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Box 728 Southold, New York 1 1971 Date: April 24, 1986 S.E.Q.R.A. NEGATIVE ENVIRONMENTAL DECLARATION NOTICE OF DETERMINATION OF NON-SIGNIFICANCE APPLICATION NO. : 370 NAME: Edward Tashiian This notice is issued pursuant to the provisions of Article 8 of the Environmental Conservation Law State Environmental Quality Review and 6NYCRR Part 617, Section 617 . 10 and Chapter 44 of the Code of the Town of Southold, Notice is hereby given that the Southold Town Trustees, as lead agency for the action described below has determined that the project will not have a Significant effect to the environment. TYPE OF ACTION: Unlisted - DESCRIPTION OF ACTION: Appellant proposes to construct a 40 ' x 4 ' wood deck. LOCATION OF PROJECT: Stillwater Avenue, Cutchogue, New York or more particularly known on the Suffolk County Tax Map as 1000-137-3 . REASONS SUPPORTING THIS DETERMINATION: 1. An environmental assessment form has been submitted which indicated that there would be no adverse effect to the environment should the project be implemented as planned. 2. Because there has been no response in the allotted time from Southold Town Building Dept. and the N.Y.S. D.E.C. it is assumed that there are no objections nor comments from those agencies. 3. The Southold Town Conservation Advisory Council has recommended approval of the project as proposed. 4 . As proposed the project will not adversely affect the health, safety and general Welfare of the people of the Town. Further Information may be obtained by contacting Henry P . Smith, Pres . Board of Town Trustees, Southold Town Hall, Main Road, Southold, NY 11971 or by calling (516) 765-1892 . -z- Copies to the following: Charles Hamilton, D.E.C. , Stony Brook Commissioner Henry G. Williams, D.E.C. , Albany Southold Town Building Dept. Southold Town Planning Dept. Southold Town Z .B.A. Southold Town Conservation Advisory Council Aram Terchunian Coastal Management Town Clerk ' s Bulletin Board Trustees Edward Tashjian file SurFair 0 tP t,•^ � Town Hall, 53095 Main Road P.O. Box 1179 TFLFPI{ONF =�j1 O Southold, New York 11971 15161765-1801 VV lT� SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL April 18 , 1986 To: Southold Town Trustees From: Linda Cooper, CAC Secretary The following recommendations were made at the regular meeting of the CAC, held Thursday, April 17 , 1986: Wetland Application No. 352 - Richard Cantwell - Recommend approval Wetland Application No. 358 - John N. Bredemeyer, Jr . - Recommend approval but suggest the sewage or water supply be located across the road. Wetland Application No . 365 - Hener B. Agnew - Recommend approval Wetland Application No. 366 - C & L Realty Inc . - Recommend approval Wetland Application No. 367 - Frank Licari - Table until next meeting. Need a better map to find the location . Wetland Application No . 368 - Winifred Gunnison - Recommend approval with the stipulation that catwalk be set above groundlevel by the standard 3 ' . Wetland Application No. 369 - Joseph A. Barbato - Table: the Council wishes to speak with Jay Tonski before making a recommendation . Wetland Application NO. 370 -_ Recommend approval with the following Edward T_ash.7ian stipulations: 1 . Add drywells to collect roof runoff 2. Put in p antings to bu er the marsh . 3 . Place heavy permea e ma e-r a ( rocks or stones ) under e—ek. Wetland Application No. 371 - Mattituck Inlet Dryland Marina, Inc. - Recommend approval . Wetland Application No. 372 - Donald Brennan - Table: The Council wishes to speak with Jay Tonski before making a recommendation. Wetland Application NO. 373 - Alexander Koke - Recommend disapproval (Continue on next page) Wetland Application No . 373 Cont . - The Council disapproves for the following reasons : 1. Due to the low level of the prop- erty , a considerable amount of fill would be required for approval for the septic system. 2. There is an indication of wetland species deep into the property . 3. Runoff from excavation necessary to put in a septic system. 4. Concern expressed by neighbors . The CAC recommend the Southold Town Trustees to request a Long Environmental Assessment Form from the applicant . Nt TELEPHONE (516)765.1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 SOUthold, New York 11971 April 1, 1986 Mr. Edward Tashjian 401 Littleworth Lane Sea Cliff, New York 11579 Re: Wetland Application No. 370 Dear Mr. Tashjian: Please be advised that the Board of Trustees took the following action at a regular meeting held on March 27 , 1986 regarding your request for a waiver of the Wetland Ordinance. Moved by Trustee Goubeaud seconded by Trustee Larsen it was RESOLVED to DENY the request for a waiver of the Wetland Ordinance for the construction of a deck on property located on Stillwater Avenue, Cutchogue. Additionally the Board took the following action on your wetland application for the construction of the deck. Moved by Trustee Larsen seconded by Trustee Krupski it was RESOLVED that the Southold Town Trustees declare itself lead agency in regard to the State Environmental Quality Review Act in the matter of the application of Edward Tashjian for a Wetland Permit on certain property located on Stillwater Avenue, Cutchogue. If you have any questions or concerns, please do not hesitate to call this office at the telephone number listed above. Very truly yours, Henry P . Smith, President Board of Trustees HPS: ip FO(lr�o�y Ul TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 March 28, 1986 Mr. Charles T. Hamilton Alternate Regional Permit Administrator N.Y. S. D.E.C. Building 40, SUNY - Room 219 Stony Brook, New York 11794 Dear Mr. Hamilton: Transmitted herewith is wetland application no. 370 submitted by Edward Tashjian. We would like to coordinate with you in our role as lead agency regarding this application-. May we have your comments on same by April 18, 1986 . Thank you for your input. Very truly yours, Henry P. Smith, President Board of Town Trustees Ilene Pfifferling Secretary to Board Attachments cc: Commissioner Williams Southold Town Building Dept. file RESOLUTION - MARCH 27, 1986 RESOLVED that the Southold Town Trustees declare itself lead agency in regard to the State Environmental Quality Review Act in the matter of the application of Edward Tashjian for a Wetland Permit on certain property located on Stillwater Avenue, Cutchogue, New York. -------------------------------------------------------------------- Please note that the applicant has submitted a letter of explanation for the Board' s consideration. 97 - Q t- <•c.. ;;31 a)I� .arch 9 198�— Board of Trustees Southold Town Hall Main Road Southold, N.Y. 11971 Re : Stillwater Ave- Cut chogue Wetlands Permit Application Gentlemen: I am appealing to your good judgement for an after-the-fact approval of a 4 foot wide deck that was constructed under what I believed to be a valid permit. However, upon being served with a criminal summons , I learned for the first time that the amended Southold building department permit that was issued for this construction was not applicable. Needless to say I am distressed and feel victimized . Not only am I faced with a criminal charge as a direct result of a building department error, but it appears that this house which has taken 3� frustrating and disheartening years to build will be faced with further delays . The Board should know that I have paid over $7,000 in taxes and have yet to spend a day in residence in this house. I realize, of course , that the Board 's decision must be guided by the Town code. But I hope that the circumstances described above will temper the judgement of its members. When you examine the construction I believe you will find that no new areas adjacent to wetlands have been disturbed. The 4 foot wide deck section under question is supported by 7 posts set in sandy soil that was previously excavated and back-filled during foundation work. Futhermore, these posts are 52 feet from tidal wetlands . . . a mere 3 feet closer than the approved foundation distance of 55 feet. It is my belief that this operation has had virtually no impact or adverse effects on the adjacent wetlands. I think the Board will find that I have gone to great pains not to disturb the adjacent grounds. You will note the placement of drainage pipes at the leader spouts in order to prevent erosion into the wetland area. These can be replaced with dry wells if the Board so desires . At this time, I am requesting the Board to waive the require- ment of a permit if it finds that this operation was in complete compliance with the standards set forth in Paragraph 97-28, Chapter 97 of the Wetlands code. Such a waiver is essential to my defense at a trial set for April 18, 1986 . While a permit would be helpful , the time it would take to process my application for this purpose would fall beyond the trial date. Thank you for your consideration. Sincerely, C �NNku " Edward Tashjian TOWN OF SOUTHOLD BOARD OF'SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No. ..... 90......... has been granted by the ,Town Trustees according to information furnished in Application No. ...... filed by Applicant Edward Tashjjian............ ...370..... ...... ........ ............................ on March„5................. 19.86..... A map,of the proposed work will be kept on.file.in the Trustee Office under the application number given. Permit granted to do the following work ..:To.construct a 40' x 4' wood on ro ert .... ..................... ........... .........P.....P.......Y.:.... ................................................................................................................................................................. .................................................................................................................................................................. Location of property on which work to be done ......Stillwater.Ave:.,..Cutcho ue........................... . ................................................................................................................................................................. .......................................................................................................................................... . Eugene's Creek Creek, Bay or Harbor fronting property ................................................................................................. ................................................................................................................................................................. Size of work: Length ..........40' ...................................................:......................................................... 4' Width ............................................................................................................................. HeightAbove High Water ................................. ........................................................ DepthBelow Low Water ...........:..................................................................................... Yardsto be Excavated ..................................................................................................... Yardsto be Filled ............................................... ......................................................... Manner in which material is to be removed or deposited ......................................................................... ................................................................................................................................................................. Intendeduse of property ............ ........................................................................................ ................................................................................................................................................................. Conditions if any .............See._reverse..side.... of..permit: ....... ..... ... ....... ..................... ................................................................................................................................................................. Expiration Date Mai' 29, 1987 if work has not, ,commenced„by. said„date:............................. ......................................... Number of Inspections Required 2.......Trustees..are..to..be..notified..up .......... ...... .... .... ................ f...t.hi.s project. Inspection Fees ...$5.00 paid recei.t no. 31200 ................................................. .............. ... ............................... ........................ . -'Liability Policies in the Amount of ......................................................................................................... The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying'. for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing. The failure to obtain such other approval when required shall subject this permit to immediate revocation by the. Trustees upon receipt by the 14\ Trustees• of written notice from such other governmental or municipal authorities of its refusal or disapproval. X The applicant does by the acceptance of this permit, assume all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance, the applicant also agrees to indemni- fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by this permit are being conducted, do; by the acceptance of.this permit, give consent to the Town, and Qits officers and empioyees to enter upon the premises where such operations are being conducted to make such inspections as the Town may deem necessary to insure that such operations are being con- ducted in with this permit. This operation will not substantially: _ A. Adversely affect the wetlands of the town. B. Cause damage from erosion, turbidity or siltation. C. Cause saltwater intrusion into the fresh water resources of the town. D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife and vege- tation or the natural habitat thereof. E. Increase the danger of flood and storm-tide damage. F. Adversely affect navigation on tidal waters or the tidal flow of the tidal waters of the town. G. Change the course of any channel or the natural movement or flow of any waters. H. Weaken or undermine the lateral support of other lands in the vicinity.�` I. Otherwise adversely affect the health, safety and general welfare of the.people of the town. Signed .:... .:....... .......... ........ ..............:.... ', Presi nt Board of Southold Town Trustees Date.... ............ ..� :,�..�. .. ........... This permit is approved with the following provisions: 1. Dry wells are to be added to collect roof run off. 2. Plantings are to be installed to buffer the marsh. 3. Heavy permeable material (rocks or stones) are to be placed under the deck. 0Al� TELEPHONE (516) 765-1892 BOARD OF TORN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 7_'8 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. /`7 ✓ /APPLICATION NO. J __--_-DATE OF APPLICATION IDENTITY OF APPL 1 CANT-EDL3i LRD T�S a 124 t -___-�F�L(E -1 �___--PHONE NO ADDRESS OF APPLICANT_1QL- ( ---------------------------- ----------- ----------�� -�FF� {,� _I t 511---------------------------- TAX MAP NO. �1 NI ( TS`• 1000 -+&j137 810J( 3 AGENT I3 c1V PHONE NO . PERMIT REQUESTED TO I -CIALI _��K-2t l f�/\-�� I, _ c,,,___-- LOCATION OF PROPERTY FOR WHICH PERMIT WANTED ---------------------------- -----Al wifee� �- 04 rooI P- o A&w(�� ----------- HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION col-InJ 1ElJAk LAOX _ SE4 CLjFr-.,, ,,- 11!;3-1 ----------------------- CREEK, BAY OR HARBOR FRONTING F RONT�---II ffffN''TTTTTG� PROPERTY em_p SIZE OF PROPOSED WORK_-_ ' I'1700X-_160 S4 Ft. sl�.OepoKl��T&k+114�-VIIP-.�-�-S_-E-•'`----------- _ LENGTH -rJ1-� - 1 1 ---------------------------------------------- WIDTH Lis �1 ---`-- -----------/�--------f-�----------------------------------- HEIGHT ABOVE HIGH WATER_-Ate W�_ -f7_ -------------------------------- DEPTH BELOW LOW WATER _------------------------------------------------- YARDS TO BE EXCAVATED___ v-p.- YARDS TO BE FILLED JJ_"CEt --__ WIDTH OF CANAL , CREEK OR BAY FRONTING PROPERTY- DEPTH AT LOW TIDE TT_' -------------------------------------------------------- AVERAGE RISE IN TIDE L6 � DISTANCE TO THE NEAREST CHANNELAJ % 51 -FT . DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA Q _-_-FT . 15 THIS FOR PRIVATE OR BUSINESS USE?-----R-t_lJ A-c I AREA ZONING_____R!ej&jQk I_____________________________________________ MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED -------------- ---- 0 mfV --_----_----__---I ------------------------------ INTENDED USE OF PROPERTY....PJ1JV� ��gI�l Qz_ A�_$—----_------------------- 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-_-_--_-L__-__-_--___-- --__-_-I--_-I---__-- ----'------------------- DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF THE PROJECT SITE IF NECESSARY_____________ --- ��_ Fzl_�w,�e _�,, _alfee af_ 1_ae�►�o�r ----------- ----------------------------------------------------------------------- WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, IF NOT THE SAME AS THE APPLICANT . ------------------------------------------------------------------------_ ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? No BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SHORT ENVIRONMENTAL ASSESSMENT FORM Project Informatlon (To be completed by Applicant or Project sponsor) t. Apphcantlsponsor ]. Project Name E W TA I B. Prolectlocauon: Si J Mumcipabtvsl (aa} Cu G E County SvFFOLt C Is proposed action. ❑ New ❑ Expansion Ld(Moddicationlalteration 5 Describe project briedvr Cov,it ct Raised. 4 too+ wtiile wocA dec 11- a10-4y side oP Motile- La Diner t, +0 Cav,het:{'-FNMA' etnf,Fa„Ve P la}�Or I i real. desk . 6 Precise location(road intersections. prominent anchmarlis,etc.or provide map) "Jth&t o� S+Il of ke,, hveAue , apy�t�oxw�a�e(y Soo -ee+ J.E. 0� '06ZVa9k fie . 7. Amount of land aitected. 'tEat, n� Inmally acres Ultimately acres le.v I ., 2oo 5Q Ph 8 Wt II proposed ac�u-oly comply with eusti ng zoning or other existing land us restnctio nsl ,A ems/ ` ❑ Ves LJ No If No, describe briefly K I tin Is apyV0<- 4 - Pea+ cloj t +0 naN'r� 41AaY1 o,rtc�in,al�y appdode4 koowe dut),4 e oar ss 4 f. 9 Wha s present land use vicinity of project, Residential ❑ Indurtnal ❑ Commercial ❑ Agnculture ❑ Parklandlopen space ❑ Other Describe. 10 Does gon involve a permipapproval,or funding, now or ultimately, trom any other governmental agency(Federal. state or localjl L"J Yes ❑ No If yes, list agency(s)and pennniapprovals QD.E.C. Pex4&+it Op. 10-A- 09-B �or IFo��e P ut►e4 For Ded A-44ifwvi . .. Awzf I (M 11 Does any aspect oVthe action have a currently valid permit or approvals El Yej� No If yes, list agency name and permrtlapproval type 12 As suit of proposed action will existing permitiappfoval require modification? es ❑ No I CERTIFY THAT�THEE INFO 1RMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE a APPhcn Vsponsor name I 'e ` ry � \ (•^�'s 1 ��`�N Dale Signature PART II Environmental Assessment (To be completed by Agency) A. Does action exceed any Type 1 threshold in 6 NYCRR, Part 617.121 If yes,coordinate the renew process and use the FULLILONG FORM EAF. ❑ yes ❑ No B. Will action reserve coordinated renew as provided for Unlisted Actions in 6 NYCRR, Par[617.7? If No.a negative declaration may be superseded by another involved action. ❑ Yes ❑ No C. Could action result in ANY adverse etfects on, to,or arising from the following:(Answers may be handwritten, if legible) C1. Existing au quality,surface or groundwater quality or quantity.noise levels,existing traffic patterns,solid waste production or disposal,potential for erosion, drainage or flooding problemst Explain briefly: C2. Historic.archeological,visual or aesthetic,or other natural or cultural resources;agricultural districts;or community or neighborhood character?Explain briefly C7 Vegetation or fauna, movement of fish or wildlife species.significant habitats, or threatened or endangered species? Explain briefly: Ca 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. C5. Growth, subsequent development,or related activities likely to be induced by the proposed action? Explain briefly. C6. Secondary,cumulative, or other effects not identified in CI-C6? Explain briefly. C7 A change in use of either quantity or type of energy? 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/LONG FORM 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 here, and on attachments as necessary, the reasons supportng this determination: Agency Name Agency Preparers Name Pr�wrxa. j mature Rde Date TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 SOUthold, New York 11971 March 5, 1986 Mr. Martin Garrell, Chairman Southold Town Conservation Advisory Council Southold Town Hall Southold, New York 11971 Dear Mr. Garrell: Transmitted herewith is application no. 370 for a wetland permit submitted by Edward Tashjian. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Henry P. Smith, President Board of Town Trustees Ilene Pfifferling Secretary to Board Attachment ��,Ur�OLY�o -c VO$ae� TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 Date: March 5, 1986 TO WHOM IT MAY CONCERN: Attached hereto is a short Environmental Assessment Form submitted by Edward Tashjian in connection with his application for a wetland permit for the construction of a deck on to his residence located on Stillwater Avenue, Cutcho ue, New York. Hmy P Smith, President Board of Town Trustees Posted: March 5, 1986 t BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SHORT ENVIRONMENTAL ASSESSMENT FORM Project Information (To be completed by Applicant or Project sponsor) 1. Applmant/spomor 2. Project Name E W IQD TA I 3. Project location: (` 1 r,-s J Municmafity sj'[ "f Ve, C� C E County SUFFOL.t 4. Is proposed action: � El New ❑ Expansion l Modification/alteration S. Describe project briefly: 1 j� C,nvtwol" Qatsell 4 toot cAe k a wood deck slde op IfIoof2 VA Orden, 70 CMV`I ec- �w,.� el.,flif-a,.,oe P(A 0"` t a 4 +erg desk . 6. Precise location(ruad intersections. prominent landmar s, etc. or provide map) �1oah�Eart o� Stlll�� �, /}ve��e , aP��,rox ,a�ely Soo �ee IJ.E. o� f eavas� Ave 7 Amount of land affected: Initially acres Ultimately acres lest 6vt Zoo Sa FF, B. will proposeo aid Comply with existing zoning or other existing land us restrictions? / ❑ Yes LJ No If No, describe brleily.• ��� �d f�'��, IS an�U{)1(. y -�66+ Cf0JeA +0 1��1•� -k�a>7 o�tgitilally apJ000eil koole c1utt114ce o� ss4et. 9 Vi present land use n vicinity of project?j±residential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Parkland/open space ❑ Other Describe: 10. Does ra�cft�on involve a permitlapproval, or funding, now or ultimately, from any other governmental agency(Federal, state or local)? LJ Yes ❑ No If yes, list agency(s)and permitiapprovals r� J,e.C. PeA�1t �(0. I0-gt{'- 09-13 T1. 1400J'L, P vireo For Dedl!. R tfv>n . .. Rwzi� 1JrE•G, (�cbf 1 11 Does any aspect the action have a currently valid permit or approval? ❑ yes No If yes, list agency name and permitlapproval type 12 As suit of proposed action will e.npng permit approval require modification? Vr tes ❑ No 1 CERTIFY THAT THE INFORMATION PR/OVID�EDD/ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Apphrant.sponsor name: ^�� ' IS4\� { �sv D,,te $n;naru re PART II Environmental Assessment (To be completed by Agency) A. Does action exceed any Type 1 threshold in 6 NYCRR, Part 617.12? If yes, coordinate the review process and use the FULLILONG FORM EAF. ❑ Yes ❑ No B. Wdl action receive coordinated review as provided for Unlisted Actions in 6 NYCRR. Part 617.7? If No,a negative declaration may be superceded by anothe involved action. ❑ Yes ❑ No C. Could action result in ANY adverse effects on, to,or arising from the following:(Answers may be handwritten, if legible) Cl. Existing au quality,surface or groundwater quality or Quantity,noise levels,existing traffic patterns,solid waste production or disposal,potential for efosior drainage or flooding problems( Explain briefly: C2. Historic,archeological.visual or aesthetic,or other natural or cultural resources;agricultural districts;or community or neighborhood character?Explain brie C3. Vegetation or fauna, movement of fish 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. C5. Growth, subsequent development,or related acnwties likely to be induced by the proposed action? Explain briefly. C6 Secondary, cumulat xe. or other effects not identified in Cl-C6? Explain briefly. C7. A change in use of either quantity or type of energy? 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/LONG FORM EAF and,lor 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 here, and on attachments as necessary, the reasons supporing this determination: ^gencv Name Agency Preparers Name P,-, Oate • _ sv6mt, I Vw l 2 cay/J(Je_ se i 6� wliczfc -s Fay Please, ask f l I V�Jlfee' 1 D �f,JP� e Fz�t zl Z I�Ce► d VJvil(UrK 4�,J✓me,f 19PAmrL C '`ecelpt euc(oJifd ) TO .14Me44 bA,G &A;, Osif j Tb GAO Jo . I1I5o rMGivdeJ �ehe--�, 1 ► S La, 1e"4t P("j tm j(C4 mq w► i�eA W 44 e, N e �ecl 2si l erkit (m eJ,�l cLmAe uckd . swve,JJ u -� e bo Ac.Lied� aJ ► s Ne 611 ��A �7 1� ljr G f) I? ( hey e�OJ I LJoJ IOcz COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: q)06#0 Tgsq :[ 140 BEING 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 . SIGNATURE OF APPLICANT SWORN TO BEFORE ME THIS / `!DAY OF 1 9 6�G l ►/ �Y i Josmp[[ 'J.- [t1a Y ic y/ Notary I.!:' ,S•cta c.'_; Pork OTARY PUB C Ccr,. i]_ 1 ;,i�-, -" !� C'tunry -att. Co. un Lrgir,DIarch 30, 1986 EXAMINED APPROVED "WETLANDS" 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 f . II I,I f TOWN of SOUTHOLD 7� OFFICE OF BUILDING INSPECTOR ! Receipt No. 28007 Town Hall Southold, New York 11971 I �O _ Date...../.A-/a1.% S. .................. fReceived of .......�T.. Z.4.?...... .a...... ... /............................................................................................... .......... ....P.....J �'�t��c7<x............!`..... .�00�....................................................................../100 Dollars ['For ..... :.!.:. :3.1.. �.. ................................. Fee for Fee for Fee for ee for Certificate ❑ Yard Sale ❑ ❑ ❑ H.I.C. LqB,ildi,g Permit ❑ of Occupancy ❑Misc. Ksh ❑ Check �G n (J $ �7. oa................. ....................................................................... ................................... Building Inspector -[qta+T 1 !� �pt�' 401 Littleworth Lane CO�NR O' Sea Cliff, New York 11579 August 21, 1989 Board of Trustees Town of Southold Main Road, P.O. Box 728 Southold, New York 11971 Re: 4955 Stillwater, Cutchogue, NY Dear Trustees, Your letter of August 7, 1989 raises questions on two sepa- rate and distinct projects at the above address. With regards to the dock, it was not possible to tie-in with the land grade without increasing the overall length of the 60 ' fixed walkway. This variation was due to the strategic placement of spilings on the seaward end to minimize grass disturbance. The addition of a 6 foot by 3 foot section should satisfy the Board's objection. An amendment to the permit has been requested to implement same. As for the matter of dry wells on the northside of the prop- erty, this is the first time this subject has been raised since the completion of the house in early 1986. May I refer the Board to its letter of May 29, 1986 which grants a permit to construct a 40 ' x 4 ' deck located on the southside of the house. Among the provisions of this permit is the construction of dry wells, placement of under-the-deck permeable materials, and plantings to buffer the marsh. All these items are specifically related to and within the con- text of deck construction on the southside of the house. 1. To: Board of Trustees, Southold August 21, 1989 From: Edward Tashjian Page 2 of 2 The purpose of dry wells on the south or deck side was to prevent soil erosion from a sloped terrain into nearby wet- lands approximately 55 feet away. Soil containment was the same objective behind the placement of rocks and buffer plantings. . . .all of which have been done at great expense. It would interest the Board to know that the northside ter- rain characteristics are quite different. Aside from being well in excess of 75 feet from the leading edge of wetlands, the grade is flat and has excellent absorption quality. The three leaders that feed into this area pose no threat of ero- sion due to water run-off. In fact, roof water is returned to the ground and serves to feed a rather lush foliage that would be destroyed if dry wells of questionable effectiveness were constructed. In view of these circumstances, I request that the Board con- sider its provisions relating to the deck permit and confine the construction of drywells to the southside of the house as originally intended. Very truly yours, Edward Tashj iar� ET/ml oc�pEFO(K�� FRANK A. KUJAWSKI, JR., President ..� ALBERT J. KRUPSKI, JR., Vice-President TELEP40NF JOHN M. BREDEMEYER, I1I I g 1 (516) 761-1892 JOHN L.HENRY P. SMITH KI JR �G 1 ��O BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Halt, 53095 Main Road P.O. Box 728 SOLIthold, New York 1 1971 'v��� �dc7 d /�.o tJCSe I �J� 1 i3vt 4gJ.s- Sri Ilwa�Ec t - ', - clock 1 �� , � lovl . ` 1 Co,,�(r1 ej eK utc ✓ cafwal� 6 �f � ,3 o f a�d11t'M TO Meet eXur-; 13 9r�dde 2,c'{Fk• tivi 'f \ I c�vFfLi.k,,'O FRANK A. KUJAWSKI, JR., President TELEPHONE ALB ERT J. KRUPSKI, JR., Vice-President • (516) 765.1892 JOHN M. BREDEMEYER, III 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 Aug. 7, 1989 Mr. Edward Tasjian 4955 Stillwater Avenue Cutchogue, N.Y. 11935 Re: Permit No. 3697 Dear Mr. Tasjian: On July 20, 1989 the Trustees inspected the permitted work at the site of the above referenced permit. Please be advised that the Board still feels that drywells must be properly installed on the north side of the property and that the construction of the dock must be properly completed as the placement of the dock does not conform to the requirements in the permit. You may request an amendment to the permit to reflect proper distances and placement of dock. This will be in violation if not properly recorded on our records. Very truly yours, Frank A. Ku7awski, Jr. President Board of Trustees cc: Bldg. Dep' t. CAC FAK: jas FRANK A. KUJAWSKI, JR., President TELEPHONE ALBERT J. KRUPSKI, JR., Vice-President (616) 766-1892 JOHN M. BREDEMEYER, 111 O,j� JOHN L. BEDNOSKI, JR. HENRY P. SMITH BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road I P.O. Box 728 Southold, New York 11971 May 3 , 19g9 Edward Tasjian 4955 Stillwater Avenue Cutchogue, N.Y. 11935 Re: Extension of Permit No. 3697 Dear Mr. Tasjian: Your recent request to extend the above referenced permit has been conditionally approved by conducting a pole of the Board of Trustees on May 1 , 1989. This request for extension will be approved by Resolution at the May 25, 1989 Board meeting for a period of six months. Your permit will expire on July 30, 1989. The Trustees Permit will be issued upon the payment of the fees for structures constructed below MHWM. Very truly yours, Frank A. Kujawski, Jr. President Board of Trustees FAK: jas v� I 401 Littleworth Lane Sea Cliff, NY 11579 r� December 27, 1988 v I Board of Town Trustees Town of Southold Town Hall, Main Road P.O. Box 728 Southold, NY 11971 Dear Sirs: By copy of the attached letter and drawing submitted to the D.E.C. , I would apppreciate the Board' s review of the proposed restoration at 4955 Stillwater Ave. Cutchogue. Much of the work described is consistent with the Trustees' action dated May 29, 1986 (enclosed) . Some of these changes were not implemented due to litigation with the D.E.C. which only recently was resolved. While the letter seeks approval from the D.E.C. , it is also hoped that the same can be received from your jurisdiction. Please advise should additional information be required. Sincerely, Edward Tashjian