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5. 1s the proposed action, NO N/A
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ORR a
a.
b.
A permitted use under the zoning regulations?
Consistent with the adopted comprehensive plan?
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6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? Bi
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7, Is the site of the proposed action located in, or does it adjoin, a state listed Critioal Environmental Area?
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If Yea, identity:
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UO
& a. Will the proposed action result ii a substantial increase in traffic above present levels?
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a
6. Ave public transportation services available at or near the site of the proposed action?
aE
NRO
, Are any pedestrian accommodations or bieycle routes available on or near the site of the proposed
actlan?
9. Does the proposed action mest or exceed the state energy code requirements? _ rn
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[Pthe proposed action will exceed requirements, describe design features and technologies:
Ed
10, Will the proposed action connect to an existing public/private water supply?
NO | YES
Tf'No, describe method for providing potable water:
Cl Mm
IL. Will the proposed action connect to existing wastewater utilliies?
NO | YES
, TfNo, doscribe method for providing wastewater treatment:
Q Wa
{2, a, Doos the project site contain, or fa if substantially contiguous to, a bullding, archaological site, or
district NO | YES
which is listed on the National or State Register of Historio Places, or that has been determined by the
Commissioner of the NYS Office of Parks, Recreation and Histaric Preservation to be eligible for listing on
the ,
State Register of Historic Places?
b, Is the project site, or any parton of it, located in of adjacent to an area designated ag sensitive for
archacological sites on the N'Y State Historic Preservation Office (SHPO) archaeologigal site inventory?
13, a, Does atty portion of the site of the proposed action, or lands adjoining the proposed action, contain
wetlands or other waterbodies regulated by a federal, state or local agency? YES
5. Would the proposed action physically alter, or encroach Into, any existing wetland ar waterbody?
i
If Yes, identify the wotland or waterbody and extent of alterations in square feet or acres: _
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