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HomeMy WebLinkAboutHARRISON, JOHN C.New York State Department of Environmental Conservation RE: LEAD AGENCY COORDINATION REQUEST Thomas C. Jorllng Commissioner The purpose of this request is to determine under Article 8 (State Environ- mental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your agency's interest in acting as lead agency; 2. Your agency's jurisdiction in the action described below; and 3, Issues of concern which your agency believes should be evaluated. Enclosed is a copy of the permit application and a completed Part i of the Environmental Assessment Form to assist you in responding. Pr°ject Name: ~-O~l~) '~ 30Y~ Hq)~-.~o~ DEC Project Number: DEC Permits: "'~£~S4 ~ ~L2L-e._~ ~-.~/q ~ ~..~ SE(~R Classification: [ ] Type I DEC Contact Person: ~lJ DEC Position: [] j><CU.liste m = 7-/?6 Z DEC has no objection to your agency or another agency assuming lead agency status for this action, but reserves the right to comment on this action if a positive determination of significance is made. [ ] DEC has no objection to your agency or another agency assuming lead agency status for this action, but we have the following concerns regarding this project (~"c~mments" below). ~E~]~iDEC wishes~to, as~Sume lead agency status for this action. ![-~J~ The Dropo~d ~Etiion has been identified by DEC as occurring wholly or ~ part~all~-~thin or substantially contjjjluo~ to a critical environmental area {CE~}~th~t was designated bY ~c~/~ ~ ~/~ . It is the position of this Department that'your agency, ifYit has a juris- diction over the action, should assume the lead agency role based on the existence of the CEA and the fact that the anticipated impacts are primarily of local significance. [ ] Other. (See comments below) Comments (Optional): Response: Please respond to this request within 30 days of the date of this letter. tf no response is received within 30 days, we will assume that you have no objection to DEC or another agency assuming the role of lead agency, and have no comments to offer regarding the proposed action at this time. If neither your agency nor any other involved agency, including DEC, has indicated a will- ingness to serve as lead agency within 30 days of this letter: [ ] We will petition 't~ Commissioner~'f DEC to designate a lead agency [ ] We will petition the Co~ml~i,ssioner of DEC to designate your agency as lead, presuming you ~ve j~sdiction. Please feel free to contact this office for further information or discussion. Sincerely, Enclosures cc: (see distribution list) 9~-1 ~-3 (11/93)--7e DEC AP.,PLICATIQ~ NUMBER . I DISTRIBUTION /--~R~25~ 0/0~/~ ~ WH1TE COPY Permit Administrator NEW YORK ~TATE ~ --~ CANARY COPY Corps of Engineers DEPARTMENT OF ENVIRONMENTAL CONSERVATION US ARM CORPS OF ENGINEERS A~PLICATION NO PINK COPY Program dOINT APPLIOATION FOR PER~IT co:~..o~ ~..,i~.., Please read ALE instructions on hack before completin~ this application Please type or p~i.t clearly in i.~. Attach additiona~ information as needed. ~A[TICLE % TITLE 1, ARTICLE 43 6NYCRR ~6 (LAKE GEORGE RECREATION ZONE) ~A~TICLE 1~, TITLE 3 (AQUATIC PESTICIDES CONTROL) ~ 6NYCRR 327 (AQUATIC VEGETATION) ~6NYCRR 328 (FISH) ~ 6NYCRR 329(INSECTS) S ~A[TICEE 1~, TI,TL~ ~ 6NYCRR 608 (PROTECTION OF WATERS) T ~ For the construction, reconstruction, or repair of a DAM or other impoundment structure. A ~For the disturbance of a STREAM BED OR BANKS or excavation in or fill of NAVIGABLE WATERS. ~401 WATER QUALITY CERTIFICATION T E ~A[TICLE 15, TITLE 15 ~6NYCRR 601 (WATER SUPPLY) ~6NYCRR 602 [LONG ISLAND WELL) ~ARTICLE 1~, TITLE 27 6NYCRR 666 (WILD, SCENIC AND RECREATIONAL RIVERS) ~ARTICLE 24 6NYCRR 662, 663 (FRESHWATER WETLANDS) ~A[TICLE 34 6NYCRR 505 (COASTAL EROSIN) ~A~TICLE 2~ 6NYCRR 661 (T~DAL WETLANDS) ___~ .............................................................................................................................................. F ~SECTION 10 (RIVER AND HARBOR ACT OF 1899) for structures and work in navigable waters of the U.S. ~COASTAL CONSISTENCY CERTIFICATION E ~SECTION 404 (CLEAN WATER ACT OF 1977) for disposal of dredged or fi(( material in waters of the U.S  103 (MARINE PROTECTION, RESEARCH AND SANCTUARIES ACT) for the transportation of dredged materials for into ocean waters. ~s~c~,o~ ~ump~.~ . LIST PREVIOUS PERM[T/APPLICATION NUMBERS AND DATES (If any) IF OTHER THAN INDIVIDUAL PROVIDE TAXPAYER ID NUMBER 2. APPLICANT 1S A/AN ~~~ ~Lessee ~Municipality/Governmenta[ Agency (Check as many as apply) 3. NAME OF APPLICANT (Use Ful] Name] ~ TELEPHONE (Where can be reached during day) MAILING ADDRESS 3365 ~Z~ D~ve ~ ~.O.~3Z2 ) ,OST omc~ ~eZ ~E 4. NAME OF ~Owner ~Agen~Contact Person (Check one) ~OO~ & ~oo~e ~8. MAILING ADDRESS 3Z5 ~es~phaZ~a ~oa~ ~.O.~ 2~ : TELEPHONE (Where can be reached during day) . ~ ............. (5Z6) 298-5674 5. PROJECT/FACILITY LOCATION (Mark location on map, see Number qa on rever~ side) o~ ot Pecon~c ~ EZra. ~z ~o~ 'z'~ ~ap 00~-04-0Z & 05 POST OFFICE STATE ZiP CODE ~eZ~ ZZ948 6 NAME OF STREAM OR BODY OF WATER Ho~o~ 7 HAS WORK BEGUN ON PROJECT? If YES, attach explanation on sta~ing work without permit, includes dates. 8. WILL PROJECT UTILIZE STATE LAND? ~v~ ~o Show .o~k o. ~p ~.a/or dr~.~. ~V.~ ~No 9. PROPOSED USE: ~ Private 10. PROPOSED STARTING DATE: 11 APPROXIMATE COMPLETION DATE: 12. FEE QF [NY5 Permit ~ P.bh~ ~ Comm~ci~ Z2/Z/94 Z2/Z/95 s E~c~o~d 13, PROJECT DESCRIPTION: (e.g. quantity and type of material to be excavated, dredged or used for fill or rip rap, location of disposal sites; type of structure to be installed; height of dam; size of impoundent; capacities of proposed water sources; extent of distribution system; etc.) 14. WILL THIS PROJECT REQUIRE ADDITIONAL FEDERAL, STATE AND/OR LOCAL PERMITS~ ~ Yes ~ No If yes, please list: 15. CERTIFICATION: [ hereby affirm that under penaliw of perju~ that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the PenaI Law Further, the applicant accepts fuji responsibility for al] damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits, actions, d~mages and costs of evew name and description resulting from said project. In addition, Federal Law, 18 U.S.C. Section 1~1 provides for a fine of not more than $10,0~ or imprisonment for not more than five years, or both, where an applicant knowingly and willfully falsifies, conceals, or covers up a material fact; or knowingiy makes or uses a false, fictitious or fraudulent statement. ~l hereby authorize the agent named in N~4, above to submit this application on my behalf PLEASE READ ALL INSTRUCTIONS ON REVERSE SIDE '0 1 4-16-2 [2191 )-- 7c 617.21 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM SEQR Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action, re'ay 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 determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis, n 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 method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or ac[ion Full EAF Components: The full FAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic 'project d~ta, it assists a reviewer in the 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 impaqt. 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 important. DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part 1 ~ Part 2 r-]Part 3 Upon rewew of the informati'on recorded on this EAF (Parts I and 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: [] A. The project will not result in any large and important impact(si and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be'prepared. [] B. Although the proiect 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 in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Date 1--PROJECT INFC)RMATIO Prepared by Proiect 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 thatcomDletion of tneful EAFwili be dependent on information currently availabl~ and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. ',lAME OF ACTION '1 Residence, driveway and septic system off of Horton Creek LOCATION OF ACTION dnclude Street Address. Municipality and County) off of r.o.w of Peconic Bay Blvd. , Lots 28,29 & 30 map of A.L.Downs BUSINESS TELEPHONE John and Barbara ~arrison ( NAME OF APPLICANT/SPONSOR ADDRESS I~Ltret 3365 Delmar Drive , P.O.Box 23 NAME OF OWNER 'if different) Mama N. Mastropaolo ~ SUSINESS TELEPHONE aka Marna N. Master~. ( ) ADDRESS 8175 Peconic Bay Blvd. CITY/PO Mattituck DESCRIPTION OF ACTION Const~ct a single family house, driveway and private sepszc sys=em SCTM~ 1000-126-04-01 & 05 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 [Industrial [Commercial [~'Residential (suburban) [Rural (non-farm) Z Forest ~Agriculture []Other '~ acres. 2. Total acreage of project area: ,f~,,t ~'~ ~'~/ "~-'~ APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) ,,2/O O ~,,-~"-acres ,,~/4~c~ ~'~-""acres Water Surface Area , acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces acres acres Other (Indicate type) ~/~/~ ~-~ /,,Q.z/ acres ~-&D: /,~ acres 3. What is predominant soil type(s) on proiect site? a. Soil drainage: [~Nell drained /dC' % of site ~Moderately well drained % of site []Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System.~ __ acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? []Yes ~ a. What is depth to bedrock? (in feet) r-]15% or greater % 6. Is project substantiallv contiguous to, or con~n a building, site, or district, listed on the State or the National Registers of Historic Places? []Yes 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? C1Yes ~o 8. What is the. depth of t~e water table? __ (in feet) 9. Is site 'located over a primary, principal, or sole source aquifer? ~4~es 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? [~Yes 11. Does proiect site contain any species of plant or animal life that is identified as threatened or endangered? OYes [~o According to Identify each species 12. Ale there any uniqu~or unusual land forms on the project site.~ (i.e., cliffs, dunes, other geological formations) EYes LJ'No Describe 13. Is the project site_p/~esentl~; used by the community or neighborhood as an open space or-recreation area? ~Yes .'~/No If yes, explain · 14. Does the presentsit~inc[ude scenic views known to be important to the community? LYes 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 /-/~::~TZ.2'-~/V' C.,~.~"-~/~., b. Size (In acres) 17. Is the site served by existing public utilities? ~'es l-lNo a) If Yes, does sufficient capacity exist to allow connection? []Yes []No b) If Yes, will improvements be necessary to allow connection? []Yes 18. Is the site located in an agricultura_./~L;strict certified pursuant to Agri'culture and Markets Law, Article 25-AA, Section 303 and 304? []Yes ~'No 19. Is the site located in or substantially ~guous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 6177 ~'~Yes ~No 20. Has the site ever been used for the disposal of solid or hazardous wastes? [Yes ~i~o 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 ~-7~ ~.-~y .~,.~7-acres. acres imtially; acres ultimately. b. Project acreage to be developed: Z)-~'~/~-/ c. Project acreage to remain~undeveloped ,2./'~ acres. IW'~""/-~--,~r~D - d. Length of project, in miles: I~//,~ (if appropriate) e. If the project is an expansion, indicate percent of expansion proposed ,'~ll,& %; f. Number of off-street parking spaces existing /g/A' ; proposed - g. Maximum vehicular trips generated per hour A//~ (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially Ultimately i. Dimensions (in feet) of [argest proposed structure ~, ~]'~J' h~e~i~;ht; '~ j. Linear feet of frontage along a public thoroughfare project will occupy is? __ width; ~-~ length. ft. ~ 2. How much natural material (i.e., rock, earth, etc.) will be removed from the site? ~ tons/cubic yards ~, '~,*':!! disturbed areas be reclaimed? EYes ~No a. If yes, for what intended purpose is the site being reclaimed? b. Wi]~ topsoil be stockpiled for reclamation? ~JYes ~No c..Will upper subsoil be stockpiled for reclamation? ~Yes E2No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? ~ ~ acres. 5. Will any matur~rest {over 100 years old) or other locally-important vegetation be removed by this pro]ect? []Yes ~'No .6. If single phase project: AnticiPated period of construction O months, {including demolition). 7. If multi-phased: a. Total number of phases anticipated _ {number). b. Anticipated date of commencement phase 1 _ month _ c. Approximate completion date of' final phase .. month_ d. Is phase 1 functionally dependent on subsequent p~h~ E3Yes 8. will blasting occur during construction? [}Yes L~No 9. Number of jobs generated: during construction -~'"' .; after project is complete --. 10. Number of iobs eliminated by this proiect __ C:) · : 11. will project require relocation of any proiects or facilities? ~Yes ~ If yes, explain _ year, {including demolition). year. 12. Is surface l'iquid waste disposal involved? ~ 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? E3Yes ~ Type 14. Will surface area of an existing water body increase or decrease by proposal? Explain ~ OYes 15. Is project or any portion of project located in a 100 year flood plain? 16. Will the project generate solid waste? ~es ~_~ a If es what is the amount per month ~JA'~'s /~ ' ' -Y--' ·; an existing solid waste facility be used? ~Yes [~No - b. It y~, w, . c. If yes, give name _ ~Ul'l'tO~-o g~'O~Og location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ~Yes i-]No ~No E~Yes 17. e. If Yes, explain Will the project involve the disposal of solid waste? a. If yes, what is the anticipated rate of disposal? b. If yes, what is the a~ticipated site life? ~Yes F~No _ tons/month. years. 18. Will proiect use herbicides or pesticides? E]Yes ~o 19. Will project routinely produce odors (more than one hour per day)? ~Yes 20. Will pro]ect produce operating noise exceeding the local ambient noise levels? [}Yes 21. will project result in an increase in energy use? ~Yes If yes , indicate type{s) If water supply is from wells, indicate pumping capacity Total anticipated water usage per day (~]/}f~ . gallons/day. ~Yes 22. 23. 24. Does project involve Local, State or Federal funding? gallons/minute. If Yes, explain Approvals Required: City, Town, Village Board []Yes City, Town, Village Planning Board OYes City, Town Zoning Board []Yes City, County Health Department [~es Other Local Agencies F-lYes Other Regional Agencies []Yes State Agencies .,~ Yes Federal Agencies []Yes Zoning and planning Information [No Submittal Date 1. Does proposed action involve a planning or zoning decision? C1Yes If Yes, indicate decision required: E~zoning amendment [~zoning variance ~special use permit E3subdivision []site plan []new/revision of master plan F3resource management plan []other 2. What is the zoning classification(s)of the site? ~------C~~~ 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 4. What is the proposed zoning of the site? 5. What is the maximum potential developmen_t 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? ~s [No 7. What are the predominant land use(s) and zoning classifications within a lA mile radius of proposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a lA mile? ~ F~No 9. If the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum tot size proposed? 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? J-iYes 11. Will the proposed actio/0/create a demand for any community provided services (recreation, education, police, fire protection)? E~'?es lNg a. If yes, is existing capacity sufficient to handle projected demand? 12. Will the proposed action result in the generation of traffic significantly above present levels? E3Yes ~-~o a. If y~s, is the existing road network adequate to handle the additional traffic? ~]Yes [No D. Informatione[ Details Attach 'any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to th~ best of my knowledge. If the action is ~n the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 Albert J. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 · October 25, 1994 John C. Harrison P.O. Box 312 Laurel, NY 11948 Re: SCTM ~126-4-1, 2, 5 & 18.1 Dear Mr. Harrison, After an on site inspection of your property, the Southold Town Trustees found that the proposed construction of a house is non-jurisdiction as per survey dated October 21, 1994. The Trustees recommend that a row of hay bales be placed to prevent any runoff~&nto Horton Creek, and that any activity associated with construction of house that is within the 75' of the designated wetlands would be in our jurisdiction and would require a letter of waiver or permit. If you have any questions, please call our office. Yours truly, President, Board of Trustees AJK/djh cc. Bldg. Dept. ZBA (516} 298-5955 October 3, 1994 Southold Town Board of Trustees Southold Town Hall Main Road Southold, NY 11971 JOHN C. HARRISON P O BOX 312 LAUREL, NY 11948 Dear Ladies and Gentlemen, Thank you for revisiting the property on Masters Road in Laurel to review the line that was flagged to designate 75' line from the wetlands. I have had Peconic Surveyors back to the lot to locate that line on the enclosed survey as per your request. Would you please send a letter of non-jurisdiction to me as we discussed, I realize that if any excavation or construction extends below the flagged line that I will have to apply for a permit from your office. Thank you in advance for your cooperation and if there are any questions please do not hesitate to contact me. Sincerely, (516~ 298-5955 JOHN C. HARRISON P O BOX 312 LAUREL, NY 11948 August 3, 1994 Southold Town Trustees Main Road Southold, NY 11971 Dear Ladies & Gentlemen; Thank you for the time you spent in assessing the situation on the land presently owned by Mrs. M. Masters in the Hamlet of Laurel, which I am under contract to buy. As per you recommendation I have flagged the 75' foot line using the criteria you outlined to me at your inspection. You said that one of you would return to inspect and approve the line that I had flagged, it is now ready for your inspection. I realize that if in the process of the construction I must venture below that line that I must first apply for and get your permission. It is my intention not to venture below the 75' line and to keep the area in its present state. Thank you again for your cooperation, if you have any questions please do not hesitate to contact me. Sincerely, C. Harrison JOHN C. HARRISON 3365 Delmar Drive P.O. Box 312 Laurel, NY 11948 (516) 298-5955 June 21, 1994 Southold Town Trustees Southold Town Hall Main Road Southold, NY 11971 Re: SCTM # 1000-126-04-01, 02, 05 and 18.1 Dear Members of the Board of Trustees: My wife and I have entered a Contract of Sale for the purchase of the above referenced property, and we would like to confirm that we will be able to construct a single-family residence on the property which can be located on the property outside of your jurisdiction as well as that of the New York State Department of Environmental Conservation by remaining at least 75 feet from wetlands and above a 10 foot contour respectively. Enclosed please find a survey of the property and our check in the sum of $40.00 for a Letter of Non-jurisdiction from your Board. I would like to meet with you in the field to describe the proposed location of the house and to confirm the location of the wetland boundary. We will arrange to have the building envelope staked to confirm its location outside of your respective jurisdications. If you have any questions, please do not hesitate to contact me. Very truly yours, jo~~. Harriso~n Enc. MAR 84 '98 11:4E TOWN O$OUTHOLD P.1/I Towr~ H~ll 53095 M~I~ Road P,O. Box 1179 Southold, New York 11971 Telephone (516) 765-18.~2 Fax (§16) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTEOLD Office Use Only . Coastal Erosion Permit Application Wetland Permit Application Grandfather Permit Application Waiver/Amend~ent/Chan~es_ ~__Recel~ed Application: CReceived Fee: $ CCompleted Application . Incomplete SEQRA Classification: Type I~T!rpe It Unlisted Coordination:(da-~s~)~ -- _~_CAC Referral Se~t: 3 ./~-~ ~Date of Inspection- Receipt of CAr Report: Lead Agency Determination: Technical Review: ~.Public Hearing Held:~~ Resolution: Name of Applicant Peter Warns and Jeanine WArns 8740 Peconic Bay Blvd, Mattituck, New York Address 11952 .~Phone Number: ( 5 16) Suffolk County Tax Map Number: 1000 - 126.00 05.00 002.00 Property Location: 8740 .Peconic B~y Blvd.,Mattituck, New York (provide LI.LCO ~Pole #, 'distance to crbss streets, and location) AGENT: William C. Goggins (If applicable)" Address: 11775 Main Road, PCB 65, Mattituck, New York 11952 Phone: 298-4200 FAX~:' '298-4214 DATED: Mattituck, New York March 5, 1998 11952 MAR 04 '98 11:40 TOWH OF_SOUTHOLD ~rd of zrustees tpplication~ P.E/5 GENEKALDATA Land Area (in square feet): ~pprox. Area Zoning: R-40 30,000 Previous use of property: Sing_~e Family Residence Intended use of property: Single Family Residence Prior permits/approvals for site improvements: Agency Date None Known No prior permits/approvals for site improvements. Has any per, air/approval ever been revoked or ~uspended by a governmental agency? Not Known X No Yes If yes, provide explanation: Appl~cant~ ?~rcha~d property March 5, 1998 Project Description (use attachments iX necessary): Grandfather Permit Application for Bulkhead DATED: Mattituck, N~w York March 5, 1998 AFFIDAVIT STATE OF NEW YORK ) )SS: COUNTY OF SUFFOLK) J. MCGUONE ABBOTT, being duly sworn deposes and says: One: I am the owner of property adjacent to the property purchased by Peter Warns and Jeanine Warns, which property is located at 8740 Peconic Bay Boulevard, Mattimck, New York and further described as SCTM No. 1000- 126.00-05.00-002.000. Two: I have owned the property adjacent to the aforesaid property since 1980 and the bulkhead has always existed at the subject property since then. Sworn to before me this fi- day of March, 1998. NOTARY P~UB~L I C ~//J. MCGUONE ABBOTT MIMI ALIPERTI Nota~ Pub!i~, St~t~ ~f New York No. 41-485! ~502 - Qu~ne Count~. Te.~m Expires February,~ ~o,,/ AFFIDAVIT STATE OF NEW YORK ) )SS: COUNTY OF SUFFOLK) WILLIAM C. GOGGINS, being dulY sworn deposes and says: One: I make this affidavit in support the apphcation of Peter Warns and Jeanine Warns to secure a Grandfather permit for the bulk_head located at 8740 Peconic Bay Boulevard, Mattituck, New York and further described as SCTM No. 1000-126.00-05.00-002~000. Two: During the period commencing on or about September 1971 and endh~g July 1978, I resided at the premises located directly to the east of the aforesaid premises owned by Peter Warns and Jeanine Warns. Three: During the aforesaid period, the subject premises were owned by Marion Hoag. The bulkhead existed at the premises during that time period. Four: From time to time since July 1978, I have had occasion to walk on the beach in front of the aforesaid premises, and the bulkhead has always been intact. ~ILLIAM C. GOGGit<IS'" SWorn to before me this _y~day of March, 1998. NOTARY PUBLIC MAR 04 '98 11:41 TOWN OF SOUTHOLD Board of Trustees' Application 3/5 County of Suffolk State of New York Peter Warns and Jeanine Warns BRING DULY swORN DEPOSES AND'~F~s THAT H~/S~.-'IS 'r~ AP~LIcA~'~ FOR ~ ~ D~S~IB~ P~IT('S) ~ ~T ALL STA~S CO~A~ ~N ~ ~ ~ ~ BEST OF ~S/~ ~O~GE. ~ B~I~, ~ ~T ~ WO~ WI~ BE ~ IN ~ ~ SET FOR~ ~ ~IS ~I~ON ~E ~PLI~ A~ TO HO~ ~ ~ OF SO~O~ ~ ~ ~ ~ISING ~ OR BY ~R~E OF SAID P~T(S), IF ~. IN CO~LETING ~S ~P~TION, I ~E~ A~OEIZE ~ ~US~E, . TO INSPE~ ~ P~ISES IN. CON~ION ~ ~ OF na~-~re Jeanine w~ns~ SWORN TO BEFORE M~ THIS 5th DAY OF ..... March Notary ib Zc/ WILLIAM C, GOGGINS Not~ry Public, State of New York Qualified in Suffolk County Commission Ex,res Uamh 12, ~_[ 7 MAR 04 '98 11:41 TOWN OF SOUTHOLg Board of TrUSteez App~_cation P, 4/5 Au,£~ORI ZATION (where the applicant is not the owner) I, Peter Warns and Jeanine Warn~esiding a~ 8740 Peconic Bay Blvd, (print owner of 'property) (mailing address) Mattituck, New York 11952 Willi.am C. Goggins do hereby authorize {Agent) to apply for pe~it(s) ~rom the Southold Board of Town Trustees on my behalf. Peter Warns Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. DATE: ..3.125/.98 ...... ISSUED TO ........ t~E.T Elt. ~... JEA~IN E...I~ARI~ S ......................................... Authorization Pursuant fo fha provisions of Chapter 615 of the Laws of the State of New York, 1893; and CJnapfer 404 of the Laws of fha State of New York 1952; and the Soufhold Town Ordinance en- titled "RE~=ULATINC= AND THE PLAClNC= 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 Resoluflon of The Board adopted afa rneefing held on 19 .9.8, and in consideration of the sum of $1.0.0..0.0. paid by ..... Wi!~i~r~,...~g g gi~.~.......fqr,......PE.~E.g ...~. ~+~.I~.!.N...E.....~.A....R...N...S. .............. of ........ ~.~.tti~.~k ................................................... N. Y. and subject fo the Terms and Conditions listed on the reverse s,de hereof, of Southold Town Trus~-ees authorizes and permits the following: Grandfather Permit for approx. 96' of bulkhead. all in accordance with the detailed specifications as presented ~n the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- ~ by causes its Corporate Seal fo be affixed, and these presents fo be subscribed by a majority of the said Board as of this dat, e. Telephone (516) 765-1801 Town Hall. 5309,5 Main Road P.O. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL The following action taken at a meeting of the Southold Town Conservation Advisory Council held Monday, March 23, 1998: GF-66 Moved by Bret Hedges, seconded by Sharon Shine, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Grandfather Permit request of PETE[{ and JEANINE WARNS 126-5-2 for a grandfather permit for bulkhead. 8740 Peconic Bay Blvd., Mattltuck Vote of Council: Ayes: All Motion Carried WILLIAM C. GOGGINS ATTORNEY AND COUNSELOR AT LAW P.O. Box 65 11775 Main Road Mattituck, New York 11952 Phone (516) 2984200 Fax (516) 298-4214 WILLIAM C. GOGGINS Attorney at Law March 6, t998 Southold Town Board of Trustees 53095 Main Road Southold, New York 1 i971 DONNA M. PALMER Paralegal Re: Premises: 8740 Peconic Bay Btvd. Laurel, New York 1 i94g SCTM No.: 1000-126.00-05~©0-002.000 Dear Sir/Madam: In colmection with the above referenced matter, ,mc~,osed please find a Gra~dfalher Permit-Application for Bullchead, a copy of the smwey together w~tn the Affidavits. Also, enclosed please find a check made payable to the Southoid Town Beard of Trustees, in the amotmt of One Hundred ($100.00) Dollars as and ~ ' IO1 filing fee if you have any questions, please do not neata~e to comact me mndersigned. Thank you. WCG/dmp enclosures N ~E N KEY S 7'6'06'00' E. 98'40' ~' ~'~$,00. ~' .\ TEST SURVEY OF ~~ 0 TS 24 thr. u 30 incl MAP 'OF . ' ' "A. L. DOWNS", .~ FILED AUGUST 14, 1929 FILE NO. 21~'~ ~- ~- A T LAUREL ~_~ o TOWN 'OF SOUTHOLD SUFFOLK COUNTY, N. Y. ~ ~ Scal~' N' = 40' ' Oct. 14, 1990 - NOv. 30, 1990(revise) APRIL 18, 1991 Mw. 8, April 13, 1995 ( addilion ) CERTFIED TO' JOHN C, HARRISON BARBARA ~ HARRISON FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK SUFFOLK COUNTY TAX MAP PARCELS 1000- 126- O4- 01& 05 ~000- 126- ~-23 (R.O.W.) AREA = 57,2~4 e~,f't. AREA UPLANDS = 55,124 sc~ ft. +- AREA WETLANDS = 2100 ELEVATION$ AND CONTOUR LINES ARE REFERENCED TO I~ G. V. D.. BUILDING ZONE: R 40 LIe. NO. P.e. W N KEY MAP S hI, 76,06.00' E. \ , SURVEY OF L 0 TS 28,29 & 30 MAP OF "A. L. DOWNS" FILED AUGUST 14, 1929 FILE NO. 21 A TLA UREL TOWN OF SOUTHOLD SUFFOLK, COUNTY, N. Y. Scale I" = 40' Oct. 14, 1990 Nov. 30, 1990(revise) APRIL 18, 1991 AREA = 5)',224 aq. ft. AREA UPLANDS = 55,124 Bq AREA WE~ANDS = 2100 sq. ft~ ~ ~ ~ ~t ~ ~LEVATION$ AND ~~ ~~ ~-- ~RE REFERENCED for eu~h uae by Thea~ew York State ~d De~t of He.th ~& 004/$£/P~4'°y Nq'Rov~ N CERTIFIF-D TO' JOHN C. HARRISON BARBARA E. HARRISON FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK SUFFOLK COUNTY TAX MAP PARCELS 1000 - 126 - 04 - 01 & 05 1000- 126- 11- 23 (RO.W. ) CONTOUR LINES TO NG. V.D.. BUILDING ZONE: R 40 OF SOUTHOLD P.O. BOX 9O9 MAIN LIC. NO. 49616 HORTON CREEK N S E KEY MAP 0 04'$~/? ~,,~ 4'0 ~. 5 SURVEY OF L 0 TS 28,29 & 3O MAP OF "A. L. DOWNS" FILED AUGUST 14, 1929 FILE NO. 21 A T LAUREL '~ ~ o TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 126 - 04 - 05 Scale' 1" = 40' Oct. 14, 1990 Nov. 30, 1990(revise) APRIL 18, 1991 N 8~°44,47,, CERTIFIED TO, JOHN C. HARRISON BARBARA E. HARRISON FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK AREA = 57,224 sq. ft. AREA UPLANDS = 55,124 sq. ft. +- AREA WETLANDS = 2100 sq. ft_+ , ELEVATIONS AND CONTOUR LINES ARE REFERENCED TO N ~. V. D. . Title BUILDING 'ZONE: R 40 ~ _~ 90 266