NEW YORK STATE DEPARTMENT OF STATECOASTAL MANAGEMENT PROGRAI\4

Federal Consistenov Assessment Foml

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r Received

Nov 0 6 2017

NYSDOS

Planning & Develnn-ont

An applicanl seeking a permil lioense, waiver, certification or similar tlpe of approval from a fd€ral agency whiohis subject to the New York State Coastal Management Program (ClP), shall corylete this ass€ssment form for anyproposed activity that wifl ocsur withir and/or directly a,ffect the State's Coastal Area This form is int€Nrdd toassist an applicant in certi$ing that the proposed activity is consistent with New Yor* State's CMP as rcquired byU.S. Doparhent of Commerce regulations (15 CFR 930.57). It should be coryleted at the time when the federal

application is prepared The Departmeirt of Statc will use the coryletod form and accompanying information in itsreview ofthe applicanfs certifioation of

A. APPLICAI\T (pleascprint)

l.2.

3.

Name: _Address:

B. PROPOSEDACTIVTIY:

l.Briefdescriptionofactivity: 77ttf fzd*2rd.Cf l5 To VTtLtz-e- 6d c.€* wt+c:<e nl€eLW*.f A b iJ FX$rtrt 9c-to lLtG, lTAuLr.J/ee- Crta'Q AUL&Qt'ftY B*a,alroq*v *rGt* l4rac) iPO ?etT h La-ctuJ FtvtsHeb LoolL frT Tffe Lec$na,l u.tt't<^)L..oLtNF €<"rrt f$e W&74d-, (.rf t"rtlL Bot4b tl Uvrnt wEVU B\v€etr*vK Feo;sLlB€.Nq Ze,ry'\fuL7ao B? Tlt€ Vi&AAr€. o* eLftYTarJ rtNo FT-oVlO€ eV2S&€-/; *, 4a*).

2. Purpose ofactivity:Tt+L fiutpesc- Of -ft'ltS- (9 ALg-o T- p4oqpe nN A,,,l- l*+,/lt>t LAffFD 4tcsltdt

*Fil t*cop€ Ttt€ Rtvetht,,tr WtteetC ?drto.if Ci*t teqrra-" tua W*rr fczB€ 9*tseo ia,tt€- T*tr lYGt+ lr,@svn uor fp.oypuoz o/T- *tsv fra7qC^a

'I{t*N Yu{tl7 l6t,rf ;?w5f//v6 r+tuo IW7LL fte NEtS+$oetMF PEocearT3. Iocation of activity: (?u**f /'+rftCrlEo )

.TeffeasoN Vtt-cft&9 a* Cv+rol &,t RtvASto* D&tt/&County City, Town, orVillage Steet or Site Description

4. Tlpe of federal permitflicense required: Afi mr' 1{?e P f5. Federal application number, if known:

6. Ifa state perrrit/license was issued or is required for the proposed activity, identiff thc state agency and

provide the application or permit number, if known:

a

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V|LLA€;9 aP Cvr+t7*,/ Da*dD

D. ADDITIONAL STTPS

1. If all of the questions in Section C are answered 'NO', the,n the applicant or ag€ncy shall complete Section E and

zubmit thc docum€ntation required by Section F.

2. If ary of the questions in Section C are answered 'YES,, then the applioant or agent is advised to consult theCMP, or whcre appropriate, the local waterfront revitalization prograrn dosument.. The proposed activity nust boanalyzed in more detail with respect to the applicable stato or local coastal polioicc. On a separato pagds), theapplicant or age'nt shalt (a) identify, by their policy numbers, which ooastal policies are affected by the activity, @)briefly assess the effects of the activity tryon the policy; an4 (c) stat€ how thc activity is consisteirt with eaoh policy.Following the completion of this written assessment, the applioant or agency shall complete Section E and submitthe documentation required by Section F.

E. CERTIFICATION

The applicant or agelrt must certi$ that the proposed activity is consistent with the State's CMP or the approvedlocal waterfront revitalization progam, as appropriate. If this certification caonot be made, the p,roposed activityshall nd [s underhke,n" If this c€rtification can be made, corrylete this Section

nThe proposed astivity complies with New York Stato's approved Coastal Management Program, or with theapplicable approved local waterfront rwitalization program, and will be conducted in a manner consistent with suchprogram""

Applicant/AgenfsName: 'ft(D $lk-{f TL b+dtt * Ao

Address: /l t f O b,rvw tM q LtfirrarJ N" 96z4

Telephone: AreaCode e/5' \ ?79 * kEt/S ftQe!?L, BtV # € l/r+*ae. cacv)

ApplicanvAgent'sSipatnre: ? > Date: lts* zB* t7

F. SIIBMISSION REOUIREMENTS

l. The applicant or agent shall submit the following documents to the New York State Department of State,

Olfice of Plenning end Developnent, Attn: Conslstency Review Unit, One Commerce Plaza-Sulte 1010,99 Washlngton Avenug Albann New York l22rl.

a Copy of original signed form.b. Copy of the coryleted federal ag€ncy application.c. Other available infonnation which would support the certification of consistency.

2. The applicant or agent shall also submit a copy of this completed form along with his/her application to the

federal agency.

3. If there are any questions regarding the submission of this fonru contact the Departnent of State at(sl8) 474-6000.

*These state and local docrrments are available f6s inspection at the offices of many federal agencics, Departneirt ofcnvironmental Conservation and Deparhe,nt of Statc regional offices, and the appropriatc regional and countyplanning age,ncies.

Iacal program documents are also available for inspection at the offices of the appropriate local gove,roment,

Received

General Services of State I Office of

I Dtoartment

NOV O 6 2017 Ill NYSDOS

··c.r,e Planning & DeveloomenJl'a....

JOINT APPLICATION FORM For Permits for activities activities affecting streams, waterways, waterbodles, wetlands, coastal areas, sources of water, and endangered and threatened species.

You must separately apply for and obtain Permits from each Involved agency before starting work. Please read all Instructions.

1. Appllcatlons To:� Cneck.,h$ta to confirm you $ant this tqrm to NYSPEC.>NYS Department of Environmental Conservation

Check all permits that apply: I Dams and Impound- Tidal Wetlands I Water Withdrawal stream Disturbance ment Structures Wild, Scenic and I Long Island Well -

Excavation and Fill in 401 Water Quality - Recreational Rivers I Incidental Take of - Navigable Waters Certification Coastal Erosion Endangered / /_ Docks, Moorings or Freshwater Wetlands - Management Threatened Species -

Platforms

>US Army Corps of Engineers � Check here to confirm you sent �1s form t� USACE. Check all permits that apply: _j Section 4�1ean Water Act Is the project Federally funded? D Yes No

Section 1 O Rivers and Harbors Act-

If yes, name of Federal Agency:I General Permit Type(s), if known: I I I Preconstruction Notification: Oves ONo ,

>NYS Office of General Services ../ I Check here to confirm you sent this form to NYSOGS.Check all permits that apply:

State Owned Lands Under Water £Docks, Moorings or PlatformsI Utility Easement (pipelines, conduits, ca�les, etc.)

>NYS Department of State -:-./ Check here to confirm you sent this form to NYSDOS.Check if this applies: _j Coastal Consistency Concurrence

I I

2. Name of Appllcant Taxpayer ID (if applicant is NOT an individual) �1_m���m�e_w�Hi�»-��r---�---�11 I Mailing Address Post Office/ City State �

ltq·!. RwtA.S ,oe P�II!.-

11 C.1-A'fT.,;-,N I lf'lrj � Telephone I-;,.'> ·- s-s$· -otf>•/ Ema} I I

Applicant Must be (check all th�t apply): v7] Owner . Operator [ Lessee

3. Name of Property Owner (If different than Appllcant)I I Mailing Address

Telephone

JOINT APPLICATION FORM 08/16

11 Email

Post Office / City

11Jb

Page 1 of 4

Jonr Appllcmot Fonm - Gontlnued. Submit thls completed page as part of your Application.

State Zlo

tr [=,=,lTelephone W Email .an-, -

4. Name of Gontac{ I

5. Prolec't/ Facllltv Name ProoertvTax Mao Sectlon / Block / Lot Numben

State ZioNY@and bodies of water

Ef Town M[ Vitlaoe EI ciw Gountv StreamMaterbodv NameWProlect Locatlon Goordinates: Enter Latitude and Lonoitude in deorees. minutes. seconds:

6az- .Swaqtoe DLtv*

o! f*L iT. t*vaetvce- aE-Q- lv*tesr cao(9 gf ttKIVU-S|P€ DPtvE Aa/a

6. Prolect Deccrlfilon: Provide the following information about your projec{. Continue each response and provideany additional information on other pages. Attach plans on seoarate oaoes.

ot"ra

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Type of structures and fill materials to be instatled, and quantity of materials to be used (e.9., square feet ofcubic vards of fill material. structures below ordinarv/mean hioh water. etc.

e. Area of excavation or volume of material to be location of

f. ls tree cutting or clearing proposed? fX y"r lf YTiming of the proposed cutting or clearing (month/year):

Number of trees to be cut:

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(f,xccpr prues) $text4rY frbafnde p.rT:paa-iL Cfi<r'J 4 r*t'lUO

Na ftrt-E&t*t* 1b &e P-Epanect fueOT wcepa ft.or1 ptctcLf,

Acreage of trees to be cleared:

JorrrAppr.rcanoNFoRr[ 0U{6 Page 2 of4

Jorrr Appt-tcmot Fonu - Contlnued. Submit this completed page as part of your Application.

fr4t+unroo- a*t * bruz&e T- ?uf t,,/ Pl @g

Pollution contnol other actions envircnmentral

j._le9!90_erC rilt methods thatwill

k. Altematives considered to avoid regulated areas. !f no feasible altematives exist, explain how the projec't willminimize

l. Proposed use: Private _J puUlic Commerclal

m. Proposed Start Date: I zd r?n. Has work beoun on ilY"" IfY

q. Willtfis project require additional Federal, State, or Local authorizations, including zoning changes?

M """

tf Yes,listbetow. ffi uo

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tlbtoaG ,+ /bNc.E4-rE- P*,e T? pr.Ate CalCfzefe ay' 6T&vcivA€ .

OGS or DOS Permit / numbers for activities at this location:

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JorNTAppr-rcAnoNFoRu 08116 Page 3 of4

Jorr Appt-rcmor Fonn - Continued. Submit this completed page as part of your Application.

7. Slgnatures.Appllcant and Owner (lf different) must slgn the application.Append additlonal pages of thls Signature section if there are multiple Appllcants, Owners or Contact/Agents.

I hereby affirm that lnformatlon plovlded on thls form and all attachments submltted herewlth ls true to the best ofmy knowledge and belief.

Permission to lnspec't - I hereby consent to Agency inspection of the project site and adjacent proporty areas.Agency staff may enter the property without notce between 7:00 am and 7:00 pm, Monday - Friday. lnspec$onmay occur wlthout the ownor, appllcant or agent present. lf the property is posted with 'keep out' signs or fencedwith an unlocked gate, dgency staff may still enter the propefi, Agency staff may take measurements, analyzesite physical charactedstics, take soil and vegetation samples, sketch and photograph the site. I understand thatfailure to gtue thls consent may result ln denial of the permlt(s) sought by thls appllcaUon.

False statements made herein are punishable as a Class A misdemeanor pursuant to Sec'tion 210,45 of the NYSPenal Law. Further, the applicant accepts full responslbillty for all damage, direct or indirect, of whatever nature,and by whomever suffered, arising out of the project described herein and agrees to indemnfi and sarre harmlessthe State from suits, actions, damages and costs of every name and desoiption resulting from said proiec{. lnaddition, Federal Law, 18 U.S.C., Sec{ion 1001 provldes for a flne of not more than $10,000 or impilsonment fornot more than S'years, or both vtrfiere an appticant knowingty and willingty fatsifies, conceals, or ooverc up amaterial facf or knowingly makes or uses a false, fictitious or fraudulent statement.

that apply): I ovuner __loperator

Date

Printed Name Title

Date

lD "- zs* tZ

BAct+ "+

Title

err

JonrApplrcAnoNFoRit 0U{6 Page 4 of4

Y Received

l617'20 " ' Novo62o17

,.",. r,*,*lilfot*o Revrew

SIIORT EI\"YIROMI{ENTAL ASSES SMENT f,'ORM o' u n n,

" JItJJrl, o o* * n,

F'or UDILISTED ACTIONS OnIy

PART I . PROJECT INFORMA.TION Oo sg coIi,PI.Ef,BD BY A}PuCA}.IT oR PROJECT

l. Anpucnlr/SpoNson:F1$a ftM* Tf,- .tl*r.* + /

2. PRoJBC,TNAIG:

iSeu*'( *nA A€Ce*tEt-€ frR&+3. korscrlocATloN: Aurvroto

Mtnucrper-rry Vtt c*Ge Courry -Tcftpcs,o^)4. PnSCISIE ITCfiIOX: (Stoct addrosr and rod iatrrrootionr, pmineot landmrrls, crtc., a povido map)

5. kopossDAcrroxls: lNsw Efue.lxsrou fftu-*coroN/Ar,rsRArroN

eWqfcaxt *r-a+ "Ttt*7* I f

E)v.a fuon,r ( *r+nf nsTatwa\

6. DESCRBBKo,ECT

lfilruor camEa

Brunrl.v: -Je flLs>vt e€ ft^)

^Cieg4ISLE Aca-G Ttr<-

7. AMoTTNTOFL,cNDAFFFc'm: Initially O,ot Aots Ultimatcly P.a I Acros

8. WurPnoposEzAcrmNColcr,vWmrExsrNcZoNNaOn OrmnExsrwoLtroUsERpsmrcrloNs?dvo nNo

Ifnq dcscribebriefly

Wsrr Is Tsr Pnrsmvr Lawo Use IN TIrE Vrcnnry Or Tln horecr?DnssrDEN"rrAL flrNousrnur, E]colnrsRcrAr, nAcmcwrunlr,Deecribe: UN\rSrI&le- Co/eeer/rL\l T\eee tE- cL-D a<t&u-6

9.

EParx/Fonssr/opmrspecg l**J(Sr f3c:t+* t,rfr7i,€&,

10. DossAcrloNINvor,wA PrnrvnrArpnovAr,, ORFUNDD.IG, NowOnUrrulrrrvFnouArrv OmIER GovERNrvm{TALAcrwcv (Fmnn u" Sr.rrr Onloar.)?

No €upDtlFEl vo flrqo

API?-w.sl /*t*'L>#rrap LWd.F

If ves, list agen.v(0;ffier1np/anrroval r, .rffiH "Y

n*ff, t?c tt

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LWYraN Te+vf fr*N yiuc*€L ?tAtvt i,,,rG fzD^tbI I. Does ANy AspBc-r Or Tue AcrroN IIAvE A Cunnnnrv VAr,D PBRlvtrr On Appnovlr-?

M yo E No If yes, list agency(s) name andpermit/approvals:

froov* )12. AsAREsur,rOrPnopossDAcrroN, WruExsrrNcPBRLtrT/AppRovALREeurRBMoDFrcATIoN? U Yes M No

I CERTIT"T TIIAT THE INFORMA'TION PROYIDED ABOVE IS TRTIE TO TIIE BEST OT'MY KNOWLEDGE

Drrr: fO"'?9'l?SIGNATURE:

Ir rm AcrroN rs rN A CoAsrAL AREA, AND you ARE a srarE AGEt{cy, coMpLETE A Coesrrr,Assrssmn'r FoRM BEronE pRocrnrrrNc wrrfi TEIS Assfsslvrrt{T.

AL A,SSESSMENT (ro sB corupr:rnD syA" DoEs AcrIoN E(cEED AIvY TYrE 1 THREsHoTD M Nvcrn, rART 617.4? rF yEs, cooRDTNATE TrrE REvrEw

pRocEssAr{DUsETTTEFTJLLEAF. E vBs EI No

s. Wtrr acTIoN RBCEITTE CooRDTNATED RE\rIEw As pRovrDED FoR IJNLIfiTED AcrIoNs nt 6 r.rvcn& PART 6U.6?IFNO,ANEGAII\IEDECL{RATTONIilAYBBST,PER,SEDEDBYA}.IOITrIERITWOLIyEDAGB.ICY. E VNS MNO

C. COUTD ACTION RESTJLT IN AI{Y ADI/BRSE EFFBcTS AssocxATED wTnt TIIE FoLIotr,ING: (AT.Tsuruns MAY BEHANDwRITTEN, E. r,rGBIE).Cl. EJgsrtrIGAn euAr,trTy, sITRFAcEoRcRoIJNDwATEReuALITyoReuAI{TITy, NoIsELEvELsr HgslrINGTRAFFrc

PATTERNS, SOLIDWASIEPRODUCTIONORDISiPOSAI, POTB{TIALPORBROSIO\ DRAINAGBORHOOpntOpROSTEXUS?EJpL,AnIBptrFLy:

c2. Ar$tuttc,AGttcULTIJRAq ARcxrAEoLocIcAL, HIsroRIc, oRorHERNATLJRALoRcLTLTITRALRESoLRCEs; oRCoMMIJMTY oR NHGIIBoRHooD CIIARACTER,: EIcLmI SRBFLy:

c3. vEcBTAfloN oRFAUNA, EIsIH, SHELLETSIH oR WTLDLJFE spBcIEs, sIclNIFIcAIvr ITABITATS, oR THREATTI{ED oREI{DAI{GERED spBcus? Eter"ew nnnrr,y:

c4. A coMMuNttyrs e)gtlrlNc pLAIrIs oR q)ALs As oFFIcIALLy ADoprED, oR A CIIANGE IN usE oR INTENSITY or usE oFLAI{D oR oTHERNATLTRAL Rgsotncss? Elcrenq sRBFLy:

C5 . GRo\t rfi, st BsBeuENT DE\arJopMENT, oR RELATED AcrrvITIEs UKELy ro BE TNDUcED By rHE pRoFosED AcrroN:EloLmBnnrw:

C6. LoNcrrRu, SHoRTTBRT4 cuMtrLATIvE, oRorHER EFFEcrsNorIDENTrFrEDnrCl-CS? E>crrmtsRBFLy:

C7. Onunnp,rcrs(nvcruowccHANGEsINusEoFErrrrEReuANTITyonrrneornrencv)? Ercr-lwnnrnrr.y:

D. Wtrr rHE PRorBcr IrAvE AIv IMpAcr oN TIIE ENvIRoT.IMENTAL cHARAcrERIsirIcs rIrAT cAUsED THEBSTABIJIiHMENToFAcR"ITIcALENvTRoNMENTALenTa(cr.L)? f]ves ! No. IFYEs, E)er-AD.TBREFLv:

E. Is rIfiR,E, oR tri rUERE LIKBLy ro BE, coNrRovERsy REIATED To poTENTIAL ADVERSE ENyrRoNldEhrrALtr\,pAcTs? E yrs E No. IFYES, E)pr.Atr{BRrEF.Ly:

PART tr - ENTVIROM},IENT

PART m - DEIERMINATION OX' SIGI\IFICAIICE (ro nr comrrrro ny ecrNcv)Instrucdong: Fo each adverse effect identified above, deteiurinc whelher it is substafltial, lrgo, impotad or otherwisc significant. Facheffect should bc asress€d in cmnection with its (a) setting (ic., urban c nral); (b) probability of ocouring; (c) duratim; (O irreversibility; (e)geographio scope; and (D magEitudc. If necessary, add attachmelrts m rsf€r€nco suppoting materids. Ensue that explanations cotainsufficient dctail to show that all relevant adverse impacts have been identified ad adequately addressGd" Ifquestion D o Part tr was oheokedyes, the determination of sigpificance must orraluate the potential impact ofthc mooosed action on the eirvironnental charactcristics ofthc CEA

f] cnBcr rulsi Box IF you HAvE IDENTTFTED oNE oR MoRE porENTrALLy r.ARcE oR srcNrFrcANT ADvERsEIMPACTS 1VHICH MAY OCCUR. THEX.I PROCEED DIRECILY To THE FI.JLL EAF AI{D/oR PRBPARE A PosITryEDECI-ARATION

f] crmcr rlrx; Box Ip you HAVE DETERMTNED, BAsED oN THE INFoRMATIoN AI{D A}.IALysIsi ABovE AI{D AI\tySUPPoRTING DoctrMENTATroN, TrIAT TIIE pRoposED AcrroN WILL NOT RESULT rN AI.IY STGNIFICAI{TADVERSE ET.IYIRONMENTAL IMPACTS AIYD PROVDE ON ATTACHMENTS AS NECESSARY. THE REASONSSUPPORTING THIS DETBRMINATION:

Namo of Lead Agency Data

Print or Tlpc Name of Responsible OfEcer in laad Agency Titlc of Responsiblc Officer

of Respmsible Officer in l"ead of Preoarer 6f different from

Bach & Co11176 County Rte.9Claytonr l\tY 13624

315-686-3083FAX: 315-686-2571

t0/23117

New York StateDeparfrnent of ,Conservation

To Whom It May Concern:

am Authorizing Bach & Co. to apply for my permit on behalf of improving

My waterfront property.

I thank you for your consideration in looking into our proposed project and improving our property.

New York StateDepartment of Enyironmental Conservation

PERMISSION TO INSPECT PROPERTY

By signing this pennission fonn for submission with an application for a permi(s) to theDepartnent of Environmental Conservation ("DEC"), the signer consents to inspection by DECstaffof the project site or facility for which a permit is sought anq to the exbnf necessary, areasadjacent to the project site or facility. This consent allows DEC staffto enter upon and passthrough such property in order to inspect the project site or facility, without prior notice, betweenthe horrs of 7:00 a.m. and 7:00 p.m., Monday through Friday. If DEC stalf should wish to conductan inspection at any other times, DEC staffwill so notiff the applicant and will obtain a separateconsent for such an inspection.

Inspections may take place as part of the application review prior to a decision to grant ordeny the permit(s) sought. By signing this consent fonn, the signer agrees that this consentremains in effect as long as ths application is pe,nding, and is effective regardless of whether thesigter, applicant or an agent is present at the time ofthe inspection. In the event that the project siteor facility is posted with any form of "posted" or "keqt out" notices, or fenced in with an unlockedgak, this permission authorizes DEC staffto disregard such notices or unlocked gates at the timeof inspection.

The signer firttrer agrees Orat during an inspection, DEC staffmay, anong other things,take measurernents, rnay analyze physical characteristics of the sils in6luding, but not limited to,soils and vegetation (aking samples for analysis), and may make drawings andtake photographs.

Failure to grant oonsent for an inspection is grounds for, and may result in" denial of thepennit(s) sought by the application.

Permission is granted for inspection of property located at the following address(es):

By signing this form, I afrrm under penalty of perjury that I am authorized to give consentto entry by DEC staff as described above. I understand that false statements made herein arepunishable as a Class A rnisdemeanor pursuant to Section 210.45 of the Penal Law.*

frao Bo* 'rr-/.- tt**enr7

!Q*2 s - ,>PrintName and Title Signahre Date

*Ttrc signer ofthis form must be an individual or authorized rqresentativc of a legal entity that:. owns fee titla and is in possession ofthe property identified above;' maintains posscssory interest in thc propcrty through a leasc, rclrtal agreem@t or other logally binding agreemen! or' is provided perrrissiou to aot on bchalf of an individual or legal ontity possessing fee titlc or other possessory ints€st in

the property for the purposc of conscnting to inspection of such prop€rty.

Permlrslon to Inspect Property Apptlcadon Supplement 1?08

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TOWNNILLAGE OFCLAYTON

405 Riverside DriveClayton, NY 13624

M-F, 7:00AM-12:00PM1:00PM-4:00PM

Fax: (315) 686-2651

Application Number: V- WAX'-03-17

Applicantts Name: Mathew Hardy

Date: May 18r 2017

The LWRP Committee has reviewed the waterfront/coastal management assessment informationrelative to the proposed project submitted by Mathew Hardy. The elements of said project were measured inaccordance with the rules and policy statements promulgated in the LWRP. As a result, the committee hasdetennined that this proposal is consistent with the criteria so noted in the LWRP and theConsistency Legislation of the Village of Clayton.

Further, it is recommended that this document be included with the various submittals that may berequired of the applicant.

APPROVED

Assistant T,ontngOfricer Oflice Hours:

Richard Ingerson(315) 686-3512Bxt.29

Kim Johnston(3ls) 686-3s12 Ext.28

T,oninglCode OIIicer Planning Department Planning BoardDouglas Rogers-ChairLarry AubertineDuane C. HazeltonMichael IngersonPreston LowePaul E. HeckmanFred Bach- Co-chair

Alt's Dave Crandall

LWRP DETERMINATION

DENIEDblA

Respectfully submitted: Dr. Douglas Rogers (for the LWRP Committee)

fl vru-lcn [rowN oF crAmoNWATERFRONT ASSESSMENT X'ORM

Application 11o,r6rn V-wAF o3-17

ApplicantsName:M"W Phone#: (315)558-0r64

602 Riverside Drive Clayton, NY 13624

Tax Map # 20.38 Block # 1 Lot# 7

A. INSTRUCTIONS (Please Print or type all answers)

L Applicants or, in the casc of dlrect actions, municipal agencies shall complete this Waterfront Asscssmsnt Form (WAF) forproposed actions that are subject to the LWRP consistency review. This assessment is intended to supplement otherinformation used by an agency in making a dctermination of consistency with the Village of Clayon Local WaterfrontRcvital izatlon Program,

Before answering lhe questions in Section C,, fte applicant of this form should revierv thc policies and explanations ofpolicy conained in the Local Waterfront Revitalization Program (LWRP), a copy ofwhich is on file in thc ZoningEnforcement Officer's office. A proposed action should be evaluated as to its significant bcneficial and adverse effectsUpon the waterfront are&

lf any question in Section C on this form is ansrvered )es", then the proposed action may affect the achievement of theLWRP policy standards and conditions contained in thc consistency review law. Thus, dre action should be analyzed inmore deuil and, if necessary, modified prior to making determination that it is consistent to fte maximum extent practicablervith the LWRP policy standards and conditions. lf an action cannot be certified as consistent with the LWRP polirystandards and conditions. it shall not be undertaken.

B. DESCRIPTION OF SITE AND PROPOSED ACTION

l. Type ofagency action (check all appropriate responses):

(a) DirEctly undertaken (e.g. capital construction, planning activiry, agency regulation, land transaction)N/a-(b) Financial assistance (e.g. grant, loan, subsidy)None_(c) permig approval, license, or certification_ x _(d) Agency undertaking u"6on. LWRP-TownA/illage of Clayton Planning Board

(e) Action is a: Type I Action_Unlisted Action x

2. Describe nature and extentofaction;

The applicant is proposing the construc{ion of a new deck/patio over the water at Bellas Restaurant at 602 Riverside Drive Clayton, NY,

This project is located in the Riverwalk B Distdct and should meet the requirements set forth for this District. Additionally, the Army Corps9f Engineers and the N nmental Conservaiion wltt

3. Location ofaction:602 Riverside Drive Clayton, NY 1624

Skeet or Site Description

+. Sir. of Site: <1 acre ( proposed deck is approximate ly 70' X 20)

5. Present ;*6 ,r"' commercial

6" Present zoning classifiaollon' Riverwalk B District

7. Describe any unique or unusual landforms on the project site (i.e. bluffs, ground depressions, other geological formations:

No unique land forms. Project is being constructed over water.

8. Perccntage ofsitc that contains slopes of t57o or greaten 0%

9. Streams, lakes, ponds or wetlands existing within or continuous to the project area?

(l)Na1p; St. Lawrence River

(2) Sizc (in acres): N/A

C. Project Information

(a) lfProject is to be located adjacent to thc shorc:

(l) Will water-r€lated rccrcation be provided?

(2) Will public access to the shorelinc be provided?

(3) Does the project require a waterfront site?

(4) Will it supplant a recreation or maritime use?

(5) Do essential public services and facilities presently exist at or near the site?

(6) ls the project site located in an area ofhigh erosion?

(7) ls project located in a flood pronc arca?

(b) If the project site is publicly owned:

( l) Will the project pmtect, maintain ond/or increase the level nnd typcs of public access

to water-related recreation resources and facilities?

(2) tf located in the foreshore, will access to those and adjacent lands be provided?

(3) Will it involve the siting and construetion of major energy facilities?

(4) Will it involve the discharge of effluents from major stream electric generating

and industrial facilities into a waterway?

(c) ls the project site presently used by the community as an op€n space or rccreation area?

(d) Does the site offer or include scenic views or vistas knorvn to be irnportant to the Community?

(e) Will the surface area ofany rvatenvays or rvet land areas bc increased or decreased

by the proposal?

(0 Will the project involve any waste discharges?

(g) Does the pruject involve surface or subsurface liquid waste disposal?

(h) Does this project involve transpon. storage, treatment or disposal of solid waste or

hazardous nuterial?

(l) Does the project involve shipment or storage ofpetroleum products?

O Does the project involve discharge oftoxins, hazardous substances or other pollutants?

(k) Will the project affect any area designated as a freshwater wetland?

(l) Will the project alter drainage flow pattems or surface water runoffonto or

from the site?

(m) Will best management practices be utilized to control storm water runoff

into rvaterways?

(n) Will the project cause emissions which exceed Federal or State air quality standards

or generate significant amounts of nitrates or sulfates?

YES NO

xx

xx

x

N/A

N/A

N/A

N/A

x

x

x

x

x

x

x

D. WATERFRONT ASSESSMENT (Check cither "Yes" or'No" for each of the following questions)

l. Will the proposed action have a significant effect upon:

(a) Commercial or recreation use of fish and wildlife resources? (1,7,8,92122,281

(b) Scenic quality of the waterfnont cnvironment? (243535\

(c) Devetopment of future or existing water dependent uses? ( I ,2,4, 19 21,22\

(d) Stability of the shoreline? (l I,14,17,28)

(e) Surface or groundrvater quality? (8,30,32,33,34,35,36,37J8,44)

(0 Existing or potential public recreation opportunities? (4,19,20,21,221

(g) Structurcs, sites or districts of historic, archeological or cultural significance to

ftc Municipality, State orNation? (19,23)

2. Will the proposed action involve or result in any of the following:

(a) Physical alleration of land along the shoreline, land under water or coastal

waters? ( I l, 14, I 7, t 8,22,25,32,37,381

(b) Physical alteration of two or mort acres of land located elsewherc in ttre local

waterfront rev ital ization area? (2, I l, I 428,30,35,44)

(c) Expansion of existing public services or infrastructure in underdeveloped or lorv

density areas of the waterfront area? ( I , I 9,2 I )

(d) Energy facility not subject to Article VII or VIll of tlrc Public Service Law? (5,18.2E)

(e) Mining, excavation, filling or dredging? (14,35)

(f) Reduction of existing or potential public access to or along the shore? ( I 9,20,2 I )

(g) Sale or change in use of publicly-owned lands located on the shoreline or

under water? (19.20.21)

(h) Development within designated flood hazard area? ( I l,l4,l 7,I 8)

(i) Development on a natural feature that provides proiection against flooding or

erosion? (l I,14.17.18)

() Diminished surface or groundwaler quality? (E,30,3 1,32,33,34,35,36,37,3E)

(k) Removal ofground cover from the she? (l I,14,17,18,24)

YES No

xxxxxx

x

NoYES

x

x

xx

x

x

xx

lf any of the questions in Section D. are answered "yes" ttre proposed activity must be analyzcd in more detail with respcct to theLocal Waterfront Revitalization Program (LWRP) policies. In the space provided in Section E. the applicant shall (o) identi$, bytheir policy numbers rvhich coastal policies are affected by the activity; (b) briefly assess the effects ofthe activity upon the policy;and (c) state how the activity is consistent rvith eaclr policy. Follorving the comptetion of this writlen assessment, the applicantshall complete Section F. and submit the documentation along with the application.

E. REMARKS OR ADDITIONAL INFORMATION, (Add any additionalsheets necsssary to complcte this form)

Note: The Village nray require additional or supplemental information at its discretion.

The necessarv permit(s) need to be se-cured prior to commencement of the proiect.

If assistance or firrther information is needed to complete this form, pleas contact the Zoning Enforcement Officer at

(31-s) 686-3512 Ext.18

SignatureofApplicanr qr'|tl/rrlpar.rs n,o* or' r,on. f 311Y

Planning BoardTirte. LWRP Comte.

Case No.: 15-02-0732ADate: LOMA-DEN

Federal Emergency Management AgencyWashington, D.C. 20472

Page 1 of 1 March 25, 2015

COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION

COMMUNITY

AFFECTED

MAP PANEL

NUMBER: 3603310001B

DATE: 12/1/1977

FLOODING SOURCE: SAINT LAWRENCE RIVER

VILLAGE OF CLAYTON,

JEFFERSON COUNTY, NEW YORK

A parcel of land, as described in the Bargain and Sale Deed recorded

as File No. 2012-00001422, in the Office of the County Clerk,

Jefferson County, New York (TMI: 20.38-1-7)

COMMUNITY NO.: 360331

DATUM: NAD 83

APPROXIMATE LATITUDE & LONGITUDE OF PROPERTY: 44.242, -76.090

SOURCE OF LAT & LONG: GOOGLE EARTH PRO

DETERMINATION DOCUMENT (NON-REMOVAL)LETTER OF MAP AMENDMENT

DETERMINATION

STREET FLOOD

ZONE

LOWEST

LOT

ELEVATION

(NGVD 29)

BLOCK/

SECTIONSUBDIVISIONLOT

OUTCOME 1% ANNUAL

CHANCE

FLOOD

ELEVATION

(NGVD 29)

LOWEST

ADJACENT

GRADE

ELEVATION

(NGVD 29)

WHAT IS NOT

REMOVED FROM

THE SFHA

-- --248.0 feet251.0 feetA1Structure602 Riverside Drive----

Special Flood Hazard Area (SFHA) - The SFHA is an area that would be inundated by the flood having a 1-percent chance of being

equaled or exceeded in any given year (base flood).

This document provides the Federal Emergency Management Agency's determination regarding a request for a Letter of Map Amendment for

the property described above. Using the information submitted and the effective National Flood Insurance Program (NFIP) map, we have

determined that the structure(s) on the property(ies) is/are located in the SFHA, an area inundated by the flood having a 1-percent chance of

being equaled or exceeded in any given year (base flood). Therefore, flood insurance is required for the property described above. The lowest

adjacent grade elevation to a structure must be at or above the Base Flood Elevation for a structure to be outside of the SFHA.

This determination is based on the flood data presently available. The enclosed documents provide additional information regarding this

determination and information regarding your options for obtaining a Letter of Map Amendment. If you have any questions about this document,

please contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency

Management Agency, LOMC Clearinghouse, 847 South Pickett Street, Alexandria, VA 22304-4605.

Luis Rodriguez, P.E., Chief

Engineering Management Branch

Federal Insurance and Mitigation Administration