HomeMy WebLinkAboutTR-3823Board Of $outh, ld Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. 3823
DATE: . .April 26, 1990
ISSUED TO .... Erika Swimmer .................
Authorizatioa
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 . April 25,
19 90 , and in consideration of the sum of $ 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 construct a single £amily dwelling, sanitary system with
retaining wall, well and bluestone (or similar) driveway.
Approx. 800 c.y. of fill to be trucked into raise grade.
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 the said Board as of this dat,e.
TER~S end CONDITIONS
The Perm/m Erika Swlmmew
r~siding at Orchard Lane. Southold. N. Y~ ss
part of the consideration for the issmmce of ~he p. rml~. does understnnd and preatribe to the f~-
1. That the said Board of Trustees and the Tm of Southold axe released from any ~=d
all damages, or d~im* for d~m~g~, of suits arising dir~dy or indicectly as a reault of any ~
atlon pefforme~ pu~unnt to this ~.tmit, ~ the ~ PermiKee will, at his or her own expem~
defend any and all tach suits initiated by third par~, and the said Permltten assumes ~ ~
with respect thereto, to the complete e~dusion of the Bo~d of Tmsreas of the Town of 5nathoM
2. That this Permit is valid for a period of 2'} mos. which is comfdm4 to be fl~
astimated time required to complete the work involved, but should eiro,,~c~$ ~ ~
for an extension may be made to the Board at a later dat~
3. That this Perm/t should be retained indefinitely, or as long as the ~ P.,,M~'ee ~
tO maintain the structure or project involved, to provide evidence to anyone concerned that ansh-
orizaton was originally obtained.
4. That .the work involved will be subject to the inspection and approval of the Board m
its agents, and non-compliance with the provisiom of the originatag application, may be ,'~-~ fne
revocation of this Permit by tesointion of she said Bo~d.
5. That there will be no unreasonable interference with navigation as a result of the wodt
herein authorized.
6. That there shall be no interference with the right of the public to pass and mpa.ss along
the beach between high and Iow water marks.
7. That if future operations of the Town of Sonthold require the removal and/or alterations
in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,
work shali cause unreasonable obstrucaon to free navigation, the said Permlttee will be requimd~
upon due notice, to remove or alter this work or project herein stated without expenses to she
of Southold.
s. That the said Board will be notified by the Permi~ee ot ~he c~pletio~ of the work
9. That the Permittee will obtain aH other permits and consan~ dmt may be requh'ed sup-
plemental m this permit which may be subject to revoke upon failure to obtain same.
TRUSTEES
John M. Bredemeyer, III, President
Henry P. Smith, Vice President
Albert J. Krupski, Jr.
John L. Bednoski, .Ir.
John B. Tuthill
Telephone (516)'765-1892
Fax (516) 765-1823
· BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SLrpERVISOR
sco'I-r L. HARRIS
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
April 1, 1992
Roy Haje
En-Consultants
1329 North Sea Road
Southampton, NY 11968
RE: Erika Swimmer
SCTM #1000-90-4-12
Dear Mr. Haje:
The following action was taken by the Southold Town Board of
Trustees on Thursday, March 26, 1992:
RESOLVED that the Southold Town Board of Trustees grants
anextension on the above referenced permit to construct a one
family dwelling to expire on April 25, 1993.
If you have any questions, please do not hesitate to contact
this office.
John M. Bredemeyer, III
President, Board of Trustees
JMB:jmt
COUt,~Tf OF SUFFOLK
Octobcc 1. 1991
Mr. Roy Li ~la~, President
En-Consultmqta. Lqc.
1329 North .Sea Road
Dear Mr. Haje:
£nciosed ~s s c.l.,y oi d,c i:ioa~d o. Pc, ;,('~'~' .ietcm~;.!(i,.,n concem./",g the tub)et.? ~*.'p!ica~ion
Ba.~ed ~-:n r~ m.ior;z,,~a,n .%ubm.,~cd, the Boa d gra{,ted r...% requeo for v~m~mc~
Very u'uly yom,
Dcnn~ Moran, P.E.
Chaim~aa
Boa.rd of Revtew
DM/h'
Ellclo(~uf¢
cc: Mr. Wahcr G. Lmdlcy
Ms. Susan D. Windeshelm
Mt~ :~nka Swim. me; 3/~. [~'~.~ 52nd ctre-rl, New Yo~ 10022
Board o£ Trustees
Town of $outhold
%309e Main Road
$outhold, New York
Mr. John M. Bredame¥~:r, III
Pt'e:;]der:t, Board of Trustees
Re: £rika Swimmer
Permit #3823
Dear Mr. Bredemeyer:
ca]l me,
very truly yours,
//~,,[., ,' '."/,
Marcia Z. Heftcr
MZH/mlk
Da,,.'d }i.~'fi$, M.D. M P.H.
Applie~_,r,t: ~.~- Roy :. Haje.
P_.<'o:~:d:a.ts. Inc., 1~9 N~r~h Se~ Road
,Sou~ .a'lpt~ Is, Nc~ Yo~ 11968
ait¢ p~'am well.
}. ~'e ~i~ i~ ~ ~6,~ ,?::~;,- ~, ~ ~ :er. si: ~'~
3. ~blic ' **:
~at~, a not av~able.
David HarrLn, M.D.. M.P.H.
Pa~e Two
DM:Ir
Dc:role Moran, P.~__., Chairmatt
WILLIAM W, E$SEKS
ESSEKS, HEFTER & ANGEL
March 13, 1992
MONTAU K HIGHWAY
P. O. Box 570
Board of Town Trustees
Town of Southold
53095 Main Road
P. O. Box 728
Southold, NY 11971
Re:
Permit ~3823
Date of Issuance 4/26/90
Owner of Property: Erika Swimmer
Dear Board Members:
I am writing to request a one (1) year extension on the
captioned permit as it is due to expire on April 25, 1992.
Construction has not begun on the captioned property due
to the time spent obtaining various permits and approvals from the
NYS Department of Conservation, Suffolk County Department of
Health, and the Town of Southold.
In order
we were required
the following:
to obtain the permits from the various agencies,
to preform many tasks, some of which included
1. The preparation of a survey for
the property by a surveyor;
2. The preparation of application forms;
3. A test hole and well were drilled,
and the well water analyzed;
A title search was prepared by an
abstract company and filed with the
Health Deparment;
ESSEK$, HEFTeR & ANGEL
COUNSELORS AT LAW
The Health Department required us to
make offers to surrounding neighbors
to relocate their wells;
6. We attended hearings before the DEC
and the Health Department; and
7. We prepared and filed covenants and
restrictions on the property.
As well, Mrs. Swimmer lives in Germany and the transmitting of
documents and information back and forth required additional time.
This process has taken the last two years to complete.
We have now received the permits necessary to obtain a Building
Permit and begin construction. Obviously, this will not be
finalized before the Trustees permit expires. We would
appreciate, therefore, receiving an extension on the Trustees
permit for one (1) year, until April 25, 1993.
Thank you for your attention to this request.
Very truly yours,
Marcia Z. R~fter
MZH/mlk
cc: Mrs. Erika Swimmer
Mr. Erik Swimmer
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
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SCOTt L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold. New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
April 30, 1990
Roy L. Haje
En-Consultants, Inc.
1329 North Sea Road
Southampton, NY 11968
Re: App. No. 1-3-90-90-4-12. Erika Swimmer
Dear Mr. Ha/~
The following action was taken by the Board of Town Trustees during
its regular meeting held on April 25, 1990 regarding the above
matter:
WHEREAS, En-Consultants IN BEHALF OF Erika Swimmer applied to the
Southold Town Trustees for a permit under the provisions of the
Wetland Ordinance of the Town of Southold, application dated December
27, 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 April 25, 1990 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,
WHEREAS, the Board accepted the revised plan of April 9, 1990,
NOW, THEREFORE BE IT
RESOLVED THAT EN-CONSULTANTS IN BEHALF OF ERIKA SWIMMER BE AND
HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO:
construct a single family dwelling, sanitary system with retaining
wall, well and bluestone (or similar) driveway. Approximately 800
c.y. of fill to be trucked into raise grade.
This permit will expire two years from the date it is signed if work
has not commenced by said date. Fees must be paid, if apDlicable,
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: /~o ~ ~ ~~ ~//~)
Very truly yours,
Bredemeyer, III
President, Board of Trustees
JMB: jb
cc: Bldg. Dept.
Conservation Advisory Council
file
EN-CONSULTANTS, INC.
1329 NORTH SEA ROAD, SOUTHAMPTON, NEW YORK 11968
ENVIRONMENTAL
SERVICES
516-283-6360
FAX NO. 516-283-6136
April 16, 1990
Board of Trustees
Town of Southold
Town Hall, 53095 Main Road
Post Office Box 728
Southold, New York 11971
Re:
Erika Swimmer
Orchard Lane, Southold
Application No. 1-3-90-90-4-12
Dear Sirs:
Attached please find a slightly revised site plan for
the project referenced above.
Fill needed to accomplish this plan will be approxi-
mately 800 cubic yards.
Please substitute this plan for the one presently in
your files in order that all reviewing agencies may
approve the identical plan.
RLH:khs
Enc.
cc: Marcia
Hefter, Esq.
truly,
President
617.21 SEC~
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 proie(
or action may be significant· The question of whether an action may be significant is not always easy to answer· Frec~uen
Iy, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determin
signdicance may have little or no formal knowledge of the environment or may be technically e.xpert in environment:
analys~s. In addibon, many who have knowledge in one particular area may not be aware of the broader concerns affectin
the question of significance.
The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determinatio
process has been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or actior
Full EAF Components: The full FAF is comprised of three parts:
Part 1: Provides obiective data and information about a given project and its site· By identifying basic projec
data. it assists a reviewer in the analysis that takes place in Parts 2 an8 3.
Part 2: Focuses on identifying the range of possible impacts that may occur from a proiect or action. It provide-
guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially
large impact· The form also identifies whether an impact can be mitigated or reduced.
Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used ~/o evaluate whether or not th(
impact is actually important·
DETERMINATION OF SIGNIFICANCE--Type 1 and Unlisted Actions
Identity Ihe Portions o[ EAF completed [or this project: ~ Part 1 x~ Part 2 ' I-]Part 3
Upon review of the informatio~ recorded on this EAF (Farts 1 and 2 Z'nd 3 if appropriate), and any other supporting
information, and considering both the magitude and importance of each impact, it is reasonably determined by the
lead agency that:
~ A. The proiect will not result in any large and important impact{s} and, therefore, is one which will not
have a significant impact on the environment, therefore a negative declaration will be prepared.
i-J B. Although the proiect could have a significant effect on the environment, there will ~ot 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 posilive declaration will be prepared.
* A Conditioned Negative Declaration is only valid for Unlisted Actions
Name of Lead Agency
~ Responsible Oiflcer m Lead A~ncy , Signature
1
Pi~t 2--PROJ~.CT Ii~IPACTS .AND
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
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 significa
Any large ~mpact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 sin
asks that it be looked at further.
· The Examples provided are to assist the reviewer by showing types o[ impacts and wherever, possible the thresbol~
magmtude that would trigger a response in column 2. The examples are generally applicable t~roughout the State
for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropr,
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
have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each quest~
· 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 I or 2) to indicate the potential size of t
impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but thresh~
is lower than example, check column 1.
d. If rewewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART
e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the proiect to a small to render.
impact, also check the Yes box in column ,1. A No response indicates that such a reduction is not possible.
must be explained in Part 3.
IMPACT ON LAND
1. Will the proposed action result in a physical change to the project s~te?
',,~ NO []YES
Examples that would apply to column 2
· Any construction On slopes of 1.5% 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 }ess than
] feet.
· Construction of paved parking area for 1,00D or more vehicles.
· Construction on land where bedrock is exposed or generally within
] f~et of ex~sting ground surface.
· Construction that will continue for more than 1 year or involve more
than one phase or stage.
· Excavation ~or mining purposes that would remove more than 1,000
tons of natural material (i.e.. rock or soil] per year.
· Construction or expansion nj; a sanitary landfall.
· Construchon in a designated floodway.
2 \Viii there be an effect t: ..~Vu~:,que°runusuaJland forms tound on
the site/(i e.. cliffs, dunes, geological formatrons, etc.)[,",~O ~YES
· Specd~c land forms:
I 2 3
Small to Potential r Can Impact ~
Moderate Large Mitigated By
Impact Impact iPr°ject Chang
[] [] ~¥es i-]No
[] [] ]]]Yes ["]No
[] [] EYes ~No
[] [] ~Yes ~No
[] [] EVes F'INo
[] [] []]','es []No
[] ~ EVes ~,'~o
[] [] EYes []No
[] [] E]¥es []~o
?.
[] , [] ~]Ves i-]No
IMPACT ON WATER
.t. Will proposed action affect any water body designated as protected?
(Under Articles 15, ')4, 25 of the Environmental Conservation Law, ECL)
~NO ~]YES
Ex,moles that would apply to column 2
· Oevelopable 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 hod'
· Construction in a designated freshwater or tidal wedand.
· Other impacts:
4. will proposed action affect an,/non-protected exist~g~,or new hod
of water? ,~NO []YES
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:
S. Will Proposed Action affect surface or groundsvate~ /
quality or quantity? }~:]NO [YES
Examples that would apply to column 2
· Proposed Acbon wdlzequ~re a dischar~]e permit.
· Proposed Action requires use of a source of water that does
have approval to serve proposed (prolect) action.
· Proposed ,~,ct~on requires water supply from wells w~th greater than
gallons per minute pumping capacity.
· Construction or operation c~'.uslng any contamination of a water
supply system.
· Proposed Action will adversely affect groundwater.
· Liquid effluent will be conveyed off the site to facilities ~h~ch presently
do not exist or have inadequate capaci:y.
· Proposed Action would use water in excess of 20,000 gallons
day.
· Proposed Action vvdl likeb/ cau,,e sfftation or other discharge into
existing body of water to tn-z, ext'._.nt that there wdl be an obvious vis~
contrast to natural conditions.
· Proposed Action will require the storage of peuoleum or chem~
products greater than 1,100 ~allons.
· Proposed Action wdl allow residenuaJ uses m areas w~thout water
and/or sewer services.
6
£x:mples that would apply to column 'Z
· Proposed Action svouJd ch]nge flood w,~ter llows.
7
· I 2 3
Small to Potential Can Impact:
Moderate Large Mitigated
I? Impact Impact J Project Chart
L)
5
[] [] ~]Yes
y. [] [] []Yes
ly
a. ~ g gYes
~S
al
~ ~Yes
S
· Construction activity would excavate or compact the soil profile of
al~ricultural 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.§., 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 E3YFS
{If necessary, use the Visual FAF Addendum in~'ection 617.21,
Appendix
Examples that would applv to column 2
· Proposed land uses. or prolect component~ 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
enloyment of the aesthetic qualities of that resource.
· Project components that will result in the elimination or significant
screening of scenic views known to be important to the area.
· Other impacts:
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12. Will Proposed Action impact any site or structure of historic, pre-
historic or paleontological importance? ~,~NO OYES
I:xamples that would apply to column 2
· Proposed Action occurring wholly or partially within or substantiall'F
contiguous to any facility or s~te hsted on the State or National Register
of historic places.
· An,/ impact to an archaeological site or fossil bed located witt3in die
prolect site.
t Proposed ^croon will occur in an area designated as sensKive i:or
a~chaeolog~cal sKes on the NYS Site InventorV.
· Other impacts:
iMPACT ON OPEN SPAC,": AND RECREATION
13 Wdl Proposed Action aftect the quanhtv or quality ot ex~stmq or
/uture open spaces or recre,ltlonal opportunrtles~ ~
Examples that would apply to coJumn 2~O ~]YFS
· 1'he permanent foreclosure or a future recreational opportun.tv.
· .'\ malor reduction oi an open space nnportant to the COmmumty.
· Other ~mpact$
9
I 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] I-~Yes I-]No
[] [] []Yes []No
I'~ [] [:]Yes [~No
[] ID. []Yes []No
[] [] F~yes []No
~ ~ ~Yes
~ ~ ~Yes ~No
D D DYes DNo
~ ~ DYes
0 0 OYes ~NO
IMPACT ON GROWTH AND CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
18. Will proposed action affect the character of the exiting community?
~NO [DYES
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 proiects.
· Proposed Action will create or eliminate employment.
· Other impacts:
I 2 3
Small to Potential Can Impact Bt
Moderate Large Mitigated By
Impact Impact Project Chang,
[] [] ["]Yes I--iNo
[] [] ' [-'l Yes []No
[] [] I~Yes I--INo
[] [] I:]Yes []No
[] [] []Yes []No
[] [] l-lYes [-'~No
[] [] []Yes []No
[] [] I-ryes []No
[] [] I--tYes []No
19. Is there, or is there likely to be, public contro¥~sy related to
potential adverse environmental impacts? ~O DYES
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 I~IPORTANCE OF h~iP:q,;TS
Responsibility of Lead Agency
Part 3 must be prepared if one or more imPact(s) is considered to be potentially large, even if the impact(s) may b
mitigated.
Instructions
Discuss the following for each impact ~dentffied m Column 2 of Part 2:
Briefly describe the ~mpact.
2. Dbscr~be (if applicable) how the impact could be mmgated or reduced to a small to moderate impact by prolect change(s
3. [3ased on the informabon available, decide ff it ~s reasonable to conclude that this impact is imporl~nl.
To answer the question of importance, consider:
· The probability of the rmpact occurring
· The durauon of the ~mpact
· Wh~ther the impact can or w,ll be controlled
11
TRUSTEES
John M. Bredemeyer, 11I, President
Henry P. Smith. Vice President
Albert J. Krupski. Jr.
.lohn L. Bednoski,
John B. Tuthill
Telephone (516) 765- ! 892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SCOFF L. HARRIS
Supervisor
Town Hall, 530~5 Main Road
P.O. Box 1179
Southold, New York ! 1971
Fax (516) 765-1823
Telephone (516} 765-I800
S.E.Q.R.A.
NEGATIVE DECLARATION
NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT
APPLICATION NO.
NAME: Erika Swimmer
DATE: March 22, 1990
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 in CEA
DESCRIPTION OF ACTION: Construct a single family dwelling, sanitary
system with revised location, as requested by NYSDEC, well and
bluestone (or similar) driveway.
LOCATION: Orchard Lane, Southold, NY.
Tax map No. 1000-90-4-12
REASONS SUPPORTING THIS DETERMINATION:
1. An on site inspection has been conducted by the Board o
Trustees.
2. An environmental assessment, submitted by the applican~
reviewed and completed by the Board of Trustees, has indicated ti
no significant adverse effects to the environment are likely to
should the project be implemented as planned.
Please complete, and return this form
processing.
Involved Agency: ~,-~ .
Project Name: ~--~ ~. ~
Location: o~/~~' Z-~.'~''~'~'~
SCTM: Iw~,~, ~9~''~-~
We at ~ D~C
AGENCY
Trustees ass~ing Lead Agency.
Comments/Reasons:
lexpedite
(Have~ objection to ~.~~
~4AR 01 1990
Signature of Authoriz.~d Representative
EN-CONSULTANTS, INC.
1329 NORTH SEA ROAD, SOUTHAMPTON, NEW YORK 11968
ENVIRONMENTAL
SERVICES
516-283-6360
FAX NO. 516-283-6136
March 2, 1990
Board of Trustees
Town of Southold
Town Hall, 53095 Main Road
Post Office Box 728
Southold, New York 11971
Re: Erika Swimmer
SCTM #1000-90-04-12
Dear Sirs:
I am in receipt of a February 8, 1990 letter to me signed
by Albert J. Krupski, Jr.
Upon reading the letter, however, it sounds as if it
was intended to be addressed to the Suffolk County De-
partment of Health Services. As it asks for "... input
from your office in regard to septic system placement..."
Disregarding any confusion in whom the letter was mailed
to, I would like to point out that it is my opinion
that the location of the sanitary system is not within
the Phragmites area. I have attached a revised site
plan done at the request of the New York State DEC. I
also enclose a copy of their Notice of Incomplete Appli-
cation which indicates that, if these modifications
were made we would satisfy the 75' setback from wetlands
to house. In addition, the revised location of the
sanitary system is in accordance with their recommenda-
tion. Based upon this, the project may now be largely
or totally beyond the jurisdiction of the Trustees.
Please review these matters
RLH:khs
Eric.
cc: Marcia Hefter,
Esq.
and advise of your opinion.
You~tr ~,
NEW Y TAT. DEPART.ENT OF ENV,RONMENTAL OONS T,O2: ,
Region /
NOTICE OF INCOMPLETE APPLICATION
THIS IS NOT A PERMIT
APPLICATION NUMBER OWNER ID NUMBER PERMIT TYPE(S)
APPLICANT FACILITY/PROJECT
ADDRESS /
CITY '~ STATE ] ZiP CODE LOCATION
~ Completed application form (enclosed). ~ Other DEC permits appear necessary. Submit appli-
~Completed Pa~ I of the Long/Sho~ Environmental cations (enclosed) for the following permits:
Assessment Form (enclosed).
~ Completed Pa~ I of the Structural-Archaeological If you have reason to believe that all permits should
not be processed simultaneously, please notify the
Assessment Form (enclosed). ~ contact person below, clearly stating your reasons.
~ Project location map (USGS or eauivalent~ which clearly ~ The project ~s being rev[ewe~ pursuant to the ~tate
shows the project location with respect to identifiable Environmental Quality Review Act (SEQR). A desig-
roads and other notable features (~ copies)· nation of Lead Agency and determination of signifi-
~ Project plans/Engineering repo~ (~ copies), cance will be made before your application can be
~ Su~ey map showing the Freshwater~ldal Wetland considered complete.
boundary at the project location (_~ copies).
the Lead Agency, bas determined that the project may
~ Signed letter from landowner giving you permission to have a significant effect on the environment. A draft
apply for a permit on his/her property, environmental impact statement must be prepared or
~ List of other agencies having jurisdiction over project, accepted by the Lead Agency·
~ Representative color photographs of the project area ~ The correct fee was not submitted. Please submit a
and surroundings. Please label each with a description check or money order payable to the New York State
and date taken (~ copies). $
~ List of previous DEC permits for owner/facility. ~ See attached checklist(s).
~ You may be contacted for additional information.
~ Additional requirements:
Please submit requested Information by No luther action can be taken until all ol
materials are m~lved. If you wish to withdraw your application, pl~se notify the contact person below. Thank you.
~ A conference Is recommended to discuss this application. Please contact the person ~low to arrange a meeting.
Return the WHITE COPY of this form to DEC with Requested Information.
CC:
Retain thff YELLOW COPY for yourself.
New York State Department of Environmental Conservation
Bui ding 40--SUNY, Stony Brook, New York 11794
Thomas C. Jorlin
Commissioner
TRUSTEES
John M. Bredemeyer. IIL President
Henry P. Smith, Vice President
Albert J. Krupski, 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, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
February 27, 1990
The following action was taken by the Board of Town Trustees at
its regular meeting held on February 22, 1990:
RESOLVED that the Southold Town Board of Trustees assumed Lead
Agency on the application of Erika Swimmer. 1-3-90-90-4-12.
This was unanimously approved by the Board.
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
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
sco'i-r L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone ( 516) 765-1800
LEAD AGENCY COORDINATION REQUEST
Enclosed is a permit application and a completed part I of the
Environmental Assessment Form.
Southold Town Trustees are interested in your ageny's comments
in acting as SEQRA Lead Agency for:
NAME: ~' ~T3~
LOCATION: O~c ~c%~ ~
TAX MAP: I~'
DESCRP~:
PE~IT REQUIRED: ~ TO~ WETL~D ( ) OTHER
SEQ~ CLASSIFICATION: ( ) ~e I ( )
~ ~LISTED ( }
Type II
CEA
Please contact Albert J. Krupski, Jr., Trustee _, with~_~30
days and be advised that the Southold Town Trustees~/(-D~~-
~(D-~) to assume lead agency. -
/
SENT TO: DOS ( ) DEC (~ DOM (~ PB (u~ ZBA ( ) BAD ('~
Please complete,
processing.
Involved Agency:
Project Name:
Location:
SCTM:
We at
AGENCY
Trustees assuming Lead Agency.
detach and return this form to expedite
(Have/No)
objection to Southold Town
Comments/Reasons:
Signature of Authorized Representative
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
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SCOTT L. HARRIS
Sups, rvisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
LEAD AGENCY COORDINATION REQUEST
TO: '~.~ ~o~k\ DATE:
Enclosed is a permit application and a completed part I of-the
Environmental Assessment Form.
Southold Town Trustees are interested in your ageny's comments
in acting as SEQRA Lead Agency for:
NAME: E~ ~ ~3'.oqf~C
LOCATION: ~ci-.c~ ~- Lc~c~ , ~oo4~.
PE~IT REQUIRED: (~ TO~ WETL~D ( ) O~ER
SEQ~ CLASSIFICATION: ( ) ~e I ( ) ~e II
(~ ~LISTED ( ) CEA
Please contact John M. Bredemeyer, III, President, w~h~30
days and be advised that the Southold Town Trustees ~T~/(~
~T) to ass~e lead agency.
S~T TO: DOS ( ) DEC (~ DOH (~' PB (~ZBA ( ) BLD (~
Please complete,
processing.
Involved Agency:
Project Name:
Location:
SCTM:
We at
AGENCY
Trustees assuming Lead Agency.
detach and return this form to .expedite
(Have/No)
objection to Southold Town
Comments/Reasons:
Signature of Authorized Representative
Telephone
(516) 765-1801
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
To:
From:
Dated:
Re:
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL'I! FEB 2 0
Southold Town Board of Trustees T~. ~:. ~.~-
Southold Town Conservation Advisory Council
February 20, 1990
Recommendation of Applications
The following recommendations were made by the CAC at its last meeting of
February 16, 1990:
RESOLVED to recommend to the $outhold Town Trustees APPROVAL of Wetland
Application No. 478 submitted by Costello Marine on behalf of JOHN VASSIL to
amend Wetland Permit no. 478 to extend existing 6' x 24' float dock ~-~ for a
total of 6' x 34'.
Salt Lake Lane, Mattituck
Vote of Council: Ayes: All
Motion carried.
RESOLVED to recommend to the $outhold Town Trustees APPROVAL AND DIS
APPROVAL of Wetland Application No. 1-4-90-81-1-16.1 submitted by En-Consultants
on behalf of Edward Deutsch. The Council approves the construction of a
4' x 16' hinged ramp secured to drest of bank by two 4" posts; and a 6' x 20'
float secured by two 8" diameter pilings.
The CAC disapproves the construction of 215 I.f. of timber retaining wall at or
above the line of MHW. The Council feels this is actually bulkheading and
suggest the applicant plant native vegetation to stabilize the beach and bluff.
Regarding the construction of the single family dwelling with garage, deck, drive-
way, well and sanitary system the CAC feels the applicant move the house back
so there will be no disturbance within 75', i.e. trucks clearing the area for work.
All work should be at least 75' away.
Briar Lane, Southold
Vote of Council: Ayes: All
Motion carried.
RESOLVED to recommend to the Southold Town Trustees APPROVAL of Wetland
Application No. 1-6-90-103-3-7 submitted by En-Consultants on behalf of
Dr. David Winkler to construct a tiber dock consisting of a 4' x 130' fixed elevated
(4~ above grade of marsh) walk; 4~ x 12' rampl 6' x 20' float secured by town
8" diameter pilings.
Beebe Drive, Cutchogue
Vote of Council: Ayes: All
Motion carried.
RESOLVED to recommend to the Southold Town Trustees DISAPPROVAL of Wetland
Application No. 1-3-90-90-4-12 submitted by Eh-Consultants on behalf of~l~
· ~[~1~1~1~.-.~ construct a one family dwelling, sanitary system with retaining wall,
well and bulestone driveway, all as shown on submitted site plan. Approximately ~l
Page 2
300 c.y.
plan.
The CAC
of clean fill to be truckend in to raise grades to those shown on submitted
5.
6.
Orchard Lane, Southold
Vote of Council: Ayes:
Motion carried.
disapproves the application, which is within jurisdiction, because:
The CAC does not agree with the wetland line
The construction envelope is within 75'
The Cesspool is too close to the marsh
There is concern as to where the well will be located
There is concern as to where the cesspool effulent is going to go
The drainage ditch is not shown on survey
All
RESOLVED to recommend to the Southold Town Trustees DISAPPROVAL of Wetland
Application No. 1-5-90-145-4-15 submitted by Eh-Consultants on behalf of
Richard Zeidler to construct a 49' bulkhead plus 6' return on north side. Bulkhead
to extend from end of exisitng bulkhead north generally along mean high water
to met existing rip-rap. Dredge an area up to 15' off bulkhead to maximum depth
of 4' below MLW.
The CAC suggests rip-rap instead of bulkhead to fit in with neighbors. There
is no necessity for the dredging.
Unnamed road off McDonald Road, Laurel
Vote of Council: Ayes: All
Motion carried.
RESOLVED to recommend to the Southold Town Trustees APPROVAL WITH
REVISIONS of Wetland Application No. 1-2-90-78-5-12 submitted by Proper-T
Services for Constantinos Markotsis to replace 90 I.f. of bulkhead with new bulkhead
18" seaward of old bulkhead,; extend bulkhead 20-+'; relocate walk~ey, ramp
and foating dock at new bulkhead; dredge area around floating dock to approximately
3' at Iow water.
The CAC approves if bulkhead is replaced in kind, in place and not the 18' as
submitted, allows addition on same level with current bulkhead and truck way
excess fill from site.
Williamsburg Road, Southold
Vote of Council: Ayes: All
Motion carried.
RESOLVED to recommend to the Southold Town Trustees APPROVAL of WEtland
Application No. 1-10-90-52-8-2 of Vincent and Barbara Claps to construct a two-story
single family dwelling with garage beneath, swimming pool, deck, porch, driveway,
and septic system.
Lot #I, Long Pond Estated, Southold
Vote of Council: Ayes: All
Motion carried.
RESOLVED to recommend to the Southold Town Trustees APPROVAL of Wetland
Application No. 1-10-90-110-7-26 submitted by Proper-T Services of S¥ Stahl
to repalce an existing bulkhead (132'); add 15' return at each end and fill behind
new bulkhead.
1435 West Road, Cutchogue
Vote of Council: Ayes: All
Motion carried.
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
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SCOTT L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
February 8, 1990
Roy L. Hage, President
1329 North Sea Road
Southampton, NY 11968
RE: Erika Swimmer
Dear Mr. Hage:
The Southold Town Trustee would like the Suffolk County Health
Department to issue a permit for well and septic system prior to
our review of the application for Erika Swimmer. The problem
on this property is that their proposed septic system is
adjacent to and possibly part of a phragmites bed with some
spartina and groundsel bush which communicates directly with
Sandpiper basin by means of a vector control ditch.
It was the Board's opinion upon inspection that this could
result in contamination of not only the adjacent wetlands but
also the surface waters.
Therefore, before we review this application we would appreciate
if not a permit, at least input from your office in regard to
septic system placement that would cause no contamination to
adjacent protected areas. Even without your permit, only
suggestions for re-locating the proposed system, could we
comfortably act on this application, and then pass it on to your
department.
Looking forward to your response.
Sincerely,
Albert J. Krupski, Jr.
Member, Board of Trustees
AJK:jmt
cc: Health Department
New York State Department of Environmental Conservation
50 Wolf Road, Albany, New Yom 12233
Thomas C. Jodlng
Commissioner
...,
RE: LEAD AGENCY COORDINATION REQUEST
The purpose of this request is to determine under Article 8 (State Environ-
mental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR
Part 617 the following:
~..!.~ Your agency's interest in acting as lead agency;
2. Your agency's jurisdiction in the action described below; and
3. Issues of concern which your agency believes should be evaluated.
Enclosed is a copy of the permit application and a completed Part 1 of the
Environmental Assessment Form to assist you in responding.
Project Name: .S-~.y,,~"'~m.'~c. ~ I~F'op6fr-'J-y
Project Location:
DEC Project Number: /_~7/7j~_00~_/~/~00/~0
SEQR Classification: [9/] Type I
DEC Contact Person: ~)c~uiO ~.
DEC Position:
[ ] Unlisted
no objection to your agency or another agency assuming lead agency
DEC
has
status for this action, but reserves the right to comment on this action if
a positive determination of significance is made.
-2-
[]
DEC has no objection to your,'~gency or another agency .assuming lead agency
status for this action, but we have the following concerns regarding this.
project (see "comments" below).
£]
DEC wishes to assume lead agency status for this action.
The proposed action has been identified by DEC as occurring wholly or
partially within or substantially contiguous to a critical environmental
area (CEA) that was designated by _~-~/~ c~o. ~c-~,c ~ ~
It is t~e position of this Department that your agency, if it has a juris-
diction over the action, should assume the lead agency role based on the
existence of the CEA and the fact that the' anticipated impacts are
primarily of local significance.
[ ] Other. (See comments below)
Comments (Optional):
Response:
Please respond to this request within 30 days of the date of this letter.
If no response is received within 30 days, we will assume that you have no
objection to DEC or another agency assuming the role of lead agency, and have no
comments to offer regarding the proposed action at this time. If neither your
agency nor any other involved agency, including DEC, has indicated a will-
ingness to serve as lead agency within 30 days of this letter:
[ ] We will petition the Commissioner of DEC to designa~.tead agency
for this action.
[ ] We will petition the Commissioner O~]~)E~ to designate your agency as
lead, presuming you have jumis~di~tion.
Please feel free to contact this office for further information or
discussion.
Sincerely,
Enclosures
cc: (see distribution list)
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPLICATION NUMBER
~ APPLICATION FOR PERMIT
Read In~ttuctiom on back be[om completing this application. Please type or print clearly in ink. Use separate addenda and e~hibit~ to provide all data and
expianations for v/nich Space on this form is inadequate.
[] ARTICLE 15, TITLE 3 (CONTROL OF AQUATIC INSECTS. WEEDS.. OR UNDESIRABLE FISH)
[] ARTICLE 1S, TITL~ S (PROTECTION OF WATERS)
[] For the disturbance of a STREAM BED or excavation in or fill of navigable waters
[] ARTICLE 15, TITLE 1S [] WATER SUPPLY [] LONG ISLAND WELL
[] ARTICLE 24 [FRESHWATER WETLANDSI [] Permit [] Letter of Permission
[] ARTICLE 25 (TIDAL WETLANDS)
I NAME OF APPLICANT.
Erika Swimmer b~ En-Consultants, Inc.
2 APPUCANT IS A/AN [] Individual [] Partnership [] Associat,on ~]~ Corporation [] Municipabt'/ [] Governmenta] Agency
3. NAME AND TITLE OF OFFICIAL SIGNING APPLICATION PHONE
Roy L. Haje, President 516-283-6360
1329 North Sea Road
Southampton N.Y. 11968
Erika Swimmer 212-753-2239
c/o 340 East 52nd Street
New York N.Y. 10022
Southold Item 5bl LAND~
~thold Sandpiper Basin [] Yes []
[] Publ,c [] Commerc,a] ASAP One Year s 10 Enclosed
PROIECT DESCRIPTION
Feet ct r,p-rap new channel: cub,c yards o f material to be removed, draining, dredging, filling, and Iocat,on of d,sposa~ s,tes: st tu to I~ ,n~tall~l~ he~i~ht
SEE ATTACHED
' ~['7~'=".~ '
[] Dam [] Excavation/Fill [] Stream Disturbance [] SPDES/NPDES [] Water Supply [] L I. Wells [] Freshwater Wetland
Long Island Traveler Watchman, Traveler Street, Southold, New York 11971
14. IS ANY PORTION OF THE ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED1
here,n and agrees to ,ndemmfy and save harmless the State from suil[s..~l~tJons.~h~a.~/Tnd cost~ of every name and description resulting from said prolect
November 15, 1989
~ Roy L. H~e, l~res~den~GNATuRE
--SEE REVERSE SIDE--
INSTRUCTIONS
1. Prepare and submit four (4) copies of this application. Use typewriter or print clearly in ink.
2. Submit with the application three copies of a drawing showing location and extent of work to be done.
.3. Applications by counties, cities, towns and villages shall be signed by the chief executive officer thereof or the head
of the department or agency undertaking the project.
4. The applicant may be required to publish a "Notice of Application" as provided by the Regional Permit Administrator.
$. If other than owner makes application, written consent of the owner must accompany application.
6. Acceptance of a permit subjects permittee to restrictions, regulations or obligations stated in application and/or permit.
7. If a public hearing is necessary, the applicant ma,/be required to furnish the names and addresses of aU adjacent
landowners and all known claimants to water rights.
8. Applications for the construction, reconstruction or repair of a dam or other impoundment structure must be
accompanied by Supplement [3-1.
9. Applications for a water supply permit must be accompanied by Supplement W-l, special instructions on which
SUPERCEDE certain of the above instructions. See "Water Supply" handbook
'[0 Applications for a permit to apply a chemical to control or eliminate aquatic vegetation must be accompanied by
Supplement A-1. A-2, or A-3
11. Question No. 12 pertains to projects involving two or more applicants. One typical example is a new subdivision,
requiring a Wetlands Permit for the developer, the project to be within a water district extension, requiring a Water
Supply Permit for the town.
12. Be sure to enclose proper application fee, noted accordingly ~n item 10; see Part 621, Uniform Procedures Rules.
Rule 621 4. (If in doubt, discuss w~th Regional Office before submitting application).
13 INCOMPLETE OR INACCURATE INFORMATION MAY DELAY PROCESSING!
INFORMATION
Application for permit to the New York State Department of Environmental Conservation ~s authorized by Environmen-
tal Conservation Law ~rtic[e 15 (Title 3~ontro[ of Aquatic Insects, Weeds, or Undesirable Fish; Title 5-Stream Protection;
Title 15-Water Suppl¥,L and Article 24 (Freshwater Wetlands).
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION REGIONS
Region I Region 2 Region 3
Bldg 40-Room 219 2 Wodd Trade Center 21 South Putt Corners Road
SUNY at ~tonv Brook 61st Floor New Paltz, N.Y. 12561
Stony Brook. N Y. 11790 New York. N Y 10047 Attn: Regional Permit Administrator
Attn Regional Permit Adm~mstrator Attn' Re$~onal Permit Administrator (914) 255-5453
(516) 751-7900 [212) 488-2756
Region 4
2176 Gudderland Ave.
Schenectady. N Y 32306
133 o1~a I ~1~ i t Admrmstrator
68O
Region 4 (Sub-Office)
Route 10, Stamford N.Y. 12167
Attn Alternate Regional Permtt Admimstrator
(607) 652-7364
ReRion 7
P.O Box 5170. Fisher Avenue
Cortland, N.Y. 13045
Attn: Regional Permit Admlmstrator
(607) 753-3095
or
Re~ion 7
7481 Hen~/Clay Blvd. Liverpool. N Y t3088
Attn: Alternate Regional Permit Administrator
(315) 42B~497
Region 5
Rt 86
Ray Brook, NY. 12977
&ttn. Regional Permit Admlmstrator
(518) B91-1370
Region S (Sub-Office)
Hudson Street. Warrensburg. N.~ 12885
AU.n: Alternate Regional Permit Administrator
(518) 623-3671
ReRion 8
6274 E. Avon-Lima Road
Avon, N.Y. 14414
Attn: Regional Permit Admln,strator
(716) 226-2466
Region 6 (Sub-Office)
State Office Bm[drag
207 Genessee Street. Utica. N.Y. 13501
Attn' Alternate Regional Permit Administrator
(315) 793-2555
Region 9
600 Delaware Avenue
Buffalo, N.Y. 14202
Attn: Regional Permit Administrator
(716) B47~4551
PROJECT DESCRIPTION
Construct a one-family dwelling, sanitary system
with retaining wall, well and bluestone
lar pervious) driveway, all as
site plan of Peconic Surveyors.
cubic yards of clean fill will
raise grades to those shown.
(or simi-
shown on attached
Approximately 300
be trucked in to
To find: Dirt road immediately south of General
Wayne Inn.
SOUTHO-~ n ,:,1
PLANI'IING gOn',:3
. 14'.1b-~2 [2;87]--7c
61'7.21
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FORM
SEQR
Purpose: The'full E^F 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
analys~s. 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 E,~,F 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 aUow introduction of information to fit a project or action.
Full EAF Components: The full E^F is comprised of three parts:
Part 1: Provides objective data and information about a given proiect 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 proiect or action. It provides
guidance as to whether an impact is lik~J'f to be cousidered small to moderate or whether it is a potentially-
large impact. The form also identifies whether an impact can be mitigated or reduced.
Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the
impact is actually important.
DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions
Identify Ihe Portions of EAF completed for this projecl: i-'l Part 1 [] Part 2 ' []Part 3
Upon review of the informatiok recorded on this EAF {Parts 1 and 2 and 3 if appropriate), and any other supporting
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{si and, therefore, is one which will not
have a significant impact on the environment, therefore a negative declaration will be prepared.
[] 8. Although the project could have a significant efJ'ect 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 negalive 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 posilive declaration will be prepared.
* A Conditioned Negative Declaration is only valid for Unlisted Actions
Name of z~.ctlon
Name of Lead Agency
Print or l'ype Name of Responsible Officer ~n Lead Agency
Title ot Re,l~Onslble Otricer
Signature ot Responsible Officer ~n Lead Agency Signatureot Propater(IfddferenttromresponssbJeoff~cer)
PART 1--PROJECT INF ATION
Prepared by Project Sponsor
NOTICE: This document is designed to assist in determining whether the action proposed may have ~ significant elf
on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be conside
as part of the application for approval and may be subject to further verification and public review. Provide.any add[tic
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 [nyc
new studies, research or investigation. [f information requiring such additional work is unavailable, so indicate and spec
each instance. _
NAME OF ACTION
LOCATION OF ACTION (Include Street Address, Municipahly and County)
NAME OF APPLICANT/SPONSOR I SUSINESS TELEPHONE
En-Consultants, Inc. I (516) 283-6360
ADDRESS -
1329 North Sea Road
CITY/PO I STATE I ZJP CODE
I
Southampton
I NY 11968
HAME OF OWNER (If ditferen0
Erika Swimmer
IBUSINESS TELEPHONE
(212) 753--2239
ADDRESS
c/o 340 East 52nd Street
CITY/PO I STATE I ZJP CODE
New Yozk NY ~0022
0E$CRIPTION OF ACTION
SEE ATTACHED
Please Complete Each Question-Indicate N.A. if not applicable
A. Site Description
Physical setting of overall proiect, both developed and undeveloped areas.
1. Present land use: [:]Urban [:]Industrial I-ICommercia)
rqForest I-I^griculture t~'lOther
2. Total acreage of project area: · 85 acres.
APPROXIMATE ACREAGE
Meadow or Brushland (Non-agricultural}
Forested
Agricultural (Includes orchards, cropland, pasture, etc.)
Wetland (Freshwater or tidal as per Articles 24. 25 of ECLJ
Water Surface Area
Unvegetated (Rock. earth or fill}
Roads. buildings and other paved surfaces
Other (Indicate typo) Landscaped
3. %,Vhat is predominant soil type(s) on prelect site~'
a. Soil drainage:
Sand
~Well dra,ned 40 % of site
~'Poorly drained 50 % of s~te
~Residential (suburban)
Vacant 2-~ J c~nt- i ,-~ 1
~]Rural (non-far'
PRESENTLY AFTER COMPLETIO.N
· 49 acres . 49 acres
.24 .09
acres acres
.12 acres .12
acre~ · 10
~,%toderately well drained 10
· ' ~li'~' l:''~ site
b. If any agricultural land is revolved, how many acres oi soil are classdied w,thin sod group 1 through 4 of the N'~
Land Classdicatlon System~ - acres. (See I NYCRR 370).
4. Are there bedrock outcroppings on prelect site( ~Yes l~No
a. What ,s depth to bedrock? 500 (in feet) ..
2
$.",~pproximate percentage o~oposed proiect site with slopes: 10 0 ?$ D10-1
· . . r .. ~]15°.% or greater _
'6. Is project substanually contiguous to, or contain a building, site, or district, listed on the State or the Nationa
Registers of Historic Places? D-lYes [~No
7. Is proiect substantially contiguous to a site listed on the Register of National Natural Landmarks? I~,Yes IL"INc
8. What is the depth of the water table? 6.9 ' (in feet)at test ho'le..
9. Is site located over a primary, principal, or sole source aquifer? ~]Ye$ f-INo
10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? EYes
11. Does project site contain any species of plant or animal life that is identified as threatened or endangerea~
I~Yes [~No According to Roy T.. ltaje
Identify each species
12. Are there any unique or unusual [and forms on the project site? (i.e., cliffs, dunes, other geological formations
i--lYes /~No Describe
13. Is the project site presently used by the community or neighborhood as an open space or recreation area;
[~Yes E~No If yes, explain
14. Does the present site include scenic views known to be important to the community?
[:]Yes rXNo
15. Streams within or contiguous to proiect area: n/a
a. Name of Stream and name of River to which it is tributary
16. Lakes. ponds, wetland areas within or contiguous to project area:
a. Name Sandpiper Basin
17. Is Jhe s,te served by ~xisting public utilities? ~Yes
a) If Yes. does sufficient cap'acity exist to allow connection?
b) If Yes. will improvements be necessary to allow connection?
b. Size (In acres)
[~Yes ImNo
i~,Yes ~'No
19
20 Has the site ever been used for the disposal of solid or hazardous wastes?
100+
Is the s,te located in an agricultural district certified pursuant to Agriculture and ,Markets La~v. Article 25-AA
Section 303 and 304? DYes ~No
Is the s~te located in or substant,ally contiguous to a Critical Environmental Area designated pursuant to Article 8
of the ECL. and 6 NYCRR 6177 ~]Yes t-]No
~Yes ~No
Project Description
Physical d~mens,ons and scale of project (fill in dimensions as appropaate)
a. Total conhguous acreage owned or controlled by project sponsor , °,85
b. Prolect acreaae to be developed: .15 acres initially; .15
c. ProJect acreage to remain undeve!oped · ~ acres.
d. Length of prolect' ,n re,les: n/a (If appropriate)
e. If the prolect is an expansion, indicate percent of expansion proposed n/a
acres.
acres ultimately.
I. Number of o~f-street parkmt~ spaces existing 0
h. If residential: Number and type of hou~,nL~ un,ts'
One Famdy Two Family
Imtpallv ]
Ultm~,~tulv ~
i. gim~.ns~ons (~n [~et) of I8~est proposed structure
; proposed 2
[upon completion of prolectJ?
Multiple, J:anllly Condomm,um
:~-~ he.4ht: 20 w,dth: 45 length
j. Linear feet of frontage along a public thoroughfare project w,II Occupy ~? ~ ft.
3
)(i.e.. rock, earth, etc.) will be removedem the site?
7. How much natural mat
3. Will disturbed areas be reclaimed? []Yes I-1No I~IN/A
a. If yes, for ~vhat intend...: purpose is the site being reclaimed?
b. Will topsoil be stockpiled for reclamation? F'IYes ,r-lNo
c. Will upper subsoil be stockpiled for reclamation? l-lYes r]No
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? o 15 acres.
5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project?
i-lYes J~No ' '
6. If single phase proiect: Anticipated period of construction 12
7. If multi-phased:
a. Total number of phases anticipated (number).
b. Anticipated date of commencement phase 1
c. Approximate completion date of final phase
d. Is phase 1 functionally dependent on subsequent phases?
8. Will blasting occur during construction? I-lYes [~No
9. Number of jobs generated: during construction
10. Number of jobs eliminated by this project 0
11. Will project require relocation of any projects or facilities?
0 . tons/cubic yards
months, (including demolitionl.
month year, (including demolition).
month year,
E]Yes I-INo"
0
after project is complete
C3Yes I~INo If yes, explain
12. Is surface liquid waste disposal involved? I-lYes J~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? ~Yes (No Type Sewaqe
14 %Viii surface area of an existing water body increase or decrease by proposal? I-lYes
Explain
{~No
15. Is prelect or any portion of project located in a 100 year flood plain?
16 Will the proiect generate solid waste? ~"lYes f-lNo
a. If yes, what is the amount per month .1 tons
b. If yes, will an existing solid waste facility be used? []]Yes []No
Southold Landfill ' location
c. If yes, give name
d. Will any wastes not go into a sewage disposal system or into a sanitary landfill?
e. If Yes, explain
[~Yes ~lNo
Cutchogue
~]Yes ~No
17. Will the prelect 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?
lg. Will prelect use herbicides or pesticides? J~Yes
~Yes Ii]No
tons/month·
years,
l~No
19 Will prelect routinely produce odors (more than one hour per day)? ~]Yes J~No
20. Will prelect produce operating noise exceeding the local ambient noise levels? l-lYes
21. Wdl prelect result in an increase in energy use? J~Yes r-lNo
If yes , indicate type(s) Oil & Electricity
22. If water supply is from wells, nd cate pump,ng capacity 2 gallons/minute.
23. Total anticipated water usalge per day 300 gal ons/day
24 Does project ~nvolve Local, State or Federal funding? J~Yes L~NO
If Yes. explain
J~No
4
'25.' Approvals Required:
Type
Submittal
Da~e
- City,' Town. Village 8Bard i-lYes I-aND
City, Town. Village Planning 8Bard DYes I-INa
City. Town Zoning 8Bard DYes I~No
City. County Health Department [~Yes tNB
Other Local Agencies ~-Yes f-INa
Other Regional Agencies DYes I-INa
State Agencies []['Yes I-1No
Federal ^gencies i-lYes I'"]No
SCDH-San.s~s. & well
Trustees
DECt TW
11/89
11/89
11/89
C. Zoning and Planning Information
1. Does proposed action involve a planning or zoning decision? IDYes IXlNo _
If Yes, indicate decision required:
I-Izoning amendment I-Izoning variance ["'lspecial use permit C]subdivision ["]site plan
~new/revision of master plan Dresource management plan f-lather
2. What is the zoning classification(s)of the site? R-40
3. What is the maximum potential development of the site if developed as permitted by the present zoning?
1 one-family dwelling
4. What is the proposed zoning of the site? 1~,-~
· S.. What is the maximum potential development of the site if developed as permitted by the proposed zoning?
1 one-family dwelling
6. Is the proposed action consistent with the recommended uses in adopted local land use plans? []Yes
7. What are the predominant land use(s) and zoning classdications within a ¼ mile radius of proposed action?
private residences
8. Is the proposed action compatible with adjoining/surrounding land uses ~vithin a 'A mile? I~Yes [~,~
9. If the proposed action is the subdivision of land, how many lots are proposed? n/a
a. What is the mimmum lot size proposed?
10. %¥ill proposed action require any authorization(s) for the formation of sewer or water districts? f-lYes
11. Will the proposed action create a demand for a~y community provided services (recreation. education, police
fire protection)? r-lYes [~No
a. If yes, is existing capacity sufficient to handle projected demand? I-lYes
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? []Yes I-INa
D. Informational Details
Attach any additional information as may he needed to clarify your project. If there are or m'ay be any advers,
impacts associated w~th your proposal please discuss such impacts and the measures which you propose to mitigate o
avoid them·
E. Verification
I certify that the/ntorma~on~provided above is true to the best of my knowledge.
· Appl cant Sponsor N~e~ F~7 / {Swimmer by..En-Consultants, ThC. ...... ~..~ 11/15/89
Signature., ~,~. ~ .~ "~ ~tg~ Title President--
11 the act,on .~X~n-Ylh~U~o,~'~all,~rea, a~l you are a state agency, complete the Coastal Assessment Form before proceeding
with this assessment.
5
ALBERT J. KRUPSKI. JR..~-~3~
JOHN M. BREDEMEYER. III , President
JOHN L. BEDNOSKI. JR.
HENRY P. SMITH, Vice President
John B. Tuthill
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Mare Road
P.O. Box 728
Southold. New York 11971
FEI.~I'HONE
January 12, 1990
Mr. John Holzapfel, Chairman
Southold Town Conservation Advisory Council
Southold Town Hall
Main Road
$outhold, New York 11971
Dear Mr. Hol~apfel:
Transmitted herewith is application No. 1-3-90-90-4-12 for a
Wetland Permit submitted by En-Consultants.
Please prepare a written report of findings and recommendations
with respect to this application.
Very truly yours,
John M. Bredemeyer, III
President
Board of Town Trustees
JMB:jmt
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
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. I -~-C[C'-~- ~t-t~- DATE November 15, 1989
APPLICANT'S NAME: Erika Swimmer by En-Consultants~ TEL. NO. 212-753-2239
Inc.
MAILING ADDRESS: c/o 340 East 52nd Street~ New York~ New York 10022
AGENT: En-Consultants, Inc. TEL NO. 516-283-6360
AGENT ADDRESS: 1329 North Sea Road, Southampton~ New York 11968
PERMIT REQUESTED TO: SEE ATTACHED
LOCATION OF PROPERTY FOR REQUESTED PERMIT: Orchard Lane, Southold
HAMLET:- Southold
TAX MAP NO: 1000- 090-4-12
CREEK, BAY OR HARBOR FRONTING PROPERTY:
SIZE OF PROPOSED WORK:
LENGTH: see attached
Sandpiper Basin
WIDTH: see attached
PROJECT DESCRIPTION
Construct a one-family dwelling, sanitary system
with retaining wall, well and bluestone (or simi-
lar pervious) driveway, all as shown on attached
site plan of Peconic Surveyors. Approximately 300
cubic yards of clean fill will be trucked in to
raise grades to those shown.
To find: Dirt road immediately south of General
Wayne Inn.
Only determination that house is beyon~ jurisdiction
is requested. If within, please process application.
Page 2.
YDS. TO BE EXCAVATED: YDS. TO BE FILLED:
MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED:
dumped and greaded.
Trucked in,
WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: 120±'
DEPTH AT LOW TIDE: 3' AVER. RISE IN TIDE: 2'6"
DISTANCE TO NEAREST CHANNEL: n/a
DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: n/a
AREA ZONING: Residential IS PROJECT FOR PRIVATE OR BUS. USE: private
INTENDED USE OF PROPERTY: Residential
DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: None known
HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE,
OR DEPOSIT FILL ON SAID PREMISES: None known
HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL
AGENCY: None known
DESCRIBE FULLY THE REHABILITATION OF PROPERTY:
Upon completion of construction, parcel will be ~raded & landscaped.
DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE
AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: landscaped.
ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT
THIS PROJECT: None known
WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT:
SEE ATTACHED
WHOM IT MAY CONCEP~N:
au~norlze Eh-Consultants, Inc. to apply for permiZs
be.half.
'. PROJECT i.D. NUMBER
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1. APPLICANT/SPONSOR
Erika Swimmer by En-Consultants, In~ .2. PROJECT NAME
SEQR
3. PROJECT LOCATION: Orchard Lane
Municipality Southold County Suffolk
4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map)
Orchard Lane, Southold
To find: Dirt road immediately south of General Wayne
Inn.
5. IS PROPOSED ACTION:
[] New [] Expansion [] Modification/alteration
6. DESCRIBE PROJECT BRIEFLY:
SEE ATTACHED
?. AMOUNT OF LAND AFFBCTED:
Initially · 8 4 8 7 acres Ultimately . 8 4 8 7 acres
8. WrLL PROPOSED ACTION COMPLY WITH EXISTrNG ZONrNG OR OTHER EXISTrNG LAND USE RESTRICTIONS?
[] Yes [] NO If No, describe briefly
g. V.tHAT IS PRESENT LAt;D USE IN VICINITY OF PROJECT?
[] Res,dentlal [] !ndustnal [] Commercial [] Agriculture [] Park/Forest/Open space [] Other
Describe:
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDBRAL,
STATE OR LOCAL)?
r~ Yes [] No If yes, list agency(s) and permit/approvals
DEC
SCDH
11. DOES ANY ASPECT OF THE ACTIOr,I HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] ['lo If yes, list agency name and permit/approval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPRQVAL REQUIRE MODIFICATION?
[] Yes [] No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant/sponsor name: Erika Swimmer by En-Consultants,
Inc. Dale: 11/15/89
If the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
1
PART II--ENVIRONMENTAL ASS' qMENT (To be completed by Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 II yes, coordina~'e the review process and use the FULL'DAF.
[] Yes [] NO
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative d~clar~tion
may be superseded by another involved agency.
[] Yes [] .o
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible)
C1. Exisling air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal,
potential for erosion, drainage or flooding problems? Explain briefly:
C2. Aestf~etic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly
C3. Vegetation or fauna, fish, shellfish or wddlife species, significant t~abitats, or threatened or endangered species? Explain briefly:
C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain brielly.
C6. Long term, snort term, cumulative, or other effects not identified in C1-C57 I~xplain briefly.
C7. Other impacts (including changes in use of eHher quantity or type pi energy)? Explain briefly.
D. ~S THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
[] Yes [] No If Yes, explain briefly
PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant.
Each etfect should be assessed in connection with its (a) selling (i.e. urban or rural); (b) probability of occurring; (c) duration; (d)
irreversibility; (e) geographic scope; and (f) magnitude. If necessai'7, add attachments or reference supporting materials. Ensure that
explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed.
[] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY
occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration.
[] Check this box if you have determined, based on the information and analysis above and any supporting
documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts
AND provide on attachments as necessary, the reasons supporting this determfnation:
2
PROJECT DESCRIPTION
Construct a one-family dwelling, sanitary system
with retaining wall, well and bluestone (or simi-
lar pervious) driveway, all as shown on attached
site plan of Peconic Surveyors. Approximately 300
cubic yards of clean fill will be trucked in to
raise grades to those shown.
To find: Dirt road immediately south of General
Wayne Inn.
Only determination that house is beyond jurisdiction
is requested. If within, please process application.
COUNTY OF SUFFOLK )
STATE OF NEW YORK )
En-Consultants, Inc. for Erika Swimmer 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.
swoRN To BEFORE
DAY OF
EXAMINED BY
KAY M. DOUGHERTY
NOTARY PUBLIC, State of New Yo~
No 0~D0,~901601, Suffolk County
Term £xp,,~ July 20,/o/FI
APPROVED
DISAPPROVED
CONDITIONS (If any)
SIGNATURE OF CHAIRMAN
COMPUTATION OF FEES
Approved 2/27/85
·. 14'.1 d-,2 (2,'87]--7c
617.21
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FORM
SEQR
Purpese: 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 mav be technically e~(pert in environmental
analys~s. 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 potenually-
large impact. The form also identifies whether an impact can be m~t~gated or reduced.
Part 3: If any impact in Part 2 is id~nufied as potent=ally-large, then Part 3 is used to evaluate whether or not the
impact is actually important.
DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions
Identify the Portions of EAF completed for this project: [] Part I [] Part 2 ' []Part 3
Upon review of the information recorded on this EAF (Parts I and 2 and 3 if appropriate), and any other supporting
informauon, and considering both the mag~tude and importance of each impact, ~t is reasonabl,/determined by the
lead agency that:
[] A. The project wd[ not result in any large and important impact(s) and. therefore, is one which will not
have a sigmf~cant ~mpact on the environment, therefore a negative declaration will be prepared.
[] B. Although the project could have a significant efiect 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 negalive 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 Declarahon is only valid for Unlisted Actions
Name oi Actton
Name o~ U_,ad ,\gency
Print or type Name oi Responsible Officer m Lead Agency
Title or [.:e,pons~ble Orucer
Srgnatute ot Responsible Of ricer ~n Lead Agency ~iguatureot Prt,parer(Ifddferent lromresponslbleorficet]
Date
PROJECT DESCRIPTION
Construct a one-family dwelling, sanitary system
with retaining wall, well and bluestone (or simi-
lar pervious) driveway, all as shown on attached
site plan of Peconic Surveyors. Approximately 300
cubic yards of clean fill will be trucked in to
raise grades to those shown.
To find: Dirt road immediately south of General
Wayne Inn.
0nly detePmination that house is beyond jurisdiction
is requested. If wlthin~ please process application.
5.' Approximate percentage of I prelect site with slopes: 100 % ~10-1596 0~
[~1578 or greater *,6
6. Is orolect substanua[b,' contiguous to. or contain a building, site, or district, listed on the State or the Nation,-,
Registers or H~storic Places? F"IYes I~No
7. Is prelect substanoall¥ contiguous to a site listed on the Register of National Natural Landmarks? EYes I~.Nc
8. What is the depth of the water tab[e? 6._9' (in feet)at test hole..
9. Is site located over a primary, principal, or sole source aquifer? [~Yes [~No
10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? EYes I~No
11. Does project site contain any species of plant or animal life that is identified as threatened or endangereo;
EYes [~No According to Roy L. Hale
Identify each species
12. Are there any umque or unusual land forms on the project site? (i.e.. cliffs, dunes, other geological formations
[~]Yes ~2~No Describe
13. Is the proiect site presently used by the community or neighborhood as an open space or recreation area;
~]Yes f~No If yes. explain
14. Does the present site include scenic views known to be important to the commumtv?
~Yes ~No
15. Streams within or contiguous to proiect area:
a. Name of Stream and name of River to which it is tributary
16. Lakes. ponds, wetland areas within or contiguous to prelect area:
a. Name Sandpiper Basin
17 Is the s,te ser;'ed bvTex,sung pubhc uuht~es? fqYes F2]No
a) If Yes. does sufficient capaot¥ exist to allow connecUon?
b) If Yes. wdl ~mprovements be necessary to allow connection?
b. Size (in acresl
~Yes [-'No
~Yes _~No
100+
18 Is the s~te located in an agrrcuJtura] d,str~ct certified pursuant to Agriculture and ."-tarkets Law. Article 25-AA
Section 303 and 304~ ~Yes ~'No
19 I~ the sge located in or substant~alh/ contiguous to a Critical Environmental Area designated pursuant to Article
oi the ECL, and 6 NYCRR 6177 ~]Yes [~]No
20. Has the site ever been used for the disposal of solid or hazardous wastes? ~]Yes ~No
B. Project Description
1. Physical dimensions and scale of prelect (fiji in dimensions as appropriate]
a. Total cont,~uous acreage owned or controlled by project sponsor .85
b. Project acreaqe to be developed: .15 acres imtiall,,,; .3_5
c. Project acreage to remain undeveloped .7 acres.
d. Length o1: prelect' in mdes: ~/a (If appropriate)
e. If the .orolect is an expansion, red,cate percent of expansion proposed
f. Number of o~f-street park,m4 spaces existing 0 · proposed 2
5
h. If res,dL, nt~a[ Number anti type o~ hous,nq umts'
One Faro,Iv Two }-amdy
Imt,allv
Uh.n.~telv
,. D~m~'ns,ons im teetJof larqest proposed structure 35 height; 20 w~dth;
j. Linear ieet o~ frontage along a public thorough/are prelect ~,ll occupy
acres ultimately.
n/a
h, tultqfle Farad,;
45 . length.
. ft.
3
2. How much natural mater. (i.e.. rock, earth, etc.) will be removed fru~ the site? 0 tons/cubic,,/ards
3. Will disturbed areas be reclaimed? [~Yes [No K'IN/A
a. If yes, for what intend__ purpose is the site being reclaimed?
b. Will topsoil be stockpiled for reclamation? l-lYes []No
c. Will upper subsoil be stockpiled for reclamation? ~]Yes ~]No
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? .15 acres.
5. Will any mature forest (over 100 years old) or other locally.important vegetation be removed by this project?
I-lYes [~No - -
6. If single phase project: Anticipated period of construction 12 . . months, (including demolition).
7. If multi-phased: n/a
a. Total number of phases anticipated . (number).
b. Anticipated date of commencement phase I . month
¢. Approximate completion date of final phase . month
d. Is phase 1 functionally dependent on subsequent phases? DYes I-1Nc~'
8. Will blasting occur during construct on? [~Yes [~No
0
9. Number of jobs generated: during construction ; after project is complete
10. Number of jobs eliminated by this project 0
11. Will project require relocation of any projects or facdities,~ [~Yes []]No If yes, explain
year, (including demolition).
year.
12. Is surface liquid waste disposal involved? I-iYes f~No
a. If yes, indicate type of waste (sewage. industrial, etc.] and amount
b. Name of water body into which effluent wdl be discharged
13. Is subsurface liquid waste disposal involved? OYes DNo Type Sewaqe
14 '.viii surface area of an existing water body increase or decrease by proposal? [-]Yes
Explain
~No
15 Is prolect or any port~on of project located m a 100 year flood plain?
16 Will the project generate solid waste? ]~]Yes DNo
a. If yes, what is the amount per month · ]- tons
b. If yes, will an existing solid waste facility be used? [~:Yes [-1No
Southold La~dfill location
c. If yes, give name
d. W,II any wastes not ~o into a sewage disposal system or into a sanitary landfill?
e. If Yes, explain
E~Yes I~No
Cutchogue
E~Yes [~No
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? _
1~ Will prolect use herbicides or pesticides? DYes
E3Yes ~No
tons/month·
years.
19 Will project routinely produce odors (more than one hour per day)? ~lYes [~ENo
20 Will project produce operating noise exceedm[~ the local ambient noise levels? r-lYes
21 ~,V~II prolect result in an increase in energy use? [~Yes [~No
If yes . indicate type(s) Oil E Electricity
22 If water supply is from wells, indicate pumpm~ capacity 2 gaJJons/mlnute.
23. Total anttc~pated water usage per day 300 gallons/day
24 Does project ,nvolve Local. State or Federal funding? ~Yes [~No
If Yes. explain
[~No
4
· ,- 2~.'.Approvals Required:
Type
Submittal
Date
City.· Town. Village Board [~Yes ~lNo
City, Town, Village Planning Board ~]Yes f~No
City. Town Zoning Board ~]Yes I-~No
City, County Health Department ~Yes
Other Local Agenczes [~Yes
Othe.~ Regional Agencies [~Yes ~]No
State Agencies [~:Yes I~No
Federal Agencies I'-[Yes ~]No
SCDH-San.sys. & well
Trustees
DEC~ TW
11/89
11/89
11/89
C. Zoning and Planning Information
1. Does proposed action involve a planning or zomng decision? I-lYes []No _
If Yes, indicate decision required: .
~]zoning amendment f-lzoning variance I~speciaJ use permit [~subdivision I~site plan
[]new/revision of master plan f~resource management plan I-iother
2. What is the zoning classification{s)of the site? R-40
3. What is the maximum potential development of the site if developed as permitted by the present zoning?
1 one-family dwelling
4. What is the proposed zoning of the site? no c~hange
· 5.· What is the maximum potential development of the site if developed as permitted bY the proposed zoning?
1 one-family dwelling
6 Is the proposed actton consistent w,th the recommended uses in adopted local land use plans? []Yes [~,~.
7. What are the predominant land use(s) and zomnq classifications w~thin a ~ rode radius of proposed action?
private residences
8. Is the proposed action compatible w,th adjoining/surrounding land uses within a ',~ mile? [~Yes
9. If the proposed action is the subdivision of land. how many lots are proposed? n/a
a. What is the mimmum lot size proposed?
10 Will proposed action require any authorization(s) for the formation of sewer or water districts? I-~Yes
11. Will the proposed action create a demand for apy community provided services (recreation, education, pallet
fire protectton)? f-~Yes I~No
a. If yes, is existing capacity sufficient to handle projected demand? ~]Yes f-lNo
12. Will the proposed acbon result in the generation of traffic sigmficantlv above present levels? I-lYes
a. If yes, is the existing road network adequate to handle the additional traffic~ ~]Yes [~]No
D. Informational Details
Attach any additional information as may be needed to clardv your prelect. If there are or m~ay be any advers,
impacts associated w~th your proposal, please discuss such :mpacts and the measures which you propose to m:tigate o
avotd them.
E. Verification
I certHy that the mform.)~t,on pray,dud above. ,s rue to the best of my knowledge
Appbcanr$-on*or Name ~ika ~.~]~ner by En-Consultants, Inc. ' ~ 11/15/89
S,%'nature J/~k (~x ~:,q/~,',,o ~'i" President
I!th Roy L. Haqe,~
e action is in Ihe Coastal' A~.L and you age a state agency, complete the Coastal Assessment Form before proceeding
~,ilb Ihls assessment.
Pa 2--PROJ.'=CT IMPACTS AND T, ~IR MAGNITUDr=
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 be
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 significan~
Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simF
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
magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State ar
for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropria
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 ar
have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each questio
· 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 1 or 2) to indicate the potential size of t~-
impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshoi
is lower than example, check column 1.
d. If reviewer has doubt about size of the impact then consider the impact as potenuaily large and proceed to PART
e. If a potentially large impact checked in column 2 can be mitigated by changels) in the project to a small to moderat
impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. Th~
fnust be explained in Part
IMPACT ON LAND
1. Will the proposed action result in a physical change to the project site?
E]NO [~Y£S
[,amples that would apply to column 2
· An,/ 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 ware( 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 generaib' within
3 f~et of existing ground surface.
· Construction that will continue for more than 1 year or involve more
than one phase or stage.
· Excavation for mining purposes that would remove more than
tons of natural material (i.e., rock or soil) per year.
· Construction or expansion of a sanitary landfall.
· Construction m a designated iJoodway.
· Other ~rnpacts
2 Will there be an effect t,....,y u=;.que or unusual land forms round on
the site) (i e., chffs, dunes, geological forma[rons, etc.}~NO [~YES
· Spec~frc land forms:
6
I 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] [~]Yes r-]No
[] [] []Yes I--]No
~ [] ~Yes E3No'
[] [] []Yes E3No ,
I
[] [] [~','es []No[
~ ~ ~Yes ~No
~ ~ ~Yes ~No
(VACANT)
--~. PHR A D MITES
Z
(VACANT)
· ?OWN OF SOUTHCLD
AREA = 36,969 eq. ft.
or 0.8487 acres
(to t/el~ne)
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FOR APPROVAL OF CONSTRUCTION ONLY
DATE OF REF, NO.
APPROVED
SURVEY OF PROPERTY
AT BAYVIE W
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
I000
090 04
SCALE I'= $0'
OCR 25,1989
Non ~ 1989 { revise )
12
.Y.S. LIC.NO 49668
~YORS P.C.
(5~6) 7'65 - 5020
E O. BOX 909
MAIN ROAD
SOUTHOLD, N, Y, U971,
LOTNUMBERS REFER TO " MAP OF '* CEDAR BEACH PARK "
FILE~DEC. 20 ,1927 IN THE OFFICE OF THE DUFFOLK COUNTY
89 - 388
VACANT)
E~
Z
z
S. LIC,NO.49668
R 0 BOX 90~J'~
_~J N_~ o_AP.
AREA = 36,969 sq. fL
or 0.8487 acres
(to tie //ne )
(VA CANT/
SUFFOLK COUNTY DEPARTMENT OF HEALTH SER. VI~ES
FOR APPROVAL OF CONSTRUCTION ONLY
SATE OF REF. NO.
APPROVED
SURVEY OF PROPERTY
AT BAYVIE W
TOWN OF SOUTHOLD
SUFFOLK
I000 090
SCALE I"= 30'
COUNTY, N.Y.
04 12
OCT, 25, 1988
Nov. 9, 1989 (revise)
LOT NUMBERS REFER TO " MAP OF " CEDAR BEACH PARK "
FILED DEC. 20 . 1927 IN THE OFFICE OF THE SUFFOLK COUNTY
CLERK AS MAP NO. 90
ELEVATIONS ARE REFERENCED TO N.O.V.D.
89 388
LIL
'm ~ ~
Z o
15'
(DWELLING)
SUFFOLK COUNTY DEPARTMENT OF HEALTH SER. VI~..3
FOR APPROVAL OF CONSTRUCTION ONLY
DATE OF REF. NO.
(VACANT)
APPROVED
SURVEY OF PROPERTY
AT BAYVIE W
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
I000 ' 090 04 12
SCALE I": 30'
OCT. 25, 1989
Nov. 9, 1989 (revise)
, ..; ~S. LIC.NO.4966~
, .
R O. BOX 909
MAIN ROAD
SO~HOLD , N. Y. li971,
TOWN OF
LOT~UMBERS REFER TO "MAP OF "CEDAR BEACH PAR~"
FJLEDDBC. 20 ,t927 IN THE OFFICE OF THE SUFFOLK COUNT
CLERK AB MAP NO. 90
ELEVATIO~IS ARE REFERENCED TO
89 - 388.
60 ,
IROH
VACANT)
(VACAN?)
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FOR APPROVAL OF CONSTRUCTION ONLY
DATE OF REF. flO.
APPROVED
SURVEY OF PROPERTY
AT BAYVIE W
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
I000 090 04 12
SCALE I"= 30'
OCT. 25, 1989
Nov. 9, 1989 (revise)
LOT NUMBERS REFER TO "MAP OF "CEDAR BEACH PARK" _ ~.~ -
FJLEi:i DEC. 20 , 1927 IN THE OFFICE OF THE SUFFOLK COUN~,~'~
CLERK AE MAP NO, 90 ~[*~1 ~L ~¥ ~ , '
ELSVATION$ ARE REFER~CED TO N.G,V.D.
· ~ tf/~ . ~,~ D
89 - 388
VACANT)
4 %..J_.
AREA = 36,969 sq. ft.
or 0.84~7 acres
(to tie line )
SURVEY OF PROPERT~
~ TOWN OF SOUTHOLD
SUFFOLK COUNTY,
I000 090 - 04
SCALE I"= 30'
OC~ 25, 1989
Nov. 9, 1989 (revise)
ARE REFER~CED TO N.6mV.D. UU~~"JJ~'~_
89 - 388