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Home My WebLink AboutTR-3735 AMEND TRUSTEES John M. Bredemeyer, Ill, President Henry P. Smith, Vice President Albert J. Kmpski, Jr. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hail, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 April 5, 1991 William Moore Moore & Moore Clause Commons Suite 3 Main Road, P.O. Box 23 Mattituck, NY 11952 RE: Daniel Maggio Permit 93735 Dear Mr. Moore: The following actions were taken by the $outhold Town Board of Trustees on Thursday, April 4, 1991: RESOLVED that the Southold Town Board of Trustees approve the request for an extension to permit 93735 to expire June 23, 1992. If you have any questions, please do not hesitate to contact this office. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB: j mt Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 3735 DATE: ....T~ne 23, 1989 ISSUED TO ......... Daniel Mag.glo ... Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1593; and Chapter 4.04 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in ec,'ordance with the Resolution of The Board adopted at a meeting held on June 19 89 , and in consideration of the sum of $ paid by 1989 of ......... N. Y. and subiect to the Terms a~l'"~0ndifi0ns liste~J on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Construct single family dwelling and associated septic system with the condition that a natural buffer be maintained 50' from property line on creek side. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The seld Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the .Board as of this dele. Trustees TERMS ,',nd CONDITIONS The Permlttee Daniel Maggio residing at 5 Washington Drive. Hampton Bays N.Y., as part of the consideration for the issmmce of ~he Permit does understand and ptesctlbe to the fol- lowing: 1. The Southold Town Trustees Permit must be prominently displayed on premises effected during period of work. 1. That the said Boaxd of Trustees and the Town of Southold axe tv. leased from any and aH damages, or dalm~ for damnge~, of suits arising dicectly or indlrectiy as a result of ~ny oper- ation performed pursuant to this permit, and the said Permit'tee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Pem~itree assum~ full liabilit~ with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Permit is valid for a period of 24 mos. which is comideml to be the estimated time required to complete the work involved, but should circumstances warrant, requ~t for an extension may be made to the Board at a later dam. 3. That this Permit should be retained indefinitely, or as long as the said P~itt~ wishes to maimain the structure or project involved, to provide evidence to anyone concerned that auth- orization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the fight of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or aiterafions in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstrumon to free navigation, the said Permirtee will be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee ot the completion of the work auth- orized. 9. That the Permittee will obtain all other permits and consents daat may be required sup- plemental to this permit which may be subject to revoke upon failure to ob*~;n same. FRANK A. KUJAWSKI, JR., President ALBERT J. KRUPSKI, JR., Vice-President JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. SMITH TELEPHONE (516) 765-1892 BOARD OF TO~'N TRUSTEES TOWN OF SoLrrHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 June 28, 1989 Moore and Moore, Esqs. PO Box 23 Mattituck, N.Y. Re: Application No. 5-1-89-86-2-11 Dear Mrs. Moore: The following action was taken by the Board of Town Trustees during their regular meeting held on June 22, 1989 regarding the above matter: WHEREAS, Patricia Moore, Esq. on behalf of Mr. and Mrs. Daniel Maggio applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 25, 1989 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 June 22, 1989 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 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 Patricia Moore, Esq. ON BEHALF OF Mr. and Mrs. Daniel Maggio BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: Construct single family dwelling and associated septic system with the condition that a natural buffer be maintained 50' from property line on creek side. Property is located on Wells Road, Peconic, N.Y. This permit will expire two years from the date it is signed if work has not commenced by said date. Fees must be paid and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Very truly yours, Frank A. Kujawski, Jr. President Board of Town Trustees FAK:jas CC: Bldg. Dept. Conservation Advisory Council file New York State Del of Environmental Conservat '~ Building 40--SUNY, Stony Brook, New York 11794 (516) 751-7900 AMENDMEt]T TO PERMIT Former Permit # if any): RE: Permit No. & Location: /~-~ Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that there has not been a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; therefore, the expiration date is extended to Thomas C. Jorling Commissioner ~ Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 62].. It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is amended to authorize: This letter is an amendment to the original permit and as such, shall be posted at the job site. Ail other terms and conditions remain as written in the original permit. Very truly yours, ~Regional Permit Administrator Sent to: FRANK A. KUJAWSKI, JR., President ALBERT J. KRUPSKI, JR., Vice-President JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. S~,IITH BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York [ 1971 May 5, 1989 Mr. John Holzapfel, Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, New York 11971 TELEPHONE (516) 765-1892 Dear Mr. Holzapfel: Transmitted herewith is application No. 5-1-89-86-2-11 for a Wetland Permit submitted by Daniel Maggio. Please prepare a written report of findings and recommendations with respect to this application. FAK: jas Very truly yours, Frank A. Kujawski, Jr. /~ ~ President Board of Town Trustees -/ CC: Bldg. Dep't. FRANK A. KUJAWSKI, JR., President ALBERT J. KRUPSKI, JR., Vice-President JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. SMITH TELEPHONE (516) 765-1892 BOARD OF TO~'N TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 May 5, 1989 To Whom It May Concern: Attached hereto is a Short Environmental Assessment Form submitted by Patricia Moore on behalf of Daniel Maggio for a wetland permit to construct single family dwelling on property located on Wells Road, Southold, N.Y. Posted: May 5, 1989 Frank A. Kujawski, Jr. President Board of Town Trustees Permit No. & Location: Commissioner ( if any): ',.~/~ff ~our recent request to extend the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that there has not been a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of,the,existing permit; therefore, the expiration date is extended to /~/~/~ Your re~ent request t~modify/~he above permit has been reviewed pursuant to 6NYCRR, Part 621.~It/h'as been determined that the proposed modifications will not substant~lly change the scope of the permitted actions or the existing permyco~itions. Therefore, the permit is amended to authorize: This posted at the job site. letter is an amendment to the original permit and as such, shall be Ail other terms and conditions remain as written in the original Sent to: permit. Very truly yours, Deputy Regicna! ?ermit Ad~inistratec Southold Town Trustees Southold Town Hall Main Road Southold, New York Attention: Joan KAREN SZCZOTKA, SECRETARY MOORE ~ MOORE ATTORNEYS AT LAW May 2, 1989 11971 Re: Magqio / Wells Road, Peconic application Dear Joan: As you requested, enclosed please find a notarized authorization from Daniel Maggio for the above-referenced application. If you have any questions please contact my office. Very truly yours, PCM\kts Encls. cc: Daniel Maggio WILLIAM D. MOORE PATRrCIA C. MOORE MOORE & MOORE ATTORNEYS AT LAW Mr. Kujaski, President Southold Town Trustees Southold Town Hall Main Road Southold, New York 11971 KAREN ~;ZCZOTKA SECRETARY April 19, 1989 Re: Maqgio / Wells Road, Peconic Dear Mr. Kujaski: Mr. and Mrs. Maggio are seeking a permit to build a new home and sanitary system on the above referenced property. Enclosed please find the Southold Town Trustees permit application, check ~ 1454 in the amount of $150.00, Full Environmental Assessment Form, and survey showing proposed construction. Also enclosed please find DEC permit. Pursuant to you request, the property has been staked. request that the trustees schedule a public hearing on the wetland permit application. We Thank you in advance for your cooperation in this matter, if you need further information please do not hesitate to call. Very truly yours, Patricia C. cc: Mr. & Mrs. Maggio BOAIII) OF To~rlN TIIUSTEES TO~VN OF SOUIIIOLD Town Hall, 53095 Main Road P.O. Box 728 $outhold, New York 11971 TELEPIIONE 765-1892 · Mr. and Mrs_=Dan~e~l Maggie / PHONE NO 5 Washington Drive, Hampton Bays, N.Y. 11946 1000-086-02-11 298-5674 AO£NT Moore & Moore Esqs. Box 23, Mattituck N.Y. 11952 PHONE NO. PERNIIT REQUESTED TO construct single family residence and septic system within 75 feet from tidal wetiands} .as shown on' survey dated 6/15/88. LOCATION OF PROPERTY FOR WHICH PERMIT WANTED Wells Road, Peconic N.Y. 5 Washington Drive, Hampton Bays N.Y. 11946 Richmond Creek size oF PROPOSED WORK Single Family Residence @1500 sq.ft. LOCATION I. ENGTH 048 HEIGHT An_OVE: HICH WA'£~[, ~ 7 New York State Del: of Environmental Conservat. Building 40--SUNY, Stony Brook, New York 11794 (516) 751-7900 AMENDMENT TO PERMIT Former Permit # (if any): /) - r,i- -/s-¥o - Thomas C. Jorllng Commissioner RE: Permit No. & Location: Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that there has not been a material change ~n environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; therefore, the expiration date is extended to ~ Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is amended to authorize: '6 This letter is an amendment to the original permit and as such, shall be posted at the job site. All other terms and conditions remain as written in the original permit. Sent to: Very truly yours, ~Regional Permit Administrator B~on~, IJrook,~¥ 11794 (516) 751-7900 AMENDMENT TO PERMIT Commlt$loner RE: Permit No. & Location: Former Permit # (if any): Dear mr. ',~(~--. four recent request to extend the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that there has not been a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of,th~e~stlng permit; therefore, the expiration date is extended to /~/~//~/ Your rec'ent request t~modify/he above permit has been reviewed pursuant to 6NYCRR, Part 621~It/~'as been determined that the proposed modifications will not substant,~lly change the scope of the permitted actions or the existing permi/t/~itions. Therefore, the permit is amended to authorize: This letter posted at Ail other Sent to: is an amendment to the original permit and as such, shall be the job site. terms and conditions remain as written in the original permit. Very truly yours, Deputy Regional Permit Administratcr DOROTHY E. FINK NOTARY PUBLIC, State of New York NO. 30.4g].6270 Qualified in Naasau County 14-16-2 (2/87)--7c 617.21 SEQR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM 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 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 to allow introduction of information to fit a project or action. · Full EAF Components: The full EAF is comprised of three parts: Part ;1: Provides objective data and information about a given project and its site. By identifying basic 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 id;ntified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. Identify the Porlions of EAF compleled 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, a~onsidering both the magitude and importance of each impact, it is reasonably determined by the leadzg~t.ha t: ~ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant ira.pact on the environment, therefore a negative declaration will be prepared. [] B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the 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. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Prior Type Name of F~es~onsible Officelin Lead Agency /1 Title of Responsible Officer ((' ,~"~gnature of Resp/onsibl~Offii:er in Lead Agency ! S~ture of Preparer(If dilferent from responsible otficer) ,, - 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 effe( on the environment. Please complete the entire form, Parts ^ through E. Answers to these questions will be considere as part of the application for approval and may be subject to further verification and public review. Provide any addition} 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 invoJv new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specif each instance. ·. NAME OF ACTION .~.'Nc, Z.~ /5:~=~/~,.~.,/ ,< ~-~,,. ~. ~ ~ ~'~.~ ~-~ -~ ~ . t:~ ," ' LOC~TIO~ 0F A~ION (Include Street Address, Municipality and County) NAME OF APPMCANTISPONSOR . F{/ ~ ,~L , '/*~ /.' BUSINESS TELEPHONE ( ) STATE I ZIP CODE NAME OF OWNER (If dllferent) ADDRESS BUSINESS TELEPHONE STATE ZIP CODE Please Complete Each Question--Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas.,, 1. Present land use: ~lUrban E]lndustrial E]Commercial [~esidential (suburbanl E]Rural (non-farm I-IForest I-)Agriculture C1Other 2. Total acreage of project area: /jrt/~C ~ ff. ~ APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or grushland (Non-agricultural) ~' acres acres Forested '" acres acres Agricultural (Includes orchards, cropland, pasture, etc.) (5: acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) /~'!:% ,'¥u f: . acres - ,'a, ? ;' ./,~C £F acres Water Surface Area C acres ~- acres Unvegetated (Rock, earth or fill) ':' ' '5~'/'~' :~>"tP[x'" .,/,'?~ acres Roads. boildings and other paved surfaces /:./~- :-'~/ ~ acres ' ;) ,-~' '-'~, /" acres Other (Indicate type), acres acres 3. What is predominant soil type{s) on project site? a. Soil drainage: E}WelJ drained /W C % o~ s. lte E]Moclerately well drained % oi site C1Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group I tluough 4 oi the NYt[ Land Classification System? . acres. (See 1 NYCRR 370}. \ 4. Are there bedrock outcroppings on project site? ~]Yes [~No a. What is depth to bedrock? (~, _ (in feet) 2 5.'Approximate perOage of proposed project site with slopes: 1-10.10% /~ I-'110-15% % ' · '.,'.' "' "~ ' C]15% or greater C~Noin a 6. Is proiect substantially contiguous to, or building, site, or district, listed on the State or the National Registers of Historic Places~ ~ i-lYes ' . , ,. (~''. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks~ I-Wes 8. What is the depth of the water table? ~ [in feet) 9. Is site located over a primary, principal, or sole source aquifer? [:]Yes I~No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project areal C]Yes ~'No ' · 11. Does project site c~tain any species of plant or animal life that is identified as threatened or endangered~ I-lYes ~No According to Identify each species· 12. Are there any uniq~or unusual land forms on the project site~' (i.e., cliffs, dunes, other geological formations) [:]Yes L~No Describe / 13. Is the project site~)f'esently used by the community or neighborhood as an open space or recreation area~ I-lYes E3No If yes, explain 14. Does the present si~include scenic views known to be important to the community~' DYes LJNo '': 15. Streams within or contiguous to project area: ,u'~ a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland are/~s within or conti~uous to project area: a. Name /-~',,c~/~?~/?dy' C.[;'~.~," b.:Size (In acres) 17. Is the site served by existing public utilities? [~/es I-]No C a} If Yes, does sufficient capacity exist to allow connection~ [~es DNo b} If Yes, will improvements be necessary to allow connection? ~Yes i~No 18. Is the site located in an agriculture, district certified pursuant to Agriculture and. Markets Law, Article 25-AA, Section 303 and 304~, DYes I~lNo 19. is the site located in or substantially. ~ntiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 6177 {~Yes i-INo 20. Has the site ever been used for the disposal of solid or hazardous wastesJ , g,Yes -C B~ Project Description 1. Physical dimensions and scale of proiect (fill in dimensions as appropriate) a. Total contiguous a~:reage owned or controlled by. project sponsor L'~ acres. b. Project acreage to be developed: /~_~) ~//~aacres initially; . /'~'~ ~/~7~cre,s ultimately. c. Project acreage to remain undeveloped C~ acres. ' d. Length of project, in miles: ~ (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed f. Number of off-street parking spaces existing., g. Maximum vehicular trips generated per hour ~/~ h. If residential: Number and type of housing units: One Family Two Family i. Dimensions (in feet) of largest proposed structure ~'~/ height; _,~0 width; j. Linear feet of frontage along a public thoroughfare proiect will occupy isf /~/i~ ft. ; proposed . (upon co,mpletion of project)? Multiple Family Condo~minium length. 2. How much n aral material (i.e.. rock. earth, etc.) will be rem/oved from the site¢ tons/cubic yar.ds. 3. Will disturbed areas be reclaimed? [~Yes ONo [~N/A a, If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? [:]Yes E]No c. Will upper subsoil be stockpiled for reclamation? I-lYes F1No 4. How many acres of vegetation [trees, shrubs, ground covers) will be removed from site? ~ acres. 5. Will any mature~rest (over 100 years old) or other locally-important vegetation be removed by this project? I-lYes · [3'No 6. If single phase project: Anticipated period of construction 'i -,.~ months. (including demolition). a. Total number of phases anticipated (number). b. Anticipated date of commencement phase I month year, (including demolition). c. Approximate completion date of final phase month year. d. Is phase 1 functionally dependent on subsequent pha~es? I-lyes l"lNo 8. Will blasting occur during construction? I-lYes 9. Number of jobs generated: during construction ~'~' ~-~ ~ ; after project is complete 10. Number of jobs eliminated by this project I'~, .-t . 11. Will project require relocation of any projects or facilities? I-lYes []~o If yes, explain 12. Is surface liquid waste disposal involved? I~es a. If yes, indicate type of waste (sewage, industrial, etc. I and amount ~' ,- ~: ,-~:,,-, ~ b. Name of water body into which etfluent will be discharged /"~ i.~ 13. Is subsurface liquid waste disposal involved~' OYes E/No Type , 14. Will surface area of an existing water body increase or decrease by proposal? C)Yes I~f~o 1S. Is project or any portion of project located in a 100 year flood plain? I-lyes [~o 16. Will the project generate solid waste? [2]Yes · a. If yes, what is the amoun~ per month ~c~t~, tong~ b. If yes, will an e~isting solid waste facility be used~ [:]Yes [:]No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? [:]Yes I-]No e. I! Yes, explain 17. Will the project involve the disposal of solid waste? a. If yes, what is the anticipated rate of disposal? b. If yes, what iS the anticipated site life? 18. Will project use herbicides or pesticides? I:]Yes I-lyes ~o tons/month. years. 19. Will project routinely produce odors (more than one hour per dayR I-lYes 20. Will project produce operating noise exceeding the local ambient no/se levels~ 21. Will project result in an increase in energy use? OYes I~o If yes , indicate type(s) OYes 22. If water supply is from wells, indicate pumping capacity ,'~L~-~ gallons/minute. 2.t. Total anticipated water usage per day ~ gallons/day. / 24. Does project involve Local, State or Federal lunding? ~Yes ~o If Yes, explain ""'~' 4 ,?.~ City, Town, Village Board C]Yes C]No City, Town, Village Planning Board V]Yes ~No City, Town Zoning Board i-'JLJY.~ nNo City, County Health Department ~es C]No Other Local Agencies V]Yes r-lNo Other Regional Agencies I-lYes F'INo State Agencies · · : . I-lYes ~o Federal Agencies {:]Yes , IqNo Type Submittal Date C. Zoning and Planning InformatiOn / 1. Does proposed action involve a planning or zoning decision~ [~'Yes. · [3No If Yes, indicate decision required: [3zoning amendment I-Izoning variance I-Ispecial use permit {:]subdivision I-Isite plan I-Inew/revision of master plan J-lresource management plan I-Iother ~V~, :~G~.~ ~,rr~,_-I~ 2. What is the zoning classification{s)of the site~ ~l,,'~ v'~c,.~ ' 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~' ~,~_~o~ S. What is the maximum potential development of the site if developed as permitted by the proposed zoningS' ~) I~es [3No 6. Is the proposed action consistent with the recommenc~ed uses in adopted local land use plans~ 7. Wha~,ar~ lhe predominant land us~sJ and zonin~ classifications within a s~ mile radius of proposed acfion~ 8. Is the proposed action compatible with adjoining/surrounding land uses within a ~ mile~ ~s ~No 9. If the proposed action is the subdivision of land, how many lots are proposed~ .. ~/~ a. What is t~e minimum lot size proposed~ · 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ~Yes 11. Will the proposed ac~create a demand for any community provided.se~ices (recreation, education, police, fir~ protection)~ ~Yes ~No ~ a. I~ yes, is existing capacity sufficient to handle projected demand~ ~No 12. Will the proposed'action result in the generation ~f traffic significantly above present levels? ~Yes ~ . a. If yes, is~the existing road network adequate to handle the additional traH~c~ ~Yes ~No D. Informational Details ~ Attach 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 lhe measures which you propose to mitigate or avoid them. ' I ~ I ' ' . E. :Verllicallon '..: I ~ ~ I~ ' ~ Iii'l: .... I certif~.lha[ the info~mation provided above is true to the best ot my knowledgel Signatu,e..:~~(~/~ ~Title" ~~ II Ihe aclion is in Ihe Coastal Area, and you are a stale agency, complele Ihe Coaslal Assessmenl Form be)ore p~oceedin~ wilh Ibis assessment. ~ ....... '°~r, 2--~OJECT IMPACTS AND THEIR MAGI UDE Responsibility of Lead Agency General Information (Re~d Carefullv~ · In completing the forrr the reviev/er sbo~ld be guided by the question: Have my responses and determinations been reasonable! The reviewer is not e:cp¢c:ted to be an expert environmental analyst. · Identifying that an impact will be I:,otentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be (valuated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked ;~t further. · The Examples provided are :o assist the reviewer by showing types of impacts and wherever possible the thresh~old of magnitude that would trigger a res~cmse in column 2. The examples are generally applicable throughout the 5tale and for most situations. But, for any s~ecific p~oiect or site other examples and/or lower thresholds may be appropriate for a Potential Large Impac': respcn~e, 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 quest, ion 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 19 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 1 or 2) to indicate the potential size of the impa.ct. 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. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a sma)l to moderate impact, also check the Yes box in column .t. 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 to the project C]NO ~ryEs Examples that would apply to cblumn 2 · Any construction on si.opes of 15% or greater. (15 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 parkin~ area for 1.000 or more vehicles. · Construction on land Where bedrock is exposed or generally within .1 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 impac, ts -, 2. Will there be an etfect t~...,y un,que or unusual land t~ms found on the site~ (i.e.. cliffs, dunes, geological tormationa, etc.)l._flNO I~YES · Specific land forms: ~-~ v[--,~c~ Y~c~,T~'~ , 6 I 2 3 Small to' Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [~ [] ~¥es ~/No I~ [] [~Yes [~No L-"I ~ ~Yes ~ ~ ~es ~No ~ ~ ~es ~o ~ ~ ~'es ~No ~ ~ ~Yes ~No ,,~ : ~ ~'es ~o ~' ':' ~ ~Yes ~o ....... IMPACT ON WATER 3. Will proposed action affect any water body designated as protected~ (Under Articles 15,. 24, 25 o, the Environmental Conse~ati~3La~) 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 throush a protected water body. · Construction in a designated freshwater or tidal wetland. ' · Other impacts: 4. Will proposed action affect any non-protected existi~r new body of water~' ~[NO FIYES 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~ I-1NO ~ES 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 oper~ation c~.using an~ contamination of a water supply system. · Proposed Action will ~dversely affect groundwater. · Liquid effluent will be ~onveyed 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, ... I · Proposed Action will likely cattle siltation or other discharge into an existing body of wa[er.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 greate, r 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 ,: facilities. '[ ~.~ [~q~) · Other impacts: . 6. Will proposed :action alter drainage flow or part rna'. or surface .~:k_~ water runoffS' 'i* ;" ' , .~I~NO,-*.I'-IYES Examples that would apply to column 2 ?~ Proposed Achon would change flood water flows. ,t: :. ;*:---:: ' -,:~: 7 I 2 3 Small to Potential Can Impact Se Moderate Large Mitigated By Impact Impact Project Change · i'-I [] []Yes f-lrqo [] [] [-]Yes []NO [] . [] []Yes ['-I No [] [] J-]Yes []No [] · , ,' I [] []Yes FlNo [] [] []Yes []No il. [] []Yes []No [] [] []Yes []No [] .~ ~ '~ [] []Yes [:]No' [] -r [] []Yes [-INo [] . ~ [] I-'lyes []No []~ .. [] []Yes []No [] [] []Yes []N'o ' FI '" [] []Yes '[]No [] [] []Yes []No [] 'FI i-lyes []No [] -~'~ [] []Yes []No [] · , [] ~.r]¥es []No [] [] [3Yes []No ~:"~'/'*~ '"" [] '"'~"' []Yes I--INo [] [] []Yes []No · 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 qualityi~ ~"'O I-lyEs 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 ihs. 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 8. Will Proposed Action affect any threatened or endaqge,[,ed species~ ',~O. ~YES · Examples that wou~d 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, ' Application of pesticide or herbicide more than twice a year. other than for agricultural purposes. · Other impacts: '. Will Proposed Action substantially aftect non-threatel~ed~,,Or non-endangered species~ ' //~O [~YES Examples that would apply to column 2 ' Proposed Action would substantially interfere with any resident or migratory lish, shellfish or wildlife species. Proposed Action requires the'removal of more than 10 acres of mature forest= (over 100 years of agel or other locally important vegetation .... IMPACT ON AGRICULTURAL LAND RESOURCES t. Will the Proposed Action alfect agricultural land re, so'si' Examples that would apply to column 2 [he proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) ,~ ' I "'~ ~! " 8 1 Z 3 Small lo Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] , [] [:}Yes [] [] E~Yes [] [] I--lYes []No [] [] ClYes []No [] [] []Yes- []No CI ~ ~es ~ ~ ~Yes ~ . ~ ~Yes ~No ~ ~ OYes ~No ~ ~ ' ~Yes ~No ~ ~ ~Yes ~No q ~ ~ ~Yes ~No ~ ~ ~Yes · ~" r-~'.~" ~ m'~i. ' ," - · Construction activity would excavate or compact the soil profile of ·., ' agricultural land. · The proposed action would irreversibly convert more than 10 acres of agricultural land or, if located in an Agricultutal District, more than 2.5 acres'of agricultural land. · The proposed action.would disrupt or prevent installation of agricultural land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm ,. field to drain poorly due to increased runoff) · Other impacts: : ~ IMPACT ON AESTHETIC RESOURCES~/ 11. Will proposed action affect aesthetic resources~ ~.~NO C]YES (If necessary, use the Visual EAF Addendum in~Selsjtion 617.21, ,. Appendix B.) , Examples that would apply to column 2 · Proposed land uses, or project components obviously different from or in sharp contrast to current surrodnding land use patterns, whether man-made or natural. · Proposed land Uses, or proiect 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 f~storic, pre~ historic or paleontological importance~ .~0 r-lYES Examples that would apply to column 2 · Proposed Action occurring wholly or partially within or substantially contiguous to any facility or site listed on the State or National Register of historic places. · Any impact to an ar, cl~aeological 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 1.1.. Will Proposed Action aftect the quantity or quality of existing or future opon spaces or retreat onal opportunities~ · ~ '~ Examples that would apply to column 2 ~.[~NO I-lYES ' '.The perma~ient foreclosure of ',1 future recreational '~pportunity. · A major reduction of 'an open space important to the community. · Other impacts: I 2 3 Small to' Potential Can Impact Be Moderate Large ~ Mitigated By . Impact ~' Impact Project Change I-I, [] []Yes []No [] [] •Yes I-'lNo [] []' []Yes l--INo [] [] []Yes I-INo [] [] []Yes []No [] [] DYes.. QNo · ri [] []Yes ~No [] [] []Yes []No [] [] []Yes []No [] ..... [] []Yes I-INo I--I'" ~ DYes []No [] [] []Yes ['-]No [] -- [] []Yes . [] ~ .- [] I-lyes []No ,MPACT ON TRANSPORTATION 14. Will there be an effect to existing transportation syt~ms~ OYES Examples ~hat 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 15. Will proposed action affect the community's sour, c~ of fuel or energy suppJy~ UNO OYES 'Examples that would apply to column 2 · Proposed Action will cause a greater than 5% increase in the 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: NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibratio~ as a result of the Proposed Actionr iX[NO [.]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 bne 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 7. Will Proposed Action affect public health and safel~n OYES Examples that would al~ply 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 o1: 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. Prolmsed actiofi may result in the excavahon or other disturbance within 2,000 feet of a :~ite used tar the disposal of solid or hazardous waste. Olher impacts: , 10 I 2 '3 Small to Potential Can Impact Moderate Large Mitigated By impact Impact Project Chang~ O [ ' [] OYes O O OYes •No O O []Yes ONo O [] Oyes ONo O O OYes ONo [] 0 Oyes 0 ~ ~Yes ~ 0 OYes IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD exis ti, n g,,~aom m u n i t y ? ~,18. Will proposed action affect the character of the · I~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. · Development will create a demand for additional community services (e.g. schools, police and fire, etc.) · Proposed Action will set an important precedent for future proiects. · Proposed Action will create or eliminate employment. · Other impacts: I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] i--lYes I--INo [] [] ~]Yes 'l"q No [] [] -. I-lYes I-]No [~ [] I~Yes [-]No [] [] i'lyes FJNo [] [] I-lYes I-]No [] [] I-lYes I-]No [] [] [-]Yes [~No [] [] I'lYes I~No 19. Is there, or is there likely to be, public controv~rs,~related to potential adverse environmental impacts? ~O I-lYES If Any Action in Part 2 Is Identified as a Potential Large Impact or I! You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3--EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Parl 3 must be prepared if one or more impact{s) is considered to be potenlially large, even if the impacl(s) may be miligated. Inslructlons Discuss the following for each impact identified in Column 2 of Part 2: 1. 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 reasoaable to conclude that this impa~ct 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 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) 11 8