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HomeMy WebLinkAboutTR-4507o~c~IVEI~ APR 2. 5 9001 Law Offices WICKHAM, WICKHAM & BRESSLER, P.C. 10315 Main Road, P.O. Box 1424 Mattituck, New York 11952 631-298-8353 Telefax no. 631-298-8565 April 25, 2001 Elizabeth A. Neville, Town Clerk Town of Southold Post Office Box 1179 53095 Main Road Southold, New York 11971 Re: Mattituck Park District Proposed building, Veteran's Memorial Park Mattituck, N.Y. SCTM#1000-126-6-18 Dear Ms. Neville: The Mattituck Park District has commenced the approval processes for construction and financing of a proposed building at Veteran's Memorial Park. Enclosed is a copy of a resolution of the District adopted at a meeting on Sept. 8, 2001, by which it was resolved that the District start the lead agency coordination process on this unlisted action. Also enclosed is a copy of the Sort Environmental Assessment Form. The Park District would like to continue as lead agency and issue a declaration under the SEQRA process. In the event the Town prefers itself or another agency to have lead agency status, or in the event the Town has any comment with respect to the declaration, please advise. I have previously discussed this matter with Mr. Yakaboski. This notice is also being given to the Suffolk County Department of Health Services and the N.Y.S. Department of Environmental Conservation. Very Fuly~yottr~ , ~ Cc: Greg Yakaboski, Esq. SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEQR Mattituck Park District ~. PROJECt N^UE Veteran' s Beach Buildinq ~u~i¢te:,.h, Mattituck c~umy Suffolk South side of Peconic Bay Boulevard, at southerly terminus of Bay Avenue, Mattituck, New York Remove existing antiquated barn and bathroom facilities. Construct .4800-sq. ft, building for equipment, with two offices, bathrooms and concession stand. ~Y., O.. ,~,~,~~,~ ~o~ of Sou~hold: Approval of partial .financing of project under. Local Finance Lgw; Building Pe~it. Suffolk County Depar~ent of Health Service~: Approval of water supply/.sanitary s~stems. New York De~ar~nt of Enviro~ental ConserVation: Tidal Wetlands Permi' By: Abigail A. Wickham, agent . the aclion is in the Coaslal Area, and y~u are a slate agency, complele Ihe Coastal Assessment Form before proceeding with this assessment OVER · (Continued on reverse side) (b} ~ any question has been ansvered Yes the pcoject may be sig~ _ project is not slgnifica3~t. (d) Environmental Assess~t · 1. Will pro)ect result ia a~large physical change to the project site or physically'alter more than 10 acres of land? Yes ~ 2. Will there be a ~jor cha~ge to any u~ique or unusual land form on the site? Yes X No 3. Will project alter 'or have a large effect on an.existing body of ~ater? Yes X No 4. will pro]e¢6 have a ~tentially large impact on groundwater ~/alit~? ' Yes X No 5. Will pro~ect signlficant~y effect drainage flo~ on adjacent sites?. - Yes X No 6. Will project affect any threatened or endangered plant o~ an£mal spee/&s? Yes X NO 7. WIll project 'result'in &:~ajor adverse effect on 8. Will project have ~jor effect on visual ,~har- acter 0~..,t~..% ~*lty. or .~oen~C :yi?~.? ~9~' vistas "' ;~ .; ;'kno~.~:~'~.~l~po~t:'tO:th~:c6~ni~?'. '~ Yes X 9. Will project' adverselg impact.a~y s£t~ Or u=e of historic~ pre~hlstor~;~ o~ importance or any site designated as & environmental area by a ~oca% ,~genc%,? __~es X No 10. Will projeet-have'a· ma]or ~fe~t 9n existing or future recreational opportunities? .X Yes 30 Improvement' 11. ~ill project result in ~ajor traffic problems Or cause a major effect ~0 existing transportation 12. Will project r~gularly cause objectionable ~crs, period o~have a major ~egative effect on the Repcesentin4: IC~T Oate: MATrlIUCK PARK DISTRICT · CERTIFICATE OF RESOLUTION OF BOARD OF COMMISSIONERS September 5~ 2000 The undersigned, the secretary of the Mattituck Park District in the town of Southold, Sufi:blk County, New York, (the "Park District"), DOES HEREBY CERTIFY AS FOLLOWS: At a meeting of the Board of Commissioners (the "Board") of the Park District, duly called and held this day at which a quorum was present and acted throughout, the Commissioners unanimously adopted the following resolution, which has not been . modified or rescinded: WHEREAS, the Park District is considering the construction of a building at the property heretofore acquired and now owned by the Park District at Veteran's Memorial Park, Peconic Bay Avenue, Mattimek, New York, in the Park District, for use as a storage and maintenance build'rog for its equipment and two offices; for a concession stand; and for bathroom facilities (the "Facility), which Facility would be substantially in accordance with the site plan prepared by Warren Sambach dated June 1, 2000, as same may be amended from time to time; and WHEREAS, the Park District would like to commence the review and action necessary under Part 617 of the implementing regulations pertaining to Article (State Enviromnantal Quality Review Act) of the Environmental Law (SEQKA), NOW, THEREFORE, upon motion duly made and seconded, discussed, and carried, it was RESOLVED, A. That the Park District determines that the project is an unlisted action under SEQRA. B. That the Park District declares itself as lead agency and hereby resolves to start the lead agency coordination process on this unlisted action under SEQRA. ~,WlTNESS WHEREOF, the undersigned has executed this certificate on this day of September, 2000. STATE OF NEW YORK, COUNTY OF SUFFOLK: SS: On September ~ 2000, before me, the undersigned, a Notary Public in and for said State, personally appeared Madeline Haas, personally known to me or proved to me on the basis of satisfactory evidence that she executed the same in her capacity and that by her signature on the instmmant, the individual, or the person ~ entitY upon behalf of Notary Public mpd dirresmp DONN~ M, CHITUK Tin. E~ ~M Ii. ~/ Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. g'/'-%"'(~ 7 DATE: 8/31195 ISSUED TO MATTITUGK PARK DISTRICT Authorization Pursuant fo 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 8/31/95 19 95 , and in consideration of the sum of $ paid by of ........ N. Y. and subject to the Terms and Conditions listed on the reverse s~de hereof, of Southold Town Trustee~s authorizes and permits the following: Grandfather Permit to reconstruct 2 deteriorated timber jetiies One jetty 115' long and the other 174' long, both inkind/inplace. Great ~econic Bay all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. Trustees Telephone (516) 765-1801 Town H',d.L 53095 Main Koad P.O. Box 1179 Southold. New York 11971 . SOUTHOLD TO~N CONSERVATION ADV'[SORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Thursday, August 2~t, 1995 the following action was taken: No. 128~. Moved by Stephen Angell, seconded by Betty Wells, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Application of MAI IITUCK PARK COMMISSION 126-6-17 & 18 to reconstruct existing deteriorated timber jetty (125' in length) in kind/in place. The CAC recommends approval but questions why the application fee is being waived. It appears inappropriate that the Park District fee should be waived since it is not beneficial to all town residents. Peconic Bay Blvd., Mattituck Vote of Council: Ayes: 'All Motion carried. STATE OF NEW YORK DEPARTMENT OF STATE ALgANY. NY 122~1-000! June 21, 1995 Ms. Tanya Lachenmeyer Land Use Environmental Corp. 2576 Sound Avenue Baiting Hollow, NY 11933 Re: F-95-376 U.S. Army Corps of Engineers/New York District Permit Application #95-061)40-L2 Mattimck Park District (Two Jetties) Town of Southold, Suffolk County Dear Ms. Lachenmeyer: The Depm tment of State has received the information you provided on June 9, 1995 describing the above proposed project. We have been informed by the U.S. Army Corps of Eng/neers that your project was authorized under an existing Nationwide Permit. Therefore, no further review is required by this Department. We appreciate your referring this information to the Dcpa~ tment of State for review. Sincerely, WillJ,m F. Barton Chief; Consistency Review and Analysis Bureau Div/sion of Coastal Resources and Waterfront Revital~vation WFB/SR/jtb cc: COE/New York District - Denise Butts DEC/Region 1 o Robert Greene Town of Southold ~ Albert Krupsk/ ALEXANDER f. TREADWELL SECRETARY OF STATE STATE Of NEW York DEPARTMENT Of STATE ALBANY, NY 12231-O001 June 15, 1995 Mr. Albert Krupski President Board of Town Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: F-95-376 U.S. Army Corps of Engineers/New York District Permit Application Mattituck Park Commission (Two Jetties) Dear Mr. Krupski: Enclosed is a copy of the information submitted to the Department of State for review of the above-referenced project with respect to its consistency with the Coastal Management Program for your information and preliminary review. Please contact Steven Resler, the DOS reviewer assigned to this project, at (518) 474-6000 to your concerns, and any additional information which may be necessary to assist you in reviewing this project. Any comments you may have will assist the Department in reaching a decision as to the consistency of the proposed action with the approved NYS Coastal Management Program. Please note, however, that if we do not hear from you within 45 days of the date of this letter, we will presume that you have no objections to the proposed project. Sincerely, William F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization Enclosures WFB/jtb .Ew Y TA,E .EPA.TMENT OF STATE COASTAL MANAGEMENT PROGRAM COAST,, S ~e~9[~l Co~istencv Assessment Form JUN 9 ~95 ~n applicant, seeking a permit, license, wai er, Ce~if m io s' ' r typ of appro a o · a g y * '~ j ct he New York State Coastal Management P~gram (CMP, shall complete this assessment form for any proposed a~ that will ~ccur within and/or directly affe~ the State s Coastal Area. This form is intended ~o assist an appli~nt in ced~ that the }foposed activity is consistent with New York State's CMP as requi~ed by U.S. Depa~ment of Commerce regulations (15 CFR ~30.57). It should be c~pleted at the time when the federal appli~tion Is pre.red. The Depa~ment of State will use the :ompleted fo~m and accompanying informati~ tn I~ review of the appli~nt's ceAifi~tion of c~sistancy. .. APPLICANT I. Name: M{%ttituck Pa~k C_~mml ~fnn ~/~ Gerard Goehrinqer (pleaae print) 2. Address: PO Row 1413r Mattituck, NY 11~2. 3. Telephone: Area Code ;. ~'RQPOSED ACTIVITY 1. Bdef description of sctivit:y:.Please see attached oroiect 2. Purpose of activity: Erosion 3. Location of activity: Suffolk Mattituck Peconic Bay Blv~, County City, Town or Village Type of federal penn)tit)canes required: . USDQ~ Federal application number, if known: ADDi~ ~ ~ ~n n~ Street or Site Description If s state permit/llcense was Issued or Is required for the proposed activity, identify the state agency and provide the application or pemdt number, If known: NYSQEC,. Appl f mm~ mn ~_ unknown C. COASTAL ASSESSMENT Check either 'YES' or 'NO" for each of the following questions. The numbers following each question refer to the policies described in the CMP document (see footnote on page 2) which may be affected by the proposed activity. 1. Will the proposed activity result In any of the foll~)wlng: YES NO ag Large physical change to a slte'~wlthln the coastal area which will require the p~'eperation of X an environmental impact statement? (11, 22, 25, 32, 37, 3S, 41, 43) ...................... Physical alteration of more than two acres of land along the shoreline, land under water or coastal waters? (2, 11,12,20,28,35,44) ............................................. __ X Revitalization/redevelopment of a deteriorated or underutilized waterfront site? (1) '. ............. __ ]( Reduction of existing or potential public access to or along coastal waters7 (19, 20) ..... ....... __ ~ Adverse effect upon the commercial or recreational use of coastal fish resources? (9,10) ......... __ X Siting of a ficility essential to the exploration, development and production of energy resources in coastal waters or on the Outer Continental Shelf? (29) ....................... X Siting of a flclllty essential to the generation or transmission of energy? (27}... ' ............. ,,, ~., Mining. excavation, or dredging activities, or the placement Of dredged or fill material in coastal waters? (15, 35) ............................................. X Discharge of toxics, hazardous aubetsnces or other pollutants into coastal waters? (80 15, 35) .. X graining of stormwater runoff or sewer overflows into coastal waters? (33) .................. X Transport, stroage, treatment, or disposal of solid wastes or hazardous materials? (36, 39) ........ ~ Adverse effect upon land or water uses within the State,s small harbors7 (4) ................. ~ ~ Will the proposed activity affect or I~ located In, on, or adjacent to any of the following: a. State designated freshwater or tidal wetland? (44) X b. Federally designated flood' and/or state designated erosion hazard area7 (11, 12, 17,) ........... c. State designated significant fish and/or wildlife habitat7 (7) ............................. d. State designated significant scenic resource or area7 (24) ............................... e. State designated Important agricultural lands? (26) ................................... __ f. Beach, dune or barrier Island? (12) .............................................. X g. Ma]or ports of Albany, Buffalo, Ogdenaburg, Oswego or New York7 (3) ...................... h. State, county, or local park? {~, 20) ............................................ ..Y... L Historic resource listed on the National or State Register of Historic Places? -1- Will the proposed activity roouire any of t~ll~rollowing a. Waterfront site? (2, 2~, 22) ................................................... __ b. Provision of new public services or infrastructure in undeve(oped or sparsely populated sections of the coastal area? (5) ................................................ c. Constructi~ or reconstruction of · flood or erosion control structure? (13, 14, 16) ............. d. State watell ~-Jality permit or certification'/ (30, 38, 40) ................................ e. State air quality permit m certification? (41, 43) ..................................... Will the proposed activity occur within and/or pff~c~ an area covered by a State approved local waterfront revitalization program? (see policies in local program document') ..................... X ,. ADDITIONAL STEPS 1. If all of the ~uestions In Section C are answered 'NO', then the applicant or agency shall complete Section E and submit the documentation required by Section F. If any of the questions in Section C are answered 'YES", then the applicant or agent Is advised to consult the CMP, or where appropriate, the local waterfront revitalization program document'. The proposed activity must be analyzed in more detail with respect to the applicable state or local coastal policies. In the space provided below or on a separate page(ak the applicant or agent shall: (a) identify, by their policy numbers, which coastal policies are affected by the activity, {b) briefly assess the effects of the activity upon the policy; and, (c) state how the activity is consistent with each policy. Following the completion of this written assessment, the applicant or agency shall complete Section E and submit the documentation required by Section F, Please see attached response to coastal policies CERTIFI(~ATIQN The applicant or agent must certify that the proposed activity is consistent with the State's CMP or,*{~e approved local waterfront revitalization program, as appropriate. If this certification cannot be made, the proposed activity shall not be undertaken. If this certification can be made, complete this Section. 'The proposed activity complies with New York State's approved Coastal Management Program, or with the applicable approved local waterfront revitalization program, she will be conducted in a manner consistent with such program." ApplicontJAgont's Name: Tanya Lachenmeyer/La. nd Use Co. / Address: 2576 Sound Ave. , Baitinq Hollow. NY 11933 Telephone: Area Code ( 51 (~ 7 ~ ~ {3 , W. iss,oN REaU,RE ENTS 1. The applicant or agent shall submit the following documents to the New ~'.o.r.k State Department of State, Division of Coastal Resources and Waterfront Revitalization, 162 Washington Avenue, Albany, New York 12231. a. Original signed form. b. Copy of the completed federal agency application. · c. Other available information which would support the certification of consistency. 2. The applicant or agent shall also submit a copy of this completed form along with his/her application to the federal agency. 3. If there are any questions regarding th~ submission of this form, contact the Department of State at {518) 474-6000. · These state and local documents are available for inspection at the offices of many federal agencies, Department of Environmental Conservation and Department of State regional offices, and the appropriate regional and county planning agencies. Local program documents are also available for inspection at the offices of the appropriate local government. FCAF Revised 1216/93 -2- MATTI~CK PARK DISTRICT Project site looking south Project site looking west MATTI~cK PARK DISTRICT ~ Project site looking southwest MATTITUCK PARK DISTRICT Project site looking southwesu Project site looking south ~TTITUCK PARK DIsTRIcT Project site looking southeast Project site looking north P.' O. BOX 1413 MATTITUCK, LONG ISLAND NEW YORK 11952 (516) 298-9103 April 8, 1991 z iq N OF SOIJTHO[ Mr. John Bredemeyer, President Southold Town Trustees Southold Town Hall Main Road Southold, New York 11971 Re: DSR# 1-4738-00639-00001-0 Town of Southold Permit Bulkhead to be removed begins approximately 100 feet landward of mean high water mark at a point where the right of way for the Marlene Association (expansion of Marlene Lane), Mattituck, ends and runs approximately 340 feet to the N.E. Dear Mr. Bredemeyer: We would like to commence demolition by April 15, 1993. Bearing in mind that it constitutes an extreme liability to anyone using the beach, we would appreciate any communication from you indicating if we are not able to commence at that particular time. Very truly yours, Madeline S. Haas for Gerard Goehringer, Commissioner GG:mh Board Of $outhold Town Trustees SOUTHOLDi NEW YORK PERMIT NO. 4115 DATE: 3/25/93 ISSUED TO MATT!TL~CK. pARK COMMISSION Pursuant fo the provisions of Chapter 615 of the Laws of the Sta+e of New York, 1893: and Chapter 404 of the Laws of the State of New York 1952; and the Soufhold Town Ordinance en- titled "REGULATINC~ 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 19 93, and in consideration of the sum of $ paid by of N.Y. and subject to the Terms and Conditions listed on the reverse s~de hereof, of Southold Town Trustees authorizes and permits the following: Emergency Permit for removal of portions of deteriorated bulkhead according to Dec. 11, 1992 storm. ~c~t~',k. ~ ~b%~- all in accordance with the detailed specifications es presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees h~re- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of le sa~ Board as of this date~.~ MATTITUCK, LONG ISLAND NEW YORK 11952 (516) 298-9103 TOWN OF SOUTHOLD March 12, 1993 Mr. John Bredemeyer, President Southold Town Trustees Southold Town Hall Main Road Southold, New York 11971 Dear Mr. Bredemeyer: In the December, 1992 storm, a portion of the bulkhead adjacent to Mattituck Park District Memorial Park site on the corner of Peconic Bay Boulevard and Bay Avenue in Mattituck, was destroyed. During the storm the loss of a natural dune area which was supported by said bulkhead was leached out into Peconic Bay leaving 300, more or less feet of deteriorated bulkhead on the west side of this eight acre parcel. We are requesting as Commissioners, that the Town Trustees issue an emergency permit allowing us to remove the portions of this deteriorated bulkhead as we had done in the storm Nelson in 1983. Since funds are not available at this time to re-build said bulkhead, it is necessary for liability purposes and the opening of the beach in late spring, to remove same as soon as possible. I realize that this request is a little dated. However, we have been working with the D.E.C. in getting an emergency permit also. If you would like any pictures, we would be glad to furnish same. Very truly yours, Edward Adams, Chai~n Board of Commissioners EA:mh Real Property Tax Service Agency AlJ~ert J. Kcupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application --~'~randfather Permit Application Trustee Lands Permit Application ~_Re Waiver / ! c-~--ived applicati~n~7/[~/~- ~Clerical Review: 7/(~/~ ~-~ompleted Applicatidn Incomplete ' / SEQRA Classification: Tlrpe I__.Tlrpe II__Unlisted__ Coordination:(date sDnt) ~__----<VAC Referral Sent: Date of Inspection:' Receipt of CAC Report:(date) Lead Agency Determination: _T~chnical Review:(date_) ~blic Hearing:(dat~,~/~/9~~ t t ~Decision: Approved ~L/~) fd~te) ~/;,/~ Application Fee:$_~.~ Name of Applicant Mattituck Park Commission c/o Gerard Address P.O. Box 1413, Mattituck N,Y. J1952 Phone Number:(516) 853-5q~ Suffolk County Tax Map Number: 1000 Property Location:Peconic Bay Blvd., Mattituck, NY 11952 126_6_-17& ~ 8. approx. 960' west of Si~sbee Rd. (provide LILCO Pole ~, distance to cross streets, and location) Agent: Charles W. Bowman / Land Use Company (If applicable) Address: 2576 Sound Ave. Baiting Hollow, NY 11933 Phone:(516) 727-2400 ~rd of Trustees Applicati GENERAL DATA Land Area (in square feet): Area Zoning: Residential Previous use of property: Intended use of property: Public Park Public beach access Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Please see attached project description MATTITUCK PARK DISTRICT VETERANS MEMORIAL PARK PROPERTY PROJECT DESCRIPTION: Applicant proposes to reconstruct (2) deteriorated t/tuber jetties (115' & 174') ha kind/in place. ~rd of Trustees Applicati County of Suffolk State of New York Land Use Co. for Charles W. Bowman/ MattituCk Park Commission BEING DULY SWORN DEPOSES kND'~FFIRMS THAT BE/SBE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATF~MF_/qTS CONTAINED ~/{EIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY Tn SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO BOLD 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(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESEnTATIVES(S), TO EI~TER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS 31st DAY OF May ,19 95 Tan~ya~Lachenmeyer NOTARY PUBLIC, 8~e of Ne~ York No. 01 LA,5032219, Suffolk County of Trustees Applicati~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Erosion Control Are wetlands present within 75 feet of the proposed activity? No X Yes Does the project involve excavation or filling? X No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 5 ~rd of Trustees Applicat~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Erosion Control Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material wiI1 be removed or deposited: N/A feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: N/A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason os such proposed operations (use attachments if appropriate): None 6 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 o,' Project sponsor) 1. APPLICANT/SPONSOR~harle$ W. Bo'~man /Land[ z. PROJECT NAME Use Co. for Matti~uck park commissio~ Proposed jett~; reconstruction 3. PROJECT LOCATION: Municipality Mattituck County Suffolk SEQR 4. PRECISE LOCATION (Street address and road inlers~ctlons, prominent landmarks, etc., or pro'vide map) Peconic Bay Blvd., appprox.960' west of Sigsbee Rd. Mattituck, 'NY Please see attached project description 7. AMOUNT O~ LAND AFFECTED: ,nitia,y ~,, 7 ,crc, Ultimately 4.7 acre= (total lot/s area 8, W~LL PROPOSED 'ACTION COMPL¥"WITH EX~STING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] NO If NO, describe briefly g. WHAT iS PRESENT LAND USE 'N VICINITY OF: PROJECT? [] Residential [] Industrial [] Commercial [] Agriculture [] Park/Forest/Open space [] Other Describe: 10. DOES ACTION iNVOLVE A PERMIT APPROVAL, OR FUNDtNG, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? E~ Yes [] No If yes, list agency(s) and permit/apl3rovals NYSDEC, USDOA, & NYSDOS 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REOU,RE MOCI~ICATION? [] Yes ~ NO I CERTrFY THAT THE INFORMATION PROVrDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE cha~-l-e~. Bowman /Land Use Co. for Mattituc~ate:5-31-95 Applicant/sp°ns°r n~ ~/l ' ~ ~.--_-Pare . Commission Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment I OVER 1 MATTITUCK PARK DISTRICT MATTITUCK PARK pROPERTY PROJECT DESCRI~ION: Applicant proposes to reconstruct existing deteriorated timber jetty (125' ia length) in kind/in place. PROPOSF. D /z~" OF TIMBER JETTY TO BE RECONSTRUCTED IN KIND AND PLACE WiDTh: 4 .~.%_~_.: I'~= :~5o00~ SCALE: TYPICAL SECTION 1"= 10' -.~'F-.."I'~ *N KIND AND PLACE I ~~NG H(3~LOW, N,Y. H953 · ~ (510) 7Z7-Z&00 FAX (5~6) 7ZT-Z605 Land U se To all regulatory agencies: I hereby authorize Land Use Company to apply for all approvals necessary to complete my project. MATTITUCK PARK DISTRICT by Gera~d P/Goehri~er, CommissiOner 2576 Sound Avenue * Bai~ingHollow, NewYork · 11933 (516) 727-2400 · FAX (516) 727-2605