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Home My WebLink AboutTR-5691 TERMS and CONDITIONS Edward J. Bondarchuk \t~'~ The pennittee ........'nn 650 Blue Marlin Drive, Southold, N Y &~ at . ., as pan oE the coasi<!eraûoo for the isSo..nœ of dae Permit does uøderswad and prescribe to the fol- lowing: 1. That the soid Boud of Trustee5 and the TO'II'II of SoucboId oœ released Erom oøy and aU damages, or daims Eot damages, of suits arising directly ot inditecdy as a ~ oE oøy o~' aûoo pedormed punumt CO chis peøuIt. and the said F ~'.e., will, "" his or her own apeo"". defend oøy and aU such uu .iDit/."'¡ br third parties, and dae said 1'>. ;11- - fall liability with respect thereto, to the complete exclusion oE dae Baud of Tmska of dae Tøwn of SoadJoId 2. That chis Permit is w1id lor a period oE ?ð. mas. wbic:b is ",,-,,i','ed to be the estimated time· requited 10 complete the work in"fOhocd, but shoaId CÚ(miJStaI>tC$ wunøt, request Eor an exœøsioo may be mode to the Board at a 1ater date. 3. That this Permit should be retoined indef"anitely, or as long as the soid p....Jttee wishes to mointoin the struetute or project involved, to provide evidence to oøy""" roocemed Ihot wth· orizaûoo was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or ia agenu, and noo-c:ompliaoce with the provisions of the ori8i~'¡ng app1icatioa, -.y be canse f« revocaûon of this Permit br resolulÍon of the said Boud. 5. That daere will be 00 unreasonable interference with navigaûoo as a result of the work berein authorized. 6. That there shaU be no interference with the right of the public to pus and repass aloog the beam between high and low water marks. 7. That if future opendons of the Town of SouthoId ftCI'Ùt'C the remova1 and/or lIœndoas in the Iocaûon of the _rk herein ..tborized. 0 r if, in the opinino of the Board of TrusteeS, dae work shall cause unreasonable obsttuc:tlOO to Eree navigadon. dae soid Peøøittee will be reqaired, upon due oorice, to remove or liter chis ...,rk or project berein stated without ""i'CO'"" to dae Town of Southold. 8. That the soid Board will be notified by the Permittee ot dae ~ of the work IUIh- orized. 9. That the Permittee wiU obtaio aU other permia and conseaU daat -y be ~ sup- plemental to this permit wbic:b may be subject to revoke upon Eallure to obWn 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 (630 765-1892 Fax\631¡ 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0023C Date 1/24/05 THIS CERTIFIES that the bulkhead At 650 Blue Marlin Drive, Southold Suffolk County Tax Map # 57-01-28 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 12/30/02pursuant to which Trustees Permit # 5691 Dated 1/22/03 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is reconstruction of bulkhead. cover existino: Datio. and leave a 15' buffer. The certificate is issued to Edward J. Bondarchuk owner of the aforesaid property. ~.9~·()- Authorized Signature Albert J. Krupski, Preside. James King, Vice-Presidenr 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. 15 0 "Ì c1 Q. /" <- t, ~ IC INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction Y. constructed l/ Project complete, compliance inspection. 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 January 27,2003 Susan E. Long PO Box 46 East Marion, NY 11939-0046 RE: SCTM#57-01-28 Edward 1. Bondarchuk 650 Blue Marlin Drive Southold, NY Dear Ms. Long: The Board of Town Trustees took the following action during a Regular Meeting, held on January 22,2003 regarding the above matter. WHEREAS, Susan E. Long on behalf of Edward J. Bondarchuk applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated December 30th, 2002. 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 January 22,2003 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 . 2 . 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 Edward J. Bondarchuk Wetland Permit to reconstruct 100 feet existing bulkhead in same location using vinyl sheathing - construct two I 0' return - excavate 26' behind bulkhead reuse fill with additional 20 cubic yards - clean trucked in sand as needed - cover existing patio with Trex - add Tx13' Trex patio over west steps. with the stipulation of a fifteen foot non-turf buffer behind bulkhead leave it as sand or natural plantings - no turf grass. 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 permit 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, ~4_..J (). I 16-_~J~ I I ~ , Albert J. Krupski, Jr. President, Board of Trustees AJKlcjc cc DEC Building Department /1 no.m Susan Long ,;z -"n-D3 ~ \ \ I /t..- at> H-VtZ ~~ -.). ~7~~ ~ ~ ~ Qfi../~- ~ J.~~ ... \ , . ~I~i· chLJVIM; ,+ J ~ ~ J 1 ~; -. ~~ -[) '- . . ~, ~, . ,"!i if'- J~1 a:,~ n Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda -- . Town Hal1 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 TO: Susan E. Long on behalf of Edward J. Bondurchuk Please be advised has been reviewed Januarv 22, 2003 that your application, dated December 30th,· 2002 by this Board, at the regular meeting of 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: $ 5.00 tltL.·1 ~ ~1 i~·A: 9' SIGNED: y' PRESIDENT, BOARD OF TRUSTEES BY: c~:J~ ~~- 4/98 Albert J. Krupski, Presideot . 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 EDWARD J. BOND,ARCHUK 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 1 st day of construction y, constructed --Jf- Project complete, compliance inspection. 1/27/03 - , . Telephooe (631) 765-1892 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 . SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, January 15, 2003, the following recommendation was made: EDWARD J. BONDARCHUK to reconstruct 160' existing bulkhead in same location using vinyl sheathing. Construct two 10' returns. Excavate 20' behind bulkhead and reuse fill with additional 20 cy. clean trucked in sand as needed. Cover existing 12'X 45' concrete patio with Trex. Extend 7'X 13' Trex patio over west steps. Located: 650 Blue Marlin Dr., Southold. SCTM#57-1-28 The CAC did not make an inspection, therefore no recommendation was made. Field Inspection 1120/03 .- eO'\-1 O. -)( '\1 u.1<. Field Inspection 1120103 .. .- - . ... 1M . ... ~ r ... .. 6oroó.\ìL \-uJ__1t. Field Inspection 1/20/03 .. .- þ ...-.-.,., . . .. h M to·,,· r II' ... III .......- ~'Ü~ ~'( "'-lLl!. BLUE. MAR.L bRIY~ . w D NeE 'r. I" ,I ", -'J " ~ I ". , . ~ ' " - 1 L.ANb of APPel CANT 'PRE PAF,E,h Fð~: E:DWARb ..:1". .RDNDAle.C.HU ì::. iDSD .!SLUE MARLIN DRIVE:'.. SOUiHOLD . N~ 1/~71 COUNT)' OF SUFFOLk:. f..'j .sc.rI'' *' IOOO-S7-01',a \'RJ::PAREb ~: .s:U,SAN Ë. LON G PE.RM I1'S 1".0, Box 'fú> EAST MA RloN. N:::I /I '(.3'1.00<1 ~31) '177-3'755 .~ N ~. > , . '. .. I r ..( , . ~ n ~ ~OOf OVER c! CONe CONC &: SLATE ~ç¡ . ~R.OÑ I PORCH . CONe 26. 225' Õ . . .. - ~ o. q 17.5' Ii ~ 1 STORY FRAME '" HOUSE & GARAGE PRO Pb S ED : .I '" NSTALL SUPPORT SI,STIU< f'ILIN 6. .:rMM Eb/.'tTE~ IU' SIIIE.. of EACft EXISTING 'PIL/Me:. ON FAc.£. of EU LkH EAD (/00' of BIJLK-HfAD) /7- l'if ^\)Om~l'If\l 1'11./Nt;S c.o NIi£C.,. 3/,,".,. 31." 130...,. ïHRV NEW P¡~INIö To!> !<JI3ÍfIll<ó ne RoD ßy E:XCAUATIN<:: I.OI1'H JHÞll~1. l...,..bWIIRD 0 F E.Ac.Q '"IN~ TO ¡¡)OpoSIt "I'll Rot> IS/IX 'fZ." COVE.R. I!XIST,l'jC:: i'A,...,Q WITH /rTRI!.')\, ADI:) ,'X 1.3' TI1.E:I. Tb f'I'ITID. \( 4~.6· 202" ~ . . ....... 222" q ." .. còÑc: "~AT1o- ".!" ~ 11S ...... '.,. - ..... -; i ° .::.r;':·· 421'-- ~ "ÞÞ "1- 11 covlt ('/oUT. ~'f. ~ fl.'/- I'A'TI~ "",T)! ~ t~"'ÇlO M I 15 ,I R 7~ ' I' íÞ 1't- ¡j! ~ 'i" N£vJ I ,þo.I" 0"1" ~ ~.>-I1'Ie. f"O <'<" . ",","" \ ~ eJ'HH 'os '1''' ~I",N l!~IJrl'" e,)lISTII'/(; 0'1'000 STEPS , wooo u\.t<ti[AO 'Nore.: iRE~ IS PI MAíËRIAI. MAli£. of' PLASTIC- '" \1..1000, C.OMIiIINr;.C. SCAL.e.: ¡ ":; '3C/ , AHvt 4T 5"KH¡AO ~~Sl!P svppo"r ~ rn. , ,,"3 (1'~I'i') .s~E.L rlõ..R. :r.SLAN D 'sDU tH~ Cc.TCßEIl ZI,2002. SHËEr I OP ~ - CRD-SS\JIE.W , lJUL\<.HEAtJ II ,I IÙc-I\VA1 ¡;. l'i --¡. "j~ ïÞ ~O"""Ie.<.í ,"CL" 't-~'I ItOM IJI!,W rILI"'- .. ..j.~ TO 1O-l-15TI"'Gõ . .. "''v TIE ROb ""'<,,- ~ . , " \ \ "~ . \~'~(- \ \...J ~\:: \.~S ~ M·~· <¿~ ' '>!.-->, ~..0v \.~t-Y\<~ .v,- V -\ rJ-Þ \~\ '" \0' /---..... " s:: , '" ,/. '~~1 / Jen7JLngs Pl CAJ,tPOVINIPEr ~I r(~T"ooISr) I - , Adjoming Propertlea: . N"W BOLT 7' ¡¡;~ISiIN~ 1I1\t.1<.,1.¡¡;' 5~srGM úl'lllHoWl'I - ~\.w ~Hì 3' Sl.^lE: [ 1/ = 31 1000-57-1-27 Joseph &: Jacqueline Pottgen 550 Blue Marlin Drive Southord, NY 11971 l000-57~1-24 Southold ShŒe8 Assoc. IDe c/o Dcnal.d M Bayles, .Pres P.O. Box 396 Southold. NY 11971 ¡t>lS Tlf'I G.pe~~\~"'TlOn tl\.o'I"f. N "rIDVo> ,., ~\'\... "~it II SlS1p ,\-1 fP'OPD¡r; ~>¡;.to\e:1R/f1lDI <- ?I,'Ñ 1000-57-1-30 Rosemary Mwteleoo.e 15 Oak Lan. Old Brookville. NY 11545 1000-57.].2) AIda & OIaa Blaskovic 29-29 16Sfh Street 29-30 Awhing, NY 11358 ,.... f".f'~J[) Nl!vJ "I.V, ,{q"i- 31." \\~ ;IL''',tllÞ!) J:~Mft:~ ~:'511~ ~ IUoI61'lrI(" (" If~"': ~ . "I?"'~': SVPPORí PILING- CRDSS FROr-lr VIEW ßVLK\tIÕ¡\D I " .sCAI.E. I"", g ~'/o\S~/rI ,......V' ,..6- tI\\\ Go "'1)",,/>0 \\" þ, ------- _e. .~ ~.. - ,"^ , J-- '" , . ow." IdA. ;;- . .¡ . ~/r 31 11-' \1 Rl\.hAM \ !.-- L '--'- ~ e,}ISTIN' ,. I"I'IN'S. ~ " P2NII.TP.""1'"'''...........·''''' vl'l<.."IC"'N ~ p~ðtØ'~þ ~I "'" PII.IN" I ':J W ~f'I!N~T,~Mlþ.¡.,..... ð<:.ra61!R. ~I , 2.002. ~ V /OJ' SH¡;Þ.T 'Z 0 F 2 November 5, 2004 Board of Town Trustees Town of Southold 53095 Route 25 PO Box i 179 Southold, NY 11971-0959 ~~NO~ ~8n ~~ RE:Permit Number 5691 Edward J. Bondarchuk 650 Blue Marlin Drive Southold, NY SOU/hold Town Board of irustees Sent via Fax to: 631-765-1366 Dear Sirs: Please accept this letter as notification that all work authorized by Permit # 569\ issued to me on January 22, 2003 was completed as of October 24, 2004.lf you have any questions, please contact me via mail or phone 631-765-9165. Very Truly Yours, ~f'~ Edward 1. Bondarchuk 111/<:;, rc\ r-. -- ~\~~ \r\ bLIc\.\( ~~ ,- c\.~CLÚ\¡~ U_",,-~ll ~"\ l.J(Ij\\ ' '70¿~c. -- r . 01 ss r sss£. a:s P3 -- . ~sr:so vo so AD~ '._ .' I:-~_ [-', :.~:·jd"l ... .!. " ~~ P:I~~...:k·l·r. . /{~~tF'ÓLt"<~", ".>:;gC'<?"'-. )~ %~ ~' ;:? "'" "2'.. ~ ~ . - -:: en ~ ,:) ~ 'õ ~ ij ~,. tr ~~"'O¡ + i-~~~"i ---~:~.,:;:;:::.___':L'-:'- : i. _-1-' I . :', ~ ,-' ~ ['__ ""_'.:,1 . r..·.,·, I\..: ')jlJ'~"-J H"'l.k __ F () 8,: '. : ~ -':' S(,u:ll,..!tj ~~'-"" î,_rk ll:'-: r<.:i(·!~¡-L,n._ r", _" L -','J 1 ~ ,'_ F'dX ,~j I, ,;,,_ ~·l ~'I:,I ORIGINAL BO.-\RD OF TOWN TRUSTEES Ic)\\'N ()[.' SOllTHoJlD - ------------ ----- - - -- - -------- omrc ll,c Onl~ ¡t,·'¡>131 Erc);I,)[1 I'él,nll ·\ppliCRIIÙI1 il,l, èldnJ ¡',,["mil .-\ppIIC,\lIUI1 __ ~1ctJ"[ \'1, JI', Çr ,-\mendment ~11dn les .... Re~ê~. 02 -\ppllë3Ill111 I .3.ø Ý "~c',C'\èj Fee S ~ ul..fr'.èk.lèd -\p. P.II.CJI~;;~ j;[>,.. -..O!O~ I 'I'~', ,llr' ,~'!C' _ _ __ _ _____ _ L_ _ __ ___ ~r<)R'; Ct.bSI!~c~·l!iün I,.'" 1__ T\~'e 11___l,·IlI's[èd I,..r::,I·,.iIIC'C¡ I ,j"It.,cnr!vf-_. --¡¿.c/. '. \'. F,'Cicn.ll ~':111 J _;(,~ 1) 1).1', ,: 11"f'.'::I',"] =11-riJ- Q_2 P.c·:'c.:'1 ·:r l 'Ie Rep"n _________ ~_;:"_ì,,~ -\,~(·nl\ Dt."[Cmlin(¡[I\.ì['1 1 C_'I - ----- I", ' .:.11 Rè'.lè\1 ,-I. Il(Jr,n~ Held-~4-~Oi7.. : or: --.. --------- ------- --~--- \1111,'[ - --~--------- --------------., \;'cIICJnt ¡; t)~Þr'l.b :T . '3 t'I ~ 1> Þr Rc.1\.1.l.K__ ___ . DR. ~uItiQJ.a::t¡_-~¥_1 ¡q7/ P¡"}[,'è'Jumber I -"3~---1J..,S..._-'i~S_ '.~~ '-' '-f.So.__ fIoLU E--Þ!MlI f.4 ,_. -~-----_.._--_. ~ I, '",.;'·,r.', ] .'1\ \L-¡~~ \'''lIlr¡l~C'¡ IlH.)I) - -S-7-~--1~~8_ . :"1 m__. --_"S.oQT'HíLL..-Ì>__________. .::,: l.JL.\. Û f\='k~:.¡ dIS!.1rLC [i,) (r....)S~ Strèè'!:;, ttr"IJ k'''':J[I(~Iì', 'Ul,;' l'I~~AnE.N--5()t4 bA7t-~~ SU<;ftt-L--=-nJ,..~ç__ -pOnBO~--t.jkr--.E.AS:L--MhKID1i--. .I'lV_mLl'Ja!l~ OO'/{,. l'II,.)[I"lø3l _'177- 3'+55 >->. B~rd of Trustees ApPlication4IÞ WETLANDffRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: _")T.4 K IL I "Z..£ RlJLk'}-I~Jib AN b U PI,..AN D 'f'R/')'f"E'~TV Area of wetlands on lot: -0 square feet Percent coverage oflot:--.1i.!..A-% Closest distance between nearest existing structure and upland edge of wetlands: I'l.( A- feet Closest distance between nearest proposed structure and upland edg~ ofwetlands:~feet Does the project involve excavation or filling? No ./' Yes rfyes, how much material will be excavated? /I l'ð"X'l:J. 8£l\/Hb tsUL.KItJtA.h , cubic yards 1'0 ~~N I!!.<!.T TIE. Rbf:)5 How much material will be filled? - n _ cubic yards , Depth of which material will be removed or deposited: I If feet Proposed slope throughout the area of operations: ~[A , Manner in which material will be removed or deposited: IiA/IJ t> Toot. " , 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): I\ b - Ë ËF' þ..(' I " B~d of Trustees ApPlication4IÞ GENERAL DATA Land Area (in square feet): ~ ~. 3 b:;;' . Area Zoning:_'R 011 t,L.M-t_i~ W ~þ--:t- ~ #, ~M Previous use ofpropefo/: ..Á\J^^~ Intended use of property: .~;.. (' lA."¥r-~ Prior permits/approvals for site improvements: Agency Date r .1 ~JY'-AU nv _ ,JY\D I.... 1QJ...UV\0ÅJ1.~ - No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend¢ by a governmental agency? --L No_ Yes If yes, provide explanation: tvJft Project Description (use attachments ¡fnecessary): XN31'II\..L 5u PPðtí IIslsreR" 'PILING. ~MI.\E.ÞI"'1'Ej,.\ ðN SL1~£ of E"I-1ST/N~ P'L.IN~ eoN FAc.E 01= 8\JLl<H£.4J> (100' of .8ULkttI!AÞ) c:.oVEK E.~15T1Hl;. YATIO WITH Tk.E.)C AI)O 7''f./~/ Îk.s'1 Tb PAT'b I B04lf of Trustees Application 4IÞ County of Suffolk State of New York :jUSIHV t:L ~6 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 MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM AijX AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID. PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT ( S) OR REPRESENTATIVES (S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS 'PPL'C'T'ON. ~ ~~,/W\ / S . S~gnature SWORN TO BEFORE ME THIS d.-;)q d ~~~&(1aJ ClAIRE L GLEW Notlry Public, State of Ntlw York No. 01 GL4879505 Qualified in Suffolk Co~ ') Commission Expires Dec. 8, BEING DULY SWORN DAY OF Ht1r^ck ,.H" è). ù7J() 7 SHe Yaboo! Mail - selpermits(g)prodigy.net . "- ~·:Mail .... Check MaH E'" o G\ ~ C6 ~ ~ Check Mail Page I of I . ,/- c r~, r-~/ MAIL f.{; .. I ,:.,. '-0 ~ . ~ se/·permit9@prodigy.net [ ·-:':r ... ~-.-. Compose Previous Delete Repty Reply All I Forward lias attachment . Move to folder... This message is not flagged. [ Front, EIBondarC!>aol.com I DBte, Wed, 23 Cd: 200212:24:16 EDT Su~, Permit Applications To, sel.permlts@prodlgy.net To whom it may concern: i~is document is an ~~tfrom Edward Bondarchuk allowing Su Long Permits and Warren Bondarchuk to act on my behalf to obtain any necessary permits for bulkhead work to be done on my property locate at 650 Blue Marlin Drive, Southold NY. Sincerely, Edward Bondarchuk Delete Reply I Reply All I Forward lias attachment. Move to folder... Previous Compose 'I . Town Hall . 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda . Telephone (631) 765-1892 Fax (631) 765·1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application ~ o~~ ~~;;;~~;b~~~~~=~~--- STATE OF NEW YORK) I, AFFIDAVIT OF POSTING L _ , residing at f ~ 'r~ being d ly sworn depose and say: That on the r 3 day of ~ ' 2003, I ferSO~~lY posted th~ property known as &'.<)0 $ß,.. YY\fkA J"':;> ,^J'~ ~ ~ by placing the Board of Trustees official pos er where lt 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~he public h~'1ring. Date of hearing noted thereon to be held L )~ )'7fð3 clvt ~0kfyvl- 7&~ ¡:'M Dated: {-? 2. -63 Sworn to before me this vnd day of ::J a Y"\. 2003 r:¿tuff /~ Notary Pub'1ic CLAIRE L. GLEW Notary Public, State of ~~W York ~~ 01SL4D79::;·J5 . pua/fèd ¡,-, ¿j m,_~':': C'JJ;ï'ty CommlSSlljr; ':)(PIrI::~ l..lV~. d, t"Y'? C-. . . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Eb\IJARO P,O~b.ÞrRc.H\)t:.. SCTM#lOOO- S?~ I -¿'if " YOU ARE ~EREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: I''6-Pt.Jtrt.E. ¡;:"'I.5Ï1~' lJut.$f~AD :1:"'" :5.-.ME- hO<:.ItTIc>N U'5/1-1' IJ/N 'i I.. 51-\ ~AïHI 1'1'-. (!.O$ ~~ E),.I.ST/H (P ""TIC \.Ù I ¡I-\ TR~)(. , , 2. That the property which is the subject of Environmental Review,--is located adjacent to your property and is described as follows: v-50 BLUE. HA-Rt..{H Þ~I\1p. 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 on: ¡-;l::l.-03 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: e: DWARtI ~ C>I'>II>AR. (" 1-11) K.. MAILING ADDRESS: (,,'('1'> P,l.-UE MAIÚ..I N Pit ,",,"\)Tf.lc.c...b, I\I\{ IIQ'7{ PHONE #: ,,".'11' LJ"" - ~ 4r<, Ene.: Copy of sketch or plan showing proposal for your convenience. s ---- . ßLVE. MA~lINRIYG. NCE ." .... .,' , L.ANb of" ^PP LIe ,HI" j>RI!PAF-.eb FlIJt: E:bwARb .:1", RONDAJe.C.I1U'r::, tDSD ßI..UE MAR.LIN DRIVEl. .50UTHOlb ,N~ "'71 COUNTY OF SUFFoLk:. -. .sC.rN 'II- /OOO-S7·0'..a , "¡ ~. ..~ " N 'rRI!PA R lib ~: .tUSAN E., LONG P='RM/l'$ ?,D. Bo)C. 'off&. E.ASr MARIoN. N~ 1/'13~.oo'f Úo3J) 1.f77· 3'755 1: . - . . PfHPOSe.:b : . I· .' " , ,- . I ' ROOF OYER CONC. tic SLATE PORCH ¡ s¡ ~r , R'ltt!.bNsrRuC!.T ,bCl E1tUl"'INC ß\JLI<ltrAD.:tN .sAI,,:e:. L.OCI\"IA.I'\ USIHG; \111i.,j L ~I\~ATHNG. C.bNSTR.\)C.iT~b Iö' RaTU RHoS. SX(.AUA-l'l! .2.6' IirlflflND BOLKUItAI,) , R.t<.\J5E. FILl.. W 11'It ADÞI1, bNAI.. .:1.0 ~\). )IDS, C.Lt..AN T1i!..\Jt"&D :t'N .5AND AS NIi:£!;)(;.t:¡. CbVI!R. F..'1-/S'TIH" IJ.''I')< 'is'.. c..D"C~I:T£ 'P^Tlb WITH iREX, E~T£ND 7';x. 1.3' TIle.J<. PATIO OV"'R, WEST .5ìEP.5 . 2lU 17.~· ~ Ii 1 STORY FRAME HOUSE & GARAGE ,~... 20.2' 'Nore.: TRE'1t IS PI MATËRIAL MA~E. of PLASTlt. 0+- lUoeD. c. OM fillNr:.o. ':..: ,',: ,~: }:::;~~·~~J:~f~·~:~:·.:::.~~: :" \) 7'1-,3 "ova. 1!~15T' : ,.,1>1.;/' pA'flb ",If)! ðv~¡t~~~1'5 '- . I ~ItIlS;'AL. ' I!¡¡ e.A Vito(:;' ,fO f.t o:t Nuþfl) 7~ I ~~~~~G-":W t-~ _ , ... ~)I "X )( {t ;< ~ ~ ~ l' 1- . '¡l!< 'f y::";. lí '1')<. X?i -f/ ~IJrIN' ....,.", e.'I'ISTIl'IÇ" . :f... wooo ST[PS , wOOO UlXHtAD . ~- A,[':~~.. _, AW...,. AUfLKHiAO '"'" . ... ,'. , I RELðN,TRLlCT lðO Bvl..l:.HlrAb rN .::IAIoI£ l.ð~ATÞN: "SIHC .s~e.Lï£.R. .I.SLAND .souND II/NYI. ~1/E.A1'Ij'H<:. l:iNsT211c::.T TWð 10' RE'I.q¡~XS Q ~f(¡~ ('~ ;:,"- f{.~ ~\ ~ g I ~ g ~ x i3 ~ :. E,P ~ , f~ÞI'~1"II£~ IO'~ , I S c.1\ lê.: I'::; "36 " D!ic.¡¡IoI:&e~ ~?, 2.062, Oc.TOBEg" 2:1,200'2. Board of Trustees Application . . County of Suffolk State of New York 51).511 1..1 E - kt> 11..1 ~ 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 MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ~ AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID. PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~ ~~M\/S .~ Slgnature SWORN TO BEFORE ME THIS d-J.V'/ d DAY OF /14 rea ,..H' J.v'7J?) ~~~~aJ CLAIRE L GLEW Notary Public. SUite of Nliw York No. 01 GL4879606 Queli/led in Suffolk Co~') Commission Expires Dec. 8, 7 . ,. . . SEQR ·14-16-2 (9/95)-7C 617.20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM 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 que~tion 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 inHodu~tion.of information to fit a project or actIon. Full EAF Components: The full EAF is comprised of three parts: Part ,: Provides objective data and information about a given project and its site..By identifying.basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on Identifying the range of possible impacts that may occur from:' project or action. It pfovides guidance as to whether 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 3: If any Impact in Part 2 is Identified as potentially-large, then Part 3 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' 0 Part 2 . oPa,t 3 Upon review of the information recorded on this EAF (Parts' ðrid 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 rlgnlficant effect for this Unlisted Action because the mitigation measures described In PART 3 have been required, therefore a COND ITIONED negatl\,e declaration will be prepared.· o C. The project may result In one or more large arid Important Impacts that may have a significant impact on the environment, therefore a positive declaration wll\ be prepared, . A Conditioned Negative Declaration Is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer In Lead Agency Title of Responsible Officer Signature of Responsible Officer In lead Agency Signature of Preparer (If different from responsible officer) Date 1 .RT 1-PROJECT INFORMATlO' Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the envir01ment. 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 EAF 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. NAME OF ACTION LOCATION OF ACTION (Include Slreel Addren, Municipality and County) NAME OF OWNER ~f dllleronQ ADDRESS 5l>'fPo~T DN rAc..S- 0 f TRt=:.)<. I Ab Þ II If 5\STEYt. 'P1l../N'- ON 8\.>L..$ It E~ b, C. ~v E: ~ E~\ <5T 1Mb 7''j. 1,3' n E..)(. íC:> 1'4 Tf b ZIP COOE CITY 11'0 DESCRIPTION OF ACTION zt-.\SíAI..L flI..IN'- W l"í H :S1$E of ET-lsrlN' TAï/D Ple~ Complete Each Question-Indicate N.A. If not applicable A. Site Description Physical setting of overall project. both developed tnd undeveloped areas. 1. Present land use: DOrban o Industrial DCommerclal II!IResidentlal (suburban) o Forest DAgrlculture !!!IOther 11.1 ^ l' IË.It 1= R,D !-l ï DRural (non-farm) 2. Total acreage of project area: APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Forest~ Agricultural (Includes orchards, cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24, 2S of ECL) Water Surface Area Unvegetat~ (Rock, earth or fill) Roads. buildings and other paved s~rfaces Other (Indicate typ<,) '-^~N-I:LA"b~c.AP~\:> 3. What is pr~omlnant soli type(s) on project sltel a. Soil drainage: '¡¡DWell draln~ % of site DPoody drained % of site b. If any agricultural land Is ¡¡wolved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification Systeml N/A acres. (See 1 NYCRR 370). 4. Are there bedrock outcropplngs on project sltel DYes 1&1 No a. What is depth to b~rockl ~ I A (In feet) , 2 acres. PRESENTLY AFTER COMPLETION -0, - acres -60 - acres _h_ acres - ('> acres -I'> acres acres -II acres -0 - _c:. - acres -0 acres _0 - -0 _.,..,5- . 'f<:" ~ acres -(> -05- . CfS 1" acres acres _?lJ acres ~. acres DModerately well drained % of site . ~0-10% 015% or greater - 010-15% % s. Approximate percentage of pro·posed project site with slopes: % 6. Is project substantially contiguous' to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places! DYes 1&1 No 7. Is project substantially contiguous to a site listed on the Register of National Natural landmarks! DYes ŒlNo 8. What is the depth of (he water table! /\/./A (in feet) . I 9. Is site located over a primary, principal, or sole source aquiferl DYes 1&1 No 10 Do hunting. fishing or shell fishing opportunities presently exist in the projeCt area! !&IYes ONo ". Does project site contain any species of plant or' anlinal life that is identified as threatened or endangered! DYes ¡¡¡¡No According to SII<;AN, I!.- LI'\N (". Identify each species . 12. Are there any unique or unusual land forms on the project site! (i.e., cliffs, dunes, other geological formations) DYes ŒlNo Describe N / A I 13. Is the project site presently used by the community or ne'i,ghborhood as an open space or recreation area! DYes ŒlNo. If yes, explain AI I A I .. 14. Does the pre~ent site include scenic views known to be important to the community! DYes ¡¡¡¡No 15. Streams within or contiguouS to project. area: ~ /A a. Name of Stream and name of River t.o which It Is t.ributary N/A. , 16. lakes, ponds, wetland areas withlrl or cont.iguouS to project area: a. Name '5HEL1"EIt. 1:Q...-ðo"" ~ .">ad.... 1'\ b. Size (In acres) 17. Is the site served by exlst.ing pob!ic ut.llities! !&IYes ONo a) If Yes, does sufficient capacity exist t.o allow çonnectlon! DYes DNo rlJA b) If Yes, will Improvements be necessary to allow connection! DYes DNo tI/A 18. Is the site located in an agricultural district certified pursuant t.o Agriculture and Markets law, Article 25-M, Sect.ion 303 and 304! DYes eNo 19. Is the site located in or substantially contiguous t.o a Critical E~~¡r~nmental Area designated pursuant tò Article 8 of the ECL. and 6 NYCRR 6171 DYes ilNo' ' .' 20. Has the site ever been used for the disposal of solid or hazardous wastes! DYes CiNo B. Project Description 1. Physical dimensions and scale of project (fill In dlr~'enslons as appropriate) I/. a. Total contiguous acreage owned or controlled by project sponsor ~ acres, b. Project acreage t.o be developed: --#--:-: acrès initi~lIy; acres ultimately. c. Project acreage to remain undeveloped ~ acres. ' . . d. length of project, In miles: ~ (If appropriater e. 'If the project is an expansion. Indicate percent of expansion proposed ~ %; f. Number of off-stre..,t parking spaces eXlstlng~: propoSed----&.l4--. g. Maximum vehicular trips generated per hour ~ (upon' completion of project)! h. I f residential: Number and type of housing units: One Family Two Family· Muítlple Family Initially IS. 'í/S-r, N C ~ ~i ¡¿ Ultimately ~ M(4 _...4: I. Dimensions (In feet) of largest. proposed structure height; width; j. Unear feet of frontage along a public thoroughfare project. will oc~upy Is! -4\..4- fL 3 co~o~nium N~ . , I , ngth. '1 µ3 1I1õe.K J!.Y.TSpt" DI{ 2. How much natural material (Le., rock, earth, etc.) will be removed from the site? 3. Wdl disturbed areas be reclaimed? DYes DNo OON/A a If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation I DYes DNo c Will upper subsoil be stockpiled for reclamation? DYes DNo -0- tons/cubic yards t:tIA I 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed-from site! -C> - acres. 5 Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? DYes (jgNo 6. If single phase project: Anticipated period of construction ON £. months, (including demolition). 11. 7. If multi-phased: a. Total number of phases anticipated ON E. b. Anticipated date of commencement phase 1 c. Approximate completion date of final phase d. Is phase 1 functionally dependent.on subsequent phases? 8. Will blasting occur during construction! DYes ~No 9. Number of jobs generated: during construction 4- 10. Number of jobs eliminated by this project - 0- Will project require relocation of any projects or facilities! HfA (number). month month DYes year, (including demolition) year. DNo ; after project is complete DYes OONo If yes, explain 12. Is surface liquid waste disposal involved! DYes 181 No a. If yes, indicate type of waste (sewage, industrial, etc.) and amount N.jA b. Name of water body into which effluent will be discharged N! A Is subsurface liquid waste disposal involved! DYes DNo Type Will surface area of an existiry¡(;':'ater body Increase or decrease by proposal! Explain /j I A Is project or any portion of project located In a 100 year flood plain! DYes 13. 14. ,,1.4 I DYes I8INo 15. ONo 16. Will the project generate solid waste!· DYes IJ!/No a. If ~s, what Is the amount per month NÎA tons b. If yes, will an existing 'solid waste facility be used! DYes ONo c. If yes, give name I,J I A ; location N I A , d. Will any wastes not go into a sewage disposal system or Into a sanitary landfill! e. If Yes, explain N fA DYes ~No 17. Will the project involve the disposal of solid waste! DYes !i/JNo a. If yes, what is the anticipated rate of disposal! N! Å tons/month. b. If yes, what is the anticipated site life! 1-/ fA years. I 18. Will project use herbicides or pesticides! DYes ŒlNo 19. Will project routinely produce odors (more than one hour per day)! DYes ~No 20. Will project produce operating noise exceeding the local ambient noise levels! DYes KINo 21. Will project result In an Increase in energy use! DYes I8INo If yes , indicate typè(s) N I A 22. If water supply Is from wells, Indicate pumping capacity /'/ I A gallons/minute. . ¡ 23. Total anticipated water usage per day ~/A gallons/day. . I 2~. D?<,s 'project involve local, State or Federal funding! DYes Ji'No If Yes, explain N 1 A , 4 . . 25. Approvals Required: Submiltal Type Date C'¡y. Town. Village Board DYe, !ØNo City. Town. Village Planning Board DYe, ~No City. Town Zoning Board DYe, J!lNo City. County Health Department DYe, ~o Other local Agencie, ~Yes ONo 5" l)'rftlll. b jI:U<¡Tl:.""-< ~ Other Regional Agencie, DYe, ~No State Agencies !!i'Yes ONo t-'"S [J r: c!. ~ Federal Agencie, t'fYes ONo À~M\I r.l')rp"> C. Zoning and Planning Information 1. Doe, proposed action .involve a planning or zoning decision? DYes IICNo If Yes. indicate decision required: Ozoning amendment Dzoning variance Ospecial use permit Dsubdivislon Osite plan Dnew/revision of master plan Dresouree management plan Dother oJ I A 2. What is the zoning classlfication(s)of the site? k ILS I '>~ t.l,., A L IJ \ ^'TFR.F R't> NT 3. What is the maximum potential development of the site if developed as permitted by the present zoning? ",,1ft 4. Wha t is the prop~sed zoning of the site? N! Å S. What is the maximum potential development of the site if developed as permitted by the proposed zoning? N 1A- 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ~Yes 7. What are the predominant land use(s) and zoning classifications within a y¡ mile radius of proposed action? 'R &.S I IH'U·"¡,. J ^" L \U...-r F J. ¡: tf) Jo.I. 1"" 8. Is the proposed action compatible with adjoining/surrounding land uses within a 9. If the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed? 1J l A Will proposed action require any authorlzation(s) for the formation of sewer or water districts? DYes 8:1 No Will the proposed action create a demand for any community provided services (recreation, education. police. fire protection)? DYes ilNo a. If yes, is existing capacity sufficient to handle projected demand? DYes ONo Will the proposed action result In the generation of traffic significantly above present levels? a. If yes, Is the existing road network adequate to handle the additional traffic? DYes ONo y¡ mile? l$lA IXIYes ONo 10. 11. 12. DYes ONo 2i:INo D. Informational Details Attach any additional Information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. Applicant/Spo~or Name "\I.IJ.."'~NC. Þ'ER>IJII-r.:; Date J./- 2,0 - 62 Signature , ¿QL UðAA, __~ Title ' If the action Is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with thh auessment. 5 Responsibility of lead Agency Part 2-PROJECT IMPACTS AND THEIR MAGNITUDE General Informalion (Read Carefully) · In completing the form the reviewer should be guided by the Question. Have my responses and determinations been reasonableT The reviewer is not expected to be an expert environmental analyst. · The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold oi magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situalions. But, for any specific project or s'te other examples and/or lower thresholds may be appropriate for a Potential Làrge Impact response. thus requiring evaluation in Part 3. o The impacts of each project. on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not tonstitute an exhaustive list of impacts and thresholds to answer each question · The number of examples per question does not indicate the importance of each question. o In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 20 Questions In PART 2. Answer Ves if there will be any Impact. b. Maybe answers should be considered as Ves answers. c, If answering Yes to a question then check the appropriate box (column 1 or 2) to 1n<llcate the potential size of the Impact. If Impact threshold equals or exceeds any example provided, check column 2. If Impact will Occur but threshold Is lower than example, check column 1. d. IdenÜfylng that an Impact will be potentially large (column 2) does not mean that It Is also necessarily significant. Any large Impact must be evaluated In PART 3 to determine significance. Identifying an Impact in column 2 simply asks that II be looked at further, e. If reviewer has doubt about size of the Impact then consider the Impact as potentially large and proceed to PART 3. f. If a potentially large Impact checked in column 2 can be mitigated by change(s) In the project to a small to moderale Impact, also check the Ves box In column 3. A No response indicates that such a reduction Is not possible. This must be explained In Part 3. IMPACT ON LAND 1. Will the proposed action result in a physical change to the project sitel . DNO DYES Examples that would applv to column 2 o Any construction on slopes of 15% or greater, (15 foot rise per 100 foot of length). or where the general slopes In the project area exceed 10%. o Construction on land where the depth to the water table is less than 3 feeL o Construction of paved parking area for 1,000 or more vehicles. o Construction on land where bedrock is exposed or generally·within 3 feet of existing ground surface. . Construction that will continue for more than 1 year or involve more than one phase or stage. . Excavation for mining purposes that would remove more than 1,000 tons of natural material (i.e., rock or soil) per year. Construction or expansion of a sanitary landfill. , Construction in a designated floodway. Þ Other impacts ~. Will there be an effect to any unique or unusual land forms found on the sitel (i.e., cliffs, dunes, geological formations, etc.)DNO DVES Specific land forms: 6 1 2 3 Small to Potential Can Impact Be Moderate Large MItigated By Impact Impact Project Change 0 0 oVes oNo 0 0 oVes oNo 0 0 oVes oNo 0 0 oVes oNo 0 0 DYes DNa 0 0 oVes oNo 0 0 oVes oNo 0 0 DYes oNo 0 0 oVes oNo 0 0 DYes oNo , . IMPACT ON WATER 3. Will proposed action affect any water body designated as protected! (Under Articles 1 S, 24, 2S of the Environmental Conservation Law, ECL) DNa DYES Examples that would apply to column 2 · Developable area of site contains a protected water body_ · Dredging more than 100 cubic yards of material from channel of a protected stream. · Extension of utility distribution f adlities through a protected water body. · Construction in a designated freshwater or tidal wetland. · Other impacts: 4. Will proposed action affect any non-protected existing or new body of water? DNO . DYES Examples that would apply to column 2· o A 10% increase or decrease in the surface area of any body of water or more than a 10 acre increase or decrease. o Construction of a body of water that exceeds 10 acres of surface area. · Other impacts: 5. Will Proposed Action affect surface or groundwater quality or quantity! DNa DYES Examples that would apply to column 2 o Propose<! Action will require a discharge permit. o Proposed Action requires use of a source of water that doe.s not have approval to serve proposed (project) action. o Propose<! Action requires water supply from wells with greater than 45 gallons per minute pumping capacity. o Construction or operation causing any contamination of a water supply s~tem. o Propose<! Action will adversely affect groundwater. · liquid effluent will be conveye<! off the site to facilities which presently do not exist or have Inadequate capacity, · Proposed Action would use water In excess of 20,000 gallons per day. o Propose<! Action 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. o Propose<! Action will require the storage of petroleum or chemical products greater than 1,100 gallons. o Proposed Action will allow residential uses In areas without water and/or sewer services. · Proposed Action locates commercial and/or Industrial uses which may require new or expansion of existing waste treatment and/or storage faciilties. . o Other impacts: 6. Will propose<! action alter drainage flow or patterns, or surface water runoff1 DNO DYES Examples that would apply to column 2 o Proposed Action would change flood water flows. 7 1 2 3 Small to Potentiai Can Impact Be Moderate Large MItigated By Impact Impact Project Change 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes ONo 0 0 ~Yes ONo 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes oNo 0 0 DYes oNo 0 0 DYes oNo 0 0 DYes ONo 0 0 DYes oNo 0 0 DYes oNo 0 0 DYes oNo 0 0 DYes ONo 0 0 DYes oNo 0 0 DYes oNo 0 0 DYes ONo Proposed Action may cause substantial erosion. Proposed Action is incompatible with existing drainage patterns. Proposed Action will allow development in a designated floodway. Other impacts: IMPACT ON AIR Will proposed action affect air quality? DNa DYES Examples that would apply to column 2 Proposed Action will induce 1,000 or more vehicle trips in any given hour. Proposed Action will result in the incineration of more than 1 ton of refuse per hour. Emission rate of total contaminants will exceed 5 Ibs. per hour or a heat source producing more than 10 million BTU's per hour. Proposed action will allow an Increase in the amount of land committed to industrial use. Proposed action will allow an increase in the density of industrial development within existing industrial areas. Other impacts: IMPACT ON PLANTS AND ANIMALS '. will Proposed Action affect any threatened or endangered species? DNa DYES Examples that would apply to column 2 Reduction of one or more species listed on the New York or Federal 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 purposes. Other impacts: Will Proposed Action substantially affect non-threatened or non-endangered species? DNO DYES Examples that would apply to column 2 Proposed Action would substantially Interfere with any resident or migratory fish, shellfish or wildlife species. Proposed Action requires the removal of more than 10 acres of mature forest (over 100 years of age) or other locally important vegeta tion. IMPACT ON AGRICULTURAL lAND RESOURCES O. Will the Proposed ActlofT affect agricultural land resources? DNa DYES Examples that would apply to column 2 The proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated Bf Impact Impact Project Change 0 0 DYes oNo 0 0 DYes oNo 0 0 DYes oNo 0 0 DYes oNo 0 0 DYes oNo 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes ONo . 0 0 DYes oNo 0 0 DYes ONo 0 0 DYes oNo 0 0 DYes ONo 0 0 DYes oNo 0 0 DYes ONo 0 0 DYes oNo 0 0 DYes oNo 0 0 DYes ONo . · Construction activity would excavate or compact the soil profile of agricultural/and. · The proposed action would irreversibly convert more than 10 acres of agricultural land or. if located in an Agrlcultutal District. more than 2.5 acres of agricultural land. · The proposed action would disrupt or prevent installation of agricultural land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) · Other impacts: IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources! DNO DYES (If necessary, use the Visual EAF Addendum In Section 617.20, Appendix B.) Examples that would apply to column 2 · Proposed land uses, or project components obviously different from or in sharp contrast to current surrounding land use patterns, whether man-made or natural. · Proposed land uses, or project components visible to users of aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. · Project components that will result in the elimination or significant screening of scenic views known to be Important to the area. · Other impacts: IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action Impact any site or structure of historic, pre- historic or paleontological Importance! DNO DYES Examples that would apply to column 2 · Proposed Action occurring wholly or partially within or substantially contiguous to any facility or site listed on the State or National Register of historic places. · Any impact to an archaeological site or fossil bed located within the project site. · Proposed Action will occur in an area designated as sensitive for archaeological sites on the NYS Site Inventory. · Other impacts: IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action aff~t the quantity or quality of existing or future open spaces or recreational opportunities! Examples that would apply to column 2 DNa DYES · The permanent foreclosure of a future recreational opportunity. · A major reduction of an open space Important to the communIty. · Other Impacts: 9 . 1 2 3 Small to Potential Can Impact t Moderate Large Mitigated B) Impact Impact Project Chan\ 0 0 DYes ON 0 0 DYes ON, 0 0 DYes ON. 0 0 DYes ON 0 0 DYes ON, 0 0 DYes ON, 0 0 DYes ON, 0 0 DYes ON, 0 0 DYes ON' 0 0 DYes ON, 0 0 DYes ON, 0 0 DYes ON, 0 0 DYes ON' 0 0 DYes ON, 0 0 DYes ON, IMPACT ON CRITICAL ENVIRONMENTAL AREAS 4 Will Proposed Action impact the exceptional or unique character- Istics or a critical environmental area ((EA) established pursuant to subd",sion 6 NYCRR 61714(g) I DNO DYES List the environmental characteristics that caused the designation of the CE A Example> that would apply to column 2 Proposed Action to locate within the CEA? Proposed ACtlon will result in a reduction in the quantity of the resource? Proposed Action will result in a reduction in the quality of the resource? Proposed Action will impact the use. function or enjoyment of the resourcel Other impacts. IMPACT ON TRANSPORTATION 5 Will there be an effect to existing transportation systems? . DNO DYES Examples that would apply to column 2 Alteration of present patterns of movement of people andlor goods. Proposed Action will result in major traffic problems. Other impacts· IMPACT ON ENERGY 6 Will proposed action affect the commllnity's sources of fuel or energ·y supply' DNO DYES Examples that wOldd apply to column 2 Proposed Action will cause a greater than 5% increase in thè use of any form of energy in the" municipality. Proposed ^ction will require the creation or extension of an energy transmission or supply system to serve more than SO single or two family residences or to serve a major commercial or industrial usc. Other impacts: 10 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change 0 0 DYes oNo 0 0 oVes oNo 0 0 DYes oNo 0 0 DYes oNo 0 0 oVes oNo 0 0 DYes oNo 0 0 oVes oNo 0 0 DYes oNo 0 0 DYes DNo 0 0 DYes oNo 0 0 DYes DNo . NOISE AND ODOR IMPACTS 17 Will there be objectionable odors. noise. or vibration as a result of the Proposed Actionl DNO DYES Examples that would apply to column 2 · Blasting within 1.500 feet of a hospital, school or other sensitive facility. · Odors will occur routinely (more than one hour per day). · Proposed Action will produce operating noise exceeding the local ambient noise levels for noise outside of structures. · Proposed Action will remove natural barriers that would act as a noise screen. · Other impacts: IMPACT ON PUBLIC HEALTH 18. Will Proposed Action affect public health and safetyl DNO DVES Examples that would apply to column 2 · Proposed Action may cause a risk of explosion or release of hazardous substances (i.e. oil, pesticides, chemicals, radiation, etc.) In the event of accident or upset conditions, or there may be a chronic low level discharge or emission. · Proposed Action may result in the burial of "hazardous wastes" in any form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) · Storage facilities for one million or more gallons of liqulfied natural gas or other flammable liquids. · Proposed action may result in the excavation or other disturbance within 2,000 feet of a site used for the disposal of solid or hazardous waste. · Other impactS: IMPACT ON GROWTH AND CHARAÇTER OF COMMUNITY OR NEIGHBORHOOD 19. Will proposed action affect the character of the existing communltyl DNa DVES Examples that would apply to column 2 · The permanent population of the city, town or village in which the project is located is likely to grow by more than 5%, · The municipal budget for capital expenditures or operating services will increase by more than 5% per year as a result of this project. · Proposed action will conflict with officially adopted plans or goals. · Proposed action will cause a change in the density of land use. · Proposed Action will replace or eliminate existing facilities, structures or areas of historic importance to the community. · Development will create a demand for additional community services (e.g. schools, pollee and fire, etc.) · Proposed Action will set an important precedent for future 'projects. · Proposed Action wlli create or eliminate employment. · Other Impacts: 1 2 3 Small to Potential Can Impact Be Moderale Large Mitigated By Impact Impact Project Change 0 0 oVes oNo 0 0 oVes ONo 0 0 oVes ONo 0 0 oVes oNo 0 0 oVes oNo 0 0 oVes oNo 0 0 oVes oNo 0 0 oVes oNo 0 0 oVes oNO 0 0 oVes oNo 0 0 oVes oNo 0 0 oVes oNo 0 0 oVes oNo 0 0 oVes oNo 0 0 oVes oNo 0 0 oVes oNo 0 0 oVes oNo 0 D DVes DNo 0 D DVes oNo 20. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts! DNa DVES If any actJon In Part 2 II Identlned .. . potenUallarge Impact Of" you cannot determine the magnitude of lmp.ct. proceed to Part 3 11 Responsibilily 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 miligated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1 Briefly describe the impact. 2. Describe (if applic~ble) how the impact could be mitigated or reduced to a small to moderate impact by project change(s) 3 Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: · The probability of the impact occurring The duration of the impact · Its irreversibility, including permanently lost resources of value · Whether the impact can or will be controlled · The regional consequence of the impact · Its potential divergence from local needs and goals · Whether known objections to· the project relate to this Impact. (Continue on attachments) Part 3-EVALU¡.. ,ON OF THE IMPORTANCE. .JF IMPACTS 12 1<11<1·11 (9195}-9c . . 617.20 Appendix B State Environmental Quality Review Visual EAF Addendum SEQR This form .may be used to provide additional information relating to Question 11 of Part 2 of the Full EAF. (To be completed by Lead Agency) Visibility 1. Would the project be visible from: · A parcel of land which Is dedicated to and available to the public for the use, enjoyment and appreciation of natural or man·made scenic qualities? · An overlook or parcel of land dedicated to public observation, enjoyment and appreciation of natural or man·made scenic qualities? · A site or structure listed on the National or State Registers of Historic Places? · State Parks? · The State Forest Preserve? · National Wildlife Refuges and state game refuges? · National Natural Landmarks and other outstanding natural features? · National Park Service lands? · Rivers designated as National or State Wild, Scenic or Recreational? · Any transportation corridor of high exposure, such as part of the Interstate System, or .Amtrak? · A govemmentally established or designated Interstate or Inter-county foot trail, or one formally proposed for establishment or designation? · A site, area, lake, reservoir or highway designated as scenic? · Municipal park, or designated open space? · County road? · State? · Local road? Distance Between Project and Resource (In Miles) 0.1/. '1..112 '12·3 3·5 5 + D D D D D o o o D D D D D D D D o D o D o o o D D o D D o D o D D o o D o D D D D D o D D D D D D o D D D D D D D D D D D D D D D D D o D D D D D D D D D D D D 2. Is the visibility of the project seasonal? (I.e., screened by' summer foliage, but visible during other seasons) DYes oNo 3. Are any of the resources checked In question 1 used by the public during the time of year during which the project will be visible? DYes oNo , DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the surrounding environment. Within 01/. mile 01 mile Essentially undeveloped Forested Agricultural Suburban residential Industrial Commercial Urban River, Lake, Pond Cliffs, Overlooks Designated Open Space Flat Hilly Mountainous Other NOíE: add attachments as needed o o o o o o o o o o o o o o o o o o o o o o o o o o o o 5. Are there visually similar projects within: OIl> mile DYes oNo 01 miles DYes oNo '2 miles DYes oNo '3 miles Dyes ONo , Distance from project site are provIded for assistance. Substitute other distances as appropriate EXPOSURE 6. The annual number of viewers likely to observe the proposed project Is NOTE: When user data Is unavailable or unknown, use best estimate. CONTEXT 7, The situation or activity In which the vIewers are engaged while viewing the proposed action is Activity Travel to and from work Involved In reçreatlonalactlvltles Routine travel by residents At a residence At workslte Other Dally o o o o o o Weekly o o o o o o FREQUENCY Holldaysl Weekends o o D o o o Seasonally o o o o o o 2 PART 1-PROJECT INFORMATION Prepared by Project Sponsor r~"JTICE This document is designed to assist in determining whether the action proposed may have a signifIcant effeCt on the en'.lr01ment. Please complete the entire form, Parts ^ 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 inlormal,on you believe will be needed to complete Part.! 2 and 3. It IS expected that completion of the full EAF will be dependent on information currently available and will not involve ne.... studies. research or investigation. If information requiring such additional work is unavailable. so indicate and specif't each instance /',AME OF ACTION ADDRESS ¡"'AME OF ()Yy'NER (11 dlfferenlJ ADDPE.S.s crrr ,'P0 liP CODE C:!:SCP.JPTIQ¡..: OF ACTION I ' ,~ _ ~~ -t-~~~~~~ :;2.0 C'I' ~ ~ ~ . PI..>~ Compl.t. Each Questlon-Indicale N.A, If nol applicable A. Site Description Ph'fSica¡ set1ing of overall project, both developed tnd undeveloped areas. 1. Present land use: DOrban Dlnduslrlal DCommerclal RResldentlal (suburban) o Forest D^griculture tiilOther 11.\ ~"Ë.R f'RD t-lT ORural (non-farm) Total acreage of project area: !-PPROXI/''''.TE ACREAGE Meado,", or Brushland (Non-agricultural) ForeHM !-.gr"U Ilu r a I (I ncl udes orchards, cropland, pasture, etc.) ',., elland (Freshwater or tidal as per Articles 24, 2S of ECL) acres. PRESENTL Y AFTER COMPLETION - b acres -0 - -h acres acres acres acres acres - ('> ~. -t'J -~ _6 - -D -.,..,5- . 'f)" "Þ acres acres acres -('> -/'> \'f 3ter Suriace Area -0 acres Un·.e¡etatM (Rock, earth or fill) Rc-a:; buildings and other paved s~rfaces OtOer I'ndicate type) L.A""!\I ~LA\..\ ~C::;U..P~ t> J ,'hat" predominant soil type{s) on project sltel a Sc-d drainage: ·~Well dralne<:! % of site OPoorly drained % of site b II any agricultural land Is Involved, how many acres of soil are classified within soil group 1 through 4 of the NYS l,nd Classification System! NIA acres. (See 1 NVCRR 370). / , "re Ihere bedrock outcropplngs on project sltel Dv.s ¡g)No , ,',hal is deplh to bedrock! tj/ A (In feet) I 2 - f'J acres acres _?t -os- ."l~ 1() acres acres DModerately well drained % of site ------ .~ -LU ~____ 'l?~ ~~~I?/v~ !!.='9.IJ' \ L:::~ / .' ' 'i\\Jß: . ," ~0\~' p. " . ~ Ì\- - <F>t <:ii' ~.""Ð" . '. / .; / ,~ / ," / / / / / / / / / / ~ / .~b / " / .,(, / " / / fOU"'O .,O't If'I . . B0~~ tJ'. o o~ G \ \ \ \ \ \ \ - \~ \ \ ~ ~ ~ tJ'. o o~ ¡'1"\ SURVEY OF LOT 7 MAP OF SOUTHOLD SHORES FILE No. 3853 FILED AUGUST 29, '963 t-- o ~ SITUATED AT ARSHAMOMAQUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-57-01-28 SCALE ,"=30' JUNE 6, 2001 ,. , ~ \ ~p~\ 11.<ft- \:" (.c 0 ~ \ . 9 \ \\\ AREA = 24,362.20 sq. ft. (TO BUl-KHEA0J. O.S59 oe. \:" o ~ ~ If ~~ CERTIFIED TO EDWARD J. BONDARCHUCK COMMONWEALTH LAND TITLE INSURANCE COMPANY EMIGRANT MORTGAGE COMPANY @ ft.",ct \ ,'£. ~ ~ "1, ~,. ".~~ ~ '" ~ ~ "' ~ OM Uo;~ '" ,.,. S ~ ~ .\> r ~ l1' o~ . M'''' ......\ ,~-:i,... CfI ,.) . I \JNATHORIZED AL.TERATlON OR ADDITION TO THIS suRVE'f IS '" V10LAT10N or SECTION 7209 OF" THE NEW vORl< 5T.A TE EDUCATION LAW ~",. u..:J-.y..'f.J§2. 1Gy.......,.~ , .<:f10 · ~o'$~ut<~rOO.O Î ~ ~ ~ ------- " '-N ___________ _________ ~ í l'-. ì D 1A'09'Î~~ - ~sou~'" s _______ /~ l'-. í \\ ~ ~~ \S0Ì\-~" V c\:\ß0 ~ß~ ,J COPIES OF THIS suRVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHAlL NOT BE CONSIDERED TO BE A .....A.UO TRuE COP'!"' CERT1F1CATIONS INDICATED I"IEREON SHALL RuN ONL'I' TO THE PERSON FOR WHOM THE 5LJRVE'f IS PREPARED, AND ON HIS BEHALF TO ThE TITLE COt.lPAN'I'. GovERNMENTAL AGENCY AND LENDING INsmUT10N LiSTED HEREON. AND TO THE ~SIGNEES OF THE LENDING INSTI- TuTION CE~TlFICATlONS ARE r-IOT TRANSFERABLE THE EXISTENCE OF' RIGHTS OF' WAY AND/OR EASE~ENTS or RECORD. IF ANY, NOT SHOWN A.RE NOT GUA.RANTEED. PREPARED IN ACCORDANCE WITr1 THE MINIMUM STAND~DS FOR TIT suRVEYS AS ESTABLISHED B'I' THE L I A L.5 A. APPROVED AND ADOPTED FOR SUCH uSE BY E NEW YORK STATE LAND TITLE ASSOCIATION Joseph A. Ingegno Land Surveyor TPf!e Surveys - Sutx1;V/sions Site Plan~;~:""_ çonstruction Layout . - '}. ~ ':-. ~ - N.Y S Lie No 49668 PHONE (631)727-2090 OFFiCES LOCATED AT 1380 ROANOKE AVENUE .,J<' RIVERHEAD. New York 1 1"