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Home My WebLink AboutTownsend, Joseph L TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No. ....3.6 has been granted by the Southold Town Board according to information furnished in Application No. filed by Applicant Jose�?h L, Townsend, Jr. ........................................ on .......Ju*1'y 3 . 10.x..... A map of the proposed work will be kept on file in the Town Clerk's Office unr the application number given. Permit granted to do the following work .Constructa walkway across the wetlands ............................... ..... ........... .. ... ........ ........... ................................................................................................................................................................. ............................................y.................................................................................................................... Location of property on which work to be done .north side Main Road, adjacent to ......................................................................... Dam Pond Bridge, East Marion, New York. ................................................................................................................................................................. ................................................................................................................................................................. Dam Creek, Bay or Harbor fronting property .............Pond ...............................................:..1.................. ............. .......................................................................................................................... ' .. ...............l... ! . Size of work: Length .....50 feet..................................................................... . `! . . ........... Width .......2..feet ........................................................................................::.:.............. Height Above High WaterA...�Q.Q!............................................................................. Depth Below Low Water ......--.- .................................................................................... Yards to be Excavated ..........--.- .................................................................................... Yards to be Filled ............... Manner in which material is to be removed or deposited ........'-- .......................................................... ................................................................................................................................................................. Intended use of property ...Residential ....................................................................................................... ................................................................................................................................................................. Conditionsif any ..................................................................................................................................... ................................................................................................................................................................. Expiration Date .............. Number of Inspections Required ......--- ................................................................................................ InspectionFees ........................................................................................................................................ Liability Policies in the Amount of ....--- .............................................................................................. The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing. The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Town Clerk upon receipt by the Town Clerk of written notice from such other governmental or municipal authorities of its refusal or disapproval. The applicant does by the acceptance of this permit, assume all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance, the applicant also agrees to indemni- fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by this permit are being conducted, do, by the acceptance of this permit, give consent to the Town, and its officers and employees to enter upon the premises where such operations are being conducted to make such inspections as the Town may deem necessary to insure that such operations are being con- ducted in conformity with this permit. This operation will not substantially: A. Adversely affect the wetlands of the town. B. Cause damage from erosion, turbidity or siltation. C. Cause saltwater intrusion into the fresh water resources of the town. D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife and vege- tation or the natural habitat thereof. E. Increase the danger of flood and storm-tide damage. F. Adversely affect navigation on tidal waters or'the tidal flow of the tidal waters of the town. G. Change the course of any channel or the natural movement or flow of any waters. H. Weaken or undermine the lateral support of other lands in the vicinity. I. Otherwise adversely affect the health, safety and general welfare of the people of the town. Signed Town Clerk Town of Sout Id �SEA, L Date September. . . ...9,....1980. . ........................... / .... .... ........... .. ... . .... .. MINUTES OF PUBLIC HEARING HELD AUGUST 26 , 1980 WETLANDS APPLICATION "JOSEPH L. TOWNSEND, JR, A public hearing was held by the Southold Town Board at the 'Southold, Town Hall; Main Road, Southold, New York at 3: 45 o'clock p.m. , in .the matter of the application of Joseph L. Townsend, Jr. for a permit under the provisions of the Wet- land Ordinance of the Town of Southold for permission to construct a walkway across the wetlands at his property on the north side of Main Road, adjacent to Dam Pond Bridge, East Marion, New York. Present were: Supervisor William R. Pell, III Councilman Henry W. Drum Councilman John J. Nickles Councilman Lawrence Murdock, Jr. Councilman George R. Sullivan Town Clerk Judith T. Terry Town Attorney Robert W. Tasker Absent was: Justice Francis T. Doyen SUPERVISOR PELL opened the hearing at 3 :45 o'clock p.m. COUNCILMAN MURDOCK read the legal notice of hearing, as follows: . . .NOTICE IS HEREBY GIVEN THAT a public hearing will be held by the Town Board of the Town of Southold at the Southold Town Hall, Main Road, Southold, New York, on August 26 , 1980 at 3: 45 o'clock P.M. in the matter of the application of Joseph L. Townsend, Jr. for a permit under the provisions of the Wetland Ordinance of the Town of Southold for permission to construct a walkway across the wetlands at his property on the north side of Main Road, adjacent to Dam Pond Bridge, East Marion, New York. All persons interested in said matter should appear at the time and place above specified and will be given an opportunity to be heard. Dated: August 12, 1980 . JUDITH T. TERRY TOWN CLERK . . . . Page 2 Public Hearing - 8/26/80 (Townsend Wetland Application) COUNCILMAN MURDOCK: We have notice of publication from Joan Gustayson that it was published in the Suffolk Weekly Times; notice of publication signed by Patricia Wood that it was published in the Mattituck-Traveler-Watchman; and a notice signed by Judith T. Terry that the notice was posted on the Town Hall Bulletin Board. We have a letter from the Town Trustees dated August 8 , 1980 : . . .The following action was taken by the Board of Southold Town Trustees at a regular meeting held August 6, 1980. RESOLVED to recommend to the Southold Town Board approval of the Wetland Application #50 of Joseph L. Townsend, Jr. as submitted. Signed by Anna Hataier President of the Board of Town Trustees. . . . Another letter, dated August 5, 1980 : . . .The following action was taken by the Board of Southold Town Trustees at a regular meeting held Tuesday, July 22, 1980. RESOLVED to recommend to the Southold Town Board approval of the wetland application as submitted by Joseph L. Townsend, Jr. to build a walk-way over wetlands at private property of applicant at East Marion. Signed by Frank Cichanowicz, III, Chairman, Conservation Advisory Council. . . . SUPERVISOR PELL: Thank you. Does anybody wish to speak in opposition to this application? Anyone in opposition? (There was no response. ) Does anybody wish to speak in favor of the application? (There was no response. ) No comments? Does anybody wish to speak at all on the application? (There was no response. ) If nobody wishes to speak, I ' ll declare the hearing closed. Respectfully submitted, XLin�a F. Kowalski RECEIVED Stip 1919 Tow Clerk Southold COUNTY OF SUFFOLK, 1 LEGAL NOTICE I STATE OF NEW YORK, ss: NOTICE OF HEARING NOTICE I5 HEREBY JOAN GUSTAVSOI� being duly Sworn. '-GIVEN THAT a public hear-� . ' ' • • • • • ' • • • • • ' ' ing will be held by the Town{ says that . . is Printer and Publisher of the SUFFOLK Board of the Town of'Southold at,the Road, Ton Hall, WEEKLY TIMES, a newspaper ubHshed at Greenport, in said Main, Road, Southold, New 1�p P p York, on August 26, 1980'at 3:45 P.M. in the matter of the county; and that the notice. of which the annexed is a printed application of Joseph L.Town- send, Jr. for a permit under copy, has been published in the said Suffolk Weekly Times j,the provisions of the Wetland ONS Ordinance of the Town of once in each week, for weeks Southold for permission -to ! '�4th construct'a ,walkway across successively commencing on the . . . . . . . . . . . . . . . . . . . . . the wetlands at his property on the north side of Main day -of , .ATJG�TSZ1'. . , , • , , • 19,8.0 Road, adjacent to Dam Pond • Bridge, East Marion, New .l . . . .��. .�. Uv•. . • . . . . . . . . . . . . . York. All, persons interested in I Sworn to before me this �.4. ?. . . said matter should appear at 1 the time and place above ' day of . . ALIGU T. . . . . . . . iX. . . . ,specified and will be given an �. . . . . . . . . opportunity to 1`e heard. . . . . . . . . . . / • • • r• ATED: August 12,1980 JUDITH T.TERRY . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . TOW_ N CLERK — -3502 - , HELEN K.DE VOE NOTARY PU®LIC,State of New York No.4707978,Suffolk Count Term Expires March 30, 191/ i i' LEGAL NOTICE COUNTY OF SUFFOLK ss: NOTICE'OF HEARING' STATE OF NEW YORK NOTICE , IS' HEREBY 1 GIVEN THAT a public hearing will be held by the Town Board ; of the Town of Southold-at the Patricia Wood, being duly sworn, says that she is the Southold Town Hall,-Main Editor, of THE LONG ISLAND TRAVELER-WATCHMAN, Road, Southold,New York, on August 26, 1980 at 3:45 P.M. j a public newspaper printed at Southold, in Suffolk County; in the matter of the application of Joseph L.Townsend,Jr.for and that the notice of which the annexed is a printed copy, ' a permit under the provisions has been published in said Long Island Traveler-Watch- of the Wetland Ordinance of the Town of Southold for j man once each week for .............../...................... weeks permission to construct a , + walkway across the wetlands I successively, commencing on the ...f .............................. at his property on the north side of Main Road, adjacent to y Dam Pond.Bridge, East Mar- da �............... 19. ...... ion, New'York. All persons interested in j said matter,should appear at the time and place above .. ... ......................... ............................... _ specified and will be given an . f opportunity to be heard. DATED: August12, 1980 JUDITH'T.TERRY Sworn to before me this ............ da or - � Tows-Cleik� ' •••• • • Y -1T,8/14/80(ilj" .......................... ..p:� ....... Notary '. fate of plat fort Resldd�a°52-9321725 Qomeirission lir�oelch O AE°OF J OPV C K OWN O SOUT UL d JUDITH T.TERRY I ;OK-C Uth' TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT Dated: August 12, 1980 Pursuant to Article 8 of the Environmental Conservation Law State Environmental Quality Review and 6NYCRR Part 617, Section 617. 10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Board, as lead agency for the action described below, has determined that the project will not have a significant effect on the environment . DESCRIPTION OF ACTION Application of Joseph L. Townsend, Jr. for a wetland permit . Permission is requested to construct a walkway across the wetlands at his property on the north side of Main Road, adjacent to Dam Pond Bridge, East Ma:a on, -'New York. The proposal has been determined not to have a significant effect on the environment for the following reason: An environmental assessment has been submitted which indicated that no significant-. adverse effects to the environment are likely i to occur should the project be implemented as planned. Further information can be obtained by contacting Mrs . Judith T. Terry, Town Clerk, Town of Southold, Town Hall, Main Road, Southold, New York 11971. cc: Commissioner Flacke David DeRidder Joseph L. Townsend, Jr. Southold TownBuilding Department Town Clerk Bulletin Board RECEIVED BOAR ®_ STEES / o .• � AUG $ 1980 FO Cou Town Cw S_o_t Telephone Mme® 516-765-1938 Southo . 11971 August 8, 1980 Mrs. Judith T. Terry Southold Town Clerk Town Hall Southold, New York 11971 Dear Mrs. Terry: The following action was taken by the Board of Southold Town Trustees at a regular meeting held August 6, 1980. RESOLVED to recommend to the Southold Town Board approval of the Wetland Application #50 of Joseph L. Townsend, Jr. , as submitted. Yours truly, ANNA T. HATAIER, PRESIDENT BOARD OF TOWN TRUSTEES By iel Tolman, Clerk SOUTHOLD TOWN FUCEIVID CONSERVATION ADVISORY COUNCIL Southold, N. Y. A U 6 61980 To �! soulfiai_d� August 5, 1980 Mrs. Judith Terry Southold Town Clerk Town Hall Southold, New York 11971 Dear Mrs. Terry: The following action was taken by the Southold Town Conservation Advisory Council at a regular meeting held Tuesday, July 22, 1980. RESOLVED to recommend to the Southold Town Board approval of the wetland application as submitted of Joseph L. Townsend, Jr. , to build a walk-way over wetlands at private property of the applicant at East Marion. Yours truly, FRANK CICHANOWICZ III, CHAIRMAN CONSERVATION ADVISORY COUNCIL By Muriel Tolman, Secretary OFsFICE`OF 'T',OWrvN L' K �i.'VFFOLKIC TJUDITH T.TERRY V.I ) TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 July 9, 1980 Mr. David DeRidder Environmental Analysis Unit N.Y.S. Dept . of Environmental Conservation Building 40, SUNY - Room 219 Stony Brook, New York 11794 Dear Mr. DeRidder : Enclosed is application of Joseph L. Townsend, Jr. for a wetland permit and short Environmental Assessment Form pertaining to the same. This project is unlisted and our initial determination of non-significance has been made and we wish to coordinate this action to conform our initial determination in our role as lead agency. May we have your views on this matter. Written comments. on this project will be received at this office until July 29,. 1980. We shall interpret lack of response to mean there is no objection by your agency. Very truly yours, ""Judith T. Terry Town Clerk Enclosures cc: Commissioner Flacke Southold Town Building Department OFtE`' OW1V VL'.ERK OWN OF SOUTR L JUDITH T.TERRY UPF-0L�:CU--- T TELEPHONE TowN CLERK _" / � (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 July 3, 1980 Southold Town Board Town Hall Southold, New York 11971 Gentlemen: Transmitted herewith is application no. 50 for a wetland permit submitted by Joseph L. Townsend, Jr . Copies of this application have been forwarded to the Board of Town Trustees and Conservation Advisory Council on this date for their report of findings and recommendations. Very truly yours, Judith T. Terry Town Clerk JTT/bn cc:file Enc. / OFFICE,OE ITOU CIERK o vN or;sou�cx01 JUDITH T.TERRY S CJF.FnOI I CODUL TELEPHONE TOWN CLERK a t; (516)765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 July 3, 1980 Mr. Frank Cichanowicz�Chairman Conservation Advisory Council Southold Town Hall Southold, New York 11971 Dear Mr. Cichanowicz: Transmitted herewith is application no. 50 for a wetland permit submitted by Joseph L. Townsend, Jr. Please prepare a written report of findings and recommendations with respect to this application and submit said report to me within 20 days of receipt of this letter. Very truly yours, Judith T. Terry 7 Town Clerk JTT/bn cc :file Enc . / ®FFI I1fOF;T�O�WL� j`vat, RK 3 xQ�VN�OF`=S'CLI1T)"IQL� JUDITH T.TERRY LEQLK-CQ,i TELEPHONE Town CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 July 3, 1980 Mrs. Anna Hataier, President Board of Southold Town Trustees Southold Town Hall Southold, New York 11971 Dear Mrs. Hataier : Transmitted herewith is application no. 50 for a wetland permit submitted by Joseph L. Townsend, Jr. Please prepare a written report of findings and ;recommendations with respect to this application and submit said report to me within 20 days of receipt of this letter. V y truly yours, Judith T. Terry Town Clerk JTT/bn Enc. O}}} RICE:OFtZ'0.�1'N' TS RK Qi QVN OE,`BOUT QED JUDITH T.TERRY • UNFUk,1OUI T" TELEPHONE ToivN CLERK " a` I (516) 765-1801 REGISTRAR OF VITAL STATISTICS r, Southold, L. I., N. Y. 11971 _ July, 3, 1980- To 980To Whom Tt M,ay Concern; Attached hereto is Environmental Assessment Forts completed by— Joseph L. Townsend, Jr. in connection wtth. hs application no, 50 for a wetland permit . Permission is requested to construct walkway across wetlands on NIS Main Road, adjacent to Dam Pond Bridge, East Marion, Newyork, Judith T. Terry , Town Clerk- JTT/bn cc ,fi-le Posted on Town Clerk' s Bulletin Board - 7/3/80 �ag'fi i y 1 ,i 1 1� STATE OF NEW YORK: SS . j COUNTY OF SUFFOLK: jf i I' JUDITH T. TERRY, Town Clerk of the Town of !: Southold, New York, being duly sworn, says that she is over. the I! j; age of twenty-one years ; that on the 7th day of August it jj1980 she affixed a notice of which the annexed printed i; notice is a true copy, in a proper and substantial manner, in a ; most public place in the Town of Southold, Suffolk County, New i� �; York, to wit:- Town Clerk Bulletin Board, Town Clerk Office i; Main Road, Southold, N.Y. 11971 ` Notice of Public Hearing - Joseph L. Townsend, Jr. wetland application. 3:45 P.M. , August 26, 1980. ii f� L� I; f ' Judith T. Terry, T Clerk {I f it I .s 4 Sworn to before me this 1! 7th day of August 1980 Notary Public I MURIEL TOLMAN NOTARY PUBLIC,StOte of New Y.'I' ' N .52.452202;.Suffnik County coffnr6slon E%'UIc 1161cB 301 18-- ' i i I i i� i� Ii t LEGAL NOTICE NOTICE OF HEARING NOTICE IS HEREBY GIVEN THAT a public hearing will be held by the Town Board of the Town of Southold at the Southold Town Hall, Main Road, Southold, New York, on August 26, 1980 at 3:45 P.M. in the matter of the application of Joseph L. Townsend, Jr. for a permit under the provisions of the Wetland Ordinance of the Town of Southold for permission to construct a walkway across the wetlands at his property on the north side of Main Road, adjacent to Dam Pond Bridge, East Marion, New York. All persons interested in said matter should appear at the time and place above specified and will be given an opportunity to be heard. DATED: August 12, 1980 JUDITH T. TERRY TOWN CLERK PLEASE PUBLISH ONCE, AUGUST 14, 1980, AND FORWARD ONE AFFIDAVIT OF PUBLICATION TO JUDITH T. TERRY, TOWN CLERK, MAIN ROAD, TOWN HALL, SOUTHOLD, NEW YORK 11971 . Copies to the following on August 7, 1980: The Long Island Traveler-Watchman, Inc. The Suffolk Times Joseph L. Townsend, Jr. Town Board Members Town Clerk Bulletin Board Town Of Southold Town Clerk's Office Southold, N. Y. APPLICATION FOR WETLANDS PERMIT i Application No. ......�S�................. Date of Application ...........7�4 � .................. Identity of Applicant ..QIP.S RbI..T.i....�AyYri .erid.,...Jx..................................................................... Addressof Applicant .....................................................................................:....................................... i • INSTRUCTIONS FAR PERMIT A. This application is to be completely filled in by typewriter or ink and submitted to the Town Clerk in quadruplicate, accompanied by written permission from the owner of the property if not the some as the applicant. i B. Pilot Plan must be drawn to scale on the reverse side of this application showing the location of property, the names and locations of owners of adjoining properties, and a detailed description of proposed project. (Note: Copies of the Pilot Plan'may be made by a copy machine and attached to the Permit Application.') C. No operation shall be initiated by the applicant until all permits that are required are issued. D. A detailed statement of the rehabilitation and proposed condition of the premises after the work is completed must be given, including a survey if required. E. If permit is being sought for a more sizeable excavation than the construction of a private single dock or jetty, then this application must be accompanied by a survey and topographical map certified by a registered land survey or Professional Engineer. The horizontal control of survey shall be based upon an approval local coordinate_system. The vertical control for elevation and sound- ings shall be based upon United States Coast and Geodetic Survey and/or United States Geological Survey datum. F. A statement must accompany the application describing any known prior operations conducted on the premises in question and whether any prior licenses or permits have been issued to erect structures or to dredge or deposit fill on said premises and whether any such permits or licenses were ever revoked or suspended by a governmental agency. G. A filing fee of $25.00 shall accompany the application. This filing fee includes one inspection, there is a $5.00 fee for each additional inspection. H. The Town Board upon request 9Lf—, g applicant for a permit, may waive in whole or in part, the provisions of Article 11, Section subdivisions A and (6r where it finds that nature of the proposed operations are such. that 'the requirements of such provisions are not necessary for a proper consideration of a permit application. I. Upon approval of this application the Town Clerk will ,issue a permit to the applicant. Such permit shall be available for inspection at any time, upon request. Examined .................................................. 19....... Approved ................................................................ Disapproved ........................................................... Conditions, if any ................................................................................................................................. .................................................................................................................................................................. .................................................................................,................................................................................ ExaminingBody ....................................................,................................................................................ Signatureof Chairman ......................................................................................................................... APPLICATION IS HEREBY MADE to the Town Board of the Town of Southold, .Suffolk County, New York, for the issuance of a permit pursuant to the Laws, Ordinances and Regulations govern- ing the Coastal and Interior Wetlands, Flood Plains and Drainage Areas of the Town of Southold: Permit requested to ........buUd... walk-.way.acxoss..wetlands......................................................... ............................:..................................................................................................................................... Location of property for which permit wanted........NIS Main Rd....................... adjacent to Dam Pond ................................................. Bridge, East Marion, New York 11939 .................................................................................................................................................................. Home address of permit applicant if different from aforesaid location ..........same.......................... ................................................................................................................................................................. Creek, Bay or Harbor fronting property .........D.....m..Pd .... ...on...................................................................... .................................................................................................................................................................. Size of proposed work: Length .............................................................................................................. .................................... 21 Width ..................................................................................................................................................... 2' HeightAbove High Water ..................................................................................................................... Depth Below Low WaterN/A ......................................................................................................................... Yardsto be Excavated ........................................................................................................................... Yards to be Filled N/A Width of canal, creek or bay fronting property.... 30' not, affected by.construction Depthat Low Tide .............. ............................................................................................................... Average Rise in Tide ... lir ................................................................................................................... s - ' s Is this for private or-business use? ......Private.................................................................................... One famil residential AreaZoning ...............................Y............................,................................................................................ Manner in which material will be removed or deposited ............N/A ...................................................... . .................................................................................................................................................................. Intended use of property Wa.lkway. . . ..fro.m..high. ..ground. . . .to..beach. . ...o.ve.r..wetlands. Will ..... ... .. . .. ..... ... ... .... .. . ...... .. .... ...... . .. .... . ................................ prevent damage to the wetlands. .... ............................................................................................................................................................. Written consent of owner of property, if not the some as the applicant ........................................ .................................................................................................................................................................. .................................................................................................................................................................. COUNTY OF SUFFOLK ) STATE OF NEW YORK SS: ..............V..�.S.P�L...L.......!.!.....'�.�-e-a--... ... ' ................................. being duly sworn deposes and says that he is the applicant for the above described permit, and that all statements contained herein are true to the best of his knowledge and belief; that the work will be done in the manner set forth in this application and as may be approved by the Town Board of, the Town of 'Southold, The applicant agrees to hold the Town of Southold and the Town Board harmless and free from any and all damages and claims arising under or by irtue of s ' 'f-granted. C;...................... 9 nature of APP licant Sworn to before me this s` .... ............... day of ... ......c,�V..... ..... ..................... ,9. .. otary Public JOSEPH Coun1Y LAVOICE vols b \IOiO, POBLIC OF NEW Residing in Suffolk C`ks No 52.9366350 h 30, 'Ay Comm��ss«n Expues Ma�G19 7 i 17 16c1` J% ro I. L,-e4- L, e4- ^ VZ - i • �.-� yam,-.— � � • I TOWN OF SOUTHOLD j SHORT ENVIRONMENTAL ASSESSMENT FORM i INSTRUCTIONS : a In order to answer the questions in this short EAF it is assumed that the preporer will use currently available information concerning the project and the likely impacts of the action . It is not expected that additional studies, research or other investigations will be undertaken . (b) If any question has been answered Yes the project may be significant and a completed Environmental Assessment Form is necessary . (c) If all questions have been answered No it is; likely that this project is not significant . (d) Environmental Assessment 1 . Will project result in a large physical change to the project site or physically alter more than 10 acres of land? . . . . . . . . . . . . . . . . . . . . Yes &"Nko 2 . Will there be a major change to any unique or unusual land form found on the site? . . . . . . . . . . Yes Zo 3 . Will project alter or have a large effect on existing body of water? . . . . . . Yes Llo 4. Will project have a potentially large impact /'IN- on groundwater quality? . . . . . . . . . . . . . . . . ... . . . . . Yes Eo 5. Will project significantly effect drainage _ � flow on adjacent sites? . . . . . . . . . . . . . . . . . Yes `�No 6 . Will project affect any threatened r . .i . endangered plant or animal species? . . . . j. . . . . . Yes (/No 7. Will project result in a major adve se effect on air quality? . . . . . . . . . . . . . . . . . . . . i . . . .! . . . . . Yes 4�No 8 . Will project have a major effect onivisual character of the community or scenic views or vistas known to be important to the community? Yes 4--"N"o - 9 . Will project adversely impact any site or structure of historic, prehistoric or ' paleontological importance or any site designated as a critical environmental area by a local agency? . . . . . .. . . . . . .... . . .: - Yes No 10 . Will project have a major effect on existing or future recreational opportunities? . . : . . . . . . Yes /-ANo 11 . Will project result in major traffic problems or cause a major effect to existing / transportation systems? . . . . . . . . . . . . . . . . . . . . Yes �No 12 . Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturbance as a result of the project ' s operation? . . . . . . . . . . . . . . . . . . . . . . . . . • Yes No 13 . -Will -project have any impact on public health or safety? . . . . - - - - Yes No 14. Will project affect the existing community by . directly causing a growth in permanent population of more than 5 percent over a' one year period or have a major negative effect on the character of the community or neighborhood? . . . . . . . . . . . . . . . Yes kNo 15 . Is there public controversy concerning the project? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . Yes�No PREPARER ' S SIGNATURE , REPRESENTING eh, DATE z if �