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HomeMy WebLinkAbout4109 Amendlolul. M. Bredem~yer, IlL Presiden~ Albcn I. Kmpski, Sr., Vice President Hcm~ P. Smith ~o]m B. Tu~hill. W'~Uiam .0..Alb¢mon Telephone (516) 76~-i892 BOARD OF TOWN TRUSTEF~ TOWN OF soLrrHO~ TO 7651. B'25 February 29, 1993 . P.02/83 SUP1ERVISOR SCOTT L. HARRIS 5~095 Main Road p.O..Box 1179 Southgld, Ncw~forkl1971 Costello Marine Contracting Corp. P.O. Box 2T24 Greenport, NY 11944 Anthony & Marine Vitale SCTM % 92-1-8 Dear.~. Long, The following action was taken by the Board of Trustees at their regular meeting of February 25., 1993: Resolved .that the Southold Town Board of Trustees approved the request £or an amendment to permit. % 4109 to state the following: Resheath 332." face of exisei_-gbu13~lea~ with pl~Woc~, replace 85,90 yards lost-fill, install 5 new 'pilings'-on easterly section-of 'bulkhea~ an~ 4 suppor~ batter pile~ on no=th section, extend bulkhead return 16', armor 150' section o~ existing bulkhead with. rock'revetment. The dock shall .not be amended. Locate~ Inlet Way, $outhold. if you hav~'~Y~emti°nS, pleaae call our office. President, Boar~ of Trustees Board Of $outhold" Town Trustees SOUTHOLD, NEW YORK PERMIT NO ..... ~.~.(~.3 DATE: ........ 5.12.6/.9.3 ..... Pursuant fo fh,e provisions of Chapter 615 of the Laws of the State of New York, 1893; and C,hapfer 404 of fha Laws of the State of New York 1952; and +he Soufhold Town Ordinance en- titled "REC=ULATINC= AND THE PLACIN$ OF OBSTRUCTIONS IN AND .ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, C=RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on ........ ~./.26/..9.3. 19...c).~..., and in consideration of the sum of $ ................... paid by of ...................................................................................... N. Y. and subiect fo the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Dredge to 6' MLW approx. 100 c.y. of sandy material at entra~ to Fair Haven Inlet to provide boating access to property A 10 year maintenance to dredge 50-75 c.y. eact~ year. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREO'F, The said Board of Trustees h~ere- by causes its Corporate Seal to be affixed, and these presents fo be subscribed by a maiorify of f~ ~said Board as of this dat,e. Trustees Telephone (516) 765-1801 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL TO: FROM: DATED: RE: Southold Town Board of Trustees Southold Town Conservation Advisory Council April 27, 1993 Recommendation of Wetland Applications Moved by Bruce Loucka, seconded by Stephen Angeil, it was RESOLVED to TABLE Wetland Application No. 92-1-8 of ANTHONY VlTALE to dredge approximately 100 c.y. of sandy material at entrance to Fair Haven Inlet to provide boating access to property owners. Ten (10) year maintenance to dredge 50-70 c.y. each year. The CAC is unable to make a recommendation without the following information: 1) Delineation of area to be dredged and bottom profile. 2) Depth sounding is needed. 3) Proposed slope of dredge project. 4) Site for spoil. Inlet Way, Southold. Vote of Council: Ayes: All Motion carried. Moved by John Hoizapfel, seconded by Bruce Loucka, it was RESOLVED to recommend to the Southold Town Trustees DISAPPROVAL of Wetland Application No~ 33-2-10 & 4 of ARTHUR ROBERT TORELL, JR. to build a single family dwelling. The CAC recommends disapproval because the project is too close to the wetlands; the septic system would have a dramatic influence on the pond water. 365 Westwood Lane, Greenport Vote of Council: Ayes: Ail Motion carried. Moved by Bruce Loucka, seconded by Patricia lsaksen, it was RESOLVED to recommend to the Southold Town Trustees DISAPPROVAL of Wetland Application No. 51-1-2 of KATIE NICKOLAUS to construct a wood bulkhead structure at toe of existing bluff slope. The CAC recommends disapproval because there are no other walls within the area. The Council feels the bluff TRUSTEES John M. Bredemeyer, III, President Henry P. Smith,' Vice President Albert J. Kmpski, Jr. John L. Bednoski, Jt John B. Tuthill ~765-i892 Fax 65-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTt L. HARRIS Town ttali 53095 Main Road P.O. Box 1179 Southold, Nexv York 11971 COASTAL EROSION MANAGEMENT PERMIT APPLICATION TOWN WETLANDS PERMIT APPLICATION TRUSTEE LANDS PERMIT APPLICATION o~fice Erosion Permit Application [andPermit Application ;tee~Lands Permit Application randfather --Completed Apps. Date: ~ f le Required, Use Only: __Public Hearing/date: Findings: Permit Vote: (Y/N): Special:Conditions: ' ~ {also see file) Application:Number; SC~4 Application Fee: COMp ¢o'q - I/qq consultant, lessee,etc.) ,~rGE K)T Project:Na~e (If any) Interest: {owner, Location: (Provideninco Poie location map) Phone Distance to cross Streets if not on TttIS IS NOT A PERMIT Yds. to be ~: IQO au, Yds. to be filled: Manner in which material will be removed or deposited: Width of canal, creek or bay frontihg property: ~' Depth at low tide: 9"~.5' Aver. rise in tide: Distance to nearest channel: Distance project extends beyond similar projects in area: Area zoning: RS~Ds~r~ Land area in acres: -~'~O~Tj>~- Is project fo'~ Private 6r busi.ness use: ~ Intended use of ~roperty: Describe known prio.r o/Jer~ti~ns c~n~ucte~ on premises: Has any prior lic~ense or permit been issued to erect structures, d.redge,~ or 'deposit fill on said premises: ~L3 Has any license or permit ever been revoked or suspended by a Governmental Agency: 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 attaclnnents if necessary). Authorization (Where the applicant is not the owner) I residing at (Print-owner of subject property) (Mailing~ddress-phone) do hereby authorize to apply for Coastal Erosion permit(s) from the Southold Town Trustees '--Signature THIS IS NOT A PERMIT County of Suffolk ) State of New York ) ~o~ b, ~~LL~ ~ ~ BEING DULY SWORN DEPOSES AND A~PIR~S THAT HE/SHE IS ~HE APPLICANT FOR THE ABOVE DESCRIBED PERMITIS) AND TH~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 O~ 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 COMPLETiNd THIS APPLICATION, I HEREBY AUTHORIZE TIlE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVE{S), TO ENTER ONTO MY PROPERTY TO, INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS DAY OF l~.7~C-~ ..... ,19 qJ No, 01 L04958343 Qualified in Suffolk County Cornmis~ion Expires November I~, Suggested space for location Map THIS IS NOT A PERMIT AUTHORIZATION FORM permits in order above. owner o_~~~, o -~ ~. .~us lness / proper~y name located at,, ~k ~T \~AI! , .~OU~0Cbt _~ ~ do herby give Costello Marine Contracting Corp. the authority to act as agent in my behalf in applying for all of the necessary for work to be done on my/pToperty described Signature ~/ 617.20 Appendix C Stale Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PtoJae! Infmmatlort [To be c~mpleted by Applicant or Project sponso~ C~ co..,, ,.5_LJ FFoL-Y~ 7 Amourll of land ~ Yet [] No If NO. de~cfibe b.efl¥ io 11 Does Jn~ Ihl~et Oi th~ lctm~ have i ce.,ally valid petrol! of al~r.o~all' ,/- I ci~RtlFY tHAt tHE INfORM^lION PROVIDED ABOVE IS IRUE TO tHE BE$! or ,~l~ KNOWLEDGE 'i 11 the ac|Ion Is in ih, Coastal Area, and you are a stale agency, complele the Cna{tel AsseSsment Form betore proceeding with this assessment OVER 1 dra,n~le or floodmj ~ol:~le.~liI ~ ~pl,lrn hr,oily C6. Secondary, tumuhltivO, of O!lhet ~f~ectl; not ~dent,hed m C1,C6~ E~laln bt,oily. CT A chanlle In u~e 0it either elu!tnlit~! Or i'*l~e ol enerl¥~ E~elain bueilv PART III Deletmittalitotl of ,ellgi~lfio~:nce (To be completed by Agency) INSTRUCTIO~t ~0' aacl~ adve.~s.~ effect identified above, determine whether tt is ~uh~tant~al. large, important or ~ieniflcanL ~ac~ e~&Ci ~I~DI~c~ b~ assessed tn cbnnect~on with its (al ~ettln~ fie. urban or rural); (bi probability of ecl duration; {dj itt&v~[Hb~ll(,V; ~e) :~eo~taphic scope; and (fl maRnitude. If necessary, add attachments or reference supportin~ materialL En~ut~, thai ~xDlan~tion~ contain suHicient detail to show that all relevant adverse impacts have been identified and adequately addtaHe~. ~ Check t~l~bo~t~OU~a.~,~t~Je~tllledoneor mo~ep~tent~ally la,geo, ~igmficant adverse m~pacts ~hich~AY occu~ Then proceed di~cijlv te ~h~ :~ULL EAF and;or prepare a poHtlve declaration. ~ Check thl~ bo, If ~bd havi~ det~mined, ba~ed dn the Information a~d analysis above and any supporting documentation. that the ~*bpdi~ tetlSl~ WiLL ~Ot tefult In any ~;nlfleant ~dver~e. environmental Impacts AND p~ovide here. and on 2 14-16-2 (2/87)--7c Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT Purpose: The full EAF is designed to help applicants and agencies determine, in ~ , p oject or action may be significant, lhe question of whether an action may be significant is not always easy to answer. Frequent~ I¥, there are aspects of a pro}ed that are subiective 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 [AF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, vet flexible to allow introduction of information to fit a proiect or action. Full E^F Components: -[he full EAF is comprised of three parts: Part 1: Provides obiective data and information about a gwen proiect and its site. By identifying basic proiect data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part :2: [ocuses on identifying the range of possible impacts that may occur from a proiect 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, lhe form a~so 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 1 and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part 1 [] Part 2 I-1Part 3 Upon review of.the information 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 project will not result in any large and important impact(s) and, therefore, is one which will not have a ~ignificant impact on the environment, therefore a negative declaration will be prepared. [] B. Although the project could have a significant e[fect 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.* [] 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 PART 1--PROJECT INFORMATION Prepared by Proiect Sponsor NOTICE: This document is designed to assist in determining wh~ther 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 subiect 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. NAME OF ACTION LOCATION OF ACTION (Include ~3treet Address, Municipality and County) NAME OF APPLICANT/SPONSOR IBUSINESS TELEPHONE t ADDRESS CITY/PO NAME OF OWNER Jif diffment) ADDRESS CITY/PO DESCRIPTION OF ACTION I STATE I ZIP CODE BUSINESS'tELEPHONE ' ( ) ?,,5'q- oG~o STATE I ZIP CODE -TO 6' 1,4kVJ ~PP~bXINAT£L~ ICaO 6~.~b~. oF ~A~D~ ~ATE¢IAL Please Complete Each Question-Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. I Present land use: E]Orban F-11ndustrial [-ICommercial l-lForest FIAgriculture ]~Other 2. Total acreage of project area: ~',~ ~ ~f~ ~ ~cres. I 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). J~Residential [suburban) ~Rural (non-farm) PRESENTLY AFTER COMPLETION acres , ~ acres acres acres acres acres acres ' y acres acres ' ~ acres acres ~ acres acres .z/ acres acres ~ acres 3. What is predominant soil type(s) on project site? ~A tO t3 ~ C~A\J ¢~ L a. Soil drainage: ~Vell drained I~tp % of site E~Moderately well drained % of site FqPoorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group I through 4 of the NYS Land Classification System? N[,~ acres. (See 1 NYCRR 370). I 4. Are there bedrock outcroppings on proiect site? r-lYes ~No a. What is depth to bedrock? Hl~ (in feet) 2 / / 5.. Approximate percentage of proposed project site with slopes: E]0-10% V/ % E310-15% % 1-115% or greater % 6. Is project substantially contiguous to, or co~Aain a building, site, or district, listed on the State or the National Registers of Historic Places? E]Yes 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? OYes E]No 8. What is the depth of the water table? rvJA (in feet) 9. Is site located over a primary, principal, or sole source aquifer? r-lYes I~o 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? I~es E]No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? E]Yes I~o According to Identify each species 12. Are there any uniq_~ or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) E]Yes L,_,dNo Describe 13. Is the project site_~presently used by the community or neighborhood as an open space or recreation area? E3Yes F~No If yes, explain 14. Does the present sit/e include scenic views known to be important to the community? E3Yes [~rNo 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which/it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: 17. a. Name ~'E¢okJlet. ,gA tI Is the site served by existing public utilities? [~es~ I-1No a) If Yes, does sufficient capacity exist to allow connection? b) If Yes, will improvements be necessary to allow connection? b. Size (In acres) I-lYes F-INo I-lYes i-lNo 18. Is the site located in an agricultura_j,district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? E3Yes L~No 19. Is the site located in or substantially c/ontiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 6177 I-VfYes I-INa 20. Has the site ever been used for the disposal of solid or hazardous wastes? i-lYes ~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: ly/A acres initially; NI,A c. Project acreage to remain undeveloped /,j],q acres. d Length of project, in miles: /JI,4 (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed /~,,4 %; f. Number of off-street parking spaces existing /4)~ ; proposed 8. Maximum vehicular trips generated per hour /4)A (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Initially /JlA Ultimately k/ i. Dimensions (in'feet) of largest proposed structure height; width; j. Linear feet of frontage along a public thoroughfare project will occupy is? acres. acres ultimately. Condominium ,A/i/.~ length, ft. 2. How much natural material (i.e., rock, earth, etc.) will be removed from the site? 3. Will disturbed areas be reclaimed? I-lYes DNo I~/A a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? E3Yes i-lNo c. Will upper subsoil be stockpiled for reclamation? I-lYes E]No tons/cubiq yards 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? O ..... acres. 5. Will any mature_~rest (over 100 years old) or other locally-important vegetation be removed by this project? l-lYes 6. if single phase project: Anticipated period of construction months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated J (number). b. Anticipated date of commencement phase 1 ~/~ month c. Approximate completion date of final phase '~A month I' year, (including demolition). year. C) ; after project is complete d. Is phase 1 functionally dependent on subsequent phases? i-lYes 8. Will blasting occur during construction? DYes ~ 9. Number of jobs generated: during construction ~ 10. Number of jobs eliminated by this project O .. 11. Will project require relocation of any projects or facilities? I-lYes [~o If yes, explain 12. 13. 14. Is surface liquid waste disposal involved? I-lYes [~No a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged Is subsurface liquid waste disposal involved? I-lYes I-qNo Type /0/,4 Will surface area of an existing water body increase or decrease by proposal? Explain Is project or any portion of project located in a 100 year flood plain? E]~es Will the project generate solid waste? I-lYes I~o a. If yes, what is the amount per month ~//~4 tons b. If yes, will an existing solid waste facility be used? F-lYes I-INo c. If yes, give name /~/,~ ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? e. If Yes, explain 22. 23. 24. Does project involve Local, State or Federal funding? If Yes, explain / tons/month. l-lYes I~o DNo 17. Will the project involve the disposal of solid waste? E3Yes a. If yes, what is the anticipated rate of disposal? . .- b. If yes, what is the anticipated site life? I,i/,A years. 18. Will project use herbicides or pesticides? []Yes I~o 19. Will project routinely produce odors (more than one hour per day)? I-lYes [~o 20. Will project produce operaUng noise exceeding the local ambient noise levels? /j-lYes 21. Will project result in an increase in energy use? r-lYes [~o If yes , indicate type(s) /)(//~ If water supply is from wells, indicate pumping capacity /Y//,4 gallons/minute. Total anticipated water usage per day A///A. . gallons/day. I-lYes [~o DYes I-INo 25. Approvals Required: City, Town, Village Board EJYes ~No City, Town, Village Planning Board E3Yes ~No City. Town Zoning Board I~Yes ~No City, County Hea!th Department [~Yes [~No Other Local AgencIes [~Yes E~No Other Regiona! Agencies []Yes [-INo State Agencies [~es EJNo Federal Agencies EJYes E3No C. Zoning and Planning Information Submittal Type Date _TO tOLq__._o_,E $~ut~i~L~ TItU&r~E s I Does proposed action involve a planning or zoning decision? I-lYes ~No If Yes, indicate decision required: ~zoning amendment [zoning variance l-lspecial use permit l~subdivision E]site plan E3new/revision of master plan EJresource management plan [other 2. What is the zoning classification(s)of the site? t~ I~ I ~Ek}T! A~ L._ 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? /v/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 land use plans? []~es I-tNo 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 adjoining/surrounding land uses within a ¼ mile? E~es [No 9. If the proposed action is the subdivision of land, how many lots are proposed? ///4 a. What is the minimum lot size proposed? .. /~//,~ 10, Will proposed action require any authorization(s) for the formation of sewer or water districts? ~Yes [~o 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? E3Yes I~o a. If yes. is existing capacity sufficient to handle projected demand? l-lYes I~No 12 Will the proposed action result in the generation of traffic significantly above present levels.~ EJYes [~o a. If yes, is the existing road network adequate to handle the additional traffic? EJYes [No 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, 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. Applicant/Spovsor Name Cb~m -E-L. LO M./q-~l I~ E- C. Ok3Tt~/FC~Tltx)~, C_oRp. Date '~] ~D, !q3 If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 Part 2--PROJECT IMPACTS AND THEIR MAGNITUDE Responsibilily of Lead Agency General Information (Read Carefully) · in com~leting 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 Icolumn 2) does not mean that it is also necessarily sig~fi£ant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in :'oitm~n 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 m column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds rna¥ be appropriate for a Potential Large Impact resl~onse 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. Ins~ruclions (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 I 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. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3 e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the proiect 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. I 2 3 Small to Potential Can impact Be Moderate Large Mitigated By impact impact Project Change [] [] []Yes l-]No [] [] []Yes [~] No [] [] E-lYes []No [] [] E~Yes []No [] [] []Yes E3No [] [] []Yes []No [] ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No IMPACT ON LAND 1. Will the proposed action result in a physical change to the proiect site? ~INO i-lYES 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 exceed 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 bedrock is exposed or generally within 3 feet of existing ground surface. ,, Construction that will continue for more than I 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 to any unique or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)~NO ~YES · Specific land forms: 6 IMPACT ON WATER 3 Will proposed action affect any water body designated as protected? (Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) []NO 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 protected 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-tNO E3YES 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? /NO E3YES Examples that would apply to column 2 · Proposed Action wil[ 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 supply system. · Proposed Action will adversely affect groundwater. · Liquid effluent will be conveyed 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 likely 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 andlor 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 patterns, or surface water runoff? ENO E3YES 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 [] [] i--lYes []No [] [] ~-IYes []No [] [] []Yes []No [] [] []Yes []No [] [] [--]Yes []No [] [] []Yes E~No [] [] [] Yes [] No [] ~ ~Y~s ~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 existing drainage patterns. · Proposed Action will allow development in a designated floodway. · Other impacts: IMPACT ON AIR 7. Will proposed action affect air quality? ENO I-lYES Examples that would a~ply 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 I ton of refuse per hour. · Emission rate of total contaminants will exceed 5 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 ~mpacts: IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? ENO 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 habi'tat. · 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? E3NO []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. IMPACT ON AGRICULTURAL LAND RESOURCES 10 Will the Proposed Action affect agricultural land resources? ENO E3YES Examples that wo'uld apply to column 2 · The proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes i-qNo [] [] -[Yes [-]No [] [] []Yes [--INo [] [] i-]Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] i-lYes []No [] [] []Yes []No [] [] []Yes []No [] [] I-lYes []No [] [] [-]Yes []No [] [] l-lYes []No [] [] F-lYes []No '[] [] I--lYes E~]No [] [] []Yes []No [] [] []Yes E~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 than 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 RESOURCES 11 Will proposed action affect aesthetic resources? E~NO i-lYES (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 in 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 enjoyment 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 impacts: IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? E3NO I-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 will 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 E~NO r-lYES · The permanent foreclosure of a future recreational opportunity. · A maior reduction of an open space important to the community. · Other impacts: I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []]Yes I-1No [] [] []Yes []No [] [] []Yes []No [] [] i-lYes []No [] [] []~Yes []No [] [] OYes []No [] [] r-]Yes []No [] [] ' E3Yes []No [] [] []Yes []No [] [] i--lYes []No [] [] []Yes []No [] [] I-lYes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes E]No IMPACT ON TRANSPORTATION 14. Will there be an effect to existing transportation systems? E3NO [2]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? I-INO CIYES 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? I-1NO I-lYES 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? E2]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. e 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 I 2 3' Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] [--[Yes []No [] [] []Yes I-lNo [] [] []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 0 0 ~ i-- II '[~ I~AMf r)r APPLICANT (IJ~e tull N. am,I gJMtmh ipalil¥/(;ov~mmenlal Alle,cy (Chin k .~ ma,y as apply) Ill f I'II(')HF (Wlmr,~ can ~e -' 'J-~F~,E I I~ P-o · box a!__A__~_ ............. I'O~; I ¢)I FICF ' ~/RFFT ADDRESS (If dlffe~enl ~om ~ppl rantl t~,:~; ~{ ~I~ ~lu~ to ~ ~t~lJ~' ho - ~ -I J .... :._ _~ ..... , R fill (f~l I ICA lION: J~t.*e~l~d h~pln and ~ltee~ In Indemnify a~ d 12/05/1997 89:56 d -DEC PERHIT NUMAR 1 FAC(LITY/PR0~t~M4 NL94BER(S) FROM ¢ostello Marine TO 7651825 rIEl/ TORJ( STATE OEPARTHE#T OF ENVIRONHE#TAL CONSERYATION UncL~r the EnvlrQnBm~L I 4me $0, 19~ Art$cLe 15, Ti&L'e 5-- Pretectio~ · 6NYCRR 60B: ~ater QuaLity ,SuppLy O ArticLe 19: Air PoLLution ArticLe 1~, TitLe 15~ I~ater C~ntroL' * Tr~rt Q Xrticte~, TitLe 27: Xi~ ~ Ist~Wetts O ArticLe ~:. Fr~hwmter ~ett~ .Arttcie 15, TItLe ZT: UtLd, $c~fc ~R~r~t~t Rivers I ArtfcLe~: T~L Yeti~- Other; PE~IT I'S~ TO N~RESS OF PERN1TTEE I Hc~gtGnc~ La., OLd BroQkvitte, #Y 11545 CONTACT PE~SOll FOR PEI~Zl~EO ~ C~tetto Nar;n~ Contractlr~3: P.O. Box 212&, Greer~rt', NY. 119~ NN4E NID. AODKE$$ OF ~KOJECT/FACIL] TV VTTaLe Proper~y - InLet Way, Sc~thoLd LOC4TION OF PROJECI'/FACZLZTY $CTii #' 1000-~-1-~ D Artictes 1, ], 1~, 1~, 27, ~7; 6NYCNI $60: Racl~ati~ Control TELEPHONE NUIqBE~ C516) 765-5Z&0 i' TELEPHONE NUHBE~ ,,~516) &rr-1199 COUNTY I~CNN I gATERCOURSE. I' NTTK COONDINATE$ SuffoLk Southotd Peconic g~y. - c°nstruct 16 Linear feet of lulkhead return. InstaLL ~ batter piles ar~ 5 vertical pit~. ~or 150 feet of butkhesd tith 1-2 ton stye, RepLace 90 ~ub~c yards of backfiLL behind the bulkhead t41ere l;~tl;er piles riLL be iratmtterJ, The pr.eject shaLL be tn accoedah=e ui~ plans Last revised O&/l?/g& by CaateLtm Nar~ne centre~tlng Cetaqaed NY~EC qaprmeed .:4 - By acceptan=e of this pemit, the pemittee agrees'that the peml: is ~c1~ ~ e~tct ~tim u~th the ECL, eLL a~tlc~te regutat[~, ~e g~rat C~tS~ s~fff~ (~~ ~'~tat ~ttf~ imt~ ~ ~rt of thts'~m~t. I' Page 1 of 4. TOTRL P.SJ/8;~ t1944-09~ 15o BATT "PILl/Vt Costello Marine Contrecting Corp. P.O. 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