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SOUTHOLD PARK DISTRICT
SOUTHOLD. L. I. N, Y 11971
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JAN 2 7 2000
January 26, 2000
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Mr. Albert Krupski, President
SouthoId Town Trustees
Town Hall, Main Road
Southold, NY 11971
Dear Mr. Krupski,
Rec Youngs A_ P.-k 80IIt Slips
The Ca'nmissioners have requested that I write to you regarding the J06ßibility ci dredging the boat slip
area at the Youngs Avenue Park at Town Creek.
We normally make 18 slips available to the park district residents, however, due to various runoff and
culvert problems in the area an excess amount of fill finds its waf into our slip area and makes rental ci
several slips im J06ßible even for the ~est boats.
We request that you make a field inspection ci this area and let us kna.N what our next step should be
to initiate this work and what other agencies will have to be contacted.
Thank you for your consideration.
Sinc:erely,
ólHlo T-.r .
at -to LtVOOIqIZ.. bu+ rn.U~-\-
I' oln-lì.ll \L\ WrQL-t- ¡r... Of'\. '-\-~
DO ttù\Y, whQ." o.pp hI f('()l .
cýWi;)';J. r¡j~
Linda D. Bertanl
SecretaryfT reasurer
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Telephone
(516) 765-1801
Town Hall. 5309fi 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
Monday, April 22, 1996, the following action was made:
No.1339
Moved by Bruce Loucka, seconded by John Hagerty, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL
WITH STIPULATIONS of the Wetland Application of SOUTHOLD PARK
DISTRICT 64-1-19.1 to 1) Dredge creek to remove silt caused by drainage
system. 2) To make south side of seawall usable for mooring of residents'
boats. 3) To redredge channel to provide access to Southold Bay.
The CAC recommends approval provided the dredge spoils are placed on an
approved upland site.
Youngs Avenue,
Vote of Council:
Motion carried.
Southold
Ayes: All
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8.
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Provide photographs of every building and structure that may be impacted
by the project as described in number 7, aþove. The following 'standards
are recommended:
>
o minimum of two photographs
o minimum size 4" x 4" prints from negatives preferred; polaroid
photos are acceptable
o photos must be clear and focused
o clearly label photos so it is obvious what is being illustrated; key
photos to map or,plan, if possible
o photo 1: show both the èntire front'and sidè of the structure in a
single shot from as close to the building as possible. Be sure the
structure is not partially or fully blocked by trees or other
obstructions
o photo 2: show relationship of building ,or 'structure to roadway or
surroundings
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9.
Has the land within
altered (excavated,
.,/
the proposed project area been previously disturbed or
landscaped, filled, utilities installed)?
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Yes
No
If yes, describe briefly, including depth of disturbance (use attachments
if necessary):
¡>)'-t~/!¡ Áos l)t>~n /ne/.jf'J a'; a /1Vl1tJ1)' t ß"i'.
10. Approximate percentage of proposed project area with slopes:
0-10%
v%
10-15%
%
15% or greater,"
%
11. Approximate percentage of proposed project site with the following
drainage characteristics:
well drained 100 %
moderately well dralned
poorly drained %
%
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Prepared by
Date
,)OKN ,.r. 13 }..{JX~J.. 1
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10/90
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'''''6-4 (2187)- Toxt 12
I PROJECT I.D: NUMBER
817.21
Appendix C
State Environmental Quality Ravlew
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponSDr)
SEQR
,. APPLICANT ¡SPONSOR I 2. PROJECT NAME '&(xl( rt~CONsreon I ðÝ
.5ðl11'HD/.!) Plle/(J f) J¡;~lc-r "f'O>.lN Cftf!G¡( nUlI(
3, PROJECT LOCATION:
Municipality <;OU TW01-!? County .<;V r-r-6è/IC
4, PRECISE LOCATION (Street address and road Intersections, prominent landmark., etc., or provide map)
StJlJ'tl{ eN!) ðF "iO/)NÇ !. IJ1IE.
5, IS PROPOSED ACTION:
DNow o Expansion o Modification/alteratIon
6. DESCRIBE PROJECT BRIEFLY;
~ , IN¡DLAc~ REPAIR.
Jf.h- 'X ~g IN KLND
7, AMOUNT OF LÞ¡~~~FFECTED: Ulllmotoly 11.11 "=-. ¡:'~
Inllloiiy 5" Pt· - -
6. WU2!':.ROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
Ves 0 No If No, describe briefly
.
9, WHAT IS PRESENT LANO USE IN VICINITY OF PROJECT?
D Resldonllol o Industrial D Commorclol o Agriculture ~rklFor'Stlopen space D OIhor
Describe:
""ð/.JN (JArzx:
10, DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNOING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY IFEDERAL,
STATE OR LOCAl)?
]¡(yo. D No It -yes, list agency(s) and permiUapprovals
.$ðVrHf)¡.,.Q IIJCKI PtSíIlIC-r
11, ~ES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAllO PERMIT OR APPROVAL?
Yes 0 No If yes, list agency name and permit/approval,
--
,
'2, AS A RESULT ~ROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
D~ ~ ..
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
. Applicant/sponsor name: .sOvrHðJ..!) fAfZ~S 'j)/f,t'flICr Date: VRN ? /993
Signature.-- - - -:---;::;- r~
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If the action Is In the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
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New York State' Department of Environmental Conservation
Building 40-SUNY, Stony Brook, New York 11790-2356
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Thomas C. Jorllng
Commissioner
Applicant Name: (please print)
~/¿ ~L ~~Þ;.;r-
Application Number:
vd !ld-
Project Location:
/ tJú/JJ
Date /- r - 1:3
I hereby state, as or on behalf of the applicant, that I understand
and agree that the issuance of any permit pursuant to the above-
referenced application does not in any way mitigate and/or resolve
any outstandina violations of: the New York state Environmental
co;servation L~W ("ECL") and 'the ru:¡'es and regulations enacted
pursuant thereto at the site of the proposed project.
Furthermore, I HEREBY SWEAR THAT I (~þQJ, ( DO NOT) HAVE
ANY CURRENT OR ON-GOING (UNRE~D) NEW YORK STATE DEC
VIOLATIONS AT THIS PROJECT SITE.
":\0:'
(Signature~ ____ .
_ cant or Agent
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¡ur"I/ß é:rI-ÞT ~ ~4I ~ I?r þ£-~;r-
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Qo;-19·] 16,'891-7e
.e NEW 'yORK STATE DEPARTMENTAENVIRONMENTAl CONSERVATION
- JOINT APPLlCA"PI"ON FOR PERMIT
DEC APPLICATION NUMBER
CORPS OF ENGINEERS APPLICATION NO
Please read ALL instructions on back before completing this application Please type or print clearly in ink. Attach additional information as needed.
DARTICLE 9, TITLE 1, ARTICLE 43 GNYCRR 646 (lAKE GEORGE RECREATION ZONE)
DARTlCLE 15, TITLE] (AQUATIC PESTICIDES CONTROL) D6NYCRR 327 (AQUATIC VEGETATION) D6NYCRR 328 (FISH) D6NYCRR 329{INSECTS)
DARTICLE 15, TiTlE 5 6NYCRR 608 (PROTECTION OF WATERS)
o For the constructIOn, reconstruction. or repair of a DAM or other impoundment structure
OFor the disturbance of a STREAM BED OR BANKS or ex.cavatJOn in or till of NAVIGABLE WATERS 0401 WATER QUALITY CERTIFICATION
DARTlClE 15, TITLE 15 D6N'tCRR 601 (WATER SUPPLY) D6N'yCRR 602 (LONG ISLAND WEll)
DARTIClE 15, TITLE 27 6NYCRR 666 (WILD, SCENIC AND RECREATIONAL RIVERS)
DARTIClE 24 6NYCRR 662, 663 (FRESHWATER WETLANDS)
DARTIClE 25 6NYCRR 661 (TIDAL WETLANDS) DARTIClE 34 6NYCRR 505 (COASTAL EROSION)
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DSECTlON 10 (RIVER AND HARBOR ACT OF 1899) for structures and .....ark in na\<lg<lble waters af the U.S DCOASTAL CONSISTENCY CERTIFICATION
DSECTlON 404 (CLEAN WATER ACT OF 1977) for disposal of dredged or fill material m w<lters of the U.S
DSECTlON 103 (MARINE PROTECTION, RESEARCH AND SANCTUARIES ACT) for the transportation of dredged m<ltenals for dumping into OCedn waters.
LIST PREVIOUS PERMIT!APPUCATION NUMBERS AND DATES (If any)
2 APPLICANT IS AlAN
DOwner
D Operator
o Lessee
~unlcIPalityIGovernmenta Agency
(Check as many as apply)
NAME OF APPLICANT (Use Full NameJ
SðUTHO¡..D PAf1.KS 'Dgl"~ (C- í
MAILING ADDRESS
Pð
POST OFFICE
£Olrn<OI-V
N·
N."'!.
ZIP CODE
("J 7-/
$OVT){f)LJ>
.. NAME OF
DOwner
Agent/Contact Person
(Check one)
.,}OH/Il N. ISLA (I; L -r:
MAILING ADDRESS
SSD Of2.0U~'lV R f)
POST OFFICE
ßOX4~2
County
PROJECT/FACILITY LOCATION [Mark location on map. see Number 1a on re\lerse side)
I Town or city
SUFfZOLK
$ OUl';(O
I Village
STREET ADDRESS (If different from applicant)
SOU v( ~(ltþ ð¡: ðVN
fA; 7 rl." J...D
$
AVIl.
6 NA.\1E OF STREAM OR BODY OF WATER
f'tJ¡.,)N
CR.!:Ey(
íí9°~{
POST OFFICE
7 HAS WORK BE~ON PRO¡ECP
DYes OONo
If YES. attach expl<lnation on starting work .....Ithout permit, Include dates
Show work on map andfor drawings
8. WILL PROIECT UTILIZE STATE LAND?
DYe, ~
9 PROP.9?ED USE:
M Public
o Private
o Commercial
10. PROPOSED STARTING DATE:
11. APPROXIMATE COMPLETION DATE.
12. FEE OF (N'tS Permit Only)
Ii· S. f) . P.
?.. µfI1!K~
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f-t-
Enclosed
13. PROJECT DESCRIPTION: (e.g. quantIty and type of material to be exca\lated, dredged or used for fill or rIp rap, location of dispos<ll sites, type of
structure to be installed, height of dam. size of impoundent, capacities of proposed water sources, extent of distribution system; etc.)
« '
Irlt X ItS I 1)ðO( IN Kt1JD IN fJl..(qCJ1 I<I1P¡'¡:I(.(fflfl/llr
H. WILL THIS PROJECT REQUIRE ADDITIONAL FEDERAL. STATE AND/OR LOCAL PERMITS?
Ye,
o No
If yes, please list:
Oil rtbJ,.f)
To4N
1S CERTIFICATION
I hereby affirm that under penality of perjury that mformation pro\lided on this torm and all attachments submitted herewith is true to the best of my kno.....ledge
and belief False st<ltements made herem are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law
Further, the applicant accepts full responsibility for all d<lmage, direct or mdirect. of whate\ler nature. and by whome\ler suffered. arISing out of the prOtect
descnbed herem and agrees to indemnify and sa\le h<lrmless the State from SUitS, actions, d<lmages and costs of e\lery name and descnption resulting from said
prOject In addItion, Federal Llw. 18 US C Section 1001 pro\lides for a fine of not more than $10000 or ImprISonment for not more than fi\le yedrS. or both.
\\-here <In applicant kno.....lnglv and willfully fahlfles. conceals, or cO\lers up a matenal fact; or knowingly makes or uses <I false. fictitoU5 or fraudulent statement.
o I hereby authorize the agent named In Number 4. <lbove to submit this application on my behalf.
J RN 1- 1<)'13
D.I\TE
195/tNT.
TITLE
PLEA E READ ALL INSTRUCTIONS ON REVERSE SIDE
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KEVIN R. DuBOIS
Marine Resources Specialist
Bureau of Marine Habitat Protection
vironmental Conservation
ork 11790-2356
Building 40. SUNY
Stony Brook. NY 11794
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(5161751-7900
Thomas C. Jortlng
Commlsaloner
Mr. Mike Hagerman
Southold Park District
PO Box 959
southold, NY 11971
January 6, 1993
Dear Sir:
While the Town's general permit is being amended to authorize
new activity, this letter gives you and your designated contractor,
John N, Blakely, to conduct the following activities:
Town Creek Park: Repair the existing masonry wall and stairs by
patching cracks and holes. No other work is authorized.
Founder's Landinq Park: [1] Repair the existing masonry wall and
brick border including some patchwork. Work may include hand
removal of bricks fallen seaward of the wall with no other
excavation of sand or any other material. The installation of
approximately 200 cu. yds of clean fill to be placed landward of
the wall is also authorized. Repair may also include the painting
the wall so long as the paint is calcium based and/or does not
contain any leachable material currently prohibited for use in
marine waters. [2] Repair or replace sheathing, pilings, and
stringers in-kind and in-place on the existing 240' timber groin
(longer structure approximately 200' south of the masonry wal:).
~'R
Kevin R. Du Bois
Marine Resource Specialist
NYSDEC
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Seclion 7208 of Ihe New York SlIde
E:.ducallon Law.
Copies oflhls aurveymap nol bearfng
t"Je land IUrvayor's hked seal or
elTlbOU8d ........ not be considered
to be a valid lrutcxw.
Cuaranltellndlcllld hIrton shall n:
only lotheperlCln b'tIhom Ihe survey
is prepared. and on hit behalf 10 tho
tille r;ompany. governmental agent)' tnd
Ienc!ingln$lItUllonnstedhel'8OOand
tt the csslgnees of the lending ins![·
tutior:. Guar;¡lllees are ßOltransferable
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IStf4-8
Albert L Krupski. President
John Holzapfel, Vice President
William G. Albertson
Martin H, Garrell
Peter Wenczel
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BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
~astal Erosion Permit Application
~etland Permit Application
Grandfather Permit Application
Trustee Lands Permit Application
-Waiver
eceived Application:
lerical Review:
Completed Applic tion
Incomplete
SEQRA Classification:
e I Type II Unlisted
Coordination: (date s n )
CAC Referral Sent: 'I I
Date of Inspection:~ ~
Receipt of CAC Repor : (tlate)
Lead Agency Determination:
Technical Review: (date)
Public Hearing: (date) I(/~Y.lf ,
Decision: Approved (Y/~) (åate)
Application Fee:$E>'€'....~.
.
Town Hall
53095 Main Road
P,O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
_0 - 6 1996
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~j FEB - 6 1996
Name of Applicant .sOU..:T{-tOCh. 'fA-g.K.. Ì)ls-n~_le.c,
Address V.. 0 . ~ 0 x. q S9) S-OUTHOL 1>; NY II'?)
,Phone Number: (s/Co) 7~5- 1&:5'7
Suffolk County Tax Map Number: 1000 - 0'¿/ / - / /).. /
Property Location: SDlI.'Tif É'/lJÒ rn:- Y0I.-U¡)6S /)U¿ '/ i3t;FD12E
[¿NTt!I1A,)C[c TO c.,:}WbS 1UE'CK. 'ì2 b ..
(provide LILCO Pole *, distance to cross streets, and location)
A9'~hL: SEE: c. e..£'AR'-I
(If applicable)
I TeE; A-S LUè. (3' R.
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Address:
1
C'.. -I-I~fð! L-
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c.{2P,tJ t
Phone: 7~s /",<;'1
~d of Trustees APPlicatio~
GENERAL DATA
Land Area (in square feet): fiPPlZo" / H In E /:5 A roe 10
Area Zoning: ~F-S; "'-F:,A//,'¥J- L-
Previous use of property: SO L{.HDLP
Intended use of property: .C; D U THO L b
Pftl2..K Ô,sre'C7
"PIC¡ t:K 'b1'S T~ It! T
?A~K
'?A ~K
Prior permits/approvals for site improvements:
Agency
Da,te
--r/:-L15T¡;; E <; I VE {'-
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(¿, J 11/U '9.i
K EPIt i I¿ E X.I STI tJ &-
SEA Wf}L L
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a
governmental agency?
)(
No
Yes
If yes, provide explanation:
Project Description (use
Þ¡:O,Ù;cClÎ 1 Ai TEIU T ;
SILT (!.lhl.SEI) ¡¡V
attachments if necessary):
7 pO ~. t
I) TO DR£/)6l3'- (!f!FEX ,,--Tv ~eHðU$ r
~ó~~q~o ð ~
ò/2Bì/IJF+G£ SVSTEM ."\' .:?) +0 HIJKF
f'\l-LJ
SOUTH Sd>E at=' SEA W-#LL as&flI3LG FoR HM/'IAJ6- Oþc
¡¿E.<:>10E/l/T s 13DIJTS. .-?) --r0 12Gbt2ED6E: c:7¡'¡¡:¡/VI../E L TO
Pti2DU,D;¿ ,4('Ilr;;.<;;s ï{)
SOUTHC?L!\ 8/)y.
2
-.-.",,--- -_.._~.....,_...... - '.
~rd of Trustees APPlicati0tIÞ
County of Suffolk
State of New York
!} ct( vI{ OL-b ~ J Sf,E IC T ,.c;kœrrt1
DEPOSES AND AFFIRMS THAT ¡SHE IS 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 ANY 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.
BEING DULY SWORN
(~L xl t?uL/J-U>
gnáture
".
SWORN TO BEFORE ME THIS
57 L DAY OF P;~l::Va rl.( ,19~
14 ~".
C ú.~--'I...Á' ~
Notary Puþlic
eARBAR~$TEPN~§K1
Nc;wt ~';'íi4. f.::Jt of I §w Villi
H§.f;~~~4~';'~:1
l!ualifiOd In 5":10.:;' çQ fy .g. .
~m6ssion Expires ~Ji;.~, tW:l:: 7
3
B0tlf of Trustees APPlication~
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Þ££[)GE c..~EEK.
Area of wetlands on lot:
!!v' / ¡:¡
^" ) ¡::j
,
square feet
Percent coverage of lot:
%
Closest distance between nearest existing structure and upland
edge of wetlands: IOð feet
Closest distance between nearest proposed structure and upland
edge of wetlands: (0/ A feet
,
Does the project involve excavation or filling?
No
x
Yes
If yes, how much material will be excavated?
7 c) Ù cubic yards
-
How much material will be filled?
o
cubic yards
Depth of which material will be removed or depssited:
feet
Proposed slope throughout the area of operations: ^-'Of2HIJL Qi-IfJfulc)EL Ì)/2.lJD6liJG-
I
~ ìD 2>'
Manner in which material will be removed or deposited:
IV !}(J{lORDfttJCf3 wn-H Æ)OI!-H4L CoulU-ry ÒR,EÙ&I IJG
-PJ2.DCE; Dù Q.r= S,
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):
IH{>t..oUti:HEIVT'
Dr=
'T1/J4L w4~¡'¡ fAJ
ÎNU/IJ (!./E-FC::K ,
.
,
iLSf/BlLtT'-j
/2X¡ST'II-JG-
DfF
BOIJT SLIPS AND (!.[-e4k¡1U6
O~
[} ,,//'I N IV E L TD
8~'j'
6
B4Ird of Trustees APPlicati01lt
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: bRt- f).4-£ (I~e£1< I) C. LEf!lè sUr
Tf2DHKOA ¡) I2ÚfJ DF¡::- ;J) C/.EFtR ßúAT SL;PS ~) eEü02-éDl-Æ G w'M.Jfo,J éL
Are wetlands present within 75 feet of the proposed activity?
No
)(
.
Yes
Does the project involve excavation or filling?
No
)(
Yes
If Yes, how much material will be excavated? 70() ,cubic yards)
How much material will be filled?
o
(cubic yards)
Manner in which material will be removed or deposited:
IN ItŒ(!ú~þjH\JCf'
W,'¡-H ---¡!:Ie CDUr-..J't'f be!::D.4-liv(~ ~RDCt.ÞI.Li£5
Describe the nature and extent of the environmental impacts
reasonably anticipated resulting from implementation of the
project as proposed. (Use attachments if necessary)
t;¿^)IJI~()N¡")lf;:;I\)Ï"'¡;¡'I_ IMPf}Cí IS t>DSiTI VE DUE TO
I HPeoLJE- /) It DA L- Lv¡:¡-£ -I-! rtN b QE:HDUf+L 6'F 'R-DA D
~Ll \) o+¡:- (> F' S I L ., .
Tf-t IS tV ¡ lL F/VH-1\-uLE --¡-r+ IS
C~~e:-l<.. -'-0 ALLOtu T'+E. ç"e.t)tUTl--I 0'1== "fi+(2.,f,.)E ,,--, Fe;.
5
...·¡()-2 (2,'Sï)-ïc
.
.
v
(.
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 ot whether an action may be sIgnificant. IS not always easy to answer. Frequent-
ly, there are aspects of a project that are subjective or unmeas.ureable. It is also understood that thos~ who. determine
significance may have little or no formal knowledge of the envIronment or may be technically expert In environmental
analysis. In addition. many who have knowledge.rn 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 to allow introduction of information to fit a project or action.
617.21
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FORM
SEaF
,
. 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
data. it assists a reviewer in the analysis that takes place in Parts 2 and 3.
)art 2: :'ocuses on identifying the range of possible impacts that may OCCur from a proiect or action. It provides
~:uidance as to whether an impalt is like'y to be considered small to moderate or whecher it is a pocentlally-
laq;e impact. The forf'!1_ also identifies whether an impact can be mitigated or reduced.
PJrt 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:
o Part 1
o Part 2
DPJrt 3
Upqn review of the information recorded on this EAF'(Parts 1 and 2 and 3 if Jppropriate). and Jny ocher supporting
informacion, and considering both the magi tude and importJnce of each impact, it is reasonably determined by the
lead agency that:
Xi 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 significa.nt
effect for this Unlisted Action because the mitigation measures described in PART 3 have been required.
therefore a CONDITIONED negJtive declaration wiJI be prepared. It
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 prcr)ared.
. A Conditioned Negative Declaration is only VJlid for UnJisted I\ctions
90 U TH-ú( b PIWK ) i 5--r.e' IC r - Vo t.-l NG- S fh)èA.JLLl3 P-rl¡2I< b k£Ò611J6--
Name of Action
Name of Lead Agency
Prine or Typc Name ot ResponSlule Officer in Le.ld Agency Title of Rcspons¡/J!c Officer
Signature of Responslhle Officer in Lead AgenC'1 SignJture of Preparer (If different from responSIble officer)
Date
J
PART 1-PROJECT INFO
ATIm4
Prepared by Project Sponsor
NOTICE: This docùmenr is designed to assist in determining whether the action proposed m"v have " "~nliicJnt eff
on the environment. Please complete the entire form: Parts A through E, Answers to these questIons wdl be conS/de
as part oithe application for approval and may be subject to further verification and public re'new Provide any additlO'
information you believe will be needed to complete Parts 2 and ],
It is expected that completion of the full EAF will be dependent on information currently available and will not invo
new studies, research or investigation. If information requiring such additional work is unavadable, so indicate and spec
each- instance.
.
NAME OF ACTION
U. /\:(; S thE f\--H t: )&11,__' (,
LOGA TlON OF ACTION (Inclua6 Streel A<Jdress. MunlClpalily and County)
, /\¡\..Lt.:: S ¡) L~ oJ.-! L' L ð:> --; l.L I"FC'Ll<.
<; UT<-\ L
ADDRESS
'ì) C ióò
CITY/PO
SC>U'µOLD
NAME QF OWNER (If different)
'SI": lCT
BUSINESS TELEPHONE
(,")1 -) 7.__,") /05 c
ADDRESS
~ STA~E. ZIP CODE
I A'/ 119)/
BUSINESS TELEPHO~E
CITY/PO
DESC?:IPTJON OF ACTION
I j 7(' DRE¡)66
:2)
I STATE
ZIP CODE
.',
(í/.-'t£K.
ï~
Ie't /«0 t E S, L r
,[> ;<-111;::£ SC>UTII- S,b£'
R--F":,r bFI\.T Î3C>f}'rs.
ÓP 'SÉA ¿UA L(
(¡)l(Si-/J Hy iJ¡¿IJtILIJ(·t ':"y~;¡ir'
U 5118l E r-~:..JJ::-J I-t ["'('k' J A (.., .r.-~ '¡.~
3) TtJ i.!EMtf¥,( QtlHIL:"-L( 7L'i¥2L{,I/ÌJt- r!C'('iS-S I,'
'--;r l ( "I fli. {') i3 I"-JY
PICJse Complete Each Question-Indicate N.A. if not applicable
A. Sit~ Description
Physical setting: of overall project,
1. Present land use: DUrban
DForest
both developed and undeveloped areas,
Dlndustrial DCommercial DResidential (suburban)
DAgriculture 110ther Pf¡121( W/'I1+ ¡)¿)Lk ¥- hDIJ,
'/0
_:! acres.
DRural (non-farr
-~L l:JS
2, Total acreage of project area:
APPROXIMA TE ACREAGE
Meadow or Brush/and (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 paved surfaces
Other (Indicate type)
PRESENTl Y AFTER CO,'v'PlETION
aCres acres
acres acres
.JCTe'S acres
acres acres
/" acres I/~ acres
Jeres aCres
acres acres
,1((('5 acres
3. yVhat IS predominant
d. Sod drainage:
sod typc(s) on rroject site?
¢\Ncll drained % ot s.itc
Oroorly drained % of site
b, If Jny agricultural land is involved, how many acres of soil are classified within sod group I
land Classification Systeml acres, (See 1 NYCRR 370).
4, Are there bedrock outcropplngs on project site' DYes ~No
a, \l'hat IS depth to bedrock? (in ieet)
D¡\lodcrtltely well <.Ír¡]InL'd
% or site
'hrough 4 0; ¡he NYi
2
.' 's.: Appro'c:Jmate µercclltage or .O~t~d projl'ct site with slopes: ~O'l(). '" CilO-13':ó v:
.. .U
- 015% or grc.:1.ter .
'. . '3{¡
-- Státe
6. Is project substantiõ.lly contiguous to. or con tam a budding. site, or district. listed on the or the Nationa.
Registers or Historic Places? DYes œ!No .~
('. Is project substantially contiguous to a site listed on the Register of National N.lturaJ landmarks? DYes ,pg(Nc
8, What is the depth of the water table? .;;¡O [in feet)
9. Is site located over a primary, principal, or sole Source J.quífer( r¡a'Yes DNo
10. Do hunting, fishing or shell fishing opportunities presently· exist in the proiect area? DYes !8:1No
11. Does project site contain any species of plant or animal life that is identified as threatened or endangered?
DYes ]81 No According to
Identify each species
12. ,\re there any unique or unusual land forms on the project site! (i.e,. cliffs. dunes. other geological formations',
-
DYes ¡g]No Describe
. 13. Is the proi(~C'" sit! presently used by the community or neighborhood as an open space or recreation area?
pYes DNo If yes. explain, '1!..l1ßk I.J.) /7J+ )"(J~ t\ 1\.) () t'I=-r SL.I PS
14. Does the present site include scenic views known to be important to the community?
¡s¡\Yes DNo
15. Streams within or contiguous to project area: /IJ /A
a, Name of Stream. and name of River to which it is tributary
16. lakes. ponds, wetland areas within or contiguous to project area:
a, Name NO b, Size (In acres)
17. Is the site served by existing public utilities? DYes IXiNo
( a) If Yes. does sufficient capacity· ·exist to aHow .connection? DYes DNo
b} If Yes, will improvements be necessary to aI/ow connection? DYes DNo
18. Is the site located in an a~ricuJtural district certIfied pursuant to Agriculture and ,\\arkets Law, Article 25-AA.
Section 303 and 3041 DYes Ø1INo
19, Is the site located in or substiJntially contiguous to a Critical Environmental Area designated pursuant to Article 8
of the ECl. and 6 NYCRR 6171 DYes ~No
20, Has the site ever been used for the disposal of solid or hazardous wastes! DYes ~No
B. Project Description
1. Physical dimensions and scale of proje.t (fill in dimensions as appropriate)
a. Total contiguous acreage owned or controlled by project sponsor ý'=3 acres.
b, Project acreage to be developed: (') aCres initially; 0 acres ultim.Jtely.
, Project acrcage to rcmain undeve!oped
c. r..., acrcs.
d, length of project. in miles: AlIA (if appropriate)
e, If the project is an expansion, indicJ.te percent of expansion proposed AlIA %;
f. Numher of off·street parking spaces existing 15 ; proposed ~kP
c· Maximum vehicular trips l:encrated per hour N/It .
(upon complccion of proj~ct)?
h. If residential: Numher and type of housil1g units:
One Family Two F.1mtly Multiple Family Condominium
Initially lv/it
C ,
Ultimately N/~
,
i. Dimensions (in feet) of lar¡~est proposed structure I.¿/ft height; width; length,
¡. linear feet of frontage along a public thoroughfare project will occupy is? !JII!- ft.
.
3
J
"'LI,_" ·,,:LL.I,il 1)I.tkrl,1J (1.\'. r'Jck, '_',][(11. '!tc.) -,\111 be r','rnf)\.~~d r~ ¡hi' "I(',~i
..; f:- {,,'( I'll L
; I-101SI1A 6
~,-,.i~uhlr: ..1r.-j".
J. \VdJ disturbed J.reas be re Imed? DYes ONo ~N/A
,J. If Yes, for wh<?-t IOtendcL purpose is the site being reclaimed?
b, Will topsoil be stockpiled for reclamation( DYes DNo
c. Will upper subsoil be stockpiled for reclamation? DYes DNo
4, How many acres of vegetation (trees. shrubs. ground covers) will be removed from Sltel ^--ÏJfL.[.
5. Will any mature forest (over 100 years old) or other locally,important vegetation be removed bv
DYes ØNo
6. If single phase project: Anticipated period of construction / wUoK
7.
acres.
this project?
If multi-phased:
a. Total number of phases anticipated
b. Anticipated date' of commencement phase 1
c. Approximate completion date of final phase
d. Is phase 1 functionally dependent on subsequent phases I
months. (including demolition).
(number).
month
year. (including demolition).
year.
month
DYes
8, Will blas'ing OCCur during construction? DYes f)1INo
9, Number of jobs generated: during construction lvôA.'L : after prOject IS complete ¡vOIL [
10, ;\Jumber of jobs eliminated by this project ^--l ^ E
DNo
11. \Vi project require reJoci1tion of any projects or facilities?
DYes
~NO
If yes, explain
12. Is surface liquid waste disposal involved? DYes ~No
a. If yes, indicate type of waste (sewage, mdustnal, etc.) and amount
b. Name of water body into which effluent will be dIScharged
13. Is subsurface liquid wa~te disposal involved?
DYes
G{1No
Type
14. yV¡I/ surface area of an existing water body increase or decrease by proposaP DYes
Explain
15. Is project or any portion of project located in d 100 year flood plain? DYes ØNo
16, Will the project generate solid waste? DYes f¡? No
a. If yes, what is. the amoun't per month tons
b. If yes, will an existing solid waste facility be used? DYes DNo
c. If yes, give name location
d. Will any wastes not go into a sewage disposal system or into J. sanitary landfill?
e. If Yes. explain
!8'N 0
DYes
DNo
17, Will the project involve the disposal of solid waste? DYes !!DNo
a. If yes, what is the anticipated-rote of disposa/l tons/month,
b. If yes. what is the anticipated site life? years,
18. Will project use herbicides or pesticides? DYes Gil'No
19, Will project routinely produce odors (more than One hour per day)? DYes ¡:¡¡ No
20. Will nroiect produce operating noise exceeding the local .ambient noise levels?
21. \Vi/l project result in an increase in energy use? DYes JDNo
If yes, indicate type(s:)
DYes
)?JNo
23,
2..
22. If WJter suppl't' IS from we-Us, indic]tc pµcnn1ng capacltv
NI11
,
I;Jllcns/rninutc"
Tot.::! Jnticipatcd W.tl.ler us.1ge per day
Iv' / fJ
,
gallons/day,
GZiYes
C(')¡ i "-, Tll
,
DNo
i:)P-/:/)&/fc'6
t
Does project invo!ve Local, State or Federal funding?
II Yes. explain SekLJ/C'E P;2lJU/[)ED t3Y
~¡;¿('f-.t"F//L/
4
'1: . 25. ,\ppu'\'.ds l~equir4.'d:
.,
Cily. TO\vn, Vdl.'ge ßo.ud
.
,(
City, Town, V¡II.lge Pf.ll1ning BO.1rd
. City. Town Zoning Bo.1rd
City, County Health Department
Other Local Agencies
Olher Regional "gendes
State Agencies
. Federal Agencies
.
Type
DYes DNo
DYes DNo
DYes DNo
DYes DNo
¡¡z!Yes DNo P,OA~() 'OF r ¿l{ Ç',TEF S
DYes DNo
DYes DNo
DYes DNo
Suhmill.ll
OJ Ie
c. Zoning and Planning Information
1. Does proposed action involve a planning'or zoning deCision? DYes !ii1No
If Yes, indicate decision required:
Dwnin~ ¿¡mendment Owning variance Dspecial use permit Dsubdivision _ Dsite plan
Onewirevislon or master plan Orcsource mana.qemcnt nlan Oother
Þ¡H?¡¿ !þ) í:>ÞSrl">F-^',IAl A12.-FA
of the site if developed as permitted by the present zOning?
2. What is the zoning cI.1ssification{s)of the site?
), Wh,]t is the maximum potential developm~nt
"-----.:·N/4
4, What is the proposed zonin~ of the site?
N/r-+
5, What is the maximum potent,,]1 development of the site ,f developed as permitted by the proposed zoning?
IV/A
(
6. Is the proposed .ICt'on consistent IV'lh the recommended uses in adopted local I,]nd use pl.lns? )&iYes C,....
7, Wh,]t arc the p",domlll.lllt 1,Ind USe(s) "lid WII"¡~ cI.1SSificaliolls IVillun a Yo mole radius or proposed aètionl
8, Is the proposed ,lCtlon comp"llble with ,~dioining/surroullding lalld uses within a Yo milel
9, If Ihe proposed action" the >ubdivi,ion of land. how mallv lots are proposed? /VIA-
a. What is the minimum lot size proposed?
10. Will proposed aClion require any authorizali,,"(sJ for the formalion of>'!ewer or water districts? DYes ~;-.:,
11. Will the proposed aClion create a demand for any Community provided services (recreation. education. police
fire protection)l DYes &1No
r
IVYes
c;-.:
a. H yes, is existing cap~,(ilY sufficient lo handh~ proj(:<:tcd dr.l11tlnd? DYes DNa
I
12. Will the propoSl'd aClion result in II", gener"li"n 01 Iraffic ,i'lnilic.ln'tly abo~e prcsent levcls?
a. If yes. is the e,i<ring ru.ld nellVork ,lII<:'1U.11" to handle Ih" ,¡ddilion.ll Ir,lflie? DYes
DYes
DNo
Q!)No
D. Inrorm¡¡tion;¡1 Del¡¡ils
Attach ,lny .lddilion,ll inforrn.II,nn .H lIIay h" ne"d"d 10 .-I.IIdV your project. If IllI're ,He or lII,lY be ,111\' advers.
imp"cts aS5nn,lIed wllh your propu<,iI. pl".l<e ili" u" ,,",h iIllP,II,I< ,llld Ih" 1I"',lSures which \,ou propose 10 "1rti~ate, or
avoid ¡hem.
E. Vcriric¡¡tion
I certify th,1( Ih,' in(orlll.llion prllv,d"iI ,iI""". ,< '''''' to Ih" h"sl ,,( lilY kllmvl"d~e,
APP/o¡,."II.'Sp,,,,,or N,"lIe S OC-{ TifO.f-þ -¡};ÆK Ì>IS TI2ICT D,lle />09 ft¿,
Sign,""re (~~./.xI &~- rdl" ~(Ùf~ ./dA.€~..u.A_
If Ihe ,ICli"" ¡, i" rl,,· CII.15I.1I A'oa. ,,,,.I "'" .He. ,l.lle ,¡):,·ncv. cm""Il'I" Iho CU.>I"!':'..ossmon' r"rr" I,ci,,,o ,,'oceeding
\\irh Ihi<¡ JSh'Hmenl.
(
'"
'~..,.
5
,~
Responsibility of Lead Agency
Part 2-PROJECT IMPACTS AND THEIR MAGNITUDE
General Information (Read Carefully)
· In completing the form the reviewer should be guided by the question: Have my responses and determinations been
reasonablef The reviewer is not expected to be an expert environmental analyst.
· Identifying that an impact will be potentiaJ/v 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 10 column 2 sImply
asks that it be looked at further.
· The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of
magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and
for most situations. But, for any specific prolect or site other examples and/or lower thresholds may be appropriate
for a Potential Large Impact response, thus requiring evaluation III Part 3
· 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 constitute 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.
· In identifying impacts, consider long term, short term and cumlative effects
Instructions (Read careful/y)
a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact.
b, Maybe answers should be considered as Yes answers
c, If answering Yes to a question then check the appropriate box (column 1 or 21 to indicate 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. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART J
e, If a potentially large impact checked in column 2 can be mitigated by change(s) in the prolect to a small to moderate
impact. also check the Yes box in column J A No response indicates that such a reduction is not posSIble, This
must be explained in Part ),
IMPACT ON LAND
1, Will the proposed action result in a physical change to the project sitel
DNO DYES
Examples that would apply to column 2
· 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%,
· Construction on land where the depth to the Þwater table is less than
3 feet,
· Construction of paved parking area for 1,000 or more vehicles.
· Construction on land where bedrock is exposed or generally within
3 feet of existing ground surf ace.
· 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.
· Other impacts
2. 'Nill there be an effect to any unique or unusual land forms found on
the site? (i.e" cliffs, dunes, geological formations, etc.)DNO DYES
· Specific land forms:
6
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Projeci Change
0 0 DYes oNo
0 0 DYes oNo
0 0 DYes oNo
0 0 DYes oNo
0 0 DYes oNo
0 0 DYe, oNo
0 0 DYes oNo
0 0 DYes oNo
0 0 DYes oNo
0 0 DYe, DNo
~ r,
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t I~\! I b~HÇ¡' --i) i "~'
å-'11 /,'f\
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(("\--:, ' " --'' _ b~'':J·
-~: 'l~~\'- \~~~~f1',;,w. I,~_;, (~s: ~:;;--:-
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