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Short Environmental Assessment Form Part 1 - Project Information Instructions for Completi Part 1~ Project Information. Fhe 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 Contractor: GreenSpark Solar | Project: Residential Ground Mount Solar Expansion Name of Action or Project: Rob Fontaine - Residential Ground Mount Solar Expansion Project Location (describe, and attach a location map): 2100 Lewis Road, South Wales, NY 14139 Brief Description of Proposed Action: Installation of a residential ground mount solar system expansion comprised of 16 SEG Yukon N-Series Modules. Name of Applicant or Sponsor: Telephone: (585) 265 - 2384 Ext. 108 G Spark Solar 1. reenup E-Mail: [email protected] Address: 176 East Main Street City/PO: State: Zip Code: Rochester . NY 14604 1. Does the proposed action only involve the legislative adoption ofa 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: TOA Blob, Rear LI} 3. a. Total acreage of the site of the proposed action? 2740 acres b. Total acreage to be physically disturbed? 0,004 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 27.40 acres 4, Check all land uses that occur on, are adjoining or near the proposed action: Urban [=] Rural (non-agriculture) [7] Industrial []] Commercial 1] Residential (suburban) [-] Forest [x] Agriculture [] Aquatic [] Other(Specify): [_] Parkland Page 1 of 3 SEAF 2026