Loading...
HomeMy WebLinkAboutTR-5439 Board Of Southold . Town Trustees SOUTH OLD, NEW YORK PERMIT NO. . Sl/3'i DATE: ~~:v.~. 16. 2001 ISSUED TO ...:P.E:~J;:~.~..:..8...?YeA!'l.])A!IlQW$.K.L....u.. .... i\ut4nrilutintt 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 Y ork 1952~ and the Southold Town Ordinanc:e 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. W A TERS;~.', and in accordance with the Resolution of The Board adopted at a meeting held on .<?~.~.:...2~.,...... 2??~., and in consideration of the sum of $...?g~:..~.O. .... paid by peter S. & Susan Danowski ....................... .-...........-...... ................................................................................ of ....~i:":"'.r..l1"'~?..u...... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, . W I ^f .c:....,fI...JA T8wn Trustees authorizes and.permin +Iu; fol\owinq: ! et a'Hcr"Pl!tYfil."t conslhict a smgle-tamlIY resldeince together wit 1 the associated water supply and sewage disposal systems,approx. . 200 cy. of clean sand and gravel will be used to backfill the bldg., ~ site to the prop. grades, with the condition of a 50' non-distur];,an. buff~1f i1a1gtb~aaR!~c~'\hdffiY,nd3laMd ~afl8Hf~s' cpFls'intW ~stalle the originating application. to contain roof ,run-off. all as depicted on revised plan dated 6/7/93 and last revised 11/2/01. IN WITNESS WHEREOF, The said Board of Trustees here- by causes. in CorfXlrat~ S~al to be a~xed, and these p~esenn to be subscribed by a malority of the said Board as of thiS date. J Tnuites ,~_/ . " ,,_,,_ ,,_ "_" . . ~ . . . . .~ '2 ~ > ~ , , . , .. ....,.'. . , TERMS and CONDfTIONS, Peter S. & Susan Danowski The p..rml_ residiag at 616 Roanoke Ave.. Riverhead N. Y., as part. of the coasidentioa lor .the i.....~ 01 dae ~ cIoet lloodeuWld aad p.-ribe to the 101- 1owiag: . 1. 'l1w the -.id !loud 01 Trustees aad cbe Towa 01 Soo",,^,d .. releaed &em my aad all ........ or daims lor .w..;e.. of aula adsiag dhecd.y Clt' Jadirecdr .. a .-k of my oper. adoa pafoamed pinuaAt to this peaaIt, aad cbe aid P ..;,~.... wDJ.at hU or her __ :q I _ deleDd my aad all IIiCh _1s'LoW......, by cbhd puder, aad die aid P I........A -f fall JlIIlIiq wilh n:ipect tbeteto, to die (Q~" . -loa 01 die Jlauod 01 ~ 01 doe TOWIi 01 S .cJ ~ 2. 'l1w this Pamlt is wIid lor . period 01 24 mas. wbld1 iI COOf" " to be doe --~ time. required to c0001"- the wodt fa~ blltirboalddt: .....- -. nqaett . lor ao -.I"" may be made to the !loud at . Iatu date. . 3. 'l1w Ibis ~t sbould be ~ iadef"udteiy, or as 10ag as the aid P " ItJee...w.e. to . ....1_1.. the se:rw:aue or poject favolvecl, to provide nideace to anyoae eoocemed chat aacb- orlutioo was orisfaally obtaiaed. 4. That dae wotkimobed will be lUbject to the j ''fl'U'Or aad applOftl of doe JlooIt'd OC its &pis, aad OOG-<Jo"'l"I..-with. the ptoYisloas 01 doe """'...., appIbtlon, may be cause foe rewcatioo of chls Peault by ftSOiodoo of the laid Boud. 5. That cbere will be no \lQft&soooble fatedereace wilh aavf&adoa as a result 01 the wodt baein aUcboD-i. . . 6. That cbere sball be DO ~ereace with the rf&bt 01 the pubIk to pass aad repas aJGac' the beach bet9Jeen hi&h aod low _tel' marks. . 7. 'l1w if .future opendoas 01 the TOWll 01 SontW'-J nqake the ftmOft1 aad/Clt' akmtlo- in the Iocatlnft of the wodt beteia au","...v-~. or ii, fa cbe opinloa of cbe Board 01 T~ cbe. wotk sball _ WIIelI......h1e obstructlOG to lree aaYigadoa. doe -.id p.-.I- will be nqahed. upoo cIDe -xe. to remove or aftel' this wotk or project baein stated wicboat "":1_' to cbe TowIl of Soacboicl. . 8. 'l1w dae said Board will be nodfied by the p..rmI_ ot 1he ,~'f&edob: 01 d>e wodt aacb- orlzecI. 9. That cbe Permlrree will obca1o all ocher permits aad con<e"lf daatmay be nqulred ~ pIementa1 to Ibis pamlt wbida may be aubject to revoke upoo la1lare to obtain - '- ,. LAW OFFICES PETER S. DANOWSKI, JR. 616 ROANOKE AVENUE P.O. BOX 779 RIVERHEAD. NY 11901 JOHN P. TAGGART, ESQ. (631) 727.4900 FAX (631) 727-7451 November 7,2001 Board of Town Trustees Town of Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 NOV I 3 ( '.../ Re: Peter S. Danowski, Jr. and Susan Danowski at Cutchogue, Town of Southold, New York Dear Sir or Madam: Enclosed please find (7) copies of amended Building Permit Survey, revised to depict 50 foot non-disturbance buffer and placement of haybales and silt fence during construction. Very truly yours, ~~OWSKT'JR PSD:gsg Encls. . . Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 16, 2001 Mr. Thomas C. Wolpert, P.E. Young & Young - 400 Ostrander Avenue Riverhead, NY 11901 RE: PETER S. & SUSAN DANOWSKI 1625 Monsell Lane, Cutchogue SCTM#138-l-2.l ,9.1 ,13.1&14 Dear Mr. Wolpert: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 24, 2001 regarding the above matter: WHEREAS, Young & Young on behalf of PETER S. & SUSAN DANOWSKI applied to the Southold Town Trustees for a permit under the provisions ofthe Wetland Ordinance of the Town of South old, application dated September 6,2001, 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 October 24,2001, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people ofthe town, 2 . . NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of PETER S. & SUSAN DANOWSKI to construct a single-family residence together with the associated water supply and sewage disposal systems, approx. 200 cy. of clean sand and gravel will be used to backfill the building site to the proposed grades, with the condition of a 50' non-disturbance buffer, hay bales placed down at 50'during construction, and drywells installed to contain the roof run-off, all as depicted on revised plan dated June 7,1993 and last revised November 2, 2001. BE IT FUR THER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months ofthe date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Fees: None Very truly yours, t2!/. L .1 t1. {{. .>'~. (2,. ~.. 1(. t 'v- Albert J. Krupski, Jr. President, Board of Trustees AJK/lms DEe Bldg. Dept. . . Telephone (631) 765-1892 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, October 15, 2001, the following recommendation was made: Moved by Bill McDermott, seconded by Melvyn Morris, it was RESOLVED to recommend to the Southold Town Board ofTrustees APPROVAL WITH A STIPULATION of the Wetland Permit Application of PETER S. & SUSAN DANOWSKI to construct a single-family residence together with the associated water supply and sewage disposal systems. Approx. 200 cy. of clean sand and gravel will be used to backfill the building site to the proposed grades. Located: 1625 Monsell Lane, Mattituck. SCTM#138-1-14.1 The CAC recommends Approval with the Stipulation of a 50' non-disturbance buffer. Vote of Council: Ayes: All Motion Carried r I iJJlljilllJilli IiliUlllill~i 111lllIl1i UI i illJ iJ11lJli i II ill I i ililll~ Ii 1111 !! (I! I 'I ~ ~ 11 "! '"'ii')' IP'11 , ~ II !: , ;:: ~ ! , ;;; , 11 ;;; ~ , 'n I! "J . III I ::'(91 ill I PiPI ~ ~ ~ 1 , r ! H 1 ~ 1 ill,', I IIII! ! 1111i; ill\! 11", _ii" I!!!! iilll ~" !iPP~ II!J~:~ II ~ Ha~~~ ill I rii 1 I I ~"PI ~,d~ 1~"9~ ; ~ ~: ~ s HH~ ~; "! - J;t "" ~~ .." e ; "' '~n ,~O 'i~~ ~~:;- ---< ~ ~i' ~= ,~ :~.~ ~ iii 3(~ ~ ~ ~ , ~1' 'i ! , ' ~ ~ II ~I ~j ~I g; ~ .....," <0 ~~ Q~. -?>o ~ >? <"'-f' ~v ~~ \~ \ _r-;'1 ___I ' ': I "1":--- ~. \~ ': _~---- ~ _w 1_ _ .J.-- .4",',"" d--_;;;,-. \ p", , - I I ~ - ,;: e 1,/ I ! \/./ ,I,' 'j'~.lI.. ........1.1' '/. / 1'" ~ '.~~~ __ ~y ~~ '\ .... ,{ . I ( .~..'_..Y' \ ~ ~ ~~ _ / -f', / -~/ j (~' ,'I \ p"~l "t I \ \ ".n ,e'''''' ~:;'~j ,1 ~;~~ ,.-' ,." ~'"'-' _~f:;,J:;:,_\ ~~\\~\t I" _~.J-Y ~/ I"' ' "\ ...r ~ .'-.""- \ \ ,." 4'~/~__~- 'n'''''." . , ',- \ \,' ~ ~K-/\", ~ A'~\ . ..' '\..'... \.l._ --'~ .<</\ -~\ '.,' .' \ III 6~'" ~--.- - \ ,. e ' , '< '; \ ~ ;) < ... -~."'\ ,<;. ~ \ \ ' ~,' '."<." (~\> )~~. "'\\"~\"\'V,' /:" ),\-< \ ....---' \...' ~ - , , I '-"~ , , --7; <-:--- , ( I"" Ii ::l:1 i: I' (I ,'II ; I ~ I . IE III ,ii I! I iW (nl !l I I ~ i i i 1II1 I111 II! II' ". III =". Ii! 1''' I ~ 'r !iiI till , 'ill hi! " " i! ,! ,. ..9 , !'" ( ..i: ~ " 'Af., f~ J \' "!i{ ~f ~ ..< l,- ~ ! , i 'I >- , v ( J ):[-' , _' '~~~~7' .": _":"IIO';'HIII'i;,j:f: Ii ___y/'" Ce,rJ,/}/T';;t- ':~- "'----, ----CC.??"~-I..~.M., '} <).__/'::(; ,". .'\20 ,;,i,' ,.~19. \ '::1. \ ;& . ""\ I , .Y--~' ' _ -T- ,w; ",!,-_I '," ." ._.;;7.'." - >...' i.~. .............., ,,/'.,., ,(Jl,\,_ I "_l \ _ ,,:d\~' ,'j ) ~\\'1. ':.'1: I -Jjf' /,'. ~ :b, ,I- ';,,' ,..-: <:: . L I " J ~~ _C\.~~ l' '\ \ ~~~ 1"':1, \'\ . },' r\' /_r\ "....;.:%~)~, 1'- ~ ~ I /~\ "\,0' "":;J:,~i~'l'; , .. ~i ,\I t r" i , \" i I 1,0/,-f.o I .. ";:1 ': \ \" c, I. I " " , . ' ' "" \ ", / \,' " , II , J' \~c: '(, /", 'J'1'} /,,' ).~~:;.I';; ,^' "" ,\ I r I . ,),. , '. \\~\v\\\:' , ' ' ./ :~~\ _', X, .. -:-4___ ~~ w m h )6 I:: \ ) .', f , -"'"" ~ -__,.l 'lfe,)" . "f& "-.. (> -:" Peconic' .-.' f'Seh / ':-0 \ ! ) """'<S'~ "",,~ r / ,.' =i. :)0\::\,:0 \J~"'_:" :"))! :(,' }~1\" .,_,,' ."~r-:""~: '\" ,~/ ,l.-') ,^ Be 4 , 10 20 ,. , 16 :?c ,':2 " " !,f: ~ 17 < 21 2 .6- .- 5 21 i713 I SCALE 124 DC . . "=-- ~ '1lUFFOl.t ~ J ~'\;.(;f~ ~<-. . ,,'" => '... '. :;..\ ~~Q (:..'.: ti.....' ~ .~ '.,'C'" ,.,., "0 ,-, . '..-.. A'~' . ~c ~h -. ~~. ~ OJ "'c i-~ . -.-..& ~- ,'. Alben 1. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 SouthoJd, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use only -::=:1 ~OO.~) Coastal Erosion Permit Application ~etland Permit Application Grandfather Permit Application Trustee Lands Permit Application waiver ~ ~ceived Application: . I Clerical Review: Completed Application Incomplete SEQRA Classification: ype I Type II Unlisted Coordination: (date sent) ~CAC Referral sent:~ ate of Inspection: 01 Receipt of CAC Report: (date) Lead Agency Determination: T hnical Review:(date)~ ublic Hearing: (date) bl Decision: Approved (Y/N) (date) pplication Fee:$ ~m.UO i...:k i~' " o tv Name of Applicant Peter S. Danowski, Jr. & Susan Danowski Address 616 Roanoke Avenue, P.O. Box 779 Riverhead, New York 11901 Phone Number: ( 631) 727-4900 Suffolk County Tax Map Number: 1000 - 138-1-2.1, 9.1, 13.1 & 14 Property Location: South end of Monsell Lan~ ~~rox_ ] .??] rQ9t south of Skunk Lane (provide LILCO Pole #, distance to cross streets, and location) Riverhead, New York 11901 Phone: (631) 727-2303 c~ tJ'~\O\fi Agent: ~ung & Young ATTN: (If applicable) Thomas C. Wolpert, P.E. Address: 400 Ostrander Avenue 1 ~rd of Trustees APPlicatiojlt GENERAL DATA Land Area (in square feet): 171,840 +/- sq. ft. Area Zoning: Previous use of property: Intended use of property: single family residence Prior permits/approvals for site improvements: Agency Date X 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): (see attachment) 2 . . August 22, 2001 ATTACHMENT TO NYSDEC JOINT APPLICA TION FOR PERMIT ITEM 15 - PROJECT DESCRIPTION AND PROPOSED PURPOSE Construct a single family residence together with the associated water supply and sewage disposal systems. Approximately 200 cubic yards . of clean sand and gravel will be used to backfill the building site to the proposed grades. ITEM 16 - ADDITIONAL FEDERAL. STATE AND/OR LOCAL PERMITS Aqencv Tvoe of Permit/Aooroval Southold Town Trustees Coastal Erosion and Wetlands Permit Suffolk County Dept. Health Services Approval to Construct Water Supply and Sewage Disposal Facilities Jltrd of Trustees APPlicatiotlt COASTAL EROSION APPLICATION DATA Purposes of proposed activity: single family residence. To facilitate construction of a Are wetlands present within 75 feet of the proposed activity? x No Yes Does the project involve excavation or filling? No x Yes If Yes, how much material will be excavated? 200 How much material will be filled? 200 (cubic yards) (cubic yards) Manner in which material will be removed or deposited: Conventional earthmoving equipment, ie. excavators, backhoes and/or bulldozers Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) The environmental impacts that could occur as a result of implementation of this project as proposed include soil erosion and siltation. However, ..the implementation of certain construction measures is expected to adequately mitigate these concerns. For example, a silt fence with haybales will be constructed at the seaward side of the proposed area of clearing and ground disturbance. All disturbed areas will be re-vegetated as soon as practical following construction. 5 . . Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Pu=pose of the proposed ope=ations: To construct a single family residence. Area of wetlands on lot: 29,238 square -rQC'" -'-'-(.. Pe=cent coverage of lot: 1.4 % Closest distance between nea=est existing structure and upland edge of wetlands: 86 4 feet Closest distance between nearest proposed structure and upland edge of wetlands: 75.0 feet Does the project involve excavation or filling? No x Yes If yes, how much material will be excavated? 200 cubic yards How much mate=ial will be filled? 200 cubic yards Depth of which material will be removed or deposited: 3' - 4' feet Proposed slope throughout the area of operations: 3-5% Manner in which material will be removed or deposited: Convetional earthmoving equipment, ie. excavators, backhoes and/or bulldozers 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): The environmental impacts that could occur as a result of implementation of this project as proposed include soil erosion and siltation. However, . the implementation of certain construction measures is expected to adequately mitigate these concerns. For example, a silt fence with haybales will be constructed at the seaward side of the proposed area of clearing and ground disturbance. All disturbed areas will be re-vegetated as soon as practical following construction. 6 Jltrd of Trustees APPlicatio~ County of Suffolk State of New York Peter S. Danowski, Jr. & Susan Danowski BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT ( S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE ~RNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLI CJ..NT 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(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT ( S) OR REPRESENTATIVES ( S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~j~.ll) , Signature "LkU1~ob~ /' / SWORN TO BEFORE ME THIS JC\ ~ DAY OF l'\\).~"" +- ,-3:-9 <J bo( ~.~~ ~. ~illlN' . Notary Public elIZABETH A. FAU.ON Notary PLtlIic, Stall 01_ Vork No.01FA5069387 CluIIIIiodn IluIIokCOUnty Corrrn_ ..._25.2ODO- ~CX)'~ 3 . Board of Trustees . Application AUTHORIZATION (where the applicant is not the owner) I, Peter S. Danowski, Jr. (print owner of property) residing at 616 Roanoke Avenue (mailing address) Riverhead, New York 11901 do hereby authorize (Agent) Young & Young to apply for permit(s) from the Southold Board of Town Trustees on my behalf. _rNv.lAO~ (Owner's signatur ) ~' ~~~~a;6' ,/ 4 14.16.,. f2/B7)- Text t2 I PROJECT 1.0. NUMBER Slala Envlronmantal auallly Ravlaw SHORT ENVIRONMENTAL ASSESSMENT FORM . For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor) , . Sl;QR 1. APPLICANT ISPONSOR -f 2. PROJECT NAME Young & Young ATTN: Thomas C. Wolpert, P.E. Peter S. Danowski, Jr. & Susan Danowski 3. PROJECT LOCATION: Munlclplllly Cutchogue T/O Southold Counly Suffolk .. PRECISE LOCATION (Slr.I' Iddress and raid Inlerslcllons, promlnenllandmarks. elc.. Dr prOylde map) South end of Monsell Lane 1,271 feet south of Skunk Lane .. approx. S. IS PROPOSED ACTION: [iiJNew o Ellpanslon o Modlflcatlon/alleraUon 6. DESCRIBE PROJECT BRIEFLY: Construct a single family residence , 7. AMOUNT OF LAND AFFECTED: InlUIUy 3.9 Icres . Ulllmalely 3.Cl Icres . 6. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? KJy.. ONo If No, describe briefly - 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (XI ResldenUl1 o Induslrlll o Commerclll o AQrlcullutl o ParklForesUOpen spiel o Oln" Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNOING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY IFEDERAL, STATE OR LOCAL/? liB Vel ONo II 'rill. IIsl Igency(s) and permll/eppronll Suffolk Co. Dept. of Health Services - Water Supply and Sewage Disposal NYS Dept. of Environmental Conservation - Tidal Wetlands Permit 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLV VALID PERMIT OR APPROVAL? Oy.. IKI No U yll':l. .I,t ag~ncy name and permlUlpprov.1 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? . OVI. liD No I CERTIFY '(HAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MV KNOWLEDGE AppllclnUIPonlor neme: Young & Young ATTN: Thomas C. Woloert. P.E. Olle: 08/20/01 ~e.w~ .. Signature: . . " the ecllon Is In the Coastal Area, and you are a state agency. complete the Coastal Assessment Form before proceeding with thIs assessment OVER 1 "PART'fi::"ENVIRONMENTAl AS.SMENT (To be completed by Agency) . A. OOES ACTION EXCEEO ANV TYPE I THRESHOLO IN 6 NVCRR. PART 61/.121 o V.. DNa B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NVCRR. PART 81/.61 may b, superseded by anolher Involved agtncy. o V.. DNa C. COULD ACTION RESULT IN ANV ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answe" mav be handwrlUen, II legible' Cl. Exlsllno air quality. surface or groundwater quallly Of qUlnlll)'. nolsl 11...11., existing IraUle paUern., lolld WAllt producUon or dlspos.l. polenUal lor .rollon, dlllnilOI or lloodlng problema? Explain briefly: II yes. coord In.', Ih, "'I'IW procIss and use Ihl FULL EAF'4 If No. II "lg.llvl dlelal.llon C2. Anthellc, agricultural, archaeological, hlslorlc, or oth" nalural or cul1ulIl r.,ources; or community 01 neighborhood cha'lel.,? Explain briefly: CJ. VIOllallon or '.una, (Ilh, sh,llflsh or wlldlU. spleles, slgnlflcanl habll.ls, or (hr..ltned or end.noered splcl.., Explain brleUy: ~. A cammunlty'. existing pl.ns or go.l. as officially .dopted, Of . chang. In Ut. or Intenelty of Ult 01 land or ath.r natural r..ourc..' Explain brlllly CS. Growth. subsequent deyelapment. ar rei. led acllYltle. IIkel)' to b. Induced by the propo.ed .ctlan? Expl.ln briefly. ca. Long term, .hort term, cumulatlye, or alher eUectl notldenUlled In C1.cs7 explain briefly. C7. Oth.r ImpaclI (Including chanoe.1n us. .1' ellher quantity. Of type af .n.rgy)1 Elcplaln brl.fly. D. IS THERE, OR IS THERE L1KELV TO BE. CONTROVERSY RELATED TO POTENTIAL AOVERSE ENVIRONMENTAL IMPACTS? o Ves 0 No If Ves, e.plaln brleny PART III-DETERMINATION OF SIGNIFICANCE(TD be completed by Agency) INSTRUCTIONS: For each adverse elfeclldantllled above, delermlne whalher Ills sUbslantlal,large,lmportanl or 0lharwl8e slgnlllcanL each elfacl should be ......ed In connecllon wllh lIs (a) selling (I.e. urban or rural); (b) probabnlly 0' occurring; (c) duration; . 'I Irreysrslblllly: (8) geographic scope: and If) magnitude. If necessary. add attachments or ,e'erence supporting materials. Ensure that explanallons contain sufficient detail 10 show Ihat all reJ.y~nl adyerse Impacta haye been Idenllfled and adequately addressed. o o Check Ihls box If you have Idenllfled one or more polenllally large or significant adverse Impacts which MAY occur. Then procBed directly 10 the FULL EAF end/or prepare a pOllllve declaration. Check this box If you have determined, based on the Informallon and analysis above and any supporting documentation, Ihal the propDsed action Will NOT rBsult In any significant adverse envlrDnmental Impacls AND provide on aUachments as necessary, the reasons supporllng this dt'termlnatlon: N.m. at Lud Alene,," P"nl Of r yJ)t N~m. a. R.'pon'lbl~ Olliu, in Lud ^I~n(,," Jill. 01 R~lponlibl~ Olliu, S'ln.cu,e 01 R~lpon"bl.. Olllce. '" L...d AI..nc,," Si....lu,.. DI P'..p.,.., (II dlll..,..n. from ,esponsible oUice,' 0... 2 95-19-3 110/98)-q NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION OFFICE OF GENERAL SERVICES UNITED STATES ARMY CORPS OF ENGINEERS JOINT APPLICATION FOR PERMIT' it If.iiif.'il ~ US ARMY CORPS OF ENGINEERS DEe APPLICATION NUMBER DISTRIBUTION 1ST COPY' 2ND COPY 3RD COPY 4TH COpy 5TH COPY Permit Administrator Corps of Engineers Program NYS Agency Applicant 1. Please read ALL instrudions on bock. Check permits applied for. AHacn additional information as needed. o FRESHWATER WETLANDS !lg TIDAL WETLANDS 0 WATER SUPPLY 0 LONG ISLAND WELL o PROTECTION OF WATERS FOR, o A. Conslrudion or placement of docks and moorings 0 B. Construction, reconstrudion, or repair of 0 DAM or other impoundment slrudure o C. Disturbance of 0 STREAM BED or BANKS or excavation in or fill of NAVIGABLE WATERS 0 401 WATER QUALITY CERTIFICATION o COASTAL EROSION CONTROL 0 LAKE GEORGE PARK COMMISSION (Docks and Moorings) 0 WILD, SCENIC OR RECREATIONAL RIVERS o AQUATIC PEST-CONTROL FOR: D A. Aquatic Vegetation Control 0 B. Fish Control 0 C. Insect Control o LEASE, LICENSE, EASEMENT, or other real property interest in state. owned lands under water 0 UTILITY EASEMENTS (Pipelines, Conduits, Cables, etc.) 2. liST PREVIOUS PERMIT/APPliCATION NUMBERS AND DATES (If any) 3. IF OTHER THAN INDIVIDUAL, PROVIDE TAXPAYER 10 NUMBER 4. APPliCANT IS A/AN; DOwner 0 Operator 0 Lessee 0 Municipality/Governmental Agency (Check as many as apply) !XI Agent 5. NAME OF APPLICANT (use full name) Younq & Young Attn: Thomas C. Wolpert, P.E. MAIliNG ADDRESS TELEPHONE NUMBER (Daytime) 400 Ostrander Avenue I 631 POST OFFICE Riverhead, 6. NAME OF OWNER (if different than number 5 above) fXJ Owner 0 Agent/Contoct Person Peter S. Danowski, Jr. & Susan Danowski MAILING ADDRESS 616 Roanoke Avenue, P.O. Box 779 POST OFFICE Riverhead, 7. PROJECT/FACILITY LOCATION (mark location on mop, see number 1a an reverse side) County Suffolk ITown/C;ty/V;Uoge Cutch ue ADDRESS (including street or rood) 727-2rf3 STATE ZIP CODE N.Y. 11901 TO Southold N.Y. 1000-138-1- 14.1. !Tax Map Section/Block/lol Number. TELEPHONE NUMBER (daytime) POST OFFICE DEC USE ONLY NYTM-E 9. Name of USGS QUAD NlAP NYTM-N 4 8.NAME OF STR AM OR BODY OF WATER (on or near project site) Southold 10. HAS WORK BEGUN ON PROJECT? (If YES, attach explanation on starting work without permit, include dotes) 11. PROPOSED STARTING DATE Show work on mop or drawing 0 Yes KI No Nov. 1, 2001 12. APPROXIMATE COMPLETION DATE 13. PROPOSED USE: 14. WILL PROJECT OCCUPY STATE LAND? March 31, 2002 Iil Private D Public 0 Commercial 0 Yes IX! No 15. PROJECT DESCRIPTION AND PROPOSED PURPOSE: (e.g. quantity and type of materialta be excavated, dredged or used ta fill or riprop; location of disposal sites; type of structure to be installed; height of dam; size of impoundment; capacities of proposed water sources; ptent of distribution systemi size of marina and types of docks and moorings to be installed; etc.) (see attachment) 16.wILL THIS PROJECT REQUIRE ADDITIONAL FEDERAL, STATE AND/OR LOCAL PERMITS~ IKl Yes 0 No If YES, please list: (~~A ~rt~chmAnt) I hereby affirm that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief. Folse statements made herein are punishable 05 0 Class A misdemeanor pursuant to Section 210.45 of the Penal law. Further, the applicant accepts full responsibility for 011 damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits, actions, domages and costs of every nome and description resulting from said project. In addition, Federal Low, 18 U.S.C., Section 1001 provides for 0 fine of not more than $10,000 or imprisonment for not more than five yeors, or both, where on applicant knowingly and willfully falsifies, conceals, or covers up d material fact; or knowingly makes or s a folse, fictitious or fraudulent statement. 1811 hereby authorize the agent nome Signature of Agent/Contact Person Agpnt for Ownpr Dote , Oat. ''is/d),C2./0 ) : , Signature of Own r . . youtJG & youtJG Plqnnlng, [ngineeting &I Uind gutveylng <too Omqndet Avenue RlvetheQd, /Jew YOtk 11901 T.,.~..(Mf) 727.2g0g ~...lmU. (MI) 727.0144 HOWARD W. YOUWG, l.ond S....yor THOIIAS C. WOLP!;RT, P>ofeulO.I' ~.gi.... September 4, 2001 Board of Town Trustees Town of Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 ..... d _ ;< .'. SI:.P - 6' , RE: Proposed Single Family Residence PETER S. DANOWSKI & SUSAN DANOWSKI at Cutchogue, TIO Southold, New York (99-0358) Dear Members of the Board: Kindly issue letter of non-jurisdiction or~nds ~in conjunction with the above referenced project. Enclosed are the following items: 1. one (1) - Southold Town Trustees Application package (pages 1-6), 2. one (1) - Short Environmental Assessment Form, 3. one (1) copy - NYSDEC Joint Application for Permit, 4. one (1) copy - Attachment dated August 22, 2001, 5. one (1) copy - portion of USGS Quad Map depicting the project location, and 6. six (6) prints - Building Permit Survey last dated August 6, 2001. Please note that all building construction will occur landward of the 75 foot setback from tidal wetland boundary as indicated by Jeffrey L. Seeman, Environmental Consultant. The 75 foot setback line has been staked by us. . . Page 2 September 4, 2001 Please note also that, since all proposed construction will occur landward of the 10 foot contour, we believe that the NYSDEC will issue a letter of non-jurisdiction. If you have any questions regarding this matter, please do not hesitate to contact us. Very truly yours, t/~t.w~ Thomas C. Wolpert, P.E. TCW/mal Encl. cc: Peter S. Danowski, Jr., Esq. + Ene!. . . PROOF OF ~LING OF NOTICE ATTACE CERTIFIED MAIL RECEIPTS Name: Mary A. Tangney John P. Bernhard and Douglas N. Bernhard Address: 1703 Little Neck Road, Cutchogue, NY 11935 1010 Brooksglen Dr., Roswell, Georgia 30075 Albert J. Krupski, Jr. Nature Conservancy George E. Monsell, James I. Monsell and Thomas O. Monsell 2790 Skunk Lane, Cutchogue, NY 11935 415 River St., 4th Floor, Troy, NY 12180 509 First St., Greenport, NY 11944 George Monsell and James Monsell 509 First St., Greenport, NY 11944 14 Oak Road, Setauket, NY 11785 Norman Stone ST.\TE OF NEW YORK C01~I O~ SUFFOLK __ E).iz:"bet~ A. Fallon , residing at Wading River, NY 11792 --- J being duly sworn.~ d~pcsi!:s .3.nc:." r;;;ay!'~ U;d:: C~ t;~(! 15th day ct October, 2001 ," . c.ieoQU'i>!1:::: :Jii: :.ed ~, tr.;.~ copy ::Lt "::lie r40tice set forth j, n the -?o~d ot '!;:l1s~c:e.s A?;:lli"aticn, ,t1rActed to each of the above nBlIIeri pe=s~ns ut t.olS ~ldresse5 set opposite there respective names: that tr.~ .:HiQ.r(~1!:~~S s"::!!c. opposite the names of sald pt;"::'SI...1!1S a.~~ thF.. aQ.t.!1:"~~~5 of s~id perSOllS as shown on the current assessment ~o11 o~ ths 1'0'.,11 OT. Sout.'1eJ-'.d; that a,aid Notices were mailed a': ::be t;r,.Ltsd States ]?ost Ot:fice at RJ.verhead, NY , that said Notices were mailed teJ each of said persens by (certified) (registered) mail. ~~l~ 15th t;tt: ~,t. ~ . IJJ/!Aofr7?1r tJflar/oaT 6 - . . Town Hall . 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Albert J. Krupski, President James King, Vice.President Henry Smith Artie Foster Ken poliwoda Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application 'of' _Q()!(Q:C~..~-~S).D.oro~C- COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, Peter S. Danowski, J~.residing at 604 Roanoke Ave., Riverhead, New York 11901 being duly sworn, depose and say: That on the ~fiSi day of oct. ,2001, I personally posted the property known as 1625 Monsell Lane, Cutchogue, NY 11935 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the ~lico3Darin~ Dat~ of hearing noted thereon to be held UU~,L)~\,~4,Jc( t\{'" Q.J.1 -l',(j) ~m , Dated: October 24, 2001 GrL Sworn to before me this "" -1 ~ 7~O' Notary Public " GALs. GOSS HalIIrN*.... 01 New York No. 52-6e~7~0 QuIIItclil Suflolk Co\IIIy CGl,,,,~ Elcpir8sJan. 31.~ " 0,.,3 IT1 <0 ru 111 111 ru ~ ~ Postage $ Certified Fee ell CJ CJ CJ Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Postmark Here CJ "- ...D .-'f v CJ CJ CJ "- Total Postage & Fees $ Sent To .St;e~~~No.~O~'POTB~p~~eY_m..u___--- _____'_mn_ _____m___n..o..._ 1703 Little Neck Road -t;~cff~l~g;;-~~; uN"Ymli93.5mmmmmmmmm ...D CJ IT1 111 111 ru ~ ~ Certified Fee Postmark Here ell CJ CJ CJ Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) CJ "- ...D .-'f Total Postage & Fees $ SamTa _ulU~r:_tu;J'm~!:,:l,lg;;J5,Lm.;rr;-,-- Street, Apt. No.; or PO Box No. 2790 Skl.l_rlkmI,arl~ CJ CJ CJ "- .J] ell ell en ;r ru ,4 ;r postage $ Certified Fee postmark Here r-- ,4 CJ CJ CJ CJ ;r en 0- 0- CJ r-- Return ReceiptFee (EndOrsement Required) RestrictedDeliVeryFe~ (Endorsement Require tage & Fees $ Total pos leted by mailer) Recipient's Name (Please Print c1erf ~o bJ;.$._.J._~__J1g[l.:?~J-il~n GeOrg~_.E:_,__1!19f1<l~--------TnOmaS O. Monse 'Sire;:;CApt. No.; or PO Box No. 50.sU'_irst-St-.-- 11944 .Citr. State, Z/poP+4 v-t NY lireen ... I CJ 0- ru 111 111 ru ;r ;r Postage $ Certified Fee Postmark Here ell CJ CJ CJ Return Receipt Fee (Endorsement Required) Restricted Deliva!)' Fee (Endorsement Required) CJ "- ...D .-'f Total Postage & Fees $ s~~hn___E'.lleI:'r1I1ClJ:"9-..Cl-rlCl-.Ilot,lg~Clf3~rnhard-... 'Street, Apt. No.; or PO Box No. 1010 Brooksgl~D___.Q~_~___.__________ --------------.---- -CiftJ~~J'lt,---G~orgia 30075 CJ CJ CJ "- en .-'f en 111 111 ru ;r ;r Postage $ Certified Fee postmark Return Receipt Fee Here (Endorsement Required) ../ ] Restricted Delivery,Fee (Endorsement ReQlJlfedl Total postage & Fees $ ell CJ CJ CJ CJ "- .J] ,4 CJ CJ CJ "- SantTo Nature Conservgn~_____ .Streei;-;.:pt:-No,:.-o'-P6-sox.f./o,--------- 415 RivecS_t_I::~_et_::-:__4th_J'lQO.t:-- -Ciiy:siate:ZIP+4--------- k 12180 Tro , New Yor -=r- ru .--'I ~ Postage $ Certified Fee "- .-'f CJ CJ (E d Return Receipt Fee n orsement Required) (:nd~riCled Delivery Fee rsemen! Required) Postmark Here CJ CJ ~ 1TI Total POstage & Fees $ ReCipient's Na ".ffQ~n.__$~~~;.print Clearly) (10 be co ____=~ft'03itff~cfO City, Si"c;te-Zip+;r.-""---.-. _._._._._____ SetaUket, NY 11785 pleted by mailer) IT" IT" CJ "- r'....,a-.';, ,'- ..':', :.-':,:';':,'1;,\'<:-!\.''',- '~~.~'B' ...~; ~:II'~I'li....?~ f "hit, ,~"'I! '< l.&. ..~'.J' " ,_',;',' _......~':._" :_;..':'.."._.~.. g; :tiIlWlI_IIII}.",t I:~~~~~~:~~:~ ',' ;,,;::;,,:l, 0- m ;;r ru .M =r r- M <::I <::I Bt IF' rJ's( ',11 1 c Ie, r:J I ,j S~ 011 <::I <::I =r m 0- 0- <::I r- III IF .tag(B. FEle $ L ~-1 lell ; Nan"1/' ,0 ':::'-:ci~':_\' ",,' "".;,,1 ,',"'0(.' i'--;- ','.',,111,0, i\I~".S. et!tSCY')ue.SJI/v,' Si,lI rf.~Jr;~(J a"l"C)) N(.,J..J '" . L ~ ':,. T 'i~ ~ zl;{ "~----------'-- ----------------------- , I )J i c; tI.!; I.I~~ ~"aL,(B1illil m: iii' . Complete items 1, 2. and 3. Also complete Item 4 if Restricted Delivery is desired. . Print your name and address on the reverse SO that we carYfeturn the card to you. . Attach this cf;td to the back of the mailpiece, or on Ule fr ht if space permits. 1. Article Addressed to: George Mansell and James Manse 509 First Street Greenport, NY 11944 2. Artic?le Number (Copy from seryice label) x D. Is delivery address ~ from It8m 11 If YES, enter delivery addNes bekJw: 3. Service Type <<Certified Mail C e.xpr.s tMU o Registered .Return Recelpt for Merehanc:It:Be o Insured Mail C C.O.D. 4. Restricted Delivery? t&tr8 Fee) [J Yes 7099 3400 0017 4124 3~ \ I \. \ I Domestic Return Receipt 102595-00-M-Q952 PS Form 3811, July 1999 r · Complete items 1 2 and 3 Also . item 4 if Restricted Delivery'iS d ':;;Plele · Prlllt your Eme and address onesth' . so th t e reverse a we . an return the card to ou · Attach this rd, to the back of tht m~i1piece or on the f t if space permits. ' 1. Article Addressed to: Albert J.Krupski, J 2790 Skunk Lane r. Cutchogue, NY 11935 2. Artlc/It Number (Copy from service ~O PS Form 3811 , July 1999 "8 A X ' ~Agent D. Is delivery addl'ell 11 ~ =reSsee If YES, enter delivwy address bebw: ~o 3. Service Type l!r Certified Mail e exp..,.. Mall e Regis'e"'" 11 Return ReceIpt tor o InSUred Mail [J C.O.D. - Merchandlae 4. Restricted Delivery? (&n Fee) eYes 1670 0008 4425 53061 II Domestic Return Receipt II I 102595.o()'M-0952 .~'~~2o.~I=~ . Print your nome ana __ on \he """""" so _"!>8Il return the card to you. . Attach tI1lIl card to \he back of \he m8llplece, or on \he lrant W space permits. ,. Article_to: Mary A. Tangney 1703 Little Neck Road Cutchogue, NY 11935 D Agenl DAd_ Dyes DNo f'JO 2. Ani<:ll\NyJW~y'''r\>n.1--> I rn171lOO11l'VPI4Q)8I44~511!1~8f3 PS FOmi3811. July 1999 3. Service Type lIJ~fied Mail D Express Mail CJ Registered .. Return Receipt for Merchandise o Insured Mail D C.O.D. 4. RestrIclad CaUvery? (Extra Faa) Dyes ,. llomostIc Return _pt 102595-OO-M..0952 I , I ,I! ~i , . ColnPliite...t, 2, and 3. AlIo~ ~em 4 . R:.ALhoid DelIvery Is deend. . Print your _ and _188S on \he lW"'lI8 so _ we C8I\ mum the card to you. . Attach this card to \he back of the m81lp1ece. or on \he IIont W space permtts. 1. Article C. Signature x:k D.lsdallvery_dIIlaranlfrom 1? If YES, enter delivery address below: D AganI D Addrassaa Dyes D No llature rvancy 415 River Street 4th Floor Troy I NY 12180 3. Service Type ... certified Mail D Express Mail D Registered .. RetumReceipt for Merchandise D Insured Mail 0 C.O.D. 4. Restrictad Delivery? (Extra Faa) D Yes 2. AnicI._iCopyfrom~"'m70 0008 4425' 5313 PS Form 3811.IJ.JJ ~9Ile I i I i Ldc ~rn Rodoipl i; i, ;: :'.: j' . , ., ',b'595.QO.M-0952 YOUWG & YOUWG PI~nnlng, [nginl!l!/'Ing & LlInd gurveylng 400 Om~nder Avenue RiYethMd, New York 11901 . . T.Ja~hollO(MI) 727.2909 r...lndJ. (MI) 727.0144 HOWARD W. YOUNC, La"" SlIrI''''' TIlOllA!: C. WOLP!;RT, PtoIudDIlOJ ~ntI- September 10, 2001 A TIN: Charlotte Board of Town Trustees Town of Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 RE: Proposed Single Family Residence PETER S. DANOWSKI & SUSAN DANOWSKI at Cutchogue, TjO Southold, New York (99-0358) Dear Charlotte: Enclosed is our check payable to "Town of Southold" in the amount of Two Hundred Dollars (S200.00) representing the application fee. We understand that this matter will be on the Trustees meeting agenda for October 24,2001 and that we will notify adjacent owners prior to the meeting. If you have any questions regarding this matter, please do not hesitate to contact us. Very truly yours, ~t.W~ Thomas C. Wolpert TCW/dc Encl. ,__"~,,,,,"'_'U~...._""'-- t ~,.,~~ ~ 1-' r", I',; r; \" ': 1 /_ " r:_ ~.; l.',t.. i. i' SEP I I 2001 i:i~ h ._, p'i i, cc: Peter S. Danowski, Jr., Esq.