Short Environmental. Assessment Form Part 1- Project. Information  Instructions for Completing  Part 1-1 Project Information. The applicant or project sponsor is responsible for the completion of] Part1. Responses become part oft the application for approval or funding, are subject toj public review, andi may be subject toi further verification.. Complete Part 1 based on information currently available. Ifadditional research ori investigation would be needed tot fully Complete all itemsi in Part 1. You may also provide any additional information which you believe willl be needed by or useful  respond to anyi item, please answer as thoroughly as possible based on current information. tot the lead agency; attach additional pages as necessary tos supplement any item.  Part 1-1 Project and Sponsor Information Name of Action or Project: Local Law 1-2016 Town-wide  Project Location (describe, and attach al location map): Brief Description of Proposed. Action: ALocal Law Amending Chapter 68" "Noise Control"  Name of. Applicant or Sponsor: Town of Windsor Address: 124 Main Street City/PO: Windsor  Telephone: (607)655-2023 E-Mail:  State: New York  Zip Code: 13865 NO YES M  1.Does thej proposed. action only involve the legislative adoption ofa plan, local law, ordinance, IfYes, attach ai narrative description oft the intent oft the proposed action and the environmental resources that may be affected in the municipality and proceed tol Part 2. Ifno, continue to question. 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES  administrative rule, orr regulation?  IfYes, list agency(s) name and permit or approval: 3.a." Total acreage of thes site of thej proposed action? b. Total acreage to be physically disturbed? c. Total acreage (project sitea and any contiguous properties) owned or controlled by the applicant or project sponsor? 4. Check all land uses that occur on, adjoining and near thej proposed action.  acres acres acres  JUrban Rural (non-agriculture) Industrial Commercial Residential (suburban)  Forest Agriculture Parkland  JAquatic JOther (specify):  Page 1of3    5. Ist thep proposed action,  NO YES N/A  a.A permitted use under the zoning regulations? b. Consistent with thea adopted comprehensive plan?  6.1 Ist thep proposed action consistent with the predominant character oft the existing built or natural  NO YES  landscape? IfYes, identify:  7. Ist the site of the! proposed action located in, or does it adjoin, a statel listed Critical Environmental. Area? NO YES  8. a. Will thep proposed action resulti in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site oft thej proposed action? C. Are any pedestrian accommodations or bicycle routes available on or1 near site oft the proposed action? 9.I Doest thej proposed action meet or exceed the state energy code requirements? Ifthep proposed action will exceed requirements, describe design features and technologies: 10. Will thep proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: 11. Will thep proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment:  NO YES  NO YES NO YES  NO YES NO YES NO YES  12.a a.I Does the site contain as structure thati is listed on either the State orl National Register of Historic b. Ist thep proposed action located in an archeological sensitive. area? 13.a. Does any portion of the site oft thep proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? b. Would thej proposed action physically alter, or encroach into, any existing wetland or waterbody? IfYes, identify the wetland or waterbody and extent of alterations in square feet or acres:  Places?  14. Identify the typical habitat types that occur on, or are likely tol bei found on the project site. Check all that apply: 15. Does the site of thej proposed action contain any species of animal, or associated habitats, listed  LZJ Shoreline Forest Wetland  JAgricutunal/graslands Suburban  Early mid-successional  JUrban  NO YES NO YES NO YES  by the State or Federal government as threatened or endangered? 16.I Ist thep project sitel located in the 100 year flood) plain?  17. Will thej proposed action create storm water discharge, either from point or non-point sources?  IfYes,  a. Will storm water discharges flow to adjacent properties?  INO YES NO DJYES  b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)?  IfYes, briefly describe:  Page 2 of3    18.1 Does thej proposed action include construction or other activities that resulti in the impoundment of  NO YES  water or other liquids (e.g. retention pond, wastel lagoon, dam)?  IfYes, explain purpose and size:  19.1 Hast thes site oft thep proposed action or an adjoining property been the location of an active or closed  NO YES  solid waste management facility? IfYes, describe:  20. Has the site of thep proposed action or an adjoining property been the subject of remediation (ongoing or NO YES  completed) for hazardous waste? IfYes, describe: KNOWLEDGE Signature:  IAFFIRMTHATTHE INFORMATION PROVIDED ABOVE IS TRUE. AND. ACCURATE TO THE BEST OFI MY  Applicantsponsor name: Town of Windsor  Date: May 11,2016  PRINT FORM  Page 30 of3    Agency Use Only [Ifapplicable  Project: Date:  Short EnvironmentalAssessment Form Part 2-1 ImpactAssessment  Part 2 ist to be completed by thel Lead Agency.  Answer all oft thei following questions inl Part 2 using the information contained in] Part 1 and other materials submitted by thej project sponsor or otherwise available tot the reviewer. When answering the questions the reviewer should be guided! by the concept "Have my responses been reasonable considering the scale and context oft the proposed action?"  No, or Moderate small tol large impact impact may may occur occur  1. Will the proposed action create a material conflict with an adopted land use plan or zoning 2. Will the proposed action result in a change in the use ori intensity oft use of land? 3. Will thej proposed actioni impair the character or quality oft the existing community? 4. Will thej proposed action have ani impact on the environmental characteristics that caused the establishment ofa Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level oft traffic or affect existing infrastructure for mass transit, biking or walkway? 6. Will thej proposed action cause ani increase int the use of energy andi it fails toi incorporate reasonably available energy conservation or renewable energy opportunities?  regulations?  7. Will thej proposed action impact existing: a. public/ /p private water supplies? b. public/ /1 private wastewater treatment utilities? architectural or aesthetic resources?  8. Will thep proposed action impair the character or quality ofi important historic, archaeological, 9. Will thej proposed action result in an adverse change to natural resources (e.g, wetlands, 10. Will the proposed action result in an increasei int the potential for erosion, flooding or drainage 11. Will the proposed action create al hazard to environmental resources or human health?  waterbodies, groundwater, air quality, flora and fauna)?  problems?  PRINT FORM  Page 1 of2    Agency Use Only |Ifapplicable)  Project: Date:  Short Environmental Assessment Form Part3 31 Determination of Significance  For every question inl Part 21 that was answered "moderate tol large impact may occur", ori ift therei is a need to explain whya particular element oft the proposed action may or will not resulti in a significant adverse environmental impact, please complete Part 3.) Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have beeni included by the project sponsor to avoid or reducei impacts. Part 3 should also explain howt the lead agency determined that the impact may or will not bes significant. Eachj potential impact should be assessed consideringi its setting, probability ofoccurring, duration, irreversibility, geographic scope and magnitude. Also consider thej potential for short-  term, long-term and cumulative impacts.  Check this boxi ifyoul have determined, based on the information and analysis above, and anys supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an Check this boxi ifyoul have determined, based on thei information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts.  environmental impact statement is required. Town Board of the Town of Windsor Carolyn' W. Price  May 11, 2016 Supervisor  Name ofI Lead. Agency  Date  Print or Type Name ofl Responsible Officer in Lead. Agency Signature of] Responsible Officer inl Lead Agency  Title of Responsible Officer  Signature of] Preparer (if different from Responsible Officer)  PRINT FORM  Page 2 of2