HomeMy WebLinkAboutTR-5291Albert J. Krupski, President
James K~ng, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
January 27, 2003
Mr. Jack Biggane
168 Euston Road
Garden City,. NY 11530
Re: 8871 Oregon Road
Cutchogue, NY
SCTM#83-1-34
Dear Mr. Biggane:
The following action xvas taken at the Southold Town Board of Trustees Regular Meeting on
January 22, 2003.
RESOLVED that the Southold Town Board of Trustees grant a one year extension to Permit
#5291 dated February 21,2001
However, this determination is not a determination from any other agency.
If you have any questions please contact our office at 765-1892.
Sincerely,
Albert J. Krups~iSJr.
President, Board of Trustees
AJK: cjc
Cc: DEC
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. DATE: ..~b.. g?,. 2g01
ISSUED TO ................... J C~H.I~... B~ G.g.P~ b] E ........................
Pursuant fo the provisions Of Chapter 615 of the Laws of
the State of New YorE, 1893; and Chapter 404 of the Laws of the
State of New York 1952; and the Southold Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS end the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;'~. and in accordance with the
Resolution of The Board adopted at a meeting held on .....~.
2Q~.~...., and in consideration of the sum of $ 2°Q'.~.O .... paid by
Joh. r~.. B~ggane .......................................................
of ....... _G. arO~n....fi~ty. .................... N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of SoutholdTown Trustees authorizes and I~ermlfs the following:
all in ~*~'~ z0. =o0=. ~=~ ....... ~ be submitted lief ...... k h~ ,~arted lna nfed in
the originating appncanon.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes ifs Corporate Seal fo be affixed, and these presents fo
be subscribed by a majority of the said Board as of this date.
Albert J. Krupski..Jr.-Ah~t
Artie Foster -.Absent
TER~S and CONDmONS
The Pcflnh't~e
John Biggane.
168 Euston Rd., Garden City, NY 11530 N.Y. ~s
part of the consideration for the issuance of the Permit does understand and ptescrlbe to the ~ol-
lowiog:
1. That the said Board of Tt~xees and the T..~. d Southold axe tzleased fram any and
aU damage% oc claims for a.~geg of suits az~.sing dLrectly at indirec~y ns a result of any oper-
ation performed pursuant to ,~, pennig ami the said Peanietee will, at his oc !~ own exlXme,
2. That this Perm~ is'valid [or a pesiod of 24 moe. wh{d~ is consldenM to be the
estimated t;,~. required eo complem the wodc involved, but should clro,-.o~-,-e~ warrant, request
for an ex~mslon may be ~ to the Bo~d at a !-~, date.
3. That thl. Permit should be retained indefmltely, or as long as the said peemlctee wishe~
to maintain the stmcn~e or project involved, to provide evidence to anyone concerned that auth-
orization was originally obtained.
4. That the work involved will be subject to the inspection and appzoval of the ]Board ot
its agents, and non-compliance with the provisions of the od~tl.g application, may be cause fo~
revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigitloo as a result of the wo~
herein authorized.
6. Thai there shall he no interference with the right of the public to pass and velnss along
the beach between high and Iow water marks.
7. That if futuze operations of the Town of Southold zequive the asuov~l and/or alterations
in the location of the w0tk herein antho~ or if, in the o1~-[~,~ ~ the Bo~d of Tms~ee~ the
work shah cause unreasotmble obstrucuoo to free navigation, the said Petmittee will be tequ~
upon due notice, to remove or alter this work or project herein stated without ~ to the Town
of 5outhold.
8. Thac the said Board will be notified by the Pem3ittee ot the completion of the wm'k atttb-
orized.
9. That the Permittee will obtain all other permits and coosents chat may be requi~ed
plemental to this permit which may be subject to revoke upon fniltwe to obtain same.
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Attic Foster
Ken Poliwoda
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
February27,2001
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Mr. James E. Fitzgerald, Jr.
Proper-T Permit Services
P.O. Box 617
Cutchogue, NY 11935
RE: JOHN BIGGANE
8871 Oregon Rd., Cutchogue
SCTM#83-1-34
Dear Mr. Fitzgerald:
The following action xvas taken by the Board of Town Trustees during its regular meeting held
on Wednesday, February 21, 2001 regarding the above matter:
WHEREAS, Proper-T Permit ServiCes on behalf of JOHN BIGGANE applied to the Southold
Toxvn Trustees for a permit under the provisions of the Wetland Ordinance of the Town of
Southold, application dated February 2, 2001 and
WHEREAS, said application was referred to the Southold Town Conservation Advisory Council
for their findings and recommendations, and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on
February 21, 2001 at which time all interested persons were given an opportunity to be heard,
and,
WHEREAS, the Board members have personally viewed and are familiar with the premises in
question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standards set forth in Chapter 9'7 of the Southold
Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the health,
safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approve the application of JOHN BIGGANE to
construct a bulkhead 142' long at toe of bluff with return at western end of length so that top of
bulkhead return meets the slope of the bluff; backfill behind bulkhead to level of top of
bulkhead; plant filled area with American beachgrass on 18" centers; place rock armoring at base
of bulkhead on seaward side. Construct stairs fi.om top ofbluffto beach at seaward side of
bulkhead, overall run approx. 85 fi. All run-off must be contained in drywells as indicated on
drainage plan dated February 20, 2001. Pictures must be submitted before work is started and
after work 'is completed.
BE IT FURTHER RESOLVED that this determination should not be considered a determination
made for any other Department or Agency ~vhich may also have an application pending for the
same or similar project.
Permit to construct and complete project will expire two years from the date it is signed. Fees
must be paid, if applicable, and permit issued within six months of the date of this notification.
Two inspections are required and the Trustees are to be notified upon completion of said project.
Fees: None
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/Ims
cc: DEC
ACE
Dept. of State
Proper-T Permit Services
PO. ST OFFICE BOX 617. CUTCHOGUE. NEW YORK 11935-0617
~516~ 734 -5800
February 21, 2001
President
Board of Town Trustees
Town of Southold
Town Hall 53095 Main Road
Southold, New York 11971
FE~ 2 '
Re: John Biggane, SCTM #1000-83-1-34
Dear Sir:
As you requested, here is a plan prepared by Signature Homes showing t~f
the property between the house and the top of the bluff.. The changes are intended to retain rain-
water on the property and prevem rainwater flow over the bluffor onto neighboring properties.
a substdiary of
THE PECONIC EASTERN CORPORATION
Proper-T Permit Services
POST; OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617
734 -5800
February 21, 2001
President
Board of Town Trustees
Town of Southold
Town Hall, 53095 Main Road
Southold, New York 11971
Re: John Biggane, SCTM #1000-83-1-34
Dear Sir:
As you requested, here is a plan prepared by Signature Homes showing the proposed grading of
the property between the house and the top oftbe blufl~. The changes are intended to retain rain-
water on the property and prevent rainwater flow over the bluffor onto neighboring properties.
a subsidiary o!
THE PECONIC EASTERN CORPORATION
FEP
PROJECT PLAN
Application regarding the properly of
John Biggan¢, SCTM # 1000-83-1-34
Represent~ by
PROPER-T PERMIT SERVICES
P.O. Box 617, Cutchogue, NY 11935
James E. Fitzgerald, Jr. 516-734o$800
Januar~ 10. 2001
.SECTION VIEW
Application regarding the property of
John Biggane, SCTM # 1000-83-1-34
Re~resented by
PROPER-T PERMIT SERVICES
P.O. Box 617, Cutchogue. NY 11935
James E. Fitzgerald, Jr. 516-734-5800
January [0. 2001
/
60-
65¸
N/F
THOMPSON 75
POURED
FOUNDA PON
90U/vD
LOT I
VACANT
SURVEY OF
LOT 2
IN
A MINOR SUBDIVISION
PREPARED FOR HENRY DOMALESKI
CUTCHOGUE, (OREGON)
TOWN OF $OUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR .' NORTH BAY PROPERTIES, INC.
FEB 2 ~
55' 17' 00"
145. 75'
N/F
DOMALESKI
WAY
17'
145. 75'
I---N 37' JJ' 40"
464. 26'
I
I
I'-'-N 37' 52' 10" W
E I 1876.23'
I
I
L--N 42' 29' ~.0" W
260. 73'
---'N 37' 22' 40" W
476.75'
OREGON
LOCATE POURED CONCRETE FOUNDA lION 5 JUNE, 2000
TM I000-083-01-0~4
ELEVATIONS IN 1929 NA~?
ZONED: R-80
SURVEYED 3 FEB., 2000
SCALE I%~100'
AREA .= 89,$50.066 SI:'
OR
2.051 ACRES
GUARANTEED TO
NOR~"I BAY PROPERTIES, INC.
COVENANT ABSTRACT CO. INC.
TOWN OF SOUTHOLD
ROAD
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
NEW SUFFOLK, NY 11956 .
6,31-~754-5835
00C868
Tele~hene
(631) 765-1892
Tov~ H',~. 5309.5/dain Road
P.O. Box 1179
Southold. ~ew. York I197l
SOUTHOLD TOWN
CONSERYATIOFI ADV~ORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Thursday,
February 15, 2001, the following recommendation was made:
JOHN BIGGANE 83-1-34 to construct a bulkhead 152' long at toe of bluff with return at
western end of length so that top of bulkhead return meets the slope of the bluff; backfill
behind bulkhead to level of top of bulkhead; plant filled area with American beachgrass
on 18" centers; place rock armoring at base of bulkhead on seaward side. Construct
stairs from top of bluff to beach at seaward side of bulkhead, overall run approx. 85 ft.
8871 Oregon Rd., Cutchogue. SCTM#83-1-34
The CAC did not make an inspection, therefore no recommendation was made.
Proper.-T Permit Services
POST.OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617
( 516 734 -5800
January 31,2001
President
Board of Town Trustees
Town of Southold
Town Hall, 53095 Main Road
Southold, New York 11971
FEB 2
Re: Application for Permit on Behalf of John Bieeane. SCTM #1000-83-1-34
Dear Sir:
Attached are documems which have been prepared in support of the application for a permit to
construct a bulkhead on the property of John Biggane in the Town of Southold.
Proper-T Permit Services represents Mr. Biggane in this matter, and a letter of authorization is
part of this submission.
Ifthare are any questions, or if additional information is needed, please call me.
Enclosures:
Application Fee ($200)
Letter of Authorization
Notarized Statement of Applicant
Survey of Property
Application Form (3 copies)
Short EAF (3 copies)
Vicinity Map (3 copies)
Tax Map (3 copies)
Project Plan (3 copies)
Section View (3 copies)
Project Site Photos
a subsidiary ot
THE PECONIC EASTERN CORPORATION
THE AREA OF THE PROPOSED
PROJECT IS CIRCLED
193
PEC(
11958
AIRPORT
NEW SUFFOLK
CU~CHOSUE
HARBOR
VICINITY MAP
Application regarding the property of
John Biggane, SCTM # 1000-83-1-34
Represented by
PROPER-T PERMIT SERVICES
P.O. Box 617, Cutchogue, NY 11935
James E. Fitzgerald, Jr. 516-734-5800
January 10, 2001
souND
THE SITE OF THE PROPOSED
PROJECT IS SHADED
TAX MAP
Application regarding the property of
John Biggane, SCTM # 1000-83-1-34
Represented by
PROPER-T PERMIT SERVICES
P.O. Box 617, Cutchogue, NY 11935
James E. Fitzgerald, Jr. 516-734-5800
January 10, 2001
Albert J. Krupski, President
James King, 'vice-President
Henry Smith
Arfie Foster
Ken Poliwoda
Town Hall
53095 Route 25
P.O. Box 1179
Southold. New York 11971-0959
Telephone (§~1) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
~Wetland Permit Application ~ Major __ Minor
Waiver/Amendment/Changes
i~eceived Application:~
~Received Fee:$ ~0~'
~,~mpleted App licat io n_~[__._ Incomplete
SEQRA Classification:
Type I Type II Unlisted
Coordination: (date sent)
--.,"~ AC Referral Sent:
· ,~ate of Inspection: ~l q!01
Receipt of CAC Report: ' '
Lead Agency Determination:__
Technical Review:
7Public Hearing Held: ~,',',',',',',',','~1 [0
Resolution:
Name of Applicam
Address
John Biggane
168 Euston Road, Garden City NY 11530
Phone Number:( )
Suffolk County Tax Map Number: 1000 - 83-1-34
Property Location: aa?10ragon Road. Cutcho~ue
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
James E. Fitzgerald, Jr. / Yrooer-T Permit Services
PO Box 617, Cutchogue NY 11935
Phone: 73A_5zoo
Board of Trustees Application
Land Area (in square feet):
Area Zoning:
GENERAL DATA
89,350
R-80
Previous use of property:
Intended use of property:
Undeveloped
Private residence
Prior permits'approvals for site improvements:
Agency Date
Southold Bldg Dept 2000
__ 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: Construct bulkhead 152 feet long at toe ofblttffwith return at
western end of length so that top of bulkhead return meets the slope oftbe bluff; backfill
behind bulkhead to level of top of bulkhead; plant filled area with American beachgrass on
18-inch centers; place rock armoring at base of bulkhead on seaward side. Construct stairs
fi.om top ofbluffto beach at seaward side of bulkhead, overall mn approximately 85 feet.
Board of Trustees Applicat~ion
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purposeofthe proposed operations: Minimize erosion, protect bluff
Area of wetlands on lot: None .square feet
Percent coverage of lot: N/^
Closest distance between nearest existing structure and upland
edge of wetlands: 240 feet to AHW
Closest distance between nearest proposed structure and upland
edge ofwetlands: 35 feet to
Does the project involve excavation or filling?
No I Yes
If yes, how much material will be excavated? none cubic yards
How much material will be filled? approx 70 cubic yards
Depth of which material will be removed or deposited: max 5 feet
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited: front end loader
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):
It is expected that the project will have no significant
effect on the wetlands and tidal waters of the Town.
14-164 (2~87~--Text 12
I' PR""OJECT I.D. NUMEER
Appendix C
State Envimnmnntll Qunllty Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1."APPUCANT/~PONSOR I 2. PROJEGT NAME
James E. Fitz.~erald? Jr. I Biggane bulkhead
3. PROJECT LQCATION:
Mumc~...~' Outchogue . C~unty Suffolk
8871 Oregon Read
Cutchogue NY 1.1 935
See attached maps.
SEQR
5. IS PROPOSED ACTION:
~'] New [] ExDanelon [] M~if Ic~t Ion/lllerlflon
e. PROJECT DESCRIPTION: Construct bulkhead 152 feet long at toe ofbluffwith return at western
end of length so that top of bulkhead return meets the slope of the bluff; back,fill behind bulkhead to
level of top of bulkhead; plant filled area with American beachgrass on 18-inch centers; place rock
armoring at base of bulkhead on seaward side. Construct stairs from top of bluff to beach at seaward
side of bulkhead, overall nm approximately 85 feet.
7. AMOUNT OF LANO AFFECTED:
inltlall~-eS'~ than 0 t 1 a=ret Ultimately., N/A met
8. W~LL PROPOEED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXJST~NG LAND USE RESTRICTIONS'/
[] Ye. [] NO If NO, d~rib~ b~lefly
-9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
[] RetldenUal [] In(]uatrlal [] Commercial [] Agr~ul~ure [] ParldFomlt/O~ eplce
Detcrlbe:
Large private waterfront reai-d'ences.
[] Other
I0. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, N°W OR ULTIMATELY'laRCH ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
51'ATE OR LOCAL)?
[~] Yet [] NO If yet. 11st agl~'y(I) and per~llt/Ipprovall
Required: NYSDEO, _~ Southold Trustees
'~ 1. gOES ANy ASPECT OF THE ACllON HAVE A CURRENTLy VAUD PERMIT OR APPflOVAL? [] Yet ~] No If yet, list agency name an(] permluN~rOwll
12. AS A RESULT OF PROROSEO ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION'/
[] Yet No . ·
CERTIFY THAT THE INFORMATION PROVIDED ABOVE 15 TRUE TO THE BEST OF MY KNOWLEDGE
..T;;L~e s E. Jr o'
nam~:~~5~O'oer-T Date:
/31/O1
Is in the Coastal Area, and you are a state agency, complete the
Coaatal Assessment Form before proceeding with this asaeaament
OVER
1
32645 Main Road
Cutchogue, New York 11935
President
Board of Town Trustees
Town of Southold
Town Hall, 53095 Main Road
Southold, New York 11971
Dear Sir:
Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. of Proper-T
Permit Services to act in my behalf as my agent in the submission and processing of a permit
application for the construction ora bulkhead on my property located at 8871 Oregon Road,
Cutchogue, New York 11935 and designated by Suffolk County Tax Map No. 1000-83-1-34,
and to furnish, upon request, supplemental information in support of the application.
Sincerely,
John Biggane
TO:
Date: February 7, 2001
Adjacent Property Owners
(Names and addresses are listed on the attached sheet.)
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
NOTICE TO ADJACENT PROPERTY OWNER
In the matter of: John Biggane, SCTM #1000-83-1-34
YOU ARE HEREBY GIVEN NOTICE THAT:
1. An application is being submitted to the Board of Trustees for a permit to:
Construct bulkhead 152 feet long at toe ofbluffwith return at western end of length so that top
of bulkhead return meets the slope oft. he bluff; backfill behind bulkhead to level of top of
bulkhead; plant filled area with American beachgrass on 18-inch centers; place rock armoring
at base of bulkhead on seaward side. Construct stairs from top ofbluffto beach at seaward
side of bulkhead, overall run approximately 85 feet.
The project described above is proposed on property adjacent to yours. The street ad-
dress of that property is as follows:
8871 New York 11935 [
Oregon
Road,
Cutchogue,
The project, which is subject to Environmental Review under Chapters 32, 37, or 97 of
the Town Code, is open to public comment. A public hearing will be held at Town Hall,
53095 Main Road, Southold, New York 11971 at or about 7:00 PM on Wednesday,
February 21, 2001. You may contact the Trustees Office at 765-1892 or in writing if
you wish to comment.
The project described above will be reviewed by the Board of Trustees of the Town of
Southold. The project may require independent review and approval by other agencies of
the Town, State, or Federal governments.
PROPERTY OWNER'S NAME:
MAILING ADDRESS:
PHONE NO.:
John Biggane
168 Euston Road
Garden City, New York 11530
516-741-2056
A copy of a sketch or plan showing the proposed project is enclosed for your convenience.
JOHN BIGGANE: ADJACENT PROPERTY OWNERS
1000-83-1-33
North Bay Properties Inc.
32645 Main Road
Cutchogue, NY 11935
1000-95-1-10
Sara Marie Thompson
c/o Pacific Century Trust
PO Box 3170
Honolulu, HI 96802-3170
1000-95-1-11.2
John C. & Margaret G. Biggane
168 Euston Road
Garden City, NY 11530
PROJECT PLAN
Application regarding the prope~ of
John Bigganc, SCTM #1000-83-1-34
lk~present~ by
PROPER-T PERMIT SERVICES
P.O. Box 617, Cutchogue. NY 11935
James E. Fitzgerald. Jr. 516-734-5g00
January 10. 2001
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
In the matter of the Application of
John Biggane
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I, James E. Fitzgerald, Jr., residing at 385 Haywaters Drive,
Cutchogue, New York 11935, being duly sworn, depose and say:
That on the 12th day of February, 2001, I personally posted the
property known as 8871 Oregon Road, Cutchogue, by placing the
Board of Trustees official poster where it can easily be seen,
and that I have checked to be sure that the poster has remained
in place for seven days prior to the date of the public hearing,
thereon to be held on February 21,
the date of hearing noted
2001, at or about 7:00 PM.
Dated: -~/~/
Sworn to befor~ me this
~[ .~day of ~j3~o3an/~ 2001
LYNDA M. BOHN
NOTARy PUBliC, State of New York
No. 01BO6020932
Qualified in Suffolk Cour~,
Term Expires March 8, 207~_.~
STATEMENT TO THE SOUTHOLD BOARD OF TOWN TRUSTEES
County of Suffolk )
State of New York )
I, John Biggane, being duly sworn, depose and affn'm that I am the owner of the property
located at 8871 Oregon Road, Cutchogue, New York 11935, and identified by Suffolk County
Tax Map No. 1000-83-1-34, and that all work will be done in the manner set forth in the
present application and as may be approved by the Southold Board of Town Trustees. I agree
to hold the Town of Southold and the Town Trustees harmless and flee fi.om any and all
damages and claims arising under or by virtue of&aid permit(s), if granted. I hereby authorize
the Town Trustees or their agent(s) or representative(s) to enter upon my property to inspect
the premises in conjunction with the review of the present application.
" ~r ~ -~u¢ -
Sworn to before me this ...A.~: ........ oay ................................................
Notary Public
No~y Pu~c, State of New Yod~
N~. 01 SA5082792
QualFmd In Nassau -C°3m~Y
PART ~I--ENVIRONMENTAL ASSESSMENT (To be completed by Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 If yes. coordmate the rewew process anc~ use the FULL EAF.
[] Yes ~ NO
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PAR? 617 67 ~f NO, a negabve ~ec~aration
may be superseded by another involved agency.
[] ~es [] No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be nanawr~t[en, if (eg~Dlel
C1. Existlrlg air c~uality, surface or grounc~waler quality or quantily, noise leve)s, existing traffic patterns, sohd waste production or disposah
potential for eros)on, dramage or floodmg problems? Explain brmfly:
C2. Aesthetic, agricultural, arctlaeological, h~stor~c, or otrler natural or cultural resources: or community or ne~gRDorl~cot~ character? Explain briefly:
C3. Vegetation or fauna, fish, shellfish or wildhfe species, significant habitats, or threatened or efldangerea species? Explain briefly:
C4. A community's ex,sting plans or goals as officially aao0ted, or a change m use or ~ntensity of use of lan(~ or other natural resources? Explain briefl
C5. Growth. subsequent (~evelOpnlent, or related actlvibes likely to De induced by the probosed action? Explain t~nefly.
C6. Long term, short term. cumulative, or other effects not identified in C1-C57 Explain briefly.
C7. Other impacts (includmg changes in use of e~ther quantity or type of energy)? Exblaln briefly.
D. IS THERE. OR IS THERE LIKELY TO BE. CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
[] Yes [] No If Yes, explain briefly
PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant.
Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (bi probability of occurring; (c) duration; (d)
irreversibliity; (e) geographic scope: and (fi magnitude. If necessary, add attachments or reference supporting materials. Ensure that
explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed.
[] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY
occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration.
[] Check this box if you have determined, based on the information and analysis above and any supporting
documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts
AND provide on attachments as necessary, the reasons supporting this determination: