4.16 f
4.16
TRANSIENTS\Northeast Realty Development Polito&Quinn—5-16-2022
RESOLUTION APPROVING TRANSIENT MERCHANT/TRANSIENT
MERCHANT MARKET LICENSE FOR NORTHEAST REALTY
DEVELOPMENT/KEVIN QUINN/NAOMI POLITO
RESOLUTION NO.: 12022
INTRODUCED BY:
WHO MOVED ITS ADOPTION
SECONDED BY:
WHEREAS, Northeast Realty Development/Kevin Quinn/Naomi Polito (Northeast Realty)
has submitted an application to the'Queensbury Town Board for a Transient Merchant/Transient
Merchant Market License to conduct a transient merchant market from June 7t1i through June 11 th,
2022 in the parking lot at 1650 State Route 9, Queensbury to sell assorted motorcycle and non-
motorcycle products, services and displays in accordance with the provisions of Town Code
Chapter 160, and
WHEREAS, the application is essentially identical to applications submitted by the
applicant in previous years and since the Queensbury Planning Board conducted site plan review of
the prior applications, it is not necessary to again refer the application to the Planning Board for site
plan review,
NOW, THEREFORE, BE IT
RESOLVED, that in accordance with the requirements set forth in Queensbury Town Code
§160-8, the Town Board hereby grants a Transient Merchant/Transient Merchant Market License to
Northeast Realty Development/Kevin Quinn/Naomi Polito to conduct a transient merchant market
in the parking lot located at 1650 State Route 9, Queensbury, subject to the following:
1. Northeast Realty must pay all fees as required by Town Code Chapter 160;
2. Northeast Realty must submit a bond in the amount of$10,000 as required by Chapter
160;
3. Northeast Realty must submit proof of authorization to do business in New York and
authorization of agent to receive service of summons or other legal process in New
York;
4. The License shall be valid only from June 7"'through June I 11h, 2022 from 8:00 a.m. to
10:00 p.m. and the license shall expire immediately thereafter;
5. Northeast Realty shall advise the Town Board of any vendor changes from previous
years;
6. Northeast Realty must revise its submitted plot plan to accurately depict the planned
vendor locations prior to the Town Clerk's issuance of the License;
7. Northeast Realty must provide to the Town Clerk its proof of a current/renewed
occupancy permit from the New York State Department of Transportation for parking in
the area along Route 9 prior to the Town Clerk's issuance of the License;
8. The Transient Merchant License shall not be assignable; and
9. Northeast Realty must comply with all regulations specified in Town Code §160-8;
and
BE IT FURTHER,
RESOLVED, that the Town Board further authorizes and directs Town Code Enforcement
Personnel to rigorously enforce the terms of the Site Plan, and
BE IT FURTHER,
RESOLVED, that the Town Board further authorizes and directs the Director of Planning,
Zoning and Code Compliance to send a certified copy of this Resolution to the Warren County
Sheriff and also contact the Warren County Sheriff to request that the Warren County Sheriffs
Office enforce off-road parking issues on Route 9 and throughout the community.
Duly adopted this 16`h day of May, 2022, by the following vote:
AYES
NOES
ABSENT :
FEB 14 2022 Ca
4UEENSO y Transient Mer sntlTransient Merchant Market Revised June 2009
CLERICS
CUEENS. URY TOW , BOARD APPLICATION
TRANSIENT MERCH D► T/ TRANS I NT MERCHANT MARKET
Submit 16 copies to the Town Clerk al ng with $90 �.Application flee plus applicable Town Clerk
fees
DATE:
APPLICANT'S NAME:
OF
ADDRESS:
1. Federal ID#: �7
2. NY State Sales Tax No.:
3. Location of Market:
4. Dates&Hours of Operation: lea 04
A.
6. Description of Goods,Wares,C0 modities or S rvices to be offered for sale or to be used for the
purpos of bi di g f r sef vicom'...
6. Other Information to Be Provided
A. if application is filed by.4 agent,the na "e of the firm or person represented and written
authorization by the firm: uthorizing the epresentation.
B. Authorization of an agent to receive Se ice of Summons.
C. A plan or map showing the location f the proposed market in proximity to property
boundaries and any othO r temporary o Permanent structure on the lot, the plan or map
shall also show the loca, n of the ven 'rs:within the market the provisions for dedicated
parking vehicular acres o and from t '::site,the zoning district in which the market is to
be located,_pro isi ` w ater y dsewage disposal.
an sfo
—AzZ V
Signature ofApplicanh , �'- ----
Date:
Signature of Agent:
Town of Queensbury Planning 0.1 Ice-742 Bay Rd -,Queensbury,NY 12804.518 781-8220 1
Site Plan Review Revised,tune 2009
General Inform tion
Tax Pa
rcel ID: 7
Zoning District: '
Current Use:
Proposed Use:
3
Location of project:
Applicant Name Ad Tess:
Home Phone Ce l:
7
UVork Phone Fa
E-Mail:
Agent's Name:
Home Phone
Work Phone P x
E-mail
Owner's game: dress /J
Home Phone
Work Phone � fax
E-mail
Town of Queensbury Planning 0 ice-742 Bay ROE Queensbury.MY 12804.518-761-8220 2
r
Site Plan Review Revised June 2009
Siff` Develo me t Data
Area'
/Type Ex `frog sq.ft. Proposed Tatal sq.ft.
Addition s .ft
A. Building footprint
B. Detached Garage
C. Accessory Structures)
D. Paved,gravel or other hard surfaced are,
E. Porches!Decks
F. Other
G. Total Non-Permeable [ dd A F]
H. Parcel Area [43,560 sq, /acre] .7C/
I. Percentage of Impermeable Area of Site;: [I=G/H]
E tback Re 4 Mments
Area q
Re u `ed Existing Proposed
Front[1] �, Q
Front[2]
Shoreline.
Side Yard[1]
Side Yard[2]
Rear Yard[1]
Rear Yard[2]
Travel Corridor
Height[max]
Permeability L
No.of parking spaces T
Town of Queensbury Planning O ca.742 Bay RO d^Queensbury,M( 12804-sia-761-8220
3
Site Plan Review Revised June 2009
Additio al Project Information
Will the proposal require a Septic Vari nce from the T 3wn Board of Health? Jn
2. If the parcel has previous approvals, !I t application ni imber(s):
3. Does this project require coverage up] er the NYS D Stormwater Pollution Prevention Program?
Estimated project duration: Start Da / End Date �e
4. .
5. Estimated total cost of project:
6. Total area of land disturbance for prQ act
Floor Area Ratio :orksheet
FLOOR AREA RATIO(FAR)--The relation; hip of building Ize to lot size, derived by dividing the total building
floor area by the lot size in square feet,yIeI0 ing a percentac e.
Zoning District Symb 1 Floor Area Ratio[FAR]
Waterfront Residential WR
0.22
Commercial Moderate
CM. 0.3
Commercial intensive
C{ 0.3
all
A. The combined area of all square footag%.A measure fromi K morwe vie( }feetf ceiling tures an the height and covered
floors of the structures, garages, baseme, is a docks
porches.
Bu d ne storage shed of one; ndredtwenty 920en ) squar dockse feet or at ass. Anyddretiionai sheds will�be
over water
included. (See"FLOOR AREA RATIO'),.
mderlor of the outside B. Commercial or industrial:the total area in from the
.. total
of all floofeet as r as of the principal and accessory buildings or structure of a s
or structure,and when applicable,the sum
on the project site.
Parcel Area s ft.
Existin Floor Area s . see above de#•inition
.ft
Pro osed Additional or Area 'ft.
Pro osed Total Floor Area s ' '
owable Floor Are Area x see
Total All a above table
Town of Queensbury Planning 0lice-742 Bay ROEA.•�Queensbury,NY 12604-618-761-8220 4
Site Plan Review Revised June 2009
§179-9-080 Re uirements for Site Plan rovat. The Planning Board shall not approve a Site Plan unless it
first determines That such site plan meets the:f flowing$tandait s. Please prepare responses to each of the following
topics.
ESTANDAR!08osed project furthers or is consistent with.ia policies of the To 's:Comprehensive Plan_osed project complies with ail other requ)r moots of this Chapt lricluding the site plan review standards as set forth in Paragraph F
ection,the dimensional,bulk,and density: gulaflans of fha zon district in which It is proposed to be located(Artl Me 3 and Table 1).
cable requirements of all other Articles th2 apply.
C. The site plan encourages pedestrian acuvitY intern ty and,if practicabl fo and from the site wish pedestrian paths or sidewalks connected to
adjacent areas.
D. The sits plan must confomt to Chapter 136 Sew Se and Sewage DI Ronal,Crispier 14T Siormwater Management tacai t aw,and other
applicable local laws.
E the proposed use Shall be to harmony with Mega. rat purpose or into :9fth)s Chapter,specifically taking into account the location,character
and size of the proposed use and the desc+raff
purpose of the islet in which such use is proposed,the nature and Intensity of the
activation to be involved in or conducted in with the prop d use and the nature and rate of any Increase in the burden on
supporting public services and facilities whic the approval a the proposed use.
F. The establishment,maintenance and operaroposed use vvl not create p11 ublic hazards from irafiic,traffic congestion ar fha parking
of vehicles and/or equipment or be otherntal to the he Ih,,safety or general welfare of persons residing or working in the
neighborhood or to the general welfare of t . raffic access a , circulation,road intersections,mad and driveway widths,and traffic
controls will be adequate.
G. Off-street parting and loading facilities tAD71 heap priately located an T258690d and sufficient to meet traffic anticipated to be generated by
the new use. The establishment of vehicle tirkmz etween parking are s of adjacent properties are provided where feasible. This furthers the
Town's goal of reducing curb cuts and reducit congestion.A two ty-foot wide connection is requved. if adjacent properties are either
h ving made provist for future linkage, then a future connection must be identified and
undeveloped or previously developed without
provided for in the site plan under review for ich future linkage V i n the time arises. The Planning Board may require proof that the
appllcant•has made contact with adjacent prope' owners for purpose)`of coordinating linkages with adjacent properties.
H. The project shall not have an i5ii—due adverse imp,ct upon the natural, conic,aesihetiq es ological,vAd)ife,historic,recreational or open space
resources of the town or the Adirondadt Palk;: upon the adequa provision of supporting facilities and services made necessary by the
project,taking Into account the commercial,in, trial.residential, creational or other benefits that might be derived from the project.In
making the determination hereunder.the Plani►i g Board shall cons let those factors pertinent to the project contained in the development
considerations set forth herein under§179-8=11, of this chapter,an Tn.so doing,the Planning Board shall make a net overall evaluation of
the project in relation to the development object! and general guid lines set forth In§179.9-080 of this Article.
1, The—provision for and arrangement of pedestrlar f—access and a ation,walkway struc11 tur11 es,11 control M intersections with vehicular tra nc
and overall pedestrian convenience shall be s;e and adequate for ;rrdastrian movement. Pedestrian connections between adjacent sites
shall be provided to encourage pedestrian use:
J. Stormwater drainage faciliues moll prevent ar.i 4 rease of post devel pment drainage flows as compared to pre development drainage flows.
Drainage of the site sball recharge ground' r to the extent pro t'rcal. Surface waters flowing off-site shall not degrade any streams or
adversely affect drainage on adjacent propett.. or public roads. F.cr7 ttes shalt be in conformance with the drainage standards of Chapter
147 of the Town Code and the Town of QueensJ1 ury Subdivision R ]ilatlons where applicable
K. The water supply aid sewage disposal facilities ll be adequate an Oil-meet all applcable and arrrent requirements set forth by Department
of Health regulations and Chapter 136 of the To Code.
L The adequacy,type and arrangement of trees I. shrubs and other ultable plantings,landscaping and screening shall effectively provide a
visual and/or noise, buffer between the epp:Danis and adjoinin ;.lands, including the maximum retention of existing vegetation and
maintenance,including replacement of dead ick leceased plants.
M. Fire lanes,emergency zones,and fire hydrants ll be adequate gd meet the needs and requirements of emergency service providers.
N. .The design of structures,roadways and lands Ping in areas su ptible to pondi ng,flooding and/or erosion will minimize or avoid such
impacts to the maximum extent practicable:
O. Thesite plan conforms to the design standards;landscaping stands and performance standards of this chapter.
Town of Queensbury Planning Q w 742 Bay Roe Queensbury,NY 12804.618-761.8220 5
Site Plan Review Revised,tune 2009
179.9.050 A13.olicatfon for Site plant Retrie
plication
Application for site plan approval shall be n for the Boa.: ato make Its findi s u der supplied 79-9•D 0 and 1 9-the Board.9-080 below.materials ndet rmin ng
site plan shall include sufficient informs the
the content of the site plan and supporting doc Board
uments o the type of pro! c proposed waive certain
such) wave shall be made in writing,and
deems such requirements or information unnecessary:; informed review under the
shall contain statementsofthe reasons oard may grants thech w: fivers on its own in tia6ve or at the written request of n a plicant,Such request
circumstances. The Planning
shall set fotttt the specific requirements that are reque led to be waived nd the reasons for the requesad waiver. Absent any waiver
or waivers,anapplication for Site Plan Review shall;in,ude the following: .
Shown
on Sheet
REQUIREMENTS
A A vicinity map drawn at the scale that shows the Walla ship of the proposal to existing community facilities which affect or serve it,
such as roads,shopping areas,schools,etc. Them shall also show al:properties,identify owners,subdivisions,streets, and
easements within 500 feet of the property. Such a ske ch may be sup.d ad on a United States Geological Survey map of the
area.
B The site plan shall be drawn at a scale of forty feet to. e inch V"=40 fee or such other scale as the Planning Board may deem
i,
appropriate, on standard 24"x 36" sheets,with con nuation on 8%"x I"sheets as necessary for written information. The
information listed below shall be shown on the site plan ind continuation shei ts. .
C Name of the project,boundaries,date,north arrow,end cafe of the plan. VA
D Name and address of the owner of record,developer,a id seal of the engine 4 archlect,or landscape architect. if the applicant is L-0101
not the record owner,a letter of authorization shall be quired from the OwnE r
E The location and use of all existing and proposed stru ures within the prop rnl,including all dimensions of height and floor area,all
exterior entrances,and all anticipated future addillons d alterations.
F The location of all present and proposed public art; private ways, off- parking areas. driveways. outdoor storage areas,
sidewalks, ramps,curbs, paths, landscaping,walls: and fences. Local . type, amd screening details for ail waste disposal
containers shall also be shown.
Q The location,height.intensity,and bulb type(sodium: candescent.etc.)o'all,external fighting fixtures. The direction of illumination
and methods to eliminate glare onto adjoining properl must also be sho in compliance with§179 6 020. a♦ vC
H The location,height,size,materials,and design of:ql(j,roposed signs. '
i The location of all present and proposed utility system including:
1. Sewage or septic system;
2. Water supply system; .
3. Telephone,cable.and electrical systems; e id
4. Storm drainage system including existlrig a d proposed drain It es,cu►verts,catch basins,headwalls,endwails,hydrants.
manholes,and drainage swales.
J Plans to off, and
prevent the pollution of surface
r gAro6t d`, ter.erosion
6ri�water P l�ii n F Il�n Plan(SWPPP)for during and after alland developmentive nactivittes
flooding of other properties.as;applicable.
{excluding agricultural activities)on the site that :: Its in land dislur ce of 9-acre or more_ A SWPPP shell comply with the
de. it shall be at the
requirements of the DEC SPDES MS-4 General. .,:, It and Chapter ,control the Town
�Qf b required or sosite plan raview project
discretion of the Planning Board as to whether a s. P or an erosion a
land disturbance of less than 1-acre.
K Existing and proposed topography attwo-toot into, intenrats,or such other contour interval as the Planning Board shall allow. Al
elevations shall refer to the nearest United States,_., astal and Geodetic Beni h Mark. if any portion of the parcel is within the 1 Within
year floodplain,the area will be shown,and base ila�d elevations given. Areas shall be indicated within the proposed site and within
50 feet of the proposed site where soil removal or fiili g is required,sh the approximate volume a cubic yards.
L A landscape plan showing all existing natural land fe itures that may infl `nca the design of the proposed use such as rock outcrops,
stands of trees,single trees eight or more Inch diameter,forest co er;and water sources,and all proposeduch�gfloedp airs,
ources include par 3.lakes,wetlands and Watercourses,aq
features including sizes and types of plants. Wale[
and drainage retention areas.
M Land Use District boundaries within 500 feet Of thi site's perimeter sh ilf be drawn and identified on the site plan,as well as any
Overlay Districts that apply to the property.
Town of Queensbury Planning;0 fice-742 Bay Ro d•-Queensbury.NY 12804.518-761-8220
6
Site plan Review Revised June 2009
Traffic flow patterns within the site,entrances and exits, ind loading and unto ding areas,as well as curb cuts on the site and within
7fl0 feet of the site. The Planning Board may,at its dis'i retion,require a deta.ed-traffic,study for large developments or for those in
heavy traffic areas,which shall include:
1. The projected number of motor vehicle trips t: enter or leave the fie,estimated for weexty and annual pears Hour tramc
levels;
2 The projected traffic flow pattern including:v, icular movements t all major intersections lkely to be affected by the ,C�®
proposed use of the site;
3. The impact of this traffic on levels of service a. abutting public stye and at affeetad Intersections-
weekly and annual peak hour traffic levels and ad capacity levels hall also be given.
O For new construction or alterations to any stricture,a to a containing the fall ` rig information shall be tnciuded:
1. Estimated area of structure to be used for part cular purpo
ses such s retail operation,Moe,storage,eta;
2.
Estimated maximum number of employees;
3. Maximum seating capacity.where applicable;:ind
4. Number of parking spaces existing and req: d for the intended us
P 1. Floor Plans.
2. Elevations at a state afore-quarter inch equals qne foot{4t4"=1 foot) all exterior facades of the proposed siructure(s)andlar /l
alterations to or expansions of existing facades,showin' design features and 1 n'dicallng the type and color of materials to be used.
Q Soil logs,water supply well and percolation test resat' and storm runoff tcutations,as needed to determine and mitigate project
Impacts.
R Plans for disposal of construction and demolition waste either on-site or at a approved disposal facility.
S Plans for snow removal.including locatlon(s)of on-site inow storage.
T An Environmental Assessment Form CEAF1.as mqui; d by the SEQRA re illations,with Part 1 completed by the Applicant shall be
submitted as part of the application, if the propos` project requires a peoiel use permit and an EAF has been submitted in
conjunction with a special use permit application,a dap irate EAF is not re d for the site plan application..
used,the applicant may submit a single application for
if an application is for a parcel or parcels on which m, a than one use is p p
all such uses provided the proposed uses are accri tely delineated on `.site plan drawn pursuant to the requirements set forth
above. The Planning Board may grant the appl(�:' e) all proposed use on with respect to ante proposed uses and not others. For purposes of
reviewing an application(and for SEQRA compI,* on a single parcel or on contiguous parcels shalt be
considered together_
v A brief narrative statement on how the project propos d for review furthe or is consistent with the vision,goals and policies in the
Town's Domprehensive Plan.
i
Town of Queensbury Planning Q. ce•742 Bay Roe Queensbury,NY 12894-618-761-8220 7
wt
i
Site Plan Review Revised June 2009
ere-Submission Conference Form L179.4, 40
I. Tax Map ID
2. Zoning Classification
3. Code Reference for Review:
4, ordinance Reference#:
6. Pre-Submission Meeting Notes;Outs nding Items T Be Addressed incl Na:
Deed Yes
Yes No
General Information complete Yes No
Site Development Data Complete Yes No
Setback Requirements Complete Yes No
Additional Project Information Complete; Yes No
*Covers a SW
der DEC PPP Pro ra Yes No
FAR Worksheet complete Yes No
Standards addressed Yes No
Checklist items addressed Yes No
Environmental Form completed Yes No
Signature Page completed
i
i
*A Ilcant m st rovide ce ith Notice of' tent NOI•SW pP.Acce ance o DEC letter issui ermit nu ber•
Notice of TP_rminatinn tNOT)
Staff Representative:
Applicant►Agent:
Date:
Town of Queensbury Planning; ffice.742 Bay R d Quesnsbury.NY 128%-518 761-8220 $
617.20
Appendix B
Short Envir`FrinentalAsse went Form
Instructions for Comuletinl±
Part 1-Project Information, The applicant or prod et sponsor is re onsible for the completion of Part I. Responses
become part of the application for approval or r rldlq i)lc- If subject
toona] iGereview,
rah o rinve may
wo be uld be needed to fully
ct to further on.
Complete Pan 1 based on information Currently ssible based on c ent information.
respond to any item,please answer as thoroughly as p,
Complete all items in Part 1. You may also provide....,y additional infoi m, aflon which you believe will be needed by or useful
to the lead agency;attach additional pages as necess#r to supplement a 17 item.
Part l-Project and Spon 11 sor Information
Name of Action or Pam' r.L'
Project Location( escri e,and attach a location
Brief Description of Proposed Action:
elep c
Name of Applicant or Sponsor:
Thon
E-Mail:
Address:
Stater Zip Code-
State,
Ag
1 local law,ordin ce, NO YES
1.Does a proposed actin my involve the legs ative adoption o a p an,
administrative rule,or gulation? proposed a 'on and the environmental resources that
If Yes,attach a narrative description of the intent:. f the prop
may be affected in the municipality and proce.04 Dart 2. If no, nt nue w question 2. NO YES
e val or funding , m any other governmental Agency?
2. Does the proposed action requirepermit or a it�av
If Yes,list agency(s)name and p
acres
3.a.Total acreage of the site of the proposed acti. n? acres
b.Total acreage to be physically disturbed? o id
c.Total acreage(project site and any contiguo properties)
acres
or controlled by the applicant or project spol sor'?
4. Check all land uses that occur on,adjoining d near the prop ed ommercial ❑Residential(suburban)
a Urban o Rural(non-agriculture) Q Industrial
❑Forest ❑Agriculture o Aquatic Other(specify):.
a Parkland
Page 1 4
NO YES NIA
Ej
proposed action,
rmitted use under the zoning regulations?
sistent with the adopted comprehensive pl.... ? NO YES
proposed action consistent with the predgt ant character of .e existing built or natural
ape.
site of the proposed action located in,or do s it adjoin,a stat listed Critical Environmental Area? NO YES
entify:a. ill the proposed action result in a substantial increase in traffi "above present levels?----------------
NO YES
b.Are public transportation service(s)available: t or near the site if the proposed action?
c.Are any pedestrian accommodations or biay;j routes available on or near site of the proposed action?
NO YES
9.Does the proposed action in or exceed the stat_ energy code req _cements?
If the proposed action will exceed requirements,.d. 'be design feati res and technologies:
NO YES
10. Will the proposed action connect to an existin" s wee
public/private e r t pp y? D NO D YES
If Yes,does the existing system have caps; ty p
If No,describe method for providing po le water:
NO YES
11.Will the proposed action connect to existing v`stew at r e u iesIf
ice? ❑NO D YES
If Yes,does the existing system have cape ty provide
If, No,describe method for providing'wast,water treatment:
12. a.Does the site contain a structure that is lister on either the St a or National Register of Historic
NO YES
Places? `?
b.Is the proposed action located in an archeo, gical sensitive ea?
portion of the site of the proposed action,or lands joining the proposed action,contain NO YES
13.a.Does any p �/°
wetlands or other waterbodies regulated by: federal,state or local agency? i/
b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody?
If Yes,identify the wetland or waterbody and ext nt of alterations i_''square feet or acres.
site. Check all
14. Identify the typical habitat types that occur o. ,or are likely to a o n
und on thepEarly m d-uc essionalat apply:
D Shoreline D Forest {l. gricultura]Igras
p Wetland ❑Urban uburban
15.Does the site of the proposed action conta '. y species of ant ::al,or associated habitats,listed
NO YES
by the State or Federal government as threate ied or endanger
NO YES
16,Is the project site located in the 100 year#lo: 1 plain?
17.Will the proposed action create storm water_. ischarge,either m point or non point sources? NO S
If Yes, ❑NO D YES
a.Will storm water discharges flow to adjace.t properties?
b.Will storm water discharges be directed:to stablished conv "ance systems(runoff and sus drains)?
If Yes,briefly describe:
page f 4
18.Does the praposed action include construction,o other activities th` result in the impoundment of
No YES
water or other liquids(e.g.retention pond,waste lagoon,dam)?
If Yes,explain purpose and size:
19.Has the site of the proposed action or an adjoin':g property been a location of an active or closed
NO YES
solid waste management facility?
If Yes,describe: e�
in g property been a sub
20.Has the site of the proposed action or an adjo ject of remediation(ongoing or NO YES
completed)for hazardous waste?
If Yes,describe:
1 AFFIRM THAT THE INFORMA 10 PRQ DED ABOVE TRUE AND ACCURATE TO THE BEST OF My
KNOWLEDGE
Date:
Applicandsponsor name:
Signature:
Part 2-Impact Assessment. The Lead Agency,s responsible fo the completion of Part 2. Answer all afthe following
in Fart I and oth..r materials submitted by the project sponsor or
questions in Part 2 using the information contain questions `e`reviewer should be guided by the concept"Have my
otherwise available to the reviewer. When answe. ng the q
responses been reasonable considering the scale d context of the ;oposed action?"
No,or Moderate
small to large
impact impact
may may
occur occur
1. Will the proposed action create a material co flict with an adol i.ted land use plan or zoning
regulations?
2. Will the proposed action result in a change the use or intens ty of use of land?
3. Will the proposed action impair the chars. or quality of the xisting community?
4. Will the proposed action have an impact ori ic environmental characteristics that caused the
establishment of a Critical Environmental ea(CEA)?
5. Will the proposed action result in an advers' change in the a sting level of traffic or
affect existing h astructure for mass trans`: biking or wal ay?.
6. Will the proposed action cause an increase'' the use of ener and it fails to incorporate
reasonably available, conservation or ewable ene =o orEitnities?
7. Will the proposed action impact existing:
a.public/private water supplies?
b,public/private wastewater treatmet utilities?
8. Will the proposed action impair the charm; r or quality of in Ooftmt historic,archaeological,
architectural or aesthetic resources`? wetlands,
9. Will the proposed action result in an adve a change to natu 1 resources(e.g.,
waterbodies,groundwater,air quality,flora d fauna)?
Page 3 ` 4
No,or Moderate
small to large
impact impact
may may
occur occur
posed action result in an increas'i i the potential fo .4osion,flooding or drainage
10. Will the pro
problems?
-.0nmental resoul es or human health?
i i. will the proposed action create a hazard to eny]
d action result in an iner of part 3. For every
proposed
I the 61' W'blern P
11. Will
, create a hawd t(
the
proposed action c
Part 3,Determination of significance. The Agency is resP risible for the completion
s
or if there is a need to explain why a Particular
y 'c
question in Pad 2 that was answered"moderate.td)] impact may
'cUe
7
a enW impact,Please complete Part 3.
element of the proposed action mayor will not re p' in a significant adverse env'romn.I�t been included by
4 eas elements that have
4 including any .pasureas or des gn
Part 3 should,in sufficient detail,identify the inlPit so e pit,
� - how the lead agency determined that the impact
the project sponsor to avoid or reduce impacts.: 3 should also ity of occurring,
may or will not be significant,Each potential irripig should be ass considering its setting,probabil term and
ink litude. Also conider the potential for short-term,long-te,
duration,irreversibility,geographic scope and
cumulative impacts.
............. d any supporting dFocumentatio
c3 Check this box if'you h determined,I*; on the inflomn,ithou and walivs4s,above,an documentation,
r
d or ore PI
in oten ly large or significant adverse impacts and an
that the proposed action may result in oi e,or more pote
environmental impact statement is requin.reei -
0 �i'
info ';on and analysis above,and any supporting documentation,
E) Check this box if you have determined.. ed on the i U
'ic t
or
en environmental impacts.
that the proposed action will not resuld. iy significant a so viro
Name of Lead Agency Date
Print or Type Name ofResponsiblp officer it..0. ead AgencyTitle of Responsible officer
signature of Responsible officer in-LO I Agency ignature of'Preparer(if different from.Responsible Officer)
Page 4 f 4
Site Plan Review Revised June 2009
ignature P ge
for Site
This page includes the 1.)Authorization to Act a Agent .pis and ) Agreement to provide Author
lo;au aization
documentation
Visits; 4.) other Permit Responsibilities; 6.) Off' lal Meeting
required.
OWNER'S AGENT FORM:
Complete the following if the OWNER of the prop, rty is not the sal'e as the applicant
Owner.
Designates:
As agent regarding: V r1ance Si e Plan Subdivision
For Tax Map No.: S coon B _pk Lot
Deed Reference, P ge Date
ok DATE:
OWNER SIGNATURE:
[OWNER
GENT FORM:
following if the APPLICANT is vn le to attend the meeting or wishes to be represented by another party:
Owner.
Designates: --
As agent regarding: ariance _,.__ 'te.Plan Subdivision
For Tax Map Na.: Lot
;ecfion lack ---Date
Deed Reference: ook 9e DATE:
NATURE:
2. ENGINEERING FEE DISCLOSURE: Applicati.q ns may be refecr to the Town consulting engineer for review of septic design,
stotrn drainage, etc. as determined by the Zoning;: r Planning Dep ant Fees for engineering review services will be charged
directly to the applicant. Fees for engineering rev�ev±r not exceed S 0o0 without notification to the applicant
3) AUTHORtZAT1QN FOR SITE VISITS: By Slgnl this page and ubMI1111 the application materials attached herein,the Owner,
Applicant and his►her/their agents) hereby autflo;ze the Zoning and or Planning Board and Town Staff to enter the subject
properties for the purpose of reviewing the applicatfo submitted.
4) OTHER PERMIT RESPONSIBILITIES,: Other 1?arnits,may be req ired for construction or alteration activity subsequentto approval
by the Zoning Board or Planning Board. It is the ap�.icanrs responsibil ity 4o obtain any additional permits.
stenographer OFFICIAL MEEnNG MINUTES of meeu. s resulti Is the ng from ppiication and Community nutesopment Department to have a designated
transcribed from those tapes constitutes
stenographer tape record the proceedings
the official record of all.proceedings.
4 thoroughly mad 6.1 AGREE. ENT TO P OVIDE DOCU sub on regd tile
U remen 1 I acknowledge no construction activities shall bedcormmnenced
Instructions for submission and agree to theticati � plans and supporting materials are a true and complete
prior to issuance of a valid permit 1 certify.:, at the app
statementldescription of the existing conditions ah the work propo ed,,and that all work will be performed in accordance with the
stateme Udess and in conformance with focal zoni regulations. I a , .owledge that prior to occupying the facilities proposed,I or my
agents,will obtain . erdficate of occupancy as net sary. i also un stand that Ilwe may be required to provide an as-built survey by
a geensed land or of all newly constructed fa.itities prior to issu;nce of a certificate of Occupancy
I h ve rea and. ree to the above.
Da i
c p e I nt]
gi a[Agent]
Prn Name[Agent) D e si ed
Town of Quaerrsbury Planning:., ce'742 Bay Ro `d,Queensbury,NY 12804.618-715143220 ��
Northeast Reaity Development
Transient Merchant Market
Y Y
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'tiky9 Existing Building Map by Naomi Polito
Ej Proposed Vending
13 Motorcycle Parking