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HomeMy WebLinkAboutTR-4070Board Of' SOUTHOLD, NEW YORK Trustees PERMff NO. (lOl~ 0 P~rsu~t to the provisions of ~hapter 6~5 the Laws of the State of New York: 1893~ and Ch~ter 404 of the State of New York [9~2; a~d the Southo[d Town Ordbance ~'~r~rIed~ "R~.GULA~ : ~N~ ...... AND ]~"~ PLACING OF OBSTRUCTIONS ff~ AND ON TOWN WATERS AND PUBLIC LANDS A~MOVAL OF SAND,~'~ ~V~~m~ , ~.~ OR OTHER MATERIALS FROM LANDS UNDER ~OWN ~ ~ ~" ~ WAT:A~; ~d b ~ccorda~ce wffh the Resobfio~ ef The Board~op~ed~ ef ~ meefbg held on ...~-~.~...~.~. [9..92 ...... ~nd ~n ~oasideraf~on o'f the sum of $ B0~00. pMd by of ........................................................ N, V. and sub[eof fo the Terms ~nd Condffbns listed on the reverse ~ide ~o i~.crease keight of bulk ..... d ~o equal neighbors existir~g bu]khead, raise b, ouse and garage to higher elevatl, on, e~istJ, ne driv'ewav, build timber retaini~e 'wall with ~lantines~ arid low pro~te" berm. om east-' side as per revised pla~z da%e~d~,~ ~][ ~n accor~ar~¢:e w~th ,~e debarked spec~ficat:on~ as ~re~';-ed ~n iN WITNESS W~ '~' .... c by causes its Corporate Sea[ to 'be aff[×ed: ~nd these presenf~ to ~u~scr~ed by ~ ma[orffy of s~[d Board ~s of th[~ det,e. 'Il Il r!ll: i'l~ffr [I John M. Bredcmeyer, HL t~esid~nt Albe~ J. Ka'upskf, Jr., Vice Pr~fdem Henry R Sm/th John B. Tuthitl William G. Atbert~on Telephone (,516) 7~5-2892 ~x (~x~ 765-!823 BOAR/) OF "~ '~ .I ©Wi { TRUSTEES TOWN OF SOUTHOLD SU?ERViSOR SCOTT h HARRIS Town Hal1 53(~5 Main Road Re. Box 1i.79 Soutkold, New York 11971 August 12, 1992 Samuels & Steelman Arch. 25325 ~*~ Ha~ Road Ckttchogue~ NY 11.935 Re: David Weiid SCTff{ Eea~ Hr. Tagaz~: The following action was taken by the Board of Town Trustees during its regular meeting held on July 30, i992 regarding the above matter: WHEREAS, Samuels & Steeman on behalf of David Weild applied te the Southoid Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of S©uthold~ ~pplication dated Hay i, 1992 and, WH~RBAS said application was referred to the Southold Town Conservation Advisory Council for their findings and recon~endatiens, and, WHEREAS~ a public hearing was held by the Town Trustees with respect to said application on June 27~ 1992 at which time all interested. persons were given an opportunity to be heard~ and~ k~EREAS, the Board me~ers ha~e personally viewed and are familiar with the premises in ~estion and the surremeding area, and, W~EREAS, the Board has considered all the testimony and. documentation submitted concerning this applicatien~ and~ e~EREAS, the Board has determined that the project as pro~sed will not affect the h.~a..tn, safety and general welfare of the people of the town, NOW~ THE'RF~'OI{E BE iT RESOLVED that the Board of Trustees approves the application of S~ue!s & Stee~an on behalf of David Weild to increase height of bulkhead to equal neighbors existing bulkhead~ raise house, to higher eievatien~ build new ti~er retaining wal!~ raise garage to higher elevation~ renovate existing drivewayo A be~wiil be maintained ~%d wetland plants will be planted. This permit will expire two years from the date it is signed-. Fees must be paid~ ~p!ic~i%a and pe~Neit issued within six months of the date of this notificatien~ 2%~o inspections are re~ired and the Trustees are to be notified upon celnpletion of said preject~ Permit will be issued upon Pal~ment of the following fe6s for work to be done below Mean High Water Mark: No fees Very tr%~ly yours~ ~ John M. Bred~neyer~ iii President~ Board of Tr~stee Telephone (516) 765-1801 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 'f,O: FROM: DATED: RE: Southold Town Board of Trustees Southold Town Conservation Advisory Council May 27, 1992 Recommendation of Wetland Applications The following recommendations were made by the CAC at its meeting held Tuesday, May 26, 1992: On a motion by John Holzapfel, seconded by Robert Keith, it was RESOLVED to recommend to the Southold Town Board of Trustees approval with stipulations of Wetland Application of Gerard C. Keegan 70-10-63.1 to construct fixed dock, ramp and float. The CAC recommends approval provided the applicant maintains a 25' native vegetation buffer. 100 Beachwood Lane, Southold. Vote of Council: Ayes: All Motion carried. On a motion by Bruce Loucka, seconded by John Holzapfel, it was RESOLVED to recommend to the Southoid Town Trustees approval with stipulations of Wetland Application of John Fiore 91-1-5 to construct a ramp aod floating dock. The Council recommends approval with the stipulation that the ramp cannot extend further than a third of. the way across Canoe Inlet. 5050 Sunset Way, Southold Vote of Council: Ayes: All Motion carried. On a motion by Bruce Loucka, seconded by John McCormick, it was RESOLVED to recommend to the Southold Town Trustees disapproval of Wetland Application of John Fiore 91-1~5 to install a swimming pool. The Council recommends disapproval as submitted. The Council would approve a swimming pool if the pool is relocated outside the 75' buffer (move east). 5050 Sunset Way, Southold Vote of Council: Ayes: Ail Motion carried. On a motion by John Holzapfel, seconded by John McCormick, it was RESOLVED to recommend to the Southold Town Trustees partial approval of Wetland ApplicatiOn of David Weild Ill 116-6-5 to increase height of existing bulkhead, raise house, build retaining wail, raise garage and~' renovate driveway. The CAC recommends disapproval of the bulkhead and retaining wall. The Council recommends approval of the raising of Page 2 and grading. The Council stipulates that if a retaining wall is necessary it be placed within proximity of the house ' (within 15' - 20' of house). 10450 New Suffolk Avenue, Cutchogue. Vote of Council: Ayes: all Motion carried. On a motion by Bruce Loucka, seconded by Robert Keith, it was RESOLVED to recommend to the Southold Town Trustees approval of Wetland Application of Robert P. Long 83-1-5 to install a timber bulkhead. 445 Glen Court, Cutchogue Vote of Council: Ayes: Bruce Loucka, Robert Keith, John McCormick and Betty Wells Abstain: John Holzapfel Motion carried. On a motion by John Hoizapfel, seconded by Bruce Loucka, it was RESOVLED to recommend to the Southold Town Trustees disapproval of Wetland Application of Lawrence Huke 114-1-12 to construct a single family home with deck, sanitary system, and driveway; truck in fill to raise grade. The Council recommends disapproval because the project is environmentally dangerous. It is too close to the marshland. Silkworth Road and Westphalia Avenue, Mattituck Vote of Council: Ayes: All Motion carried. The Wetland Application of Roger Vorce 72-1-1.5 was not discussed due to the fact that the project was already completed. Wetland Applications of Andrew and Mary McKay 78-1-10.12 and of William Mallins 99-4-3 were TABLED. TRUSTEES John M. Bredcmeycr, III, President Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD HARRIS Supervisor 53095 Main Road P.O. Box 1179 New York 11971 (516) 765-1823 Telephone (516) 765-1800 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK, FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF SOUTHOLD TOWN, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODE OF THE TOWN OF SOUTHOLD. APPLICATION NO. I1 ~- G-~C- DATE APPLICANT'S NXUE: AGENT ADDRESS: PERMIT REQUESTED TO: [k3dj~-.~ b~-~ LOCATION OF PROPERTY FOR REQUESTED TOWN T~ MAy No: n. O00- i IG - (o - ~ CREEK, BAY OR HARBOR FRONTING PROPERTY: SIZE GF PROPOSED WORK: WIr>Ta: { App. Page 2. YDS. TO BE EXCAVATED: O YDS. TO BE FILLED: MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: WIDTH OF C~AL, CREEK OR BAY FRONTING PROPERS: ,5~ DEPTH AT LOW TIDE: . . DIST~CE TO NEWEST CH~NEL: ~ DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: AREA ZONING: ~'" 40 IS PROJECT FOR PRIVATE OR BUS. USE: INTENDED USE OF PROPERTY: DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: '----- HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: ~(D HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVEmqMENTAL AGENCY: N~ DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: ARE THERE ANy COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: COUNTY OF SUFFOLK STATE OF NEW YORK ~-~/~ ~' ~/~/~"-'~' BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT, IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT OR REPRESENTATIVE, TO ENTER'ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature of Applicant SWORN TO BEFORE ME THIS NOTARY PUBLIC EXAMINED BY APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 '". '~; ' 14°t6;4 f2/87)--Text 12 , ' '~, ' 617.21 ~, ' Appendixc, APR i992 ---- State Environmental Quality SHORT ENVIRONMENTAL AS.~ For UNLISTED ACTIONS PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR ~T NAME 3. PROJECT LOOAT,ON: 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 5. IS PROPOSED ACTION: [] New [] Expansion ~ Modification/alteration 6. DESCRIBE PROJECT BRIEFLY- ~'"~'~.--~ . . 7. AMOUNT OF LAND AFFECTED; acres WILL PROPOSED ACTION COMPLy WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTR CTIONS? '~Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~ Residential [] !ndustrial [] Commercial -~Agriculture [] Park/Forest/C Describe: ,~,)(, ~.~(~/t/w,~,,~ :en space [] Other ~0. DOES ACTION INVOLVE A PERMIT APPROVAL O~ FUNDING, NOW O~ ULTIMATELY ~OM ANY OTH~ GOVERNMENTAL AGENCY (FEDERAL, 11. STATE OR LOCAL)? /~Yes [] No If ye~, list agency(s) and permit/approvals DOES ANy ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes ,~t'lo If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMiT/APPROVAL REQUIRE MODIFICATION? [] Yes 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 state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART Ii--ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE ! '""tESHOLD IN 6 NYCRR, PART 617.127 If yes, coo, ~te the review process and use the [] Yes [] No '' Bo WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCR'R, PART 617.67 IfCNo, a negative declaration may be superseded by another involved agency. [] Yes [] ~o C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: ~ C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly. · ~..;'-- ..~ _'~-.: ........... C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly. C7. Other impacts (inclUding changes in use of either quantify or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If Yes, explain briefly PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e} geographic scope; and (f) magnitude. If necessary, add attachments or.reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. . [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts ANB provide on attachments as necessary, the reasons supporting this determination: Pr,hr or [ype Name bi Ke~pons~bJe I.)ff~cer in Lead Asency .. Signature ol R. espon~lble Ofhcer m Lead Agency . -: ':.~'~::.- . [itJe ol Kespons~bte OHicer $~l{nature of Preparer tit different from respons,ble officer) 14.16-2 (2/87)-- 7c 617.21 ~ SEQR ' Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purposei The full EAF is designed to help :'applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question Of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are .~'ubjective or unmeasureable. It is also understood that those who determine significance may have little or no formal k'howledge of the environment or may be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a m?thod whereby applicants and agencies can be assured that the determination process has been orderly, comPrehensive in n!ature, yet flexible to allow intrOduction of information to fit a project or action. Full EAI: Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reViewer in,he analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an imPact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact'can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or nOt the impact is actually importanU DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part 1 [] Part 2 [:3Part 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 ma~itude and importance of each~ impact, it is reasonably determined by the lead agency that: [] A. The project will not result inany large and important impact(s) and, therefore, is one which will not have a Significant impact on :[he environment, therefore a negative declaration wi,U be prepared. : [] B. Although 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.* [] 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 i,n 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 Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAr will be dependent on information currently available and will no~ involve new studies, research or investigation. If information requirin8 such additional work Is unavailable, so indicate and specify each instance. ~ NAME OF ACTION LOCATION OF ACTION (Include Street Address, Munlc] pallty and County) NAME OF APPLICANT/SPONSOR ADDRESS CITY/PO NAME OF OWNER (l['dlffe~ent) ADDRESS BUSINESS TELEPHONE T TE I Z~P CODE BUSINESS TELEPHONE (z/z 7?0 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-10rban Fllndustrial I-IForest i-lAgriculture 2. Total acreage of project area: ~ ~ acres. APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Forested Agricultural (includes orchards, cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) Water Surface Area Unvegetated (Rock, earth or fill) ; Roads, buildings and other paved surfaces Other (indicate type). 3. What is predominant soi_~,ype(s) on project site? a. Soil drainage: [iE]'WeU drained /O e:~ % of site i-ICommercial F1Other . .~Residential (suburban) PRESENTLY ~ -~ acres (~ acres O acres /, O ~ acres ~ acres 0 acres ~:~ ~' 05 acres acres I-1Moderately well drained ,~ u ral (non-farm) AFTER COMPLETION O .-- acres ~ acres ~ acres g/~ 0 ~;~ acres ~ acres ~ acres ~ # 0 ~' acres acres % o,f' site r-lPoorly 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? /~L~',~ acres. (See I NYCRR 370). 4. Are there bedrock outcroppings on proj~,ite? EYes ,~No a. What is depth to bedrock? (in feet) = 5. Approximate percentage of proposed project site with slopes: I~-10% /0(:~: % I-i10-15% "' % i-115% or greater -- % 6. Is project substantialiy contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? i-lYes /~No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? l-lYes ~'No 8. What is the depth of the water table? ,~ (in feet] 9. Is ~site located over a primary, principal, or sole source aquifer? F-lYes 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? []Yes 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? []Yes ~.N o 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) E]Yes ./~1o Describe 13. Is the project site presently used by the community or. neighborhood as an open space or recreation area? l-lYes ,j~qo If yes, explain 14. Does the present site include scenic views known to be important to the community? ['lYes ~'~o 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: a. Name ~) ~)~J/¢'~ ! ~'~/~,~'~',/~----~- b.. Size (In acres) / Is the site served by existing public utilities? ,~Yes I-tNo a) If Yes, does' sufficient capacity exist to allow connection? '~LYes E]No b) If Yes, will improvements be necessary to allow connection? I--lYes ~qo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? I-lYes ,~f~o ~ 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 6177 i-lYes ~, ~,No ~ 20. Has the site ever been used for the disposal of solid or hazardous wastes? i-lYes /J~o acres. acres ultimately. B. Project Description 1. Physical dimensions and scale of project (fil,I in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project Sponsor ~ ~ ~ b:" Project acreage to be developed: ~) · ~¢~ acres initially; (:~ ~ c. Project acreage to remain undeveloped /'~ ~) ~ acres. d. Length of project, in miles: /g),~' (If appropriate) e. If the project is an expansion, indicate ipercent of expansion proposed f. Number of off-street parking spaces existing ~2) ; proposed g. Maximum vehicular trips generated per hour ~) · ~ h. If residential: NUmber and type of housing units: One Family Two Family Initially / Ultimately / ; i. Dimensions (in feet) of largest proposed structure '~--~-~ j. Linear feet of frontage along a public thoroughfare project will occupy is? (upon completion of project)? Multiple Family Condominium height; ~ width; ~ length. ;~,O O ft. 2. How 3. Will disturbed areas be reclaimed? bYes i~lNo F-]N/A a. If yes, for what intended purpose ~s the site being reclaimed? b. Will topsoil be stockpiled for reclamation? ~Y, es I-INo ~ c. Will upper subsoil be stockpiled for reclamation? ~'es much natural material (i.e., rock. earth, etc.) will be removed from the site? /--------) tons/cubic yards 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? ~ acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? I-lYes If single phase project: Anticipated period of construction If multi-Phased: a. Total number of phases anticipated / (number). b. Anticipated date of commencemefft phase 1 c. Approximate completion date of final phase C-/~-~"ff'~/-~ d. Is phase I functionally dependent on subsequent phases? Will blasting occur during construction? I-lYes Number of jobs generated: during construction ~:~ Number of jobs eliminated by this project <~ Will project require relocation of any projects or facilities? 9. months, (including demolition). month '/"-~'~ year, (including demolition). month / ~;;~ ~"-~ year. r__3 Yes ; after project is complete F-IYes ,~o If yes, explain 12. 'ls surface liquid waste disposal involv~ed? 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? '[~es IZ]No Typ~ ~/~~;/' 14. Will surface area of an existing water body increase or decrease by proposal? I-lYes Explain 15. Is project or any portion of project located in a 100 year flood plain? /]~LYes 16. Will the project generate solid waste? ,,~yes r-lNo ; a. If yes, what is the amount per month°~Ol~,~ tons b. If yes, will an existing solid waste facility be used? 'J~Yes c. If yes, give name ~/~t~)d/--) ~,..),4.) Z>~J~/~ ; d. 18. 19. 20. 21. E]No r-lNo location '¢"~/~:~ Will any wastes not go into a .sewage disposal system or into a sanitary landfill? ~Yes If Yes, explain Will the project involve the disposal of solid waste? r-lYes a. If yes, what is the anticipated rate of disposal? b. If yes, what is the anticipated site life? ye,ars. Will project use herbicides or pesticides? i-lYes ,~o tons/month. Will project routinely produce odors (more than one hour per day)? I-lYes Will project produce operating noise exceeding the local ambient noise levels? Will project result in an increase in energy use? i-lYes ~Jo If yes , indicate typeCs) .~No E3Yes ~o 22. If water supply is from wells, indicate pumping capacity 23. Total anticipated water usage per day ~ ~t//,~ gallons/day. 24. Does project involve Local, State or Federal funding? r-lYes If Yes, explain gallons/minute. ~Jo 25. Approvals Required: Submittal Type Date City, Tow.n, Village Board L--lYes 'lgNo City, Town, Village Planning Board E3Yes [~No City, Town Zoning Board C-]Yes ~No City, County Hea!th Department r-lYes ~No Other Local Agencies /l~¥es F'INo Other Regional Agencies I-lYes State' Agencies ~'es f-'lNo Federal Agencies /~.Yes t-INo C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? i-lYes ~[No If Yes, indicate decision required: I-lzoning amendment rqzoning variance i-lspecial use permit r-lsubdivision i-]site plan I-Inew/revision of master plan i-]resource management plan I-lother 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?, r~,~/~ 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 F-INo 7. What are the predominant land use(s) and zoning classifications within ,a ~,~ mile radius of pi;opose~l action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a ¼ mille? ;,~Yes r-INo 9. If the proposed action is the sub'division of land, how many lots are I~roposed? a. What is the minimum lot size proposed? 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? 1-1Yes ~.No 11. Will the proposed action create a 'demand for any community provided services (recreation, .education, police, fi~e protection)? i-lYes ~.~No a. If yes, is existing capacity sufficient to handle projected demand? I-lYes I-1No 12. Will the proposed action result in the generation of traffic significantly above present Levels? I-lyes a. If yes, is the existing road network adequate to handle the additional traffic? 1-lYes. I-iNo D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may.be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate'or avoid the~. E. Verification ' Applicant/Spon~c~r.,Name ?"c~¢'_//~ ~.~,/z~/~_--~ Date' If the action is in the Coastal Area, and you are ~ state asenc¥, complete the Coastal Assessment F°rm.b~te preceeding with this assessment. , 5 Part 2--PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information (Read Carefully) · In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental anal.yst. · Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. · Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column '2 simply asks that it,be looked at further. · The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examPles are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact resppnse, 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. · · Instructions CRead carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than example, check column 1. 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 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? E]NO EYES Examples that would ap.ply to column 2 · Any construction on slopes of 15% or greater, (15 foot rise per 100 foot of length), or where the §eneral slopes in the project area exceed 10%. · Construction on land where the de'pth to the water table is less than 3 feet. · Construction of paved parking area for 1,000 or more vehicles. · Construction on land wh~re bedrock is bxposed 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.)r-INO r-lYES · Specific land forms: I 2 3 Small to Potential Can Impa~t Be Moderate Large Mitigated By Impact Impact Project Change [] [] I-lYes I-INo [] [] F-lYes E]No [] [] i--lYes J-]No [] [] I-lYes J--J No · [] [] i--lYes I-'l No [] [] I-qYes I--1No [] [] J-]Yes E]No [] [] I-lYes E]No [] [] I-lYes F-INo [] [] F-lYes I-1No 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) F'INO E3YES Examples that would apply to column 2 · Developable area of site contains a protected water body. · Dredgin§ more than 100 cubic yards of material from channel of a protected stream. · Extension of utility distribution facilities thrgugh 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? [-]NO 'i-lYES Examples that would apply to column 2 · A 10% increase or decrease in the surface area of any body of water or more than a 10 acre increase or decrease. · Construction of a body of water that exceeds 10 acres of surface area. · Other impacts: 5. Will Proposed Action affect surface or groundwater quality or quantity? f-INO I-lYES Examples that would apply to column 2 · Proposed Action will require a discharge Permit. · Pioposed Action requires use of a source of water that does not h'ave 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 §reater than 1,100 gallons.. · PropOsed Action will allow residential uses in areas without water aH'd/or sewer services. · P~oposed Action locates commercial and/o? 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? F-INO t-lYES Examples that would apply to column 2 · Proposed Action would change flood water flows. 7 I 2 3 Small to Potential Can Impact Be Moderate Larg~ Mitigated By Impact Impact Project Change [] [] E~Yes l--] No [] [] r-lYes r-INo [] [] []Yes []No [] [] r-lYes []No [] [] []Yes []No [] [] []Yes (No [] [] []Yes I--INo [] [] []¥.es []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes r-INo [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes F-INo [] [] E3Ye$ [] [] []Yes F'l~o [] [] []Yes [No_j · Proposed Action may cause substantial erosion. · Proposed Ac,tion is incompatible with existing drainage patterns. · Prc;posed Action will allow development in a designated floodway. · Other impacts: IMPACT oN AIR 7. Will proposed action affect air quality? Examples that would apply to column 2 · I-'INO E3YES Proposed Action will induce 1,000 or more vehicle trips in any given hour. · Proposed Action will result in the incineration of more than 1 ton of refuse per hour. · Emission rate of total Contaminants will exceed 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 t~e density of industrial development within existing industrial areas. · Other impacts: IMPACT ON~LANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? FqNO I-lYES Examples that would apply to column 2 · Reduction of one or more species listed on the New York or Federal list, using the site, over or near site or found on the site. · Removal of any portion of a critical or significant wildlife habitat. · Application' of pesticide or herbicide more than twice a year, other than for agricultural purpose, s. · Other impacts: . 9. Will Proposed Action substantially affect non-threatened or no.n-endangered species? I-INO I-lYES Examples that would apply to column 2 · Proposed Action would substantially interfere with any resident or migratory fish, shellfish or wildlife species. · Proposed Action requires the removal of more than 10 acres of mature forest (over 100 years of age) o~ other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will the Proposed Action affect agricultural land resources? , [E]NO E]YES 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.) I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes I--INo [] [] I~Yes f=lNo [] [] []Yes []No [] [] []Yes []No [] [] i--lYes []No [] [] []Yes []No [] [] []Yes []No [] [] i-lYes []N'o [] [] i-]Yes []No [] [] I-lYes []No : [] [] F-lYes []No [] [] I--lYes []No [] [] [] Yes [] N° [] [] []Yes []No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~d · 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 ~uch 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? f-iNO E3YES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 · Proposed land uses, or project components obviously different from or 'in sharp contrast to current surrounding land use patterns, whether man-made or natural · Proposed land uses, or project compor~ents 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? E]NO ,r-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 ihistoric places. · Any impact to an archaeological site or fo;sil 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 I-INO E3YES · The permanent foreclosure of a future recreational opportunity. · A major reduction of an open space important to the community. · Other impacts: 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated 8y Impact Impact Project Change [] [] l-lYes [-'1,~o [] [] i-'lYes J~]No [] [] i--lYes J--lNo ; [] [] r-JYes [-JNo [] [] ri'Yes r-lNo [] [] J-lYes J-JNo [] [] [~]Yes J-lNo [] [] J'-JYes l-qNo [] [] I-lYes r-JNo [] [] J--J Yes J-lNo [] [] J--JYes F-INo [] [] r-lyes I-'l No [] [] l-lYes F-JNo !. [] [] r-lYes I-]No [] I-1 I-lYes IZINo IMPACT ON TRANSPORTATION 14. Will there be an effect to existing transportation systems? · ;-q N 0 []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 impa(~ts: IMPACT ON ENERGY 15. Will proposed action affect the comm~mtys sources of fuel or energy supply? ~, []NO i-lYES Examples that would apply to column 2 ', · Proposed Action will cause a greater than ~ ~ 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? [-JNO [YES 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 str~ctures. · 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? E3NO 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 low level discharge or emission. · Proposed Action may result in the burial of ~'hazardous wastes" in any form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) · Storage facilities for one million or more gallons of liquified natural gas or other flammable liquids. · Proposed action may result in the excavation or other disturbance within 2,000 feet of a site used for the disposal of solid or hazardous waste. · Other impacts: 10 I 2 3 Small to Potential Can Impact Be Moderate .Large Mitigated By Impact imPact Project Change [] [] []Yes [~-J No [] fi'l []Yes [] [] []Yes []No [] [] r-lYes I-INo [] [] []Yes []No [] [] []Yes []No F1 [] ~Yes ~o ~ ~ ~Yes ~No ~ ~ ~ves ~No ~ ~ ~Ves ~No ~ ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~ ~Yes ~N0 ~ D ~Yes ~No IMPACT ON GROWTH AND' CHARACTER OF COMMUNITY OR NEIGHBORHOOD 18. Will proposed action affect the character of the existing community? []NO []YES Examples that would apply to column 2 · The permanent population of the city, town or village in which the project is located is likely to grow by more than 5%. · The municipal budget for capital expenditures or operating services will increase by more than 5% per year .Is a result of this project. · Proposed action will conflict with offici,Hly adopted plans or goals. · Proposed action will cause a change in the density of land use. · Proposed Action will replace or eliminate existing facilities, structures or areas of historic importance to the community. · Development will create a demand for additional community services. (e.g. schools, police and fire, etc.) · Proposed Action will set an important precedent for future projects. · Proposed Action will create or eliminate employment. · Other impacts:.. 19. 1 , 2 3 - Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] i-lYes E]No [] [] I-lYes ~No [] [] i-lYes E]No [] [] IZ]Yes I-INo [] [] I-lYes I[-1No [] [] I-lYes I'-INo [] [] I-lyes r-INo [] [] I-lYes I'l'No [] [] I-lYes I-1No Is there, or is"there likely to be, public controversy related to potential adverse environmental impacts? I-INO I-lYES If Any Action in Part 2 is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3--EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 mtJst be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated, Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1. Briefly describe the impact. 2. Describe {if applicable) how the impact could be mitigated or reduced to a small to moderate impact by project change{s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: · ~ The probability of the impact occurring · The duration of the impact · Its irreversibiJity, including permanently lost resources of val:~e · Whether the impact can or will be controlled · The regional consequence of the impact · Its potential divergence from local needs and goals · Whether known objections to the project relate to this impact. (Continue on attachments) 11 LU '"' 'LU ~ ~o \0"' / .. / / / LOCATION MAP / / / /' / / / / / / / / / % C U l' C-It E r.q 'T'P'--/', r,d (.: c.:_C P 5 ~xx, NEW SUFFOLK i PROGRESS PRINTS .or FOr comtrUCTIOU SITE 1".". 40' PLAN -0" SITE SCTM # DATA 1000-116-6-5 OWNER: David Weild II;[ 484 Si. wanoy Place Pelham Hanor New York 10803 Te]. ~ 914-738-2764 Existi, ng: Zoning ' ity s 1 (R-40) Low-Dens Re ictentia Site plan taken from survey prepared by: Roderick Van Tuyl P.C. Greenport N.Y. 11944 N.Y. Lic.# 25626 Dated: 9/9/91 Elevations shown are based on National Geodetic Vertical Datum. '4 Z Project No' ~I ii7 Drawrl By- C hec k ed [] y' -;" [::)ate. 2//,/~-;:, z Scale "~ 4, d)' .,,¢[)' SITE PLAN Sheet No' SP-1