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Short Environmental Assessment Form Part 1 - Project Information Instructions for Completing Part 1 – Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1 – Project and Sponsor Information 4350 SENECA ST. BUILDING ADDITION Name of Action or Project: 4350 SENECA ST, WEST SENECA NY 14224 Project Location (describe, and attach a location map): EXISTING ONE STORY BREWERY Brief Description of Proposed Action: A TWO STORY BUILDING ADDITION ADJACENT TO THE EXISTING BUILDING Name of Applicant or Sponsor: Telephone: 585-305-5199 HAVENS HOLDING GROUP E-Mail: [email protected] Address: 255 ROUNDS AVE City/PO: State: Zip Code: BUFFALO NY 14225 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If No, continue to question 2. ✔ 2. Does the proposed action require a permit, approval or funding from any other government Agency? NO YES If Yes, list agency(s) name and permit or approval: BUILDING PERMIT AND TOWN FILL PERMIT ✔ 3. a. Total acreage of the site of the proposed action? 0.81 acres b. Total acreage to be physically disturbed? 0.08 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 1.38 acres 4. Check all land uses that occur on, are adjoining or near the proposed action: □■ Urban Rural (non-agriculture) Industrial Commercial Residential (suburban) □ Forest Agriculture Aquatic Other(Specify): Parkland Page 1 of 3 SEAF 2026 Page 32 of 84