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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 which 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 Name of Action or Project: O'Reilly Auto Parts Redevelopment - Lackawanna, NY (LK1) Project Location (describe, and attach a location map): 1255,1265,1269,1271 Abbott Road, Lackawanna, NY, Erie County Brief Description of Proposed Action: Applicant proposes to redevelop an existing automotive facility with a new ±7,650 SF. O'Reilly Auto Parts Retail Store.The proposal includes a new building, parking, landscaping, site pavement and other site appurtenances. The applicant proposes to close three(3) driveways on Abbott Road and replace them with one (1) new minor commercial curbcut. The applicant also proposes parking along Julian Ave. Name of Applicant or Sponsor: Telephone: O'Reilly Auto Enterprises, LLC E-Mail: Address: 233 S. Patterson, Suite PS1-H City/PO: State: Zip Code: 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: City of Lackawanna:Planning Board-Site Plan Approval, Zoning Board-Area Variance, Building Permit, DPW Permits- Driveway, Erie County Water/Sewer Permit 3. a. Total acreage of the site of the proposed action? __________ ±1.2 acres b. Total acreage to be physically disturbed? __________ ±0.80 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? ±1.2 acres __________ 4. Check all land uses that occur on, are adjoining or near the proposed action: 5. Urban ✔ Rural (non-agriculture) Industrial ✔ Commercial Residential (suburban) □ Forest Agriculture Aquatic Other(Specify): □ Parkland Page 1 of 3