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Home My WebLink AboutFahey, Sean PatrickAlbert J. ICrupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 April 30, 2002 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Susan E. Long Susan E. Long Permits P.O. Box 46 East Marion, NY 11939-0046 SEAN FAHEY 1415 North Parish Dr., Southold SCTM#71-1-14 Dear Ms. Long: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 24, 2002 regarding the above matter: WHEREAS, Susan E. Long on behalf of SEAN FAHEY applied to the Southold Town Trustees for a permit under thc provisions of the Wetland Ordinance of the Town of Southold, application dated February 27, 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 thc Town Trustees with respect to said application on April 24, 2002, 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 thc 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 does not comply with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees DISAPPROVE the application of SEAN FAHEY to install a 3'X 16' ramp, 6'X 20' float with two 2-pile dolphins to secure float on existing 4'X 70' seasonal dock, because the project would monopolize the public bottom and cause damage to the environment. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Fees: None Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AIK/lms DEC ACE Dept. of State DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVlTS FEDERAL BUILDING NEW YORK, N.Y. ~0278-0090 April 11, 2002 ~ Application No. 2002-00351-L2 by Sean Fahey Eastern Permits Section SUBJECT: 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: Sean Fahey 25 East 9th Street, Apt llA New York, New York 10003 ACTIVITY: Install a 3' by 16' seasonal ramp and a 6' by 20' seasonal float, secured by two (2) 8" seasonal, 2- pile dolphins, onto an existing 4' by 70' seasonal pier. The purpose of this project is to provide safe mooring for applicant's vessel(s). WATERWAY: Peconic 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, Marc Helman Acting Chief Eastern Permits Section Enclosure $11'UA I'~O "...BA Y WIE~I '~ ..... : ' /'OWN Ob' $OUI'HOLO SUFFOLK CO., N. Y. n: t'lttt..l_t_ .4~. ......... -'% Y,C, ~' ~o1~ ~ 11971 ~ew, ~ 11803 Ho~d ~ ~l~ L~ ~c~d B~ 16~ P.O. ~ 1735 ~oi~ 11971 ~ ~ 11971 I I. · ,~-9~ ~oT~o~ oP ~A~ I ~ for: ~: ~ F~ey ~U 3' x 16' ~, 6' x 20' fl~ ~ ~ ~o1~ ~ 11971 ~ 2-pile ~1~ on exis~ ScI'M ~10~71-1-14 70' ~ P.O. ~ 46 ~o~ 1193~ 3~ 15, 2002 pECOlqlC BAY Land of Applicant 1.-_30' lanuarY 15, 2002 P.O- B°x ~° (6'~ 4.?%3455 She~ 1 of 2 SEQRA RESOLUTION RE: SEAN PATRICK FAHEY SCTM#71-1-14 Resolved by the Board of Trustees of the Town of Southold that the application of Sean Patrick Fahey, more full described in the public hearing section #14 of the Trustee agenda dated Wednesday, March 20, 2002 is, pursuant to the SEQRA rules and regulations, is declared an Unlisted Action; and be it Further resolved that the applicant is required to submit a 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. Telepboae (631) 765-1892 l-lell. 53095 Math P.O. Bo~. l[Y9 ,Sou~hoM. New. York $OI. rtHOLD CONSERVATI01~ ADVISORY CO01~CIL At the meeting of the Southotd Town Conservation Advisory Council held Monday, March 18, 2002, the following recommendation was made: Moved by Drew Dillingham, seconded by Bill McDermott, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit Application of SEAN FAHEY to install 3'X 16' ramp, 6'X 20' float with two 2-pile dolphins to secure float on existing 4'X 70' seasonal dock. Located: 1415 North Parish Dr., Southold. SCTM#71-1-14 The CAC recommends Approval with the Condition that the dolphins are seasonal as well. Vote of Council: Ayes: All Motion Carried l~pos~ 6' x 20' flost p}ZCO~NqC BAY l.~nd of App~ca~ '"' NORTH pAR~SI'~ She~ 1 of 2 2,002 i 1315 No~~ ~ 25 W~l~ ~ ~ for: P.O. ~x 46 15, 2002 Sh~ 2 of 2 (b~) 4~-~4~ Alber~ J. Krupski, President James FAng, Vice-President Artie Foster Ken Poliwoda Pegg~y A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 March 21, 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: --~'~ Requested Action: 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 Krupski, Jr. President CC: Army Corp. of Engineers Dept. of State DEC (*Maps are enclosed for your review) ' 14-16.2 617.20 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- ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full E^F 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 proiect data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on Identif~lng the range of possible impacL~ that may occur from ~ pro~ect 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 Impacf. The form also identifies whether an impact can be mitigated or redui:ed. ' 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: i-I Part 1 [] Part 2 CIPart 3 Upon review of the information recorded on this E,~F (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 ~lgnlficant effect for this Unlisted Action because t~e mitigation measures described In PART 3 have been required, therefore · CONDITIONED negative declaration will be prepared.* [] C. The project may result in one or'm0~ large a~d Important Impacts that may have a significant impact on the environment, therefore · positive declaration will be prepared. ° A Conditioned Negative Declaration is only valid for Unlisted Actions t~ame of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Pr;~arer (If different from responsible officer) Date · ' 1 PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significan[ 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. IBUSI~IESS TELEPHONE · NAME OF OWNER Of dlfferen0 APT DESCRIPTION OF ACTION Please Complete Each Question-Indicate N.A. if not applicable .6. Site Desodptlon Phwlcal setting of overall prolect, bo~ developed a'nd undeveloped areas. 1. Present land use: OOrban Olndustrlal OCommerclal BResldentlai (suburban) nRural (non-farm) C'lForest I'lAgrtculture I~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, 2S of ECL) Water Surface Area Unvegetated (Rock, earth or fill) PRESENTLY AFTER COMPLETION ~ acres . - o ~ . acres '-- acres -- C) ~ acres ~ acres ~ C~ "" acres · --'- acres ~ o -- acres ---- acres -- 0 ~ acres acres · ~' 0 acres acres · , .,,0'" ~) Roads, buildings and other paved surfaces, Other(Indicate type, ~ ~iD~., ,,_~-'(2 acres 3. What is predominant soil typ~s) on project site! a. Soil drainage: '~Well drained % of site I-IModerately well drained __ % of site npoorly drained ... % of site b. If an')' agricultural land is Ih~,olv .e~, how many acres of soil are classified within soll group 1 through 4 of the NY$ Land Classification System~' /~/^ acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project slte~ nyes ~gNo a. What Is depth to bedrock{ NJA (in feet) 2 I 5. ^ppr~ximate percentage ol pro'poised project site with slopes.: I~10-10% % O10-15% _ % O15% or greater % $. Is project substantially contiguous.; to, ~or contain a building, site, or districtl listed off the State or the National Registers of Historic Places? nYe~ ~No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? nYes ~No 8. What is the depth of the v?ater tablet A/,/A (in feet) 9. Is site located over a prirHary, principal, or sole source aquifer,' OYes I~No 10 Do hunting, fishing or shell fishing opportunities presently exist in the proje'~t area? I~aYes nNo ,.. 11. Does project site contain any species of plant or:anih~al life that is identified as threatened or endangered,' [~Yes ~No According to ~ll~AN IF.. LC, NC~ Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations OYes I~iNo Describe I 13. Is the project site presently used by the community or neighborhood as an open space' or recreation area? OYes ~No . If yes, explain 14. Does the present site include scenic views known to be important .to. the communityi' OYes ~No 15. Streams within or contiguous to proje~ a'fea: ~ lA a. Name of Stream and name of River to which it Is tributary ~//A 16. Lakes, ponds, wetland areas wlthid or'contiguous to project area: a. Name 1~F:C_.0 /~ C~- .~.~,~L( b. Size (In acres) J 17. Is the site served by existing pith!lc utilitlesT I~Yes ONo a) If Yes, does sufficient capacity exist to allow ¢onnectlonT [~Yes C1No b) If Yes, will improvements be necessary to allow connectlon~' OYes nNo 18. Is the site located In an agricultural district certified pursuant to Agriculture and Markets Law, Article 2S-AA, Section 303 and 304? I-lYes JlNo 19. I~ the site located In or substantially contiguous to a Critical E~,lro;nm:ental Area designated pursuant t6'Arttcle 8 of the ECL, and 6 NYCRR 617[' I-lYes ~No ' 20. Has the site ever been used for ~e .disposal of solid or hazardous wastes. T I~Yes I~lNo B. Project Desodption ' 1. Physical dimensions and ~cale of project (fill In din,,enslons as appropriate) a. Total contiguous acreage owned or c~ntrolled by proJ:ect ~ponsor b. Project acreage to be developed: ~, ! A acre's inltl'~lly; · c. Project acreage to remain undeveloped d. Length of project, in miles: _~.( ,J, ( f appropr ate~ e. 'If the project Is an expansion, Indicate percent of expansion proposed f. Number of off-stre~t parking spaces existing u/ g. Maximum vehicular trips generated per hour "~L h. If residential: Number and type of housing units: One Family Two F~amlly - Initially ~..}Lt~T'I/~ C i~-/~ ,: Ultimately I. Dimensions (in feet) o~f largest proposed structure j. Linear feet of frontage along a public thoroughfare project will occ, up¥. bi" 3 / acres. . acres ultimately. propos. (upon' completion of p~'oject)? Mum'tipl,e Family Con~lomlnlum hel&h~, ~dt~ ~' len8~. 2. How much natural material (i.e.. rock, earth, etc.) will be removed from the site? '-Es - 3. Will disturbed areas be reclaimed? OYes [DNo ~NIA a. If yes, for what intended purpose is the site being reclaimed? n/IA b. Will topsoil be stockpiled for reclamation? OYes ONo ¢. Will upper subsoil be stockpiled for reclamation? C]Yes ONo 4. How many acres of vegetation (trees, shrubs, groun~l covers) will be removed4rom site? ' --O '- acres. S. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? OYes ~No 6. If single phase project: Anticipated period of construction 7. If multi-phased: a. Total number of phases anticipated b. Anticipated date of commencement phase 1 c. Approximate completion date of final phase d. Is phase 1 functionally dependent.on subsequent phases? 8. Will blasting occur during construction? ' OYes I~No oN.E. months. (including demolition). tons/cubic yards Cnumber). # month .~,/~4 year, [including demolition). ~r~ - year., month OYes /' ONo If yes. explain 9. Number of jobs generated: during construction . ti. ; after project is complete, 10. Number of jobs eliminated by this project -{3- . 11. Will project require relocation of any project~ or facilities? OYes I~No 12. Is surface liquid waste disposal involved? OYes ~aNo a. if yes, indicate type of waste (sewage, industrial, etc.) and amount ,~IJA b. Name of water body into which effluent will be discharged ~1/A 13. Is subsurface liquid waste disposal involved? OYes ONo Type 14. Will surface area of an exlstlgg'.water body Increase or decrease by proposal? OYes' ~No Explain /11/.4 15. Is project or any portion of project located I~ a 100 year floc~ plain? OYes [:3No 16. Will the project generate solid waste? ' OYes [~No a. If yes, what is the amount per month N'!_A tons b. If yes, will an existing 'solid waste facility be used? OYes Il'No c. If yes. give name . N//t ; location d. Will any wastes not go into a sewage disposal system or into a sanita~ landfill? OYes ~E~No e. If Yes, explain 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? ~/IA 18. will project use herbicides or pesticides? OYes DYes I~No N [.~4 tons/month. years. I~No 19. Will project routinely produce odors (more than one hour per day)? OYes 20. Will project produce operating noise exceeding the local ambient noise levels? OYes 21. Will project result In an Increase in energy use? OYes ~No If yes , indicate typ~s~ 22. If water supply Is from wells. Indicate pumping capacity .N.!A gallons/minute. ' anticipated water usage per day N./A · gallons/day. 23. Total 24. Does project involve Local, State or Federal funding? OYes ~No If Yes, explain 4 ~3No 25. Approvals Required: Type Submittal Date City, Town. Village Board i-lYes City. Town, Village Planning Board [}Yes T~No City, Town Zoning Board OYes '~3No City, County Health Department [3Yes ~No Other Local Agencies I~Yes nNo Other Regional Agencies.' I-Wes ~No State Agencies ~]Yes I-INo Federal Agencies ~Yes [3No .~6 DTI~OL ~ T0~J ~1 TRU.~'~F~:5 ~No C. Zoning and Planning Information 1. Does proposed action .involve a planning or zoning decision? nYes · If Yes, indicate decision required: Cizonlng amendment I-Izoning variance [3special use permit ' Flsubdivislon [3site plan [3new/revlsion of master plan I~resourc'e management plan [3other 2. What is the zoning classification(s)of the site? R~_S I_t-~.I~T! ~,L 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? N/~. 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 in adopted local land use plans? ~Yes ONo 7. What are the predominant land use(s) and zoning classifications within a 14 mile radius of proposed action? 8. Is the proposed action compatible with adjolnlngJsurroundlne land uses within a 14 mile? I~Yes ONo 9. If the proposed action is the subdivision of land~ how many lots are proposed? a. What is the minimum lot size proposed? 10. Will proposed action require ~ny authorization{s) for the formation of sewer or water districts? [3Yes 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protectlon}~ I-lYes ~No a. If yes, is existing capacity sufficient to handle projected demand? I-lyes 12. Will the proposed action result in the generation of traffic significantly above present levels? E]Yes' ,~No a. If yes, Is the existin¢ road network adequate to handle the additional traffic/ EYes D. Informational Details ^ttach any additional information as ma? be needed to clarify ~,our project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. EL Verification I certify that the information provided above is ~rue to the best of my knowledge. ApplicanL/Spoosor Name ~t~6U~LF~ t'4A-R'lk{E -~ ~ t)~CA-I,[ I~. LhHr,- '~ILI I'l"c; Date' - ~ -~-~,',',',',',~~ Signature ,.~LJ,,d,,~. ~F~ ~ t Title ?~f~ ,' . ~ I~ the action Is In the Coastal Area, and you are a state agent, complete the Coaxial A~s~sment Form before proceeding with this ~ment. ,, · 5 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 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 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 qr 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 projecL on each site, in each locality, will vary. Therefore. the examples are illustrative and have been offered as guidance. They do nos 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, cgnsider 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 Yea answers. c, If answering Yea to a question then check the appropriate box (column I 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 thres, hold Is lower than example,:.cbeck Column 1~ d. Identifying that an Impact will be potentially large (co{u}nn 2} does not mean that It la also necessarily significant. 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 pr~eed to PART 3. f. If a potentially large impact checked In column 2 can be mltlgated~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 be explained In Part 3. I 2 3 Small to Potential .Can Impact Be Moderate Large Mitigated By Impact ' 'Impact ' Project Change O O OYes []No [] [] OYes •No [] [] OYes []No [] [] []'res []No [] O OYes []No [] [] []Yes []No [] [] []Yes []No [] O []Yes CINo [] O []'res []No IMPACT ON LAND 1. wifl the proposed'action result in a physical change t.o the project site~' nNo C]YES Examples that would apply to column 2 "Any construction on slopes of 15% or greater, (15 fc~ot 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 feel "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 impacts 2. Will there be an effect to any unique or unu)ual land forms found on the sitei' (i.e., cliffs, dunes, geological formations, crc.lC)NO OYES · Specific land forms: 6 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 impact~ of each proiecL on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do no~ constitute an exhaustive list of impacts and thresholds to answer each question. · The number ot examples per question does not indicate the importance of each question. · In identifying impacts, cpnsider long tern,, short term and cumlative effects.' Instructions (Read carefully) .. a. Answer each of the 20 questions In PART 2. Answer Yea i; there will be any impact. b. Maybe answers should be considered as Yea answers. c, If answering Yes to a question then check the approprlato box (column I or 2) to Indicate the potential size of the impact, It Impact threshold equals or ex•cads any example provided, chect( column 2. If impact will occur but threshold Is lower than example;.check column 1, d. Idenilfylng that an Impact will be potentially large (¢oiu'mn 2) does nbt mean that It Is also necessarily significant. Any large Impact muSt be evaluated In PART 3 to determine significance. Identifying an Impact In column 2 simply asks that It be looked at further. e. If reviewer has doubt about size of the Impact then consider the impact as potantlally large and prOCeed to PART 3. f. If a potentially large impact checked In column 2 can be mltlgateCby change(s) In the project to a small to moderate impact, also •hack the Yes box In column 3. A No response Indicates that such a rsduotlon I$ not possible. This must be explained In Pert 3. IMPACT ON LAND ' ' 1. Will the proposed action result in a physical change t.o the prcject site? [.]NO I'~IYES Examples that would apply to column 2 · Any construction on slopes of 15% or greater, (1S f~ot '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 feel · 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 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 here be an effect to any unique or unusual land forms found on the slte~' (i.e., cliffs, dunes, geological formations° etc.)l-lNO OYES · Specific land forms:. 6 I 2 3 Small to Potential .Can Impact Be Moderate Large Mitigated By Impact ' Impact ProjeCt Change r-I [] I-lyes []No 1'1 [] OYes ON• I-1 [] OYes •No [] [] [DYes ON• [] F1 OYes ONo [] I-I OYes I-INo [] [] []Yes []No [] [] []Yes I-INo [] ~] OYes I-INo [~ n []Yes I'-INo IMPACT ON WATER 3. wirl proposed action affect any water body designated as protected[' (Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) ONO OYES I!xamples 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 or new body of water? ON• 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 o.f water that exceeds 10 acres of surface area. · Other impacts: 5. Will Proposed Action affect surface or groundwater quality or quantity[' ONO 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. · 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 existing 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 patterns, or surface water runoff~ OHO OYES Examples that would apply to column 2 · Proposed Action would change flood water flows. 7 ; 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change O O OYes ~]No [] O OYes OHo [] [] OYes ONo O O OYes ON• [] O OYes 0~o 0 0 OYes 0~o 0 O OYes 0~o I'q 0 OYes ON• [] O OYes 0~o [] [] []Yes •No [] [] []Yes 0~o O [] []Yes •No [] [] []Yes ON• O O []Yes 0 0 OYes ONo ~ 0 OYes 0~o 0 0 OYes 0~o 0 0 OYes 0 0 OYes 0~o 0 0 OYes ~o 0 0 OYes ~o Proposed Action may cause substantial erosion. Proposed Action is incompatible with existing drainage patterns, Proposed Action will allow development in a designated floodway· Other impacts: IMPACT ON AIR . Will proposed action affect air quality? C1NO 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 $ lbs. per hour or a heat. source producing more than 10 million BTU's per hour. Proposed action will allow an increase in the amount of land committed to industrial use. Proposed action will allow an increase in the density of industrial development within existing industrial areas. Other impacts: IMPACT ON PLANTS AND ANIMALS · Will Proposed Action affect any threatened or endangered species,' [E)NO OYES Examples that would apply to column 2 Reduction of one or more species listed on the New York or Federal list. using the site, over or near site or found on the site. Removal of any portion of a critical or significant wildlife habitaL ^pplica{ion of pesticide or herbicide more than twice a year, other than for agricultural purposes, O(her impacts: h Will Proposed Action substantially affect non-threatened or non-endangered s pecies~' I-]NO 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. IMPACT ON AGRICULTURAL LAND RESOURCES 0. will the Proposed ACtiO~T affect agricultural land resources~ C]NO I~YES 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.) I 2 I -- 3~-- Small to Potential Can Impact Be Moderate Large M~tigated By Impact Impact Project Change 0 [] []Yes E] [] E]Yes ~NO ~ ~ ~Yes ~ ~ BYes ~No ~ D ~Yes DNo ~ ~ ~Yes ~No ~ ~ DYes ~No ~ ~. ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes 0 ~ ~Yes 0 ~ DYes ONo · 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, if located in an Agricultutal 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? I-IN• i-lYES (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 contrasi 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 impacm IMPACT ON HISTDRIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importancef I']NO f-lYES Examples that would apply to column 2 · ProPOSed Action occurring wholly or partially within or substantially contiguous to any facility or site listed on the State or National Register of historic places. · Any impact to an archaeological site or fossil bed located within the project site. · Proposed Action wil[ occur in an area designated as sensitive for archaeological sites on the NYS Site Inventory. · Other impacts: IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunltlesf Examples that would apply to column 2 r'lNO OYES · The permanent foreclosure of a future recreational opportunity. · A major reduction of an open space important to the community. · Other Impacts: Small to Potential Can Impac Moderate Large Mitigated Impact Impact Project Ch~ [] [] OYes E I' [] [] [~Yes [] [] []Yes [] [] OYes [- [] [] OYes 0 0 OY~ E 0 0 OYe~ E 0 0 OY~ E 0 0 OYe~ E IMPACT ON CRITICAL ENVIRONMENTAL AREAS Will Proposed Action impact the exceptional or unique character- istrcs of a critical environmental area (CEA) established pursuant to subd~ws~on 6 NYCRR 617.'J4(g) ? ENO OYES List the environmental characteristics that caused the designation o! 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 resourcef Proposed Action will impact the use. ~unction or enjoyment of the resource? Other impacts: IMPACT ON TRANSPORTATION Will there be an effect to existing transportation systems? · r'qNO BYES Examples that would apply to column 2 Alteration of present patterns of mo~)ement of people and/or goods. Proposed Action will result in major traffic problems. Other impacts: IMPACT ON ENERGY 16 Wdl proposed action affect the community's sources o[ fuel or energy supply? OHO ~YE$ Examples that would apply to column 2 ' Proposed Action will caus~ a greater than 5% increase in th~ use ol any form oi~ energy in the' municipality. , Proposed Action will require the creation or extension of an energy ~ransmission or supply system to serve more than 50 single or two family residences or to serve a maior commercial or industrial use. · Other impacts: 10 I 2 3~ Small to Poter~hal Can Impact Be Moderate Large Mitigated By impact Impact Project Change O O OYes [] [] E3Yes O O OYes ONo O O OYes []No [] [] OYes []No O 0 OYes ONo O O OYes ONo O O OYes ONo 0 [] OYes [] O OYes O O DYes ONo / NOISE AND ODOR IMPACTS 17 will there be objectionable odors, noise, or vibration as a result of the Proposed Acti'on? •NO OYES [xamples that would apply to column 2 · Blasting within 1,500 feet of a hospital, school or other sensitive faciht¥. · Odors will occur routinely (more than one hour per da'/). · 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~ . aN• nYES 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 impact~: IMPACT ON GROWTH AND CHARAQTER OF COMMUNITY OR NEIGHBORHOOD 19. Will proposed action affect the character of the exl$flng community~ nH• I-lYES Examples that would apply to column 2 · The permanent population of the city, town or village in which the project is located is likely to grow by more than 5%. · The municipal budget for capital expenditures or operating services will increase by more than 5% per year as a result of this project. · Proposed action will conflict with officially adopted plans or goals. · Proposed action will cause a change in the density of land use. · Proposed Action will replace or eliminate existing facilities, structures or areas of historic importance to the community. · Development will create a demand for additional community services (e.g. schools, police and fire, etc.) · Proposed Action will set an important precedent for future'proiects. · Proposed Action wtll create or eliminate employment. · Other Impacts: 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes ON• [] [] []Yes O [] []Yes []No [] O OYes []]No [] O OYes •No [] [] DYes []No [] [] []Yes ON• [] [] []Yes •No [] [] OYes [] [] OYes •No [] [] OYes •No [] [] DYes ON• [] [] OYes •No [] [] OYes •No O [] OYes []No [] [] OYes ON• [] [] OYes []No [] [] OYes ON• [] [] []Yes •No 20. Is there, or is there likely to be, public controversy related to potential adverse environmental impactsi' · ' [:3NO OYeS It any action In part 2 Ia Identified aa a potential large Impact o~ I1 you am'tot delemqna the magnitude ut Imp•eL proceed to par1 3 11 Pall 3--EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency 'art 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be n;tlgated. nstructlons )iscuss the followin8 for each impact identified in Column 2 of Part 2: . Briefly describe the impact. Describe (if applicable) how the impact could be mitigated or reduced to a small to moderate impact by proiect change(s). 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 ILs i~reversibility, including permanently lost resources of value Whether the impact can or will be controlled The regional consequence of the impact ILs potential divergence from local needs and goals · Whethec known objections to'the project relate to this impa~t. Continue on attachments) 6] 7.20 SEQR Appendix B State Environmental Quality Review Visual EAF Addendum This form .may be used to provide additional information relating to Question ! ! of Part 2 of the Full EAF. (To be completed by Lead Agency) Distance Between Visibility l. 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 observatlo.n, enjoyment and appreciation of natural or man.made scenic qualities? · ^ site or structure listed on the Hatlonal or State Registers of Historic Places? · State Parks? · The State Forest Preserve? · National 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 expospre, 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 scenic? · t4unlclpal park, or designated open space? · County road? · State? · Local road? Project and Resource (in Miles) 0.~.4 V4-V2 I/2-3 3.5 5+ [] [] [] [] [] [] [] [] [] [] 0 [] [] [] [] 0 [] 0 [] [] n [] [] O' [] [] 0 [] [] 0 [] [] [] [] [] [] [] [] [] O [] 0 [] [] 0 [] [] [] [] 0 O [] [] [] O D O (O [] [] [] O [] [] [] n [] [] [] 0 O [] [] [] Is the visibility of the project seasonal? (I.e., screened b~/summer foliage, but visible during other []Yes OHo Are any of the resources checked In question 1 used by the public during the time of year during which the project will be visible? []Yes []No 1 DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4 From each Item checked in question ], check those which generally describe the surrounding Fssentially undeveloped Forested Agricultural Suburban residential Industrial Commercial Clrban River, Lake, Pond Cliffs, Overlooks De~gnated Open Spa, ce Fiat Mountainous Other NOTE: add attachments as needed Within mile * 1 mile [] [] Are there visually similar projects within: '~,5 mile ['-]Yes r-]Ho '1 miles [-]Yes IF]Ho '2 miles J'"'~ Yes r-]No · 3 miles I-lyes r-INo · Distance from project site are provided for assistance. Substitute other distances as appropriate EXPOSQRE 6. The annual number of viewers likely to observe the proposed project is. HO'I'E: When user data Is unavailable or unknown, use best estimate. COHTEXT 7. The situation or activity In whlch the viewers are engaged while viewing the proposed action is Activity Travel to and from work Involved in recreational activities Routine travel by residents At a residence At workslte Other ' FREQUENCY Holidays/ Dally Weekly Weekends Seasonally 0 [] [] [] [] 0 [] [] [] [] [] [] [] [] [] [] [] [] [] [] 0 [] [] [] }tenry .4m~t h Town Hall 53095 Route 25 PO. Box 1179 Southold, Ne',,,' York 11~71-0959 Telephone ~63/, 705-1'59: Fax ,631; 7~5-~366 BOARD OF TOWN TRUSTEES TO',,XSN OF SOUTHOLD ORIGINAL Office Use Only Coastal Erosion Permit ApplicaU°.°.°~ Wetland PermitApphcation WMajor __Min°r Wa~,, er Amendment/Cha,~zes Rece,ved Applicatign~: -'--Recewed Fee'S o'-Ow _---Completed .App---_ __ Incomplete SEQRA Classification 'I ,., pe I Type 11 Unlisted .__Coordlnation.(date s e n t~_/~k~ C.-\C Referral Sent _ Da~e of Inspection~t_~.~j.~o~_,...~ Receipt of CAC Report Lead -Xgenc5 Determinauon _ __Technical Re',.'ie',,~ _ I t ,,, Pubhc Hearing Held Resolution x.vne of-\;,t,h,:,mt .~F..AI4 F/{HENI .................... I ~.ddress .,1..~' E/k.51" q-'rk .ST.. /YPT. llA Nx/ Phone Number t ),.21~ ~,2~'- Suffolk Count> Tax Map Number 1000- '71-]- 1~ I'rc, pe~gy Location. rift..5' _N. 'PA~IsH D~., rpro',ide L[LCO Pole ,. d~stance to cross streets, and location) -\GENT ..... 'O...Kh~Lff=xl M&I~I NE-~ P.-ONSUIP. 0e...T~Oror 't:,.o - IB 0 ~. q(o N_q_ 3':/- o o '/4, ........ Board of Trustees Application GENERAL DATA Land Area (in square feet): .,~. ~, ~ a O0 n' - AreaZoning: P.~__~l bE~"rl ,~t. u~m'r ff )~ ~T' Previous use ofprope~: E~ 5~t ~ ~ ~ LK~b Intended use ofprope~y:N~ ~AN6 ~ 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? ~"'"No Yes If yes, provide explanation: l' Project Description (use attachments if necessary):. ~rd of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: . Area of wetlands on lot: ~//~4 square feet Percent coverage of lot: t,/[ ~1 % Closest distance between nearest existing structure and upland edge of wetlands: t~/~.,4 feet Closest distance between nearest proposed structure and upland edge of wetlands: A/I ./c feet Does the project involve excavation or filling? v~No Yes If yes, how much material will be excavated? -~ - cubic yards How much material will be filled? - ~, '-- cubic yards Depth of which material will be removed or deposited: - O ~ Proposed slope throughout the area of operations: ,~/A Manner in which material will be removed or deposited: 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. (u~e attachments if appropriate): of Trustees Application County of Suffolk S=ate of New York ~0~ '~, ~0~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PF~RMIT(S) ~ THAT ALL STATF~ME~S CONTAINED HEF~EIN A/AE TRUE TO THE BEST OF HIS/HER KROWLEDGE A/TD BELIEF, AND THAT ALL WORK WILL BE DONE IN THE M~ER SET FORTH IN THIS APPLICATION AND AS M~%Y BE APPROVED BY THE SOU~OLD TOWN BOARD OF TRUSTEES. THE APPLIC~NT AGP~EES TO HOLD ~"6E TOWN OF SOU~OLD ~ ~5{E TOWN 5~RUSTEES F~kRM-LBSS A~rD FREE FROM ASIY ASrD ALL DA~GES AND CLAIMS ~RISING UNDER OR BY VIR~3E OF SAID. PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HF~Y AU~6ORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ON~ MY PROPERTY TO INSPECT THE PPd~ISES IN CONJL~NCTION WITH REVIEW OF THIS APPLICATION. Signature ~ Notary Public Notary Public, State__of_ _N_ew York NO. 01GL4879bU~ Qualified in Suffolk Commission Expires Dec. 8, 7 e AUTHORIZATION FORM (name) located at~'o ,,lqdo~.,~ ~ry (;owa & state) (~reet address) do hereby give [~ C~U~L£,/ (contractor)- and Susan E. Long the authority to act as ageat on my behalf in applying for all necessary permks for work to be done on my property descn'bed above. Man ~0 02 12:49p Susan E. Lon6 516-477-345S p.4 ,albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town H~I 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fs~ (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~Z~Z~/~ ~".~Z/3(~L~ , residing at _C~E~O/RT- being duly sworn, depose and say: That on the {~day of~, 200~, I personally posted the property known as I~1~ ~ ~.~ ~IU~ .5~u~CD by placing the Boar~ of Trus{'ees 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~the ~ublic hearing: Date o~ he. ring noted thereon to be held ~~ Dated: Sworn to before me this ZO day of Notary Public SUSAN E. LONG Notary Public. State of New York Commission Expires No.ember 5,~.~k~ ~C-