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OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 � � r Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) ; ` Telephone: 631 765-1938 Southold, NY www.southoldtownny.gov 0f:o PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Southold Town Board of Trustees From: Mark Terry, Assistant Director of Planning Date: March 18, 2021 Re: Proposed Town of Southold Local Solid Waste Management Plan • Request for Comments pursuant to Southold Town Code §280-131 • SEQR Lead Agency Request • Coordinated Review under SEQR The purpose of this request is to seek comments from your agency, to determine lead agency and coordinate review under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617. Please provide the following, as applicable: 1. Comments or requirements the Town Board should take into consideration while reviewing the proposed project; 2. Issues of concern you believe should be evaluated; 3. Your jurisdiction in the action described below; and 4. Your interest in assuming the responsibilities of lead agency under SEQR. The lead agency will determine the need for an Environmental Impact Statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. The following page contains information pertaining to the project under review. For further information, please feel free to contact this office. Southold Referral & SEQR Coordination March 18, 2021 Town Board Position: This agency wishes to assume lead agency status for this action. Project Name: Town of Southold Local Solid Waste Management Plan Requested Action: A LSWMP is a planning document to aid Town waste management and planning professionals in the daily management of solid waste and related materials. The document compares various financial, environmental, and operational costs and benefits of the current solid waste management system, and compares to alternative systems, and provides an implementation program and schedule to enact a reasonably pragmatic system for the Planning Unit that balances financial costs with reduced waste disposal. The waste streams analyzed in the plan include: (a) Household Trash (b) Commercial, Institutional, and Industrial Wastes (c) Biosolids (i.e. sludge from sewage treatment plants) (d) Debris material generated from Construction Activity (e) Organics (i.e. food waste, yard waste) (f) Recyclables (any materials that can be recovered or re-used) (g) Non-traditional types of wastes (i.e. Liquid wastes, Greenhouse gas emissions) SEQRA Classification: (X) Type I ( ) Type II ( ) Unlisted Contact Person: Mark Terry, Assistant Town Planning Director (631) 765-1938 To view the file in its entirety: l _LI, 1ioldtc)v ai:'i wy l6��ti3..,,ocal- colic -Wa to M��iii,)izerriepri-[-I la , butt �^�:fd��� � �c���...�. cc Elizabeth Neville, Town Clerk William Duffy, Town Attorney 2 OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25f �� � �� �r Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Aad ' Southold, NY { y, Telephone: 631 765-1938 ` www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Michael Collins, Southold Town Engineer From: Mark Terry, Assistant Town Planning Director Dater March 18, 2021 Re: Proposed Town of Southold Local Solid Waste Management Plan • Request for Comments pursuant to Southold Town Code §280-131 • SEQR Lead Agency Request • Coordinated Review under SEQR The purpose of this request is to seek comments from your agency, to determine lead agency and coordinate review under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617. Please provide the following, as applicable: 1. Comments or requirements the Town Board should take into consideration while reviewing the proposed project; 2. Issues of concern you believe should be evaluated; 3. Your jurisdiction in the action described below; and 4. Your interest in assuming the responsibilities of lead agency under SEQR. The lead agency will determine the need for an Environmental Impact Statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. The following page contains information pertaining to the project under review. For further information, please feel free to contact this office. Southold Referral & SEQR Coordination March 18, 2021 Town Board Position: This agency wishes to assume lead agency status for this action. Project Name: Town of Southold Local Solid Waste Management Plan Requested Action: A LSWMP is a planning document to aid Town waste management and planning professionals in the daily management of solid waste and related materials. The document compares various financial, environmental, and operational costs and benefits of the current solid waste management system, and compares to alternative systems, and provides an implementation program and schedule to enact a reasonably pragmatic system for the Planning Unit that balances financial costs with reduced waste disposal. The waste streams analyzed in the plan include: (a) Household Trash (b) Commercial, Institutional, and Industrial Wastes (c) Biosolids (i.e. sludge from sewage treatment plants) (d) Debris material generated from Construction Activity (e) Organics (i.e. food waste, yard waste) (f) Recyclables (any materials that can be recovered or re-used) (g) Non-traditional types of wastes (i.e. Liquid wastes, Greenhouse gas emissions) SEQRA Classification: (X) Type I ( ) Type II ( ) Unlisted Contact Person: Mark Terry, Assistant Town Planning Director (631) 765-1938 To view the file in its entirety: ttc� y, �1 6 cc Elizabeth Neville, Town Clerk William Duffy, Town Attorney 2 OFFICE LOCATION: r MAILING ADDRESS: Town Hall Annex � P.O. Box 1179 54375 State Route 25 �� `"�� Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) s^ Southold, NY hone: 631 765-1938 '` Telephone: r www.southoldtownny.gov • n PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Paola Munar Moreno, New York State Department of Environmental Conservation From: Mark Terry, Assistant Town Planning Director Date: March 18, 2021 Re: Proposed Town of Southold Local Solid Waste Management Plan • Request for Comments pursuant to Southold Town Code §280-131 • SEQR Lead Agency Request • Coordinated Review under SEQR The purpose of this request is to seek comments from your agency, to determine lead agency and coordinate review under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617. Please provide the following, as applicable: 1. Comments or requirements the Town Board should take into consideration while reviewing the proposed project; 2. Issues of concern you believe should be evaluated; 3. Your jurisdiction in the action described below; and 4. Your interest in assuming the responsibilities of lead agency under SEQR. The lead agency will determine the need for an Environmental Impact Statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. The following page contains information pertaining to the project under review. For further information, please feel free to contact this office. Southold Referral & SEQR Coordination March 18, 2021 Town Board Position: This agency wishes to assume lead agency status for this action. Project Name: Town of Southold Local Solid Waste Management Plan Requested Action: A LSWMP is a planning document to aid Town waste management and planning professionals in the daily management of solid waste and related materials. The document compares various financial, environmental, and operational costs and benefits of the current solid waste management system, and compares to alternative systems, and provides an implementation program and schedule to enact a reasonably pragmatic system for the Planning Unit that balances financial costs with reduced waste disposal. The waste streams analyzed in the plan include: (a) Household Trash (b) Commercial, Institutional, and Industrial Wastes (c) Biosolids (i.e. sludge from sewage treatment plants) (d) Debris material generated from Construction Activity (e) Organics (i.e. food waste, yard waste) (f) Recyclables (any materials that can be recovered or re-used) (g) Non-traditional types of wastes (i.e. Liquid wastes, Greenhouse gas emissions) SEQRA Classification: (X) Type I ( ) Type II ( ) Unlisted Contact Person: Mark Terry, Assistant Town Planning Director (631) 765-1938 To view the file in its entirety: tr111wr. z�tlu . it�. rwI-oc _ I' . cc Elizabeth Neville, Town Clerk William Duffy, Town Attorney 2 OFFICE LOCATION: MAILING ADDRESS: Town Hall Annexe P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) �� Telephone: 631 765-1938 Southold, NY www.southoldtownny.gov k ,k'q PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Robert F. Hillman Jr. Suffolk County Department of Public Works From: Mark Terry, Assistant Town Planning Director Date: March 18, 2021 Re: Proposed Town of Southold Local Solid Waste Management Plan • Request for Comments pursuant to Southold Town Code §280-131 • SEQR Lead Agency Request • Coordinated Review under SEQR The purpose of this request is to seek comments from your agency, to determine lead agency and coordinate review under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617. Please provide the following, as applicable: 1. Comments or requirements the Town Board should take into consideration while reviewing the proposed project; 2. Issues of concern you believe should be evaluated; 3. Your jurisdiction in the action described below; and 4. Your interest in assuming the responsibilities of lead agency under SEQR. The lead agency will determine the need for an Environmental Impact Statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. The following page contains information pertaining to the project under review. For further information, please feel free to contact this office. Southold Referral & SEQR Coordination March 18, 2021 Town Board Position: This agency wishes to assume lead agency status for this action. Project Name: Town of Southold Local Solid Waste Management Plan Requested Action: A LSWMP is a planning document to aid Town waste management and planning professionals in the daily management of solid waste and related materials. The document compares various financial, environmental, and operational costs and benefits of the current solid waste management system, and compares to alternative systems, and provides an implementation program and schedule to enact a reasonably pragmatic system for the Planning Unit that balances financial costs with reduced waste disposal. The waste streams analyzed in the plan include: (a) Household Trash (b) Commercial, Institutional„ and Industrial Wastes (c) Siosolids (i.e. sludge from sewage treatment plants) (d) Debris material generated from Construction Activity (e) Organics (i.e. food waste, yard waste) ( l Iecyclables (any materials that can be recovered or re-used) (g) Non-traditional types of wastes (i.e. Liquid wastes, Greenhouse gas emissions) SEQRA Classification: (X) Type I ( ) Type II ( ) Unlisted Contact Person: Mark Terry, Assistant Town Planning Director (631) 765-1938 To view the file in its entirety: L,Liv . Y%V,.,l .a 0111 c21dt()vy11,L1 .!o% L663 uc—C111-15-01il t-w 1-1—S ke_")n cc Elizabeth Neville, Town Clerk William Duffy, Town Attorney 2 OFFICE LOCATION: .,,µ, MAILING ADDRESS: Town Hall Annex �f�°� `� a y P.O. Box 1179 54375 State Route 25 �� `p Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) ���� �'6" Telephone: 631 765-1938 Southold, NY P wwwsoutholdtownny.gov m PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Christopher Lubicich, Suffolk County Department of Health Services From: Mark Terry, Assistant Town Planning Director Date: March 18, 2021 Re: Proposed Town of Southold Local Solid Waste Management Plan • Request for Comments pursuant to Southold Town Code §280-131 • SEQR Lead Agency Request • Coordinated Review under SEQR The purpose of this request is to seek comments from your agency, to determine lead agency and coordinate review under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617. Please provide the following, as applicable: 1. Comments or requirements the Town Board should take into consideration while reviewing the proposed project; 2. Issues of concern you believe should be evaluated; 3. Your jurisdiction in the action described below; and 4. Your interest in assuming the responsibilities of lead agency under SEQR.. The lead agency will determine the need for an Environmental Impact Statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. The following page contains information pertaining to the project under review. For further information, please feel free to contact this office. Southold Referral & SEQR Coordination March 18, 2021 Town Board Position: This agency wishes to assume lead agency status for this action. Project Name: Town of Southold Local Solid Waste Management Plan Requested Action: A LSWMP is a planning document to aid Town waste management and planning professionals in the daily management of solid waste and related materials. The document compares various financial, environmental, and operational costs and benefits of the current solid waste management system, and compares to alternative systems, and provides an implementation program and schedule to enact a reasonably pragmatic system for the Planning Unit that balances financial costs with reduced waste disposal. The waste streams analyzed in the plan include: (a) Household Trash (b) Commercial, Institutional, and Industrial Wastes (c) Sisolids (i.e. sludge from sewage treatment plants) (d) Debris material generated from. Construction Activity (e) Organics (i.e. food waste„ yard waste) (f) Recyclables (any materials that can be recovered or re-used) (g) Non-traditional types of wastes (i.e. Liquid wastes, Greenhouse gas emissions) SEQRA Classification: (X) Type I ( ) Type II ( ) Unlisted Contact Person: Mark Terry, Assistant Town Planning Director (631) 765-1938 To view the file in its entirety: cc Elizabeth Neville, Town Clerk William Duffy, Town Attorney 2 OFFICE LOCATION: MAILING ADDRESS: * ,... Town Hall Annex �,��,��� ,, � p� � P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) �� �� �� �`mm Telephone: 631 765-1938 Southold, NY wwwsoutholdtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Kimberly Kennedy, Suffolk County Water Authority From: Mark Terry, Assistant Town Planning Director Date: March 18, 2021 Re: Proposed Town of Southold Local Solid Waste Management Plan • Request for Comments pursuant to Southold Town Code §280-131 • SEQR Lead Agency Request • Coordinated Review under SEQR The purpose of this request is to seek comments from your agency, to determine lead agency and coordinate review under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617. Please provide the following, as applicable: 1. Comments or requirements the Town Board should take into consideration while reviewing the proposed project; 2. Issues of concern you believe should be evaluated; 3. Your jurisdiction in the action described below; and 4. Your interest in assuming the responsibilities of lead agency under SEQR. The lead agency will determine the need for an Environmental Impact Statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. The following page contains information pertaining to the project under review. For further information, please feel free to contact this office. Southold Referral & SEQR Coordination March 18, 2021 Town Board Position: This agency wishes to assume lead agency status for this action. Project Name: Town of Southold Local Solid Waste Management Plan Requested Action: A LSWMP is a planning document to aid Town waste management and planning professionals in the daily management of solid waste and related materials. The document compares various financial, environmental, and operational costs and benefits of the current solid waste management system, and compares to alternative systems, and provides an implementation program and schedule to enact a reasonably pragmatic system for the Planning Unit that balances financial costs with reduced waste disposal. The waste streams analyzed in the plan include: (a) Household Trash (b) Commercial, Institutional, and Industrial 'Wastes (c) Biosolids (i.e. sludge from sewage treatment plants) (d) Debris material generated from Construction Activity (e) Organics (i.e. food waste, yard waste) (f) Recyclables (any materials that can be recovered or re-used) (g) Non-traditional types of wastes (i.e. Liquid wastes, Greenhouse gas emissions) SEQRA Classification: (X) Type I ( ) Type II ( ) Unlisted Contact Person: Mark Terry, Assistant Town Planning Director (631) 765-1938 To view the file in its entirety: cc Elizabeth Neville, Town Clerk William Duffy, Town Attorney 2 OFFICE LOCATION: ,„w, MAILING ADDRESS: Town Hall Annex � � �� ,° P.O. Box 1179 54375 State Route 25 y �� � Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) s Southold,NY � � Telephone: 631 765-1938 www.southoldtownny.gov ` ::° PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Vincent Orlando, Southold Town Superintendent of Highways From: Mark Terry, Assistant Town Planning Director Date: March 18, 2021 Re: Proposed Town of Southold Local Solid Waste Management Plan • Request for Comments pursuant to Southold Town Code §280-131 • SEQR Lead Agency Request • Coordinated Review under SEQR The purpose of this request is to seek comments from your agency, to determine lead agency and coordinate review under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617. Please provide the following, as applicable: 1. Comments or requirements the Town Board should take into consideration while reviewing the proposed project; 2. Issues of concern you believe should be evaluated; 3. Your jurisdiction in the action described below; and 4. Your interest in assuming the responsibilities of lead agency under SEQR. The lead agency will determine the need for an Environmental Impact Statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. The following page contains information pertaining to the project under review. For further information, please feel free to contact this office. Southold Referral & SEQR Coordination March 18, 2021 Town Board Position: This agency wishes to assume lead agency status for this action. Project Name: Town of Southold Local Solid Waste Management Plan Requested Action: A LSWMP is a planning document to aid Town waste management and planning professionals in the daily management of solid waste and related materials. The document compares various financial, environmental, and operational) costs and benefits of the current solid waste management system, and compares to alternative systems, and provides an implementation program and schedule to enact a reasonably pragmatic system for the Planning Unit that balances financial costs with reduced waste disposal. The waste streams analyzed in the plan include: (a) Household Trash (b) Commercial, Institutional„ and Industrial Wastes (c) Biosolids (i.e. sludge from sewage treatment plants) (d) Debris material generated from Construction Activity (e) Organics (i.e, food waste, yard waste) (f) Recyclables (any materials that can be recovered or re-used) (g) Ikon-traditional types of wastes (Le. Liquid wastes, Greenhouse gas emissions) SEQRA Classification: (X) Type I ( ) Type II ( ) Unlisted Contact Person: Mark Terry, Assistant Town Planning Director (631) 765-1938 To view the file in its entirety: cc Elizabeth Neville, Town Clerk William Duffy, Town Attorney 2 Full Environmental Assessment Form Part I -Project and Setting Instructions for Completing Part 1 Part 1 is to be completed by the applicant or project sponsor. 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 fiormighly as possible lased on current information; indicate whether missing information does not exist, or is not reasonably aavailable to the sponsor;and,when possible,generally describe Nworkor studies which would be necessary to update or fully develop that information. Applicants/sponsors must complete all items in Sections.A&B. In Sections C,D&E,most items contain an initial question that must be answered eitlier"'Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section G requires the name and signature of the applicant or project sponsor to verify that the information contained in Part lis accurate and complete. A.Project and Applicant/Sponsor Information. Name of Action or Project: - Town of Southold Local Solid Waste Management Plan ( map); Project Location describe,and attach a general location � Town of Southold Brief Description of Proposed Action(include purpose or need). mm The"Town of Southold has completed a Local Solid Waste Management Plan in accordance with Environmental Conservation Law(ECL)Article 27-0107 (1)(a) which requires that entilies that operate solid waste management facilities have an approved Local Solid Waste Management Plan(LSWMP).The Town has prepared the LSWMP in accordance with the ECL Article 27 its implementing regulations located at 6NYCRR Part 366 and New York State Department of Environmental Conservation(NYSDEC)guidance documents.This LSWMP establishes the structure or the Town's solid waste and recycling inanagerrrent programs for a 10 year planning period from 2016®2025,and proposes a programs for the Town of Southold"Planning Unit"which consists of the Town of Southold(excluding Fishers Island)and the incorporated Village:of Greenport,who can participate if they so choose. All the strategies contained within are consistent wiffi following principles codified in the 1988 NYS Solid Waste Management Act(SWMA)(ECL 27-0106): 1)Reduce the amount of solid waste generated,2)Reuse material or recycle material that cannot be reused,3)Recover energy from solid waste that cannot be economically or technically reused or recycled',and 4)Dispose of solid waste that is not being reused or recycled,or from which energy is not being recovered,by land burial or other methods approved by the NYSD,EC licant �... ....... ....... Name of Applicant/Sponsor: _.. pp /Sponsor. Telephone:631-765-1889 Town of Southold E-Mail: dsw@town.southold.ny.us .. Address:53095 � __.... .. �.. ...._ 5 Main Road y Southold NY _ 11971 Cit /PO: Code: ._..�._.. ._.. .. State: Zap .. Project Contactµmm rod (if not same as sponsor;gyve name and title/role : Telephone:' � ) P 631-734-7685 .. WWWW-� ..... James Bunchuck,Town Solid Waste Coordinator E-Mail::bunchuck @town.southold.ny.us _.. _ _... Address: 6155 Cox Lane _ ..._ .. City/PO: State: Zip Code Cutchogue NY 11935 Property Owner (if not same as sponsor):� �....� �.. .. �...._ --�- nsor); Telephone: E Mail: ... .................... _ _......_. .....�....... Address: ' City/PO: State: Zip Code; Page 1 of 13 FEAF 2019 B.Government Approvals ._ ...., B.Government Approvals,Funding,or Sponsorship. ("Funding"includes grants loans,tax relief,and any other forms of financial assistance.) Government Entity If Yes:Identify Agency and Approval(s) Application Date Required (Actual or projected) a.City Counsel,Town Board, mYes❑No Adoption by Town Board February 2021 or Vilka%ee Board of Trustees ty,T....�, b.Cr own or Village ❑YesmNo Planning Board or Commission m. c.City,Town or ❑YesmNo Village Zoning Board of Appeals d. Other local agencies mYes❑No Adoption by Village of Greenport March 2021 e.County agencies ❑YesmNo f.Regional agencies ❑YesmNo g. State agencies mYes❑No Approval by New York State Department of March 2021 Environmental Conservation h. Federal agencies ❑YesmNo i. Coastal Resources. 0 i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway. ❑ ❑I�loYes ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? ❑Yes❑No 0 iii. Is the project site within a Coastal Erosion Hazard Area? ❑Yes❑No El C.Planning and Zoning Ple ��rul ase note, questions ldentitied h an asterick (*) are lett blank as the proposed —1action soler+ involves adoption of a plan that does not impact a specific location C.I.Planning and zoning actions. wmm "mm Will administrative or legislative ad11 option,or amendment of a plan,local law,ordinance,rule or regulation be the ®Yes❑No only approval(s)which must be granted to enable the proposed action to proceed? • If Yes,complete sections C,F and G. • If No,proceed to question C.2 and complete all remaining sections and questions in Part 1 C.2.Adopted land use plans. a. Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include the site ❑YesC No T where the proposed action would be located? If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action Yes No El would be located? b. Is the site of the proposed action within any local or regional special planning district(for example:Greenway; ❑Yes❑No❑ Brownfield Opportunity Area(BOA),;designated State or Federal heritage area;watershed management plan; or other?) If Yes, identify the plan(s): Note there are mullip)p�ipm-r al pl?nning isstrtctsmwithin the 1 gwvn of Southr ld,.... �y ...........- c. Is theose ro p p d action located wholly or partially within an area listed in an adopted municipal open space plan, ❑Yes❑Nom or an adopted municipal farmland protection plan? If Yes,identify the plan(s): Page 2 of 13 C.3. Zoning a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. ❑Yes❑NoE] If Yes,what is the zoning classification(s)including any applicable overlay district? b. Is the use permitted or allowed by a special or conditional use permit? ❑Yes❑No 0 c.Is a zoning change requested as part of the proposed action? ❑Yes❑No 0 If Yes, i. What is the proposed new zoning for the site? CA. Existing community services. a. In what school district is the project site located?There are mITu lfiple districts within the Town b.What police or other public protection forces serve the project site? MuBtp [g urg3tivin't Town . c.Which fire protection and emergency medical services serve the project site? Multiple within the Town d.What parks serve the project site? MuMIA WLth�n Rie-;C,own.... - D.Project Details D.I. Proposed and Potential Development a.What is the general nature of the proposed action(e.g.,residential,industrial,commercial,recreational; if mixed,include all components)? b. a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres c.Is the proposed action an expansion of an existing project or use? ❑Yes❑No i. If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units, square feet)? % y y m Units: d.Is the proposed action a subdivision,or does it include a subdivision? ❑Yes❑No If Yes, i. Purpose or type of subdivision?(e.g.,residential, industrial,commercial;if mixed,specify types) � ii. Is a cluster/conservation layout proposed? ❑Yes❑No ....,Y... iii. Number of lots proposed? iv. Minimum and maximum proposed lot sizes? Minimum Maximum e.Will the proposed action be constructed in multiple phases? [:]Yes❑No i. If No,anticipated period of construction: months ii. If Yes: • Total number of phases anticipated • Anticipated commencement date of phase 1 (including demolition) month year • Anticipated completion date of final phase month wear • Generally describe connections or relationships among phases,including any contingencies where progress of one phase may determine timing or duration of future phases: . ............... m Page 3 of 13 f.Does the project include new residential uses? ❑YesE]No If Yes,show numbers of units proposed. One Family Two Family Three Family ,Iultjplc Family four or more Initial Phase At completion of all phases g.Does the proposed action include new non-residential construction(including expansions)? ❑Yes❑No If Yes, i.Total number of structures ii. Dimensions(in feet)of largest proposed structure: height; width; and length iii Approxirnate extent of building space to be heated or cooled. square feet h.Does the proposed action include construction or other activities that will result in the impoundment of any ❑Yes❑No liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage? If Yes, i. ii. Purpose PPf a water impoundment,the princi al source of the water F-1Ground water ater stre Surface wams ❑Other specify: —. P iii. If other than water,identify the type of impounded/contained li uids . .. . q .. and their source. m .. t . pproposed impoundment. o n t. Volume: million gallons; surface area: acres vDimensions of the proposed dam or structureheightlength vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete): D.2. Project Operations a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? Yes No (Not including general site preparation,grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: i.What is the purpose of the excavation or dredging? ii. How much material(including rock,earth sediments etc.)is proposed to be removed from t ( g he site? • Volume(specify tons or cubic yards): • Over what duration of time? iii. Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them. .M. iv. Will there be onsite dewatering or processing of excavated materials? �.. ❑Yes ... No If yes,describe - v. What is the total area to be dredged or excavated? �..WW � . ......, ...�..,............_—acres vi. What is the maximum area to be worked at any one time?. ...............m._. ... acres vii. What would be the maximum depth of excavation or dredging? myyy, feet viii. Will the excavation require blasting? QYesF]No ix. Summarize site reclamation goals and plan: b.Would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment CYesC]No into any existing wetland,waterbody,shoreline,beach or adjacent area? If Yes: i. Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic description): Page 4 of 13 ii. Describe how the proposed action would affect that waterbody or wetland,e.g.excavation,fill,placement of structures,or alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres: ----—-------- iii.Will—the proposed-action—cause or result in disturbance to bottom sediments? E]Yes E]No If Yes,describe: . ..... iv. Will the proposed action cause or result in the destruction or removal of aquatic vegetation? El Yes[-]No If Yes: • acres of aquatic vegetation proposed to be removed: • expected acreage of aquatic vegetation remaining after project completion: 0 purpose of proposed removal(e.g.beach clearing,invasive species control,boat access): ................. • proposed method ofplant removal: ........... • if chemical/herbicide treatment will be used,specify product(s): ..................... v. Describe any proposed reclamation/mitigation following disturbance: c.Will theproposed action use,or create a new demand for water? E]Yes E]No If Yes: L Total anticipated water usage/demand per day:' gallons/day ii. Will the proposed action obtain water from an existing public water supply? E]Yes ONo If Yes: • Name of district or service area: • Does the existing public water supply have capacity to serve the proposal? El Yes[-]No • Is the project site in the existing district? El YesEl No • Is expansion of the district needed? El YesEl No • Do existing lines serve the project site? El YesO No iii. Will line extension within an existing district be necessary to supply the project? E]Yes E]No If Yes: • Describe extensions or capacity expansions proposed to serve this project: ..............-- ...................—""...... .............. • Source(s)of supply for the district: iv. Is a new water supply district or service area proposed to be formed to serve the project site. E]YesE]No If,Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated: ......... .... -------- • Proposed source(s)of supply for new district:................. v. If a public water supply will not be used,describe plans to provide water supply for the project: .......... Vi.If water supply will be from wells(public or private),what is the maximum pumping capacity:_gallons/minute, d.Will the proposed action generate liquid wastes? El Yes E]No If Yes: i. Total anticipated liquid waste generation per day: m gallons/day ii. Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial; if combination,describe all components and approximate volumes or proportions of each): . .................----.............. ............. ------ .......... —--—-------- ................... 11 1 iii. Will the proposed action use any existing public wastewater treatment facilities? E]Yes E]No— If Yes: • Name of wastewater treatment plant to be used: .......... • Name of district: .............. • Does the existing wastewater treatment plant have capacity to serve the project? E]Yes[-]No • Is the project site in the existing district? E]Yes[]No 0 Is expansion of the district needed? E:IyesElNo Page 5 of 13 • Do existing sewer lines serve the project site? ❑Yes❑No • Will a line extension within an existing district be necessary to serve the project? ❑Yes[-]No If Yes: • Describe extensions or capacity expansions proposed to serve this project: new wastewater(sewage)treatment district be formed tserve the project site? m❑Yes iv. Will a no.. ❑No If Yes: • Applicant/sponsor for new district: • Date application submitted or anticipate • What is the receiving water for the wastewater discharge? _ 17, If public facilities will not be used,describe plans to provide wastewater treatment for the proj ect,including specifying proposed osed receiving water(name and classification if surface discharge or describe subsurface disposal lans vi. Describe any o : y p r designs to capture,recycle or reuse liquid waste e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point ❑`i'es❑No sources(i.e.ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-point source(i.e.sheet flow)during construction or post construction? If Yes: i. How much impervious surface will the project create in relation to total size of project parcel? Square feet or acres(impervious surface) Square feet or acres(parcel size) ii. Describe types of new point sources. ------ iii. Where will the stormwater runoff be directed i.e.on-site stormwater management facility/structures,adjacent properties, (� S J P P •es, groundwater,on-site surface water or off-site surface waters)? • If to surface waters, identify receiving water bodies or wetlands: � __ �w • plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater. ❑Yes p. iv. Does theilproposed ater runoff flow to adjacent properties? ❑ es❑No • s � ❑No f. Does the proposed action include,or will it use on-site,one or more sources of air emissions, including fuel ❑Yes❑'No combustion,waste incineration,or other processes or operations? If Yes, identify: i.Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles) ii. Stationary sources during construction(e.g.,pow batch s � power generation,structural heating,batch plant,crushers) iii. Stationary sources during operations(e.g.,process emissions,large boilers electric generation) � g or FederaliClean Air Aot Title IV orTitle e V Permit named (above),( ),require a NY State Air Registration,Air Facility Permit, [-]Yes[-]No If Yes: i. Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet ❑Yes❑No ambient air quality standards for all or some parts of the year) ii. In addition to emissions as calculated in the application,the project will generate: • mT°ons/year(short tons)of Carbon Dioxide(CO2) • Tons/year(short tons)of Nitrous Oxide(N20) • Foris/yeiir(short tons)of Perfluorocarbons(PFCs) • I i_ins/year(short tons)of Sulfur Hexafluoride(SF6) • Tons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs) • Tons/year(short tons)of Hazardous Air Pollutants(HAPs) Page 6 of 13 h.Will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, ❑Yes❑No landfills,composting facilities)? If Yes: i. Estimate methane generation (metric): ii.Desbymethanecpturecontrol or elimination m� easures included in project design(e.g.,combustion togenerate heat or electricity,flaring): i.Will the proposed action result in the release of air pollutants from open-air operations or processes,such as ❑"t'esM'No quarry or landfill operations? If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust): j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial ❑Yes❑Na new demand for transportation facilities or services? If Yes: i. When is the peak traffic expected(Check all that apply): ❑Morning ❑Evening ❑Weekend ❑Randomly between hours of to activities ony,projected number ii. For commercial l , of truck trips/day and type(e.g.,semi trailers and dump trucks): .._ Parking e proposed action nncluiy �� Proposed. Net increase/decrease iv. Doesth de an shared use parking? ❑Yes[]No v. If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe: vi. Are p lpivat " npiservice(s) serice s or facilities available withi.n... Y2 mile of the propose.d . site? ❑Ye_s E] No vu Will the proposed action include access to public transportation or accommodations for use of hybrid,electric ❑ es No or other alternative fueled vehicles? viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing ❑Yes❑No pedestrian or bicycle routes? k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand ❑Yes❑No for energy? If Yes: L Estimate annual electricity demand during operation of the proposed action: ii. Anticipated sources/suppliers of electricity for . the project(e.g.,on-site combustion,on-site renewable,via rid/local utility,or other): p p require pgrade,to an existing substation? ❑Yes❑No .- iii. Will the proposed osed action re w �a new or an u 1.Hours of operation. Answer all items which apply.. i. During Construction: ii. During Operations: • Monday Friday: ,_.....�..m...�. • Monday-Friday:.... ... _......�....e. • Saturday: • Saturday: • Sunday m... • Sunday: • Holidays: • Holidays': ...... Page 7 of 13 m.Will the proposed action produce noise that will exceed existing ambient noise levels during construction, ❑Yes❑No operation,or both? If yes: i. Provide details including sources,time of day and duration: ii. Will the proposed action remove existing natural barriers that could act as a noise barrier or screen. ❑Yes � ❑No Describe: n.Will the proposed action have outdoor lighting? ❑Yes❑No If yes: i. Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest occupied structures: ii. Will ro proposed action remove existin natural bamers that could act as a li ht barrier onscreen? ❑ p p g g Yes❑No Describe: o. Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yes❑No If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest occupied structures: p.Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) ❑Yes❑No or chemical products 185 gallons in above ground storage or any amount in underground storage? If Yes: i. Product(s)to be stored ii. Volume(s) per unit time (e.g.,month,year) iii. Generally,describe the proposed storage facilities: Will the proposed action(commercial,�.... q, p p ( 1,industrial and recreational projects only)use pesticides(i.e.,herbicides, El Yes []No insecticides)during construction or operation? If Yes: i. Describe proposed treatment(s): ii. Will the pro2osed action use Integrated � ed Pest 11��l�nagement Practices? El Yes ❑No r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal ❑ Yes ❑No of solid waste(excluding hazardous materials)? If Yes: i. Describe any solid waste(s)to be generated during construction or operation of the facility: • Construction; —......................., tons per ............................._.._ (unit of time) • Operation : .............................. tons per...... ...................(unit of time) ii. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste: • Construction: �.... ...., .......... "I'll" m,... • _ Operation: iii. Proposed disposal methods/facilities. ...,. .... . .....__ _ ............ m_.._. —. for solid waste generated on-site: • Construction: .......... , • Operation: Page 8 of 13 s.Does the proposed action include construction or modification of a solid waste management facility? ❑Yes❑ No If Yes: i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or other disposal activities): ii. Anticipated rate of disposal/processing:_m 'p Tons/month,if transfer or other non-combustion/thermal treatment,or • _ Tons/hour,if combustion or thermal treatment iii. If landfill,anticipated site life:. µµwww_ years t.Will the proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous❑Yes[]No waste? If Yes: i. Namc(s)of all hazardous wastes or constituents to be generated,handled or managed at facility: ii. Generally describe processes or activities involving wastes tes or constituents iii.Specify handled minimization, on s/month iv. Describe any proposals foon-site recyclin or reuse of hazardous constituents: v. Will any hazardous wastes b i e disposed at an existing offsite hazardous waste facility? Yes No If Yes:provide name and location of facility: ... .. If No: describero osed management of any hazardous wastes which will not be sent to a p p g hazardous waste facility: E.Site and Setting of Proposed Action E.I.Land uses on and surrounding the project site a.Existing land uses. i, Check all uses that occur on,adjoining and near the project site. ❑ Urban ❑ Industrial ❑ Commercial ❑ residential(suburban) ❑Rural(non-farm) ❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(specify): „ITIT, H. If mix of uses,generally describe: b.Land uses and covertypes on the project site. Land use or Current Acreage After Change Covertype Acreage Project Cornpletion (Acres • Roads,buildings,and other paved or impervious surfaces Forested Meadows,grasslands or brushlands(non- agricultural, including abandoned agricultural) • Agricultural (includes active orchards,field„greenhouse etc.) • Surface water features (lakes,puirds,streams,rivers,etc.) • Wetlands(freshwater or tidal) • Non-vegetated(bare rock,earth or fill) • Other Describe: Page 9 of 13 c.Is the project site presently used by members of the community for public recreation? ❑Yes❑No L If Yes:explain: _ _ _ d.Are there any facilities mm._..... serving children the elderly,people with disabilities(e.g.,schools,hospitals,licensed ❑Yes❑No day care centers,or group homes)within 1500 feet of the project site? If Yes, i. Identify Facilities: e.Does the project site contain an existing dam? ❑Yes❑No If Ycs: i. Dimensions of the dam and impoundment: • Dam height: _ feet • Dam length: feet • Surface area: �. acres • Volume impounded: gallons OR acre-feet ii. Dam's existing hazard classification: W. Provide date and summarize results of last ins ection: £Has the roproject .c Jsite ever been usmunicipal,_ g facility, ❑ p � d as a commercial or industrial solid waste management facili Yes❑No or does the ro ect site adjoin property which is now,or was at one time,used as a solid waste management facility. If Yes: L Has the facility been formally closed? ❑Yes❑ No • If yes,cite sources/documentation: w._.�...... ii. Describe the location of the project site relative to the boundaries of the solidmmm �. waste management facility: iii. Describe any development constraints due to the prior solid ^_ ' d waste activities: g. g.Have hazardous wastes been generated,treated and/or disposed of at the site,or does the project site adjoin ❑Yes❑No property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste? If Yes: i. Describe waste(s)handled and waste management activities,including approximate time when activities occurred: h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any ❑Yes❑ No remedial actions been conducted at or adjacent to the proposed site? If Yes: L Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site ❑Yes❑No Remediation database? Check all that apply: ❑ Yes—Spills Incidents database Provide DEC ID number(s): .. ❑ Yes—Environmental Site Remediation database Provide DEC ID number(s): ❑ Neither database ii. If site has been subject of RCRA corrective activities,describe control measures: iii. Is the project with11 i 11 n 11 2000 feet of any site in the NYSDEC Environmental Site Remediation database ..._.. ? ❑Yes❑No If yes,provide DEC ID number(s): iv. If yes to(i),(ii)or(iii)above,describe current status of site(s): Page 10 of 13 v. Is the project site subject to an institutional control limiting property uses? ®Yes❑No • If yes,DEC site ID number: • Describe the a of institutional control e. ,deed restriction or......._ type ( g...-. ...._ • easement): ...� • Describe any use limitations: • Describe any engineering controls: • Will the project affect the institutional or engineering controls in place? ❑Yes❑No.. • Explain: E.2. Natural Resources On or Near Project Site a.What is the average depth to bedrock on the project site? _ fcct b.Are there bedrock outcroppings on the project site? ❑Yes� c If Yes,what proportion of the site is comprised of bedrock outcroppings? _www �m % c.Predominant soil type(s)present on project site: % d.What is the average depth to the he water table on the project site? Average: feet e.D 11 rainage status of project site soils:❑Well Drained: %of site ❑ Moderately Well Drained: _.. %of site ❑ Poorly Drained %of site f.Approximate proportion of proposed action site with slopes: ❑ 0-10%: %of site ❑ 10-15%: %of site ❑ 15%or greater: %of site g.Are there any unique geologic features on the project site? Ye,s❑ o If Yes,describe: h.Surface water features. i. Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, ❑Yes❑No ponds or lakes)? ii. Do any wetlands or other waterbodies adjoin the project site? ❑Yes❑No If Yes to either i or ii,continue. If No,skip to E.2.i. iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, ❑Yes❑No state or local agency? iv. For each identified regulated wetland and waterbody on the project site,provide the following information: • Streams: Name Classification .....•. • Lakes or Ponds: Name Classification • Wetlands: Name J ., Approximate Size Wetland No. f regulated V. Are anof the above lwater bodies listed) the m_ �.. y most recent compilation of NYS water quality-impaired ❑Yes❑No waterbodies? If yes,name of impaired water body/bodies and basis for listing as impaired: i.Is the project site in adesignated Floodway? � - ❑Yes❑No j.Is the project site in the 100-year Floodplain? ❑Yes[]No k.Is the project site in the 500-year Floodplain? ❑Yes❑No 1.Is the project site located over,or immediately adjoining,a primary,principal or sole source aquifer? ❑Yes❑lo If Yes: i.Name of aquifer: Page 11 of 13 in. Identify the predominant wildlife species that occupy or use the project site: n.Does the project site contain a designated significant natural community? [ Yes❑ o If Yes: i. Describe the habitat/community(composition,function,and basis for designation):... ii. Source(s)of descriptio n or evaluation: W. Extent of community/habitat: • Currently: acres • Following completion of project as proposed: ..„ acres • Gain or loss(indicate+or-): acres o.Does project site contain any species of plant or animal that is listed by the federal government or NYS as ❑Yes[E]No endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species? If Yes: i. Species and listing(endangered or dircatevied):— P. Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species of � es❑'No special concern? If Yes: i. Species and listing: q.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? ❑Yes❑No If yes,give a brief description of how the proposed action may affect that use: E.3. Designated Public Resources On or Near Project Site a.Is the project site,or any portion of it,located in a designated agricultural district certified pursuant to []Yes[-]No Agriculture and Markets Law,Article 25-AA,Section 303 and 304? If Yes, provide county plus district name/number: b.Are agricultural lands consisting of highly productive soils present? ❑Yes[ No i. If Yes:acreage(s)on project site? m _ fl. Source(s)of soil rating(s): . c. Does the project site contain all or part of,or is it substantially contiguous to,a registered National ❑Yes❑No Natural Landmark? If Yes: i. Nature of the natural landmark: ❑Biological Community ❑ Geological Feature U. Provide brief description of landmark,including values behind designation and approximate size/extent: d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? ❑Yes❑No If Yes: i. CEA name: _ ii. Basis for desi nation: � W. Designating agency and date: Page 12 of 13 e which tis listed onthe National or State Register of Historic 11Placeso building,tat has been eterarchaeological site,y district ❑fthe No Does project determined b the Commissioner o he NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? If Yes: i.. Nature of historiclarchaeological resource: El Archaeological Site ❑Historic Building or District ii.Name: iii. Brief description of attributes p ' es on which listing is based: f.Is the ,oj rect siteor an portion of itlocated in o .. mmp y p ; r adjacent to an area designated as sensitive for ❑Yes❑No archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? g.H 1.ave additional arc hacologic a I of historic sitc(s)or resources been identified.on the project site? E]Yes[]No If Yes: i.Describe possible resource(s): ii.Basis for identification: h.Is the project site within fives miles of any officially designated and publicly accessible federal,state,or local ❑Yes❑No scenic or aesthetic resource? If Yes: i. Identify resource; .g ( g•,� ta,blished highway� � it mirk state historic trail or scenic byway, ii.Nature of,or basis for,designation e. es' � y oveialook,state or local park, Distance M. a between project and resource: _ � miles. L Is the project site located within a designated river corridor under the'Wild,Scenic and Recreational livers ©Yes❑No Program 6 NYCRR 666? If Yes: L Identify the name of the river and its designation: N ii. Is the activity consistent with development restrictions contained in 6NYCRR Part 666. ❑Yes❑ o F.Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any measures wwliich you propose to avoid or minimize them. G. Verification 1 certify that the information provided is true to the best of my knowledge. f Southold Date Applicant/Sponsor Name James ui��kiuc ,Town f Title Town Solid Waste Coordinator _..._�...__..�.....m_ Si'nature�„_� PRINT FORM Page 13 of 13