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Home My WebLink AboutTR-5381Albert 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 March 24,2004 Mr. James P. Sweeney 31 Homestead Ave. Garden City, NY 11530 RE: 2950 Minnehaha Blvd., Southold SCTM#87-3-42 Dear Mr. Sweeney: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, March 24, 2004: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Permit #5381 from Walter E. Erickson Estate to James P. Sweeney, to install a 77' Iow-profile retaining wall as depicted on the plan prepared by Susan E. Long Permits last dated July 23, 2001, with the condition drywells and gutters are installed to contain the roof run-off from the house. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms ELIZABETH A. NEVI!.!,E TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hail, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please' complete Section I of this form and give to Town Clerk's Office' (agency' Freedom of Information Officer). One copy will be returned to you in response to your request, or as an interim response. SECTION I. ,/ , .(Department or Offider, if known, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, date, file title,9_~tax~mapnu~l~er, and~.~r~Lany, other~__~(!oerti~entd.~(~ ~inf°rmati°n') supply Pr~hted Name: Jff~l~_q / ~ j~/ee,~a~r Mailing Address (if different from above): ~ Telephone Number: ~V~-~f~ ~/ Date: '~ _f~ [ I APPROVED JUL 3 1 [ ] APPROVED WITH DELAY* [ ] DENIED* $outhold Town Clerk ~fficer Date * If delayed or denied see reverse side for explanation. Albert J. PLrupsk[, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson TownHall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOV~rN TRUSTEES TOWN OF $OUTHOLD May 29, 2003 Ms. Florence Seigerman 610 Seventh Street Carlstadt, New Jersey 07072 SCTM#87-3-42 Walter E. Erickson Estate 2950 Minnehaha Blvd. Southold, NY Dear Ms. Seigerman: The following action was taken at the Southold Town Board of Trustees Regular Meeting on May 21, 2003 RESOLVED that the Southold Town Board of Trustees grant a one year extension to Permit #538l dated July 25, 2001 to install 77' retaining wall not connecting -- starting at the north concrete wall of the neighbor's to the north extending through the flag pole to the southerly property line in a straight line with the stipulation that the seaward side of the wall remain undisturbed and backfill and leveling may occur on the landward side. 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. Krupski, Jr. President, Board of Trustees AJK: cjc Cc: DEC ,o N ~6'08 14,§0~ .~heet I of 2 $'u" E. ~ Permit~ P O. Box 46 ~ Mari~l~ NY 11939-0046 (63]) 477-3455 P~epared Waiter E. Eriel~oa E~-rce c/o Florence Seigerm~ Executor 610 7~ Street Cafl~c~ NJ 07072 SCALE: 1" = 20' o'ut- ~{ aS, '3"u L y 2, m t7 0! 02:47p Suman E. Lom~ 51~-~??-~55 New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0365 FAX: (631) 444-0360 Crowley Manne Construction c/o Susan E. Long perrmts PO Box 46 East Marion, NY 11939-0046 August 22, 2001 Re: UPA# 1-4738-02911/00001 Owner - Estate of Walter E. Erickson Facility - 2950 Minnehaha Blvd Southold Dear Ms Long: Department technical staff have completed their review of the refercnced proposal and have the following comments: 1. The depicted tidal wetland boundary is incorrect. The actual tidal wetland boundary is the edge of the mowed lawn and this must be shown on revised project plans; ends proposed retaining must relocated landward so that it connects the landward 2. The wall be of the ex__isting returns on the adjacent properties (see enclosed rendered photogra_ph); 3 The height of the proposed retaining wall must be the same height as the existing returns that it will tie into; 4. The amount of fill required must be recalculated for the project modification being required above Technical questions regarding the above should be directed to Ckns Arfsten at 631-444-0295. Upon receipt of four copies each of revised plans and cross-sections depicting the revihons outhned above, processing will resume. Since.~;:ly, ,/? Laura Scovazzo Environmental Analyst I cc: C ArfstenJBM-,ttP F. Seigerman/Estate of Walter E. Erickson File Se~ 17 O1 02:47p Susam E. Lon~ 516-477 3455 SUSAN E. LONG PERMITS P.O, Box East Marion, NY FAX TRANSMITTAL Number of pages, including cover~ ~ SUSAN £. ION8 P£RMIT$ P.O. BOX96 E. AS7' MARION, NY ff 39-0096 PttON~ ,~ ~ (630 9.77--3,~55 October 12, 2001 Albert J. Krupski, Jr., President Southold Town Board of Trustees P.O. Box 1179 Southold, NY 11971 Re: Walter E. Erickson Estate Permit #5381 D~r Mr. Krupski: Thank you for meeting with lan Crowley, Crowley Marine Construction, at the Board of Trustees work session September 19, 2001. As you are aware, the New York State Department of Environmental Conservation (NYSDEC) requested that the low profile retaining wall be constructed so that it connects to the landward end of the existing returns on the adjacent properties. Mr. Crowley advised me that the Board did not object, but instructed that the permiI would have to be amended at the regular meeting of the Trustees. We respectfully request an amendment to Southold Town Trustees Permit #5381 to allow the installation of the low profile retaining wall as conditioned by the NYSDEC at your October 24, 2001 meeting. If you have any questions, please don't hesitate to call. Thank you for your review and assistance. Respectfully, Susan E. Long Ell¢. Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 October 25,2001 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Susan E. Long Permits P.O. Box 46 East Marion, NY 11939 Re: WALTER E. ERICKSON ESTATE 2950 Minnehaha Blvd., Southold SCTM#87-3-42 Dear Ms. Long: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 24, 2001: RESOLVED, that the Southold Town Board of Trustees Approve the request for an Amendment to Permit #5381 to allow the installation of the low-profile retaining wall as conditioned by the NYSDEC, with the condition that drywells are installed and gutters are put on the existing house. 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:lms DEC Albert J. Krupski, President James King, Vice-President Henry Smith Attic Foster Ken Poliwoda BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 August 2, 2001 Crowley Marine Construction c/o Su~an E. Long Permits PO Box 46 East Marion, NY 11939-0046 Walter E. Erickson Estate c/o Florence Siegerman 2950 Minnehaha Blvd. Southodl, NY SCTM#87-3-42 Dear Ms. Long: The following action was taken by the Board of Town Trustees during a Regular Meeting, held on July 25, 2001, regarding the above matter. WHEREAS, Crowley Marine Construction on behalf of WALTER E. ERICKSON ESTATE c/o Florence Siegerman applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated July 3,200 l 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 July 25, 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 standard set forth in Chapter 97-18 of the Southold Town Code. WHEREAS, the Board has determined that the project as proposed will not affect the health, Safety and general welfare of the people of the town, NOW THEREFORE BE IT. RESOLVED, that the Board of Trustee approved the application of WALTER E. ERICKSON ESTATE c/o Florence Siegerman for a Wetland Permit to install 77' retaining wall not connecting - starting at the north concrete sea wall of the neighbor/s to the north extending through the flag pole to the southerly property line in a straight line with the stipulation that the seaward side of the wall remain undisturbed and backfill and leveling may occur. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Permit to construct project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within ~ix months of the date o f this'notification. 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 when project is started and on completion of said project. FEES: NONE Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AIK/cjc cc: DEC Board Of Southold Town Trustees SOUTHOLD, NEW YORK ............... ISSUED TO ...-I~A~-T~-R...E..-..E.R~C-K~ON,..BS.TA~,-O.~O ....................... Pursuant to the provisi6ns of Chapter 615 of the Laws of the State of New York. 1893: and C~pter 404 of the Laws of the State of New York 19521 and the Southold ToWn Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN ^ND ON TOWN WATERS AND PUBLIC L~NDS and the REMOVAL OF SAND. GR~VEL. OR OTHER MATERIALS FROM I~NDS UNDER TOWN'WATERS;~.!. and in accordance with the ~Tuly i~%soqufion of The B~ard adopted at a meeting held on ............................ · . 200. O0 ........... , and in consideration of the sum o~ ~ .......................... I~id by Crowley Marine Construction On behalf...of....~alte~...~.....F~i, ........... ........... . of .......... E, out;h<~kt~ .................................................. N. Y. and subject to the Terms and Conditions fisted on the reverse side hereof. of Southold Town' Trustees authorizes and permit~ the following: Wetland P~rmit to install 77' retaining :vail not connec{ing - starting at thc no*th concrete sea wall of the n¢;ghbor/s to thc north cxtcuding through tile flag pole to [he southerly prop~wty line in a straight linc with the stipulation that the seaward side of thc wall remain undistmbed and backfill and leveling may occur. all in accordance with the detai~ed specifications as presented in the originating application. IN WITNESS WHEREOF. The sald Bnard of Trustees here- by causes its Corporate Sea! to be at,xed, and these ~.resenh to . be subscribed by a 'm~jorfly of the smd Board as of this date. TERMS and CONDmONS The re~di~ee Walter E. Ericksola ~ reslalng sc. 2950 Minnehaha Riva_ gr~,,*l~,,1,~ N. Y~ ~ ~-~ ~ c~fi~ f~ ~ ~,-~ of ~e~t~~~m~f~- 1, Th~ ~he sdd'Board o~ Tms~es smt lhe Town o~ Soud~ld ue relessecl [i~m ~ ami · ~ith m~ect them~ to the Camldete',~,e~ton of ebe Bo~d o~ Ttuse~ of the Town e~ S0utb~l 2. That this Pem~ i~ valM [~ ~ p~iod o[ .: 24, m0s. which h coa~ltmd to I~ th~ estimated d,,,e'tequimi m cemplete the work ln~ol~d, bm'd~td ~ wsct.~, ~ for aa ,-~x-e~4on may be made to the BoLed at a later dale. 3. 'Ilaat this Petmlt dmuld be retained indermltMy, or as long ~ the said Petmle~ee wi~es to mainuin the mucmte of project involved, to provide evide~ m anyone mncemed ~-* *n~- .oc;~_ don was originally olxalmd. 4. That the work involved will be subject to the inspection and approval o~ the Boet, d ks agents, *~1 noa-eoa~lian~e with. ~ provisions e~ thc od~,~ng application, may be That there w/Il bt no tm~isomble interference with mvigsclou as · rtsult o~ the work shsll cause unre2somble ~s~a(x~ to free navigation, the said Petmlttee will be ~equize~ upon due notice, to remove or alter ~, work ot project herein stated ~vttl~ut ex-peases to the Town 8. That the said Board will be notified by the Petmlttee ot the c---N~.~. Of the wot'k audx- odzed. 9. That the Petmitree will o1~_ ;n ~ll other l~tmi~ and consents dutt may be requited ~ plemental to chis pemdt which may be subject to tevol~ upon fo;~,,~ to ob,-;., nm~ Telephone (~31) Tovm Hall.. ,5.'1095 ~ Road P.O. Box 1179 Southold. Ne,~. Yo~k 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Tuesday, July 17, 2001, the following recommendation was made: WATLER E..ERICKSON ESTATE Cio .FLORENCE SIEGERMAN 87-3-42 to install retaining wall connecting to north and south neighbors' retaining walls. Backfill with approx. 40 cy. clean fill from approved upland soume. 2950 Minnehaha Blvd., Southold The CAC did not make an inspection, therefore no recommendation was made. J. KB/IN MCLAgGHLIN Telephone (631 ) 765-6085 Facsimile (6311 765-1856 Attorney At Law Winds Way Professional Center 44210 Rt. 48, P.O. Box 1210 Southold, New York 11971 Southold Town Trustees Feather Hill Complex Southold, NY 11971 July 1. ECEiVE ," n $eeUlekl lk~ Re: Bulkhead application of Florence & Jay Siegerm Premises: Minnehaha Blvd., Southold, NY Gentlemen: I have enclosed a copy of my letter to the Siegermans dated July 31, 2003, wherein my clients, Ron and Kathy Lofrese, who own property adjacent to the Siegermans at 3050 Minnehaha Blvd., Southold, NY, withdrew their permission for bulkhead construction on their property. It is my understanding that the Southold Town Trustees issued a bulkhead permit to the Siegermans under the misapprehension that my clients consented to the connection of said proposed bulkhead to their existing bulkhead. It is my further understanding that this bulkhead permit expires as of today. Please be advised that my clients have not, and do not, consent to the construction of any bulkhead on the Siegermans parcel, which will connect to their existing bulkhead. Any attempt to enter upon my clients' premises will be considered an actionable trespass. On the basis of the foregoing, I trust that no extension of the expiring bulkhead permit will be granted. Hand Delivered ~ ~ cc: Ron & Kathy Lofrese L I[LqlIN IICLlUiGIII.IIi (631) Aum~'y A~ Law · W'md~ Way 1~f,'-i~-t C,~-- 44210 RL 4~, P.O. Box 1210 Sovtl~ N~w Yod~ 11971 July 31, 2002 Florence & Jay Siegerman 610 7e Street Caltstadt, NJ 07072 Dear Mr. & Mrs. Siegerman: Please be advised that I represent Ron & Kathy Lofmse reg__~, ng their residence located at 3050 Minnehaha Blvd., 8outhoid, NY. It is my undera~anding that you own the premises adjacent to the southeast of my dlents' propen~y. There seems to be ~orne mlsunde.-i~anding by ce~ain real estate agents regarding the · :i In light of the issue raised above Involving rather acrimonious discussions with you and your representatives, and at my Insistence, the Lofreses hereby revoke thalr previous pen'nission to continue any bulkhead constructed on your property on to their property. Until all bulkhead construction on their propen~ tying into their existing bulkhead. ccc Ron & Kathy Lofrese Southold Town Trustees 'amtl~md veg~,~A m deli~a~t~d by l~mJc $urv~yc~ ss p ~ s~-wy ~ .~ane 1 ~, 2001 14,50' Sheet 1 of 2 Prepared by: Susan E. Long Permits P.O. Box 46 Ernst Maxic~, NY 11939-0046 (631) 47%3455 Prepared for: Walter E. Erickson Estate c/o Florence Seigerman, Executor 610 7m Street Carlatadt, NJ 07072 Proposed: Install 77'+- c-loc vinyl retaining v, all and back fill with approx. 40 cy clean fill from aPtaroved upland source. ~ wall to be connected to exis~u~ ~ v,,alls located on north and SCALE: 1': 20' James P. Sweeney 31 Homestead Avenue Garden City, New York 11530 516-488-5551 March 19,2004 Board of Town Trustees Town of Southold Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Att: Lauren Standish Re: Transfer of Permit #5381 2950 Minnehaha Blvd., Southold Dear Sir/Madam: I am the new owner of the home located at 2950 Minnehaha Blvd., Southold, New York. I am requesting that the permit #5381 in the name of the Estate of Walter Erickson, be transferred to my name - James P. Sweeney as the new owner of the property. Prior to purchasing the property I was advised that I would be able to do so. Enclosed please find my check in the an~ount of ten dollars ($10.00) for the fee associated with this transfer. 0B119/2004 1~:40 20B-4~2-~0~1 PENN MARITIME INC PAGE 02/02 James P. Sweeney 31 Homestead Avenue Garden CRy, New York 11530 516-488-5551 March 19~2004 Board of Town Trastecs Town of Southold Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Att: Laureu Standish Re: Transfer of Permit #5381 2950 Minnehaha Bivd_, Southold Dear Sir/Madam: I am the new owner of the home located ax 2950 Mirmehaha Blvd.. Southold, New York. I am requesting that the permit #5381 in the name of the Estate of Walter Erickson, be transferred to my name - James P. Sweeney as the new owner of the property. Prior to purchasing the property I was advised that I would be able to do so. Enclosed please find my check in the mount often dollars ($10.00) for the fee associated with this transfer, 03/19/2004 15:40 283-462-5031 PENN MARITIME (Comp,,ny) PAGE 01/02 N,Jamber of Pages (Incluclk~g Cover She~0 One Stnmford Pla 263 Tresser Boul Stm-n.ford, CT 0¢ (203) 356-0009 (203) 4~2-5031 Albert J. 14~upski, President James King, Vice-President I-{enw Smith Axtie Foster Ken Poliwoda BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone t631) 765-1892 Fax (631) 765-1366 ORIGINAL Office Use Only Coastal Erosion Permit Application Wetland Permit Application '~ Major~inor Waiver/Amendment/~ha~ges Received Application: "~['~ Received Fee:$ Completed Applicat Incomplete SEQILA Classification: Type I Type II Unlisted Coordination:(date sent), _ CAC Referral Sent:~ Date of lnspection:~/~t~- Receipt of CAC Report: Lead Agency Determination: Technical Review: Public Hearing Held:_~_~ Resolution: JL- 3 ~'u~:i Name of Applicant Address Phone Number:( ) ~.O1- q-/~O- Oc/q~' Suffolk County Tax Map Number: 1000 - Property Location: oXq.S'o MINN~_HAH/~ BLUD, (provide LILCO Pole #, distance to cross streets, and location) AGENT: (Ifapplicable)0_/o ~)'a~N F-- . 1-.01'46 ~E~MIT~ Address' F,O- hC~ q (o . E /~ C~T M,~ 1RI~ t-4 Mx-/ I jq3q-oOqLo Phone: 631 - q77- $c/~ Bo~ard of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: R£~ I bg__MTl~*l,~. Previous use of prope ,r~y: Intended use of'property: Pfiorpermits/approvalsforsiteimprovements: Agency Date v/' No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend, ed by a governmental agency? ~/ No Yes If yes, provide explanation: Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: t Area of wetlands on lot: , .~6' square feet Percent coverage of lot: /V[A % Closest distance between nearest existing structure and upland edge of wetlands: ,~ 7 ' feet Closest distance between nearest proposed structure and upland edge of wetlands: ,~r ? r feet Does the project involve excavation or filling? No ~ Yes If yes, how much material will be excavated? - C, - cubic yards How much material will be filled? qt> cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: N/ 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): NO ~-I>XJELsf_ ~FF~C'I- TO LQE"FL.&)aDS, 516-477-3455 p. 1 Susan Eo Lon~ Jul 2S O1 03:34p SUSAN E. LONG PERMITS P.O'. Box 4~ East M~'lon, NY 11g~.,0046 ~-~1' FAX TRANSMITTAL DATE: Number of pages, including cover ( 7 ) dl 617.20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM SEQR Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a proiec! 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 EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to.allow introduction of information to fit a prgiect or action· Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information ·bout a given project and its site. By ideefifyi~g basic project data, it assist~ a reviewer in the analysis t~at takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacL~ that may occur from ~ project or action. It provides ' guidance as to whether an imp·ct is likely to be considered sm·Il 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 Unlisfed Actions Identify the Portions of I:AF completed for this project; C1 Part 1 [] Part 2 []Part 3 Upon review of the information recorded on this EAF (Part~ 1 and 2 ·nd 3 if appropriate), and any other supporting information, ·nd considering both the magnitude ·nd Importance of each impact, it is reasonably determined by the lead agency that: [] ^. 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 · negative declaration will be prep·ted. D B. Although the prolect could have a significant effect on the environment, there will not be a ~lgnlficant effect for this unlisted Action because t~e mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* C. The project may result in one or more large and Important Impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. ° ^ 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 INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Part~ 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 LUALTER. E. F_RIE.~e,,t ~_~5'rAT~__ LOCATION OF ACTION (Include Slraet Addcess, Municipality and County) HAME O~ APPUGANT~PONSOR ~.~RESS I ,5 SA F_. LON ,' ?ERr4 N E OF OWNER (lf cllffereot) C_,AR L_% mA bT DESCRIPTION OF ACTION I ~ ..~N-5't'ALL '77+- C-lOC-- VtNyk. N% I tqTI BUSINESS TELEPHONE J $TATE ZIP CODE · I BUSINESS TELEPHONE N I UPLA~ b Please Complete Each Question-Indteate N.A. if not applicable A. Site Description Physical setting of overall project, both' developed ~tnd undeveloped areas. 1. Present land use: I-IOrban I-Ilndustrtal rlForest OAsrlculture 2. Total acreage of project area: APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Forested OCommerclal ~Other acres. [IResidentlai (suburban) r'lRural (non-farm) PRESENTLY AFTER COMPLETION 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) OtaL~,N.l'~ 3. What is predominant soil type(s) on project site[. a. Soil drainage: '~Well drained % of site I-lPoorly drained % of site acres -- ~ -- acres acres -- ~ -- acres acres [ '7~. acres acres -- o -- acres acres - 0 -- acres acres -- (~ ~ acres acres . qq'¢~ acres % of site b. If any agricultural land is in~/olv .e~, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System~ /q/^ acres. (See I NYCRR 370). 4. Are there bedrock outcroppings on project sltei' OYes J~JNo a. What is depth to bedrockS' N/A (in feet) 2 [3Moderately well drained 5. Approximate percentage of pro~6sed project site with slopes: ~0-10% % 010-1S% % O1S% or greater % 6. Is proiect substantially contiguous~ to, ,or contain a building, site, or district, listed on the State or the National Registers of Historic Places~ OYe~ 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? OYes ~No 8. What is the depth of the v~ater table? AlIA (in feet) 9. Is site located over a priniary, principal, or sole source aquifer? OYes ~No 10. Do hunti'ng, fishing or shell fishing opportunities presently exist in the project area? ~.Yes ONo 11. Does project site contain any species of plant or:anih~al life that is identified as th~'eatened or endangered? OYes ~No According to ~ UL<: A N 1:'. LhNR Identify each species -., 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) OYes ~No Describe 13. Is the 14. Does I-lyes ~[No 15. Streams 16. Lakes, project site presently used by the community, or ne!ghborhood as an open space' or recreation area? OYes ~No . If yes, explain A(/A the present site include scenic views known to be important to the community? within or contiguous to projec~ a?ea: a. Name of Stream and name of River to which it is tributary ponds, wetland areas withid QFcontiguous to project area: a. Name COlR~ CLI~_ .~_.'~.~_ I b. Size (In acres) 17. Is the site served by existing pbb!ic utilities? MYes I-INo a) If Yes, does sufficient capacity exist to allow ¢onnectlon~' C]Yes I-INo ~/A b] If Yes, will improvements be necessary to allow connectlon~ r-lyes ONo ~8. Is the site located In an agricultural district certified pursuant to A;rl~ulture and Markets Law, Article Section 303 and 304i' I-lyes '19. I~ the site located In or substanUally contiguous to a CriUcal E~'lro. nmental Area designated pursuant t6'Article 8 of the ECL, and 6 NYCRR 617~' OYes MNo ' ' 20. Has the site ever been used for the .~Isposal of solid or hazardous wastes. ~' I-lyes B. Project Description ' 1. Physical dimensions and s. cale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled' by proj~ect sponsor b. Project acreage to be developed: /~.!,.a, · acre's Inlti,~lly;.. ~J c. Prolect acreage to remain undeveloped NIA acres. ' '" d. Length of project, in miles: AJ[~, (If appropriate)' e. 'If the project Is an expansion, indicate percent of expansion proposed N[A %; f. Number of off-stre'et parking spaces existing J~J[~' ; proposed ~4/~4. . g. M~ximum vehicular trips generated per hour ~z~/[~. · (upon'completion of project}? h. If residential: Number and type of housing units: Two Family Onev~ily Multiple Family Initially . /~ [~:~4 · · I. Dimensions (In feet) oi'largest proposed structure ~ height; 1~-d width; j. Linear feet of frontage along a public thoroughfare project will occ?p~(. Is! ~ fL 3 acres. acres ultimately. Condominium T~' ~ length. 2. How much natural material (i.e., rock. earth, etc.) will be removed from the site[' 3. Wdl disturbed areas be reclaimed? OYes ONo [~NIA a. If yes. for what intended purpose is the site being reclaimed? ~vlA b. Will topsoil be stockpiled for reclamation? OYes ONo c. Will upper subsoil be stockpiled for reclamation? OYes [}No tons/cubic yards 4. Hoe many acres of vegetation (trees, shrubs, ground covers) will be removed from site? ' --~ - acres. $. WiN any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? OYes iStlNo 6. If single phase project: Anticipated period of construction ON F_ months. (including demolition). 7. If multi-phased: a. Total number of phases anticipated ~NE.. (number). b. Anticipated date of commencement phase 1 ~ month ~ year, (including demolition), c. Approximate completion date of final phase N. !.A- month A//.A . year. d. Is phase 1 functionally dependent.on subsequent phases? OYes [:]No & Will blasting occur during construction[' nYes ~No 9. Number of jobs generated: during construction . ~ ; after'project is complete. 10. Number of jobs eliminated by this project 'O-' 11. Will project require relocation of any projecLs or facilities? OYes ~No If yes, explain , 12. Is surface liquid waste disposal involved[' [~Yes I~No 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[' OYes ONo Type ~ } · 14, Will surface area of an existlg~',water body increase or decrease by proposal[' OYes 5aNo Explain /11 IA 15. Is project or any portion of project located I~ a 100 year flood plain[' OYes r'lNo 16. Will the project generate solid waste[' ' I'lYes ~No a. If yes, what is the amount per month N'IA tons b. If yes, will an existing 'solid waste facility be used[' I-lyes O'Ho c. yes, g ve name. · : ocat o. d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? OYes e. If Yes, explain /~/A 17. Will th~ project involve the disposal of solid waste? a. If yes, what is the anticipated rate of dlsposaff b. If yes, what is the anticipated site life(' h~ ~A 18. Will project use herbicides or pesticides[' I-lYes OYes ~No /~ !.,4' tons/month. years. (~No 19. Will project routinely produce odors (more than one hour per day)? I-lyes eaNo 20. Will project produce operating noise exceeding the local ambient noise levels? nYes 21. Will project result in an increase in energy use? OYes ~No If yes , indicate typ~(s~ f~//~ ... water supply is from wells, Indicate pumping capacity .N.!A gallons/minute. 22. 23. Total anticipated water usage per day N./A · gallons/day. 24. Does project involve Local, State or Federal funding[' OYes ~No Yes, explain K'INo 25. Approvals Required: Type · Submitla[ Date City. Town. Vdlage Board ~]Yes ~No City, Town, Village Planning Board OYes ~No City, Town Zoning Board OYes ~No City, County Health Department [:]Yes J~JNo Other Local Agencies l~Yes Other Regional Agencies ' OYes J~No State Agencies l~'Yes ONo Federal Agencies OYes [~No C. Zoning and Planning Information 1. Does proposed action .involve a planning or zoning decision? OYes ~No · If Yes, indicate decision required: Ozoning amendment Ozoning variance [3special use permit ' rlsubdivislon f-lsite plan [3new/revision of master plan I-Iresourc'e management plan Oother 2. What is the zoning classification(s)of the site? RIL~ ! ~_t,,tT t P, L L~_I A'I'FP,.F: 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? I~Yes [:3No 7. What are the predominant land use(s) and zoning classifications within a ',4 mile radius of proposed action? B. Is the proposed action compatible with adjoining/surrounding land uses within a '/, mile? I~Yes ONo 9. If the proposed action Is the subdivision of land~ how many·lots are proposed? a~ What is the minimum lot slze proposed~' 10. Will proposed action require ~ny authorization(s) for the formation of sewer or water districts/ OYes ~:~No 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection){ OYes a. If yes, is existing capacity sufficient to handle projected demand? OYes ONo 12. Will the proposed action result In the generation of traffic significantly above present levels? OYes' J~No a. If yes, is the exis(ing road network adequate to handle the additional traffic{ [~Yes ONo D. Informational Details Attach any additional information as ma~, be needed to clarify your project. If there are or may be any adverse impact~ 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. ^ppllcant/Spopsor Name C.~e~b~L~, U I~AJ~lJ4t= ~t~t~.~l~r"~'r'l~l~ Date ~ .... ~ ' I g 'in If the action I~ In the Coastal Area~ and youJre a lille ajen~ complete the Coastal As/e~ment Form before proceeO g 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'~ The reviewer is not expected to be an expert environmental analyst. · The Examples pr,•vialed are to assist the reviewer by showing types of impacts and wherever possible the threshold ol 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. 'l'hey do not constitute an exhaustive list of impacts and thresholds to answer each question. · The number of examples per question does not indicate the importance of each question. · In identifying impacts, 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 impact. 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,:~heck column 1. d. Iden(Ifying that an Impact will be potentially large (column 2) does not mean that it is also necessarily slgnllloant. 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 consldar 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 resuR in a physical change t.o the proiect site? ~NO OYES Examples that would apply to column 2 · Any construction on slopes of 15% or greater, (1S foot rise per 100 foot of length), or where the general slopes In the project area exceed 10%. · Construction on land where the depth to the water table is less than 3 feet. · Construction of paved parking area for 1,000 or more vehicles. · Construction on land where bedrock is exposed or generally'within 3 feet of existing ground surface. · Construction that will continue for more than I year or involve more than one phase or stage. · Excavation for mining purposes that would remove more than 1,000 tons of natural material (i.e., rock or soil) per year. · Construction or expansion of a sanitary landfill. · Construction in a designated floodway. · Other impacts 2. Will there be an effect to any unique or unusual land forms found on the site~' (i.e., cliffs, dunes, geological formations, etc.)ON• OYES · Specific land forms:. I 2 3 Small to Potential .Can Impact Be Moderate Large Mitigated By Impact Impact ' Project Change [] [] OYes []No [] [] []Yes nH• [] [] OYes OHo 0 [] OYes •NO 0 [] OYes E]~o O [] OYes ON• 0 ID OYes 0~o O O OYes ION• [] El OYes []t4o [] 0 []yes 0~o IMPACT ON WATER will proposed action affect any water body designated as protectedf (Under ^rticles 15.24.25 of the Environmental Conse~ation Law, ECL) ONO 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 of a protected stream. · Extension of utility distribution facilities through a protected water body. · Construction in a designated freshwater or tidal wetland. · Other impacts: 4. Will proposed action affect any non-protected existing or new body of water? ONO ' OYES Examples' that would apply to column 2' · A 10'/o 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? nNO Examples that would apply to column 2 · Proposed Action will require a discharge permit. . · Proposed Action requires use of a source of water that doe~ 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 b~ conveyed off t~e 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? ONO OYES Examples that would apply to column 2 · Proposed Action would change flood water flows. 7 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change O O OYes ONo [] 0 OYes ONo [] [] OYes ONO O O OYes ONo O O OYes ONo O O OYes ONo O O OYes ONo O O OYes O O OYes O O OYes ONo O O OYes ONo O O OYes ONo O 0 BYes ONo O O OYes ONo O 0 OYes ONo O 0 OYes ONo O O OYes ONo O O OYes ONo O O OYes OHo E] O OYes [::]No O ~ ~Yes ~No Proposed Action may cause substantial erosion. Proposed Action is incompatible with existing dralna§e patterns. Proposed Action will allow development in a designated floodway· Other impacts: IMPACT ON AIR . Wdl proposed action affect air quality,' C]]NO OYES Examples that would apply to column 2 Proposed Action will induce 1,000 or more vehicle trips in any given hour. Proposed Action will result in the incineration of more than 1 ton of refuse per hour. Emission rate of total contaminants will exceed 5 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 tndustrial use. Proposed action will allow an increase in the density of industria) development within existing industrial areas· Other impacts: IMPACT ON PLANTS AND ANIMALS · Will Proposed Action affect any threatened or endangered species? [3NO ByES 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. Applica(ion of pesticide or herbicide more than twice a year, other than for agricultural purposes, OCher impact~: r. Will Proposed Action substantially affect non-threatened or non-endansered species~' []]NO OyES Examples that would apply to column 2 Proposed Action would substantially interfere with any resident or misratoq, fish, shellfish or wildlife species. Proposed Action requires the removal of more than 10 acres of mature forest Cover 100 years of age) or other locally important vegeta rich. IMPACT ON AGRICULTURAL LAND RESOURCES 0. Will [he Proposed Action- affect agricultural land resources~' [:3NO OYES Ezample~ that would apply to column 2 The proposed action would sever, cross or limit access to agricultural land 0ncludes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 1 Small to Moderate Impact [3 [3 [] 2 Poteqtial Large Impact [] [] [:]Yes [] [] OYes [] [] [~Yes [] 0 [:]Yes [] [] OYes [] 0 []Yes [] 0 OYes [] [] []Yes [] [] OYes 0 [] OYes [] [] []Yes [] [] []Yes []]]No ONo []]No ONo EONo [:]No ONo ONo ONo •No ONo ONo (~No · 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 Agricultural District, more than 2.5 acres of agricultural land. · The proposed action would disrupt or prevent installation of agricultural [and management systems (e,§., 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;' E)NO 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 project components obviously different from or in sharp contrasi to current surrounding land use patterns, whether mammade 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. · Proiect 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 importancei' OHO ~]YES Examples that would apply to column 2 · Proposed Action occurring wholly or partially within or substantially contiguous to any facility or site listed on the State or National Register of historic places. · Any impact to an archaeological site or fossil bed located within the project site. · Proposed Action will occur in an area designated as sensitive for archaeological sites on the NYS Site Inventory. · Other impacL~: IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunltlesi' Examples that would apply to column 2 [0NO [OYES · The permanent foreclosure of a future recreational opportunity. · A major reduction of an open space important to the community. · Other Impacts; Small to Potential Can Impact Moderate Large Mitigated I Impact Impact Project Cha [] [] OYes [] [] [] OYes O [] [] OYes O [] [] OYes [] [] [] OYes O O O Oyes [] [] [] OYes O [] [] OYes O [] 0 OYes [] [] O OYes ~- 0 0 OYes C [] O OYes C IMPACT ON CRITICAL ENVIRONMENTAL AREAS Will Proposed Act[on impact the exceptional or unique character- ist,cs o! a critical environmental area {CEA) established pursuant to subd~v~s,on 6 NYCRR 617 14(g) ? E)NO E]YE$ List the environmental characteristics that caused the designation of the CEA Examples that would apply to column 2 Proposed Action to locate within the C£A;~ Proposed Acbon will result m a reduction in the quantity of the resourceZ Proposed Action will result in a reduction in the quality of the resourcet Proposed Action will impact the use. function or enjoyment of the resource? Other impacts' IMPACT ON TRANSPORTATION 5 Will there be an effect to existing transportation systems~ · OhO ByES Examples that would apply to column 2 Alteration of present patterns of mo,)ement of people and/or goods. Proposed Action will result in major traffic problems Other impacts' IMPACT ON ENERGY 16 W;II proposed action affect the commonity's soul'ces ol fuel or energ,~ supply? ONO OYeS Examples that would apply to column 2 ' Proposed Action wilt 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 of to serve a major commercial or industrial use. · Other ,mpacts: 10 f' Small to Potenha[ Can Moderate Large Impact Impact Proj( [] [] E3Yt 0 [] E3Y~ [] [] [] 0 [] [] E]Ye [] [] [] [] Oye [] O OY~ 3 Impact Be MHIgated Change E~No [~tqo ONo []]No ONo [~No NOISE AND ODOR IMPACTS 17 Will there be objectionable odors, noise, or vibration as a result of the Proposed Acti'on;~ DNO DYES Examples that would apply to column 2 · Blasting within 1.500 feet of a hospital, school or other sensitive lacility. · 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[' . nNO DYES 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 CHARAQTER OF COMMUNITY OR NEIGHBORHOOD 19. Will proposed action affect the character of the existing communltyT I-]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 $%. · The municipal budget for capital expenditures or operating services will increase by more than 5% per year as a result of this project. · Proposed action will conflict with officially adopted plans or goals. · Proposed action will cause a change in the density of land use. · Proposed Action will replace or eliminate existing facilities, structures or areas of historic importance to the community. · Development will create a demand for additional community services (e.g. schools, police and fire, etc.) · Proposed Action will set an important precedent for future'projects. · Proposed Action wtll create or eliminate employment. · Other impacts: 1'~ 2 3 -- Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes [] [] []Yes ~]No [] [] I-lYes E~]No [] [] []yes []No [] [] []Yes E]No [] D ~Ves DNo D ~ ~Yes ~No D D DYes DNo ~ ~ ~Yes ~N0 D D ~Ves DNo ~ ~ ~Yes ~No D D []Yes DNo D D ~Yes D D DYes DNo .D D DYes D D DYes DNo ~ D ~Yes DNo ~ ~ ~Yes DNo ~ ~ ~Yes ~No 20. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts~ (~NO ~]YES If any aCflo~ In parl 2 Is Identified a8 · potential Jarge Impact or It you cannot determine the magnitude ol Impact, proceed to p·d 3 11 Part 3--EVALUATI, N OF THE IMPORTANCEC IMPACTS Responsibility of Lead Agency 'art 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(,s) may be nitigated. nstructions )iscuss the following for each impact identified in Column 2 of Part 2: Briefly describe the impact. '. Describe {if applicable) how the impact could be mitigated or reduced to a small to moderate impact by proiect changes) [ ' 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 irreversibility, including permanently lost resources of value Whether the impact can or will be controlled The re§iona[ consequence of the impact Its potential divergence from local needs and goals Whether known objections to'the project relate to this impa~:t. (Continue on attachments) 617.20 Appendix B State Environmental Quality Review Visual EAF Addendum SEQR This form .may be used to provide additional information relating to Question 11 of Part 2 of the Full EAF. ('To be completed by Lead Agency) Distance Between Visibility 1. Would the project be visible from: · A parcel of land which is dedicated to and available to the public for the use, enjoyment and appreciation of netural or man-made scenic qualities? · An overlook or parcel of land dedicated to public observatlo.n, enjoyment and appreciation of natural or man-made scenic qualities? · A site or structure listed on the National or State Registers of Historic Places? · State Parks? · The State Forest Preserve? · National Wildlife Refuges and state game refuges? · National Natural Landmarks and other outstanding natural features? · National Park Service lands? · Rivers designated as Hatlonal 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 or inter-county foot 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? · County road? · State? · Local road? Project and Resource (in Miles) 0-',~ V4-V2 V2-3 3-5 5+ [] [] [] [] [] 0 [] [] [] [] [] [] [] [] [] [] [] [] [] [] 0 [] [] [] [] [] [] [] [] [] [] [] [] [] 0 [] 0 [] [] [] [] [] 0 [] [] 0 [] [] [] [] 0 [] [] [] [] 0 [] [] [] O [] [] [] [] [] [] [] [] [] [] [] [] 0 [] 2. Is the visibility of the project seasonal? (i.e., screened by' summer foliage, but visible during other seasons) OYes I"'1 No 3. Are any of the resources checked In question 1 used by the public during the time of year during which the project will be visible? O~,'es ONo 1 DESCRIPTION OF EXISTING VISClAL ENVIRONMENT 4 From each Item checked in question i, check those which generally describe the surrounding environment. Essentially undeveloped Forested Agricultural Suburban residential Industrial Commercial Urban River, Lake, Pond Cliffs, Overlooks Designated Open Space Flat /qountainous Other NOTE: bdd attachment~ as needed 5. Are there visually similar projects within: *¥~ mile I--lyes []No '1 miles I-lYes I-1No '2 miles I--lyes I-)No '3 miles l-lyes [] No Within *V.~ mile [] [] [] [] [] [] [] [] [] * Distance from project slte are provided for assistance. Substitute other distances as appropriate. F-.XPOSORE 6. The annual number of viewers likely to observe the proposed project Is NOTE: When user data Is unavailable or unknown, use best estimate. £ONTEXT 7. The situation or activity In which the viewers are engaged while viewing the proposed action is FREQ~JEHCY Holidays/ Activity Daily Weekly Weekends Seasonally Travel to and from work [] [] il [] Involved in recreational activities [] [] [] [] Routine travel by residents [] [] [] [] At a residence [] [] [] [] At workslte [] [] [] [] Other [] [] [] [] 51S-477-3455 p. 1 Susan 5. Lon~ Jul ~4 O1 11:34a SUSAN E. LONG PERMITS p.C~. Box ,~ FAX TRANSMITTAL O^TE: Number of pages, including cover C°mments: ~~.~j~ .-. '~-tjj.~U~ 5i6-477-3455 P'~ Su~ £- Long 3u! ~4 O1 11:35a 7/12/O 1 To Whom it May Concern, Please be advised that we .have given permission to our neighbors, the Seigermans, to continue their bulkhead o~l'o om- property abutting, or, tying into'the end of our bulkhead, with no damage incurred to'OUr bulkhead. Thank You, Kathy & Ronnie Loft'ese 3050 Mitmehaha Blvd. Southold?'N~Y, 11971 631-765-6590 516-477-3455 Susan E. Long o5 Ol 03:35p Jul ~ 7/! 2/01 To Whom it May Concern, Please be advised that we b~ve $iven permission to oar neighbors, the Seigermans, to continue their bulkhead o~o om' proper~y abutting, or, tying into~the end of our bulkhead, with no damage incaxrred to'our bulkhead~ Thank You~ Kathy & Roanie Loft'ese 3050 Min~ohaha Blvd. $outhold,'~IY, 11971 63 !-765-6590 PO. BOX 618 GREENPORT NY 11944 SusiE- Lon~ 51g-49V-34SS CROWLEY MARINE CONSTRUCTION BULKHEADING · D~CKS · DOCKS · BEACH STAIRS TEL./FAX (631) 47.?-1772 CELL (651} 831-1740 Jury 15, 2001 ,4.uthoriz~tion Form ~, owner of locatod at Southold Town ~ ~e State of '(n~c (s~t ad~) New York do hereby giw Fl~c~ Si~ga~an. ~e~ix of~e ~m~ of Waiter Erick~n, ~ ission m eons~ct ~he n~s~ bu~ds on my pr~ tojo~ ~to my ~xbting bu~ad. ~is ~ll in no way aff~ o~ship or use ofthi~ pa~ of my p~, '~tnre' ' ~and DateO Jul 25 O1 03:35p Susan E. Lon~ 51G-477-3~55 p.G A]bert d. Krupsk/, President James K/ng, Vice-President Hem-y Smith Arkie Foster Ken Poliwoda Town Hall · 53095 Route 25 P.O. Box 1]79 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765 1366 BOAB.D OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application COUNTY or suffoLK, STATE OF NEW YORK) AFFIDAVIT OF POSTING ~, SAN C~h~LEW , residing at ~gS~]- being duly sworn, depose and say: That on the IQ day of~Uh~ 200%, I personally posted the property known as agSb ~I~Z~AMA KLgB. ~6o~0c~ by placing the Board of Trustees offici~al poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date ~ the ~ublic ~arlng. Date.of hearing oted thereon to be he~~/ Dated: Sworn to before me this [~T%day of ~U~ 200[ ~ - NO. 01L04958343 k.~ ~ ~ ~_]~1~ ~" /.z .~u,lified in Suffo,k County Notary Public ~ Comm~lon E~pires Nove~r 6.~ dleee~ Publl~, State o~ f~ew Yc~k 68,40' N ~6'08 14,50' Sheet 1 of 2 Prepar~:l by: Susan E, Lar~ Permit~ I~.O. ~ox 46 East Maria~ NY 11939-0046 (63 l) 477-3455 Prepared for: Walter E. Eric.~on Eatate ed0 FIormce Seigerman, ExecUtor 610 7a Street Carlatadt, N3 07072 Pro~or,~d: Install 77'+- c-l~c vLnyl ~taiaJag vail a~d lack §11 with appr0x. 40 cy. clean fill from a.~O~Ov,~l upland soarc~. '~,rall to b~ ¢onn~tt~cl to existing ~ ~tll$ Incat~l on north a~d south ~'opeme$ SCALE: 1" = 20' .~-UL ¥ ;Z, 5iS-477-3455 P'~ Susan E. Lon~ 2880 Mm]3ah~, Blvd. South~l~ NY 11971 ~£~' 610 7 (?.~d~ ·, NJ 07072 CROWLEY MARINE CONSTRUCTION TELJF^X (631) 477-[772 CELL (~) 831-J74o Boa~of Trustees Application County of Suffolk State of New York ~OJ~ ~. ~O~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN AR~ TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOIFfHOLD TOWlq BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOU%~HOLD AArD THE TOWN TRUSTEES HARMLESS AND FREE FROM Al!Y_ AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIR%~3E OF SAID. PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESEI~TATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PP~EMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Notary Public CLAIRE L. GLEW Notary Public, State of New York NO. O1 GL4879505 Qualified in Suffolk Commission Expires Dec. $, 7 CERTIFICATE OF LETTERS TESTAMENTARY FILE NO. 706 P 1999 SURROGATE'S COURT : SUFFOLK COUNTY THE PEOPLE OF THE STATE OF NEW YORK TO All to Whom These Presents Shall Come, or May Concern, Greeting: IT IS HEREBY CERTIFIED that on the 20th day of July, 2000, Letters Testamentary of the Last Will of WALTER E. ERICKSON, deceased late of Suffolk County, New York, were duly issued by the Surrogate's Court of Suffolk County to FLORENCE SEIGERNL~N, as the Execubor(s) and that the same are still valid and in full force. IN TESTIMONY WHEREOF this certificate is issued under the seal of the Court. WITNESS, HON. A. GAIL PRUDENTI, Surrogate, at Riverhead, in Suffolk County, New York, this 20th day of September, 2000. ,,SEAL) MICHEL CIPOLLINO Chief Clerk, Surrogate's Court Suffolk County, New York Jun 30 O1 lO:51m ~01 -~35-440~ p.1 'w~tl~xl w~.ab, ea del~m~le4 by ~ec~ic ~m'veyeJ'J mi pa' mrvey N 26'08 14,50' Sheet 1 of 2 Susan E. Long Permits P.O. Box 46 East Maric~ NY 11939-0046 (631) 477-3455 Prepared for: Walter E. Erickson Estate ~o Florence Seigerman, Executor 610 7~ Street Carlstadt, NJ 07072 Proposed: Install 77'+- c-loc vinyl retaL, fi~ wall and back fill with alT~svx. 40 cy. clean fil~ from appro,,,~ upland source. Retaining wall to ~e co~cted to existing r~ walls located on north and SC.A 1.1~.: 1"=20' Adjoining propoly ox, mc, m: Romfld & K~hle~ LoFre~e 3050 Mumelud~ Blvd. Southold, NY 11971 Rol~tt & Flle~ Hol~n*ie~ 203 Wethedll Ro~d GIrden City, NY 11530 Felice V~ndel~oeck 2880 IVFmnehaha BIv& Southold, NY 11971 Arfl~ & Ghm Rios 2718 York Corot Soulifl~ke, TX 76092 Wllt~ E. Ericlmm Est~e ~1o ~ ~ Cadsta~, NJ 07072 CROWLEY MARINE CONSTRUCTION TEL./FAX (631) 477-1772 CELL (631) 831-1740 EO. BOX 618 GREENPORZ NY 119~4 Sheet 2 of 2