2. This package contains several items necessary for the Planning Board to consider the approval of a site plan.
   1. Site Development Plan Regulation Criteria
   2. Application for Site Plan Approval
   3. Short Environmental Assessment Form - fill out part 1 only
   4. Please submit the original and 2 copies of SEQR fillable form. Can be accessed at www.dec.ny.gov/permits/6191.html
4. There are some other items that you will need.
   - 8 copies of the proposed Preliminary Site Plan - refer to Section 99-37 of the Village Code
   - 3 copies of proposed floor plans and to include exterior elevations
   Check for $250 application fee made out to the Village of Manlius
   - A separate check for a minimum deposit $1,000 for engineering and legal fees (unused portion will be returned to applicant at the completion of the project)
   - 8 copies of an accurate survey map of the property prepared by a licensed land surveyor, showing existing features such as structures, easements, etc with dimensions.
6. Please submit 3 copies of application to the Codes Enforcement Office at least 2 weeks prior to the Village Planning Board meeting (1st Tuesday of each month).
8. Application Fee
9. Date Paid
10. Tax Map Number
12. Deposit
13. Date Paid
14. Zoning District
18. Village of Manlius Application For Site Development Plan Approval
20. Date Preliminary Approval
21. Date Final Approval
23. Applicant's Name
24. Phone
26. Mailing Address
28. Property Owner's Name
29. Phone
31. Property Owner's Mailing Address
33. Property Address
35. Proposed Action (Construction, Use, Alteration, etc)
36. Present Land Use
38. Proposed Structures
    List and describe
40. Anticipated Construction Sequence & Time Schedule For:
42. Buildings
43. Parking Areas
44. Landscaping
46. Proposed Use (will) or (will not) be consistent with teh Village Code.
48. List any existing zoning violations
50. The Codes Enforcement Office will supply a map of surrounding properties showing the zoning classifications of each.
    
    Please attach the Proposed Preliminary Site Plan drawn to scale in conformity with the applicable site development regulations.
54. Applicant's Land Surveyor
56. Name
57. Phone
58. Address
60. Applicant's Engineer
62. Name
63. Phone
64. Address
66. Applicant's Architect
68. Name
69. Phone
70. Address
72. Applicants Attorney
74. Name
75. Phone
76. Address
78. Does the parcel abut a County or State highway, park, public building or stream or drainage channel?

    1. Yes
    2. No
80. Disclosure of Interest
    Pursuant to Section 809 Of the General Municipal Law and Section 99-36 of the Village of Manlius Code, every applicant for site plan approval must certify the name, residence, and the nature and extent of the interest of any officer or employee of the State Of New York, the Village of Manlius, the Town of Manlius, or the County of Onondaga, in the person, partnership, corporation, or association making such an application to the extent known to such applicant(s).
82. The names, residences, and nature and extent of interest of all such public officers or employees are:
84. Report from Codes Enforcement Officer. of any issues that he would like to have addressed by the Planning Board:
86. If applicant is not the property owner, the undersigned owner of the above-described property hereby acknowledges and consents to the submission of this application.
88. Property Owner's Signature
89. Date
    Date
91. Applicant's Signature
92. Date
    Date
94. Corporate Name
95. BY:
    Officer
97. Individual Applicant's Acknowledgement
    State of New York
    Count of Onondaga
    
99. Date
    Date
100. On this day, before me personally came and appeared:
102. to me known, who being by me duly sworn did depose and say that he resides at
103. and that he is the
105. of
106. the corporation described in and which executed the foregoing application.
     That he knows the seal of said corporation. That the seal affixed to said instrument is such seal; that it was so affixed by order of the directors of said corporation and that he/she signed his/her name thereto by like order.
108. Notary Public
112. Planning Board Decision

     1. Approved
     2. Denied
113. Date
     Date
115. Planning Board Chairperson
116. Codes Enforcement Officer
120. 617.20 Appendix B
     Short Environmental Assessment Form
122. 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 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 information.
     
     Complete all items in Part l. 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.
124. Part 1 - Project and Sponsor Information
126. Name of Action or Project:
127. Project Location (describe, and attach a location map):
129. Location Map Attachment
131. Brief Description of Proposed Action:
133. Name of Applicant or Sponsor
134. Address
136. City
137. Telephone
139. E-Mail
140. State
142. Zip Code
144. 1.) Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, administrative rule, or regulation?

     1. Yes
     2. No
146. 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.
148. 2.) Does the proposed action require a permit, approval or funding from any other governmental Agency?

     1. Yes
     2. No
150. If Yes, list agency(s) name and permit or approval:
152. 3.) Acreage
154. a.) Total acreage of the site of the proposed action?
155. b.) Total acreage to be physically disturbed?
156. c.) Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor?
158. 4.) Check all land uses that occur on, adjoining and near the proposed action.

     1. Urban
     2. Rural (non-agriculture)
     3. Industrial

     1. Commercial
     2. Residential (suburban)

     1. Forest
     2. Agriculture

     1. Aquatic
     2. Other
160. Other
     Please specify
162. 5.) Is the proosed action:
164. a) A permitted use under the zoning regulations?

     1. Yes
     2. No
     3. N/A
165. b.) Consistent with the adopted comprehensive plan?

     1. Yes
     2. No
     3. N/A
167. 6.) Is the proposed action consistent with the predominant character of the existing built or natural landscape?

     1. Yes
     2. No
169. 7.) Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area?

     1. Yes
     2. No
170. If Yes, identify:
172. 8 - A.) Will the proposed action result in substantial increase in traffic above present levels?

     1. Yes
     2. No
173. 8 - B.) Are public transportation services available at or near the site of the proposed action?

     1. Yes
     2. No
174. 8 - C.) Are any pedestrian accommodations or bicycle routes availabe on or near site of the proposed action?

     1. Yes
     2. No
176. 9.) Does the proposed action meet or exceed the state energy code requirements?

     1. Yes
     2. No
177. If the proposed action will exceed requirements, describe design featuers and technologies:
179. 10.) Will the proposed action connect to an existing public / private water supply?

     1. Yes
     2. No
180. If no, describe method for providing potable water:
182. 11.) Will the proposed action connect to existing wastewater utilities?

     1. Yes
     2. No
183. If No, describe method for providing wastewater treatment:
185. 12 - A.) Does the site contain a structure that is listed on either teth State or National Register of Historic Places?

     1. Yes
     2. No
186. 12 - B.) Is the proposed action located in an archeological sensitive area?

     1. Yes
     2. No
188. 13 - A.) Does any portion of the site of the proposed action or lands adjoining the proposed action, contain wetlands or other water bodies regulated by a federal, state, or local agency?

     1. Yes
     2. No
189. 13 - B.) Would the proposed action physically alter, or encroach into, any existing wetland or water body?

     1. Yes
     2. No
190. If yes, identify the wetland or water body and extent of alterations in square feet or acres:
192. 14.) Identify the typical habitat types that occur on, or are likely to be found on the project site:

     1. Shoreline
     2. Forest

     1. Agriculture/grasslands
     2. Early mid-successional

     1. Wetland
     2. Urban

     1. Suburban

     Check all that apply.
194. 15.) Does the site of the proposed action contain any species of animal, or associated habitats, listed by the state or federal government as threatened or endangered?

     1. Yes
     2. No
195. 16.) Is the project site located in the 100 year flood plain?

     1. Yes
     2. No
197. 17.) Will the proposed action create storm water discharge, either from ponit or non-point sources?

     1. Yes
     2. No
198. a) If Yes, will storm water discharges flow to adjacent properties?

     1. Yes
     2. No
199. b.)If Yes, will storm water discharges be directed to established conveyance systems (runoff and storm drains)?

     1. Yes
     2. No
200. If yes, describe briefly:
202. 18.) Does the proposed action include construction or other activities that result in the impoundment of water or other liquids?

     1. Yes
     2. No
203. If yes, explain purpose and size.
205. 19.) Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility?

     1. Yes
     2. No
206. If yes, describe:
208. 20.) Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste?

     1. Yes
     2. No
209. If yes, describe:
211. I affirm that the information provided above is true and accurate to the best of my knowledge
213. Applicant / Sponsor Name
214. Date
216. Signature
220. Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of part 2.
     Answer all of the following questions in part 2 using the information contained in part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?"
222. 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations?

     1. No, or small impact may occur
     2. Moderate to large impact may occur
223. 2. Will the proposed action result in a change in the use or intensity of use of land?

     1. No, or small impact may occur
     2. Moderate to large impact may occur
225. 3. Will the proposed action impair the character or quality of the exisiting community?

     1. No, or small impact may occur
     2. Moderate to large impact may occur
226. 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area?

     1. No, or small impact may occur
     2. Moderate to large impact may occur
228. 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking, or walkway?

     1. No, or small impact may occur
     2. Moderate to large impact may occur
229. 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservatino or renewable energy opportunities?

     1. No, or small impact may occur
     2. Moderate to large impact may occur
231. 7 - A. Will the proposed action impact existing public / private water supplies?

     1. No, or small impact may occur
     2. Moderate to large impact may occur
232. 7 - B. Will the proposed action impact existing public / private wasterwater treatment utilities?

     1. No, or small impact may occur
     2. Moderate to large impact may occur
234. 8. Will the proposed action impair the character or quality of important historic, archeological, architectural, or aestetic resources?

     1. No, or small impact may occur
     2. Moderate to large impact may occur
235. 9. Will the proposed action result in an adverse change to natural resources? (example: wetlands, waterbodies, etc)

     1. No, or small impact may occur
     2. Moderate to large impact may occur
237. 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage problems?

     1. No, or small impact may occur
     2. Moderate to large impact may occur
238. 11. Will the proposed action craete a hazard to environmental resources or human health?

     1. No, or small impact may occur
     2. Moderate to large impact may occur
242. Part 3 - Determination of significance
     The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result 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 been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts.
244. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one ore more potentially large or significant adverse impacts and an environmental impact statement is required

     1. I agree
246. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts.

     1. I agree
248. Name of Lead Agency
249. Date
251. Print or Type Name of Responsible Officer in Lead Agency
252. Title of Responsible Officer
254. Signature of Responsible Officer in Lead Agency
255. Signature of Preparer (if different from Responsible Officer)
Leave This Blank:


257. 1. Receive an email copy of this form.
258. Email address

     This field is not part of the form submission.

259. Submit

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