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.
| A. Project andApplicant/Sponsor Information. | A. Project andApplicant/Sponsor Information. | A. Project andApplicant/Sponsor Information. |
|---|---|---|
| Name of Action or Project: | ||
| Village of Red Hook WWTP Upgrade and Expansion | ||
| Project Location (describe, and attach a general location map): | ||
| The WWTP is located to the west of Morgans Way/Laura Lane | ||
| Brief Description of Proposed Action (include purpose or need): | ||
| The Village of Red Hook intends to upgrade the WWTP and expand the capacity from 75,000 gallons per day (gpd) to 300,000 gpd as part of Phase II of a | ||
| wastewater treatment and collection system infrastructure improvement project. Most of the Village uses older, failing private septic systems to treat | ||
| wastewater. Connection of more Village parcels to an upgraded WWTP will protect the Village's drinking water supply and protect water quality and human | ||
| health. | ||
| Name of Applicant/Sponsor: | ||
| Village of Red Hook | Telephone: | |
| 845-758-4715 | ||
| E-Mail: | ||
| mayor@redhooknyvillage.org | ||
| Address: | ||
| 7467 South Broadway, Mayor Smythe | ||
| City/PO: | ||
| Red Hook | State: | |
| NY | Zip Code: | |
| 12571 | ||
| Project Contact (if not same as sponsor; give name and title/role): | ||
| Tracey Ledder, Delaware Engineering | Telephone: | |
| 518-452-1290 | ||
| E-Mail: | ||
| tledder@delawareengineering.com | ||
| Address: | ||
| 28 Madison Avenue Extension | ||
| City/PO: | ||
| Albany | State: | |
| NY | Zip Code: | |
| 12203 | ||
| Property Owner (if not same as sponsor): | Telephone: | |
| E-Mail: | ||
| Address: | ||
| City/PO: | State: | Zip Code: |
|Name of|Applicant/Sponsor:|Telephone:|Telephone:| 845-758-4715||| |---|---|---|---|---|---|---| |Village of Red Hook||E-Mail:| mayor@redhooknyvillage.org|||| |Address:| 7467 South Broadway, Mayor Smythe|||||| |City/PO:| Red Hook|State: NY|||Zip Code:| 12571| |Project Contact (if not same as sponsor; give name and title/role):||Telephone:|| 518-452-1290||| |Tracey Ledder, Delaware Engineering||E-Mail:| tledder@delawareengineering.com|||| |Address:||||||| |28 Madison Avenue Extension||||||| |City/PO:||State:|||Zip Code:|| |Albany||NY|||12203|| |Property|Owner (if not same as sponsor):|Telephone:||||| |||E-Mail:||||| |Address:||||||| |City/PO:||State:|||Zip Code:||
Page 1 of 13
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B. Government Approvals
B. Government Approvals, Funding, or Sponsorship. (“Funding” includes grants, loans, tax relief, and any other forms of financial assistance.)
| B. Government Approvals | B. Government Approvals | 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. CityCouncil,TownBoard, | ||
| 9Yes9No | ||
| or Village Board of Trustees | Village Board | |
| b. City, Town or Village | ||
| 9Yes9No | ||
| PlanningBoard or Commission | ||
| c. City,Town or | ||
| 9Yes9No | ||
| Village ZoningBoard of Appeals | ||
| d. Other local agencies | ||
| 9Yes9No | ||
| e. County agencies | ||
| 9Yes9No | Dutchess County Department of Health | |
| f. Regional agencies | ||
| 9Yes9No | ||
| g. State agencies | ||
| 9Yes9No | NYS DEC | |
| h. Federal agencies | ||
| 9Yes9No | ||
| i. Coastal Resources. | ||
| i. Is the project site within a Coastal Area, or the waterfront area of a Designated Inland Waterway? | ||
| 9Yes9No | ||
| ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? | ||
| 9Yes9No | ||
| iii. Is the project site within a Coastal | ||
| Erosion | ||
| Hazard | ||
| Area? | ||
| 9Yes9No |
|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 9Yes9No 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 9Yes9No where the proposed action would be located? If Yes, does the comprehensive plan include specific recommendations for the site where the proposed action 9Yes9No would be located?||| b. Is the site of the proposed action within any local or regional special planning district (for example: Greenway; 9Yes9No 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, 9Yes9No or an adopted municipal farmland protection plan? If Yes, identify the plan(s):
Page 2 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? | |||
| _________________________________________________________________________________________________________ | |||
| The WWTP site is located within the Neighborhood Mixed Unit Zoning 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? ________________________________________________________________ | |||
| Red Hook Central Schools | |||
| b. What police or other public protection forces serve the project site? | |||
| _________________________________________________________________________________________________________ | |||
| Village of Red Hook Police Department, Dutchess County Sherrif's Department, NYS Troopers | |||
| c. Which fire protection and emergency medical services serve the project site? | |||
| __________________________________________________________________________________________________________ | |||
| Red Hook Fire Department | |||
| d. What parks serve the project site? | |||
| __________________________________________________________________________________________________________ | |||
| Abrahams Park, Memorial Park | |||
| __________________________________________________________________________________________________________ |
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 | a. What is the general nature of the proposed action (e.g., residential, industrial, commercial, recreational; if mixed, include all | a. What is the general nature of the proposed action (e.g., residential, industrial, commercial, recreational; if mixed, include all | a. What is the general nature of the proposed action (e.g., residential, industrial, commercial, recreational; if mixed, include all | |
|---|---|---|---|---|
| components)? | ||||
| Upgrade and expansion of Village wastewater treatment plant as part of Phase II of wastewater collection and | ||||
| _________________________________________________________________________________________________________ | ||||
| treatment improvements in the Village | ||||
| b. a. Total acreage of the site of the proposed action? | ||||
| _____________ acres | ||||
| 10.36 | ||||
| b. Total acreage to be physically disturbed? | ||||
| _____________ acres | ||||
| <1 | ||||
| c. Total acreage (project site and any contiguous properties) owned | ||||
| or controlled by the applicant or project sponsor? | ||||
| _____________ acres | ||||
| 10.36 | ||||
| c. Is the proposed action an expansion of an existing project or use? | 9Yes | 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: ____________________ | ||||
| 400 | ||||
| gallons per day treatment | ||||
| d. Is the proposed action a subdivision, or does it include a subdivision? | 9 | Yes | 9No | |
| 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 | 9No | |
| _iii._Number of lots proposed? ________ | ||||
| _iv._Minimum and maximum proposed lot sizes? Minimum __________ Maximum __________ | ||||
| e.Willtheproposed action be constructed in multiple phases? | 9 | Yes | 9 | No |
| _i._If No, anticipated period of construction: | ||||
| _____ months | ||||
| 24 | ||||
| _ii._If Yes: | ||||
| • | ||||
| Total number of phases anticipated | ||||
| _____ | ||||
| • | ||||
| Anticipated commencement date of phase 1 (including demolition) | ||||
| _____ month _____ year | ||||
| • | ||||
| 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: _______________________________________________________________ | ||||
| ____________________________________________________________________________________________________ | ||||
| ____________________________________________________________________________________________________ |
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| f. Does the project include new residential | uses? | Three | Family | Multiple | Family | (four or | 9Yes9No | | If Yes, show numbers of units proposed. | Family | - | - | - | - | - | more) | | One Family | _______ | - | _______ | - | - | - | _____ | | Two | _______ | - | _______ | - | - | - | _____ | | Initial Phase | - | - | - | - | - | - | - | | ___________ | - | - | - | - | - | - | - | | ____ | - | - | - | - | - | - | - | | At completion | - | - | - | - | - | - | - | | of all phases | - | - | - | - | - | - | - | | ___________ | - | - | - | - | - | - | - | | ____ | - | - | - | - | - | - | - | |||
_____||
_______|
______|
______|| g. Does the proposed action include new non-residential construction (including expansions)? 9Yes9No 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 1 15 40 40 1600
h. Does the proposed action include construction or other activities that will result in the impoundment of any 9Yes9No 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: 9Ground water9Surface water streams9Other 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? 9Yes9No (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.
i_v._Will there be onsite dewatering or processing of excavated materials? 9Yes9No 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? 9Yes9No _ix._Summarize site reclamation goals and plan: _____________________________________________________________________
Excavation to replace outfall pipeline 167 cubic yards approx. less than one week Pipeline trench will be opened approx. 6 ft deep, top soil separately stored, new pipeline installed, excavated soils replaced, topsoils replaced last. Trench area will be seeded and mulched to reestablish grass coverage
b. Would the proposed action cause or result in alteration of, increase or decrease in size of, or encroachment 9Yes9No 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): ______________________________________________________________________________________________
Outfall pipeline from WWTP within wetland 100ft adjacent, DEC KE-3, to location of existing outfall.
Page 4 of 13
| _ii._Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, | _ii._Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, | _ii._Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, | _ii._Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, | _ii._Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, | or | or | ||
|---|---|---|---|---|---|---|---|---|
| alteration of channels, banks and shorelines. Indicate extent of activities, alterations and additions in square feet or acres: | ||||||||
| _________________________________________________________________________________________________________ | ||||||||
| The outfall pipe will be replaced in the same location at the edge of the wetland and receiving stream (un-named tributary to Saw Kill). | ||||||||
| _________________________________________________________________________________________________________ | ||||||||
| _________________________________________________________________________________________________________ | ||||||||
| _________________________________________________________________________________________________________ | ||||||||
| _iii._Willtheproposed action cause or result in disturbance to bottom sediments? | Yes9 | No | ||||||
| If Yes, describe: __________________________________________________________________________________________ | ||||||||
| _iv._Willtheproposed action cause or result in the destruction or removal of aquatic vegetation? | 9 | Yes | 9 | No | ||||
| If Yes: | ||||||||
| • | ||||||||
| acresofaquaticvegetation proposed to be removed:___________________________________________________________ | ||||||||
| • | ||||||||
| expectedacreage 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),whatisthemaximum pumping capacity: _______ gallons/minute. | ||||||||
| d. Will the proposed action generate liquid wastes? | ||||||||
| Not applicable - project is WWTP | 9 | Yes | 9No | |||||
| 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): __________________________________________________________________ | ||||||||
| _________________________________________________________________________________________________________ | ||||||||
| The purpose of the WWTP is treatment of existing Village municipal wastewater village-wide | ||||||||
| _________________________________________________________________________________________________________ | ||||||||
| _iii._Will the proposed action use any existing public wastewater treatment facilities? | 9 | Yes | 9No | |||||
| 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 | 9No | |||||
| • | ||||||||
| Is the project site in the existing district? | 9 | Yes | 9No | |||||
| • | ||||||||
| Is expansion of the district needed? | 9 | Yes | 9No |
Page 5 of 13
| • | ||||
| Do existing sewer lines serve the project site? | ||||
| 9 | Yes | 9 | No | |
| • | ||||
| Willaline 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._Doestheproposed 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) | ||||
| NO | ||||
| _________________________________________________________________________________________________________ | ||||
| _ii._Stationary sources during construction (e.g., power generation, structural heating, batch plant, crushers) | ||||
| ________________________________________________________________________________________________________ | ||||
| Potential need for power generation during construction | ||||
| _iii._Stationary sources during operations (e.g., process emissions, large boilers, electric generation) | ||||
| ________________________________________________________________________________________________________ | ||||
| Site includes emergency generator. | ||||
| 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 (shorttons) of Carbon Dioxide (CO2) | ||||
| • | ||||
| ___________Tons/year (shorttons) of Nitrous Oxide (N2O) | ||||
| • | ||||
| ___________Tons/year (shorttons) of Perfluorocarbons (PFCs) | ||||
| • | ||||
| ___________Tons/year (shorttons) of Sulfur Hexafluoride (SF6) | ||||
| • | ||||
| ___________Tons/year (shorttons) of Carbon Dioxide equivalent of Hydroflourocarbons (HFCs) | ||||
| • | ||||
| ___________Tons/year (shorttons) of Hazardous Air Pollutants (HAPs) |
Page 6 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): ________________________________________________________________ minor due to size of WWTP at 300,000 gallons per day
-
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
| 9Yes9No |
|---|
| 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 |
| 9Yes9No |
| 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/dayandtype(e.g.,semitrailersanddumptrucks):___________ |
| ________________________________________________________________________________________________________ |
| _iii._Parking spaces: |
| Existing ___________________Proposed ___________ Net increase/decrease _____________________ |
| iv. Doestheproposedaction includeanyshareduseparking? |
| Yes |
| No |
| _v._Iftheproposedactionincludesanymodificationofexistingroads,creationofnewroadsorchangeinexisting access,describe: |
| ________________________________________________________________________________________________________ |
| _vi._Are public/private transportation service(s) or facilities available within ½ mile of the proposed site? |
| 9Yes9No |
| _vii_Will the proposed action include access to public transportation or accommodations for use of hybrid, electric |
| 9Yes9No |
| or other alternative fueled vehicles? |
| viii. Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing |
| 9Yes9No |
| pedestrian or bicycle routes? |
| k. Will the proposed action (for commercial or industrial projects only) generate new or additional demand |
| 9Yes9No |
| for energy? |
| If Yes: |
| _i._Estimate annual electricity demand during operation of the proposed action: ____________________________________________ |
| _________________________________________________________________________________________________________ |
| 300,000 kwh |
| _ii._Anticipated sources/suppliers of electricity for the project (e.g., on-site combustion, on-site renewable, via grid/local utility, or |
| other): |
| ________________________________________________________________________________________________________ |
| Grid/local utility |
| _iii._Will the proposed action require a new, or an upgrade,to an existing substation? |
| 9Yes9No |
| l. Hours of operation. Answer all items which apply. |
| _i._During Construction: |
| _ii._During Operations: |
| • |
| Monday - Friday: _________________________ |
| • |
| Monday - Friday: ____________________________ |
| 7AM to 5PM |
| 24/7 |
| • |
| Saturday: ________________________________ |
| • |
| Saturday: ___________________________________ |
| NA |
| 24/7 |
| • |
| Sunday: _________________________________ |
| • |
| Sunday: ____________________________________ |
| NA |
| 24/7 |
| • |
| Holidays: ________________________________ |
| • |
| Holidays: ___________________________________ |
| NA |
| 24/7 |
Page 7 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:
|operation, or both?
| If yes: | |||||
|---|---|---|---|---|---|
| _i._Provide details including sources, time of day and duration: | |||||
| _______________________________________________________________________________________________________ | |||||
| Typical construction equipment during construction, 7AM to 5PPM weekdays | |||||
| _______________________________________________________________________________________________________ | |||||
| ii. Willtheproposed action remove existing natural barriers that could act as a noise barrier or screen? | |||||
| 9 | Yes | 9 | No | ||
| Describe: _________________________________________________________________________________________________ | |||||
| _________________________________________________________________________________________________________ | |||||
| n. Will the proposed action have outd oor lighting? | |||||
| 9 | Yes | 9 | No | ||
| If yes: | |||||
| _i._Describe source(s), location(s), height of fixture(s), direction/aim, and proximity to nearest occupied structures: | |||||
| _________________________________________________________________________________________________________ | |||||
| WWTP will have outdoor lighting as needed for safety purposes, will be downcast | |||||
| _________________________________________________________________________________________________________ | |||||
| 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: ______________________________________________________________________________________ | |||||
| ________________________________________________________________________________________________________ | |||||
| The WWTP has potential to produce odors; odors may be experienced temporarily during contruction and startup; design includes odor management and | |||||
| ________________________________________________________________________________________________________ | |||||
| aeration systems. | |||||
| p. Will the proposed action include any bulk storage of petroleum (combinedcapacityofover 1,100 gallons) | |||||
| 9 | Yes | 9 | No | ||
| or chemical products185gallonsinabovegroundstorageoranyamountinundergroundstorage? | |||||
| If Yes: | |||||
| _i._Product(s) to be stored ______________________________________________________________________________________ | |||||
| _ii._Volume(s) ______ | |||||
| per unit time ___________ (e.g., month, year) | |||||
| iii.Generally,describetheproposed 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 theproposed 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: __________________________________________________________________________________________ | |||||
| ____________________________________________________________________________________________________ |
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s. Does the proposed action include construction or modification of a solid waste management facility? 9 Yes 9 No If Yes:
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i. Type of management or handling of waste proposed for the site (e.g., recycling or transfer station, composting, landfill, or other disposal activities): ___________________________________________________________________________________
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ii. Anticipated rate of disposal/processing:
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________ Tons/month, if transfer or other non-combustion/thermal treatment, or
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• ________ Tons/hour, if combustion or thermal treatment
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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
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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
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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 wetland and stream ii. If mix of uses, generally describe:
To the north of the project parcel is an operating industrial site, to the east is apartments, south and west is residential, the western and southern portion __________________________________________________________________________________________________________ of the parcel itself contain wetlands/stream
| E. Site and Setting of Proposed Action | E. Site and Setting of Proposed Action | E. Site and Setting of Proposed Action | 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. | |||
| 9Urban | |||
| 9Industrial | |||
| 9Commercial9Residential (suburban) | |||
| 9Rural (non-farm) | |||
| 9Forest | |||
| 9Agriculture9Aquatic | |||
| 9Other (specify): ____________________________________ | |||
| _ii._If mix of uses, generally describe: |
wetland and stream To the north of the project parcel is an operating industrial site, to the east is apartments, south and west is residential, the western and southern portion of the parcel itself contain wetlands/stream
|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|0.69|0.73|+0.04| |• Forested includingwetland|9.2|9.2|0| |• Meadows, grasslands or brushlands (non- agricultural,includingabandoned 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)|0.4|0.36|-0.04| |• Other Describe: _______________________________ ________________________________________||||
Page 9 of 13
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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: Red Hook Commons senior housing development________________________________________________________________________________________________________
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): ________________________________ B00177 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): ______________________________________________________________________________ B00177; Environmental Remediation Program letter of Completion (2006) iv. If yes to (i), (ii) or (iii) above, describe current status of site(s): Project Property was the site of an apple processing facility 1949 to 1955, then food processing and packaging until 1980s. Buildings, transformers and _______________________________________________________________________________________________________ petroleum tanks were removed. On-site contaminated soils were removed to residential clean up standards. Portion of parcel in wetlands expected to contain some remnants of arsenic higher than residential levels from orchard pesticide treatment is under institutional controls, cleared for basic recreation _______________________________________________________________________________________________________ ----- End of picture text -----
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v. Is the project site subject to an institutional control limiting property uses? 9 Yes 9 No • If yes, DEC site ID number: ____________________________________________________________________________ B00177 • Describe the type of institutional control (e.g., deed restriction or easement): ____________________________________ environmental easement • Describe any use limitations: ___________________________________________________________________________ remnant aresenic contamination possible in wetlands, requires testing of soils removed or brought in • Describe any engineering controls: _______________________________________________________________________ none • Will the project affect the institutional or engineering controls in place? 9 Yes 9 No • Explain: ____________________________________________________________________________________________
-
The area of the conservation easement will not be disturbed___________________________________________________________________________________________________ ___________________________________________________________________________________________________
E.2. Natural Resources On or Near Project Site
==> picture [548 x 541] intentionally omitted <==
----- Start of picture text -----
a. What is the average depth to bedrock on the project site? ________________ feet 20 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: ___________________________ Haven Urban land complex __________% 40 ___________________________ Canandaiqua silt loam __________% 60 ____________________________ __________% d. What is the average depth to the water table on the project site? Average: _________ feet >6 In Project area e. Drainage status of project site soils: 9 Well Drained: _____% of 40 site 9 Moderately Well Drained: _____% of site 9 Poorly Drained _____% of 60 site f. Approximate proportion of proposed action site with slopes: 9 0-10%: _____% of site 100 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 _______________________Tributary to Saw Kill C(T) • Lakes or Ponds: Name ____________________________________________ Classification _______________________ Wetlands: Name ____________________________________________ Approximate Size ___________________ NYS Wetland/Federal wetland 3.2 on-site • Wetland No. (if regulated by DEC) _____________________________ KE-3 Class 2 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 Floodway? 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: _________________________________________________________________________________________ Principal Aquifer ----- End of picture text -----
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m. Identify the predominant wildlife species that occupy or use the project site:______________________________ Typical of suburban forested area _______________________________ Site may be utilized by Bald eagle and ______________________________ ______________________________ Deer, small mammals bats ______________________________ _______________________________ ______________________________ 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): _____________________________________
-
________________________________________________________________________________________________________ Source(s) of description or evaluation: ________________________________________________________________________
-
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?
-
If�Yes:
i. Species�and�listing�(endangered�or�threatened):_______________________________________________________________________
Bald Eagle
________________________________________________________________________________________________________________________ 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?
If�Yes:�
i. Species�and�listing:____________________________________________________________________________________________________
| 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: | ||||
| 9Biological Community | ||||
| 9Geological 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: ______________________________________________________________________________ |
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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:
| - | - | - | - | - | | which is listed ontheNationalorStateRegisterof Historic Places,orthathasbeen determinedby theCommissioneroftheNYS | which is listed ontheNationalorStateRegisterof Historic Places,orthathasbeen determinedby theCommissioneroftheNYS | which is listed ontheNationalorStateRegisterof Historic Places,orthathasbeen determinedby theCommissioneroftheNYS | which is listed ontheNationalorStateRegisterof Historic Places,orthathasbeen determinedby theCommissioneroftheNYS | which is listed ontheNationalorStateRegisterof Historic Places,orthathasbeen determinedby theCommissioneroftheNYS | | OfficeofParks,RecreationandHistoricPreservationtobeeligibleforlistingontheStateRegisterof Historic Places? | OfficeofParks,RecreationandHistoricPreservationtobeeligibleforlistingontheStateRegisterof Historic Places? | OfficeofParks,RecreationandHistoricPreservationtobeeligibleforlistingontheStateRegisterof Historic Places? | OfficeofParks,RecreationandHistoricPreservationtobeeligibleforlistingontheStateRegisterof Historic Places? | OfficeofParks,RecreationandHistoricPreservationtobeeligibleforlistingontheStateRegisterof Historic Places? | | If Yes: | If Yes: | If Yes: | If Yes: | If Yes: | | _i._Nature of historic/archaeological resource:9Archaeological Site | _i._Nature of historic/archaeological resource:9Archaeological Site | _i._Nature of historic/archaeological resource:9Archaeological Site | _i._Nature of historic/archaeological resource:9Archaeological Site | _i._Nature of historic/archaeological resource:9Archaeological Site | | 9Historic Building or District | 9Historic Building or District | 9Historic Building or District | 9Historic Building or District | 9Historic Building or District | | _ii._Name: _________________________________________________________________________________________________ | _ii._Name: _________________________________________________________________________________________________ | _ii._Name: _________________________________________________________________________________________________ | _ii._Name: _________________________________________________________________________________________________ | _ii._Name: _________________________________________________________________________________________________ | | _iii._Brief description of attributes on which listing is based: | _iii._Brief description of attributes on which listing is based: | _iii._Brief description of attributes on which listing is based: | _iii._Brief description of attributes on which listing is based: | 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.Isthe project sitewithinfivesmilesofany officially designated and publicly accessible federal, state, or local|9|Yes|9|No| |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_______________________________________
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