HomeMy WebLinkAboutTRATAROS, GUSFRANK A. KUJAWSKI, JR., President
ALBERT J. KRUPSKI, JR., Vice-President
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
August 30, 1988
TELEPHONE
(516) 765-1892
Mr. Frank Cichanowicz, III, President
Briarcliff Landscape, Inc.
Route 25
Peconic, New York 11958
Re: Gus Tratoris - 1000-23-1-18
Dear Mr. Cichanowicz:
The following action was taken by the Board of Town Trustees
during their regular meeting held on August 25, 1988 regarding
the abOve matter:
Whereas, Briarcliff Landscape, Inco on behalf of Gus
Trataros applied to the Trustees to scrape and clear existing
lawn area and re-sod; build decorative berm and regrade to
swale run-off away from the shoreline and to install a dry
well, and
Whereas, the Town Trustees inspected the subject property
Now Therefore Be It
RESOLVED that the Southold Town Trustees Approve the request
made by Briarcliff Landscape, Inc. on behalf of Gus Trataros
for a Waiver to scrape and clear existing lawn area andre-sod;
build a decorative berm and to regrade to swale run-off away
from shoreline and to install a dry well on property located at
15098 Main Road, East Marion subject to any other agencies or
departments approvals that may be required for this project.
Very truly yours,
FAK: ip
cc: Bldg. Dept.
Z.B~A.
D.E.C.
Frank A. Kujawski, Jr.
President
Board of Town Trustees
FRANK A. KUJAWSKI, JR., President
ALBERT J. KRUPSKI, JR., Vice-President
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 1 t971
October 13, 1988
TELEPHONE
(516) 765-1892
Mr. Rob White
Briarcliff Landscape, Inc.
Route 25
Peconic, New York 11958
Re:
Gus Tratoris
Rt. 25, East Marion, NY
Dear Mr. White'
The following action was taken by the Board of Town
Trustees during their regular meeting held on September 29, 1988
regarding the above matter.
RESOLVED that the Town Trustees amend a previous approval
rendered on August 25, 1988 to include planting of a vegetative
buffer zone of native species extending thirty feet inland from
the top of the shore embankment. The area immediately above the
bluff is to be swaled away from Dam Pond, sodded, and a
drywell is to be installed to contain run-off from the lawn.
Very truly yours,
nk A. /Ku~awski, Jr.
President ~
Board of Town Trustees
FAK:ip
cc: Gus Tratoris ~
Route 25
D/stinct/ve Landscape Concepts
Peconic, L.I., N.Y. 11958 (51 6) 734-6366
September 19, 1 988
Board of Town Trustees
Town of Southold
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
Re: Gus Tratoris Residence
Route 25; East Marion, N.Y.
Dear Trustees,
In a settlement with the N.Y.S. Department of Environmental
Conservation concerning the Tidal Wetlands violation at the
Tratoris property, it was agreed that reparation would include the
planting of a vegetative buffer zone of native species extending
thirty feet inland from the top of the shore embankment.
In our settlement of this matter with the trustees earlier
this summer, it was agreed that the area immediately above the
bluff would be swaled away from Dam Pond, sodded, and a drywetl
would be installed to catch run-off from the lawn.
We trust our agreement with the D.E.C. is in keeping with the
spirit of, and will stand instead of our agreement with the
trustees.
RW:ad
CC:
Gus Tratoris
Sincerely yo~rs, ~
Rob Whi ge
Briarctiff Landscape, Inc.
FRANK A. KUJAWSKI, JR., President
ALBERT J. KRUPSKI, JR., Vice-President
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
August 31, 1988
TELEPHONE
(516) 765-1892
Mr. Frank Cichanowicz, III, President
Briarcliff Landscape, Inc.
Route 25
Peconic, New York 11958
Re: Gus Tratoris - 1000-23-1-18
Dear Mr. Cichanowicz:
The following action was taken by the Board of Town Trustees
during their regular meeting held on August 25, 1988 regarding
the above matter:
WHEREAS, Briarcliff Landscape, Inc. on behalf of Gus
Trataros applied to the Trustees to scrape and clear the
existing lawn area and re-sod; build decorative berm and regrade
to swale run-off away from the shoreline and to install a dry
well, and
WHEREAS, the Town Trustees inspected the subject property
NOW THEREFORE BE IT
RESOLVED that the Southold Town Trustees approve the request
made by Briarcliff Landscape, Inc. on behalf of Gus Trataros
for a Waiver to scrape and clear existing lawn area and re-sod;
build a decorative berm and to regrade to swale run-off away
from the shoreline and to install a dry well on property located
at 15098 Main Road, East Marion.
Please be advised that this determination is not a
determination for any other Agency or Department that may have
jurisdiction in regard to this matter.
Very truly yours,
~rr~sn~deAntK~J awski, Jr.
Board of Town Trustees
FAK:ip
cc: Bldg. Dept. Z.B.A.
D.E.C., George Stadnik
Mrs. Gus Trataros
Route 25
D/stinct/ve Landscape Concepts
Peconic, L.i., N.Y. 11958
(516) 734-6366
August 15, t988
Board of Trustees
Town of Southold
Town Hall; 53095 Main Road
Box 728
Southold, New York 11971
Re: Gus Tratoris Permi~ Application
Since the project described in this permit application was
erroneously begun prior to the Board's review, and the area in
question has been cleared and is open to the threat of erosion into
Dam Pond, we , ~acting as agents for the owners and with their consent,
respectfully request a waiver of your standard permit procedures, such
that the work can be promptly completed to the sati'sfaction of the
Board of Trustees.
Sincerely yours,
Frank Cichanowicz ~,'Pres.
Briarcliff Landscape, Inc.
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
TELEPHONE
(516) 765-1892
APPLICATION IS HEREBY MADE TO THE TOWN TRUST£ES 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 OF APPLICATION
TA× MAP
PERMIT REQUESTED TO_
LOCAT ION OF ~ROPERTY FOR
HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION
SIZE OF PROPOSED WORK
DEPTH BELOW LOW WATER ......
YARDS TO BE EXCAVATED ~~
WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY
DEPTH AT LOW-TIDE
AVERAGE RISE IN TIDE
DISTANCE TO THE NEAREST CHANNEL ~ ~ FT.
DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA O FT.
IS THIS FOR PRIVATE OR BUSINESS USE? ,"~l~___~__~'~.~_____
A~A Zo~s~ ~J_~.~Wi~
MA~ ~ w~c~ MAT~A~ Wi~ Se ~MOW~ O~ ~e~OS]T~__~_~A~ t~_ ......
--_~_<~.~Z,
DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE
AND WHETHER ANY PR I OR L I CENSE OR PERM ! TS HAVE BEEN ISSUED TO ERREC:T
STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER
ANY PERMITS OR LICENSES WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTAL
A G E N C Y -'~u...cu~_~___~~_"~~_~_ _:F ~ L-;~ ~ ~.._ __c~_~_~__-~_o_~.
DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE
PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADD! TI ONAL SURVEY OF
THE PROJECT S I TE I F NECESSARY____~..~__~____~____I~/__~____~__~ ~_~____~_~_______~__.'~
WRITTEN CONSENT OF T~ OWNER OF 'THE PROPERTY, IF NOT THE SAME
/~/'~ . . . . AS THE
~ ..... ~ ------L, __ __~
ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT ~ULD ~~~
PROHIBIT THIS PROJECT~ ~
14.~ 6~ (2/87) -- 7c
617.21 SEQR
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 FAF 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 anal 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 I and Unlisted Actions
Identify the Portions~of EAF completed for this project: [] Part 1 [] Part 2 []Part 3
Upon review of the informatio~ 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 pro,'ect wilt not result in any large and important impact(s) and, therefore, Is one which will not
have a s gnificant impact on the environment, therefore a negative declaration will be prepared.
[] B. Although the project could have a s gnificant 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 CONDITIONFD 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
Name of Action
Name of Lead Agency
Print or Type Name of Responsible Officer in Lead Agency
Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer)
Date
1
PART 1--PROJECT INFORMATIuN ·
Prepared by Project Sponsor
NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect
on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered
as part of the application for approval and may be subject to further verification and public review. Provide any additional
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 involve
new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify
each instance.
LOOAT[ON O~ AGTION (Inolude Street Address, ~unJoJp~[Jt~ end Oounty)
NAME OF APPLICANT/SPONSOR ~ BUSINESS TELEPHONE
ADDRESS
Box
GI~/PO STATE ZIP
NAME OF OWNER (If different)
ADDRESS
CITY/PO
BUSINESS TELEPHONE
( )
STATE . I ZiP CODE
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: I-IUrban i-Ilndustrial
r-iForest [Agriculture
2. Total acreage of project area: ~.ll:~l~,OJ yZ~ acres.
APPROXIMATE ACREAGE
Meadow or Brushland (Non-agricultural)
Forested
Agricultural (Includes orchards, cropland, pasture, etc.)
Wetland (Freshwater or tidal as per Articles 24, 25 of ECL)
Water Surface Area
Unvegetated (Rock, earth or fill)
Roads, buildings and other paved surfaces
Other (Indicate type) ~,¢'~-'~1:;~~/.--- ]L.~ ~,~
[]Commercial l-lResidential (suburban) F'iRural (non-farm)
a. What is depth .to bedrock?
(in feet)
2
3. What is predominant soil type(s) on project site?
a. Soil drainage: ~Vell drained /~0 % of ~ite F-IModerately well drained % of site
~Poorly drained % of site
b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS
Land Classification System? ]~J~ acres. (See 1 NYCRR 3~0).
4. Are there bedrock outcroppings on project site? fi-lYes ' J;~No _ .
PRESENTLY AFTER COMPLETION
acres acres
acres acres
acres acres
acres acres
acres acres
acres acres
acres acres
acres {~/~ acres
5. 'Approximate percentage of~ oposed project site with slopes: F10-16 ,~ ]{)~ % E]10-15%
[-i15% or greater %
6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National
Reg stets of Historic Places? r-[Yes ,~o
7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? [-]Yes ~No
8. What is the depth of the water table? ~'~_ . (in feet)
9. Is site located over a primary, principal, or sole source aquifer? I-lYes [;~No
10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? F:IYes ~No
11. Does project site contain any species of plant or animal life that is identified as threatened or endangered?
E-[Yes J~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 forrnations)
i-iYes [;;~N o Describe
13. Is the project site presently used by the community or neighborhood as an open space or recreation area?
l-lYes ~No If yes, explain
14. Does the present site include scenic views known to be important to the community?
l-lYes [~o
15. Streams within or contiguous to project area: /~j~
a. Name of Stream and name of River to which it is tributary
· 19.
16. Lakes, ponds, wetland areas within or contiguous to project area:
a. Name ']~ '~1~ b. Size (In acres) ,&l~l~]~. 1~;~
17. Is the site served by-existing public utilities? [~es i-]No
a) If Yes, does sufficient capacity exist to allow connection? [~'es E-]No
b) If Yes, will improvements be necessary to allow connection? I~Yes ~o
18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA,
Section 303 and 304? [~Yes J;~No
Is the site located in or substantially~ntiguous to a Critical Environmental Area designated pursuant to Article 8
of the ECL, and 6 NYCRR 6177 ~Yes [-]No
20. Has the site ever been used for the disposal of solid or hazardous wastes? I-lYes j~No
B. Project Description
1. Physical dimensions and scale of project {fill in dimensions as appropriate)
a. Total contiguous acreage owned or controlled by project sponsor
b. Project acreage to be developed: acres initially;
c. Project acreage to remain undeveloped acres.
d. Length of project, in miles: (If appropriate)
e. If the project is an expansion, indicate percent of expansion proposed
acres.
acres ultimately.
f. Number of off-street parking spaces existing
g. Maximum vehicular trips generated per hour
h. If residential: Number and type of housing units:
One Family Two Family
Ultimately
i. Dimensions {in feet) of largest proposed structure height;
j. Linear feet of f~ontage along a public thoroughfare project will occupy i~?
3
; proposed
(upon completio~ of project)?
Multiple Fa~/
width;
Condominium
length.
ft.
2. How much natural material (i.e., ,0ck, earth, etc.) will be removed from the site?
3. Will disturbed areas be reclaimed? Z~es i-lNo F-]N/A
a. If yes, for what intend~Z purpose is the site being reclaimed?
b. Will topsoil be stockpiled for reclamation? ~es [No
c. Will upper subsoil be stockpiled for reclamation? E:]Yes I-lNo ~,Jk
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? {~ acres.
5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project?
i-lYes ~i~o . .
6. If single phase project: Anticipated period of construction ~ ' ;~
7. If multi-phased:
a. Total number of phases anticipated ~ A (number).
b. Anticipated date of commencement phase 1 ~ month
c. Approximate completion date of final phase ~J~
d. Is phase 1 functionally dependent on subsequent phases?
8. Will blasting occur during construction? I-lYes l~l~o
9. Number of jobs generated: during construction ~,J'~
10. Number of jobs eliminated by this project ~t~
11. Will project require relocation of any p~ojects or facilities?
months, (including demolition).
month
I-lYes [No~-'
tons/cu'l:;i'c ~ard~
year, (including demolition).
year:
; after project is complete
I--lYes [~o If yes, explain
12. Is surface liquid waste disposal involved? [l-lYes ~]~o
a. If ,/es, 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? f-lYes ~1~1o Type
14. Will surface area of an existing water body increase or decrease by proposal?
Explain
~ 15.
16.
f-lYes
Is project or any portion of project located in a 100 year flood plain?
Will the project generate solid waste? I-lYes ,~No
a. If yes, what is the amount per month tons
b. If yes, will an existing solid waste facility be used? []Yes ~No
c. If yes, give name ; location
d.
l-lYes ~o
Will any wastes not go into a sewage disposal system or into a sanitary andfill?
If Yes, explain
[]-]Yes
~No
17. Will the project involve the disposal of solid waste?
a. If yes, what is the anticipated rate of disposal?
b. If yes. what is the anticipated site life?
18. Will project use herbicides or pesticides? ~Yes
19. Will
20. Will
21 Will project result in an increase in energy use?
If yes , indicate type(s)
~Yes
years.
J;~'No
tons/month.
project routinely produce odors (more than one hour per day)? I--lYes
project produce operating noise exceeding the local ambient noise levels?
f-lYes j~No
~No
[]Yes
~O
22. If water supply is from wells, indicate pumpin, g capacity t~ gallons/minute.
2.3. Total anticipated water usage per day ~ ~ gallons/day.
24. Does project'involve [_ocal, State or Federal funding? ~Yes J~No
If Yes, explain
2~.~,Approvais Req u ired:
City, Town, Village Board dYes []No
City, Town, Village Planning Board fi-lYes [No
City, Town Zoning Board i-lYes E}No
City, County Health Department f-lYes I-INo
Other Local Agencies I--IYes I-INo
Other Regional Agencies i-lYes [-INo
State Agencies l-lYes I-]No
Federal Agencies t-lYes I-INo
Type
Submittal
Date
C. Zoning and Planning Information
1. Does proposed action involve a planning or zoning decision? i-lYes /No _
If Yes, indicate decision required:
I-]zoning amendment i-lzoning variance [-tspecia[ use permit F-lsubdivision E]site plan
i-lnew/revision of master plan []resource management plan F-lother
2. What is the zoning classification(s)of the site?
3. What is the maximum potential development of the site if dev,eloped as permitted by the present zoning?
4. What is the proposed zoning of the site? /U a~
5. What is the maximum potential development of the site if developed as permitted by the proposed zoning?
6. Is the proposed action consistent with the recommended uses in adopted local [and use plans? ~'Yes I-iNo
7. What are the predominant land use(s) and zoning classifications within a ~/~ mile radius of proposed action?
8. Is the proposed action compatible with adioining/surrounding land uses within a % mile? ~/es [No
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 di'stricts? [l-lYes
11. Will the proposed action create a demand for any community provided services (recreation, education, police,
fire protection)? F-lYes
a. If yes, is existing capacity sufficient to handle projected demand? [l-lYes
12. Will the proposed action result in the generation of traffic significantly above present levels? []Yes ,~o
a. If yes, is the existing road network adequate to handle the additional traffic? [Yes I-INo
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, glease discuss such impacts and the measures which ybu propose to mitigate or
avoid them ....
E. Verification
I certify that' the information provided above is true to the best of my knoWledge.
If the action is in the Coastal Area, ou are a state a~ency, complete the Coastal Assessment Form before proceeding
with thls assessment.
5
Part 2--'r-~OJECT I~IPACTS AND THEIR ~- ~,GNITUDE .
Responsibility of Lead Agency -~
General Information (Read CarefulJy)
· 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 tl~roughout the State and
for most situations. But, for any specific project or site other examples and/or rower 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. --
lnstructio, s (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.
If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3.
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.
IMPACT ON LAND
1. Will the proposed action result in a physical change to the project site?
L-qNO E~YES
Examples that would apply to column 2
· Any construction on slopes of 15% or greater, (15 foot rise per 100
,foot of length)~ or where the general slopes in the project area exce(~d
10%,
· Construction on land where the depth to the water table is less than
3 feet.
· Construction of paved parking area for 1,000 or more vehicles.
· Construction on land where becJrock is exposed or generally within
] feet of existing ground surface.
· Construction that will continue for more than 1 year or involve more
than one phase or stage.
· Excavation for mining purposes that would remove more than 1,000
tons of natural material (i.e., rock or soil) per year.
· Construction or expansion of a sanitary landfill.
· Construction in a designated floodway.
· Other impacts
2. Will there be an effect t.'. .... ~y ur~que or unusual land forms found on
the site? (i.e., cliffs, dunes, geological formations, etc.)CZ]NO E3YES
· Specific land fbrms:
6
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact impact Project Change
[] [] i-]Yes i-[No
[] [] [-]Yes []No
~ [] l--lYes []No
[] [] [--]Yes ~-]No
[] [] []Yes I--]No
[] [] [~]Yes ~[No
[]Yes [~No
[] [] I-/Yes- []No
[] [] []Yes []No
[] [] []Yes []No
IMPACT ON WATER
3. Will proposed action affect any water body designated as protected?
{Under Articles 1.5, 24, 25 of the Environmenta Conservation Law, ECL)
E3NO E3YES
Examples that would apply 'to column 2
· Developable area of site contains a protected water body.
· Dredging more than 100 cubic yards of material from channel of a
protected stream.
· Extension of utility distribution facilities through a pro~tected water body.
· Construction in a designated freshwater or tidal wetland.
· Other impacts:
4. Will proposed action affect any non-protected existing or new body
of water? I-INO l-lyE S
Examples that would apply to column 2
· A 10% increase or decrease in the surface area of any body of water
or more than a 10 acre increase or decrease.
· Construction of a body of water that exceeds 10 acres of surface area.
· Other impacts:
5. Will Proposed Action affect surface or groundwater
quality or quantity? F-INO I-lYES
Examples that would apply to column 2
· Proposed Action will_require a discharge permit.
· Proposed Action requires use of a source of water that does not
have approval to serve proposed {project) action.
· Proposed Action requires water supply from wells with greater than 45
gallons per minute pumping capacity.
· Construction or operation causing any contamination of a water
su~P'ly system.
· Proposed Action will adversely affect groundwater.
· Liquid effluent will be conveyed off the site to facilities which presehtly
do not exist or have inadequate capacity.
· Proposed Action would use water ir~ excess, of 20,000 gallons per
day.
· Proposed Action will like[,;, cause siltation or other discharge into an
existing body of water to the extent that there will be an obvious visual
contrast to natural conditions.
· Proposed Action will require the storage of petroleum or chemical
products greater than 1,100 gallons.
· Proposed Action will allow residential uses in areas without water
and/or sewer services. : ..
· Proposed Action locates com~,,ercial and/or industrial uses which may
require new or expansion of existing waste treatment and/or storage
facilities.
· Other impacts:
6. Will proposed action alter drainage flow or patterns, or surface
water runoff? [-],NO EYES
Examples that would apply to column 2
· Proposed Action would change flood water flows.
7
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] []Yes []No
[] [] []Yes []No
[] [] i--lYes i~No
[] [] []Yes E~No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] [-]Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes [-]No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] [-]Yes~ . []No
[] [] []Yes []No
[] ~ []~ []Yes []No
[] [] []Yes []No
· Proposed Action may cause substantial erosion.
· Proposed Action is incompatible with existin8 drainage patterns.
· Proposed Action will allow development in a designated floodway.
· Other impacts:
IMPACT ON AIR
7. Will proposed action affect air quality? []NO I-lYES
Examples that would apply to column 2
· Proposed Action will induce 1,000 or more vehicle trips in any given
hour.
· Proposed Action will result in the incineration of more than 1 ton of
refuse per hour.
· Emission rate of total contaminants will exceed $ lbs, per hour or a
heat source producing more than 10 million BTU's per hour.
· Proposed action will allow an increase in the amount of land committed
to industrial use.
· Proposed action will allow an increase in the density of industrial
development within existing industrial areas.
· Other impacts:
IMPACT ON PLANTS AND ANIMALS
8. Will Proposed Action affect any threatened or endangered
species? r-lNO I-lYES
Examples that would apply to column 2
· Reduction of one or more species listed on the New York or Federal
list, using the site, over or near site or found on the site.
· Removal of any portion of a critical or significant wildlife habitat.
· Application of pesticide or herbicide more than twice a year, other
than for agricultural purposes.
· Other impacts:
9. Will Proposed Action substantially affect non-threatened or
non-endangered species? []NO t-lYES
Examples that would apply to column 2
· Proposed Action would substantially interfere with any resident or
migratory fish, shellfish or wildlife species.
· Proposed Action requires the removal of more than 10 acres
of mature forest (over 100 years of age) or other locally important
vegetation.
IMPACT ON AGRICULTURAL LAND RESOURCES
Will the Proposed Action affect agricultural land resources?
' [-]NO
Examples that would apply to column 2
10.
[Z]YES
The proposed action would sever, cross or limit access to agricultural
land {includes cropland, hayfields, pasture, vineyard, orchard, etc.)
8
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] []Yes []No
~[] [] []Yes ['-INo
[] [] []Yes . I-[No
[] [] - []Yes []No
[] [] []Yes [~]No
[] [] []Yes I-']No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] I-lYes []No
[] [] []Yes []No
[] [] []Yes _[]No
[] [] [-]Yes []No
[] [] i--lYes L-:"] No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
· Construction activity would excavate or compact the soil profile of
agricu]tural land.
· The proposed action would irreversibly convert more than 10 acres
of agricultural land or, if located in an Agricultutal District, more
than 2.$ acres of agricultural land.
· The proposed action would disrupt or prevent installation of agricultural
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 'mpacts:
IMPACT ON AESTHETIC RESOURCES
11. Will proposed action affect aesthetic resources? [-INO
E3YES
(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
or i~ sharp contrast to current surrounding land use patterns, whether
man-made or natural.
· Proposed land uses, or project components visible to users of
aesthetic resources which will eliminate or significantly reduce their
enioyment of the aesthetic qualities of that resource.
· Project components that Will result in the elimination or significant
screening of scenic views known to be important to the area.
· Other mpacts:
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES.
12. Will Proposed Action impact any site or structure of historic, pre-
historic or paleontological importance? f-lNO f--lYES
Examples that would apply to column 2
· Proposed Action occurring wholly or partially within or substantially
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
project site.
· Proposed Action wil occur in an area designated as sensitive for
archaeological sites on the NYS Site Inventory.
· Other impacts:
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 I-iNO E3YES
· The permanent foreclosure of a future recreational opportunity.
· A maior reduction of an open space mportant to the community.
· Other ~mpacts:
I 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] [--]Yes i-]No
[] [] I-lYes i-]No
[] [] ~lYes i-]No
[] [] [--]Yes I-INo
[] [] I-lYes i-qNo
[] [] ' I--lYes I--[ No
[] [] I-lYes [-lNo
[] [] I--lYes I-]No
[] [] ~Yes.., i--INo
[] [] I--lYes i--]No
[] [] [-]Yes [--INo
[] [] E~]Yes r~No
[] [] fi-lYes I--INo
[] [] [--]Yes i-]No
IMPACT ON TRANSPORTATION
14 Will there be an effect to existing transportation systems?
E3NO F~YES
Examples that would apply to column 2
· Alteration of present patterns of movement of people and/or goods.
· Proposed Action will result in major traffic problems.
· Other impacts:
IMPACT ON ENERGY
15. Will proposed action affect the community's sources of fuel or
energy supply? []NO I-lYES
Examples that would apply to column 2
· Proposed Action will cause a greater than 5% increase in the use of
any form of energy in the municipality.
· Proposed Action will require the creation or extension of an energy
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:
NOISE AND ODOR IMPACTS
16. Will there be objectionable odors, noise, or vibration as a result
of the Proposed Action? -]NO E3YES
Examples that would apply to column 2
· Blasting within 1.500 feet of a hospital, school or other sensitive
facility.
· Odors will occur routinely (more than one hour per day).
· Proposed Action will produce operating noise exceeding the local
ambient noise levels for noise outside of structures.
Proposed Action will remove natural barriers that would act as a
noise screen.
Other impacts:
IMPACT ON PUBLIC HEALTH
17. Will Proposed Action affect public health and safety?
[NO E3YES
Examples that would apply to column 2
· Proposed Action may cause a risk of explosion or release of hazardous
substances (i.e. oil, pesticides, chemicals, radiation, etc.) in the event of
accident or upset conditions, or there may be a chronic Iow level
discharge or emission.
· Proposed Action may result in the burial of "hazardous wastes" in any
form (i.e. toxic, poisonous, highly reactive, radioactive, irritating,
infectious etc.)
Storage facilities for one million or more gallons of liquified natural
gas or other flammable liquids.
Proposed action may result in the excavation or other disturbance
within 2,000 feet of a site used for the disposal of solid or hazardous
waste.
Other impacts:
10
1
Small to
Moderate
Impact
2
Potential
Large
Impact
Can Impact Be
Mitigated By
Project Change
I--lYes f'-]No
[::]Yes []No
[]-]Yes [~No
[]Yes []No
[l-lYes [~]No
[]-lYes I--lNo
[]--lYes [-1No
I--lYes F-'~No
[]:]Yes I-:] No
[]--]Yes [No
I-lYes [--]No
[]-]Yes- . ~]No
['-]Yes [--]No
[]-]Yes I--]No
]-']Yes FqN0
I-"~ Yes [~No
IMPACT ON GROWTH AND CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
18. Will proposed action affect the character of the existing community?
F~NO F1YES
Examples that would apply to column 2
· The permanent population of the city, town or village in which the
project is located is likely to grow by more than 5%.
· The munici0al budget for capital expenditures or operating services
will increase by more than 5% per year as a result of this project.
· Proposed action will conflict with officially adopted plans or goals.
· Proposed action will cause a change in the density of land use.
· Proposed Action will replace or eliminate existing facilities, structures
or areas of historic importance to the community.
· Development will create a demand for additional community services
(e.g. schools, police and fire, etc.)
· Proposed Action will set an important precedent for future projects.
· Proposed Action will create or eliminate employment.
· Other impacts:
19.
I 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] J--lYes []]No
[] [] ' I-lYes []No
[] [] l--lYes []No
fi] [] []Yes []No
[] [] []Yes []No
[] ~ i--1' r-[Yes []No
[] [] i-lYes []No
[] [] []Yes []No
[] [] []Yes []No
Is there, or is there likely to be, puglic controversy related to
potential adverse environmental impacts? I-]NO [],YES
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
Part 3--EVALUATION OF THE I~PORTANCE OF IMPACTS
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)
11
617.2! SEQR
Appendix B
State Environmental Quality Review
V sua! EAF Addendum
This form may be used to provide additional information relating to Question 1 1 of Part 2 of
the Full FAF.
(To be completed by Lead Agency)
Visibility
1. Would the project be visible from:
· 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? l-- [] [] [] []
· National Natural Landmarks and other outstanding [] [] [] [] []
natural features?
· National Park Ser{zii:e lands? [] [] [] [] []
· Rivers designated as National or State Wild, Scenic [] [] ~l [] []
or Recreational?
· Any transportation corridor of high exposure, such [] [] [] [] []
as parr of the Interstate System, or Amtrak?
· A governmentally established or designated interstate [] I-- [] [] []
or inter-county foot trail, or one formally proposed for
establishment or designation?
· A site, area, lake, reservoir or highway designated as [] [] [] [] []
scenic?
Distance Between
Project and Resource (in Miles)
0-1/4 I/~ ' I/2 1/2-3 3-5 5 +
· Municipal park, or designated open space? [] [] [] [] []
· County road? [] [] [] [] [~l"
· State? [] [] [] [] []
· Local road? [] [] [-' [] []
2. Is the visibility of the project seasonal? (i.e., screened by summer foliage, but visible during other
seasons)
~--] Yes []No
Are any of the resources checked in question
during which the project will be visible?
[] Yes [-~ No
1 used by the public during the time of year
DESCRIPTION OF EXISTING VISUAL ENVIRONMENT
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 [] Yes [] No
*1 miles i--lYes [-]No
*2 miles -[]Yes []No
*3 miles [] Yes [] 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 [] [] [] []
COUNTY OF SUFFOLK )
STATE OF NEW YORK )SS:
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 $OUTHOLD. 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 Trustees~
agent or representative to enter onto my property to~ji~p~ct the
premises in conjunction with re ieV /¥is
SIGNATURZ Of ~PPLICXNT
SWORN TO BEFORE ME THIS
NOTARY PUBLIC
CL~E L ~W
NotaW _Publi~. Stere of New Ym'k
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
¸'CE
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