GENESEE COUNTY PLANNING BOARD ZONING REFERRALS … · If the County Planning Board disapproved the...

GCDP Referral ID T-04-BER-12-14

Review Date 12/11/2014

Municipality BERGEN, T.

Board Name PLANNING BOARD

Applicant's Name David Brownell

Location 6014 Sautell Rd., Bergen

Referral Type Subdivision: Final

Variance(s)

Zoning District Residential-Agricultural (RA-40) District

PLANNING BOARD DECISIONAPPROVAL

EXPLANATION:Given that the land transfer will bring the smaller parcel into conformance with the Town's zoning regulations as they pertain to minimum lot size for single-family homes, the proposed final subdivision should pose no significant county-wide or inter-community impact.

GENESEE COUNTY PLANNING BOARD ZONING REFERRALS NOTICE OF FINAL

ACTION

Description: Final Subdivision to transfer 0.42 acres from one property to an adjacent parcel.

Director Date

If the County Planning Board disapproved the proposal, or recommends modifications, the referring agency shall NOT act contrary to the recommendations except by a vote of a majority plus one of all the members and after the adoption of a resolution setting forth the reasons for such contrary action. Within 30 days after the final action the referring agency shall file a report of final action with the County Planning Board. An action taken form is provided for this purpose and may be obtained from the Genesee County Planning Department at 344-2580 x 5466, or online at http://www.co.genesee.ny.us/ under Forms and Permits for Towns and Villages.

December 11, 2014

SEND OR DELIVER TO:

GENESEE COUN1Y DEPARTMENT OF PLANNING 3837 West Main Street Road

DEPARTMENT USE ONLY:

G.C.D.P.Referral# T-0~ -l)E R.- 1'2..- ~~ Batavia, N.Y. 14020-9404 Phone: (585) 344-2580 Ext. 5467

Date Received \ 2...- l·- I L-{

RECEIVED DEC 01 2014

Required According to: GENJ;i:RAL. MUNICIPAL LAW 4RTICLE 12B, SEC'l'ION 239 L, M,rM~ GENESEE COUNTY

~J~l"W~f@.!\!~~!1fm«~lJfB~f@ff@Jf~l~~~~~A~l~l PARTMENT OF PlANNING

2. APPLICANT INFORMATION

Name l2av' \(i_:&12WV\LL I Addres3ticti0Sili+-etl lLvl } l3er~f\.-Phone1&f1-13b4 Email ____ _

of3ifg€.i\ ~Town L]JVillage

3. TYPE OF REFERRAL: (Check all applicable items)

L1J Area Variance LJJ Zoning Map Change EJJ Use Variance LJJ ZoruogTextAmendments Lj Special Use Permit L1J Comprehensive Plan/Update Ljl Site Plan Review EJj Other:--------

Subdivision Proposal (jl Preliminary

, Final .

A.Address~-~~~~~~~~~~~~~~~L-~~~~~~~~~------------------

B. Nearest intersecting road --I-~....L..J~::--:~:.=-Ml..I:1~...!..,-=~:::...,_--.-----:::::------:---:::::-::::::----:-------------

C.TuMapParcdNumber~~LU~~~~-L-~~~~~~--~~~~~~~~-~~------

D. Total area of the property ____________ Area of property to be disturbed --'--=...l"""'-'=-'--"-=-------

E. Present zoning district(s) --------------~..;__~-'-----"""'----------'--~-

5. REFERRAL CASE INFORMA.TION:

A. Has this referral been previously reviewed by the Genesee County PJ.anning Board?

¢No lJJYEs If yes, give date and action taken, ______________________ _

B. Special Use Permit and/ or Variances refer to the following section(s) of the present zoning ordinance and/ or law

6. ENCLOSURES- Please enclose copy(s) of all appropriate items in regard to this referral

;L~cal application EO Zo~g text/map amendments lJJ New or updated comprehensive plan S1te plan §Location map or tax maps Subdivision plot plans · Elevation drawings lJJ Other: ------------SEQR forms · Agricultural data statement

***If possible, please provide a reduced version or digital copy of any supporting documentation larger that 11 x 17 in. Digital copies may be sent via email to [email protected] ***

7. CONTACT INFORMATION of the person representing the community in filling out this form (required information)

Name~Y1c__s(Y\lfh Title.sf~t!dJ4 Phone Of±3--(olL-{2 Addr .. JD 8~ )i.j&-gen!:l'&Jclllfl &n.nsPLrt-~~bd9~ ·GY!J

I

TOWN OF BERGEN APPUCATiqN FOR SUBDIVISION

~MINORj I I MAJOR! I IBULKLAND TRANSFER! 4 LOT$ 5+LOT$ 4Q +.ACI'lES

Name: -ALL~~~--~L---~----~---

AddreSS: -'7rl:.....r-"-.........,""'"""~'--~---""'~'--'~;...L----

Phone#:

DATE: c,ft/~olij ·- .-

APPLICANT (IF OTHER THAN OWNER)

Name: !Jift/li) f!l<.(}tvpV~ IJ Add·ress : b! I'/ Sl!tj /-£ lj r<:J

/1&-rt.f£/ vv7 I'ILfiA

INSTRUCTIONS• Please fill out this application as completely as possible. Submit additional documents ---------' which can include but is not limited to Maps - Sketch, Tape and or Survey Maps.

Abstracts, Deeds Covcnents etc. 1. Location of proposed Subdivision - Tax Map I (TMP) }fr). ki 7' 9' • .... /-- h 'f /tlfiiJ -· J Bl b ~ Y 'J, -f .... 6f

Road } /Jtf/ffrl( Nearest street intersec:tio; _./1/.......,fl"'.-4 .... · ~'.,..s_iJ .... ut._;..,~~..""?/~..;;:(;Le';..__ ____ ___. ____ _

2. Number of existing lot{s). ~ Number of proposed lot(s). _2..:.,.__ ____________ _ SUBMIT A MAP\SKETCH OF THE EXISTING LOT(S} AND OF THE PROPOSED NEW LOT(S} UNE(S}.

3. Current Zoning District --------- If yes list the requested Will there be a Zoning District Change 7 NO 0 YES D Zone change. -----------

4. Check the intended use of the subdivision and the # of lot(s). ¥' / # of PARCELS ¥' . # of PARCELS

11 RESIDENTIAL I~- AGRICULTURAL

¥' # of PARCELS

COMMERCIAL

RECREATION INDUSTRIAL

5. Is a Special Use permit D , Variance~ or Other 0 procedure necessary ? BRIEFLY STATE REASON

6. Are t0e. re y Deed restrictions and\or covenants that apply or are contemplated for this subdivision? NO YBS 0 IF YES. ATTACH A COPY OF THE PROPOSED DEED RESTRICTION OR COVENANT.

BRIEFLY LIST THE NATURE OF THE RESTRICTION HERE.

7. Is there an Engineer designing this project? NO

Name:

Address:

>- : I pp ca e : .... State Preliminary :z Final 0 Health Department Bulkland Transfer IU en County Planning Bd. Recreational Fee ::::::t Per lot IU Town Engineer Amendments c.:» Public Hearing - Town D.O.T. u.. u.. .•. ,.

YESD

Phone #-----------------------------Name Firm -----------------

Address

A : Consultation ..

Preliminary ..

" S.E.Q.R ......

Public Hearing

Final .......

0 Fire Department Cashc::J or Check # Filed w/ County Clerk.

COPY DISTRIBUTION : !.!!.!.!!. · PLANNING BOARD !.!.!.!!! • CLERK Pink • APPLICANT

+ TOWN OF BERGEN + Application t# __ ........;_ __

Agricultural Data Statement Date

INSTRUCT I 0 N S: This form must be completed for any. application for a special use permit, site plan approval, use variance or a subdivision approval, requiring municipal review,· that would o,ccur on property within 500 feet of a farm operation located in a NYS Dept. of Ag. & Markeh certified Agricultural District.

Applicant Owner if different than Applicant

Name {)ltr/1 D Btu WW (_ IJ Name

Address £'79 ~.JIWf~l( /2-d Address ~'f'C;; /V t

3. Location of project: Address . .>-?9~ .. 1'-- tfJ1°.v~»fr~te tL}/ .. Tax Map Number (TMP) tlt4R.r~··- &_. .. Check with your

4. Is this parcel within an A. gricult .. ural District? NOCK] YESL::] local Assessor if you do not know

5. If yes, Agricultural District Number ·

6. Is this parcel actively farmed 9 NO [£] YES [:=J 7. List all farm operations within 500 feet of your parcel, {Attach additional sheets if necessary}.

1. 2. Name Name

Address Address ___________ _

Is this parcel actively farmed ' N00YES0 Is this parcel actively farmed t N00VES0

Name Name

Address Address ___________ _

h thia p•Hcel actively farmed' N·o0YES0 Is this parcel actively farmed t N00YES0

REVIEWED BY

NOTE TO REFERRAL AGENCY

quired. A copy of the Agricultural Data Statement must 9 with the referral to the County Planning Department.

Copy Distribution: WHITE- Z.E.O. CANARY-Planning Board PIN~-Board of Appeals GOLD-Applicant

I 617.20 Roppendlx C ,

State Environmental Quality Review

I PROJECT 1.0. NUMBER

. SHORT ENVIRONMENTALASSESSMENT FORM f'or UNLISTED. ACTiONS Only

PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)

1. AP~i!JJv~R£, I/ .I 2. PROJECT NAME

3.. PROJECT LOCATION: . Municipality County

4 .• PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map)

· 6 011 fiJvftrl( ~ /- lf·v¥ lJ .r-yt::t h .~ ~ff-1/ r<J •

5. IS PROPOSED ACTION:

)~f'Modlflcatlonfalterallon DNew Oexpanslon 6. DESCRIBE PROJECT BRIEFLY: ' 6 ()II( .,/'ftV/ff/( ~tf ,...._ F /J.t>-1 A/)/) tf /'ILtJX ~ I 12.. lkti. +a SIP t s ;Jy 1+11 ;t.. •

'l. AMOUNT 01~0 AFF~:r i'fr'iV ~· Initially • • acres Ultimately acres

B •. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTION.S? leJves DNo II No, describe briefly

. ··.. .. . •.. :,> . 9. WHAT IS PRESENT I..AND Use IN \ltCIHITv ()j:qiAOJECT?

eJ Residential

SEQR

~ [J Industrial .. 0 Commerc.lal 0 Agriculture 0 Park/Forest/Open spaC!J Describe:

.tftvlt-1(14/ Cvt-rJ 1-w-f 8 1:-f w (:- f:..rl ~ s-Jt£1- {?t)lr

' 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL.

STATE OR lOCAL)?

DYes ~ If yes, list agency(s) and perrllllhlpprovals .

.·. .·

11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAliD PERMIT OR APPROVAL? DYes 0No If yes,·llst ~gency name and permit/approval

.·· .. .. ~

12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPRQVAlf:UiQI,IISE MOOIFlCATION? . [}Yes·. O~o ......... · . :. ;_._ ""- c.<.:_ •

.. I CERTIFY. THAT TH!: INFCnU.V~TION PROVIDED A60VE I$1'RUE TO THE BEST OF MY KNOWLEDGE

tp/(t?/!i .,, • ., •• ,.~!Us) lc7 4-'-" / lj 4/l Oft,./{./ t /(' Date:

Signature: N ~ \1 - .

If the action Js In the CoastafArea, and you are a slate agency, complete the Coastal Assessment Form before proceeding with this assessment

OVER 1

12-10-' 14 15:49 FROM-TOIJN OF BERGEN

TOWN OF BERGEN * ESTABLISHED A~RIL .2, 1813 *

585-494-1372

POBoxZ49

1 0 HUNTER STREH

BERGEN, NY I 4416

T-740 P0001/0016 F-268

Dec 10 2014 15 59 plar-,nmq

Caller I D

PHONE! (585) 494·1 121 * FAX; (585) '194-1372

SOPERVlSOR DONALDS. CUNNINGHAM

COlJNCILMEN JOSEPH NBNN!, DEPUTY SUPERVISOR HuGH F, MCCARWSY (iRJANSlONE

COUNCILWOMAN BELINOA GRANT

SlJPEIUNTENDli:NT OF HIGHWAYS MIKE JOH"NSON

TOWN CUlU<If,u: COLLECTOR MICHBLE M. SMitH

JUSYIC£S DONALP KUNEGO ROBERT SWAPCE!NSKI

ZONING & CODE ~NFORCEMENT OFFrCtl:ll DAVID MASON

ASS:&SSOR ANN• SAPIENZA

\)\cuvlt 11.3 B o(uJL--·1o vvv\ . cl B.e v-5t r'--

ro:.-~-D~G;_u_l ~·+-'-p0~0~\-hr..!.....l<oJJ:...:..!..· ;....:.L~t'-l.L\'_Lt_!_:l ___ _

DATE: 12-) i,QJ lL(.

REMARKS:

THIS MESSAGE CONTAINS I s- PAGES INCLUDING THIS PAGE

12-10-' 14 15:49 FROM-TOIJN OF BERGEN 585-494-1372 T-740 P0002/0016 F-268

Dec 10 201:1 15 59 planning CaiiPriD

12-10-' 14 15:50 FROM-TOIJN OF BERGEN 585-494-1372

Full Em•ironmental Assessment Form Part 1 -ProJect and Setting

Instructions for Completing Part 1

T-740 P0003/0016 F-268

Dec 10 201:1 15 59 planning CaiiPriD

l'art I is to be completed by the applicant or project sponsor. Responses become part of the application for approval or fnnding, are subject to public review, and may be subject to further verification.

Complete Part I 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 infotmation; indicate whether missing infonnation does not exist, or is not reasonably available to the sponsor; and, when possible, generally describe work or studies which would be necessary to update or fully develop that infotlnation. ·

Applicants/sponsors must complete all items in Sections A & B. In Sections C, .D & E, most items contain an initial question that must be answered either "Yes" or "No". If the answer to the initial question is "Yes", complete the sub·qucstions that follow. If the answer to the initial question is "No", proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section 0 requires the name and signature of the project sponsor to verify that the information contained in Part lis accttrate and complete.

A. Project and Sponsor Information.

Name oLtion or Project: , J ,_ -

-/.1-tfll r);v, z_ Project Location (describe, and attach a general location map):

ft,Dltf S)J.dd! Rr:aJ +- I:)Cf9ft Se.tP-i-el{ ltcrJ.d &/t~Leh IN_ JY'-110-Brief Description of Proposed Action (includo purpose or need): v {/

Jec l1 "'I ..%ft. v c; r "" P1J"

Name of Applicant/Sponsor: Telephone: :).?:)-_ 7 'J 7 _ 7 Jd. '-/ {)AJJ/.rl Ar DWhP II E-Mail: Dl1 r 2 b rtJI lf.iJ IC(hi'J r, ( (, (0/'h

I Address~ O / t) s;; rt eJ I fkL J

City/PO: Ml (1()1 et en State: NV I ztS~iL, Project Contact Mnot same as sponsor; give name and title/role): Telephone: I

E-Mail:

Address:

City/PO: State: I Zip Code:

--Property Owner (if not same as sponsor): Telephone:

E-Mail:

Address:

.. , State: I Zip Cod~~ _._

Page I of 13


B. Goverumcnt Approi·~ls

Dec 10 2014 15 59 plar-,nmq

Caller I D

B. Government Approvals Funding, or Sponsorship. ("funding" includes grants, loans, tax relief; and any other forms of financial assistance.)

Government Enllty If Y cs: Identify Agency and Approval(s) Appllcallon Date Required (Actual or projected)

a. City Council, Town Board, oYest:21No or Village Board of Trustees

b. City, Town or Village oY esp!No Planning Board or Commission

c. City Council, Town or oYes[2JNo Village Zoning Board of Appeals

d. Other local agencies DYesl2fNo

e. County agencies C]YesiZJNo

f. Regional agencies DYes[21No

g. State agencies DYcsl:::l)'o

h. Federal age11cies [JYesONo

i. Coastal Resources. i. ls the project site within a Coastal Area, or tho waterfront area of a Designated Inland Waterway? DYes [;311lo

If Yes, it. Is the project site located in a cotmnunity with an approved Local Waterfront Revitalization Program? DYes~

iii. Is the project site within a Coastal Erosion Hazard Area? DYes o

C, Planning and Zoning

C. I. Planning and zoning actions.

·will administrative or legislative adoption) O.l' amc.ndrnent of a plan~ local law·~ ordinance! ndc or reg~dation be the DYesDNo only approval(s) which must be granted to enable the proposed action to proceed?

• If Yes, complete soctions C, rand C . • If No, proceed to qttostion C2 and complete all remaining sections and questions in PM I

C.2. Adopted land usc plans, .

a. Do any municipally- adopted (city, town, village or cotlnty) comprehensive land usc plan(s) include the site 0Yes0No where the proposed action would be located?

If Yes, does the comprehensive plan include specific recommend~tion$ for the ~ite where the proposed action DYesDNo would be located? b. Is the site of the proposed action within any local or regional special planning district (for example: Greenway DYesDNo

Brownfield Opportunity Area (BOA); designated State or Pcdcral heritage area; watershed management plan; or othet'?)

If Yes, identify the plan(s):

c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, DYesONo or Hn adopted municipal tarmland protection plan?

lfYos, identify the plan(s):

Page 2 ofl3


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C.3. Zoning Caller I D

a. Is the site of the pi'Qposed action located in a municipality with an adopted zoning law or ordinance. 0Yes0No If Yes, what is the zoning classification(s) including any applicable overlay district?

~-- -b. Is the use permitted or allowed by a special or conditional use permit? OYesDNo

c. Is a zoning change requested as part of the proposed action'? DYcsONo lfYes,

i. What is the proposed new zoning for the site?

CA. Existing community services. .

a. In what school district is the project site located? .@·1rn n -· j),oh'l. cu.·, .~-M~"~'--

1 ~}

b. What P')r~ce or other pur~1pr~ttio~es serve the project site? 'revwc,•fU' 1tt\ -1~ · . .\l.ll2!i.l ~)C.~ s_,::j~ eo I:C!i.

c. Which fire protection and emergency medical servAifs serve the project sW:? """'· ~ •'"' F\"" /Jp ..,.J- .J- \f' rr .t r::' if ~A~.-~

' d. What parks se!"ve the project site?

non~

D. Proj~ct Details

D.l, Proposed and Potential Development

a. What is the general nature of the proposed action (e.g., residential, industrial, commercial, recreational; if mixed, include a !I components)'? res1der1+1 G\..l

b. a. Total acreage of the site of the proposed· action? acres )c:;e Ju~vu 1 b. Total ac.reage to be physically disturbed? acres Miff'

c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor'! acres

c. Is the proposed action an expansion of an existing project or use'? D Yesfj21No i. lfYes, what is the approximate percentage of the proposed expansion and identify the units (e.g., acres, miles, housing units,

square feet)? % Units:

d. Is tho proposed action a subdivision, or does it include a subdivision? DYes!SNo If Yes,

i. Purpose or type ofsubdivisi~~? (e~'i' f('si1ential, industrial, commercial; if mixed, specify types) .c_n<' , " . .

ii. Is a cluster/conservation layout pt'Oposed'l DYesDNo iii, Number of lots proposed? iv. Minimum and maximum proposed lot sizes? Minimum Maximum

e. Will proposed action be cot1Structed in multiple phases? DYesW,No i. If No, anticipated period of consh·uc.tion: month<

ii. lfYes: • Total munbel" of phases anticipated --• Anticipated commencement date of phase l (it1cluding demolition) month year

• Anticipated completion date of tina! phase mouth __ year --• Generally describe connections or relationships among phases, including any contingencies where progress of one phase may

determine timing or duration of fnmrc phasos:

Page 3 of 13


ec " ' '

f. Does the project include new residential uses? ' If Yes, show numbers of units proposed.

One Family Two Family Three Family Multi)ilil flmlily (four or more)

Initial Phase At ~ompletion

of all phases

g. Does tho proposed actiou include new non-residential construction (including expansions)'/ 0Yesll1lfNo If Yes,

i. Total number ofstru~tures li. Dimensions (in feet) of largest proposed stntcturo: height; width; and length

iii. Approximate extent of building space to be heated or cooled: square feet

h. Docs the proposed action include construction or other activities that will result in the impoundment of any DY~ No liquids.·such as c.reation of a water supply, reservoir, pond, lake, waste lagoon or other storage?

If Yes, i. Purpose of the impoundment:

ii. If a water impoundment, the principal source of the water: 0 Ground water 0 Surface water streams QOther specij'y:

-iii. If other than water, identify the type of imponndedlcontained liquids and their source .

iv . .;:~y 'size of the: "'· v"'""· . million gal!ons;.surface area: acres \1, of the proposed dam or impounding structure: height; length

vi. Construction method/materials for the proposed dam or impounding structure (e.g., earth fill, rock, wood, concrete):

D.2. Project Operations

a. Does the proposed action include any excavation, mining, or dredging, during construction, operations, or both? 0Ye43]No (Not including general site preparation, grading or installation of utilities or foundations where all excavated materials will remain onsite)

lfYeso i. What is the purpose of the excavation or dredging'!

ii. How much material (including rock, earth, sediments, etc.) is proposed to be removed from the site? • Volume (specify tons or cubic yards): • Over what duration of time?

iii. Describe nature and characteristics of materials to be excavated or dredged, and plans to use, manage or dispose of them.

iv. wm there be onsite dewatering or processing or excavated materials? 0Yos~No if yes, describe.

.

v. What is the total a1·ea to be dredged or excavatod? ,acres vi. What is the maximum area to be worked at any one time'? acres l'ii. What would be the maximum depth of excavation or dredging? feet viii. Will the excavation require blasting? 0Yes0No ix. Summarize site reclamation goals and plan;

b. Would the proposed action cause or result in alteration of, increase or decrease in size of) or encroachment 0Yes~o into any existing wetland, waterbody, shoreline, beach or adjacent area'?

If Yes; i. Identify the wetland or watctbody which would be affected (by name, water index number, wetland map number or geographic

description):

Page 4 of 13


' dar-,nmg

;;, Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, pla<;etmmt of shllctures~cli>m alteration of channels, banks and shorelines. Indicate extent of activities, alterations and additions h1 sq\tare feet or acres:

iii. Will proposed action cause or result iu disturbance to bottom sediments? DYesliaNo IfYes, describe:

iv. Will proposed action cause or result in the destmction or removal of aquatic vegetation? OYesr:JNo If Yes: • acres of aquatic vegetation proposed to be rentoved: • expected acreage of aquatic vcsetationremaining after project completion: • purpose of proposed removal (e.g. beach clearing, invasive species control, boat access):

• proposed method of plant l'emoval: • if chemical/herbicide treatment will be used, specify product(s): .

v. Describe any proposed reclamation/mitigation following distutbance:

c. Will the proposed action use, or create a new demand for water? DY cs !21:'fo If Yes:

i. Total anticipated water usage/demand per day: gallons/day li. Will the proposed action obtain water from an existing public water supply? . 0Yes);31'10

If Yes: • Name of' district or service area:

• Does the existing public water supply have capacity to serve the proposal'? 0Yes0No • Is the project site il1 the existing district?

(ll fr1 0Yes0No

• Is expansion of the district needed? 0Yes0No • Do existing lines serve the project site? 0Yes0No

iii. Will line extension within an existing district be necessary to supply the project? DYes[}lo If Yes:

• Dcsc.ribe extensions or capacity expansions proposed to serve this project:

• Sourcc(s) ofsupply for tho district: iv. Is a new water supply district or service area proposed to be formed to serve the project site? DYes0No

If, Yes: (IV • ApplicanVsponsor for new district:

• Date application submitted or anticipated: • Proposed so<~rce(s) of supply for new district:

v. If a public water supply will not be <~sed, describe plans to provide water supply for the project:

vi. If water supply will be from wells (public or p1ivate), maximum pumping capacity: gallons/minute.

d. Will the proposed action genexate liquid wastes? DYesiZJNo If Yes:

i. Total anticipated liquid waste generation per day: gallon~/ day ii. Nature of liquid wastes to be generated (e.g., sanitary wastewater, industrial; if combination, describe all components and

approximate volumes or proportions of each):

iii. Will the I' , l action \ISO any :public t tacilities? LJYesJ<:1No

• Name of wastewater treahnent plant to be used: ·.~~·~-~.

• Name of district: • Does the existing wastewater treatment plant have "'~""'' to serve the project? OYesDNo • Is the project site in the existing district? 0YesDNo • Is expansion of the district needed? 0Yes0No

Page 5 of 13


• Do existing sewer lines setve the project site? • Will line extension within an existing district be necessary to setve the pwject'l. ,\., (}

Dec 10 201:1 15 hQ plann1nq

~.ler

0Yes0No IfYe.s: ~' • Descl'ibc extensions or capacity expansions proposed to smve this project: ---------------

iv. Will a new wastewater (sewage) treatment district be fomted to serve the project site? 0Yes0No If' Yes:

• Applicant/sponsor for new district::--:---------------------------• Date application submitted or anticipated: -:-c-:-:-::---'-------------------

• What is the receiving water for the wastewater discharge? ------,-.-c:---:--:-,.-'"""""',----,,.-,----v. lf public facilities will not be used, describe plans to provide wastewater treatment for the project, including specifying proposed

receiving water (name and classification if surface discharge, or de.cribe subsurface disposal plans):

vi. ~····'""any plans or designs to capture, recycle or reuse liquid waste; --------------------

c. Will the proposed action disturb more than one acre and create stom1water runoff, either from new point sources (i.e. ditches, pipes, swales, curbs, gutters or other concentrated !lows of stormwatcr) or non-point source (i.e. sheet tlow) during construction or post construction?

If Yes: i. How much impervious surlace will the project create in relation to total size of project parcel?

Square feet or acres (impervious surface) · Square feet or --acres (parcel size) ·

0Yes0No

ii. Describe types of new point sources. -------------------------------

iii. Where will the stotmwater runoff be directed (i.e. on-site stormwater management facility/shuctures. adjacent properties, groundwater, on-;;ite surface water or off-site surface waters )'I

~I

• lfto surface waters, identify receiving water bodies or wetlands: J I If ---··--------···-----------··> r

• Will stormwatcr nmoffflow to adjacent properties? iv. Does proposed planminintize impervious surfaces, use pervious materials or collect and .re-use stonnwatcr? f. Does the proposed action include, or will it usc on-site, one or more sources of air emissions, including fitel

combustion, waste incineration, or other processes or operations'? lfYes, identify;

i. Mobile sources during project operations (e.g., heavy equipment, fleet or delivery vehicles)

ii. Stationary sources during construction (e.g., power generation, stmctural heating, batch plant, crushers)

iii. Stationary sources during operations (e.g., process emissions, large boilers, electric generation)

0Ycs0No OYesONo 0Yes0No

~\~

g. Will any air emission sources named in D.2.f(above), require a NY State Air Registration, Air Facility Permit, 0Yes0No or Federal Clean Air Act Title TV or Title V Permit? · :-, f<:

rr~ ~' i. Is the project site located in an Air quality non-attainntent area'/ (Area routinely or periodically fails to meet DYesDNo

ambient air quality standards tor all or some parts of the year) ii. In addition to emissions as calculated in the application, the project will generate:

• Tons/year (short tons) of Carbon Dioxide (C02)

• Tons/year (short tons) of Nitrous O~ide (N,O) • (short tons) ofPcdluorocarbons (l'FCs) • Tons/year (short tons) of Sulfur Hexafluoride (SF,) • Tons/year (short tons) of Carbon Dioxide equivalent ofHydroflourocarbons (HFCs) • Tons/year (short Jj)ns) of Hazardous Air Pollt!tants (HAPs)

Page 6 of 13


h. Will t)le proposed action generate or emit methane (including, bttl not limite\i to, sewage treatment plants, OY<OS~O planning

landfills, composting facilitjes)? lfYes:

I. Estimate methane generation in tons/year (metric): II. Describe any methane capture, control or elimination measures included in project design (e.g., combustion to generate heat or

electricity, tlarfng):

i. Will the proposed action result in the release of ah· pollutants frorn open-air operations or processes1 such as 0Yesi2JNo

quarry or landfill operations? IfY os: Descrille operations and nal\tre of emissions (e.g., diesel exhaust, rock particulatesldttsl):

·---· - /

J Will the proposed action result in a substantial increase in traffic above present levels or generate substantial OYtsJfiNo new demand for transportation facilities or services?

If Yes: i. When is the peak traffic expected (Check all that apply): 0Morning 0 Evening OWeekend 0 Randomly b.etween hours of to .. ..

ii. For commercial activities only, pmjected numbel' of semi-trailer tmck trips/day: Iii. Parking spaces: Existing Proposed Net increase/decrease iv. Does the proposed action include any shared use parking? 0Yes~o v. If the proposed action includes any modification of existing roads, creation of new roads or change in existing access, d scribe:

,........-,...,..,..,.,..-. N

vi. Arc public/private transporlittion servicc(s} or facilities available within Y:. mile of the proposed site? OYesONo vii Will the proposed action include access to public transpot1ation or acconmtodatiom for use ofhybrid, electric 0Yes0No

or othe•· alternative fueled vehicles? viii. Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existin~ 0Yes0No

pedcstnan ot· btcycle routes? ~ (y

/ k. Will the proposed action (for commercial or industrial projects only) generate new or additional demand 0YetJNo

for energy'/ lfYes: I

t. Estimate annual electricity demand during operation of the proposed action: . .

il. AnticipMed sources/suppliers of electricity for the project (e.g., on-site combustion, on-site renewable, via grid/local utility, or other):

// iii. Will the proposed action require a new, or an upgrade to, an existing substation? 0Yest;JMo.

1. Hours of operation. Answer all items which apply. I. During Construction: ii.: Duritlg .Operations:

• Monday· Friday; ~--- • Monday -Friday: • Saturday: • Saturday: • Sunday: • Sunday: • Holidays: • Holidays:

Page 7 ofl3


Dec 10 20yr'l5 59 plar-,nmq

m. Will the proposed action pmduce noise that will exceed existing ambient noise levels during construction, / operation, or both?

If yes: i. Provide details including sources, time of day and duration:

.• /

ii. Will proposed action remove existing natural barriers that could act as a noise barrier or SC1'e<m? DYes~No Describe:

n .. Will the proposed action have outdoor lighting? If yes:

OYes)ZJNo

i. Describe source(s), location(s), height of fixture(s), directionlahn, and proximity to nearest occupied structures:

DYespNo ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen? Describe:

"" .. o. Does the proposed action have the potential to produce odors for more than one hour per day? OYesp:JNo

If Yes, describe possible sources, potential frequency and duration of odor emissions, and proximity to nearest occupied snucturcs:

p. Will the proposed action iocllide any bulk storage of petroleum (combined capacity of over 1 , 100 gallons) OYes!fNo or chemical products 185 gallons in above ground storage or any amount in underg•·ound storage?

If Yes: i. Product(s) to be stored il. Volume(s) per unit time (e.g., month, year)

iii. Generally describe proposed storage

q. Will the proposed action (commercial, industrial and recreational projects only) usc pesticides (i.e., herbicides, DYe~No insecticides) during constmction or operation?

If Yes: i. Describe proposed tt·eattnent(s):

.. - '

li. Will the proposed action use Integrated !'est Management Practices? DYes_ !,ZfNo r. Will the proposed action (oommcrcial or industrial projects only) involve or require the management or disposal 0 Yes ?No

of solid waste (excluding hazardous 111aterials)? If Yes:

i. Describe any solid waste(s) to be generated during construction or operation of the facility:

• Construction: tons per (unit of time) • Operation: tons per· (unit of titne)

ii. Describe any proposals for on-site minimization, recycling or reuse of materials to avoid disposal as solid waste: • Construction:

• iii. Proposed disposal methods/facilities for solid waste. genel'ated on-site:

• Consh<lction:

• Operation:

Page 8 ofl3

12-10-' 14 15:54 FROM-TOIJN OF BERGEN 585-494-1372 T-740 P0011/0016 F-268 s. Does tho proposed action include construction or modification of a solid waste management facility? ~-

'-!lee ;2: • '/1$ 59 lann1ng If Yes: Call riD i. Type of management or handling of waste proposed for the site (e.g., re9ycling or transfer station, composting, landtlll, or

other disposal activities): ii. Anticipated rate of disposal/processing:

• Tons/month, if transfer or other non-combustion!them.al treatment, or • Tons/hour, if combustion or thermallreatment

iii. Iflandfill, amicipated site life: years

t. Will proposed action at the site involve the commet"<1ial generation, treatment, storage, or disposal of hazardous DYepz!No waste?

TfYes: i. Name(s) of all hazardous wastes or constituents to be generated, handled or managed at faCility:

~-

ii. Generally describe processes or activities involving hazardous wastes or constitu~nts:

iii. SpecifY amount to be handled or generated __ tons/month iv. Describe any proposals for on-site minimization, recycling or reuse of hazardous constituents:

/ v. Will allY hazardous wastes be disposed at an existing offsite hazardous waste facility? DYe~No

If Yes: provide name and location of facility: ·

If No: describe pt·oposed management of any hazardous wastes which will not be sent to a hazai'dous waste facility;~ . '

E. Site and Setting of Proposed Action

E,l, Land uses on and surrounding the project site

a, Existing hmd uses. i. Check all uses that occur on, adjoining and near the project site.

DUrban D Industrial 0 Commercial D Residential (suburban) D Rural (non-fann) D Forest D Agriculture D Aquatic D Other (specify):

ii. If mix of uses, generally describe:

b. Land uses and covMypes on the project site.

Land use or Current Acreage After Change Covertype Acreage Project Completion (Acres+/")

• Roads, buildings, and other paved or impervious surfaces

• Forested

• Meadows, grasslands or brushlands (non-agricultural, including 11bandoned agricultural)

''m

• Agricultut'al (includes active orchards, field, greenhouse etc.)

• Surflwe water features (lakes, ponds, streams, rivers, etc.)

-"~'-'""--~

• Wetlands (freshwater or tidal)

• Non-vegetated (bare rock, eatth or flll) -• Other Describe:

-~'"' c ~-· -

Page 9 ofl3

12-10-' 14 15:54 FROM-TOIJN OF BERGEN 585-494-1372 T-740 P0012/0016 F-268 ~~-·

c. Is the project site presently used by members of the tol\11\IUnity for public recreation? lio4cl10Sf!;!l:il:l<ili 59 pi nn1ng

1. If Yes; explain; CaiiPriD ··. / ....

d. Are there any facilities serving children, the elderly, people with disabilities (e.g., schools, hospitals, licensed 0Ye~J#INo day care <>e.nters, or group homt>s) within 1500 feet of the project site?

If Yes, i. Identify Pac.iJities;

e. Does tl1e project site contain an existing dam'! DYcs~o If Yes:

i. Dimensions of the dam and impoundment

• Dam height: feet • Dam length: feet • Smface area: acres • Volume impounded: gallons OR acre-feet

ii. Dam's existing hazard classification; iii. Provide date and summarize results oflast

( flas the project site ever been used as a municipal, commercial or industrial solid, waste management facility, . 0Yes~o or does the project site adjoin property which is now, or was at one time. used as a solid waste management facility?

lfYes; 0YeswlNo I. Has the tacility been formally closed?

• lfyes, cite sources/documentation: ii. Descl'ibc the location of the project site relative to the boundaries of tl1e solid waste management facility:

iti. any > due to the prior solid waste

g. Have hazardous wastes been generated, treated and/or disposed of at the site, or does the project site adjoin OYcijEJNo property which is now or was at one time used to commercially treat, store and/or dispose of hazardous waste?

lfYes: i. Describe wastc(s) handled and waste management activities, including approximate time when activities occurred:

/

h. Potential contamination history. Has there been a reported spill at the proposed project site, or have any DYesDNo remedial actions been conducted at or adjacent to tho proposed site?

If Yes; i, Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site DYes~

Remediation databose? Check all that apply: D Yes- Spills Incidents database Provide DEC ID numbe•{s); D Yes- Environmental Site Remediation database Provide DEC lD nl!mber(s); D Neither database

iL If site has been subject of RCRA corrective activities, describe control measures:

iii. Is the project within ZOOO feet of any site in the NYSDEC Environmental Site Remedialion database? 0Yes!21No If yes, provide DEC ID number(s):

iv. If yes to (i), (ii) or (iii) above, describe current status of site(s);

Page 10 of 13

rat:;c tv vt t .. "~


v. Is the project site subject to an institutional contwllimiting property uses? CJ¥e\l(]:Nb I 5 59 planning

If yes, DEC site ID number: CaiiPriD

• • Describe the type of institutional control (e.g.,· deed .restriction or easement): • Describe any use limitations: • Describe any engineering controls: • Will the project affect the institotiona1 or Moinee•ino controls in place? oYeSEJNO • Explain: · · ..

.

E.l. Natural Resources On or Near Project Site a. What is the average depth to bedrock on the project site? feet

···-b. Are there bedrock outcroppings on the project site? 0Yes0No If Yes, what proportion of the site is comprised of bedrock outcropphtgs? %

c. Predominant soil type(s) present on project site: % % % -

~ . d. What is the average depth to the water table on the project site'? Average: feet

e. Drainage status of project site soils:!::! Well Drained:. · %of site D Moderately Well Drained: %of site D Poorly Drained __ %of site

f Approximate proportion of proposed action site with slopes: 0 0-10%: __ %of site D 10-15%: %of site D 15% or greater: ---%ofsitc

g. Aie there any unique geologic features on the project site'! 0Yes0No . . If Yes, describe: -

h. Surface water features. .

i. Does any portion of the project site contain wetlands or other waterbodies (including streams, rivers, 0Ye$0No ponds or lakes)?

li. Do any wetlands or other wate1·bodies adjoin the project site? 0Yes0No lfYes to either I Ol' ii, continue. If No, skip to E.2.i. iii. Are any of the wetlands ot· wateibodies within or adjoining tho project site reljlltlated by any fed~ral, DYesDNo

state or local agency'? iv. For each identified regttlated wetland and watcrbody on the project site, provide the following information:

• Streams: Name Classification • Lakes or Ponds: Name Classification

" • Wetlands: Name -~

Approximate Size • Wetland No. (if regulated by DEC)

v. Are any of the above water bodies listed in the most recent compilation ofNYS waterquality-impaircd DYesDNo waterbodies?

If yes, name of impaired water body/bodies and basis for listing as impaired:

i. Is the project site in a designated Floodway? DYes []No

j. Is the project site in the 100 year Floodplain'? DYes []No

k. Is the project site in the 500 year floodplain? DYes []No

LIs the projetll site located over, or immediately adjoining, a prima1y, principal or sole source aquifer? 0Yes0No lfYos:

i. Name ofaquifer:

Page 11 of 13


111. Identify the predominant wildlife species that occupy or use the project site: - nn1ng

-c

n. Does the project site contain a designated significant natural community? 0Yes0No lfYes:

i. Describe the habital/community (composition, function, and basis for designation); < ~--~·--

ti. Source(s) of description or evaluation: iii. Extent of community/habitat

• Cun·ently: acres ·--• Following completion of project as proposed: acres • Gain or loss (indicate 1- ot· -): acres

o. Does project site contain any species of plant or animal that is listed by the_ federal govcnuncnt or NYS as D YesONo endangered or threatened, or does it contain any areas identified as habitat for an endangered or threatened species?

p. Does the project site contain any species of plant or animal that is listed by NYS as rare, or as a species of 0Yes0No special concern?

q_ Is the project site or adjoining area currently used for hunting, trapping, fishing or shell fishing? 0Yes[]No lfyes, give a brief description of how the proposed action may affect that usc:

E.3. Designated Public Resources On or Near Project Site

a. Is the project site, or any portion of it, located in a designated agricultural district certified pursuant to oYesONo Agriculture and Markets Law, Article 25-AA, Section303 and 304?

If Yes, provide county plus distdct name/number;

b. Are agricultural lands consisting of highly productive soils pt·eosent? OYesONo i. lfYes: acreage(s) on project site?

.-.~ ' il. Source(s) of soil rating(s):

c. Does the project site contain all or part of, or is it substantially contiguous to, a registered National OYesONo Natural Landmark?

If Yes: i. Nature of the oatllrallandmark: D Biological Community 0 Geological Feature ii. Provide brief description of landmark, including values behind designation and approximate size/extent: ··--

~-

d. ls the project site located in or does it adjoin a state listed Critical Environmental Area? 0Yes0No IfYes: .

i. CEA name: -.~-~'

;;_ Basis for designation; iii. Designating agency and date:

Page 12 ofl3


e. Does the project site contain, or is it S\lbstantially contiguous to, a b\lilding, archaeological site, or district C9!,~'!1;JNd 5 59

which is listed on, or has been nominated by the NYS Board of Historic Preservation for inclusion on, the State or National Register of Historic Places'?

If Yes: i. Nature of historic/archaeological resource: 0Archaeological Site Otlistoric Building or District

ii. Name: iii, Brief description of attributes on which listing is based:

.

f. Is tl1c pn\)ect site, or any portion of it, located in or adjacent to an area designated as sensitive for 0Yes0No archaeological sites on the NY State Historic Preservation Office (SHPO) archaeological site inventory'/

g. Have additional archaeological or historic sito(s) or resottrces been identified on the project site? 0Yes0No If Yes:

I. Describe possible resource(s): ii" Basis for identification:

h. Is the project site within fives miles of any officially designated and publicly accessible federal, state, or local DYes []No scenic or aesthetic resource?

lfYes: i. Identify resource:

it. Nature of, or basis for, designation (e.g., established highway ovel'look, state or local pat·k, state historic trail or scenic byway, etc.):

iii. Distance between project and resource: miles.

i. Is the project site located within a designated river corridor under the Wild, Scenic and Recreational Rivers 0Yes0No Progn•m 6 NY CRR 666'!

lfYes: i. Identify the name of the river and its designation:

ii. Is the activity consistent with development 1'estrictions contained in 6NYCRR Part 666'1 0YesONo

F. Additional Information Attach any additional infonnation which may be needed to clarify your project.

lfyo\1 have identified any adverse impacts which could be associated with your proposal, please describe those impacts plus any measures which you propose to avoid or minimize them.

G. Verification I cerhly that the infonnation ~videdj true to the best of my knowledge. / /

A--~,,_,{ ~~</0:1' D••~_f._'2_c_j_r..,r..,_f_ ff_1,__ _______ _

Signantrc ~ --- Title _______________ _

PRINT FORM Page 13 of 13

"""-

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7.0' P'OST

5.4' P'OST

\j ~ 0

~ 0 ...

B.S'· i P'OST I!;.

~ ~

APPROVALS:

N/F MARK A. SHULER & CHERYL L SHULER

L637 D.234 S.B.L #9-1-69.1

N/F UNDA L BRYANT

L828 D.220

E 389.7

LOT 1 = 3.072 ACRES

(2.903 ACRES EXCLUDING THE HIGHWAY) PART OF S.B.L #9-l-68

PART OF L844 D.421 II WIRE FENCE ll

w

fl)

PART OF L844 D.421

LOT 2 = 1.126 ACRES

ACRES EXCLUDING THE HIGHWA PART OF' S.B.L #9-1-68

&: ALL OF S.B.L #9-1-64

L606 D.251

N/F KENNETH A. PAGELS & JAMEY PAGELS

L.878 D.687 S.B.L #9-1-63

,... REFERENCES ,... 1) DEED TO DAVID A. BROWNELL &

SUSAN R. BROWNELL L.606 D.251 2) DEED TO DAVID BROWNELL L.844 D.421

0 = IRON PIN SET ® = P.K. NAIL FOUND

lw 0;.. 0~ ·o oor ~I()

0

I (I)

3) MAP BY JAMES R. ZERKEL, P.L.S. DATED: JUNE 18, 1992

• = IRON PIN/PIPE FOUND p = UllUTY POLE

PLANNING BOARD CHAIRPERSON DATE JOB No. 9-01-068 RECORDED WITH: L.616 D.268

D&M = DEED & MEASURED

GENESEE COUN1Y HEALTH DEPARTMENT DATE

GENESEE COUN1Y REAL PROPERlY TAX SERVICES DATE

FILED IN GENESEE COUNTY CLERK'S OFFICE AS:

MAP llTLE ____________ _

MAP No. -----·• SUDE No. ___ ---:..,

CABINET No. • DAlE:-------

COUNTY CLERK ------------

E . NOVEMBER 14, 2014 FROM LETED NOVEMBER 8, 2014.

BROWNELL - SAUTELL ROAD LAND. SEPARATION BEING PART OF LOT 119, TOWNSHIP 2 OF THE 100,000 ACRE TRACT

SITUATE IN THE

TOWN OF BERGEN GENESEE COUNTY, NEW YORK

NOVEMBER 14, 2014

NOTES: 1) UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP IS A VIOLATION OF SECTION 7209 PROVISION 2 OF THE NEW YORK STATE EDUCATION LAW. 2) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF' A CURRENT ABSTRACT OF' TITLE AND IS SUBJECT TO ANY STATE OF FACT THAT MAY BE REVEALED BY AN EXAMINATION OF SUCH.

WELCH &: O'OONOGHUE LAND SURVEYORS, P.C.

P.O. BOX 669 8713 ROUTE 237

STAFFORD, NEW YORK 14143

PH. (585) 343-5334 FAX 343-5810

wosurvey@rochester. rr. com

JOB No. G14-4097S

GENESEE COUNTY PLANNING BOARD ZONING REFERRALS … · If the County Planning Board disapproved the...

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