The URL can be used to link to this page

Home My WebLink AboutSWING & THORAlbert J. ICrupsld, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hail 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 March 28, 1994 J.M.O. Consulting P.O. Box 447 Quogue, NY 11959 RE: Thor Thor (formally Temple-Swing) SCTM #1000-7-2-6 Dear Mr. Just: Upon recent field inspections of December 93 and March 94, the Southold Town Board of Trustees noticed a lack of vegetation on your property. We would insist, for protection of the wgtlands, a staked row of haybales at the 20' contour facing the eastern wetland and the same at the 10' contour to protect the southerly wetland. Please realize that protection of these wetlands is for your benefit and the benefit of all Fishers Island. Sincerely, President, Board of Trustees AJK:jmd TRUSTEES John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert J. Kmpski, Jr. John L. Bednoski, Jr. John B. Tuthill Telepho,e (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOWl' L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 March 31, 1992 J.M.O. Consulting P.O. Box 447 Quogue, New York 11959 RE: John Temple Swing SCTM #1000-7-1-4, 7-2-6 Dear Mr. Just: After an on site inspection of the above referenced property, the pr~,posed activities where found to be out of the Trustees jurisdiction. However, as indicated in application the Board of Trustees request the use of hay bales prior to and during all phases of construction. I£ you have any questions, please do not hesitate to contact this office. Very truly yours, . redemeyer, III President, Board of Trustees JMB: jmt cc: Building Dept. The Southold Town Trustee office has determined that your ton~w~.=. t-l-.a~n~ ~m2d~ is please consi~r the following information in this regard for any required return submi~sicn: !g oa This notice makes no claim with respect to other jurisdictions within or outside thc Town of Southold with respect to p~rmits, permission required. 4/92 NEW YORK STARE DEPARTMENT OF EN~NMEH~A_L CONSERVATION JOINT APPLICATION FOR PERMIT []ARTI'CLE 9, TITLE l, ARTICLE 43 6NYCRR 646 [LAKE GEORGE RECREATION ZONE} · E]ARTICLE IS. TITLE 3 [AQUATIC PESTICJDES CONTROL] [~hN~CRR 327 [AQUATIC VEGET&TIONi [~6NYCRR 328 [TISH] [~]6NYCRR 329{INSECTSI E~ARTICLE 15, TITLE lq [~]6NYCRR 601 (WATFR SUPPLY~ E~hNYCRR 602 [LONG ISLAND WELL) APPLICANT IS A/AN ~]~)wner E~operator {~Lessee I~lMuniopality/Governmental Agency [Check as many as apply) NAME OF ~APPLIC ANT (Use .Full ~], .}. . ,. ,.c,t~.~,t~].n~ for Jr~hn l'~-r, le ~vin..'~ TELEPHONE [Where can be reached during dav) 4 NAME OF PC E STATE:·¥ t POST OFFICE County ' I~r£rll~' J Townor city ~L} ,t.! POST OFFICE STATE ZIP CODE ; t,'th"'~:? i" l:~m} ;~ r~f~3'. HAS WORK BEGUN ON PROJECT! L~o [] Public [] Commercial Show work off map and/or drawings J E~]'~es ~]No 10 ~}~l~(~ ~ t J,~lr?~) 11 12. FEE OF[NYS Permit Only[ PROPOSED STARTING [)ATE APPROXIMATE COMPLETION DATE' If ves, please list Project Description Applicant proposes to construct a single family dwelling, Associated sanitary system decking, crushed stone driveway and grade site as per enclosed plans as prepared by Chandler, Palmer & Kin~ last dated 1/15/92. Proposed dwelling shall be located approximately 76' from the fresh water wetlands line as flagged by the staff of the N.Y.S.D.E.C. A permanant buffer area, as depicted on enclosed survey shall be established and maintained. Prior to and during all ohases of construction a 217' long continuous line of staked hay bales shall be installed and maintained. 617.21 SEQR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: lb,, h,[I f,\l .,(l~igned t. help apphcant~ and agencies deternrine, in an orderly manna , whether a or acli(m may b,, ,~g,~,l~( ant 1 he queqion o( whed~er an action may he ~ignificant is not always easy ~ answer. Frequent Iy. them are a~lm( t~ of a prolect that are ~ubjeclive or unmea~urea~le. It i~ also understood that t ~ose who determine significance may hair, hHle or no formal ~nowled~[e o~ dm enviromoent or may ~e technically exp ,fl in enviroemen~al analy~i~ In ;idddu n. ,t~ m~ ~vJlo ilar'(* knowledge il1 ~)lll-particular area may not be aware of the broadl r concerns affecting 1hr hdJ I ,,nf ,~ ,nh.tided lo prnv~de a me/hod wlmreby applicants and agencies can be assured that the determination pm(os~hash-rr~-uh',l~ ~ ipm r,~v.innalure, yet flexihle lo allow introduction of information to t a project or action felllAf {ompnnenl~: Ihe full EAI is c.mpris-d of Uiree parts: J RaH 1: I"m~id.~ otq~,~liv~ dala and informalion ablaut a given projecl and ils sil0. Bv identifying basic proje(l dnla. il a~i~ls a revi~.w~,r in the analyqs Ihat lakes place in Paris 2 and 3. J Part 2: I o~ u~l,~ nil identifying the rang~ of po%ible impacts thal may occur from a project~r action. It provides icHidan(~, as 1o wl~l, lher an impacl is likely lo be considered ~mall lo moderate or whetl er it is a potenliallv- 'Italy- impacl The form also identifies whet~e~ an impact can be mitigated or reduced. Parl ]: :11 ,uw impaJ I in Pall 2 i~ identified as polenlially-la~ge, then Part 3 is u~ed to evalual, whether or impa~ I i~ aclually imp.rlanl DE]ERMINAI'ION OF SIGNII:ICANCE--Type I and Unlisted Actio Idenlif¥ Ihe Pmlions of EAF completed for Ibis pre~jecl: [~ Part 1 ~ Part 2 Upon review ol th~' information recorded on II,is ~A[ (Parts 1 and 2 and 3 if appropriate), and an information and considering both dm magilude and importance of each impact, it is reasonably lead a~enc~ thai' A. Hm pmi~'c~ will nol result in any large and important impact(~)and, therefore, is haw. a ~ignificanl impact on the environment, there(ore a negative declaralion will [ ] B Allh..l:h the project could hav~ a significant efJect on the environment, there will . ell.( I far tl~i~ Unlisled Action Because lhe mitigaHon measures described in PART 3 h Iheu,lore a CONDIIIONED no,Mire de~laralion will be prepared.* L ~ C. lira I.rqr'ct may re~ul~ in r)n~ or mr~ro large and important impacts that may have a on Iht. environment, lhereiore a po~ilive declaratio. ~ill he prepare~. ' A Condihrmr,d Negalive [)~,clarati~n i~ rmlv valid lor unliqed Actions Name of I.ead.Agency Print or Type Name. ~[ Responsible Officer in I eacl Agency Title of Responsible 0 ricer $ignaltu'~' r,f I,~,~,l.m~dde ()ffi(er it; I eacJ Agency Signaltne of Preparer(If different from [)ate lS i~lParl 3 other supporting :letermined by the ne which will not he prepared. 3t be a significant ~ve been required. ~ignificaot impact responsible officer) PART"1 -:-'PROJECT INFORMATION Prepared by Project Spnnsor HI)ITC I [I., d,..meal is do~ign-d I~ as~isI in delermirtinR whether the aclion I)ropos-d lll,,¥ hav~ a ~iunificanl cf[ed inlormnlion Vou hcli~,ve will be iHl(,d(,d I(~ (oluph'fe I'art~ 2 m~d 1 Il i~ ~'xp(,rl.d Ih,H ( -mplelio. DJ Ih(, frill [Al will he Hel.'ndent (m inJornla0on currently available ,mci ~Jll JJ()~ involve n(,w ~(u(Ji~,% r(,~,,.( h or i.ve~li~alJ(m. JJ in[orlnalion requirinB such additional wore is unavailable, ~o Jndica[e and ~peci~y NAME OF Proposed single family residence Prfv-~te Road;.' Fishers Island, Suffolk J.H.O. Consulting for John Temple Swing P.O. Box 447 c,rY F6 ...... ~uogue BUSINESS TELEPHONE t5161 653-0607 John Temple Swing CITY/PO J STARE [ ZIP CODE I'!_~ 11959 BUSINESS TELEPHONE t 2I~ 734-0400 STATE [ ZIP CODE PLEASE SEE ATTACHED" Please Cqmplele Each Queslion-I.dicale N.A. ii not applicable A. Site Description Physical settinR of .verall project, both developed and Hndeveloped areas 1 I'resenl land u~. I~Orban [.]h,duslrial []Commercial [.Ii oresl [JA~ric.hure [TIOlher c · ,, et project area: 1 · 53 M~'ado~ or Bm~hland (Non amiculh~ral) J~}Residential (suburban) klRural (non-l'arni) ~ PRESENTLY Ali dR COMPLETION O. 69 acres O. 614 acre~ ARricultural {l.¢ I.des orchard% cropland, pasture, otc.) ~1 acres ~ acres Wella.d (I reG~water or tidal as per ATtic let 2,1. 25 of ECL) 0. 840 acres 0 . ~40 acres ~Valer Surfa~' Area ~. acres ____~ acres tl.v('.etaled [Ro~k. earth or fill) ~ acres ___.~ acre~ Roa(k. h.ihli.e~ anti other paved smfa(es ~ acres 0. 056 acre~ Othpr {I,.li, ah, typel g~EE~__~ye-~ ~ acres O. 020 acres ~q~,H i~ i~r(,dom,nanl soil typc(~) on pro~pct ~it(,? sand a Soil (Iralll,lg~' ~lWell drai.ed O0 % of site % Of site {JPoorly drained ~__ % of site DModerately well drained h If an,,.' ami~ ultural land is involved, hnw many acres of ~oil are classified within soil group I through 4 of Ihe N','S land ('la~ (.al ~1 5yMeml _ _nff_~. a(r~'~ (See 1 NYCRR 370) Are lhpre Iw,dro~ k ouh'rolqfin~4s on proje( t sih'z [ h'e~ [~INo a ~A.'hal is dcl,lh Ir) Im¢lrork~ .... 6~0_0 ...... (in feet) 5 .~pp, c~ximal~' p~r~ r',daRe el~ l}r~lm~cd proje'~! ~ile with slopes: L~ 10% % ~ 1n-15% % [~15% or greater 60 ~ I~ pm~erl std)~lmdhdly (n~Higu(~n~ h), or (onlain a huildinR, site, or district, li~ted on the State or the National Regislor~ of Ilrsh~rJ( I'lacrs? I lyes ~]No 7 Is proi~,ct ~uJ~qhUllhlJJY contiguou~ lo a sil~ listed on the Register of Nalional Natural Landmarks/ ~Yes L~No g What i~ the d*.plh rd Ihe water table/ ~_. (in teal) g. k ~ite located oLer a prJulary, prin(ipaJ, or sole sou[(~ aqtliJe[? ~]Yes [_]No 10 Do hunlJng, flShmR or shell fishing opporlunJlJes presently exisl in the project ~rea? 11 Does proj.(I sds. c~n[ain any ~pecies of plant or animal life that is idea[iliad as threatened or endangered? J]h'e~ ~INo According 1o Idenliiy each species 12 Are there any uniqne or unusual land fo~ms on lhe project gila/ (ia., cJif[s, dunes, oJhe~ geological Describe 1] I~ lt~e pm~(I ~Jh' presently u~ed by Jhe (milolunily or neighborhood as an open spac~ or recreation ~rea? I.IY~ ~:lNo '1¥ yes, explain 14. Doe~ the presenJ ~J[~ include scenic views known to ~e impor[an~ to Jh~ communily? IINo ]5. gbeam~ wilhin ~r ~onliguou~ Io proj~cl ama: .1. Nanl~ ~Jf Slream aud n~llJ~ oJ River lo which it is Jribulary ~o~e 16. Lake% pond% welland areas within or contiRuous to project area: a. Nauru b. Size (In acre~} ~/8 17 Is the site servod tW existing public utilities? ~Yes []No a) If Ye% do~ ~,diicient capacily exist to allow connection~ ~Yes ~No b) If Yes, will improvements be necessary to allow connection? ~Yes ~No 18 Is [h~ ~ile Iocnled in an agricuitoral district certified pursuanl to Agriculture and Markets Law, Article 25-AA, Section 303 and ~lJ47 ~Yes ~No 19. I~ tim site lee at~'d in or substantially conliguous 1o a Critical Environmental Area designated p.rsuant to Article 8 of tim ECL. and (, NYCRR 6177 ~es ~No 20 Has the sile Pver [men used for the disposal of solid or hazardous wastes? OYes ~]No B. Project Description 1 Physical dim~n~i,m~ and scale of project (fill in diroensions as appropriate} a. Total contiRHoH~ acreage owned or controlled by project sponsor 1 . ~3 acres. h. Projc(t aru'am, to ~e developed' 0.076 acr, es.~[~lly; 0.078 acres uhimately. c ProTect a~ r~aRe to remain uudeveloped acres. d. Length of pmi~'ct, in miles: D/a (1~ appropriate) e I~ the proiecl i~ an expansion, indicate percent of expansion proposed f Nun~b~r ~f ~[I ~lJeel parkinR ~pades exisling ~ ; proposed R klaximtlm vr,hiruJar trips generated per hour _ ~ (upon completion of project)/ h. If residenlial Numl~er and type of housing units: One Family Two Eamily Multiple Family. Condominium Init~nlly one I Ultimately one i Dimen~ifm~ (in f~,el) of largesl proposed sJru(ttlfe ~ ' height; ~ 35 width; _ 70 length. j J inear feel ~f fumlaRe ~JonR a public thoroughfare project will occupy is? I Iow mull1 natural material (i e, .,rd<. ~'hrfh'.'etc)will he removed from th~ Will dislmlmd .,.',~ he reclamw, rJ? [ 1Y.~ [ INo ~IN/A ~ If W';. [.r what intended purpose is the site being reclaimed? h ~Vill leq~.d be ~lockpih,d for re~Jamalion? E]Yes E]No r. Will .plw,r ~ubsoil be ~lo(kpiled for reclamalion? ElYes []No Ilow many ncte~ n[ vegetation (~r~,es, shrub% ground covers) will be removed from si~e? acres. Will nny nlalum ~orest (over 100 years old) or other locally-important vegetation be removed by this project? I ]Yes [~lNo 6 If single pha~ project: Anticipated period of construction 7 If multi.phased: n/a a 1-oral immher of phases anticipated __ (numb'er). h. Antic?paled (late of commencement phase 1 c. Approximate completion dale of final phase d. Is phase 1 hmctionally dependent on subsequer~t phases? 8. Will blasting occur during construction? E]Yes 9. Nm.her of jolts generatecJi'during construction 10 10 Number ot jolts eliminated by tltis project ~ . 11. Will projerl reqnire relocation of any projects or facilities? tons/cubi~: yalds months, (including demolition) year, (including demolition). year. month month EIYes E]No ; after project is complete E]Yes x~No If yes, explain 12. Is surface liquid waste disposal involved? [Z]Yes ~No a If yes. indicate type of waste (sewage, industrial, etc.) and amount h. Name of water body into which effluent will be discharged 13. Is s.hsdrface liquid waste disposal involved? ~Yes [.]No Type 14. Will surfare area of an existing water body increase or decrease by proposal? Explain [qYes ~No 15. Is ?.rojec! .r nov portion of project located in a 100 year flood plain? [~Yes E]No 16. Will tho p~oi~'~t generate solid waste? [3eYes E]No a. If yes. what is the amount per month 0.35 tons b If ye~. will ;m existing solid waste facihly be u~ed? ~es ~No c If Vf'~. Riv(' name F.I. TEash Transfer St~; location PrJvmtm Road d Will ;111¥ ~',l~lP~ mol go inlo n sewage disposal system or into a sanitary landfill[ [OYes e If yes. (.~plnin ~ ,. J~No 17 Will lite pmi~,cl involve the disposal of solid waste? F_~Yes xEgNo a If ye¢, what is the anticipated rate of disposal? tons/month. h. If ye% what i~ the anticipated site life? years. 18 Will projecl u~ herbicides or pesticide~? [~Yes ~No 19. Will project rrn.linelv produce odors (more than one hour per day)? ~Yes ~No 20 Will proie~l produce operating hq?se exceeding the local ambient noise leveJsl ~Yes 21. Will proip~t result in an increase in energy use! [lYes ~No If Yes . indicale type(s) ~pM t ~ n~ 1 & Electrical 22 If water supply is from wells, indicate pumpin~ capacity 5 gallons/minute. 2t lolaJ anli~ipnled water usage per day 300 gallonsJday. 24 f)n~,~ projccl insolve Local, 5/ale or federal funding? ~Yes ~No If Yes, explain 25. A pprm,,alR Suhmillal Type Dale £.leets current zoning S~_ggle fa.nj ~_~_de nc e 1/92 Southold Town Trustees-Wetlands 1192 U.Y.S.D.E.C. Article 24 1/92 C. Zoning and Planning Information 'i Jicw'$ iwr!po~rlJ .1( brm involve a plarlning or reining (leci~ion? I lyes I ~o JJ ~t'~ indir ;itt ~h'~ I~ion lequirerl J ~/Olllng ,lnll,llrllllell( ,L]/onin~ varia.ce [ ]~peciaJ USe pernlit ['1subdivision 2 Whal J~ the /,mmr. ~las~ification(~)o~ the ~itel R-[g0 ri Isite plan WGat i~ the i~l.l~imum potential dl,veJoplnenl of the ~ite if developed as permitted by tho pre~¢nt zoning? One Single Family Residence What is Ihe pr,,lw,~'d zoning of the Rite? N/A Whal iR th~ .~a~in... polential development o~ lh~ Rile if developed ~R permitled by ~he proposed zoning? IR the proposed ar lion consistent with the recommended tires in adopted local land use p ansi [~Yes Whal are tJw, predominant land use(R) and zoning clas~ificationR wilhi, a ','~ mile radius of proposed action? R-120 EqNo 8 k the~propo~('d action compatible with adioining/surro.nding land uses within a % mile,' ~Yes ~]No 9. If the i~ropo~r,d a~ lion is the ~ubdivi~ion of land. how many lots are proposed? n/a a What i~ Il., minimum Iol ~ize propo~.d? 1(I Will proposed a( hrin require any au/horiz,llio.(~) for the formation of sewer or water di~trirtsl ~Yes glNo 11 Will lin F.oposrd action creal~ n (lemaml for any community provided services (recreation. education, police, fire pml~clionl~ [ lYes ~lNn a If y .~ i~ ,'~stinR caparHy ~uHicient 1o handle, projected dmnandl [lYes [ 12 Will die pr.p~w,H ;. lion re~.ll i. Ihe generalio, of Iraffic ~ignificantly above present leveN? [JYes LAN~) .i If yi.~. ~ Iht ex~slin~ road nelwor~ a(J(,quale Io ha.die dm additional traffic? f IY~,~ ~No D. Informational Details ', Afln~ h any ,idd,f.mal inJormalio, a~ may br .erdrd I~ ( larify ~Otlr proje('l If there are ~r "?W be any adverse E. Verification I certify thai Iht i.forn~ntion provided above i~ true lo the best nj my Applicanl/Sl~on~or Nh.u, Glenn B. JusC [o~ John ~emple S~ng ~ [)ale ~2/19/91 Signntt.(' .. litle Pres. , J.M.O. Consu[lting I{ tJ~e ~clio. is i. lhe Coastal A~ea, and you are a slale agency, complete the CoaslaJ Assessment ~orm beJore p~oceeding wilh this assessme.t. 5 Part 2--.PROJEC'i: iMPACTS AND THEIR MAGNITUDE Genrhlt li:formali.. {I,~,,.Id (ar(,hr!l~) A,,V I,tr~, inll~.1¢ I ,tlrJ~t I),' PvaJUah'(J in ]'".R i { h~ dt,lermme SlgllJfJcaflCe }denlJfyillR an IIIlp;1( t "' ~'i::mll z ¢impl~. 1 he ~xamples pu,~i(J,,rJ are to a<~,~¢ Ihu r(~ r.w,.~ I)V sh.winR types of impacts and wherever po,.qhle the threshold maRn,h~(Je th.il w..Id trigger a response in r,)hmm 2 ] h~. examples are generally applicable thmugiv),~* the Sial{. and for most ~ituatiou~ R,d, for any Cp*'¢ilic prolecl or ~ile other examples and/or Iowe~ thresholds may The ilnp,l( l~ nf (';1( h pro/pct. on earl~ ~ile. in ~.ach locality, will vary. Therefore. the ex.~mple< ac~' illustrative and h4ve boon ¢){h.,~.d .~ m.d,,ncc' [h¢,y (If~ not con~tilute an exhaustive list of impacts and threshnhl~ tn answ~., each question). The numhe, of ~'xanHq~'s pe~ qm.stJon does not indicate the importance o[ each que~tio~ In k{f'nhfyinll imlh~¢ I% consider InnR Iofm, short {erm and cumlative effects. An<w{.r [,a~ h ,,{ {h,. Iq qtlesl?6n~ ,n PART 2 Answ(,~ Yes if there will he any impact. Ii an~w(.rinR ~¢.~ t~ a question then ciwck tim appropriate box {column I or 2) to indicate tl)¢, poloniial size ot imp.~c t. If imp.~( ~ H~re~hold e¢lu~ls or oxce~d~ any example provided, check column 2. I[ impact will mct,r but ~hr('shold i~ lower th.m o~.mplo, check column 1. If u,vi,.w(.~ hn~ (I.ul)t about size of the impact then cons.der the impact as potentially large and proceed to PAR Ii a I~Ot~ruiall~ h.R. impact checked in column 2 ran he mitigated bychange{s) in the project toa small to mode~ate indicates that such a reduction is not possible Thi~ IMPACT ON LAND Will Ih~','prcq~(~'.'d ,~, lil3n result in a ph,/~i(.al cl'ialllZo IO Ilae project site? I .iNO [~IY~ S Any cot)~irlt( f ion rm qopes of 1 ~']L or RroateL (15 foot ri~e per 100 fool of lenRth}. ,ar xxhere the ReneraJ slopes in the project area exceed 10% lhr,~il~'l(i¢' ~[Iff~ Sp,,~ifi~ ImM {¢Jlltl', 6 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] ~] []Yes [_]No ~J [J [~]Yes []Nh ~ Li [OYes [~]No L] [] ~]Yes ~No ~ [] ~Yes ~No I ] t-I gYes ~No ~ ~ ~Yes ~No IMPACT ON WATER Writ I)Fr)p~('cJ ;n h, ,n afJe('l any wat~,r hr)dy (JC.Slgnah',(J a~ proleclc, di (Un(h,r ArIH J{'~ I:, ,' 1. 2~ of IJle J nvironmerl[,ll Conservalion I aw, ICI ) I INO []YES · D~veh~l~ahJ~, au,.~ ,,I ~ilp contmuk ~ prolecl[.d w~lcr h~(l¥. · I xl~,n~on rff rHrhl~ dl',flJJ)ulJoH fa~ iJitie~ JJlrotl~h a prell( ~ed waler body · Con~lrm'tion in 4 d,,q~nal~d fm~hwnler or tidal wellmld o[ ~ aleJ~ LINO LIYES E'~anJl)le~ thai ',~..¢,uld apply t~0 c(dunm 2 qualily nr (jiI;iIiIH~/ [tN() ~YES Liquid effhmnl ~ ,Il h,, COrlVeyed off tho sile to facih(ies which presently day existinR body oJ wah,r lo Jhg extent that there will be an o[~vious visual ['ropn~J ArJinli Jol ,iJ~ rommercial and/or indu~lrial [l~e~ wh'ich may watr,r run~[[~ r]No F~YE$ 7 I 2 3' Small to Potential Gan Impact Be Moderate Large Mitigated By Impacl Impact Project Change ~J J~] ~lYes ~_No ~J 1:] ~]Yes J~]No L-] {-I ~Yes ~No U ~J [gYes ~No ~ [.I [_lYes ~ ~J ~Yes ~No ~ I~ ~Yes ~ ~ ~Yes ~No ~ ~ ~Ves ~No ~ ~ ~Yes ~No ~ j_] ~Yes ~No ~ LJ ~Yes ~No ~ ~3 F'lYes IMPACT ON AIR IMPACT ON PLflNI5 ~ND ANIMALS ~'1"~" ~) I IN() [ IYIS IMPAOT ON A~ICULTU~AL LAND ~ESOU~OES 1 Small to Moderate Impact II It 1.1 I:1 [J [.1 FJ El F_:I Potential Can Impact Largo Mitigated Impact Project Chanrle rl h,,~ II I'~e~ II I'~e~ [ 1 h'e~ iN,, [ 1 I h'(.s I:l [ h'e~ [I Ih'.. I ] r ]Ye~ [ [~hes [.INn I h'es [ I~lYes I J Ih'e~ I_ IN,, · Conqrur'li~m n~hvib,, would excavate or compa(t the Toil prolite of al;~i~ ultnral land · TIll' proposnd m lion would irrevnrsihly convert morP than 10 arre~ of ag~icullural I,md or, ii Ioraled in an Agricullulal District, more than 2.5 a~re~ ~[ agricultdral land. · The propose.ri a( lion would disrupt or prevent installation of agrictJllural land mana~onmnl ~y~lems re.8, suh~ur[ace drain line~, outlet ditches, strip croppin~l, ~,~ create a need for ~uch measures (e.g. cause a farm fiold to draiu p~rl~ due to increased runoff) · Other in]pa(l~ IMPACT ON,AESTHETIC RESOURCES 11 Will proposed action affect aesthetic resources~ UNO I~]YES (If neces~a~,,,, use the Visual EAF Addendum in Section 61721, Appendix I~ ) Examples Ihat would apply to column 2 · Proposed land u~e% or project components ohviously different from nl ill sharp co~Hr,l~t to currenl surrounding land use patterns, whether · Proposed J~lld II~eS, or project components visible to users of aesthetic r~mnc ~ which will eliminate or siBndicantly reduce their enioymenl ~[ lh~, aesthetic qualities of (hat resource · Proje/l COlllp[~tH,nts thai will result in the elimination or sisnificant screenin~ of ~c~nic views ~nown ~o be important [o the area. · Olher impact~ IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES Will Prolm~,d ,\etlon impact any site or structure ot historic, pre- hiqoric tlr Itoh'ontological importance? I~NO I~YES [x,'Jmples lh;H ~OtlJd apply tr~ cohJmn 2 · I'ropo~ed A~ lilm occurring wholly or parlially within or substantially C¢)llti~tlr)tl~ l~') ,qll~ facility Or site listed on the Stale'or National Register · ^ny impa~l I~ an archaeolosical site or fossil bed located within the pmiecl · Proposed Ac li~m will occur in an area desiRnated as sensitive for archaeolo~zira[ ~ih,~ on the NYS Site Inventory. · ()ther imp;l¢'l~ IMPACT ON OPEN SPACE AND RECREATION will Prop~r,d Action affect the quantity or quality of existing or E~amples thai would apply to column 2 ~NO L~YES g 1 2 3 Small to Potential Can Impact Be Moderate Large Miligated By Impact Impact Project Change [] [] J~]Yes _[_JNo [] []J [~Yes []No [] [] J~]Yes []No [] [] []Yes L~]No ~ ~ ~Yes ~No ~ g ~Yes ~No ~ ~ ~Yes ~No ~ g ~Yes gNo ~ ~ gYes ~No ~ [] ~Yes ~ ~ ~Ves E]No g E] gYes ~ ~ ~Yes ~No ~ [] gYes IMPACT ON TRANSPORTATION 1.1 Will thoro hP ,m ~'lfect to exiqinR lransportalmn sy~,tems? [ IN() i lYES Examples Ih,d ,.~,~uld apply to rob,mn 2 ' &ltPrafirm ol pm'~n~ pattern~ of ItlOvolneflt it[ p['Opl(' and/or goods · ['r,~p~,'d A~ h,,- ~t ill ,e~ult in nlair)r fraffic i~ohlem~ "()iht, inlparl~ IMPACT ON ENERGY will l)ropr)s~,rl arfion af[ect the commtmity'~ ~ources of fuel or ~,nergy gtq)pl~ / [ ]NO UYES Example~ thai :~-uld apply to (olHmn 2 · P~olw~ed ally {[~tltl of ~'lt~'~t[~' i~) [he muni( ipalily. ' Prop()~ed Aclwm ~ill require.the creation or Pxtet~%ioll Of an energy lransmission or ~nlq,ly system ~o ~erve more than 50 qngle or two family · Other impa~t~ HOISE AND OOOR IMPACTS 16 Will there h- ,)hi~ctionable odors, noise, or vibration as a result of the Pmp,~rd Action? [3NO ~YE5 Examples 11),~1 we. Id apply to column 2 "Bla5ting widfin I.qOO feet of a hospilal, school or other sensitive [arililv · Od.r~ will o~,n nmlinely (more II]an on~. hour per day) · ['reposed A(h~m will produce ~perating noise exceeding the local ambi~fl nni>o h.~,l~ for noise out~i([(, of Mructures. · Propo~(,d Aclhm ~ill remove nah~ral barriers that would act as a · O/her Ig~IPACT ON PUBLIC HEALTH 17 Will I'ropo~Pd ,,'~ lion affect puhlic health and ~afety? 13NO I-lYES Examples thai ~r,uld apply [o column 2 ~ub~t,m~ · ['{~p~ed A, li,m ~,~av result in th(' burial n[ "hazardous wa~t?g" in any [oTm {i *' to~n. I,~o~onoug, highly ,reactive. radioactive, irritating, in[e(tiou% Ph - Sh)rag~ [a~ihh,,,. [,~r m~e million or more gallon~ of liqui[ied natural ga~ or other ih,mm,rifle liquids. wilhih 2,000 h.,I rd a site used for Ihe disposal of solid or hazardous · edger impact~ 10 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact impact Project Change L} [_l LOYes EJ El ~Yes ~ El [~yes ~ E] OYes [ JNo ~ e~ ~Yes LlNo ~ ~ ~Yes ~ ~ ~Yes F]No ~ 0 ~Yes E3No 0 ~ OYes ~ ~ ~Ves [ONo ~ ~ OYes ONo ~ ~ ~Yes UNO 0 E3 ~Yes IMPACT ON GRow'IH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 'WilJl.rq~¢,'~l ~,honaffecllh~,~t~,~r,](h,rr~fllll. e. mlin,~r~mmmlity I IN() I IYIS [XamldeS IIl.~r , ,,.Id npply h~ (rdumn 2 II1,' lu'rlll.l~1~'~H I,,d,lll,lhr~n of I1.' (lly. lr~wn iii vill.]~c i~ which lh~ Hmlr'r l I~ I~ nl,.I i. likely to grow hy nit;re dl,m ~% will m~ r.a~e h~ mr,re lhall 5% per year as a result of lhis projecl Proposed arhr.1 u. dl con[Iici wilh officially a(Iopled plans or Proposed arli~.l wdl cause a c11;u18e in the densily of land use. I'mpr~ed Ar li~.~ v,,ll replace or PJiminale exi~linR [a(.iJili.% strtlclures J)eveJr)pmeiH ~, ill ~ reale a demand for addilioilaJ r ommtmi[y service~ [e ~ ~(hr~ol~. i-,h, ,, nrld fire, 1 2 3 Small fo Potential Can Impac! Be Moderate Large Mitigated By Impact Impac! IProject Change lq ri I~Yes [] L) [~]Ye$ ~JNo F~] ~.] ~Yes ~No ~ ~ ~Yes ~No ~ [~ ~Yes ~No ~ [ ~ ~Yes ~No ~ L1 []Yes ~No ~ [] ~Yes ~No ~J I~ ~Yes ~No I~ ther(', or i¢ lh(,rr, lik~'l,,, to he, puhlic cnnlroversy related to I)ol('nlial a(Ivers[, ~'ll¥irr~nmr,nlnl impa(:ls? I~.INO [~IY[$ If Any Action in Part 2 Is Identified as a Polential Large ImpaCt or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3--EVALUATION OF THE IMPORTANCE OF IMPACTS Resp~msibility of Lead Agency Pall 3 musl he l~rel~ared if one or more impacl(s) is considered In be polenlially large, even if the impacl(s) may be mitigated. Instructions [)isf'l~s lira f()lh,,t m~ Ior each imp,icl i(lentified in ('hlumn 2 of Part 2' 2 l)e~rri})e (d ,H,l,h, ,~l)le) how the imp,~('t could be mitigated or reduced to a small to moderate impact by project change(s) Basr,d on tim irHr,rmation availnhle, d(tci[le il il i~ reasonable to conclude that this impacl is imporlanl. llw, i~r~.h,d~ility of the imp,~cl lira rlur,dmn o[ d~e impn('l Wh~,lh~,~ Hm impact can or-will Im Wh~,ll..~ I ~own ohiecti~m~ to tim pmi~'(l mlnle Io tt~is impact 11 Project Description Applicant proposes to construct a single family dwellinR, Associated sanitary system deckinR, crushed stone driveway and ~rade site as per enclosed plans as prepared by Chandler, Palmer & Ki.~ last dated 1/15/92. Proposed dwelling shall be located approximately 76' from the fresh water wetlands line as flagRed by the staff of the N.Y.$.D.E.C. A permanant bnffer are~, as depicted on enclosed survey shall be established and maintained. Prior to and durinR all .hases of comstructlon a 217' lonR cnnti.uo.s line of staked hay bales shall be 1.stalled and mainta~.ed. Provide photographs of every building and structure that may be impacted by the project as described in number 7, above. The following standards are recommended: minimum of two photographs minimum size 4" x 4" prints from negatives preferred; polaroid photos are acceptable photos must be clear and focused clearly label photos so it is obvious what is being illustrated; key photos to map or plan, if possible photo 1: show both the entire front and side of the structure in a single shot from as close to the building as possible. Be sure the structure is not partially or fully blocked by trees or other obstructions photo 2: show relationship of building or structure [o roadway or surroundings Ilas tile land witl~in the proposed project area been previously disturbed or altered (excavated, landscaped, filled, utilities installed)? Yes No )4_ yes, describe briefly, including depth of disturbance (use attachments necessary): lO. Approximate perceutage of proposed project area with slopes: 0-]0% qO % 10--15% .-- % 15% or greater Approximate percentage of proposed project site with the following drainage characteristics: w~ll drained It)£) % mederately we~ed po,rly drained % Prepared by ...... Date SAAFI.LK/G 10/90 @5-20-7( 10/%1 ) Hew York State Department of Environmental Conservation Snpplement to Application for Permit STRUCIUrUtL-ARCREOLOGICAL ASSESSMENT FORH (SAAF) PART ! - APPLICANT C~tPLETES Applicant Information 1. Applicant Hame 2. Applicant Address Project Information 3. 4. 5. Project/Facility Location '~>( ',¥(-~J~_ £(-~<~& , ~gyxe<g'~l':-xk~t,~ is tile proposed project adjacent to, or does it contain a building or structure listed in the State or Rational Register of Ristoric Places? Ro ~ 6. Are there any buildings or structures built prior to 1940 adjacent to or within the proposed project area? Yes Xo If the answer to question 5 and/or 6 is yes, provide the following i,Formation for each building and structure (use attachments if necessary): a. name of structure b. locatio. c. type of structure (ex: house, outbuilding, barn, bridge, dam, ruins) d. approximate age or date of construction flight the proposed project have any impact (physical/visual) upon any buildings or structures listed in the State or National Register of Itistoric Places o_Er built prior to 19407 Yes No ~ If yes, describe briefly (use attachments if necessary): j.m.o, consulting p.o. box 447 quogue, n.y. 11959 (516) 653.0607 Mr. John; M. Bredeme~,er, II Boar'd of ]-own ',r'rustees Town Hall? 52".095 Main Road P.O. Box 1179 S(~u'l.-.ho ~ d ~ NY 1197.~-1179 Presiden~ F'ropeor't¥ of John Temple Swing S. C. T.M..No. S.C.T'.M.No~ 1000-7.-2-6 Private Road, Fishers Island .~ur'isd.'uction de'L;er'mination from": Chapter 97. 'The that we~ h.a.d received a L...e~.~r of Hon'-Jurisdiction frm the Town's We{lands Law, on March 31~ 1992 (copy enclosed)~a'f'tor For- '...'~.u" review and files I am enclosing updated of the survey (',f the parcel om which the "Lift, its ~:)f Ere)~sz~.)n Hazard Area Per Coastal Erosle;n Hazard Area Mad Sheet 46 o¢ 49 haw~ been plotted.. Kind]y note t:hat accord~ng~ loca'~.~d w;_+:han 50' of the landward lim.~ts of thi~ area Sincerely G].enc~ E. Or.ts GEJ: d t / !! ] () j tO "-2' ~0 I I.A:.G '1 /. bi H -,.I Fl' t:lO x, 'x /- /- \ 'x N _,._Ix X X t'lOf TO SCALE i Iarn familiar with the standards for approval clnd constr, ruc~.ion of subsurface sewage disposal systems far single family residence and will abide by t:he condil:ions scl: forl:h therein and on t:he permit: t:o con s tru c ~.. /--- KNOCKOUT !NLE r AND // OU rLEr OPENINGS "I ......... ::~:::::::::::-:::::::':'>::::::--::f?Z::::::::::::-::::::f:f::L::: ~.~ ............. I~'~<.~. ~o,,~:~.-/ I_OCKING CAS'rING TO GRADE .... ~ ........... Yrli .............. ll::-:::::-r:,i:~ i;ifi~ :/ ..... ,, .~5/11 II r--4-× 4 ~?..~s/~2.~ GA. ,~,f~E '*-:/11 ~t" /I / ,.-.r~ x ~ ~/: (;:. WIRE ~'~11 ............... 11 / / - [- ~'' ................ i,,{? ==========================================: '::::: Li,.::~::~ :~ ~:~ ~..._,. I ~/ I1'~ ASPHALr SEAl.--( ' IINrD';,'4TH )1~[1' / REVISIONS 9A"I'Ei DESCRI P'-F ON 15JAN'92 ADDITIONS & I',tt{VISIONS ......... :: ............ : ........... ,.; ........... :~(.; , p/_ // N 400 2(:10 0 400 ~'.:~;~:_.__~: ...... Y~ ~ GRAPtlIC SCALE IN FEET LOq. A T! N 51TE 15 IN fi-ti: TOHi"I OF ':)Olyrt. o[.!?, ©oUi'l'r'Y' OF ':':-": , 5 .. C ' 'T'AX NIAF~ I000, :~L(., I ION 4. SI'i'[: 1~5 tN F?.,,.120 ZONE :2,2.0 NOk, t OF.< [2r:.'.-.f~AP,1'I,,1NNr OF: ENVI'NOI, Ii',IENTAL. C,©N~ER. VAT I(~N Nf-::r! .AN?)f:) BL. OC, K ~2 L, OT IA C::HAt"I[DL.[:[~, P AL.M E:.R 8~ KINCI 110 BROA[)WAY i'IORY4CII, Cl' 08380 9.03--889--33!)'? FAX 203.--886-:7801