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Home My WebLink AboutTR-5893Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route25 P.O. Box 1179 Southold, New York l1971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN T~USTEES 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-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line Ist day of construction ¼ constructed Project complete, compliance inspection. Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO ..... ~:~ 9',~. DATE: ..~.~.ril...2~.:t....~g04 ISSUED TO ............ ~.~.~ ,,E..DEL~TEIN & AnI'harizati n Pursuant to the provisions of Chapter 615 of the I~ws of the State of New YorE, 1893; end Chapter ~ of the ,L~. v~ of the State of New Yor~ 1952; and the SouthoJd Town Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL. OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;.'~. and in accordance with the Resolution of The Board adopted at e meeting held o~ ~g?.~..., end in consideration of the sum of $......Zg.g.:..g0... paid by .. P.~Y[91...~.~i~ ..~....]~!~b.~...~! d.~.t¢!~ ...................................... , ................... of .......... p.~.q.q.n.f~ ........................................ N. Y. end subject to the Terms and Conditions listed on the reverse side hereef, of Southold Town Trustees authorizes ~nd permits the fdlowlng: Wetland Permit to construct a 4'X.16' ramp, 4'X 46' catwalk, 4'X 12' access stairs, and One (1) mooring pile, and as depicted on the plan prepared by David Corwin last dated 12/26/02. all in accordance with the detai~ed specifications as presented in the odginetlng IN WITNESS WHEREOF, The said Board Of Trustees h~re- i~ causes ifs Corporate Seal to be affixed, and these..lo.resenfs to subsc~oed by a 'mejorlty of the said Board as of this date. - ' Truzlee~ 1-eRUS and C NDmONS petmleeee. David Edelstein & Libby Goldstein 4145 Wells Rd., ?econic .~ .... N. ¥~ as 5. That this Petmlt dmuld be m~iaed lade~mi~dy, or ~ loag a~ the ~ Petmime ~i. she~ to rn.~n~,~U the muctute or project involved, to provide evtdem:e ~o amyoue ec~-;r~! tlmt m~- 4. Tlmt dae ~m~c imrolved ~11 be mbject to Its agents, and ooo-om~lt.n~ 5. I1~t dlete will be no um'ea~m~le lnte~fm'em:e with u~vlg~0a Im~a lu'thorlzed. · m~ ~ ,~me mu~uomble obst~oa~ to free ~vigMio~ the mad ~ ~11 be V~red~ -~m~ duc no,ce, to rem~e or al~ d~s wo~'k oc project herei~ ~ _~4 wkhout expemes to the Town 8. Tlmt dm told Board wlfl be tme~'md b7 the Pe~dttee m dm ~apiedoa'e~' the ~k m~b- That the 'Pemlttee will olxala all other p'rmi*: ma comea~ ~.* me/~ ~luited mP' ~ple~eatal to this permit ~alch may be mbject to revol~ upee f.,n-e to e~i~ ~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggs~ A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 April 21,2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. David Corwin 639 Main St. Greenport, NY 11944 RE: DAVID EDELSTEIN & LIBBY GOLDSTEIN 4145 WELLS RD., PECONIC SCTM#86-2-12.6 Dear Mr. Corwin: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 21,2004 regarding the above matter: WHEREAS, David Corwin on behalf of DAVID EDELSTEIN & LIBBY GOLDSTEIN applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 2, 2003, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 21, 2004, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, 2 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 DAVID EDELSTEIN & LIBBY GOLDSTEIN to construct a 4'X 16' ramp, 4'X 46' catwalk, 4'X 12' access stairs, and one (1) mooring pile, and as depicted on the plan prepared by David Corwin last dated December 26, 2002. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees:S482.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/Ims 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: q/,~l Io~ has been and the ( ~'"~'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: TOTAL FEES DUE: SIGNED: PRESIDENT, BOARD OF TRUSTEES GREGORY F. YAKABOSKI TOWN ATTORNEY greg.yakaboski~,to~vn.sout hold.ny.us PATRICIA A. FINNEGAN .~kSSISTANT TOWN ATTORNEY pat ricia.finnegan~,town.southold.ny.us Y. HORTON Supervisor Town Hall, 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631} 765-1939 Facsinfile (631) 765 - 1823 OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD To: From: Date: Re: Lauren, Trustees Patricia A. Finnegan, Esq. Assistant Town Attorney May 13, 2003 Return of Trustee files Enclosed are the following Trustee files, which I am returning: Ioannis Zoitas - This file was forwarded to our office to prepare a resolution stating the reasons why the permit was denied. As per our conversation, this matter will be returned to the agenda for this month, so the Trustees can give their reasons for the denial. There is no information in the file or the minutes of the hearing stating the reasons for the denial. Edelstein/Goldstein - This file was forwarded to our office with a note stating that the agent wants a letter regarding the moratorium. I am not aware whether there is any specific issue regarding the moratorium and this application. Accordingly, I have not sent a letter. The moratorium legislation is available to Mr. Corwin if he wants to obtain a copy. If there is anything further in this regard, please let me know. Thank you. Pat PAF/md encs. cc: Charlotte, Trustees Albert J. Krupski, President James ICing, 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 TO; Greg Yakaboski FROM; Albert J. Krupski DATE: February 6, 2003 Toxvn Attorney Tmstee's Ioannis Zoitas David Edelstein/Libby Goldstein Please review the noted files which are enclosed. David Corwin wants a letter regarding the Moratorium On the Resolution for Zoitas it needs all the reasons why it was denied. Have any questions. Contact Charlotte Cunningham 765-1892 Albert J. Krupski, President · Jame.~ 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 Janua~ 24,2003 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Re: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your jurisdiction in the action described below; 2. Your interest in assuming the responsibilities of lead agency; and 3. Issues of concern that you believe should be evaluated. Enclosed please find a copy of the proposal and a completed Environmental Assessment Form (EAF) to assist you in your response. Project Name: ~/~,.~t ~ Requested Action: ~C~ ~r~ SEQRA 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 Krups~i, Jr. President CC: Army Corp. of Engineers Dept. of State DEC (*Maps are enclosed for your review) 14 16-2 (9/95)--7c 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 FAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action. Full FAF 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. ri B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because t~e mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration va11 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 Signature of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Preparer (If different from responsible officer) Date 1 PART 1--PROJECT INFORMATIOh Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the enviroqment. Please complete the entire form, Parts A through E. ^nswers 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 Slree! Address. Munlclpallly and County) N Mc ~ A PLICANT~PONSOR bAVlb ~O~L~TE) ~ / ADO~ESS ~0o NEI~ON ~Ay 1 BUSINE~.~ TELEPHONE DESCRIPTION OF ACTION Please Complete Each Question-Indicate N.A. if not applicable A. 81te Desoription Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: [~0rban I'llndustdal E]Forest f'lAgriculture 2. Total acreage of project area: . e ~"~ APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Forested Agricultural (includes orchards, cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) Water Surface Area Unvegetated (Rock, earth or fill) Roads, buildings and other paved surfaces Other (Indicate type) 3. What is predominant soil type(s) on project sitef a. Soil draina&e: I-IWell drained % of site I-Ipoorly drained % of site [3Commercial nOther acres. I~esidential (suburban) E]Rural (non-farm) PRESENTLY AFTER COMPLETION -- acres acres · 7~ acres o7~ acres acres acres , ~'.'~ acres . Z ~. acres I]~l~oderately well drained / O0 . % of site b. If any agricultural land Is involved, how many acres of soil are classified within soil group I through 4 of the NYS Land Classification System~ acres, (See I NYCRR 370). 4. Are there bedrock outcropplAgs on project sltef C]Yes E~o a. What is depth to bedrockt' foOo (in feet) 5. Approximate percentage of proposOroject site with slopes- ~-10% O10-15% __ % [~1S% or greater 6. Is project substantially contiguous to, or contain a building, site, or dsstrict, listed on the State or the National Registers of Historic Places? E)Yes 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? [~]Yes [~o g. What is the depth of the water table? o'~0 ~' (in feet) 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 C3No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered~' C]Yes [~o According to Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) E3Yes [~o Describe 13. Is the project site p. resently used by the community or neighborhood as an open space or recreation area? [~Yes [~o If yes, explain 14. Does the present site include scenic views known to be important to the community? C3ves ~o 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 within or contiguous to project area: a. Name 17. Is the site served by existing public utilities? i-]Yes I-]No a) If Yes, does sufficient capacity exist to allow ~onnection? b) If Yes, will improvements be necessary to allow connection? b. Size (In acres) UlYes FINo [:]Yes I-INo 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 [~1o 19. Is the site located in or substantially c~ontiguous to a Critica:l Environmental Area designated pursuant to Article g of the ECL, and 6 NYCRR 6177 [~Tes I-INo ' 20. Has the site ever been used for the disposal of solid or hazardous wastes? I-lYes [~o B. ProJect Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 0 eC~ b. Project acreage to be developed: c~o (~ Q ~ acres initially; c. Proiect acreage to remain undeveloped . acres. d. Length of project, in miles: t~/~ .,~._ (If appropriate) e. 'if the project is an expansion, indicate percent of expansion proposed %; f. Number of off-street parking spaces existing ; proposed ... g. Maximum vehicular trips generated per hour · (upon' completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Initially Ultimately i. Dimensions (in feet} of largest proposed structure height;.., width; j. Linear feet of frontage along a public thoroughfare project will occupy 3 acres. acres ultimately. Condominium length. ft. 2 How much natural material (i.e.. rock, earth, etc.) will be removed from the site, 3 Wdl disturbed areas be reclaimed? (:3Yes C3No (~A a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? OYes ONo c Will upper subsoil be stockpiled for reclamation? OYes E]No 4. Ho',~ 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 [~o 6. If single phase project: Anticipated period of construction I ~-,/(m~ft~s. (including demolition) 7. If multi-phased: a. Total number of phases anticipated (number) b. Anticipated date of commencement phase I month c. Approximate completion date of final phase _ month 0 . tons/cub c yards year, (including demolition year. d. Is phase I functionally dependent on subsequent phases? OYes ONo 8. Will blasting occur during construction? OYes ~ 9. Number of jobs generated: during construction · ~ . ; after project is complete ~ . 10. Number of jobs eliminated by this project ~ 11. Will project require relocation of any projects or facilities? OYes ~ If yes, explain 12. Is surface liquid waste disposal involved? [:]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? [:]Yes J]~o Type 14. Will surface area of an existing water body increase or decrease by proposal? Explain 15. Is project or any portion of project located in a 100 year flood plain? 16. Will the project generate solid waste? rlYes [~o a. If yes, what is the amount per month tons OYes r-INo b. If yes, will an existing 'solid waste facility be used? (:lYes [:]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 OYes ONo 17. Will the project involve the disposal of solid waste? a. If yes, what is the anticipated rate of disposali' b. If yes, what is the anticipated site life? 18. Will project use herbicides or pesticides? (:]Yes OYes ~ tons/month. years. 19. Will project routinely produce odors (more than one hour per day)? rlYes ~ 20. Will project produce operating noise exceeding the local ambient noise levels? [~es 21. Will project result in an increase in energy use? OYes []~o If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity gallons/minute. 23. Total anticipated water usage per day ~ ' gallons/day. 24. Does project involve Local, State or Federal funding? [:]Yes 13~o If Yes. explain ONo Approvals Required: Type Submittal Date City, Town, Village Board [~"es [~No City. Town, Village Planning Board OYes ~ C~ty, Town Zoning Board EYes ~ City, County Health Department EYes ~ Other Local Agencies EYes [~r& Other Regional Agencies EYes ~ State Agencies [~es ENo Federal Agencies I~'r~s ENo _/- 15 -o C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? E}Yes If Yes, indicate decision required: Clzoning amendment I-Izoning variance C]special use permit Esubdivision [~site plan Enew/revision of master plan I'-Iresource management plan Dother 2. What is the zoning classification(s)of the site? J~-,-~)~)~']'¢ 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? 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? ~es CINo 7. What are the predominant land use(s) and zoning classifications within a % mile radius of proposed action? ~_~/O~-,,v ~/~ ~L ./ /~-~/c u z. ~c~,~,~ L 8. Is the proposed action compatible with adjoining/surrounding land uses within a ~4 mile? ~:~es CINo 9. If the proposed action is Ihe subdivision of land; how many lots are proposed? a. What is the minimum lot size proposed? 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? DYes ~'o 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection):~ DYes ~o a. If yes. is existing capacity sufficient to handle projected demand? OYes DNo 12. Will the proposed action result in the generation of traffic significantly above present levels? DYes a. If yes, is the existing road network adequate to handle the additional traffici' DYes r]No D. Informational Details ^ttach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. F_ Verification I certify that the information provided above is true to the best of my knowledge. Signature ,-~/~"*~u ~' 0'~'~'~ Title If the action Is in Ihe Coastal Area, and you are · slate agent, complete the Coastal Assessment Form before p~oceeding 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 reasonable;J 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 ot each question. · In identifying impacts, consider 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 impaci. b. Maybe answers should be considered as Yes answers. c~ If answering Yes to a question then check the appropriate box (column I or 2) to indicate the potential size 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{Ifying that an Impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large Impact must be evaluated In PART 3 to determine significance. Identifying an impact 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 be explained In Part 3. IMPACT ON LAND 1. Will the proposed action result in a physical change ~o the project site? ONO [~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 proiect 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 landti[I. · Construction in a designated floodway, · Other impacts 2. Will there be an effect to any unique or unusual land forms found on the sitet' (i.e., cliffs, dunes, geological formations, etc.)C]NO C]YE$ · Specific land forms:. 6 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact ProJect Change, [] [] ~Yes [::]No El. [-] [:]Yes E]No [] [] [~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ DYes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No IMPACT ON WATER 3. Will proposed action affect any water body designated as protected,~ (Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) ON• OYES 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 ota 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? f'lNO OYI~S 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? ON• BYES 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~ I-IN• I-ryES Examples that would apply to column 2 · Proposed Action would change flood water flows. 7 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change O O []Yes ONo [] [] OYes []No [] O OYes ONo O O OYes ONo 0 0 OYes ONo 0 O OYes •No O O OYes ON• [] O OYes ONo O O Oyes ON• O O OYes ON• O [] BYes ON• O O OYes I'-'1 ~ ~Yes ~ ~ ~es ~ao ~ ~ ~es ~ao ~ ~ ~Yes ~No ~ ~ ~es ~o ~ ~ ~Yes ~ ~ ~es ~ao · 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? CNG [:]YES 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 I 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 g. Will Proposed Action affect any threatened or endangered species[' [=]NO I-lYES 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 habitat. · Applica6on of pesticide or herbicide more than twice a year, other than for agricultural purposes. · Ofher impacts: 9. Will Proposed Action substantially affect non-threatened or non-endangered species~ ENO 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. IMPAOT ON AGRICULTURAL LAND RESOURCES 10. Will the Proposed Action affect agricultural land resources? rlNO [:]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.) 8 1 Small to Moderate Impact O [] [] [] 0 O [] 0 [] 0 O 0 O 0 O 0 0 Potential Can impact Be Large Mitigated By Impact Project Change [] []Yes OHo [] []Yes []]]No [] []Yes •No [] []Yes []No [] OYes ON( [] []Yes CNG [] OYes CNG [] OYes CNG [] OYes GNa [] OYes Ohio [] OYes CNG [] OYes CNG O OYes CNG O OYes CNG [] OYes CNG O OYes CNG O OYes CNG · 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 p~event 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~' ON• OYES (If necessary, use the Visual EAF Addendum in Section 617.20, Appendix B.) Examples that would apply to column 2 · Proposed land uses, or proiect components obviously different from or in sharp contrast to current surrounding land use patterns, whether man-made or natural. * Proposed land uses, or project components visible to users of aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. · Project components that will result in the elimination or significant screening of scenic views known to be important to the area. · Other impacts: IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance~ ON• OYES Examples that would apply to column 2 · Propo~ed Actio~ occurring wholly or partiaUy 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: IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunifles~' Examples that would apply to column 2 ON• I-lYES · The permanent foreclosure of a future recreational opportunity. · A major reduction of an open space important to the community. · Other impacts: 9 Sm1 all to Moderate I Impact [] [] [] [] O [] [] [] 0 [] [] Potential Large Impact [] O [3 [] [] [] 0 [] Can Impact E Mitigated B~ Project Chan.( OYes J~]N OYes ON, OYes ON, OYes ON, []Yes ON~ []Yes ON~ []Yes •Nc OYes •Nc []Yes •N~ OYes •N( -]Yes ON( DYes ON( nYes []N, DYes I-IN, OYes ON, 14 IMPACT ON CRITICAL ENVIRONMENTAL AREAS Will Proposed ^croon ~mpact the exceptional or unique character- istics of a critical environmental area (CEA) established pursuant to subdivision 6 NYCRR 617.14(g) ,' ONO OYES List the environmental characterisbcs that caused the designation oi 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 quanbty of the resource~ · Proposed Action will result in a reduction in the quality of the resource? · Proposed Action will impact the use. function or enjoyment of the resource? · Other impacts' IMPACT ON TRANSPORTATION 15. Will there be an eftect to existing transportation systems~ · ONO OYES Examples that would apply to column 2 · Alteration of present patterns of movement of people and/or goods. · Proposed Action will result in major traffic problems · Other impacts: IMPACT ON ENERGY 16 Will proposed action affect the comm~Jnit¥'s sources ot fuel or energy supply? [:]NO ~']YE S 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: 1 Small to Moderate Impact [] O O [] O [] [] [] [] Polenhal Can Impact Be Large Mitigated By impact Project Change [] OYes ONo [] []Yes ONo [] E~Yes [] OYes [~No O E]Yes [_3No O []Yes [:]No []]] []Yes ONo [] OYes ONo ~ OYes ONo ~ OYes ONo ~ OYes ONo 10 NOISE AND~DOR IMPACTS 17. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action~ ONO [:]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~ ~NO [OYES 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 CHARACTER OF COMMUNITY OR NEIGHBORHOOD 19. Will proposed action affect the character of the existing community~' [:]NO [:]YES 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. · Oevelopment will create a demand for additional community services (e.g. schools, police and fire, etc.) · Proposed Action will set an important precedent for futura'projects. · Proposed Action will create or eliminate employment, · Other Impacts: SmSaI 2 3 I to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes ONo O O [=]Yes ONo O [] OYes []No [] O []Yes ONo O [] OYes ONo O O OYes ONo O [] OYes []No O O []Yes ONo O [] OYes ON0 O O OYes ONo 0 0 OYes nNo O O OYes ONo O [] OYes ONo Iq [] OYes ONo O I-1 OYes ONo O O OYes ONo O O []Yes ONo O O OYes ONo O O OYes ONo 20. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts/ [:3NO [:]YES Il any ·otiofl In Parl 2 I~ Identified aa · potential large Impact or If you Cannot determine the magnitude ol Impact, proceed to PlA S 11 Part 3--EVALUA.,ON OF THE IMPORTANCE ? IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially targe, even if 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 moderate impact by project change(s) 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: · The probability of the impact occurring · The duration of the impact · Its i.;reversibility, including permanently lost resources of value · Whether the impact can or will be controlled · The regional consequence of the impact · Its potential divergence from local needs and goals · Whether known objections .to the project relate to this impact, (Continue on attachments) 12 6]7.20 Appendix B State Environmental Quality Review Visual EAF Addendum SEQR 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 1. Would the project be visible from: · A parcel of land which is dedicated to and availab{e 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 qualifies? · A site or structure listed on the National or State [] [] [] [] [] Registers of Historic Places? · State Parks? [] [] [] [] · The State Forest Preserve? [] [] [] n' [] · National Wildlife Refuges and state game refuges? 0 [] [] [] [] · National Natural Landmarks and other outstanding [] [] [] [] [] natural features? · National Park Service lands? [] [] [] 0 · Rivers designated as National or State Wild, Scenic [] []] [] [] [] or Recreational? · Any transportation corridor of high exposure, such [] [] [] [] as part of the Interstate System, or.Amtrak? · A governmentally established or designated interstate [] [] 0 n [] or Inter-county toot trail, or one formally proposed for establishment or designation? · A site. area. lake. reservoir or highway designated as [] scenic? · Municipal park, or designated open space? [] [] [] 0 [] ' County road? [] · State? [] [] [] [] [] · Local road? [] Project and Resource (in Miles) 0-1/4 I/4-1/2 '/2-3 3-5 5+ [] [] [] [] [] Is the visibility of the project seasonal? (i.e., screened by summer foliage, but visible during other seasons) [~]Yes []No Are any of the resources checked in question I used by the public during the time of year during which the project will be visible? [3Yes [:]No DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question l, check those which generally describe environment. Within *V4 mile * 1 mile Essentially undeveloped [] Forested [] Agricultural [] Suburban residential [] [] Industrial [] Commercial [] Urban [] River, Lake, Pond [] [] Cliffs, Overlooks [] [] Designated Open Space [] [] Flat [] [] b4ountainous [] Other [] [] HO'rE: add attachments as needed 5. Are there visually similar projects within: 'V~ mile [--] Yes I--~ No ° 1 miles [-]Yes ~]No '2 miles []Yes E~]No '3 miles r-lYes []No * Distance from project site are provided for assistance. Substitute other distances as appropriate EXPOS(iRE 6. The annual number of viewers likely to observe the proposed project is [NOTE: When user data Is unavailable or unknown, use b~st estimate. CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY Holidays/ Actlvity Dally Weekly Weekends Seasonally Travel to and from work [] [] [] [] Involved in recreational activities [] [] [] [] Routine travel by residents [] [] [] [] At a residence [] [] [] [] At worksite [] [] [] [] Other [] [] [] [] 2 SEQRA RESOLUTION RE: DAVID EDELSTEIN & LIBBY GOLDSTEIN SCTM#86-2-12.5 Resolved by the Board of Trustees of the Town of Southold that the application of DAVID EDELSTEIN & LIBBY GOLDSTEIN more fully described in the public hearing section #21 of the Trustee agenda dated Wednesday, January 22, 2003 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 H',dl. 511095 ~ Road P.O. Box 1179 Sow. hold, New Yod~ 119"/1 SOUTHOLD TOWI~ CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, January 15, 2003, the following recommendation was made: DAVID EDELSTEIN AND LIBBY GOLDSTEIN to construct a 4'X 16' ramp, 4'X 46' catwalk, 4'X 12' access stairs and one (1) mooring pile. Located: 4145 Wells Rd., Peconic. SCTM#86-2-12.6 The CAC did not make an inspection, therefore no recommendation was made. 631-477-0184 David S. Corwin 639 Main Street Greenport, NY 11944-1431 corwin~optonline.net January2, 2003 Board ofTownTrustees TownofSouthold P.O. Box 1179 Southold, NYl1971-0959 Subject: Edelstein/GoldsteinCatwalk, StairsandMooHng Pile, RichmondCreek, Peconic Dear Trustees: Enclosed please find a permit application for construction of a catwalk, access stairs, and mooring pile, for David Edelstein and Libby Goldstein, Wells Road, Richmond Creek, Peconic, NY. The application includes: · One original plus 2 copies of the application form · Short Environmental Assessment Form · Survey - 3 copies · Project Drawing - 3 copies · $200 Application Fee If you require any additional information or have any questions please contact me directly. Very truly yours, 'x, -[¥ f- LONG 72' 27' VICINITY MAP FROM HAGSTROM SUFFOLK COUNTY ATLAS MAP 23 GRID H 1000-86-02-12.6 MONUMENT WATER DEPTH FEET DATUM APPARENT LOW WATER 0.0 PULLY 'X~ ~ PILE -----...~' ' ' PLAN VIEW SCALE 1"=50' CATWALK & MOORING PILE RICHMOND CREEK WELLS ROAD, PECONIC SUFFOLK COUNTY, NY APPLICANT: DAVID EDELSTEIN & LIBBY GOLDSTEIN DRAWN BY: D. CORWIN SHEET 1 OR 2 DATE: DECEMBER 26, 2002 C) ~ ED.. 0 ~ _~ m 631-477-0184 David S. Corwin 639 Main Street Oreenport, NY 11944-1431 corwin@optonline.net June 15, 2004 Board of Town Trustees Town of Southold P. O. Box 1179 Southold, NY 11971-0959 Subject: Edelsteln/Goldstein Catwalk, Stairs and Mooring Pile, Richmond Creek, Peconic Dear Trustees: Enclosed please find a check in the amotmt of $482.00 for the permit tees for the above referenced project. If you require any additional information or have any questions please contact me directly. Very truly yours. David S. Corwin JUN I 5 2004 ' Southoid Towfl Board ef T~stees Enc. 1 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(63D765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Office Use Only Coastal Erosion Permit Applicati.~ Wetland Permit Application F Major Waiver/Amendmen~/C, ha~ges Received Applica~on: //7705 Received Fee:$ ~ ~' Completed Application I/F0 ~ Incomplete SEQRA Classification: Type I Type II Unlisted .~ ~'6ordination:(date sem~~ CAr Referral Sent: //~0 ~ ' Dateoflnspection: //'~/l) ~ Receipt of CAC Reportt Lead Agency Determination: Technical Review: Public Hearing Held:~//D~ ,'~ ~ Resolution: Minor NameofApplicant I)A\iID ~.~E.L~,~'~:} N / z-18Bg Address C~,. c][5~0~' _Phone Number:( ) J Suffolk County Tax Map Number: 1000 - ~ (~ - O $- - ! Property Location: A~y? P~L~,.. 2~ a PECc,)N~ C / ~Y (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: ~ard of Trustees Applicati~ GENERAL DATA Land Area (in square feet): Area Zoning: R ESI ~)l::/~ 't'/Pt L. Previous use of property: Intended use of property: R < s ~ 6 ~N ~-/,0 ~ 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? Yes If yes, provide explanation: Project Description (use attachments if necessaD'): Construct 4' x 16' ramp, 4' x 46' catwalk, 4' x 12' access stairs, and I mooring pile Purpose: boat moodnglaccess Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: /~ 7- ,,x~.~ ~.1 Ix/~' /~,V~ ~9C.~'~ Area of wetlands on lot: //~ 7 6 ~ square feet Percent coverage of lot: t~,,/~ % Closest distance between nearest existing structure and upland edge of wetlands: --' feet Closest distance between nearest proposed structure and upland edge of wetlands: ~' feet Does the project involve excavation or filling? ~o 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: '--' Proposed slope throughout the area of operations: ~ 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 (use attachments if appropriate): '~/I[///D /O~-~'/t~/~j BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SIrI~ IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(~) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF I-I/S/I']C~R 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(~, IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT0~') OR REPRESENTATIVES(,ti'), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. 'Signature SWORN TO BEFORE ME THiS /O DAY OF.~c-q~_./4'~W~ ,20_ Notary Public ,~"-...~ Commission # 1333260 zz< ~ Not~ry Public- California ~ My Co?m .~ires Jan 1,2006 ~ My Cog?re. F..xpires Jar~ 1,2006 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT iNFORMATiON (To be completed by Ao01icant or Project s0onsor1 SEQ 5.I$ PROPO~O ACTION:~ Exoansion [] Mgclificatiomalteration 6. OE$CRIBE PROJECT ~RIEFLY: Ai~o ~A~J~& ?. AMOUNT ,OF LAND A~F=-C. TED: If the action is in the Coastal Area, and you are a state agency, complete the Coasts[ Assessment Form before proceeding with this as.~s, essmem OVER I ~ART III--0ETE?,M[NATICN OF SIGNIFICANCE ~To =e comoleted 3¥ Agency) Check ;t~is .Icx ,f you nsve idenrJfiea one ,3r ,more 3oten[laH'! large or sJgnJfican~ -:cverse ;moac:e ',,vmc,~ 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ,~/)t2/_~ Ct~qt~,,M , residing at ~-.~ ~4,~J/,~' ~,~j ~:',4J,~/.~- being duly swom, depose and say: That on the ? day of ~9/>~q t r.. , 200q, I persdnally posted the property known as by placing the Board of frustees 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 of the public hearing. Date of hearing noted thereon to be Dated: (si(~kiure) -- Swom to beforeme this /¢ day o~6g'~00~7~ Public,State of Now Vofl[ ..'lff3 I!Mg~ Suffolk Couflb / ~'nm,ss~ Expires July 31, 20.0.,.,.~ Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, Ne~v 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 ~/o __ STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, ~epose and say: That on the I~day of ~h^t , 200~, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date o~the ~ublic~e~in~. Date of hearing noted thereon to be hel~~ Dated: Sworn to before me this ~' day of ~ 200~ LYNDA M. ROHN NOTARY PUBLIC, State of New York No. 01 BO6020932 Oualified in Suffolk Count~ Term Expires March 8, 20 ~_.,~