HomeMy WebLinkAboutTR-4774 7f
Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
PERMIT No. 177Y DATE: ......8/5/.97.97
ISSUED TO ...... ..JAMES DONIQ
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952; and the Southold Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a meetin held on . .7.130/97.
9
19 97, and in consideration of the sum of $ 150.0.0 paid by
Miller..Bluffs Constr.. fpx- JAMES .DONOHUE.
may;
of ... ..Mattituck. N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the''following:
Wetland Permit to construct a single family dwelling, pool,
yl patio, etc. , with no off-site fill required and with a 501 non-tub
non-disturbed buffer area to align with neighboks on both side
all in accordance with the detailed specifications as presented in
the originating application.
IN WITNESS WHEREOF, The said Board of Trustees hiere-
by causes its Corporate Seal to be affixed, and these presents to
be subscribed by a majority of +he said Board as of this date.
et
o�QguFFIII Town Hall
Albert J.Kru ski,President l/ 53095 Main Road
James King,Vice-President o� 'Z� P.O.Box 1179
Henry Smith W z ) Southold,New York 11971
Artie Foster py �.�
Ken Poliwoda Telephone(516)765.1842
�Q� 0 Fax(516)765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
November 19, 1998
Mr. James Donohue
15 Lehigh Lane
Farmingville,NY 11738
RE: SCTM#l 000-115-17-17.9
Dear Mr. Donohue:
The following action was taken at the Southold Town Board of Trustees meeting on
November 18, 1998.
RESOLVED, that the Southold Town Board of Trustees grant the request for an
Amendment to Permit#4774 to change the description of a pool and patio to a 15' X 54
/2' deck with stairs.
However,this does not constitute approval from any other agencies.
If you have any questions, please call our office at 765-1892.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:Ims
cc: DEC
Building Dept.
Albert J. Krupski, President ®Qs ®� Town Hall
James King,Vice-President 53095 Route 25
Artie Foster - P.O.Box 1179
Ken Poliwoda Southold,New York 11971-0959
Peggy A.Dickerson
°�ej,® �®� Telephone(631) 765-1892
Fax(631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO: Michael Verity, Chief Building Inspector
Building Dept.
S� FROM: Albert J. Krupski, Jr., President -
-1 Board of Trustees
DATE: January 18, 2005
RE: James Donohue
230 Willis Creek Dr., Mattituck
SCTM#115-17-17.9
With regard to the above-referenced, the,Board of Trustees determined the
existing deck was constructed in compliance with Chapter 97 of the Town
Wetland Code and no further action is required from this Board at this time.
Please let us know if we can be of any further assistance.
i
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Young & Young, Land Surveyors
/ 400 Ostrander Avenue, Riverhead, New York 11901 OE
�O 516-727-2303 S19,
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. 1 / UN`IIung _ Alden W. Young, P.E & L.S. (1908-1994).
Howard W. Young, Land Surveyor �
Thomas C. Wolpert, Professional Engineer
Kenneth F. Abruzzo, Land Surveyor o
planning John Schnurr, Land Surveyor 0
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burveying `/ �� NOTES: ob
1. SUBDIVISION MAP FILED IN THE OFFICE o �
OF THE CLERK OF SUFFOLK COUNTY ON
;1 AUG. 21. 1987 AS FILE NO. 8377. �� F
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of 'crccupancy upon completion of work.
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Albert J. Krupski,President �p�► .,; JG Town Hall
John Holzapfel, Vice President = }' �� 53095 Main Road
c t7-. P.O. Box 1179
William G. Albertson CA _
v► `- �°- ^' Southold, New York 11971
Martin H. Garrell '� r
Peter Wenzel �J� ��� Telephone (516) 765-1892
1 r Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit ApplicatioiD
Wetland Permit Application
Grandfather Permit Application JUN 2 5 1997
Trustee Lands Permit Application
Waiver
Received Application: 6/4-r/P 7 TOWN OF SOUTHOLD
Clerical Review: r -
Completed Applic�tior _ .ZX-
Incomplete
SEQRA Classification:
Type I Type II_tK Unlisted
Cocrdination: (date set) —
CAC Ref erralI Sent: 7
Date of Inspection:
Receipt of CAC Re9
port: (dat ) Q
Lead Agency Determination:
Technical Review: (date)
Public'Hearing: (date) 2 5 697
Decision: Approved (Y/N) (date) ` 3 O
A7
Application Fee:$ '
Name of Applicant James Donohue
Address 15 Lehigh Lane, Farmingville, New�2iYork 11738
Phone Number: ( ) _ 244-1568
Suffolk County Tax Map Number: 1000: - 115-17-17.9c,
Property Location: Willis Creek Drive, at Mattituck, '14a5' t-south of
Meadow Beach Lane
(provide LILCO Pole #, distance to cross streets, and location)
Agent- Young & Young ATTN: Thomas C. Wolpert, P.E.
(If applicable)
Address• 400 Ostrander Avenue
Riverhead, 'New York 11901 Phone: '('516) 727-2303
1
Board of Trustees Application
GENERAL DATA
Land Area (in square feet) : 47,777 sq. ft.
Area Zoning: Residential (A-C Agricultural Conservation)
Previous use of property: Vacant
Intended use of property: ' Single Family Dwelling
Prior permits/approvals for site improvements:
Agency Date
X No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a
governmental agency?
X No Yes
If yes, provide explanation:
Project Description (use attachments if necessary) :
Construct a single family dwelling, swimming pool, patio, drivewav,sanitary
system, and water service. No offsite fill is required.
2
Beard of Trustees Applicatioi
County of Suffolk
State of New York
Robert Hine BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL
WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE. SOUTHOLD TOWN BOARD OF TRUSTEES.
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(S) , IF GRANTED. IN
COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,
THEIR AGENT(S) OR REPRESENTATIVES(S) , TO ENTER ONTO MY PROPERTY
TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS
APPLICATION.
CA Sign ture
• ITS`
SWORN TO BEFORE ME THIS DAY OF Clw•�- .19
zar,&�
Notary Public
EWN ADAMO
Notary Public,State of New York
No.5010707
Qualified in Suffolk County
Commission Expires April 5,19y-1
3
Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: Single Family Dwelling
Area of wetlands on lot-.- 8,963 square feet
/ upland
Percentcoverage of lot: 18.8 %
Closest distance between nearest existing structure and upland
edge of wetlands: N.A. feet
Closest distance between nearest proposed structure and upland
edge of wetlands: 68.7 feet
Does the project involve excavation or filling?
No X Yes
If yes, how much material will be excavated? 250 cubic yards
How much material will be filled? 250 cubic yards
Depth of which material will be removed or deposited: 2 Ft.
feet
Proposed slope throughout the area of operations: 10% max.
Manner in which material will be removed or deposited:
Backhoe
Statement of the effect, if any, on the wetlands and tidal
waters of the town that may result by reason os such proposed
operations (use attachments if appropriate) :
No adverse impact on the wetlands and tidalswaters is anticipated (refer
to 25' non-disturbance buffer, 68.7' min. setback to proposed structures,
and proposed line of hay bales or silt fence shown on survey) .
6
14.16.4(21e7)—Text'i2 • SCAR
PROJECT I.D.NUMBER'
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
I For UNLISTED ACTIONS Only
PART 1—PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1. APPLICANT(SPONSOR 2. PROJECT NAME
Young-,-.& YoUngt,ATTN,:"�?NThomas C. Wolpert,P.E. James Donohue
0. PROJECT LOCATION: '
Municipality Mattituck, T/O Southold, County Suffolk
A. PRECISE LOCATION(Street address and road Intersections,prominent landmarks,etc.,or provide map)
Willis Creek Drive, At Mattituck, T/O Southold, New York
(refer to location map) "
5. IS PROPOSED ACTION:
New ❑Expansion ❑Modiflcatlanlalleratlon
6. DESCRIBE PROJECT BRIEFLY:
Construct a single family dwelling, swimming pool, patio, driveway, sanitary system,
and water service. No offsite fill is required.
7. AMOUNT OF LAND AFFECTED:
Initially 1 1 acres Ultimately 1.1 acres
a. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
UYes ❑No It No,describe briefly
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
®Residential ❑industrial ❑Commercial ❑Agriculture ❑ParklForesUOpen space ❑Other
Describe:
New residential community
10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL,
STATE,OR LOCAL)?
El Yes ❑No II yes.list agency(s)and permltlapprovels
SCDH - Sewage Disposal & Water Supply
NYSDEC - Tidal Wetlands., T/O Southold - Building Permit
11. DOES ANY ASPECT OF THE ACTiJN HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
❑Yes ®No If yes,dst agency name and permlllapprovpl
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? -
❑Yes ®No
I CERTIFY`(HAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Appllcantlsponsor name: Young & Young ATTN- Thomas 'r_ Wo1=Prt-, Pam_ Dale: June 23, 1997
Signature:
It the actlon is In the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER . _
1
"'PART ir�—ENVIRONMENTAL ASSE- - TENT (To be.completed by Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR.PART 617.12? It yes,coordinate the review process and use the FULL EAF.
❑Yes ❑No
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED 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 WITH THE FOLLOWING:(Answers may be handwritten.11 to'
plble)
Cl. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic palterns, solid waste production or disposal,
potential for erosion,drainage or flooding problems?Explain briefly:
C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly:
C9. Vegetation or fauna, fish,shellfish or wlldllle species,significant habitats,or threatened or endangered species?Explain briefly:
CI. 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
C3. Growth,subsequent development,or related activities likely to be Induced by the proposed action?Explain briefly.
C6. Long term,short term,cumulative,or other effects not Identified In C1•CS?Explain briefly.
C7. Other Impacts(Including changes In use.if 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 It Yes,explain briefly
PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse effect Identified above,determine whether It Is aubstantlaf,'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; 'Q
Irreversibility;(e)geographic scope; and (Q 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 It you have.Identified one or more potentially large or significant adverse Impacts which MAY
occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration.
❑ Check this box If you have determined, based on the Information and-Analysts 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 o Lea Agency
Print or Type Name of Responsible Officer in Lead Agency Title at Relsponsible Officer
Signature of Respon sible Officer in Lead Agency Signature of Ptepater(it di I Iterent from responsible officer)
i
Dale
2
i
., ,:,.,°ixc'Ers:',.S;aS�a;'.zr<a�rH:ct�si•,^'.;x•.7"",.�yc,.,
14-16-2 (2/91)-7c ..,:;,,t,7: .
617.21 SEAR
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT- FORM
Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project
or action may be significant.The question of whether an action may be significant is not always easy to answer. Frequent-
ly, there are aspects of a project that are 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. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting
the question of significance.
The full EAF is intended to provide a 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 action.
Full EAF Components: The full EAF is comprised of three parts:
Part 1: Provides objective data and information about a given project and its site. By identifying basic project
data, it assists a reviewer in 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 impact. The form also identifies whether an impact can be mitigated or reduced.
Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the
impact is actually important.
DETERMINATION'OF SIGNIFICANCE—Type 1 and Unlisted Actions
Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 []Part 3
Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriatp), 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(s) and, therefore, is one which will not
have a significant impact on the environment, therefore a negative declaration will be prepared.
❑ B. Although the project could have a significant effect on the environment, there will not be a significant
effect for this Unlisted Action because the mitigation measures described in PART 3 have been required,
therefore a CONDITIONED negative declaration will be prepared.*
❑ C. The project may result in one or more large and important impacts that may have a significant impact
on the environment, therefore a positive declaration will be prepared."
* A Conditioned Negative Declaration is only valid for Unlisted Actions
Name of Action
•Y
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
PART 1—PROJECT INFORMATION
Prepared by Project Sponsor
NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect
on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered
as part of the application for approval and may be subject to further verification-and public review. Provide any additional
information you believe will be needed to complete Parts 2 and 3.
It is expected that completion of the full EAF will be dependent on information currently available and will not involve
new studies, research or investigation. If information requiring such additional work is unavailable,so indicate and specify
each instance.
NAME OF ACTION
James Donohue
LOCATION OF ACTION(Include Street Address,Municipality and County)
Willis -Creek Drive, Mattituck, T O Southold, County of Suffolk
NAME OF APPLICANTISPONSOR BUSINESS TELEPHONE
Young & Young, ATTN: Thomas C. Wol ert, P.E. 616 ) 727-2303
ADDRESS
400 Ostrander Avenue
CITY/PO STATE ZIP CODE
_ Riverhead, N.Y. 11901
NAME OF OWNER(If different) BUSINESS TELEPHONE
James Donohue 616 ) 244-1568
ADDRESS
15 Lehi h Lane
CITYIPO STATE ZIP CODE
Farmin ville,
N.Y. 11738
DESCRIPTION OF ACTION
Construct a single family dwelling, swimming pool, patio, driveway, sanitary system, �.
and water service. No offsite fill is required.
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)
❑Forest . []Agriculture ❑Other
2. Total acreage of project area: —.acres.
acres.
APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION
Meadow or Brushland (Non-agricultural) 0.1 acres 0:1 acres
Forested n-R acres 0.5 acres
Agricultural (Includes orchards, cropland, pasture, etc.) 0 acres 0 acres
Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) 0.2 acres 0.2 acres
Water Surface Area 0 acres 0 acres
Unvegetated (Rock, earth or fill) 0 acres n acres
Roads, buildings and other paved surfaces 0 acres 0.15 acres
Other (Indicate type) Lawns & lnadscapina ppllyymm hh l0 y acres ll n-15 acres
3. What is predominant soil type(s) on project site? PIA — PIymou 7IoaEmy sand 0-36°s-Lopes
a. Soil drainage: NWell drained 80P/° of site CfModerately well drained 10 % of site
RPoorly drained in % 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? N'A• acres. (See 1 NYCRR 370).
4. Are there bedrock outcroppings on project site? ❑Yes 12 No
a. What is depth to bedrock? , N.A. (in feet)
5. Approximate percentage of proposed project site with slopes: ®0-10% 80 % t10-15% 20 %
t715% or greater 0 %
6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National
Registers of Historic Places? ❑Yes [NNo
7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes ®No
8. What is the depth of the water table? 0'-14' (in feet)
9. Is site located over a primary, principal, or sole source aquifer? IYes ❑No
10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? "❑Yes tNo
11. Does project site contain any species of plant or animal life that is identified as threatened or endangered?
❑Yes No According to Young & Young
Identify each species
12. Are there any unique or, unusual land forms on the project.site? (i.e., cliffs, dunes, other geological,-formations)
❑Yes -• LNNo Describe
13. Is the project site presently used by the community or neighborhood as an open space or recreation area?
[]Yes C�No If yes, explain
14. Does the present site include scenic views known to be important to the community?
[]Yes No
15. Streams within or contiguous to project area: Dredged Creek (Willis Creek)
a. Name of St'ream.and name of River to which it is tributary
16. Lakes, ponds, wetland areas within or contiguous to project area:
a. Name Great Peconic Bay b. Size (In acres) N.A.
17. Is the site served by existing public utilities? I2Yes ❑No
a) If Yes, does sufficient capacity exist to allow connection? nYes []No
b) If Yes, will improvements be necessary to allow connection? nYes_ []No
18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA,
Section 303 and 304? ❑Yes . K]No
19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8
of'the ECL, and 6 NYCRR 617? INYes ❑No
20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes- tNo
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 1'1 acres.
b. Project acreage to be developed: 1.1 acres initially; 1.1 acres ultimately.
c. Project acreage to remain undeveloped 0 acres.
d. Length of project, in miles: N.A. (If appropriate)
e. If the project is an expansion, indicate percent of expansion proposed N.A. %;
f. Number of off-street parking spaces existing 0 ; proposed 2
g. Maximum vehicular trips generated per hour 2 (upon completion of project)?
h. If residential: Number and type of housing units:
One Family Two Family Multiple Family Condominium
Initially 1
Ultimately 1
i. Dimensions (in feet) of largest proposed structure 35' height; 35' width; 80' length.
j. Linear feet of frontage along a public thoroughfare project will occupy is? 153 ft.
2. How much natural material (i.e., rock, earth, etc.) will be removed from the site? 0 tons/cubic yards
3. Will disturbed areas be reclaimed? n7Ves ❑No ❑N/A
a. If yes, for what intended purpose is the site being reclaimed? Lawns and Landscaped Areas
b. Will topsoil be stockpiled for reclamation? MYes ❑No
c. Will upper subsoil be stockpiled for reclamation? 29Yes ❑No
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? 0.3 acres.
5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project?
❑Yes ®No
6. If single phase project: Anticipated period of construction 6 months, (including demolition).
7. If multi-phased: N.A.
a. Total number of phases anticipated (number).
b. Anticipated date of commencement phase 1 month year, (including demolition).
c. Approximate completion date of final phase month. year.
d. Is phase 1 functionally dependent on subsequent phases? ❑Yes ❑No
8. Will blasting occur during construction? ❑Yes 6No
9. Number of jobs generated: during construction 6 ; after project is complete 0
10. Number of jobs eliminated by this project 0
11. Will project require relocation of any projects or facilities? ❑Yes K]No If yes, explain.
12. Is surface liquid waste disposal involved? ❑Yes (NNo
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? ®Yes ❑No Type Sanitary
14. Will surface area of an existing water body increase or decrease by proposal? ❑Yes INNo
Explain
15. Is project or any portion of project located in a 100 year flood plain? 29Yes ❑No
16. Will the project generate solid waste? nYes ❑No
a. If yes, what is the amount per month 0.2 tons
b. If yes, will an existing solid waste facility be used? MYes ❑No
c. If yes, give name SoutholdTransfer Station ; location Cutchogue
d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ❑Yes E
e. If Yes, explain
17. Will the project involve the disposal of solid waste? ❑Yes LNNo
a. If yes, what is the anticipated rate of disposal? tons/month.
b. If yes, what is the anticipated site life? years.
18. Will project use herbicides or pesticides? CNYes ❑No ie. Lawn Care
19. Will project routinely produce odors (more than one hour per day)? ❑Yes :1No
20. Will project produce operating noise exceeding the local ambient noise levels? ❑Yes MNo
21. Will project result in an increase in energy use? INYes ❑No
If yes , indicate type(s) Electric
22. If water supply is from wells, indicate pumping capacity N.A. gallons/minute.
23. Total anticipated water usage per day 300 gallons/day.
24. Does project involve Local, State or Federal funding? ❑Yes IXNo
If Yes, explain
4
F i.Zi�.�,>$a�
25. Approvals Required: Submittal
Type Date
City, Town, Village Board ❑Yes [�No
City, Town, Village Planning Board ❑Yes INNo
City, Town Zoning Board Dyes 122No
City, County Health Department [9Yes ❑No Sewage Disposal & Water Supply 6/97
Other Local Agencies 9Yes ❑No Building Permit 6/97
Other Regional Agencies Dyes INNo -
State Agencies NYSDEC ®Yes iF❑No Tidal Wetlande �i,LA7
Federal Agencies Dyes ®No
-C.-Zoning and Planning Information
1 . Does proposed action involve a planning or zoning decision? Dyes nNo
If Yes, indicate decision required:
❑zoning amendment ❑zoning variance ❑special use permit ❑subdivision ❑site plan
❑new/revision of master plan ❑resource management plan ❑other
2. What is the zoning classification(s)of the site? A—C Agricultural — Conservation
3. What is the maximum potential development of the site if developed as permitted by the present zoning?
N.A.
4. What is the proposed zoning of the site? No Change
5. What is the maximum potential development of the site if developed as permitted by the proposed zoning?
N.A.
6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ®Yes ❑No
7. What are the predominant land use(s) and zoning classifications within a '/4 mile radius of proposed action?
Land Uses: Residential: zoning: R-40, A—C
8. Is the proposed action compatible with adjoining/surrounding land uses within a '/4 mile? RYes ONo
9. If the proposed action is the subdivision of land, how many lots are proposed? N.A.
a. What is the minimum lot size proposed? n1 A
10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ❑Yes MNo
11. Will the proposed action create a demand for any community provided services (recreation, education, police,
fire protection)? ( Yes ❑No
a. If yes, is existing capacity sufficient to handle projected demand? ®Yes ❑No
12. Will the proposed action result in the generation of traffic significantly above present levels? Dyes K]No
a. If yes, is the existing road network adequate to handle the additional traffic? [--]Yes El No
D. Informational Details
Attach any additional information as may be needed to clarify your project. If there are or may be any adverse
impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or
avoid them.
E. Verification
I certify that the information provided above is true to the best of my knowledge.
Young & Young ATTN: Thomas C. Wol=Prt{ P P._ Date June 23, 1997
Applicant/Sponssoorr'Name "�
Signature /%�% ���Y/��D �/y��?��1� Title ProfessionalEngineer
If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding
Part 2—PROJECT IMPACTS AND THEIR MAGNITUDE
Responsibility of Lead Agency
General Information (Read Carefully)
• In completing the form the reviewer should be guided by the question: Have my responses and determinations been
reasonable? The reviewer is not expected to be an expert environmental analyst.
• Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant.
Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply
asks that it be looked at further.
• The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of
magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and
for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate
for a Potential Large Impact response, thus requiring evaluation in Part 3.
• The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and
have been offered as guidance.They do not constitute an exhaustive list of impacts and thresholds to answer each question.
• The number of examples per question does not indicate the importance of each question.
• In identifying impacts, consider long term, short term and cumlative effects.
Instructions (Read carefully)
a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact.
b. Maybe answers should be considered as Yes answers.
c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the
impact. If impact threshold equals or exceeds any example provided,check column 2. If impact will occur but threshold
is lower than example, check column 1.
d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3.
e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate
impact,'also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This
must be explained in Part 3.
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
IMPACT ON LAND Impact Impact Project Change
1 . Will the proposed action result in a physical change to the project site?
ONO ❑YES
Examples that would apply to column 2
• Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ ❑Yes ❑No
foot of length), or where the general slopes'in the project area exceed
10%.
• Construction on land where the depth to the water table is less than ❑ ❑ ❑Yes El No
3 feet.
• Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ []Yes El No
• Construction on land where bedrock is exposed or generally within ❑ ❑ []Yes ❑No
3 feet of existing ground surface.
• Construction that will continue for more than 1 year or involve more ❑ ❑ ❑Yes ❑No
than one phase or stage.
• Excavation for mining purposes that would remove more than 1,000 ❑ ❑ []Yes ❑No
tons of natural material (i.e., rock or soil) per year.
• Construction or expansion of a sanitary landfill. ❑ ❑ ❑Yes El No
• Construction in a designated floodway. ❑ ❑ []Yes ❑No
• Other impacts ❑ Cl ❑Yes []No
2. Will,there be an effect to any unique or unusual land forms found on
the site?(i.e., cliffs, dunes, geological formations, etc.)❑NO OYES
• Specific land forms: ❑ ❑ ❑Yes ❑No
1 2 3
IMPACT ON WATER Small to Potential Can Impact Be
3. Will proposed action affect any water body designated as protected? Moderate Large Mitigated By
Impact Impact Project Change
(Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL)
❑NO DYES
Examples that would apply to column 2
• Developable area of site contains a protected water body. ❑ ❑ []Yes ❑No
• Dredging more than 100 cubic yards of material from channel of a ❑ ❑ []Yes No
protected stream.
• Extension of utility distribution facilities through a protected water body. ❑ ❑ []Yes ❑No
• Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No
•. Other impacts: ❑... _ f. ❑ []Yes, ❑No
4. Will proposed action affect any non-protected existing or-new-body-
of water? ❑NO DYES
Examples that would apply to column-2
• A 10% increase or decrease in the surface area of any body of water ❑ ❑ ❑Yes ❑No
or more than a 10 acre increase or decrease.
• Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes ❑No
• Other impacts: ❑ ❑ ❑Yes ❑No
5. Will Proposed Action affect surface or groundwater
Y quality or quantity? ❑NO DYES
Examples that would apply to column 2
• Proposed Action will require a discharge permit. ❑ ❑ []Yes No
• Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes []No
have approval to serve proposed (project) action.
• Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes No
gallons per minute pumping capacity.
• Construction or operation causing any contamination of a water ❑ ❑ ❑Yes El No
supply system.
• Proposed Action will adversely affect groundwater. ❑ ❑ []Yes No
• Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ []Yes No
do-not-exist or have inadequate capacity.
• Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ ❑Yes ❑No
day.
• Proposed Action will likely cause siltation or other discharge Into an ❑ ❑ Dyes ❑No
existing body of water to the extent that there will be an obvious visual
contrast to natural conditions.
' • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ❑No
products greater than 1,100 gallons.
• Proposed Action will allow residential uses in areas without water Cl ❑ []Yes []No
t and/or sewer services.
• Proposed Action locates commercial and/or industrial uses which may ❑ ❑ ❑Yes ❑No
require new or expansion of existing waste treatment and/or storage
facilities.
• Other impacts: ❑ ❑ ❑Yes ❑No
6. Will proposed action alter drainage flow or patterns, or surface
water runoff? ❑NO ❑YES
Examples that would apply to column 2
D-..____J ♦_.c__ ..._..IJ _t :___ LI__A ____,__ [I
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
• Proposed Action may cause substantial erosion. ❑ ❑ ❑Yes El No
• Proposed Action is incompatible with existing drainage patterns. ❑ ❑ []Yes ❑No
• Proposed Action will allow development in a designated floodway. ❑ ❑ ❑Yes ❑No
• Other impacts: ❑ ❑ []Yes ❑No
IMPACT ON AIR
7. Will proposed action affect air quality? ONO (]YES
Examples that would apply to column 2
• Proposed Action will induce 1,000 or more vehicle trips in any given ' ❑ ❑ ❑Yes []No
hour.
• Proposed Action will result in the incineration of more than 1 ton of ❑ ❑ []Yes []No
refuse per hour.
• Emission rate of total contaminants will exceed 5 Ibs. per hour or a El El [I Yes ❑No
heat source producing more than 10 million BTU's per hour.
• Proposed action will allow an increase in the amount of land committed ❑ ❑ El Yes ❑No
to industrial use.
• Proposed action will allow an increase in the density of industrial ❑ ❑ El Yes ❑No
development within,existing industrial areas.
• Other impacts: ❑ ❑ El Yes []No
IMPACT ON PLANTS AND ANIMALS
8. Will Proposed Action affect any threatened or endangered
species? ONO ❑YES
Examples that would apply to column 2
• Reduction of one or more species listed on the New York or Federal ❑ ❑ ❑Yes ❑No
list, using the site, over or near site or found on the site.
• Removal of any portion of a critical or significant wildlife habitat. ❑ ❑ []Yes []No
• Application of pesticide or herbicide more than twice a year, other ❑ ❑ ❑Yes ❑No
than for agricultural purposes.
• Other impacts: ❑ ❑ []Yes ❑No
9. Will Proposed Action substantially affect non-threatened or
non-endangered species? ONO ❑YES
Examples that would apply to column 2
• Proposed Action would substantially interfere with any resident or ❑ ❑ ❑Yes []No
migratory fish, shellfish or wildlife species.
• Proposed Action requires the removal of more than 10 acres ❑ ❑ ❑Yes ❑No
of mature forest (over 100 years of age) or other locally important
vegetation.
IMPACT ON AGRICULTURAL LAND RESOURCES
10. Will the Proposed Action affect agricultural land resources?
ONO OYES
Examples that would apply to column 2 ❑ ❑Yes []No
• The proposed action would sever, cross or limit access to agricultural ❑
land (includes cropland, hayfields, pasture, vineyard, orchard, etc.)
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
• Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes ❑No
agricultural land.
• The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes ❑No
of agricultural land or, if located in an Agricultutal District, more
than 2.5 acres of agricultural land.
m The proposed action would disrupt or prevent installation of agricultural ❑ ❑ ❑Yes ❑No
land management systems (e.g., subsurface drain lines, outlet ditches,
strip cropping); or create a need for such measures (e.g. cause a farm
field to drain poorly due•to increased runoff)
® Other impacts: ❑ ❑ ❑Yes ❑No
IMPACT ON AESTHETIC RESOURCES
11 . Will proposed action affect aesthetic resources? ❑NO ❑YES
(If necessary, use the Visual EAF Addendum in Section 617.21,
Appendix B.)
Examples that would apply to column 2
• Proposed land uses, or project components obviously different from ❑ ❑ ❑Yes ❑No
or in sharp contrast to current surrounding land use patterns, whether
man-made or natural.
' • Proposed land uses, or project components visible to users of ❑ ❑ ❑Yes ❑No
aesthetic resources which will eliminate or significantly reduce their
enjoyment of the aesthetic qualities of that resource.
• Project components that will result in the elimination or significant ❑ ❑ ❑Yes ❑No
screening of scenic views known to be important to the area.
• Other impacts: ❑ ❑ ❑Yes ❑No
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES .
12. Will Proposed Action impact any site or structure of historic, pre-
historic or paleontological importance? ❑NO ❑YES
Examples that would apply to column 2
• Proposed Action occurring wholly or partially within or substantially ❑ ❑ ❑Yes ❑No
contiguous to any facility or site listed on the State or National Register
of historic places.
• Any impact to an archaeological site or fossil bed located within the ❑ ❑ ❑Yes ❑No
• project site.
• Proposed Action will occur in an area designated as sensitive for ❑ ❑ ❑Yes ❑No
archaeological sites on the NYS Site Inventory.
• Other impacts: ❑ ❑ ❑Yes El No
IMPACT ON OPEN SPACE AND RECREATION
13. Will Proposed Action affect the quantity or quality of existing or
future open spaces or recreational opportunities?
Examples that would apply to column 2 ❑NO ❑YES
• The permanent foreclosure of a future recreational opportunity. ❑ ❑ ❑Yes ❑No
• A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No
• Other impacts: ❑ ❑ ❑Yes ❑No
0
I
1 2 3
IMPACT ON TRANSPORTATION Small to Potential Can Impact Be
14. Will there bean effect to existing transportation Systems? Moderate Large Mitigated By
ENO OYES Impact Impact Project Change
Examples that would apply to column 2
• Alteration of present patterns of movement of people and/or goods. ❑ ❑ ❑Yes []No
• Proposed Action will result in major traffic problems. ❑ ❑ ❑Yes ❑No
• Other impacts: ❑ ❑ ❑Yes [I No
IMPACT ON ENERGY
15. Will proposed action affect the community's sources of fuel or
energy supply? ONO ❑YES
Examples that would apply to column 2
• Proposed Action will cause a greater than 5% increase in the use of _ ❑ ❑ []Yes []No
-any form of energy in the municipality.
• Proposed Action will require the creation or extension of an energy ❑ ❑ ❑Yes ❑No
transmission or supply system to serve more than 50 single or two family
residences or to serve a major commercial or industtial use.
• Other impacts: ❑ ❑ ..[]Yes []No
NOISE AND ODOR IMPACTS
16. Will there be objectionable odors, noise, or vibration as a result
of the Proposed Action? ONO ❑YES
Examples that would apply to column 2
• Blasting within 1,500 feet of a hospital, school of other sensitive ❑ ❑ ❑Yes ❑No
facility.
• Odors will occur routinely (more than one hour per day). ❑ ❑ ❑Yes El No
• Proposed Action will produce operating noise exceeding the local ❑ ❑ ❑Yes El No
ambient noise levels for noise outside of structures.
• Proposed Action will remove natural barriers that would act as a ❑ ❑ ❑Yes ❑No
noise screen.
• Other impacts: ❑ ❑ ❑Yes []No
IMPACT ON PUBLIC HEALTH
17. Will Proposed Action affect public health and safety?
ONO OYES
Examples that would apply to column 2
• Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ ❑Yes []No
substances(i.e. oil, pesticides, chemicals, radiation, etc:)in the event of
accident or upset conditions, or there may be a chronic low level
discharge or emission.
• Proposed Action may result in the burial of"hazardous wastes" in any ❑ ❑ ❑Yes ❑No
form (i.e. toxic, poisonous, highly reactive, radioactive, irritating,
infectious, etc.)
• Storage facilities for one million or more gallons of liquified natural ❑ ❑ ❑Yes .❑No
gas or other flammable liquids.
• Proposed action may result in the excavation or other disturbance ❑ ❑ ❑Yes El NO
within 2,000 feet of a site used for the disposal'of sofid:or hazardous
waste.
• Other impacts: ❑ ❑ ❑Yes [:]No
10
1 2 3
IMPACT ON GROWTH AND CHARACTER Small to Potential Can Impact Be
OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By
18. Will proposed action affect the character of the existing community? Impact Impact Project Change
❑NO ❑YES
Examples that would apply to column 2
• The permanent population of the city, town or village in which the ❑ ❑ ❑Yes ❑No
project is located is likely to grow by more than 5%.
• The municipal budget for capital expenditures or operating services ❑ ❑ []Yes ❑No
will increase by more than 5% per year as a result of this project.
• Proposed action,will conflict with officially adopted plans or goals. ❑ ❑ ❑Yes ❑No
• Proposed action will cause a change in the density of land use. ❑ ❑ []Yes []No
• Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ []Yes ❑No
or areas of historic importance to the community.
• Development will create a demand for additional community services ❑ ❑ ❑Yes []No
(e.g. schools, police and fire, etc.)
• Proposed Action will set an important precedent for future projects. ❑ ❑ []Yes ❑No
• Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes ❑No
• Other impacts: ❑ ❑ El Yes El No
19. Is there, or is there likely to be, public controversy related to
potential adverse environmental impacts? ONO ❑YES
If Any Action in Part 2 Is Identified as a Potential Large Impact or
If You Cannot Determine the Magnitude of Impact, Proceed to Part 3
Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS
Responsibility of Lead Agency
Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be
mitigated.
Instructions
Discuss the following for each impact identified in Column 2 of Part 2:
1 . Briefly describe the impact.
2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s).
3. Based on the information available, decide if it is reasonable to conclude that this impact is important.
To answer the question of importance, consider:
• The probability of the impact occurring
• The duration of the impact
• Its irreversibility, including permanently lost resources of value
• Whether the impact can or will be controlled
• The regional consequence of the impact
• Its potential divergence from local needs and goals
• Whether known objections to the project relate to this impact.
(Continue on attachments)
J J
SUFFO�,�
®�� `►� Town Hall
Albert J.Krupski,President �� G,y 53095 Main Road
James King,Vice-President < P.O.Box 1179
Henry Smith y 2 Southold,New York 11971
Artie Foster O
Ken Poliwoda �� �� Telephone(516) 765-18g2
Fax(516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
-----------------------------------
In the Matter of the Application
-- of
TAM lid n� u Er
----- t-�---------O- -----------
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
residing at j3y tom?"�S U v.�P
being duly sworn, de ose and say:
That on the 9-�__day ofQ0u,(.,,,W' 199'_e, I persQ�nally posted the
property known as 13 0 W
by placing the Board of Trustees official poster where it can
easily be seen, and that I have checked to be sure the poster
has remained in place for seven days prior to the date of the
public hearing. (date of hearing noted thereon to be held A&V f?. t?P r
m2 A ou7 7: fS"09.M .
Dated:
Ysgnature)
Sworn to before me this
q-j-), day o . 0 V 1999
ELENA O'MAHONEY
Notar/Public,State of Newyork
No.4508996
Qualified in Suffolk County
Notar Pu Commission Expires December 31.9g2-1
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name: Address:
PCB
c�✓he S �e� � `4 3 '7-cuJt�IS..S�� "` �X�,
M �d(L, ct c�ci h d l S STATE OF NEW YORK
COUNTY OF SUFFOLK
Zoannes residing at week Lev'
*gc.- - }ucL Nil being duly sworn, deposes and says
that on the day of , 199$ deponent mailed
a true copy of the Notice set forth in the Board of Trustees
Application, directed to each of the above named persons at the
addresses set opposite there respective names; that the
addresses set opposite the names of said persons are the address
of said persons as shown on the current assessment roll of the
Town of Southold; that said Notices were mailed at the United
States Post Office at \ said Notices
were mailed to each of said p so y certifie (register
mail.
Sworn to before me this c1`�
day of V bj% ,19�
ELENA O'MAHONEY
Notary Public Notar/Public,State of NWY®ak
No.4508996
Qualified in Suffolk CountyGO
C)mmission Expires December 3 19ZL%
6
Z 457 213 157
US Postal Service
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No Insurance Coverage Provided.
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OR Return Receipt Showing to
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0 Postmark or Date
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u_
d
Albert J. Krupski,President y Gy Town Hall
John Holzapfel,Vice President o 53095 Main Road
Jim King t
coo P.O.Box 1179.
Martin H. Garrell y • �� Southold,New York 11971 -
Peter Wenzel �4j �`a� Telephone(516)765-1892
Fax(516)765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
-----------------------------------
In the Matter of the Application.
of
E OO A) 0
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT'OF POSTING
I Kenneth F. Abruzzo of XX%M at 400 Ostrander Avenue, Riverhead; New York
Young & Young Land Surveyors
being duly sworn, depose and say:
That on the 23 day of July 1991, I personally posted the
property known as Lot 9, "Har$o`r, View at Mattituck"
by placing the Board of Trustees official poster where it can
easily be seen, and that I have checked to be sure the poster
has remained in place for seven days prior to the .date of the
public hearing. (date of hearing noted thereon to be held 7- *10 oo
Dated: July 'iO);1 1997 1
%.
j(signature)
Sworn to before me this
30 day of July 1996 7
Notary Publi
SUSAN J.TOPPING
Notary Public,State of Now York
No.4900150-Suffolk County,)
Commission Expires July 20,Wirl
gUFF0'j Town Hall
Albert J.Krupski,President •Z. G 53095 Main Road
James King,Vice-President ® y� P.O.Box 1179
Henry Smith COD Southold,New York 11971
2
Artie Foster
-Ken Poliwoda y ��� Telephone(516) 765-18Q2
Fax(516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
November 19, 1998
Mr. James Donohue
15 Lehigh Lane
Farmingville, NY 11738
RE: SCTM#1000-115-17-17.9
Dear Mr. Donohue:
The following action was taken at the Southold Town Board of Trustees meeting on
November 18, 1998.
RESOLVED, that the Southold Town Board of Trustees grant the request for an
Amendment to Permit#4774 to change the description of a pool and patio to a 15' X 54
'/2' deck with stairs.
However, this does not constitute approval from any other agencies.
If you have any questions, please call our office at 765-1892.
Sincerely,
9X
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:lms
cc: DEC
Building Dept.
1 0. 1 3. 9-8 1 1 : AM * ATRIUM EXEr , CTR. PO 1
RECSSON MWCU77VE CENTER -BOHEMIA
80 Orvflle Drive, Bohemia, New York 11716
(516)244-1400 Fax: (516)567-0611
ce.t4
Nam®: l `^ .
Company: L?W O. o"C
Fax Number:
EM=
Name:
6 U
Company:
Date: Time:
Number of Pages:
(including cover sheet)
-1400
If there are.any transmittal problems please call (516)244
10.. 13. : 9.8 1 .1. : AM * ATRIUIvi -EXEc� CTR.' P02
OCT 13 M8
.%
Y TOWN OF SOUTHOLD
James Donohue
230 Willis Creek Drive
Mattituek,NY 11952
To Whom It May COMM,
I am hereby requesting to my original permit#4774 dated 8/5/97.My final survey refiects the footprint of the
house.When the original permit was submitted 1 was advised to request both the patio and the pool to expedite future
construction.Neither the patio or the pool were constructed on the site.Thio is reflected in the final.
I have submitted to the building department a request fo 0 build a deck. a deck plans,set backs,original
survey,and final survey are with the building department. The deck fits within the original footprint of the patio/pool.
if I need to hire an expensive.cottsultant to facilitate the permit process please advise sae of such.My home phone is 51&
298-1240 my office number is 516-244-1568.
Jim Donohue
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Board I Town Trustees ,.
.Boa Of Southold o
. {I SOUTHOLD, NEW YORK
PERMIT NO. ..... ..... ...... ....... .... DATE: .....8.15.1.9.7............ t:
ISSUED TO .............JAMBS...DoNOHUE..........................................................
ufl�ur ttatinn rR
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 u
. State of New York 1952; and the Southold Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
`f °I REMOVAL OF SAND GRAVEL OR OTHER MATERIALS FROM
r :a' LANDS UNDER TOWN WATERS;" and in accordance with the I `
/r. Resolution of The Board adopted at a meeting held on ....7.1.301..9..7......
19.......9.7, and in consideration of the sum of $...15.0...0.0......... paid by
Mille.r... ....for..JA.MBS....D.ON.O.H.U.E......................................
of ...........Mattituck..................................................... N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
41 i Wetland Permit to construct a single family dwelling, pool, .rr
I patio, etc. , with no off-site fill required and with a 50' non-tu�l'
non-disturbed buffer area to align with neighbots on both sidesV �> ,
all in accordance with the detailed specifications as presented in
the originating application.
( 'a IN WITNESS WHEREOF, The said Board of Trustees here- �h!•<�� j,' �r l
by causes its Corporate Seal to be affixed, and these presents to ty
be subscribed by a majority of the said Board as of this date.
FFO ... ...... ..............
AI
I
.. . ....... .... . ........
;1, M
�y Off' ............ ' .....................
Trustees ,
r_1'�� f ✓+ 4'i T �li�ih�: I tiT�_� 7 .1� 'T �, F+z� 1.�I
eclif:.� v1LC,+ �G��/J"Vm 'r1Lr YuW. S.f `Y� �fuSrlG�r�L� Lu/lSt{�G �o®c�r.lY�.11�MOrL i
New York State Departmi�rri ( Environmental Conservation .
Division of Environmental Permits
Building 40 - SUNY, Stony Brook, New York 11790-2356
Telephone (516) 444-0365 AM
Facsimile (516) 444-0360
John P. Cahill
Commissioner
LETTER OF NONJURISDICTION--TIDAL WETLANDS
July 18, 1997
Mr. James Donohue RE: 1-4738-01645/00001
15 Lehigh Lane Donohue Property
Farmingville, NY 11738 Willis Creek Dr., Mattituck
SCTM #1000-115-17-17.9
Dear Mr. Donohue:
Based on the information you have submitted, the New York State Department of
Environmental Conservation has determined that the property landward of the 10 ft.
elevation contour as shown on the survey prepared by Young & Young Land Surveyors,
dated June 2, 1997 and last revised June 9, 1997 is beyond the jurisdiction of Article 25
Tidal Wetlands.
Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR
Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however,
that no construction, sedimentation, or disturbance of any kind may take place seaward of
the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your
responsibility to ensure that all necessary precautions are taken to prevent any sedimentation
l or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands .
jurisdiction which may result from your project. Such precautions may include maintaining
adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a
15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm.
Please be further advised that this letter does not relieve you of the responsibility of obtaining
any necessary permits or approvals from other agencies.
Very truly yours,
- `�` '#7
Permit Administrator
MMR
cc: Young & Young
BMHP
File
Town Hall, 53095 Main Road
Telephone �� P.O. Box 1179
(516) 765-1801 ,�Ol ��' Southold-New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
The following recommendation was passed by the Southold Town Conservation
Advisory Council at its July 28, 1997 meeting:
No. 1468
Moved by Melvyn Morris, seconded by Mary Griffin, it was �,____.��.
RESOLVED to recommend to the Southold:Town—Board of Trustees�APRROVAL-f
of the Wetland Application of ES'DON&UE 115-17-17.9 to construct a
single family dwelling, swimming pool, patio,. driveway, sanitary system, and
water service.
Willis Creek Drive, Mattituck
Vote of Council: Ayes: All
Motion Carried
YOUNG&YOUNG
Planning, Engineering&Land Surveying
400 O*andet Avenue Telephone(516)727-2909
Rivethead, New Yotk 11901 raesimile$16) 727-01"
HOWARD W.YOUNG,Land Surveyor
TNONAS C.WOLKRT,Professional Engineer
K6NNETH V.ABRUZZO,Land Surveyor
JOHN MINOR,Lend Surveyor
June 23, 1997
Board of Trustees
Town,of Southold
53095 Main Road
P.O. Box 1179
Southold, New York 11971
RE: JAMES DONOHUE
Lot No. 9, "Harbor View At Mattituck",
at Mattituck, T/O Southold, New York
(97-0297)
Dear Mgmbers of-the..Board.-
Enclosed are the following items for your review of our application for a
wetland permit to construct a single family dwelling and related structures at
the above-.reference.d-.site,
1. five (5) prints - Survey for James Donohue, last dated June 18, 1997;
2. one (1) original and four (4) copies - Wetland Permit Application,
including Authorization Form and Data Sheet;
3. five (5) copies - Location Map (portion of USGS Quad Map);
4. one (1) original and four (4) copies - Short Environmental Assessment
Form;
5. one (1) original and four (4) copies - Long Environmental Assessment
Form; and
6. application fee - Miller Bluffs Construction Corp. check in the amount
of One Hundred Fifty Dollars ($150.00)..paydble to Southold Trustees.
Very truly yours,
Thomas C. Wolpert, P.E.
TCW/nac
Encl.
cc: Miller Bluffs Construction Corp.
ATTN: Mr. Bob Hine + Encl.
MATTITUCK uJADRANGLE
NEW YORK-SUFFOLK CO.
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o��SUFFO(�co
Albert J. Krupski,President y� Gy Town Hall
John Holzapfel, Vice President 53095 Main Road
Jim King- C* 2 P.O. Box 1179
Martin H.Garrell �,y� o�� Southold, New York 11971
Peter Wenczel Telephone (516) 765-1892
Fax(516)765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
August 4, 1997
Young & Young
400 Ostrander Ave..
Riverhead NY 11901
Re: JAMES' DONOHUE
115-17-17.9
Dear Mr: Wolpert,
The following action was taken by the Board of Town Trustees.
during its Regular Meeting held on July 30, 1997, regarding the
above matter.:
WHEREAS, JAMES DONOHUE, applied. to the Southold. Town
Trustees for a permit under the provisions. of the. Wetland
Ordinance of the Town of Southold, application dated June 25,
1997, 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 July 30, 1997, 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 structure complies with the standard set forth in
Chapter 97-18 of the Southold Town Code,
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
JAMES DONOHUE to construct a single family dwelling,. swimming
pool, patio, etc. , with no off-site fill required and with a 50'
non-turf non-disturbed buffer area to- align with neighbors: on
both sides. Located: 230 Willis Creek Drive, Mattituck.
BE IT FURTHER RESOLVED that this determination 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.
"Permit to construct, and complete project 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.
FEES: ; Done
Very truly yours,
0
Albert J. -Krupski,. Jr.
President, Board of Trustees
AJK/djh
cc. DEC
Dept. of State
Dept of Health
0 0
,.oge
Young & Young, Land Surveyors „a<9
400 Ostrander Avenue, Riverhead, New York 11901 g'e"'s-
�IIun� � 2303
0'�O 516-727— 9
y ga s
v Alden W. Young, P.E & L.S. (f908-1994) b�
IIUIT� '91 Howard W. Young, Land Surveyors
Thomas C. Wolpert, Professional Engineer
Kenneth F. A6ruzzo, Land Surveyor °
�lenniag - John Schnurr, Land Surveyor
00
n ocri
_ .3
£agtnrrring P/
Survryiag " Q-� NOTES:
1. SUBDIVISION MAP FILED IN THE OFFICE
OF THE CLERK OF SUFFOLK COUNTY ON ayo
1 P AUG. 21, 1987 AS FILE NO. 8377. N
Lot 8 2
oGq . ■ = MONUMENT FOUND ""€;e
\ yOrP°y� 3. = STAKE FOUND Riga
t �e g-pq
•\ °yam / \:' aP\� ����
3i
1 .• hry �P ae
I � I Z•.�, �F•. vg
o lt� 1��'\ Lot 9
sea<
. Area = 47777 s.f.
I 'N gg�5'1 p" E 136.79' `\u' \`& j O APR. 24. 1998 FINAL SURVEY �a
\ NOV. 10,.1997 LOCATED FOUNDATION
52.59 84.20 �cT `` h OCT. 15 1997 STAKED PROPOSED HOUSE
��• \ ti?u'6?J• a�� / tl OCT. 2, 1997 ADDED FIRM ZONE BOUNDARY LINE o
`, to `\ _O JULY 31. 1997
y �• zo' —ice �1 JUNE 26. 1997 ADDED CERTIFICATIONS a
ts: hcp
c sT �,( 1l JUNE 18, 1997 'o^ ij JUNE 9 1997 'b
cP. C� JUN2 1997' In �` i ��%�� cv U DATE: REVISIONS: Fig."
t�
! mm ,5.9 so.6_ _1 N SURVEY FOR: i5s
Q _ , 1� ---- — N V) i ,�
—� JAMES F. DONOHUE a <2
25.9'N c� _J "e"sg'
.�^. m •• m 100.1'; _ BED
� o� LOT N0. 9 "HARBOR VIEW AT MATTITUCK" s�aa
CC"
I � . IA I 1 OR`��pV oo At: MATTITUCK Town of: SOUTHOLD
N�' 1 x^ �dD_ J to o Suffolk County, New York55
Ic =B�$
63.73- 125.00' ;"=_=_e9
^ 90 23' .f t1 Suff. Co. Tax Map: 1 1000 115 17 1 17.91!1g
S 88-i-5'10" W 278.96' District Section Black Lot
CERTIFIED TO: b Be
E JAMES F. DONOHUE a
D , SUFFOLK COUNTY NATIONAL BANK
FIDELITY NATIONAL TITLE INSURANCE COMPANY g<'"b3,
LO.I I O 12' DRAINAGE EASEMENT I �
-
j o I I I qrq� L &n�
DATE :JUNE 2, 1997
c io SCALE :1" = 50' ¢eb"
p" JOB NO. :97 — 0297 ==tee
Zm$ SHEET NO.:1 OF 1 �g �
�. ll "DO970297.DWG"