HomeMy WebLinkAboutTR-4883
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Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
October 22, 2003
Mr. Glenn E. Just
J.M.O. Environmental Consulting Services
121 Jessup Ave.
P.O. Box 447
Quogue, NY 11959-0447
RE: William D. Reed
R.O.W. off Peninsula Rd., Fishers Island
SCTM#10-3-12
Dear Mr. Just:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on October 22, 2003:
RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit
#5461 to allow for the construction of a single-family dwelling, deck, driveway, sanitary system
and grading, and as depicted on the site plan prepared by CME Associates Engineering & Land
Surveying, PLLC, dated September 8, 2003.
This is not a determination from any other agency.
If you have any questions, please call our office at (631) 765-1892.
Sincerely,
dLk-l9- ~'(}.
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:lms
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Telephone
(631) 765-1892
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town ConserVation Advisory Council held Tuesday,
October 14, 2003, the following recommendation was made:
WILLIAM D. REED to Amend Permit #546"1 to allow for the construciion of a single-
family dwelling, deck, driveway, sanitary system and grading. The proposed dwelling
and deck shall be smaller than the originally approved dwelling.
Located: R.O.W. off of Peninsula Rd., Fishers Island. SCTM#10-3-12
The CAC did not make an inspection, therefore no recommendation was made.
Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. .5LJ" I..
ISSUED TO.. WILLIAM D. REED
DATE: .pec. 21, 2001
Î\ufqnrilatintt
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 Southokl 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 W A TERS{'. and in accordance with the
Resolution of The Bóard adopted at a meeting held on .pe<:,~ 1~.,
2091.. and in consideration of the sum of $.2~0.~~. . paid by
. J. M : O:.C?()IlsultinJL forvvilli"mp, Reedu mmUm .
of uu.91l()!;I1" N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of So.uthold Town Trustees auth.orizes and permits .the following:
Wetland Permlt to construct a smgle-fam. dwellmg,assoc. sanitar
1 syst~m, public water line, drivewa'y,patio & garage, with the I
.. cond1hon of a staked row of haybales running from tile. 18" oak tt:
'. on the north side of the .trop. to. the 24" oak tree on ~e ~outh
. d cd' .th tv an to reI]}a\n a 1¡.Qn-çllsturbance úfter,
S1 e ðII IIf-Sd?ÓRß'liC81 with t e detailed specíticahons as presen ed In
the originating application. and the installation of dry wells and
gutters to contain the roof run-off.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal to be affixed, and these presents to
be subscribed by a . majority of the said Board as of this date.
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TERMS and CONDmONS
the Permittee William D. Reed
residing at 86 Greenhave Rd., Stonington, CT N. Y.. as
put of the coosidentioo for the Ss,......... of the Permit does III1dentaød and prescribe to the fol-
lowing :
1. That the said Board of Trustees and the Town of Soutbold are released from IØ'f aðd
aU damages, or claims fIX damages, of RÙtS adsing cUrecdy or Jnditecdy as · ~ of IØ'f ~.
adoo performed panuaat to this petmIt. and the said p... . .,"" wilJ, at hIs or her own ap tD"'.
defend aøy and aU such _ts ' ,.M..-I by dW:d parties, and the said p. . 1(4-'" --- fu111iab1lity
wi1h respect thereto. to the oomplete eEdusioo of the Board of Trustees of the Town of ~
2. That this permit is valid fOe . period of 24 IDOS. wbich is ..oDd -..oed to be the
CSlimated åme' required to ~cte the """'" In~~ but ihoald cirmß;staDces ~ ~
for aa exœasion may be awIe to the Board at a later daœ.
3. That this Permit should be recaiøed indeClDÍldy, or as long as the said ~ wishes
to ",.jn..;n the structUre or project Involved, to provide evidence to aayoae coocemed that auth-
orizatioo was originally obtained.
4. That the work involved wU1 be subject to the In~ and approval of the Board or
Its agents. and 11OCHIOJII{>1iaDce wilb the provisioDS of the origi"'';..g appW:atioa, may be cause for
revocatioo of this Permit by resolution of the said Board.
5. That there wU1 be DO uareasoooble nterfereoœ wi1h navigatioo as a ~ of the woå:
herein aùthoñzed.
6. That there sbaU be DO intetferenœ with the right of the public to pass and KpISS aIœg
the beach betweea high aad low water marks.
7. That if future openrloos of the Town of Soutbold require the ftII1(Jft1 aad/Ot: a1œratiøas
In the locawn of the 1iOdc herein ..tborized, or if, In the opùùoa of the Board of TrusteeS, the ,
woa:k shall cause unreasooohle obstnlCt1Oß to free navigatioa, the said Peaaittee wU1 be requh'ed,
apoo. due notice, to remove or alter this work or project herein stated without ....~ to the Town
of Soutbold.
8. Tha< Ibe said Board wU1 be notified by the Permittee ot the oompkdoo of the wad< auth-
orized.
9. That the Permittee will obtain .11 other permits and consents that -.y be required sup:.
plemental to Ibis permit which may be subject to revolce upon failure to obtain same.
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Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
December 21,2001
Mr. Glenn E. Just
J.M.O. Environmental Consulting
121 Jessup Ave.
P.O. Box 447
Quogue, NY 11959
RE: WILLIAM D. REED
R.O.W. off Peninsula Rd., Fishers Island
SCTM#1O-3-12
Dear Mr. Just:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, December 19, 2001 regarding the above matter:
WHEREAS, J.M.O. Environmental Consulting, Inc. on behalf of WILLIAM D. REED applied
to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the
Town of Southold, application dated September 11,2001, 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
December 19, 2001, 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 standards set forth in Chapter 97 of the Southold
Town Code,
2
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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 approve the application of WILLIAM D. REED to
construct a single-family dwelling, associated sanitary system, public water line, driveway, patio
and garage, with the condition of a staked row of hay bales running from the 18" oak tree on the
north side of the property, to the 24" oak tree on the south side of the property, and to remain a
non-disturbance buffer, and the installation of drywells and gutters to contain the roof run-off.
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: None
Very truly yours,
a~ (J /¿,.__~~. c..
I" I "
Albert J. Krupski, Ir.
President, Board of Trustees
AJK/lms
DEC
Bldg. Dept.
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Telephone
(631) 765-1892
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town ConserVation Advisory Council held Monday,
October 15, 2001, the following recommendation was made:
WILLIAM D. REED to construct a single-family dwelling, associated sanitary system, .
public water line, driveway, patio and garage.
Located: R.OW. off of Penn insula Rd., Fishers Island. SCTM#10-3-12
The CAC did not make an inspection, therefore no recommendation was made.
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TERMS end CONDITIONS
The Permittee
WILLIAM D. REED
r..ldi~g ar
pan or rhe
lowing:
R6 Grep.nh;¡vpn Rn;:¡rI Stnningtnn ~'T' N. Y.. as
consldeur/on for rhe Issuance of rhe Permlr d.... undenttnd and pœscribe ro the foJ-
I. Thar rhe .aid Board of Trust... and rhe Town of Sourhold are released from any and
all damage., or claims for damag... of sulr. ari.lng directly or Indirectly .. a result of any oper-
ation perrormed pursuant to this permit, and rhe said P.rmlttee wlJl, at his or h.r own npense.
d.r.nd any and all such suits initiated by third panl.., and rhe said P.rmlttee .......... full IlabIHty
..irh r..p.ct rh.r.to. to rhe compl.t. .,.cluslon of rhe Baud of Trust... of the TOWD of Southold
2. That this P.rmlt Is valid for a period of 24 mas. ..hleb Is tonJidered to he rhe
estimAted r/m. required to complet. tbe ..ork Involved, but mould drcumstanc.. ....rant, requOlt
for an .xt.ndon may he mad. to rho Board at a lat.r date.
3. l1,at thI. P.rmit .bould b. r.talned Ind.finit.ly, or a. long .. th. .aid Permittee wish..
to main,aln ,h. strnctur. or proj.ct involved, to provide evidence to anyone concerned that aarh.
orhatlon .... originally obtained,
4. That rho ..ork Involv.d ..ill be subject to rho In.pection and approval of rho Board or
its ag.nts, and non-compliance ,,'¡,h ,h. provisions or rho originating application, may he caus. for
revocation of this P.rmlt by resolution of the .aid Board,
5. That ,h.r. ..ill be no unrea.onabl. Int.rr..enc. ..Ith navigation .. a result of the wade
herein 8ud1orized.
6. That ,h.r. .hall he no In,.rf.r.nc. wirh the right of the public to pus and teplSS aloaø
rho heach b.me.n high and I.... wat.r mark..
7. That II furor. op.ratlon. or th. Town of Southold require th. removal and/or alterations
In ,he location or the work b.reln authomed, or II, In rho opinion of rho Board of Trust.... the
work .hall cause un,eRSonabl. ob,rructJon to rr.e navigation, the said P.rmltt.. will be requited,
upon due notice, to r.mov. or alt.r rhl. ..ork or project h.r.ln .tated wirhout expe..... to the Towa
of Sourhold.
8. Tha, rho .aid Board ..ill he notlE/ed by th. P.rmltt.. Ot the campletiOll of rhe work aarh.
om.d.
9. That ,h. P.rmi".. will obtain all o,h.r permlls and consents that _y he required IIIIp-
pl.m.ntal to rhi. permit ..hlch may he subject to r.vok. apon fallure to obtain 'ame.
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Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 1 t971
Telephone (516) 765-18!f2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTH OLD
March 26, 1998
J.M.O. Consulting
Glenn E. Just
P.O. Box 447
Quogue NY 11959-0447
Re: WILLIAM D. REED
SCTM 110-3-12
Dear Mr. Just,
The following action was taken by the Board of Town Trustees
during its Regular Meeting held on March 25, 1998, regarding the
above matter:
WHEREAS, WILLIAM D. REED, applied to the Southold Town Tru!!tees
for a permit under the provisions of the Wetland Ordinance of
the Town of Southold, application dated January 23, 1998 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 March 25, 1998, 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 Southo1d 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,
.
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NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approves the application of
WILLIAM D. REED to construct a single family dwelling, sanitary
system, water line, driveway, patio & garage. Located: ROW off
Peninsula Road, Fishers Island.
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 pro1ect 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: None
Very truly yours,
tltt.c.-I ÇJ. ~~ ~~
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/djh
cc. DEC
ACE
Dept. of State
Bldg. Dept.
...-.........
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j.M.O.
Environmental Consulting Services
September 29,2003
[õ)1 ~ (C ~ I WI ~ rñì
lJì1 SEP 3 0 2003 lW
Mr. Albert Krupski, President
Board of Town Trustees
Town of Southold
P.O. Box 1179
Southold, NY 11971-1179
Soutllold Town
Board of Trustees
RE: Permit No. 5461, William D. Reed
R.O.W. off of Peninsula Road, no #, fishers Island
S.C.T.M. No. 1000-010-3-12
Dear Mr. Krupski:
At the present time we are seeking to modify this permit (copy enclosed) which was
issued on 12/21/01 and due to expire on 12/21/03. The proposed modification is to allow
for the construction of a single family dwelling, deck, driveway, sanitary system and
grading. The proposed dwelling and deck shall be smaller than the originally approved
dwelling.
for your review 1 have enclosed copies of the revised plans (9/8/03) which were prepared
by the CME Associates Engineering and Land Surveying, PLLC. As always please feel
free to contact our office with any comments or questions you may have regarding this
matter.
Sincerely,
.~~.I{,
Glenn E. Just @.!
Cf':..J¡
ÇÞ- t{o\IIO~
Enclosure
GEJI ed
Phone (631) 653-0607 . Fax (631) 653-3348
121 Jessup Ave. 2nd Floor. P,O. Box 447
Quogue. New York 11959-0447
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Alb('rt J. Krup~ki. President
James Kiilg. Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
ó30n!:i Route 25
p,O, Box 1179
Sout,hnld, New York 11971-0959
Tolerh'",. (631) 765-1892
Fnx (631) 76,;-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
_Coastal Erosion Permit Application
-W-etJand Permit Application ~ajor
Waiver/Amendment/Changes
_~ed Applica" I
~eceived Fee:$
...e5mpleted Application I 01
_Incomplete
_ SEQRA Classification:
Type I_Type If_Unlisted_
_Coordination:(date se.!!t)~
..-i:AC Referral Sent:~
......oate ofInspection:~
_Receipt ofCAC Report:
_Lead Agency Determination:
Technical Review:
~Iblic Hearing Held:~
Resolution:
J
Minor
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Name of Applicant William D. Reed
Address
86 Greenhaven Road, Stonington, CT
Phone Number:( ) 860- 5 3 5 -4664
Suffolk County Tax Map Number: 1000 _ 010 - 3 -12
/~\\O\
Property Location: R. O. W. off of Peninsula Road, Fishers Island
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Glenn E. Just/ J.M.O. Environmental Consulting
Address:
121 Jessup Avenue, P.O. Box 447, Quogue, NY 11959
Phone: 653-0607
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Board of Trustees Application
Land Area (in square feet):
GENERAL DATA
0.25
Area Zoning:
R-40
Previous use of property: Vacant land
Intended use of property: Sin!!le famil y dwell in\;
Prior permits/approvals for site improvements:
Agency
NYSDEC
Date
Letter of Non-Jurisdiction
Southold Trustees Permit #4883
3/25/98 for SFD, etc
No prior permits/approvals for site improvements.
Has anY'Permitlapproval ever been revoked or suspended by a governmental agcncy?
' --'L No_ Yes
Iryes, provide explanation:
Project Description (use attachments if necessary):
Applicant proposes to construct a single family dwelling,
associated sanitary system, public water line, driveway,
.
patio and garage. All work shall be in accordance with enclosed
survey as prepared by CME/CPK Design Group dated
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Board of Trustees Application
WETLANDrrRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Proposed single family dwelling
Area of wetlands on lot:
+350
square feet
Percent coverage oflot:
19 %
Closest distance between nearest eKisting structure and upland
edge of wetlands: 0 feet
Closest distance between nearest proposed structure and upland
edge of wetlands: + 50 feet
Does the project involve excavation or tilling?
No x Yes
Jfyes, how much material will be eKcavated?~ 100 cubic yards
How much material will be filled?
o cubic yards
Depth of which material will be removed or deposited:
,
+6'
feet
Proposed slope throughout the area of operations1 : 1
Manner in which material will be removed or deposited:
Payloader and eKcavated material shall be regraded on site.
Statement of the effect, if any, on the wetlands and tidal waters of the town tlmt "'"y result by
reason of such proposed operations (use attachments if appropriate):
As proposed. project should have no negative impacts Upon
any waters or wetlands of the Town of Southold.
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Boal:d of Trustees Application
County of New London
State of Connecticut
William Reed . BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SIIE IS TilE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT ( S) MID THAT ALL STATEMENTS CONTAlllED HEREIN I\RE
TRUE TO THE BEST OF IIIS/IIER KNOWLEDGE MID BELIEF, /\ND TIIN.r I\LL
WORK WILT. BE DOllE IN TilE M/\NNER SET FORTH IN THIS APPLICATION
MID AS MAY BE I\PPROVED BY TilE SOUTIIOLD TOWN BOARD OF TRUSTEES.
TilE APPLICANT AGREES TO HOLD THE TOWN OF SOUTIIOLD /\ND THE TOWN
TRUSTEES HI\RHLESS /\ND FREE FROM /\NY /\ND ALL DAMAGES /\ND CLAIMS
ARISING UNDER OR BY VIRTUE OF SAID PERMIT{S), IF GRANTED. IN
CO~IPLETING TillS i\ppr.ICATION, I IIEREBY 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.
SWORN TO BEFORE ME THIS
,;28'
dJJø;~~'
Notary Public
C'¿?/hI1f .çxl' y/:!Jt'/'ff
,
IIdÄs~j
William Reed
DAY OF .r"nll""'Y
7
,19~
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LJoard of Trustees J\pplicatioll
J\UTIIORIZATION
(where the applicant is not the owner)
'~ . I
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WilliPlm RÞ~ñ
(print owner of property)
!it.nningtnn. r.nnnA",,¡";f"'lIt"
J.M.O. Consulting
residing at 14 lhurch Street
(mail ng address)
do hereby authorize
\
Glenn E. Just/
(Agent)
to apply for permit(s) from the
SOU~"<d 0 T<u.'... on my beh.1f.
(Owner's signature)
William Reed
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j.M.O.
Environmental Consulting Services
To whom it may concern:
Please be advised that we have authorized the firm of
J.M.a. Environmental Consulting Services to act as our agent
on our behalf in applying for certain approvals through your
agency and others involved with this project. J.M.a.
Consulting Services have been retained to coordinate all
approvals necessary through your and other involved agencies,
as well as our architect. engineer and contractors, we
request that all communications, correspondence. notices.
approvals and calls be addressed directly to the offi es of
J.M.a. Consulting Services.
Signature
Dated
.T~nll.::lr>y
38'
I 10QR
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Phone (516) 653-0607 . F,rx (516) 653-3348
121 Jessup Ave· 2nd Floor· Po. Box 447
Quogue, New York 11959-0447
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. 14,16,2 (9/9S)-7C
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617.20
Appendix A
Stata Environmental Ouallty Review
FULL ENVIRONMENTAL ASSESSMENT FORM
SEOR
Purpose: The lull EAF Is designed to help applicants and agencies determine. In an orderly manner, whether a project'
or action may be significant. The question 01 whether an action may be slgnlllcant Is not always easy to anSwer. Frequent-
ly. there are aspects of a project that are sublective or unmeasureable. It is also understood that those who determine
signilicance may have 1IIIIe or no formal knowledge 01 the environment or may not be technically expert hi envlronmentai
analysis. In addition. many who have knowledge In one particular area may not be aware of the broader concerns affecting
the question 01 significance.
The lull EAr 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 01 three parts:
ParI 1: Provides objective data and Information about a given proJect and Its site. By Identilying 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 01 possible Impacts thai 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 þOtentially-
large Impact. The form also I~entifles 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.
DETERMINA nON OF SIGNIFICANCE - Type 1 and Unlisted Actions
Identify the Portions of EAF comp,leted for this project: 0 Part 1 0 Part 2 oPart 3
Upon revieW of the Information recorded on this EAF (Parts 1 and 2 and 3 If appropriate), and any other supporting
Information. and considering both the magnitude and Importance of each Impact. It Is reasonably determined by the
lead agency that:
o 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 neeatlve declaration will be ~rt lared.
o B. ^Ithough the project could have a significant effect on the environment. there will not bt· a significant
effect for this Unlisted Action because the mlllgatlon measures described In PART 3 have been required.
therefore a CONDITIONED neeatlve declaration will be prepart\!.·
o C. The proJect may result In one or more large arid Important Imþacts that may have a Significant Impact
on the environment, therefore a polltlve declaration will be prepared.
. A Condllloned Negative Declaration Is only valid for Unllstt\! Actions
Name of Action
Name of Lead Agency
Print or Type Name of Responsible Officer In Lead Agency Title of Responsible Officer
Signature of Responsible Officer In lead Agency Signature of Preparer(1I different from responsible off!cer)
)
Date
1
.
.
PART 1-PROJECT INFORMATION
Prepared by Projeel Sponsor
NOTICE: This documenlls designed to a..lstln determining whether the action proposed may have a significant ellect
on the enviro,ment. rlease complete the entire form. Parts ^ thrOl:'lh E. Answers to these questions wilt be eonsldèred
al part 01 the application lor approval and may be ,ubJect to lurther verification and public review. Provide any additional
Inlormatlon you believe will be needed to complete Parts 2 and 3.
It is expected that completion 01 the full EAF will be dependent on Information currently available and will not Involve
new studlel. research or Investigation. If Information requiring such additional work Is unavailable. so Indicate and specify
each Inltance.
NAME OF ACTION
Pro osed sin Ie fam'
lOCATION OF ACTION (tnclude Slr.et Address. Munlclpll1ty .nd CountJ1
ROW off of Peninsula Road, Fishers Island
NAME OF APPllCf,NTfSPONSOA
Glenn E. Just/ J.M.O. Environmental Consult in
ADDRESS
BUSINESS TELEPHONE
16311653-0607
P.O. Box 447
CITYII'O
Quogue
NAME OF OWNER ~, dllferenQ
Will iam D. Reed
ADORESS
36 Greenhaven Road
ZIP COOE
CfTYII'O
Stonirrgton
DESCRIPTION OF ACTION
Applicant proposes to. construct a single family dwelling, associated
san1tary system. publ1c water line, driveway, patio and garage. All
wor~ 1n accordance with enclosed survey as prepared by CME/CPK
Des1gn Group dated
"Ieue Complete Each Question-Indicate N.A. If no! applicable
A. Site DescrIption
Physical seUlng of overall proJect. both' developed Ind undeveloped areas. .
1. Present land use: oOrban olndustrlal OCommerclal IiDResldentlal (suburban) oRural (non-farm)
oFores! oAgrlculture oOther
2. Total acreage of profect area: C ,:¡ç acres.
APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION
Meadow or 8rushland (Non-agrIcultural) 1/"),;) Ç.. acres r).T).~ acres
Forested acres acres
Agricultural {Includes orchards. cropland. paslure, etc.) acres acres
Wetland (Freshwater or tidal as per Articles 24. 2S of Eel) acres acres
Waler Surface Area acres acres
Unvegetated (Rock, earlh or fill) acres acres
Roods. buildings end other paved surlaces acres acres
Olher (lndlcMe Iype) acres acres
3. Whotlspredomlnanlsolltype(s)onprofectsltel CyB aut & filled lann, gpntl" ~lnpiRp; .~
a. Soli drainage: IIIWell drained 100 "of slle oModeralely well drained " of slle
oPoorly draIned " of slle .
b. If ony egrlcultural land Is Involved. how many acres of 5011 are classified wllhln soli group 1 through 4 of the NYS
hnd Classification Sysleml n I a acres. (See 1 NYCRR 370). I
4. Are there bedrock outcropplngs on proJect sllel DYes I!:INo
.. What Is depth to bedrock I +600 (In feel)
2
.
.
50
%
(!I1O-15%
%
50
%
s. Approximate p~rcentage of propo~ed project site with slopes:
ISO-10%
015% or greater
site, or district. listed on
6. Is project substantially contiguous to. or contain a building,
Regislers of Historic Places' DYes rgJNo
7. Is project substantially contiguous to a site listed on the Register of National Naturallandmarksl
8, What is the depth of the water table! (In fee!)
the Stale or the National
DYes
¡gNo
9. Is sile localed over a primary. principal. or sole source aquifer! I!!IYes DNo
10 Do hunting. fishing or shell fishing opportunities presently exist In the proj_èt areal
11. Does project site conlain any species of plant or animal life that Is Identified as
DYes Ii9No According to
Identify each species
. 12. Are there any unique or unusual land forms on the prolect sltel (I.e., cliffs. dunes. other geological' formations)
DYes ~No Describe
IiùYes DNo
th,eatened or endangered I
13. Is the project site presently used by the community or neighborhood as an open space o'r recreation area!
DYes (j! No. If yes. explain
14. Does the present site Include scenic vlew~ known to be Important to the community!
DYes IZINo
1 S. Streams within or contiguous to proJec~ area: n / a
a. Name of Stream and name of River to which 11 Is tributary
16. lakes. ponds. w.etland a.œas ~lIhln or contiguous to project area:
N ¡.est: Itaruor
ð. ame
17. Is the site served by existing public utilities! mVes DNo
a) If Yes. docs sufficient capacity exist to allow çonnectlon! I8!Yes DNo
b) If Yes. will Improvements be necessary to allow connection I !!',IYes DNo
18. Is the site located In an agricultural district certllled pursuant to Agriculture and Markets law, ArtIcle 2S-AA.
Section 303 and 304! DYes I81No
19. I~ the site located In or substantially contiguous to a Critical Environmental Area designated pursuant to ArtIcle 8
of the ECl. and 6 NYCRR 6171 I81Yes DNo'
20. lias the slle ever been used for the disposal of solid or hazardous wastes I
b. Size (In acres)
+?nn
DYes
mNo
B. Project Description
1. Physlc.I dimensIons and scale of project (fill In dimensions as appropriate) .---
a. Total contiguous acreage owned or controlled by project sponsor O.::J- acres.
b. Project acreage to be developed: acres Initially; acres ultimately.
c. Project .creage to remain undeveloped acres.
d. length of project. In miles: n / a (If appropriate)
e. 'If the projeel Is an expansIon. Indicate percent of expansion proposed
f. Number of off-street parking spaces existing 0 ; proposed 0
g. Maximum vehlcul.r trips generated per hour 0 . (upon' completion of prolect)!
h. If residential: Number and type of housing units:
One Family Two family
one
n/a
%;
Multiple family
Condominium
Initially
Ultlm.tely
I. Dimensions (In feet) of largest proposed structure n / a he'ghIP / a
J. linear feci of frontage along a public thoroughfare project will occupy Is'
3
one
I
wIdth;
n/a
n/a
fl.
length.
2. How much ""tural material (i.e.. rock. earth. etc,) will be removed Irom the sltel
3. Will disturbed area. be reclalmedl DYes DNo ~N/A
a, II ye.. lor what intended purpose Is the sile being reclaimed1
b. will top.oil be .tockpiled lor reclamation! DYe. DNo
c. Will upper sub.oll be stockpiled for reclamatlonl DYes DNo
o
lons/cuhic yards
-4. How many acres of vegetation ((rees. shrubs. ground covers) wilf be removed.from sirel . acres.
5. Will any mature fore.t (over 100 years old) or other locally·lmportant vegetation be removed by this project/
DYe. 6!lNo
6. II .ingle pha.e project: Anticipated period of construction
7. If multl-pha.ed: n / a
a. Total number of phases anticipated
b. Anticipated date of commencement phase 1
c, Approximate completion date of IInal phase
d. Is phase 1 functionally dependent on subsequent phase,'
8. Will blasting occur during construction! DYes WNo
9. Number of Jobs generated: during construction . 10
10. Number of jobs eliminated by this proJect I 0
11. Will proJect require relocation of any projects or facllitiesl
6
months. (Including demolition).
(number),
month
month
DVes
year. (including demolition).
year.
DNo
; alter project Is complete
o
DVes
~No
II yes, explain
12. Is surface liquid waste disposal Involved! DYes DNo
a. II ye.. indicate type of waste (sewage, Industrial. etc.) and amount
b. Name of water body Into whIch effluent will be discharged n / a
13. Is subsurface liquid waste disposal Involved! roYes DNo Type sewage
14. Will surface area of an existing water body Increase or decrease by proposal! DVes rtINo
Explain
15. Is project or any portion of proJect located In a 100 year flood plain! E!lVes DNo
16. Will the project generate solid waste! . IiQVes DNo
less ' than gne
a. If ~s. what Is the amount per month t n.
b. If yes. will an existing 'solld waste facility be used! ~Ves DNo
c. II yes. give name FIT ran s [e r 5 tat ion ; location
d. will any wastes not go Into a sewage disposal system or Into a sanitary landfill! DYes 6ONo
e. If Ves, explain
17. Will the pro ect Involve the disposal of solid waste!
a. II yes, what Is the anticipated rate of disposal!
b. If yes, what Is the anticipated site life! years.
18. Will project uSe herbicides or pesticides! DVes I8JNo
19. Will project routinely produce odors (more than one hour per day)! DVes fQNo
20. Will project produce operating noise exceeding the local ambient noise levels!
21. Will project result In an Increase In energy use! f1gYes DNa
II yes. Indlcatetype(s) Electric & home heatinl! [tlP]
22. If water supply Is from wells. Indicate pumping capacity n / a gallons/minute.'
23. Total anticipated water usage per dayunknown gallons/day.
24. Does project Involve local, State or Federal funding I DVes
If Ves. explain
DVes
¡¡)No
tons/month.
DVes
"No
I,i!INo
"
.
.
25. Ap,provals.Required:
Type
SubmlUol
Date
City. Town, Village Board
City, Town, Village Planning Board
City, Town Zoning Board
City. County Health Department
Other local Agencies
Other Regional Agencies
State Agencies
Federal Agencies
OVe, f(3.No
DVes QNo
DVes ~o
¢ves DNo
ttJVes DNo
DVes )¡§No
tes [JNo
Ves ~No
SCDHS
Southold Town Trustees
8/01
NYSDEC Letter of NON-JURT<=; iQqllp'¡
C. Zoning and Planning Inlormatlon
1. Does proposed action In~olve a planning or zoning decision? DYes ~o
If Ve<, indicate decision requited:
Dzonlng amendment ozonlng variance Dspecial use permit osubdlvlslon osl:e plan
Dnew/revlslon 01 master plan o(esource management plan oother
2. What Is the zoning classlllcatlon(s)ol the site! '~ --\...{ 0
3. What is the maximum potential development 01 the site II developed as permitted by the present zoning?
SO\,"\,.c.
~. What Is the proposed zoning of the site! <:::: n VV\ 'f"
S. What Is the maximum potential development 01 the site il developed as permitted by the proposed zoning?
c..r. (Yet/_
6. Is the proposed action consistent with the recommended "ses In adopted local land use plans! ~ DNo
7. What are the predominant land use(s) and zoning classlllcatlons within a ~ mile radius 01 proposed action!
Sf;. 'l'I\e..
~ oNo
8. Is the proposed action compatible with adJoining/surrounding land uses within a ~ mile!
9. If the proposed action Is the subdivision of land, how many lots are proposed? --P! ct..
a. What Is the minImum lot size proposed!
10. Will proposed action require any authorlzatlon(s) for the lormatlon or sewer or water districts!
11. Will the proposed action create a demand for any community provided services (recreation.
fire protection)! DYes ~
a. If yes. Is existing capality sufficient to handle projected demand! DYes DNo
12. Will the proposed action result In the generation of tralllc significantly above present levelst
a. If ves. I. the exl.tlng road network adequate to handle the additional traffic? oVes
oVes No
etlucation. police.
DYes' '~
oNo
D. Informational Details
AUach 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 inlorm provided above Is tr e to the best 01 my knowledge.
. -'
Applicanl/Sponsor Name \
Signature Title
"-- /. t.
If the action Is In the Couto I Area, and you are a , .te agency, complefe the outal Aueument Form before pro,ceedlng
with this aueument.
c¡ /rsk(
Date
5
Part 2-PROJECT IMPACTS AND THEIR MAGNITUDE
Responsibility 01 Lead Agency
General Inlormation (Read Carefully)
· In completing Ihe form the reviewer should be guided by thc queslion; Have my responses and determinallons be"en
reasonablel The reviewer is not expected to be an expert environmental analyst.
· The Examples provided are to a"i<l the reviewer by showing types 01 impacls and wherever po"ible the Ihreshold 01
magnilude Ihal would trigger a response In column 2. The examples are generally applicable :hroughout the State and
lor most siluations, Bul. for any specific projecl or site olher examples and/or lower thresholds may be appropriate
lor a rotenlial Large Impact response, thus requiring evaluation in Part 3.
· The impacts 01 each project. on each site, in each locality, will vary, Therefore. the examples are Illustrative and
have been ollered as guidance. They do not constilule an exhaustive IIsl 01 Impacts and thresholds 10 answer ,'ach question,
· The number 01 e.amples per question does nol indica Ie the Importance 01 each question,
· In Idenlilying impacts, cçmsider long term, short term and cumlative ellecls.
Ins!ructlons (Read carelully) .
A. Answer eRch ollhe 20 quesllons In PART 2. Answer Yes II there' will be any Impact.
b. Maybe Answers should be considered es Yes answers. .
c, II answering Yes to a question then check the approprlAle box (column 1 or 2 to Indicate the potentIal slza 01 the
IrnpAct. II Impact threshold equals or exceeds any example provided, check column 2. " Impact will occur but
threshold Is lower than example, check column 1. '
d. Idenilfylng that an Impact will be potenllally large (column 2 does not meAn thai II Is also necessarily sIgnificant.
Any large Impecl must be evalualed In PART 3 to delermlne sIgnificance. Idenllfylng an Impaclln column 2 simply
esks thaI II be looked at further.
e. II reviewer has d(;~blllboul size of Ihe Impact then consider the Impact as polentlally large and proceed 10 PART 3.
I. II a potentially large Impact checked In column 2 can be mitigated by change(s) In the proJecllo a small 10 moderate
Impact, also check Ihe Yes box In column 3. A No response Indlcales Ihal such a reducllon Is not possible. This
musl be explained In Part 3.
IMPACT ON LAND
1. Wltllhe proposed action result In a physical change to Ihe projecl site!
. DNO DYES
Examples thaI would apply to column 2
· Any conslrucllon on slopes of 15% or greater, (15 fool rise per 100
fool of lenglh). or where the general slopes In the project area exceed
10%.
· Conslrucllon on 'and where Ihe depth to the water table Is Ie" than
3 feet.
· Construction of paved parkIng area for 1,000 or more vehicles.
· Conslruction on land where bedrock Is exposed or generally'wlthln
3 feel of existing eround surface.
· Conslruction Ihal wilt conllnue for more Ihan 1 year or Involve more
lI1an one phase or slage.
· Excavation for minlne purposes that would remove more Ihan 1.000
tons of natural malerlal (I.e.. rock or solll per year.
· Construction or expansion of a sanitary landfill.
· Conslructlon In a deslgnaled floodway.
· Olher Impacts
2. WIllIl1ere be an ellect to any unique or unusual land forms found on
the Slle! (I.e.. cliffs. dunes, eeologlcal formations. elc.)DNO DYES
· Specific land forms:
11
1 2 3
Small to Potential ,Can Impact Be
Moderate Large MitIgated By
Impact Impact ProJect Change
0 0 oVes oNo
0 0 DYes oNo
0 0 oY~s oNo
0 0 oYos ,oNo
0 0 DVE's ONo
0 0 DYes oNo
0 0 DVes ONo
0 0 DYes DNo
0 0 DYe! qNo,
I
0 0 DYes oNo
.
IMPACT ON WATER
3. Will prop05cd action allecl any water body designated as protected!
(Under Articles 15, 24, 25 of the Environmental Conservation Law. ECL)
DNa DVES
Examples that would apply to column 2
· Developable area of site contains a protected water body.
· Dredging more than 100 cubic yards of material from channel of a
protected stream.
· Extension of utility distribution facilities through a protected water body.
· Construction in a designated freshwater or tidal wetland.
· Other impacts:
4. will proposed action affect any non·protected existing or new body
of water! . DNa DVES
Examples that would apply to column 2' .
· A 10% Increase or decrease In the surface area of any body of water
or more than a 10 acre Increase or decrease.
I
· Construction of a body o~ water that exceeds 10 acres of surface area.
· Other Impact<:
5. Will ProposeJ Action affect surface or groundwater
quality or quantity? DNO DVES
Examples that would apply to column 2
· Proposed Action will require a discharge permit.
· Proposed Action requires use of a source of water that does not
have approval to serve proposed (proJect) action.
· Proposed Action requires water supply from wells with greater than 45
gallons per minute pumping capacity.
· Construction or operation causIng any contamination of a water
supply system.
· Proposed Action will adversely affect groundwater.
· LIquid effluent will be conveyed off the site to facilities which presently
do not exist or have Inadequate capacity.
· Proposed Action would use water In exce$! of 20.000 gallons per
day.
· Proposed Action will likely cause siltation or other discharge Into an
existing body 01 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
products greater than 1.100 gallons.
· Proposed Action will allow residential uses In areas without water
and/or sewer services.
· Proposed Action locates commercial and/or Industrial uses which may
require new or expansion of existing waste treatment and/or storage
facilities. .
· Other Impact<:
6. Will proposed action alter drainage flow or patterns. or surface
water runoff! DNa DVES
Example. that would applv to column 2
· Proposed Action would change flood water flows.
1
.
1 2 3
Small 10 Potential Can Impacl Be
Moderate Large MltlgateØ By
Impact Impact ProJect Change
0 0 oVe. oNo
0 0 oVe. oNo
-
0 0 oVes oNo
0 0 oVes oNo
0 0 oVes oNo
0 0 oVes oHo
0 0 oVes oHo
0 0 DYes oHo
0 0 DYes oNo
0 0 DYes oNo
0 0 DYes oHo
0 0 DYes oHo
0 0 DYes oHo
0 0 DYes tJHo
0 0 DYes oHo
0 0 DYes oHo
0 0 DYe. oHo
0 0 DYes oHo
0 0 DYes oHo
0 0 DYes oHo
. ,
I
0 0 DYes OHo
Proposed Action may cause substantial erosIon.
Proposed Action is Incompatible with existing drainage paUerns,
Proposed Aclion will allow development In a designated floodway.
Other Impacts:
IMPACT ON AIR
Will proposed aclion aHect air qualltyl DNO DYES
examples that would apply to column 2
Proposed Aclion will Induce 1.000 or more vehicle trips In any given
hour.
Proposed Aclion will result in the incineration of more than 1 ton of
refuse per hour.
Emission rate of total contaminants will exceed Sibs. per hour or a
heat source producing more than 10 million BTV's per hour,
Proposed action will allow an Increase In the amount of larid committed
to Industrial use.
Proposed action will allow an Increase In the density of Industrial
development within è~lstlng Industrial areas.
Other Impacts:
IMPACT ON PLANTS AND ANIMALS
Will Proposed Action aHect any threatened or endangered
species! DNa DYES
Examples that would apply to column 2
Reduction of one or more species listed on the New York or Federal
list. usIng the site, over or near site or found on the site.
Removal of any portion of a crItical or signIficant >tlldllfe habitat.
AppllcaOon of pesticide or herbIcide more than twice a year, other
than for agrIcultural purposes.
Olher Impacts:
Will Proposed Action substantially affect non-threatened or
non-endangered species! DNa DYES
Examples that would apply to column 2
Proposed Action would substantially Interfere with any resident or
migratory fish, shellfish or wildlife species.
Proposed Aclion requires the removal of more than 10 acres
of mature forest (over 100 years of age) or other locally Important
vegetation,
IMPACT ON AGRICULTURAL lAND RESOURCES
Will the Proposed Action affect agricultural land resources!
DNa DVES
hamples that would applv to column 2
The proposed action would sever. cross or limit access to agricultural
land (Includes cropland. hayflelds. pasture; vIneyard. orchard, etc.)
8
1 2 3
Small 10 Potential Can Impact Be
Moderate large MItigated By
Impact Impact Project Change
0 0 oVes oNo
0 0 DYes oNo
0 0 DYes oNo
0 0 oVes oNo
0 O· DYes oNo
0 0 DYes ..oNo
0 0 oVes oNo
0 0 DYes oNo
.
0 0 oVes oNo
0 0 oVes oNo
0 0 oVes oNo
0 0 oVes oNo
0 0 oVes DNo
0 0 DYes DNo
0 0 oVes oNo
0 0 oVes DNO
. ,
0 0 oVes DNo
.
· Construction activity would excavate or compact the soil profile of
agricullural land.
· The proposed action would irreversibly convert more than 10 acres
of agricultural land or. if located in an Agricultutal Oislrlcl, more
than 2.5 acres of agricultural land.
· The proposed action would disrupt or prevent installation of agricultural
land management systems (e.g., subsurface drain lines, outlet ditches,
strip cropping); or create a need for such measures (e.g. cause a farm
field to drain poorly due to Increased runoff)
· Olher impaclS:
IMPACT ON AESTHETIC RESOURCES
11. Will proposed action affect aesth,tlc resources! DNO DYES
(If necessary. use the Visual EAt Addendum In Section 617.20.
Appendix B.)
£xamplts that would apply to column 2
· Proposed land uses. or project components obviously different from
or In sharp contrasi to current surrounding land use patterns, whether
man-made or natural.
· Proposed land uses, or project components visible to users of
aesthetic resources which will eliminate or significantly reduce their
enjoyment of the aesthetic qualities of that resource.
· Project components that will result In the elimination or significant
screening of scenic views known to be Important to the area.
o Other Impacts:
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12. Will Proposed Action Impact any site or structure of historic, pre-
historIc or paleontologicallmportancef DNO DYES
Eramples that would apply to column 2
o Proposed Action occurrlnc wholly or partIally within or substantially
contiguous to any facUlty or site listed on the State or National Register
of historic places.
o Any Impact to an archaeological site or fossil bed located within the
project site.
· Proposed Action will occur In an area designated as sensitive for
archaeological sites on the NYS Site Inventory.
o Other Impacts:
IMPACT ON OPEN SPACE AND RECREATION
13. Will Proposed Action affect the quantity or quality of existing or
future open spaces or recreational opportunltlesl
£..mples that would apply to column 2 DNO DYES
· The permanent foreclosure of a future recreational opportunity.
o ^ malor reduction of an open space Important to the community.
o Other Impacts: '
9
.
1 2 3
8malllo Potential Can Impact E
Moderate large Mitigated B\
, Impact Impact Project Chan!
0 0 DYes ON
0 0 DYes ON.
0 0 oVes ON,
0 0 DYe, ON·
0 0 DYe, oNt"
0 0 DYes oNI
0 0 DYe, oNI
0 0 DYes ON,
0 0 DYes ON'
0 0 DYes ON,
0 0 DYes ON,
0 0 DYes ON'
,
0 0 DYes oNI
I ON'
0 0 Dyes
0 0 DYes ON!
IMPACT ON CRITICAL ENVIRONMENTAL AREAS
14. \Vill rroposed Action impact the exceptional or unique character
¡sties of a critical environmental .!rea (CEA) established pursuant to
,ubdivi,ion 6 NYCRR 617,14(g) I DND DYES
list thr environmental characteristics that caused the designation 0
the C£ ^,
Eumples that would apply to column 2
· Propos~d Action to locate within th" eEA!
· rroposed Action will result in a reduction in the quantity of the resourcc~
· Propo,.d Artion will result in a reduction in the Quality of the resourcel
· Proposed Action will }mpact the use. function or enJoyment of the
resource~
· Other impacts:
IMPACT ON TRANSPORTATION
,15. Will there be an effect to existing transportation systemsl
. DND DYES
Examples that would apply to column 2
· Alteration of present patterns of movement of people and/or goods,
· Proposed Action will result in major traffic problems,
· Other Impacts:
IMPACT ON ENERGY
16 Will prorosed action affect the community', sources of fuel or
energy su['['lyl DND DYES
£'Ulmph~! that would app1y to column 2
· rroposed Action will cause II greater than 5 % increase In th~ use ('If
any form o( ~nergy In the municipality.
· Propo~cd Action will require the creation or extension of an energy
Innlmi5Slon or ~lIp['ly system to serve more than 50 single or two lamily
residences or to serve a mojor commercial or Industrial use.
o Other impoclS:
10
1 2 3
Small to Poterillal Can Impact Be
Moderate Larg" Millgaled By
Impact Impacl Project Change.
r
0 0 DYes ONo
0 0 DYes oNo
0 0 DYes ONo
0 0 DYes ONo
0 0 DYes ONo
0 0 DYes ONo
0 0 DYes oNo
0 0 DYes oNo
0 0 DYes DNo
0 0 DYes Dl'!o
I
0 0 DYes DNo
.
NOISE AND ODOR IMPACTS
. .
17. Will there be objectionable odors. noise. or vibration as a result
of the Proposed Action! DNa DYES
Eumples that would apply to column 2
· Blasting within 1.500 feet of a hospital. school or other sensitive
facility.
· Odors will occur routinely (more than one hour per day).
· Proposed Action will produce operating noise exceeding the local
ambif!nt noise levels (or noise outside of structures.
· Proposed Action will remove natural barriers that would act as a
noise screen.
· Other impacts:
IMPACT ON PUBLIC HEALTH
18,. Will Proposed Action aHect public health and safety!
DNO DYES
Eumples that would apply to column 2
· Proposed Action may cause a risk of expl~..lon or release of hazardous
substances (I.e. oil. pesticides, chemicals. radiation, etc.) In the event of
accident or upset conditions. or there may be a chronic low level
discharge or emission. '
· Proposed Action may result In the burial of "hazardous wastes" In any
form (i.e. toxic, poisonous, highly reactive. radioactive, Irritating,
Infectious. elc.)
· Storage facilities for one million or more gallons of IIqulfied natural
cas or other flammable liquids.
· Proposed action may result in the excava tion or other disturbance
within 2,000 feet of a site used for the disposal of solid or hazardous
waste.
· Other ImpactS:
IMPACT ON GROWTH ANp CHARAÇTER
OF COMMUNITY OR NEIGHBORHOOD
19. Will proposed action affect the character of the existing communIty!
. DNO DYES
Examples that would apply to column 2
· The permanent population of the city. town or village In which the
proJect Is located Is likely to grow by more than S%.
· The munIcipal budget for capital expenditures or opNatlng services
will Increase by more than S% per year as a result of this proJect.
· Proposed action will conflict with oHlcially adopted plans or goals.
· Proposed action will cause a change In the density of land use.
· Proposed Action will replace or eliminate existing facilities. structures
or areas of historic Importance to the community.
· Development will create a demand for additional community services
(e,g. schools, pollee and fire. etc.)
· Proposed Action will set an Important precedent for future ·prolects.
· Proposed Action will create or eliminate employment.
· Other Impacts:
.
1 2 3
Small to Potential Can Impact Be
Moderðte Large Mlllgated By
Impact Impact ProJect Change
0 0 DYes oNo
0 II DYes oNo
0 0 DYes oNo
0 0 DYes ONo
0 0 DYes oNo
0 0 DYes oNo
0 0 DYes oNo
0 0 DYes .oNo
0 0 DYes oNO
0 0 DYes oNo
0 0 DYes oNo
0 0 DYes ONe
0 0 DYes oNo
0 0 DYes ONe
0 0 DYes ONe
0 0 DYes oNo
0 0 DYes oNo
0 0 DYes ONe
0 0 oYe~ oNo
,
20. Is there. or Is there likely to be, public controversy related to potential adverse environmental Impacts I I
DNO DYES
If Iny ocllon In Plrt 2 I. Idlnlllfld II I polonllolloroo Imp.ct or " you e.nnol dollrmlnl Ihl mlonltudo ollmplct. pro.lld to Plrt ,
11