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Dan Hunt- Full ApplicationDan Hunt Manufactured Home Park Application 1. Petition of Zone Change Application • Long EAF • Survey • Site Plan -6-Lot arrangement with setbacks • Site Plan -6-Lot arrangement with landscaping • Map-Uses within 500 ft • Home elevation view typical – photo • Home Floor plan typical – drawing 2. Site Plan Application a. Supplemental information from Chapter 113 for Manufacture Home Park b. Project/ History Narrative c. Old Mobile Home park permit d. Licensed and email explaining license is no longer necessary due to the change in Chapter 113 e. NYDSOH permitting information for units f. Deed g. Manufacture Home Park Rules/Regulations Page 1 of 13 Full Environmental Assessment Form Part 1 - Project and Setting Instructions for Completing Part 1 Part 1 is to be completed by the applicant or project sponsor. 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; indicate whether missing information does not exist, or is not reasonably available to the sponsor; and, when possible, generally describe work or studies which would be necessary to update or fully develop that information. Applicants/sponsors must complete all items in Sections A & B. In Sections C, D & E, most items contain an initial question that must be answered either “Yes” or “No”. If the answer to the initial question is “Yes”, complete the sub-questions that follow. If the answer to the initial question is “No”, proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section G requires the name and signature of the applicant or project sponsor to verify that the information contained in Part 1is accurate and complete. A.Project and Applicant/Sponsor Information. Name of Action or Project: Project Location (describe, and attach a general location map): Brief Description of Proposed Action (include purpose or need): Name of Applicant/Sponsor: Telephone: E-Mail: Address: City/PO: State: Zip Code: Project Contact (if not same as sponsor; give name and title/role): Telephone: E-Mail: Address: City/PO:State: Zip Code: Property Owner (if not same as sponsor): Telephone: E-Mail: Address: City/PO:State: Zip Code: Page 2 of 13 B. Government Approvals B.Government Approvals, Funding, or Sponsorship. (“Funding” includes grants, loans, tax relief, and any other forms of financial assistance.) Government Entity If Yes: Identify Agency and Approval(s) Required Application Date (Actual or projected) a.City Counsel, Town Board, 9 Yes 9 No or Village Board of Trustees b. City, Town or Village 9 Yes 9 No Planning Board or Commission c.City, Town or 9 Yes 9 No Village Zoning Board of Appeals d. Other local agencies 9 Yes 9 No e. County agencies 9 Yes 9 No f. Regional agencies 9 Yes 9 No g. State agencies 9 Yes 9 No h. Federal agencies 9 Yes 9 No i. Coastal Resources. i.Is the project site within a Coastal Area, or the waterfront area of a Designated Inland Waterway?9 Yes 9 No ii.Is the project site located in a community with an approved Local Waterfront Revitalization Program? 9 Yes 9 No iii. Is the project site within a Coastal Erosion Hazard Area?9 Yes 9 No C. Planning and Zoning C.1. Planning and zoning actions. Will administrative or legislative adoption, or amendment of a plan, local law, ordinance, rule or regulation be the 9 Yes 9 No only approval(s) which must be granted to enable the proposed action to proceed? •If Yes, complete sections C, F and G. •If No, proceed to question C.2 and complete all remaining sections and questions in Part 1 C.2. Adopted land use plans. a. Do any municipally- adopted (city, town, village or county) comprehensive land use plan(s) include the site 9 Yes 9 No where the proposed action would be located? If Yes, does the comprehensive plan include specific recommendations for the site where the proposed action 9 Yes 9 No would be located? b. Is the site of the proposed action within any local or regional special planning district (for example: Greenway; 9 Yes 9 No Brownfield Opportunity Area (BOA); designated State or Federal heritage area; watershed management plan; or other?) If Yes, identify the plan(s): _______________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, 9 Yes 9 No or an adopted municipal farmland protection plan? If Yes, identify the plan(s): ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ Page 3 of 13 C.3. Zoning a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance.9 Yes 9 No If Yes, what is the zoning classification(s) including any applicable overlay district? _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ b. Is the use permitted or allowed by a special or conditional use permit?9 Yes 9 No c. Is a zoning change requested as part of the proposed action?9 Yes 9 No If Yes, i.What is the proposed new zoning for the site? ___________________________________________________________________ C.4. Existing community services. a. In what school district is the project site located? ________________________________________________________________ b. What police or other public protection forces serve the project site? _________________________________________________________________________________________________________ c. Which fire protection and emergency medical services serve the project site? __________________________________________________________________________________________________________ d. What parks serve the project site? __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ D. Project Details D.1. Proposed and Potential Development a. What is the general nature of the proposed action (e.g., residential, industrial, commercial, recreational; if mixed, include all components)? _________________________________________________________________________________________________________ b. 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 c. Is the proposed action an expansion of an existing project or use?9 Yes 9 No i.If Yes, what is the approximate percentage of the proposed expansion and identify the units (e.g., acres, miles, housing units, square feet)? % ____________________ Units: ____________________ d. Is the proposed action a subdivision, or does it include a subdivision? 9 Yes 9 No If Yes, i.Purpose or type of subdivision? (e.g., residential, industrial, commercial; if mixed, specify types) ________________________________________________________________________________________________________ ii. Is a cluster/conservation layout proposed? 9 Yes 9 No iii.Number of lots proposed? ________ iv.Minimum and maximum proposed lot sizes? Minimum __________ Maximum __________ 9 Yes 9 No _____ months _____ _____ month _____ year e.Will the proposed action be constructed in multiple phases? i.If No, anticipated period of construction: ii.If Yes: •Total number of phases anticipated •Anticipated commencement date of phase 1 (including demolition) •Anticipated completion date of final phase _____ month _____year •Generally describe connections or relationships among phases, including any contingencies where progress of one phase may determine timing or duration of future phases: _______________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Page 4 of 13 f. Does the project include new residential uses?9 Yes 9 No If Yes, show numbers of units proposed. One Family Two Family Three Family Multiple Family (four or more) Initial Phase ___________ ___________ ____________ ________________________ At completion of all phases ___________ ___________ ____________ ________________________ g. Does the proposed action include new non-residential construction (including expansions)? 9 Yes 9 No If Yes, i. Total number of structures ___________ ii.Dimensions (in feet) of largest proposed structure: ________height; ________width; and _______ length iii.Approximate extent of building space to be heated or cooled: ______________________ square feet h. Does the proposed action include construction or other activities that will result in the impoundment of any 9 Yes 9 No liquids, such as creation of a water supply, reservoir, pond, lake, waste lagoon or other storage? If Yes, i.Purpose of the impoundment: ________________________________________________________________________________ ii.If a water impoundment, the principal source of the water: 9 Ground water 9 Surface water streams 9 Other specify: _________________________________________________________________________________________________________ iii.If other than water, identify the type of impounded/contained liquids and their source. _________________________________________________________________________________________________________ iv.Approximate size of the proposed impoundment. Volume: ____________ million gallons; surface area: ____________ acres v.Dimensions of the proposed dam or impounding structure: ________ height; _______ length vi.Construction method/materials for the proposed dam or impounding structure (e.g., earth fill, rock, wood, concrete): ________________________________________________________________________________________________________ D.2. Project Operations a. Does the proposed action include any excavation, mining, or dredging, during construction, operations, or both? 9 Yes 9 No (Not including general site preparation, grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: i .What is the purpose of the excavation or dredging? _______________________________________________________________ ii.How much material (including rock, earth, sediments, etc.) is proposed to be removed from the site? •Volume (specify tons or cubic yards): ____________________________________________ •Over what duration of time? ____________________________________________________ iii.Describe nature and characteristics of materials to be excavated or dredged, and plans to use, manage or dispose of them. ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ iv.Will there be onsite dewatering or processing of excavated materials? 9 Yes 9 No If yes, describe. ___________________________________________________________________________________________ ________________________________________________________________________________________________________ v.What is the total area to be dredged or excavated? _____________________________________acres vi.What is the maximum area to be worked at any one time? _______________________________ acres vii.What would be the maximum depth of excavation or dredging? __________________________ feet viii.Will the excavation require blasting?9 Yes 9 No ix.Summarize site reclamation goals and plan: _____________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ b. Would the proposed action cause or result in alteration of, increase or decrease in size of, or encroachment 9 Yes 9 No into any existing wetland, waterbody, shoreline, beach or adjacent area? If Yes: i.Identify the wetland or waterbody which would be affected (by name, water index number, wetland map number or geographic description): ______________________________________________________________________________________________ _________________________________________________________________________________________________________ Page 5 of 13 ii. iii. Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, or alteration of channels, banks and shorelines. Indicate extent of activities, alterations and additions in square feet or acres: _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ Will the proposed action cause or result in disturbance to bottom sediments? Yes 9 No If Yes, describe: __________________________________________________________________________________________ iv.Will the proposed action cause or result in the destruction or removal of aquatic vegetation?9 Yes 9 No If Yes: •acres of aquatic vegetation proposed to be removed: ___________________________________________________________ •expected acreage of aquatic vegetation remaining after project completion:________________________________________ •purpose of proposed removal (e.g. beach clearing, invasive species control, boat access): ____________________________ ____________________________________________________________________________________________________ •proposed method of plant removal: ________________________________________________________________________ •if chemical/herbicide treatment will be used, specify product(s): _________________________________________________ v.Describe any proposed reclamation/mitigation following disturbance: _________________________________________________ _________________________________________________________________________________________________________ c. Will the proposed action use, or create a new demand for water? 9 Yes 9 No If Yes: i.Total anticipated water usage/demand per day: __________________________ gallons/day ii.Will the proposed action obtain water from an existing public water supply? 9 Yes 9 No If Yes: •Name of district or service area: _________________________________________________________________________ •Does the existing public water supply have capacity to serve the proposal? 9 Yes 9 No •Is the project site in the existing district? 9 Yes 9 No •Is expansion of the district needed? 9 Yes 9 No •Do existing lines serve the project site? 9 Yes 9 No iii.Will line extension within an existing district be necessary to supply the project? 9 Yes 9 No If Yes: •Describe extensions or capacity expansions proposed to serve this project: ________________________________________ ____________________________________________________________________________________________________ •Source(s) of supply for the district: ________________________________________________________________________ iv.Is a new water supply district or service area proposed to be formed to serve the project site? 9 Yes 9 No If, Yes: •Applicant/sponsor for new district: ________________________________________________________________________ •Date application submitted or anticipated: __________________________________________________________________ •Proposed source(s) of supply for new district: _______________________________________________________________ v.If a public water supply will not be used, describe plans to provide water supply for the project: ___________________________ _________________________________________________________________________________________________________ vi.If water supply will be from wells (public or private), what is the maximum pumping capacity: _______ gallons/minute. d. Will the proposed action generate liquid wastes?9 Yes 9 No If Yes: i.Total anticipated liquid waste generation per day: _______________ gallons/day ii.Nature of liquid wastes to be generated (e.g., sanitary wastewater, industrial; if combination, describe all components and approximate volumes or proportions of each): __________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ iii.Will the proposed action use any existing public wastewater treatment facilities?9 Yes 9 No If Yes: •Name of wastewater treatment plant to be used: _____________________________________________________________ •Name of district: ______________________________________________________________________________________ •Does the existing wastewater treatment plant have capacity to serve the project?9 Yes 9 No • Is the project site in the existing district?9 Yes 9 No • Is expansion of the district needed?9 Yes 9 No Page 6 of 13 9 Yes 9 No •Do existing sewer lines serve the project site? •Will a line extension within an existing district be necessary to serve the project?9 Yes 9 No If Yes: •Describe extensions or capacity expansions proposed to serve this project: ____________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ iv.Will a new wastewater (sewage) treatment district be formed to serve the project site?9 Yes 9 No If Yes: •Applicant/sponsor for new district: ____________________________________________________________________ •Date application submitted or anticipated: _______________________________________________________________ •What is the receiving water for the wastewater discharge? __________________________________________________ v.If public facilities will not be used, describe plans to provide wastewater treatment for the project, including specifying proposed receiving water (name and classification if surface discharge or describe subsurface disposal plans): ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ vi.Describe any plans or designs to capture, recycle or reuse liquid waste: _______________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ e. Will the proposed action disturb more than one acre and create stormwater runoff, either from new point 9 Yes 9 No sources (i.e. ditches, pipes, swales, curbs, gutters or other concentrated flows of stormwater) or non-point source (i.e. sheet flow) during construction or post construction? If Yes: i.How much impervious surface will the project create in relation to total size of project parcel? _____ Square feet or _____ acres (impervious surface) _____ Square feet or _____ acres (parcel size) ii.Describe types of new point sources. __________________________________________________________________________ _________________________________________________________________________________________________________ iii.Where will the stormwater runoff be directed (i.e. on-site stormwater management facility/structures, adjacent properties, groundwater, on-site surface water or off-site surface waters)? ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ •If to surface waters, identify receiving water bodies or wetlands: ________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ •Will stormwater runoff flow to adjacent properties?9 Yes 9 No iv.Does the proposed plan minimize impervious surfaces, use pervious materials or collect and re-use stormwater?9 Yes 9 No f. Does the proposed action include, or will it use on-site, one or more sources of air emissions, including fuel 9 Yes 9 No combustion, waste incineration, or other processes or operations? If Yes, identify: i. Mobile sources during project operations (e.g., heavy equipment, fleet or delivery vehicles) _________________________________________________________________________________________________________ ii.Stationary sources during construction (e.g., power generation, structural heating, batch plant, crushers) ________________________________________________________________________________________________________ iii.Stationary sources during operations (e.g., process emissions, large boilers, electric generation) ________________________________________________________________________________________________________ g. Will any air emission sources named in D.2.f (above), require a NY State Air Registration, Air Facility Permit,9 Yes 9 No or Federal Clean Air Act Title IV or Title V Permit? If Yes: i.Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet 9 Yes 9 No ambient air quality standards for all or some parts of the year) ii.In addition to emissions as calculated in the application, the project will generate: •___________Tons/year (short tons) of Carbon Dioxide (CO2) •___________Tons/year (short tons) of Nitrous Oxide (N2O) •___________Tons/year (short tons) of Perfluorocarbons (PFCs) •___________Tons/year (short tons) of Sulfur Hexafluoride (SF6) •___________Tons/year (short tons) of Carbon Dioxide equivalent of Hydroflourocarbons (HFCs) •___________Tons/year (short tons) of Hazardous Air Pollutants (HAPs) Page 7 of 13 h. Will the proposed action generate or emit methane (including, but not limited to, sewage treatment plants,9 Yes 9 No landfills, composting facilities)? If Yes: i.Estimate methane generation in tons/year (metric): ________________________________________________________________ ii. Describe any methane capture, control or elimination measures included in project design (e.g., combustion to generate heat or electricity, flaring): ________________________________________________________________________________________ _________________________________________________________________________________________________________ i. Will the proposed action result in the release of air pollutants from open-air operations or processes, such as 9 Yes 9 No quarry or landfill operations? If Yes: Describe operations and nature of emissions (e.g., diesel exhaust, rock particulates/dust): _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ j. Will the proposed action result in a substantial increase in traffic above present levels or generate substantial 9 Yes 9 No new demand for transportation facilities or services? If Yes: i.When is the peak traffic expected (Check all that apply): Morning Evening Weekend Randomly between hours of __________ to ________. ii.For commercial activities only, projected number of truck trips/day and type (e.g., semi trailers and dump trucks): _____________ iii. iv. v. Parking spaces: Existing ___________________ Proposed ___________ Net increase/decrease _____________________ Does the proposed action include any shared use parking? Yes No 9 Yes 9 No vi.Are public/private transportation service(s) or facilities available within ½ mile of the proposed site? vii Will the proposed action include access to public transportation or accommodations for use of hybrid, electric 9 Yes 9 No or other alternative fueled vehicles? viii. Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing 9 Yes 9 No pedestrian or bicycle routes? k. Will the proposed action (for commercial or industrial projects only) generate new or additional demand 9 Yes 9 No for energy? If Yes: i.Estimate annual electricity demand during operation of the proposed action: ____________________________________________ _________________________________________________________________________________________________________ ii.Anticipated sources/suppliers of electricity for the project (e.g., on-site combustion, on-site renewable, via grid/local utility, or other): ________________________________________________________________________________________________________ iii.Will the proposed action require a new, or an upgrade, to an existing substation?9 Yes 9 No l. Hours of operation. Answer all items which apply. i. During Construction:ii.During Operations: •Monday - Friday: _________________________•Monday - Friday: ____________________________ •Saturday: ________________________________•Saturday: ___________________________________ •Sunday: _________________________________•Sunday: ____________________________________ •Holidays: ________________________________•Holidays: ___________________________________ If the proposed action includes any modification of existing roads, creation of new roads or change in existing access, describe: ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ Page 8 of 13 m. Will the proposed action produce noise that will exceed existing ambient noise levels during construction,9 Yes 9 No operation, or both? If yes: i.Provide details including sources, time of day and duration: _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ ii. Will the proposed action remove existing natural barriers that could act as a noise barrier or screen?9 Yes 9 No Describe: _________________________________________________________________________________________________ _________________________________________________________________________________________________________ n. W th ill prop e os actio ed hav n e outd ligh oor ting? 9 Yes 9 No If yes: i.Describe source(s), location(s), height of fixture(s), direction/aim, and proximity to nearest occupied structures: _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ ii.Will proposed action remove existing natural barriers that could act as a light barrier or screen?9 Yes 9 No Describe: _________________________________________________________________________________________________ _________________________________________________________________________________________________________ o.Does the proposed action have the potential to produce odors for more than one hour per day?9 Yes 9 No If Yes, describe possible sources, potential frequency and duration of odor emissions, and proximity to nearest occupied structures: ______________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ p.9 Yes 9 No Will the proposed action include any bulk storage of petroleum (combined capacity of over 1,100 gallons) or chemical products 185 gallons in above ground storage or any amount in underground storage? If Yes: i.Product(s) to be stored ______________________________________________________________________________________ ii.Volume(s) ______ per unit time ___________ (e.g., month, year) iii.Generally, describe the proposed storage facilities:________________________________________________________________ ________________________________________________________________________________________________________ q. Will the proposed action (commercial, industrial and recreational projects only) use pesticides (i.e., herbicides,9 Yes 9 No insecticides) during construction or operation? If Yes: i.Describe proposed treatment(s): ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ii.Will the proposed action use Integrated Pest Management Practices?9 Yes 9 No r. Will the proposed action (commercial or industrial projects only) involve or require the management or disposal 9 Yes 9 No of solid waste (excluding hazardous materials)? If Yes: i.Describe any solid waste(s) to be generated during construction or operation of the facility: •Construction: ____________________ tons per ________________ (unit of time) •Operation : ____________________ tons per ________________ (unit of time) ii.Describe any proposals for on-site minimization, recycling or reuse of materials to avoid disposal as solid waste: •Construction: ________________________________________________________________________________________ ____________________________________________________________________________________________________ •Operation: __________________________________________________________________________________________ ____________________________________________________________________________________________________ iii.Proposed disposal methods/facilities for solid waste generated on-site: •Construction: ________________________________________________________________________________________ ____________________________________________________________________________________________________ •Operation: __________________________________________________________________________________________ ____________________________________________________________________________________________________ Page 9 of 13 s. Does the proposed action include construction or modification of a solid waste management facility?9 Yes 9 No If Yes: i.Type of management or handling of waste proposed for the site (e.g., recycling or transfer station, composting, landfill, or other disposal activities): ___________________________________________________________________________________ ii.Anticipated rate of disposal/processing: •________ Tons/month, if transfer or other non-combustion/thermal treatment, or •________ Tons/hour, if combustion or thermal treatment iii.If landfill, anticipated site life: ________________________________ years t. Will the proposed action at the site involve the commercial generation, treatment, storage, or disposal of hazardous 9 Yes 9 No waste? If Yes: i.Name(s) of all hazardous wastes or constituents to be generated, handled or managed at facility: ___________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ ii.Generally describe processes or activities involving hazardous wastes or constituents: ___________________________________ _________________________________________________________________________________________________________ ________________________________________________________________________________________________________ iii. Specify amount to be handled or generated _____ tons/month iv.Describe any proposals for on-site minimization, recycling or reuse of hazardous constituents: ____________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ v.Will any hazardous wastes be disposed at an existing offsite hazardous waste facility?9 Yes 9 No If Yes: provide name and location of facility: _______________________________________________________________________ ________________________________________________________________________________________________________ If No: describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility: ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ E. Site and Setting of Proposed Action E.1. Land uses on and surrounding the project site a. Existing land uses. i.Check all uses that occur on, adjoining and near the project site. 9 Urban 9 Industrial 9 Commercial 9 Residential (suburban) 9 Rural (non-farm) 9 Forest 9 Agriculture 9 Aquatic 9 Other (specify): ____________________________________ ii.If mix of uses, generally describe: __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ b. Land uses and covertypes on the project site. Land use or Covertype Current Acreage Acreage After Project Completion Change (Acres +/-) •Roads, buildings, and other paved or impervious surfaces •Forested •Meadows, grasslands or brushlands (non- agricultural, including abandoned agricultural) •Agricultural (includes active orchards, field, greenhouse etc.) •Surface water features (lakes, ponds, streams, rivers, etc.) •Wetlands (freshwater or tidal) •Non-vegetated (bare rock, earth or fill) •Other Describe: _______________________________ ________________________________________ Page 10 of 13 c. Is the project site presently used by members of the community for public recreation?9 Yes 9 No i.If Yes: explain: __________________________________________________________________________________________ d. Are there any facilities serving children, the elderly, people with disabilities (e.g., schools, hospitals, licensed 9 Yes 9 No day care centers, or group homes) within 1500 feet of the project site? If Yes, i.Identify Facilities: ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ e. Does the project site contain an existing dam?9 Yes 9 No If Yes: i.Dimensions of the dam and impoundment: •Dam height: _________________________________ feet •Dam length: _________________________________ feet •Surface area: _________________________________ acres •Volume impounded: _______________________________ gallons OR acre-feet ii.Dam=s existing hazard classification: _________________________________________________________________________ iii.Provide date and summarize results of last inspection: _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ f. Has the project site ever been used as a municipal, commercial or industrial solid waste management facility,9 Yes 9 No or does the project site adjoin property which is now, or was at one time, used as a solid waste management facility? If Yes: i. Has the facility been formally closed?9 Yes 9 No •If yes, cite sources/documentation: _______________________________________________________________________ ii.Describe the location of the project site relative to the boundaries of the solid waste management facility: _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ iii.Describe any development constraints due to the prior solid waste activities: __________________________________________ _______________________________________________________________________________________________________ g. Have hazardous wastes been generated, treated and/or disposed of at the site, or does the project site adjoin 9 Yes 9 No property which is now or was at one time used to commercially treat, store and/or dispose of hazardous waste? If Yes: i.Describe waste(s) handled and waste management activities, including approximate time when activities occurred: _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ h. Potential contamination history. Has there been a reported spill at the proposed project site, or have any 9 Yes 9 No remedial actions been conducted at or adjacent to the proposed site? If Yes: i.Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site 9 Yes 9 No Remediation database? Check all that apply: 9 Yes – Spills Incidents database Provide DEC ID number(s): ________________________________ 9 Yes – Environmental Site Remediation database Provide DEC ID number(s): ________________________________ 9 Neither database ii.If site has been subject of RCRA corrective activities, describe control measures:_______________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ iii.Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database?9 Yes 9 No If yes, provide DEC ID number(s): ______________________________________________________________________________ iv.If yes to (i), (ii) or (iii) above, describe current status of site(s): _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ Page 11 of 13 v.Is the project site subject to an institutional control limiting property uses?9 Yes 9 No •If yes, DEC site ID number: ____________________________________________________________________________ •Describe the type of institutional control (e.g., deed restriction or easement): ____________________________________ •Describe any use limitations: ___________________________________________________________________________ •Describe any engineering controls: _______________________________________________________________________ •Will the project affect the institutional or engineering controls in place?9 Yes 9 No •Explain: ____________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ E.2. Natural Resources On or Near Project Site a. What is the average depth to bedrock on the project site? ________________ feet b. Are there bedrock outcroppings on the project site?9 Yes 9 No If Yes, what proportion of the site is comprised of bedrock outcroppings? __________________% c. Predominant soil type(s) present on project site: ___________________________ __________% ___________________________ __________% ____________________________ __________% d. What is the average depth to the water table on the project site? Average: _________ feet e. Drainage status of project site soils: 9 Well Drained:_____% of site 9 Moderately Well Drained: _____% of site 9 Poorly Drained _____% of site f. Approximate proportion of proposed action site with slopes: 9 0-10%:_____% of site 9 10-15%: _____% of site 9 15% or greater: _____% of site g. Are there any unique geologic features on the project site?9 Yes 9 No If Yes, describe: _____________________________________________________________________________________________ ________________________________________________________________________________________________________ h. Surface water features. i.Does any portion of the project site contain wetlands or other waterbodies (including streams, rivers,9 Yes 9 No ponds or lakes)? ii.Do any wetlands or other waterbodies adjoin the project site?9 Yes 9 No If Yes to either i or ii, continue. If No, skip to E.2.i. iii.Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal,9 Yes 9 No state or local agency? iv.For each identified regulated wetland and waterbody on the project site, provide the following information: •Streams: Name ____________________________________________ Classification _______________________ •Lakes or Ponds: Name ____________________________________________ Classification _______________________•Wetlands: Name ____________________________________________ Approximate Size ___________________ •Wetland No. (if regulated by DEC) _____________________________ v.Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired 9 Yes 9 No waterbodies? If yes, name of impaired water body/bodies and basis for listing as impaired: _____________________________________________ ___________________________________________________________________________________________________________ i.Is the project site in a designated Floo dway?9 Yes 9 No j.Is the project site in the 100-year Floodplain?9 Yes 9 No k.Is the project site in the 500-year Floodplain?9 Yes 9 No l. Is the project site located over, or immediately adjoining, a primary, principal or sole source aquifer?9 Yes 9 No If Yes: i.Name of aquifer: _________________________________________________________________________________________ Page 12 of 13 m. Identify the predominant wildlife species that occupy or use the project site: ______________________________ ______________________________ _______________________________ ______________________________ ______________________________ _______________________________ ______________________________ n. Does the project site contain a designated significant natural community?9 Yes 9 No If Yes: i.Describe the habitat/community (composition, function, and basis for designation): _____________________________________ ________________________________________________________________________________________________________ ii.Source(s) of description or evaluation: ________________________________________________________________________ iii.Extent of community/habitat: •Currently: ______________________ acres •Following completion of project as proposed: _____________________ acres •Gain or loss (indicate + or -): ______________________ acres o. Does project site contain any species of plant or animal that is listed by the federal government or NYS as 9 Yes 9 No endangered or threatened, or does it contain any areas identified as habitat for an endangered or threatened species? p. Does the project site contain any species of plant or animal that is listed by NYS as rare, or as a species of 9 Yes 9 No special concern? q. Is the project site or adjoining area currently used for hunting, trapping, fishing or shell fishing?9 Yes 9 No If yes, give a brief description of how the proposed action may affect that use: ___________________________________________ ________________________________________________________________________________________________________ E.3. Designated Public Resources On or Near Project Site a. Is the project site, or any portion of it, located in a designated agricultural district certified pursuant to 9 Yes 9 No Agriculture and Markets Law, Article 25-AA, Section 303 and 304? If Yes, provide county plus district name/number: _________________________________________________________________ b. Are agricultural lands consisting of highly productive soils present?9 Yes 9 No i.If Yes: acreage(s) on project site? ___________________________________________________________________________ ii.Source(s) of soil rating(s): _________________________________________________________________________________ c. Does the project site contain all or part of, or is it substantially contiguous to, a registered National 9 Yes 9 No Natural Landmark? If Yes: i.Nature of the natural landmark: 9 Biological Community 9 Geological Feature ii.Provide brief description of landmark, including values behind designation and approximate size/extent: ___________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ d. Is the project site located in or does it adjoin a state listed Critical Environmental Area?9 Yes 9 No If Yes: i.CEA name: _____________________________________________________________________________________________ ii.Basis for designation: _____________________________________________________________________________________ iii.Designating agency and date: ______________________________________________________________________________ If Yes: i.Species and listing (endangered or threatened):______________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ If Yes: i.Species and listing:____________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Page 13 of 13 e. Does the project site contain, or is it substantially contiguous to, a building, archaeological site, or district 9 Yes 9 No which is listed on the National or State Register of Historic Places, or that has been determined by the Commissioner of the NYS Office of Parks, Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? If Yes: i.Nature of historic/archaeological resource: 9 Archaeological Site 9 Historic Building or District ii.Name: _________________________________________________________________________________________________ iii.Brief description of attributes on which listing is based: _______________________________________________________________________________________________________ f. Is the project site, or any portion of it, located in or adjacent to an area designated as sensitive for 9 Yes 9 No archaeological sites on the NY State Historic Preservation Office (SHPO) archaeological site inventory? g. Have additional archaeological or historic site(s) or resources been identified on the project site?9 Yes 9 No If Yes: i. Describe possible resource(s): _______________________________________________________________________________ ii.Basis for identification: ___________________________________________________________________________________ h.9 Yes 9 No Is the project site within fives miles of any officially designated and publicly accessible federal, state, or local scenic or aesthetic resource? If Yes: i.Identify resource: _________________________________________________________________________________________ ii.Nature of, or basis for, designation (e.g., established highway overlook, state or local park, state historic trail or scenic byway, etc.): ___________________________________________________________________________________________________ iii.Distance between project and resource: _____________________ miles. i. Is the project site located within a designated river corridor under the Wild, Scenic and Recreational Rivers 9 Yes 9 No Program 6 NYCRR 666? If Yes: i.Identify the name of the river and its designation: ________________________________________________________________ ii.Is the activity consistent with development restrictions contained in 6NYCRR Part 666?9 Yes 9 No F. Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal, please describe those impacts plus any measures which you propose to avoid or minimize them. G. Verification I certify that the information provided is true to the best of my knowledge. Applicant/Sponsor Name ___________________________________ Date_______________________________________ Signature________________________________________________ Title_______________________________________ EAF Mapper Summary Report Tuesday, May 24, 2022 12:48 PM Disclaimer: The EAF Mapper is a screening tool intended to assist project sponsors and reviewing agencies in preparing an environmental assessment form (EAF). Not all questions asked in the EAF are answered by the EAF Mapper. Additional information on any EAF question can be obtained by consulting the EAF Workbooks. Although the EAF Mapper provides the most up-to-date digital data available to DEC, you may also need to contact local or other data sources in order to obtain data not provided by the Mapper. Digital data is not a substitute for agency determinations. B.i.i [Coastal or Waterfront Area]No B.i.ii [Local Waterfront Revitalization Area]No C.2.b. [Special Planning District]Digital mapping data are not available or are incomplete. Refer to EAF Workbook. E.1.h [DEC Spills or Remediation Site - Potential Contamination History] Digital mapping data are not available or are incomplete. Refer to EAF Workbook. E.1.h.i [DEC Spills or Remediation Site - Listed] Digital mapping data are not available or are incomplete. Refer to EAF Workbook. E.1.h.i [DEC Spills or Remediation Site - Environmental Site Remediation Database] Digital mapping data are not available or are incomplete. Refer to EAF Workbook. E.1.h.iii [Within 2,000' of DEC Remediation Site] No E.2.g [Unique Geologic Features]No E.2.h.i [Surface Water Features]No E.2.h.ii [Surface Water Features]No E.2.h.iii [Surface Water Features]No E.2.h.v [Impaired Water Bodies]No E.2.i. [Floodway]Digital mapping data are not available or are incomplete. Refer to EAF Workbook. E.2.j. [100 Year Floodplain]Digital mapping data are not available or are incomplete. Refer to EAF Workbook. E.2.k. [500 Year Floodplain]Digital mapping data are not available or are incomplete. Refer to EAF Workbook. E.2.l. [Aquifers]Yes E.2.l. [Aquifer Names]Principal Aquifer E.2.n. [Natural Communities]Yes 1Full Environmental Assessment Form - EAF Mapper Summary Report E.2.n.i [Natural Communities - Name]Pitch Pine-Scrub Oak Barrens E.2.n.i [Natural Communities - Acres]700.0 E.2.o. [Endangered or Threatened Species]Yes E.2.o. [Endangered or Threatened Species - Name] Karner Blue, Frosted Elfin E.2.p. [Rare Plants or Animals]No E.3.a. [Agricultural District]No E.3.c. [National Natural Landmark]No E.3.d [Critical Environmental Area]No E.3.e. [National or State Register of Historic Places or State Eligible Sites] Digital mapping data are not available or are incomplete. Refer to EAF Workbook. E.3.f. [Archeological Sites]No E.3.i. [Designated River Corridor]No 2Full Environmental Assessment Form - EAF Mapper Summary Report Parcel ID : 308.15-1-58 Uses within 500 ft Esri Canada, Esri, HERE, Garmin, GeoTechnologies, Inc., USGS, EPA, USDA June 3, 2022 0 150 30075 ft 0 40 8020 m 1:2,256 Map Produced by Queensbury GIS. Map is for General Reference Purposes Only 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 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 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. 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. 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. 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. Town of Queensbury Site Plan Pre-Submission Conference Form / Section 179-9-040 1. Applicant Name: __________________________________________________ 2. Tax Map ID ________________ Location: _______________________ 3. Zoning Classification __________ 4. Reason for Review: __________________________________________________________ 5. Zoning Section #: ________________________ 6. Pre-Submission Meeting Notes: Provided Outstanding; Please provide by Deed ____ _____________ General Information complete ____ _____________ Site Development Data Complete ____ _____________ Setback Requirements Complete ____ _____________ Additional Project Information Complete ____ _____________ FAR addressed ____ _____________ Requirements for Site Plan-Standards ____ _____________ Checklist items addressed ____ _____________ Environmental Form completed ____ _____________ Signature Page completed ____ _____________ Staff Representative: ________________________________ Applicant / Agent: ________________________________ Date: ___________ Dan Hunt 308.15-1-58 3 Pinello Road MDR Mobile Home Park for 6 units/ 6 lots with a petition of zone change to add a mobile home overlay to parcel 179-3-040 site plan, 113-17 Article II X NA X X X X 1964 Resolution #181 7 lots X X 8c? Karner Blue and Frosted Elfin X Laura Moore via email 11/29/2021 Applicant proposes to operate a 6 unit mobile home park. The Town Board approved this property as a 7 unit mobile home park October 15, 1964 resolution #181. The property was operated as mobile home park prior to adoption of Chapter 113 Mobile Home Park. The project proposed is for new units to be installed with associated grass, plantings, blacktop road way, new underground utilities. The mobile home park is to be designed for 55+ manufactured home community. Project is part of a rezone where the mobile home overlay zone would include this parcel. Project subject to site plan per Article 113 for creation of mobile home park. Reviewed - narrative, mobile home application, site plan application, sample rules and regulations, previous 8 lot mobile home park, Town of Queensbury permit effective 8/21/2021 expires July 31,2022, NYSDOH permit, proposed layout of 6 units with access from Pinello Road. Items to be updated or provided 1) Page 2 -General information - project description is needed, zoning district should be completed. 2) Page 3 -Site development data - the data sheet should include typical building size or range of buildings to be on each lot - mobile home regulations indicate lot size to be 6,000 sq ft 3) Page 3 -Setbacks - mobile home regulations indicate lot dimensions should be a width of 55 ft, front setback to be 29 ft, side setbacks to be 10 ft and rear setback is to be 15 ft. --the data sheet should be updated to reflect the setbacks of the lots. The information should also show up on the drawing - a survey would be required per the mobile home regulations. 4) Page 4 -Additional project information - should include the resolution of 1964 and the current permit 5) Page 5- Standards - Responses are needed for A-O. 6) Page 6 and 7 Check list - Any attachments should be labeled. Any items not provided should be noted as waivers 7) Environmental Assessment Form - Question 8 c and Question 15 will need to be updated. 8) Signature Page - Site Plan application will need to be signed. 8 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 Mobile Home Park Guidance Page 1 of 5 Mobile Home Park Guidance -Chapter 113 Manufactured Home Parks Supplemental Document to a Site Plan Application The purpose of this chapter is to encourage the well-planned development of manufactured home parks and to provide safeguards and protection for the safety, health and welfare of the occupants of such parks by establishing specific requirements governing the occupancy and maintenance of manufactured home parks. It is also the purpose of this chapter to regulate certain uses of motor homes and/or campers within the Town of Queensbury to further promote and protect the health, safety and welfare of the occupants thereof as well as the community The Planning Board will review the Site Plan application for a Mobile Home Park utilizing Chapter 113 Manufactured Home Parks for the review. The applicant is to complete a Site Plan application as part of the Manufacture Home Park review. Applicant Name/ Phone/ Email Dan Hunt, 518-361-2931, Email dirtywhiteboy@yahoo.com Applicant Address/ Project Address Applicant:36 Brickoven Road, Queensbury, NY 12804 Project: 3 Pinello Project Tax Map ID(s) 308.15-1-58 Response needed Document and attachments to be included with Site Plan Application XXXXXXXXXXXXXXX 113-4 Site plan review; additional application requirements – Did the applicant submit a petition of zone change? Yes A. No person may operate any new manufactured home park within the Town of Queensbury unless it is located in a Mobile Home Overlay District as described in Queensbury Town Code § 179-4-020 and such person first obtains site plan approval from the Queensbury Planning Board pursuant to Chapter 179, Article 9, of the Town Code. If the parcel or parcels are not within a Mobile Home Overlay Zone then the applicant will need to complete a Petition of Zone Change and will need to present to the Town Board Park Boundary-Y Lot lines- W Parking areas- Y Recreation and Open Space –None proposed Easements or ROW –Y- on survey Man Made ie power lines Y on survey Flood Plain 100 yr- Y not in 100 yr flood area Drainage direction- W B. Site plan applications pursuant to this chapter must comply with the requirements set forth in Chapter 179, Article 9. In addition, manufactured home park site plans shall also include: (1) The layout of the proposed park showing the park boundary, manufactured home lot lines, parking areas, recreation and open spaces, easements and rights- of-way, existing man-made features including power lines, pipelines, buildings and structures. In addition, such map shall delineate any portion of the park located within a designated 100-year floodplain. (2) All proposed changes to existing subsurface drainage patterns. The plans should show the following items unless the applicant requests a waiver from providing the information Regulations/Rules Y attached C. Applicants shall submit with their applications a copy of all contemplated park rules, regulations and covenants. Community facilities- N D. If community facilities,. XXXXXXXXXXXXX 113-5 Manufactured home park standards and requirements Lot size 0.8 ac Waiver from 10 ac Y A Site size and location. Manufactured home parks shall comprise at least 10 acres of land. Mobile Home Park Guidance Page 2 of 5 Topography map provided W site is level B. Natural features. Topography, groundwater level, surface drainage and soil conditions of the site shall be of a character that will not create hazards to the property or to the health and safety of the occupants. No developed portion of the site shall be subject to excessive settling or erosion. A sloping site should be graded to produce terraced lots for placement of the manufactured home units, and, in general, units should be placed parallel rather than perpendicular to slopes Surface Drainage provided W no problems when 8 mobile home on lots C. Surface drainage. All parks shall be graded to prevent ponding of surface water. No structure or manufactured home shall be located on any land within a 100-year floodplain area, as determined by the United States Army Corps of Engineers or other official agencies Soils information W Soils are oakville D. Soils. Soils should have sufficient bearing and stability properties to provide adequate support for manufactured home installations. Topsoil should be of sufficient depth to sustain lawns, trees and other vegetation Existing and proposed landscaping Y as shown on plans for bordering property E. Natural features. Existing tree masses and other notable existing natural features shall be retained as much as possible in the site plan, and densities shall be reduced, if necessary, to permit such retention. Lot Setback Y shown on plot plan sheet 1 Density Waiver requested as less units then original or have been on the site. Lot Size and Setbacks for Units Waiver mobile homes are placed so there is equal distance between units – park regulations outlines for tenant F. Lot layout and placement. Manufactured homes may be positioned in a variety of ways within a park, provided that the following requirements are met: 1) Lot setback. No portion of any lot shall be located within 25 feet of any front, side or rear boundary line, and no portion of any lot shall be located within 100 feet of any boundary which adjoins a public road. Unless specifically authorized by the Planning Board, the natural vegetation within the areas above provided shall be maintained and not removed, in order to provide natural screening from adjoining properties and public roads. Additional screening may be required. 2) Density. The density of development in a manufactured home park shall not exceed 5.5 units per gross acre. There shall be no more than one home per lot. 3)Minimum lot size. Manufactured home lots shall be a minimum of 6,000 square feet in area and shall have a minimum width of 55 feet. 4)Manufactured home unit setbacks shall be as follows: a.Minimum front yard (measured from manufactured home lot line): 20 feet. b.Minimum side yard (measured from manufactured home lot line): 10 feet. c. Minimum rear yard (measured from manufactured home lot line): 15 feet Parking Y each site has space for two cars Auxiliary – Y outline in park regulations no auxiliary vehicles allowed G. Vehicular circulation and storage 1.Road construction. Roadways within a manufactured home park shall not be fewer than 30 feet in width, and any entranceway from the manufactured home park to a public road shall not be fewer than 50 feet in width for a distance of 100 feet from the public road 2.Parking. Two off-street parking spaces shall be provided for each manufactured home lot. Such spaces may be located on the individual lot or grouped within the manufactured home park to serve several manufactured home lots. Parking spaces shall consist of a hard, firm and durable surface. 3.Auxiliary vehicle storage. A temporary parking or storage area for travel trailers, campers, snowmobiles and similar auxiliary vehicles shall be provided for the use of the park residents. This provision shall not apply where the application prohibits auxiliary vehicle storage by park rules and regulations Mobile Home Park Guidance Page 3 of 5 How many units?_6___ Is it applicable Not applicable H. Park access. Manufactured home parks containing more than 50 units shall provide for a minimum of two independent connections with existing public streets. Such connections shall be designed to allow fire, ambulance and other emergency vehicles access to the park, even if one connection is closed. One such entrance may be gated if breakable locks, approved by the fire district within which the park is located, are installed. How many units?_6___ Not applicable as no sales occur and no display units I. Manufactured home sales areas. The display and commercial sale of manufactured homes shall not be permitted within a manufactured home park, except that a maximum of four manufactured homes may be displayed or located on lots meeting the requirements of this chapter and used as sale models. Skirting Y – provided/required by owner Fencing Y if applicable and meets owners requirements Lighting Y – noted as pole lights on each site and typical residential lighting on buildings J. Manufacture home lot. 1.Support of the manufactured home lot. Each manufactured home lot shall be provided with a stand which will give a firm base and adequate support for the manufactured home. Such stand shall have a dimension equal to the width and length of the home and any expansions or extensions thereto. The stand area shall be graded to ensure adequate drainage but in no event shall the grade variance exceed six inches from one end of the stand to the other. 2. Fencing. If fencing of individual lots within the manufactured home park is to be provided by the manufactured home occupant, standards shall be established by the park owner to ensure consistency of design, size and location. 3. Lighting. All manufactured home park roads and lots and facilities shall be furnished with adequate lights to ensure the safe movement of vehicles and pedestrians at night. Such lighting shall be placed to minimize glare. Electric service to such lights shall be installed underground. Sewage Disposal Y approved by NYSDOH K.Sanitary facilities. All manufactured home park sanitary facilities shall comply with the requirements of Chapter 136 of the Queensbury Town Code. All proposed sewage disposal systems shall be designed by a licensed professional engineer. Refuse rules Y in park rules L. Refuse. Garbage cans with tight-fitting covers shall be provided in quantities adequate to provide disposal of all garbage and rubbish generated within the park. Garbage cans shall be located no farther than 200 feet from each manufactured home lot. The cans shall be kept in sanitary condition at all times. Garbage and rubbish shall be collected and disposed of as frequently as may be necessary to ensure that the garbage cans shall not overflow. Electrical Details provided Yon survey M. Electrical. Each manufactured home park shall provide weatherproof electric service connections and outlets for each lot, all such connections and outlets to be of a type approved by an appropriate electrical inspection agency under Chapter 80, Electrical Standards. Mobile Home Park Guidance Page 4 of 5 Water Supply Details provided Y- connection to municipal water supply N. Water Supply 1.Manufactured home parks within a water district shall be connected to said public water supply system. Outside a water district, a community water system which shall meet all requirements of the New York State Public Drinking Water Standards may be permitted. Water supply. 2.All community water systems and all connections, distribution methods and materials used by a manufactured home park within a water district shall be approved by a licensed professional engineer Fuel System Details provide Y- natural gas utility connection O. Fuel system. All manufactured home parks shall be provided with facilities for the safe storage of necessary fuels. All systems shall be installed and maintained in accordance with applicable codes and regulations governing such systems. XXXXXXXXXXXX 113-7 Park operation and maintenance Park rules or regulations outline details of occupancy Y provided A. Restrictions on occupancy 1.In any manufactured home park, no space shall be rented for the placement and use of a manufactured home for residential purposes except for periods in excess of 60 days. This restriction shall not apply to manufactured homes relocated within the manufactured home park. 2.No manufactured home manufactured after January 15, 1974, shall be admitted to any park unless it bears the seal issued by the State of New York and required by Chapter D, Article 3, of the New York State Uniform Fire Prevention and Building Code. Park rules or regulations outline details of occupancy Y park rules provided -cleanliness -inform tenants -auxiliary vehicles no more than 48 hrs -removal wheels,hitch etc:add skirting and entrance steps -sewer/septic compliance -utility connections Applicant has met with Building and Codes Director to review manufactured home placement requirements Y- applicant will meet with and complete appropriate paper work for each home. Responsibilities of park operator 1.The owner and/or operator of a manufactured home park shall comply with this chapter and shall provide adequate supervision to maintain the park, its common grounds, streets, facilities and equipment in good repair and in a clean and sanitary condition. 2.The park operator shall notify park occupants of all applicable provisions of this chapter and shall inform them of their responsibilities and any regulations issued thereunder. 3.No auxiliary vehicle, such as travel trailers, campers or snowmobiles, may be parked or stored on a manufactured home lot, parking area, driveway or roadway for more than 48 hours 4.Manufactured home installation. At the time of installation of each manufactured home, the tires and wheels and the hitch, if possible, shall be removed, and the unit shall be securely blocked, leveled and connected to the required utility systems and support services. a.Skirting. The manufactured home shall be completely skirted within 120 days of occupancy. b.Entrance steps. Entrance steps shall be installed at all doors leading to the inside of the manufactured home. Such steps and any necessary handrails shall be constructed of materials and meet the requirements for one-family dwellings set forth in the New York State Uniform Fire Prevention and Building Code. 5.Sewer connections in unoccupied lots shall be closed so that they will not emit any odors nor cause a breeding place for insects. 6.Manufactured home parks shall be kept free of litter, rubbish and other flammable materials. 7.The park operator shall inspect the placement of each manufactured home on its manufactured home stand and the installation of all utility connections. Mobile Home Park Guidance Page 5 of 5 XXXXXXXXXXXXX Any other Details the Applicant feels is necessary: Requesting waivers per the Chapter 113 – • Showing lot lines – tenants are provided with park rules that explains utilization of space between each unit • Lot size -where 10 acre is require and 0.8 ac is proposed – there have been as many as 8 units on this site and proposed is 6 per staff this is not a variance but to be addressed by the planning board. • Topography - lot is level • Surface drainage – no issues on site with 8 units proposed is 6 units and the site is to be maintained lawn and landscaping on the borders of the parcel no problems with stormwater will be generated • Density - only proposing 6 units where 4 units would be allowed – again previous was for 8 and proposed is for 6 • Lot size and setbacks – tenants are provided with rules as to how space is used between units 1 Laura Moore From:Caroline Barber Sent:Friday, June 03, 2022 10:43 AM To:Laura Moore Cc:Colleen Rathbun; Craig Brown Subject:RE: Mobile Home Park Hunt's Home Services Mobile Home Court or Transient Mobile Home License expiration Hi Laura, You are correct, part of the code amendment was to discontinue annual licensing so he does not have to renew his license. Have a nice day, Caroline From: Laura Moore <lmoore@queensbury.net> Sent: Friday, June 03, 2022 10:16 AM To: Caroline Barber <carolineb@queensbury.net> Cc: Colleen Rathbun <colleenr@queensbury.net>; Craig Brown <CraigB@queensbury.net> Subject: Mobile Home Park Hunt's Home Services Mobile Home Court or Transient Mobile Home License expiration Caroline, Dan Hunt is working on completing the requirements to establish a Manufacture Home Park on Pinello with us– the materials are almost ready for review. The Town issued a license that runs from August 1, 2021 to July 31 2022. Since that time the Code for Manufacture Home Park etc has been repealed and replaced …. Chapter 113: Manufactured Home Parks https://ecode360.com/9616331 the words related to license no longer appear to exist. Does Dan Hunt need to renew the license if that language no longer exists in the code? I have attached the license. Thank you. Laura We are now working on projects two –three months out. At this time we are reviewing information for July 2022 and future months meetings. Pre Applications review forms are required prior to submitting any copies. Pre applications need to be completed prior to one week before deadline and doesn’t guarantee placement on an agenda. Please email pre‐application materials to lmoore@queensbury.net. Remember Pre application Reviews are to include a completed or mostly complete application with submission material ie deed, site plan, survey, stormwater, lighting, landscaping, building elevations and floor plans; surveys are required for a variance. You are encouraged to FOIL information about the project parcel(s) for past application materials. One packet via email or it can be provided to the Town Hall at the front of the building with Security attention Planning and Zoning. Only one application for the Pre application review is required‐ DO NOT make copies of your application and submission materials until after the pre application review in case changes are necessary. The Pre application form within the application is to be completed by staff. Link to applications https://www.queensbury.net/departments/zoning/planning‐zoning‐forms/