HomeMy WebLinkAboutTR-3901Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. 3901
DATE: 5-20-91
ISSUED TO ...Char.~.es.B.~.rs~...
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952: and the Southold Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a meeting held on May 2
19 g~ , and in consideration of the sum of $ 150.00 paid by
of ......... N.Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
To regrade £rom bulkhead back to level property.
all in accordance with the detailed specifications as presented in
the originating application.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal to be affixed, and these presents to
be subscribed by a majority of )~l~e said Board as of this dat.e.
c~.
TERMS and CONDITIONS
residing at 705 Windy Point La. Southold N.Y., as
part of the consideration for the issuance of the Peri.it does undexstand and proscribe to the fol-
lowing:
1. That the said Board of Trustees and the Town of Southold are released from any and
ail damages, or claims for damages, of suits m'ising directly or indirectly as a result of any oper-
ation performed pursuant co this permit, and the said Permirtee will, at his or her own expense,
defend any and all such suits initiated by third parties, and the said Permitten ~ full liability
with respect thereto, to the complete exclusion of the Board of Tnustees of the Tow~ of Southold
2. That this Permit is valid for a period of 24 . moo. which is coRsideax~ to be the
estimated time required to complete the work involved, but should circumstances wasrant, request
for an extension may be made to the Board at a later date.
3. That this Permit should be retained indefinitely, or as long as the said Pennittee wishe~
to maintain 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 Iow water marks.
7. That if furore operations of the Town of Southold require the removal and/or alterations
in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the
work shall cause unreasonable obstruenon to free navlgafion, the said Pemaittee 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 Permitree ot the completion of the work auth-
orized.
9. That the Permittee will obtain all other permits and consents that may be required sup-
plemental to this permit which may be subject to revoke upon failure to obtain same.
TRUSTEES
John M. Bredemeyer, RI, President
Henry P. Smith, Vice President
Albert J. Kmpski, Jr.
John L. Bednoski, Jr.
John B. Tuthill
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SUPERVISOR
SCOTI' L. HARRIS
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
May 7, 1991
Charles Burst
7 Chatham Place
Dix Hills, NY 11746
Re: SCTM %1000-87-4-6
Dear Mr. Burst:
The following action was taken by the Board of Town Trustees during
its regular meeting held on May 2, 1991 regarding the above matter:
WHEREAS, Charles Burst applied to the Southold Town Trustees for a
permit under the provisions of the Wetland Ordinance of the Town of
Southold, application dated March 28, 1991 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 May 2, 1991 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 CHARLES BURST BE AND HEREBY IS GRANTED PERMISSION UNDER THE
WETLAND ORDINANCE TO: regrade from bulkhead back to level property.
This permit will expire two years from the date it is signed. Fees
must be paid, if applicable, and permit issued within six months
of the date of this notification. Two inspections are required and
the Trustees are to be notified upon completion of said project.
Please return to the Building Department for a determination on the
need for any other permits which may be required for this project.
Permit will be issued upon payment of the following fees for work to
be done below Mean High Water Mark:
No additional fees.
Very truly yours,
John M. Bredemeyer, III
President, Board of Trustees
JMB:jt
cc: Bldg. Dept.
Conservation Advisory Council
file
TRUSTEES
John M. Bredemeyer, III, President
Henry P. Smith, Vice President
Albert J. KrupskL Jr.
John L. Bednoski, Jr.
John B. Tuthill
Telephone (516) 765~1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SCOFF L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
S.E.Q.R.A.
NEGATIVE DECLARATION
NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT
APPLICATION NO. 1000-87-4-6
NAME: Charles Burst
DATE: April 9, 1991
RESOLVED that pursuant to Article 8 of the Environmental Conservation
Law, State Environmental Quality Review and 6NYCRR Part 617,
Section 617.10 and Chapter 44 of the Code of the Town of Southold,
notice is hereby given that the Southold Town Trustees, as Lead
Agency for the action described below, has determined that the
project will not have a significant effect on the environment.
Please take further notice that this declaration 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.
TYPE OF ACTION: Unlisted - Peconic CEA
DESCRIPTION OF ACTION: To regrade from bulkhead back to level
property.
LOCATION: Tax map No. 1000-87-4-6
REASONS SUPPORTING THIS DETERMINATION:
1. An on site inspection has been conducted by the Board of
Trustees.
2. An environmental assessment, submitted by the applicant and
reviewed and completed by the Board of Trustees, has indicated that
no significant adverse effects to the environment are likely to occur
should the project be implemented as planned.
cc: Bldg. Dept., CAC, NYSDEC
TRUSTEES
John M. Bredemeyer, III. President
Henry P. Smith, Vice President
Albert J. Krupski. Jr.
John L. Bednoski. Jr.
John B. Tuthill
Telephone (516) 765-1892
---6 OUTHOLD! P.O.
~ - uthold. New York 11971
BOARD OF TOWN TRUSTEES Fax (516)765-1823
TOVV"N OF SOUTHOLD Telephone (516) 765-1800
APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES, TOWN OF SOUTHOLD, SUFFOLK
COUNTY, NEW YORK, FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS,
ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS,
FLOOD PLAINS AND DRAINAGE AREAS OF SOUTHOLD TOWN, AND THE ISSUANCE OF
PERMITS PURSUANT TO CHAPTER 32 OF THE CODE OF THE TOWN OF SOUTHOLD.
APPLICATION NO.
APPLICANT'S NAME:
MAILING ADDRESS:
AGENT:
TEL NO.
AGENT ADDRESS:
PERMIT REQUESTED TO:
LOCATION OF PROPERTY FOR
TOWN: Id
~7
T~X MAP NO: Z000- -/-~
CREEK. BAY OR HARBOR FRONTING PROPERTY:
SIZE %F PROPOSED WORK:
WIDTH: g5-O-t
Page
ros. TO BE EXCAVATED: TO BE FILLED:
MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED:
WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: ~'--D !
DEPTH AT LOW TIDE: ~ ; AVER. RISE IN TIDE:
DISTANCE TO NEAREST CHANNEL: /~O !
DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA:
AREA ZONING: ~, IS PROJECT FOR PRIVATE OR BUS.
INTENDED USE OF PROPERTY:
DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES:
USE:
HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE,
OR DEPOSIT FILL ON SAID PREMISES:
HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL
AGENCY:
DESCRIBE FULLY THE REHABILITATION OF PROPERTY:
DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE
AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY:
ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT
THIS PROJECT:
WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT:
COUNTY OF SUFFOLK )
STATE OF NEW YORK )
BEING DULY SWORN DEPOSES
AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND
THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE
AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS
APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF
SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN
TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID PERMIT, IF GRANTED.
IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR
AGENT OR REPRESENTATIVE, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES
IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
Signature of Applicant
SWORN TO BEFORE ME THIS
DILL.AYE D. KRUSE
NOTARY PU~q. lC S~te of r-.lew York
NO. 52-5934310 - Suffolk
Term Exp re'_ May 3i,
EXAMINED BY
APPROVED
DISAPPROVED
CONDITIONS (If any)
SIGNATURE OF CHAIRMAN
COMPUTATION OF FEES
Approved 2/27/85
14-16-2 {2/87) -- 7c
617.21
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FORM
SEQR
Purpose: The full £AF 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 considerect small to moderate or whether it is a potentially-
large impact. The form also identifies whether an impact can be mitigated or reduced.
Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the
impact is actually important.
DETERMINATION OF SIGNIFICANCE--Type 1 and Unlisted Actions
Identify the Portions of FAF compleled for this project: [] Part 1 [] Part 2 []Part 3
on (Parts 1 2 and 3 if appropriate), and any other supporting
Upon
review
of
the
information
recorded
this
EAF
and
information, and considering both the magitude and importance of each impact, it is reasonably determined by the
lead agency that;
[] A. The project will not result in any large and important impact(s) and, therefore, is one which will not
' have a significant impact on the environment, therefore a negative declaration will he 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 D~claration is onJy valid for Unlisted Actions
Name of Action
Name of Lead Agency
Print or Type Name of Responsible Officer in Lead Agency
Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer}
Date
PART 1--PROJECT INFORIVlA N
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 ^ through E. Answers to these questions will be considered-
as part of the application for approval and may be sub ect to further verification and public review. Provide an,/addition~
information you believe will be needed to complete Parts :2 and 3.
It is expected that completion of the fuji EAF will be dependent on information currently available and will not involve
new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify
each instance.
NAME
OF
ACTION
LOCATION OF ACTION (t~ncludet Street Address, Municipality and County)
NAME OE APPLICANTIS O SOR
ADDRESS
CITY/PO
117~./
NAME OF OWNER (if different}
BUSINESS TELEPHONE
ADDRESS
CITY/PO
STATE I ZiP CODE
DESCRIPTION OF ACTION
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: I-IUrban r-llndustriaJ I-1Commercial [~'~esidential Csuburban) C]Rural (non-farm)
(-]Forest I-IAgriculture I-IOther
2. Total acreage of project area: ----- ,7.~#./T///////~ acres.
APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION
Meadow or Brushland (Non-agricultural) acres acres
Forested acres acres
Agricultural (Includes orchards, cropland, pasture, etc.) acres acres
Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres
Water Surface Area acres acres
Unvegetated (Rock, earth or fill) ,~0~'"~- , acres acres
Roads, buildings and other paved surfaces acres acres
Other (Indicate type) acres acres
3. What is predominant soil type(s) on project site?
a. Soil drainage: []~ell drained % of ~ite I I~Moderately well drained % of site
C~Poorly drained % of site
b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYjL.~_
Land Classification System? ~ acres. (See I NYCRR 370). .
4. Are there bedrock outcroppings on project site~ I-lYes
a. What s depth to bedrock? (in feet) ............ -~,~
· , ' "' .... ' ,
· .
5. Approximate percentage of prol lroject site with slopes: E30-10% ~110-15°,8 //1,42 %
· ' EllS% or greater '"' %
6. Is project substantially contiguous to, or cont, g~n a building, site. or district, listed on the State or the National
Registers of Historic Places? E]Yes
[3~o
J~. ' Is project substantially contiguous toasi~eJistedon the Register of National NaturalLandmarks? [Yes [~o
9. Is site located over a primary, principal, or sole source aquifer? [Yes
/
10. Do huntin§, fishing or shell fishing opportunities presently exist in the project area? IqYes [~o
11. Does project site contain any species of plant or animal life that is identified as threatened or endangered?
I--lYes ~ According to
Identify each species
12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations)
I-lYes ~ Describe
13. Is the proiect site presently used by the community or neighborhood as an open space or recreation area?
~Yes ~ If yes, explain
14. Does the present site include scenic views known to be important to the community?
E]Yes
15. Streams within or contiguous to project area:
a. Name of Stream and name of River to which it is tributary
16. takes, ponds, wetland areas within or contiguous to project area:
a. Name ~ b. Size (In acres)
17. Is the site served by existing public utilities? I-lYes
a) If Yes, does sufficient capacity exist to allow connection? []Yes I-tNo ~.
b) If Yes, will improvements be necessary to allow connection? []Yes DNo
18. Is the site located in an agricultural district certified pursuaot to Agriculture and Markets Law, Article 25-AA,
Section 303 and 304? E]Yes E~o
19. Is the site located in or substantially co/ntiguous to a Critical Environmental Area designated pursuant to Article 8
of the ECL. and 6 NYCRR 6177 [~"?es I-INo
20. Has the site ever been used for the disposal of solid or hazardous wastes? [Yes
B. Project Description
1. Physical dimensions and scale of project (fill in dimensions as appropriate) ./,,~
a. Total contiguous acreage owned or co~n~trolled,.,by project sponsor acres.
b. Project acreage to be developed: '~'~. ' ~:>'/K acres initially; acres ultimately.
c. Project acreage to remain undeveloped ~ ~ acres.
d. Length of project, in miles: ~ ft (If appropriate)
e. If the project is an expansion, indicate percent of expansion proposed ~' ~ %;
f. Number of off-street parking spaces existing ~ ; proposed ..1~
g. Maximum vehicular trips generated per hour Yk ~,~ (upon completion of project)?
h. If residential: Number and type of housing units:
One F~a~nily Two Family Multiple Famdy
Initially ~,
C Ultimately
Condominium
i. Dimensions (in feet) of largest proposed structure height; width; length.
frontage along a public thoroughfare project will occupy is? ft. ,-' '
i.
Linear
feet
of
., .,~e-: ,~,~ ,,. ·
2. How much natural material (i..e.,~rock, earth, etc.) will be removed from
3. Will disturbed areas be reclaimed? OYes L-]No [~/A
a. If yes, for what intendeC purpose is the site being reclaimed~
b. Will topsoil be stockpiled for reclamation~ ["]Yes ~lNo
c. Will upper subsoil be stockpiled for reclamation? i--lYes ~lNo
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? J,[ 4~ acres.
$. Will any mature forest (over 100 years old) or other Focally-important vegetation be removed by this project?
~]Yes
6. If single phase proiect: Anticipated period of construction I ff~'"~'~' months, (including demolition).
7. If multi-phased:
a. Total number of phases anticipated )')t~ (number).
b. Anticipated date of commencement phase I IA ft' month
c. Approximate completion date of final phase ~ ~ month
d. Is phase I functionally dependent on subsequent phases? r-lYes
8. Will blasting occur during construction~ i--lYes ~
9. Number of jobs generated: during construction ~ ~
10. Number of jobs eliminated by this project /~f .
11. Will project require relocation of any projects or facilities?
tons/cubic yar~ls.
year, (including demolition).
year.
; after project is complete
I~Yes DNo If yes, explain /~'- '
12. Is surface liquid waste disposal involved? I--lyes [~o
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? I~Yes ~ Type
14. Will surface area of an existing water body increase or decrease by proposal?
Explain
DYes
15.
16.
Is project or any portion of project located in a 100 year flood plain?
Will the project generate solid waste? OYes ~
a. If yes, what is the amoun't per month tons
b.
d.
If yes, will an existing solid waste facility be used? DYes
If yes, give name _; location
Will any wastes not go into a sewage disposal system or into a sanitary landfill?
If Yes, explain
I~No
[~Yes ~
17.
18.
19.
20.
21.
22.
23.
24.
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?
Will project'use herbicides or pesticides? I-lYes
I~Yes ~
tons/month.
years.
Will project routinely produce odors (more than one hour per day)? r-lYes ~
Will project produce operating noise exceeding the local ambient noise levels? F~Yes
Will proiect result in an increase in energy use? I~Yes [~o
If yes , indicate type(s)
If water supply is from wells, indicate pumping capacity ~ gallons/minute.
Total anticipated water usage per day ~'~ gallons/day.
Does proiect involve Local, State or Federal funding? l-lYes
If Yes, explain " ' '
25. Approvals Required:
Type
Submittal
Date
City, Town, Village Board [:]Yes [~o
City, Town. Village Planning Board [:]Yes [~o
City, Town Zoning Board [qYes [~o
City. County Health Department EYes [~o
Other Local Agencies [~es ENo
Other Regional Agencies I~Yes E~o
State Agencies [:]Yes [~No
Federal Agencies [3Yes [:],No
C. Zoning and Planning Information
1. Does proposed action involve a planning or zoning decision? r-lyes
If Yes, indicate decision required:
E]zoning amendment I-Izoning variance [~_'pecial use permit I-]subdivision f-lsite plan
E~new/revision of master plan [-Iresource management plan I-]other ~ T~
2. What is the zoning classification(s)of the site?
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? ~ ~'~'J~ ~
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? []~Y"es I-iNo
7. What are the predominant land use(s) and zoning classifications within a ¼ mile radiu~,of proposed action?
8. Is the proposed action compatible with adjoining/surrounding land uses within a V~ mile? ~ ENo
9. If the proposed action is the subdivision of land, how many lots are proposed? r~
a. What is the minimum lot size proposed? ~-
10. Will proposed action require any authorization(s) for the formation of sewer or water districts? I-lYes
11. Will the proposed action create, a demand for any community provided services (recreation, education, police,
fire protection)? [qYes
a. If yes, is existing capacity sufficient to handle projected demand? r-lyes [:]No
12. Will the proposed action result in the generation of traffic significantly above present levels? I-lyes
a. If yes, is the existing road network adequate to handle the additional traffic? fqYes rgNo
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 w~th your proposaJ, please discuss such impacts and the measures which you propose to mitigate or
avoid them.
E. Verification
I certify that the informatic~/~vided above ~s,~true to
the best of my knowledge
Title ~ /~ ~ '
If the action is in Ihe Coastal Area, and you are a state agency, complete Ihe Coastal Assessment Form before
with this assessment.
5
· -F: ,'.'..,~ ,, , ... :~;~.~,~,2&
2--1~DJECT IMPACTS AND THEIR 41TUDE
Part
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. (~
· Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant.
Any large impact must be evaluated in PART 3 to determine sigmficance. Identifying an impact in column 2 simply
asks that it be looked at further.
· The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of
magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and
for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate
for a Potential Large Impact response, thus requiring evaluation in Part 3.
· The impacts of each project, on each site, in each locality, will var,/. Therefore, the examples are illustrative and
have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question.
· The number of examples per question does not indicate the importance 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 ~[ 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 small to moderate
impact, also check the Yes box in column 3. A No response indicates that such a reduction ~s not possible. This
must be explained in Part 3.
I 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[~ [] ~]Yes I--I1'4o
[] [] E~Yes []~o
L--] [] r-]Yes []No
[] [] E]Yes []No
~ ~ ~Ye~ ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes
IMPACT ON LAND ,.
I Will the proposed action result in a physical change to the project site~
r~No ~'ES
Examples that would apply to column 2
· Any construction on slopes of 15% or greater, (15 foot rise per 100
foot of length), or where the general slopes in the 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
] feet of existing ground surface.
· Construction that will continue for more than I year or involve more
than one phase or stage.
· [xcavation 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 landfall.
· Construction in a designated floodway
· Other impacts
2 Will there be an effect tr. ....y ur;,que or unusual land foL,,r, ms found on
the s~te? (ie., cliffs, dunes, geological formations, etc.)L~NO [~YES
· Specific land forms:
6
L
IMPACT ON WATER
3. Will proposed action affect any water body designated as,protected?
(Under Articles 15, 24, 25 of the Environmental Conserva~t~'n Law, ECL)
[~"N 0 [~YES
£xample$ 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.
· [](tension 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 ware6' ~'NO E3YES
Example~ 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? ~O I-lYES
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 (proiect) action.
· Proposed Action requires water supply from wells with greater than 45
gallons per minute pumping capacity. ·
· Construction or operation c~.using any contamination of a water
supply system.
· Proposed Action will adversely affect groundwater.
· Liquid effluent will be conve~,,ed off the site to facilities which presently
do not exist or have inadequate capacity.
· Proposed Action would use water in excess of 20,000 gallons per
day.
· Proposed Action will likely cause siltation or other discharge into an
existing body of water to the exte:tt 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 andlor industrial uses wbicb may
require new or expansion of exi)ting waste treatment and/or storage
facilities.
· Other impacts:
6. Will proposed acbon alter drainage flo~v or patterns,,.or surface
water runoff? ~O E~Y£S
Examples that would apply to column 2
· Proposed Action would change flood water flows.
7
'~ 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Proiect Change
[] [] []Yes I--INo
[] [] []Yes []No
[] [] []Yes r-INo
[] [] []Yes []No
[] [] I-lYes I-]No
[] [] I--lYes I-]No
[] [] []Yes []No
[] [] []Yes I~lNo
[] [] []Yes [-1No
[] [] []Yes [~o
[] [] []Yes r-INo
[] [] []Yes []No
[] [] []Yes I-'lNo
[] [] []Yes I-]No
[] [] []Yes [-I~o
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] I~ L~Yes []No
[] [] l~Yes []~o
[] [] ~]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 quality? ~O EYES
Examples that would apply to column 2
· Proposed Action will induce 1.000 or more vehicle trips in any given
hour.
· Proposed Action will result in the incineration of more than I ton of
refu~e 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 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
Will Proposed Action affect any threatened or endang~d
species? []NO EYES
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.
Application of pesticide or herbicide more than twice a year, other
than for agricultural purposes.
Other impacts:
Will Proposed Action substantially affect non-threate~or
non-endangered spec/es?
Examples that would apply to column 2
Proposed Action would substantially interfere with any resident or
rmgratory fish, shellfish or wildlife species.
Proposed Action requires the removal of more than 10 acres
.'ff mature forest (over 100 years of ageJ or other locally important
.egetation.
IMPACT ON AGRICULTURAL LAND RESOURCES
Will the Proposed Action affect agricultural land resources?
go E~YES
Examples that would apply to column 2
he proposed action would sever, cross or limit access to agricultural
md (includes cropland, hayfields, pasture, vineyard, orchard, etc.}
I ~F 2 3
Small to Potential Gan Impact Be
Moderate Large Mitigated By
Impact Impact Project Change i
[] [] [~Yes E]No
[] [] ~¥es E~No
[] ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~es ~No
~ ~ ~Ves ~o
~ ~ ~Ves ~No
~ ~ ~Yes
~ ~ ~Yes ~No
~ ~ ~Yes
(- (
· 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) ~^,,t~'.
· Other impacts:
IMPACT ON AESTHETIC RESOURCES_/-
11. Will proposed action affect aesthetic resources? EENO E3YES
(If necessary, use the Visual EAF Addendum in Section 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 surrounding land use patterns, whether
man-made or natural.
· Proposed land uses, or project components visible to users of
aesthetic resources which will eliminate or significantly reduce their
enjoyment of the aesthetic qualities of that resource.
· Project components that will result in the elimination or significant
screening of scemc views known to be important to the area.
· Other impacts: ~
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12. WiJ( Proposed Action impact any site or structure of historic, pre-
historic or paleontological importance? [~K~O E]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 impacts:
IMPACT ON OPEN SPACE AND RECREATION
13 Will Proposed Action affect the quantity or quaJity of existing or
future open spaces or recreational opportumties?
Examples that would apply to column 2 ~3'~O E]Y£S
· The foreclosure future recreational
permanent
of
a
opportunity.
· ^ maior reduction of an open space important to the community.
· Other impacts:
9
I 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] [::]Yes ['-]No
[] [] [~Yes ~]No
[] [] ~]Yes I--]No
[] [] E]Yes [:]NO
[] [] [~Yes E:]No
~ ~ ~Y.~ ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes' ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes
IMPACT ON TRANSPORTATION
14. Will there be an effect to existing transportation systerte~,~s,~s?
[E]YES
Examples that would a~)ply 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 sources~of fuel or
energy supply? [~0 E]YES
Examples that would apply to column 2
· Proposed Action will cause a §rearer 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 ~mpacts:
NOISE AND ODOR IMPACTS
16. Wild there be objectionable odors, noise, or vibratiOn,as a result
of the Proposed Action? ~0 E~YES
Examples that would apply to column 2
· /3lasting within 1,500 feet of a hospital, school or other sensitive
~acility.
· Odors wild occur routinely (more than one hour per day).
· Proposed Action wild 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
7Will Proposed Action affect public health and safety?
[~-0 E3YES
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 Ipw level
discharge or emission,
Proposed Action may result in the burial of "hazardous waste, s" in any
form (i.e. toxic, poisonous, highly reactive, radioactive, irritating,
infectious, etc.)
Storage facilities for one million or more gallons of Jiquified natural
;as or other flammable liquids.
:'roposed action mav result in the excavation or other disturbance
v~thin 2,000 feet of a site used for the disposal of solid or hazardous
vaste.
)ther ~mpacts:
I 2 '3
Small to Potential Can Impact Be
Moderate Large Mitignted By
Impact Impact Project Change
[] [] E~]Yes I--~No
[] [] E3Ves E]no
[] [] I-lyes ~-lNo
[] [] E]Yes [~]No
~ ~ ~v~s ~No
~ ~ ~Yes ~No
~ ~ ~Ves ~No
~ ~ ~Ves ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes
~ U ~Ves
IMPACT ON GROWTH AND CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
18. Will proposed action affect the character of the existi~g,,~mmunitv;~
[~;~NO ~YES
£xample$ that would apply to column 2
· lhe permanent population of the city. town or village in which the
project is located is likely to grow by more than 5%.
· lhe 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 will create or eliminate employment.
· Other impacts:
19
I 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] [-]Yes ~]No
[] [] [~Yes [-]No
[] [] [~]Yes ~]No
[] [] I-3Yes I--]No
[] [] [-[Yes [-'lNo
[] [] ~:]Yes r--lNo
[] [] E:]Yes r'-~No
[] [] [~Yes i--]No
[] [] [~Yes [~No
Is there, or is there likely to be, public controvers~ related to
potential adverse environmental impacts? [~'NO E~YES
C
.£
If Any Action in Part 2 Is Identified as a Potential Large Impact or
If You Cannot Determine the Magnitude of Impact, Proceed to Part 3
Part 3--EVALUATION OF THE IMPORTANCE OF IMPACTS
Responsibility of Lead Agency
Part 3 must be prepared if one or more impact(si is considered to be potentially large, even if the impact(s) may be
mitigated.
Instructions
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 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 irreversibdity, including permanently lost resources of value
· Whether the impact can or will be controlled - ~
iThe regional consequence of the impact '
Its potential divergence from local needs and goals
Whether known objections to the proiect relate to this ~mpact.
{Continue on attachmentsJ
617.21
Appendix B
Slate 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
I. 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 natural or man-made scenic qualities?
· An overlook or parcel of land dedicated to public
observation, enjoyment and appreciation of natural
or man-made scenic 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 National or State Wild, Scenic
or Recreational?
· Any transportation corridor of high exposure, such
as part of the Interstate System, or Amtrak?
· A governmentally established or designated interstate
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 I/4- V2 I/2-3 3-5 5+
[] [] [] [] []
[] [] [] [] []
[] [] [] [] []
0 [] [] [] []
[] [] [] []
0 [] [] [] []
[] [] [] [] []
[] [] [] [] []
[] [] [] [] []
[] [] [] [] []
[] [] [] [] []
[] [] [] [] []
[] [] [] [] []
[] [] [] [] []
[] [] [] [] []
[] [] [] [] []
Is the visibility of the project seasonal? (i.e., screen'ed by summer foliage, but visible during other
seasons)
[] Yes ~o
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?
[] Yes [~o
TRUSTEES
John M. BredemeyeL III, 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 Hall, 53095Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516} 765-1823
Telephone {516) 765-1800
February 21, 1991
Charles A. Burst
705 Windy Point Road
Southold, NY 11971
RE: SCTM #1000-87-4-6
Dear Mr. Burst:
Please be advised that the Southold Town Trustees discussed your
recent commencement of bulkhead construction on your property on
Corey Creek at our February 14, 1991 meeting. As a result we
have decided that we will need to review a completed wetland
permit application for your activity if it will include raising
the grade of your property.
Kindly contact this office in writing, whether your application
to raise the bulkhead at this time will involve any grade
changes to your property.
If it will, we suggest you.' submit a completed wetland
application to this office. It has been our practice to permit
you to advance the $35.00 waiver fee towards the full
application fee of $150.00.
If we may be of any further assistance in this matter please
don't hesitate to call.
Very truly yours,
John M. Bredemeyer, III
President, Board of Trustees
enc.
JMB: jmt
FRANK A. KUJAWSKI, JR., President
ALBERT J. KRUPSKI, JR., Vice-President
JOHN M. BREDEMEYER, III
JOHN L. BEDNOSKI, JR.
HENRY P. SMITH
BOARD OF TOWN TRUSTEES
TO~ OF SOUTHOLD
Town Hall, 5~095 Main ~oad
P.O. Box
Soathold, New York 11971
Edson and Bruer
Attorneys at Law
PO Box 1466
Southold, N.Y. 11971
TELEPHONE
(516) 765-1892
Re: Burst - 1000-87-4-6, Windy Pt. Road, Southold, N.Y.
Dear Mr. Bruer:
The following action was taken by the Board of Town Trustees
during their regular meeting held on July 27, 1989 as follows:
WHEREAS the Town Trustees have conducted an on site inspection of the
subject property,°
RESOLVED that the Town Trustees approve the request made by Charles
and Caroline Burst for a waiver to construct second story addition to
single family dwelling located on above mentioned property.
Please return to the Building Department for a determination on
the need for any other permits which may be required for this project.
FAK: jas
cc: Bldg. Dept.
Board of Appeals
file
Very truly yours,
Frank A. Kujawski, Jr.
President
Board of Town Trustees
July 12, 1989
Southold Board of Town Trustees
Town Hall
P.O. Box 728
Southold, New York 11971
Re:
Charles A. and Carol M. Burst
705 Windy Point Road, Southold
(R.O.W. off Main Bayview)
SCTM #1000-87-4-6
Dear Sirs:
Enclosed please find:
1. Two (2) prints of a survey of the above property indicating our
clients' proposal for a second story addition to their home.
2. Copy of the Suffolk County Tax Map marked with the property's
location.
We respectfully request that the Town Trustees waive jurisdiction over
this project by reason that no filling or excavation is proposed and
that this construction will not diminish the existing set-back from
Corey Creek.
We await your determination.
Sincerely,
Rudolph ~. Bruer
RHB/df
Encs.
cc: Mr. and Mrs. Charles A.
Burst
_o>
.4
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