Documents

agreement 3 pages Scanned/OCR — text may contain errors

Also attached to this agenda item: 14652291 Croton on Hudson.Roof SA.04-01-25 14652291 Croton on Hudson Mount Analysis Report... 14652291.Croton on Hudson.Tower Analysis.04.25.2025 14652291.Croton-On-Hudson.CDS.Rev 0.06.27.2025 14652291 2191A1DMPN Croton On Hudson 6409InitialLetter... Coastal Assessment Form - AT T GENERAC SD230 230kW Diesel Genreator Spec Sheet 0K5098 LWRP 2024 Updated LWRP 2024 Updated2

Part I - Project Information 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 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as lead agency; attach additional! pages as necessary to supplement any item. Part 1 - Project and Sponsor Information Lease Agreement with AT&T Wireless and approval of Special Permit Application for the colocation of a wireless facility at the municipal building. 1 Van Wyck Street, Croton-on-Hudson, NY 10706 AT&T Wireless seeks to lease a gertion of the municipal building for the colocation of a wireless facility. The colocation requires a telecommunications special permit under the Village Code. Name of Applicant or Sponsor: Telephone: 914-271-4848 Village of Croton-on-Hudson E-Mail: bhealy@crotononhudson-ny.gov City/PO: State: Zip Code: Croton-on-Hudson New York 10520 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, may be affected in the municipality and proceed to Part 2. Ifno, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other government Agency? If Yes, list agency(s) name and permit or approval: falta 3. a. Total acreage of the site of the proposed action? 267 SF acres b. Total acreage to be physically disturbed? acres or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on, are adjoining or near the proposed action: (CJ) Urban ([) Rural (non-agricutture) (2) Industrial [[] Commerciat 4 Residential (suburban) (J Forest (1) Agriculture [[] Aquatic [[) Other(Specify): Yocwciges “Sor \daney, [_} Parkland Page | of 3 SEAF 2019 5. Is the proposed action, - a -| NO | YES | N/A a. A permitted use under the zoning regulations? (| 1} b. Consistent with the adopted comprehensive plan? 1] 4) | 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? felica 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: mm MO 8. a, Will the proposed action result in a substantial increase in traffic above present levels? M4} to b. Are public transportation services available at or near the site of the proposed action? imiical c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed (alica action? 9. Does the proposed action meet or exceed the state energy code requirements? Not Applicable If No, describe method for providing potable water: If No, describe method for providing wastewater treatment: 13, a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? icin b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? rain If Yes, identify the wetland or waterbody and extent of alterations in square feet oracres: . C)Shoreline ([] Forest [[] Agricultural/grasslands [_] Early mid-successional ClWetland [1] Urban ] Suburban iO lie} i wo a. Will storm water discharges flow to adjacent properties? OO} O| b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? iniinl If Yes, briefly describe: ae If Yes, explain the purpose and size of the impoundment: If Yes, describe: completed) for hazardous waste? If Yes, describe: a Applicant/sponsor/name: Village of Croton-on-Hudson 2202 Signature: Zp ae Title: Wi Nereg. WNerene-gge ____ (a fo PRINT FORM Page 3 of 3