Full EAF DEC/Chelsea
14-16-2 (9/95)-7c
617.21
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FORM
SEQR
Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be
significant. The question of whether an action may be significant is not always easy to answer. Frequently, there are aspects of a project
that are subjective or unmeasurable. It is also understood that those who determine significance may have little or no formal knowledge of
the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area
may not be aware of the broader concerns affecting the question or significance.
The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has
been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or action.
Full EAF Components: The full EAF is comprised of three parts:
Part 1:
Provides objective data and information about a given project and its site. By identifying basic project data it assists a
reviewer in the analyses that takes place in Parts 2 and 3.
Part 2:
Focuses on identifying the range or possible impacts that may occur from a project or action. It provides guidance as
to whether an impact is likely to be considered small to moderate or whether it is a potentially large impact. The form
also identifies whether an impact can be mitigated or reduced.
Part 3:
If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is
actually important.
DETERMINATION OF SIGNIFICANCE - Type 1 and Unlisted Actions
Identify the Portions of EAF completed for this project: 0 Part 1 0 Part 2 0 Part 3
Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and
considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that:
o A. The project will not result in any large and important impacts and, therefore, is one which will
not have a significant impact on the environment, therefore a negative declaration will be
prepared.
o B. Although the project could have a significant effect on the environment, there will not be a
significant effect for this Unlisted Action because the mitigation measures described in PART 3
have been required, therefore a CONDITIONED negative declaration will be prepared.*
o C. The project may result in one or more large and important impacts that may have a significant
impact on the environment, therefore a positive declaration will be prepared.
* A Conditioned Negative Declaration is only valid for Unlisted Actions
United Wappinqer Water District Water Main Extension to NYCDEP and Chelsea Hamlet
Name of Action
Town of Wappinqer Town Board
Name of Lead Agency
Barbara Gutzler
Print or Type Name of Responsible Officer in Lead Agency
Supervisor
Title of Responsible Officer
Signature of Preparer (If different from responsible officer)
Signature of Responsible Officer in Lead Agency
Date
PART 1 - PROJECT INFORMATION
Prepared by Project Sponsor
NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on
the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as
part of the application for approval and may be subject to further verification and public review. Provide any additional
information you believe will be needed to complete Parts 2 and 3.
It is expected that completion of the full EAF will be dependent on information currently available and will not involve new
studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each
instance.
NAME OF ACTION
United Wappinger Water District Water Main Extension to NYCDEP and Chelsea Hamlet
LOCATION OF ACTION (Include Street Address, Municipality and County)
Base Route: County Route 28 from US Route 9 to Wheeler Hill Road, Wheeler Hill Road to Carnwath Park, through
Carnwath Park to River Road to the NYCDEP parcel, Stenger Ct., Sky top Dr., Lake Dr., Circle Dr., North St., Bank St.,
Liberty St., Broadway Av., Market St. and Spring St.
Alternate Route: County Route 28 from US Route 9 to Wheeler Hill Road, Wheeler Hill Road to Old State Road, Old
State Road to River Road and River Road to the NYCDEP parcel, Stenger Ct., Sky top Dr., Lake Dr., Circle Dr., North St.,
Bank St., Liberty St., Broadway Av., Market St. and Spring St.
NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE
Town of Wappinger Town Board (845) 297-4158
ADDRESS
20 Middlebush Road
CITY/PO STATE ZIP CODE
Wappinger Falls NY 12590
NAME OF OWNER (If Different) BUSINESS TELEPHONE
( )
ADDRESS
CITY/PO STATE ZIP CODE
DESCRIPTION OF ACTION:
Installation of new water main in two phases as follows (refer to attached Area Map):
Phase 1: Installation of approximately 20,000 LF of new 12 inch water main extension and appurtenances from the
United Wappinger Water District (near the intersection of CR 28 and Cayuga Drive) to the New York City Department of
Environmental Protection Shaft 6 site (parcel 135689-6056-01-288977).
Phase 2: Installation of approximately 14,700 LF of new 8 inch water main extension and appurtenances from New York
City Department of Environmental Protection Shaft 6 site along the following roads in the hamlet of Chelsea: Stenger Ct.,
Skytop Dr., Lake Dr., Circle Dr., River Rd., North St., Bank St., Liberty St., Broadway Av., Market St. and Spring St.
The specific route in Carnwath Park in Phase 1 is subject to approval of the Dutchess County legislature. Therefore this
EAF addresses a Base Route through the Park and an Alternate Route around the Park on Wheeler Hill Road, Old State
Road and River Road.
The proposed action involves underground installation of waterlines in areas that were previously disturbed to create
existing roads, their shoulders and related improvements; and parkland. All such areas disturbed as part of this action will
be restored to the extent practicable to their current state or better condition as roads, shoulder areas and parkland.
Unless otherwise noted the responses in this EAF represent the "worst case scenario" of either the Base Route or the
Alternate Route.
2
Please Complete Each Question -- Indicate N.A. if not applicable
A. Site Description
Physical setting of overall project both developed and undeveloped areas.
1. Present land use: 0 Urban 0 Industrial DCommercial 0 Residential (suburban) 0 Rural (non-farm)
o Forest 0 Agriculture .Other (For the Base Route approx. 30.000 LF of the proiect will be
located within the ROW of CR 28, Wheeler Hill Road. River Road, Stenaer Ct.. Skvtop Dr., Lake Dr.. Circle Dr.. North St..
Bank St.. Liberty St.. Broadway Av.. Market St. and Sprina St. . The remainina 4,000 LF will be located in wooded/meadow
parcels. For the Alternate Route, all 34.700 LF will be located within the CR 28, Wheeler Hill Road. Old State Road, River
Road. Stenaer Ct., Sky top Dr.. Lake Dr.. Circle Dr., River Rd.. North St., Bank St.. Liberty St.. Broadway Av., Market St. and
Sprina St. ROW's.)
2. Total Acreage of project area: 8.0 acres. (Assumes 10ft wide disturbance)
APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION
Meadow or Brushland (Non-agricultural) 0.6 Base Rte / 0 Alt. Rte acres 0.6 Base Rte / 0 Alt. Rte acres
Forested 0.3 Base Rte / 0 Alt. Rte acres 0.3 Base Rte / 0 Alt. Rte acres
Agricultural (Includes orchards, cropland, pasture etc.) acres acres
Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres
Water Surface Area acres acres
Unvegetated (Rock, earth or fill) acres acres
Roads, buildings and other paved surface acres acres
Other (Indicate type) Road ROW 6.9 Base Rte / 8.0 Alt. Rte acres 6.9 Base Rte /8.0 Alt. Rte acres
3. What is predominate soil type(s) on project site? DwB. HeA. KrB. NwC
a. Soil drainage: .Well drained 90 % of site 0 Moderately well drained 7 % of site
.Poorly drained 3 % of site
b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS
Land Classification System? 5.3 acres (See 1 NYCRR 370)
4. Are there bedrock outcroppings on project site? . Yes 0 No
a. What is depth to bedrock? 0 to >6ft (in feet)
5. Approximate percentage of proposed project site with slopes:
.0-10% 87
.15% or greater
% .10 -15% 4
8 %
%
6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National .
Registers of Historic Places? .Yes 0 No Wheeler Hill Historic District. Chelsea Grammar School. St. Mark's Episcopal
Church. Refer to attached archeoloaical studies.
7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? 0 Yes. No
8. What is the depth of the water table?
o to >6 ft
(in feet)
9. Is site located over a primary, principal, or sole source aquifer? . Yes ONo
10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? 0 Yes .No
11. Does project site contain any species of plant or animal life that is identified as threatened or endangered?
DYes .No Refer to attached "Wetland and Threatened and Endangered Species Habitat Suitability
Assessment - NYCDEP Water Main Extension Phase 1 and Phase 2 Town of Wappinger, Dutchess County",
Ecological Solutions, LLC, 8/1/12.
Identify each species
12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations)
DYes .No Describe N/A
13. Is the pr..Qject site presently used by the community or neighborhood as an open space or recreation area?
.Yes 0 No If yes, explain For the Base Route a portion of the new water main will be installed throuah Carnwath Park
14. Does the present site include scenic views known to be important to the community? . Yes ONo (Carnwath Park)
15. Streams within or contiguous to project area: Hudson River (H (Class A)). unnamed tributary to Hudson River (H-99
(Class C). two unnamed tributaries to the Wappinaer Creek (H-101-1-1 (Class C) and H-101-1-1a (Class B))
3
a. Name of Stream and name of River to which it is tributary: Hudson River. Waooinqer Creek
16. Lakes, ponds, wetland areas within or contiguous to project area:
a. Name NYSDEC WF-27 b. Size (In acres) 0.13 ac. (assuminq 10 ft. wide disturbance)
17. Is the site served by existing public utilities? .Yes 0 No water
a) If Yes, does sufficient capacity exist to allow connection? .Yes 0 No water
b) If Yes, will improvements be necessary to allow connection? .Yes 0 No water
18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25 - AA,
Section 303 and 304? . Yes 0 No
19. Is the site located in or substantiaJ!y contiguous to a Critical Environmental Area designated pursuant to Article 8
of the ECL, and 6 NYCRR 61?? U Yes .No
20. Has the site ever been used for the disposal of solid or hazardous wastes? 0 Yes .No
B. Project Description
1. Physical dimensions and scale of project (fill in dimensions as appropriate)
a. Total contiguous acreage owned Or controlled by project sponsor
b. Project acreage to be developed: N/A acres initially; N/A
c. Project acreage to remain undeveloped N/A acres.
d. Length of project, in miles: 6.6 (If appropriate)
e. If the project is an expansion, indicate percent of expansion proposed 18 %; (Based on flow)
f. Number of off-street parking spaces existing N/A ; proposed N/A
g. Maximum vehicular trips generated per hour N/A (upon completion of project)?
h. If residential: Number and type of housing units:
One Family Two Family
N/ A N/ A
N/ A N/ A
N/A acres.
acres ultimately
Initially
Ultimately
Multiple Family
N/A
N/A
Condominium
N/A
N/A
L Dimensions (in feet) of largest proposed structure N/A height; N/A width; N/A length.
j. Linear feet or frontage along a public thoroughfare project will occupy is? 30.000 Base Rte / 34.700 Alt Rte ft.
2. How much natural material (Le., rock, earth, etc.) will be removed from the site? 11.600 cubic yards (from oioe
embedment zone)
3. Will disturbed areas be reclaimed? . Yes 0 No DN/A
a. If yes, for what intended purpose is the site being reclaimed? Restored roads and related improvements; and
parkland
b. Will topsoil be stockpiled for reclamation? 0 Yes 0 No N/A
c. Will upper subsoil be stockpiled for reclamation? 0 Yes ITNo N/A
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? 0.5 acres.
5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project?
DYes .No
6. If single phase project: Anticipated period of construction
N/A
months, (including demolition).
7. If multi-phased:
a. Total number of phases' anticipated 2 Jnumber).
b. Anticipated date of commencement phase 1 anuarv month 2013 year, (including demolition).
c. Approximate completion date of fina phase November month 2014 year.
d. Is phase 1 functionally dependent on subsequent phases? UYes .No
8. Will blasting occur during construction? .Yes 0 No
9. Number of jobs generated: during construction 5-10 ; after project is complete 0
10. Number of jobs eliminated by this project 0
11. Will project require relocation of any projects or facilities? 0 Yes . No If yes. explain N/A
12. Is surface liquid waste disposal involved? 0 Yes .No
a. If yes, indicate type of waste (sewage, industrial, etc.) and amount
b. Name of water body into which effluent will be discharged
N/A
N/A
4
13. Is subsurface liquid waste disposal involved? 0 Yes .No Type N/A
14. Will surface area of an existing water body increase or decrease by proposal? 0 Yes . No
Explain: N/A
15. Is project or any portion of project located in a 100 year flood plain? .Yes 0 No
16. Will the project generate solid waste? 0 Yes .No
a. If yes, what is the amount per month N/A tons
b. If yes, will an existing solid waste facility be used? U Yes 0 No N/A
c. If yes, give name ~; location ~ -
d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? 0 Yes .No
e. It Yes, explain N/A
17. Will the project involve the disposal of solid waste? 0 Yes .No
a. If yes, what is the anticipated rate of disposal? N/A ton/months
b. It yes, what is the anticipated site life? N/A years.
18. Will project use herbicides or pesticides? 0 Yes .No
19. Will project routinely produce odors (more than one hour per day)? 0 Yes .No
20. Will project produce operating noise exceeding the local ambient noise levels? 0 Yes .No
21. Will project result in an increase in energy use? DYes .No
If yes, indicate type(s): N/A
22. If water supply is from wells, indicate pumping capacity 1,850 gallons/minute. (District)
23. Total anticipated water usage per day 220,800 gallons/day. (Estimated)
24. Does project involve Local, State or Federal funding? .Yes 0 No
If yes, explain: NYCDEP
25. Approvals Required: Type
City, Town, Village Board
City, Town, Village Planning Board
City, Town Zoning Board
City, County Health Department
Other Local Agencies
Other Regional Agencies
.Yes ONo Authorization for Water District Extension
DYes .No
DYes .No
.Yes ONo DCDH Plan Approval
.Yes ONo Town Hiqhway Permit
NYCDEP - Fundinq Approval
.Yes ONo DCDPW Hiqhway Work Permit
.Yes Dutchess County Leqislature
ONo NYSDEC WSA and Protection of Waters
NYSDOT Hiqhway Work Permit
NYSOPRHP- Historical
NYS Dept. of State - Coastal Area Review
DYes .No
Submittal
Date
Pendinq
State Agencies
Pendinq
Pending
Pendinq
Pendinq
Pendinq
Pendinq
Pendinq
Pendinq
Pendinq
Federal Agencies
c. Zoning and Planning Information
1. Does proposed action involve planning or zoning decision? 0 Yes .No
If Yes, indicate decision required: N/A
o zoning amendment 0 zoning variance 0 special use permit 0 subdivision 0 site plan
o new/revision of master plan 0 resource management plan 0 Lot Line Realignment
2. What is the zoning c1assification(s) of the site? Carnwath Park - R-80, private properties - R-40/R-80
3. What is the maximum potential development of the site if developed as permitted by the present zoning? N/A
4. What is the proposed zoning of the site? N/A
5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? N/A
6. Is the proposed action consistent with the recommended uses in adopted local land use plans? .Yes 0 No
7. What are the predominant land use(s) and zoning classifications within a ~ mile radius of proposed action?
5
R-10. R-20. R-40. R-80. R-20/40. R-40/80. RMF-3. HM. GB 1 Familv Residence. Multi Familv Residence. Hamlet Mixed Use.
General Business
8. Is the proposed action compatible with adjoining/surrounding land uses within a Y4 mile? .Yes 0 No
9. If the proposed action is the subdivision of land, how many lots are proposed? N/A
a. What is the minimum lot size proposed? N/A
10. Will proposed action require any authorization(s) for the formation of sewer or water districts? .Yes 0 No
No Capital Cost District Extension of United Wappinaer Water District
11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire
protection)? 0 Yes .No
a. If yes, is existing capacity sufficient to handle projected demand? 0 Yes 0 No N/A
12. Will the proposed action result in the generation of traffic significantly above present levels? 0 Yes .No
a. If yes, is the existing road network adequate to handle the additional traffic? 0 Yes 0 No N/A
D. Informational Details
Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts
associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid
them.
E. Verification
I certify that the information provided above is true to the best of my knowledge.
Applicant/Sponsor Name
Barbara Gutzler
Date
Signature
Title
Supervisor
If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before
proceeding with this assessment.
6
Part 2 - PROJECT IMPACTS AND THEIR MAGNITUDE
Responsibility of Lead Agency
General Information (Read Carefully)
· In completing the form the reviewer should be guided by the question: Have my responses and determinations been
reasonable? The reviewer is not expected to be an expert environmental analyst.
· The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of
magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and
for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for
a Potential Large Impact response, thus requiring evaluation in Part 3.
· The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have
been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each
question.
· The number of examples per question does not indicate the importance of each question.
· In identifvina imDacts, consider lona term, short term and cumulative effects.
Instructions (Read carefully)
a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact.
b. Maybe answers should be considered as Yes answers.
c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If
impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than
example, check column 1.
d. Identifying that an Impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any
large impact must be evaluated in PART 3 to determine significance. Identifying an Impact in column 2 simply asks
that it be looked at further.
e. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3.
f. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate
impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be
eXDlained in Part 3.
IMPACT ON LAND
1. Will the proposed action result in a physical change to the project site?
D NO. YES
Examples that would apply to column 2
· Any construction on slopes of 15% or greater, (15 foot rise per 100
foot or length), of where the general slopes in the project area
exceed 10%.
· Construction on land where the depth to the water table is less than
3 feet.
· Construction of paved parking area for 1,000 or more vehicles.
· Construction on land where bedrock is exposed or generally within
3 feet of existing ground surface.
· Construction that will continue for more than 1 year or involve more
than one phase or stage.
· Excavation for mining purposes that would remove more than 1,000
tons of natural material (i.e. rock or soil) per year.
· Construction or expansion of a sanitary landfill.
· Construction in a designated floodway.
· Other impacts
2. Will there be an effect to any unique or unusual land forms found on
the site? (i.e., cliffs, dunes, geological formations, etc.) .NO DYES
· SpeCific land forms:
7
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
. D DYes D No
. D DYes D No
D D DYes D No
. D DYes D No
D D DYes D No
D D DYes D No
D D DYes D No
. D DYes D No
D D DYes D No
D D DYes D No
IMPACT ON WATER
3.Will proposed action affect any water body designated as protected?
(Under Articles 15, 24, 25) of the Environmental Conservation law, ECl)
D NO . YES
Examples that would apply to column 2
· Developable area or site contains a protected water body.
· Dredging more than 100 cubic yards of material from channel of a
protected stream.
· Extension of utility distribution facilities through a protected water body.
· Construction in a designated freshwater or tidal wetland.
· Other impacts:
4. Will proposed action affect any non-protected existing or new body
of water? .NO DYES
Examples that would apply to column 2
· A 10% increase or decrease in the surface area of any body of water
or more than a 10 acre increase or decrease.
· Construction of a body of water that exceeds 10 acres of surface area.
· Other impacts:
5. Will Proposed Action affect surface or groundwater
quality or quantity? .NO 0 YES
Examples that would apply to column 2
· Proposed Action will require a discharge permit.
· Proposed Action requires use of a source of water that does not
have approval to serve proposed (project) action.
· Proposed Action requires water supply from wells with greater than 45
gallons per minute pumping capacity.
· Construction or operation causing any contamination of a water
supply system.
· Proposed Action will adversely affect groundwater.
· Liquid effluent will be conveyed off the site to facilities which presently
do not exist or have inadequate capacity.
· Proposed Action would use water in excess of 20,000 gallons per day.
· Proposed Action will likely cause siltation or other discharge into an
existing body of water to the extent that there will be an obvious
visual contrast to natural conditions.
· Proposed Action will require the storage of petroleum or chemical
products greater than 1,100 gallons. .
· Proposed Action will allow residential uses in areas without water
and/or sewer services.
· Proposed Action locates commercial and/or industrial uses which may
require new or expansion of existing waste treatment and/or storage
facilities.
· Other impacts:
6. Will proposed action alter drainage flow or patterns or surfactL, .
water runoff? UNO YES
Examples that would apply to column 2
· Proposed Action would change flood water flows.
8
1 2 3
Small to Potential Can Impact Be
Moderate large Mitigated By
Impact Impact Project Change
. D DYes 0 No
D 0 DYes D No
. D DYes D No
. D DYes D No
D D DYes D No
D D DYes 0 No
0 D DYes 0 No
D 0 DYes D No
D 0 DYes 0 No
D 0 DYes D No
D 0 DYes D No
0 D DYes D No
D 0 DYes D No
D D DYes 0 No
0 D DYes ONo
D 0 DYes 0 No
0 D DYes D No
D 0 DYes D No
0 D DYes D No
0 0 DYes 0 No
0 D DYes ONo
· Proposed Action may cause substantial erosion.
· Proposed Action is incompatible with existing drainage patterns.
· Proposed Action will allow development in designated f1oodway.
· Other Impacts:
IMPACT ON AIR
7. Will proposed action affect air quality? 0 NO .YES
Examples that would apply to column 2
· Proposed Action will induce 1,000 or more vehicle trips in any given
hour.
· Proposed Action will result in the incineration or more than 1 ton of
refuse per hour.
· Emission rate of total contaminants will exceed 5 Ibs. per hour or a
heat source producing more than 10 million BTU's per hour.
· Proposed action will allow an increase in the amount or land committed
to industrial use.
· Proposed action will allow an increase in the density of industrial
development within existing industrial areas.
· Other impacts: Dust during construction
IMPACT ON PLANTS AND ANIMALS
8. Will Proposed Action affect any threatened or endangered
species? 0 NO . YES
Examples that would apply to column 2
· Reduction of one or more species listed on the New York or Federal
list, using the site, over or near site or found on the site.
· Removal of any portion of a critical or significant wildlife habitat.
· Application of pesticide or herbicide more than twice a year, other
than for agricultural purposes.
· Other impacts: Temporary impact of construction near area of known
Bald Eaqle nests
9. Will Proposed Action substantially affect non-threatened or
non-endangered species? .NO 0 YES
Examples that would apply to column 2
· Proposed Action would substantially interfere with any resident or
migratory fish, shellfish or wildlife species.
· Proposed Action requires the removal of more than 10 acres of
mature forest (over 100 years of age) or other locally important
vegetation.
IMPACT ON AGRICULTURAL LAND RESOURCES
10. Will the Proposed Action affect agricultural land resources?
. NO 0 YES
Examples that would apply to column 2
· The proposed action would sever, cross or limit access to agricultural
land (Includes cropland, hayfields, pasture, vineyard, orchard, etc )
9
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
. 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
. 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
. 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
· Construction activity would excavate or compact the soil profile
of agricultural land.
· The proposed action would irreversibly convert more than 10 acres
of agricultural land or, if located in an Agricultural District, more than
2.5 acres of agricultural land.
· The proposed action would disrupt or prevent installation of agricultural
land management systems (e.g., subsurface drain lines, outlet ditches,
strip cropping); or create a need for such measures (e.g. cause a farm
field to drain poorly due to increased runoff)
· Other impacts:
IMPACT ON AESTHETIC RESOURCES
11. Will proposed action affect aesthetic resources? . NO 0 YES
(If necessary, use the Visual EAF Addendum in Section 617.20,
Appendix B.)
Examples that would apply to column 2
· Proposed land uses, or project components obviously different from
or in sharp contrast to current surrounding land use patterns, whether
man-made or natural.
· Proposed land uses, or project components visible to users of
aesthetic resources which will eliminate or significantly reduce their
enjoyment of the aesthetic qualities of that resource.
· Project components that will result in the elimination or significant
screening of scenic views known to be important to the area.
· Other impacts:
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12. Will Proposed Action impact any site or structure of historicJ:?re-
historic or paleontological importance? 0 NO . YES
Examples that would apply to column 2
· Proposed Action occurring wholly or partially within or substantially
contiguous to any facility or site listed on the State or National Register
of historic places.
· Any impact to an archaeological site or fossil bed located within the
project site.
· Proposed Action will occur in an area designated as sensitive for
archaeological sites on the NYS Site Inventory.
· Other impacts:
IMPACT ON OPEN SPACE AND RECREATION
13. Will Proposed Action affect the quantity or quality of existin9...9r
future open spaces or recreational opportunities? . NO 0 YES
Examples that would apply to column 2
· The permanent foreclosure of a future recreational opportunity
· A major reduction of an open space important to the community
· Other impacts:
10
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact I m pact Project Change
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
. 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
IMPACT ON CRITICAL ENVIRONMENTAL AREAS
14. Will Proposed Action impact the exceptional or unique characteristics
of a critical environmental area (CEA) established pursuant to
subdivision 6 NYCRR 617.15(g)? . NO 0 YES
List the environmental characteristics that caused the designation of the
CEA.
Examples that would apply to column 2
· Proposed Action to locate within the CEA?
· Proposed Action will result in a reduction in the quantity of the resource?
· Proposed Action will result in a reduction in the quality of the resource?
· Proposed Action will impact the use, function or enjoyment of the
resource?
· Other impacts:
IMPACT ON TRANSPORTATION
15. Will there be an effect to existing transportation systems?
o NO . YES
Examples that would apply to column 2
· Alteration of present patterns of movement of people and/or goods.
· Proposed Action will.result in major traffic problems.
· Other impacts: Short term. secondary traffic impacts durinq construction
IMPACT ON ENERGY
16. Will proposed action affect the community's sources offuel or energy
supply? .NO 0 YES
Examples that would apply to column 2
· Proposed Action will cause greater than 5% increase in the use of
any form of energy in the municipality.
· Proposed Action will require the creation or extension of an energy
transmission or supply system to serve more than 50 single or two family
residences or to serve a major commercial or industrial use.
· Other impacts:
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1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
. 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
NOISE AND ODOR IMPACTS
17. Will there be objectionable odors, noise, or vibration as a result
of the Proposed Action? 0 NO . YES
Examples that would apply to column 2
. Blasting within 1,500 feet of a hospital, school or other sensitive
facility.
. Odors will occur routinely (more than one hour per day).
. Proposed Action will produce operating noise exceeding the local
ambient noise levels for noise outside of structures.
· Proposed Action will remove natural barriers that would act as a
noise screen.
· Other impacts: Temporary noise impacts will occur durinq construction
IMPACT ON PUBLIC HEALTH
18. Will Proposed Action affect public health and safety? 0 NO .YES
Examples that would apply to column 2
· Proposed Action may cause a risk or explosion or release of hazardous
substances (i.e. oil, pesticides, chemicals. radiation, etc.) in the event of
accident or upset conditions, or there may be a chronic low level
discharge or emission.
· Proposed Action may result in the burial of "hazardous wastes" in any
form (i.e. toxic, poisonous, highly reactive, radioactive, irritating,
infectious, etc.)
· Storage facilities for one million or more gallons of Iiquified natural
gas or other flammable liquids.
· Proposed Action may result in the excavation or other disturbance
within 2,000 feet of a site used for the disposal of solid or hazardous
waste.
· Other impacts: Beneficial: Potable water supply system will be improved
for local and NYC residents
IMPACT ON GROWTH AND CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
19. Will proposed action affect the character or the existing communiti?
.NO DYES
Examples that would apply to column?
· The permanent population of the city, town or village in which the
project is located is likely to grow by more than 5%.
· The municipal budget for capital expenditures or operating services
will increase by more than 5% per year as a result of this project.
· Proposed Action will conflict with officially adopted plans or goals.
· Proposed Action will cause a change in the density of land use.
· Proposed Action will replace or eliminate existing facilities, structures
or areas of historic importance to the community.
· Development will create a demand for additional community services
(e.g. schools, police and fire, etc.)
· Proposed Action will set an important precedent for future projects.
· Proposed Action will create or eliminate employment.
. Other impacts:
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Proiect Channe
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
. 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
. 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
0 0 DYes 0 No
20. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? . NO 0 YES
If Any Action in Part 2 is identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact,
Proceed to Part 3
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Part 3 - EVALUATION OF THE IMPORTANCE OF IMPACTS
Responsibility of Lead Agency
Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even ifthe impact(s)
may be mitigated.
Instructions
Discuss the following for each impact identified in Column 2 of Part 2:
1. Briefly describe the impact.
2. Describe (if applicable) how the impact could be mitigated or reduced to a small to moderate impact by project
change( s).
3. Based on the information available, decide if it is reasonable to conclude that this impact is important.
To answer the question of importance, consider:
. The probability of the impact occurring
. The duration of the impact
. Its irreversibility, including permanently lost resources of value
. Whether the impact can or will be controlled
. The regional consequence of the impact
. Its potential divergence from local needs and goals
. Whether known objections to the project relate to this impact.
(Continue on attachments)
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