The URL can be used to link to this page

Home My WebLink AboutTR-5698 ................. ._~.~-~........!-" "-~-"-~"...--.!-~~" '-'-'-'~_..! !...._._-~-~_._~' ._._~ ~ <-.!". TERMS and CONDITIONS ~ __ .. I.. " ~~ The Permittee JOHN L. HURTAOO .....:A;..... at ?'fÍ70 nr'1ng 'Uie-." T"\_~ <> 0, IN. Y as ...~~ . T :t::I'~;¡:v, .Llvu., ., put of the coosideraûoo for !he is$o"1'œ of die Permit does ~ and prescribe to the fol- lowing: 1. That the said Board of Trustees and die Town 01 Soucbold are released from aøy and all damages, or claims for damages, of suiø uIsiag cIúecd.y or 1acIiredfy as . result of aøy oper- adoa pedocmed poinuaDt to Ibis peøait, and die raid p.-... II!"" will, lit his or ba: own apeø-. defend aøy aDd all such salts'..I.I..-I br tbhd putics, and the said F IIiie"' .- falllåobI1Iq wiIh respect thereto. to the complete --'nånn of the Board of Trasrta 01 the Town 01 ~ 2. That Ibis Permit is w1id ÍO£ .. period of 24 mos. which is (100. ,u··ocd to be the esûmated rime' required 10 comp1ete the work in~l....d, but rhoaId citcmDsW>ces ...aaøt, request for an exœusioo may be made to the Board .t . later cIaœ. 3. That this Permit should be retained indermite1y, or as loog as the said Pemùttee wishes to maintain the sttuCtUte or project involved, to provide evidence to anyooe rooœmed that andl· ori%atioo was original1y obtaiøed. 4. That die work involved will be subject to the j..~ and approval of the Board or Its agents, and oon~Uaoce with the prO\'ÌsÍoDS of the origiftOting app1icaûon, may be cause for ft:Yocaûon of this Permit by resoluûon of the said Board. 5. That there will be no unreasonable interference wiIh navigation as . result of the work betein antborized. 6. That there shall be 00 interference with the right 01. the public to pass and repass a10ng the beach between high and low water marks. 7. That if future operWoøs 01. the Town of Southold require the teIIIO\'al and/or aIœradons IA the location 01. the wotk herein ...rhorized, or if, in the opinion of the Board 01 Trusœes, the . wotk shaI1 cause unreasooable obsuucuon 10 free navigadon. the said p..rn.I'- will be requ1red. upon due notice, to remove or alter Ibis work or project betein stated without ~.e..... to the Town 01. Southold. 8. That the said Boatd will be oodfied br the Permittee ot the ccap1edon 01. the work mth- orized. 9. ThaI the permittee will obtain all ocher permits and conseøts d1at ..., be required lOp- pIemental to this permit which may be subject to revoke upon fallnre to obuiø -. - .. - - , ~ .. .......... .. " . . .. . .. .. . .. .. .. .. - 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 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 151 day of construction Y. constructed .,/ Proj'ct oomplet'. oompB"œ '",pedlo"_ (I"{..¡ ~- ~ Albert J, Krupski, Presidene 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 January 29,2003 Mr, Dan Hall Land Use Ecological Services, Inc, 2676 Sound Avenue Baiting Hollow, NY 11933 RE: SCTM#14-2-3.6 JOHN L. HURTADO 2670 Grand View Drive Orient, NY Dear Mr. Hall: The Board of Town Trustees took the following action during a Regular Meeting, held on January 22,2003 regarding the above matter. WHEREAS, Land Use Ecological Services, Inc.. on behalf of John L. Hurtado applied to the Southold Town Trustees for a pennit under the provisions of the Wetland Ordinance of the Town of South old, application dated December 2,2002 WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on January 22,2003 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, . 2 . 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 approved the application of John L. Hurtado for the Wetland Permit to construct a 4'x93' +/- CCA timber beach access stairs - proposed stairs will utilize a proposed 4'xI2' platform (2) proposed 4'x4' platforms and 4'x6' platform (40) 4"x4" CCA Timber posts are proposed to support the stairs - stairs are proposed to terminate 23' +/- from AHWM -AHWM is synonymous with the Tidal Wetland Boundary at this location 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. Fee must be paid, if applicable and permit issued within six months of the date of this notification. Ifinspections are required, at a fee of$5.00 per inspection (See attached schedule), FEES: $5,00 Very truly yours, a~ f). /~-/~~ ç~ Albert J, Krupski, Jr. President, Board of Trustees AJK/cjc cc DEC 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 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Lann TJ~P Frnlnail"'''.:Iol SIi ni T ..... r seB, ...TIe:.....u bclu11f vI JOM!'! L. HURTADO please be advised that your application, dated December 2, 2002 has been reviewed by this Board, at the regular meeting of January 27.. ?oo~ and the following action was taken: ( X ) Application Approved (see below) (-) Application Denied (see below) (-) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: One Inspection @$5. 00 TOTAL FEES DUE: $ 5.00 SIGNED: tlt.J.....¡ ~ ¡&,~ ~.....: 9, PRESIDENT, BOARD OF TRUSTEES c~i.ø~ BY: IV} ~~J *~ 4/98 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 JOHN L. HURTADO YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTlON INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction Yo constructed v ~ Project complete, compliance inspection. 1/29/03 Albert J, Krupski, President . James King, Vice-President Artie Foster Ken Poliwoda Peggy A, Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 . Telephone (631) 765-1892 Fax (631) 765-1366 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTlON INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. ;Iv V I~cl ò INSPECTION SCHEDULE Pre-construction. hay bale line 1st day of construction y. constructed ./ Project complete. compliance inspection. · , 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 Wednesday, January 15, 2003, the following recommendation was made: JOHN L. HURTADO JR.-to construct 4'X 93' +/- CCA timber beach access stairs. Proposed stairs will utilize a 4'X 12' platform, (2) 4'X 4' platforms, and a 4'X 6' platform, (40) 4"X 4" CCA timber posts are proposed to support the stairs, The stairs will terminate 23' +/- from the AHWM. Located: 2670 Grand View Dr" Orient. SCTM#14-2-3.6 The CAC did not make an inspection, therefore no recommendation was made, f · Land Use '- '""".',,,,"" "',".,',' """.". ¡cologle!1 S<rllces, I~c November 26, 2002 Town of Southold Board of Town Trustees P.O, Box 1179 Southold, NY. 11971 Re: Hurtado - Orient Proposed Stairway To whom it may concern: Enclosed please find an application package which includes the following: - (1) original, (6) copies ofthe completed application form, - (1) original, (6) copies of a Short Environmental Assessment Form - (7) sets of Plans. - Application fee ($200.00). If there are any questions, or if you require additional information please don't hesitate to contact this office. Sincerely, '~r: - 21, Dan Hall Land Use Ecological Services, Inc. DH Ene. 2576 Sound f\::enue. 80iling Hdl':'N, NeA''IJrk. IIq33 631-727-2400 . FA': 631-727-2605 . . I I ~ z ~ .. ~ ¡:¡ '" ~ ~ ~- 0-; ----- -- ~-; ----- /- -;-; ----- --: 'IJ1Ø/. ./ 9.~ - '6Y / / _____ -; - - ~'S+5/5rtJ . '-/....-- (1 Õ .-- ../...-._ ~/ Og C, y ~ . ~ - .-'" ,/tt ,- _ 0-; ,- -- - -- ~:i~= z.. "-. _ _/ _ .' " , 0<; ~;;.Q= ff" --::-·5.t"~ - ~~~ß.)¿:fSc~ :~, ~ ~~.'Jí!f~]Ð1~~ ~ Ofl - '_ ~ - ,~, _~ , ",' ° ~ - ~::::: :::::: ==-::..-:::::::: ~. - :J 0.1 ./ --" - -- ~~(ï8 - --. - - ;1;1' ~-- ~:~ _.~ --- --- --- ;.......---::: N --- ~ 0 vi ~ 0 . 1 -- ¡¡9iH~ 3..00. ~nO -31'("'- ~U~ - -:¡-~ ~D v --- ~OO~ V 1 ;;;¡ ~~~ oo'oLI S aN 0. ..-- 'aN(lO 00 ~~ -1 ~ ~~ f---zt~:¿f .,;1) ~o '" <S ~ <iJl'BOb ~~ ~~~ ~~w ::J~~~ ~~~~ ~i~l~ ., ~ 5 w Zen en 173M ~/dI6fO MJ~//d 173M r ~£ ~ <;::, i:ñ c, ~£ -;£ o 700dSS3::J ':U C ~ ~ \'<) . 9£ ':!l -;£ - --- 9N1773MO ® 0-; &1 tz~ U +:>:: ~~ n OJ ~ -;/ - -- - ---- /' - ~ - U z en >: w U Z 5> ~ 0:: Z w => en o -' U ('j I-~ ø z~ .g !:!:!u..O::o a:::~"'"']_u oenow en -, Q w æ~a::9;::(/) UWOoe:::::::> UU:s;:>::=>o c(üWI--IZ I<-::::>Z< UI>O:r:....J <UOeno;;: w«z "'"')m mwc(u. ..ma:::o.=-:o .0 ..C)~zw Ww <0:: cnUJo u« OO~O:Jc.. a..a..C'\It-a..w 00:::.. 0..0::: 0::::::>1-- a.. 11.11. en 0:: ~ en E ~ - .. > .. Z ~ j 3 II. .. 9N1773;HO ø N i:5 jj ¡¡; ~ C{ g ~":I I '.,. ~T"" N >-'0 . ~8 ~ en~ w !;;: o ~ .. !(,! ~~ ~ OlD ª '> g~~~~ _woo .r~j~1l) .. -.. "" '" ~ III CI z '" '1' "- ~o(,) ~or--"I a...S: gz~~ jOIC <O!::;::-~ u.... :l=;:$2!£. III N"'~ o Z <. >-0::'" Wme;' >W<o a::-Jq Z:J:::!co :'5 en:>:: 0 o..~a:~ !:!21->-5 I::¡:O:::W I-oe::::a:: Za::<C-- au-I(/) 20>-« owm~ -üo('\ tt:zw9 ~wo:::...- ~~g:9 OWWIO u..tb~z ~a:::a..o i1! o i" :5 ~ '" 1< .. o w w o ~ o '" ~ w '" ;;: w o w w o ~ o '" ~ ò "' .J "' ÌD .. .J "' c5 2 > æ z U ~ ~ 2 W :::> m o ...J U < ~ U mo:: I-...J a 20 0 ~ ~ttci...J en 0:::=>"""')0 (fJ Ocn6~ mm -'0 W '0 W ()æ~...J~CI) Uu 00:::::> <U'§:I:::>O :r:«WI-Iz UI>Õ2:) <UO I W<zCl)o> mWc(LL"""')m O--ID a::: 0 .. .. ,n I- 0 WW"""'ZZw mmo'§:<o:: oo~OU< a..a..NI-:::::¡a.. 00:: a..W a::::J~ a.D::: Il.Il. Il. .. '0 ~9 om ~ !II ~ ;,. ... ò .. .J "' ... ... .J "' Ñ ... .J "' ÌD N ;,. N .J "' Ò N .J "' ~ .J "' ~ ÌD .J "' ;,. .J "' Ò .J "' '" .J "' ¡¡j .J "' ~ '" ~ ~ o 2 >-;2C\i wm9 >w<x> O::...Jo Z:J....JI <m-<X> ...J IO a..~a.:w !:!2t->-!:!2 I::;;O::> I-oo::w 2 <0:: oO::::r:1- lL m 20>-< OwŒl...J t=ooC\i «ZWa ~wa::~ a::D:::<Co o~fl:¡tb LLWa::Z ~O::Il.O co ,,; =It~ ::;¡.... .-:¿; UO ·0 m~ '" o ~ '" ~ W I- < o )I .. o w w o ~ iÈ ~ w ... w o ~ >- ~ '" " ... w '" w "' " ¡:::¡- <" uz uo ~~ ..w -z :¡Ow -"- o~ :Jj0 0" ~... O~ ",w ~e. ª ~ ;.. '>' ~ ~ Zx > . ø_æ~~ II! >0, Z .. ,,;< ~ o~ ~ g-I'J o~:¡o 0 ~ g ~ g~ , ¡: a..lS; oC)~t;¡ u :! ZSII: cnz",:,,:" "' IDI=-.-' j .. r-.:i(;;;;::¡ III .. U" ~ŒlS.~ I ~ w o <2 '" Q~ ::5" ",w ",x ww "'w "> "0 <"' u< U.. '-'0 t¡!! "':; ;1j~ ;'w ¿w -,", +0 "... "' - "w - '" .." 0... Ww ww Ow ~w au "'u ~< i!i ...J '" < ì'!:j U m- '" (!) m<o z W~ð ~ w z ~IU 0 ...J<w ~ " ~ w ... -" (/)ww . z Z M W 5' ¡; N aICI)C\I on w w zl--:J9 '" ~~;: ...Jw""': w :)IO~ z w Z()>: ::; ~ :ioz ~:5z. '" I-t-Z.,!. 0 ..,a:uj w"-z w w~<~ ww" ",.,>- ... '§: ...J, ... "Wo ..",~ ~ z F~C ~<~ ...JOO>-O w UZ "'~O ª~ «:JIDZ " :i~~ :ill'" 000-: 0 -"' "- ¡:::~wæ < ,; z- ::5~ ,,>->U iì1 W20:: "" I-OWS;: Ozena::: Z>-CDW ~ .. CJ)Ocn . J . . Town Hall 53095 Route 25 p,O, Box 1179 Southold, NeW York 11971-0959 Albert J, Krupski, President James King. Vice·President Henry Smith Artie Foster Ken poliwoda Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Oßice Use Only _Coastal Erosion Permit Applicatio/l _Wetland Permit Application .:L- Major Waiver/ Amendmer~ta~es _Received Application' I ~ o-V _Received Fee:$ 1 ~ ~ '-ý' _Completed ApplicatIOn / " Yf ~ _Incomplete SEQRA Classification: Type I_Type n~Unlisted_ Coordination:(date ~ent) - CAC Referral Sent: I =Date of Inspection: b ?J Jeceipt ofCAC Report: ~ad Agency Determination: Technical Review: ~ Public Hearing Held: I v D _Resolution: Minor - Name of Applicant_ John L. Hurtado Jr. P.o. Box 2147 Saint James NY 11780 Address ~ phone Number:( } ~31) 584-5104 SUl. ._ County Tax Map Number: 1000 -1 4 2- ':\ h Property Location: 2670 Grand View Drive Orient, NY 11957 (provide LlLCO pole #, distance to cross streets, and location) AGENT: Dan Hall/Land Use EcOlOgical Services, Inc. (If applicable) h Address: 2576 NY 11933 Sound Ave_ Baitin Hollow (631) 727-2400 phone: ~--------------- F ~ ~ ~\) ~ ~ . . Board of Trustees Application GENERAL DATA Land Area (in square feet): 49,515 s.L Area Zoning: Residential Previous use of property: Residential Intended use of property: Residential Prior pennitslapprovals for site improvements: Agency Date None our offic~.has been provided with. ... _ No prior pennitslapprovals for site improvements, Has any permit/approval ever been revoked or suspended by a governmental agency? X No_Yes If yes, provide explanation: Please see attached project description. Project Description (use attachments if necessary): . 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the APPliC~~ Ç)1e(~~__'ïfl~ -~-~~ --- ~Y OF SUFFOLK) STATE OF NEW YORK) I,~^ \-\0.\\ AFFIDAVIT OF POSTING , residing at 4 ~ì~\,,"ì-e.VJ~' bein~~:1r~...sJotr;:~~pose and say: That on the q day of Sa..^ , 200~, I personally posted the property known as U"/D 6r"",d V;rvv1:>.... . CXie~ 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 eight days prior to the date O~he public hearing. Date of hearing noted thereon to be hel )I~J~ tM. h ¡J (:..,...u- 70 ¡1rtl{] IYJ ' I Dated: ~My1 J.g ature) this 2003' icoz '£~ Id3S S3HldX3 NOISSIVVOO),jl AlNnOO ~10Jjns NI 03Hllvno BlBOB091VIO'ON ~HOA M3N 30 3lVlS 'OllBnd AHVLON ~ Z3fJVA1V VIHINA:J . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Mathias & Maureen Mone 10 Cross Rd. Plandorne, NY 11030 Mark & Helen Levine 134 Park Place Brooklyn, NY 11217 STATE OF NEW YORK COUNTY OF SUFFOLK . ~~~~~ VA (l,~ IJ:'\:'- , being duly sw0g), deposes and says that on the q day of (1;^~ ~~o3, 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 sa~d Nqtices were mailed at the United States Post Office at lOL\~^ , that said Notices were mailed to each of said persons by (certified) (registered) mail. , residing at ~A rW¡Â t~~ dd IIJv 'Fd.. {)ù3 CYNTHIA ALVAREZ NOTARY PUBLIC, STATE OF NEW YORK NO,01AL6080878 QUALlRED IN SUFFOLK coumv MY COMMISSIDN EXPIRES SEpt 23, 20~ . . Hurtado - Orient Project Description: Applicant proposes to construct a 4'x93' +/- CCA timber beach access stairs. Proposed stairs will utilize a proposed 4'xI2' platform, (2) proposed 4'x4' platforms, and a 4'x6' platform. (40) 4"x4" CCA timber posts are proposed to support the stairs. The stairs are proposed to terminate 23'+/- &om the AHWM. The AHWM is synonymous with the Tidal Wetland Boundary at this location. . . Board of Trustees Application WETLANDffRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Beach Access_ Area of wetlands on lot: o square feet Percent coverage of lot: o % Closest distance between nearest existing structure and upland edge of wetlands: 200+ feet Closest distance between nearest proposed structure and upland edge of wetlands: 23+ / _feet Does the project involve excavation or filling? x No Yes If yes, how much material will be excavated? N / A cubic yards How much material will be filled? N / A cubic yards Depth of which material will be removed or deposiled: N / A feet Proposed slope throughout the area of operations: N / A Manner in which material will be removed or deposited: N / A Statement of the effect, ifany, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): Proposed project will not have any affect on the adjacent tidal wetlands. . ..- . . Board of Trustees Application COASTAL EROSION APPLICA nON DATA Purposes of proposed activity: Beach Access. Are wetlands present wilhin 100 feet of the proposed activily? No x Yes Does the project involve excavation or filling? x No Yes If Yes, how much material will be excavated? N/ A (cubic yards) How much material will be filled? N/A (cubic yards) N/A -' Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting ITom implementation of the project as proposed, (Use attachments if necessary) The proposed project will not have any impact on the adjacent tidal wetlands . ..- . . Board of Trustees Application County of Suffolk State of New York Dan Hall/Land Use Ecological Services 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 HISIHER 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 SOUTIIOLD 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 AUTIIORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATlVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PRE~SES m CONRmCTION ~;:; 7:¡;;]jjN ~ Signature SWORN TO BEFORE ME THIS cJ (0 ~ DAY OF AJi.J';e~1\k ,20ð2- . CYNTHIA ALVAREZ NOTARY PUBLIC, STATE OF NEW YORK No.D1Al6D8D87B QUALIFIED IN SUFFOLK COUNTY ,I MY COMMISSION EXPIRES SEPT. 23, 2D~\& 11' I ~/2H0f. ~,¡;.: 4¡c~ '" 8b28. HURT;::'DO .JR DE'·JELOP~·1 t'^ 1 (4:1':01):) L....¡·dJ t'.':'J~ ~UIL()v!(,.^L. t 80llrd ot .Tru.tee. App1LC4ti Al1'L'BOlUZATl"œf (where the Applicant is not the owner) 1, JOhj La H]r......I1~ ,T.. (pr nt owner 0 property) relliding at Sa1nt James NY 11760 do hereby authorize Land U (Agent) to app1.y for penlit(lI) fro Ecologic:al Services t Inc.. Southold Soard of Town Trustees on mr bebalf. 8 I rr- I ~ , , I ¡the I ,. I' PÄGE fj4 ~UU4 .', 11/22·'02 FRI 16:53 en. RX NO 9536] 141 004 PROJECT 10 NUMBER 617.20 . APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNUSTED ACTIONS Only SEQR PART 1 . PROJECT INFORMATION (To be completed by A ppUeant or Project Sponsor) 1, APPLICANT! SPONSOR 2_ PROJECT NAME D, Hall/Land Use for J. Hurtado Jr. Hurtado - Orient 3,PROJECT lOCATION: Southold Suffolk Municipality County 4, PRECISE lOCATION: Street Add... and Road In18_s, Prominent landmorks ate - or ørovIda map 2670 Grand View Drive Orient, NY 11957 SeTM # 1000-14-2-3.6 5. IS PROPOSED ACTION: ~ Now o Expansloo o ModIfIcotion 'alteration 6. DESCRIBE PROJECT BRIEFLY: Please See Attached Project Description, 7, AMOUNT OF LAND AFFECTED: Initially 1,14 acres UItimatoty 1.14 acres 8, Will PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yes ONO II no, describe briefly: 9, WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose IS many as apply,) ~ RosIdantial o Industrial o COOImen:lal DAgrlculturo 0 Par1<! FORlst! Open Spece o Other (describe) 10, DOES ACTION INVOLVE A PERMIT APPROVAl, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAl AGENCY (Fodoral, S18te or local) ~Yes ONO If yes, list agency name and permit I approval: Town of SouthoId Trustees 11,DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAliD PERMIT OR APPROVAl? OYIS ~NO If yes, list agency name and parmI! , approval: 1rt: A ~~l T OF PROPOSED ACTION Will EXISTING PERMIT' APPROVAL REQUIRE MODIFICATION? as ., No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant ! Sponsor Name D ~ltjA7/ Ecological Services, Inc. Date: November 22, 2002 SJnnature I ~.~- -- . l ' If the action Is a Costal Area, and you are a state agency, complete the Coastal Assessment Fonn before proceeding with this assessment . . PART II - IMPACT ASSESSMENT /To be comnleted bv Lead Aaen"'" A, DOES ACTION EXCEED ANY "tYPE I THRESHOLD IN 6 NYCRR. PART 617,4? W yes, coordinate the revieW process and use the FULL EAF, Dyes DNa B, WIll. ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR. PART 617,6? W No. a negative declaratioo may be superseded by another Involved agency. Dyes DNa C, COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten. ~ iegible) CI. Existing air quality, surface or goundwater q...lity or quantity. noise levels. existing tratlic pattem, solid waste production or disposal. potenlial for erosion. drainage or ftooding problems? Explain briefly: I I C2, Aesthetic, agr1cu1tu'al. archaeological. _. or other nalura! or cultu'alresourœs: or COIT'II1untty or neighborhood character? ExplaIn briefly: I - I C3, Vegetatioo or fauna. fish, shellfish or _ species, sIg1Ificant habltals, or 1hfeatened or endangered species? ExplaIn briefty: I I C4. A commonty's -.g plans or goals as oIIIcIaly~. or a changa In use or Intensfty of use of land or oIhaf nabJraI reaourcas? Explain br1afty: I I C5, ï subsequent deveIopmenL or - actMties Ulœly to be - by the proposed action? Explain briefty: ¡ C8, Long term, short tenn, <:urTUative, or other etIec1s not identified In CI-C5? Explain briefly: I I C7, Other ncIudi In use of either ,Utv or tvDe of enerav? ExDIaIn : I J D, WIll. THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVlRON'AENT AI.. AREA (CEA)? (If vest eXPlain briefty: ¡ D Yes D No I E, IS THERE. OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? W yes eXDlaln: DYes DNo PART UI- DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Foreach adverse effect idantifiad above, detannine whether K Is substantial, large, important orothalWise significant Each effacl should be assassed In connactiOn with Its (a) setting (La, urban or ruraQ; (b) probability of occuning; (c) duration; (d) Irravarslbi1lty; (a) geographic scops; and (I) magnitude, W necessary, add atl8chmants or refaranca supporting materials, Ensure that axplanations contain sufficient detail to show that atl ralavant adverse Impacts hava bean identified and adequa1aiyaddressed. W question d of part II was chackad yes, the detannlnation of significance mustavaluata the potentiallmpacl of the proposed action on the environmental charactaristics of the CEA. Chack this box ~you have Identified one or more potentially largeor signlficantadversa Impacts¥A11ch MAY oocur. Then proœed direct1yto the FU EAF and/or prepare a posIttve declaratioo, Chack this box W you have detemined. based on the InfoonatIon and analysis above and arry st.Worti"9 documantalion, that the proposed acti WILL NOT resuk In any significant adverse envlrorvnental Impacts AND provide, on attachments as neoessary. the reasons supporting th determlnation_ Name of Lead fv;¡enc>f Date Pmt or Type Name of Responsible onïœr In Lead Agency TItle of Responsible Officer Signature of ResponsIbte OtftCer In Lead AQenCY Signature of Preparer (If diflerent from responsible officer)