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Home My WebLink AboutTR-5412 Jam.esKiug, Vicp-Presidp.nt. Henry Smith Artie F0ster Ken Polh;vocla ~. j{!' ~\).... it t.., ~C'4. ';><~o./ ,. ;:>-:>~ . ~J '-T' ~...~\) ~,',\ ;y fl, I~ ~,'l " ,,~;.>( '\"" j , " 'I'; "If . 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 SOUTH OLD September 20,2001 , r I \'l '- C" \ 'I ' \ \ I' l. l'", ,jj .~f ,!i""I.A, l'~ , .i'.:' ,I P*~y,0~r ~... .- f" I} I ,~, .""" Glenn E, Just J.M,O, Environmental Consulting, Services P.O, Box 447 121 Jessup Avenue Quogue, NY 11959-0447 ~. " I ~, '~ RE: Belvedere Property Management LLC. Robins Island, New Suffolk, NY SCTM#134-3-5 Dear Mr. Just: The following action was taken by the Board of Town Trustees during a Regular Meeting, held on September 19, 2001, regarding the above matter. WHEREAS, JMO ENVIRONMENTAL CONSULTING SERVICES 011 behalf of BELVEDERE PROPERTY MANAGEMENT LLC applied to the Southold Town Trustees for a permit under the provisions offhe Wetland Ordinance of the Town of SouthoJd, application dated August 27, 2001 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 September 19, 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 standard set forth in Chapter 97-18 ofthe SouthoJd . 2 . Town Code. WHEREAS, the Board has determined that the project as proposed will not affect the health, Safety and general welfare of the people of the town, NOW THEREFORE BE IT. RESOLVED, that the Board of Trustees approved the application of BELVEDERE PROPERTY MANAGEMENT LLC to remove/control the aggressive non-indigenous species of plant, Giant Reed (Phragmites communi as ) from two separate areas of regulated freshwater wetlands and their adjacent area on Robins Island and to restore them with native plants. The Phragmites are in a stage of unnatural abundance these two locations where they threaten to dominate the natural systems and diminish the natural biodiversity ofthe systems. It is the applicant's intent to maintain these areas are phragmites free. BE IT FURTHER 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 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 ofthis notification. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified when project is started and on completion of said project. FEES: NONE Very truly yours, /)/?A J (J. ~/' Albert J. Krupski, Jr. President, Board of Trustees /4.-fJ'~ 9 AJK/cjc cc: DEC Board Of Southold Town Trustees PERMIT NO. ISSUED TO .... SOUTHOLD, NEW YORK ~.JI2- DATE: ...Sept; 20;2001 J .1,1, O.EllV:~!()I1J!l",ntaICol1,s\lltingon..behalf..of BELVEDERE PROPERTY MANAGEMENT i\utllUri1!utiult 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 ...$ept.19., ....... and in consideration of the sum of $ ... 200. SS .. paid by J,M,Q ,]!:l1,yix<mrnentaL Consulting .............. of....9':'o.g1,\e. N. Y. and subject to the Terms and Conditions listed on the reverse side hereof. ,..1 C::""uf.h",'A T ,",'WIn T rlJ~teAs ","thnriYp.~ i'lnrl n,..r""lf.~ ...L-, .t.....II....u..:...... Wetland Permit 10 remove/collfrolthe Rggrc~~;ve non.indigr:lInl!f; spr:-cirs of pl:1l1t, Giant Rcrd (Phrngmiles cl)1nmtmins) f1'01111wo sepmale atc;1S ofreplll:lk1l f1e,<;hw:1tcr wcllnllrl<; and their ncljnccnl area on Rohins Islnnd :md 10 restore them with nntiH' pl~ll'~, '1'11(' f'lllogll1ites :11"(' ill R stngc ofUllnrtluml ahnndnncc these two locnliolls where rh,'.\' Ihl't'rltr:n to d(lJllinnt~ the n:l1m<l1 ~y~kms :ml! dirninish Ihe n<llmnl hiodivCfflily nfthe !':y~k1l1s. It j" thl' nrp1icant'" intcnllo malllla;lIlh('sc ':!reas 3tC rhl"gll1ile~ free. CUI "' a~~Uluau,",c nil.. ...... .................... ..t'"..."....auvlI_ u. t"....ellluu "I . 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 dllt.e. ~J.~.9 . . TERMS and CONDITIONS The Permittee -, " ',- f BELVEDERE PROPERTY MANAGEMENT'. LLr. residing at Robins Island, New Suffolk, New York N. y~ as put of the cOO5ideratioo for the isSuance of the Permit does UIlderstaod and prescribe to the fol. lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising cIitect1y or lnditecdy as a result of any oper- ation performed pUrsuant to this permit, and the raid Permittee will, at his or her own e..pease. defettd any and all sUch suits 'lnitiated by third parties, and the said Permittee assumes full JlabUifJ with respect thereto, to the romplete emuslon of the Board of Trusttes of the Town of SouchQId 2. That this Permit is vaJ1d fur a period of 24 mas. which is consideted to be the estimated time required to complete the work Invol..ed, but should cirOllilstanCeS warrant, request for an extenSion may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the sttuctUte or project Involved, to provide evidence to anyone concerned that auth- orI%atioo was originally obtained. 4. 'That the work Involved will be subject to the Inspection and approval of the Board or its agents, and non-compUaoce with. the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be 00 unreasonable interference with oa'Yigatlon as a result of the work herein authorized. . 6. That there shall be no Interference with the right of the pobllc to pass and repass l10ng the beach between high and low water roatles. .' 7. That if future operations of the Town of Southald require the removal and/or I1tetatioas In the location of the work herein authorized, or if. In the opinion of the Board of TrusteeS, the. work shall cause unreasonable obsttuctlon to free navigation, the said Permittee wi11 be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee ot 1I1e completion of the work aach- orlzed. 9. That the Permittee will obtain all other permits and consents that may \le required sop- plemeotai to this permit which may be subject to revoke upon fallure to obtain tame. ( . - Telepbone (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 Tuesday, September 11, 2001, the following recommendation was made: BELVEDERE F>>ROPERTY MANAGEMEI\.!T LLC to remove/controlt/:1e aggressive non- indigenous species of plant, Giant Reed from two separate areas of regulated freshwater wetlands and their adjacent area and to restore them with native plants. Robins Island, New Suffolk. SCTM#134-3-5 The CAC did not make an inspection, therefore no recommendation was made. .p - ...1 _ ...0- . . Albert J. Krupski, President J"lmes King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall r,309r, Route 25 r.o. Box 1179 Southolo, New VOrl< 11971.0959 Telephone (631) 765.1892 Vox (631) 761;.1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Applic~n = Wetland Permit Application _ Major _ Mi _Waiver/Amend WC anges . r1 .AO l _Received Application: J' 0 / g. .k:. 7'>~ _Received Fee:$ 5];- 5V-~ _Completed Application _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ _Coordination:(date s~ ' _CACReferral Sent: {o I __Date oflnspection:~ ~ 0 I _Receipt ofCAC Report: _Lead Agency Determination: Technical Review: _Public Hearing Held: Resolution: -~~;;-~-;"~ --.- I, i! " I., ;\ "--,,. AI 2 7 2001 i '", t tc~ Q/{q(n/ I J Phone Number:( ) 631-734- 5141 Name of Applicant Belvedere Property ManaRernent LLC Address P.O. Box 301, New Suffolk N.Y. 11956 Suffolk County Tax Map Number: 1000 - 134 - 3 - 5 Property Location: Robins Island, New Suffolk \\)\ ?' (provide LlLCO Pole N, distance to cross streets, and location) AGENT: Glenn E. Just/ J.M.O. Environment,,] COIl""1ting Spnrices (If applicable) Address: P.O. Box 447, 121 Jessup Avenue, 2nd Fl, QUQgu~~y 11959-0447 Phone: 653-0607 . . Board of Trustees Application WETLANDffRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: Ph r a gill i t e s r e ill 0 val Area of wetlands on lot: .:':40,000 square feet Percent coverage offot: o % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? x No Yes If yes, how much material will be excavated? n /" cubic yards How much material will be filled? n I a cubic yards Depth of which material will be removed or deposited: , nla feet Proposed slope throughout the area of operations: nla Manner in which material will be removed or deposited: nla Statement of the effect, if any, on the wetlands and tidal waters of the town 111M IIwy result by reason of such proposed operations (use attachments if appropriate): As proposed, the project shall have no negative impacts upon the waters or wetlands of the Town of Southold. . . Board of Trustees Application GENERAL DATA Land Area (in square feet): +435 Acres Area Zoning: Previous use of property: Li censed shoo t ing preserve Intended use of property: sam e Prior pennitslapprovals for site improvements: Agency Date NYSDEC Cut vege @ Robins Island ponds 11/15/94 Southold Town Cut vege @ ponds waiver 8/26/94 NYSDEC South Pond Restoration 5/12/95 Southold Town South Pond Restoration 3/30/95 Permit 4422 NYSDEC Waterfowl Pit Blind 10/20/95 &12/30/97 Southold Town Waterfowl Blind-Waiver 7/28/95 NYSDEC Submarine Cable 9/29/97 Southold Town Submarine Cable 11/19/97 Permit 4824 Southold Town Boathouse NJ letter 3/13/98 - No ~~~P~e<fmitslapprovals for sfi~ iJip,JiMrlierM 13/98 Has anY'Permitlapproval ever been revoked or suspended by a governmental agency? ' X No_ Yes If yes, provide explanation: I Project Description (use attachments if necessary): Applican t seeks to remove / con trol the aggressive non-indigenous species of Plar{ Giant Reed (Phragmites communis) from two separate areas of regulated freshwater wetlands and their adjacent area on Robins Island and to restore them with native plants. The Phragmites are in a stage of unnatural abundance at these two ocations were t ey t rea ten to aminate the natural systems and diminish the natural biodiversity of the systems. It is the applicant's intent to maintain these areas as Phragmites free. tard of Trustees ?eTE~ J. TAL~ DEPOSES AND AFFIRMS THAT IE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAnmD HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, MID 1'11.0.1' ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS M1\Y BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD TilE TOWN OF SOUTHOLD AND TilE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMI\GES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE TilE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO ~IY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW 0F 111IS APPLICATION. County of SUffolk State of New York SWORN TO BEFORE ME THIS OLnd. va tIt . Notary Public ------- . Application BEIUG DULY SWORN' Q~~~ DAY DF7--~2a:AJ OllE/{ BABN( Notary PUblic Sta URBAN No, 02BAS:~e'N \t)rk Oua/lfled In S . Commission 1:_, Ullolk County ...." res June 23, 2('-2) . 7 .- . Board of 'l'rm;tees Application Belvedere the owner) I . at fO. Box-.so I (mailing address) New S lJUcl/( I 1-.) j II'lSC, do hereby authorize) ,M, 0 I (Agent) t nV'nJl1menf..a.LJll1rulbn3 ,ml(p;..to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ?4.d~eJ V I P of- Ruhlt1J ./rfond RoldlrlSJ' 1Lc . 8 --~l Albert J. Krupski, preSid.t I · t 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application .Mt(~~_~~J,~ 'COUNTY OF SUFFOL~ / --~ STATE OF NEW YORK) AFFIDAVIT OF POSTING I, G~.p\,W\ E. -:S-uS:1 , residing at (;)1 --:It2';)S.v.-p AvfVLU9 Q~ l~~l /t',}-,.+ \(C(~;c'(-OC{i\';f being ly son, depose and say: That on the C(/tda of s.e " 200 (, I post d the property known as . '-i~ L by placing the Board 0 Trustees 0 f ci 1 post where it can easily be seen, and that I have checked 0 be sure the poster has remained in place for eight days prior to the date ofLt~~/,q ~I JtJ.!;..~~:~~aring noted thereon to be held{~ I ' Dated: e this 200 ( I -' . Beverly J. Perkowski Notary Public, Statu of ;.ew York No. 01 PE6011f' h~tf,ounty Term Expires ) . . 14'16-2 (9/95)-7c 817.20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM SEQR Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE_ Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: 0 Part 1 0 Part 2 OPart 3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: o A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared, o B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared,. o C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared, . A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of lead Agency Print or Type Name of Responsible Officer in lead Agency Title of Responsible Officer Signature of Responsible Officer in lead Agency Signature of Preparer(lf different from responsible officer) Date 1 . . PART 1-PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional 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 involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. NAME OF ACTION Phragmites removal/control lOCATION OF ACTION (Include Street Address, Municipality and County) Robins Island NAME OF APPLICANT/SPONSOR Belvedere Propert ADORESS P.O. Box 301 CITY/PO New Suffolk NAME OF OWNER (If different) Robins Holdin Pr ADDRESS 1251 Avenue of the Americas 11th CITY/PO New York DESCRIPTION OF ACTION ZIP CODE 10020 Please see attached I , Please Complete Each Question -Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: DUrban Dlndustrial DCommercial DResidential (suburban) l2!IRural (non-farm) DForest DAgriculture ~Other Licensed Shooting Preserve 2. Total acreage of project area: +435 acres.entire island APPROXIMATE ACREAGE project area +2 acres.PRESENTlY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland lU!shwate~Jor tidal as per 6'-rticles W 25 of ECl) + 2 . acres +? acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces acres acres Other (Indicate type) acres acres 3 Wh t. d' '1 t e() " l/'iontauk, Plymouth & Rlve h d '1 . a IS pre ommant SOl YP s on prOlect site. . r ea RO 1 I::t a. Soil drainage: DWell drained % of site 5lfModerately well drained 100 % of site DPoorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS land Classification System? 0 acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? DYes ~No a. What is depth to bedrock? + 600' (in feet) 2 . 5. Appro~imate percentage of proposed project site with slopes: ~o-10% 015% or greater site, or district, listed on . 100 % 010-15% % 10. 11. 6. Is project substantially contiguous to, or contain a building, Registers of Historic Places? DYes ~No 7. Is project substantially contiguous to a site listed on the Register of National Natural landmarks? 8. What is the depth of the water table? + 2 ' (in feet) 9. Is site located over a primary, principal, or sole Source aquifer? ~Yes DNo Do hunting, fishing or shell fishing opportunities presently exist in the project area? Does project site contain any species of plant or animal life that is identified as threatened or endangered? 5lIYes DNo According to self Identify each speciesEastern HlIrl 'I'l1rl-j '" Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) DYes l!lINo Describe % the State or the National DYes lilNo IRYes DNo 12. 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? DYes IRINo If yes, explain 14. Does the present site include scenic views known to be important to the community? DYes )!JNo 15. Streams within or contiguous to project area: nnnp, a. Name of Stream and name of River to which it is tributary none 16. lakes, ponds, wetland areas within or contiguous to project area: a. Name FWliL SH-53 & SH-'54 17. Is the site served by existing public utilities? DYes III No a) If Yes, does sufficient capacity exist to allow connection? DYes DNo b) If Yes, will improvements be necessary to allow connection? DYes DNo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets law, Article 25-AA, Section 303 and 304? DYes 2gNo 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECl, and 6 NYCRR 617? K1Yes DNo b. Size (In acres) +2 acres 20. Has the site ever been used for the disposal of solid or hazardous wastes? DYes RlNo B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 435 b. Project acreage to be developed: 0 acres initially; c. Project acreage to remain undeveloped n / a acres. d. length of project, in miles: n / a (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed n / a f. Number of off-street parking spaces existing 0 ; proposed 0 g. Maximum vehicular trips generated per hour 0 (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family o acres ultimately. island(project area +2 acres) acres. %; Initially NONE Ultimately i. Dimensions (in feet) of largest proposed structure 0 height; 0 j. linear feet of frontage along a public thoroughfare project will occupy is? 3 Multiple Family Condominium width; o o ft. length. . ., . .. 2. How much natural material (i.e., rock, earth, etc.) will be removed from the site? 0 tons/cubic yards 3. Will disturbed areas be reclaimed? Il!lYes DNo DN/A a. If yes, for what intended purpose is the site being reclaimed? Pond Restoration b. Will topsoil be stockpiled for reclamation? DYes ~No c. Will upper subsoil be stockpiled for reclamation? DYes ~No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? + 2 acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? DYes IilINo 8. 9. 10. 6. If single phase project: Anticipated period of construction 7. If multi-phased: a. Total number of phases anticipated 'i (number). b. Anticipated date of commencement phase 1 Augus t month 2001 c. Approximate completion date of final phase April month 2006 d. Is phase 1 functionally dependent on subsequent phases? DYes ~No Will blasting occur during construction? DYes I8INo Number of jobs generated: during construction 3 Number of jobs eliminated by this project 0 Will project require relocation of any projects or facilities? n/a months, (including demolition). year, (including demolition). year. ; after project is complete .~~ . 11. DYes Ii!INo If yes, explain 12. Is surface liquid waste disposal involved? DYes Il!INo 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? DYes Il!INo Type 14. Will surface area of an existing water body increase or decrease by proposal? Il!IYes DNo Explain Upon removal of PhrRemi tp~ <::!l1rT.cIf"'P ~ra.~ of' 'p~t-l and~ shall iRGre.:Uj~ 15. Is project or any portion of project located in a 100 year flood plain? DYes IKINo 16. Will the project generate solid waste? DYes OlNo a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? DYes DNo c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? e. If Yes, explain DYes DNo' 17. Will the project involve the disposal of solid waste? DYes Il!INo a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? IKlYes DNo 19. Will project routinely produce odors (more than one hour per day)? DYes Il!INo 20. Will project produce operating noise exceeding the local ambient noise levels? DYes ~No 21. Will project result in an increase in energy use? If yes , indicate type(s) DYes !l!lNo 23. 22. If water supply is from wells, indicate pumping capacity o n/a gallons/minute. Total anticipated water usage per day gallons/day. 24. Does project involve local, State or Federal funding? If Yes, explain DYes till No 4 . 25.' Appro';'als Required: City. Town, Village Board City, Town, Village Planning Board City, Town Zoning Board City, County Health Department Other Local Agencies Other Regional Agencies State Agencies Federal Agencies .- DYes DYes DYes DYes ~Yes DYes DYes DYes Il!INo il'INo 129 No ~No DNo ~No ~No ri(]No . .. Type Submittal Date Southold Town Trustees Ii /01 c. Zoning and PlannIng Information 1. Does proposed action involve a planning or zoning decision? DYes ~No If Yes, indicate decision required: Dzoning amendment Dzoning variance Dspecial use permit Dsubdivision Dsite plan Onew/revision of master plan Dresource management plan Dother 2. What is the zoning c1assification(sjof the site? R -400 3. What is the maximum potential development of the site if developed as permitted by the present zoning? nla 4. What is the proposed zoning of the site? n I a 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? nla 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ~Yes DNo 7. What are the predominant land users) and zoning classifications within a Y. mile radius of proposed action? As an island surrounding land use is water 8. Is the proposed action compatible with adjoining/surrounding land uses within a Y. mile? 9. If the proposed action is the subdivision of land, how many lots are proposed? n I a a. What is the minimum lot size proposed? 10. Will proposed action require any authorization(sj for the formation of sewer or water districts? 11. Will the proposed action create a demand for any community provided services (recreation, fire protection)? DYes I!'lNo a. If yes, ;s existing capacity sufficient to handle projected demand? DYes DNo 12. Will the proposed action result in the generation of traffic significantly above present levels? a. If yes, is the existing road network adequate to handle the additional traffic? DYes 1llIYes DNo DYes ~No education, police, DYes 1llINo DNo D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them E. Verification J certify that the inf Applicant/Sponsor Signature is true to the best of my knowledge. Date 8111/0 ( Title Agent If the action is in the Coastal Area, and you e a state agency, complete the Coastal Assessment Form before proceeding _~ith this assessment. 5 . .e .., .. Part 2-PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information (Read Carefully) . In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable! The reviewer is not expected to be an expert environmental analyst. . The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But. for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. . The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to amwer each question. . The number of examples per question does not indicate the importance of each question. . In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 20 questions In PART 2. Answer Vas If there will be any Impact. b. Mayba answers should be considered as Vas answers. c. If answering Vas to a question then check the appropriate box (column 1 or 2) to Indicate the potential size of the Impact. If Impact threshold equals or exceeds any example provided, check column 2. If Impact will occur but threshold Is lower than example, check column 1. d. Identifying that an Impact will be potentially large (column 2) does not mean that It Is also necessarily significant. Any large Impact must be evaluated In PART 3 to determine significance. Identifying an Impact In column 2 simply asks that It be looked at further. e. If reviewer has doubt about size of the Impact then consider the Impact as potentially large and proceed to PART 3. I. If a potentially large Impact checked In column 2 can be mitigated by change(s) In the project to a small to moderate Impact, also check the Vas box In column 3. A No response Indicates that such a reduction Is not possible. This must be explained In Part 3. IMPACT ON LAND 1. Will the proposed action result in a physical change to the project site? DNa DVES Examples that would apply to column 2 . Any construction on slopes of 15% or greater, (15 foot rise per 100 foot of length), or where the general slopes in the project area exceed 10%. . Construction on land where the depth to the water table is less than 3 feet. . Construction of paved parking area for 1,000 or more vehicles. . Construction on land where bedrock is exposed or generally within 3 feet 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 1,000 tons of natural material (i.e., rock or soil) per year. . Construction or expansion of a sanitary landfill. . Construction in a designated floodway. . Other impacts 2. Will there be an effect to any unique or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)DNO DVES · Specific land forms: 6 1 2 3 Small to Potential Can Impact Be Moderate Large MItigated By Impact Impact Project Change 0 0 OVes ONo 0 0 OVes ONo 0 0 OVes ONo 0 0 OVes ONo 0 0 OVes ONo 0 0 OVes ONo 0 0 OVes ONo 0 0 OVes ONo 0 0 OVes ONo 0 0 OVes ONo . .. IMPACT ON WATER 3. Will proposed action affect any water body designated as protected? (Under Articles 15,24,25 of the Environmental Conservation law, ECl) DNa DYES Examples that would apply to column 2 . Developable area of site contains a protected water body. . Dredging more than 100 cubic yards of material from channel of a protected stream. . Extension of utility distribution facilities through a protected water body. . Construction in a designated freshwater or tidal wetland. . Other impacts: 4. Will proposed action affect any non-protected existing or new body of water1 DNa DYES Examples that would apply to column 2 . A 10% increase or decrease in the surface area of any body of water or more than a 10 acre increase or decrease. . Construction of a body of water that exceeds 10 acres of surface area. . Other impacts: 5. Will Proposed Action affect surface or groundwater quality or quantity? DNa DYES Examples that would apply to column 2 . Proposed Action will require a discharge permit. . Proposed Action requires use of a source of water that does not have approval to serve proposed (project) action. . Proposed Action requires water supply from wells with greater than 45 gallons per minute pumping capacity. . Construction or operation causing any contamination of a water supply system. . Proposed Action will adversely affect groundwater. . liquid effluent will be conveyed off the site to facilities which presently do not exist or have inadequate capacity. . Proposed Action would use water in excess of 20,000 gallons per day. . Proposed Action will likely cause siltation or other discharge into an existing body of water to the extent that there will be an obvious visual contrast to natural conditions. . Proposed Action will require the storage of petroleum or chemical products greater than 1,100 gallons. . Proposed Action will allow residential uses in areas without water and/or sewer services. . Proposed Action locates commercial and/or industrial uses which may require new or expansion of existing waste treatment and/or storage facilities. . Other impacts: 6. Will proposed action alter drainage flow or patterns, or surface water runoff? DNa DYES hamples that would apply to column 2 . Proposed Action would change flood water flows. 7 .. .. 1 2 3 Small to Potential Can Impact Be Moderate large MItigated By Impact Impact Project Change D D DYes DNo D D [JYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo . .. . Proposed Action may cause substantial erosion. o Proposed Action is incompatible with existing drainage patterns. o Proposed Action will allow development in a designated f1oodway. o Other impacts: IMPACT ON AIR 7. Will proposed action affect air quality? DNa DYES Examples that would apply to column 2 . Proposed Action will induce 1,000 or more vehicle trips in any given hour. o Proposed Action will result in the incineration of more than 1 ton of refuse per hour. o Emission rate of total contaminants will exceed Sibs. per hour or a heat source producing more than 10 million BTU's per hour. . Proposed action will allow an increase in the amount of land committed to industrial use. o Proposed action will allow an increase in the density of industrial development within existing industrial areas, o Other impacts: IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? DNa DYES Examples that would apply to column 2 o Reduction of one or more species listed on the New York or Federal list, using the site, over or near site or found on the site. o Removal of any portion of a critical or significant wildlife habitat. o Application of pesticide or herbicide more than twice a year, other than for agricultural purposes. o Other impacts: 9. Will Proposed Action substantially affect non-threatened or non-endangered species? DNa DYES Examples that would apply to column 2 o Proposed Action would substantially interfere with any resident or migratory fish, shellfish or wildlife species, o Proposed Action requires the removal of more than 10 acres of mature forest (over 100 years of age) or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will the Proposed Action affect agricultural land resources? DNa DYES Examples that would apply to column 2 . The proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 .. .. 1 2 3 Small to Potential Can Impact Be Moderate Large MItigated By Impact Impact Project Change 0 0 LJYes DNa 0 0 DYes DNo 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNo . .. . Construction activity would excavate or compact the soil profile of agricultural land. . The proposed action would irreversibly convert more than 10 acres of agricultural land or, if located in an Agricultutal District, more than 2.5 acres of agricultural land. . The proposed action would disrupt or prevent installation of agricultural land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) . Other impacts: IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources? DNa DYES (If necessary, use the ViSual EAF Addendum in Section 617.20, Appendix B.) Example. that would apply to column 2 . Proposed land uses, or project components obviously different from or in sharp contrast to current surrounding land use patterns, whether man-made or natural. . Proposed land uses, or project components visible to users of aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. . Project components that will result in the elimination or significant screening of 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? DNa DYES Examples that would apply to column 2 . Proposed Action occurring wholly or partially within or substantially contiguous to any facility or site listed on the State or National Register of historic places. . Any impact to an archaeological site or fossil bed located within the project site. . Proposed Action will occur in an area designated as sensitive for archaeological sites on the NYS Site Inventory. . Other impacts: IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action a(fect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 DNa DYES . The permanent foreclosure of a future recreational opportunity. . A major reduction of an open space important to the community. . Other impacts: 9 .. .. 1 2 3 Small to Potential Can Impact Be Moderate Large MItigated By Impact Impact Project Change 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa . .. IMPACT ON CRITICAL ENVIRONMENTAL AREAS 14 Will Proposed Action impact the exceptional or unique character. istics of a critical environmental area (CEA) established pursuant to subdivision 6 NYCRR 617.14(g)? DNO DYES list the environmental characteristics that caused the designation of the CEA. Examples that would apply to column 2 . Proposed Action to locate within the CEA? . Proposed Action will result in a reduction in the quantity of the resource? . Proposed Action will result in a reduction in the quality of the resource? . Proposed Action will impact the use, function or enjoyment of the resource? . Other impacts: IMPACT ON TRANSPORTATION 15 Will there be an effect to existing transportation systems? DNO DYES Examples that would apply to column 2 . Alteration of present patterns of movement of people and/or goods. . Proposed Action will result in major traffic problems. . Other impacts: IMPACT ON ENERGY 16. W.il1 proposed action affect the community's sources of fuel or energy supply? DNO DYES Examples that would apply to column 2 . Proposed Action will cause a greater than 5% increase in the use of any form of energy in the municipality. . Proposed Action will require the creation or extension of an energy transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. . Other impacts: 10 .. .. 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change D D DYes DNa D [] DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNo D D DYes DNo D D DYes DNa D Ll I DYes DNa D D DYes DNa . .. NOISE AND ODOR IMPACTS 17. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? DNa DYES Examples that would apply to column 2 . Blasting within 1,500 feet of a hospital, school or other sensitive facility. . Odors will occur routinely (more than one hour per day). . Proposed Action will produce operating noise exceeding the local ambient noise levels for noise outside of structures. . Proposed Action will remove natural barriers that would act as a noise screen. . Other impacts: IMPACT ON PUBLIC HEALTH 18. Will Proposed Action affect public health and safety? DNa DYES Examples that would apply to column 2 . Proposed Action may cause a risk of explosion or release of hazardous substances (i.e. oil, pesticides, chemicals, radiation, etc.) in the event of accident or upset conditions, or there may be a chronic low level discharge or emission. . Proposed Action may result in the burial of "hazardous wastes" in any form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) . Storage facilities for one million or more gallons of liquified natural gas or other flammable liquids. . Proposed action may result in the excavation or other disturbance within 2,000 feet of a site used for the disposal of solid or hazardous waste. . Other impacts: IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 19. Will proposed action affect the character of the existing community? DNa 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 5%. . The municipal budget for capital expenditures or operating services will increase by more than 5% per year as a result of this project. . Proposed action will conflict with officially adopted plans or goals. . Proposed action will cause a change in the density of land use. . Proposed Action will replace or eliminate existing facilities, structures or areas of historic importance to the community. . Development will create a demand for additional community services (e.g. schools, police and fire, etc.) . Proposed Action will set an important precedent for future projects. . Proposed Action will create or eliminate employment. . Other impacts: - .. 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNO 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 20. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? DNa DYES II any action In Part 2 I. Idantlflad a. a potantlallarge Impact or If you cannot doto""ln. tho magnltudo 01 Impact, procood to Part 3 11 . .. ,., .. Part 3-EVALUATION OF THE IMPORTANCE OF IMPACTS 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 be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1. Briefly describe the impact. 2. Describe (if applicable) how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance. consider: . The probability of the impact occurring . The duration of the impact . Its irreversibility, including permanently lost resources of value . Whether the impact can or will be controlled . The regional consequence of the impact . Its potential divergence from local needs and goals . Whether known objections to the project relate to this impact. (Continue on attachments) 12