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HomeMy WebLinkAboutTR-6011Robert DeFrese 5223 Indian Neck Lane Peconic, NY 11958 February 28, 2005 Edmund Baumann 325 Wood Lane Peconic, NY 11958 RE: 1000-86-6-3.2 & 2.2 Monuments Dear Mr. Baumann, IlAR - 1 2005 Snutlmld Town Board of Trustees I am in receipt of your letter dated January 24, 2005 in which you make demands to settle the issue of our inadvertent encroachment onto your premises. To date, the hay bales and black plastic fencing material (that were placed there pursuant to a request from the Town of Southold Bay Constable in order to comply with the Violation Notice) have been removed. I am seeking further information from you in response to your demand for payment for the three monuments you had installed on your property. Prior to agreeing to make any restitution for these monuments I would like to review a copy of your survey showing that the monuments you claim were damaged by me/my landscaper were placed in exactly the same location that they were prior to this incident. I will notify you within 14 days of my position in this matter upon receipt of a copy of your survey. Your final demand was that I "don't ever again trespass" on your property. In accordance with this request, I am also requesting that you never again trespass on my property without seeking permission first. Should you have any questions or comments, please feel free to contact me. ROBERT DE FRESE Cc: Ms. Lori Hulse Montefnsco, Assistant Southold Town Attorney Members of the Board of Trustees of the Town of Southold Nu-Green Landscaping / RESOLUTION RESOLVED that the Board of Trustees of the Town of Southold hereby finds that the application of EDMUND J. BAUMANN more fully described in the public hearing item #1 of the Trustee agenda dated Monday December 20, 2004, is classified as a Type II Action pursuant to SEQRA Rubes and Regulations, and is not subject to review under SEQRA. Tetrault! Heather From: Sent: To: Cc: Subject: Corcoran, Kieran Wednesday, December 01,2004 10:47 AM Tetrault, Heather Finnegan, Patricia Baumann Heather: ~ann s I've spoken to Pat on this matter and we agree that Mr. hould be asked whether he would like to be heard at a public hearing on his concerns, or stand on his letter. If he wishes to be heard, the hearing should be reopened for that limited purpose, and to consider his letter. We also agree that a hold should be put on the oustanding permit in the interim while this snafu is cleared up and the Trustees consider the additional substantive issues. Let me know if you need anything else. Kieran Albert J. Krupski, President James King, Vice-President Artie Fester Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 November 29, 2004 Mr. Robert De Frese 5223 Indian Neck Lane Peconic, NY 11958 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: Ed Baumann wetland permit Dear Mr. De Frese: The Trustees are in receipt of your letter of November 18, 2004. We have forwarded this matter to the Town legal department. They will determine what needs to be done under Chapter 58, Notice of Pubic hearing. Thank you for bring/ng your concerns on this matter to our attention. Please contact the Town Attorneys, Pat Fixmegan or Kieran Corcoran regarding the resolution of this matter. Sincerely, Heather Tetrault Environmental Technician Cc: Kieran Corcoran Robert De Frese 5223 Indian Neck Lane Peconic, NY 11958 631-734-2709 ECEO 'iE NOV 1 9 2O04 November 18, 2004 Town of Southold Board of Trustees PO Box 1179 Southold, NY 11971-0959 RE: Property of Ed Baumann Permit No. 60-11 Dear Sir or Madam, I am writing this letter to voice my concerns regarding the above-referenced p,mdt that was issued to my neighbor, Ed Banmann, whose property abuts my property to the west. I am concerned about the work Mr. Baumann plans for his property for many masons. It is my understanding that neighbors are to be advised by certified mail as to plante for these types of property renovations. I was never advised in written or any other form as to the changes planned for this property. Had notice been given, my concerns would have been voiced in a timely manner. I am concerned about the environmental affects the renovations Mr. Banmann has planned for this property will have on the wetlands abutting both our properties. The above-referenced permit was issued for boat and trailer storage on property that runs along wetlands. This boat will undoubtedly be leaking gas and oil into the ground that will seep into the wetlands. This is a concern for me. The permit was issued for boat and trailer storage. What is to stop Mr. Baumann from storing other vehicles (which also leak gas and oil) in this very same area? I urge you to review your decision to allow for this renovation and also to take into consideration the affects this type of storage will have on the environment. I am sure if you look into it, you will see that the consequences of this type of property renovation will be detrimental to the enviroment. I thank you in advance for your time and anticipated cooperation in this matter. Sincer~y, se~ RD/rtz Robert De Frese 5223 Indian Neck Lane Peconic, NY 11958 631-734-2709 NOV 1 9 2004 Southold Tow. Board of Truste~ No~ember 18, 2004 Town of Southold Board of Trustees PO Box 1179 Southold, NY 11971-0959 RE: Property of Ed Baumann Permit No. 60-11 Dear Sir or Madam, I am writing this letter to voice my concerns regarding thc above-referenced permit that was issued to my neighbor, F_xt Baumann, whose prope~y abuts my property to the west. I am concerned about the work Mr. Baumann plans for his property for many masons. It is my understanding that neighbors are to be advised by certified mail as to plans for these types of property renovations. I was never advised in written or any other form as to the changes planned for this property. Had notice been given, my concerns would have been voiced in a timely manner. I am concerned about the environmental affects the renovations Mr. Baumann haa planned for this property will have on the wetlands abutting both our properties. The above-referenced permit was issued for boat and l~ailer storage on property that runs along wetlands. This boat will undoubtedly be leaking gas and oil into the ground that will seep into the wetlands. This is a concern for me. The permit was issued for boat and ~ailer storage. What is to stop Mr. Baumaun from storing other vehicles (which also leak gas and oil) in this very same area? I urge you to review your decision to allow for this renovation and also to take into consideration the affects this type of storage will have on the environment. I am sure if you look into it, you will see that the consequences of this type of property renovation will be detrimental to the environment. I thank you in advance for your time and anticipated cooperation in this matter. Sincerely, ~se RD/rtz Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 December 20, 2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Edmund J. Baumann 325 Wood Lane Peconic, NY 11958 RE: 325 WOOD LANE, PECONIC SCTM# 86-0602.2,2.3 Dear Mr. Baumann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Monday December 20, 2004: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6011 to remove trees and establish a rear property ddveway for trailer and boat storage/access, and plant evergreens on the north property line with the condition there will be no grading and no further cleadng within 100' of the water and with the condition that the ddveway will be used for trailer/boat storage only, and all as on the plan surveyed by Joseph Ingegno and approved by the Board of Trustees on Oct. 20, 2004. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:hct Albert J. Krupski, Presiden~ James King, Vice-President - Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 ':"Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. Ed~nd ~ann SCTM#86-6-$. 252.2 INSPECTION SCHEDULE __ Pm-construction, hay bale line __ 1st day of construction ~ constructed XX Project complete, compliance inspection. Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK ISSUED TO EDMUND BAUMANN Pursuant fo the provisions of Chapter 615 of the Law~ of the State of New Yodq 1893~ and C4tapter ~ of the Law~ of ~he State of New Yor~ 19S2: and the Sobthokl Te~n Ordinance ea- ~fled:!'RE~UI~TIN~-AND THE- ~C, IN~.OF IN AND ON TOWN WATERS AND PUBLIC LANDS and'the REMOVAL OF SAND, GRAVEL-OR OTH.ER MATERIALS. F~LOM (;,/ LANDS .UNDER TOWN'WATERS~E and In a~',co~la~me wlfh '~e Resduflon of The Board ,,dopted at a meeting held on ..0.....~..........~ ....... ~. ~. .~O.~..4....L, and in cqnsklerafion of the sum of $.~.~L..~.~ .......... paid by .......... ~:d.,~ ~...~ a~,~.,,~ ............................................................................ ].._.: ................... ..t Pe¢o~Le ' ' N.Y. nd ee to ,,, ....................................................................................... a .~bI t 'the/ ' Terms and C, ond~ons tided on the reverse side hereof/ of Southdd Toxin' Trudees authorizes and permlh fl~ following:// ~ ~' .. . ~]et~z~nd Pe~u~it to remove races and establish ~ roa~ ~. ~,' ~"'~ ' k' ert~ d~ivewa~ .for t~i~er and boat storage/access and-~a~~- ~rv~¢~e~-~-Td~'e~P~r~';[~igno ~nd approved by the Bo~u/ o~ Tru~tee~I ~. c. u~. ~o, ~f~rrNEss WHEREOL T~ .~ BO~d ~f Tn~.~ im~ by ceuses its _C~)rporate. Seal to be aff'~nd, end ~hese prese~h fo b~ subseribnd by b'melorl~y of fhe sald Board .as of ~s d~s, 5. Ti~t ~ P~. * dmuld be ~ indefln~ly, ~ a~ ~ e~ t~e sdd Pemslm~ wid~ ' revocttlon of ~ ~ By tesohdon o~ the said Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, New¥ork 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 October 20, 2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Edmund J. Baumann 325 Wood Lane Peconic, NY 11958 RE: 325WOOD LANE, PECONIC SCTM#86-6-3.2&2.2 Dear Mr. Baumann: The Board of Town Trustees took the following action dudng its regular meeting held on Wednesday, October 20, 2004 regarding the above matter: WHEREAS, EDMUND J. BAUMANN 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 September 27, 2004, 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 October 20, 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, 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 EDMUND J. BAUMANN to remove trees and establish a rear property driveway for trailer and boat storage/access and plant evergreens on the north property line, with the condition that there will be no grading and no further clearing within 100' of the water, and all as depicted on the plan prepared by Joseph Ingegno and approved by the Board of Trustees on October 20, 2004. 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: $50.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/hct Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O, Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Monday, October 18, 2004, the following recommendation was made: Moved by Don Wilder, seconded by William Cook, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of EDMUND J. BAUMANN to remove trees and establish a rear property ddveway for trailer and boat storage/access and plant evergreens on the north property line. Located: 325 Wood Lane, Peconic. SCTM#86-6-2.2&3.2 The CAC recommends Approval of the application with the Condition that (~nly the selected trees on the attached survey are removed and the trees within 30'of the wetlands, on the north property line, east of the wetlands, should remain. Vote of Council: Ayes: All Motion Carded -j ', L ? ? "i 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 Office Use Only Coastal Erosion Permit Application _~--'~etland Perm/t Application ~'-Major __Waiver/Amendme~/Cla~ges ~/~eceived Applicatio~~ ,..C~rrapleted Apph'%ation Incomplete · SEQRA Classification: Type I Type H Unlisted Cooraination:(date sent) ~ Referral Sent:.~.~ ,Date of Inspection: Receipt of CAC Report: ~ ' Lead Agency Determination:__ Technical Review: Resolution: Minor SEP 2 7 3~04 ,.~ Name Addr, s Phone Number:( Suffolk County Tax Map Number: 1000 - Prove~ Location:~ (provide LILCO l~ole #[ distance to cross streets, AGENT: ~- Clfapplicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: .~,~ I /9~ r/ff't- Intend~l use of property: Prior permits/approvals for site improvements: Agency Date __ No pfio~ pe~'m~ts/approv~ls ~or site improvemems. Has any permit/approval ever been revoked or suspended by a governmental agency? )(3 No Yes Ii'yes, provide explanation: Project Description (use attachments if necessary): [ fiLS Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:~l~~~~ Area of wetlands on lot: ~ lO00 square feet Percent coverage of lot: ~ I % Closest distance between nearest existing structure and upland edge of wetlands: ~ ~ O0 feet Closest distance between nearest proposed structure and upland edge of wetlands: ~ I tO feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? 0 cubic yards How much material will be filled? ~1 cubic yards Depth of which material will be removed or deposited: 0 feet Proposed slope throughout the area of operations: '----- Manner in which material will be removed or deposited: ~ 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity:~~~~t~ Are wetlands present within 100 feet of the E_mposed activity9 No ~'~ Yes Does the project involve excavation or filling? ~ No Yes If Yes, how much material will be excavated? ~ How much material will be filled? o Manner in which material will be removed or deposited: (cubic yards) (cubic yards) 0 Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 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 11971-0969 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, ~~~12~esiding at ~~2~L~ being duly sword, depose and say: 'rhat on the ~ day of ~ , 24, ~ pers°nally posted the prop~ ~o~ ~ 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 ei · :1~ days prior t~Mi~e date of the public hearing. Date of hearing noted thereon to be held I . , ~' Dated: /(signature) Sworn to before me.thtis ANGELA LOCORRIERE Notary p. ublic, State of New York ~o. 01LO6068050 Qualified in Suffolk Cmmtv Commission Expires Oct. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD Iu the matter of app=licant: ~ /~t~)~l/# ',~- ~//-t~,v,~n~__ SCTM# YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees your property and is described as follows: 3. That the project which is subject to Environmental Revie..~ under Chapters 32, 37, end/or 97 of the Town Code is open to public comment on: (~,]OJ~a'~,tOaO!e~O~)le~ {-/ . You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. MAILINGADDRESS.~ ~Z_$ t~t9 ~ PHONE #: Enc: Copyofsketchor plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS N~kl~e: Address: STATE OF NEW YORK COUNTY OF SUFFOLK being duly sworn, deposes and says th.'t 6n th~ ' · ,g' day of~ 20o'~, deponent mailed a true copy of the Notice · set forth, in the Board df Trustees Application, directed to each of the aboye named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; *hat said Notices were mailed at the United States Post Officeat ~..c~UW.~- ! ~Y , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn [~,befgre n~e this ' ;~ 2oOq. -- Board of Trustees Application County of Suffolk State of New York D/-Ei~-~!.~.p/ J'- ~:~, ~l~l~'J~ BEmGD~YSWO~ OSES ~ ~F~ T~S~ IS ~ ~PLIC~ FOR ~ ~O~ DESC~ED PE~T(S) ~ ~T ~L STA~S CO~ ~ ~ ~ TO ~ BEST OF ~S~R ~O~GE ~ BEL~F, ~ ~T ~L WO~ ~L BE DO~ ~ T~ ~R SET FOR~ ~ ~S ~PLICATION ~ ~ ~y BE ~PRO~D BY ~ SO--OLD TO~ BO~ OF ~US~S. ~ ~PLIC~ AG~ES TO HO~ T~ TO~ OF SO--OLD ~ ~ TO~ ~US~S ~SS ~ ~E ~OM ~ ~ ~ D~S ~ CL~S ~S~G ~ER OR BY ~ OF S~ P~(S), · ~. ~ CO~T~G ~S ~PLICA~ON, I ~BY A~O~ ~ ~US~S, ~ AG~(S) OR ~8E~ATI~S(S), TO E~ O~O ~ PROP~TY TO ~SPECT ~ P~SES ~ CON~CTION ~ ~W OF ~S ~PLICA~ON. SWORN TO BEFORE ME THIS_~ APPLICANT/AGENT/RF_,PRF_~ENTATIVE TRANSACTIONAL DISCLOSURE FORM Tlg Town of Son~old'[ Code of Ethics orohibits conflicts of interest on the hart of town Office~ and emnlovans. Thc oumos~ ~' this form is to ~rovlde infotmntion which cnn siert the town of~ncsible conflicts of h~e~st and nilow it to teko whn~ver action is (Last name, tim nnme~,i~3ddfe Iniflsi, tmless y~u nrc applylog in the nam~ of anmeone else or other entity, such as a company. If so, indica~ ~e other person's or coml~ny's name.) NAME OF APPLICATION: (Check si! that apply.) Tax g~ievance Building Vadance 'l'mstee Change of Zone Coastal Erosion Approval of pint Mooring Exemplton from plat or official map Planning Other (If"O~er~, name the activity.) Do you personally (or thmngh your comt~ny, spouse, sibling, pssant, or child) have a ~lalionship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marti~e, or business ~ "Business ~ means a business, including a pertnership, in which the town o flip:er or c-mployee has even a p~tlnl ownership of(or employment by) a corporalion in which the lown officer or employee owns more than 5% of the situses. YES ~ NO If you answered 'YES", complete the I~lance of this form and date and sign where indicated. Name of person employed by the Town of Southold ~ ~0 ~-I g.~ De'~ribe ~ae relationship betw~n yourself (tl~ applicant/ngenthvl~e~ntative) and the town officer or employee. Either check the appmpri~e line A) through D) and/or desaibe in the space provided. The ~vn officer or employee or his or her spouse, sibling, parent, o~ Chihi is (check all tlmt a~ply): DESCRIPTION OF RELATIONSHIP Form TS I Submitted Ih~ ~..~dny of ~F-.4~'~. 200 __~ Print Nnme - ~. PROJECT ID NUMBER . I . 1. APPLlCANT-i.SF af JGeR. 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only (To be completed by Applicant or Project Sponsor) 2. PROJECT NAME SEQR PART 1. PROJECT INFORMATION /\I "",1bolI N - 3.PROJECT LOCATION: Municipality Jt> t...1J County S u/FO 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks ate - or provide map 325' LJOo.1J t.ANE Ii:- IVy 5. IS PROPOSED ACTION: D New D Expansion [8bMOdifiCatiOn / alteration 6. DESCRIBE PROJECT BRIEFLY: CD ~~~~l,~~~-~ jtrt ~ It- --t-oJ S~ /o..CU-./4 @ ~~~J~~c1~~)3~~Pr ~ ~ 01 ClAz-~ ~,.I. ...1 ..J- d ) ~J u-r~ ~ 7. AMOUNT OF LAND AFFECTED: Initially.' acres Ultimately . I acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~ Yes D No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY [pJ Residential D Industrial 0 Commercial OF PROJECT? (Choose as many as apply.) DAgriculture D Park I Forest I Open Space D Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal. Slate or Local) DYes ~ No If yes, list agency name and pennit I approval: 11. DOES DYes ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR ~ No If yes, list agency name and permit I approval: APPROVAL? PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Si nature Date: Applicant If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . PART II - IMPACT ASSESSMENT (To be eomoleted bv Lead Aaenevl A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review p!ocess and use the FULL EAF. DYes DNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. DYes DNo . C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid wasle production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: I 1 - --..- --.- I I C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: I I C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: I I C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: I I C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: L . .......~... - I C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: I I C7. Other impacts (includina chanoes in use of either nuantitv or tvne of enernv? Exnlain brieflv: I I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (Ifves, explain briefly: I DYes 0 No I E. IS THERE. OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: I DYes DNo I PART III. 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); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (1) 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. If question d of part jj was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or mOre potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL 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 actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Name of Lead Agency Date Pnnt or Type Name of ResponsIble Officer In Lead Agency Title of Responsible Officer Signature of ResponsIble Officer in Lead Agency Signature of Pre parer (If different from responsible officer) . }) U14(V""'\f.At"'^ 1- 10/13/04 Field Inspection. . BUll.., rAt'''"