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Home My WebLink AboutTR-5939 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 23,2013 Mr. Robed Oxnam 19625 Soundview Ave. Southold, NY 11971 RE: ROBERT OXNAM 19625 SOUNDVlEW AVENUE, SOUTHOLD SCTM# 51-1-22.2 Dear Mr. Oxnam: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, January 23, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #5939 from John Hurtado, Sr. to Robert Oxnam, as issued on June 24, 2004. If you have any questions, please contact our office at (631) 765-1892. Sincerely, James F. King President, Board of TruStees JFK:amn PO. Box 1179 Southold. NY 11971 Telephone (631 765-1892 Fax (631 ) 765-6641 Date/Time: Southold Town Board of Trustees Field Inspection/Worksession Report ROBERT OXNAM requests a Transfer of Wetland Permit #5939 from John Hurtado, Sr. to Robert Oxnam, as issued on June 24, 2004. Located: 19625 Soundview Avenue, Southold. SCTM# 51-1-22.2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland ~Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ~'~'hapt.275 Chapt. 111 other Type of Application: __ Wetland __Administrative__Emergency __ Coastal Erosion Amendment Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: ~'/J. King __B. Ghosio__ ~ Bredemeyer ~,---Michael Domino Form filled out in the field by '~D. Bergen, D. Dzenkowski other Mailed/Faxed to: Date: From: Robert Oxnam 19625 Soundview Avenue Southold, NY 11971 To: Board of Southold Town Trustees Southold, NY Re: · 0 2512 Oxnam Property 19625 Soundview Avenue Southold, NY 11971 Tax Map Number: 1000/51/1/22.2 Date: December 10, 2012 This is concerning the enclosed permit for beach access stairs on my property. The permit was issued to John Hurtado, Sr. I purchased the property from Mr. Hurtado in 2005 and continue to reside there. Therefore, 1 request that the name on the permit be recorded as "Robert Oxnam." Thanks for your attention, [_aq~~ ,~,~o2- Ig~-O cell Board Of Southold Town Trustees ~,ufl~artzaliar~ LO~ ~L Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO.. 5.?.'39 ...... DATE: ..... ~,/2.4/.Q.4 ........ ISSUED TO JOHN HURTADO, SR. Pursuant to the provisions of Chapfer 615 of the Laws of the State of New YorE, 1893; and Chapter 404 of the Laws of the State of New Yor~ 1952: and the Seutheld ToWn Ordinance rifled ."REGULATING AND THE PLACING OF OBSTRUC]'LONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER IvIATERIALS. ~F~OM LANDS UNDER TOWN WATERS:!.'. and in accoedance with the Resolution of The Board adopted afa meeting held on ...~.~...2% ;t004 and in consideration of the sum of $ 250,P.0 ....... paid by John Hurtado, Sr. of ................ ~.?.~.~?!Y~. ...................................... N. Y. e.d. s,,Hect to the Terms end Conditions listed on the reverse side hereof, of Southeld Town· Trustees authorizes and permits the following: Wetland Permit to construct a ~' x 53' +/- beach access stairs with an 8'x4' platform and a 4'x4' platform and all as depicted on the survey prepared by Land Use Ecqlogical Services Inc. last dated 4Dril 1, 2004. all in accordance with the defai~ed specifications as presented in · the odglnafing appilcafio.. IN WITNESS WHEREOF, l~e said Board Of Trustees here- by causes ih Corporate Seal fo be afl?d, and thesepresenfs fo be subscribed by a 'maior~ of the *a,d Board as of this date. TERMS and C, ONOmONS John Hurtado, Sr. Southold -~ , lq. ¥~ 'as the i~tmce of ~e l~,.~,a¢ does uad, e~c:.,mt ami ptcscx'Foe to the for ~a ~aa~asioa .may ~ ma~e to the ~ at st i.h-.- d_...~ . 5, That dgs Permit should I~ n-~l~-xl iad~inkdy, or as lo~ ~s tl~ said P~attt~ maintain the stmct~e or project Involved, to provide e~dem:~ m snyoae eo~c~mcd 4. That gae wod; involved will ~ subjea to the iaal~ction and approval of Ihe ~ o~ ks agents, sad ~oa-compIkmce vAth d~e pnrvislom of t~e orl~r~ s~spiicatioas may be ~ fo~ gevocatioa of ~s Pmnlt by moludoa of the s~id ~ That there will I~ no unteasomble interference with mvl~ ss · result o~ the wodc s~aottzed. ' Albert O. Krupski, President James King, Vice-President Artie Fester Ken Poliwoda Pegg~ A. Dickerson Town Hall 53095Route 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 st 1 day of construction ¼ constructed ix/ Project complete, compliance inspection. Albert J. Krupski, President James King, Vice-President .;~'[ ie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, Ne~v York [1971-0959 Telephone (631) 765-1892 Fax 1631~ 765~1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 24,2004 Kelly Cantara Land Use Ecological Services, Inc. PO Box 1060 Riverhead, NY 11901 Re: John Hurtado, Sr, 19625 SOUNDVIEW AVENUE SCTM # 51-1-22.2 Dear Ms. Cantara: The Board of Town Trustees took the following action during its regular meeting held on Thursday, June 24, 2004 regarding the above matter: WHEREAS, Land Use Ecological Services on behalf of John Hurtado, Sr. applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 4, 2004, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 24, 2004, 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, 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 John Hurtado, Sr. to construct a 4' x 53' +/- beach access stairs with an 8' x 4' platform and a 4' x 4' platform and all as depicted on the survey prepared by Land Use Ecological Services Inc. last dated April 1, 2004. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/hct Albert J. I<rupski, 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 Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: L'~)Application Approved (see below) ( )Application Denied (see below) ( )Application Tabled (see below) BOARD OF TOWN TRUSTEES · ~ /~ 71o~ has been and the 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: TOTA' FEES DUE: * 0 SIGNED: PRESIDENT, BOARD OF TRUSTEES Telephone (631) 765-1892 'l'o~m Hall 53095 Route 25 P.O. Box I 179 Southold. New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, June 15, 2004, the following recommendation was made: Moved by Don Wilder, seconded by Doris McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Wetland Permit application of JOHN HURTADO, SR. to construct 4'X 53'+/- CCA timber beach access stairs with an 8'X 6' platform and a 4'X 4' platform. Located: 19625 Soundview Ave., Southold. SCTM#51-1-22.2 The CAC recommends Disapproval of the application because the platform is too large and CCA lumber is prohibited. Vote of Council: Ayes: All Motion Carried -rr I ONG IS£AND SOUND ~OWN OF $OUTHOLD, SUFFOLK COUNTY, NEW ru t8' 38 LON 20' 76' sOUNo PROPOSED 8' X PLATFORM --~ APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE (~ /.l V [ o pROPO;ED~X 4' PLATFORM/ *TIDAL WETLAND5 LIMIT IS SYNONYMOUS WITH AHWM ~C:ALE: ] = 20 ] ,~,,,,,,,'~ ,,'-~' SERx,d C E ~-; IN,'. _~,7~., ~ ,.., , IOL. tH (J~* P~OPOSED 4' STAIR5 TO BEACH ~z 44¸ COASTALEROSION HAZARD LINE "!!',IFORJ'-'IATION Of.,I THIS PLAN REFERENCED F:POr'-I THE PREPAPE[) t:~ HILLEBF, V~,NP I '~,UF',VE',IFi(~ P Ii. ~/t'l R~Vi~;E/) 5: ,'. u) All)crt J. Krupski, lh'cMdent James King, Vice-President Henry Smith Artie Foster Ken Poliwoda T,,wa !t all 53095 l~oute 25 P.O. Box 1 i79 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~.,Wetland Permit Application ~'"~Major Waiver/Amendment/Cha.n~}es ,,,"ReceiVed Application:~ ,-~eceived Fee:$ ~Completed Apl~lication_ _~.l Incomplete __SEQRA Classification: Type I_ Type II Unlisted__ Coordination:(date sent) ~CAC Referral Sent: ~te of Inspection: ~ff]~t~_ __Receipt of CAC Report Lead Agency Determination:__ Technical Review: ..-P~blic Hearing Heid:~~_ Resolution: Minor Name of Applicant John Hurt-ac]n, Sr. Address B3 Box 1925, South. old, NY 11971 Phone Number:( ) 631-765-6220 Suffolk County Tax Map Number: 1000 - 51-1-22.2 Property Location: 19625 Soundview Avenuer Sc~ut-hmlct; ~xw' 11971 (provide LILCO Pole #, distance to cross streets, and location) Land Use Ecological Services, Inc. AGENT: (If applicable) PO BOX 1060, Riverhead, NY 11901 Address Phone: 631-727-2400 Board of Trustees Application Land Area (in square feet): Area Zoning: Residential Previous use of property: Residential Intended use of property: Residential GENERAL DATA 25,123+/- Prior permits/approvals for site improvements: Agency Date x No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Project Description (use attachments if necessary): Please refer to the attached project description,. Hurtado, Sr.- 19625 Soundview Ave., South.old Project Description: Applicant proposes to construct a 4' x 53' +/- CCA timber beach access stairs. Proposed stairs will utilize a proposed 8' x 6' platform, and a 4' x 4' platform. Fourteen (14) 4" x 4 "CCA timber posts are proposed to support the stairs. The stairs are proposed to terminate 48'+/- landward of the AHWM. The AHWM is synonymous with the Tidal Wetland Boundary at this location. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Beach access stairs Area of wetlands on lot:_ 0 Percent coverage of lot: 0 Closest distance between nearest existing structure and upland edge of wetlands: 100+ feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? How much material will be filled? Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: square feet % *wetlands synonymous with AHW cubic yards cubic yards Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): None AUTHORIZATION (where the applicant is not the owner) John Hurtado, Sr. (print owner of property) residing at ]mailing address) Soundview Ave., Southold do hereby authorize (Agent) Land Use Ecological Svcs., InC.to apply for peri, it(s) from the Southold Board of Town Trustees on my behalf. ~..~/~ner ' s signature) Albert J. Kvupski, President James King, Vice-President .~ct ie Poster Ken Poliwoda Peg~5' 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 BOARD OF TRUSTEES: ]'OWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING '"'~":/'"'"'7' "- ' ' being duly sworn, depose and say: That on the 7 day of ~ , 200~, I personally posted th~,l?roperty known as by placing/he'B~ar'd-o f Trustees official poster ~'here it c'an ~a~ily be seen, and that I have checked to be sure the poster has remained in place for eight d.ays prior to the date of the public hearing. Date of hearing noted thereon to be held~~[&~Q ~q ~ ..- · '-'~ be ~ta ~.~-' ~',t~ ~. before me ~his ~0 TARy PUBLIC, S TArE 0[ NEW No. SE~ 23, Name: Edward Booth PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 17235 Soundview Ave., Southold, NY 11971 Paul & Nanette Lancey 49 Randolph Drive, Dix Hills, NY 11746 STATE OF NEW YORK COUNTY OF SUFFOLK ~,~ , residing at ~T~,. z~/~ ,^being duly sworn, deposes and says that on the /~FFday of '~-~ ,./~. '.~. deponent mailed a true-c'opy of th~/Notice set forth in/the Board 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--~j~,d No~ice~ were mailed at the United States Post Office at -~/\~j-/~ ,~__ , that said Notices were mailed to each of said persons by (certified) (registered) mail. CYN]~HIA ALVAREZ ] NOTARY PU~]L~C, STATE OF NEW yORK [ No. 01AL608087§ I MY QUAUFIED IN SUFFOLK COUNTy J,, COMMIS SION EXPIRES SEP[ 23, 2 I~...(~.,,~ Board of Trustoe$ Applicat. lon County of Suffolk State of New York Kelly Cantara BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS qllE APPLICANT FOR TIlE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD TIlE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIIvlS ARISING UNDEK OR BY VIRTUE OF S/LID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREM/SES IN CONJUNCTION WITH REV!E~ W OF THIS APPLICATION. _~r~ , ''~ /' SWORN TO BEFORE ME THIS__,,. DAY OF ___,20~ - tary~ ublic ~ // IMy--~YNIHIA ALVAR£Z NOTARY PUBLIC, STATE OF NEWYORK No. O1AL6080878 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES SEP'[ 23, L PART I - PROJECT INFORMATION 1 APPLICANT/SPONSOR Land Use for John Hud, ado, Sr. 3.PROJECT LOCATION' Southold Municipality biT.20 APPENDIX G 5fA'fE ENVIRONMEN]AL QUALIT'Y REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by ,~ )licant or Project Sponsor) 2 PROJECT NAME Hurtado Sr. Beach Access Stairs Suffolk County 4. PRECISE LOCATION Street Addess and Road Intemections. Prominent landmarks e[c-or provide map 19625 Soundview Avenue (near Chablis Path) 5. IS PROPOSED ACTION [] New [] Expansion [] Modificalion/~lteration SEQR 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to construct a 4' x 53' +/- CCA timber beach access stairs. Proposed stairs will utilize a proposed 8' x 6' platform, and a 4' x 4' platform. (14) 4"x4" CCA timber posts are proposed to support the stairs. The stairs are proposed to terminate 48'+/- landward of the AHWM. The AHWM is synonymous with the Tidal Wetland Boundary at this location. 7. AMOUNT OF LAND AFFECTED: Initially .64 acres Ultimately .64 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [~Yes [] No If no, descdbebdefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Cheose as many as apply.) []Residential r~lfldustdal [~Commercial [~]AgdcuIture [~Park/Foresl/OpenSpace [~Olher (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, Stateor Local) [~]Yes [~No If yes, list agency name and permit / approval: Town of So~thold Trustees 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~]Yes []No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [--JYes ~]No I CE/.~, HAT' THE INFO/R.M~TION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant /.~pon~9rj~me/ C. L. A,I~, rez./Land Use Ecological Services, Inc. Date: Apdi 5. 2004 / If the acti~s a Costal Area, and you are a state agency, complete the C?~gtal Assessment Form before proceeding with this assessment PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART I - PROJECT INFORMATION ( To be completed by ,~ )licant or project Sponsor) 1. APPLICANT I SPONSOR 2. PROJECT NAME Land Use for John Hurtado, Sr. Hurtado Sr. Beach Access Stairs 3.PROJECT LOCATION: Southold Suffolk Municipality County 4, PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks otc -or provide map 19625 Soundview Avenue (near Chablis Path) 5. IS PROPOSED ACTION: [~ New ~ Expansion [~ Modification / alteration SEQR 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to construct a 4' x 53' +/- CCA timber beach access stairs. Proposed stairs will utilize a proposed 8' x 6' platform, and a 4' x 4' platform. (14) 4"x4" CCA timber posts are proposed to support the stairs. The stairs are proposed to terminate 48'+/- landward of the AHWM. The AHVVM is synonymous with the Tidal Wetland Beanda~ at this location. 7. AMOUNT OF LAND AFFECTED: Initially .64 acres Ultimately .64 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [~ Yes [__J No If no, descdbe bdefly: 9. WHAT IS PRESENT LAND USE iN VICINITY OF PROJECT? (Choose as many as apply.) [-~Residential [~lndustdal [~Commercial E~Agficulture E~Park/Forest/OgenSpace [~O~her (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, Stateor Local) J-~Yes [-'-~No If yes, list agency name and permit I approval: Town of Seathold Trustees 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALfD PERMIT OR APPROVAL? E~]Yes [-~"]No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ['~Yes ~]No I CE..~, HAT~ THE INFO/R.M~TION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant /~pons?r~m.~ C. L. 'A~, ~ez/Land Use Ecological Services, Inc. Date: Apri~ 5. 2004 ? "~" '~J~ the acti~t~a costal Area, artd you are a state agency, complete the Co/,~tal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead A~lenc¥) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 It yes, coordinate the review process and use the FULL EAF []No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative deelaratio~ may be supersedsd by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1 Exisfing air quality, surface or groundwater quality or qaaotity, nelse levels, existing tralfic pattern, selid waste produc6o~ or disposal, ~otential for erosion, drainage or §ooding problems? Explain briefly: C2. Aesthetic, agficuitural, archaeotogical, historic, or other natural or cuitural resources: or communily or neighborhood character? Explain bhefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or Ihreatened or endangered species? Explain bdefly: t C4. A community's existing plans or goals as officially adopted, or a change in use Dr intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or relatad activities likely to be itduced by the proposed action? Explain briefly: C6. Long term. short term, cumulative, or other effects not kJentlfied in C1-C57 EN)lain briefly: I C7. Other impacts (including chan~es in use of either quantity or type of enemy? Explain bpefl¥: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE E!NVIRONMENTAL IMPACTS? If yes explain: I Yes r--]No I PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occun'ing; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed, if question d of part ii was checked yes, the determination of significance must evaluate the potential impact of Ihe proposed action on the environmental characteristics of the CEA. Check this box if ~3u have idengfi~d one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULl EAF and/or prepare a pos~ve d~claration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actic~ WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi: determination. Name of Lead Agency Date Title of Responsible Officer Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) LandUse May 3, 2004 Town of Southold Board of Town Trustees PO Box 1179 Southold, NY 11971 REi Application for Permit John Hurtado, Sr.--Soundview Avenue, Southold Dear Sir or Madam: Enclosed please find an application package containing one original plus two copies of the following: · Application Form · Short Environmental Assessment Form · Survey/Plans Mr. Hurtado will be submitting the application fee in person tomorrow. If you have any questions or require further information, please contact this office. Thank you. lncere , -) CA/kmc Enc. UA'/ - 4 2004 SouthoRI Town Board of Trustees FO B,:,:,' 1030. ",dla:3e Doc~ R,,erher.nd r',~e,,. ,'.-.ri,. I1"~01 Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda PegKv A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0056C At THIS CERTIFIES that the beach stairs 19625 Soundview Ave., Southold Date August 1[, 2005 Suffolk County Tax Map # 51-1-22.2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 5/4/04 pursuant to which Trustees Permit# 5939 Dated 6/24/04 W~'~s issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for beach stairs The certificate is issued to aforesaid property. JOHN HURTADO, SR. owner of the Authorized Signature Albert J. ICrupski, President James ICing, Vice-President ~'tie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 $outhold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTI-IOLD 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 ___ 1st day of construction ½ constructed i//Project complete, compliance inspection.