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                  <text>A special meeting was held by the Planning Board on November 3,
1993 at 8:00 PM in Village Hall, 28 Beekman Avenue, North
Tarrytown, New York 10591
Members Present: George Hritz, Chairman
Steven Salman
Donald Caetano
Roman Windas
Edward McCarthy
James Donovan
Also Present: Janet Gandolfo, Esq.
James Margotta, Building Inspector
Susan Portman, Frederick P. Clark Assoc.
Joseph Gulino, CAMCE
Absent: Ellen Tsangaris
IN THE MATTER OF PHELPS MEMORIAL HOSPITAL 701 NORTH BROADWAY,
NORTH TARRYTOWN, NEW YORK
Chairman Hritz called the meeting to order and stated that this
meeting was requested by Phelps Memorial to discuss changes on
the site plan and other issues. Mr. Hritz also stated that the
Planning Board is intended to be the lead agency. Ms. Portman
stated that the circulation has been made and there have been no
responses at the present time, but thirty days have not passed.
Mr. Davidow, Senior Vice Present of Phelps Memorial stated that
the four outstanding issues have been done. A meeting was held
to walk through the site and found that some concerns had
developed with all the changes. Mr. Davidow contacted Mr. John
Slaker, ASLA, of Design Landscaping who is familiar with the
needs of this project. (Copy of Mr. Slakers recommendation in
official minutes) This recommendation included a 3 foot berm
topped by 5' -6' Norway Spruce and/or White Pine. This would be
used to protect the area with visual contact.
Mrs. Martha Bick, a resident of Sleepy Hollow Manor stated that
the distance between the trees were too close. The trees would
end up dying. She believes that the plan is not good. Where the
parking lot is located, the headlights shine into her windows.
Mr. Richard Weiss also a resident of Sleepy Hollow Manor stated
that the parking lot is an extra addition as a result of the new
construction.
Mr. Todd Jack of Phelps Memorial Hospital stated that the office
building if* on an 8-5PM schedule. He will try to rectify every
problem concerning the new construction.

�Mr. Weiss stated that as for the location of fence, it would be
fine if it was moved somewhere else as long as the residents dot
not suffer from the headlights at 5:00 PM. Sleepy Hollow Manor
would be impacted.
Mr. Salman stated that this lot should be closed a certain
portion of the day and a tall fence should be put in at the south
side of the exit so that the lights would not shine into Sleepy
Hollow Manor.
Mr. Bick stated
could be put up
disease -through
cheaper and more

that she would prefer trees and that a fence
while they grow in.
Mr. Salman stated that
Evergreen trees is popular, a fence may be
secure.

Mr. Donovan stated that White Pines grow faster and berm is
higher than the headlights.
Dr. Salman also suggested box wood hedges. Mr. Weiss stated that
the foliage has to be maintained.
Dr. Salman asked who would
determine if a tree is dead.
Open spots would need to be
replaced.
A fence is more practicle and it would be less
maintenance.
Mr. Caetano suggested a double slide wood fence.
this fence is used on the Taconic parkway.

An example of

Mr. Windas stated that the residents side needs to be resolved.
The site plan should show berm, proposed trees and ideas
concerning the fence so that a compromise is made.
Mr. Todd Jack explained that area A, (the parking on the west
side) betm and tress in the area may be sufficient.
Area C
cannot be rectified do to a grading problem. A fence may or may
not solve the problem.
Area B is the compost site for the
leaves. This would have to be looked into.
Mr. Hritz stated that area A is acceptable. Areas D and C need
to be looked at. The plan is relatively indifferent.
Mr. Gulino stated that a parking analysis was performed and it is
more than adequate. The sewage plan will be submitted to the
Board at the next meeting. Mr. Gulino is awaiting a response
from I.B.M.
Ms. Portman reviewed her comment with the Board and stated that
the dimension issue on the drawing will be addressed and the
handicap issue has been done. (Review comments in official
minutes).

�The Board decided to meet with Mr. Davidow and Mr. Jack on
Sunday, November 7, 1993 at 9:00 AM to walk through the site
before any final decisions are made.
Being no further business, the meeting was adjourned.
Respectfully submitted,

Christine Yurkovic
Recording Secretary

�D R A F T
RESOLUTION
Adopted at the October 21, 199 3 Meeting of the
Village of North Tarrytown Planning Board
RESOLUTION:

SITE PLAN AND SUBDIVISION APPROVAL
PROPOSED: 2-LOT SUBDIVISION AND CONSTRUCTION OF
THREE-FAMILY RESIDENCE IN 2 1/2 STORY BUILDING
OWNER: MR. AND MRS. ARLINDO RUIVO
LOCATION: 39 DEPEYSTER STREET (AT NORTHWEST CORNER
WITH WASHINGTON STREET)
TAX DESIGNATION: SECTION 16, BLOCK 12, LOT 2
ZONING: R-5 RESIDENTIAL

WHEREAS, the Planning Board of the Village of North Tarrytown
has reviewed an application for site plan and subdivision approval
pursuant to the Subdivision Regulations of the Village of North
Tarrytown, Chapter 62, Zoning, of the Code of the Village of North
Tarrytown and other requirements of the Village Code considered
pertinent to the application, which application is to subdivide a
property that is approximately 14,000 square feet in size and is
located at the northwest corner of Washington Street and Depeyster
Street, and is known as tax Lot 16A of Section 15, Block 13, into
two lots, to construct a three-family 2 1/2-story residence with
three paved parking spaces and three garage spaces on the smaller
lot, and to construct three paved parking spaces and to provide for
the potential future development of three landbanked spaces on the
larger lot, which contains an existing three-family residence, as
shown on the drawing prepared in the office of Samuel F. Vieira,
R.A., and further identified as follows:
"Site Plan, Proposed Sub-division for: Mr. &amp; Mrs. Arlindo
Ruivo, 39 Depeyster St., N. Tarrytown, NY," dated 9/7/93 and
last revised 10/19/93, scale 1" = 20*; and
WHEREAS, the plan proposes the subdivision of the property
into two lots, the larger to be approximately 8,100 square feet and
the smaller to be approximately 5,800 square feet in size; and
WHEREAS, the larger lot will contain the existing three-family
three-story frame residence and the Applicant proposes to build a
new macadam driveway and three paved spaces shown as P4, P5 and P6
on the plan, with spaces PI, P2 and P3 to be shown as "future
parking" and to be landscaped until they may be needed or required
by the Planning Board in the future; and
WHEREAS, the Applicant proposes to construct a 2 1/2 story
three-family residence with three garage parking spaces, a macadam
drivev/ay and three paved parking spaces on the smaller lot; and
WHEREAS, evergreen hedges will be placed along the Washington
Street side of the property to screen the view of the paved parking
spaces on the larger lot as shown on the plan; and

�WHEREAS, the smaller lot will be landscaped and a 5-foot high
attractive fence will be located on the western boundary of the lot
to screen parking spaces PI, P2 and P3; and
WHEREAS, fencing, for safety purposes, will also be provided
on the top of the proposed retaining walls; and
WHEREAS, the Applicant has stated that the lighting in the
parking areas will be controlled with motion detectors for energyefficiency and that the fixtures will be directed downward onto the
property so that there will not be glare onto other properties; and
WHEREAS, the Applicant has received an area variance for the
size deficiency of the rear yard of the larger lot from the Zoning
Board of Appeals of the Village of North Tarrytown; and
WHEREAS, the site has been visited by the Village's Planning
and Engineering Consultants and the Planning Board is thoroughly
familiar with the site and all aspects of the proposed project; and
WHEREAS, a duly advertised public hearing was held at the
Village Hall on October 21, 1993, at which time those wishing to be
heard were given the opportunity to be heard; and
WHEREAS, in the course of its review and acting as Lead Agency
pursuant to Part 617 of the implementing regulations pertaining to
Article 8 of the Environmental Conservation Law, the Planning Board
has made the following findings and caused, noted, or conducted the
following activities:
1.

Received an application fee of $

;

2.

Caused field inspections to be made of the property and of the
surrounding areas;

3.

Requested, received and considered comments from the Village
Planning and Engineering Consultants and the Building
Inspector;

4.

Acting as Lead Agency, requested, received and reviewed a Full
Environmental Assessment Form (EAF) in compliance with the New
York State Environmental Quality Review Act (SEQRA);

5.

After review of the application, EAF, and property as well as
other information submitted by the Applicant, the Planning
Board declared itself Lead Agency and circulated a "Negative
Declaration," dated October 21, 1993, in which the Planning
Board stated its determination of non-significance of
environmental impact for this Type I action;

NOW, THEREFORE, BE IT RESOLVED, that said application for site
plan and subdivision approval and the plan noted above be and
hereby are granted site plan and subdivision approval and that the
Applicant may obtain the endorsed approval of the Planning Board
Chairman or, as an alternate, the Village Administrator, on a copy
2

�of this site plan and subdivision resolution and upon the final
mylar copy of the site plan and the final mylar copy of the
subdivision plat drawing revised as necessary to show compliance
with the following conditions, and the Applicant may obtain the
endorsement of the Westchester County Department of Health on the
final subdivision plat which endorsements shall permit filing in
the offices of the Village Building Department, for purposes of
obtaining a building permit in accordance with this resolution and
all building code requirements, and the offices of the Westchester
County Clerk, provided, however, that this site plan approval shall
expire within twelve (12) months of the date of this resolution if
the following modifications and conditions have not been completed
to the satisfaction of the Planning Board and/or the Applicant has
not obtain a building permit and the subdivision approval shall
expire within ninety (90) days from the date of this resolution if
the following modifications and conditions have not been completed
to the satisfaction of the Planning Board:
1.

All references to the "Applicant"
Applicant's successor and assigns.

2.

Fees - The Applicant shall pay to the Village of North
Tarrytown:

3.

shall

include

the

2.1

An inspection fee for construction inspection of the
property for compliance with the approved site plan in
accordance with the Village of North Tarrytown Zoning
Code;

2.2

A recreation fee in the amount of $
, subject to the
approval of the Village Board of Trustees;

2.3

The reimbursement of all application review fees as noted
and required in Section 62-30(f) of the Village Zoning
Code, as approved by the Village Attorney.

Revision of the above noted plan, to the satisfaction of the
Planning and Engineering Consultants, to demonstrate the
following:
3.1

3.2

3.3

The signature block shall be revised to comply with the
wording in Section HA(l)c(14c) of the Subdivision
Regulations and to provide a line for the endorsement of
the Westchester County Department of Health;
Parking spaces PI, P2 and P3 shall be shown on the plan
as "future parking" to be implemented by the Applicant as
needed or within 180 days of being determined necessary
by the Planning Board;
The plan drawing shall be revised and titled "Final Site
Plan" and a separate drawing showing the subdivision line
but not including the proposed development shall be
submitted and titled "Final Subdivision Plat";

3

�3.4

The date of this resolution shall be noted on the final
subdivision plat and on the final site plan.

4.

The landscaping to be provided on the smaller lot and the
additional hedges and other landscaping materials shown to be
provided on the larger lot shall be maintained in a healthy
growing condition. There shall be diversity in the species of
vegetation planted.

5.

Prior to the issuance of a certificate of occupancy, the
Applicant shall submit to the Village Building Inspector a
mylar reproduction of the site plan complete with the
certification
of
a professional
architect
and/or a
professional engineer attesting to construction of the site
plan and its improvements as shown thereon.

6.

All elements of this approved site plan shall be completed to
the satisfaction of the Village Building Inspector within a
period of eighteen (18) months from the date of the issuance
of the building permit and prior to the issuance of a
certificate of occupancy. The Planning Board may issue an
extension on this time limit, or may modify any of the above
conditions with respect thereto, for good cause.

7.

The Planning Board reserves the right to make a final field
inspection of the project after construction of the
facilities, upon notice of the Building Inspector, and before
the issuance of a certificate of occupancy. The purpose of
this final inspection is to review the development and to
require any modifications to parking, drainage, access, paving
and other site plan details, which do not comply with the
approved plan and interest of safety, convenience, aesthetics
and the enjoyment and peace and quiet of adjacent neighbors.

PLANNING BOARD
VILLAGE OF NORTH TARRYTOWN

By:

Date:
George F. Hritz, Chairman
Village of North Tarrytown Planning Board

500\not3-045.sjp.crc

4

�I
t

I

14 YM {2'6~;-7t
617.21
Appendix A
State Environmental Quality Review

SEOR

FULL ENVIRONMENTAL ASSESSMENT FORM
*W&gt;urpose:

The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project
or action may be significant The question of whether an action ma\ be significant is not always easy to answer Frequently, there are aspects of a proiect that are subjective or unmeasureable It is also understood that those who determine
significance ma\ have little or no formal knowledge of the environment or may be technicall\ expert in environmental
analysis In addition. man\ who have knowledge in one particular area may not be aware of the broader concerns affecting
the question of significance
The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination
process has been orderly, comprehensive in nature, yet flexible to allow introduction of information t o fit a project or action.

Full EAF Components: The full EAF is comprised of three parts.
Part 1: Provides objective data and information about a given project and its site By identifying basic project
data, it assists a reviewer in the analysis that takes place in Parts 2 and 3.
Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides
guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentiallylarge impact. The form also identifies whether an impact can be mitigated or reduced.
Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the
impact is actually important

DETERMINATION OF SIGNIFICANCE-Type 1 and Unlisted Actions
Identify the Portions of EAF completed for this project:

r£L

Part 1

^

Part 2

DPart 3

Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting
information, and considering both the magitude and importance of each impact, it is reasonably determined by the
ead agency that.
D

A

The project will not result in any large and important impact(s) and, therefore, is one which will not
have a significant impact on the environment, therefore a negative declaration will be prepared.

G

B. Although the project could have a significant effect on the environment, there will not be a significant
effect for this Unlisted Action because the mitigation measures described in PART 3 have been required,
therefore a CONDITIONED negative declaration will be prepared.*

D

C The project may result in one or-more large and important impacts that may have a significant impact
on the environment, therefore a positive declaration will be prepared.
* A Conditioned Negative Declaration is only valid for Unlisted Actions

Name of Action

Name of Lead Agency"

fjhjrt**t\
Title of Responsible Officer

$

Signature of Responsible Officer in/Lead Agency

nature of Preparer (If different from
froi responsible officer
Signature

Date

rV vs

]

•

�r

PART 1-PROJECT INFORMATION
Prepared by Project Sponsor

i

NOTICE Thi«. d o c u m e n t is designed to assist in d e t e r m i n i n g whether the a c t i o n p r o p o s e d may have a s i g n i f i c a nitt e f f e c t
o n the e n v i r o n m e n t Please c o m p l e t e the entire f o r m Parts A t h r o u g h f Answers t o these questions w i l l be consi
mdere^
as part of the a p p j , c a t i o n for a p p r o v a l and may be subiect to f u r t h e r v e r i f i c a t i o n a n d p u b l i c review Provide- any a d d i
i n f o r m a t i o n y o u believe w i l l be needed t o c o m p l e t e Parts 2 and 3
l l is e x p e c t e d t h a t c o m p l e t i o n of t h e full EAF w i l l be dependent on i n f o r m a t i o n c u r r e n t l y a v a i l a b l e a n d w i l l not i n v o l v e
new studies, resea rch o r i n v e s t i g a t i o n If i n f o r m a t i o n requiring such a d d i t i o n a l w o r k is unavailable, so indie ate a n d specify
each instance
'
NAME OF ACTION

StfiVgi 5;+ep[ftn ftno1 V^'Ance

kffteajnfr*

LOCATION OF ACTION (Include SVeel Address. Municipality end County)
^JN^SPONSDR
NAME OF APPLICAlsn/SPONS&lt;

'

'

«ON%
I BUSINESS TELEPHONE

ADDRESS

at^M: 5 ^

-U

CITY/PO

STATE

iA rAfuofpitfrj

U1 \ tt&amp;H
%ip_mdi£l

NAME OF OWNER (|? different)

BUSINESS TELEPHONE

ADDRESS
CITV.'PO

ZIP CODE

^LJJ^BJS£-

STATE

LhJtftfPJV* M/

ZIP CODE

&lt;/y i /*?sy

DESCRIPTION OF ACTION

rfOeu &lt;L 5 &gt; W Y £&amp;6$7

-office. W

rets*****

*?**+«***-

Please C o m p l e t e Each Q u e s t i o n — I n d i c a t e N.A. if not a p p l i c a b l e

A. Site Description
Physical setting o f overall project, b o t h d e v e l o p e d a n d u n d e v e l o p e d areas
1

Present l a n d u s e

CUrban
\ZForest

2

Clndustnal

[^Commercial
r

LjAgncultu e

T o t a l acreage o f project area

-

&lt; ^

^

acres

Forested
cropland, pasture

etc)

AFTER C O M P L E T I O N

acres

acres

acres

acres

acres

acres

acres

acres

W a t e r S u r f a c e Area

acres

acres

L'nvegetatec

acres

(Rock, e a r t h or f i l l )

O t h e r ( I n d i c a t e type)

acres

,

acres

\\ hat is p r e d o m i n a n t so.I type(s] or. protect sue
a

Soil d r a i n a g e

^ U e l l draped

(GO

?

b

A-e there o e d ' o •;•• &lt;^ -'c r o p p i p p 1
c

\ \ hi-: 's Ci - :K t o o« c o o .

[ I M o d e r a t e ^ vseH drained

ToT

acres
acres
acres

% of site

% of site

If a n \ a g n c j l t u r a l land is m \ o ! \ e d hov% a-ar^
Land C l a s s i f i c a t i o n System? ___

Lk£

% of sjte

L. Poorly drained

•i

PRESENTLY

W e t l a n d (Frev,h*ater or t i d a l as per Articles 24. 25 or ECL)

Roads, b u i l d i n g ' s n d other p a v e d surfaces

^

EI'Rural (non-farm)

DOther

A P P R O X I M A T E ACREAGE
M e a d o w or B r u s h l a n d (Non-agricultural)

A g r i c u l t u r a l ( i n c l u d e s orchards

'^^Residential (suburban)

ac res of soil are classified ^ . t h i n soil g-Oup 1 t h r o u g h A of the

acres (Sec- 1 N'^CRR 370;
( S

p-r

&gt;T

.ri tt-et

/^N O

M

l

�S App'o&gt;""nat( percentage of p'opoiedp'oject s»'.t * i t h slopes

/2&amp;J0**

%

DlOISS.

— 1f&gt;9t, or greater
b

Is prefect substantial^ contiguous 10. o» contain a building
Registers of Historic Places 7
Oes
Cj^o

7

Is project substantially contiguous to a site listed on the Register of National Natural Landmarks'

•

What is the depth of the water table
9

7

site

%

V

or district, listed on the State or the National

CYes

E?NTJ

. {in feet)

Is site located over a primary, principal, or sole source aquifer?

DYes

0ko

10

D o hunting, fishing or shell fishing opportunities presently exist in the project area*

11

Does project site contain any species of plant or animal life that is identified as threatened or endangered?
DYes

©ft»io

DYes

C?Co

According to

Identify each species
12

Are there any unique or unusual land forms on the project site? (i.e , cliffs, dunes, other geological formations)
DYes

13

Is the project
DYes

14

Q»e

site presently used by the community or neighborhood as an open space or recreation area?
GfNb
If yes, explain

Does the present site include scenic views known to be important to the community?

DYes
15

"T
P
18

19

Name

~~

.

b

Is the site served by existing public utilities

7

£&amp;Yes

Size (In acres)

jt^X

a) If Yes, does sufficient capacity exist to allov\ connection 7
b) If Yes, will improvements be necessar\ to allow connection

^Yes
7

DNo

DYes

,/SiNo

Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law. Article 25-AA.
Section 303 and 304?
DYes
CTfar
Is the site located in or substantially contiguous^ifLa Critical Environmental Area designated pursuant to Article 8
of the ECL, and 6 NYCRR 617?

20

'

N a m e of Stream and name of River to which it is tributary

Lakes, ponds, vvetland areas within or contiguous to project area
a

^

Efko

Streams within or contiguous to project area
a

it-

Describe

J6&amp;e$

v " ^ ^ /

Has the site ever been used for trie disposal of solid or hazardous wastes 7

DYes

CNo

B. Project Description
1

Physical dimensions and scale of project (fill in dimensions as appropriate)
a

Total c o n t i g u o u s acreage o w n e d or c o n t r o l l e d by project sponsor

b

Project acreage t o be developed

. c ^ s ^ Q ^ a c r e s initially,
/ t ^ t

_ _ _ 2 3 § Z j ^ ? acres u l t i m a t e ! \

c

Project acreage t o remain u n d e v e l o p e d

d

Length of p r o j e c t , in miles

e

It the p r o j e c t is an expansion, indicate percent of expansion proposed

acres

(If appropriate)

f

N u m b e r of off-street parking spaces ex.sting

g

M a x i m u m v e h i c u l a r trips generated per h o ^ r

h

It r e s i d e n t i a l

initially.

0

acres

&gt;r'

proposed

s

3=^_&gt;&lt; ' u p o n c o m p l e t i o n of project 1 7

N u m b e r and t \ p e o* h:^Mr.g umts
O n e Farr,il\
Two Famil\
I

%.

M u l t i p l e FarrnK

Condominium

:*(;.* -" •••;*•*"

L I t . m a t t !\
D i m e n s i o n s (in t e e t l ot l a t e s t propesed structure

/ &lt;-*•*

height

"Z* S

width

7 U

length

�2 . H o * much natural materia! (it

rock earth etc ) will be removed from the site'

3 Will disturbed areas be reclaimed'

DYes

0Wo

r

tons'cubic yard*

ON.A

a M yes. for * h a t intend . purpose is the site being reclaimed 7
b Will topsoil be stockpiled for reclamation 7

DYes

c Will upper subsoil be stockpiled for reclamation 7

.

GN'o
DYes

DNo

4 How many acres of vegetation (trees, shrubs, ground covers) will be removed from site'

Q

acres

5 Will any mature forest (o\er 100 years old) or other locally-important vegetation be removed by this project 7

DYes

Qpe

4
J

6 If single phase project. Anticipated period of construction

^

months, (including demolition)

7 If multi-phased.
a. Total number of phases anticipated

(number)

b Anticipated date of commencement phase 1

month

c. Approximate completion date of final phase

month

d

V

Is phase 1 functionally dependent on subsequent phases?

8 Will blasting occur during construction?

DYes

C

r

year.

DYes

DNo

G^Ne

9 Number of jobs generated during construction
10 Number of jobs eliminated by this project

year, (including demolition).

p

/O

, after project is complete

'

11 Will project require relocation of any projects or facilities?

DYes

3Sk&gt;

If yes, explain

|
i

12 Is surface liquid waste disposal involved 7

DYes

jBrsio

r*
i

a If yes, indicate type of waste (sewage, industrial, etc ) and amount
b Name of water body into which effluent will be discharged
13 Is subsurface liquid waste disposal involved 7

DYes

\2^k&gt;

'.

Type

14 Will surface area of an existing water body increase or decrease by proposal 7
Explain
15 Is project or any portion of project located in a 100 year flood plain 7
16 Will the project generate solid waste7

DYes

DYes

DYes

/5lNo

If yes, what is the amount per month

b

If yes, will an existing solid waste facility be used7

c

If yes, give name

tons

•

DYes

DNo

i

; location

d Will any wastes not go into a sewage disposal system or into a sanitary landfill?

b

':''
.'

If yes, what is the anticipated sue lite
7

DYes

£&gt;&amp;o

7

tons month

7

years
DYes

C?N-o

Will project routinely produce odors (more than one hour per da^j7 DYes
V\il! project produce operating noise exceeding the local ambient noise levels
\\ :!! project result in an increase in energ\ use
!i \t^

-.

7

D&gt;es

DYes

0No

3r^ro
.

IT water supply is from wells, indicate purrf. r :g capacity

gallons'mmute

s
L.

Total anticipated water usage per da\
,
gallons/day
Does project involve Local State or Fed-?':-' \ - d - g ;
DYes

;• ^

2?K©
7

, indicate t\pe'.sj

• —1

1-

r
!

uNo

'

If yes. what is the anticipated rate of disposal

16 Will project use herbicides or pesticides
"Y

DYes

If Yes, explain

17 Will the project involve the disposal of solid waste 7
a

I

i&amp;No

a

e

/ff&gt;&amp;o

^ip

__

�t

Submittal
Date

25 Approval* Required.

Type
Ot&gt;. Town. Village Board

-S«'ttPUr\

Gu^^kra-TT Village Planning Board
City: Tovwv Zoning Board

,

Gttyr County Health Department

-^

f.

.AM

.

I

m

4-*

,

A.J.

_

l&lt;

I .

.

Other Local Agencies
Other Regional Agencies
State Agencies

DYes £ N O

Federal Agencies

DYes | 5 N O

C. Zoning and Planning Information
1

Does proposed action involve a planning or zoning decision?

/&amp;¥«

DNo

If Yes, indicate decision required:
Dzoning amendment

d r o n i n g variance

Dnew/revision of master plan

Dspecial use permit

Dresource management plan
£"5"

Osubdivision

Osite plan

Dother

2

What is the zoning classification's^ the site?

3

What is the maximum potential development of the site if developed as permitted by the present zoning 7

£^ulfir*K/rtfy&lt;-~
/UfrC&amp;O

?-£S &lt;&amp;'-&gt;-&lt; *l

r*&amp;feT

DiSirlcf

S'***&gt;M~ f f r W u t &lt;Ju&amp;lli*4

A

What is the proposed zoning of the site?

&amp;AMt

grQyi«tt^&gt;

5

What is the maximum potential development of the site if developed as permitted by the proposed zoning?

hS£fir_
6

Is the proposed action consistent with the recommended uses in adopted local land use plans?

7

What are the predominant land use(s) and zoning classifications within a V* mile radius of proposed action?

f&amp;£,/Q^AfnA1^

J2&gt;$.'es

)No

/'c^vUUdXLc/JL^

8

Is the proposed action compatible with adjoiningsurrounding land uses within a V* mile?

9

If the proposed action is the subdivision of land, how many lots are proposed?

afces

)No

DYes

£*Co

/[r//ff~

a What is the minimum lot size proposed?
10

Will proposed action require any authonzation(s) for the formation of sewer or water districts?

11

Will the proposed action create a demand for any community provided services (recreation, education, police,
fire protection)?
DYes
Bro
a

12

If yes, is existing capacity sufficient to handle projected demand?

DYes

DNo

Will the proposed action result in the generation of traffic significantly above present levels?
a

If yes. is the existing road netvvck adequate to handle the additional traffic?

DYes

DYes

£soo

D'No

D. Informational Details
Attach any additional information as ma\ be needed to clarifv. your project If there are or mav be any adverse
impacts associated with your proposal, please discuss such impacts and the measures which vou propose to mitgate or
c i Old them.

E. Verification
I cert if \ that the information provided abojf:-!;- irue to the bes' of m\ knowledge
Applicant Sponsor Name

^^fPWJ^

Signature

.

&lt;^r-~^^
Title

Di'e

^_

^ 7 7 - 3

/^CJft^f

If the action is in the Coastal Area, and vou arc a stale aptnrv. complete tht Coastal Assessment Fu-m ire tc re p'i.e ceding
* 'r. ihis assessment
5

*

�Pari 2-PROJECT IMPACTS AND THEIR MAGNITUDE

|

Reiponsibilit) ol lead Agenc&gt;
'General Information (Read Carefull\)
• In completing the form the reviewer should be guided b\ the question Have m&gt; responses and determinations been .'
reasonable? The reviewer is not expected to be an expert environmental analyst
f
Identifying that an impact will be potential large (column 2) does not mean that it is also necessarily significant.
An\ large impact must be evaluated in PART 3 to determine significance Identifying an impact in column 2 simplv,
asks that it be looked at further

•

f

• The Examples provided are to assist the reviewer b\ showing types of impacts and wherever possible the threshold of
magnitude that would trigger a response in column 2 The examples are generalK applicable throughout the State and
for most situations But, for any specific project or site other examples and or lower thresholds may be appropriate
for a Potential Large Impact response, thus requiring evaluation in Part 3
•.The impacts of each project, on each site, in each locality, will vary Therefore, the examples are illustrative and
have been offered as guidance They do not constitute an exhaustive list of impacts and thresholds to answer each question
• The number of examples per question does not indicate the importance of each question
• In identifying impacts, consider long term, short term and cumlative effects
Instructions (Read carefully)
a Answer each of the 19 questions in PART 2. Answer Yes if there will be an&gt; impact

r

b Maybe answers should be considered as Yes answers
c If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the
impact If impact threshold equals or exceeds an&gt; example provided, check column 2 If impact will occur but threshold
is lower than example, check column 1

f
!

d If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3
e If a potentially large impact checked in column 2 can be mitigated by change!*) in the project to a small to moderate
impact, also check the Yes box in column 3 A No response indicates that such a reduction is not possible This
must be explained in Part 3

IMPACT ON LAND
Will the proposed action result in a physical change to the project site?
/ ^ Q
DYES
Examples that would apply to column 2
• Any construction on slopes of 15% or greater, (15 foot rise per 100
foot of length), or where the general slopes in the project area exceed
10%

1

2

3

Small to
Moderate
Impact

Potential
Large
Impact

Can Impact Be
Mitigated By
Project Change

D

D

DYes

GNo

u

D

QYes

G'No

n

D
D

GYes
DYes

GNo
CNO

c

GYes

LNo

!

I

G&gt;es

CNO

i

I

GYes
!__&gt;es
GYes

GNO
GNO
L_No

1

• Construction on land where the depth to.the water table is less than
3 feet
• Construction of paved parking area for 1,000 or more vehicles
• Construction on land where bedrock is exposed or generally within
3 feet of existing ground surface

• — i

• Construction that will continue for more than 1 year or involve more
than one phase or stage

—

• Excavation for mining purposes that would remove more than 1,000
tons of natural material (i e , rock or soil) per year

—
—

• Construction or expansion of a sanitary landiill
• Construction in a designated floodwav,
• Other impacts

r—

I—'
I

—

—

L

#

VVili there be an effect t- . .iy u:..que or u n u ^ a l lend torrns found on
the site? (i e . cliffs, dunes, geological tor mat ions, etc \2.'s&gt;Q
DHS

• Specific

land forms

,

,

—

—

G&gt;e.^

I N :

I

e

&amp;

-

�IMPACT ON WATER
W i l l proposed action affect any water body designated as protected'
(Under Articles 15, 24. 25 of the Environmental Conservation Law. ECU
^Ofto
DYES
Examples that would apply to column 2
Developable area of site contains a protected water bod\

1

2

Small t o
Moderate
Impact

Potential
Large
Impact

D
D

D
D

D
D
D

D
D
D

D

Can Impact Be
M i t i g a t e d By
Project Change

DYes

DNO

DYes

DNo

DYes

DNo

DYes

DNo

DYes

DNo

D

DYes

DNo

D
D

D
D

DYes
DYes

DNo

D
D

D
D

DYes

DNo

DYes

DNo

• Proposed Action requires water supply from wells with greater than 45
gallons per minute pumping capacity.

D

D

DYes

DNo

• Construction or operation causing any contamination of a water
supply system.

D

D

DYes

DNo

• Proposed Action w i l l adversely affect groundwater.
• Liquid effluent will be conveyed off the site to facilities which presently
do not exist or have inadequate capacity.

D
D

D
D

DYes
DYes

DNo
D'No

• Proposed Action would use water in excess of 20,000 gallons per
day.

D

D

DYes

DNo

• Proposed Action w i l l likely cause siltation or other discharge into an
existing body of water to the extent that there will be an obvious visual
contrast to natur.il conditions

D

D

DYes

DNo

• Proposed Action will allow residential uses in areas without water
and/or sewer services

D

n

D&gt;es

DNo

• Proposed Action locates commercial and or industrial uses which may
require new or expansion of existing waste treatment and/or storage
facilities

D

L-'^es

DNO

L'^es

DNO

Dredging more than 100 cubic yards of material from channel of a
protected stream
Extension of utility distribution facilities through a protected water body.
Construction in a designated freshwater or tidal wetland.
Other impacts.

____

A W i l l proposed action affect any non-protected existing)or new body
of water?
yfao
DYES
Examples that would apply to column 2
• A 1 0 % increase or decrease in the surface area of any body of water
or more than a 10 acre increase or decrease.
• Construction of a body of water that exceeds 10 acres of surface area.
• Other impacts:

5

W i l l Proposed Action affect surface or groundwater
quality or quantity?
CWO
Examples that would apply to column 2

DNO

DYES

• Proposed Action will require a discharge permit
• Proposed Action requires use of a source of water that does not
have approval to serve proposed (project) action

• Proposed Action will require the storage of petroleum or chemical
products greater than 1.100 gallons

• Other

D

impacts

6

Will proposed action alter drainage flow or patterns, or surface
water run oft?
JZkQ,
CYES
Examples that would apply to column 2
• r,-,--;.o: ^o Act o-&lt; w o J c i.r.;-.r-£c&lt; !.''•• •&gt;:: « ? : r ? I c •*.-. s
7

�Construction activity * o u l d excavate or compact the soil profile of
agricultural land
• The proposed action would irreversibly convert more than 10 acres
of agricultural land or. if located in an Agncultutal District, more
than 2.5 acres of agricultural land
• The proposed action would disrupt or prevent installation of agricultural
land management systems (e g . subsurface drain lines, outlet ditches,
••trip cropping), or create a need for such measures ( e g cause a farm
field t o drain poorly due to increased runoff)
• Other impacts:

*

*

IMPACT ON AESTHETIC RESOURCES
1 1 . W i l l proposed action affect aesthetic resources?
0KfO
DYES
(If necessary, use the Visual EAF Addendum in Section 617.21.
Appendix B )
Examples that would apply to column 2
• Proposed land uses, or project components obviously different from
or in sharp contrast t o current surrounding land use patterns, whether
man-made or natural
• Proposed land uses, or project components visible to users of
aesthetic resources which will eliminate or significantly reduce their
enjoyment of the aesthetic qualities of that resource.
Project components that will result in the elimination or significant
screening of scenic views known to be important to the area
• Other impacts.

IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12 Will Proposed Action impact any site or structure of historic, prehistoric or paleontological importance?
0NO
DYES
Examples that would apply to column 2
• Proposed Action occurring wholly or partially within or substantially
contiguous to any facility or site listed on the State or National Register
of historic places
• Any impact to an archaeological site or fossil bed located within the
project site
• Proposed Action w.ill occur in an area designated as sensitive for
archaeological sites on the NYS Site Inventory.
• Other impacts-

IMPACT ON OPEN SPACE A N D RECREATION
Will Proposed Action affect the quantity or quality of existing or
future open spaces or recreational opportunities?
Examples that would apply to column 2
^2*N.O
DYES
The permanent foreclosure of a future recreational opportunity
A major reduction of an open space important to the community
• Other impacts

1

2

3

Small to
Moderate
Impact

Potential
Large
Impact

Can Impact Be
M i t i g a t e d By
Project Change

D

D

DYes

DNo

D

D

DYes

DNo

D

D

DYes

DNo

D

D

DYes

DNo

D

D

DYes

DNo

D

D

DYes

DNo

D

D

DYes

DNo

D

D

DYes

DNo

D

D

DYes

DNo

D

D

DYes

DNo

D

D

DYes

DNo

D

D

DYes

DNo

D
D

D
D

DYes
DYes

DNO

r&gt;

L_'Ye?

D'S'o

13

•

9

r~

DNo

�1

I

Small to
Moderate
Impact

2
Potential
Large
Impact

D
D
D

D
D
D

DYes
DYes
DYes

DNO
GNo
DNO

D

D

DYes

DNo

• Proposed Action will require the creation or extension of an energy
transmission or supply system to serve more than 50 single or two family
residences or to serve a major commercial or industrial use.

D

D

DYes

DNO

• Other impacts.

D

D

DYes

DNO

D

D

DYes

DNo ,

D
D

D
D

DYes
DYes

DNO

• Proposed Action will remove natural barriers that would act as a
noise screen

D

D

DYes

DNO

• Other

n

fj

DYes

DNO

DYes

DNO

DYes

UNO

D Yes

_No

DYes

DNO

D&gt;e*

DNO

IMPACT ON TRANSPORTATION
14

Will there be an effect to existing transportation systems'
_*TO
Examples that would apply to column 2

DYES

'• Alteration of present patterns of movement of people and or goods
• Proposed Action will result in major traffic problems
• Other impacts

Can Impact DBe
O
Mitigated By )
Project Cha

_V:

IMPACT O N ENERGY
15

Will proposed action affect the community's sources of fuel or
energy supply?
^5NO
DYES
Examples that would apply to column 2
• Proposed Action will cause a greater than 5% increase in the use of
any form of energy in the municipality

Will there be objectionable odors, noise, or vibration as a result
of the Proposed Action?
_WO
DYES
Examples that would apply to column 2

• Blasting within 1.500 feet of a hospital, school or other sensitive
facility
Odors will occur routinely (more than one hour per day)
• Proposed Action will produce operating noise exceeding the local
ambient noise levels for noise outside of structures

impacts

DNO

IMPACT ON PUBLIC-HEALTH
17

Will Proposed Action affect public health and safety?
JfiTO
Examples that v\ould apply to column 2

DYES

• Proposed Action may cause a risk of explosion or release of hazardous
substances (i e oi!. pesticides, c hemic a Is. radiation, etc j in the event of
accident or upset conditions, or there ma\ be a chronic lov\ level
discharge or emission

t

r-

• Proposed Action may result in the burial of "hazardous wastes" in any
form (i e toxic po^onous, highly reactive, radioactive, irritating.
infectious, etc )

—

• Storage facilities for one million or more gallons oi liquified natural
gas or other flammable liquids
• Proposed action ma\ result in the excavation or other disturbance
witn.n 2 000 feet of a s&gt;te used for the dispcsa1 of solid or hazardous
v%aste

10

__r*

C

c
—

[
[
[•

NOISE AND ODOR IMPACTS
16

c

r

�IMPACT ON GROWTH AND CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
18

Will proposed action affect the character of the existing community
&amp;KO
DYES
Eiamples that would apply to column 2

1
I
2
Small lo
Potential
Large
Moderate
Impact
Impact

3
Can Impact Be
Mitigated By
Project Change

• T h e permanent population of the city, town or village in which the
project is located is likelv to grow by more than 5%

D

D

DYes

DNo

• The municipal budget for capital expenditures or operating services
will increase by more than 5% per year as a result of this project
• Proposed action will conflict with officially adopted plans or goals

D

D

DYes

DNo

D
D
D

D
D
D

CYes
DYes
DYes

DNo
DNo
DNo

• Development will create a demand for additional community services
(e g schools, police and fire, etc )

D

D

DYes

DNo

• Proposed Action will set an important precedent for future projects

D
D
D

D
D
D

DYes
DYes
DYes

DNo
DNO
DNo

• Proposed action will cause a change in the density of land use
•'Proposed Action will replace or eliminate existing facilities, structures
or areas of historic importance to the community

• Proposed Action will create or eliminate employment
• Other

impacts:

19

Is there, or is there likely to be. public controversy related to
potential adverse environmental impacts'1
ffi^P
CYES

If Any Action in Part 2 Is Identified as a Potential Large Impact or
If You Cannot Determine the Magnitude of Impact, Proceed to Part 3

Part 3-EVALUATION OF THE IMPORTANCE OF IMPACTS
Responsibility of Lead Agency
Part 3 must be prepared if one or more impact(s) is considered to be potential^ large, even if the impact(s) may be
mitigated.
Instructions
Discuss the following for each impact identified in Column 2 of Part 2
1

Briefly describe the impact

2

Describe (if applicable) how the impact could be mitigated or reduced to a small to moderate impact b\ protect changed)

3

Based on the information available, decide if it is reasonable to conclude thai this impact is important.
To answer the question of importance, consider
• The probabilitv of the impact occurring
• The duration of the impact
• Its irreversibility, including permanentk lost resources of value
• Whether the impact can or will be controlled
• The regional consequence of the impact
• Its potential divergence trom local needs and goals
• Whether known objections to the project re'ate to this impact
(Continue on attachments'

n

�I ='
P. 14 :-2(2/87}-7:
617.21
Appendix A
State Environmental Quality Review

i

c

SEQR

FULL ENVIRONMENTAL ASSESSMENT FORM
rpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project
or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequently, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine
significance may have little or no formal knowledge of the environment or may be technically expert in environmental
analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting
the question of significance.
The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination
process has been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or action.
Full EAF Components: The full EAF is comprised of three parts:

[
I

Part 1: Provides objective data and information about a given project and its site. By identifying basic projtct
data, it assists a reviewer in the analysis that takes place in Parts 2 and 3.

[

Part 2: 'Focuses on identifying the range of possible impacts that may occur from a project or action. It provides
guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentiallylarge impact. The form also identifies whether an impact can be mitigated or reduced.
Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the
impact is actually important.

DETERMINATION OF SIGNIFICANCE-Type 1 and Unlisted Actions
Identify the Portions of EAF completed for this project:

63

Part 1

El

Part 2

DPart 3

^ B U p o n review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting
^^information, and considering both the magitude and importance of each impact, it is reasonably determined by the
lead agency that:
09

A. The project will not result in any large and important impacts) and, therefore, is one which will not
have a significant impact on the environment, therefore a negative declaration will be prepared.

D

B. Although the project could have a significant effect on the environment, there will not be a significant
effect for this Unlisted Action because the mitigation measures described in PART 3 have been required,
therefore a CONDITIONED negative declaration will be prepared.*

•

C. The project may result in oneor-more large and important impacts that may have a significant impact
on the environment, therefore a positive declaration will be prepared.
* A Conditioned Negative Declaration is only valid for Unlisted Actions

ARLINDO RUIVO
Name of Action

P l a n n i n g Board - V i l l a g e of North Tarrytown
Name of Lead Agency
UTTT.TAM

T

REGAN -

L/AJA4 -DMO

Administrator

Signature of Responsible Officer in Lead Agency

Signature of Preparer (ft different from responsible of ficer)

October 1 3 , 1993
Date
1

0

�• *.**•

!+.J%lt.**Mt*1

PART 1-PROJECT INFORMATION
Prepared by Project Sponsor
NOTICE This document $ designed to assist in determining whether the action propose J may have a significant effect
on the environment Please -omplete the entire form. Parts A through E. Answers to these questions will be considered
as part of the application fo' coproval and may be subject to further verification and public review Provide any additional
information you believe will be needed to complete Parts 2 and 3.
It is expected that completion.of the full EAF will be dependent on information currently available and will not involve
new studies, research or investigation If information requiring such additional work is unavailable, so indicate and specify
each instance.
NAME OF ACTION

ARLINDO RUIVO
LOCATION OF ACTION (Include Street Address, Municipality and County)

39 Depeyster S t r e e t , North T a r r y t o w n , Westchester
NAME OF APPLICANT/SPONSOR

BUSINESS TELEPHONE

( 9 1 4 ) 631-8855

ARLIHDQ RUIVQ
AODRESS

Lawrence Avenue
CITY/PO

STATE

ZIP CODE

10591

NY

North Tarrytown
NAME OF OWNER (If different)

BUSINESS TELEPHONE

&lt;

same

)

same

ADDRESS

same
STATE

CITY/PO

ZIP CODE

same
DESCRIPTION OF ACTION

S u b d i v i s i o n of p r e m i s e s t o p e r m i t c o n s t r u c t i o n of t h r e e ( 3 ) f a m i l y
E n t i r e p r e m i s e s c o n s i s t of 14,000 s . f .

residence

Please Complete Each Question—Indicate N.A. if not applicable

A. Site Description
Physical setting of overall project, both developed and undeveloped areas.
1. Present land use:

DUrban

DIndustrial

DForest

DAgriculture

2. Total acreage of project area:

DCommercial

®Residential (suburban)

DRural (non-farm)

DOther

»33

acres.

APPROXIMATE ACREAGE
Meadow or Brushland (Non-agricultural)

PRESENTLY
acres
acres

AFTER COMPLETION
acres

acres

acres

Wetland (Freshwater or tidal as per Articles 24, 25 of ECL)

acres

acres

Water Surface Area
Unvegetated (Rock, earth or fill)

acres

acres

Forested
Agricultural (Includes orchards, cropland, pasture, etc.)

Roads, buildings and other paved surfaces
Other (Indicate type) R e s i d e n t i a l

.33

3. What is predominant soil type(s) on project site? _
a. Soil drainage:

SWell drained
DPoorly drained

100

acres

acres

acres

acres

acres

acres

.33

_ acres

N/A

% of site

DModerately well drained _

% of site

% of site

b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NY!
acres (See
Land Classification System? J Z A
"" -1 NYCRR 370).
4 Are there bedrock outcroppings on project site?
a. What is depth to bedrock? Approx. 10-15

DYes
(in feet)
2

BNo

I
L

�. 5 Approximate percentage of proposed project site with slopes

F
ft

BPfl-mifc
100
D159» or greater.

tt

Ol0-15%____%
%

6. Is project substantially contiguous to. or contain a building, s »e. or district, listed on the State or the National
Registers of Historic Places?
DYes
©No
7. Is prr,e:t substantially contiguous to a site listed on the Register oi National Natural Landmarks?

DYes

8. What is the depth of the water table? Approx. (j n f ee t)

EoNo
* .

9. Is site located over a primary, principal, or sole source aquifer?

DYes

ENo

10. Do hunting, fishing or shell fishing opportunities presently exist in the project area?

DYes

EJNo

11. Does project site contain any species of plant or animal life that is identified as threatened or endangered?
DYes
EJNo
According to _ _
Identify each species
'
.
12. Are there any unique or unusual land forms on the project site? [i.e.. cliffs, dunes, other geological formations)
DYes
SNo
Describe
:
—
13. Is the project site presently used by the community or neighborhood as an open space or recreation area?
DYes
®No
If yes, explain
;
;
14.

Does the present site include scenic views known to be important to the community?
DYes
ElNo

15. Streams within or contiguous to project area:
None.
a. Name of Stream and name of River to which it is tributary
[

16. Lakes, ponds, wetland areas within or contiguous to project area:
a. Name
None.

—

«

_

_

b. Size (In acres)

4fer. Is the site served by existing public utilities?
©Yes
ONo
^ ^ a) If Yes, does sufficient capacity exist to allow connection?
ISIYes
b) If Yes, will improvements be necessary to allow connection?
BYes

ONo
DNo

18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA,
Section 303 and 304?
DYes
ENo
19. Is the site located in or substantially contiguous-^ a Critical Environmental Area designated pursuant to Article 8
of the ECL. and 6 NYCRR 617?
J&amp;Yes
(g&amp;^
20. Has the site ever been used for the disposal of solid or hazardous wastes?

DYes

ENo

B. Project Description
1. Physical dimensions and scale of project (fill in dimensions as appropriate)
a. Total contiguous acreage owned or controlled by project sponsor
«33
b. Project acreage to be developed:
*33
acres initially;
»33
c. Project acreage to remain undeveloped
None
acres.
d. Length of project, in miles:
N/A
(|f appropriate)

acres.
acres ultimately.

1Q0
e. If the project is an expansion, indicate percent of expansion proposed
96;
f. MnmhAr ni off-street parking spare* exiting
None
• proposed Approx. 12- Subject, to Planning Board

g. Maximum vehicular trips generated per hour

^

A

^ '

h. If residential: Number and type of housing units:
One Family
Two Family
Initially
Ultimately
i. Dimensions {in feet) of largest proposed structure

(upon completion of project)?
Muljiple^amily
iltiple^amily

Condominium

35

height;^—

j. Linear feet of frontage along a public thoroughfare project will occupy is?

width;
65

length. Subject to ARB
ft.

�None

2. How much natural material (i.e . rock, earth, etc.) will be removed from the site?
3. Will disturbed areas be reclaimed'

DYes

ENo

ON/A

a. If yes. for what intend * purpose is the site being reclaimed?
b. Will topsoil be stockpiled for reclamation?

tons/cubic yards

DYes

_ _

DNo

c. Will upper subsoil be stockpiled f'. 'eclamation?

t

DYes

DNo

4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site?

None

acres.

5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project?
DYes
BNo
6. If single phase project: Anticipated period of construction

6~8

months, (including demolition).

7. If multi-phased:
a. Total number of phases anticipated

j
N

/

A

(number).

I

b. Anticipated date of commencement phase 1

month

c. Approximate completion date of final phase

month

d. Is phase 1 functionally dependent on subsequent phases?
8. Will blasting occur during construction?

j

DYes

9. Number of jobs generated: during construction
10. Number of jobs eliminated by this project

DYes

year.

I

DNo

*

'

/

•

A

; after project is complete

N/

A

|

A

11. Will project require relocation of any projects or facilities?

12. Is surface liquid waste disposal involved?

•

BNo
N

N

year, (including demolition).

DYes

DYes

BNo

If yes, explain

I

ENo

a. If yes. indicate type of waste (sewage, industrial, etc.) and amount
b. Name of water body into which effluent will be discharged
13. Is subsurface liquid waste disposal involved?
Il4

DYes

ENo

Type

Will surface area of an existing water body increase or decrease by proposal?

Explain
15. Is project or any portion of project located in a 100 year flood plain?
16. Will the project generate solid waste?

DYes

DYes

DYes

ENo

©No

®No

a. If yes, what is the amount per month

tons

b. If yes, will an existing solid waste facility be used?

DYes

c. If yes, give name

DNo

; location

d. Will any wastes not go into a sewage disposal system or into a sanitary landfill?

DYes

DNo

e. If Yes, explain
17. Will the project involve the disposal of solid waste?

DYes

®No

a. If yes, what is the anticipated rate of disposal?

tons/month.

b. If yes, what is the anticipated site life?
18. Will project use herbicides or pesticides?

years.
DYes

ENo

19. Will project routinely produce odors (more than one hour per day)? DYes

ENo

20. Will project produce operating noise exceeding the local ambient noise levels?
21. WiJI project result in an increase in energy use?

DYes

DYes

®No

HNo

If yes , indicate type(s)
2. If water supply is from wells, indicate pumping capacity
•

N

'A

Total anticipated water usage per day _ J H K L J ^ gallons/day.
24. Does project involve Local, State or Federal funding?

DYes

gallons/minute.
HFt

^ 'J',t

BNo

°H^

\
I

If Yes. explain
4

L

�' w .Wttrti-! « J . * \ i * * \ *

I

r

25. Approvals Required:

Submittal
Date

Type
City. Town. Village Board

DYes

BNo

City, Town. Village Plai.-ng Board

BYes

DNo

S u b d i v i s i o n / S i t e Plan

City. Town Zoning Boo.d

BYes

DNo

Variance - Rear Yard

City. County Health Department

DYes

DNo

Other Local Agencies

DYes

DNo

Other Regional Agencies

DYes

DNo

State Agencies

DYes

DNo

Federal Agencies

DYes

DNo

9/93
Received 8/93
:

:

C. Zoning and Planning Information

r

1 . Does proposed action h volve a planning or zoning decision?

BYes

DNo

If Yes, indicate decision required:
Dzoning amendment

Szoning variance

Dnew/revision of master plan

2. What is the zoning classification(s)of the site?
3

Dspecial use permit

Dresource management plan_

^Subdivision

fijsite

plan

Dother

R-5

What is the maximum potential development of the site if developed as permitted by the present zoning?

Nine (9) dwelling units
4. What is the proposed zoning of the site?

N/A

5. What is the maximum potential development of the site if developed as permitted by the proposed zoning?

N/A
Jb Is the proposed action consistent with the recommended uses in adopted local land use plans?

EYes

DNo

7. What are the predominant land use(s) and zoning classifications within a V* mile radius of proposed action?

R e s i d e n t i a l and l i g h t commerical u s e s
8

Is the proposed action compatible with adjoining/surrounding land uses within a V* mile?

9

If the proposed action is the subdivision of land, how many lots are proposed?
a. What is the minimum lot size proposed?

S^&lt;HA)

£g

SYes

DNo

DYes

EJNo

2

Hr.

10

W i l l proposed action require any authorization(s) for the formation of sewer or water districts?

11

W i l l the proposed action create a demand for any community provided services (recreation, education, police,
fire protection)?
DYes
BNo
a. If yes, is existing capacity sufficient to handle projected demand?

12

DYes

DNo

W i l l the proposed action result in the generation of traffic significantly above present levels?
a. If yes, is the existing road network adequate to handle the additional traffic?

DYes

DYes

BNo

DNo

D. Informational Details

i

Attach any additional information as may be needed to clarify your project. If there are or may be any adverse
impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or
avoid them.

E. Verification
I

I certify that the information provided above is true to the best of my knowledge.

? A p l i c a n t / S p o n s o r Name
f

Signature *' \

ffi^

ARLINDO RUIVO

M/'R^-? -

Date

10-13-93

Title W w u

If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding
with this assessment.
5

�»

Part 2-PROJECT IMPACTS AND THEIR MAGNITUDE

t

|

Responsibility of Lead Agency
General Information (Read Carefully)
-• In completing the form the reviewer should be guided by t. " question: Have my responses and determinations been .
&gt;*?sonable? The reviewer is not expected to be an expert envi ^nmental analyst.
£
&lt;0£ntifying that an impact will be potentially large (column z) does not mean that it is also necessarily significant.
I
Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 .simply |
asks that it be looked at further.
• The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of
magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and
for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate
for a Potential Large Impact response, thus requiring evaluation in Part 3.
•.The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and
have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question.
• The number of examples per question does not indicate the importance of each question.

•

• In identifying impacts, consider long term, short term and cumlative effects.
Instructions (Read carefully)
a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact.

I

b. Maybe answers should be considered as Yes answers.

I

-

c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the
impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold I
is lower than example, check column 1.
|
d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3.
e. If a potentially large impact checked in column 2 can be mitigated by changes) in the project to a small to moderate
impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This
must be explained in Part 3.

1

2

Small to
Moderate
Impact

Potential
Large
Impact

•

•

DYes

DNo

• Construction on land where the depth to. the water table is less than
3 feet.

•

D

DYes

DNo

• Construction of paved parking area for 1,000 or more vehicles.

n

D

DNo

• Construction on land where bedrock is exposed or generally within
3 feet of existing ground surface.

D

•

DYes
DYes

• Construction that will continue for more than 1 year or involve more
than one phase or stage.

D

D

DYes

DNO

• Excavation for mining purposes that would remove more than 1,000
tons of natural material (i.e., rock or soil) per year.

D

D

DYes

DNO

• Construction or expansion of a sanitary landfill.

D
D
D

D
D
D

DYes
DYes
DYes

DNO
DNO

D

D

DY es

DNo

IMPACT ON LAND
1 . Will the proposed action result in a physical change to the project site?
ENO
DYES
Examples that would apply to column 2
• Any construction on slopes of 15% or greater. (15 foot rise per 100
foot of length), or where the general slopes in the project area exceed
10%.

• Construction in a designated floodway.
• Other impacts

Can Impact Be
Mitigated By
Project Change

DNO

DNO

^P/V ill there be an effect V _..iy unique or unusual land forms found on
the site? (i.e., cliffs, dunes, geological formations, etc.)HNO
Specific land forms:

DYES

�I

1

2

Small to
Moderate
Impact

Potential
Large
Impact

D
D

D
D

DYes

DNo

DYes

DNo

D
D
D

D
D
D

DYes

DNo

DYes

DNo

DYes

DNo

D

D

DYes

DNo

D
D

D
D

DYes

DNo

DYes

DNo

D
D

D
D

DYes

DNo

DYes

DNO

• Proposed Action requires water supply from wells with greater than 45
gallons per minute pumping capacity.

D

D

DYes

DNO

• Construction or operation causing any contamination of a water
supply system.

D

D

DYes

DNO

• Proposed Action will adversely affect groundwater
• Liquid effluent will be conveyed off the site to facilities which presently
do not exist or have inadequate capacity.

D
D

D
D

DYes
DYes

DNO

• Proposed Action would use water in excess of 20,000 gallons per
day.

D

D

DYes

DNO

• Proposed Action will likely cause siltation or other discharge into an
existing body of water to the extent that there will be an obvious visual
contrast to natural conditions.

D

D

DYes

DNO

• Proposed Action will require the storage of petroleum or chemical
products greater than 1,100 gallons.

D

D

DYes

DNo

• Proposed Action will allow residential uses in areas without water
and/or sewer services.

D

D

DYes

DNo

• Proposed Action locates commercial and/or industrial uses which may
require new or expansion of existing waste treatment and/or storage
facilities.

D

•

DYes

DNo

• Other

D

D

DYes

DNo

D

D

DYes

DNo

IMPACT ON WATER
Will proposed action affect any wa.rr body designated as protected'
(Under Articles 15. 24, 25 of the Environ Mental Conservation Law. ECU
BNO
DYES
Examples that would apply to column 2
Developable area of site contains a protected water body

r

Dredging more than 100 cubic yards of material from channel of a
protected stream.
Extension of utility distribution facilities through a protected water body.
Construction in a designated freshwater or tidal wetland.
Other impacts:

W i l l proposed action affect any norvproi *cted existing or new body
of water?
BNO
DYES
Examples that would apply to column 2
• A 10% increase or decrease in the surface area of any body of water
or more than a 10 acre increase or decrease.

Can Impact Be
Mitigated By
Project Change

4

• Construction of a body of water that exceeds 10 acres of surface area.
• Other impacts:

5. W i l l Proposed Action affect surface or groundwater
quality or quantity?
BNO
Examples that would apply to column 2

DYES

• Proposed Action will require a discharge permit.
|* Proposed Action requires use of a source of water that does not
have approval to serve proposed (project) action.

impacts:

W i l l proposed action alter drainage flow or patterns, or surface
water runoff?
®NO
DYES
Examples that would apply to column 2
• Proposed Action would change flood water flows

DNO

6

7

ft

�.tKMLl.tClV.

2
Small to
Moderate
Impact

Potential
Large
Impact

Can I m p a c t Be
M i t i g a t e d By
Project Change I
DYes

DNo

DYes

. DNo

D
D

D
D
D
D

DYes

DNo

DYes

DNo

D

D

DYes

DNo

• Proposed Action wili result in the incineration of more than 1 ton of
refuse per hour.

D

D

DYes

DNO

• Emission rate of total contaminants will exceed 5 lbs. per hour or a
heat source producing more than 10 million BTU's per hour.

D

D

DYes

DNO

• Proposed action will allow an increase in the amount of land committed
to industrial use.

D

D

DYes

DNo

•
•

D

DYes

DNO

D

DYes

DNo

• Reduction of one or more species listed on the New York or Federal
list, using the site, over or near site or found on the site.

D

D

DYes

DNo

• Removal of any portion of a critical or significant wildlife habitat.

D
D

D
D

DYes
DYes

DNo
DNo

D

D

DYes

DNo

D

D

DYes

DNo

•

D

DYes

DNo

D

D

DYes

DNo

/

Proposed Action • a\ cause substantial erosion
Proposed Action is incompatible with existing drainage patterns.
• Proposed Action will allow development in a designated floodway
• Other impacts:

a

IMPACT O N AIR
7 - W i l l proposed action affect air quality?
E)NO
DYES
Examples that would apply to column 2
• Proposed Action will induce 1,000 or more vehicle trips in any given
hour.

• Proposed action will allow an increase in the density of industrial
development within existing industrial areas.
• Other impacts:

IMPACT ON PLANTS A N D A N I M A L S
Will Proposed Action affect any threatened or endangered
species?
ENO
Examples that would apply to column 2

DYES

• Application of pesticide or herbicide more than twice a year, other
than for agricultural purposes.
• Other

9

impacts.

rr&gt;

Will Proposed Action substantially affect non-threatened or
non-endangered species?
ENO
Examples that would apply to column 2

DYES

• Proposed Action would substantially interfere with any resident or
migratory fish, shellfish or wildlife species.
• Proposed Action requires the removal of more than 10 acres
of mature forest (over 100 years of age) or other locally important
vegetation.
IMPACT O N AGRICULTURAL L A N D RESOURCES
10

Will the Proposed Action affect agricultural land resources?
®NO
DYES
^ ^ Examples that would apply to column 2
A e proposed action would sever, cross or limit access To agricultural
land (includes cropland, hayfields. pasture, vineyard, orchard, etc.)
8

�,v&amp;*aiAMtt*

r
Construction activity would excavate or compact the soil profile of
agricultural land.
The proposed action would irreversibly convert more than 10 acres
of agricultural land or, if located in an Agricultutal District, more
than 2.5 acres of agricultural land.
The proposed action would disrupt or prevent installation of agricultural
land management systems (e.g., subsurface drain lines, outlet ditches,
•ctrip cropping); or create a need for such measures (e.g. cause a farm
field to drain poorly due to increased runoff)
Other impacts:

IMPACT ON AESTHETIC RESOURCES
1 1 . Will proposed action affect aesthetic resources?
0NO
DYES
(If necessary, use the Visual EAF Addendum in Section 617.21,
Appendix B)
Examples that would apply to column 2
• Proposed land uses, or project components obviously different from
or in sharp contrast to current surrounding land use patterns, whether
man-made or natural.
• Proposed land uses, or project components visible to users of
aesthetic resources which will eliminate or significantly reduce their
enjoyment of the aesthetic qualities of that resource.
Project components that will result in the elimination or significant
screening of scenic views known to be important to the area.
Other impacts;

IMPACT O N HISTORIC AND ARCHAEOLOGICAL RESOURCES
12. Will Proposed Action impact any site or structure of historic, prehistoric or paleontological importance?
IE)NO
DYES
Examples that would apply to column 2
• Proposed Action occurring wholly or partially within or substantially
contiguous to any facility or site listed on the State or National Register
of historic places.
• Any impact to an archaeological site or fossil bed located within the
project site.
• Proposed Action will occur in an area designated as sensitive for
archaeological sites on the NYS Site Inventory.
• Other impacts.

IMPACT O N OPEN SPACE A N D RECREATION
Will Proposed Action affect the quantity or quality of existing or
future open spaces or recreational opportunities?
| A
Examples that would apply to column 2
ENO
DYES
^•n"he permanent foreclosure of a future recreational opportunity.
• A major reduction of an open space important to the community.
• Other impacts:

a~

1

2

Small to
Moderate
Impact

Potential
Large
Impact

D

D

DYes

DNo

D

D

DYes

DNo

D

D

DYes

DNo

D

D

DYes

DNo

D

D

DYes

pNo

D

D

DYes

pNo

D

D

DYes

pNo

D

D

DYes

pNo

D

D

DYes

CNo

D

D

DYes

CNo

D

D

DYes

CNo

D

D

DYes

DNo

DDD

1".

DYes
DYes
DYes

CDNo
C]No
QNo

Can Impact Be
Mitigated By
Project Change

13

D
D
D

�IMPACT ON TRANSPORTATION

2

Small to
Moderate
impact

Potential
Larc^j
Impaci

D
D
D

D
D
D

DYes
DYes
DYes

DNo
DNo
DNo

D

•

DYes

DNo

D

D

DYes

DNo

•

DYes

DNo

D

D

DYes

DNo

D
D

D
D

DYes
DYes

DNo

• Proposed Action will remove natural barriers that would act as a
noise screen.

D

D

DYes

DNO

• Other

D

D

DYes

DNO

• Proposed Action may cause a risk of explosion or release of hazardous
substances (i.e. oil, pesticides, chemicals, radiation, etc.) in the event of
accident or upset conditions, or there may be a chronic low level
discharge or emission.

D

D

DYes

DNo

• Proposed Action may result in the burial of "hazardous wastes" in any
form (i.e. toxic, poisonous, highly reactive, radioactive, irritating,
infectious, etc.)

D

D

DYes

DNo

• Storage facilities for one million or more gallons of liquified natural
gas or other flammable liquids.

D

D

DYes

DNO

Proposed action may result in the excavation or other disturbance
within 2.000 feet of a site used for the disposal of solid or hazardous
waste.

D

D

DYes

DNO

D

D

DYes

DNo

14

Will there be an effect to ex sting transportation systems?
BNO
Examples that would apply to c lumn 2

DYES

• Alteration of present patterns of movement of people and/or goods.
• Proposed Action will result in major traffic problems.
• Other impacts:

Can Impact Be
Mitigated By
Project Change/

IMPACT O N ENERGY
15

Will proposed action affect the community's sources of fuel or
energy supply?
ENO
DYES
Examples that would apply to column 2
• Proposed Action will cause a greater than 5% increase in the use of
any form of energy in the municipality.
• Proposed Action will require the creation.or extension of an energy
transmission or supply system to serve more than 50 single or two family
residences or to serve a major commercial or industrial use.
• Other impacts:

NOISE A N D ODOR IMPACTS
16. Will there be objectionable odors, noise, or vibration as a result
of the Proposed Action?
®NO
DYES
Examples that would apply to column 2
f

Blasting within 1,500 feet of a hospital, school or other sensitive
facility.

• Odors will occur routinely (more than one hour per day).
• Proposed Action will produce operating noise exceeding the local
ambient noise levels for noise outside of structures.

impacts:

&lt;L

DNO

IMPACT ON PUBLIC HEALTH
17

Will Proposed Action affect public health and safety?
BNO
Examples that would apply to column 2

• Other impacts:
10

DYES

L

�I

IMPACT ON GROWTH AK'D CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
18 Will proposed actic - affect the character of the existing community?
ENO
DYES
Examples that woulc apply to column 2

1

2

Small to
Moderate
Impact

Potentiar
Large
Impact

• The permanent population of the city, town or village in which the
project is located is likely to grow by more than 5%.
• The municipal budget for capital expenditures or operating services
will increase by more than 5% per year as a result of this project.
• Proposed action will conflict with officially adopted plans or goals.
• Proposed action will cause a change in the density of land use.
•'Proposed Action will replace or eliminate existing facilities, structures
or areas of historic importance to the community.
• Development will create a demand for additional community services
(e.g. schools, police and fire, etc.)
• Proposed Action will set an important precedent for future projects.
• Proposed Action will create or eliminate employment.

D

D

DYes

DNo

D

D

DYes

DNo

D
D
D

D
D
D

DYes
DYes
DYes

DNo
DNo
DNO

D

D

DYes

DNo

D
D
D

D
D
D

DYes
DYes
DYes

DNO

• Other

imparts

"~

Can Impact Be
Mitigated By
Project Change

DNO
DNO

19. Is there, or is there likely to be, public controversy related to
potential adverse environmental impacts?
jSfNO
DYES

If Any Action in Part 2 Is Identified as a Potential Large Impact or
If You Cannot Determine the Magnitude of Impact, Proceed to Part 3

Part 3-EVALUATION OF THE IMPORTANCE OF IMPACTS
Responsibility of Lead Agency
Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be
mitigated.
Instructions
" "
Discuss the following for each impact identified in Column 2 of Part 2:
1. Briefly describe the impact.
2. Describe (if applicable) how the impact could be mitigated or reduced to a small to moderate impact by project change(s).
3. Based on the information available, decide if it is reasonable to conclude that this impact is important.
To answer the question of importance, consider:
• The probability of the impact occurring
• The duration of the impact
• Its irreversibility, including permanently lost resources of value
• Whether the impact can or will be controlled
• The regional consequence of the impact
•
• Its potential divergence from local needs and goals
• Whether known objections to the project relate to this impact.
(Continue on attachments)

11

�Approved with raspect to substance and form:

Village^Attorney
Dated: U //j^/&lt;fu

Approved by the Planning Board

Chairma
Dated:

Filed with Village Clerk

Clerk o r . D e p u t y Clerk
Dated: / ^ 2 y / ? /

)ate of Meetina
Date
Meeting

1

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</item>
