EAS FULL FORM PAGE 1 City Environmental Quality Review ENVIRONMENTAL ASSESSMENT STATEMENT (EAS) FULL FORM Please fill out and submit to the appropriate agency (see instructions) Part I: GENERAL INFORMATION PROJECT NAME 1568 Broadway 1. Reference Numbers CEQR REFERENCE NUMBER (to be assigned by lead agency) BSA REFERENCE NUMBER (if applicable) 18DCP100M ULURP REFERENCE NUMBER (if applicable) OTHER REFERENCE NUMBER(S) (if applicable) N180184ZRM, N180185ZCM (e.g., legislative intro, CAPA) P2017M0204 2a. Lead Agency Information 2b. Applicant Information NAME OF LEAD AGENCY NAME OF APPLICANT City Planning Commission Times Square Hotel Owner, LLC NAME OF LEAD AGENCY CONTACT PERSON NAME OF APPLICANT’S REPRESENTATIVE OR CONTACT PERSON Robert Dobruskin, AICP Melanie Meyers Director, Environmental Assessment and Review Division Fried, Frank, Harris, Shriver & Jacobson LLP ADDRESS 120 Broadway, 31st Floor ADDRESS One New York Plaza CITY New York STATE NY ZIP 10271 CITY New York STATE NY ZIP 10004 TELEPHONE (212) 720-3423 EMAIL TELEPHONE (212) 859-8785 EMAIL
[email protected] Melanie.Meyers@friedfrank. com 3. Action Classification and Type SEQRA Classification UNLISTED TYPE I: Specify Category (see 6 NYCRR 617.4 and NYC Executive Order 91 of 1977, as amended): 617.4(b)(9) Action Type (refer to Chapter 2, “Establishing the Analysis Framework” for guidance) LOCALIZED ACTION, SITE SPECIFIC LOCALIZED ACTION, SMALL AREA GENERIC ACTION 4. Project Description The applicant, Times Square Hotel Owner, LLC, proposes the following action: a text amendment