The URL can be used to link to this page

Home My WebLink About1962DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631 - 589 -8100 36.31 -1 -14 BOX 18 01962 I represent that l am Wholly and completely respon>ible.fq above described will be constructed as shown on theapprol County Department of Health, and that on eompletion•1 be.submitted.to the.Oepartment; and a, written guarant piece in good operating condition any part of stud sew oflce of the; approval of the- Certificate of •Construction will be located as shown.on the approved Plan-and that,sold County oepartmefnt of Health* " Opts APPROVEO FOR CONSTRUCTION: Th$ approval revocable ' for use or:m a amended or.modifiad requires a proved for disposal of Date By lesign.aod location of the proposed system(s): T) that the separate sewage disposal system endment then to and in accordance with the standards, rules a r ulaxionsol - Ine Tufnam. r:a Certificate 'of Construction Complianee',satisfactory to th'.Commi'ssionw of. Mealtliwill 1. W furnished the owner, "his successors, heirs or assigns by the builder; ;.that said builder will Ispowl, system during the period.of. two (2) years inrmedletely.following the date of the issu- Dliance";of the original systom or any repairs thereto: 2j that the.drllled:well desciitied e6ore f led in accordance with andards; rubs and' ragu amens of td Putnam gn ;E. A. R:A. r LV ,.. i License Wo feat om the date' issued un s construction of the building.has been' undertaken and is 0 I ecefsary, the m i nor o Huth. Any change or alterakon of construction. n age; IMLor p w, ar a ply on1 J' r Title PETER C. ALEXANDERSON County Executive Mrs. Anne 15 Haymont Braircliff DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512. (914) 225 -0310 March 8, 1988 Laurent Terrace Manor, New York 10510 RE: SSDS Repair Laurent Office Building (73 Fairfield Drive) (T) Patterson Dear'Mrs. Laurent: fv JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL, Jr., P.E. Director This office has received the engineering plans and application for a repair to a wastewater disposal system for the above noted project. Upon review, it has been determined that the submission meets the applicable criteria of the Putnam County Health Department for the repair of sewage disposal systems and this letter shall serve as record of approval with the following conditions: -- 1:-- --- The- -i-fea- 1- th- .- Depa-r•tmen:t. be -not- if.i-ed when-the. con.stru.cti- o.n... starts on the system and also notified prior to backfill of the system. 2. The engineer shall submit an application for construction compliance consisting of "as- built" plan and guarantee after construction is completed together with certification by the engineer that the system has been completed in conformance with the approved plan. 4. Occupancy of the building and operation of the sewage disposal system shall not be permitted until the construction compliance and authorization to operate are approved by this Department. Enclosed as part of this approval are three (3) copies of the approved repair construction permit and one (1) copy of the approved construction plans. Should you have any questions concerning this matter, please contact this Department. MB:mk cc: R. J. Ve y truly yo rs, Michael J. udz' i, P. E. Sr. Public He th ngineer Laurent, Calbo, BI (T) Patterson fIm -2 bcc:Mekenian Landau /Fredriksen Picha CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF WATER SUPPLY P.O. BOX D, KATONAH, NEW YORK 10536 HARVEY W. SCHULTZ September 20, 1988 Commissioner Randolph Laurent Laurent Engineering Associates, P.C. 73 Fairfield Drive Patterson, New York 12563 Dear Mr. Laurent: (914) 232.5171 JOSEPH P. CONWAY, P.E., Director Assistant Commissioner Re:Laurent.Office Expansion SSDS•Submission (T) Patterson,-: New York y F This office.has received.plans dated "' a latest rev .s. on date of Marcli.5, 1988 su . proposed subsurface sewage,disposal system Town of Patterson. _ Since the plans indicate extensive4i system --this - of €ice will require_ a r, ie to that;of a completely new system '"nas is insufficient to make such a_;revi wrsae matter until such time as all the.. - ec. ss submitted. 7 be for, lita )airs to' the existing. ld approv #;'process equal h as the data submitted �n `riot ''proceed on this i information has been Please refer any question you_may�'have to Mr. Vinci of my staff. Very truly yours, Carl Picha, P.E. East of Hudson District Engineer DM /CP:em f cc:M.Budzinski Putnam County Department of Health 110 .Old Rte.6 Center Carmel, New York 10512 i I LAURENT ENGINEERING ASSOCIATES, PC. 71 FAIRFIELD..DRIVE. PATTERSON - NEW-Y0RK125B3-'-------- 914 -278-6108 RANDOLPH W LAURENT. P.E. HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS March 7, 1988 1 Putnam County Department of Health 110 Old Route 6 Center Carmel, NY 10512 Att: John Karell, P.E. Director Re: Laurent Office Expansion 73 Fairfield Drive Patterson, NY Dear Jack: Enclosed are the following items in connection with the repair of the existing subsurface sewage disposal system: (a) Construction Permit dated march 5, 1988 (b) Four (4) prints drawing SD -1 "Site Plan", Revised March 5, 1988 This application is made to obtain approval from your Department for the repair of an existing SSDS serving this If you have any question, please feel free to call. Sincerely, LAURENT ENGINEERING ASSOCIATES, P.C. Randolph W. L urent, P.E. /map cc: Mr. Vito Vinci w/ 3 prints & permit application i PETER C. ALEXANDERSON j County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 February 16, 1988 Mr. Randolph Laurent 73 Fairfield Drive Paterson, New York 12563 Re: Proposed Office Building Expansion for Laurent (T) Patterson Dear Mr. Laurent: JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL, Jr., P.E. Director This Department is in receipt of your letter, dated 1/29/88,.and plans for the proposed office building expansion, The expansion will create approximately 1600 square feet of building floor area by the addition of a second floor. The water and wastewater facilities serving the existing building are substandard relative to this Department's current regulations. Consequently, this Department will require the relocation of the existing SSDS to the rear of the lot to increase the separation . distance from the well. Kindly advise us if there are any questions. Ver tru yours ohn Karell, Jr., Director Division of Environmental Health Services JK /sm cc: JK MB 6 RANDOLPH W. LAURENT, P.E. HARRY W. NICHOLS JR., P.E. January 29, 1988 LAURENT ENGINEERING ASSOCIATES, PC. Z3. FAIRFIELD.DRIVE PATTERS *ON, -NEW'YURK 'f2563 914.278.6108 CONSULTING SITE ENGINEERS Putnam County Health Department 118 Old Route 6 Center Carmel, NY 18512 Atto Michael J. Budzinski, P.E. Senior Public Health Engineer RE: Laurent Office Expansion Fairfield Drive Patterson, NY Dear Mike: We are in the process of expanding our present building by adding a second floor within the perimeter wall of the existing building. ,We have obtained approval from the ZBA for relief of the moratorium in Patterson and are now before the Patterson Planning Board. The proposed expansion of some 1600 s.f. is mainly to create storage space for files, computers, plans, etc. in order that we can operate more efficiently. Of the 1600 s.f. expansion, about 1000 s.f. will be used for that purpose. In addition we. plan to rearrange a portion of the existing building to permit"a new office for Harry, create a conference'..... room and to provide a room for accounting purposes. We do not plan for additional employees to be hired. This request is to obtain approval from the Health Department for our expansion. We propose to continue to use the existing well and septic system since there will be no change in water use or sewage generation. Enclosed are three (3) prints of Drawing SD -1 "Site Plan ®, dated 12 -3 -87 for your information. We would appreciate your review and a letter approving our proposal. If you have any questions, please feel free to call. Sincerely, LAURENT ENGINEERI ASSOCIATES, P.C. Randolph W.LLaurent, P.E. /map CC: Mrs. Anne Laurent PLANNING BOARD TOWN OF PATTERSON PUTNAM COUNTY In the matter of the application of LAURENT OFFICE BUILDING RESPONSE TO REQUEST THAT TOWN OF PATTERSON PLANNING BOARD SERVE AS LEAD AGENCY On behalf of Putnam County De2artment6f Health ► I acknowledge receipt of the lead agency notice in this matter, which was mailed on 2/3/88 The above named involved agency hereby: (Please check one) Z—�7ONSENTS- that ;the- Town_ of_ Patterson Planning Board serve as lead agency in this application, -and requests that the undersigned continue to be notified of filings and hearings in this matter. DATED: SIGNATURE: [ ] DOES NOT CONSENT to the Town of Patterson Planning Board serving as lead agency in this application and wishes that serve as lead agency. To contest lead agency designation, the undersigned intends to follow the procedures outlined in 6 N.Y.C.R.R. 617.6(e). . ra NOTICE TO INVOLVED AGENCIES THAT LEAD AGENCY MUST BE DESIGNATED WITHIN 30 CALENDAR DAYS The Planning Board of the 'Town of Patterson has received an application for: Laurent Offire Guile in9 (see attached for description of action) This project is a [ ] TYPE I [� UNLISTED ACTION AND THE PLANNING BOARD WISHES TO CONDUCT A COORDINATED REVIEW. Under the applicable standards of Title 6 NYCRR Section 617.6(d), the Planning Board concludes that it is appropriate to designate the Planning Board of the Town of Patterson as the lead agency in the environmental review of the proposed action. This notification is being sent to involved agencies with the request that you consent to the Planning Board serving as lead agency. If, however, an involved agency does not agree that the Town of Patterson Planning Board be designated as the lead agency, it may follow the procedures outlined in 6 NYCRR 617.6(e). A copy of the applicant's petition, long form EAF, and other documents as listed below, are enclosed with the Notice. If you have any questions or comments, you may either telephone or contact by mail any of the following: Elizabeth Zuzzolo Michael Montesano, Chairman Planning Board Secretary Patterson Planning Board Routes 164 & 311 Routes 164 & 311 Patterson, NY 12563' Patterson, NY 12563 This notice is being mailed on 2/3/88 We would ask that involved agencies fill out the annexed form either consenting or not consenting to the Planning Board serving as lead agency and return it in the enclosed self- addressed stamped envelope on or before 3/4/88 Responses should be sent to Mr. Michael Montesano (same address above). PROJECT DESCRIPTION This project is for the addition of a second story to a 1600+/ - s.f. pre- existing, non - conforming office building situated on a 5000 + /- s.f. parcel of land in the NS -2 zoning district. The building is presently occupied by Laurent Engineering Associates, P.C. The property is located along County Road No. 66 (Fairfield Drive) in Putnam Lake. REY BE ip.:a. flA.GNdI :j -� TE- - ._. s • .TALIA - ARVIN K: fRtT - _ . .... -' •= '4I: = •;.sego. L��: ::i.:'.` •� LEi .: - : _ R FIN �..• ~�!•,_:. '- •_ .- ': - •- ss -'.- rte.- - ®�: -+ +:L�.: r_ Y.•• J• :.. 'MURK• J.. •• - �Sj..�..�t. N:._.v " 'l .j •`_=I r - �rReef ~. - S. O,T'ON ' _ ��' �' 1)w_ .✓ - •s_:�.,.y i ,�� _ - eewmaa •m•eeip �. • -'P i�.: er•;�_- _r .j..• �i: - .I...�yir• .. _ .v'��.�i�ti::;l.'J.. (111..1 - - _ - �•-''�is:." GAN." *�:. :�, _ _ •.,- ..''' ._ rte.: = -� VAN' �•'T�SSl.• c'.. �:^ ^Kie�i •+Yr -..I .�..IC__., 1' — J�If"' .L� — _ ate' _ .. _ • r•:` ': T — 0f. �r � ••�,.� .. .-A • � � `,..• . � � w :ty� /. v�;i:::.:.:!«::S:• L -;r .. i, .. . _ e+ya•�R .i :i -_ -',a. ... .. ?-,,y - -i�'L �•.'. •. .I�•i' U114MM_•.0 Vii• .IAREK I . NAM T• �Y :.PONE - TION - r - pr RE ER HOLLY. _ EAL = JARER r. Ar NT ESTATE TURGESi .- _- L -f 's• - - __: _ if �` -_ter - OB RMA( 141ERNtCK{ : E IMiCKE . • - =:- : T,.:;: -gy .' WIUR6'HY NA1r4fRQCK!` IC.Ir :1 hl' ERAGINE I 1A .. -'�: .- _ _ '- -- ' -.•:.� - -J _ -_ 'r_..re yr: -• '. - - .. : _ • � • �_ � ��.4 '�• :1�'• G AUK.•.• - = -y' � • . - -:•':: - - � - CENTt- MLt gw • ice•.' `!t �'_•'• '� :a.� • .. •• �•isl... • <•'.*. _'•''�i;;t�'�..� _ :E LAU IL LOST :aOVEQ 4NC:_ ILI= ':4 ".!^,•. _ '•+tip _ _`■ ".7L. .�' }ti.._ �i.�:�•?�:.iti•'�',�)R��}�y� �� }�; -- _ io - �'•- ..GE04D -- TAX '-MAP BOUNDARY MAP I = f 12 5 ZONING D1ST eouN ®ARY I P 1416 -2 (2/87) -7c 617.21 SEQR Appendix A -- State Environmental .Quality- Review._ FULL ENVIRONMENTAL. ASSESSMENT FORM Purpose: 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. Frequent- ly, 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: 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 potentially - large 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: ❑ Part 1 ❑ Part 2 ❑Part 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 lead agency that: O - -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: ' ❑ 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 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 Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Date 'D PART 1— PROJECT INFORMATION Prepared by Project Sponsor NOTICE:' This document is: designed -to assist in determining whether the,action proposed; may: have .a significant effect- on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considere( as part of the application for approval 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 `k7 -- acres fJ �M-S LO LOCATION OF ACTION (Include Street Address, Mu Iclpallty and Coun ) acres ( _ acres NAME OF APPLICANT/SPONSO acres BUSINESS TELEPHONE S /6 0 o 04C awes ( ) acres —” acres ADDRESS 2 �- CITYIPO STATE ZIP CODE e , Ir a fl1 /0 S5 NAME OF OWNER (If different) BUSINESS TELEPHONE ( I ADDRESS CITY /Po STATE I ZIP CODE DESCRIPTION OF CTIION' �� 1& No �dcCl;�� , - „�C4� ."'�3C-s 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: ❑Urban ❑Industrial kCommercial ❑Residential (suburban) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: (0, /( acres. . APPROXIMATE ACREAGE Meadow or Brushland (Non - agricultural) Forested Agricultural (Includes orchards, cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) Water Surface Area Unvegetated (Rock, earth or fill) Roads, buildings and other paved surfaces Other (Indicate type) 3. What is predominant soil type(s) on project site? ❑Rural (non -farm) PRESENTLY AFTER COMPLETION -- acres -- acres acres _ acres _ acres acres acres _ acres — acres acres acres acres /6 0 o 04C awes E v a rte. ,�' acres acres —” acres a. Soil drainage: ❑Well drained 10-2 % of site ❑Moderately well drained % of site ❑Poorly drained % 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( Land Classification System? WA acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ❑Yes NO a. What is depth to bedrock? W (in feet) 2 5. Approximate percentage of proposed project site with slopes: 00 -10% I % 010 -15% 015% or greater % Is,. projectaub�tant�all .y,;cootjguous t, or_,contain a ^building, site, .or district I�sted on the State or the National ..._ - 4 , Registers of Historic Places? Oyes PQN0 7. Is project substantially contiguous to a site listed on the Registerof National Natural Landmarks? Dyes fi�No 8. What is the depth of the water table? W-JA (in feet) 9. Is site located over a primary,' principal, or sole source'aquifer? OYes ,BNo 10. Do hunting, fishing.or.shell fishing opportunities presently exist in the project area? . OYes AN 11. Does project site contain-any species of . plant or animal life that is identified as threatened or endangered? OYes 95;No 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) OYes No Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ❑Yes jD04o If yes, explain 14. Does the present site include scenic views known to be important to the community? OYes WNo 15. Streams within or contiguous to project area: NlA 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 IV //I b. Size (In acres) 17. Is the site served by existing public utilities? OYes ,®No a) If Yes, does sufficient capacity exist to allow connection? ❑Yes ONo b) If Yes, will improvements be necessary to allow connection? OYes ONo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25 -AA, Section .303 and 304? OYes ENO _ 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ❑Yes (No 20. Has the site ever been used for the disposal of solid or hazardous wastes? OYes )9No B. r r jet Description 1. P , ysical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 0,// acres. b. Project acreage to be developed: N acres initially;.. 6VA acres ultimately. c. Project acreage to remain undeveloped . A414. -- acres. d. Length of project, in miles: (If appropriate) �� v r A. JQ e. If the project is an expansion, indicate percent of expansion proposed %; ' lbw o&' f. Number of off - street parking spaces existing /,3 ; proposed / 3 g. Maximum vehicular trips generated per hour N /,,& (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially Ultimately i. Dimensions (in feet) of largest proposed structure S � height; �y_ width; 5_2 length. v'f j. Linear feet of frontage along a public thoroughfare project will occupy is? _ss L= ft..,e"g4- 3 I How much natural 'material (i.e., rock, earth, etc.) will be removed from,. the site? - -=,f -� tons /cubic yards . 3. Will disturbed areas be reclaimed? Oyes Y?No ON /A a: lf- yes, for what- ,:..purpose ..is_the.site.being.. cecl . riled ?. b. Will topsoil be stockpiled for reclamation? OYes EgNo C. Will upper subsoil be stockpiled for reclamation? OYes P�No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? acres. 5. Will any'mature forest (over 100 years old) or other locally- important vegetation .be removed by this project? OYes . Po 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 year, (including demolition): c. Approximate completion date of, final .phase month year.. ' d. Is phase .1 functionally dependent on subsequent phases? OYes ❑No' WA 8. Will blasting occur during construction? OYes ZNo 9. Number of jobs generated: during construction 5 ; after project is complete 10. Number of jobs eliminated by this project 11. Will project require relocation of any projects or. facilities? OYes Flo If yes, explain 12. Is surface liquid waste disposal involved? OYes XNo 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? OYes PNo Type 14. Will surface area of an existing water body increase or decrease by proposal? OYes )EtNo Explain 15. Is project or any portion of project located in a 100 year flood plain? OYes MMO 16. Will the project generate solid waste? OYes. ')_*lo a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? OYes ONO c. If yes, give name location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? OYes Alo e. If Yes, explain 17. Will the project involve the disposal of solid waste? OYes Dwo a. If yes, what is the anticipated rate of disposal? tons /month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? OYes CBRo 19. Will project routinely produce odors (more than one hour per day)? OYes kro 20. Will project produce operating noise exceeding the local ambient noise levels? OYes /Mo 21. Will project result in an increase in energy use? Ayes ONo If yes , indicate type(s) L- 22. If water supply is from wells, indicate pumping capacity gallons/minute. 23. Total anticipated water usage per day gallons /day. 24. Does project involve Local, State or Federal funding? OYes 'no If Yes, explain 4 25. Approvals Required: Submittal Type Date City, Town, Village Board -Gity, Town, Village Planning Board Gity, Town Zoning Board 6G E , County Health Department Other Local Agencies. Other Regional'Agencies State Agencies Federal Agencies . OYes )KNo )4Yes ONo Yes ONo Mes ONo ��_�_ �� S nnL,1 � OYes.. JgNo $lyes ONo OYes ONo. OYes . ONo C. Zoning and Planning: Information.,, 1 . Does proposed action involve a planning or zoning decision? OYes KNo If Yes, indicate decision required: Ozoning amendment Ozoning variance - Ospecial use permit Osubdivision. Osite plan Onew /revision of master plan Oresource management plan Oother 2. What is the zoning class ification(s)of the site? S - 3. What is the maximum potential development of'the site if developed as permitted by the present zoning? WIA 4. What is the proposed zoning of the site? 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? C:. yb. Is the proposed action consistent with the recommended uses in adopted local land use plans? XlYes ONo 7. What are the predominant land use(s) and zoning classifications within a 1/, mile radius of proposed action? `� cc. cQ, E� Ce-wi, vin. � ►re c o�p . . 8. Is the proposed action '.compatible_with.. adjoin ing /surrounding land uses within a '/4 mile ?.... XYes_ ...:ONo . 9. If the proposed action is the subdivision of land, how many lots are proposed? 1 a. What is the minimum lot size proposed? 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? OYes ANo 11. Will the proposed action create a demand for any community provided services (recreation, .education, police, fire protection)? OYes UNo a. If yes, is existing capacity sufficient to handle projected demand? OYes ONo 12. Will the proposed action result in the generation of traffic significantly above present levels? OYes $INo a. If yes, is the existing road network adequate to handle the additional traffic? OYes ONo D. Informational Details 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 certify that the information provided above is true to the best of my knowledge. Applicant r Name A Sign Title Date i- z l —P�_ If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 1.1 Part 2•— PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information (Read Carefully) =In °comatet7rig=tfie forrii the reviewer'should be guided by, -the question:�tiave-my.:.respoi-ises.:andtdet6rminatio s.-been-.. reasonable? The reviewer is not expected to be an expert environmental analyst. l • Identifying that an impact will be potentially large (column 2) does not mean that it is.also necessarily significant. 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. 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 any example provided, check.column 2. If impactwill occur but threshold 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 change(s) 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 1. Will the proposed action result in a physical change to the project 'te? 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 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. • 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 landfill. • Construction in a designated floodway. • Other impacts 2. Will there be an effect tc...,,y un;que or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)ONO OYES • Specific land forms: 1 Small to Moderate Impact 2 Potential Large Impact 3 Can Impact Be Mitigated By Project Change ❑ ❑ []Yes ❑No ❑ ❑ ❑Yes E] No ❑ ❑ El Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes []No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes 1:1 No ❑ ❑ ❑Yes ❑No ❑ ❑ El Yes ❑No IMPACT ON WATER Wilf-proposed acfiori-af�f�ct= a'ny=wFater- -body. ,designated- as.protected ?:-- (Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) �10 OYES Examples that would apply to column 2 • Developable area of site contains a protected water body. • 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: 4. Will proposed action affect any non - protected existing or new body of ,water? �0 OYES 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. • Construction of a body of water that exceeds 10 acres of surface area. • Other impacts: 5. Will Proposed Action affect surface or groundwater quality or quantity? 10 OYES Examples that would apply to column 2 • 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 requires water supply from wells with greater than 45 gallons per minute pumping capacity. • Construction.or. operation causing Any'contamination- of -a water - supply system. • 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. • Proposed Action would use water in excess of 20,000 gallons per day. • 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. • Proposed Action will require the storage of petroleum or chemical products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water and /or sewer services. • Proposed Action locates commercial and /or industrial uses which may require new or expansion of existing waste treatment and /or storage facilities. • Other impacts: 6. Will proposed action alter drainage flow or pattergs. or surface water runoff? §N0 ❑YES Examples that would apply to column 2 • Proposed Action would change flood water flows. 7 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By [Mpact - Impact-.;, - Project: Change ❑ 1 ❑ I ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ 1 ❑Yes ❑No 1 ❑ ❑ ❑Yes ❑No ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑Yes ❑No I ❑ Yes ❑Yes ❑Yes ❑Yes ❑No ❑No ❑No ❑ No ❑Yes ❑No I ❑ ...., .- ❑Yes,. _ ❑No _ ❑ ❑Yes ❑No ❑ ❑Yes ❑No ❑ I ❑Yes []No ❑ I ❑Yes ❑No ❑ 1 ❑Yes ❑No ❑ 1 ❑Yes ❑No ❑ I ❑Yes ❑No ❑ I ❑Yes ❑No ❑ 1 ❑Yes ❑No • Proposed Action may cause substantial erosion. • Proposed Action is incompatible with existing drainage patterns. • Proposed Action will allow development in a designated floodway. • Other impacts: IMPACT ON AIR 7. Will proposed action affect air quality? 0 OYES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given hour. • Proposed Action will result in the incineration of more than 1 ton of refuse per hour. • Emission rate of total contaminants will exceed 5 lbs. per hour or a heat source producing more than 10 million BTU's per hour. • Proposed action will allow an increase in the amount of land committed to industrial use. • Proposed action will allow an increase in the density of industrial development within existing industrial areas. • Other impacts: IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species ? 0 OYES Examples that would apply to column 2 ( _ • 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. • Removal of any portion of a critical or significant wildlife habitat: • Application of pesticide or herbicide more than twice a year, other than for agricultural purposes. • Other impacts: 9. Will Proposed Action substantially affect non - threatened or non - endangered species? )CNO OYES Examples that would apply to column 2 • 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 ON AGRICULTURAL LAND RESOURCES 10. Will the Proposed Action affect agricultural land resources? w0 OYES Examples that would apply to column 2 / • The proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) L-1 1 Small to Moderate Impact 2 Potential Large Impact 3 Can. Impact Be Mitigated By Project Change ::❑ . - .:� ":;.. = ❑Yes -., No ❑ Q ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No i ❑ ❑ 1-1 Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes 1:1 No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes 1:1 No ❑ ❑ ❑Yes ❑No ❑ D ❑Yes ONo ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes El No ❑ ❑ ❑Yes []No ❑ ❑ ❑Yes ❑No • 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, strip 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 11. Will proposed action affect aesthetic resources? O OYES (If necessary, use the Visual EAF Addendum in ection 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 ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or sructure of historic, pre- historic or paleontological importance? NO OYES 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 ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2],NO OYES • The permanent foreclosure of a future recreational opportunity. • A major reduction of an open space important to the community. • Other impacts: M 1 Small to z. wModerate=t Impact 2 Potential .. Large,, . Impact 3 Can Impact Be .:,Mtigated,,¢.y;:.v:. 4 Project Change ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ El Yes Cl No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes 0 N ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes El No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes 0 N ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes El No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes 0 N 10 1 2 3 IMPACT ON TRANSPORTATION Small to Potential Can Impact BE ._ 14. <Will -there be: an. effect.. to :existing,tra�sportation,,,syst ms? Moderate Lrge Mitigated By. NO OYES . Impact Impact" "" Project Chatio Examples that would apply to column 2 o Alteration of present patterns of movement of people and/or goods. ❑ ❑ ❑Yes 0 N • Proposed Action will result, in major traffic problems. 0 ❑ Dyes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON ENERGY. 15. Will. proposed action affect the community's sources of fuel .or energy supply? NO DYES Examples that would apply to column 2 • Proposed Action will cause a greater than 5% increase in the use of ❑ ❑ Dyes. ❑No any form of energy in the municipality. a Proposed Action will require the creation or extension of an energy ❑ ❑ Dyes ❑No 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: ❑ ❑ Dyes ❑No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? 132]VO OYES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ Dyes ❑No facility. • Odors will occur routinely (more than one hour per day). ❑ ❑ Dyes ❑No • Proposed Action will produce operating noise exceeding the local ❑ ❑ Dyes C ambient-noise levels -for noise.outside.of structures. • Proposed Action will remove natural barriers that would'act'as a ❑- ❑ Dyes ❑No- noise screen. • Other impacts: ❑ ❑ Dyes ❑No IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety? 900 DYES Examples that would apply to column 2 • Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ Dyes ❑No 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. • Proposed Action may result in the burial of "hazardous wastes" in any ❑ ❑ Dyes ❑No form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ ❑Yes []No gas or other flammable liquids. • Proposed action may result in the excavation or other disturbance ❑ ❑ Dyes ❑NO within 2,000 feet of a site used for the disposal of solid or hazardous waste. • Other impacts: ❑ ❑ Dyes ❑No 10 IMPACT ON GROWTH AND CHARACTER OF., COMMUNITY OR NEIGHBORHOOD 18. Will proposed action affect t character'of'the ezistin ommunity. O OYES Examples that would apply to column 2 • 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 S% 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. • Other impacts: 1 Small to Moderate °Impact' ` 2 Potential Large "Impact"" 3 Can Impact Be Mitigated By `Project °Cnarige' ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No ❑ ❑ ❑ Yes ❑ No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts ? t0 OYES 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 p&t_3'-EVALUATIQN OE- 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 °oo 0 o-o o °o 000000°° 0 0 0 APPROX. rD &E OP EXI6TIN& F' I,RAVEL PARKING AREA a Ga _. W a B8B8888 tz ,0 50.00, L S s TRI - GALL OO -T Ta. ,� , � � 0157RIbUYION A P O WWI DI'r 5x1 s-rn Nr, z _ OPEN WML2 Ar'f,;X• UZATION E — �EGK OF XIST. PIP / � Q � � � 3 z �45TI NG I STO RY � z CONG. BLOCK 15UILDING pIZOpOs�l� SEGOND x Z -w STO _.._, i KY I EXPANSION i I � X 9 zFU. N EXlStING METAL GUARDRAIL � � U � p �pw N I 0 N a os° 24 76). 2 EXISTING PO 17 PARKING AREA O I FAIREIEL DRIVE pc.n�Leaes w ae INSULLeo Levei, ti' TO IV kAO60.af-AveL OK 41.1 HED 4f0µ6 1� � U ti �yJpp2W ,2 �QJ �0 Y SITE LOCATION PLAN SGAL.E : 1r, 5000' _.ShTEr ?LAN DATA ._.._ZORIE..._ N.5•. -.2 FMIgMEt7 fi�P(� A [ENpVABLE LOVER n /,pOt Q ID, 00p 5. F 4G AREA I &oO S.F. ..ALL OUTLETS at ume ELev. Cr1*H1 amat 50 :t FT, 100 FT. t, 6OVERA4sE) YARD .. IY.GLeAN SAND s'MM. OR PEA'GKAVCL YARD SECTION ' A -A ION BOX DETAIL 7.T TO SCAI.e -16 t FT 1� � U ti �yJpp2W ,2 �QJ �0 Y SITE LOCATION PLAN SGAL.E : 1r, 5000' _.ShTEr ?LAN DATA ._.._ZORIE..._ N.5•. -.2 F PATTEICroN TAX Mite 3G., 13LZK 5 1OT !o SUE3JEGT PROPERTY AND EUILDING EXISTED PRIOR TO TOWN OF PATE "1150N ZONNING ORDINANCE ADOPTED MARCH 10, 1,j7&. PIZoPERTY LINE DATA FROM " 5uRVEY OF PROPERTY PREPARED FOR HANS 0. U WALTKAUD JA6KEL -' DATED MARCH 24, 1972 13Y JAMES EDGETT, L. S.. NO RENTAL, OF SECOND FINK SHALL 13E I'FRM17TED ANI.B65 SUITA6LE PARKING fA; 6ILITIe4 AKV, APPIeOVED 3'{ THE PATTERSON fLLANNINri 6o/,ICD IN ACC KC;ANCe NITH ARTICLE YL , SECTION OF THE TOWN O¢ PA- TTEIC�N 7.DNING OKDIPIANCE , Dlvlslotnam Oocrt 6pProge n o nartment oP tll`a le g� tat 8ealtb Serpl� pu Co Les a conpo ea ma 3l ty Bea h Reg,, ; tlone op ttb e �..TTt2 _Date - wammAj RSV. 5- 6 - 88 PROJECT: PRO2 0MG5 131,06 EXPAN FAIIZFIt:LD DRIVE PATTER50N CLIENT NEW ) ANNE LAUKENT I3RIARLLIFP MANOR, New i 12 3 mmRANDOLPH LOT AREA t-,) 7s} ID, 00p 5. F 4G AREA I &oO S.F. 750 S.F. (MAX)"(15 /. MAX. GROUND FRONTAGE 50 :t FT, 100 FT. t, 6OVERA4sE) YARD 8.25 FT. 15 FT. aK YARD 0.73 FT 10 FT. YARD -16 t FT 25 FT. 1C, NEIGHT � PiZOViDED 1 STORY 2Y2 STY ALLOWED F PATTEICroN TAX Mite 3G., 13LZK 5 1OT !o SUE3JEGT PROPERTY AND EUILDING EXISTED PRIOR TO TOWN OF PATE "1150N ZONNING ORDINANCE ADOPTED MARCH 10, 1,j7&. PIZoPERTY LINE DATA FROM " 5uRVEY OF PROPERTY PREPARED FOR HANS 0. U WALTKAUD JA6KEL -' DATED MARCH 24, 1972 13Y JAMES EDGETT, L. S.. NO RENTAL, OF SECOND FINK SHALL 13E I'FRM17TED ANI.B65 SUITA6LE PARKING fA; 6ILITIe4 AKV, APPIeOVED 3'{ THE PATTERSON fLLANNINri 6o/,ICD IN ACC KC;ANCe NITH ARTICLE YL , SECTION OF THE TOWN O¢ PA- TTEIC�N 7.DNING OKDIPIANCE , Dlvlslotnam Oocrt 6pProge n o nartment oP tll`a le g� tat 8ealtb Serpl� pu Co Les a conpo ea ma 3l ty Bea h Reg,, ; tlone op ttb e �..TTt2 _Date - wammAj RSV. 5- 6 - 88 PROJECT: PRO2 0MG5 131,06 EXPAN FAIIZFIt:LD DRIVE PATTER50N CLIENT NEW ) ANNE LAUKENT I3RIARLLIFP MANOR, New i DRAWING TITLE SITE PLAN SCALE: v' OF NE6y� DATE . 12 3 mmRANDOLPH W. LAUF ASSOCIATES, P.0 �^ T W 1 CHECKED BY: 1 R. W. L. 1 JOB No.: �-7 v j V \ 73 FAIRFIELD DRIVE PATTERSON. NEW YORK 12: 914.278.6108 CONSULTING SITE ENGIN. DRAWING TITLE SITE PLAN SCALE: v' OF NE6y� DATE . 12 3 1dILLIA' . oxawJ�. ar �^ T W 1 CHECKED BY: 1 R. W. L. 1 JOB No.: �-7 v DRAWING No.: '` vA rvo 045j9N V