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Home My WebLink AboutTR- · - Albert J. Krupski. President John Holzapfel. Vice President William G. Albertson Martin H. Garrell Peter Wenczel 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 June 30, 1995, Costello Marine P.O. Box 2124 Greenport NY 11944 Re: BARBARA DEFINA SCTM 1126-2-7.1 Dear Mr. costello, The following action was taken by the Board of Town Trustees during its regular meeting held on June 29, 1995 regarding the above matter: WHEREAS, costello Marine, on behalf of BARBARA DEFINA, appliedto the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 18, 1995, 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 29, 1995, 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 37-18 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, A+ . «~~ §-i <%.~ ~ ~" ::) ~ 1;j ~ ~B '~. ~iJ rt+;;, . , Albert J. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel 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 S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 1000-26-2-7.1 NAME: Barbara Defina DATE: May 26, 1995 Chapt. 97 - Wetlands Chapt. 37 - Coastal Erosion RESOLVED that 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 Southo1d Town Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration 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. TYPE OF ACTION: Type I DESCRIPTION OF ACTION: Applicant requests a Wetland Permit to install 40' dumped rock rip-rap for erosion control. LOCATION: SCTM #1000-26-2-7.1 REASONS SUPPORTING THIS DETERMINATION: 1. An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. cc. CAC . . *^ "j..- .. - ¡ . (' .. \.- - ~..! ._!!-.uo..... STATE OF NEW YORK DEPARTMENT OF STATE ALBANY. NY 12231-0001 l5J-œ-"- . '-.~ n· .. ----. 'r'" ,j, 0' D' ~ ii' -·IJi iI' II: 'AV ., '.,' '>, I {(195' ., l . .'..;1 . ~ rOt.'\:; ~"_".: ,~. :~~.~c_ . -- -~~.K~·:~__'-~~;:._¿.illr~~ ::_: ALEXANDER F. TREADWELL SECRETARY OF STATE Mr. Albert J. Krupski, Jr., President Board of Town Trustees Town Hall P.O. Box 1179 Southold, New York 11971 April 25. 1995 Re: Lead Agency Coordination Request for Proposal by Barbara Defina, Willow Terrace, Orient. Dear Mr. Krupski: Thank you for submitting the above mentioned Lead Agency Coordination Request to the Department of State (DOS). Please note that DOS does not object to Southold Town Trustees assuming Lead Agency. However, review of the submitted information indicates that a COE/NY permit may be required for the proposed bulkhead and dock configuration. Therefore, if during the course of vour review it is determined that a federal permit or federal funding is required for any portion of the proposed project, please instruct the applicant to submit a Federal Consistency Assessment Form (FCAF) and supporting information to the U.S. ACOE/NY with a copy to Ms. Diana Boos at the Department of State. Upon receipt, we will determine if the submitted information is adequate to commence a formal review of the project. If you have any questions, do not hesitate to call me at (518) 474-6000. ../7 Sincerely, /¡./~-"'J .¿, ---_ v I' I Walter F. Meyer Coastal Resources Specialist c. U.S. ACOE/NY - Sophie Ettinger Barbara Defina - 9 Villet Drive, East Setauket, NY 11733 file Q printed on recycled paper ./,. . . Albert J. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LEAD AGENCY COORDINATION REQUEST TO: Whom It May Concern DATE: 4/18/95 Enclosed is a permit application and a completed part I of the Environmental Assessment Form. Southold Town Trustees are interested in your ageny's comments in acting as SEQRA Lead Agency for: ) OTHER ( ) Type II ~ CEA Please contact Albert J. Krupski, Trustee president,~. 0 days and be advised that the Southold Town Trustee (WANT 7(DO NOT WANT) to assume lead agency. NAME: BARBARA DEFINA LOCATION: Willow Terrace, Orient TA.X MAP: 1000-26-2-7.1 DESCRPTN: (see atta<:hej.) PERMIT REQUIRED: 9<r TOWN WETLAND SEQRA CLASSIFICATION: ~Type I ( ) UNLISTED PERMIT j¡ Pending SENT TO: DOS rI \ ::;ï:'?'V DEC oC) DOH ( ) PB c. IfNlI/:µ" "- 'f / :J.C';Ir~ ( ) ZBA ( ) BLD ( ) ACE ( ) CAC ~ '7õL"/'ir' Please complete, detach and return this form to expedite processing. Involved Agency: fV<{Ç/J¿c..jJ . Proj ect Name: f3~ ¡) ~ L Location: t,(/ ~><~ '1~VY--U2 o,.<""'~ SCTM: fO~C - ~&- 2.. '7. I I We at () (::::oe, (:Have/No) objection to Southold Town AGENCY Trustees assuming Lead Agency. ~ _ commen~s/Reasons: -p~~/Æ-±~- r~) E r. ~ ~ 'f E I ~ .¡,~ ¡'-PR I 9 1"'!5 i 1) NYSDEC Regulacsry Ac~~. (Va (!~f/ø~Á- Signature of Authorized Representative _..._~_._.~_________..__._-----.t'>... . .-_.,.;.-~-.:~(-;;-~ " . Œ&ŒllWŒ APR 2 5 I9æ Conservation I [QWN OF SC)lJp-rn ct,tÞf ~cJ! 1 r'1..s -"---~'''-< New York State Department of Environmental CJ:tVr-1 Ui!/ '1 0V'Y'- II J.I .5307'$- :ð1=~ ¡¿/ fJ.o./34 1/19 Lztu( l['l/l9'71 Dear ?l[Æ. /¿~" This letter responds to your communication of ~ ð'( 199.5-, regarding lead agency coordination for the above-noted project, under Article 8 (State Environmental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617. The Department has the following interest in this project: Re: LEAD AGENCY COORDINATION 1-'1138 -OI/~c)OcJ/-O ß~/J RESPONSE DEC Permits (if any): 7~0~~ (!J(fø~ DEC Contact Person: SEQR Classification: M Type I DEC Position: [ ] Unlisted Based on the information provided: [~ DEC has no objection to your agency assuming lead agency status for this action. DEC wishes to assume lead agency status for this action. DEC needs additional information in order to respond (see comments). [] DEC cannot be lead agency because it has no jurisdiction in this action. [ ] see attached [2d none -d~ Æ-e Comments: If you do not concur with the DEC position indicated above, please contact this office to resolve designation of lead agency within the time allowable under Part 617. Please feel free to contact this office for further information or discussion. cc: (aUach distribution list) Sincerely, (!addt1~ ~~~~ ..~., ~%~.; ..."..,.",. . Meeting of ~/20/95 . (high) 3' x 3' X 21' gabion cages extending in a westerly direction from western return. 3630 North Sea Drive, Orient The CAC recommends approval with the stipulation that the applicant replant the return. Vote of Council: Ayes: All Motion carried. No. 1251 Moved by Bruce Loucka, seconded by Jack Hagerty, it was "'. RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH STIPULATIONS of the Wetland Application of PECCY HELLER AND ANNE WYDEN 26-2-39.1 to construct a 2982+/- sq. ft. single family dwelling (base floor), a 800+/- sq. ft. attached deck, a 8~0 +/- gravel driveway, a 318 + /- proposed wal kway, well and septic system. Majors Pond Road, Orient The CAC recommends approval with the following stipulations: 1. Move the house for a 30' setback off the road. (75' from wetlands) 2. Maintain a non-turf buffer 20' from the 10' contour line. 3. Use hay bales and silt fence during construction. ~. Move the cesspool system to the north. Vote of Council: Ayes: All Motion carried. No. 1252 Moved by Bruce Loucka, seconded by Jack Hagerty, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH STIPULATIONS of the Wetland Application of BARBARA DEFINA 26-2-7.1 to install a ~O' dumped rock rip-rap for erosion control. Willow Terrace, Orient The CAC recommends approval provided the applicant grade so the toe of the rip-rap is buried and plant with beachgrass. Also maintain a 10' non-turf buffer instead of lawn behind rip-rap Vote of Council: Ayes: All Motion carried. No. 1253 Moved by Stephen Angell, seconded by Patricia Isaksen, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Application of DR. MELVIN MORRELL 99-3-4.6 to extend easterly return by 20' and backfill with 20+/- coy. of clean sand to be trucked in from upland via Bailie Beach Road to west. Return will be armored with 1-ton stone on filter cloth as is the remainder of the wall. Lloyd's Lane, Mattituck Vote of Council: Ayes: All Motion carried. Page 5 . . Albert J. Krupski. President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel 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 LEAD AGENCY COORDINATION REQUEST TO: Whom It May Concern DATE: 4/18/95 -'. Enclosed is a permit application and a completed part I of the Environmental Assessment Form. Southold Town Trustees are interested in your ageny's comments in acting as SEQRA Lead Agency for: NAME: BARBARA DEFINA LOCATION: Willow Terrace, Orient TAX MAP: 1000-26-2-7.1 DESCRPTN: (see attaC;:he..sJ.) PERMIT REQUIRED: ~ T~~WETLAND SEQRA CLASSIFICATION: JX"J Type I ( ) UNLISTED PERMIT j¡ Pending ) OTHER ( ) Type II ~ CEA please contact Albert ], Krupski, Trustee. president,@·o. days and be advised that the Southold Town Trustee (WANT (DO NOT WANT) to assume lead agency. SENT TO: DOS ,.¡ \ w- "'(;i~ rj, /9..r , DEC DC) DOH ( ) PB c· ...."'''I''tJi 'I/3.-rJrr f . ( ) ZBA ( ) BLD ( ) ACE ( ) CAC ~ 1~/' <í'" Please complete, detach and return this form to expedite processing. Involved Agency: Project Name: Location: SCTM: We at (Have/No) objection to Southold Town AGENCY Trustees assuming Lead Agency. Comments/Reasons: Signature of Authorized Representative . - ~ O~/6 N r HA,.4JO~ V/ClNITY jI{,A~ ~t7-'f H"o6 :5'?;t!"'::>,H ~tF/tJL..K c¿¡vN7VA7'ZA1' o _ ~0«1 L . t , ,. /4". .ØACN #AI' .....~~~ ¿ .::>OfT/P#,#4- ~r~ :5ó'~~"«.n4" . ð /¿J? ~ ( '1 ~&',W'~ ¡4Y) tJU.Cl7 ~i'a:> ø7. aJ/ ~tPfO'ø;'eET .." . ,. -:'CJe ,f¡y/ --1 L ¿~.cÑ r__ .r.....c~ ¿M";vr """A M"#O A!" .. - ..A ~ -- r;EPß7~,P p"",/i!:P ~,(7/,!~ ,.IF!': E~~C~ ;-~~ ,.....~~ Ø)/ ~ø ~,Æ'.&' ~Æ::.?7.AÆ'~ ~ J!!n<' t!Yð''' ÞOL'9V~ /V',,( //-?4f£ If<!t. ~ .477- /.Aí7'" Æ9r ~ ~~;;p___WV;:~ ;ø.W ,1lÞ ~.,.,~af(V~ / /IIV,ep,ø c./'fØFI/ ('I'- ..-~ rJr ~ h<Y /~.f7 2! ~c. 61!Zf1f/"TY. /'::,ra_N',4I~' ~.-a;f~ Æ/.Y /ð?.9 ~/~.r ~ß4'?4 ,.?J,£Q{þ1 'f' J1/ú::Ær.ae-Ø- ~?.fl<I~/ý-ý /r7Æ7 . ~nr /"'2' M'~a?AV ~~ c:7øø.-?; ~/<Y,¢~" ¿y ?...."""""~ C~t:/,<ðJ"~ 7~ ~prgt?" ~ y--- ~e13·mç ¿/f'eð" / t?'" ê I . . Consultant L~< i H·~",-.-..... \.~/ -I (.;/'--... v-~-1' Project Na.rne ,'7 /,.",,/.. /, ...( I I' ." ~:-¡''- 1/ / Yc 0/,<. SCTN _uooo- :26-.J.-(:r Date ¡\ -- ....... I - _1' r .;..r-f __ The Southold Town Trustee office hùs determined that your app-lica r i nn -Fo~ a· c~as ta-l·-efosi"9iii'".,.T~;:: l.and perœi t)/is <·iJ.o.a::iurLEiçiictionaT/ inco;:¡p;-l-ë-t-e-;- ;::leäë;~cansider -the following infor8ation in this regard for ¿n'l rGquircd return submissicn: /11'/A/, ~.' ~r. (/ I L.-'t' ¡:; 1"£.-1 :.(.,./->"'-.-'1. (-!.-/....;:: /:),,/ -/...1(..(_' "',,-:' ''-'/~ '::j¡::: ¡_;·Î..,.....~ /',',-./ " ~~ j, . ..c£_"I -r;1 / ~, ,; ., '/ ( ',-,' .',~f·/'(·<-·_~ -.' e~ --1AA- , :-I-.-~... -'I . "'~ ~-. .'~<- ¡', .~7L- .7 j.;..,.., oflr' ,e; II' ...".......';{ rt/' f/~··.,..¡'.... , J A rT""'--r -r:;.;- ".r .../{-.,t, ",""vJ' c' ~--r'T /J ,;;~/ 'r"r~""'/ ,,(~,_ .<./,J -IN /'}, /(-Ic 'r",',d !;~ v...... £..>v(;-c/..... .;1<.,,'1 é? IC- ,"'p p:'.I! ,I'J.-,.{ r- .',.(:'Yr,""" , ////'.: --1::A#).4"--";--fl ,¡~. ---f-/~ C/.c..J , /.1.... ,I /Î £. ¡,kQ ¡ÆtL¿.vf / L~~ . Trustee Representilt've cc:__ Ruilc1in'] Ðo...;1-IF. --Zoning Ro"rrl nf lo.p["?dls Pl ~nni J"lg Rn.-:¡rd CÖrrs-erv-a-t----'i Ol~ J'~ù'.¡i;.:.UL y-eouncil This notice makes no cl.:li:n wi.th respect to other jurisdictions within or outside the 'Town of Suuthold ~lith respcc·t to permits, permissio~ required. 4/92 ·... . Albert J. Krupski, President John Holzapfel, Vice President William G. Alhertson Martin H. Garrell Peter Wenczel 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 Office Use Only ..-.-----.-----., ~~ r---"~ ~ Coastal Erosion Permit Application ~wetland Permit Application Grandfather Permit Application ---Trustee Lands Permit Application Waiver 3~ / '-~':i" Recei ved Applica tiop: .:1 ø Ii S- . j Clerical Review: JÝØ/_2' . C'ompleted ~li ation' 1 . ~- Incomplete . . II ,~Y1.D,~J ~..;...".... Øo"'.....C~c.· (to-&., _ SEQRA~lassl lea lon: e I Type II unlisi/,d . Coordination: (date /]f:?:",7). If v'/9?" CAC Referral sent:.J¡.!.:£f.t T Date of Inspection:' :117/'f~ Receipt of CAC Report: (date1 Lead Agency Determination' ~I Technical Review:(date)~~. Public Hearing: (date)" , r Decision: Approved (Y/N (ate) Application Fee: $¡.s-f'J ;e. e. ~j( MAR 3 0 L__._ ".i; !$::.D $"0 Pl A 18 Name of Applicant EAF:..RA~ A b£FINA Address 9 VII__LE'-T ìYK\\JF- I EAST SETAUkE.T) N~ //733 Phone Number: (5" b) to 8'9 - 9 O.}, 'if Suffolk County Tax Map Number: 1000 - Od. (0 - d - 7. , Property Location: \AJlllOW TfRI'1-ACE I ORIEI\JT ,N~ I (provide LILCO Pole », distance to cross streets, and location) Agent: C.bSTELLD (If applicable) tYARIt\\ ~ C'òWTi::Ac..,II\\Ç, Address: PO. .Eo¥- é(1~L/ I <;:'RFE.t\J'PDRT) N'I Phone:(""-/bJ wi'-H ~7'7- 1/99 1 Boa~ of Trustees Application 4IÞ GENERAL DATA Land Area (in square feet): I} I c:,() ° - C.30 ) Area Zoning: RF"'DF¡JTIAL lotJÆTER FRoNT Previous use of property: 'RES I DF- NT/AL Intended use of property: 10(') (' ttA \'\)"'- E Prior permits/approvals for site improvements: Agency Date týl.A /oJ/ A I tI/A { N/A / NEW ðW N E R.3 No prior permits/approvals for site improvements. 7 . Has any permit/approval ever been revoked or suspended by a governmental agency? ,/ No Yes If yes, provide explanation: ¡Y/A { Project Description (use attachments if necessary): :I:NSTA l L I h.fO JJIJ/--iPEIJ 'ROCk 'RI"P ¡;¿AP FOR ER"'_";J7')t\J CO"JTR()L 2 BO~ of Trustees Application 4IÞ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:--.fRDS/f) I\.J (ST6RN, :D£C.EtvI RE'I<:: 19C¡~) C.ON T~ DL Area of wetlands on lot: o square feet Percent coverage of lot: (') % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? () cubic yards '10 I)l. 3.s J Roc. K R I P- l". A P How much material will be filled? cusic yard~ ( Depth of which material will be removed or deposited: 3.~ feet Al...ot>JG> Sl...OPE- Proposed slope throughout the area of operations: ¡.:¡O c..I+At06E. Manner in which material will be removed or deposited: BACKH()!". ì () t'LACE "ROCk. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason os such proposed operations (use attachments if appropriate): 1\.10 AI\VE.RSE. EfFSC.T) "PLAC.EMEf\.IT ROc.k. FlìR ERt\S)(') f\.j C6~)Tì::()L. ( Of ,-/ó 6 . . U1lnl2ie/J-I'.t 12 I ÞnOJEcll.D. "U....nEn 611.2 I App.l1dlx C SI.,. I;l1vltollll1él1l.1 Qu.llly n..low SHORT ENVIRONMENTAL ASSESSMENT FORM Fo, UNlIsHO ACTiONS Oi.ly ÞAnr I-ÞnOJEcr INFonMATlotl (ro b~ co"'pl~led by Appllc.nl 0' ProJecl ,pon,or) SEaR ~ t. ^p"UCANr.,srONson Costello Ma~ine Cont~acting Co~p. ----------------------- - ----- - ---- 3. pnOJEcr lQCATlOU: MtJnlclpllllly J 2. rnaJECT tlAME .... _...ß_I\.ß..filì RA b liLN.fL COUII!Y Suffolk ----------" _.. ----- -- ---- - - - ----"--"- ----- A rneclse loeA flotl ISIr",,1 111".1,,,,,, ;Inri O:lrlln',.'''''~lIn''.., tHo""nrlll' l:1nrllfl:trk" Ale, Of '\rnvldft OI::Ip) See f\ttac11ed are;) map. ---------" -" ------- ---- -----------~------------- 5. IS pnorOSEO ACTlQU· Nt-Ie'" 0 f:_pall'tloll [J Mr)d'tlr.allnl1/all,!I;1110I1 ______________________ ______ ____ _________________.___.....____ _._n_._______ e. OF:scmne pnOJECr A"lEFty: INSTALL fDgiHC\ê- I '-{0 bUNÇJf'D .3~()U ~ \ \.J (, ìCDC \( Rlf'- ¡:::M' fD 1'~f' V [::. f\J r ------------ ------------. ----.------.- - ~------- -- ----- ~-------- 7 _ AMOUNT OF LMIJ;:J ArFEcrFO: U 0 Inlllally AC"'" Ullh"al~ly ______ :\cre~ - .-----.- - -.----- -- - ---------------------- -- ---------- -------~--- 8_ WilL r~OrOSEO ACTIO'" COMPLY WITH E)fl<;ntIO ZmlltH1 on OHIEn ExlSfltl{] lAtlD USE nESTnICTlQfIS? ŒJ y", fJ Uo If Un, d"'I~rlhl bllplly , _________.__._.00____. "'_"~..n _. _n .__ o. WHAT 19 PRESeUT LAtlD USE HI VIClUlTv ur pno.JF.cn P9 n""ldl!nIlAI [J Il1du!'IrI.:l! U COnln1,!,,,':-I,,! O~'crlbø: --------------------~--- [J ^QrlcullulIJ LI r;lIk/ror"~IIOp.," "PAC" [Jail,., \'/ATERFRONT ----- --------.------- --.-----. - - - ----------------~---_._---_._----_.__._---------------- 10. DOES ACTlOU ItlvOlVE A PERt..llr Arrnf)vAl. on nltIOItIO, tlOW on ULTIMATELY FROM AtlY OHIEn OOVEntlMENTAl AOeNCY (FEDERAL. STATE on locALJ? I!I y@, 0 No II yft". II", ngAIH'Y!" Ami r.."nlll:trf"oll;tl, " NYS DEC, ACOE TO\UN DF SOUl I~OLb DOeS ANv ASreCT OF THe ACfiõtïiÎÃVE Ã-cuññEmlYŸ-ÃiiõrenMïrOnAPrñovþ'l? o Ye, m--.,~o If y"'. II", :tQlmry n/llll1~ :lor:! J1nfmnl:tpprOIl~1 _____________.____ _________ ____ u______ ____ _________________ 12, AS A nESULT OF PROPOSED ACTION WILL EXISrltlO PER...."/APpnOVAL REaumE MODIFICATlO"? Or.. ŒJho ---------~-- - - - - -.-. - -------- ---~~----_._--------- ~---- t CEnTlFV HIAr THE IHronM^TlOfl rnovlDF.D ABovE IS TRUE TO TilE BEST Or: My kNOWLEDGE ApDllcllnll'COr1,or nAUlA' _COST_~LL~__~1^_~_1_~_~__~ON1'Rl\C'fING _ "'0"""'" ~lliJV_ ¿_H:.!~'?r ,'rS2.rvn"..d. j11(l¡1\fl¿~ \.J v II Ihi! Action 19 In Iho COAslnl /1'0", And you A'O d 91all! Agl!"CY, compl.t. Iho COAst.1 1199P,smo,,1 Fotm boforo procl!9dlng with Ihl9 "59p991110nl 0.1. ~ 11~l'1:)- ~, OVEn 1 --- .- ----------- --------------- -.- --- A. UOES ACflON EXCEED AtIY TYPE 1IIIIIEIt'fJlU Itl fì !fl_:!!FI, PMII .¡IT U/ Oy., Otlo _____________ _____ _ _______ __n_. _ . _ _ __ B. will ACTION RECEIVE COOnUlrlA IEn flEV'EW AS rnU'JIOEU . UB WillS I [0 ACllutl~ Itl 6 II r ClHl rnay be supenederJ by anolher Imolved 3!Jsncy LJ Ye, LI t.o II }~3 LUUnl""J.'1 H·.\....... PIOC!!'!S arid IIse ttlo FUll EA'F -- ------------~----- PM" 617 81 II No, a negallve declalallon --~------~-_.__._-_.._---------- -- ----- ______. _n_ -------- ----- ----- - -- C COULD ACTlOtt RESuLT ttJ MIY AovEnßE HFF.r:t5 ^~S(CIA'£:() Wllllll1E FOlLO...·JlfICì IAII'õ,.ve"~ 'II1V he hêlllllwllllen.II leglbtel C1. ElIlstlng air flualllv, !I\lrlar:e Of grollrllj,....alef 'IlIalllv 0' 'l1l;.1IIHlv. '1Ols" levf'ls. 0.151111\1 Irallk pallem!l. solid wasle producllon 01 disposal. pOlen11allor 9rl1s1011. drainage or 1I00II1"Q pruhl~III~) E_µldlrl bllell\l: ... C2_ Aeslhellc, agricultural. 3Ichaeologh:,JI, h¡sIOlh~, 01 oilier nalural or cuIlUlalre'J0IIIC89; or COlllll1llull\l or neighborhood charllcter? Explain briefly: CJ. Vegelalloll or launa, IIsl1. shl~llIIsh 01 wH,ttllo Sl~,:LIS, 'IIQIIUk,ml h:\I1II41ls, or lIul!aloll'!rJ 01 enllall\,üred slochHr7 E.plaln hrlefly: C.f A cOlTlrllunlly's oKlsllng plans or goah as C'llIclallv a,If1II~rl, Of a chango In use or Inlensltv 01 usa oll¡lfId or 011191 nalUlal resources1 ExplaIn brlelly C5, Grawlh, 'JUbs8111Jelll ¡Jevelo'~IIII!nl, 01 1"lalctl at.:II~lIh~' likely 10 bf) Inducell bV Ih" plOi'nso¡J adlon 1 e_pl.1111 brlelly. ce. long tOffn. shari lerr", cUlllulallve. 01 OIlUH 'Jllp.çls 1101 Ithmllll(!(lln CI·C51 Explahl brh\lIy. C7. Olh", Impads I'''cludlng chal'gos h, U'\FJ 01 "lIhrH 1!I/alltHy 01 I\lDS 01 f)n8rgyl1 E.plalr' brlp.lly D, 19 H~ERE, on IS TIIEIIE LIKELY TO BE. CDtnflOvEI\$Y riEl. ^ reD to POT EtlHAl AOVEf1SE EUVlnQttMEUl AL UAPACTS7 [.I Ves LJ tlo " Vas, eJtplaln brIefly ----.-------- -.. - ---- --- - - .-----.-------- --.-.----. -- -- -.-.----- ---~------- .- - --------- PART III-DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse ellect Identified above, determine whelher Ills 9uIJstanllal,Iorge, Importanl or olherwlse slgnlllcanl. Each effect should be assessed In connecllon with Its (a) seUllIg (I.e. urban or rural); (b) probability of occurring; (c} durøUon; (d) IrrAverslblllly; (e) geographic scope: and (I) magnllude. 11 nece9sary, add allachrnenls or reference supporting materials. Ensure Ihat Bxplanallons conlaln slllllclenl delall 10 show Iha all relevant adverse Impacts have been h.JenWled and adequBlely addressed. o Check Ihls box II you have Idenlllled one or l1Iore potenllally large or slgnlllcanl adverse Impacls which MAY occur. Then proceed dheclly 10 Ihe FULL EAF end/or prepare a poslllve declarallon. o Check Ihls bo. II you have delermlned, based on \he Informallon and analysis above and eny supporllng documenlallon, Ihal Ihe proposed acllon WILL NOT result In any slgnlllcanl adverse envlronmenlal Impacls AND provldo 011 attachments as necp.5sary, the reasons sUPPOTtll1Y litis delerTlllnatlo.~: _.---- ------- ------- -. ~i.;;;;~ ;.j l;~J 'iì;;¡;(v-~-'--~' ------------ -~Ji;;ñí iï~Î ~i,;; ~¡¡¡m¡; ;¡r R;ijl;-;;;;,¡;I~ fjiìj;- r';;; ¡;.iJ ,~~;,;;; ---~---------'¡il.! õT ftêtPõñ;itlêoHlur -- .-- ~,~;;.îi;,;; -;-;¡ ti;;-ij;'-;;;'¡iJiI;; oil;;:;; i¡;- i ;,i" ,i..8--;;;;~;; - -- -.. - ~;ii~iíiï@ -uf ¡'i~~ãiêf1lfdi"m¡;íTlõiñr¡iPõñiffilëõmëëii- .--- .------ -----jii¡.. 2 14-"6-2 (2191)-7c . eil¡/( . 617.21 '1.1) Apr/ I 8 1995 . E Appendix A L I I State Environmental Quality Review I1'CV;ï¡i¡ O¡:-;;"O-U-T--i FULL ENVIRONMENTAL ASSESSMENT FdÀm:-----._~_ HOLD Purpose: The full EAF is designed to help applicants and agencies determine. in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project d~ta, it assists a reviewer in the analysis that takes place in Parts 2 and J. Part 2: Focuses on identifying the range of possible'impacts that may occur from a project or action, It provides guidance as to whethPr an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part J: If any impact in Part 2 is identified as potentially·large. then Part J is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE-Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: 0 Part 1 0 Part 2 OPart J Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate). and any other supporting information. and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: o A The project will not result in any large and important impact(s) and. therefore, is one which will not have a significant impact on the environment. therefore a negative declaration will be prepared. o B. Although the project could have a significant effect on the environment. there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART J have been required, therefore a CONDITIONED negative declaration will be prepared.' o C. The project may result in one or more large and important impacts that may have a significant impact on the environment. therefore a positive declaration will be prepared. , A Conditioned Negative Declaration is only valid for Unlisted Actions I, Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer ., , I ¡ ¡ ! ¡ ¡ , , , i ßf)~6/JRt) bEr/NA . Name of Action Name of Lead Agency Signature of Responsible Officer in Lead Agency Signature of Pre parer (If different from responsible officer) Date , I I PART 1-PROJECT INFORMA',ùN Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed OlaV have a <;ignificant effett on the environment. Please complete the entire form. Parts A through E Answers to these questions will be conSidered as part of the application for approval and may be subject to further verification and public review ProvidE' any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full FAF will be dependent on information currently available and will not Involve new studies, research or investigation If information requiring such additional work is unavailable, so indicate and specify each instance. 00·_____. 00..___··_··________ . u---------·-l E ¡:: / ~LA__u_ n___.____ ..____n_. . n ¡ LOCATION OF ACTION (Include Street Address, MunlclpalHy and County) c \ ,[) ILl.( .1'..J.........ItoKBA\,'_cc NAME OF APPLICANT/SPONSOR NAME OF ACTION -..-.---- .- -llif-rBi,i~Ë~-2r~PHoNE n 'L I , -- - -- --- -- - - -------- - --- ______I r l ,- .- \ _. t:;.; I::.-~,' .1___ --. -.------ __mj ADDRESS m.______ ------.-----.- --- ---.- - ---- '---1000 -uI' - ." .. .----, Sf^TE ZIP CODE l. BUSINESS-TELEPHONE--' .----1 , , I --- . ... .. nOn I CITY/PO NAME OF OWNER (If different) - ---- -------------------- ADDRESS -------- ·-roo·n. -'--r -. ---- STArE ZIP CODE - - --- ---- - -- -----.. -- ------ --- ----- .---------------_. CITY/PO DESCRIPTION OF ACTION ------------ I I .-j Please Complete Each Question-Indicate N.A. if nol applicable A. Site Description Physical setting of overall project. both developed and undeveloped areas 1. Present land use: DUrban Olndustrial OCommercial lJForest DAgriculture l1Iother 2. Total acreage of project area: acres. APPROXIMA TE ACREAGE Meadow or Brushland (Non·agricultural) Forested Agricultural (Includes orchards. cropland. pasture. etc.) Wetland (Freshwater or tidal as per Articles 24. 25 of ECL) Water Surface Area . Unvegetated (Rock. earth or fill) Roads. buildings and other av!'d surface~ Other (Indicate type) . ) [ JRurdllnon-farrl1) ------~---- .-.-------- PRESEN I I\' C acres (^, (lnE'~ , '. aCH--'<; ¡e: dcrE''' ,- .1crf''' -' '-' tlUP" MlER COMPLETION C, acres __----!-..-'_________ acres - -- ------------ <-\{.res ---_._--~----.- - ,I,. <.trres -------------- dcre" ----- -~---- .]crf'" 3. What is predominant soil type(s) on project sitel a. Soil drainage: þ.Wel1 drained __._ _ % of site r::~Moderately \'\'ell drained ________ % of ..ite [] Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified \·..ithin soil group 1 through 4 oi tht" NY5 Land Classification System I _~_ acres. (See 1 NìLRR 370) 4 Are there bedrock outcroppings on project site( I [J\'es ~o a. What is depth to bedrock? __..-----'.~-- (In feeti ''::'.' -.- .lrrps I. . acres 'OJ ;- anes . .-\ ( __ dcres 2 . . . % 010-15% % li I' ,I II " II Ii . 'I !, 5. Approximate percentage of proposed project site with slopes: -øo-10% 015% or greater site, or district. listed % 6. Is project substantially contiguous to. or contain a building. Reliisters of Historic Places? DYes }If..NO 7. Is 'project substantIally contiguous to a site listed on the Register of National Natural Landmarks' 8. What is the depth of the water tablel --4A- (in feet) Is site located over a primary, principal, or sole source aquifer? on the State or the National DYes ,ßNo ,. Ii !I ¡; " 9. 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? )iÇI\'es 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? DYes ~o According to [' D S IEI-..I ë) ~ A A: f I 1\.\ ¡:- / Identify each species 12. Are there any unique or unusual land forms on the project site? (I.e.. cliffs. dunes. other geological formations) DYes ~o Describe DYes jl6No DNo 'I i, 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? DYes 'J<:tr~o If yes. explain 14. Does the presen~te include scenic views known to be important to the community? DYes ì"iNo Streams within or c~ntiguous to project area: /.ItA- 3. Name of Stream and name of River to which it is tn utary 15. 16. Lakes, ponds. wetland areas within or contiguous to project area: a.Name nRIF:.I\\T ft-AR.ßêR Is the site served by existing public utilities1 DYes J¡(JNo a) If Yes, does sufficient capacity exist to allow connection? b) If Yes. will improvements be necessary to allow connection? b. Size (In acres) Inoe, -+- 17. DYes DYes DNo DNo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25·AA. Section 303 and 304' DYes ltrNo 19 Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL. and 6 NYCRR 617? !';lYes DNo 20. Has the site ever been used for the disposal of solid or hazardous wastes? DYes 1JNO B. Project Description ¡L I 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a T atal contiguous acreage owned or controlled by project sponsor ,. ~ () b. Project acreage to be developed: I{ /4_ acres initially; r / c. Project acreage to remain unde\ielop,pd N 4- acres. d. Length of project. in miles: IVI k (If ap~ropriate) ,e If the project is an expansion. indic~te percent of .expansion proposed f. Number of off-street parking spaces existing iVlA- ; proposed I ' g Maximum vehicular trips generated per hour Á) /4 (upon completion of project)? h. If residential: Number and type of housing units: ' f One Family Two Family Multiple, Fami1v Initially F 'fore.;;, Ij:. G ti( A· Nt A Ultimately I HI-1 ~ I. Dimensions (in feet) of largest proposed structure 3 fe::.. height; wipth; ¡. Linear feet of frontage along a public thoroughfare project will occupy isl 11Æ- r acres. acres ultimately vl4 I %; Condor1inium /lJIA /'â>t I I 'I () length. ft. 3 2 11c.1\'\1 n1lHh 11.1tur,1111l,III'II,111! I' r'Ii" ',';ilth, I'll \\111111' rpl11C)\¡t'd tlm!! !11" -,111,1 ~ , lon..,( !ilH( \- .lld.. \rVill di<;turhNI ar('.l<; b(' WI IrliIlH'cI' 1'1)1''-. IINo I«N/\ <Ì If v~":', for wh.!t mtpnrh·d purpnc;(' 10:, t111' "ill' lH'mg f('t lalllll'd< h \r\'ill topsoil iw "Inrkpih'd for rf'1 1,1t1ld!itln' I IYt'o:, I IN" (' \Villupppr 'iub<:'(1d Iw "Io( kpill'¡ lor II'C 1.1I11,ltion' 1)1":' IINII ..\ How man\, at rt'" oj \1'gl'!,ltio!1 (tn''''':" "hnlh.;., ground (o\'f'r..;' will Iw rf'll1o\f'd fr()tll "lfpl -~~ ,11If'<' 5 Will any mi1lure fOlf'<:' (o\'f'r Iln \,(',11" tlldl ()\ ()lhPI I(lt .llly-irnporttlnt \'f'gddtl(\11 Iw H'IIIOVf'd hy thl" prOW( II \--1)'£'" ~No h If 'iinglf' ph<l'iP proj('t t Antlcip,lll'd pt'I¡od of ron<;fru( lion .':.1_,\1_~ __ 111011111", 1111\ ludlng dt~ll1oht(.I1J 7 If multi·phased: rl lot.ll Ilurnla:'r of ph<1Sf''i antlt ip.ltl'( --~:t.- (npmlwr'! Anticlpatpd date of romrnf'rICf'II1PtlÌ ph,l"-P 1 ---ti..1d- __ month ., Approximate completion datf' of flll,,1 pht1<;f' _ f\'¡ A month /. 1<; pha'it-' 1 functlonallv dP(H'tl(h,tlt 011 'ilJbS('qupnt phàst,,1 I I)"" bli1'iting occur during con"tructlf)ll) ! I) P<', !iNn b. c. d. 8 Will \1'.11,111]( Iwllllg Llt'rnolitl~Hl) \t'dl INo Y Numbl'T of job" genf'rated dUring (OI1"tructIClll '/-: ~ ,lftpr projt'( 1 1<', {ol11plt'tp 10. Nurnher of jouc; f'lirnill.ltt.'d hy Ihi<:, HCIP( t -~ 11 'A/ill proj('ct rpCuilf' 1"lo(,<1tI0I1 of ,-111\ Prolt'( I" or í.lcililip,,1 II)h ,Ki·Nlf It \t" P\pldltl __ ---- --.--------- 12. 15 surface liquirl wastp di"posal irl\.,nl\pd' I I)t,,\ I~JNu . , a If ypo:" indicatp tYIW of W<l"!p {"P\\'c1gt', imlu...tri,ll. pte} and atllounl ~'-r-~-_--- b Nanl!' of w.ltpr body inl!) \\hich I,fjltll'nt wrll hI' discharged ____~_1-_--. 1 j 1<; subsurfalf' liquid \\,a<.;tl' disposal 111\'01\'''1'11 I nps "INo IHH' _ 14. Will "urL.lcP diP,] of (Ill f'\isting \\,,11('1' hod\ Incrt'cl'it' or dE'CfPd'if' hV propn';'dl' ./ bpla", _._____ _. ¡.,/j,L .-. -..--.---.-------. IS. 15 projf.'ct or anv portion of prnjf'd'!n(,lIPc! 111 ,1 100 vear floor! plain1 RiY"" 1)(',> -r~Nt IINo 16 \-Vill the project gf'llf'ratP 'iolid Wi,...t(" I)p" MNo il If VPS, whdt is 111f-' alllount lflr lIlonth _~il-od-___ tOil':. h Ii \,e" \..ill an f'xi<;ting o:,olid \"\,l"tl' fiH ili!\ 1)1' u'it·(I I) "" I INn If \f'<" givt' 1I.111l1' _--»-it~ It I( ,llioll d \\lill ally W,lstp<; not go mlo ,I <'I,\\,.~gf' di,,)()c;,11 <;V<;Ipll1 or mfo ,1 '>,lllilal\ l'-lIldídll I I) p,,- ~-,,:JNp {' Ii Yf''', f'Xpl.1in .,¡ //1 17. Will thp project irl'liol\'f' tlH~ di<:'IH)",ll (lí "olid wcl"lt" 11)1''' a. If \,f'5, what 1<; tI(· ,lntic ip<lted r.I!I' ní di<:,po,,<lIl __dL4-__ h If yP", \"vhilt I" It1f' ,lllti( Ip;llf'd 'iilf' Ilíp) _-ÞfJ-1:___ _ ,",PM" ! KíNo tOIl<;it1l01Ilh 18. Will projf'ct tI<;(' IwrhH Idf''' or I\'<;(I( ilil'<:" I I) I''; 'b(INo lq Will projcct routinelv prnduc f' odnr'i (l!1(1rf' th;1t1 CHIP hour per davll f_I·'I'" (INo 20 Will pn)if'1 I produce OrH'r.ltltlg nOI'iI' p)..(('I'ding thf' Incal amhlent nOI':.I' If'\I'I,,' l)f'S >( INo 21. \r\'ill project rf'<;ult in ,1n IIln('i.I<:'~' III l'lwrgy l!",pl If ye< ",die"te type(<) _ __ . . n._ -1/t-l 11\1'< ..1(JNo ------- 22 If watf'r ..uppl\ is fWIrI \\'E'II", ¡lIdll ,II(' plIlllping \ dP,lC It V 1'0// .4 . ,I, 2_~ Total antiCIpated w,ltf'I lISdgP IH'I d,1\' -þ-!---'--t'_- gallun~idi.l\ _ gdlltllh;'IJlltllltf' 24 IJops projpct involvf' Lc)t dl Sf,ltt' If ) ('s, (',I(.plain ___ fIr II,tlN,1! ILJndmgl A .n___~'·l' I !)p" P<JNn -----. 4 , 25. Approvals Required: City. Town. Village Board City. Town. Village Planning Board City. Town Zoning Board City. County Health Department Other Local Agencies Other Regional Agencies State Agencies Federal Agencies . . Submittal Type Dale DYes 6NO nYes ~o [lYes :0 [JYes No DYes DNo "if) () í H 6 L D TRVSTEES .-:ý¡8-/C¡j' øNo I LJYes ~s DNo N yç () E c...., "1/r<;;/9<;" ~ ' , DYes C. Zoning and Planning Information 1 Does proposed action involve a planning or loning decision? DYes liNO If Yes, indicate decision required· []zoning amendment Dzoning variance Dspecial use permit Dsubdivision Onewlrevision of master plan Oresource management plan lJother Dsite plan 3 2 What is the zoning classification(s)of the site' REI; iDE (\J T/41.. What is the maximum potential development of the site if developed as permitted by the present zoning? tV I/¡- What is the proposed zoning of 'the site? AI/A- I What is the maximum potential development of the site if developed as permitted by the proposed zoning? t~/Æ ó. Is the proposed action consistent with the r('(ornnwnded uses in adopted local land lIse plans? 4 5 ~Yes DNo 7 What are tfw predominant land usee,,) and zoning classifications within a '¡~ mile radius of proposE'd action? ì?FS't tJ'Fl\iTlAL Is the proposed action compatible with adjoining/surrounding land uses within If the proposed action is the subdivision of land, how many lots ife proposed? ð. What is the minimum lot size proposed? AJ _A- "I Will proposed action require any authorization{s} for the formation of sewer or water districts? DYes Will the proposed action create a demand for any community provided services (recreation, education, fire protection)? DYps ~No ð. If yes, is existing caparily sufficient to handle projected demand? 8 9 10 11 a 1/4 mile? AI/4 r( (ð<es DNo ;¢No police. LJYes DNo 12. Will the proposed action result in the generation of traffic significantly above present levels? DYes ¥INO a. If ves, is the existing road network adequate to handle the additional traffic? DYes DNa ~ '~ / I D. Informationel Details Attach any additional information as may be needed to clarify your project. If there are or may be any adver~e impacts associated with your proposal. please disc:us<; such impacts and the measures which you propose to mitigate or avoid them E. Verification I certify that the i.nformatio,:, provided above i, true to the best of~ny knowled:e ~ K j .___ ;i:~~;::~Sj~S;~::I) C t ( ~Þ~~fAe' w f Ti~eCoN~~i:I~£~:~If\·X;I9.J II the action is in Ihe Coaslal Area, and you are a state agency, complete Ihe Coastal Assessment Form before proceeding with this assessment. 5 Respunsihilil)' of Lead A~ency Part 2-PROJECT IMPACTS AND THEIR MAGNITUDE Generallnlormation {Rp,l(! Car('íull\ \ · In completing the form thp revip\,\f'r "huuld hI' glllc!t·d bv tlu-> qUP<¡tH)Jl f{¿I\~' 111\ rf',,:,pOlhP'" dnd dPlprrnlnallons been reasonable' ·The revievvpr I"; lint pXI)t'rt~'d 1(\ fw al1 P\.pNt pnvironlllt'nt,ll ,111.1Iv<.l · Identifying that an impart \....·ill he potf'ntii1l1\ largp Icolullln 2't clop<¡ Ilot IlWdll th,lt It i<; ,11'(1 rlf'rf'<;<.;ònlv 5i~nificant. Any large impact rnu~t fw eValUdlf'<I III PAR I ~ to dpterminf-' "igrllfi( an(.' IdplltltYll1g ,111 imp.H t 111 column 2 ~lIllplv asks that it be looked at lurlher · The Examples providC'd aw to d<¡si<;,t 1110 H'\it'\\PI 11\ "howing IVPl'<¡ rd irnp'-1LI" ,lilt! \\ll0rf'\·{'r po<¡siblp the fhrf'''ihold of magnitudp that v'\lould lriggpr ,1 rf'''f)()Jl<;(' in (olurnn 2 Thp (,\'(1I1lplp5 arp gf'm'r,,'!!v ,lppli( ,.lhlf' throughout thf' '-'tillp elJJd for mosl <¡¡luations Rut. for any '3opprifi( pro{'d or <¡Itt' other pxal1lplp<¡ ,lIuJ/nr lowI'r thrp"hold~ maY' lw apPlOpriate for a Polentii11 Large Impac t rf'''ponsf', thu" rf'quiling pVilluatioll In Pdrl \ · The impact" of pach proipct. un pad, <¡ilp, in citch IO(ellit\. will \'.lr\ I hf'rplolf'. llH' 1'\dll1plt'<¡ ,_HI' rllu"itr<ltivf' and have been offC'r('d as guidilnn>. lhf'\ do not ron~titut('.Hl pxhauqi\f' li..;t qf Irnpd~ 10; ,1I1d thn''ihold, to dllo;\H'r Pelt h qw-'Qiol1 · rllP Ilumber of ('xamplf-~<; rwr qUt'"tll)f1 d()f'~ not indileltp tlw imporlitllCf' of bJch qup"tiun · In identifying impaLt", con<;ider long t(,lIn. <;hort term dnd ruml.lllvt' ('ffpr(... Instructions (Read carE-fully) a Answpr each of the 19 qUP'itionc, in p,\ln 2 !\n<¡wpr Yes if Ihl'rf' \.vill bt' any irHp,H ! b Maybe an"wers should be con..;idered as Yes iill<;Wt'rs C If answering Yes to a question tlwn chp{" the appropriatp hox (lolumn 1 or 2) tl! i!!dl( ,Itt' thl' potf'l1lidl "'1,'f' of tht' impact If impact thtpshold pquills or p\.( peel<¡ ':IIlV exarnplf' providf:'d. {Iwck (01[111111.1 If irnp.1( t \\111 on ur but !hn-,..;hold is Im·ver than example, rheck íolumn 1 d. If revif>wer has doubt abuut Silf-' oí !11f' 1111)'lcl tlH-'n considPr Üw impact a" pott'nli<dh' LHW' ':lIId prnu>pd to I'^R I' \ e If d potf'ntially large irnpilct che(kpd in colurJln .! (,In bp ITlItigateel bv (h,lIlgel'30J 111 IIH' proj....n to it <;mall 10 Illoderalp impact, al<;o check tll(' Yes bo\. in colull1n \ :\ No respon<¡f' indlcittp<; that "lit h d ["(,due tinn r..; no! po..,,,,hlp Th,,, mu<;t be f'xplained in PMt ~ IMPACT ON LAND 1. Will the proposed action H-''30UIt in il pl1v"iral cl1dngf' to tllf' project <;Itpl I I NO I J I ~ 5 Examples that would apply 10 (oJurlln ..~ · Any construction on ,Iol'('<¡ of 1 S% or ¡..:rpatpr, II S toot ri<;p ¡wr 1UO foot of Ipngth), or wll('r(' tlw gerH'r.-d 'ilo(}('<; in thp proif'{ t arf'cl ('X(PPf! 10%. · COIIstruction on li1nd \d1l'[(' till' (if'pth to Ill{' \\',llt'r 1,1I.dp i<¡ 11'<'<' lla,111 J fppl · Construction of paved pinking ¿"HPcl for 1,0011 PI" I11UI{' vphiclf'~ · Construction on land WhNp bpdrork i" !'xpo..,pd or genprally wilhlll .) feet of existing ground SlIrf i1U' · Construction that will runlrrJllf' for !TH)l1' Ihdn 1 \'Pelr 01 IIlvulve more than one phase or stage · Extav?ltion for mining purpn<;p<;, thelt would r('/11O\1-' mOfl~ lh<ln 1.000 lons of natural material (i P.. roc k or "oil,! per VI'.H. · Construction or expansion of a <;òTliLu\ landfill · Construdion in a dpsignatc'd fluodw,l\ · Other impart<¡ -- .---.- ~- - --- ---------.. _.----~----~ 2 \'\'111 there he an effpct to clnv unique' 01 unusurrlland form... fOllnd on the sile? (I (', cliffs, dunes. g('ologif.,ll tOlrn,llioJ1<;. e'tc JI-1NO 11) lS · Sµecific- land fornl"· ____ ___ ------ ----~~-_..._._._-_._---- -----~--_. 6 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change 1 I I I III'", I JNo I i I I I I ) ~'<.; ! JNo I : [1 1 1\ '" UNo I 1 I , I I)p.., ; INo , I 1 I I I 1\ ." i INo , 1 II r.lle, UNo I. I I I 1 I 1\ '" iJNo I I I I I _ IY(':- I INn I I I I LlI.., I .JNo I I I , I 1)'1(''' I INn . IMPACT ON WATER 3 Will propos~d action affect any water body d~signated as protected' (Under Articles 15. 24. 25 of th~ Eovironmental Conservation Law. ECL) DNO DYES hamples that would apply to column 2 · Developable area of site contains a protected water body. · Dredging more than 1UO cubic V~1rd5 of material from channel of a protected stream. · Extension of utility distribution facilities through a protected water body. ~ . Construction in a designated freshwatf'r or tidal wetland. ) I . Other impacts' 4 Will propospr! action clfíect dnV non·prolected existing or new body of water' DNO DYES Examples that would apply to column 2 · ^ 10% increase or df'rrease in the surface area of any body of water or more than a "10 acre increase or decrease. · Construction of a body of water that exceeds 10 acres of surface area. · Other impacts I) Will Propospd Action afff'ct "lIrface or groundwater quality or quantity' DNO []YES hamples that would appll' to wlumn 2 · Proposed Action will require a disch.lrge permit. · Proposed Action requirpc;; u"p oí a souru' of W.lter that does not have approval to SPrVP proPO'iPU (projPc:t) action. · Propospd /\ction requjrpc;; wdter supply from \\,pll" with greater than 45 gallons pf'r minute pumping rapacity · Construction or oppratiol1 c.auo.;ing "lily nHltarninatioll of a water su.pply system. · Proposed Action will adverselv ilffed grolllldw<1ter · Liquid effluent will be cOllvl'ypd off rhe <;ite to facilities which presently do not exist or have inadequate capacity. · Proposed Action would u...e water in exce<;<; of 20,000 gallons per day. · Proposed Actioll will likely cause siltation or other discharge into an existing body of water to the extent that there will be an obvious visual contrast to natural conditions. · Proposed Action will require the storage of petroleum or chemical products greater than 1.1110 gallons. I . Proposed Action will allow residential uses in areas without water ì and/or Sf'wer servin's · Proposed Action locatec¡ cornmerr:ial and/or industrial uses which may require new or expansion of existing waste treatment and/or storage facilities. · Other impacts· 6. Will propo"ed action alter drainage flow or patterns, or surface water runofP DNO DYES Examples that \.\'ould apply to column 2 · Propo'ipd Actinn wnuld rh.lngp flonrl walf'r flow... 7 . 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa [l 0 DYes DNa D lJ DYes DNa [) 0 DYes DNa [J D DYes DNa D 0 DYes DNa 0 0 DYes DNa D 0 DYes DNa D D DYes DNa 0 D DYes DNa D 0 DYes DNa D 0 [JYes DNa 0 0 DYes DNa D 0 DYes DNa · Proposed Action mav (Juse <iubstantlal erosion · Proposed Action is incompatiblf' with {'),i,;ting drainage patterns · Propo"ed Action will allow development in a dcsignated floodwd\'. · Other illlµacts· "~---~---"._-_._---- IMPACT ON AIR 7 will propo,,,d action aff"ct air quality I !'JNO LlYES Examples that would applv to lolulllll 2 · Proposed Actinn will indlJ( f' 1 ,(IOU or rnorp vehicle trip" in anv givpn hour · Propo';f'd "dLon will H"..ult in thl' ilH Irll'ratioll of Illore than 1 ton of refu"e per hour · fnwision ral£' of total contdmindnl<i ~\!ill f''\(u·pd I} Ib" pe>r hour or a heat "uurLC producing lIlorf' th.1I1 10 million B ru'" pN hour · Proposed dctioll will allow <In inl rf'rI"p in tl1f' arHount of land committed to industrial liSP · Propo<;ed 3ltioll will allow an inrrprl51' In the den5it\' oí indu5trial df.'velopment \\'ilhin pxisting indu5trial ,1H'<1" · Other impact<;. __________'_ ----- .---- --- -------- ~-_. IMPACT ON PLANTS AND ANIMALS 8 Will Propo5ed Action affect <lny threatl'JH::'o or endangered species' IINO [:JYES Examples that would aµplv to column 2 · Reduction of onE' or more <;pecie" listpd on thl:' New York or Ff'dNal list. using the sitE', over or near site or found on the site · Removal of any portion of a critical or significant wildlife habitat · Application of pesticide or herbicide more than twICE' a year, other than for agricultural purpo5P<; · Other impacts.______________________· Y Will Proposed Action <;ub5tantiallv affect non-threatened or non.endangered speci"sl [INO llYES Examples that would apply to colullln 2 · Proposed Action would 5ubstantially intertert' with any resident or migratory fish. shellfish or wildlifp species. · Proposed Action requirp5 tlw rernc)\ial of morf' than 10 acres of mature forest (over 100 \'ear<; of age) or other locallv important vegetation IMPACT ON AGRICULTURAL LAND RESOURCES 10 Will tlw I'ropo<;ed Action ~lffE'cl agricultural Iilnrl resourcesl UNO Examples thilt would apply to column 2. . The proposf'd action would sever. nos<; or limit iJCCPS<; to agricultural land (includes cropland. havfields. pasture, virlPyard. orchard, ct. ) 8 ~ 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change I J IJ I I\e' I INo I I II I 1 ~ 1'':> IN() II I] I ht" I , INo II L I I 11('" ¡ INn I] I I I ¡·If'.... 1No I I I i I J ~ t'" I INo II I J I I\ps I INo I I I I 1 I ~ ! '<' I INo 11 I I I 11p" I INo LI I I l J ~ I'" 1_ ¡No II I I I 1\", ! ¡No 11 I 1 I -1'11"<; I _INo II I I r 1\ '" 1-INo l_J I I I 1\", IJNo I 1 I I U\e' I:JNo II L1 I-¡Yes UNo , I II I I 1.1\ e' I JNn LlYES . . 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change D D DYes DNa [] D DYes DNa D D [JYes DNa D D DYes DNa D D DYes DNa LJ D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa · Construction activity would pxcavate or compact the soil profile of agricultural land. · The proposed action would irreversibly convert more than 10 acres of agricultural land or, if loc¡'ltpd in an Agricultutal District, more than 2 S acrE'S of agricultural land · The propo.;;ed action would disrupt or prpvent installation of agricultural land rnanagpnwnt systems (e g, subsurfé1cP drain lines, outlet ditches, strip cropping), or crc(lle iI nf'E'd for such nlf'asures (e.g. calise a farm field to drain poorly du£> to incrf'i1sf'd rUlloff) · Other impacts: ____ ------------ IMPACT ON AESTHETIC RESOURCES 11 Will propospd action affpct i1f1Qhf't;í rpsollru's' r lNO ClYfS (If I1p(f'ssary, l)<;f' th£' Vi..ual fAr AddendulIl in Section 617.21. AplJPndix B) Examples that would apply to column 2 · Propoc;¡ed land uses, or proiect components ohviously diff€.'rC'nt from ot in sharp contra"Í to currl'nt surrounding land use patterns, whether man-made or natural · Propo5f'd land uses, or project components visiblp to users of aesthetic resources which will eliminate or significantly reduce their enjoymcnt of the aesthetic qualities of that resource. · ProjC'ct cornporlPnts that will result in the f'limination or significant scref'ning of scenic views known to be important to the area · Other impact.. ~~___ ----------------- IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12 Will Propo..ed Action impact any site or 5tructure of historic. pre- hi<;torit: or paleontologircll importance' DNa DYES Examples that would apply to columTl '2 · Proposed Artion occurring wholly or partially within or substantially contiguous to any facility or sitf' listed on the State or National Register of hi..toric pld( I"'; · Any Impi\( t to ,Ill archaeological site or fossil bed locatE'd within thE' project sitE'. · Proposed Action will ocrur in an arpi1 dpsignated as sensitive for arc-haeologkal Sitl'S on tllP NYS Site Invf'ntory · OthE'r impads.~ . I I' , J.i IMPACT ON OPEN SPACE AND RECREATION 1"{ Will Proposed Action affect the quantity or qualitv of existing or future open spaces or recreational opportunities? hamples Ihat would apply 10 column 2 []NO DYES · The permanf'nt forcc!oslIrf> of ,1 futurp rt'cH",tiofl,,1 opportunity · ^ major reduction of illl 0p€"n c;¡pacp important to the community. · Other impaU..: 9 IMPACT ON TRANSPORTATION 14 Will there be an effect to pxisting tran<;port,11iOtl S\;;Pln<;7 UNO I.lHS Examples that would apply to column .2 · Alteration of pre<¡cnt )i1ttf'rl1<; 01 1110\ f'IlWl1t 01 IH-'(lph~ and/or good... · Proposed !\ctHHl will rpc¡ull ill rIl..ljor Ir,lÍíi( problf'm" · Other impact": ________._ ------------.- -----.. --------- .----- IMPACT ON ENERGY 15 \Vill propnc"pd <1dion afff'd till' rorlllllllllitv''' "(jurep" of fupl or energ, ,uppl,' IINO l:JYfS Examples that \'vould applv to colullIn .!. · Proposed Action \·vill cause a grf'èlter th.1Il 1)% innp,lse in t!w USE' of any form of el1f'rgy in thp rnunir;p¡dity · Proposed Action \...·ill requirf' thp ní',lllOJl or pxtf'n<;ion of an f'flf'rg\ transmission or supply system to <;(-'f\'(' mort' than 50 single or two famil)-' residence<; or to SNVf' a maior (ormTlerci{ll or indu<;trial LISE'. · Other impacls' ,----- -------" ----" --~ ---------- NOISE AND ODOR IMPACTS 16 \Vill there 1:w objectionable odor", nOl...l'. or vibration as a result of the Proposed Action' IINO U\ IS Examples that would apply to column --'- · Blasting \vithin 1,SO() feet of d hO'ipilal. "chonl or other <;ensitive facility. · Odors will occur routinely (morf' than on£' hour rJPr day). · Proposed Action will produce opf'fitting noi"f' eXLeeding the local ambient noise level.. fOf noise out'iidl' of 'ilructurf'S · Proposed Action will remo\"P nalural h,uriC'r'ì th(lt \,¡ould act as i1 noise scref'11 · Other impacts:____ --------------- -~--- -----. IMPACT ON PUBLIC HEALTH 17 Will Proposeò Action afff'ct public he(llth clnd saff'tyl IINO [JYES Examples that would apply to columll 2 " . Proposed Action may (au<;e a ri..k of explosion or relpasE' of hazardou" substilnces Ii E'. oil, w,"tkidp<:;. chellllcal.;., rculialion. etc ) ill tllP {'vent oi accident or upset condition<;. or th(,ff' nlily lw ,-1 chroni<- loy\" level discharge or erni5sion · Propoc;ed Artion may result in t~H' hllndl of "'h<llafUOll'i wastes" in any form (i P. toxir, poisonoll", highly H'ad;\('. radio<ldiv('. irritating. inf ectioll", (--'tc J · Storage fariiltip<:; for onp million or mOTf' gcdltHl'ì of IIquified natural gas or othf'r flammablp liquid" · rropo~p.d (\('1;011 rn,lY rp5ull in Ill(' f'1(,( ,l\',ltioll 01 OU1f-'f di<;turban((' within 2,000 fpt't of a "itp 11<;('<1 for I~lf' (11"110<;(11 of <;olld or hilzardou'i \\<ac;tf' · Otlwr imp<l( I": -------- -- ------~--- ------ 10 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change I I I I I i'lp,,; I INo I I I i i It!'" I INn I I II I IY"" I INo I I I , I it"... I INo I I I I I h !'~ I ~-J() LI L ul U\p, I INo II I I [ _I V+'" I JNo [l i I I ]),." I 1No 1-1 I I [-1\ ,., I INo L I II IIY", IINo IJ [I [JYe' LJNo I I Ii 1'1\<" I INo I] II 1- I\e, I INo II II I lv,,' I INo I I I I I lYe, I INn I I II [Iy", I INo . IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 18 \rVill proposed action affect the character of the existing community? [JNO fJYES Ew;amples that would applv to column 2 · The pf'rmanent population of the city, lown or village in which the project is located is likely to grow by more than 5%. · Thf' Illunicipal budgpl for rclpital t'xpenditure5 or operating sprvicc<; will incrf'a<;e by more than S~/o per ','par as a fesult of this project · Proposf'd action will conflict I,\rith offici;dly adopted plans or goals · Proposed action will (lUSt' a (hangf' in the df'rlsity of land use. · Proposed Adion will replacp or eliminate pxisting facilities, structures or areas of historic importance to the community · Developnwnt will crpate a òellli'lTld for additional community services le.g. 5chool<;, polin> and fire, P.tc ) · Proposed Action will set an important precedent for future projects. · Propo<;ed ^ction will create or f'liminate employment. · Other impact<; . 1 2 3 Small to Poten tial Can Impact Be Moderate Large Mitigated By Impact Impact Project Change iJ 0 DYes DNa [] 0 DYes DNa 0 0 [JYes DNa n 0 DYes DNa 0 0 DYes DNa D D [JYes DNa D D DYes DNa 0 D DYes DNa D D DYes DNa IY Is there, or is there likely to be, public controversy related to potential adverse environmental impactsl []NO LlYES If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3-EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the fol!O\"ing for P,\( Ii imp((' i<lf'l1tifipd ill Column 2 of Part 2· 1 Briefly oP<;crlht· the> impact 2 [)p<;crihe {if .lppli( "hip} how thC' imp,:\( t ('ould ~H' rnitigatpc or r£'ducC'd to a small to modf'ratl' impact by project changds) 3 Based 011 the infurmatiun i1valldblp. d('('idl' if it is rei\<;onable to conclude that this impact is important. 10 ans\o\of'r the question of iflllortan(t', cOI1<;irler: · 1 hf' probability of the impact occurring · 1 hf' duration of the impact · Its irrever,ibility, in< luding fH>rmalH'ntly lost resources of value · Whether the impact Lan or "viII bp controlled · The regional consequencp of thf' impact · Its potential divergpnce frorn IOLal npeds and goals · Whether known ohjection<; to the project relate to this impact. (Continue on attachments) 11 . . county of Suffolk state of New York c;, EbRE,E. b. CDSTEUO, SR. BEING DULY SWORN DEPOSES lIND AFFIRMS THAT HE/SHE IS THE 'APPLICANT FOR THE ABOVE DESCRIBED PERMI'1?(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF IllS/HER KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN TilE MANNER SET FORTIl IN TillS APPLICATION AND AS MAY BE APPROVED I3Y THE SOUTHOLD TOWN BOARD oF' TRUSTEES. TilE lIPPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR I3v VIRTUE OF SAID P~RMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I IlEREBY AUTHORIZE TilE TRUSTEES, TIlEIR I\GENT(s) OR REPRESENTATIVE(s), TO ENTER ONTO MY PROPERTY TO INsPECT TilE PREMISES IN CONJUNCTION WITIl REVIEW OF TillS APPLICATION. .--\ r.·r ( .... ' ~~ ~ \.." ...~!.:Q0W) ..h.. &,I!GNI\'l'URE tt\ SWORN TO BEFORE ME TillS J'6 DAY OF ----.l':1 /1.; 'K C. \-\ ,19 C¡S- ~¡MAJ c £¥- NOTARY PUBLIC SUSAN E. LONG Not8ry Public. State of New York No. 01lO4958343 Qualified in Suffolk County _ Commission Expires November 6. 1~ Suggesl:ed space for locatIon Map TillS IS NOT A PERMIT . . AUTHORIZATION FORM I. .21/7 !I r) ~//?'v1-^- Æk çtt;,/Út) owner of ({h~sf ÁJ' y. 191'.. M/Iao 7fr¡/'t/J~ Business/Property Name Date: located at do hereby give Costello Marine Contracting Corp. the authority to act as agent in my behalf in applying for all of the necessary permits in order for work to be done on my property described above. ~~AL ¡(J¿~