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HomeMy WebLinkAboutTR-4242Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO DATE: ....,cz/30.9.;~ .......... ISSUED TO DO!YArD &. LORNA TU.~.~,L!~ .................... Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on .... 9/.30./.c).3 ..... 19 93, and in consideration of the sum of $....!50.,.~0 ...... paid by Donald & Lorna Tuthill of ....... So.u~z.hold .......................................................... N. Y. and subject to the Terms and Conditions listed on' the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Construct a one-family dwelling with sanitary system subject to a 45' vegetated buffer-t~o be 'maintained. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees h~ere- by causes ifs Corporate Seal fo be affixed, and these presents fo be subscribed by a majority of fh.e said Board as of this dat,e. Trustees TRUSTEES John M. Bredemeyer. III. President Albert J. Krupski, Jr.. Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 October 28, 1993 Donald & Lorna Tuthill 3150 Boisseau Ave. Southold, NY 11971 Re: Donald & Lorna .Tuthill SCTM %1000-53-3-28 Dear Mr. Tuthill: The following action was taken by the Board of Town Trustees during its regular meeting held on Thursday, October 28, 1993 regarding the above matter: WHEREAS, Donald & Lorna Tuthill applied to the Southo'ld Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated July 8, 1993 and,. WHEREAS said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a public hearing was held by the Town Trustees with respect to said application on Thursday, September 30, 1993 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW, THEREFORE BE IT RESOLVED that the Board of Trustees approves the application of Donald & Lorna Tuthill to construct a one-family dwelling with sanitary system subject to a 45' vegetated buffer to be maintained. Permit will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of .this notifiCation. Two inspections are required and the Trustees are to be notified upon completion of said project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: No fees Very truly yours, John M. Bredemeyer, III President, Board of Trustee JMB: jd cc: CAC Page 3 structure. The Council suggests replacement be in kind/in place or within 18". 235 Huckleberry Hill Road. East Marion Vote of Council: Ayes: Ail Motion carried. Moved by Robert Keith. seconded by Stephen Angeli, it was, RESOLVED to recommend to the Southold Town Trustees APPROVAL WITH STIPULATIONS the Wetland Application of PAUL J. CAREY 123-8-27 to rebuild existing dock. The Council recommends approval provided the structure is raised 4' above the marsh. 270 Park Avenue Ext., Mattituck Vote of Council: Ayes: All Motion carried. Moved by John Holzapfel. seconded by Stephen Angell. it was RESOLVED to TABLE the Wetland Application of ROBERT JOHNSEN 68-~-3.3 ~; 3.~ to build a house. The Council has tabled the application until an inspection can be made with the house and building envelope staked. 4300 Soundview Avenue. Southold Vote of Council: Ayes: All Motion carried. Moved by Stephen Angeil. seconded by Robert Keith. it was RESOLVED to recommend to the Southold Town Trustees DISAPPROVAL of the Wetland Application of EUGENE BURGER 104-3-4 to construct a timber dock consisting of a 4' x 40' fixed elevated (minimum 4' above grade of marsh) p~er (plus steps); 3' x 16{ hinged ramp; 6' x 16' float secured by two pilings. Place approximately 10 c.y. of sand and grade into a berm approximately 3' wide at the base and 1.5' high to extend the width of the parcel +/- '). above AHW and wetlands. Following grading, berm will be planted with Ammorphilia breviligulata on 18" centers. Purpose of berm is to prevent occasional flooding of upland as occurred during 12/92 and 3/93. The Council recommends disapproval of the berm because it could destroy the existing mars-h. The Council recommends approval of the dock. 2515 Pine Tree Road. Cutchogue Vote of Council: Ayes: All Motion carried. Moved by John Holzapfel, seconded by John Hagerty, it was RESOLVED to recommend to the Southold Town Trustees APPROVAL WITH STIPULATIONS of the Wetland ApPlication of DONALD AND LORNA TUTHILL 53-3-28 to seek approval of a building envelope for a single family dwelling. John M. Bredemeyer, III, President Albert J. Krupski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 April i, 1993 Donald E. Tuthill Lorna E. Tuthill 3150 Boisseau Ave. Southold, NY 11971 Dear Mr. & Mrs. Tuthill: The Southold Town Trustees have jurisdiction over Long Creek and any activity within 75' of the high water mark. If your building envelope is outside of our jurisdiction, than no. action is necessary on your part, however if you wish to clarify in your minds where our jurisdiction begins and ends, call our office at 765-1892 and set up an appointment for our next field inspection on April 22, 1993. Yours truly, Albert J. Krupski, Jr. Vice-President, Board of Trustees AJK:jd TRUSTEES John M. Bredemever. III, President Albert J. Krupski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold. New York 11971 Office Use Only: ~Coastal Erosion Permit Application x~Coastal Erosion Variance Application %<Wetland Permit Application ~aiver from Chapter 97(Application/permit ~Trustee Lands Permit Application ~Grandfather Permit Application /Completed Apps. Date:~-~ ~-tnspection date: ~CAC comments-Date: Sent ~!~Variance Required: (Y/N) %~Neighbors notified'Date: SEQRA Type ~)n~ ~C~oord.: Date sent SEQRA Determin./date: Public Hearing/date: Findings: Approved (Y/N) Special Conditions: (Y/N) (see file) Permit(s) issued-date: DATE REC.: .,TOWN'OF_$OUm U Application Applicant: DOA;/~/_D Date: Address Phone Interest: (owner, consultant, lessee,etc.) Owner of Property: Address Phone ( ) Subject Property Location: (Provide LILCO Pole 9, Distance to cross Streets if not on location map) THIS IS NOT A PE~IT Page 1 ~;ds. to be excavated: ~P~ ~ Yds. to be filled: Manner in which material will be removed or deposited: Width of canal, creek_or bay fronting property: Depth at low tide: Aver. rise in tide: Distance to nearest channel: extends beyond similar projects in area: Area zoning: ~0 $~.~ Land area in acres: ~73-- Is project for private or business use: ~;#~ Intended use of property: / ~~ ~LA/~ Describe known prior operations conducted on premises: Distance project Has any prior license or permit been issued to erect~structures, dredge, or deposit fill on said premises: ~ Has any license or permit ever been revoked or suspended by a Governmental Agency: N~ Project Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures (i.e., pipeline and septic system; make additional attachments if necessary). THIS IS NOT A PERMIT -Page 2 County of Suffolk State of New York AFFIR~MS -THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. 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(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT I s) OR REPRESENTATIVE(s), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLI CATION. SWORN TO BEFORE ME THIS DAY OF S I GNATURE NOTARY PUBL! C CLAIRE g GLEW Notary Public. State of New York No. 4879505 Qualified in Suffolk County ~/__.~ Commission Expires December' 8, Suggested space for location Map THIS IS NOT A PERMIT 6.17.21 · Appendix A .' ,, .;~. SEQR State Environmental Quality Review {~ : FULL ENVIRONMENTAL ASSESSMENT FORM '". Purpose: The full EAF [s 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. Frequer~t- fy, there are asPects of a project that are subjective or unmeasureable. It is also understood-that those who determine signifi(~:ance may have little or no formal knowledge of the environment or may be technically expert in environmental analysis. In addition', many who have knoWledge [n one particular area may not be aware of the broader concerns affecting the qiJestion of significance. ' · . The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determ'inat~on process has been orderly, comprehensive in nature, Yet'flexible to allow introduction of information to f t a project or action. · Full £AF Components: The full EAF is. comprised of three parts: · . Part 1: provides ~bjective data and information about a given project'and its site. By identifying basi'c Project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. ~art 2: :ocuses c~n identifying .the range Of possible impacts that may occur from a project or action. [t provides guidance as to whether an impact is JJke!y 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 evatuat~ whether or not the impact is actually important. DETERMINATION OF SIGh IFICANCE_TyPe I and Unlisted Actions Identify the Portions of EAF completed for thi.s project: Part 1 [] Part 2 []Part 3 - . Upqn review of the information recorded on this EAF iParts 1 and 2 and 3 if appropriate), and any other suoporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: . [] A. The project will not result in any large, and ~mportant impact{s) and. therefore, is one which will not have a significant ira.pact on the enwronment, therefore a negative declaration wil[ be prepared. [] B. Aithoug'h the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.' The project may result in 'one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaralion ~ill be prepared. Conditioned Negative D~cJaration is only valid for Unlisted Actions Name of Action Name.of Lead Agency Print or Tyl~e Name of Responsible Officer in Lead Agency Signature of' Responsible Officer in Lead Agency Title of Responsible Officer Signature of Preparer (If different from responsible officer) Date 1 -. -- PART' 1--PROJECT I'NFOR~'-TION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action aroposed may have a significant effe on the environment. Please complete' the e.ntir'e form, Parts A through E. Answers to these questions will be'co'nsid~re as part of:the application for approval and may be subject to further verification and public rev,ew, Provide any addition. information-you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAE will be 'dependent on information currently available and will not invok new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and speci; each- instance. NAME OF ACTION LOCATION OF ACTION (Include Street Address, Municipality and County) NAME OF APPLICANT/SPONSOR ) - IF.? ! 7/ BUSINESS TELEPHONE CITY/PO NAME OF OWNER (If different) BUSINESS .TELEPHONE ADDRESS CITY/PO ."STATE ZiP CODE DESCRIPTION OF ACTION 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-1Urban l-Ilndustrial i:lCommercial [~Residential (suburban) i-IRural (non-farm I-1Forest i-lAgriculture I~Other 2. Total acreage of project area: -7~"' acres: APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (Includes Orchards, cropland, pasture, :etc.) acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and otherpaved surfaces acres acres Other (Indicate type) t/~--/--~'~ ~-~'~.~ ~"~' acres acres 3. What is predominant soil type(s) on project site.~ a. Soil drainage: ~Well drained /~ % of ~ite E~Mode~ately'well drained % of site l-IPoorly drained % of .site b. If any agricultural land is involve,ct, how many acres of soil are classified within soil grouD 1 through 4 of the Land Classification System.~ ~ acres. (See 1 NYCRR 370). 4, Are there bedrock outcroppings on project site? I~Yes ~No a. What is depth to bedrock.~ (in feet)-- 2 (~'' Is project substantially contiguous to a site listed o.n the Register of National Natural Landmarks? 8. What is the depth of the water table? Iin feet) 9. Is site located over a primary, principal..or sole source aquifer? l-lYes '~;~No 10. Do hunting, fishing or sheil fishing opportunities presently, exist in tl~e project area? []Yes 11. Do'es prolect site contain any species of plant or an'mai life that is identified as threatened or endangered? []-]Yes UNo According to Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e.. cliffs, dunes, other geological formations) I-lYes ,[~o Describe .. 1'$., Approximate percentage of.' oose. d pro,eot'site w~th slopes: ~]0-10 ~*~ % ~10-t5% /~ % ~15% or grea~er ~ ~6 6~ Is project substanti'allv.contiguous to, or contain a building, site, or district, li'sted on the St~e or the National Registers of Historic Places? ~Yes ~o ~Yes ~No 13. Is the prolnc'.' sit.? presently used by the community ot neighborhood as an open space or recreation area? r-lYes ~,,~o If yes, explain· ~ 14. Does the ~resent site include s.cenic v~ews known to .be important to the community/ [l-lYes ~No ' 15. Streams within or contiguous to project area: a. Name of Stream and name of 'River to which it is tributary L~C~' Cr~___~ Lakes, ponds, wetland areas within or contiguous to project area: a. Name b. Size (In acres) 17. Is the site served by existing public Utilities? ~Yes ' L--]No a) If Yes, does sufficient capacity exist to allow connection? ~[~;Yes b) If Yes, will improvements be necessary to allow connect on? [~Yes 18. Is the site located in an agricultural district certifi'ed pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and .304? ~Yes [~No 19. ts the site located in or-sur~stantially contiguous to a Critical Environmental Area des'gnated pursuant to Article 8 of the ECL, and 6 NYCRR 6177 [l-lYes 20. Has the site ever been used for the disposal of solid or hazardous wastes? [Yes ~.No B. Project Description. 1. Physical dimensions and scale of project {fill in dimensions a.s appropriate) a. Total contiguous acreage owned or controlled by project sponsor b.' Project acreage to be developed: ~-~?' ° acres initially; c. Project acrqage to remain undeveloped ~ -. acres. d. Length of project, in miles: ~" (If appropriate) e. If the proiect is an expansion, indicate percentj~expansion proposed f. Number of off-street parking spaces existing -' --, proposed g. Maximum vehicular trips generated per hour ~,~L h. If residential:' Number and type of ho~sing units: acres. acres ultimately. /V/f {upon completion of project}? One Family Two Family Multiple Family Initially Ultimately __ i. Dimensions (in feet) of largest proposed structure height; width; j. Linear feet of frontage along a public thoroughfare project will occupy is? Condominium ft. e.gth. AS P 2. How much- natural materie'~Zi.e, rock, earth, etc.) will be removed f~"-~ the site? j~0f~.. ,'~.d~ ~ -. 3. Will disturbed areas be rec,~imed? ~Yes ~No ~/A a. If yes, for whatintendec' purpose is the site being reclaimed? . b. Will topsoil be stockpiled for reclamation?' ~Yes ~No c, Will u~per subsoil be stockpiled for reclamation? ~Yes ~No 4. HOw many acres of vegetation (]trees, shrubs, ground covers) will be removed from site~ acres. 5. Will any ma~ure forest {over 100 years old) or other locally-important vegetation be removed by this project~ ~Yes ~o ~ 6. I.f single phase project: Anticipated period of'construction 7. If multi-phased: a. Total num0er of phases anticipated {number). b. Anticipated date of commencement phase 1 c. Approximate completion date of final phase d. Is phase 1 functionally dependent on subsequent phases? 8. Will blas~ing occur during construction?.' []Yes ~No 9. Number of jobs generated: during constru'~:tion 10. Number of jobs e[iminated by this project 11. Will project require relocation'of any projects or facilities? months, (including demolition). month year, (including demolition). month year. i-lYes [--]No ; after project is complete l-lYes ,~N.o f yes, explain 12. Is surface liquid.waste disposal involved? i-lYes a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? i-lYes ~No Type 14. Will surface area of an existing water body increase or decrease by proposal? Explain K-]Yes ~xlo. 15. 16. 17. lb. 19. 20. 21. 22. 23. 24 Is project or any portion of project located in a 100 year flood plain? Will the project generate solid waste? ~Yes ['-]No a. If yes, what-is the amoun't per month tons b. If yes, will an existing solid waste facility be used? l-lYes DNo c. If yes, give name ; Iocati6n d. eo E]Yes ~o Will any wastes not go into a sewage disposal system or into a sanitary landfill? If Yes, explain ~Yes Will the project involve the dispo~a.l of solid waste? a. If yes, what is the anticipated rate of disposal? b. If yes, what is the anticipated site life? Will project t~se herbicides or pesticides? I-lYes Will Will I-lYes I-1No tons/month. years. project routinely produce odors (more than one hour per day)? I-lYes project produce operating noise exceeding-the local ambient noise levels? ~No I-qYes Will project result in an increase in energy use? ~Yes l-lNo If yes, indica';ce type(s~ ~'.)::~-~.~. ~cc~.,'~'i~,.~, o-V~: ~ If water supply is from wells, indicate pumping capacity ~ Total anticipated water Usage per day gallons/day. Does project involve Local, State or Federal funding? ~Yes If Yes, explain gallons/minute. ]~No ~LNo 4 25. Approvals .Required: City, City, City, Town, Village Board .Town.. Village Planning Board Town Zoning Board - City, County Health Department Other Local Agencies Other Regional Agencies State Agencies Federal Agencies C. Zoning and Planning Information Type 1. Does proposed action involve a planning or zoning decision? I-lYes [~o If Yes, indicate decision required: [-1zoning amendment t-)zoning variance I-lsp&cial use permit []subdivision []site plan linew/revision of master plan. [re'our(be management plan i-]other 2. What is the zoning classification(s)of the site? 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 4 What is the proposed zoning of the site? ~'~-~- 5. What is the maximum potential development Of the site if developed as permitted by the proposed zoning? 6. Is the proposed action-consistent with the recommended uses in adopted Focal land use plans? ~Yes 7. What are the predominant land users) and zoning-classifications withn a ~A mile radius of Droposed action~ Submittal Date liNc 8. Is the proposed action compatible with adjoining/surrounding land uses within a ',/~ mile? ~Yes 9. If the proposed action is the subdivision of land, how many lots are proposed? a. What is the mimmum lot size proposed? I-q N'o 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? il-lYes ~jNo 11. Will the proposed action create a-demand for any community provided services (recreation, education, police, fire protect on)? [Yes J~No a. If yes, is existing capacity sufficient to handle projected demand? I-lYes f-INo 12. Will the proposed action result in the generation of traffic significantly above present levels? i-lYes ~o a. If yes, is the existing road network adequate to handle the additional traffic? F'IYes t-'lNo D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may b'e any adverse impacts associated with your proposal, please 'discuss such impacts and the measures which you 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, and you are a stale agency, complele the Coastal Assessment Form before proceeding with Ihis assessment. 5 ParL_2.--PROJECT IMPACTS AND TP"-~'R MAGNITUDE Responsibility of Lead Agency General Information (Read Carefully) · In completing th~ forrri the reviewer should be gui.deal by the question: Have my responses and determina,tions bee reasonablef The reviewer is not expect:ed 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 simp asks that it be looked at further. · The Examples provided are to assist the reviewer by showing types of impacts and ~vherever possible the threshold c magnitude that would trigger a response in column 2. The examples are generally applicable (hroughout the State an for most situations. But, for any specific prol~ct or site other examples and/or lower thresholds may be'appropriat 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 examoles are illustrative an have been offered as guidance. They do not.constitute an exhausuve list of impacts and thresholds to answer each quest/or · The number of examples per question does not indicate the importance of each question. · In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PAR~' .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 approDr~ate box (column 1 or 2) to indicate the potential size of th~ impact. If impact threshold equal's or exceeds an,/example provided, check column 2. If impact will occur but thresholc is lower than example, check column 1. ' .' d. If reviewer has doubt about size of the impact then consider the 'mpact as potentially large ~nd p~oceed to PART e. If a potentially large impact checked in column 2 can be mitigated b,/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.~ ~i~NO []Y£S Examples that would apply to cblumn 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 exceed 10%, · Construction on land where the dept. h to the water table is less than 3 feet. · Construction of paved parking area for 1,000 or more vehicles. · Construction on land where bedrock 'is exposed or generally within 3 feet of existing ground surface. · Cor~struction 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 ,~fffect t: .... ,¥ ur'-.,que or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)~[~NO [~YES · Specific land forms: 6 I 2 .3 Small to Potential Can Impact Be Moderate Large Mitigated By · .impact Impact Project Change [] 'E:] C]¥es ~No [] [] I-]Yes ~No L--] [] i-lYes []NO ~ I ~ []Yes I-'~ No [] [] C~'¥es E3No' [] [] ~¥es []No [] [] Wes []No [] [] E3Yes []No [] [] E3Ves CINo [] [] ' E3¥es F'INo L IMPACT ON WATER 3. Will proposed action a}fect any water body designated as protected? (Under Articles 15, 24, 25 of '"~' ' the Environmental C0nservat~on Law. ECL) ' ~,~o E:]YES 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 Protected water bodv. · Construction in a designated freshwater or tidal wetland. · Other impacts: 4. Will proposed acti6n affect any non-protected.existing or new body - of water? ~0 [-]YES 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 t'hat exceeds 10 acres oi surface area. · Other impacts: 5. Will Proaosed Action affect surface or groundwater quality or quantity? ~4'O l-lYES Examples that would apply to column 2 ' Proposed Action will require a discharge permit· · Proposed Action requi{es use of a source of water that d"oes not have approva to serve .proposed (project) action· · Proposed Action requires ~vater supply from wells with greater than 45 gaIIons per minute pumping capacmf. · Construction or operation c~.usir~g any contamination of a water sup.piy system. · Proposed Action will adversely affect groundWater. · Liquid effluent will be conve~.ed off the site to facilities which presently do not exist or have inadequate capacity. · Proposed ,Action would use water in' excess of 20,000 gallons per day. · Proposed Action will likelv cau~,e siltation or'other discharge into an existing body of water to the exte?,t that there will be an obvious visual contrast to natural conditions. Proposed Action will require the storage of petroleum or chemicaJ 'products greater than 1,100 gallons. Proposed Action will allow residential uses in areas w~thout water and/or sewer services. Proposed Action locates commercial 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 pattern, s, or water runoff? ,(~NO Examples that would apply to column 2 · Proposed Action would change flood water flows. surl:aco E]YES 1 Small .to Moderate Impact 2 Potential Large Impact [] []Yes [] []Yes [] ~Yes [] []Ye~ [] :[--]Yes [] []'Yes Il []Yes [] []Yes 3 Can Impact Be Mitigated By Project Change r-]No- []No [-'[ No l-]No []No i--~No i-[No []No [] I-lYes [--]No [] []Yes []No [] []Yes []No [] []Yes []No [] []Yes l-]No [] [--[Yes I']No [] E~Yes []No [] ~Yes '~No t~Yes []Yes ~Yes [] Yes E~Yes r-~No F-lNo ~No []No [~No · Prc~posed Action may cause substantial erosion. · Proposed Action is incompatible with existing drainage patterns. · Proposed Action will allow development in a designated floodway. · Other impacts: IMPACT ON AIR 7. Will proposed action affect air quality? ~[~NO []YES Examples that would apply to Column 2 · Proposed Action wi[I 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 ;tour. · Emission rate of total contaminants will exceed 5 lbs. per hour or a heat source producing more than 10 million' 13TU'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 .3. Will Propos.ed Action affect any.threatened or endangered species? . ~N0 I-/YES 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. Apl~lication of pesticide or herbicide more than twice a year, other than for agricultural purposes. Other impacts:. Will Proposed Action substantially'affect non-threatened or non-endangered species? [~NO []YES Examples that would apply to column 2 ' Proposed Action would substantially interfere with any resident or 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. - II~'4PACT ON AGRICULTURAL LAND RESOURCES Will the Proposed Action 'affect agricultural land resot rces? . Examples [}tat would apply to coJum.n 2 '~[;LNO I~YES fhe proposed action would sever, cross or limit access to agricultural :,md (includes cropland, havfields, pasture, vineyard; orchard, etc.) 8 Small to Moderate Impact 2 Potential '" Large Impact 3 Can [mbact Be Mitigated Ry · Project Chang.e, [~Yes [-]:No [-]Yes [~No fi]Yes [--]No f--IYes i--]No /'-[Yes. F/No i--lYes i--]No ~]Yes [-/No '~Yes [-~ No ~Yes I-}No ~]Yes I--]No [~Yes ' [~No ~]Yes [~]No lZ Y d s F-tNo [~Yes [~No [~]Yes [~No [~Yes [~No [~Yes ~No · Construction activity would excavate or compact the soil profile of' agricultural land. · The proposed action would irreversibly convert more than 10 acres of agricultural land or, if located in an Agricultural District, more thah' 2..5 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 impacts: IMPACT ON AESTHETIC RES~)URcEs 11. Will ~ropose(~ action affect aesthetic resources? ~NO F-lYES (If necessary, use the Visual EAF Addendum in Section 617.2t, Appendix B.) Examples that would apply to column 2 · Proposed land uses, or Droj(~ct components obviously different from or in sharp contrast to current surrounding [and use patterns, whether man-made or natural. · Pro~3osed land uses, or ~ro/ect components visible to users of aesthetic resources which will eliminate or sisnificantly reduce their eniovment of the aesthetic qualitie.s, of that resource. · Project components that will result in the elimination or sIgnificant screening of scenc views known to be important to the area. · Other impacts: IMPACT ON HIsToRic AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? ~NO [~]YES Examples that would apply to column 2 · Proposed Action occurring wholly or partially within or substantially contiguous to any facility oi: site listed on the State or National Register of historic places. · Any impact to an archaeological site or fossil bed located within tile project site. · Proposed Action will occur in an area designated as sensitive for archaeological s'ites 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 opportun ties? Examples that would appfv to column 2 ,~LNO []YES ~ The permanent foreclosure of a future recreationaJ opportunity. · A major reduction of an open space important to the commumty. · Other impacts: Small t'o Moderate Impact 2 Potential" Large Impact 3 Can Impact Be Mitigated By Project Change [~Yes I~No I-]No [~Yes '~No [~Yes I--['No [-]Yes [--[No ~[Yes I-[No [~Yes r-]No ~Yes i'-lNo [~Yes E~No E]Yes 1--1 No ~-]Yes i~No I~Yes' [~No [~Yes E]No [:]Yes l']No ~¥es l'qNo IMPACT ON. TRA JPORTATION 14. Will there be an effeqt to e.xlsting transportation systems? ' Examples that would apply to column 2 ~NO []YES ' Alteratio~ of present patterns of movement of people and/or goods.. · Proposed Action will result in major traffic problems. · O~her impacts: IMPACT ON ENERGY 15. Will proposed action affect the community's sources Of fuel or energy supply? Examples that would apply to column 2 ~,NO. []YE£ · 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 exten, sion 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.'ofWillthethereproposedbe objectionableAction? odors, no,se, or vibrati¢~c~s are. su,t Examples that would apply to column 2 []YES ° [3lasting within 1,500 feet of a hospital, school or other sensitive facility. · Odors will o'ccur 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 7. Will Proposed Action affect public health and safety~ ExampJes that would apply to column 2 ~NO [:]YES Proposed Action may cause a risk of explosion or release of hazardous substances (i.e. oil, pesticides, chemicals, radiation, etc.) in the event o'f accident or upset conditions, or there may be a chronic Iow level discharge or em~'ssion. Proposed Action may result in the burial of"hazardous wastes" m any form {i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) Storage facilities for one million or more gaJlo~s of [iquified natural '.[as or other flammable [iqtr/ds. Proposed action may result in the excavation or other disturbance · vaste.Within 2,000 feet of a site used for the disposal, of solid or hazardous OHmr ~mpacts: 10 ~Small to I Moderate b_mpact 2 -Potential Large Impact Can Impact Be Mitigated By Proiect Change:' r-:Yes E]No /--]Yes ~.,No I-qYes [-]No Yes EgNO []Yes []No " ~2 Yes ~No [:]Yes [~No [~]Yes [~]No [~]Yes [~No [:]Yes []NO [~Yes ['"]No IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD (~18. Will proposed action affect the character of theexis~ingcommumty? · '~NO C]YES Examples that would apply to column 2 · The permanent population of the city, town or.village m which the project is located is likely to grow by more than 5%. · The municipal budget for capital expenditures or Operating' serwces wili 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 fac I t es. 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 prec~e, dent for future projects. · Proposed Action will create or eliminate emplo'/ment. · Other impacts: 19 1' 2 3 Smal'l"~o Potential;, Can Impact Be Moderate Large Mitigated By , Impact Impact Project Change [] [] []Yes . [-]NO [] ' [] - []Yes I'[No 1 [] [] [-~ Yes 'I~N~ [] [] []Yes []--] No [] [] []Yes [--]No [] [] [~Yes' '[~No'. [] .F"] []Yes I']No [] [] []Yes I-]No []' ' [] .[]Yes []NoI Is-there. or is there likely to be, public controvers'v related to 3otentiat adverse environmertal impacts? -/[~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 L Part 3--EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibilil.y of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, eYen if lI~e 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 ~mpact 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 ~mportance. consider: · The probability of the impact occurring · The duration of the impact · Its irreversibility, including permanently lost resources of value · Whether the ~mpact can or wili be controlled · The regional consequence Of the impact · Its pote'ntial divergence from local needs and goals · Whether known obiections to the proiect re,ate to this impact. (Continue on attachments) 11 14'-14-t] f? 87)--9¢ 6 ] 7..21_ -- · Appendix B .. S'la~e Environmental Quality Re~'iew .. V suai EAF Addendum -" This form may be used to provide add.tional information relating to Question l t'of Part 2 of S. EQR the Full EAF. Visibility 1. (To be completed by Lead Agency) Distance Between Project and Resource (in Miles) 0-~,4 V4'- 1/2 I/2-3 3-5 5+ 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 naturat '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 I'i~ted on the National or State Registers of Historic Places? State Parks? The State Forest Preserve? National Wildlife Refuges and state game refuges? National Natural Landmarks and other outstanding natura I featu res? National Park Service lands? Rivers designated as National 'bt State Wild. Scenic or Recreational? · Any transportation corridor of high exposure, such as part of the Interstate System, or Amtrak? · A governmentally established or designated interstate or inter-county foot trail, or one formally proposed for establishment or designation? · A site, area. lake, reservoir or highway designated as scenic? · Municipal park. or designated open space? [] [] [] [] [] · County road? [] [] [] [] [] · State? [] [] [] [] [] · Local road? [] [] [] [] [] 2. Is the visibility of the project seasonal? (i.e., screen'ed by summer foliage, but visible during other seasons) []Yes f-lNo 3. Are any' of the resources Checked in question 1 used by the during which the project will be visible? []Yes I--lNo .oublic during the time of year DESCRIPTION OF_ ,STING VISUAL ENVIRONMENT 4. From each i.tem checked in question 1, 'check those which generally describe the surrounding environment. Essentially undeveloped Forested Agricultural Suburban residential Industrial Commercial Urban River, Lake, Pond Cliffs, Overlooks Designated Open Space Fiat Hilly Mountainous Other NOTE: add attachments as needed Within '1/4 mile. * 1 mile 5. Are there visually similar projects within: "I/z mile J~] Yes J--J No '1 miles []Yes []No *2 miles []Yes []No '3 miles . [~]Yes []N~ * Distance from project site ar.'e pi-ovided for assistance. Substitute other distances as appropriate. EXPOSURE 6. The annual number 6f 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 Travd to and from work [] [] [] ~, Involved in recreational activities [] [~ [] [] Routine travel by residents [] [] [] [] At a residence [] [] [] [] At worksite [] [] [] [] Other [] [] [] [] · 2 -3