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SOUTHOLD PARK DISTRICT (2)
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"x' v„ 7 T NO •,fig , t tt < '�T r -wc. suaxwws.. ..._�.,, ,... ,,ca,.,a�,:.; - �� 0 , F , • , + ft .. raw' �.w/•+`�! _ Tw�rF4�.�. —...�' t'M! � -.�: *T � � f:��,yyy� , `} �% t r `. 4 t: r , ""'c��tt •n'/,9t!e *. n of tj ��c2tioa La>.f' .hs tay�c;::5fat� v ` t Lti ; a Of h➢a shev NEIy r tmt o.,a S'n'aYor° : -aP not b,,-j, 3r V ➢ntea saw 8 �` :: to be ^Fla S331 Mall of . a valid trua copy, be Considered r F'r�P`Gt� AN>, Guar-.nt rnop Q G f-rsonf h6reury s .1 rvr Dares and for K,ho theaJ raj� N4, Corn,, d on his surveyti�J�}:r any,9over chaff to t8o eo rlte 'nc r�t➢�tiorv.po ohe hoar ' `r � t S 25 „ 0S of tha la:z d Fd CANQ a on& 5nr : r din-it " p r n w.➢,:1&llrs not i^'� :,. ;. '4' OS�FFQe'�c , Albert J. Krupski, President pti OG Town Hall John Holzapfel, Vice President �� y''c 53095 Main Road William G. Albertson y z P.O. Box 1179 Martin H. Garrell O Southold,New York 11971 Peter Wenczel Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 25, 1994 Robert C. Cochran, Chairman Southold Park District P.O. Box 95g Southold. NY 11971 Dear Mr. Cochran, The Southold Town Board of Trustees would rather the Park District leave the beach grass intact. The beach grass represents an efficient barrier to storm and tidal effects. However, the Board has no objection to the Park District removing the sumac and underbrush which restricts the publics view and access to the beach. The soil, at no point should be disturbed, as this initiates property loss. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh L TO IN OF SOTUHOLD SOUTHOLD PARK DISTRICT . P.O. BOX 959 SOUTHOLD, L.I. , IVY 11971 June 20, 1994 Board of Trustees Town Hall Main Road Southold, NY 11971 Dear Trustees, This is the second letter to you regarding the area on the East side of the Wharf House, Founders' Landing, Terry Lane. The area in question is so over grown with weeds, small trees and beach grass that it has considerably reduced the usable portion of the park. Your response to our first request was favorable in that you said we could clear it by hand. However, it has been found that hand clearing would be impractical. The size of the area would require many man hours and produce questionable results. Therefore we request that you inspect the park again in hopes that you will agree to let us use some heavier equipment. Thank you for looking into this matter. Sincerely, Com. Robert C. Cochran, Chairman TRUSTEES �oSUFFO(�rC SUPERVISOR John M. Bredemeyer, III, President �O OG SCOTT L.HARRIS Albert J. Krupski, Jr., Vice President = y� Henry P. Smith y Town Hall John B. Tuthill • 53095 Main Road William G. Albertson P.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 20, 1993 Cheryl S. Crane Southold Park District P.O. Box 959 Southold, NY 11971 RE: Southold Park District - Founders Landing SCTM ##1000-65-1-19.1 Dear Ms. Crane: The clearing of the east side of the above mentioned property is considered ordinary maintenance and does not need a permit from this office. If we can he of further assistance, please do not hesitate to contact this office. ;Ve truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:jmd FRANK A. KUJAWSKI, JR., President ALBERT J. KRUPSKI, JR., Vice-President TELEPHONE JOHN M. BREDEMEYER, III a (516) 765-1892 JOHN L. BEDNOSKI, JR. HENRY P. SMITH BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 May 6, 1988 Mr. Tony Skwara c/o Southold Park District Southold, New York 11971 Re: Park District Property Dear Mr. Skwara: Transmitted herewith, for your information and review, is a copy of the memo to the Trustees Office regarding the above property. Please note that this information has been forwarded to the Town Attorney for his information and/or pursual. Very truly yours, Frank A. u awski, Jr. , Pres. Board of To n Trustees FAK:ip Attachments cc: file FRANK A. KUJAWSKI, JR., President r " ALBERT J. KRUPSKI, JR., Vice-President TELEPHONE fir ` (516) 765-1892 JOHN M. BREDEMEYER, III T _ , JOHN L. BEDNOSKI, JR. ���Y HENRY P. SMITH 44 A BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 To: Town Attorney James A. Schondebare From: President Frank A. Kujawski, Jr. Re: Southold Town Park District Property, Youngs Ave. , Southold Date: May 5, 1988 Please find attached, information regarding the Southold Town Park District Property for your information and/or pursual. QC P{< ® Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 4, 1988 TO: ILENE PFIFFERLING, CLERK, BOARD OF TOWN TRUSTEES FROM: BETTY NEVILLE, DEPUTY TOWN CLERK RE: SOUTHOLD PARK DISTRICT PROPERTIES Please be advised that Jack Sherwood of the Assessors Office has extensively researched the properties on Town Creek located at the end of Terry Lane and at Youngs Avenue, Southold, N.Y. Mr. Sherwood advises me that both of these properties are owned by the Southold Park District. There is a deed on file in the Assessors Office for the property at the end of Terry Lane (copy attached hereto) . There is not a deed on file for the Youngs Avenue property, however in reading the park district papers it mentions where they appropriated funds for repairing bulkheading in past year. Mr. Sherwood suggestes that someone check in the Suffolk County Clerk's Office and get a copy of this deed to place on file in the Town. I did call Mr. Skwara back and advise him that Mr. Sherwood told me that both of the properties are owned by the Southold Park District. Mr. Skwara stated that he did not think that it was fair that the Town Trustees issues permits for moorings etc. at Young's Avenue and the Park District is expected to pay for maintenance and repairs. He is going to send a letter to the Town Board to this effect. cc: R. Jacobs Supt. of Highways � t Town Hall, 53095 Main Road P.O. Box 1179 Southold New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: ASSESSORS OFFICE FROM: BETTY NEVILLE, TOWN CLERK'S OFFICE We have received an inquiry regarding the maintenance and ownership of the following two areas: 1 . Bulkheading on Town Creek located immediately .south of the end of Terry Lane, Southold. 2. Bulkheading and docks on Creek at the east side of Young's Avenue, Southold. Please research the deeds of these two properties to ascertain who the owners of record are. Frank A. Kujawski, Jr. , Pres. � HENRY P. SMITH JOHN M. BREDEMEYER, III } , TELEPHONE John.;Bednoski, Jr. �A ¢� r (516) 765-1892 ALBERT KRUPSKI, JR. , Vice-President F^ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 c p E.F Southold, New York 11971 PA p A ril 26, 1988 1t� I� i Mr . Tony Skwara c/o Southold Park District Southold, New York 11971 Re: Bulkhead and Docks Dear Mr. Skwara: - - Please be advised that upon discussing the above matter with Mrs. Elizabeth Neville, Deputy Town Clerk, she advised me that this matter will be investigated further from the Town Clerk's office. Should you have any further questions or concerns, please do not hesitate to call either this office or Mrs. Neville at 765-1801. Very truly yours, I f Frank A. uj wski, Jr-, Pres. �r Board of Town Trustees ip cc: Town Clerk's office SOUTHOLD PARK DISTRICT L SOUTHOLD, L.1., NEW YORK 11971 a February 14, 1988 Board of Town Trustees Town of Southold P.O .Box 728 Southold,N.Y. 11971 Ii Re: A Determination of Jurisdiction Dear Sirs : The Park District would request an onsite inspection to determine whether a proposed improvement would be considered as maintenance. The proposal is to change the grade from the picnic area to the beach. This would require approximately 1 ,000 yards of fill . The area is 175 , long and 50, Y g wide and would be landscaped to permit easy acess to the beach from the picnic area. Sincerely III "B Y _ v William A. Stegman, Secretary � k f � 3 v .sue C2 TELEPHONE BOARD OF TOWN 'TRUSTEES (516) 765-1892 TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODES OF THE TOWN OF SOUTHOLD. APPLICATION NO. DATE 00 APPLICATION- IDENTITY OF APPLICANT C�_lZ __ -- �es_'T _-----PHONE NO ADDRESS OF APPLICANT l ----------------------------------------------------------------------- TAX MAP NO. _ _ AGENT - -_- � _ / PHONE NO. --- --= - �v ........ - PERMIT REQUESTED TO - t- -----1-= L' 6 ---o—---� Ly -------------�=-----------==�=-�-- - °��---�_--C ram_--�� �?�,�--- LOCATION OF PROPERTY FOR WH I'CH PERMIT WANTED ---LE = =L --------------=------------------------------ HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION--- . ---------------- CREEK, BAY OR HARBOR FRONTING PROPERTY 9a u-'r c ski ---Bay - ------ ---- - -- -------- SIZE OF PROPOSED WORK-_A- =j ---, tI---� l -------- �j LENGTH I -------------- --------------------------------------------------- WIDTH --------------- ------------------------------------------------- HEIGHT ABOVE HIGH WATER a/ ------------------ -- -j-------------------------- IIII `. i DEPTH BELOW LOW WATER ---------------------------------------------------- YARDS TO BE EXCAVATED = _ ------------ ------------------------------------- 0 YARDS TO BE F 1 LLED-- � ---J�=�1 _ 1 _-� - ------------- WIDTH OF CANAL , CREEK OR BAY FRONTING PROPERTY 6 � --- ------------------- DEPTH AT LOW TIDE ------_ V ( AVERAGE RISE IN TIDE (+� ' DISTANCE TO THE NEAREST CHANNEL_- L ' _FT . DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREAAl-A ---FT. IS THIS FOR PRIVATE OR BUSINESS USE? I �✓ I AREA ZONING -------------------------------------------------------------- MANNER 1N WHICH MATERIAL WILL BE REMOVED OR DEPOSITED }� ( & --- -------------------------------- INTENDED USE OF PROPERTY-----_-�! __-C DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE ------------------- -------- -.---------------------------------------- AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERMITS OR LICENSES WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTAL AGENCY --------------------- --- -------------------------------------- ----------------------------- /_e - ------------------------------------------------------------------------- DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED IN LURE AN ADDITIONAL SURVEY OF THE PROJECT SITE IF NECESSARY-__-` - --d��--------------- ilf --- - 5 .. --- - - ---------------------------- WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, IF NOT THE SAME AS THE APPLICANTalzrn ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? �� 1•5-16.4(2187)—Text 12 PROJECT I.D. NUMBER 617.21 SEQF Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed b -Applicant or Project sponsor) 1. APPLICANT/SSPONS OR 2. PROJECT NAME 601( — &( /4-dCT+1Tt0700 ` ' /o 3. PROJECT LOCATION: r d Municipality Z— County 4. PRECISE LOCATION (Street address and road i tersections, prominent landmarks, or provide map) IV, . f� C t 5. IS PROPOSED ACTION: ❑New ❑Expansion Modification/alteration 6. DESCRIBE PPJECT BRIEFLY: � - (' �V$ _ �� t tct tot Q l�Jr l 'l ./a2 7. AMOUNT OF LAND AFFECTED: r7 'F .-j�r� r?q / .� Initially acres Ultimately acres✓� 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?. Yes ❑No if No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? Yes ❑No If yes, list agency(s)and permit/approvals 1cr � a 5) 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes No If yes, list agency name and permit/approval !� t - I 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes %No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLED f Applicant/sponsor name: "wo t_J) f1 L7 Dater Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART 11—ENVIRONMENTAL--SSESSMENT (To be completed by Agenc-" A. DOES ACTION EXCEED ANY`i ,r'E I THRESHOLD IN 6 NYCRR, PART 617.12? If yes,coordinate the review process and use the FULL`DAF. ❑Yes KNo d , B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration I may be superseded by another involved agency. i ❑Yes No {I C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, i potential for erosion, drainage or flooding problems?Explain briefly: C2. Aesthetic, agricultural, archaeological, historic,or other natural or cultural resources; or community or neighborhood character? Explain briefly: KJ a C3. Vegetation or fauna, fish,shellfish or wildlife species, significant habitats,or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly. /- 05. Growth,subsequent development,or related activities likely to be induced by the proposed action? Explain briefly. C6. Longterm, short term, cumulative, or other effects not identified in C1-05? Explain briefly. AJ e C C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE,OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes No If Yes,explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reaso s supporting this determination: Name of Lead Agency ftz -- yP �es g y Titlennt or 1 e Na Ofh er m Lead Agency � � esponsible Officer Signatur t Responsible OffiW in Lead Ag ncy Signature o P r(If if erent from rer ssible tficer) Date 2 14,16, (2/87)-7c 617.21 . SEAR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature,yet flexible to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions-of EAF completed for this project: X Part 1 ❑ Part 2 []Part 3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions IL tV jcc , C Po d Name of Acti La, V_ i Name of Lead Agency ui? G vc Print or Type Name of Responsible Officer in Lead Agency Title of Re I unsible Officer Signature of Responsible Officer i Lead Agency Signature of Pre parer( f di` e nt from responsible officer) Date PART 1-PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effec on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considere as part of the application for approval and may be subject to further verification and public review. Provide any additionz information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involy new studies, research or investigation. If information requiring such additional work is unavailable,so indicate and specif each instance. NAME OF ACTION _ L'C I IL-4Q)J a tL4-f—V %0-.C ,4�i 0 v, LOCATIQUSF ACTION (Include greet Addr ss, Municipality and County) o NAME OF AP ANTISPONSOR BUSINESS TELEPHONE P� LA C..'_ 1 t Q_'T— ( y ADDRESS CITY/PO ST, ZIPpGO E NAME OF OWNER(If different) / BUSINESS TELEPHONE ADDRESS CITYIPO STATE ZIP CODE DESCRIPTION OF ACTION Or 6,t4 Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ❑Urban El Industrial ❑Commercial ❑Residential (suburban) ❑Rural (non-farm ❑Forest ❑Agriculture f Other 2. Total acreage of project area: � �9 7% acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres ! acres Roads, buildings and other paved surfaces acres acres Other (Indicate type) &'qaw(I�F_ " a" acres acres 3. What is predominant soil type(s) on project site? a. Soil drainage: Well drained (' C' % of site ❑Moderately well drained % of site ❑Poorly drained % of site b. If any agricultural land is involved, how many acres of soil a I d within soil group 1 through 4 of the NY1_ Land Classification System? acres. (See 1 NYCRR i 4. Are there bedrock outcroppings on project site? ❑Yes to a. What is depth to bedrock? (in feet) 2 5. 'Approximate percentage of prop—ed project site with slopes: ❑0-10% % 1110-15% % ❑15% or greater 6 0 % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? ❑Yes Clo 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes EI 8. What is the depth of the water table? (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ❑Yes No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ❑Yes 4N0 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes �No According to Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ❑Yes XNo Describe 13. Is the project site presently used by the community o neighborhoo as an open space o recreation area? XYes ❑No If yes, explain y Cw y 14. Does the present site include scenic views known to be important to the community? LVV es ❑No 15. Streams within or contiguous to project area: f a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project are a. Name b. Size (In acres) 17. Is the site served by existing public utilities? XNo a) If Yes, does sufficient capacity exist to allow connection? ❑Yes10 � b) If Yes, will improvements be necessary to allow connection? ❑Yes ten 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes llo 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ❑Yes WNo 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes [XN0 B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled bey project sponsor acres. b. Project acreage to be developed: acres initially; acres ultimately. C. Project acreage to remain undeveloped acres. d. Length of project, in miles: &Yf arpropriate) e. If the project is an expansion, indicate percent of expansion proposed %; f. Number of off-street parking spaces existing , sed g. Maximum vehicular trips generated per hour / (ti}Wompletion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially Ultimately i. Dimensions (in feet) of largest proposed structure height; idth; length. j. Linear feet of frontage along a public thoroughfare project will o � _ 1 i ft. 3 2. How much natural matt,tal (i.e., rock, earth, etc.) will be removed from the site? tQ'-O(V tons/cubic &yards 3. Will disturbed areas be reclaimed? ❑Yes ❑No CN/A a. If yes, for what intend:_;: purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? ❑Yes PINO c. Will upper subsoil be stockpiled for reclamation? Dyes No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? A/C C acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? ❑Yes No 6. If single phase project: Anticipated period of construction months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated (number). b. Anticipated date of commenceme h se 1 month year, (including demolition). c. Approximate completion date off n phas` month year. d. Is phase 1 functionally dependent on subsequent phases? Dyes ❑No 8. Will blasting occur during construction? Dyes (kN Ile 9. Number of jobs generated: during construction l 0 ; ter project is complete 10. Number of jobs eliminated by this project fd 11. Will project require relocation of any projects or facilities? Dyes ( No If yes, explain 12. Is surf ? ace liquid waste disposal involved. Dyes 06 o a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? Dyes io Type 14. Will surface area of an existing water body increase or decrease by proposal? Dyes to Explain 15. Is project or any portion of project located in a 100 year flood plain? Dyes EN 16. Will the project generate solid waste? Dyes No a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? Dyes ❑No c. If yes, give name location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? Dyes ❑No e. If Yes, explain 17. Will the project involve the disposal of solid waste? ❑Yes 0 a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? Dyes No 19. Will project routinely produce odors (more than one hour per day)? ❑Yes XNo 20. Will project produce operating noise exceeding the local ambient noise levels? Dyes Mo 21. Will project result in an increase in energy use? ❑Yes EKNo If yes , indicate type(s) 22. If water supply is from wells, indicate pumping cap ity� gallons/minute. 23. Total anticipated water usage per day , allons/day. 24. Does project involve Local, State or Federal funding? L 'es MNo If Yes, explain t �- = �� ( `�� 4 25.'Approvals Required: Submittal Type Date City, Town, Village Board XYes ONO City, Town, Village Planning Board ❑Yes ONO City, Town Zoning Board ❑Yes ONO City, County Health Department ❑Yes ONO Other Local Agencies ❑Yes ❑No Other Regional Agencies ❑Yes ONO State Agencies ❑Yes ONO Federal Agencies ❑Yes ONO C. Zoning and Planning information 1 . Does proposed action involve a planning or zoning decision? ❑Yes lXN0 _ If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit ❑subdivision ❑site plan ❑new/revision of master plan ❑resource management S;Ian ❑o her 2. What is the zoning classification(s)of the site? ?� 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 4. What is the proposed zoning of the site? 5. What is the maximum potential developme t of the site if developed as permitted by the proposed zoning? (u 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? , Yes ONO 7. What are t e predominant land use(s) and zonin classifications ith' a 1/ mile radius of propo.ed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a 1/4mile? Ses ONO 9. If the proposed action is the subdivision of land, how many lots are proposed; - a. What is the minimum lot size proposed? 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ❑Yes to 11 . Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? ❑Yes Vlo a. If yes, is existing capacity sufficient to handle projected demand? ❑Yes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes XN0 a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No D. Informational Details Attach any,additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification certify that the infor ation provided`abov true to the est of my knowledge. Applicant/Sponsor, me ��I mil V'� z Date Signature Title If the action is in the Coastal Area, and you are tate agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 E' "t 2-PROJECT IMPACTS AND ,.EIR MAGNITUDE Responsibility of Lead Agency General Information (Read Carefully) • In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance.They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. -- Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be IMPACT ON LAND Moderate Large Mitigated By 1 . Will the proposed action result in a physical change to the project site? Impact Impact Project Change ❑NO ❑YES Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ 700No ,foot of length), or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table is less than ❑ ❑ Dyes El No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ ❑Yes ❑No • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ❑No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ Dyes ❑No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ Dyes ❑No tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ ❑Yes ❑No • Construction in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts ❑ ❑ ❑Yes ❑No 2. Will there be an effect tf. _.,iy u,:ique or unusual land forms found on the site?(i.e., cliffs, dunes, geological formations, etc.)EINO []YES • Specific land forms: ❑ ❑ ❑Yes ❑No 6 .q q IMPACT ON WATER Small to Potential Can Impact Be 3. Will proposed action affect any water body designated as protected? Moderate Large Mitigated By (Under Articles 1.5, 24,25 of the Environmental Conservation Law, ECL) Impact Impact Project Change ONO OYES Examples that would apply to column 2 • Developable area of site contains a protected water body. ❑ ❑ ❑Yes ❑No • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ []Yes ❑No protected stream. _ • Extension of utility distribution facilities through a protected water body. ❑ ❑ ❑Yes []No • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 4. Will proposed action affect any non-protected existing or new body of water? ONO OYES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ ❑Yes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ El Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 5. Will Proposed Action affect surface or groundwater quality or quantity? ONO OYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ ❑Yes El No • Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes ❑No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes ❑No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ ❑Yes ❑No supply system. • _Proposed Action will adversely affect groundwater. ❑ ❑ El Yes ❑No • Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ ❑Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in- excess of 20,000 gallons per ❑ El ❑Yes- ❑No day. • Proposed Action will likely cause siltation or other discharge into an ❑ ❑ ❑Yes ❑No existing body of water to tc;e extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes- _ ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ Eyes ❑No and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ [--]Yes ❑No require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ ❑Y'es ❑No 6. Will proposed action alter drainage flow or patterns, or surface water runoff? ONO OYES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ ❑Yes ❑No 1 2 3., Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Proposed Action may cause substantial erosion. ❑ ❑ ❑Yes ❑No • Proposed Action is incompatible with existing drainage patterns. ❑ ❑ ❑Yes El No • Proposed Action will allow development in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON AIR 7. Will proposed action affect air quality? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given ❑ ❑ ❑Yes ❑No hour. • Proposed Action will result in the incineration of more than 1 ton of ❑ ❑ El Yes ❑No refuse per hour. • Emission rate of total contaminants will exceed 5 lbs. per hour or a ❑ ❑ ❑Yes ❑No heat source producing more than 10 million BTU's per hour. • Proposed action will allow an increase in the amount of land committed ❑ ❑ ❑Yes ❑No to industrial use. • Proposed action will allow an increase in the density of industrial ❑ ❑ ❑Yes El No development within existing industrial areas. • Other impacts: ❑ ❑ El Yes El No IMPACT ON PLANTS AND ANINIALS 8. Will Proposed Action affect any threatened or endangered species? ❑NO ❑YES Examples that would apply to column 2 • Reduction of one or more species listed on the New York or Federal ❑ ❑ ❑Yes ❑No list, using the site, over or near site or found on the site. • Removal of any portion of a critical or significant wildlife habitat. ❑ ❑ ❑Yes ❑No • Application of pesticide or herbicide more than twice a year, other ❑ ❑ ❑Yes .❑No than for agricultural purposes. • Other impacts: ❑ ❑ ❑Yes ❑No 9. Will Proposed Action substantially affect non-threatened or non-endangered species? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident or ❑ ❑ ❑Yes ❑No migratory fish, shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres ❑ ❑ ❑Yes ❑No of mature forest (over 100 years of age) or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCcS 10 Will the Proposed Action affect agricultural land resources? ❑NO ❑YES Examples that would apply to column 2 • The proposed action would sever, cross or limit access to agricultural ❑ ❑ ❑Yes ❑No land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Construction activity would excavate or compact the soil profile of ❑ ❑ []Yes ❑No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes ❑No of agricultural land or, if located in an Agricultutal District, more - than 2.5 acres of agricultural land. • The proposed action would disrupt or prevent installation of agricultural ❑ ❑ []Yes ❑No land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) • Other impacts: ❑ El []Yes ❑No ' IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? ENO DYES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ ❑Yes ❑No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ ❑Yes El No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or significant ❑ ❑ ❑Yes ❑No screening of scenic views known to be important to the area. • Other impacts: ❑ ❑ ❑Yes El No IMPACT ON HIS TORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? ENO DYES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑ ❑Yes ❑No contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within the ❑ ❑ ❑Yes. ❑No project site. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ ❑Yes ❑No archaeological sites on the NYS Site Inventory. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 ENO OYES • The permanent foreclosure of a future recreational opportunity. ❑ ❑ ❑Yes ❑No • A major reduction of an open space important to the community. ❑ ❑ El Yes ❑No • Other impacts: ❑ ❑ ❑Yes El No 9 IMPACT ON TRANSPORTATION 2 3 Small to Potential Can Impact BE 14. Will there be an effect to existing transportation systems? Moderate Large Mitigated By ❑NO ❑YES Impact Impact Project Chang( l Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or goods. ❑ ❑ ❑Yes ❑No • Proposed Action will result in major traffic problems. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action will cause a greater than 5% increase in the use of ❑ ❑ ❑Yes ❑No any form of energy in the municipality. • Proposed Action will require the creation or extension of an energy ❑ ❑ ❑Yes El No transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. • Other impacts: ❑ ❑ ❑Yes ❑No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? ❑NO ❑YES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ ❑Yes ❑No facility. • Odors will occur routinely (more than one hour per day). ❑ ❑ ❑Yes ❑No • Proposed Action will produce operating noise exceeding the local ❑ ❑ ❑Yes ❑No ambient noise levels for noise outside of structures. •. Proposed Action will remove natural barriers that would act as a ❑ ❑ ❑Yes ❑No noise screen. ° Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety? ❑NO ❑YES Examples that would -apply to column 2 • Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ ❑Yes ❑No substances(i.e. oil, pesticides, chemicals, radiation, etc.) in the event of accident or upset conditions, or there may be a chronic low level discharge or emission. • Proposed Action may result in the burial of "hazardous wastes" in any ❑ ❑ ❑Yes ❑No form (i.e. toxic, poisonous, highly reactive, •radioactive, irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ ❑Yes ❑No gas or other flammable liquids. • Proposed action may result in the excavation or other disturbance ❑ ❑ ❑Yes ❑NO within 2,000 feet of a site used for the disposal of solid or hazardous waste. • Other impacts: ❑ ❑ ❑Yes ❑No 10 J � ' 1 IMPACT ON GROWTH AND CHARACTER � 3 Small to Potential Can Impact Be OF COMMUNITY OR NEfGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the existing community? Impact Impact Project Change ONO DYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ ❑Yes El No project is located is likely to grow by more,than 5%. • The municipal budget for capital expenditures or operating services ❑ ❑ El Yes ❑No will increase by more than 5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ ❑Yes El No • Proposed action will cause a change in the density of land use. ❑ ❑ El Yes ❑No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ ❑Yes ❑No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ ❑Yes ❑No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ ❑Yes El No • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes El No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ❑NO DYES If Any Action In Part 2 Is Identified as a Potential Large impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 it �� Part `v—E JALLIATION OF THE IMPORTANCE OF IIIMP �' I..�. S Responsibility of Lead Agency. Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1 . Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: • The probability of the impact occurring • The duration of the impact • its irreversibility, including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether known objections to the project relate to this impact. (Continue on attachments) I 11 - ° 6 14-14-11 12i87) '9C 617.21 SEOR Appendix B State Environmental Quality Review Visual EF Addendum This form may be used to provide additional information relating to Question 11 of Part 2 of the Full EAF. (To be completed by Lead Agency) Distance Between Visibility Project and Resource (in Miles) 1. Would the project be visible from: 0-1/4 /a-1/z 1/2 3 3 5 5+ • A parcel of land which is dedicated to and available ❑ ❑ ❑ ❑ ❑ to the public for the use, enjoyment and appreciation of natural or man-made scenic qualities? • An overlook or parcel of land dedicated to public ❑ ❑ - ❑ ❑ ❑ observation, enjoyment and appreciation of natural or man-made scenic qualities? • A site or structure listed on the National or State ❑ ❑ ❑ ❑ ❑ Registers of Historic Places? • State Parks? ❑ ❑ ❑ ❑ ❑ • The State Forest Preserve? ❑ ❑ ❑ ❑ ❑ • National Wildlife Refuges and state game refuges? ❑ ❑ ❑ ❑ ❑ • National Natural Landmarks and other outstanding ❑ ❑ ❑ ❑ ❑ natural features? • National Park. Service lands? ❑ ❑ ❑ ❑ ❑ • Rivers designated as National or State Wild, Scenic ❑ ❑ ❑ ❑ ❑ or Recreational? • Any transportation corridor of high exposure, such ❑ ❑ ❑ ❑ ❑ as part of the Interstate System, or Amtrak? • A governmentally established or designated interstate ❑ ❑ ❑ ❑ ❑ or inter-county foot trail, or one formally proposed for establishment or designation? • A site, area, lake, reservoir or highway designated as ❑ ❑ ❑ ❑ ❑ scenic? • Municipal park, or designated open space? ❑ ❑ ❑ ❑ ❑ • County road? ❑ ❑ ❑ ❑ V • State? ❑ ❑ ❑ ❑ ❑ • Local road? ❑ ❑ [] ❑ ❑ 2. Is the visibility of the project seasonal? (i.e., screened by summer foliage, but visible during other j seasons) ❑Yes ❑No j 3. Are any of the resources checked in question 1 used by the public during the time of year during which the project will be visible? ❑Yes ❑No ', 1 DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4 4. From each item checked in question 1, check those which generally describe the surrounding environment. Within *1/4 mile *1 mile Essentially undeveloped ❑ ❑ Forested ❑ ❑ Agricultural ❑ ❑ Suburban residential ❑ ❑ Industrial ❑ ❑ Commercial ❑ Urban ❑ River, Lake, Pond ❑ ❑ Cliffs, Overlooks ❑ ❑ Designated Open Space ❑ ❑ Flat ❑ ❑ Hilly ❑ ❑ Mountainous ❑ ❑ Other ❑ ❑ NOTE: add attachments as needed 5. Are there visually similar projects within: *1/2 mile El Yes ❑No *1 miles ❑Yes ❑No *2 miles ❑Yes ❑No *3 miles ❑Yes El No * Distance from project site are provided for assistance. Substitute other distances as appropriate. .. EXPOSURE 6. The annual number of viewers likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY Holidays/ Activity Daily Weekly Weekends Seasonally Travel to and from work ❑ ❑ ❑ ❑ Involved in recreational activities ❑ ❑ ❑ ❑ Routine travel by residents ❑ ❑ ❑ ❑ At a residence ❑ ❑ ❑ ❑ At worksite ❑ ❑ ❑ ❑ Other ❑ ❑ ❑ ❑ 2 COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: r A �` (� BE I NG DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, THAT THE WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT, IF GRANTED. in completing this application I hereby authorize the T stees agent ,or representative to enter onto my property to i pect tfie premises in conjunction with revi of t is apcat ' SIGNATURE OF APPLICANT SWORN TO BEFORE ME THIS DAY OF 1 9 d-k UNDAJ.COOPER NotW Public,State of N Yar No ��226�3 NC Cc:S�#feUnt�e NOTAR-/,J PUBL IC ExpirSS December 31, 1S_t EXAMINED APPROVED A1WETLANDS" PERMIT (CHAPTER 97) APPROVED °BOAT, DOCKS , WHARVES' PERMIT (CHAPTER 32) DISAPPROVED "WETLANDS PERMIT" (CHAPTER 97) DISAPPROVED " BOATS , DOCKS , WHARVES' PERMIT (CHAPTER 32) CONDITIONS, IF ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 question of a-.�-propriatin7 such money; such neeting to be called y a Notice :poste-I con soicuou`:ly in at l tea: f -Four of t,_l-e -most public place.^, of the �'i1 '�?r''•L 1].Strict, and pLlb11 h 'd in a ile'Fspa�-)er published t'le'^^-.i''1, t- r t�-ro next before.' tile holding of any such r:eeti.ng, �vhich notice shall :state the tide, nl a^e, ^n,3- of the meeting, ' Section 8. At any -u,:, h neetin g, .;'•_ioli? rn:1ir ent talipm_ e_r I 171ay aoDrooriate the re p. ested by F-,-i'? -park nolT iP -,`.'loners or Pr.-r leas azrount, and. "Tilen any such ao-propriation is made, t�lE' amo,a.nt appropriated and also ;such amount as -hall be r_ece ec:,ary to -P-7 the installrlent due on the bonds hereinbefore authorized to be ica^ued-, an-. the anr:ual interest due on said bonds, shall be w,,ser��-.ed, leviel. and roll ectPd on such parlc di�•trict in the, rage m—gri ier, at the sane time, and, b?T the same ofi'lcers as t,ie taxe.9 of the of Southold are assessed, levied and collected, and ..Then collectPrt, Thal_ be paid-over immediately bsr the supervisor of the town to the treasurer of the :,aid -,)ark district; aml the :;hall be responsible for any anal all sums , so collected until the f7,ame shall be paid I over to minli +rea•Silre?r. No pnr"on —hole -;)rooerty haS be- �S' e fiE'ri and who Ra: ',)aid the am- ou•_'lt levied, or So thereof as i� due an!! �?a�mble,, shall thereafter be afiresr-:e(T or co:,lpell— erl to gay any Dart of tile ' cost of lbstabli:shing any other park in the tolvn of Southold. Section 9. This act r,hall take effect immediately. rt?te of Ne-v York, SS: Office of the Serrvet-ry of State, .tT �.lAve r!OM1` rPr] the 17rece�ing ,v4th t'i^ m?imi n?l la''* On o t1, c f � d r,ere � ,�f- a, -1l-, sa�n a f'i in i.� o_f_:_. e, an o b-, r;ert= ,T th t �.. e ,� e is correct transcript therefrom snr. of Vie Thole of said original 1 ate. Jo'ln S. YThalen, gee2ret ar- of State,. Page 4. e V1 Seotion 5. Such i.istrict shall be kno-in by the nare of the Southold park district, and- said -nark com r-i!:-21 oner ma,r acquir, the land arlove described by purchase from the ol.v ers thereof. Upon the acanisition of such land said i)ark cormiissioners shall cause the game to be laid out and improve l as a public park, ,Thir'h shall be free. to the u�.e of the public, subject oil:l r to the r.Milation.s adopted by t'Ze park eo i.s. ioners governing such use. _ Section 6. Bor_ds ] ^pled undrir authoritzr oonfer-red by this act shall be signed by the park coraTr ..;sioners - and attested by the Tomn Clerk. Such Ponds shall become due -ithin :ix years from the date of issue and shall be so issued a�, to provide for the navment of the indebtedness in equal annual installmen• They shall bear interest at a rate not exceeding five per centum per annum, and shall be solrI for not lesq than their par value. They shall be sold on sealed propo,,als or at publil auction u-,)on notice publisherl in a newspaper printed in the tom., and posted in at least five public places in said •Dark district, at least ten days before the sale, to the person who will take them at the lolvest rate of interest. Such bonds shall be consecutively numbered fro,2 one to the highest number i^sued and. the To,;m Cler'_L Fhall keep a record of the number of each bond, its date, amount, rate of interest, when and �-.',rrP payable, and the purchaser thereof or the person to` ��hom their are i _-ued. Section 7. Said parr: eommi::^ioners shall have i007'er to make any and all contracts within the appropriation voted by - f the resident taxpayers of the said park district for the -Our-- po--e of carrying out the authorization and po^rers herein granted. t^zenever the park r;omTM s, ior_ers in said park distric' shall submit ::a request in writing for an ap�oropriation of any ix-r. of nonev for. the burroses herein authorized, the clerk of the torn of Southold, shall call a meeting of the resident Page 3, taxpayer, of said district for the purpose of voting upon thr Nei York by letters -patent-dated Novenber 2 rd, 1872, together ^rit'1 all t:1e r1 1tS, title, intere: t, p-opertir� };0 02:, an(!. deman�3-, corve-sera- 1-)7r ^airl. letters -patent to Jonathan r. mar-ter, hi^ heirs and an.rl noT helr! and owner! b,r them or e.iti-ter of teem;-- and for the i!„-sue of t",e bonds of the sai;? park "tl tri^.t for ^ccala.irin7 and improving slI l:1n� for an arro-Int not exoeeding thirty-five hundred Dollars. Seotion .2. 'Then f7,ito�t nark !dstrict has been established in the manner above *provided, the legal voters thereof :na r elect three residents thereof to be -oark cor�~ti.s:.ions, one of , hom may be a female over t-r•enty one years of age, for a tern, of one, t*vo, and three year;; res-peoti.vely; an l may also elect a treasurer in such -dark �Iistric+ for a term of three years, �,ho shall be entitled to receive and have custorly of the fonds of the jstrict and -pay o,i.t the same for the -pur-owes herein orovir.ed for, on the order of the park co:misc;ioners, mhich treasurer, before entering uT)on the dutie of his office, shah give such `eeutity .as the 'boar--? of -oar's corarni s sioners rr.atr re- quire. Se^tion 3. The, fir t ele-Ition of much ;park conmi msioners and tr ea���lrc", 11 be, ca.11e-1 by t?ie clerk of the to-s-n of Southold, ^rithin thI.rty days of the formation of said district b`r the nostin:g of notices conspicuously of such ele^tions in at least four of the most Dublic _pla Je, , in `,aid district and 'publishing the same in a ne?-vspaper Published therein for two ;veek:i--7,N edi.ateiy Prenerling such election. Section 4. All r;ubseqi_tent elections Shall be called in the Sarre manner b:T the clerk of the .to-^n of Southold, not less t'lan,thirty days prior to the Pxpira.tion of the term of office of any sl_ich coTT- rissioners or of the treasurer; .special electio: to fill any vacancy Ehall be called in the ,--me rinaru er, within Page 2• thirty days after sluch vaoancie5 shall occur; a.11 ele^tions for co:nn- scions anr. treasurer shall I e by ballot. ,ao..ea.s�S GTM Aq Aaaas •F. uBuq.Buor O' 'PaliaAlzoo aaoJoq.aaaLi aaa�► i '1101114 puBTdn pis 'Aria ozuooad jo YLnul aaf�8l,.LjJT.Lj tdoTaq pub aegwwI IG-pUn spuBT aLtq. TTB o.;T-6 .Au-cuUzAaq JO oueTd •T a.�oLd ao "q.UTod aLtq. o'. �aaj sLtqua� ant, pLtB OUTU—yi,.atk'� L"ilu -aapulal oL:+ 'li8t:►Li LLI pees JO GUIT pTBS liq gSev u�38�aiiZ'ii Li;aou Jo 4nu asanoo B uo aOuatiq- !,&W:LJ,2-1q pTBS JO au TT 1_TaaL;�tioS att� o�;3ieaao ULWL ptBS 4.4TIL pu•e Aq ILTaa'.S9& aOVGgq. :Aep—oq. S�szxa -�T s8 XaBuu aa,�8 g2Tu oq, q.a)oj auo Ggaog pur pa"-T unwL. mo �-rmgu. ' .sea aaaLL AZXTS ue�noS jo aSanoo B uQ �.aaaz •� uBLl��uo o sptreT .PTBS Aq aougq,, 2UTuuna pub 'liaaas •a uaq;,euoe J.0 ATaaliaOj ao MOO SPUL-T 2uzuzorp-6 f3aaaq, uiiOs O'. 'paTTBo o'S 'anuanV Aaa utoa,; ATaaLtq.nos 2UTPBOT AB&ti�jtL. aliq. JO a,)zs ao aUTT ATaa'.S•ea Gq'� UT WTOd B }B 2ur_uu-12ad :S:LoTToj we pogtaOSa-P 'sa: Odana_ XaEid aOJ 'pTou,;nOS JO UULO� pteS u-L put:T JO 2u-[UL,O puL: 'UT-PTOV, 'UOT'. TSTIIDOB aq,� aoj: '01a�sz�, XaBd B s8 �v tk},tt, eons LrstTetB�sa '�oaaati� S�LlaFtsaa att} r�q -pauao 7Ota,.sTN ttons jo A,�Z:adoad TBi:)a OTCtL:xB� a�q ,To TT'eu.—auo uBLL', aaOlu 2uTW0SGadaa aO UT--aL'o SB ao ',�O taq cs vp uz ii-.aadOad TBaa aTgL:xB+ au T =o ,Nett—auo uBuq. eamu 2uzquasaadaa ao 2UT[.&O SB 'pTOLi JIOS ,;0 u,::o'� ptss JO j TToa WGUISSOSSB 2utpeOead '�sBT aLI� uo aBa(i" Saaluu aao4& 6Z'ATT aagt:.mu ' �Ota�stp TOOgvs uotun pTott}1:05 Lttu:: SUOUT-zaa,.00 aq on, gq,ota-.stp Xal d ':a::doad B To sq.uG�Yq'ekut" aTgBxB� aK'} JO uota.z'.ad s PGTgTaGA 'uaq.'}Tahl Gqi uo AIM 'XaOl LOAD 6Ae zt100 XTojJns , UT 'pTOII�ZlOS JO U&Oq. aLl'. JO paBOq ILVOq. atil •I UOz-�oaS � is . :SKLOTT09 SB a.oeua 0p' ' LTqua•.�sy pub agBuas UT paq.uaUaada,z 'XaO.A, aX jo 9�Uq:S ali,+ .JO aTdOad G'ql E •,L<asaad 2uzaq i •a0uaano;) ak' �O TL:11oadcl8 aLtq. uq�Ti,, 'LOGT '6� TT IdV 'L18T B at.te:;0E 'aOj:aaaLt'� spuclq O+ �LtL� 'SOS::GC.�:ttGt Xaed ` T r` ` c i a0j SNtzt.T aat'r'tuJ� O'}. aL�.L.TiO� Xr[O�,�t"i,; �:Tc:L�'�tiG;�' ,�.•Q Lw.O'�. aLi� UZ , �oza��.zp Xaad re 'To UOT;Lulzr.Oj aq,� ezTa0..+n2 O'+ Sub IZv j 5/3/88 - Jack Sherwood could not find :deed in Assessors Office or in Park District papers. Suggested that the S.C. Clerk's Office be checked. However, in reading through the Park District papers, they mention appropriating funds for the bulkheading and floating docks. '�F w $. 20° _ c 170' UN s. 166s 102 N 64's f35 ro 1,2 s 22 A6 53s� a43's —\ 90s OD ik\O \c, 2 S, J ' - /j SHORELINE • tea\ Standard N.Y.B.T.V.Form 800; �.70M—Bargain and Sale Deed.with Covenant against Grat, 'kcts—Individual or Corporation(Single sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. made the �daY of J , nineteen seventy-THIS INDENTURE, , � anuary it hundred and -three Y BETWEEN OLLIE M. OVERTON, residing at (no number) Main Road,. Southold, New York 11971, M-2735 party of the first part, and SOUTHOLD PARK DISTRICT, A District Corporation organized and existing under and by virtue of the Laws of the State of New York (Chapter 234 of the Laws of New York, 1907 , and acts amendatory theret; having its principal office at (no number) Terry Lane, Southold, Suffolk County, New York 11971, party of the second part, WITNES.SL-M,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel'of land, with the buildings and iraprovemerits thereon erected, situate, lying and being kx t at Southold, Town of Southold, County of Suffolk and State of New York, more par-ticularly bounded and described as follows: BEGINNING at a point on the southeasterly side of Terry Lane where the same is intersected -,by the northeasterly side of land now or form- erly of Southold Park District; Running thence from said point or place of beginning, along the southeasterly side of Terry Lane, _ North 21 degrees 32 minutes 00 seconds East, 127.84 feet to land now or formerly of Overton; Running thence along said last mentioned land, South 54 degrees "• 29 minutes 20 seconds East, 287°. 0 feet to the ordinary. high water mark of Town Harbor; " Running thence along the said ordinary high water mark of Town Harbor, the tie line of which is South 15 degrees 21 minutes 40 second West,. 4a distance of 149 .38 feet to land now or formerly of Southold Park District; Running thence along said last mentioned land, North '51 degrees 28 minutes 40 secondt West, 308 . 0 feet to the southeasterly side of Terry Lane at the point or place of Beginning. '-0 TOGETHER with all the right, title and interest, if.. any, of the Seller) in and to the beach, waters and lands 'under water in front of C7 r, and abutting said premises . BEING and intended to be part 'of the premises conveyed to 011ie M. �7 Overton by deed recorded in Liber 6841 cp 145 and part of the premises C7 t, devised to 011ie M. Overton under Will of Jonathan T. Overton. © +4 TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets acid ... r •' ' roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO c� HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of CC the party of the second part forever. z i � AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance-with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consid- eration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply n s?' the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. 0 N IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above e written. O r'�-- IN PRESENCE OF: S. 7 y (011ie M. Overton) Z )_e_A� �. AL ESTH►E STATE OF -. e_ Tt A N S IT R TAXN�1 �NE:Nd.YOR* A _ r� G .., rP#"F.-F? .. r v. 1i J 71 6 S• �� I ----- (rst O1 04) - - 5 16 rut 1.6A(c) R zrs• o T 2 J 194• Q Zoo fay „a. J _ j let 9 0 - 21 r„• +zt 10 V- .�.• .0 zgo- Q c rat 11 22 J 1 12 �`w O tss•, o 23 --_13- F ^p 96' _ 4' SEE SEC.NC - -- = 14 + t LU - IT rrt 15 0 O r Z I ! DO --- . N LL 1 SOUTHOLD PARK DISTRICT 1901 !!i --- 1.8 A(c) 308000 UNLESS DRAWN OTHERW N ---'- - 0 9p,r ARE WITHIN THE FOl 0 3 SCHOOL s S 0 ' � :e FIRE 28 f- 0 LIGHT 43 t PARK TO r W \ NOTICE MAINTENANCE, ALTER: DISTRIBUTION OF ANY I SUFFOLK COUNTY TAX I WITHOUT WRITTEN PER 6 REAL PROPERTY TAX J Legend Prepared By Count Line Fire District Line _—•F--- Hydrant District L, Property or R W Line y Water District Line --•W--- Refuse District Lit FMICHAEL BAKER, JR. Denotes Common Owner— Town LineY.P.E. 34412 Light District Line _--L--- Block No. Subdivision Lot Line _---- Village Linesulting Engineer Pork District Line _--p--- Parcel No. Rochester, Pennsylvania Railroad - Block Limit Stream _l School District Line _—SCH-- Sewer District Line _—_$_—_ Subdivision Block a SEE u, � ~ AA z ' � � � � ~ � i � / . . _ � u " i}l 7f r�Cy E ";3 \ af8 r0 I \ a 10 i I k 21 r A 10 P. r 2) n 0 i rc or q• SEE SCC.N01)) h0e4Rl• f qV f I N Y - y )OIiMOtO 9BF OIs-m. - I SECTION v0 SOUTHOLD • COUNTY OF !IL LACE OF a Seri ce 9 --------- ''• _ ------ - Leee„a ----- .__ ---._ a ---- _ 'tom Real Property Agency -----' -- -....---- - _.... I` ereoV�lYxee•IIevFO q e eY 065AP ..... „ ..` .. :'IL I Yolk PROPE R,.erL,eoJ,L I,Ne.+ o..••I c.-.I.,...