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Home My WebLink AboutTR-5704Albert 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 May 1,, 2003 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Rob Herrmann En-ConsuRants, Inc. 1329 North Sea Road Southampton, NY 11968 RE: SCTM#70-10-50.1 Nancy Heisner 1700 Park Way Southold, NY Dear Mr. Herrman The Board of Town Trustees took the following action during a Regular Meeting, held on January 22, 2003 regarding the above matter WHEREAS, En-Consultants, Inc. on behalf of Nancy Heisner applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated December 27, 2002 WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Heating was held by the Town Trustees with respect to said application on January 22, 2003 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code. WHEREAS, the Board has determined that the project as proposed will not affect the health, Safety and general welfare of the people of the town. NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approved the application of Nancy Heisner for a Wetland Permit to replace an existing timber dock consisting of a 3'x17' fixed walkway, 3'x10' ramp, and 5'x20' float with a timber dock consisting of a 3'x50' fixed catwalk, 3'x14' ramp and 6'x20' float secured by (2) 8" diameter piles BE IT FURTHER RESOLVED that this detemaination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Fee must be paid, if applicable and permit issued within six months of the date of this notification. Inspections are required at a fee of $5.00 per inspection. (See attached schedule). FEES: $5.00 Very truly yours Albert J. Krupski, Jr. President, Board of Trustees AJK/cjc cc DEC Board Of Southold Town Trustees SOUTHOLD, NEW YORK ISSUED TO ...................... ~'t~(~.~.. ~.~ .................................................... Atttl nrizatimt Pursuant to the provisions of Chapter 61~ of the Laws of the State of New YorE, 1893; and Chapter ~t of the Laws of the State of New Yore 1952: and the Southold Town Ordinance rifled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBUC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS[L ~nd in accordance with the Resolution of The B6ard adopted at a meetincj held on ~?~.5.~-....~.2, ~0(~.? ........ and in consideration of the sum o~ $2QI]..00 ...... paid by E97C?n.~.~]~.~p.~-~,..~?-3~,. gn...bekalf .of..Nancy...Hei~ner ....................... of ..... S.~.~.~P~., ............... N.Y. and subject to the Terms and Conditions listed on 'the reverse side hereof, of Southold Town Trustees authorizes and permlts the followJnq: Wetland Permit to replace an existing ftmber dock consisting of a 3'x17' fixed walkway, 3'xlO' ramp, and 5'x20' float with a timber dock consisting ora 3'x50' fixed catwalk, 3'x14' ramp and 6'x20' float secured by (2) 8" diameter piles all in accordance with the deteiJed specifications as presented in the oricjinating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a'maiorlty of the said Board as of this date. TERMS and CoNDmONS tesld!ng .r 1.700 P.rk W,~, SuuLhold., N. ¥. ~ o[ the cooslderado~ loc d~ ~ bt-~ie Permit does un~lerstand and pmr, crlbe ~o the lowing: 1. That the said Board of Trustees and the Towa o~ Southold ~e ve!~__~t ftmn my sad ~Ii aaron, es, o~ ,~,i,,~ foe ~ ~ ~ ~~ ~yu a ~ of~ ~- 24 ~. That this .permit should be re~_ l _,-~ imieirmiedy, or ~s loag as the said p,.~,lm~e M to mab~tain the stmct~e oc project involved, to provkle evkimce to anym~ comemed ~ tmh- ot~u~o~ was originally obta~ed. 4. Tlmt the wodc involved wLtt be atbject to the impect~m md approval o~ the Beard its agen~ and non-cc~',,~e with.the Hovislons o~ the odgiaat~g application, maybe e,.,,e revocation of this p,-m,i~ by s~soludon of the said Boaid. 5. That dxece will be no um~asot~lc inte~fermce with mvlg~_~,~ ~s · ~ o~ ~he wo~c herein su'dmti~i, 7. ~ if fum~e operstiom o~ d~e Town of ~thold ~ t~ removal Ired/or igi~..ia~Iems lnthe location of the wodc he~ta ~ or lf~ la dsc opinion ~ the Bo~d o~ Tms~ lhe. wod~ ,h., cause um~le obsmsmo~ to free mvigssto~ the said Peunlt~ will ~ ~ upon d~e notice, to remove ot alte~ ~ work ot project he,in rated without ezpemes to t~e Tow~ That the said Board wgt be noctfied by the Permittee ot tl~ ~iOf th~ wu~k -~--0- 8. orlz~ 9. That the Petmittee will obtain all other p~mi~ and comcnts d~t may be requL,,ed plemeatal to ~ permit which may be mbject to ~-voh ulx~ ~.;h,,~ to olxata Albert J. Krupski, President James Kfng, Vice-President Henry Smith Artle Foster Ken Poliwc~a BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 TelE ,hone (516) 765-1892 TO: En-Gonsultants,,. . ,;Inc', ,,,',°n ~eh~If; , o£, Nancy Heisner. Please be advised that your application, dated D.~.ma~ 27 has been reviewed by this Board, at the regular meeting of ' T ........ ~ ~o and the following action was taken= ( X ) Application Approved (see below) (__) Application Denied (see below) ( ) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: One Inspection @$5.00 Each TOTAL FEES DUE: $ 5.00 SIGNED: BY: PRESIDENT, BOARD OF TRUSTEES ~LI~RK~ BOARD OF TRUS~IJ~ES 4/98 Albert J. Krupsld~ President James K/n§, ¥ice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main P~ad P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: En-Consultants,. I,n,c .,, ,,.'.°n .b, ehalf. , of, Nancy. Heisner Please be advised that your application, dated De~m~ 27 has been reviewed by this Board, at the regular meeting of J ........ ~ ~^~ and the following action was taken: ( X ) Application Approved (see below) (__.) Application Denied (see below) (__) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: One Inspection @$5.00 Each TOTAL FEES DUE: $ 5.00 BY: PRESIDENT, BOARD OF TRUSTEES OARD oF RUS I/ES 4/98 Alber~ J. Krupski, President James King, ¥ice-President Arkie 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 NANCY HEI~NER YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE x __ Pre-construction, hay bale line st __ 1 day of construction Y2 constructed Project complete, compliance inspection. Albert J. Krupski, President James King, Vice-President Artie Fester Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Seuthold, 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 V Pre-construction, hay bale line 1st day of construction ¼ constructed Project complete, compliance inspection. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1892 Fax (631) 765-1366 December 24, 2002 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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: ~O_~t_~ t Requested Action: ,~"0,~\~¢_~ 0_',~(~:~ SEQ~ Classification: ( ) Type I (X) Unlisted Contact Person: Albert J. Krupski, Jr., President (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 Krupski, Jr. President CC: Army Corp. of Engineers Dept. of State DEC (*Maps are enclosed for your review) ! 4-16-2 (9/95)-- 7c 617.20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM SEQR Purpose: The full FAF 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- Jy, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project 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 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: [] 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 Ill different from responsible officer) Date PART I--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2. and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so. indicate and specify each instance. NAME OF ACTION LOCATION OF ACTION (Include Street Addrmss, Municipality and County) NAME OF APPLICANT/SPONSOR I c. , ADDRESS - BUSINESS TELEPHONE 15'z l kbr- CITY/PO ~ . NAME OF OWNER {If dlff~P~ STATE ZIP CODE BUSINESS TELEPHONE ( DESCRIPTION OF ACTION Please Complete [~ch Qu*~tion-lndicate ~.~. ff no~ appllcable Physical setting of overall pro~ect, both developed and undeveloped areaq 1. Present land use: []0rban F'qlndustrial []Forest []Agriculture 2. Total acreage of project area: APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Forested Agricultural (Includes orchards, cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24, 2~ of ECL) Water Surface Area Unvegetated (Rock, earth or fill) ~Commercial ~Other acres. ~;l'Residential (suburban) []Rural (non-farm) Roads, buildings and other paved jurfaces Other (Indicate type I a:' ,~_A /. I~tv~A~t~.~'~ /9. ~/~ acres O. 3. What is predominant soil type(s) on project site? _'~V~4'1~1-~ a. Soil drainage: [~Well drained ~ % of site [~Moderatelylwell drained % of site ,~'Poorly drained /* % of site b. If any agricultural land is involved how manv acres of soil are classified within soil group1 through 4 of the NYS Land Classification System? acres (See 1 NYCRR 370}. 4. Are there bedrock outcroppings on project site? [:3Yes ~No a. What is depth to bedrock? ~ ~ (in feet) 2 PRESENTLY AFTER COMPLETION acres C).OH acres acres acres acres acres acres _/~.0~ acres acres acres acres 0.~'" acres acres 0.~ acres acres 5 Approximate percentage of proposed project site with slopes: ~.0-10% Iut)- % [~10-15% % t~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? fi3Yes ~o 7. Is project substantially contiguous to a site listed on the Re[~ister of National Natural Landmarks? E~Yes [~No 8. What is the depth of the water table? ( ~ (in feet) ~{' ~¢K $~'~ 9. Is site located over a primary, principal, or sole source aquifer? ~Yes []No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ~¥es I~No 11. Does proiect site contain any species of plant or animal life that is identified as threatened or endangered? r-]Yes [~J~o .According to ~- ~. J~C4Y~.~wm Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) [~Yes [~f.N o Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? E]Yes [2~,No If yes, explain 14. Does the present site include scenic views known to be important to the community? E~Yes J~No 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 areas wJtb~.~ or contiguous to project area: a. Name ~_~:~-_ (~--~-~ b. Size (In acres) 17. Is the site served by existing public utilities? J~Yes E~No a) If Yes. does sufficient capacity exist to allow connection? E3Yes [~No b) If Yes, will improvements be necessary to allow connection? L~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? I-~Yes [~No 19 Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 6177 E3Yes [~No 20 Has the site ever been used for the disposal of solid or hazardous wastes? I~Yes ,~No B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or control[ed by project sponsor b. Project acreage to be developed: ~. '7/ acres initially; c. Project acreage to remain undeveloped ~.~ acres. d. Length of project, in miles: hJ/~' (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed f. Number of off-street parking spaces existing '~ · proposed g. h. Maximum vehicular trips generated per hour If residential: Number and type of housing units: One Family Two Famdv Initially ultimately i. Dimensions (in feet) of largest proposed structure height; j. Linear feet of frontage along a public thoroughfare project wdl occupy is? 3 acres ultimately. width; ~%' length. ft. (upon completion of project)? Multiple Family Condominium 2. How much natural material (i.e., rock, earth, etc. J will be removed from 3 Will disturbed areas be reclaimed? [~','es ~No ,~N/A a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? [~¥es E~No c. Will upper subsoil be stockpiled for reclamation? [:]Yes i~No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? ~-) ~ acres. .5 Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? [:]Yes ~'No 6. If single phase project: Anticipated period of construction multi-phased: /4 7. If a. Tota'l 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? E3¥es [~o 9. Number of jobs generated: during construction 10. Number of jobs eliminated by this prolect 11. Will project require relocation of any pro~ects or facilities? tons/cubic yards months, 0ncluding demolition). month year, (including demolition). month year. [Yes ~lNo ; after project is complete IqYes [~[No If yes, explain 12. Is surface liquid waste disposal involved? E~Yes 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 involved? E3Yes [~'No Type 14 Will surface area of an existing water body increase or decrease by proposal? Explain E3Yes E~No 15. Is project or any portion of project located in a 100 year flood plain? [~es 16. Will the project generate solid waste? Z]Yes a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facihty be used? E3Yes E]No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? e. If Yes, explain []No [Yes []No 17. Will the project involve the disposal of solid waste~ a. If yes, what is the anticipated rate of disposal? b. If yes, what is the anticipated site life? 18. Will project use herbicides or pesticides? []Yes []:]Yes [2~No tons/month. years I~No 19. Will project routinely produce odors (more than one hour per day)? [~Yes [2~qo 20. Will project produce operating noise exceeding the local ambient noise levels? []Yes 21. Wdl project result in an increase in energy use? ~Yes [~o If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity ,~1 I1¥ gallons/minute. 23 Total anticipated water usage per day ~ I~ gallons/day. 24. Does proiect involve Local, State or Federal funding? Fq'~es If Yes, explain 4 25. Approvals Required: City, Town, Village Board ,~Yes []No City, Town, Village Planning Board I~Yes ~,d~o City, Town Zoning Board I~Yes City, County Health Department I-lYes [~No Other Local Agencies I~Yes ~]No Other Regional Agencies []Yes State Agencies I~Yes [No Federal Agencies ~Yes C. Zoning and Planning Information 1 Does proposed action involve a planning or zoning If Yes, indicate decision required: []zoning amendment [zoning variance Type Submittal Date decision? [~Yes ~No [Z]special use permit I-lsubdivision [site plan E~new/revision of master plan []resource management plan [other 2. What is the zoning dassification(s)of the site~ '~-4~) 3 What is the maximum potential development of the site if developed as permitted by the present zoning? 4 What is the proposed zoning of the site~ /'J 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6 Is the proposed action consistent with the recommended uses m adopted local land use plans? [~'es [No 7 What are the predominant land use(s) and zoning classifications within a ~/i mile radius of proposed action~ 8 Is the proposed action compatible with adloJnmg/surrounding land uses within a V. mile? 9. If the proposed action is the subdivision of land. how many Jots are proposed? a. What is the minimum Jot size proposed? 10 Will proposed action require any authorization(s) for the formation of sewer or water districts? ~]Yes 11 Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? [Yes ~'No a. If yes, is existing capacity sufficient to handle projected demand? []Yes E]No 12 Will the proposed action result in the generation of traffic significantly above present levels? E3Yes [~1o a. If yes, is the existing road network adequate to handle the additional traffic? [l-lYes E~No D. Informational Details Attach any additionaJ information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, pJease discuss such ~mpacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the i~formation provided above is true to the best of my knowledge, . , If the action )s mn the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 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 been reasonable? The reviewer is not expected to be an expert environmental analyst. · The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold 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, c~nsJder 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 1 or 2) 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. Iden{Ifylng that an Impact will bo potentially large (column 2) does not mean that It Is also necessarily significant. Any large Impact must bo ewluated 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. f. 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 that such a reduction Is not possible. This must bo explained In Part 3. IMPACT ON LAND 1. Will the proposed action result in a physical change t.o the proiect s~.e? C]NO I~YES 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 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 1,000 tons of natural material (i.e., rock or soil) per year. · Construction or expansion of a sanitary landfill. '~ Construction in a designated floodway. · Other impact~ 2. Will there be an effect to any unique or unusual land forms found on the sitet' (i.e., cliffs, dunes, geological fqr~jati.ons, etc.)[~NO I~ES · Specific land forms:. /1~/~i f~b~lz~ 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [~ O [~Yes OHo [~ I--I OYes ONo O E] OYes ONo I~ ~] OYes ~]No [] ~ ~Yes ~o ~ ~ ~es ~o ~ ~ ~Yes ~o ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ D OYes DNo IMPACT ON WATER 3. Will proposed action affect any water body designated as protected? (Under Articles 1 $, 24, 25 ot the Environmental Conservation Law, E~CL) DNO Eg'YES Examples that would apply to column 2 · Developable area of site contains a protected water body. · Dredging more than 100 cubic yards of material from channel of a protected stream. · Extension of utility distribution facilities through a protected water body. · Construction in a designated freshwater or tidal wetland. · Other impacts: 4. Will proposed action affect any non-protected existing?r new body of water? ~O DYES 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: 5. Will Proposed Action affect surface or groundwater / quality or quantity? DYES 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. · Proposed 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 exisUng body of water to the extent that there will be an obvious visual contrast to natural conditions. · Proposed Action will require the storage of petroleum or chemical products greater than '1,100 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 storage facilities. · Other impacts: 6. Will proposed action alter drainage flow or pattern,/or surface water runoff! OINO OYES Examples that would apply to column 2 · Proposed Action would change flood water flows. ? Small to Potential Can Impacl Be Moderate Large Mitigated By Impact Impact !Project Change O O OYes []]]No []]] [~ OYes I'-I NO O O OYes ONo ~ O []]]Yes ONo O O OYes ONo O [] OYes F]No O [] OYes O [] []]]Yes ONo O O []]]Yes ONo O O OYes ONo O [] OYes ONo O [] OYes ONo O O OYes ONo O O OYes 1:]No O [] OYes {]:]No O O OYes O O OYes OHo O O OYes ONo O O OYes ONo O ~ OYes ONo O O Oyes O~o '--'1 2 Small to Polential Can I~ Moderate Large Milk. Impact Impact Proje¢ [] [] [] [] OYes O O OYes [] O OYes [] [] []Yes [] [] OYes [] [] []Yes [] [:3 [::3Yes [] I-I Byes [] E:] OYes [] [] []Yes [] O []Yes [] [3 []Yes [] [3 OYes [] [3 [3Yes B) Chan.~ FIN( ON~ ON( ON~ ON( · Construction activity would excavate or compact the soil profile of agricultural land. · The proposed action would irreversibly convert more than 10 acres of agricultural land or, il~ 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 RESOURCESj 11. Will proposed action affect aesthetic resources[' I~lqO [:]YES (If necessary, use the Visual EAF Addendum in Section 617.20, Appendix B.) Examples that would apply to column 2 · Proposed land uses, or project components obviously different from or in sharp contrast to current surrounding land use patterns, whether man-made or natural. · Proposed land uses, or project components visible to users of aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. · Project components that will result in the elimination or significant screening of scenic views known to be important to the area. · Other impacts: IMPACT ON HISTORIC AND ARCHAEOLOgiCAL RESOURCES 12. Will Proposed Action impact any site or structure of J)istodc, pre- historic or paleo~tological Importance[' I~[NO [:]YES Examples that would apply to column 2 · Pto~ Action occurring wholly or partially within or substantially contiguous to any facility or site listed on the State or National Register of historic places. · Any impact to an archaeological site or fossil bed located within the project site. · Proposed Action will occur in an area designated as sensitive for archaeological sites on the NYS Site Inventory. · Other impacts: ON( IMPACT ON OPEN SPAOE AND REOREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? / Examples that would apply to column 2 {~'NO [:]YES · The permanent foreclosure of a future recreational opportunity. "A major reduction of an open space important to the community. · Other impacts: [3N( g NOISE AND IMPACTS 17. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? I~"O [:]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 safety~,.~ E]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 o[ hazardous waste, · Other impacts: IMPACT ON GROWTH AND CHARA(~TER OF COMMUNITY OR NEIGHBORHOOD 19. Will proposed action affect the character of the existing/community~' []}NO I-lYES Examples that would apply to column 2 · The permanent populaUon of the city. town or village in which the project is located b likely to grow by more than 5%. · The municipal budget for capital expenditures or operating services will increase by more than 5% per year as a result of this project. · Proposed action will conflict with officially adopted plans or goals. · Proposed action will cause a change in the density of land use. · Proposed Action will replace or eliminate existing facilities, structures or areas of historic importance to the community. · Development will create a demand for additional community services (e.g. schools, police and fire. etc.) · Proposed Action will set an important precedent for future'projects. · Proposed Action will create or eliminate employment. · Other Impacts:_._ m~ 2 3 S to Potentia Can Impact Be Moderate Large Mitigated By Impact Impact Project Change O O OYes ONo O O OYes ONo O 0 [:]Yes [:]No O O OYes [:]No O O OYes ONo O O OYes ONo O O [:]Yes ONo O O OYes ONo O O OYes ON0 O O [:]Yes ONo O O OYes ONo O O OYes ONo O O OYes ONo ['=1 O OYes ONo O O OYes ONo [] O OYes Ohio [:] O [:]Yes ONo O O OYes Ohio O O OYes ONo 20. Is there, or is there likely to be, public controversy related to potential adverse environmental imp~:~ [3YES It any aollon hi Part 2 I~ Identified al I potential large Impact or It you camtot datem~lne the magnitude ol ImpaoL proceed Io Part '~ 11 617.20 Appendix B State Environmental Quality Review Visual EAF Addendum SEOR This form may be used to provide additional information relating to Question ! 1 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.made scenic qualities? · A site or structure listed on the Hational or State Registers of Historic Places? · State Parks? · The State Forest Preserve? · Hational Wildlife Refuges and state game refuges? · Hational Hatural Landmarks and other outstanding natural features? · Hational Park Service lands? · Rivers designated as Hatlonal or State Wild, Scenic or Recreational? * Any transportation corridor of high expoEure, such as part of the Interstate System, or.Amtrak? · ^ governmentally established or designated interstate or Inter-county foot trail, or one formally proposed for establishment or designation? · ^ site, area, lake, reservoir or highway designated as scenlc'~ · t4unlclpal park, or designated open space? · County road? · State? e Local road? Project and Resource (in Miles) 0'~,4 I/4 - I/2 I/2-3 3-5 5+ [] [] [] (3 [] 0 [] 0 [] 0 [] [] C] [] [] [] [] [] [] [] [] 0 [] [] 0 [] [] [] [] O O [] [] [] 0 0 O CO 0 [] 0 [] 0 [] 0 [] CO 0 [] 2. Is the visibility of the project seasonal? (i.e., screened by summer foliage, but visible during other seasons) BYes I~Ho 3. Are any of the resources checked in question I used by the public during the time of year during which the project will be vlslble7 EIHo SEQRA RESOLUTION RE: NANCY HEISNER SCTM#70-10-50.1 Resolved by the Board of Trustees of the Town of Southold that the application of NANCY HEISNER, more fully described in the public hearing section #12 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. Telephone (631) 765-1892 Town Hall. $3095 Ma/a R. oad P.O. Box 1179 Southold. Ne~v York 11971 $OUTHOLD TOWN CONSEHVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Thursday, December 12, 2002, the following recommendation was made: NANCY HEISNER to replace an existing timber dock (consisting of a' 3'X 17' fixed catwalk; 3'X 10' ramp; and 5'X 20' float) with a timber dock consisting of a 3'× 83' fixed catwalk; 3'X 14' ramp; and 6'X 20' float secured by (2) 8 d ameter pi es. Install approx. 90 linear ft. of 20" diameter fiber roll and plant approx. 600 sf. inter-tidal area with spartina alterniflora (18" on center). Located: 1700 Park Way, Southold. SCTM#70-10-50.1 The CAC did not make an inspection, therefore no recommendation was made. NANCY HEISNER~ 1700 PARK WAY~ SOUTHOLD Figure 1. Looking south from existing dock over location of proposed dock extension and toward Goose Creek. Figure 2. Looking north from mouth of basin over location of proposed dock extension and at existing dock. NANCY HEISNER, 1700 PARK WAY, SOUTHOLD Figure 3. Looking southeast at easterly shoreline of basin and location of propased fiber roll Figure 4. Looking southwest at westerly shoreline of basin and location of proposed fiber roll 40 FOR AO.~G AR~A SEE MAP NO 2B 42 LITTLE HOG NECK NASSAU POINT HOG NECK BAY ~ Founcl~r~ Landing :c. mellb~x:/Maclnlosh%20H D/System %20Foible r/ Preferences/Netscape%20%C4/Mall/Inbox?id= Subject: Correction (wording only) Date: Tue, 30 Sep 2003 14:43:40 -0400 From: "Robert E. Herrmann" <rherrmann~enconsultants.com> Organization: En-Consultants, Inc. To: "Johnston, E. Brownell" <ebi-eati(b)nvbb.net> CC: <laurcn.standishl&town.southold.nv.us> The 3 x 47 is total proposed , not proposed in excess of existing, which gets accounted for in the final calculation... EBJ, Existing ramp (3 x 10), float (5 x 20), and catwalk seaward of AHW (3 x 14) totals 172 square feet. Proposed ramp (3 x 14), float (6 x 20), and catwalk seaward of AHW (3 x 47) totals 303 square feet. Proposed - Existing = 131 square feet x $3 = $393. Let me know if this jives with your calcs. RH Robert E. Herrmann Coastal Management Specialist En-Consultants, Inc. Southampton, NY Phone; 631-283-6360 Fax: 631-283-6136 Email: rherrmann~enconsultants.com Tuesday, September30,200: ,) Page:l rnallbgx:/Macintosh%20HD/Systern%20Folder/ P*eter e nces/N etscape%20%C4/Mail/Inbox?id= Tuesday, September30,200~ Subject: Heisner fees Date: Tue, 30 Sep 2003 14:32:53 -0400 From: "Robert E. Hemnann" <rherrmarm(~enconsultants.com> Organization: Eh-Consultants, Inc. To: 'Johnston, E. Brownell <ebj-eatil~nvbb.net> CC: <lauren.standish~htown.southold.nv.us> EBd, Hex 14) tots Existing ramp (3 x 10), float (5 x 20), and catwalk seaward cfa Is 172 square feet. Proposed ramp (3 x 14), float (6 x 20), and catwalk seaward of ~(HW in excess of existing (3 x 47) totals 303 square feet. Proposed - Existing = 131 square feet x $3 = $393. Let me know if this jives with your calcs. Coastal Management Specialist En-Consultants, Inc. Southampton, NY Phone: 631-283-6360 Fax: 631-283-6136 Email: rherrmannC~_ enconsultants.com Page:l 09 29.'03 ~iON 03:12 FAX 516 765 1366 __$otlrhold To~n Accounting ~]001 To: Browncl] Fax: '~i-589] From: Lau~m Date: 9/29/03 CC: [] Urgent [] For Review [] Please Commmt r'] Please I~ply ....... %,.:, :,':': ,. , !~:i',,, g:~tpaCture seaward of~,VM: 3 X 14 cav~,a& =42'X$'~ =$126 00 ,t.~ ?. :.:, .,. '. 3'X 10'r~30'X$3 ~$90.00 , · 5'X 20' goal = 100'X $3 = $300.00 · " ?:~ ' To~I $516.00 P~b~d ~cture Sea,rd ofH~. 3'X 46' ~1~ = 138'X $3 = ~14.00 ~, .~ :~ ~:L' 3'X 14' r~ = 42'X $3 = $126.00 6'X20'float= 120'X 53 To~ $900.00 E~ - proposed = 5384.00 6)9 29-6)3 15:6)6 RECEIVED FROM:516 765 11366 P.6)I · 03 ~{ON 00:.~6 FAX $16 76.~ 1366 Southold Town Accounting To: Brovmel! ~x: 734-3890 f,~ From: Lam'~a D~e: 9,~9/2003 Re: I~ges: 5 [] Urgent [] For ~iew I~ ~ Oommem [] P~me Reply 1~1 P~e I~le :' :'"" : "~":i .... ~?~.,~dsDue(seawardofHWqvl): ~"' '...-': : '.. 3'X 5' dock : 15'X $3 ~ 45.00 · : ..:. [.. '/::,:' 3'X 14' rmp ~42'X$3 = 126.00 20' float ~ 120' X $3 ~ $360.00 Total Due: $531.00 09-29-8S 12:58 RECEIVED FROM:516 765 1S6S P-81 0§'29 '03 I~ION 00:S6 FAX 516 76.5 1366 Southold Tcmn Accounting [~]002 Board Of $outhold Town ?ru'$tees SOUTHOLD, NEW YORK PERMIT NO. .~geV DATE: 3'~nua:r¥ ~2, ISSUED TO NANCY HEISNER Pursuant to the provhlons of Chapter 61!~ of the Laws tile State of New Yor~, 1893; and Chapter 404 of the Laws of the · State of New Yor[ 19E;2; and the Southeld Town Orcfinance en- titled ."RECczULATINC~ AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC; LAJqDS and REMOVAL OF SAND, GRAVEL-OR OTHER MATERIALS FROM LANDS UNDER TOWN 'WATERS;.-',~ and in accordance w'rfh the Resolution of The B~ard adopted at a meetlng held on _J.5~/..u.~tT~_.~ ~09.3._. L, and ;n consideration of the sum of $.z0o_on .... paid by ~ .n..~p.~.~t.~ ~... ~.,....oD ...b.ek~L£ _of .At,ney-.. ~i~n~.,. ....... r' ..... ' Sou~hamp/;on, . ¢~ .............................................................. N. Y. and subject to the Terms end Conditions llded on ~he reverse side hereof, ¢,f Soufhok{ Town Trustees authorizes and permits the fol~winq: We[lend P~'m~1 m ~-pLace ;m md~n~ t~nl:,er dock ~aus~da~ of e- 3'x l 7' fi×ed wa/kway; 3:xl 0' zamp, and 5'x20' flcml wJ~ ~ ~be~ dock coa~s~ing ot-a 3 brJ0' ~ced catwa~ ~'x14' ~p ell in accordance wHh the detailed Sl~ChUmafion~ as presented in .the originefincj application.- IN. WITNESS WHEREOf:, The said Board of Trudees here- bl~Y causes its Corporate. Seol to be affixed, and ~ese presen~ to subscribed by ~'malorlty of the s,;d Board as of this date. 89-29-8S 12:58 RECEIVED FROM:516 765 09'29'03 FAX ~16 785 136(] $o[Irhold To~n A,=count:ll~g ,l Town Hall 530951~oute25 P.O. Box 1179 Southol~N~w York 11971-0959 Telephone (631) 766-1892 Fax (631) 765-1366 May 1,, 2003 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Rob En-Consultant~, Inc. 1329 North Sea Road Souflmmpton, NY 11968 RE: SCTM~71~I 0-50.1 Nancy Heisner 1700 Park Way Southold, NY Dear Mr. Herrman The Board of Town Trustees took the following action during a Regula~ Meeting, held on January 22, 21)03 regarding the above matter WHEREAS, En-Co.sultants, lnc. on beha!fofNancy fteisner applied to the Southold Town Tmstee~ for a permit under the provisions of the Wetland Ordinance of thc Town of Southold, application da.ted December 27, 2002 WHEREAS, ~a/d application was referred to the Soulhold To'~m Conservation Advisory Council for their findings and mendafions, and WltBREAS, a Public ttear[ug was held by the Town Trustees w/th re*peet to said application on January 22, 2,303 at which time all interested p~rsons were given au opporim~iB~ to be heard, ami, WHEREAS, the Board members have personally viewed and are familiar with the premis~ i~ ques'taon and 'the ~u-rounding area. and, WHEREAS, the Board has considered all the teztimony and documentation mtbmitted concerning th/s application, and, 12:52 RECEIVED FROM:fir 755 FAX .516 76.5 1366 $outhold To;vn Accounting 2 WI-LEREAS, the stametare complies with the standard set forth in Chapter 9748 of the Southold Town Code. ~AS, the Board has determined that the project as proposed will not affect the health, Safety and general welfare, of the people of tho towr~ NOW THEREFORE BE IT, RESOLVED. that the Board of Trustees approved the' apphcation o£Naney Hetxt~er for a Wetland Permit to replace an existing timber dock consisting ora 3'x17' fixed vcallcway, 3'x10' ramp, and 5'r.20' float w/th a timber dock consisting ora 3'x50' fixed catwalk, 3'x14' nmap and 6'x20' float se. cured by (2) 8" ctiamet~r pLles BE 1T FURTi4~R RESOLVED that this determination aiaould not be comdder~l a de~te~mlnation made for any other Department or Agency, which may also have an application penflmg for th, same or simil~x project. Fee must be p.-hd, if applicable and permit issued within six months of the date of this notification. Inspections are required at a fee of $5.00 per kspeetion. (Se~ attached schedule). Very traly you rs Albert J. Kzul~, Jr. President, Bo~d of Trustees c~; DEC FAX ,516 765 1366 $outhold Town Accounting ~/o/~ 12:52 1"=,30' JAN I 6~ ~0~5 182.70' Er',,-C~ l[ b-7,[ iUi'-ANTS INC. 6::~ 1 I'PROFO~ POCK ~PL/Nz~M~NT ANI2 ~×11~NSION fOR NANCY H~ISN~R , ON 500~ CI~[~K, FIJPI¢OLK CO,, N~ ~fl Of: 2 11/14/02, I/ 2/ 0~ DESCRIPTION OF EXISTIHG VISUAL ENVIRONf4ENT 4. From each item checked in question I, check those which generally describe the surrounding environment. Within ~1/4 mile '1 mile Essentially undeveloped [~ [] Forested [] [] Agricultural [] [] Suburban residential [] [] Industrial [] [] Commercial [] [] Urban [] [] River. Lake, Pond [] [] Cliffs, Overlooks [] Designated Open Space [] [] Flat [] [] Hilly [] [] /~ountainous [] [] Other [] [] HOTE: add attachments as needed 5. Are there visually similar projects within: *¥z mile []Yes ['-] No *! miles [~Yes []Ho '2 miles ~lYes []No *3 miles E~Yes * Distance from project site are provided for assistance. Substitute other distances as appropriate. EXPOSURE 6. The annual number of viewers likely to observe the proposed project is NOTE: When user date 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 FREQUENCY Holidays/ Activity Daily Weekly Travel to and from work [] [] Involved In recreational activities [] [] Routine travel by residents [] [] At a residence [] [] At workslte [] Other [] [] Weekends Seasonally 2 Part 3--EVALUA N OF THE IMPORTANCE IMPACTS Responsibility of Lead Agency Part 3 must 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: I. Briefly describe the impact. 2. Describe (if applicable) how the impact could be mitigated or reduced to a small to moclerate 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~:reversibility0 including permanently lost resources of value · Whether the impact can or will be controlled · The regional consequence of the impact · Its potential divergence from local needs and goals · Whether known objections .to the project relate to this impact. (Continue on attachments) 14 IMPACT ON CRITICAL ENVIRONMENTAL AREAS Will Proposed Action impact the exceptional or unique character. istics of a critical environmental area (CEA) established pursuant~ subdivision 6 NYCRR 617.14(g)? OHO I~'ES List the environmental characteristics that caused the designation ol 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. function or enioyment of the resource? · Other impacts: IMPACT ON TRANSPORTATION 15. Will there be an effect to existing transportation syste~0as? · ~NO OYES Examples that would apply to column 2 · Alteration of present patterns of movement of people andlor goods. · Proposed Action will result in major traffic problems. · Other impacts: IMPACT ON ENERGY 16 Will proposed action affect the community's sourc_e~of fuel or energy supply? ~NO [:]YES Examples that would apply to column 2 · Proposed Action will cause a greater than 5% increase in th~ use of any form of energy 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 major commercial or industrial use. · Other impacts: 10 I 2 ' ~3 Small to PotentialCan Impact Be Moderate Large Mitigated By Impact Impact Project Change ~/ [] OYes ONo O O OYes ONo O O OYes ONo O O OYes ONo O O OYes ONo O O OYes ONo O O OYes ONo O O O~es ONo ~ O OYes ONo ~ ~ OYes Oao ~ O O~es · Proposed Action may cause substantial erosion. · Proposed Action is incompatible with existing drainage patterns. · Proposed Action will allow development in a designated floodway. · Other impacts: IMPACT ON AIR 7. Will proposed action affect air quality? I~O OYES Examples that would apply to column 2 · Proposed Action will induce 1.000 or more vehicle trips in any given hour. · Proposed Action will result in the incineration of more than 1 ton of refuse per hour. · Emission rate of total contaminants will exceed S lbs. per hour or a heat source producing more than 10 million 8TU's per hour. · Proposed action will allow an increase in the amount of land committed to industrial use. * Proposed action will allow an increase in the density of industrial development within existing industrial areas. · Other impacts: IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endange~r, ed species[ I~NO OYES Examples that would apply to column 2 · Reduction of one or more species listed on the Hew York or Federal list, using the site. over or near site or found on the site. · Removal of any portion of a critical or significant wildlife habitat. · Applica~on of pesticide or herbicide more than twice a year, other than for agricultural purposes. · O(her impacts: · 9. Will Proposed Action substantially affect non-threatene~l or non-endangered species~ I~rN'O OYES Examples that would apply to column 2 · Proposed Action would substantially interfere with any resident or migratory fish, shellfish or wildlife species. · Proposed Action requires the removal of more than 10 acres of mature forest (over 100 years of age) or other locally important vegetation. IMPAGT ON AGRICULTURAL LAND RESOURCE8 10. Will the Proposed Action affect agricultural land re~.~es~' I-lYES Examples that would apply to column 2 · The proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfields, pasture: vineyard, orchard, etc.) 8 ,~ I '~' 2 3 -~---- Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] OYes {=]No 0 [] OYes ONo [] 0 OYes ONo [] [] OYes ONo [] O [=]Yes ONo [] O []Yes ONo ' O O OYes ONo O O ~Yes ONo ' O O ~Yes ONo ~ O OYes ~ O OYes ONo ~ ~ OYes ONo ~ O OYes ONo O ~ OYes ~No O ~ OYes ONo O O OYes OHo O O OYe~ ONo FN-CONSULTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON, N.'f 11968 631-283-6360 BX~N~IOF,! FOP, NANCY HBI~NBR ON 6009~ CRB~K, $IJFPOLK CO.. ~TlOP 2 1714/02, REPLY TO A~ENTION OF' Eastern Permits Section SUBJECT: Application No. DEPARTMENT OF THE AR__MY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVlTS FEDERAL BUILD;; NEW YORK, N.Y. 10278-0090 August 7, 2003 2002-01518-L2 b i ECEi 'E -- Auo m ~mlUiOtd Toml The New York District, U.S. Army Corps,of Engineers, has .... received a request for Department of the Army authorization for the following activity: APPLICANT: Nancy Heisner 1700 Park Way Southold, NY 11971-1981 ACTIVITY: Construct a pier assembly by replacing an existing 17' x 3' fixed pier and constructing a 33' x 3' extension, a 14' x 3' ramp, and a 20' x 6' float secured by two (2) guide pilings. An existing ramp and float would be removed for construction of the pier extension. The purpose of this project is to provide a safe mooring facility. WATERWAY: Goose Creek, Southold Bay, Shelter Island Sound LOCATION: Town of Southold, Suffolk County, New York As this is minor in nature, authorization may be by Letter of Permission. This is in accordance with current Federal Regulations governing work in navigable waters of the United States. To accomplish the coordination required, prior to the issuance of a Letter of Permission, your review of the enclosed drawings is requested. Pursuant to Section 307 (c) of the Coastal Zone Management Act of 1972 as amended (16 U.S.C. 1465 (c) (3) (A)), the applicant has certified that the activity complies with and will be conducted in a manner that is consistent with the approved state coastal zone management program. To allow for the timely processing of the subject application, your comments are requested within 15 days of the date of this letter. Sincerely, Dr. Marc Helman Chief, Eastern Permits Section Enclosure qO0~ 1" = 30' ILT^NTS INC. 1329 NORTH SEA RD. SOUTHAMPTON. N.Y 11968 631-283-6360 FROPO~P POCK ~FLACg/v'CNT,,~P I~x'r'CNSION FOR NR, ICY HglSNgR ON OOO~ CI~K,/WA1'I]I'UEK, SI.IFFOtIK COUNTY, NY 5H~-'I' I Of ;2 11/I4/OZ i/2/o.$, 4/~4/o5 EN-CONSULTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON, N.Y. 11968 631-283-6360 PROPOSel? l~OdK ~PLAC~t~NT ANI~ ~X11~NSION POR NANCY H~I5NUR ON 6Q05~ C~K, SUFFOLK CO,, ~JY 5HBBT ~ Of 2 II/14/02. I/l/05, ~i/2~'," OE Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda 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 Fex (631) 765-1366 Office Use Only Coastal Erosion Permit Application ~TWetland Permit Application ~"Major Waiver/Amendment/C han~s _ ,~--Recei~ed Application: ] ~,,Received Fee:$ ~[~[~m~.r~,~ ~l~ompleted Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ,.-CAC Re 'e l Sent: }1 .,.,,Oate of Inspection: !~.~ ~1{~ Receipt of CAC Report: Lead Agency Determination: Technical Review: --~Public Hearing Held: !~.l~glO~,~ Resolution: Minor Name of ApplicantNANCY HEISNER Address 1700 PARK WAY, SOUTHOLD, NY 11971 Phone Number:(631 )765-5303 Suffolk County Tax Map Number: 1000 - 70-10-50.1 Property Location: 1700 PARK WAY, 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 }oard of Trustees Applicat Land Area (in square feet): Area Zoning: R-40 GENERAL DATA 34,679 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): REPLACE AN EXISTING TIMBER DOCK (CONSISTING OF A 3' X 17' FIXED CATWALK; 3' X 10' RAMP; AND 5' X 20' FLOAT) WITH A TIMBER DOCK CONSISTING OF A 3' X 83' FIXED CATWALK; 3' X 14' RAMP; AND 6' X 20' FLOAT SECURED BY (2) 8" DIAMETER PILES. INSTALL APPROXIMATELY 90 LINEAR FEET OF 20" DIAMETER FIBER ROLL AND PLANT APPROXIMATELY 600 S.F. INTERTIDAL AREA WITH SPARTINA ALTERNIFLORA (18" ON CENTER). ,ard of Trustees ApplicatJ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: IMPROVE ADEQUACY OF WATER DEPTHS FOR PRIVATE BOAT DOCKAGE; EROSION CONTROL. Area of wetlands on lot: N/A square feet Percent coverage of lot: N/A % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet (RETAINING WALL & DOCK) Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet (NOCHANGE) 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 Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A feet 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 PROJECT ENTAILS THE REPLACEMENT AND EXTENSION OF AN EXISTING DOCK INSIDE THE LIMITATIONS OF AN EXISTING BOAT BASIN, WHICH WILL HAVE NO SIGNIFICANT ADVERSE IMPACT ON NAVIGATION, ADJACENT WETLANDS, OR TOWN WATERS. THE PROJECT ALSO ENTAILS THE PLACEMENT OF A FIBER ROLL & PLANTING OF AN APPROXIMATELY 600 S.F. AREA OF UNVEGETATED INTERTIDAL ZONE WITH SPARTINA ALTERNIFLORA, WHICH WILL PROVIDE INCREASED FLOOD AND EROSION CONTROL FOR THE LANDOWNERS BUT ALSO ENHANCE THE ECOLOGICAL CONDITIONS OF THE SITE BY PROVIDING ADDITIONAL VEGETATED INTERTIDAL MARSH HABITAT. 14-18'-4 (2/~7)---Texl,t2 IPROJECTI.D. NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) SEQR I APPLICANT/SPONSOR:NANCY[~[$~.By I 2. PROJECT NAME EN-CONSULTANTS, INC. 3 PROJiECT LOCATION: Municipality SOUTHOLD county SUFFOLK 4 PRECISE LOCATION (Street address and road intersections, prominent landmarks, atc, or provide map) 1700 PAR~ WAY, SOUTHOLD, SCTM #i000-70-t0-50.1; MAP PROVIDED. 5. IS PROPOSED ACT 6 DESCRIBE PROJECT BRtEFLY: REPLACE AN EXISTING TIMBER DOCK (CONSISTING OF A 3' X 17' FIXED CATWALK; 3' X 10' RAMP; AND 5' X 20' FLOAT) WITH A TIMBER DOCK CONSISTING OF A 3' X 83' FIXED CATWALK; 3' X 14' RAMP; AND 6' X 20' FLOAT SECURD BY (2) 8" DIAMETER PILES. INSTALL APPROXIMATELY 90 LINEAR FEET OF 20" DIAMETER FIBER ROLL AND PLANT APPROXIMATELY 600 S.F. INTERTIDAL AREA WITH SPARTINA ALTERNIFLORA (18" ON CENTER). 7. AMOUNT O{= LAND AFFECTED initially 0.8 ac~es Ultimately 0.8 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Residential [] ,ndustria, [] Commercial [] Agriculture [] Park Forest/Open space [] Other STATE OR LOCAL)? [] Yes [] No If yes. list agency(s) and permit/approvals DEC, COE, DOS 11. DOESANYASPECTOFTHEACTIONI'[AVEACURRENTLYVAUDPERMITOR APPROVAL? ~]Yes [] yes. agency name permit/approval I C[=RTIFY 1 IAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE IApp.canUsponaor name ROl?~ E. HERRMANN, COASTAL MANAGEMENT SPECIALIST DATE NOVEMBER20, 2002 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 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEESr TOWN OF SOUTHOLD In the matter of applicant:NANC¥~EISNER SCTM%1000- 70-10-50.| YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: REPLACE AN EXISTING TIMBER DOCK (CONSISTING OF A 3' X 17' FIXED CATWALK; 3' X 10' RAMP; AND 5' X 20' FLOAT) WITH A TIMBER DOCK CONSISTING OF A 3' X 83' FIXED CATWALK; 3' X 14' RAMP; AND 6' X 20' FLOAT SECURED BY (2) 8" DIAMETER PILES. INSTALL APPROXIMATELY 90 LINEAR FEET OF 20" DIAMETER FIBER ROLL AND PLANT APPROXIMATELY 600 S.F. INTERTIDAL AREA WITH SPARTINA ALTERNIFLORA (I 8" ON CENTER). 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 1700 PARK WAY, 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-DECEMBER18,2~2 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 proDosal. OWNERS NAME: NANCY HEISNER MAILING ADDRESS: 1700 PARK WAY SOUTHOLD, NY 11971 PHONE #: 631-765-5303 Enc.: Copy of sketch or plan showing proposal for your convenience. 5 Name: DOROTHY GALLAGHER PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 17 WOOD LANE SMITHTOWN, NY 11787 ANNA & MARC CLEJAN 49 EAST 96TH STREET, #7C NEW YORK, NY 10128 ANN & TROY BAYDALIA 1600 PARK WAY SOUTHOLD, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT HERRMANN 1329 NORTH SEA ROAD SOUTHAMPTON, NY 11968 doing business atEN~ONSULTANTS, [NC. · being duly sworn, deposes and says that on the 20TH day of NOVEMBER .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 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 at SOUTHAMPTON ~! , that said Notices were mailed to each of said pers s by (certified) ~~) mail. ~/ Sworn to before me this 20TH day o f NOVEMBER .2o 02 ~ -- Cc=mission E~lre~ A3~u~t ~oaO of Trustees App~cation 0 AUTHOP~I ZATION (where the applicant is not the owner) (prink owner of property) residing at /74'0 ,~)/~'/~'~/~7/ (mailing address do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. [,. ( 0~' S signature ) Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF PO~_~$U[iANiS iNC. ~b~. 1329 NORTH SEA RD. ~4~-, ~cidi,',9 aL 631-283-6360 being duly sworn, depose and say: That on the lO day of ~. , 2004 I personally posted the property known as ~'7~C (.~ ~4~T) by placing the Board of Trustees offidi~l 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 hearing. Date of hearing noted thereon to be held ~.~01~,~ Dated: (signatu ~ Board of Trustees Application County of Suffolk State of New York ,.d. / ,s,dae BEINO swo DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM 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 CONJUNCTION WITH REVIEW OF TI-IlS APPLICATION. ( {~S~gnature SWORN TO BEFOm~ ME TH~S /Zt~'._, DAY OF(~,,~ ,20 APPLICANT Tits Town. of Southeld's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The p~rpose of this form is to provide information which can alert tile town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first name, middle iDibial, unless NATURe OF APPLICATION~ (Check ali that apply.) Tax grievance Variance Change of zone ARp~ova! of pier . ., Rxe~ption from plat or offiela! map Other (If "otber," name the activity.) Do you personally (or through your company, spouse, sibling, interest' means a business, including a partnmrmllip, in o~nerehip of (or employment by) a corporation ~n ehich the bo~n officer or employee eyrie more than §~ of ~he If you answered 'YES,# complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Soutltold Title or position of that person Describe the relationship between yourself (the applicant) and the town officer or employee. Either cheek the appropriaCe line A) thcouQh D) and/or describe in the apace provided. Tile town officer or employee or hie or her spouse, sibling, parent, or child is (chsc~ all ~hat apply), A) the owner of ~reater than 5% of the shares of the is a corporation}; B) the legal or beneficial owner of any interest in a corporatton); C) an officer, direc~or, partner, or employee Of the ~D) the actual applicant. DESCRIPTION OF EELATIONSDIP Submitted thi~l / 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 November 20, 2002 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish NOV 2 2 Re2 Nancy Heisner 1700 Park Way, Southold SCTM # 1000-70- ! 0-50.1 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 adjacem owners). Three (3) Short Environmental Assessment Forms. Three (3) copies of authorization & disclosure forms. Three (3) work plans. Three (3) copies of survey. One (1) set of site photographs. Application fee of $200.00 wetlands. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Sincerely, Robert E. He,mann CoasmlManagementSpecialist /khs Enc. N 89'40'00" E Z ×47 ~v/o/~ ANN G BAYDALA & TROY J, BAYDAL~ ^?8 LOT ~ LOT ~ % % LOT (~) SURVEY OF PROPERTY SITUA TED A T PINE NECK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-70-10-50.1 SCALE 1"=20' SEPTEMBER 27, 2002 OCTOBER 15, 2002 LOCATED WETLAND FLAGS AREA = 54,678.97 sq. ft. 1TO TIE LINE) 0.796 ~S':]'. ' ;' : CERTIFIED TO: ROBERT NEISNER NANCY HEISNER OD NOTES: 1. ELEVATIONS ARE R~-FERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:°" LOT NUMBERS SHOWN THUS: £0T(11') REFER TO MAP OF SOUTHWOOD FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY- ON NOVEMBER 24, 1953 AS FILE No. 2141 THIS PROPERTY IS IN FLOOD ZONE AE (EL 8) AS SHOWN ON FLOOD INSURANCE RATE MAP No. 3610300166 O ZONE AE: BASE FLOOD ELEVATIONS DETERMINED N,Y S Uc No, 49668 Joseph A. Ingegno Land Surveyor PHONE (631)727-2090 Fox (631)727-1727 22-289