Full Environmental Assessment Form (FEAF) Part 1 — Project and Setting

Full Environmental Assessment Form Part 1 - Project and Setting

Instructions for Completing Part 1

Part 1 is to be completed by the applicant or project sponsor. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification.

Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information; indicate whether missing information does not exist, or is not reasonably available to the sponsor; and, when possible, generally describe work or studies which would be necessary to update or fully develop that information.

Applicants/sponsors must complete all items in Sections A & B. In Sections C, D & E, most items contain an initial question that must be answered either “Yes” or “No”. If the answer to the initial question is “Yes”, complete the sub-questions that follow. If the answer to the initial question is “No”, proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section G requires the name and signature of the applicant or project sponsor to verify that the information contained in Part 1is accurate and complete.

A. Project and Applicant/Sponsor Information.

Name of Action or Project: ADOPTION OF A LOCAL LAW TO CLARIFY THE PURPOSES AND INTENT OF THE NEIGHBORHOOD MIXED USE DISTRICT

Project Location (describe, and attach a general location map): Village of Red Hook

Brief Description of Proposed Action (include purpose or need):

The Village of Red Hook seeks to amend Section 200-12 of the Village Zoning Law to confirm that mixed-uses are permitted on a lot.

|Name of|Applicant/Sponsor:|Telephone:|Telephone:| 845-758-1081||| |---|---|---|---|---|---|---| |Village of Red Hook Board of Trustees||E-Mail:|info@redhookvillage.org|||| |Address:| 7476 South Broadway|||||| |City/PO:| Red Hook|State: NY|||Zip Code:| 12571| |Project Contact (if not same as sponsor; give name and title/role):||Telephone:|| 845-758-1081||| |Jen Cavanaugh, Village Clerk||E-Mail:|info@redhooknyvillage.org|||| |Address:||||||| |7467 South Broadway||||||| |City/PO:||State:|||Zip Code:|| |Red Hook||NY|||12571|| |Property|Owner (if not same as sponsor):|Telephone:||||| |||E-Mail:||||| |Address:||||||| |City/PO:||State:|||Zip Code:||

Page 1 of 13

B. Government Approvals

B. Government Approvals, Funding, or Sponsorship. (“Funding” includes grants, loans, tax relief, and any other forms of financial assistance.)

|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):

 Remediaton Sites:B00177

|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,identifytheplan(s): |||||||| |________________________________________________________________________________________________________

Town of Red Hook Community Preservation Plan|||||||| |________________________________________________________________________________________________________||||||||

Page 2 of 13

C.3. Zoning

_________________________________________________________________________________________________________  The action would amend the policy language regarding uses in the NMU District.

|b. Is the usepermitted or allowed bya special or conditional usepermit? |9 |Yes|9|No|| ||||||| |c. Is a zoning change requested as part of the proposed action? 9Yes9No If Yes, i.What is theproposed newzoningfor the site?_________________________________________________________________  The NMU Zoningwould remain the same but it would confirmed that mixed uses arepermitted.|||||| ||||||| ||||||| |C.4. Existing community services.|||||| ||||||| |a. In what school district is the project site located? ________________________________________________________________ Red Hook Central School District|||||| |b. Whatpolice or otherpublicprotection forces serve theproject site?|||||| |_________________________________________________________________________________________________________ NYS Troopers, Dutchess County Sheriff, Village of Red Hook Police|||||| |c. Which fire protection and emergency medical services serve the project site?

Red Hook Fire Company|||||| ||||||| |d. What parks serve the project site?

Abrahams Park and Memorial Park|||||| |||||||

D. Project Details

D.1. Proposed and Potential Development

Page 3 of 13

9 Yes 9 No

f. Does the project include new residential uses? If Yes, show numbers of units proposed. One Family Two Family Three Family Multiple Family (four or more)

If Yes, show numbers of units proposed. One Family Two Family Three Family Multiple Family (four or more)

||Initial Phase

________________________||||||||| ||At completion||||||||| ||of all phases ___________ ___________

||||||||| ||g. Does the proposed action include new non-residential construction (including expansions)? |9||Yes||9||No|| ||If Yes,||||||||| ||i. Total number of structures ||||||||| ||_ii._Dimensions (in feet) of largest proposed structure: ____height; width; and _______ length||||||||| ||_iii._Approximate extent of building space to be heated or cooled: ______________________ square feet||||||||| ||h. Does the proposed action include construction or other activities that will result in the impoundment of any |9||Yes||9||No|| ||liquids, such as creation of a water supply, reservoir, pond, lake, waste lagoon or other storage?||||||||| ||If Yes,||||||||| ||_i.Purpose of the impoundment: ||||||||| ||_ii.If a water impoundment, the principal source of the water:9Ground water9Surface water streams|9||Other|||specify:||| ||||||||||| ||_iii.If other than water, identify the type of impounded/contained liquids and their source.||||||||| ||____________________________________________________________________________________________________||||||||| ||_iv._Approximate size of the proposed impoundment. Volume: ____________ million gallons; surface area: ____________ acres||||||||| ||_v._Dimensions of the proposed dam or impounding structure: ________ height; _______ length||||||||| ||_vi._Construction method/materials for the proposed dam or impounding structure (e.g., earth fill, rock, wood, concrete):||||||||| ||||||||||| ||||||||||| ||D.2. Project Operations||||||||| ||||||||||| ||a. Does the proposed action include any excavation, mining, or dredging, during construction, operations, or both? 9||Yes||9||No||| ||(Not including general site preparation, grading or installation of utilities or foundations where all excavated||||||||| ||materials will remain onsite)||||||||| ||If Yes:||||||||| ||_i .What is thepurpose 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? |9||Yes||9||No|| ||If yes, describe. ___________________________________________________________________________________________||||||||| ||||||||||| ||_v._What is the total area to be dredged or excavated? _____________________________________acres||||||||| ||_vi._What is the maximum area to be worked at anyone time?_______________________________acres||||||||| ||_vii._What would be the maximum depth of excavation or dredging? __________________________ feet||||||||| ||_viii._Will the excavation require blasting? 9||Yes||9||No||| ||ix.Summarize site reclamation goals and plan: _________________________________________________________________||||||||| ||______________________________________________________________________________________________||||||||| ||_________________||||||||| ||b. Would the proposed action cause or result in alteration of, increase or decrease in size of, or encroachment 9||Yes||9||No||| ||into any existing wetland, waterbody, shoreline, beach or adjacent area?||||||||| ||If Yes:||||||||| ||_i._Identify the wetland or waterbody which would be affected (by name, water index number, wetland map number or||geographic||||||| ||description): ______________________________________________________________________________________________||||||||| ||_______________________________________________________________________________________________________|||||||||

Page 4 of 13

ii. Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, or alteration of channels, banks and shorelines. Indicate extent of activities, alterations and additions in square feet or acres:

|ii. Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, or alteration of channels, banks and shorelines. Indicate extent of activities, alterations and additions in square feet or acres:|ii. Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, or alteration of channels, banks and shorelines. Indicate extent of activities, alterations and additions in square feet or acres:|ii. Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, or alteration of channels, banks and shorelines. Indicate extent of activities, alterations and additions in square feet or acres:|ii. Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, or alteration of channels, banks and shorelines. Indicate extent of activities, alterations and additions in square feet or acres:|ii. Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, or alteration of channels, banks and shorelines. Indicate extent of activities, alterations and additions in square feet or acres:| |---|---|---|---|---| iii.

Will the proposed action cause or result in disturbance to bottom sediments? Yes9No If Yes, describe: __________________________________________________________________________________________ iv.Will the proposed action cause or result in the destruction or removal of aquatic vegetation? 9Yes9No If Yes: • acres of aquatic vegetation 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? 9Yes9No 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? 9Yes9No If Yes: • Name of district or service area: _________________________________________________________________________ • Does the existing public water supply have capacity to serve the proposal? 9Yes9No • Is the project site in the existing district? 9Yes9No • Is expansion of the district needed? 9Yes9No • Do existinglines serve theproject site? 9Yes9No iii.Will line extension within an existing district be necessary to supply the project? 9Yes9No If Yes: • Describe extensions or capacityexpansionsproposed to serve thisproject:__________________________________

• Source(s)of supplyfor the district:________________________________________________________________________ iv.Is a new water supply district or service area proposed to be formed to serve the project site? 9Yes9No If,Yes: • Applicant/sponsor for new district: ________________________________________________________________________ • Date application submitted or anticipated: __________________________________________________________________ • Proposed source(s)of supplyfor newdistrict:_____________________________________________________________ _v._If a public water supply will not be used, describe plans to provide water supply for the project: ___________________________

vi. If water supply will be from wells (public or private), what is the maximum pumping capacity: _______ gallons/minute.

|d. Will theproposed actiongenerate liquidwastes? |9|Yes|9|No|

Page 5 of 13

9 Yes 9 No 9 Yes 9 No

• Do existing sewer lines serve the project site?

• Will a line extension within an existing district be necessary to serve the project? 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):

________________________________________________________________________________________________________ ________________________________________________________________________________________________________ Describe any plans or designs to capture, recycle or reuse liquid waste: _______________________________________________ ________________________________________________________________________________________________________

• vi. Describe any plans or designs to capture, recycle or reuse liquid waste: _______________________________________________

9 Yes 9 No

• e. Will the proposed action disturb more than one acre and create stormwater runoff, either from new point 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: ________________________________________________

|_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:|_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:|_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:|_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:|_iii._Where will the stormwater runoff be directed (i.e. on-site stormwater management facility/structures, adjacent properties, groundwater, on-site surface water or off-site surface waters)?

• If to surface waters, identify receiving water bodies or wetlands:| |---|---|---|---|---| |||||| |__________________________________________________________________________________________________||||| |||||| |• Will stormwater runoff flow to adjacent properties?|9|Yes|9|No| |_iv.Does the proposed plan minimize impervious surfaces, use pervious materials or collect and re-use stormwater?|9|Yes|9|No| |f. Does the proposed action include, or will it use on-site, one or more sources of air emissions, including fuel|9|Yes|9|No| |combustion, waste incineration, or other processes or operations?||||| |If Yes, identify:||||| |i. Mobile sources during project operations (e.g., heavy equipment, fleet or delivery vehicles)||||| |____________________________________________________________________________________________________||||| |_ii._Stationary sources during construction (e.g., power generation, structural heating, batch plant, crushers)||||| |__________________________________________________||||| |_iii._Stationary sources during operations (e.g., process emissions, large boilers, electric generation)||||| |____________________________________________________________________________________________________||||| |g. Will any air emission sources named in D.2.f (above), require a NY State Air Registration, Air Facility Permit,|9|Yes|9|No| |or Federal Clean Air Act Title IV or Title V Permit?||||| |If Yes:||||| |i. Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet|9|Yes|9|No| |ambient air quality standards for all or some parts of the year)||||| |_ii._In addition to emissions as calculated in the application, the project will generate:||||| |• ___________Tons/year (short tons) of Carbon Dioxide (CO2)||||| |• ___________Tons/year (short tons) of Nitrous Oxide (N2O)||||| |• ___________Tons/year (short tons) of Perfluorocarbons (PFCs)||||| |• ___________Tons/year (short tons) of Sulfur Hexafluoride (SF6)||||| |• ___________Tons/year (short tons) of Carbon Dioxide equivalent of Hydroflourocarbons (HFCs)||||| |• ___________Tons/year (short tons) of Hazardous Air Pollutants (HAPs)|||||

Page 6 of 13

9 Yes 9 No

h. Will the proposed action generate or emit methane (including, but not limited to, sewage treatment plants, landfills, composting facilities)? If Yes:

• i. Estimate methane generation in tons/year (metric): ________________________________________________________________

• ii . Describe any methane capture, control or elimination measures included in project design (e.g., combustion to generate heat or electricity, flaring): ________________________________________________________________________________________

  • ---

Page 7 of 13

9 Yes 9 No

m. Will the proposed action produce noise that will exceed existing ambient noise levels during construction, operation, or both?

If yes:

• i. Provide details including sources, time of day and duration:

|m If i.|. Will the proposed action produce noise that will exceed existing ambient noise levels during construction, 9Yes9No operation, or both? yes: Provide details including sources, time of day and duration:|. Will the proposed action produce noise that will exceed existing ambient noise levels during construction, 9Yes9No operation, or both? yes: Provide details including sources, time of day and duration:|. Will the proposed action produce noise that will exceed existing ambient noise levels during construction, 9Yes9No operation, or both? yes: Provide details including sources, time of day and duration:|. Will the proposed action produce noise that will exceed existing ambient noise levels during construction, 9Yes9No operation, or both? yes: Provide details including sources, time of day and duration:|. Will the proposed action produce noise that will exceed existing ambient noise levels during construction, 9Yes9No operation, or both? yes: Provide details including sources, time of day and duration:|. Will the proposed action produce noise that will exceed existing ambient noise levels during construction, 9Yes9No operation, or both? yes: Provide details including sources, time of day and duration:| |---|---|---|---|---|---|---| |||||||| |||||||| |ii. Will the proposed action remove existing natural barriers that could act as a noise barrier or screen? 9||Yes|9||No|| ||Describe: |||||| ||_______________________________________________________________________________________________________|||||| | n. | W | Yes | 9 | - | No | | - | th | - | - | - | - | | - | ill | - | - | - | - | | - | prop | - | - | - | - | | - | e | - | - | - | - | | - | os | - | - | - | - | | - | actio | - | - | - | - | | - | ed | - | - | - | - | | - | hav | - | - | - | - | | - | n | - | - | - | - | | - | e outd | - | - | - | - | | - | ligh | - | - | - | - | | - | oor | - | - | - | - | | - | ting? | - | - | - | - | | - | 9 | - | - | - | - | |If yes:||||||| |_i.Describe source(s), location(s), height of fixture(s), direction/aim, and proximity to nearest occupied structures:||||||| |||||||| |||||||| |ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen? 9||Yes|9||No|| ||Describe: _______________________________________________________________________________________________|||||| ||_____________________________________________________________________________________________________|||||| |o.|Does the proposed action have the potential to produce odors for more than one hour per day? 9|Yes|9||No|| ||If Yes, describe possible sources, potential frequency and duration of odor emissions, and proximity to nearest|||||| ||occupied structures: |||||| |||||||| ||________________________________________________________________________________________|||||| |p.|9 Will the proposed action include any bulk storage of petroleum (combined capacity of over 1,100 gallons)|Yes|9||No|| ||or chemical products 185 gallons in above ground storage or any amount in underground storage?|||||| |If|Yes:|||||| |i.Product(s) to be stored ____________________||||||| |_ii._Volume(s) ______ per unit time ___________ (e.g., month, year)||||||| |iii.Generally, describe the proposed storage facilities:||||||| |||||||| |q.|Will the proposed action (commercial, industrial and recreational projects only) use pesticides (i.e., herbicides, 9|Yes||9||No| ||insecticides) during construction or operation?|||||| |If|Yes:|||||| ||_i._Describe proposed treatment(s):|||||| ||____________________________________________________________________________________________________|||||| |||||||| ||____________________________________________________________________________________________________|||||| |||||||| |_ii._Will 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: ________________________________________________________________________________________|||||| ||____________||||||

Page 8 of 13

s. Does the proposed action include construction or modification of a solid waste management facility? 9 Yes 9 No If Yes:

i. Type of management or handling of waste proposed for the site (e.g., recycling or transfer station, composting, landfill, or other disposal activities): __________________________________________________________________________________ ii._ Anticipated rate of disposal/processing:

• ________ Tons/month, if transfer or other non-combustion/thermal treatment, or

• • ________ Tons/hour, if combustion or thermal treatment

iii. If landfill, anticipated site life: ________________________________ years

t. Will the proposed action at the site involve the commercial generation, treatment, storage, or disposal of hazardous 9 Yes 9 No waste? If Yes: i. Name(s) of all hazardous wastes or constituents to be generated, handled or managed at facility: ___________________________ _________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ii._ Generally describe processes or activities involving hazardous wastes or constituents: ___________________________________ _________________________________________________________________________________________________________ _______________________________________________________________________________________________________ iii_ . Specify amount to be handled or generated _____ tons/month

If Yes:

• iv. Describe any proposals for on-site minimization, recycling or reuse of hazardous constituents: ____________________________

_______________________________________________________________________________________________________ v._ Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? 9 Yes 9 No If Yes: provide name and location of facility: _______________________________________________________________________

________________________________________________________________________________________________________ If No: describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility:

E. Site and Setting of Proposed Action

E.1. Land uses on and surrounding the project site

• a. Existing land uses.

Page 9 of 13

||c. Is the project site presently used by members of the community for public recreation? 9|Yes|9|No|| |---|---|---|---|---|---| ||i.If Yes: explain:||||| ||d. Are there any facilities serving children, the elderly, people with disabilities (e.g., schools, hospitals, licensed 9|Yes|9|No|| ||day care centers, or group homes) within 1500 feet of the project site?||||| ||If Yes,||||| ||_i._Identify Facilities:||||| ||||||| ||||||| ||||||| ||e. Does the project site contain an existing dam? 9|Yes|9|No|| ||If Yes:||||| ||i.Dimensions of the dam and impoundment:||||| ||• Dam height: _________________________________ feet||||| ||• Dam length: _________________________________ feet||||| ||• Surface area: _________________________________ acres||||| ||• Volume impounded:_________________________ gallonsOR 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 facilitybeen formallyclosed? 9|Yes|9|No|| ||• Ifyes,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:||||| ||9Yes – Spills Incidents database Provide DEC ID number(s): ||||| ||9Yes – Environmental Site Remediation database Provide DEC ID number(s): ________________________________  B00177||||| ||9Neither 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||||| ||iv.If yes to (i), (ii) or (iii) above, describe current status of site(s):||||| ||________________||||| ||_____________________________________________________________________________________________________||||| |||||||

Page 10 of 13

v. Is the project site subject to an institutional control limiting property uses? 9 Yes 9 No • If yes, DEC site ID number: ____________________________________________________________________________

• Describe the type of institutional control (e.g., deed restriction or easement): ____________________________________

==> picture [26 x 1] intentionally omitted <==

• Describe any use limitations: ___________________________________________________________________________

• • Describe any engineering controls: _______________________________________________________________________ • Will the project affect the institutional or engineering controls in place? 9 Yes 9 No • Explain: ____________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________

• E.2. Natural Resources On or Near Project Site a. What is the average depth to bedrock on the project site? ________________ feet

Page 11 of 13

m. Identify the predominant wildlife species that occupy or use the project site:

||| ||

||| ||n. Does the project site contain a designated significant natural community? 9Yes9 |No|| ||If Yes:||| ||_i._Describe the habitat/community (composition, function, and basis for designation): _____________________________________||| ||____________________________________________________________________________________________________||| ||ii.Source(s) of description or evaluation: ____________________________________________________________________||| ||_iii.Extent of community/habitat:||| ||• Currently: ______________________ acres||| ||• Following completion of project as proposed: _____________________ acres||| ||• Gain or loss (indicate + or -): ______________________ acres||| ||o. Does project site contain any species of plant or animal that is listed by the federal government or NYS as 9Yes9 |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):||| ||||| ||||| ||p. Does the project site contain any species of plant or animal that is listed by NYS as rare, or as a species of 9Yes9 |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? 9Yes9|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 9Yes9 |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? 9Yes9|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 9Yes9 |No|| ||Natural Landmark?||| ||If Yes:||| ||i. Nature of the natural landmark: 9Biological Community9Geological 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? 9Yes9 |No|| ||If Yes:||| ||i.CEA name: _________________________________________________________________________________________||| ||_ii._Basis for designation: _____________________________________________________________________________________||| ||_iii.Designatingagencyand date:_______________________________________||| |||||

Page 12 of 13

| If Yes: | 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 | _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 | 9Historic Building or District | | _ii._Name: _________________________________________________________________________________________________ | _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: | _iii._Brief description of attributes on which listing is based: | | _______________________________________________________________________________________________________ | _______________________________________________________________________________________________________ | _______________________________________________________________________________________________________ | _______________________________________________________________________________________________________ | _______________________________________________________________________________________________________ | _______________________________________________________________________________________________________ | | Saint Paul's (Zion) Evangelical Lutheran Church | Saint Paul's (Zion) Evangelical Lutheran Church | Saint Paul's (Zion) Evangelical Lutheran Church | Saint Paul's (Zion) Evangelical Lutheran Church | Saint Paul's (Zion) Evangelical Lutheran Church | Saint Paul's (Zion) Evangelical Lutheran Church | ||||||| |f. Is the project site, or any portion of it, located in or adjacent to an area designated as sensitive for 9Yes9No 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? 9Yes9No If Yes: i. Describe possible resource(s): _______________________________________________________________________________ _ii._Basis for identification:___________________________________________________________________________________|||||| ||||||| h. 9Yes9No Is the project site within fives miles of any officially designated and publicly accessible federal, state, or local scenic or aesthetic resource? If Yes: _i._Identify resource: _________________________________________________________________________________________ _ii._Nature of, or basis for, designation (e.g., established highway overlook, state or local park, state historic trail or scenic byway, etc.): ___________________________________________________________________________________________________ _iii._Distance betweenproject and resource:_____________________miles.

|i. Is the project site located within a designated river corridor under the Wild, Scenic and Recreational Rivers 9Yes9No Program 6 NYCRR 666? If Yes: i.Identifythe name of the river and its designation:______________________________________________________________ |||||| ||ii.Is the activityconsistent 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_______________________________________ Village of Red Hook November 2, 2023 Mayor

PRINT FORM

Page 13 of 13