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HomeMy WebLinkAboutTR-3789 ELIZABETH A. NEVIIJ,E TO'~FN C LI~,RK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER 53095 Main Road P.O. Box 1179 New York 11971 (516) 765-1523 Telephone (516) 765-1800 OFFICE OF THE TOWN CI?RK TOVv~N 1OF SOUTHOLD APPLICATION~ FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of Information Officer). One copy will be returned to you in response to your request, or as an interim response. SECTION !. · ~ (Department or Officer, if known, that has the inforr~fftion you are requesting.)'' RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, file title, tax map number, and any other pertinent information.) Signature of Applicant: Printed Name: Address: Mailing Address (if different from above): [ ] APPROVED [ ] APPROVEDWITU DELAY* I~reedum of Informatlo. Orfl~or Date: [ ] DENIED* * If delayed or denied see reverse side for explanation. Board Of $outhold Town Trustees SOUTHOLD, NEW YORK Mooring $ N/A PERMIT NO. 3~89 ..................... DATE: 3'aa.... 26.,.....1990 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 "REGULATINC= AND THE PLACINC= 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 19..90..., and in consideration of the sum of $ ...................... paid by of ....................................................................................... N. Y. and subject to the Terms and Condlt~ons listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: To construct 16'x40' swimming pool, construct 115' (approximate) retaining-wall, excavate and regrade rear yard, and construct addtion to house. all in accordance with the d~tailed 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 said Board as of this dat, e. Trustees TERMS and CONDITIONS The Permirtee John F. O'Grady residing at West Cove Road, Cutchogue, 11935 N.Y., as part of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or rialtos for damages, of suits arising directly or indirectly as a result of any oper- ation performed pursuant to this permit, and the said Permit'tee will, at his or her own expeme, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, ro the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Permit is valid for a period of 24 mos. which is considered to be the ~o~mated time required to complete the work involved, but should circumstances warrant, request an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that auth- orization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and Iow water marks. 7. That if furore operations of the Town of Southold require the removal and/or alterations iff the location of the work herein authorized, or fi, in the opinion of the Board of Trustees, the work shall cause unreasonable obstrucaon to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 8. That the said Board wi/l be notified by the Permittee ox the completion of the work auga. orized. 9. That the Permittee will obtain all other permits and consents ,that may be required sup.. plemental to this permit which may be subject to revoke upon failure to obtain same. SOUTHOLD TRUSTEES No.~ THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 TRUSTEES John M. Bredemeyer, 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 SCOTt L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 January 30, 1990 Proper-T Services P. O. Box 617 Cutchogue, NY 11935 Re: App. No. 11-2-89-111-2-11 Dear Mr. Fitzgerald: The following action was taken by the Board of Town Trustees during its regular meeting held on January 25, 1990 regarding the above matter: WHEREAS, Proper-T Services on behalf of John F. O'Grady applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated 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 January 25,1990 at which time all interested persons were given an opportuni'ty 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 Proper_T Services ON BEHALF OF John F. O'Grady BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: To construct 16'x40' pool, construct ll5'(approximate) retaining wall, excavate and regrade rear yard, and construct addition to house. This permit will expire two years from the date it is signed if work has not commenced by said date. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: Veery truly your~, yp~he~i~n~redemeyer, II~ Board of Town Trustees JMB:jb cc: Bldq. Dept. ConServation Advisory Council file ALBERT J. KRUPSKI, JOHN U. BREDEUEYER, III, President JOHN L. BEDNOSKI, JR. HENRY P. SUITH, Vice President John B. Tuthill BOAR~ OF TOW~ 1'RUSTEE~ TO~ OF SO.HOLD Town Hall, 53095 Main ~oad P.O. Box 728 Southold, New York [ ~P?I ($16) 76~- 1892 NOTICE OF HEARINGS ON WETLAND APPLICATIONS NOTICE IS HEREBY GIVEN THAT PUBLIC HEARINGS WILL BE HELD BY THE TOWN TRUSTEES OF THE TOWN OF $OUTHOLD, AT THE SOUTHOLD TOWN HALL, MAIN ROAD, SOUTHOLD, NEW YORK ON THURSDAY, January 25, 1990, ON THE FOLLOWING APPLICATIONS FOR PERMITS UNDER THE PROVISIONS OF THE WETLAND ORDINANCE OF THE TOWN. 7:00 PoM. - In the matter of the application of John H. Geidemann on behalf of Grant H. Lennox, Knoll Circle, East Marion, N.Y. to construct a 65' bulkhead on property fronting on Spring Pond. 7:01 P.M. - In the matter of the application of J.M.O. Consulting on behalf of Peter Bavaro, Lupton Point Road, Mattituck, N.Y. to remove existing 4' X 30' catwalk, construct a 4' X 60' catwalk (elevated a minimum of 4' over grade), a 3' x12' ramp and a 6' X 30' float which shall be secured by (2) two spile dolphins" on Deep Hole Creek. 7:02 P.M. - In the matter of the application of John and~Nancy Pearson, South Harbor Road, Southold, N.Y. to clear away multiflora andCatbrier from area within 150' of Richmond Creek and replant undergrowth with oak, beech and hickory seedling, native shrubs and ground covers such as bayberry, blueberry, kalmia, etc. and cover all soil with leaves or hay until undergrowth is re-established. 7:03 p.m. - In the matter of the application of En-Consultants, Inc. on behalf of Robert Barry, West Shore Drive, Southold, N.Y. to replace (within 18") an existing high retaining wall 76' in length. New wall will be approximately 6' l~wer in elevation than existing which will also be cut lower. A second retaining wall will be built approximately 4' landward, whiCh will match existing grade elevation. Fill to be removed from behind old wall will be used to fill depressed area behind wall. A 25' return on the e/s and a 15' return on the w/s will-.be built. 7:04 p.m. - In the matter of the application of Proper-T Services on behalf of John F. O'Grady, West Cove Road, Cutchogue, N.Y. to construct 16' X 40' swimming pool, construct 115' (aprox.) retaining wall, excavate and regrade rear yard, construct addition to house ALL PERSONS INTERESTED IN SAID MATTERS SHOULD APPEAR AT THE TIME AND PLACE ABOVE SPECIFIED AND WILL BE GIVEN AN OPPORTUNITY TO BE HEARD. COMMENTS MAY BE SUBMITTED IN WRITING PRIOR TO THE HEARING. Dated: January 8, 1990 John M. Bredemeyer, III, President Board of Town Trustees By: Jane Blados, Clerk PLEASE PUBLISH ONCE, THURSDAY, JANUARy 11, 1990 AND FORWARD ONE AFFIDAVIT OF PUBLICATION TO JOHN M. BREDEMEYER, III, PRESIDENT BOARD OF TRUSTEES, Town Hall, Main Road, Southold, 11971. ' Copies to: L.I. Traveler-Watchman, Suffolk Times, Town Clerk's Bulletin Board. Town Hall. 53095 Main Rc~d P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL To: F rom: Dated: Re: Southold Town Board of Trustees Southold Town CAC December 19, 1989 Recommendation of Applications The following recommendations were made by the CAC at its meeting of December 12, 1989: RESOLVED to recommend approval of Wetland Application No. 10-6-89-37-5-14 by Grant H. Lennox to construct 65' of bulkhead tied to existing bulkheads at each end. 296 Knoll Circle, East Marion Vote of Council: Ayes: All RESOLVED to recommend to the Southold Town Trustees approval of Wetland Application No. 10-5-89-89-3-11.5 of Roscoe Corey to construct a 2' x 35' catwalk to waters edge, 6' x 4' dock and pilings 830 Clearview Road, Southold Vote of Council: Ayes: All RESOVLED to table Wetland Application of Carl Vail to construct rock revetment. The need Council needs additional information. Vote of Council: Ayes: All RESOLVED to recommend to the Southold Town Trustees approval with stipulations of Wetland Application No. 11-1-89-115-55-7 of Peter Bavaro to remove existing 4' x 30' catwalk constaruct a 4' x 60' catwalk, a 3' x 12' ramp and a 6' x 30 ' float secured by tow spile dolphins. The Council approves if the applicant turns the float so it is parallel to shoreline. (The Council would like the _Trustees to consider a policy concerning the length of catwalks). Lupton Point Road, Mattituck Vote of Council: Ayes: All RESOLVED to recommend to the Southold Town Trustees approval with stipulations of Wetland Application No. 11-2-89-111-2-11 of John F. O'Grady to construct a swimming pools 16' x 40', retaining wall 115', excavate and regrade rear yard, construct an addition to house. The CAC requests there be no disturbance within 25' of the bluff, including the retaining wall and the applicant turn the pool so it runs parallel to the shoreline. 830 West Cove Raod, Cutchogue Vote of Council: Ayes: All RESOLVED to recommend to the Southold Town Trustees approval with stipulations of Wetland Application No. 11-3-89-75-5-6 of John and Nancy Pearson to clear away multiflora rose and catbriar from an area within 150' of Richmond Creek. The Council requests the applicants use haybales between the work area and wetlands, and all work stay 10' away from bank. 3258 South Harbor Road, Southold Vote of Council: Ayes: All RESOLVED to recommend to the Southold Town Trdstees approval of Wetland Applicaiton No. 11-4-89-80-3-6 to replace withing 18' and existing high retaining wall 76' in length and construct a new wall 6' lower than existing wall to create a terraced effect with returns on east and west sides. West Shore Drive, Southold Vote of Council: Ayes: All RESOLVED to recommend to the Southold Town Trustees disapproval of Wetland Application No. 12-1-89-17-2-1.4 of Antonio Perez and Anne Branch Williams to construct a single family dwelling, pool, sanitary system, well, driveway and truck in fill to raise grade. The CAC disapproves of the project because the road will go across the freshwater wetlands, the septic system would be higher than the pond and more information is needed on the hydraulics of the pond and the property should be staked and ~narked clearly. ROW off Main Road, Orient Vote of Council: Ayes: All Waiver Requests WAiver of Maria Mercorella to add a deck at 2260 Great Peconic Bay Blvd, Laurel is approved with suggestions that applicant not fertilize lawn because of flooding during heavy rains and plant native vegetation within 30' of wetlands. 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 l 1971 November 15, 1989 Mr. John Holzapfel, Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, New York 11971 Dear Mr. Holzapfel: Transmitted herewith is application No. 11-2-89-111-2-11 for a Wetland Permit submitted by Proper-T Services for John F. O'Grady. Please prepare a written report of findings and recoaunendations with respect to this application. FAK:jb BLDG DEPT FILE Very truly yours, President Board of Town Trustees Proper-T Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935 734-5800 November 13, 1989 President Board of Town Trustees Town of Southoid Town Hall, 53095 Main Road Southoid, New York 11971 · row. Re: APplication for Permit on Behalf of John F. O'Grady Dear Sir: Attached are the documents which have been prepared in support of the application for a permit to excavate in the rear yard~ construct a retaining wait~ and construct a swimming pool on the property of John F. O'Grady in the Town of Southotd. Proper-T Services represents Dr. O~Grady in this matter, and a letter of authorization is part of the submission. If there are any questions, or if additional information is needed, please call me. Y trul , Enclosures: Application Form Application Fee ($150) Letter of Authorization Notarized Statement of Applicant Short Environmental Assessment Form Vicinity Map Tax Map Survey of Property Project Plan a subsidiary of THE PECONIC EASTERN CORPORATION 105 Ellsworth Avenue Mineota, New York 11501 October 16, 1989 President Board of Town Trustees Town of Southold Town Hall~ 53095 Main Road Southo!d, New York 11971 Dear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald~ Jr. of Proper-T Services to act in my behalf as my agent in the submission and processing of a permit applica- tion for the expansion of my house and the construction of a swimming pool on my property located at 830 West Cove Road~ Cutchogue, and designated by Suffolk County Tax Map No. 1000- 1!!-2-11~ and to furnish~ upon request, supplemental informa- tion in support of the application. Your~ t~u~y, [].~John F. O' Gra~_-~ DDS BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 TOWN $Ob HOm 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 $OUTHOLD. APPLICATION NO.//'~"~--~:"~-/~- ~-/f DATE OF APPLICATION Nov 148 1989 734-5800 IDENTITY OF APPLICANTPrqper--T Services 2or John F. 0~Grad~. PHONE NO ADDRESS OF APPLICANT P.O~ BOX 617 Cutchogu%L_h~ 11935 TAX MAP NO. 1000-11I-2-11 7 4-5800 AGENT James E, Pitzgerald~ ,Jr.~_~_r_o_~e_r-T Sez~rices PH~N~E NO. PERMIT REQUESTED TO Construct swimm_i_n_~_pooi 16~x40~, construct retaining__ wall~?15_~_(_aaprox~m__excavate and re_g_rade rear _y_a_r.d, construct addition to house LOCATION OF PROPERTY FOR WHICH PERMIT WANTED 830 West Cove .Roada Cutchogue (see attached map~) HOME,ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION P.O. Box 617, Cutchogue, h! 11935 CREEK, BAY OR HARBOR FRONTING PROPERTY Cutoho~e Harbor SIZE Of PROPOSED WOEK Construction: Pool approx 600 s.f. House approx 750 s.f. LENGTH WIDTH HEIGHT ABOVE HIGH WATER 40~ ! DEPTH BELOW LOW WATER YARDS TO BE EXCAVATED Not applicable Approx 700 YARDS TO BE FILLED None WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY DEPTH AT LOW TIDE Not applicable Not applicable AVERAGE RISE IN TIDE Not applicable DISTANCE TO THE NEAREST CHANNEL .... ~_~___FT. DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA IS THIS FO~ PRIVATE OR BUSINESS USE? Private AREA ZONING R-40 FT. MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED All excess material will be removed from the site by truck to Mu approved upland location INTENDED USE OF PRoPERTY___~i_~_~_r_~_s_i_~ence DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERMITS OR LICENSES WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTAL AGENCY None knov~ DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WOR~ IS COMPLETED INCLUDE AN ADDITIONAL SURVEY O~ THE PROJECT SITE IF NECESSARY Rear yard wil'l be a.~p_r_o_priatel_y landscaped; drainage will be away (landward~ from edge of bluff WRITTEN CONSENT OF THE OWNER oF THE PROPERZY. IF NOT THE SAME AS THE APPLICANT. See attached letter. ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? None COUNTY OF SUFFOLK ) STATE OF NEW YORK )SS: James E. Fitzgerald, Jr. 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, 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 completing this application I hereby aut~or~e the Trustees. agent or representatzve to ente~r-~qto my.~f~y to i~t the premises in-conjunction with r~viewJ~f t~~~.~ SWORN TO BEFORE ME THIS NOTARY ! C PU~L %. 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 Approved 2/27/85 14-16-4 (2/87)--Text 12 PROJECT I.D. NUMBER 617,21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) SEQR 1. APPLICANT/SPONSOR James E. Fitzgerald, Jr, PROJECT NAME O' Grad7 pool PROJECT LOCATION: Muni~ipality Cutcho~e County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) See attached maps. Address is:830 West Cove Road, Cutchogue, 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Construct swimming pool 16~x40', excavate ~ud regrade rear yard, construct retaining wall 115' construct addition to house (approx), 7. AMOUNT OF LAND AFFECTED: Less th~_ 1400 s. f, Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [~ Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial [] Commercial [] Agriculture [] Park/Forest/Open space Describe: Medium-sized private residences; area zoned R-40 [] Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? {~ Yes [] No If yes, list agency(s) and permit/approvals No approvals yet. NYSDEC, Southotd Building Department 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No if yes, list agency name and permit/approval 12~ AS A RESULT OF PROPOSED ACTIO~N WILL EXISTING PERMiT/APPROVAL REQUIRE MODIFICATION? [] Yes [] No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE I//If the action is in ~ ~oastal Area, and you are , state age.cy, complete the I [~ Coastal Assessment Form before proceeding with this assessment I 1989 OVER 1 PART II.--ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 if ye~, coordinate the review process and uae the FULL EAF. [] Yes [] No B. WiLL ACTION RECEIVE COORDINATED REVIEW AS PROV!DED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. [] Yes [] No C. COULD ACTION RESULT iN ANY ADVERSE EFFECTS ASSOCIATED W~TH THE FOLLOWING: (Answers may be handwritten, if legible) C% 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: Aesthetic, agricultural, archaeo]ogicai, 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 re~ated activities likely to be induced by the proposed action? Explain briefly. C,6. Long term, short term, cumulative, or other effects not identified-in C1-C57 Explain briefly. C7. Other impacts (including changes in use of either quantity 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 haYe 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 AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Preparer (If different from responsible officer) Date 2 Cutchogue Harbor 9 \ \ 9 Hog Bay 2O THE AREA OF THE PROPOSED PROJECT IS CIRCLED 22 LIT 23 22 2.3 T 25 W72°26' N41°30' 3 22 B VICINITY MAP U.S. Geological Survey SOUTHODD, N.Y.: N4100 - W7222.5/7.5; 1956 Scale 1:24,000 Application No. Regarding the property of JOHN F. O' GRADY Suffolk County Tax Map No. 1000-111-2-11 Sheet of October 26, 1989 THE SITE OF THE PRoPoSED IPROJECT IS CROSS-HATCHEDI' MAP District 1000, Section 111 Application No. Regardin~ the property JOHN F. O"GRLa~)Y Suffolk County Tax Map No. Sheet of October 26, 1989 WEST COVE ROAD ( NORTHWEST LOOP ) 0 ~ ~ ~ ~ o ~o _G~ z o o~