HomeMy WebLinkAboutTR-5295
Board Of Southold . Town Trustees
SOUTH OLD, NEW YORK
PERMIT NO.S ,-,S'"
ISSUED TO ." ~()J?E:1.''T~~.¡;:Ç~gR,E.I<:II
DATE:~~rch 21, 2001
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pursuant to the provisions of. Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 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 W A TERS;~.·. and in accordance with the
Resolution of The BOard adopted at a meeting held onM.".rcJL2.1.....
. ~()91...m' and in consideration of the sum of $200,..00.. ... paid by
.~.s,,:n..:r:,...J~9:ng. ,F.'~rm~t$...:on ..hehalf.o£.;RQB:ERT··W1J¡;ZQREK·· II
of East...Mal'ißn....... ..m'·· N. Y. and subject to the
Terms and Cónditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
Weda.nd Permit to reconstruct t40' bolkhead using C-Loc Vinyl in-place (Grandfather Permit
1 O'x1~) Reclaim 100 cy +1_ lost fill from 10'x140' area in front of existing bulkhead to a depth of
5'x 140\1 AL W. Replace existing 5'x 140' walkway with 8'x 140' walkway with attached 12'x25'
Recons deck and access steps. Reconstruct upper retaining wa111andward of new walkway-and
.y. reel pproximalely 20-25 c.y. of reclaimed material to be used at backfill and remainder to be
upland s',offsite to approved up land site.
after con~ -" .:f.........~ -rr
IN WITNESS WHEREOF. The said Board of Trustees here-
by causes. its Corporat,: S~al to be a~xed. and these p~esents to
be subscribed by a malority of the said Board as of thIS datil,
Arthur Foster· ( A h"pnt)
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TERMS and CONDITIONS
The pemúttee ROBERT WIECZORRK TT
residing at 385 Gul1 Pond Lane, Greenport, N, y.. ..
put of the coosideraâoo fos the IssuaI1œ of the Penult does IIØCIeaIed and prescribe to the fol·
lowing:
1. That the said Board 01 Trusœes and the Town 01 Souchold are' rdeued flOlll IZ1Y and
all damages, or claims f« damages, of suits uisiøg cIirecd.y or incIitecdy .. a result of IZ1Y ~.
adoo petfom>ed punumt to dds petmIt, and the aid p,.. J..... wi11, at his or her own e><pe_.
delend IZ1Y and all such IlÙts·lft ft.~ by thüd pudeo, and the aid P.·... ¡M ._ faU IiIWUty
with reSpect thereto, to the C""'~ 'a:dusioo. of the Board 01 T~ 01 the Town 01 &-4J ?LI
2, That this Permit is' Ya1id for .pèriod of 24 SIlOS. which is ()( lft~lnd to be the
esrlmated rime' required to ~ the work invohecl, but· shoa1d CÏtèusiIsWx:es wamat, request
for IU1 exœosioo may be made to the Board at a Iaœr daœ.
3. That this Permit sbould be retained indef"mite1y. or .. Joag .. the aid PetA.lueoo wishes
to m.I....I" the structure or project involved, to provide evidenœ to anyooe cooœmed that auh-
orizatioo was originally obtained.
4, That the wodcùmJlved 1ril1 be subject to the ~ ood approval 01 the Board or
in ~ts, and noo-œmpUaoœ .nth. the prorisioos of the origI....fI"B applkatioa, sœy be ClOSe for
revocaâoo of this Penuit by resoluâoo of the said Baud.
5, Thar there 1ril1 be no unreasonable interference with œvigatioo .. a result 01 the work
beIein authorized.
6. That there shan be DO ioterfeceoce with the right of the public to pass and repas tioag
the beach between high and J_ water DWks.
7. That iffutuce opecadoas 01 the Town of SoudtoJd <equire the removal and/« aIceratioas
in the loaâoo of the work heceia mlhodzed, or if. in the opiøioa 01 the Board 01 T..-, the.
work IhaU ause un.reooonoble obslnla1oll to free aavigarloa, the aid Pamittee 1ril1 be nw¡u1œd,
upoa due notice, to remove or titer dds work or project beIein suted .ncbouc elre'·..., to the Town
01 Soutbold.
8. That the said Board 1ril1 be nocified by the Permittee ot the ('i*âDllt 01 the 'MId< auth·
orized.
9. That the Permittee win obtaio all other pennits and coaseots thJIt sœy be nquiced sup-
plemental to this permit which may be subject to revoIœ upon faiJwe to obaia -.
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DUS·320S (2/97/ 'FALSE STATEMENTS ARE PUNISHABLE AS A CRIME. PURSUANT TO THE NEW YORK STATE PENAL LAW.
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US Army Corps
of Engineers
New York District
Jacob K. Javits Federal Building
New York, N.Y. 10278-0090
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PUBLIC NOTICE
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In replying refer to:
Public Notice Number:
Issue Date:
Expiration Date:
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April 16, 20òi- ..-..
May 16, 2001
To Whom It May Concern:
The New York District, Corps of Engineers has received an application for a Department of the
Army permit pursuant to Section 10 of the Rivers and Harbors Act of 1899 (33 USC 403).
APPLICANT: Robert R. Wieczorek II
385 Gull Pond Lane
Greenport, NY 11944
ACTIVITY: Replace bulkhead and dredge with ten years maintenance and upland disposal
WATERWAY: Fordham Canal, Shelter Island Sound
LOCATION: Greenport, Town of Southold, Suffolk County, New York
A detailed description and plans of the applicant's activity are enclosed to assist in your review.
The decision whether to issue a permit will be based on an evaluation of the probable impact,
including cumulative impacts, of the proposed activity on the public interest. That decision will reflect
the national concern for both protection and utilization of important resources. The benefits which
reasonably may be expected to accrue from the proposal must be balanced against its reasonably
foreseeable detriments. All factors which may be relevant to the proposal will be considered including
the cumulative effects thereof; among those are conservation, economics, aesthetics, general
environmental concerns, wetlands, historical properties, fish and wildlife values, floodplain values, land
use, navigation, shoreline erosion and accretion, recreation, water supply and conservation, water quality,
energy needs, safety, food and fiber production, mineral needs, consideration of property ownership and,
in general, the needs and welfare of the people.
The Corps of Engineers is soliciting comments from the public; Federal, state, and local agencies
and officials; Indian Tribes; and other interested parties in order to consider and' evaluate the impacts of
this proposed activity. Any comments received will be considered by the Corps of Engineers to determine
whether to issue, modify, condition or deny a permit for this proposal. To make this decision, comments
are used to assess impacts on endangered species, historic properties, water quality, general
environmental effects, and the other public interest factors listed above. Comments are used in
preparation of an Environmental Assessment and/or an Environmental Impact Statement pursuant to the
National Environmental Policy Act. Comments are also used to determine the need for a public hearing
and to determine the overall public interest of the proposed activity.
ALL COMMENTS REGARDING THE PERMIT APPLICATION MUST BE PREPARED IN
WRITING AND MAILED TO REACH THIS OFFICE BEFORE THE EXPIRATION DATE OF THIS
NOTICE, otherwise, it will be presumed that there are no objections to the activity.
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Prepared by:
Susan E. Long Permits
P. O. Box 46
East Marion, NY 11939-0046
(631) 477-3455
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Prepared for:
Robert Wieczorek, II
385 Gull Pond Lane
Greenport, NY 11944
SCTM #1000-35-4-28.26
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Land of Applicant
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SCALE I '" 30
Proposed: Reconstruct 140' bulkhead, using c-loc vinyl
in-place. Remove approximately 100 c.y. materi.a1
from 10' x 140' area in front ofexisring bulkhead
to a depth of ~.O' using hydsaulic or mechanical clamshell.
Replace existing 5' x 140' timber walkway with 8' x 140'
timber walkway Voith attached 12' x 25' timber deck and
access steps. Reconstruct 3' high upper retaining wall
landward of new walkway and deck using railroad ties.
Approximately 2(}'25 c.y. of reclaimed material to be used
as bacldilI and remainder to be trucked off site to approved
upland site. .
GUL.L PONI)
L-A N E-
Page I of.1.
February 27, 2001
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CROWLEY MARINE
CONSTRUCTION
BULKHEADING . DECKS' DOCKS' BEACH STAIRS
PO. BO\ 618
CRI:i:\PORT \iY 11944
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PUBLIC NOTICE NO, 2001-00486-L2
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WORK DESCRIPTION
The applicant, Robert R. Wieczorek II, has requested Department of the Army authorization to
replace a bulkhead and dredge material from Fordham Canal, Shelter Island at Greenport, Town
of Southold, Suffolk County, New York with ten years maintenance and subsequent upland
disposal.
The work would involve replacement of approximately 140 linear feet of existing timber
bulkhead in-place with C-Loc vinyl and dredging, with ten years maintenance, of material up
to 10 feet seaward of the bulkhead to a maximum depth of 6 feet below mean low water,
removing approximately 100 cubic yards on an initial basis. Approximately 25 cubic yards of
the material would be used as backfill behind the new bulkhead while the remainder from initial
and subsequent maintenance dredging would be disposed of at a state-approved upland location
where it would be suitably retained so as to prevent reentry into any waterway. Additional
dredging events are expected to involve approximately 30 cubic yards of material.
The stated purpose of this project is to prevent erosion and provide an adequate mooring facility.
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Mr. 8t. Mn. Locnard RooaIbaum
565 Gull Pœ.d Lane
G=npcn, NY 11944
CarI1œ Latham
P.O. Box 608
on"",. NY 11957
Angelo Süveir
CR 1810 Old Country Road
Hid<sville, NY llSOI
Tbcodoro Angel
20 Dam Tr>il
fund=¡. NY 11901
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Prepared for:
Robert Wieczore~ n '
385 Gull PDnd Laoe
Greeopon, NY 11944
SCTM #IOO~35-4-28.26
Prepared by: ,
Susan E, Loog Permits I
P.O. Box 46
East Marioo, NY 11939-0046
(631)477-3455 '
Page 2 of;)..
February 27, 2001
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Albert J. Krupski, President
James King, Vice~President
Henry Smith
Artie Foster
Ken Poliwoda
..
..
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
March 22,2001
Crowley Marine Construction
c/o Susan E. Long Pennits
PO Box 46
East Marion, NY 11939-0046
RE: Robert Wieczorek II
385 Gull Pond Lane
Greenport, NY
SCTM#35-4-28.26
Gentlemen:
The following action was taken by the Board of Town Trustees during a Regular Meeting, held
on March 21, 2001, regarding the above matter
WHEREAS, Susan E. Long Pennits on behalf of ROBERT WIECZOREK II applied to the
Southold Town Trustees for a pennit under the provisions of the Wetland Ordinance of the Town
of South old, application dated March 1,2001 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
March 21, 2001 at which time all interested persons were given an opportunity to be heard, and,
WHEREAS, the Board members have personally viewed and are familiar with the premises in
question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold
Town Code,
.
.
WHEREAS, the Board has determined that the project as proposed will not affect the health,
safety and general welfare ofthe people of the town,
NOW THEREFORE BE IT.
RESOLVED, that the Board of Trustees approved the application of ROBERT WIECZOREK
II, for a 140 bulkhead use C-Loc Vinyl in place reclaim 100 cy +/-Iost fill crom 10'x140' area
in cront of existing bulkhead to a depth of -6.0' at ALW. Replace existing 5'x140' walkway
with 8'x140' walkway with attached 12'x25' timber deck and access steps. Reconstruct upper
retaining wall landward of new walkway - and deck. Approximately 20-25 cy. reclaimed
material to be used as back fill .remainder to be trucked off site to approved upland site. There is
no dredging to be done. We will re- inspect before backfilling takes place after construction of
the bulkhead. In case there is any dredging has to be done or reclaimed fill.
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.
Permit to construct project will expire two years crom the date it is signed. Fees must be paid, if
applicable, and permit issued within six months of the date ofthis notification.
Fees must be paid, if applicable, and permit issued within six months ofthe date of this
notification.
Two inspections are required and the Trustees are to be notified when project is started and on
completion of said project.
FEES: NONE
Very truly yours,
~ 0 ~_.~~,{ Q.-
If . ,,~ 'I ~r.
Albert J. Krupski, Jf.
President, Board of Trustees
AJK/cjc
cc: DEC
Army Corp. of Engineer's
..
.
Telephone
(631) 765-1892
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New. York 11971
SOUTHOLD TOWN
CONSERV AnON ADVISORY COUNCIL
At the meeting of the Southold Town ConserVation Advisory Council held Monday,
March 19, 2001, the following recommendation was made:
Moved by Scott Hilary, seconded by Bob Ghosio, it was
RESOLVED to recommend to the Southold Town Board ofTrustees APPROvAL WITH
A STIPULATION of the Wetland Permit Application of ROBERT WIECZOREK III 35-4-
28.26 to reconstruct 140' bulkhead using C-Loc vinyl inplace (Grandfather Permit
#5127). RESOLVED to recommend DISAPPROVAL to reclaim 100 cy. of lost fill from
10'X 140' area in front of existing bulkhead to a depth of 6.0' at ALW. Replace existing
5'X 140' walkway with upper retaining wall landward of new walkway and deck. Approx.
20-25 cy. of reclaimed material to be used as backfill and remainder to be trucked off
site to approved upland site.
385 Gull Pond Lane, Greenport
The CAC recommends Approval of the application with the Stipulation that a non-turf
buffer is established and that the walkway is replaced with a non-turf buffer. The CAC
recommends Disapproval of the request to reclaim lost fill.
Vote of Council: Ayes: All
Motion Carried
.
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Prepared by;
Susan E. Long Permits
P.O. Box 46
East Marion, NY 11939-0046
(631) 477-3455
I 5lor~ Frç¡me House t 6arage
Land of Applicant
.
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Prepared for:
Robert Wieczorek, II
385 Gull Pond Lane
Greenport, NY 11944
SCTM #1000-35.4-28.26
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SCALE I "", 3D'
l'I0p0..J: Recuu.t.....t 140' buIkboad, using c-loc vinyl
in-place. Reclaim Ippmx:imolcly 100 c.y. lost fill
Iiom 10' x 140' .... in ftœt of existing bulkbead
to a depth of ~.O' using hycbau1i~ or moc:hanica1 "om"""'1.
Replace existing 5' x 140' timber walkway with 8' x 140'
timber walkway with attached 12' x 25' timber d<çk and
access SÙ! II. Reconstsuc:t 3' hish upper sdaining waD
landwml of new walkway and dec:J¡ using saiIroad ti...
Approximately 20.25 c.y. ofr.do;""'" material to be used
as bacIdilland remainder ¡o be tnx:1œd off site to approved
up1md site.
G-UL..L fONt)
I-.ANE..
-
Page 1 of~
February 27, 2001
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CarIIœ LIIham
P.O. Box 608
on...., NY 11957
Mr. "Mr.. LeooanI Roocboum
565 0uD Pœd lone
~..., NY 11944
Aa¡¡elo Silveir
CR 1810 Old Cwauy Rood
Bùbvine, NY 11801
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20DamTroiI
Platc1<n, NY 11901
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Prepared for.
Robert Wieczorek, U
385 Gull Pond Lane
Greeoport, NY 11944
SCTM #1000-35-4-28.26
Prepared by:
Susan E. Lon8 Pennirs
P. O. Bo. 46
East Mariou, NY 1l939-004ó
(631) 477-3455
February 27,2001
Page 2 of¡,
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5309.5 Route 25
PO Box 1179
SouthoJd, New York 11971-095:}
TeJephone (631) 765-1892
Fax 16311 765·1366
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.N Y'7N.¥LD.!2L'!~~d...Phone Number~lJ) ..< <. - 7 ,~___~_.__~ .__
SutÌ,JI, County Tax f\1ap Number 1000 - .~ 'Ï. 'i - ;¡ go. ;:).1.,
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-\ddress 1'·CLc'ßO-'L_~.kT E-AST -.lliIDlli~~. 11'1~,q-OD Lf.k.-.
""._,. ".. 'n~ ___~____.~_._~___~_...,,_Phone nk,3.L.'1-:L7~3.'iS-5'n
BOARD OF TOWN TRUSTEES
TOWN OF SOUTH OLD
-,._------~-~-_..-
Office Use Only
Coastal Erosion Permit Applicati~
_ Wetland Permit Application ~_ Major
Waiverl Amendmentl ha ges
__Received Application
__ Recei ved Fee S :¿ft-t -
~_~ Completed Application
_,lncol11plèten____~,_____
SEQR-\ Class1fìcatlon
Type ¡~~_Type II_Unlisted___
_CDordlnation(date S~nt)
Ci\C Referral Sent ( . ..L__
Date ollnspeclion ._ ___
._., Receipt ofCAC Report _~_'_"~
Lead Agency Determination _~_
Tèchnical Review ~_~.-+:--.
-:=Pllbhc Hearing Held'....-:Elrfu.,QL
Resolllt Ion
Minor
n. _~_~_________.__~_~_
\ameof-\pplicant r;o¡>,ERT INIFC.Z.ORE-K ,IC
C.REDIT I...' ONNAIS
-\ddrèss SECURITIES (U5A) INC-" 1361 AVE-NO£ (JP
-- ---- - -.-..-------.-----
1 pro\lde LlLCO Pole #, distance to cross streets, and location)
ORIGINAL
.
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Board of'Trustees
. .
Application
GENERAL DATA
Land Area (in square feet): UPLAND - ';"7, (,,<;5 f CANf'r L- 5. (.¿,~ ~
Area Zoning: SI NC,LE FA M II.- ~ REoSI DF NTI 1'+1.... \1 I^T Õ:R F RD N I
Previous use of property: 1< 1',,<;, D i= N CF C0 ITH ill) L.K¡'!l':A P ~ t>Dc.k
.
Intended use of property: 1\\ D c ¡.¡ A f.J b E..
., '"
Prior permits/approvals for site improvements:
Agency
Date
:SCo'rr1-+D( tJ "1"/)",1-1 -r~' ) c:: rEI''>
'ffl'! );'lD/'JD .p¡;'RM IT rl?ANSFER
I I MIl) <;I:AN\) FATItË" Vla:.H l'í
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
/No_ Yes
If yes, provide explanation:
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Project Description (use attachments ifnecessary):~~./", s-r~..ur-r- I'-!D' RlJt !<..H 1"f\-1) v 51 N<Õ
c'-L.OC VI"l~L ~~-l'lAC,E. ~po,ANDF¡;TY.f.f7 P£~¡'U . RËCLMI'-\ tOo c.''f''- 1-05T
FILL FIt°H It> x tlf!) Af.l;:/\ ~'" FRoNT 01' l:"I.5TI/'oI'" ~ULr.t\¡;l\1> TO !r D¡;:~TH
I I
of-f.,ð . L "-5- I I S X 'ID WiT ¡¡' ;<.l,/D
\).TAI.\<'W'I'-! "-'iTk "'TTAC.¡'IE'-Þ I;¡"X '¡'S' TIMߣg. DË."-K 'I- A~ "SrEP.::5'.
~~"'1-oN..:o;1'"Ruè_.-T uP-PËJ;! i::t:;.TAll\IING. \AJALL LANÞwAK'b r\F NGLW u.JA.Lln.oA"
A~I) pE:C.K. 'Al'PRO'l-lfo.1ATn:t ~b-~5' c,,¥, 01' R~LAIMl'b MI'tTER/AL To 6É.
lJS~Ò As ÔAC-\<.I'IL.L A¡.1D 1<E.M"'NDER. TO 1\);: -rR\lc.J<.l'-þ ofF "olT!; TO
A1"'P~60f2h upLAt-..iD S I'Îr=
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· lard of Trustees AP!catiO!Þ
WETLANDrrRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: MAt l\\í¡:'NAt-.I(',F -r ::r:M \"¡>MlFMf./IIT
To EKf:'>T I f'tC ..s"~l)~"'I) 1? E...'
.
Area of wetlands on lot: - D : ' \ ;"FL A N 1) square feet
Percent coverage oflot:
f()
%
Closest distance between nearest existing structure and upland
edge of wetlands: 0 feet
Closest distance between nearest proposed structure and upland
edge of wetlands: 0 feet
Does the project involve excavation or filling?
No \/ Yes
If yes, how much material will be excavated? I bD cubic yards
How much material will be filled? ~ ð
cubic yards
I
Depth of which material will be removed or deposited: -(¡, feet
Proposed slope throughout the area of operations:
,J~
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Manner in which material will be removed or deposited:
¡,¡~ ORAl ILl (' oR
vtAï E..~IA-t.. TD ~E.
,"R\5GKI=:b Þ>\.tJ A~
Q.LAH. :Sl-\E.LI R¡;:èt AI Mgl\
,
iJ~£ b AS Bf\c.K FILL AND
TD AI'PRöUEt\ \,r-LANÞ> SlTE
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 ifappropriate):
T \
'5\\E.AìHI N¿' ""Nt) Go "ISi RVc..ì E.f':,
NO 1'\ tb A- Tl-v E. -rM PAC. TS I C:>
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EN\Jl RÖIJ J.AENT
I
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
..
,.
Town Han
. 53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
-----------------------------------
~ t~e Matter ~i the Application
(~-_IJ!.::!#~-7L-
COUNTY OF SUF;~~~l/~------
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I, XA-N (' RoW /..E Y , residing at
~Ke.ëNPð~'- . 'H'-I
being duly sworn, depose ahd say:
That on the I~tk day ofMA~tt, 2ool, I personally posted the
property known as .~~_" G.tlLl 'Pf\Nt> LA-¡"¡Ë, "'~F~NPO~T
by placing the Board of Trustees official poster where it can
easily be seen, and that I have checked to be sure the poster
has remained in place for eight days prior to the date o~i~ _~
~blic hearing~ pate. of hearing noted thereon to be held ~~
~, n.. ..... IU+t1J- 7 p """ ..
Dated: a/;¿,t/D I
~I
.
Sworn to before me this
~ISï day of MAR.CH- 200l
~"'AðM) r_ ¥
Notary Public
SUSAN E. LONG
Notary Public. Stete of New York
No.01L04958343
Qualified in Suffolk County
Commission Expires November 6~ac.
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NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
'R()5t=~T WIE.C.'2..I)e.~~
SCTM#lOOO- 35- '-/- ,;J.'8·ólb
YOU ARE HEREBY G¡VEN NOTICE:
',", "'.\
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
R£.CoI'\Sn:.Uc::.T 'BUL'KI-\E:Ab V&ING C.-LoOe.. VIN\ '- :5ItE¡\ïH/NI(;/
RË.MbVE- .... ~E pI.. ACE. WAL.kW A-'-\ AN D ATTACH l.:l' 1-as ( bE:ó-C.k.¡
REI..DCAí€.. 1Jf'F'E.1L ~\õ.TA'NIN' WÀL.L kA-NDI.IJA~ cç ~At..',(~Alj
ANI) DECK. ~ECL^/M "'I'PRö)(IHA1J::L'f \oDc'''¡ kOSí fiLL C!0J</'{O)::r::!4 ¡:~()NT
OF ßut.I<I-/EA-b T6 -(.,' A L.W, I
2. That the property which is the subject of Environmental
Review·-Ìs located adjacent to your property and is described as
follows:
3 'Os G, lJ L-L ~O ~D I-A HE.
G~Þ.¡;:N Pc> Jë:.T
3. That the project which is subject to Environmental Review
under Chaþters ~3 , 37, or 97 of the Town Code is open to public
comment on: 3J~_~1 You may contact the Trustees Office at
765-1892 or ih iting,
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: 'Rbl'>£RT W 1e:.C. 20 R.£.k' -rr:
MAILING ADDRESS: cI" :SU<;AM E. 'LoNG l'e.~1'-\lTS
~t)·Mx ~I. ë.1ST ~A'ltID~S-NY IIC:BC¡-ðDlf~
PHONE #: "3 - '-/. 7- 3'1
Ene.: Copy of sketch or plan showing proposal for your
convenience.
"
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AUTHORaATtÖNFORM
Date ~jo C
I, R~~.0~e.cuJ~wnerof s.'8S G-w{p=-J.~
(name) (street addreS~
located at G-;::;¡:vk./ ~){yk.. do hereby give' ./~"-
(to & state) (contra or)
and Susan E. Long the authority to act as agent on my behalf in applying for all necessary
permits for work to be done on my property described above.
~
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1. APPLICANT ¡SPONSOR I 2. PROJEC7 NAME
S lECZOR
1-4·18·4 (2187)- rex! 12
I PROJECT I.D. NUMBER
.
.
.
.
SEC
3.
Munlcløallty S C Counly
". PAEC:SE LOCATION (Street address and road Intersections. ørominent landmarks. eIC., or .orOYloe mapl
,
AREA MAt' 0 N 'fR03ECT PLANS
6. IS PROPOSED ACTION:
o New 0 expansion
6. DESCRIBE PROJECT BRIEFLY:
o Mocliflcatlon/alteratlon
Itfö'~ ~~1J..JJ.~L-¡:'
~~'\~~-~.~
~. . (]
7. AMOUNT OF LAND AF~eCTED:
Initially ("j - acres Ultimately - (:) - acres
a. WILL FAOP~SEO ACTION COMPLY WITH €(ISTtNG ZONING OR OTHER EXISTING !...ANO USé AESTRICitONS?
;g:'ves 0 No If No. describe briettv
9. V/HAT IS PRESENT LAND LJSë IN VICINITY OF PROJECT?
~esldenua O.!ndustria . 0 Commercial 0 AQrlculture CJ Park/Forest/Ocen sOilce
Describe:~ h~~
L.J Other
10. OOES ACTION INVOLVE A PERMIT APPROVAL. QR "'1JfJIiIII4>G, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE O~ LOCAU?
~~~~SY;:j:n:;.r~'ër:; ~..)\~ 5 j)EG
'1. OOES ANY ASpeCT OF THE ACTIOr.¡ HAVE A CURRENTLY VAUD PERMIT OA APPROVAL?
DYes' }i No It yes, list aoeney name and permiUapproval
":V
12. AS A RESULT OF PROPOSED ACTION WILL exISTING PERMIT/APPROVAL REOUIRE .'v100IFICATION?
DYes 1:išlNò ...
CERTIFY THAT THE INFORMATION PROVloeo ABOVE IS TRUE TO THE aEST OF MY KNOWLEDGE
"PE.R M rí5
Dale :1 ) óI.J( /ò I
7 t
SIQnalure:
If the action is in the Co¡¡~tal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this aµessment
OVER
1
PART 11-:NVIRONMENTAl
A. DOES AC710N EXCEED ANY TY 6 NYCRA, PART 517.12? llyn,
Dyes ONe
e. WILL ACTION RECËIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN ô NVCAR. PART 0);7.57
may ~e s1Jcerseded by another involved agency.
DYe, ONe
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOl.lOWING; (Answers may be nandwr1lten, illegible)
C1. E.xisling air quality. surface or' groundwater quality or quanUly, noise levels, exisling tralflc patterns, solid waste proauc:ion or Cllsoos,
potential tor erosion, drainage or flooding prOblems? ExPlain brielly:
o be completed by Agency)
If No. a neQatlva aec:arall,
C2. Aesthellc. agricultural, arChaeological. historic. or other natural or cultural resources: or community or neignbornOod character? Exolaln Dne
c:J. Vegetallon or fauna. IISh. sheHtlsn or wildlife sp,ecies. significant habitats. or threatened or endangered soecies? Exolain briefly:
C4. A community's existing plans or goals as officially adocted. or a Change in use or Intensity at use 01 land or other natural resources? Explain Orlt
C5. GlOWa,. subsequent development. or reJated aclJviltes likely 10 be induced by If'le proposed action? Explain bflefly.
ca. Long term. shOrt term. cumulalive, or olf'ler eifects not Identified in C1·C5? Explain brJefly.
:;7. Other imoacts (including changes in use ot either quanlity or type 01 energy)? exPlain briefly,
;,
G. IS THERE. OR IS THERE LIKELY TO ee, CONTROVERSY RELATED TO POTENTIAL ADVeRSE ENVIRONMENTAL IMPACTS?
CJ Yes 0 No II Yes. exptain brleUy
PART III-DETERMINATION OF SIGNIFICANCE (To be comeleted by Agency)
INSTRUCTIONS; For each adverse effect identified above. determine whether it is substantial, large. important or other..vise sjgn¡fic~
Eacl1 effect should be assessed in connection with its (a) setting (I.e. urban or rural); (b probability at occ~g; (C) duration;
irreverSibility; (e) geographic scope; and (f) magnitude. If necessary, add aUachmen1s or reference supporting materials. Ensure :r
expJanalíons contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressee.
o Check Ihis box if you have identified one or more potentially large or significant adverse impacts which MAY
occur. Then proceed directly to the FUll EAF and/or prepare a positive- declaration. .
!:J Check this box il you have determined, based on the information and analysis above and any SUDpor1ing
documentation, that Ihe proposed action Will NOT result in-4ny significant adverse environmental impacts
AND provide on attachments as necessary, Ihe reasons supporting this determination:
....."HI! Of ll.'.Ju A!,:li'ncy
r'"nt oJ, I HJIi' ':.Jme 01 K(,'~pon~ olli' UlilC(f ,n ll.'o,Id Alo:l.'ncy
rHlli' Of K~'spon~ o 1i' ÙII'Cer
),..n.Jture 01 l<e~oon~,OJe' On,ccr ,n ledO "",ency
SI",n.cure 01 I'r~p.Jrer lfl "lIferent ¡rom reH>on\,O'e OI"C<:'1
,..,..
O.Jtc
2