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HomeMy WebLinkAboutTR-5753Albert 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 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~ONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE __ Pre-construction, hay bale line __ Ist day of construction % constructed __ Project complete, compliance inspection. Board Of $outhold Trustees SOUTHOLD, NEW YORK DATE: ...~p~i!.. 3.0.,.... ~003 Pursuant to the provisions of Chapter 615 of the I-~ws of the State of New York, 1893; and Chapter 404 of the I~ws of the State of New York 1952; and the Southold Town Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUGTIONS IN AND ON TOWN WATERS AND PUBLIG LANDS end the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;~. end in accordance with the Resolution of The Bbard adopted at a meeting held on ....(~1~] ..~.t. 20Q.:~....., and .in consideration of the sum of $....~.0.~.:.~.0... paid by ..... MaF.~-.at...~.~3~.PO~...~.iocgJ): ..................................................... : ........... : ......... of .......... ~0~.~h0.~] .................................... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, W of Southold Town Trustees authorizes and permits the followlng: etland Permit to construct a 4'X 9' ramp, a 4'X 32' fixed timber catwalk, and an 8" mooring pile fc~r a pulley system, all as depicted on the site plan prepared by En-Consultants, Inc. last revised January 2, 2003. all in accordance with the detailed specifications as pre~ented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these p.resenh to be subscribed by a majority of the sa,d Board as of thts darn. TER~S end CONDITIONS Maria Vampore Giocoli re~Mlng at 235 Private Rd,#3, Souihold N. ¥~ as [n~:' of ~ cend~:~ie~ fe~ d~e ~ o[ ~e P.'~* do~ un~letstand aa<l pte~q~ to the lot- ~. Tlmtd~is'valldfo~aperiodof 24 n~ts~on~edtobetl~ for aa ,~,~on may be n~de. ~. That chis Petmlt should be tx. rained indeCmltdy, or as long as the ~M P,~m~tee whhes to maiat~n the stmct~e o~ project involved, to pt'ovide evidmce to anyo~ concerned that ot/zadon was originally obtained. 4. That the wo~ :..,.Aved will be subject to the inspection and approval of the ~ agents, and mm-ox=pRance with. the provisions o~ the ~ application, nay be _,:*,,se_ foe tx-vocation of this Permit by tesohtio~ of the said 5. That there will be no un~asonable interference with m~ig~km as · result o[ t~e ~ herein ad&or/zed. upon due oodce~ to remove or alte~ this work or project herein stated vdthout ezpens~ to the T~ 8, That the said Board wilt be notified by the Permittee ot dze c0mt~M0n'~ the v~.~ audi- orh~ That the Permittee wifl obtain aH other p,~mi,~ ~nel coose~s .d~, n~y be tequh'ed ~ plemental to this permit wM_eh may be subject to revolve upon f, ll.**~ to obtain _..m,. 2,' Albert J. Krupski, President James King, Vice-President Attic Fester 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 April 30, 2003 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Mr. Robert E. He,,mann En-Consultants, Inc. 1329 North Sea Rd. Southampton, NY 11968 MARIA VAMPORE GIOCOLI 235 PRIVATE RD. #3, SOUTHOLD SCTM#70-6-11 Dear Mr. He~mann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 30, 2003 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of MARIA VAMPORE GIOCOLI applied to the Southold Town Trustees for a permit trader the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated October 29, 2002, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 30, 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 standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MARIA VAMPORE GIOCOLI to construct a 4'X 9' ramp, a 4'X 32' fixed timber catwalk, and an 8" mooring pile for a pulley system, all as depicted on the site plan prepared by En-Consultants, Inc. last revised January 2, 2003. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $5.00 per inspection. (See attached schedule.) Fees: $389.00 Very truly yours, Albert J. Krup'ski, Jr. President, Board of Trustees AJK/lms Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Please be advised that your application, dated has been reviewed by this Board, at the regular meeting of g.l o/ and the following action was taken, ( /) Application Approved (see below) 2 0 (__) Application Denied (see below) (__) Application Tabled (see below) If your application is approved as noted now due. Make check or money order payab Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instructio~"sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: SEQRA RESOLUTION RE: MARIA VAMPORE GIOCOLI SCTM#70-6-11 Resolved by the Board of Trustees of the Town of Southold that the application of MARIA VAMPORE GIOCOLI, more fully described in the public hearing section #10 of the Trustee agenda dated Wednesday, December 18, 2002 is, pursuant to the SEQRA rules and regulations, an Unlisted Action; and be it Further resolved that the applicant is required to submit Part 1 of the Long Environmental Assessment Form (LEAF); and be it Further resolved that upon receipt of the LEAF the Clerk of the Trustees is hereby directed to commence a coordinated review pursuant to SEQRA. ~,e.a~ar ~ of' Wafer ~' (~W) 4~' ~' ],~,, 8~' I"11" 7~' 2'~" ¢~' 2"4" · R.O.W. R,O.W. FROM O,~AWN AVIS. 4. ~X~-2'-4"/~01~ PLI.~Y 5YS~M 4" ×' 22' ~P~ C~ TIP~ W~H~/~ (12-1l-0'2) 4' × 9' RAMP I-- PI~OPO"--J~D CAfWM. K ~, PLLL~Y 5Y5~M MARIA VAMPOf~ OIOCOU ON MACFIfLICK Cl~lbK, MAffI11JCK, 5LI¢FObK CO,, NY 5H1~1'10FI 10/21/02, I/ 2/ 0~ PtrlZr~: Private J~ Pab~: Al-W All Umber {o ~ W~ &~ r~a (IO:40 ~. 12'11'02) Pro, ct I~m'. ~¢ Pr~v~ ~ ~ FN-CO~SU~TAh¢TS INC.. P~c, %fM ~. 1~-70-~-II 122¢' NORTH ScA RD.. I) ~Ic 2) ~) ~ 4) H~ Sr}t ~-rH,~",,'IPTON, N.~ 11 6J1 · R.O.Vq. I~,O,W. PROM OAKI.AWN A~, 4' X' 52' FI)~g -1'-9" 11/9~R CAIW/~I.K LI:L/~I2 C~ 5Li3£61' PI~OPO~P CAI'VV/~K ~, PIJM~Y 5YF~M /V~IA VAMPO~ 6106~1 ON MAf1111JCK CI~I~K, MAfflllJCK, 5L~FObK CO,, NY ~PFI Or' l 10/21/02, I/ 2/ Ct~ POCK L.~ -4"ff 4' X' ~2' PI~P · R.o.W. / R,O,W. FROM OMCAWN ^~, SJt'olk Ca~t~ Ha~r~ ~ 2~3 '~ $~ TH~f*PW~,~I NY 11968 6:,t-,:83-6o60 PROPO~P CAIWM. K & PULL. BY 5YS~M FOR MARIA VAMPOI~ 610C01.1 ON MAf11?LEK CI~BK, MAffI11JCK, StI~FObK CO,, NY 5Ht~fl Ol~l 10/21/02, I/ 2/ 0~ REPLY TO A~FENTION OF Eastern Permits Section SUBJECT: DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEVV YORK, N.Y. 10278-0090 November 18, 2002 J~.~ ~ g ' Application No. 2002-01418-L2 bl; Maria Vampore Giocoli The New York District, U.S. Army Corps of Engineers, has received a request for Department of the Army authorization for the following activity: APPLICANT: Maria Vampore Giocoli 235 Private Road #3 Southold, NY 11971 ACTIVITY: Construct a pier assembly consisting of a 4' x 9' inclined ramp, a 4' x 56' pile-supported, fixed timber pier, a 3' x 14' ramp, and a 6' x 20' float secured by two (2) guide pilings. The purpose of this project is to provide a private recreational mooring facility. WATERWAY: LOCATION: Jockey Creek, Southold Bay, Shelter Island Sound Town of Southold, Suffolk County, New York As this is minor in nature, authorization may be by Letter of Permission. This is in accordance with current Federal Regulations governing work in navigable waters of the United States. To accomplish the coordination required, prior to the issuance of a Letter of Permission, your review of the enclosed drawings is requested. Pursuant to Section 307 (c) of the Coastal Zone Management Act of 1972 as amended (16 U.S.C. 1465 (c)(3)(A)), the applicant has certified that the activiny complies with and will be conducted in a manner that is consistent with the approved state coastal zone management program. To allow for the timely processing of the subject application, your comments are requested within 15 days of the date of this letter. Sincerely, Marc Helman Acting Chief Eastern Permits Section Enclosures JOCl~y ¢~K ~, 20 ~ ,7~~ 2, 4, O, E,",I-CO%ULTANTS INC. 1229 HORTH SEA RD. SOUTH,",.MPTON. N.Y. 11988 631-283-6360 Telephone (631) 765-1892 Town H.,dl. 53095 Main P. oad P.O. Box 1179 Sour, hold, New Yoek 11971 SOUTHOLD TO~N CONSERVATION ADVISORY COU~TCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, November 18, 2002, the following recommendation was made: MARIA VAMPORE GIOCOLI to construct a fixed timber dock, consisting of a 4'X 9' ' inclined ramp; 4'X 56' fixed catwalk; 3'X 14' hinged ramp; and 6'X 20' float secured by (2) 8" diameter pilings. Located: 235 Private Rd. #3, Southold. SCTM#70-6-11 The CAC did not make an inspection, therefore no recommendation was made. MARIA VAMIJORE GIOCOLI, JOCKEY CREEK, SOUTHOLD Figure 1. LooMng east from adjacent dock to west along shoreline over location of proposed dock and at existing docks to eas& Figure 2. Looking west from adjacent dock to east along shoreline over location of proposed dock and at existing docks to west. MARIA VAMPORE GIOCOLI, JOCKEY CREEK, SOUTHOLD Figure 3. LooMng south from adjacent dock to west at upland and location of proposed docl~ Figure 4. Looking north from upland over location of proposed dock and Jockey Creel~ 4~' o0-9" 7~, 8~' -I' ~'~' -2_' -4" ¢¢,' JOCKEY R. O. w. R,O,W PROM OAF, LAWN AVl EN-CONSULTANTSINO. 1329 NORTH SEA RD. SOUTHAMPTON, N.~ 11968 631-283-6360 IJL; L 9 Pl~OPOC¢l:2 POCK POR/V~AE. IA VAMPO~ GIOCOLI ON MAfflI'LICK C~BK, MA1TIllJCK, 5LIP?OLK CO,, NY ¢dBP.1'I OPI 10/21/02 DESCRIPTIOH OF EXISTIHQ VISUAL ENVIRONMENT 4. From each item checked in question i, check those which generally describe the surrounding environment. Within *~A mile * l mile Essentially undeveloped [] [] Forested [] [] Agricultural [] ~] Suburban residential [] [] Industrial [] [] Commercial [] [] Urban [] [] River, Lake, Pond [] [] Cliffs, Overlooks [] [] Designated Open Space [] [] Flat [] [] Hilly [] [] /~ountainous [] [] Other [] [] HO'~E: add attachments as needed 5. Are there visually similar projects within: 'Vz mile r-lYes I--iNa '1 miles []Yes E]No *2 miles E]Yes []No '3 miles ~'-] Yes []No ' Distance frorn 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 HATE: 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 ' FREQ~JENCY Holidays/ Activity Dally Weekly Weekends Seasonally Travel to and from work [] [] [] [] Involved in recreational activities [] [] [] [] Routine travel by residents [] [] [] [--1 At a residence [-] [] [] [] At workslte [] [] [] [] Other. [] [] [] [] 2 617.20 Appendix B State Environmental Quality Review Visual FAF Addendum This form may be used to provide additional information relating to Question I ] of Part 2 of the Full EAF. (To be completed by Lead Agency) Distance Between 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-mede scenic qualities? · ^ site or structure listed on the Hational or State Registers of Historic Places? · State Parks? · The State Forest Preserve? · Uational Wildlife Refuges and state game refuges? · Hational Hatural Landmarks and other outstanding natural features? · Hational Park Service lands? · Rivers designated as liatlonal or State Wild, Scenic or Recreational? · Any transportation corridor of high exposure, such as part of the Interstate System, or.Amtrak? · A governmentally 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 scenic7 · t4unlcipal park. or designated open space? · County road) · State? · Local road? Project and Resource (in Miles) O-V4 V4-V2 V2.3 3-5 5+ [] [] [] [] [] [] 0 [] [] 0 [] 0 [] [] [] [] [] [] [] 0 [] [] 0 [] [] [] [] [] [] [] [] [] 0 [] [] [] [] [] [] [] [] 0 [] [] 0 [] [] [] [] [] [] [] [] [] 0 [] 0 [] [] 0 [] [] [] [] 2. is the visibility of the project seasonal;) (i.e., screened by summer foliage, but visible during other seasons) [~}Yes OHo 3. Are any of the resources checked in question 1 used by the public during the time of year during which the proJu-~-~t will be visible? OYes C]rto Part 3--EVALUATION OF THE IMPORTANCE OF IMPACTS *. Responsibility of Lead Agency Part 3 musl be prepared if one or more impact(s) is considered to be potentially large, even ii the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1. Briefly describe the impact. 2., Describe (if applicable) 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 i~reversibility, 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 I~nown objections .to the project relate to this impact. (Continue on attachments) 12 NOISE AND ODOR iMPACTS 17. Will there be objectionable odors, noise, or vibrat~as a resuh of the Proposed Action? L~NO [~YES 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 safetl~NO C}YES 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 iow 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 liquified 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 of hazardous waste. · Other impacts: IMPACT ON GROWTH AND CHARAi~TER OF COMMUNITY OR NEIGHBORHOOD 19. Will proposed action af fact the character of the existing~community? I~qO [~YES Examples that would apply to column ;2 · The permanent populaUon of the city, town or village in which the project Is located is likely to grow by more than 5%. · The municipal budget fo~ 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, police and fire. etc.) · Proposed Action will set an important precedent for future'projects. · Proposed Action will create or eliminate employment. · Other Impacts: Small to Potential C Moderate Large Impact Impact P~ [] [] [ [] [] E [] [] E [] [] E [] [] E [] [] E [] [] E IZI [] E [] [] E C) [] E C3 [] E [] IZ] E [] [] E [] [] E 3 Can Impact Be Mitigated By Project Change []Yes []No [~Yes []No []Yes []No []Yes []No {~Yes {~Yes []No ~]Yes []No ]Yes []No Yes []NO []Yes []No []Yes []Yes []No []Yes []No ]Yes ~]No []Yes E]No ]Yes []No ~]Yes []No Yes ~No ~lYes I~No 20. Is there, or is there likely to be, public controversy related to potential adverse environmental imp~) C]YES I! any ~tioet In Pad 2 It Identified at a polentlal large Impact m' I~ you ¢elmot determine the magnitude of Impact. proceed lo Pa~t 3 11 IMPACT ON CRITICAL ENVIRONMENTAL AREAS 14. Will Proposed Action impact the exceptional or unique character- istics of a critical environmental area (CEA) established pursuant/to subdivision 6 NYCRR 617.14(g)? ~NO i~'ES List the environmental characteristics that caused the designation ot the CEA. Examples that would apply to column 2 · Proposed Action to locate within the CEA? · Proposed Action 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, tunction or enjoyment of the resource? · Other impacts: IMPACT ON TRANSPORTATION 15. Will there be an effect to existing transportation syste,,ms? · I~]NO (~YES Examples that would apply to column 2 · Alteration of present patterns of movement of people and/or goods. · Proposed Action will result in major traffic problems. · Other impacts: IMPACT ON ENERGY 16 Will proposed action affect the community's source~of fuel or energy supply? I~NO OYES Examples that would apply to column 2 · Proposed Action will cause a greater than 5% increase in th~ use ot any form of enersy in the municipality. · Proposed Action will require the creation or extension of an energy transmission or supply system to serve more than 50 single or two family residences or to serve a maior commercial or industrial use. · Other impacts: I 2 Small lo Potential Moderate Large Impact Impact n mpacl Be ~ Mitigated By J Project Chan~ I []Yes []No ~]Yes [~]No [~Yes []No 1~] Yes C~]No []Yes []No I-lYes ~No ~]Yes []No []Yes [--INo [~Yes [~No I-lyes ~No I-lYes I-INo 10 · Construction activity would excavate or compact the soil profile ot agricultural land. · The proposed action would irreversibly convert more than 10 acres of agricultural land or, if located in an Agricultural 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? f~NO (~YES (If necessary, use the Visual E^F 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 paleo~toloeical importance? {~10 C]YES Examples that would apply to column 2 · Proposed Action occurrin8 wholly or partially within or substantially contiguous to any facility or site listed on the State or National Register of historic places. · ^ny 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 1.t. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities~ / Examples that would apply to column 2 I[~O OYES · The permanent foreclosure of a future recreational opportunity. · A major reduction of an open space important to the community. · Other impacts: 1 Small to Moderate Impact [] [] [] [] [] [] [] 2 Pofentia Large Impact [] [] [] [] [] [] [] [] [] Mitigated Project Chae.( OYes OYes ~N, ~Yes ON, []Yes ON( [~Yes [~]N~ OYes []Yes []Yes []Yes []N( OYes []N~ []Yes ON( OYes OYes OYes · Proposed Action may cause substantial erosion. · Proposed Action is incompatible with existing drainage patterns. · Proposed Action will allow development in a designated tloodway. · Other impacts: IMPACT ON AIR 7. Will proposed action ar(ecl air qua(ity? I~O I~YE$ Examples tha¢ 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 I ton of refuse per hour. Emission rate of total contaminants will exceed $ lbs. per hour or a leat source producing more than 10 million BTU's per hour. 'roposed action will allow an increase in the amount of land committed , industrial use. roposed action will allow an increase in the density of industrial velopment within existing industrial areas. her impacts: IMPACT ON PLANTS AND ANIMALS ill Proposed Action affect any threatened or endan[~ ~cies? ~YES ~mples that would apply to column 2 Jction of one or more species listed on the New York or Federal using the site. over or near site or found on the site. ~val of any portion of a critical or significant wildlife habitat. cation of pesticide of herbicide more than twice a year, other or agricultural purposes. impacts' ~roposed Action substantially affect non-threatene~or ndangered species~ IStlNO G-lYES les that would apply to column 2 ~ Action would substantially interfere with any resident or q, fish, shellfish or wildlife species. d Action requires the removal of more than 10 acres ce forest (over 100 years of age) or other locally important ~CT ON AGRICULTURAL LAND RESOURCES ,posed Action affect agricultural land re~N~es~ G-lYES .~e 9~.would apply to column 2 . . ~o6 ')n would sever, cross or limit access to agricultura~ '~nd. hayfields, pasture~ vineyard, orchard, etc.) 1 2 Ca~ Small to Potentla Moderate Large Mitigated By Impacl Impact Project Change; ~ [3 OYes C3No [~ ~J [~Yes [~No ~ ~ ~Yes ' ~ ~ ~Yes ~No ~ ~ ~Yes ' ~ ~ ~Yes IMPACT ON WATER Will proposed action Mfect any water body designated as protected~ (Under Articles 15.24.25 of the Environmental Conservation Law, E~,~) L-JNO IExamp~es that would apply [o column 2 Developable area of site contains a protected wate~ body. Dredging more than 1~ cubic yards of material from channel o{ a protected stream Extension of utility distribution facilities through a protected water b~y. Construction in a designated freshwate~ or tidal wetland. Othe~ impacts: 4. Will proposed action affect any non-protected existing~or new body of water? I~NO OYES Examples that would apply to column 2 · A 10% increase or decrease in the surface area of any body of water or more than a 10 acre increase or decrease. · Construction of a body of water that exceeds 10 acres of surface area. · Other impacts: $. Will Proposed Action affect surface or groundwater / quality or quantity? I~NO OYES Examples that would apply to column 2 · Proposed Action will require a discharge permit. · Proposed Action requires use of a source of water that does not have approval to serve proposed (project) action, · Proposed Action requires water supply from wells with greater than 45 gallons per minute pumping capacity. · Construction or operation causing any contamination of a water supply system. · P~oposed Action will adversely affect groundwater. · Liquid effluent will be conveyed 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. · Proposed Action will likely cause siltation or other discharge into an existing bo~y of water to the extent that there will be an obvious visual contrast to natural conditions. · P~oposed Action will require the storage of petroleum or chemical products greater than 1,100 gallons. · 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 s. torage facilities. · Other impacts: 6. Will proposed action alter drainage flow or pattems, xor surface water mn•fl? [~O I'WES Example~ that would apply to column 2 · Pc•posed Action would change flood water flows. 7 Small to Moderate impact O [] O 0 [] 0 0 0 [] [] 0 [] 0 [] Potential Large Impact [] [] [] [] [] [] [] [] [] [] [] 0 O [] Can Ira)act Be Mitigated By Project Change OYes OYes L~No []Yes ON• [~]Yes []No []Yes ON• [Yes ON• OYes ON• OYes •No ~Yes FIN• []Yes ENo OYes {:]No []Yes ON. []:]Yes OYes [:]Yes E [:]Yes Part 2--PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information (Read Carefully) · In completing the form the reviewer should be guided by the question: Have my responses and determinations beer~ reasonable1 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 whereve~ 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 project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in 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, cqnsider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 20 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 I or 2) to indicate the potential size ol 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 I. d. Iden{ifylng that an Impact will bo potentially large (column 2) does not mean that it is also necessarily slgnlgcant. Any large Impact must be evaluated In PART 3 to determine significance. Identifying an impact In column 2 simply asks that It 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. t. If a potentially large impact checked in column 2 can be mitigated by change(s) In the project to a small to moderate impact, also check the Yes box In column 3. A No response indicates thai 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 s. jJe? ' ONO I~Y~S 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%. · Co~struction on land where the depth to the water 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 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 1,0OO 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. Will there be an effect to any unique or unusual land forms found/an the sitel (i.e., cliffs, dune,s, geological formations, etc.)ONO E~YE$ · sp fi¢ Isnd forms: 6 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change E~ [] []Yes [] OYes ONo [] 0 O~e~ ~No 0 0 OYe~ ONo O ~ OYes ~o 0 ~ ~Yes ONe 0 0 ~Yes ONo New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUN¥, Stony Brook, New York 11790-2356 Phone: (631) 444~0365 FAX: (631) 444-0360 LEAD AGENCY COORDINATION RESPONSE Albert J. Krupski, Jr., President Board of Town Trustees Town Of Southold 53095 Route 25 P.O. Box 1179 Southold, NY 11971-0959 Febr ~ Re: Maria Vampore Giocoli, NYSDEC Application #1-4738-03103/00001 Dear Mr. Krupski: This letter responds to your communication of December 24, 2002, regarding lead agency coordination for the above project pursuant to the State Environmental Quality Review Act (SEQRA) of the Environmental Conservation Law and it's implementing regulations (6NYCRR Part 617). The Department has the following interest in this project: SEQRA Classification: [] Type I [X] Unlisted DEC has no objection to your agency assuming lead agency status for this action. DEC Permits (if any): Article 25 (Tidal Wetlands Act) DEC Contact Person: Kelly Ann Felice NYSDEC Environmental Permits Bldg. 40- SUNY Stony Brook, NY 11790-2356 Comments: [ ] see attached [ ] none If you do not concur with the DEC position indicated above, please contact this office to resolve designation of lead agency within the time allowable under Part 617. Please feel free to contact this office for further information or discussion. Sincerely, Agency Program Aide Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson December 24, 2002 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 Re: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your jurisdiction in the action described below; 2. Your interest in assuming the responsibilities of lead agency; and 3. Issues of concern that you believe should be evaluated. Enclosed please find a copy of the proposal and a completed Environmental Assessment Form (EAF) to assist you in your response. Project Name: [T~tO-t' [ 0, Requested Action: _(~,'~'~.l(~-~ SEQRA Classification: ( ) Type I (X) Unlisted Contact Person: (631) 765-1892 Page 2 Lead Agency Coordination Request The lead agency will determine the need for an environmental impact statement (ELS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. If no response is received from you, it will be assumed that there is no objection to the Board of Trustees assuming lead agency status. Comments: Please feel free to contact this office for further information. Very truly yours, Albert Krupsk~, Jr. President CC; Army Corp. of Engineers Dept. of State DEC (*Maps are enclosed for your review) . -~-16-2 (9/95)-- 7c 617.20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM SEQR Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- Iy, 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 ana]ysis. 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 FAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project 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 a project or action. It provides 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 I and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part 1 [] Part 2 []Part 3 Upon review of the information recorded on this EAF (Parts I and 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: [] 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. [] B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* [] C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions 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 PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist ~n determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts ^ through F Answers to these questions will be considered as part of the application for approval and may be subiect 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. LOCATION OF A~.TION (Include.Street Address, Municlgality and County) NAME OF APPLICANT/SPONSOR / ADDRESS ; NAME OF OWNER (rf different) ~ 3 BUSINESS TELEPHONE STATE ZIP CODE BUSINESS TELEPHONE ( ) DESCRIPTION OF ACTION Please Complete Each Question-Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: r~Orban []Industrial ~Commercial ~Residential (suburban) ~Forest [Agriculture ~Other 2. Total acreage of project area: ~, ~-, acres APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Forested Agricultural (Includes orchards, cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) Water Surface Area Unvegetated (Rock, earth or fill) Roads, buildings and other paved, surfaces Other (lndicate type) L°-u~l' ~ [o~1.~,~o[ 3. What is predominant soil type(s) on project site~ []Rural (non-farm) a. Soil drainage: 1~'~Wel{ drained (IX'3 % of site I~Moderately well drained % of site E~Poorly drained __ % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? acres (See I NYCRR 370) 4. Are there bedrock outcroppings on project site? ~Yes a. What is depth to bedrock? ~' ~I~I~C) . (in feet) 2 PRESENTLY AFTER COMPLETION acres acres acres acres acres acres acres acres acres acres __ [~,0[ acres ~. OI acres 0-0~ acres (9.03~ acres ~/~ O' /'~"L~ acres /% [~'-~' acres 5' ^p~Sroximate percentage of proposed project s~te with slopes: ~10-10% ~ . % E310-15% I 2' % ~15% or greater ~- % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? []Yes ~No 7 Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? r~Yes [~No 8. What is the depth of the water table? ( 9. Is site located over a primary, principal, or sole source aquifer? J;~kYes []No 10. Do hunting, fishing or shell fishing opportumties presently exist in the project area? J~'Yes fqNo 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? [Yes [2~[~N o According to Identify each species 12. Are there an,,' unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ~lYes [2~o Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? [-qYes [~o If yes, explain 14 Does the present site include scenic views known to be important to the community? [Yes 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland~reas within or contiguous to project area: a. Name .~9C1(-~ ~--,~'¢,~,~.~. b. Size (In acres) 17. Is the site served by existing public utilities? L;~Yes gNo a) If Yes, does sufficient capacity exist to allow connection? ~Yes L~No b) If Yes, will improvements be necessary to allow connection? E~Yes ~No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ~]Yes ~No 19 Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article B' of the ECL, and 6 NYCRR 6177 r~Yes ~No 20. Has the site ever been used for the disposal of solid or hazardous wastes? [Yes .[~No B. Project Description Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor b. Project acreage to be developed: . ~),"Z- acres initial],,,; c. Project acreage to remain undeveloped - Q ~ acres. d. Length of project, in miles: /vJ/'~ (if appropriate) e. If the proiect is an expansion, indicate percent of expansion proposed f. Number of off-street parking spaces exist.n~ g. Maximum vehicular trips generated per hour __ h. If residential: Number and type of housing units: One ~Family T~o Famil,/ Initially Ultimatel~ i. Dimensions (in feet) of largest proposed structure ~ ' j. Linear feet of frontage along a public thoroughfare project will occupy is? 3 acres ultimately. ; proposed (upon completion of project)? Multiple Family Condominium height; ~.~ width; ~ ' length. ~alh ft. 2. How much natural material (i.e., rock, earth, etc i will be removed from the site? - O - 3. Will disturbed areas be reclaimed? [~Yes ~No j~N/A a. If yes, for what intended purpose Is the s~te being reclaimed? b. W/II topsoil be stockpiled for reclamation? ~¥es L~No c. Will upper subsoil be stockpiled for reclamation? [Yes [No 4. How many acres of vegetation {trees, shrubs, ground covers) will be removed from site? - O ~ acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? [~Yes 6. If single phase project: Anticipated period of construction I months, {including demolition). 7. If multi-phased: a. Tota. I number of phases anticipated (number). b. Anticipated date of commencement phase 1 c. Approximate completion date of final phase d. Is phase I functionally dependent on subsequent phases? 8. Will blasting occur during construction? [~Yes [~o 3 9 Number of jobs generated: during construction 10 Number of jobs eliminated by this project 11. Will project require relocation of any prolects or facilities? tons/cubic yards month year, (including demolition). month __ year. ~]Yes []No __' after project is complete (~ [~Yes ,~No If yes, explain 12. Is surface liquid waste disposal involved? E3Yes' a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13 Is subsurface liquid waste disposal invol~,ed? ~Yes ~No Type 14. Will surface area of an existing water body increase or decrease by proposal? Explain [Yes ,~No 15. 16. Is project or any portion of project located in a 100 year flood plain? [~;Yes Will the project generate solid waste? ~'~es J~No a. If yes, what is the amount per month tons b, If yes, will an existing solid waste facihty be used? E]Yes [No c. If yes, give name · location d. Will any wastes not go into a sewage disposal s,,stem or into a sanitary landfill? e. If Yes, explain ~No DYes I~No 17. Will the project i~vglve the disposal of solid waste? E]Yes j~No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site hfe? years. 18. Will project use herbicides or pesticides~ ~Yes ~No 19. Will project routinely produce odors (more than one hour per day)? [~Yes 20. Will project produce operating noise exceeding the local ambient noise levels? 21. Will project result in an increase in energy use? ~Yes ~,No If yes , indicate type(s) ,[~'N o I-lYes ~No 22. If water supply is from wells, indicate pumping capacity l~ I/q' 23. Total anticipated water usage per day ~J~ gallons/day. 24. Does project involve Local, State or Federal funding? []Yes If Yes, explain gallons/minute. 4 25. Approvals Required: City, Town, Village Board J~,Yes City, Town, Village Planning Board []Yes City, Town Zoning Board [Yes ~g~No City, County Health Department []Yes j~No Other Local Agencies I~Yes Other Regional Agencies FqYes .[~No State Agencies ~Yes Federal Agencies []Yes E~No Type Submittal Date lo C. Zoning and Planning Information I Does proposed action involve a planning or zoning decision? []Yes Jf Yes, indicate decision required: [zoning amendment /~zoning variance L~special use permit []subdivision [site plan []new/revision of master plan []resource management plan [~other 2 What is the zoning classification{s)of the site? 1~-~ 3. What is the maximum potential development of the s~te if developed as permitted by the present zoning? 4 What is the proposed zoning of the site? IO I ~- 5. What is the maximum potential development of the s~te if developed as permitted by the proposed zoning? 6 7 8 Is the proposed action compatible with adjoimng'surrounding land uses within a V~ mile? 9 If the proposed action is the subdivision of land, how many lots are proposed? .I,J_ II/~- a. What is the minimum lot size proposed? 10. Will proposed action require any authorization(s) /or the formation of sewer or water districts? r~Yes 11 Is the proposed action consistent with the recommended uses in adopted local land use plans? What are the predominant land useCs) and zoning classifications within a ¥~ mile radius of proposed action? 12 [~No Will the proposed action create a demand for an~ community provided services (recreation, education, police, fire protection)? r~Yes a. If yes, is existing capacity sufficient to handle projected demand? [Yes I~No Will the proposed action result in the generation of traffic significantly above present levels? [Yes a. if yes, is the existing road network adequate to handle the additional traffic? [Yes I~No 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 ~mpacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the Inform~!.tion provided above is true to the best of my knowledge. ~ App cant/$ponso e ate ~ .~_ --- ---- . --)- . ! , If the action is in the coastal Area, and you are a stale agency, complete the Coastal Assessment Form before proceeding with this assessment. JOO~Y Ck~K riVal'^lION fO ~ PLANI'B¢ WlTH 2, 2, 9. 7 R,O,W. PROM OAKI.AWN EN-OONSULTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON, N.~ 11968 631-283-6360 g T PROPO~P POCK POR M,~.IA VAMPOI~ ~IOCOLI ON MATqTLICK Ck~I~K, MAfTITLICK, RIP?OLK dO,, NY SHOUT I OP I I0/21/02 Albert J. Krupski, President James King,t~ic~-President H~a.r~Smith BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (63 I) 765-1892 Fex (631) 765-1366 Office Use Only Coastal Erosion Permit Applicatig/n Wetland Permit Application v/ Major Waiver/Arnendment/~hangoe s Received ApplicaJi.on: Received Fee:$ ~" · Completed Application lO/'~, Incomplete ...I~E~QRA Classification: Type I Type II Unlisted ~'~ ~0~ Coordination:(date CAC Referral Sent: IO/i,V'tl9 Date of Inspection: ltl/ Receipt of CAC Report: Lead Agency Determination: Technical Review: I_ / Public Hearing Held: II [ Resolution: Minor Name of Applicant MARIA VAMPORE GIOCOLI Address235 PRIVATE ROAD #3, SOUTHOLD, NY 11971 Phone Number:(631 )734-4202 Suffolk County Tax Map Number: 1000 - 70-6-11 Property Location: 235 PRIVATE ROAD #3, SOUTHOLD (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS, INC. (If applicable) Address: 1329 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone: 631-283-6360 of Trustees Applica~n Land Area (in square feet): Area Zoning: R40 GENERAL DATA 8,758 Previous use of property: RESIDENTIAL. Intended use of property: NO CHANGE. Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): CONSTRUCT A FIXED TIMBER DOCK, CONSISTING OF A 4' X 9' INCLINED RAMP; 4' X 56' FIXED CATWALK; 3' X 14' HINGED RAMP; AND 6' X 20' FLOAT SECURED BY (2) 8" DIAMETER PILINGS. of Trustees Applicat ~n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: PRIVATE RECREATIONAL BOAT DOCKAGE Area of wetlands on lot: 0 _square feet Percent coverage of lot: N/A % Closest distance between nearest existing structure and upland edge of wetlands: 75 feet (HOUSE) Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet (DOCK) Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A 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): THE PROPOSED DOCK WILL BE CONSTRUCTED IN CONFORMANCE WITH THE TYPICAL STANDARDS AND POLICIES OF THE BOARD OF TRUSTEES AND SITUATED BETWEEN (2) SIMILAR, EXISTING, ADJACENT DOCK STRUCTURES. THE PROJECT WILL HAVE NO SIGNIFICANT ADVERSE EFFECTS ON THE ADJACENT TIDAL WETLANDS OR WATERS OF THE TOWN. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant:MAR~AVAMPOREGIOCOLI SCTM#1000-7~6-11 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: CONSTRUCT A FIXED TIMBER DOCK, CONSISTING OF A 4' X 9' INCLINED RAMP; 4' X 56' F1XED CATWALK; 3' X 14' HINGED RAMP; AND 6' X 20' FLOAT SECURED BY (2) 8" DIAMETER PILINGS. 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 235 PRIVATE ROAD #3, SOUTHOLD 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:NOVEN~ER20,2002 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. OWNE RS NAME: MARL4 VAMPORE GIOCOLI MAILING ADDRESS: 235 PRIATE ROAD#3 SOUTHOLD, NY 11971 PHONE #: 631-734-4202 Enc.: Copy of sketch or plan showing proposal for your convenience. 5 ,JOC~Y R.O.W. 6. R,O,W, PROM OAK. LAWN AV~. EN-CONSULTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON, N.~ 11968 631-283-6360 PROPOt~P POCK FOR/V~.IA VAMFOI~ dlOCOLI ON/V~,TTITLICK CI~I~K, N~,TTITL!CK, SUFFOLK CO,, NY 5H~1' I OPI EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon@peconic.net www.enconsultants.com ENVIRONMENTAL SERVICES April 16, 2003 Town of Southold Board of Trustecs Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish Re: Maria Vampore Giocoli; SCTM # 1000o70-6-11 Dear Ms. Standish: Enclosed for your files are copies of the "Notice to Adjacent Property Owner" and "Proof of Mailing of Notice" for the above referenced project. Thank you for your attention to this matter. Should any additional information be required, please do not hesitate to contact our office. ly, Administrative Asst. Eric. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant:N~R~A¥/L~4POREGIOCOL! SCTM#1000- 70~]! YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to Permit from the Board of Trustees to: request a CONSTRUCT A FIXED TIMBER DOCK, CONSISTING OF A 4' X 9' INCLINED RAMP; 4' X 56' FIXED CATWALK; 3' X 14' HINGED RAMP; AND 6' X 20' FLOAT SECURED BY (2) 8" DIAMETER PILINGS. 2. That Review-is follows: the property which is the subject of Environmental located adjacent to your property and is described as 235 PRIVATE ROAD #3, SOUTHOLD 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:APPdL30,2~3 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: MARLAVAM~OREGIOCOL! MAILING ADDRESS: 235PRU~ATEROAD#3 SOUTHOLD, NY 11~1 PHONE %: ~1-734.-42~ APR t 8 2O03 Southold Town Board of Trustees Enc.: Copy of sketch convenience. or plan showing proposal for your · R,O,W. / R,O,W. PROM OAKI.AWN AVe. EN-CONSULTANTS ~32g NORTH SEA F SPI!TItAMPTON, N. 631-283-6360 APR 1~_~ PROPO~P POCK POF,/v~,IA VAMFOI~ dlOCObl ON/W~,ITITUCK CP,~K, MAl'll~CK, SUPPOLK CO,, NY SHUNT t (:?Pi Name: ANTHON SADROSIC PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 376 HENRY STREET F/dRVI~W, NJ 07022 CAROL & HOWARD SAFIR 215 EAST 68TH STREET, APT. 30E NEW YORK, NY 10021 MA~ON &LAWRENCEMARKS 305 PRIVATE ROAD #3 P.O. BOX 364 SOUTHOLD, NY 11971 LYNN & FREDERICK HYA'I~ P.O. BOX 12 $OUTHOLD, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK ROY L. HAJE 1329 NORTH SEA ROAD SOUTHAMPTON, NY 11968 doing business atEN~ONSULTANTS,[NC- · being duly sworn, deposes and says that on the 16TH day ofAPRIL .20 03 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office atSOUTHAdMPTON , that said persons by (certified) said Notices were mailed to each of ~) mail. Sworn to before me this 16TH day of APRIL ,2o03 Notary Publi~ APR 8 Southold Town Board of Trustees EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon@peconic.net www. enconsultants.com ENVIRONMENTAL SERVICES April 11, 2003 Board of Trustees Al Krupski, Chairman Town of Southold P.O. Box 1179 Southold, NY 11971 RE: VAMPORE-GIOCOLI BROADBLUE, LLC APR 1 4 2003 8~utholO Dear Board Members: I understand that modifications to the moratorium will now allow both of these projects to be heard at the next Trustees' meeting. Accordingly, I request that both be placed on the agenda for your April 30, 2003 heating. Robert Hemuann from my office will be present at that time. Truly yours, Roy L. Haje RLH:ln Cc: Maria Vampore-Giocoli Broadblue, LLC -- So~thOi~es BoarO 14-16-4 (2/BT)---Taxi t2 PROJECT I.D. NUMBER 617.2t Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) I APPLICANT/SPONSOR:[~ V~v~ORE GIOCOLI BY I 2. PROJECT NAME I EN-CONSULTANTS, INC. 3 PROJECT LOCATION: Munictpathy SOUTHOLD County SUFFOLK FORM SEQR 4 PRECISE LOCATION (Sfl'eet address and road intersections, p~ominent landmad(s, etc, or provide map) 235 PRIVATE ROAD #3, TOWN OF SOUTHOLD, SCTM # 1000-70-6-11; MAP PROVIDED. [~lS PI~ROPOSED ACT~I Expanslc~ [] Modification/alteration 6 DESCRIBE PROJECT BRIEFLY: /ONSTRUCT A FIXED TIMBER DOCK, CONSISTING OF A 4' X 9' INCLINED RAMP; 4' X 56' FEKED CATWALK; 3' X 14' HINGED RAMP; AND 6' X 20' FLOAT SECURED BY (2) 8" DIAMETER PILINGS. 7. AMOUNT OF LAND AFFECTED Initially 8,758 S.F. ~e~ Ultimately 8,758 S.F. ~ 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Des [] No If NO, desodbe briefly 9. WHAT IS PRESENT LAND USE IN V~CINITY OF PROJECT? [] Residential [] Indus~ial [] Commercial [] ~gdculture [] Park Forest/Open space [] Other DEC, COE, DOS 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? []Yes [] NO If yes, list agency name and pemlit/approval 12. AS A RESULT OF PROPOSED ACTION V~LL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? I-Iv. I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE · Z~oplicanUsponsor name RO~,3E] HERRMANN, COASTAL MGMT. SPECIALIST DATE OCTOBER 23, 2002 Signature: ~ ~L~ 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 Albert J. Krupski, President James King, Vice-President Henry Smith Attic Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of .~ · COUNTY OF SUFFf)LK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~__/)~rJr- ;~.~ff~4~/,q , ~v,._ EN-CONSULTANTS INC. ~ 1329 NORTH SEA RD. SOUTHAMPTON, N.Y 11968 being duly sworn, depose and say: o~,-~oo-oouu That on the/~ day of ~2 , 200 ,. I personally posted the property known as23~ ~,v~ ~ /&~ ~ by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date o~he, ~u.blic hearing. Date of.hearing noted thereon to be held~ (~i~n~ ~ S~orn to bef~ me this .~O~ day of ~~ 200 ~ Name: ANTON 3ADRO$IC PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 376 HENRY STREET FAIRVIEW, NJ 07022 CAROL & HOWARD SAFIR 215 EAST 68TH STREET, APT. 30E NEW YORK, NY 10021 MARION & LAWRENCE MARKS 305 PRIVATE ROAD #3 P.O. BOX 364 SOUTHOLD, NY 11971 LYNN & FREDERICK HYATT P.O. BOX 12 SOUTHOLD, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK doing business atEN-cONSULTANTS, [NC. ROBERT HERRA4ANN 13~ NORTHSEA ROAD SOUT}{AN~FON, NY 11968 , being duly sworn, deposes and says that on the 24th day of(~2TOBER ,2o 02 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addressesset opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at SOUTHAIMPTON , that said Notices were mailed to each of said persq~ by (certified) ~) mail. Sworn to before me this 24th day of OCTOBER .2o02 Notary Public Board of Trustees Applicatioh County of Suffolk State of New York /DEPOSES AND AFI~IRMS THAT HE/~'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 ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), I~ 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 CONJLTNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS o~ 15 ~' DAY OF /~tEtc{ ,20 0 ~- Notary Public EUZABETH BARBOSA ~ Public, State of New York No. 01 BA5033085 QuaJllied in Ne~ York CounN ~d of Trustees Applicatio~ AUTHORIZATION (where the applicant is not the owner) (print owne~ of property) (mailing address) hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (owner s gigna=ure~ / 8 The Town of Southold's code of Ethics prohibits conflicts of interest on the par5 of town officers and employees. The purpoee of this form is to provide information which can alert tile town of possible conflicts of interest and allow lb to take whatever action is necessary to avoid same. (Last name, first name, middle initial, unless you are applying in the name of someone else or NATURE OF APPLICATION, (Check all that apply.) Tax grievance Variance Change of zone ARp~oval of plat , (If "Other," name the activity.) ~1¢' ~tJ/;2~ ~3~ Zk in~eresb# means a business, including a parbnerebip, ~n ownership of (or employment by) a corporation in which If you answered '¥E$,# complete the balance of this form and Name of peraon employed by the Town of Sonthold Title or position of that person Describe the relationship between yourself (bhe applicant) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The hewn officer or employee or Ilie or her epouae, sibling, parent, or child is (check all tiler apply)l A) the owner of greater titan 5% of the shares of the corporate stock of bile applic~nt (whell the applicant ia a corporabion)~ B) the legal or beneficial owner of any interest in a noncorporate'entity (when the applican~ ia not a corporation)~ C) an officer, director, pa~ner, or employee of the applicant~ or D) tile actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this Signature Print name day of__199 EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-maih encon @ peconic.net www. enconsultants.com ENVIRONMENTAL SERVICES October 23, 2002 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish Re: Maria Vampore Giocoli 235 Private Road #3, Southold SCTM #1000-70~6-I 1 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 3. 4. 5. 6. 7. Three (3) Wetland Permit Applications, ( including Notice and Proof of Mailing to adjacent owners). Three (3) Short Environmental Assessment Forms. Three (3) copies of authorization & disclosure forms. Three (3) work plans. Three (3) copies of survey. One (l) set of site photographs. Application fee of $200.00. I trust this information shall allow you to process our permit request. Should any additional information be requ~ed, please do not hesitate to contact our office. Coastal Management Specialist /khs Enc. Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southeld, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING i, being d~ly sworn; depose and s~y: ' That on the~ day of~ ,_200~,. I ~a.l~y posted the property known as by placing the Board of Trustees officlial poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearinq. Dat~of hearing noted thereon to be held~~-)}~' ' ' ~- ~ ~'~ Dated: (signa~ Sworn to before me this ~07-~day of ~%~.~ 200~ 83° 34' 40" E jOc;~~ NIOIF JAMES & MARY HAMMESFAHR N 74° 15' 00' 9~.37' jA~T ^' 50' WIDE R. ,,PINE NECK ROAD / / N/b/F LA WRENCE & MARION MARKS 50.00' ~0~0) ~~ AREA = 8,758sq, ft. SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SOUTHOLD SU..F_~O_.LK COUNTY, N. Y. Scale 1" 20' ;JULY 19~ 2002 ( loc. docl~s /,w. I.s. I