulations?
2. Will 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 quality of the existing community?
4. Will the proposed action have an impact on the environmental characteristics that caused the
establishment of a Critical Environmental Area (CEA)?
5. Will the proposed action result in an adverse change in the existing level of traffic or
affect existing infrastructure for mass transit, biking or walkway?
6. Will the proposed action cause an increase in the use of energy and it fails to incorporate
reasonably available energy conservation or renewable energy opportunities?
7. Will the proposed action impact existing:
a. public / private water supplies?
b. public / private wastewater treatment utilities?
8. Will the proposed action impair the character or quality of important historic, archaeological,
architectural or aesthetic resources?
9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands,
waterbodies, groundwater, air quality, flora and fauna)?
10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage
problems?
11. Will the proposed action create a hazard to environmental resources or human health?
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
PRINT FORM
Page 2 of 2
For every question in Part 2 that was answered “moderate to large impact may occur”, or if there is a need to explain why a
particular element of the proposed action may or will not result in a significant adverse environmental impact, please
complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that
have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency
determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting,
probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-
term, long-term and cumulative impacts.
Check this box if you have determined, based on the information and analysis above, and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required.
Check this box if you have determined, based on the information and analysis above, and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
________________________________________________________________________________________________
Name of Lead Agency Date
_________________________________________________ _______________________________________________
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
_________________________________________________ _______________________________________________
Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from Responsible Officer)
4IPSU&OWJSPONFOUBM"TTFTTNFOU'PSN
1BSU%FUFSNJOBUJPOPG4JHOJGJDBODF
"HFODZ6TF0OMZ<*GBQQMJDBCMF>
1SPKFDU
%BUF
✔
PRINT FORM