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HomeMy WebLinkAboutTR-3776Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 37'Z.6 .................... DATE: S. ep.t .... 29,,....1989 ISSUED TO ....... Ei~AN.GIS .,~EI$.EN.T. ...................................................................... Au horizatiou 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 Resolutio¢.of The Board adopted at a meeting held on 19 ............ , and in consideration of the sum of $ ........................... paid by 1989 of .......................................................................................... 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 stairway and reconstruct retaining wall on property located at 1925 Naugles Dr., Mattituck,N.Y. 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 its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the Board as of this dat,e. HENRY P. SMITH, President JOHN M. BREDEMEYER, Vice-Pres. PHILLIP J. GOUBEAUD ALBERT KRUPSKI, JR. ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 January 11, 1988 TELEPHONE (516) 765-1892 Mr. Francis Weisent 1925 Naugles Dr. Mattituck, New York 11952 Re: Request for Hearing regarding Violation Dear Mr. Weisent: Pursuant to your request for a hearing before the Board of Trustees regarding your Wetland Violation, please be advised that the Trustees will hold their next regular meeting on January 21, 1988, at Southold Town Hall, Main Road, Southold. Please note that the meeting will commence at 7:00 P.M. should you wish to appear in person regarding this matter. Should you have any questions, or concerns, please do not hesitate to contact this office. Very truly yours, Ilene Pfifferling, Clerk Board of Town Trustees FRANK A. KUJAWSKI, JR., President ALBERT J. KRUPSKI, JR., Vice-President JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. SMITH TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 September 29, 1989 Francis Weisent 1925 Naugles Drive Mattituck, N.Y. 11952 Re: Application No. 604 - Francis Weisent Dear Mr. Weisent: The following action was taken by the Board of Town Trustees during their regular meeting held on September 28, 1989 regarding the above matter: WHEREAS, Francis Weisent applied to the Southold Town Trustees flor a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated Jan. 4, 1988 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 Sept. 28, 1989 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 Francis Weisent BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: Construct stairway and replace retaining wall at property located at 1925 Naugles Drive, Mattituck, N.Y. This permit will expire two years from the date it is signed if work has not commenced by said date. Fees must be paid 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. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. FAK: j as cc: Bldg. Dept. Conservation Advisory Council file Very truly yours, . Frank A. Kujawski, Jr. President Board of Town Trustees HENRY P. SMITH, JOHN M. BREDEMEYER, III, President John Bednoski, Jr. ALBERT KRUPSKI, JR,, Vice-President TELEPHONE i516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 February 29, 1988 Mr. Francis Weisent 1925 Naugles Drive Mattituck, New York 11952 Re: 1000-099-4-20 Dear Mr. Weisent: The following action was taken by the Board of Trustees- during their regular meeting held on February 24, 1988 regarding the above matter: RESOLVED that the Southold Town Trustees TABLE the application of Francis Weisent for a Wetland Permit on certain property located on. 1.925 Naugles Drive, Mattituck. The applicant is to clear this matter with the Board of Appeals for lot coverage. The bank is not to be disturbed. Relocation of the cesspools is recommended. JMB: ip cc: Bldg. Dept. Board of Appeals file Very truly yours, John M. Bredemeyer, Pres. Board of To'wn Trustees BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, $3095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE ($1~) 7~-18~2 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN ,OF sOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE ISSUANCE OF A PERMIT pURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODES OF THE TOWN OF sOUTHOLD. IDENTITY OF APPLI CANT__ ~_¢~C~42'__~7~_ .... .~J'~P.~__~~'~ PHONE NO AGENT PHONE NO . LOCAT I ON OF PROPERTY FOR WH I CH PERM I T WANTED___/_ ____/2____~.~/--_ HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION CREEK, BAY OR HARBOR FRONT I NG PROPERTY - _~/~'~'~/~_~__~._~,~ .... --~__'~-~-~..~-- sIZE OF pROPOSED WORK LENGTH WIDTH .... __.~_.~P HE IGHT ABOVE HI GH WATER DEPTH BELOW LOW WATER YARDS TO BE EXCAVATED YARDS TO BE FILLED WIDTH OF CANAL, CREEK OR BAY FRONTING AVERAGE RISE IN TIDE .... DISTANCE TO THE NEAREST CHANNEL___~_~ DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA IS THIS FOR PRIVATE OR BUSINESS USE? MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED INTENDED PROPERTY ...... ~-'~~---~-~ USE OF DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE____~ DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF THE PROJECT SITE IF NECESSARY WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, IF NOT THE SAME: AS THE APPLICANT.__~~. /E ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? ~ 14.1 8;2 (2/87)--7c 617.21 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM SEQ~ Purpose: The full EAr is designed to help applicants and agencies determine, in an orderly manner, whether a projec or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determim significance may have little or no formal knowledge of the environment or may be technicaII~ e_xpert in environmenta analysis, n addition, many who have know[edge in one particular area may not be aware of the broader concerns affectin~ the question of significance. The full EAr is intended to provide a method whereby applicants and agencies can be assured that the determinatior process has been orderly, comprehensive in nature, vet flexible to allow introduction of information to fit a project or action Full EAr Components: The full EAr is comprised of three parts: Part 1: Provides objective (~ata and information about a given prolect and its site. By identifying basic projec data. it assists a reviewer in the ana[ysis that takes place in Parts 2 an&[ 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provide~ 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 imoact can be mitigated or reduced. Part 3: Ifanv mpact in Part2 isid;ntifiedaspotentially-[arge, then Part3is used to evaluate whether or not thc impact is actually important. DETERMINATION OF SIGNIFICANCE--Type 1 and Unlisted Actions Identify the Portions.of EAr completed for this project: [] Part1 [~ Part 2 r-!Part 3 Upon review of the informatio~ recorded on this EAF (Parts I and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it ]s reasonablv determined bv the lead agency that: [] A. The project wi[[ not result in any large and important impact(s) and. therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. I- 13. 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 1-,/pe Name of Responsible Officer in Lead Agencv Signature of R.esponsible Otficer in Lead Agencv Title of Responsible Officer Signature of Pregarer {If different from responsible officer) Date PART 1--PROJECT iNFORMATION " , Prepared by Project Sponsor NOTICE: This document is desi§ned to assist in determinin§ whether the.action proposed may have a significant eli on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be conside as part of the application for approval and may be subject to further verification and public review. Provide any additic 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 invc new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and spe~ each instance. NAME OF ACTION ADDRESS BUSINESS TELEPHONE ( ) CiTY/PO NAME OF OWNER (If different) ADDRES~ / STATE ZIP CODE BUSINESS TELEPHONE ( ) CITY/PC~ / STATE ZiP CODE DESCRIPTION OF ACTI DN 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: ~Urban ~lndustriM ~Commerc al ~idential (suburban) EJRural (non-fa: - []Forest I-iAgriculture ~Other 2. Total acreage .of proiect 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 pavec surfaces Other (Indicate wpe). 3. What is predominant s~}il type(s) on projec[ site~ a. Soil drainage: E~Wel[ drained <~'~ % of site ~P-oorlv drained /o % of site PRESENTLY acres acres acres acres acres acres a'c'res acres AFTER COMPLE T1ON acres acres acres acres acres acres acres acres ,~Moderately well drained ~/~ 98 of site b. If any agri:cultura[ land is involved, how many acres of soil are classified within soil group 1 through 4 of the N Land Classification System? acres:-(See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? FTYes a. What is depth .to bedrock? (in feet) 5. 'Approximate perce ~-upo_ed project site with slopes: ,E--~-10% '/~ SS E]10-15% ¥ []15% or greater 6. ]s project substantially contiguous to, or contain a building, site, or district, listed on the State or the Nationa Registers of Historic Places? I-iYes [i~lqo 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? EYes 8. What is the depth of the water table? ~,9'/ (in feet) 9. Is site located over a primary, principal, or sole source aquifer? []Yes [~o 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? E3Yes F~o 11. Does project site contain anv species of plant or an'imal life that is identified as threatened or endangered [Z]Yes ~ According to Identify each species 12. Are there any unique or unusual land forms on the~project site? (i.e., cliffs, dune. s, other geological formations 13. Is the project site p~resently used by the community or neighborhood as an open space or recreation area [-]Yes t;~o If 5'es, explain 14. Does the present site include scenic views known to be important to the community? I~Yes 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 ?¢,4¢¢z¢7 7~'/¢'¢'/~ ~ b. Size (In acres) 17. Is the site served by~xisting public utilities? g~C, es [Z]No a) If Yes, does sufficient capacity exist to allow connection? ~es f-~No b) If Yes, will 'mprovements be necessary to allow connection? r-]Yes ~ 18. Is the site located, in an agricultural district certified pursuant to Agriculture and Markets Law, A~tic]e 25-AA Section 303 and 304? _~Yes ~I~o 19. ls the site located in or substantia[Iv contiguous to a Critical Environmental Area designated pursuant to Article 8 of the. ECL, and 6 NYCRR 6177 FIYes []~]'~Io 20. Has the site ever been used for the disposa of solid or hazardous wastes? l-lYes ~ 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 Project acreage to be developed: acres initially; Proiect acreage to remain undeveloped acres. Length of prolect, in miles: (If appropriate) If the project is an expansion, indicate percent of expansion proposed Number of off-street parking spaces existing Maximum vehicular trips generated per hour [f residential: Number and type of housing units: One Family Two Family Initially ~ Ultimately ~ : i. Dimensions (in feet) of largest proposed-structure height; j. Linear feet of frontage along a public thoroughfare project will occupy is? 3 acres. acres ultimately. ; proposed (upon completion of project)? Multiple Family Condominium much natural material (i.e., rock, earth, etc.) will be removed from the site? 2. How 3. Will disturbed areas be reclaimed? [-]Yes ~No DN/A a. If yes, for what intend_Z purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? 'l-lYes liNo c. Will upper subsoil be stockpiled for reclamation? liYes I-]No 4. How mare/ 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? []Yes liNo ' 6. if single phase project: Anticipated period of construction months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated (number). tons/cubi~c ~yards 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 blasting occur during construction? liYes ~ 9. Number of jobs generated: during construction 10. Number of jobs eliminated by this project X/'~;'x,~C/ 11. Will project require relocation of any p~ojects or facilities? month year, (including demolition). month year: DYes liNc)-- ; after project is complete l-lYes l-INo If yes, explain 12. Is surface liquid waste disposal involved? liYes 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? r-lYes Ill'No Type 14. Will surface area of an existing water body increase or decrease by proposal? Explain ~"~o 15. 16. Is project or any portion of project located in a 100 year flood plain? Will the project generate solid waste? D--lYes l~o a. If yes, what is the amouc..t per month tons b. If yes, will an existing solid waste facility be used? DYes liNo c. If yes, give name location d. [~0 Will any wastes not go into a sewage disposal system or into a sanitary landfill? If Yes, ex]blain 17Yes 17. 18. 19. 20. 21. Will the project involve the disposal of solid waste? []Yes at If yes, what is the anticipated rate of disposal? b. If yes, what is the anticipated site life? years. Will project use herbicides or pesticides? ,DYes [~O tons/month. Will project routinely produce odors (more than one hour per day)? Dyes ~o Will project produce operating noise exceeding the local ambient noise evels~ rTYes Will project result in an increase in energy use? liYes [~No If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity 23. Total anticipated water usage per day .. gallons/day. 24. Does project involve Local, State or Federal funding? I~Yes If Yes, explain __ gallons/minute. _3 25.' :Approvals Required: City, Town, Village Board [~'es []No City, Town, Village Planning Board [Yes []No City, Town Zoning Board []Yes F-tNo City, County Health Department F-lYes I-INo Other Local Agencies i-lYes l-lNo Other Regional Agencies F~Yes f-iNo State Agencies [-iYes [-1No Federal Agencies I--lYes F-1No C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? If Yes, indicate decision required: []zoning amendment I-[zoning variance I~specia Type F-lYes [~ff~No use permit []subdivision [~site plan - F-lnew/revision of master plan ~resource management plan I-lother What is the zomng classification(s)of the site? What is the maximum potential development Of the site if developed as permitted by the present zoning? SubmHta] Date 4. What is the proposed/zomng 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 ac'~ion consistent with the recommended uses in adopted local [and use plans? 7. What are the predominant land use(s) and zoning classifications within a ¼ mile radius of proposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a lA mite? [~es 9. If the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed? 10 Wi[[ proposed action require any authorization(s) for the formation of sewer or water districts? f-lYes 11. Will the proposed action create a demand for any community provided services (recreation. education; polic fire protection)? [~Yes a. If yes, is existing capacity sufficient to handle projected demand? []-]Yes r-INo 12 Will the proposed action result in the generation of traffic significantly above ~resent levels? i-lYes a. If yes, is the existing road network adequate to handle the additional traffic? ~Yes D. Informational Details Attach any additiora[ information as may be needed to clarify, vour prolect. If there are or may be any adver: imaacts associated with your proposal, please discuss such ~m[}acts ahd the measures which you propose to mitigate 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 state agency, complete the Coastal Assessment Form before proceedir with this assessment. 5 · rt 2--?ROJECT ~]PACTS AND', c]EIR ~AGNITUD3. Responsibility of Lead Agency Genera] ]nformaIion (Read Carefully) * In completing the form the reviewer should be guided by the question: Have my responses and determinations be reasonable.~ The reviewer is not expected to be an expert environmental analyst. ' Identifying that an impact will be potentially large (column 2) does not mean that it is aiso necessarily s]gnifican Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 siml 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 magnitude that would trigger a response in column 2. The examples are generally applicable t]~roughout the State a for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropri~ for a Potential Large Impact response, thus requiring evaluation in Part 3. · The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each questic · 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 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 t! impact. If impact threshold equals or exceeds any, example provided, check column 2. if impact will occur but thresho is lower than 'example, check column 1. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to modera impact, also check the Yes box in column 3. A No response indicates that such a reduction Js not possible· Th must be explained in Part 3. 1 2 3 Small to I Potential Can Impact B, Moderate Large Mitigated By Impact Impact Project Chang ~'/ [] [-]Yes [~No [] ~ []Yes ~]No [] [] I'-IYes l~No [] [] []Yes []No [] [] []Yes []No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No IMPACT ON LAND Will the proposed action result in a physical change to the project site? Examples that would apply to column 2 Any construction on slopes of 1.5% or greater, /15 foot rise per 100 foot of length), or where the general slopes in the project area exceed 10%. Corstruction 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 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 ~mpacts Will there be an effect t: .... y unique Or unusual land forms found ~n the site? (i e., cliffs, dunes, geological formations, etc.)~NO ~YES forms: 6 Specific land IMPACT ON WATER · Will proposed action affect any water body designated as protected? (Under Articles 15 24, 2.5 of the Environmental Conservati~ Law, ECL) ~NO [2lYES 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 n a designated freshwater or tidal wetland· Other impacts: 4. Will proposed action affect any non-protected existing or new body of water? IZ'NO -]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 that exceeds 10 acres of surface area. · Other impacts: $· Will Proposed Action affect surface or groundwater~ quality or quantity? EEYES Examples that would apply to column 2 · Proposed Action will_require a discharge permit. · Proposed Action requires use of a source of water that does not have approval to serve proposed (project) action. · Proposed Action requires water supply from wells with greater than 45 gallons per minute pumping capacity. · Construction or operation causing any contamination of a water 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 [ike[v cause siltation or other discharge into an existing body of water to tr;e extent that there will be an obvious visual contrast to natural conditions. Proposed Action will require the storage of petroleum or chemical products greater than 1,100 gallons. Proposed Action will allow residential uses in 'areas without water and/or sewer services· Proposed Action tocat(~s commercial an(i/or industrial uses which may require new or expansion of existing waste treatment and/or storage facilities. ' · Other impacts: 6. Will proposed, action alter drainage flow or patterns, or surface water runoff? ~NO Z'YES Examples that would apply to column 2 · Proposed Action would change flood water flows. 7 I 2 3 Small to Potential Can Impact E Moderate Large Mitigated Impact Impact Project Chanc~ [] [] []Yes [-qN~ [] [] l--IYes [--1 N~. [] [] []Yes [] [] l-'! Yes []N( [] [] []Yes I-'1N¢ [] [] []Yes []Nc [] [] !-lYes i--1 Nc [] [] [--]Yes I-tN( [] [] []Yes [-]Nc [] [] ~]Yes I-]Nc [] [] []Yes []Nc [] [] []Yes [] [] []Yes II, Nc [] [] []Yes [] [] lTYes []N~ [] [] []Yes- . []N( [] [] - ITYes [--] N( k_: []Yes []Nc [] ~ []','es []N~ · Proposed Action may cause substantial erosion. · Proposed Action is incompatible with existing drainage patterns. · Proposed Action will allow development in a designated floodway. · Other im~pacts: -/~/_¢"~'~,~,z~d,¢~ /_,4J~ ¢¢¢_/~¢~ ~ IMPACT ON AIR 7. Will proposed action affect air quality? ~ []YES Examples that would apply to column 2 · Proposed Action will induce 1,000 or more vehicle trips in any given hour. ' Proposed Action will result in the incineration of more than 1 ton of refuse per hour. · Emission rate of total contaminants will exceed 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 impacts: 1 Small to Moderate Impact 2 Potential Large Impact Can ImPact BE Mitigated By Project Chang( I-lYes [-]No ~Yes ['-]No ~Yes E]No F-lYes l'-lNo [--]Yes [-1No [~Yes i-z1 No F-lYes I--INo ~[Yes ~--].No ~]Yes I--]No ~]Yes I~No IMPACT ON PLANTS AND ANI~IALS 8. Will Proposed Action affect any threatened or endangered species? ~ []YES E×ampies that would apply to column 2 · Reduction of one or more species listed on the New York or Federal list, using the site, over or near site or found on the site. · Removal of any portion of a critical or significant wildlife habitat. · Application of' pesticide or herbicide more than twice a year, other than for agricultural purposes. · Other impacts: []Yes E~No [--[Yes [~]No [~Yes -[-]No l--lYes i--]No · 9. Will Proposed Action substantially affect non-threate~tOOr non-endangered species? l-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 ,,,ears of age) or other locally important~ ', egetation. IMPACT ON AGRICULTURAL LAND RESOURCF_S 10 ~ Will the Proposed Action affect agricultural land res__o.~j:ces;~ ~'NO ' [Z lYES Examples that would apply to column 2 '- · The proposed action would sever, cross or limit access to agri'cultural land (in, cludes cropland, hayfields, P~,sture, vineyard, orchard, etc.) [~]Yes J~No []Yes [No [] []Yes [-q[No · Construction activity would excavate or compact the soil profile of agricultural and. · The proposed action would irreversibly convert more than 10 acres of agricultural land or, if located in an Agricultutal 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? ~J'NO [Z]YES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 · Proposed land uses, or proiect components obviously different from or m sharp contrast to current surrounding land use patterns, whether man-made or natural. · Proposed land uses, or project components visible to users of aesthetic resources which will eliminate or significantly reduce their enioyment of the aesthetic qualities of that resource. · Project components that will result in the elimination or significant screening of scenic views known to be important to the area. · Other impacts: IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of ~b~toric, 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 or site listed on the State or National Register of historic places. · Any ~mDact to an archaeological site or fossil bed located within the project site. · Pro~}osed Action will occur in an area designated as sensitive for archaeological sites on the NYS Site lnventorv. · 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 ap.3Iv to column 2 ~'/~NO ~IYES · The permanent fbreciosure of a future recreational opportunity. · A malor recuction of an open space important to the community. · Other impacts: 9 1 , 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] F-lYes !--] No' [] [] l-lYes ~--] No [] [] []Yes i~-INo [] []. []Yes []No [] [] i--]Yes [--]No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes. []No [] [] []Yes I--]No [] [] []Yes E3N8 [] [] [--]Yes E~]No [] [] []Yes l-]No [] [] []Yes 'fi-~No IMPACT ON TRANSPORTATION 14. Will there be an effect to existing transportation sY~e/ms? ~NO E]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 sou f fuel or energy supply? r~O° EgYES 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 vibrat~/as a result of the Proposed Action? l~?qO E]YES Examples that would apply to column 2 · Blasting within 1,$00 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 Iocal ambient noise levels for noise outside of structures. · Pr~)Posed Action will remove natural barriers that would act as a noise screen. · Other impacts:. . IMPACT ON PUBLIC HEALTH 17. Will Proposed Acti'on affect public health and safety?// ~IN 0 E]YES Examples that would apply to column 2 · Proposed Action may cause a risk of explosion or release of hazardous substances (i.e. oil, pesticides, chemicals, radiation, etc.) in the event of accident or upset conditions, or there may be a chronic Iow level discharge or emission. · Proposed Action may result in the burial of "hazardous wastes" in any form (i.e. toxic, poisonous, higtfly reactive, .radioactive, irritat ng 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 di:,posal of solid or hazardous waste. Other impacts: 10 1 Small to Moderate Impact 2 Potentia Large Impact Can i'mpact Mitigated Project Chan J']Yes E-/Yes F-lYes E]N E~Yes E]N E-]Yes l-IN ['~Yes I-'IN E-]Yes []Yes L--/N( J--lYes l--lYes . l-IN( []'-[Yes- . [Nc E~Yes IN© [~Yes [No [--]Yes IN0 [-]Yes ['-]No IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 18. Will proposed action affect the character of the existing c~mmunity? [ErNO FIYES 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 as a result of this project. · Proposed action will conflict with officially adopted plans or goals. · Proposed action wi]l cause a change in the density of [and 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: 1 2 3 Small to Potential Can Impact B6 Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes I-]No [] [] ' I-lYes I-]No [] [] []Yes F-INo [] [] []Yes []No [] [] []Yes i-]No [] -_. []' []Yes []No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No 19. Is there, or is there likely to be, public controversv related to potential adverse environmental impacts? I~NO 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 [~IPORTANCE OF Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1 Briefly describe the impact. 2. Describe (if applicab]e) how the impact could be mitigated or reduced to a small to moderate impact by project change(s) 3. Based on the informatio'n 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 · [ts ~rreversibilitv, including permanently ost resources of v~lue · Whether the impact can or wdl be controlled · The regional conseouence of the ~mpact · Its potentia divergence from local needs and goals * Whether known oblect~ons to the project relate to this impact. (Continue on attachments) 11 14-]4-] 1,r87 -9 6 1 7.2 ] SEQ R Appendix B Ststa Environmental Quality Review Visual EAF Addendum This form may be used to provide additional information relating to Question 11 Of Part 2 of the Full EAF. (To be completed by Lead Agency) Dist, ance Between Project and Resource (in Miles) 0-t/4 1/4 - 1/2 I/2-3 3-5 5 + Visibility 1. Would the project be visible from: · A parcel of land which is dedicated to and available to the public for theuse, enjoyment and appreciation of natural or man-made scenic qualities? · An overlook or parcel of land dedicated to public [] [-~- [] r-] [] observation, enjoyment and appreciation of natural or man-made scenic qualities? · A site or structure listed on the National or State [] [] [] Registers of Historic Places? ,4./O · State Parks? /c/~ [- [] [] ~, [] · The State Forest Preserve? Xflo [-- [] [] ~ [] · National Wildlife Refuges and state game refuges?,¢7~ F- [] [] [-] [] · National Natural Landmarks and other outstanding [] [] [] [] [] natural features? A/lO · National Park Service lands? /Ja [] [] [] [] [] · Rivers designated as National or 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? ,iJo · A site, area, lake, resei*voir or highway designated as [] [] [~ ~-[ [] scenic? /L/o · Municipal park, or designated open space?/'~ [] [] [] ~t [] · County road? /U~2 [] [] [] [] [] · State? A~'~ [] ~ [] [] [] · Local road? /UO [] [] [] [] [] ts the visibility of the project seasonal? (i.e.. screened by summer foliage, but visible during other seasoFIS) ~-'~fe s []No 3. Are any of the resources checked in question 1 used by the public during the time of year during which the project will be visible? ~ Yes ~o DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the surrounding environment. Within '1/4 mile * 1- mile Essentially undeveloped [] [] Forested [] [] Agricultural [] [] Suburban residential [] [] Industrial [] [] Commercial [] [] Urban [] [] River, Lake, Pond [] [] Cliffs, Overlooks [] [] Designated Open Space [] [] Flat [] [] Hilly [] [] Mountainous [] [] Other [] [] NOTE: add attachments as needed 5. Are there visually similar projects within: * 1/2 mile Ii'es [] No '1 miles ['-lYes [~]No *2 miles -[-]Yes [~No *3 miles [--}Yes i-]No * Distance from project site are provided for assistance. Substitute other distances as appropriate. EXPOSURE .6. The annual number of viewers likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY Holidays/ Activity Daily Weekly Weekends Seasonally Travel to and from work [] [] [] [] Involved in recreational activities [] [] [] [] Routine travel by residents [] [] [] ~ At a residence [] [] [] ]~ At worksite [] [] [] [-~ Other [] [] [] [] COUNTY OF SUFFOLK ) STATE OF NEW YORK )SS: BE ING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, THAT THE WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF 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 com~ieting this application I hereby authorize the Trustees, agent 6r representatmve to enter onto my property to inspect the premises in conjunction with review of this application. SIGNATURE OF APPLICANT SWORN TO BEFORE ME THIS DAY NOTARY PUBL I C CLAIRE L GLEW Notary l%ibtio, State of New York No. 4879505 Qualified in Suffolk County ~,,~%/ Commission Expires December S, 1 ~.~ EXAMINED APPROVED "WETLANDS" PERMIT (CHAPTER 97) APPROVED "BOAT,DOCKS, WHARVES" PERMIT (CHAPTER 32) DISAPPROVED "WETLANDS PERMIT" (CHAPTER 97) DISAPPROVED "BOATS,DOCKS, WHARVES" PERMIT (CHAPTER 32) CONDITIONS, IF ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES - Aporoved 2/27/85