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HomeMy WebLinkAboutTR-5727Board Of $outhold Town Trustees SOUTHOLD, NEW YORK ISSUED TO ..................... LA~.R.~...$.I~.Y~ g..~1 ................................... Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter ~ of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;'.!. and in accordance with the Resolution of The Board adopted at a meeting held on . .~]~. ~., 207~, and in consideration of the sum of $. ?-00..00 .... paid by Suffolk Environmenta~ ~9n~j~l~z~g.,. In~,....0r~..behalf...o£ ....... ct ..... Bridg. eham.~ton., .NY .. N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. r ~~ TERk4S and CONDITIONS Tl~ ~ Larry Save2in~ , parc of the consider~doa ~oc the ismtnce o~ me 1'~,¢ aoe~ un~zcana aha ptescxz~ to the roi- with meslaect thereto, lo ~e complete ,-r~,egon oE the Bo~d o~ T~e~.~_ a~d~e Town a~ ,Saa~bo~ 2. ThatthisPezmltis'valld~:ape~odof 24 mos. which h ~ to be the esthnated time' ~luh~d eo complete the work involv~t, but sh~l_d cizcum~_ _,~s wamu~ mtuest for sn ~ n may be m~de to the Boztd st s lm~ d~. ~. 'Is~at t~s Pev~t should be ve~d indd'mitely, o~ as long as the said p~vloee wt.s~es to maintain the stmct~e or project involved, to provide evidence to anyone concerned that auth- orization wzs otisimll~ obtained. 4. That the wodc involved ssfill be subject to the ~ and approval of it~ agents, and non..con~lignce xvith the p£ovi~olx~ of the otlg[n~g Itppl~catlon, m~y xevocation of this Permit by x'~=,olution of the said Boa~cL 5. That fl~ere will be no unreasonable interference ~ navigation as · result of the herein 6. That there ~hall be no intederence with the tight of the pui~c to ~ and repass Idaag the bea~ between Mgh ~mi low wa~er m~k~. 7. That tf future opetatim~s of the Town of 5outhold xequ~e the xemoval and/or ahexafiozs ~n the locat/on of the wodc herein au~ or ii, htt~oplnk~oidse~oaxdofT~,~es, thC work d,,l~ arose unr~sonable obstmcuon to free navig~i~o, the said Pennlttee ~ be m~lted~ upon due notice, to ~-cmove ot alter d~s work ot project herein stt~d without ~ to th~ Town 8. 'I'b~ the said Board will bc m:~fied by the Pexmittee ot d~ ,'m'n.~:giOa'O~ dsc x~x'k ~ ot-ked. 9. That the permittee will ~ aH other permits and consents dzat mty I~e zequh'ed pfemental to this permit w~'_u~ may be subject to revoke upon faiiute to ~ same. 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 March 25, 2003 Mr. Bruce Anderson Suffolk Environmental Consulting, Inc. PO Box 2003 Bridgehampton, Nh' 11932 RE: SCTM#53-01-14 Larry Severini 1795 Pipes Neck Road Greenport, Nh' Dear Mr. Anderson: The Board of Town Trustees took the following action during a Regular Meeting, held on March ! 8th, 2003 regarding the above matter. WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of Lart3, Severini applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated December 27, 2002. WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Heating was held by the Town Trustees with respect to said application on March 18th, 2003 at xvhich time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar ~vith 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 xvith the standard set forth in Chapter 97-18 of the Southold Town Code. WHEREAS, the Board has determined that the project as proposed will not affect the health, Safety and general welfare of the people of the town. NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approved the application of Suffolk Environmental Consulting, Inc. on behalf of LARRY SEVERINI request a Wetland Permit to construct a 975 sq, fi, +/- addition to the existing dwelling; a 250 sq. fi +/- attached porch a 187 sq, fl, +/- rear deck]patio addition to the existing rear deck/patio; and a 500 sq. fl. 4¥- detached garage ~ per approved plans dated and stamped March 18, 2003. 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 pemfit issued within six months of the date of this notification. If inspections are required, at a fee of $5.00 per inspection (See attached schedule). FEES: $5.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/cjc cc DEC Building Depamnent Suffolk Environmental Consulting, Inc. Ncwmztn Village. Mare Street. I~C). Bt}', 2003. Bridl:ehumpron. Ncx~ h't~t'k Bruce Anderson. M.S.. Pre,idem ; - May 7, 2003 Town of Southold Board of Trustees Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 MAY -9 Re: Situate: SCTM #: SEVERINI property 1795 Pipes Neck Road Greenport; Town of Southold, NY 1000-053-01-014 To whom it may concern, As per your request, please find enclosed herewith: Check in the amount of $ 5.00 in order to cover the additional permit application fee. Kindly issue the requested permit at your earliest opportunity. Should you have an>' questions concerning this matter, please feel fi'ce to contact this office at any time. Thank you in advance for your consideration and attention. Sincerely, Matt D. [vans enc. Albert J. Krupski, Preside~I~ James ICing, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall §3095 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 · 0: Suffolk En. vironmental Consul%~.ng Inc., on behalf of Larry Severini Please be advised that your application, dated December 27, 2002 has been reviewed by this Board, at the regular meeting of Marck f~, 2993 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: $ SIGNED: BY: PRESIDENT, BOARD OF TRUSTEES ;LERK, BOARD USTEES 4/98 Albert J. Krupski. Preside~ James I<Ang, Vice-Presidew Artie Fester Ken Poliwoda Peggy A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town }iai! 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 LARRY SEVERINI YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE 8OARD 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 X Pre-construction, hay bale line __ 1st day of construction ½ constructed Project complete, compliance inspection. Albert J. Krupski, Presiden~ 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 1st day of construction ¼ constructed v'/ Project complete, compliance inspection. Suffolk Environmental Consulting, Inc. NCWIIKil] \llla_c. M,lm _Street. P.(). B.x 2 )~ Btid?hamptt n. Ncx~ Y,,rk 11~2 2<~g Bruce Anderson. M.S.. Pre,.ident Via Telecopier and Regular Mail January 21, 2003 Southold Town Trustees Albert J. Krupski, President P.O. Box 1179 Southold, NY 11971-0950 Rez Severini Situate: Pipes Neck Road, Southold SCTM# 1000-53-1-14 J~ 2 'L/'&m3 Dear Mr. Krupski: This Firm represents Mr. and Mrs. Severini who own the property referenced above. We filed an application for wetlands permit and the public hearing is to be held on January. 22, 2002. Kindly adjourn this matter until the next regularly scheduled hearing date. Our request for adjournment relate to certain modifications to the survey before you. Yours tr ly~ Brace A. Anderson cc. L. Severini STROUGH REAL ESTATE 681-537-5198 Suffolk Environmental Consulting, Inc. Bruce Andt, rson. M.S, Picqdcnl Via Telecopier and Re/!lular Mail January. 21, 2003 Southold Town Trustees Albe~] J Krupski, President PO [toxll7g Southold. NY 11971-0950 Re Severini Situate. Pges Neck Road, Southold SCTM# 1000-53-I-14 Dear Mr Krupski' This Firm represents Mr. and Mrs Severini who own the property referenced above We filed an application for wetlands permit and the public hearing is to be held on January 22, 2002 Kindly adjourn this matter until the next regularly scheduled hearing date. Our request tbr adjournment relate to certain modifications to the survey betbre you. · -7 Yourstr ly, ~/r?~.....___~~ Bruce A Anderson cc L. Severini Telephone (631) 765-1892 Town H'a, ll, 53095 Main Road P,O. Box 1179 Southold. Ne,~ York 11971 SOUTItOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, January 15, 2003, the following recommendation was made: LARRY SEVERINI to censtruct a 975 sf. addition to the existing dwelling; a 256 sr. attached porch; a 187 sr. rear deck/patio addition to the existing rear deck/patio; and a 500 sr. detached garage. Located: 1795 Pipes Neck Rd., Greenport. SCTM#53-1-14 The CAC did not make an inspection, therefore no recommendation was made. Suffolk Environmental Consulting, Inc. ~ _00:,. Bridgchainpttm. Ne~.,. Ne'.', than Villa,_,c. Nl~.m~ Street. P.O. Box" 1~531 ~ 537 5 I('~O i-'a\: t6311 53.7 519"; Bruce Audersuu. M.N.. President December 23, 2002 Mr. Albert J. Krupski, President Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 13F 2 Re: Situate: SCTM #: Severini property 1795 Pipes Neck Road Greenport; Town of Southold, NY 1000-053-01~014 Dear Mr. Krupski, This Firm represents Mr. Severini who is seeking improvements to the above referenced property. In order to do so, a Wetland Permit from your Board is required. Enclosed herewith please find a completed Wetland Permit Application. Application contents are as follows: (1) Town of Southold Trustees Wetlands Permit Application; (2) Short Environmental Assessment Form; (3) Location Map of subject property (two [2] copies); (4) Survey of the property, prepared by Joseph A. Ingegno. L.S. indicating both existing and proposed structures (two [2] copies); and (5) Check made payable to the Town of Southold in the amount of $200.00 covering the requisite application fee. Hammartlg 2 By way of this correspondence, and on behalf of Mr. Severini, I request that you commence review of this application. Should you have any questions or require additional information, please feel flee to contact this office at any time. Thank you in advance for your cooperation. Matt D, lvans '- el'lc. cc: L. Severini SEVERINI Pro er Situate: 1795 Pipes Neck Road; Greenport; Town of Southold, NY SITE PIPES COVE HAGSTROM StreetAtlas SCTM#: 1000-053-01.014 Albert J. Krupski, President John Holzapfel. Vice President Jim King Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53005 Main Road P. O. Box 1179 Southold, New York 11971 Telephone (631 ) 765-1802 Fax (631) 765-1823 Office Use only Coastal Erosion Permit Application X Wetland Permit Application Grandfather Permit Application Waiver/~m~endmenr~Cha~es Received Applicat~on:i~/D Received Fee: $ ~9~ -' ;-.1 ! / __Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination: Idate segt)~ CAC Referral Sent:: Date of Inspection: Receipt of CAC Report:' I Lead Agency Determination: Technical Review:/ ~ - Resolution: Name of Applicant Larr~ Severini Address 5 Hillcrest Court; Old Ta~an, Phone Number( 201 ) 784 5611 NJ 07675 Suffolk County Tax Map Number: Property Location: provide LILC0 Pole AGENT: Suffolk Environmental Consultin~ Address: P.O. Box 2003 Brid~eh~un~ton, Phone Number: (631) 537-5160 Fax: (631) 1000-053-01-014 1795 Pi~es Neck Road, Green~ort, NY #, distance to cross streets, and location2 1 Board of Trustees Application Land Arealin square Area Zoning: Previous use of property Intended use of property: GENERAL DATA feet): 14, 375 square feet Private single family dwelling Private residential dwelling with proposed additions/appurtenances. Prior permits/approvals for site knowledge Agency improvements: None to our Date X No prior permits/approvals for site improvements. Has any permit/approval governmental agency? ever been revoked or suspended by a X No Yes If yes, provide explanation: ~roject Description (use attachments if necessary) : Applicant proposes to construct a 975 sq. fl. ± addition to the existing dwelling; a 256 sq. ft. ± attached porch; a 187 sq. ft. ± rear deck/patio addition to the existing rear deck/patio; and a 500 sq. ft. ± detached garage. of Trustees Applicatio--n WETL/~D/TRUSTEE L/~NDS APPLICATION DATA Purpose of the proposed operations: Applicant proposes to construct a 9?5 sq. ft. :t: addition to the existing dwelling; a 256 sq. fl. ± attached porch; a 187 sq. fl. + rear deck/patio addition to the existing rear deck/patio; and a 500 sq. fl. + detached garage. Area of wetlands on lot: 0.0 ± square feet Percent coverage of lot: 0.0 ± % Closest distance between nearest existing structure and upland edge of wetlands: > 80.0' ± feet Closest distance between nearest proposed structure and upland edge of wetlands: > 80.0' ± 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/deposited: N/A ± feet Proposed slope throughout the area of operations: N/A ± Manner in which material will be removed or deposited: 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): No in~act to the wetlanc~s are anticipated due to the pro~ect clesi~/n and location, specifically the positionin~ of the proposed addition, porch, deck/patio and ~ara~e to maximize all associated setbacks from the wetlands located conti~uous to subject pro~ert~. In addition, the existinq dwellin~ has had no negative in~oact on the wetlands. Purpose of Board of Trustees Application COASTAL EROSION APPLICATION DATA Proposed Activity: N/A present within Yes Are wetlands No If Yes, how much material will be How much material will be filled? 75 feet of the proposed activity? excavated? (cubic yards) (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resultin9 from the implementation of the project as proposed. (Use attachments if necessary) NOTICE TO ADJACENT PROPERTY OWNER B~m~RD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Larr~ Severini SCTM#: 1000-053-01-014 YOU A/{E HEREBY GIVEN NOTICE: 1. That is the intention of the undersigned to request a Permit from the Board of Trustees to: Applicant proposes to construct a 975 sq. ft. · addition to the existing dwelling; a 256 sq. ft. ± attached porch; a 187 sq. ft. + rear deck/patio addition to the existing rear deck/patio; and a 500 sq. ft. + detached garage. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 1795 Pipes Neck Road; Greenport; Town of Southold, NY 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: MAILING ADDRESS: Larry Severini P.O. Box 334; Wading Riverr NY 11792 PHONE # : (201)784-5611 Enc.: Copy of sketch or plan showing proposal for your convenience. Name: Ignatia Foti Carla A. Carroll Jean Eckardt Milazzo Family, LLC PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 324 East Westiew Avenue Leonia, NJ 07605-1812 32 Brockmeyer Drive Massapequa, NY 11758-7803 11Stuyvesant Oval, Apt. 10G New York, NY 10009-2006 137 Kings Highway Hauppauge, NY 11788-4203 STATE OF NEW YORK COUNTY OF NEW YORK I, Diane Wassick, residing at Suffolk Environmental Consulting, Inc.; Newman Village; Main Street; Bridgeham~ton, NY, being duly sworn deposes and says that on the 23rd day of December, 2002, deponent mailed a true copy of the Nothce set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are Ehe address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Bridgehampton, that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this day of _,~j~-~ , 2002_ // Notary Publi~ Notary put~lm ot NeW No. ~ W6053859 6 Board of Trustees ApplicaEion County of Suffolk StaTe of New York Diane K. Wassick, BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MA~NNER SET FORTH IN THIS APPLICATION A/~D AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HA/~MLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS A_RISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF G~tNTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVE(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Diane K. Wassick SWORN BEFORE ME THIS /~-a r y Public DAY OF ~c 2002 Matthew D. Ivans Notary P[~Uhc of New Yor~ No. 011V6053859 Qualifie~ in Suflolk County .o Commission Expires January 22, 2~°~ 7 OWNER'S ENDORSEMENT (TO BE SIGNED IF APPLICANT IS NO'[ OWNER) 51'A t E OF NE~,k,'tORK) COUN I'Y OF SUI, [:OLK)bb."~'- L.arr~' Se~ erini being duh.' s~ om, deposes and Sd)s; ! reside at 5 Hillcresl Couri; Old Japp~ N [ 07675 Ill Ihe County of New York and the state of New York__ and [' am the (owner in fee) (officer of th(, Corporation ~ hich is owner in tree) of the premises described in the foregoing application and lhat 1 have authorized ~!t. llvi~ l:'nPtrontnental L'onsttltitt~ lttc. to make the Ioregoing application as described herein. Signatm'e Iff'orpotatmn, name of cm'poration,md Oflker Eetore me, thiq ~ d~IV of Ofl'icer'~ Title 14-16-4 (g/95)-Text 12 I PROJECTI.D NUMBER 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEQR PART 1- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) [. APPLICANT/SPONSOR '~. PROJECT NAME Suffolk Environmental Consulting. Inc. SEVERINI 3. PROJECT LOCATION: Municipality Southold County Stl~ol~ 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc. or provide map) 1795 Pipes Neck Road: Greenport. NY 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to construct a 975 sq. ft. + addition to the existing dwelling; a 256 sq. ft. + attached porch; a 187 sq. ft. ± rear deck/patio addition to the existing rear deck/patio; and a 500 sq. ft. ± detached garage 7. AMOUNT OF LAND EFFECTED: Initially < 0.1 acres Ultimately < 0. I acres WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe briefly 9. WHAT iS PRESENT LAND USE IN VICINITY OF PROJECT? ~;~Residential ~]lndustrial [~Commercial ~]Agficulture Describe: [] ParkJForest/Open space J--IOther Prix ate single fanfily residences with related appurtenances. I¢). DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENT AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes ~]No If yes, list agency(s) and permit/approvals NYSDEC Wetlands approval: SCDHS approval. 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If yes, list agency(s) and permit/approvals ]2. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REOUIRE MODIFICATION? [] YeJ [] No I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: ..~tI D.. ,1¥9~ ..?/~olk Enx~onmental Consulting, Inc. Date: 12/23/02 If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER SEVERINI Pro er Situate: 1795 Pipes Neck Road; Greenport; Town of Southold, NY SITE HAGSTI?OM StreetAtlas SCTM #: 1000 - 053 - 01 - 014 o~- ~ 12°3 D£~D