14-16-4 (9/95)Text 12
PROJECT ID. NUMBER SEQR
Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1. APPLICANT/SPONSOR Webster Central School District
2. PROJECT NAME Conveyance of easement to Monroe County Water Authority
3. PROJECT LOCATION: 0 Publisher’s Parkway, Tax Map #: Part of 079.07-1-27.1 located in the Town of Webster, County of Monroe, State of New York 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) 0 Publisher’s Parkway, Tax Map #: Part of 079.07-1-27.1 located in the Town of Webster, County of Monroe, State of New York 5. IS PROPOSED ACTION: New X
Expansion
Modification/alteration
6. DESCRIBE PROJECT BRIEFLY: Easement granting right-of-way for water main 7. AMOUNT OF LAND AFFECTED: Initially:+/- .054 acres
Ultimately:
+/- .054 acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes X No
If No, describe briefly
N/A
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential
Industrial
Park/Forest/Open space Describe:
Commercial
Agriculture
Other X Municipal/School
10. DOES ACTION INVOLVE A PERMIT, APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE or LOCAL) Yes X No
If yes, list agency(s) and permit/approvals
Board of Education of Webster Central School District 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? N/A Yes
No X If yes, list agency name and permit/approval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes
No X
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Webster Central School District Date: Signature:_________________________ Brian Neenan Superintendent of Schools If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment