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