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HomeMy WebLinkAboutTR-3842 Board Of $outhold Town Trustees SOUTHOLD, NEW YORK ~. PERMIT NO. 3:~.'~. DATE: ..I ..,~.. -~, ;~;~)0 I ISSUED TO '""'~ " , ~ .... L 'L"'~OO.~'"',~ H~' Pursuan~ fo +he provisions of Chapter 615 of ~he Laws of '.' fha State of New York, 1893; and Chapter 404 of +he _aws of fha i State of New York 1952; and fha Soufhold Town Ordinance en- flfled "RE~ULATIN~ AND THE PLACIN~ OF OBSTRUCTIONS ... IN AND ON TOWN WATERS AND PUBLIC LANDS anc fha REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM i LANDS UNDER TOWN WATERS;" end in accordan:e with ~he I Resolufion of The Board adopted afa meeting held on ::"<~ 31, . ~ ~ .. ~ i 19 ~)(~ and ~n consideration of the sum of S paid by of N.Y. and subiec} fo the ',~ ., Terms and Condlflons listed on the reverse side hcreof, .~', ~,:' of Soufhold Town Trus+ees authorizes and permlfs the following: .he. nou .,,_. u ..... ~_ pJ;.c.c'~, ,,., (,~>.,,...p~ [,¢ ~o~.c..~.., !> .... ..~ ell m accordance with the de+e~[ed spoc~caflons as presonfe~ m ',~ ~ tho originating application. IN WITNESS WHEREOF, Tho said Board of Trustees h~ro- by causes ~fs Corporate Seal fo be affixed, and these presents fo ~ ~': be subscribed by a maiorify of ~he s~d Board as of this da~e. .-~.....-.. ..., ..-..'... . ...,.., . . :..',:..,'~.;~-, ....... . ,.. ~_~,.':~...',_-. , . ..... · -..,~.~.., . ....... ,' ~ ,.;.j..'..'='~. TEEMS and CONDITIONS The Petmittee Brent Bookrniller residing at Deephole Road, Mattituck N. Y~ as part of the consideration for the issuance of the Permit does understand and ptx~n'be to the fol- lowing: 1. That the said Board 'of Trustees and the Town of 5outhold are released from any and al/ damage% or elalmq :for dalllages, of sllits arishlg directly or illdire~ly as a restllt of ally oper- ation performed porsuant to this permig and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, ~o the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Permit is valid for a period of 2 4 mo~ which is comldered to be the estimated time required to complete the work involved, but should clroam~rances wasrang request for an exrensinn may be made to the Board at a later date. 3. That this Permit should be retained hadefinitely, or as long as the said PermiUzee wishes to mainraln the atructare 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 low water merks. 7. That if future operations of the Town of Southold require rite removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstructton to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work or project herein stated without expanses to the Town of $outhold. ' · ' : · 8. That the sald Board will be notified by the Permistee o! the completion of the work orized. 9. That the Permittee will obtain all other permits and consents ~hat may be required sup- plemental to this permit which may be subject to revoke upon failure to ob~i- same. © TRUSTEES SUPERVISOR John'M. Bredemeyer, HI. President SCOTT L. HARRIS Albert J. Krapski. Jr.. Vice President Henry E Smith ~.~ Town Hall John B. Tuthfll ~ 53095 Main Road William G. Albenson P.O. Box 1179 Telephone (516) 765-1892 Southold. New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 1, 1993 Patrick & Arlene Callahan P.O. Box 663 New Suffolk, NY 11956 Re: SCTM % 1000-115-17-6.2 Dear Mr. & Mrs. Callahan: The following action was taken by the Board of Trustees a= their ~egular meeting of May 26, 1993: RESOLVED that the Southold Town Board of Trustees approved the request for an amendment to Permit ~3842 to add a I0' X 16' deck attached to house approx. 54' from MHW. If you have any questions, please call our office. ruly yours, John M. Bredemeyer, III President, Board of Trustees JMB:djh Jotm M.' Bredemeyer, 7~I, Pres/de~ SCOT" ... ' ' " At~ert 3, K,mpsk% Jr., Vi~ Pressmen Hen~ E.Smit~ '-" .. Xo~ B. ~t~I ~ .h,: .v.. W~am~ ~so~ . ,:~'~': ~ .... , ~ .... , [,... ~'i.; ~lephone (5~i~-765~18~ Fax ~,5i~ T~5-1823 BO~ OF TQ'~* ~USTEES June ~l, 1~92 Patrick Catlahan ~-1t 212 St~ ~ ~yside~ ~ 11364 ~: Pe~it Dear M~ Cattahan: ,h~ .roliowlng action was taken by the southot~ Town Board of ~rust~es on Thursday~ ~ay 28~ i992~ RESQLVE~ that the Southo!d Town Board of ~rustees grant an ~Xtension on pe~it ~3842 (fo~ally Brent Boo~iller) to e~ir~ June 22~ 1993. If you have any questions, Please do not hesitane to contact this office. V~y truly ~ ou~ ~ ~ ~ohn ~. Bredemeyer~ Iil President, Board of Trustees H, S. REF. NO, 87 - SO - /~1 - / Oeparlmenf of He~lfh Services. SURVE~ OF PROPERTY AT MATTITUCK TOWN OF SOUTHOL~ ..... ~o~,~ SUFFOLK COUNT~. ;~ ~,~ =-=: ::~ sc~ ~'~ .......... NOV. 17, ...... , Prepared m occordqnce with lhe minimum ..... ~ . by the LJ.A,L.S, ond ~proved qnd ~dopled ~ '- · ~V~C~~y ~ ~.~.~. BOX 909 ~.EVAT~S 4R~ R~flCEO ro A~.v.o. sgs~ems [or ~fl/s re~t~eflce ~#1 cO~orm ~ Io file stond~rds ~[ The Suffotk Dap~rtmen~ of He~lfh Services, SURVEY OF PROPERTY AT MATTfTUCK- TOWN OF SOUTHOLD /~,~ ~"~ SUFFOLK COUNTY, ~OOO - " SC~LE: I% 40' ~.~ NOV. ~ .... ~ Prepared ~NGINEERS, ~ C. [516~ ~ O. ~OX 909 Board Of $outhold Town Trustees SOUTHOLD, NEW YORK Pursuant to the provisions of Chaptsr 615 of file Laws o'~ the State of New York, m893; and Chapter 404 of the Laws of +he State o~ New York 1952; and the Soufhomd Town Ordinance en- flfled "RE~ULATIN~ AND THE PLACIN~ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANCS and fha REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM .~',. LANDS UNDER TOWN WATERS:" and in accordance with +he '. Resolution of Thc. Board adopted afa meeting held on ..... "~' - 9 '.'?~, and in consideration of the sum of S Lq':''-''' paid by :", o~ N.Y. and sub,ec~ fo the Terms and Conditions listed on +he reverse side be'eof, of Soufhold Town Trustees aufhorizes and permits the following: all in accordance with the de+~iJed specificafions as presonfe~ in +he originafing appllcafion, j;.' N WITNESS WHEREOF, Tho sald Board of Trustees here- by causes its Corporate Seal +o bo affixed, end those preser+s +o be subscribed by · me orffv o~ +ne samd Board as of +hms da+ .... ~. ~,~~ '~i TRUSTEES SCOTY L. HARRIS M. Bredemeyer. Ill. President Supervisor ,Henry P. Smifa. Vice President Town Hall 53095 Main Road Albert J. Krupski.~Jr: P.O. Box~ 1179 John L. Bednoski. Jr. Southold, New York 11971 John B. Tuthill / BOARD OF TOWN TRUSTEES Fax (516) 765-,1823 Telephone (516)765-1892 TOWN OF SOUTHOLD Telephone (5f6) 765-I800 May tl, 1990 Mr. John Holzapfet, Chairman Southold Town Conservation Ad%isory Council Southold Town Hall Main Road Southold, New York 11971 Dear Mr. Holzapfel: Transmitted herewith is application No. 5-1-90-115-17-6.2 for a wetland application submitted by Bookmiller Realty in behalf of Brent Bookmiller. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB: jb Town John Hotzapfel, Vice President ~ J! 53095 Main Road ~ ~ P.O. Box 1179, William G. Albertson %~.~ Southold. New York 11971 Martin H. GarrelI ~ ~.. n~ Peter W enczel '¢' '~'O~to', Telephone (516) 765-1892 '~ Fax ¢16) 765~r823 BOARD OF TOWN TRUSTEES TO~N OF SOUTHOLD June 30, 1995 Patrick Caltahan P~.O. Box 66~ New Suffotk NY 11956 Re: SCT~ 9115-i7-6.2 Dear Mr. Catlahan, The following action was taken by the Board o5 Trustees at their regular meeting of June 29, 1995: RESOLVED that the Sou~hold Town Beard of Trustees approve a one year extension for Permit 44195 to construct a 3' X i8' elevated catwalk, a 3' X 10' ramp and a 5' X 12' float located approx. i5' from south property line. If you have any questions, please call our office. Very truly yours, President, Board of Trustees AJK/djh cc. CAC © © TRUSTEES SUPERVISOR John M. Bredeme~er. t~. Presidem ~.~71~ SCOTT L. HARRIS Albert J. Krupski. Jr.. Vice President Henry P. Smith ~ol'~o Town Hall John B. Turhill '~-~"~.~1~ 53095 Main Road William G. Albertson ~ ~,~,,~i~ r-zo, EO. Box 1179 Telephone f516) 765-1892 ~ Southol& New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 30, 1993 Patrick Callahan P.O. Box 663 New Suffolk, NY 11956 Re: SCTM %1000-1t5-17-6.2 Dear Mr. Callahan: The following action was taken by the Board of Town Trustees during its regular meeting held on Thursday, June 24, 1993 regarding the above matter: WHEREAS, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated May 21, 1993 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 Thursday, June 24, 1993 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 the Board of Trustees approves the application of Patrick & Arlene Callahan to construct a 3' X 18' ely. catwalk, 3' X 10' ramp~ 5' X 12' float located approx. 15' from south property line. Permit will expire two years from the date it is signed. 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. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: No fees Ve truly yours, ohn M. ,Bredemeyer, III President, B~oard of Trustee JMB:jd I: 0 0 TRUSTEES SCOTt L. HARRIS John M. Bredemeyer, III, President Supervisor Henxy P. Smith, Vice President Town Hall, 53095 Main Road [ Albert J. Kmpski, Jr. P.O. Box 1179 ~: John L. Bednoski. Jr. Southold, Ne~ York 11971 ~ John B. Tuthill: BOARD OF TOWN TRUSTEES Fax (516) 765~1823 Telephone (516') 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 June 25, 1990 Brent Bookmiller P.O. BoX 632 Jamesport, NY 11947 Re: App. No. 5-1-90-115-17-6.2 Dear Mr. Bookmiller: The following action was taken by the Board of Town Trustees during its regular meeting held on June 21, 1990 regarding the above matter: WHEREAS, BRENT BOOKMILLER applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated May ll, 1990 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 June 21, 1990 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 TPIAT BRENTBOOKMILLER BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: construct a single family dwelling, well and associated sanitary system with the following conditions: 1. All runoff must be contained on property. 2. 35' native vegetation buffer be maintained 3. The house be placed as close to the road as possible. 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 inspectioD~ are required and the Trustees are to be notified upon completion of sai~L project. Please note that a permit from this office does not signify that other permits will be granted, therefore, please return to the Building Department for a d.etermination on the need for any other permits which may be required for this project. P~r~t will be issu~e~ upon pas~me.n.t of the following fees for work to be done ~eiow Mea~ High. Water Mark: Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:jb cc: Bldg. Dept. Conservation Advisory Council file Town Hall 53095 Main Road P.O. Box 1179 Telephone Southold. New York 11971 (516) 765-1801 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL To: Southold Town Trustees From: Southold Town Conservation Advisory Council Dated: June 19, 1990 Re: Weland Application Recommendations The following recommendations were made by the Southold Town CAC at its meeting held Thursday, June 14, 1990 at Southold Town Hall: On a motion by Bruce Loucka, seconded by Stephen Angell, it was RESOLVED to recommend to the Southold Town Trustees approval with stipulations of Wetland Application No. 3-3-90-99-4-1 submitted by Permit Research and Acquisition Co for Carey Tank Farms to demolish Carey Tank Farms (above ground petroleum tank storage), demolition of three (3) 250,000 gallon tanks and three (3) 100,000 gallon tanks, and two (2) 20,000 gallon tanks. The CAC approves provided that during the course of removal, nothing is allowed to enter the creek or groundwater and that any connecting lines or plumbing be removed also. Luthers Road, Mattituck Vote of Council: Ayes: All Motion carried. On a motion by John Holzapfel, seconded by Stephen Angell, it was RESOLVED to recommend to the Southold Town Trustees approval with stipulations of Wetland App!ication No. 5-1-90-115-17-6.2 submitted by BookmHler Realty on behalf of B~eht~}3okmiller to construct a single family dwelling, well and associated sanitary' system. The CAC approves provided all runoff be contained on property (hay bales, filter cloth, etc.), gutters, downspouts, and drywells be installed and a 45' native vegetation buffer be maintained. The~;suggests applicant site the house as closer to the roacr as much as zoning will allow. Deep Hole Road, Mattituck Vote of Council: Ayes: All Motion carried. On a motion by Bruce Loucka, seconded by Margaret Feeney, it was P, ESOLVED to recommend to the Southold Town Trustees disapproval of Wetland Application No. 5-3-90-117-5-31 submitted by John H. Geideman on behalf of Joseph Fudjinski to excavate to create a small boat basin (pleasure craft), and place spoi on owner's land close to site. The CAC recommends disapproval because no need is shown for this project. The project would result in the removing of wetlands, dredging would destroy the whole waterfront area by his property and damage would occur to the wetlands. The Council suggests the applicant instead submit plans for a dock and catwalk. Foot of Fifth Street, New Suffolk Vote of Council: Ayes: All Motion carried. TRUSTEES SCOT]7 L. HARRIS John M. Bredemeyer. IH, President Supervisor Henry P. Smith, Vice President Albext J. Krupski, Jr. Town Hall, 53095 Main Road P,O, Box'l179 John L. Bednoski. Jr. Southold, New York 11971 John B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516') 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 'S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON T~EE~VIRON~NT APPLICATION NO. 5-1-90-115-17-6.2 NAME: Brent Bookmiller DATE: May 29, 1990 RESOLVED that pursuant ~o Article 8 of the Environmental Conservation Law, State Environmental Quality Review and 6NYCRR Part 617, Section 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project will nothave a significant effect on the environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. TYPE OF ACTION: Unlisted DESCRIPTION OF ACTION: To construct a single family dwelling, well and Associated sanitary system. LOCATION: Deep Hole Road, Mattituck. Tax map No. 1000-115-17-6.2 REASONS SUPPORTING THIS DETEP~INATION: 1. An on site inspection has been conducted by the Board of Trustees. -- 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. ~ ~ © © 3. To date, there has been no response from the Southold Town Conservation Advisory Council. cc: Planning Dept. Bu~tding Dept. Zoning Dept. C.A.C N~Y.S.D.E.C. Army Corps of EngineeEs Jl. ,l 5 1990 VALERIE SCOPJ4Z- .... ~7,~" ~-~ Town Hall, 53095 Main Road TOWN PLANN~-'~O~,~f~ OF ~O~THOL~ P.O. Box 1179 Southold. New York 11971 TELEPHONE (516) 765-1938 MEMORANDUM TO: John M.~B~edemeyer, III. President Board of Trustees FROM: Valerie Scopaz, Town Planner ¢5 RE: T~ustee P~rmit for SCTM = 1000-115-017-6.2 DATE: June 4, 1990 I have just reviewed the Negative Declaration for the above-~_~_~ referenced parcel. You may want to check with the Building Depart- ment as to whether this parcel is considered a legal building lot. There is no subdivision on file in the Planning Board office. The property cards show ~his parcel as having been split in the 1970s . :f4'16L2 ~2187)-- Zc 617.21 Appendix A SEC State Environmental Quality Review FDLL ENVIRONMENTAL ASSESS!MENT FORM Purpose: The full EAF is designed to help applican~ and agencies dete~ine, in an orderly m~er. whe[he~ a p~]~ or action m~y be significant. The question of whether an a~ion m~y be s[ l~, t~e a(e ~pects of a p[oiect ~t a~ subjective or unmeas~ea.b)~ ~ ~nt[s n~t always easy to ~wer. Erequ. e~. S~njr,~ance ma~ have little or no ~ormzl knowl~e~0f the ~v r~n~t~ '~ a,so;unaerstood that ~ose. who de~min an=lVs~s. In add t On. many who have knowledge ;- ~-' _- ,, ~r m~ oe techn caJJy ~n~ ·ne tuu EAF m fn~ndedto provide a method wherebyapplican~ anti,age.les can be assut~ that the de~inatio process h~ ~ee~ ord~]~, comprehen~e in nature, yet flexible to allow in~oducfion of info~afi~ to fit a p[Oject, or Full ~F Components: The full EAF is comprised of three parts: Part 1: Prd~ides O~five d~ ~d J~fo~m~on about a given ~ro-ect and . Part ~ Eo~ses.on id~ntifVin~the ran~f'~Ossib~e impacts that ma o - ~d~c~ asto wheth~;~ ~mpact is J~e]y ~o be co-~;~-~ -~-~cur fr~m.a proie~ or a~n. It ~ovide: [~r~.' i~p~ct. The form also ~e~ifj~. ~he[her a~'~pac~ .... .,.a,~[ocan oe mi~fg~[edmp~era~or~r md~c~.Wheth~it is~a~ pOtentiaH~ Part 3:imp~ctlfa'ny impacts ac~uallyin Partimpo~ant.Z is identif]~ ~ potentially-large, [h~ Part 3 is used~ ev~l.ua~w~ether or not the D£T£RMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part I ~ Part 2 I~Part 3 Upon review of the information recorded on this £AF IParts 1 and 2 -~'nd 3 if appropriate), and any other su~orting informaUon, and considering both the mag~tude and importance or each im ~ac~, ~t is reasonably determined by the lead agencv that: A. The prelect will not result in any large ahd important impact(s) and, therefore, is one which will not have a significant .m~act on the enwronmenL therefore a negative declaration wi]l be ~epared, B. Although the pro~ect could have a significant effect on the environment, there will ~ot be a significant effect for this Untisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED n~a/ive declaration will be prepared.' C. The projec~ may result in one or more large and important ~mpacts that may have a Significant impact on the environment, merefore a positive declaration will be prepared. ' A Conditioned Negative Declarabon is gnt'r valid for Unlisted Actions Name of Action SOUTHOLD BOARD OF TOWN TRUSTEES Name o~ Lead Agencv John M. gredemeyer, III · President, Board of Trustees Pnnt~r type Name ol ture of Responsible Officer in L~ad Agency Signature of Pr-parer R~ponsJ~illty of Lead Age~ General Information ~ead C~refulty~ ' In completing the form the rewewer ~uid be guided by the question: Have my responses a~ determin~tion~ reasonable~ The rewewer is not expe~e~ to, be an exper environmental analyst, ' Identifying that an impact will be poten,tiaJ[y large (column 2) does not mean.~ha~ it is also ~c~sarily Any large impact must be eva uate~ in PART 3 to determme'significance. Identifying aa impa~ in ,co{utah 2, asks that it be ]ooZed at further. · The Examples provided are to ~ssist the re~ewer bv showin~ types of acts and where e ' ma_nit_~ .~ ............. ~ ~ [ p~ss~le t~e thresho ~ uue ~.d~ wou~ [rigger a response m column 2. The e~mpJes are generally app[[cab[~ throug~ut,the S~te for most siVa:ions. B~t. for any specifi~ project or site other ex~mp]e5 and/or lower thresholds may for a ~ote~ti~i L~rge ]mpactresponse. thus requiring ~aluation in Par~ 3. · The impzcts of e~ch project, on each site. in each [ocaJi~. wiiJ varw There(ore. :he ~mp{e~ a~e illustrative have been offered as guidance. They do not consti~u~ an exhaus:ive List of impzcts ~nd threshoJ~ to ~ each - ~e number of e~mpJes per question does not indicate :he im~or~e of each · In identi~i, ng impacts, consider long. term. short term and cumlative ef~ect~ Instructions CRead carefully) ~ ~nswer e~ch of the 19 Questions in PART 2. Answer Yes if there will be any im DaCt. b: Maybe answers should be co~sidered es Yes answers. c: If answering Yes to a euestJon then thrice the appropriate box (column I or 2] to indicate the oo:end~J size impact. If impact threshold equals or exceeds any ~mp~e ~rovided, chec~ column 2. [f [mp~c~will occur but J~ lower th~n example, check column 1, d. [f rewewer has doubt about size o~ the impact then consider the impact as ootentJaJ y larBe and proceed to FARt e. if a potential v large impact checked in column 2 can be mitigated by change(s) ~n the prelect to a small to moder, impact, also chec~ the Yes box in column 3. A No response indicates that such a reduction is not possible. T must be explained in Part 3. '' 1 2 3 Small to Potential Can Impact Moderate L~rge Mitigated iMPACT ON LAND Imoact Impact Project Chang 1. Will the proposed action result in a physical change to the pro[ectsite? ~O ~YES Examples that would apply to column 2 · Any constructJon on slopes of 15% or 8rea~er. ~15 foot rise Der 100 ~ ~ ~Yes foot of length), or where the general slopes in Che project area exceed 10%. ' Construction on land where the depth to the wa[er table is [ess than ~ ~ ~Yes ~No 3 feet. ' Construction of paved parking area ~or 1,000 or more vehicJ es, ~ ~ ~Yes ~No ' Construction on land where bedrock is exposed or generally within ~ ~ ~Yes 3 ~ee~ of existing ground surface. · Construction that will continue for more than 1 year or involve more ~ ~ ~Yes than one phase or ' Excavalion for mining purposes ~hat would remove more than 1.000 ~ ~ ~Yes ~ons et natural material (i.e., rock or soil] per year. Construction or expansion of a sanitary Jandhl]. ~ ~ ~Yes ' Construction in a designated floodway. ~ ~ ~Yes ~No Other ~moacts ~ ~ ~Yes '~No Will there be an effect U ,..,y u~,~que or unusual land forms ~Ound on ~he smJe~ Ii.e,, cliffs, dunes, geo~o~tcal ~ormntions. e[c.)~O ~YES Specific land forms: ~ ~ 6 ' , I 2 3 Small lo Potential Can Impac~ IMPACT ON WAT£R Moderate Large Mitigated, 3. Will proposed action affect any water body designated as orotected? I~pact Jm~ct Project (Und~ Articles 15.24, 25 of the Environmental Conservabon Law, ECL) Examples that wou~d apply to column 2 Developable area of site contains a protected water body. Dredging more than 100 cubi~ y~rds Of material ,from channel of a protected ~tea~ Ex~si~ of utility dis~ibution facil~tie~ ~rough a ~otected water body. Construction in a designated freshwater or tidal wed~nd. Other impacts: ~4~ Will proposed action affect any non-protected exisffng or new bodv ~: of water? '~0 EaY£S E~am~l~ that would apply to column 2 ~ ' A 109~ increase or"decrease in the sulfate ama of any-hotly of water ~ ~ ~Yes ~N '~ or more tha~ a 10 ~cre i~crease or d~crease. · Construction of a body of wa~r that exc~ds 10 acres of~ur~ace area. ~ ~ ~es ~N · Other impacts: ~ ~ ~Yes ~ 5. Will Proposed Action affect surface or §r°undwate~ ~'O~N euality or ,quantity? ~]YES Exam oies that would ~ppJ~ to column 2 P~ooosed Action will ~equ~re a discharge permit. Proposed ACtion requires use of a source of water that does .not have aoo~val to serve proposed (projectl action Proposed Action reau~res water supply from wells with greater than 45 gallons per minute pumping capacity_ Construction or operation c~usmg any contaminauon of a wa[er supply system. Proposed ~ction will adversely affec~ groundwater. Liquid effluent will be conve,/ed off the site to facilities which presently ~ ~ ~Yes ~N( do not exist or have inadequate capacity. Proposed Action would use wa~er in excess of 20,000 gaJlons per day. Propose~ Act/on will likeh~ c~u~e s~]tation or other discharge into an existing bod',' of water ~o toe ext~-nt th~ t there will be an obvious visual contrast to natural conditions. Proposed ActJo~ will require the storage of petroleum or chemical products greater than 1.100 gallons. Proposed Acuon will allow residential uses in areas without water ~ ~ ~Ye~ ~No and/or sewer serwces, Proposed Action locates commercial and/or industrial uses wlfich nlav facd~ties. Other ~mpacts: Will prooosed action alter drainage fl.w or pattern~,,_. ~. or sutiace water runorr~ ~NO ~YES Examples that would apply to column 2 Proposed Action would change flood water flows. ~7 '- I 2 3 Small to Potential Can Impact Be ~ ~' ~' ,", :<I~,4~ ~, ,,~,~ ~ Moderate Large Mit gated By Impact Construction activib' would excavate or corn,pact ~e s0il ~ofiJe of ~ agricultural land. · he,,proposed-act[o~ wo~]d irreversibly conve[t more t~an, 10 acres ~ ~ ~Yes ~No of a~ri~ultu~a] ~and ot~ if toc~ed in an Agricultural D~stric~ ~ore - - than 2.5 acres of a~'riculturaJ land. The:~o~d action, would disrupt or prevent installation of a[ricul/ura ~ ~nd m'anagem~n~ 5ystems (e~g ~bs~r~ace drain ines outlet ditches. strip ¢ opp ~; or create a need for such measures (e.8, ~use a fa~ fi~d to d~in poorly due [0 increased runoff] IMPACT ON AESTHETIC RESOgROES 1% Wil'l proposed action affect aesthetic resources~ ~O ~lf necessa~, use the VBual EA, F Addendum in ~ctio~ 61,7,21, Appendix B.) Examples that would aB~lv to column 2 Proposed land u~s, or project components obviously different from ~ ~ ' ~Y~s ~No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. Proposed land uses. or project components visibJe to users of ~ ~ ~Yes ~No aes[neuc resources which will eliminate or significantly reduce ~heir enjoyment of the aesthetic qualities of that resource Prelect comDonen~ that will result in the elimination or significant ~ screening of scenic views known to be ~m portant to the area, Othef impacts: ~ IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure\of h_istoric. 3re- Inistor c or l~aleonto o~icaI importance~ ~1~. O Examples that would apply to column 2 · Proposed .~,ctlon occurring wholly or partially within or substantially [] [] [~Yes I~No conuguous to any facility or site listed on the State or National Register of historic places. · An'/ impact to an archaeological site or fossil bed located within the project s~te, · Proposed Action will occur in an area designated as sensitive for [] [] E]¥es [~No archaeological sites on Ihe N¥S Site Inventory: · -Other imoac~:s: [] '[] ..J~Yes I-]No IMPACT ON OPEN SPACE AND REC,qEAT1ON 1.3 Will ?ronosed Acbon affect the quantity or quality of existing or ~ . . Juture onen sl),~ces or recre,it~ona] opportunities{ E~amrdes that would apply to column 2 ~O The ~ermanen~ io~eciosure o~ a future recrea.tionaJ opportumty. A ma~or reduction o~ .an ope~ space unportan~ [o the COmmumtv. .. I 2 3 MPACT ON GROWTH AND CH~ARAC~TER, Sinai to Potential !Can Impact OF COMMUNITY.OR NE]G~J~'RHOH~~'~' Moderate Large I Mitigated By tee character of the existing commun~ry~ 18. Will proposed action affect Impact Impact ~°roject Chang Examples that would apply to column 2 -. t-'~N ~YES · ' 'rhe permanent population of the city, town or village in which the [] [] E]Yes [-]No prole£t ~ coated' is li,kelv to grow bv more than 5%. · The mumcipa] budget for conill expenditures or operating services [] [] ' ['-]Yes []No will increase by more than $% ~er year as ~ result 6f this project. · Proposed ~ction will confJict'with officially adopted plans or ~oals. [] [] : []Yes I-)No · Proposed action will cause a change in the density of land use. [] [] ~ []Yes []No · Propp~ed Action will replace or eliminate existing facilities, structures [] [] []Yes or are,a~ ~f hi*Jtori¢ irnporraace to the ¢ommtmity. · Development will create a demand for additiona| community services [] []' i-lYes I']No {e.g. s~hoolS, police and fire, etc;} · Proposed Action will set a~l important precedent for future projects. [] [] E~Yes r]No · Probo~ed Action will create c~r eliminate employment. [] [] E~Yes E~No · Other impacts: [] [] FZYes ["~No 19. Is there, or is there likely to be, ~ublic controversy related to potential adverse environmental impacts.~ \. /~]NO ~]YE$ If ,~,ny Action in Part 2 Is Identified as a Potential Large Impact. or If You Cannot Determine the Magnitude of Impact, Proceed to Pad 3 Part 3--ZVALUATION OF THE I~gPORTANC,':- OF IDIPACTS Responsibiliiy of Lead Agency Part 3 must be prepared if one or more impact[s) is considered to be potentially large, even if ~he impact(s} may b mitigated. Instructions Discuss the icl)owing for each impact identified in Columc 2 of Part 2; 13tie[Iv describe the impact. 2, D;-~scribe (if applicable) how the impact could be mitigated or reduced to a small to moderate impact byprotect changers 3. Based on the information available decide i~ it is reasonable :o conclude that th~s ~moact ~s imln~tant. To answer the question of importance, consider: · The probability of the Im~act occurring · The duration of the ~rnoact · Whether the imnact can or will he control[ed (Continue on attachments~ TELEPHON~ (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall. 53095 Main Road P.O. Box 728 Southold, New York 11971 '~PPLTCATION IS F[EEEBY MADE TO THE TOWI4 TRUSTEES, TOWN OF SOUTHOLD SUFFOLK ~ii~OUS/TY, NEW YORK, FOR THE ISSUANCE OF A PERB~IT PURSUANT TO THE LAWS, L~?RDZN~CES AND tTEGULAT!ONS GOVERNING THE COASTAL AND It~TERIOR WETLANDS, i;: FLOOD' PLAINS A~D. DRAINAGE AREAs OF SOUTHOLD TOWN, AND ~E' IssuANcE OF ~;~ERMITS PURSUAN~T TO CHAPTER 32 OF THE CODE OF' THE TOWN OF~ SOUTHOLD. J / SIZE OF PROPOSED WO~: MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: ~'!'~ ~ n~¥,o~ o~1/ toa c~d~V~-,'~., AVER. RISE IN TID : DIST~CE PROJECT ~T~DS BEYO~ SIMIL~ PROJECTS IN ~A: DESCRIBE ~O~ PRIOR OPE~TION$ .,CONDUCT~ ON P~I SES: HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT ~I~, ON SAI~ PREMISES: ~S ~ LICENSE OR PE~IT EVER BE~ REVOKED OR SUSP~DED BY A GOVE~T~ DESCRIBE FULLY THE RE~ILITATION OF PROPERS: DESCRIBE PROPOSED CONDITION OF PROPER~ AFTER WO~ IS COMPLETED. INCL~E ~E THERE ~ COVEN~TS OR RESTRICTIONS IN YOUR DEED ~ICH WOULD PROHIBIT ~ITT~ CONSENT OF O~ER IF NOT ~E S~E AS APPLIC~: COUNTY OF SUFFOLK ) OF NEW YORK ) SAYS IS THE APPLICANT FOR THE ABOVE DES~ED PERMITS, AND TRUE TO THE BEST OF HIS KNOW-LEDGE I]ONE I!~ THE ~NER SET FORTI{ IN THIS BY THE TOWN BOARD OF THE TOW~ OF TOWN OF SOUTHOLD AND THE TOWN 'AND ~LAI~s ARIS~ING O~i RE2-~ESL,~'TATiVE, Slgnaturg SWORN TO BEFORE ME T~IS DAY OF , 19 Comrmss on' ~'Ma¥ 31. 19~_~ EXAMINED A?PROVED DIS~PROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 ~1. 6';4 (2~87~--:Te~ 12 , PROJECT .D. NUMEE 617.21 SEQR Appendix State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS gray PART I--PROJECT INFORMATION ~o be completed by Applicant or Project Sponsor) t. APP~CANT/SPONSOR 2. PROJECT NAME &. PRECISELOC~TION {Street sddress and road intersections, prominent [andmarNs, IS PRO OILED ACTION; :~ ~ 5, ~NRO~e~ ' ~ Expansio~ ~ Modification alteration 6. DESCR]BE~R~JECT BRIEFLY: ~ AMOUNT OF LAND AFF~TED: . WHAT PRESENT LAND USE IN VICINITY OF PROJECT? 9. ~Res,Oentia [] !nOustrial [] Commercia [] Agricu lure [] Park/ForestlODen soace [] Other Describe: 10. DOES ACTION [~VOLV~ A PERMIT APPROVAL QR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY [FED~AL STATE OR LO~L)? ~es ~ No If yes, list agency(s) and per~it/aporovals 11. D -S ANY ASPECT OK THE ACTION HAVB A CURRENTLY VALID PERMIT OR APPROVAL? ~ ~ No ff yes, Fist agency name and permit/approval -I Ol ExP. 3 AS A RESULT OF OPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODI~OATiON? 12. ~Yes CERTt~ THAT ~E INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Ao.lica~t/sgonsor name: ~ ~0~ If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 TRUSTEES SCOTI' L. HARRIS John M. Bredemeyer, HI, President Supervisor · Henry P. Smith. Vice President Town Hall, 53095 Main Road Albert J, Krupski. Jr: P.O, Box 1179 John L. Bednoski, Jr. Southold. blew York 11971 John B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1523 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 February 22, 1990 Brent R. Bookmiller Route 25 Jamesport, NY 11947 RE: Permit No. 376 Dear Mr. Bookmiller: Your request for a renewal of the above referenced permit can not be considered, being that this permit expired one year ago (February 26, 1989). If you wish to proceed with your project, you must reaply to this office. Should you have any questions, please do not hesitate to contact this office. Very truly yours, ~MCBr~e~,=r ,~ii ~ President, Board of Trustees enc. JMB: jmt HENRY P. SMITH. TELEPHONE JOHN M. BREDEMEYER. III, Presidenl (5t6) 76~-I892 John Bednoski, Jr. ALBERT KRUPSKI, JR., Vice-Pres. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, $3095 Main Road P.O. Box 798 Southold~ New York 11971 March 29, 1988 Mr. Brent Bookmiller Route 25 Jamesport, New York 11947 Re: Permit No. 376 Dear Mr. Bookmiller: Your request ~o extend the above referenced permit has been reviewed at the Trustee meeting held on March 24, 1988. Your request has been approved by resolution adopted at this meeting, for a period of one year. Your permit will expire on February 26, 1989. This letter is an amendment to the original permit and as such, shall be attached thereto. All other terms and conditions remain as written in the original permit. Very truly yours, John M. Bredemeyer, III President Board of Town Trustees JMB:ip