SEQRA

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 | 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 lis accurate and complete.

A. Project and Applicant/Sponsor Information.

Project Location (describe, and attach a general location map): 601 Vosburg Rd, Webster, NY 14580 (see attached project location map)

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

The Vosburg Pump Station Improvement Project involves a comprehensive improvement to the existing pump station including replacement of pumps, motors, valves, piping, miscellaneous appurtenances, heating and ventilation improvements, and electrical improvements (including controls, variable frequency drives and replacement of the emergency power generator). Also included are improvements to the forcamain air release valves and forcemain discharge manhole as identified on the attached project location map.

Name of Applicant/Sponsor: Telephone: 535-372-1000 Town of Webster Town Board E-Mail: tflahenty@eci webster.ny.us Address: 1999 Ridge Road City/PO: webster State: New York Zip Code: 44580 Project Contact (if not same as sponsor; give name and title/role): Telephone: Tom Flaherty, Town Supervisor E-Mail: Address: City/PO: State: Zip Code: Property Owner (if not same as sponsor): Telephone: E-Mail: Address: City/PO: State: Zip Code:

Page 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.)

a, City Counsel, Town Board, M1YesLJNo | Town of Webster Town Board

or Village Board of Trustees b. City, Town or Village CYesi#7INo

Planning Board or Commission c. City, Town or CYesiZINo

Village Zoning Board of Appeals d. Other local agencies W1YesCINo | Town of Webster Highway Dept, Town of Webster

Sewer Dept Webster Engineering Dept. e. County agencies MivesCINo | Monroe County DOH f. Regional agencies CTYesiJNo g. State agencies MiYesCINo =| NYSDOS (Coastal Waterfront), NYSDEC, OPRHP, SHPO

h. Federal agencies MiYes(JNc | ACOE, FEMA i. Coastal Resources.

i. 1s the project site within a Coastal Area, or the waterfront area of a Designated Inland Waterway? WYesL3No

ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? @ YesINo

fii, Is the project site within a Coastal Erosion Hazard Area? CD Yesi7INo

C, Planning and Zoning

C.1. Planning and zoning actions.

Will administrative or legislative adoption, or amendment of a pian, local law, ordinance, rule or regulation be the ()YesiZJNo only approval(s) which must be granted to enable the proposed action to proceed?

e If Yes, complete sections C, F and G.

e 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 CY eshZiNo where the proposed action would be located?

If Yes, does the comprehensive plan include specific recommendations for the site where the proposed action CiyYesLINo

would be located?

b. Is the site of the proposed action within any local or regional special planning district (for example: Greenway; MYes(No

Brownfield Opportunity Area (BOA); designated State or Federal heritage area; watershed management plan; or other?) If Yes, identify the plan(s): NYS Heritage Areas:West Erie Canal Corridor

c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, [JYeshZJNo or an adopted municipal farmland protection plan? If Yes, identify the plan(s):

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C3. Zoning

a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. i YesLNo If Yes, what is the zoning classification(s) including any applicable overlay district? LL - Large Lot Single Family Residential District & R-2 Single Family Residential District

b, Is the use permitted or allowed by a special or conditional use permit? 1 Yes No c. Is a zoning change requested as part of the proposed action? Cl YesiNo 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? Webster Central School District

b. What police or other public protection forces serve the project site?

Monrce County Sheriffs Office, New York State Police, Webster Polica Department

c. Which fire protection and emergency medical services serve the project site? North East Joint Fire District, West Webster Fire District, Webster Emergency Medical Service

d. What parks serve the project site? Gosnell Big Woods Preserve, Vosburg Hollow, Hojack Trail

D. Project Details

D.1. Proposed and Potential Development

a, What is the general nature of the proposed action (e.g., residential, industrial, commercial, recreational; if mixed, include all components)? Municplal

b. a. Total acreage of the site of the proposed action? 5.375 acres b. Total acreage to be physically disturbed? .03 +/- acres c. Total acreage (project site and any contiguous properties) owned

or controlled by the applicant or project sponsor? O acres

c. Is the proposed action an expansion of an existing project or use? O Yesi4] No i. If Yes, what is the approximate percentage of the proposed expansion and identify the units (¢.g., acres, miles, housing units, square feet)? % Units:

d. Is the proposed action a subdivision, or does it include a subdivision? ClYes ¥INo If Yes, i. Purpose or type of subdivision? (e.g., residential, industrial, commercial; if mixed, specify types)

if. Is a cluster/conservation layout proposed? 7 a O1Yes CINo iii. Number of lots proposed? _ iv. Minimum and maximum proposed lot sizes? Minimum Maximum

e. Will the proposed action be constructed in multiple phases? OlYesWINo i. If No, anticipated period of construction: months ii. If Yes: e Total number of phases anticipated *« Anticipated commencement date of phase 1 (including demolition) month year e 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? CYesi/No If Yes, show numbers of units proposed.

One Family Two Family Three Family Multiple Family (four or more initial Phase At completion of all phases g. Does the proposed action include new non-residential construction (including expansions)? LlYesNo If Yes, i. Total number of structures ii, Dimensions (in feet) of largest proposed structure: height; width; and length Hi. 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 DYesi/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. 1f a water impoundment, the principal source of the water: (J Ground water _] Surface water streams [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, weod, concrete):

D.2. Project Operations

a. Does the proposed action include any excavation, mining, or dredging, during construction, operations, or both? [_f¥es/]No (Not including general site preparation, grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: i, What is the purpose of the excavation or dredging? —__ ii. How much material (including rock, earth, sediments, etc.) is proposed ta be removed from the site? * Volume (specify tons or cubic yards): * Over what duration of time? iii, Describe nature and characteristics of materials to be excavated or dredged, and plans to use, manage or dispose of them.

iv. Will there be onsite dewatering or processing of excavated materials? LlYeshNo 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? LTyes[[JNo

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 [ |Yesb/{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):

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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:

fi. Will the proposed action cause or result in disturbance to bottom sediments? 7 CYes(INo If Yes, describe:

iv. Wili the proposed action cause or result in the destruction or removal of aquatic vegetation? [CJ Yes[ No If Yes:

e acres of aquatic vegetation proposed to be removed: ® expected acreage of aquatic vegetation remaining after project completion: — © purpose of proposed removal (e.g. beach clearing, invasive species control, boat access):

proposed method of plant removal: : if chemical/herbicide treatment will be used, specify product(s): v. Describe any proposed reclamation/mitigation following disturbance:

c. Will the proposed action use, or create a new demand for water? TYesiINo 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? CyYes No lf Yes: e Name of district or service area; : ——_ e Does the existing public water supply have capacity to serve the proposal? CYes(J No e Is the project site in the existing district? XC Yes[}No e Is expansion of the district needed? CYesL1No e Do existing lines serve the project site? DYesLJNo ii. Will line extension within an existing district be necessary to supply the project? CYes (No If Yes:

e Describe extensions or capacity expansions proposed to serve this project:

e 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? (C2 Yes(No If, Yes:

® Applicant/sponsor for new district: ;

« Date application submitted or anticipated:

® Proposed source(s} of supply for new district: ;

v. Ifa public water supply will not be used, describe plans to provide water supply for the project:

vi, If water supply wilt be from wells (public or private), what is the maximum pumping capacity: galions/minute. d. Will the proposed action generate liquid wastes? ClY¥esMINo If Yes:

i. Total anticipated liquid waste generation per day: gallons/day

Hi. Nature of liquid wastes to be generated (e.g., sanitary wastewater, industrial; if combination, describe all components and approximate volumes or proportions of each):

ili. Will the proposed action use any existing public wastewater treatment facilities? (Yes(No If Yes: « Name of wastewater treatment plant to be used: __ e Name of district: ® Does the existing wastewater treatment plant have capacity to serve the project? DYesCINo ® — Is the project site in the existing district? ClYes(INo e Is expansion of the district needed? OYesCINo

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e Do existing sewer lines serve the project site? (JYesJNo e Will a line extension within an existing district be necessary to serve the project? OYes( 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? OYesQ)No If Yes: e _ Applicant/sponsor for new district: e 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 OYesMINo 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?

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)?

« Ifto surface waters, identify receiving water bodies or wetlands:

* Will stormwater runoff flow to adjacent properties? OyYesL No iv. Does the proposed plan minimize impervious surfaces, use pervious materials or collect and re-use stormwater? ClYesCNo f. Does the proposed action include, or will it use on-site, one or more sources of air emissions, including fuel WMyYesQNo combustion, waste incineration, or other processes or operations? If Yes, identify: i. Mobile sources during project operations (¢.g., heavy equipment, fleet or delivery vehicles) none

ii. Stationary sources during construction (e.g., power generation, structural heating, batch plant, crushers)

ili. Stationary sources during operations (e.g., process emissions, large boilers, electric generation) Jemergency power distribution via a stationary diesel generator.

one —EEE

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 CYesCINo 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 (N20) Tons/year (short tons} of Perfluorocarbons (PFCs) Tons/year (short tons) of Sulfur Hexafluoride (SF) Tons/year (short tons) of Carbon Dioxide equivalent of Hydrofiourocarbons (HFCs) Tons/year (short tons) of Hazardous Air Pollutants (HAPs)

g. Will any air emission sources named in D.2.f (above), require a NY State Air Registration, Air Facility Permit, © [JYesi4JNo

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h. Will the proposed action generate or emit methane (including, but not limited to, sewage treatment plants, L]lYesk]No landfills, composting facilities)? If Yes: i. Estimate methane generation in tons/year (metric): ee

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

i. Will the proposed action result in the release of air ScITane iam open-air operations or processes, such as Ll Yesk4]No quarry or landfill operations? If Yes: Describe operations and nature of emissions (e.g., diese] exhaust, rock particulates/dust):

j. Will the proposed action result in a substantial increase in traffic above present levels or generate substantial DYesi]No new demand for transportation facilities or services? If Yes: i, When is the peak traffic expected (Check all that apply): © [] Morning 0 Evening OWeekend C0 Randomly between hours of to ii, For commercial activities only, projected number of truck trips/day and type (e.g., semi trailers and dump trucks):

iii, Parking spaces: Existing Proposed Net increase/decrease

tv, Does the proposed action include any shared use parking? ChyesLINo v. Ifthe proposed action includes any modification of existing roads, creation of new roads or change in existing access, describe:

vi. Are public/private transportation service(s) or facilities available within ‘4 mile of the proposed site? ClYes[_]JNo

vii Will the proposed action include access to public transportation or accommodations for use of hybrid, electric © []Yes[_]No or other alternative fueled vehicles?

viii. Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing © []Yes[_]No pedestrian or bicycle routes?

k. Will the proposed action (for commercial or industrial projects only) generate new or additional demand MYesL_]No for energy? If Yes: i. Estimate annual electricity demand during operation of the proposed action: —

ii, Anticipated sources/suppliers of electricity for the project (e-g., on-site combustion, on-site renewable, via grid/local utility, or other): via grid/local utility

iii. Will the proposed action require a new, or an upgrade, to an existing substation? ; LlYesh4No

|. Hours of operation. Answer all items which apply.

i. During Construction: ii, During Operations: e Monday - Friday: 6am - 6pm ® Monday - Friday: 24 hours e Saturday: 6am - 6pm e Saturday: 24 hours e Sunday: nene © Sunday: 24 hours e Holidays: WONG: 2 ad sats a ° Holidays: 24 hours

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m. Will the proposed action produce noise that will exceed existing ambient noise levels during construction, WM YesL]No operation, or both? If yes: i. Provide details including sources, time of day and duration: miner increase during facility renovations only

ii. Will the proposed action remove existing natural barriers that could act as a noise barrier or screen? LYesi4No Describe: =

n. Will the proposed action have outdoor lighting? OYesNo

If yes:

i, Describe source(s), location(s}, height of fixtwre(s), direction/aim, and proximity to nearest occupied structures:

#. Will proposed action remove existing natural barriers that could act as a light barrier or screen? CYesCINo Describe:

o. Does the proposed action have the potential to produce odors for more than one hour per day? DYesMNo If Yes, describe possible sources, potential frequency and duration of odor emissions, and proximity to nearest occupied structures:

p. Will the proposed action include any bulk storage of petroleum (combined capacity of over 1,100 gallons) Ll YesiNo 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.c., herbicides, [Yes (No insecticides) during construction or operation?

ii. Will the proposed action use Integrated Pest Management Practices? 7 Yes CINo

r. Will the proposed action (commercial or industrial projects only) involve or require the management or disposal! OO Yes No of solid waste (excluding hazardous materials)?

ii. Describe any proposals for on-site minimization, recycling or reuse of materials to avoid disposal as solid waste: e Construction:

* Operation:

iif. 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? OC Yes |] 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

{. Will the proposed action at the site involve the commercial generation, treatment, storage, or disposal of hazardous [_]Yes}4JNo waste? If Yes:

i. Name(s) of all hazardous wastes or constituents to be generated, handled or managed at facility:

ii, Generally describe processes or activities involving hazardous wastes or constituents:

iii, Specify amount to be handled or generated tons/month iv. Describe any proposals for on-site minimization, recycling or reuse of hazardous constituents:

v. Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? DyYesl_INo If Yes: provide name and location of 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. 0 Urban $C Industrial [J Commercial Residential (suburban) ([] Rural (non-farm)

0 Forest (9 Agriculture [] Aquatic 1 Other (specify): recreational parkland ii, If mix of uses, generally describe:

b. Land uses and covertypes on the project site.

Land use or Current Acreage After Change Covertype Acreage Project Completion (Acres +/-) e Roads, buildings, and other paved or impervious } surfaces 5 5 0 e Forested 47 47 0

* Meadows, grasslands or brushlands (non- agricultural, including abandoned agricultural)

e Agricultural (includes active orchards, field, greenhouse etc.)

e Surface water features (lakes, ponds, streams, rivers, etc.)

® Wetlands (freshwater or tidal)

« Non-vegetated (bare rock, earth or fill)

e Other Describe:

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c. Is the project site presently used by members of the community for public recreation? Myes_INo i If Yes: explain: The existing pump station is co-located with the Vosburg Hollow Park

d. Are there any facilities serving children, the elderly, people with disabilities (e.g., schools, hospitals, licensed L1Yesh/No day care centers, or group homes) within 1500 feet of the project site?

| If Yes,

#, Identify Facilities:

e. Does the project site contain an existing dam? C1Yesk4No If Yes: i, Dimensions of the dam and impoundment: e Dam height: feet e Dam length: . feet e Surface area: core nas __ acres e 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, C1 Yesh4No 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? ClYes_] No e =f 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 DYesi/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 D1 Yes] 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 CYesLINo Remediation database? Check all that apply: [1 Yes — Spills Incidents database Provide DEC ID number(s): C0 Yes -- Environmental Site Remediation database Provide DEC ID number(s):

CD Neither database

if. 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? ~ DyYesiNo

H yes, provide DEC JD number(s): iv. If yes to (i), (ii) or (iii) above, describe current status of site(s):

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v. Is the project site subject to an institutional control limiting property uses? Cl Yesi4INo e Ifyes, DEC site ID number: : — e Describe the type of institutional control (e.g., deed restriction or easement): e Describe any use limitations: e Describe any engineering controls: _ _ _ e Will the project affect the institutional or engineering controls in place? LlYes[JNo © Explain: = = E.2. Natural Resources On or Near Project Site a. What is the average depth to bedrock on the project site? >6.5 feet b. Are there bedrock outcroppings on the project site? C)YeskNo If Yes, what proportion of the site is comprised of bedrock outcroppings? _ “ c. Predominant soil type(s) present on project site: AIF3 9% Wy 64.7 % Cw 19.5 % d. What is the average depth to the water table on the project site? Average: feet e. Drainage status of project site soils: Well Drained: 15.8 % of site 1 Moderately Well Drained: 49.5 % of site W] Poorly Drained 64.7 % of site f. Approximate proportion of proposed action site with slopes: ¥] 0-10%: 91 % of site CI 10-15%: % of site WM) 15% or greater: _ _§ %ofsite g. Are there any unique geologic features on the project site? L]Yesk/INo If Yes, describe: h. Surface water features. i. Does any portion of the project site contain wetlands or other waterbodies (including streams, rivers, WYes[_]No ponds or lakes)? if, Do any wetlands or other waterbodies adjoin the project site? WMyYesLNo If Yes to either / or ii, continue. If No, skip to E.2.i. fii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, MA YesLINo state or local agency? iv. For each identified regulated wetland and waterbody on the project site, provide the following information: e Streams: Name 847-575.1 Classification 8 * Lakes or Ponds: Name _ _ Classification ® Wetlands: Name Federal Waters, Federal Waters, Federal Waters... Approximate Size * Wetland No. (if regulated by DEC) y, Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired WyYes(No waterbodies? If yes, name of impaired water body/bodies and basis for listing as impaired: Name - Pollutants - Uses:Shipbuilders Creek and tribs - Pathogens;Nutrients;D.0./Oxygen Demand — Recreation;Aquatic Life i. Is the project site in a designated Floodway? WiYes[No j. Is the project site in the 100-year Floodplain? MlYes[No k. Is the project site in the 500-year Floodplain? WMyesINo I. Is the project site located over, or immediately adjoining, a primary, principal or sole source aquifer? ClYesi4No

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

birds woodiand mammals insects n. Does the project site contain a designated significant natural community? Cl YesWINo If Yes:

i. Describe the habitat/community (composition, function, and basis for designation):

it. Source(s) of description or evaluation:

iii, Extent of community/habitat:

e Currently: acres e Following completion of project as proposed: acres e 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 CI YeshNo 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 C}Yesl/INo special concern?

q. Is the project site or adjoining area currently used for hunting, trapping, fishing or shell fishing? LTYesi/JNo 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 CYesh7JNo 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? CTYesJNo i. If Yes: acreage(s) on project site? _ Hi, 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 CYesNo

Natural Landmark? If Yes: i. Nature of the natural fandmark: C Biological Community (1 Geological Feature

ii, Provide brief description of landmark, including values behind designation and approximate size/extent:

d, Is the project site located in or does it adjoin a state listed Critical Environmental Area? DYesh/INo If Yes: i. CEA name:

ii. Basis for designation: iti. Designating agency and date:

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| c. Does the project site contain, or is it substantially contiguous to, a building, archaeological site, or district I Yes{_]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/archacological resource: J Archaeological Site CJHistoric Building or District ii. Name:

iii. Brief description of attributes on which listing is based:

| f. Is the project site, or any portion of it, located in or adjacent to an area designated as sensitive for MYes[_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? LYesi4No es:

i, Describe possible resource(s):

ii, Basis for identification:

h. Is the project site within fives miles of any officially designated and publicly accessible federal, state, or local ClYes/No scenic or aesthetic resource? If Yes: i. Identify resource: . Nature of, or basis for, designation (e.g., established highway overlook, state or local park, state historic trail or scenic byway, etc.):

ili. Distance between project and resource: miles,

i. Is the project site located within a designated river corridor under the Wild, Scenic and Recreational Rivers LJ YeskJ 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 6(NYCRR Part 6667 Dyes ([INo 7

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

PRINT FORM Page 13 of 13

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Prtta here B.i.i [Coastal or Waterfront Area] Yes B.i.ii [Local Waterfront Revitalization Area) Yes C.2.b. [Special Planning District] Yes - Digital mapping data are not available for all Special Planning Districts. Refer to EAF Workbook. C.2.b. [Special Planning District - Name] NYS Heritage Areas:West Erie Canal Corridor E.1.h [DEC Spills or Remediation Site - Digital mapping data are not available or are incomplete. Refer to EAF Potential Contamination History] Workbook. E.1.h.i [DEC Spills or Remediation Site - Digital mapping data are not available or are incomplete. Refer to EAF Listed] Workbook. E.1.h.i [DEC Spills or Remediation Site - Digital mapping data are not available or are incomplete. Refer to EAF

Environmental Site Remediation Database] Workbook. E.1.h.iii Within 2,000' of DEC Remediation No

Site]

£.2.g [Unique Geologic Features] No

E.2.h.i [Surface Water Features] Yes

E.2.h.ii [Surface Water Features] Yes

E.2.h.iii [Surface Water Features] Yes - Digital mapping information on local and federal wetlands and

waterbodies is known to be incomplete. Refer to EAF Workbook.

E.2.h.iv [Surface Water Features - Stream 847-575.1 Name]

E.2.h.iv [Surface Water Features - Stream 8B Classification]

E.2.h.iv [Surface Water Features - Wetlands Federal Waters

Name]

E.2.h.v [Impaired Water Bodies] Yes

E.2.h.v [Impaired Water Bodies - Name and Name - Pollutants - Uses:Shipbuilders Creek and tribs —

Basis for Listing] Pathogens;Nutrients;D.0./Oxygen Demand — Recreation;Aquatic Life

E.2.i. [Floodway] Yes

E.2.j. [100 Year Floodplain] Yes E.2.k. [500 Year Floodplain] Yes E.2.1, [Aquifers] No E.2.n. [Natural Communities] No E.2.0. [Endangered or Threatened Species] No E.2.p. [Rare Plants or Animals] No E.3.a. [Agricultural District] No E.3.c. [National Natural Landmark] No E.3.d [Critical Environmental Area] No

E.3.e. [National or State Register of Historic Digital mapping data are not available or are incomplete. Refer to EAF Places or State Eligible Sites) Workbook.

E.3.f. [Archeological Sites] Yes E.3.i. [Designated River Corridor] No

EAF Mapper Summary Report Wednesday, May 1, 2024 10:35 AM

es Udele2 &

O06 410) Se 200 DAU METS 2

OB SSOA S12 5

XC , é

ps

: ; | TEMPERA

MD SAO 1-12 40 substitute for agency determinations. Sard Dek ile oe Kingsten Monte} ‘Torgnto : b A) Hamiltan ayer

beso acl on Burtato Naa wh

Albany

f ein

6-4 ON a a2) romana i Sources Esr, HERE Garmin, LSGS Irtermac INCREMERE Se ; ’ ARCary, Est Jepan BET) Ese Chua rong korg, Ear Keres, Esy ; Thajane GCS (f° OperreelMap cortuc.tors ard tne Sis User Letiovity Esa HERE Garvin PRE WSs APs

Sitti hia

B.i.i [Coastal or Waterfront Area] B.i.ii [Local Waterfront Revitalization Area] C.2.b. [Special Planning District]

C.2.b. [Special Planning District - Name]

E.1.h [DEC Spills or Remediation Site - Potential Contamination History]

E.1.h.i [DEC Spills or Remediation Site - Listed]

E.1.h.i [DEC Spills or Remediation Site - Environmental Site Remediation Database]

E.1.h.iii [Within 2,000' of DEC Remediation Site]

E.2.g [Unique Geologic Features]

€.2.h.i [Surface Water Features]

E.2.h.ii [Surface Water Features]

E.2.h.iii [Surface Water Features]

E.2.h.v [Impaired Water Bodies]

E.2.). [Floodway]

E.2,j. [100 Year Floodplain]

E.2.k. [500 Year Floodplain]

E.2.1. [Aquifers]

E.2.n. [Natural Communities]

&.2.0. [Endangered or Threatened Species] E.2.p. [Rare Plants or Animals]

No Yes

NYS Heritage Areas:West Erie Canal Corridor

Digital mapping data are not available or are incomplete. Refer to EAF Workbook.

Digital mapping data are not available or are incomplete. Refer to EAF Workbook.

Digital mapping data are not available or are incomplete. Refer to EAF Workbook.

No

No No No No No No No No No No No No

E.3.a. [Agricultural District] No E.3.c. [National Natural Landmark] No E.3.d [Critical Environmental Area] No

E.3.e. [National or State Register of Historic Digital mapping data are not available or are incomplete. Refer to EAF Places or State Eligible Sites] Workbook.

E.3.f. [Archeological Sites] No E.3.i. [Designated River Corridor] No

EAF Mapper Summary Report Wednesday, May 1, 2024 10:05 AM

0680452297) iest0hs 228 9 to cbtain data not provided by the Mapper. Digital data Is not a =e aes ae ‘ substitute for agency determinations. VALE RED: Sand Woe taille ot Kingston Montel > Totonio ' Harnslton echeater OFLA 6) OR AT ee Bultslo

Albany

t

] Sources Est HERE Garmin, USSS Iptermac INCREMERT s° tRCarl Esa Japan MET) Esri Chivas (hong Xorg Eas korea, ES Sharada WGCC tc) Oper Streeattdlap cortiscterm ars tna Gis User £@ifintortit}, Esri HERE Gerrin, PRE WSSs Nes

Prttehienh B.i.i [Coastal or Waterfront Area] No B.i.ii [Local Waterfront Revitalization Area] Yes C.2.b. [Special Planning District] Yes - Digital mapping data are not available for all Special Planning Districts.

Refer to EAF Workbook. C.2.b. [Special Planning District - Name] NYS Heritage Areas:West Erie Canal! Corridor

E.i.h [DEC Spills or Remediation Site - Digital mapping data are not available or are incomplete. Refer to EAF Potential Contamination History] Workbook. E.1.h.i [DEC Spills or Remediation Site - Digital mapping data are not available or are incomplete. Refer to EAF Listed] Workbook. E.1.h.i [DEC Spills or Remediation Site - Digital mapping data are not available or are incomplete. Refer to EAF

Environmental Site Remediation Database] Workbook. E.1.h.iii [Within 2,000° of DEC Remediation No

Site]

E.2.9 [Unique Geologic Features] No E.2.h.i (Surface Water Features] No E.2.h.ii [Surface Water Features] No E.2.h.iii [Surface Water Features] No E.2.h.v [Impaired Water Bodies] No E.2.i, [Floodway] No E.2,j. [100 Year Floodplain] No E.2.k, [500 Year Floodplain] No E.2.1. [Aquifers] No E.2.n. [Natural Communities] No

E.2.0. [Endangered or Threatened Species] No E.2.p. [Rare Plants or Animals] No

E3.a. [Agricultural District] No E.3.c. [National Natural Landmark] No E.3.d [Critical Environmental Area] No

E.3.e. [National or State Register of Historic Digital mapping data are not available or are incomplete. Refer to EAF Places or State Eligible Sites] Workbook.

E.3.f. [Archeological Sites] No E.3.i. [Designated River Corridor] No

EAF Mapper Summary Report Wednesday, May 1, 2024 10:18 AM

Aibany

fh

4 Seetces: Ber, HERE Garris, USGS. Intermac INCREMER = iRCarn, Est Jopan METE Ese Chinn thong <org: bor Keres Ese Tharana RGCL fc) QperSrestMap cortuoutors ard tna Sis

Sct, Leathosd totale ated Wee lS Lee Orn andy User Seiintitit: Esl HERE Garvin, PRS MSS NPs Pitts hi trrth B.i.i [Coastal or Waterfront Area] Yes B.i.ii [Local Waterfront Revitalization Area] Yes C.2.b. [Special Planning District] Yes - Digital mapping data are not available for all Special Planning Districts.

Refer to EAF Workbook. C.2.b. [Special Planning District - Name] NYS Heritage Areas:West Erie Canal Corridor

E.1.h [DEC Spills or Remediation Site - Digital mapping data are not available or are incomplete. Refer to EAF Potential Contamination History] Workbook. E.1.h.i (DEC Spills or Remediation Site - Digital mapping data are not available or are incomplete. Refer to EAF Listed] Workbook. E.1.h.i [DEC Spills or Remediation Site - Digital mapping data are not available or are incomplete. Refer to EAF

Environmental Site Remediation Database] Workbook. E.1.h.iii (Within 2,000° of DEC Remediation No

Site]

E.2.g [Unique Geologic Features] No E.2.h.i [Surface Water Features] No E.2.h.ii [Surface Water Features] No E.2.h.ii [Surface Water Features] No E.2.h.v [Impaired Water Bodies] No E.2.i. [Floodway] No E.2,j. (100 Year Floodplain) No E.2.k. [500 Year Floodplain] No E.2.1. [Aquifers] No E.2.n. [Natural Communities] No

E.2.0. [Endangered or Threatened Species] No E.2.p. [Rare Plants or Animals] No

E.3.a. [Agricultural District] No E.3.c. [National Natural Landmark] No

E.3.d [Critical Environmental Area] No

E.3.e. [National or State Register of Historic Digital mapping data are not available or are incomplete. Refer to EAF Places or State Eligible Sites) Workbook.

E.3.f. [Archeological Sites] Yes E.3.i. [Designated River Corridor] No