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5. Is the proposed action, NO YES NIA □ !El □ . a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? 6; Is the proposed action consistent with the predominant character of the existing built or natural landscape? □ !El □ NO YES 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? □ !El NO YES 0NO □ If Yes, identify: . •. YES !El □ 8. a. Will the proposed action result in a subsia11tial increase in traffic above present levels? !El □ b. Are public transportation services available at or near the site of the proposed action? 0 □ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed action? 9. Docs the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements, describe design features and technologies: 0 □ . I0. Will the proposed action connect to an existing public/private water supply? NO YES □ If No, describe method for providing potable water: 0 11. Will the proposed action connect to existing wastewater utilities? NO YES □ If No, descl'ibe method for providing wastewater treatment: 0 12. n. Docs the project site contain, or is it substantially contiguous to, a building, archaeological site, or district NO YES which is listed on the National or State Register of Historic Places, or that has been determined by the Commissioner of the NYS Office of Parks, Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? □ !El b. Is the project site, or any portion ofit, located in or adjacent to an area designated as sensitive for 0 □ archaeological sites on the NY State Historic Preservation Office (SHPO) archaeological site invent01y? 13. a. Docs any portion of the site of the proposed action, or lands adjoining the proposed action, contain NO YES wetlands or other waterbodies regulated by a federal, state or local agency? 0 □ b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? Page 2 of3 0 □