Fillable COASTAL ASSESSMENT FORM (City of Kingston)

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COASTAL ASSESSMENT FORM (City of Kingston)

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BROWSE CITY OF KINGSTON (NY) FORMS

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COASTAL ASSESSMENT FORM
A. INSTRUCTIONS: (please print or type all answers)
1 Applicants, or in the case of direct actions city agencies, shall complete this CAF for proposed actions
which are subject to the consistency review law. This assessment is intended to supplement other
information used by a city agency in making a determination of consistency.
2 Before answering the questions in Section C, the preparer of this form should review the policies and
explanations of policy contained in the Local Waterfront Revitalization Program (LWRP), a copy of
which is on file in the City Heritage Area Commission office or Planning Department. A proposed
action should be evaluated as to its significant beneficial and adverse effects upon the coastal area.
3 If any question
in Section C on this form is answered "yes" then the proposed action may affect the
achievement of the LWRP policy standards and conditions contained
in the consistency review law.
Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a
determination that is consistent to the maximum extent practicable with the L WRP policy standards
and conditions, IT SHALL NOT BE UNDERTAKEN.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
1. Type of City agency action (check appropriate response):
a. Directly undertaken (e.g. capital construction, planning activity, agency regulation, land
transaction) ______
b. Financial assistance (e.g. grant, loan, subsidy) ______
c. Permit, approval, license, certification ______
d. Agency undertaking action: ______________________________
2. Describe nature and extent of action: ___________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3. Location of action:
_____________________________________________________________________________________
Street or Site Description
4. Size of site:
_____________________________________________________________________________________
5. Present land use:
_____________________________________________________________________________________
6. Present zoning classification:
_____________________________________________________________________________________
7. Describe any unique or unusua11and forms on the project site (i.e. bluffs, dunes, swales, ground
depressions, other geological formations):
_____________________________________________________________________________________
_____________________________________________________________________________________
8. Percentage of site which contains slopes of 15% or greater:
_____________________________________________________________________________________
9. Streams, lakes, ponds or wetlands existing within contiguous to the project area?
Name: ________________________________
Size (in acres): _________________________
10. If an application for the proposed action has been filed with the (city, town, village) agency,
the following information shall be provided:
Name of applicant: ______________________________________________________________
Mailing address:_________________________________________________________________
Telephone number: Area Code ( )_________________________________________________
Application number, if any: _______________________________________________________
11. Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes _______ No_______ If yes, which state or federal agency? _______________________
C. COASTAL ASSESSMENT
(Check either "Yes" or "No" for each of the following questions)
1. Will the proposed action be located in, or contiguous to, or have a potentially adverse effect upon any
of the resource areas identified on the coastal area map:……………………..……...Yes _____ No ____
a. Significant fish or wildlife habitats?........................................................ Yes _____ No ____
b. Scenic resources of local or statewide significance?................................Yes _____ No ____
c. Important agricultural lands?.....................................................................Yes _____ No____
d. Natural protective features in an erosion hazard area?..............................Yes _____ No ____
If the answer to any question above is yes, please explain in Section D any measures which will be
undertaken to mitigate any adverse effects.
2. Will the proposed have a significant effect upon:
a. Commercial or recreation use of fish and wildlife resources?..................Yes _____ No _____
b. Scenic quality of the coastal environment? ..............................................Yes _____ No _____
c. Development of future, or existing water dependent uses? ………......... Yes _____ No _____
d. Operation of the State's major ports? ........................................................Yes _____ No _____
e. Land or water uses within a small harbor area?:........................................Yes _____ No _____
f. Stability of the shoreline? ..........................................................................Yes _____ No _____
g. Surface or groundwater quality? ...............................................................Yes _____ No _____
h. Existing or potential public recreation opportunities? ..............................Yes _____ No _____
i. Structure, sites or districts of historic, archeological or cultural significance to the (city, town,
village), State or nation?.............................................................................Yes _____ No _____
3. Will the proposed action involve or result in any of the following:
a. Physical alteration of land along the shoreline, land under water or
coastal waters?..................................................................................................Yes _____ No _____
b. Physical alteration of two (2) acres or more of land located elsewhere in
the coastal area? ……………………………………………………………...Yes _____ No _____
c. Expansion of existing public services or infrastructure in undeveloped or low density area of
a coastal area?....................................................................................................Yes _____ No ____
d. Energy facility not subject to Article VII or VII of the Public Service
Law?...................................................................................................................Yes _____ No ____
e. Mining, excavation, filling or dre3dging in coastal waters?........................
Yes _____ No ____
f. Reduction of existing or potential public access to or along the shore?......Yes _____ No ____
g. Sale or change in use of publicly - owned lands located on the shoreline
or under water?.............................................................................................Yes _____ No ____
h. Development within a designated flood or erosion hazard area?.................Yes _____ No ____
i. Development on a beach, dune, barrier island or other natural feature
that provides protection against flooding or erosion………………………Yes _____ No ____
j. Construction or reconstruction of erosion protective structures?.................Yes _____ No ____
k. Diminished surface or groundwater quality?................................................Yes _____No ____
l. Removal of ground cover from the site?......................................................Yes _____ No ____
4. Project
a. If project is to be located adjacent to shore:
1. Will water-related recreation be provided?. ...........................................Yes ____ No____
2. Will public access to the foreshore be provided? ...................................Yes ____ No____
3. Does the project require a waterfront site? .............................................Yes ____ No____
4. Will it supplant a recreational or maritime use? .....................................Yes ____ No____
5. Do essential public services and facilities presently exist at or near
the site? ...................................................................................................Yes ____ No____
6. Is it located in a flood prone area?. ........................................................ Yes ____ No____
7. Is it located in an area of high erosion? ..................................................Yes ____ No ____
b. If the project site is publicly owned:
1. Will the project protect, maintain and/or increase the level and types
of public access to water-related recreation resources and facilities?....Yes _____ No ___
2. If located in the foreshore, will access to those and adjacent lands be
provided? ................................................................................................Yes _____ No___
3. Will it involve the siting and construction of major energy facilities?...Yes _____ No ___
4. Will it involve the discharge of effluents from major stream, or electric generating
industrial facilities into coastal facilities? ...............................................Yes ____ No___
c. Is the project site presently used by the community neighborhood as an open space or
recreation area? ..............................................................................................Yes ____ No ____
d. Does the present site offer or include scenic views or vista known to be important to the
community?....................................................................................................Yes ____ No ____
e. Is the project site presently used for commercial fishing or fish
processing?......................................................................................................Yes____ No ____
f. Will the surface area of any waterways or wetland areas be increased or decreased by the
proposal? ........................................................................................................Yes____ No ____
g. Does any mature forest (over 100 years old) or other locally important vegetation exist on this
site which will be removed by the project? ....................................................Yes ___ No ____
h. Will the project involve any waste discharges into coastal waters? ...............Yes ___ No_____
i. Does the project involve surface or subsurface liquid waste disposal? ...........Yes ___ No____
j. Does the project involve transport, storage, treatment or disposal of solid Waste or hazardous
materials? ………………………………….....................................................Yes ___ No____
k. Does the project involve shipment or storage ofpetroleum products? .............Yes ___ No ___
1. Does the project involve discharge of toxic materials, hazardous substances or other
pollutants into coastal waters? ..........................................................................Yes___ No___
m. Does the project involve or change existing ice management practices?.…….Yes___ No___
n. Will the project affect any area designated as a tidal or freshwater wetland?
........................................................................................................................... Yes___ No____
o. Will the project alter drainage flow, patterns or surface water run off on or from the site?
............................................................................................................................Yes___ No____
p. Will best management practices be utilized to control storm water runoff into coastal waters?
………………………………............................................................................Yes___ No ___
q. Will the project cause emissions which exceed federal or state air quality standards or
generate significant amounts ofnitrates or sulfates? .........................................Yes ___ No___
D. REMARKS OR ADDITIONAL INFORMATION. (Add any additional sheets necessary to
complete this form.)
If assistance or further information is needed to complete this form, please contact the City Planner at
(845) 334-3955.
Preparer's Name: ______________________________ Telephone Number: ( ) __________________
Title: _________________________________ Agency: ______________________________________
Date: ____________________________
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COASTAL ASSESSMENT FORM (City of Kingston)

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Completed 18 February 2021

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