HomeMy WebLinkAboutAUGUSTA, PHILIPHENRY P. SMITH,
JOHN M. BREDEMEYER, III, President
3ohn 6ednoski, 3r.
ALBERT KRUPSKI, JR., Vice-President
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
March 25, 1988
Mr. Philip P. Agusta, A.I.A.,M.U.P.
And Associates
Consulting Architects and Urban Planners
111-15 Queens Boulevard
Forest Hills, New York 11375
Re: 475 Rabbit Lane, East Marion, New York
Dear Mr. Agusta:
Pursuant to your request for a Waiver of the Wetland
Ordinance for the enlargement of your existing wood deck on
property referenced above, please be advised that the Board has
inspected the property on March 17, 1988.
Your request for a waiver has been approved to construct a
deck addition as per your plan submitted.
Please remit the $25.00 fee for this application.
Should you have any questions or concerns, please do not
hesitate to contact this office.
Very truly )urs,
f" . .7, ?
Board of Town Trustees
JMB:ip
cc: Bldg. Dept.
Consulting Architects and Urban Planners
111-15 QUEENS BOULEVARD ~ FOREST HILLS, NY 11375
PHONE: (718) 263-8033
March 8, 1988
Board of Trustees
Town of Southold
Town Hall, 53095 Main Road
P.O. Box 728
Southold, N.Y. 11971
Dear Sir/ Madam:
Re: 475 Rabbit Lane
N.S. 520'-0"
E/O Bay Avenue
East Marion,
Suffolk County, N.Y.
In my letter of February 29, 1988, it was erroneously typed that my house
is approximately 24' from the edge of the lake. The actual dimension is 84'
from the edge of the lake. Please advise the Board of Trustees of this error. I
am sorry if I caused an inconvinience.
Very truly yours,
Philip P. ^gusta, R.A., M.U.P. '
MEMBER: American Institute of Architects - New York Society of Architecl$ - American Institute of Planners - Former Vice Chairman/Com-
missioner. N.Y.C. Board of Standards and Appeals - New York State ~-sc, ciation of Architects - Architects Council of New York City
Co.sulti.g Architects and Urban Pla..ers
11-15 QUEEt0S BOULEVARD - FOREST HILLS, NY 11375
PHONE: (718) 263-8033
February 29, 1988
Board of Trustees
Town of Southold
Town Hall, 53095 Main Road
P.O. Box 728
Southold, N.Y. 11971
Dear Sir/ Madam:
Re: 475 Rabbit Lane
N.S. 520'-0"
E/O Bay Avenue
East Marion,
Suffolk County, N.Y.
It is reapectfully requested that a waiver be granted permitting me to erect
an enlargement on my existing wood deck at the rear of my home. The present deck
is approximately 8' deep x 12' wide and the proposed deck is to be 12' deep
total by 21' wide. My house is approximately 24' from the edge of the lake, there-
fore the edge of my deck will be 72' from the edge of the lake. I have submitted
herewith plans and sections showing the location of this proposal and your favor-
able consideration will be most appreciated.
Phili P. Agust~a, R.A., M.U.P.
MEMBER: American Institute of Architects - New York Society of Architects - American Institute of Planners - Former Vice Chairman/Com-
missioner, N.Y.C. Board of Standards and Appeals - New York State Association of Architecte - Architects Council of New York City
BOARD OF TOWN TRUSTEES
TOWN OF $OUTHOLD
Town ltall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
TELEPItONE
(516) 765-1892
APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF
SOUTHOLD, SUFFOLK COUNTY~ NEW YORK FOR THE ISSUANCE OF A PERMIT
PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE
COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS
OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT
TO CHAPTER 32 OF THE CODES OF THE TOWN OF SOUTHOLD.
APPLICATION NO. DATE OF APPLICATION
IDENTITY OF APPLICANT Philip__P_._A~usta
ADDRESS OF APPLICANT ]1t-15 _queens Blvd Forest Hills NY 11375
71~263-80~
PHONE NO
TAX MAP NO. 1000 Section 031 Block 17 Lot 013
AGENT Philik_P_._Agusta
PERMIT REQUESTED TO
erect an extension to the wood deck at rear.
718-263~033
PHONE NO .
LOCATION OF PROPERTY FOR WHICH PERMIT WANTED 475 Rabbit Lane North
sid~_5_~0'± E of Bay 3X~.._,_~a~Ki_o_na_~u__fjm![__C_o~_~[ ........
HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION
lll-15_queens
CREEK, BAY OR HARBOR FRONTING PROPERTY Marion Lake
SIZE OF PROPOSED WORK 21'--6" wide~__l_2_'d_e_e_~. & 4' enl to extg~_de_c_k_. ............
LENOTH 12'-0" & 4'-0"
WIDTH 21'-6"
HEIGHT ABOVE HIGH WATER 9'-0" ±
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
SEQR
PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
'--'-~ 2. PROJECT NAME
~ppLICANT/SPONSOR Agusta Residence
3. PROJECT LOCATION: Suffolk
Municipality East Harion - Southold County
pRECISE LOCATION (Street &ddress and road intersections, prominent landmarks, etc., or provide map)
475 Rabbit Lane (Private Road) North side 520'+ East of Bay Ave.
5. IS PROPOSED ACTION;
[] New [] Expansion [] Modificattonlalteration
DESCRIBE PROJECT BRIEFLY:
To build a new interior partition & fire place on 1st floor - To extend
wood patio at rear for full width of building, 12'-O" deep. See plans herewith.
AMOUNT OF LAND AFFECTED;
Initially ~(]~0 sq.ft, [~%cres Ultimately n~o_ cb~n~_e acres
8. WiLL PROPOSED ACTION COMPLY WtTH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
~ Yes [] NO I! No. describe briery
g. WHAT IS PRESENT LAIq~ U~ [N VICINITY OF PROJECT? ~] Other
[] Residential [] !ndustfial [] Commercie~ [] Agricudure [] paH~/Forest/Open space
tO. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOCAL)?
[] Yes [~ No if yes, list agency(s) and permit/approvals
DOES ANY ASPECT OF THE ACTIOI4 HAVE A CURRE['ITLY VALID PERMIT OR APPROVAL?
[] Yes [] HO II yes, list agency name and pecmltlapproval
12. AS A RESULT OF PROPOSED ACTtON WILL EXISTING pERMIT/APPROVAL REQUIRE MODIFICATION?
[] Yes ~ No
I OERTiFY THAT THE INFORMATION pROVIDED ADOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
O~,te: 2/23/88__
Applicantlspon · '
the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form belore proceeding with this assessment
OVER
1
PART II--ENVIRONMENTAL ASRESSMENT (To be completed by Agency)
A. DOES ACTION EXCEED ANY TYPL~ .4RESHOLD IN 6 NYCRR, PART 617.127 If yes, c¢
[] Yes [] NO
~-late the review process and
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declar~
may be superseded by another involved agency.
[] Yes [] No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible)
C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traeic patterns, solid waste production or disposal,
potential for erosion, drainage or flooding problems? Explain briefly:
C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
C4. A communlly's existing plans or goals as officially adopted, or a change In use or fntenslty of use ol land or other natural resources? Explain brlel
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly.
C6. Long term, short term, cumulative, or other elfects not identified in C1-C57 Explain briefly.
C?. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly.
D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
[] Yes [] No If Yes, explain briefly
PART Ill--DETERMINATION OF SIGNIFICANCE (TO be completed by Agency)
INSTRUCTIONS: For each adverse e(fect identified above, determine whether it ts substantial, large, important or otherwise significa
Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration;
irreversibility; (e) geographic scope; and (f) magnitude, if necessary, add attachments or reference supporting materials. Ensure tt
explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed.
[] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY
occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration.
[] Check this box if you have determined, based on the information and analysis above and any supporting
documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts
AND provide on attachments as necessary, the reasons supporting this determination:
2
4
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
TEl EPItONE
(516) 765-1892
APPLICATION NO. DATE OF APPLICATION
IDENTITY OF APPLICANT Phili.p__P_._A_g_u_st_~ ......
ADDRESS OF APPLICANT 11t--15 .~ueens B[vd Forest Hi[Is NY 11375
718-263~8033
PHONE NO
TAX MAP NO. 1000 Section 031 Block 17 Lot 013
A G E N X __P_h_i_li~_P~__A gu s t a
PERMIT RE(~UESTED TO erect an extension to the wood deck at rear.
718-263~033
PHONE NO .
LOCATION OF PROPERTY FOR WHICH PERMIT WANTED 475 Rabbit Lane North
sid~_5~0'± g of .[a~_A[~.~_~A[L~£%~n~_~S~ffolk Co. NY
HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION
111-]5 ~ueens
CREEK, BAY OR HARBOR FRONTING PROPERTY Marion Lake
siZE OF PROPOSED WORK 21'--6" wide~__l_2'd_e_e_p_ & 4' enl to extg. deck.
LENGTH 12'-0" & 4'-0"
WIDTH 21'-6"
HEIGHT ABOVE HIGH WATER 9~--0'' ±
DEPTH BELOW LOW WATER Not .a_p]~l_ic~ble
yARDS TO BE ExcAVATED--
yARDS ~O BE FILLED~
DEPTH AT LOW
constr~ction 72~ frcm edge of Marion L~_~e_ ....
T I DE ~t a
CHANNEL 7.~ FT.~
DISTANCE TO THE NEAREST
user ~vateUse_
No ~terial to ~ r~OV~-°~-d~i~s-At-~-=
INTENDED USE OF pROPERTY ..... ~-
ROPOSED coNDITION OF THE
y THE REHABILITATION AND PCLUDE AN ADDITIONAL sURV
DESCRIBE FULL .... ~RK IS cOMPLETED IN .~to~ee~sti~._w~d__~-e~k-
mm~MISES AFTER W.m "-- ---~.oV to er~t ~_ex~-e~s-2:~ ..........
wRITTEN CoNsENT OF THE owNER OF THE pROPERTY, IF NOT THE SAME
APPLICAN T.
ARE THERE ANY coVENANTS OR RESTRICTIONS
pROHIBIT THIS PROJECT?__
IN YOUR DEED TBAT WOUI
4-16-4 (2Y87)--Text 12 617.21 SEQR
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PROJECTI.D. NUMBER
PART I--PROJECT INFORMATION (To be compteted by Applicant or Project sponsor)
APPLICANT /SPONSOR I 2. PROJECT NAME
Agusta Residence
PROJECT LOCATION:
MuniclpaIRy East Marion - Southold County Suffolk
4. :_CISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map)
475 Rabbit Lane (Private Road) North side 520'+ East of Bay Ave.
rS PROPOSED ACTION:
[] New [] Expansion [] Modillcat[on/alteration
)ESCRIBE PROJECT BRIEFLY;
To build a new interior partition & fire place on 1st floor - To extend
wood patio at rear for full width of building, 12'-0" deep. See plans herewith.
7. ~,MOUNT OF LAND AFFECTED:
Initially ~~..acres UIRmately ~ acres
WILL PROPOSED ACTION COMPLY WiTH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
~ Yes [] NO If NO, describe briefly
9. WHAT IS PRESENT LAi'~D UE~ iN VICINITY OF PROJECT?
~ Residential [] !ndustfial [] Commercial [] Agriculture [] Park/Forest/Open space [] Other
$0. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOCAL)?
[] Yes [] No I! yes, list agency(s) and permit/approvals
DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
[] Yes [] No If yes, tist agency name and permltlapproval
12. AS A RESULT OF pROPOSED ACTION WiLL EXISTING PERMiT/APPROVAL REQUIRE MOOiFICATION?
ICERTI THATT EINF ATJON pROViDED ABOVE iS TRUE TO THE BEST OF MY KNOWLEDGE
O~te: 2/23/88
Applicant/sponsor n --
II the action is in the CoBstal Area, and you are a state agency, complete the
Coastal Assessment Form betore proceeding with this assessment
OVER
1
PART II--ENVIRONMENTAL ASSESSMENT (To be completed by Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 61;'.127 If yes, coordinate the review process and use the
[] Yes [] No
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 It No, a negative decJ
may be superseded by another Involved agency.
[] Yes [] No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible)
C1. Exlsling air quality, surface or groundwater quality or quantity, noise levels, existing tranic patterns, solid waste production or disposal,
potential for erosion, drainage or flooding problems? Explain briefly:
C2. Aesthetic, agricultural, archaeo og cai, historic, or other natural or cultural resources; o¢ community or neighborhood character? Explain brlefl
C3. Vegetation or fauna, fish, sheJIfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
C4. A communlty*s existing plans or goals as officially adopted, or a change in use or Intensity of USe of land or other natural resources? Explain brlel
C5. Growth, subsequent development, or related acgvltles likely to be Induced by the proposed action? Explain briefly.
C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly,
C7. OIher impacts (including changes in use o! either quantity or type of energy)? Explain briefly.
D IS THERE, OR iS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
[] Yes [] No It Yes, explain briefly
PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, delermine whether it is substantial, large, important or otherwise significa~
Each elfect should be assessed in connection with its (a) setting (i.e. urban or rural); (bi probability of occurring; (c) duration;
irreversibility; (e) geographic scope; and (fi magnitude. If necessary, add attachments or reference supporting materials. Ensure th
explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed.
[] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY
occur, Then proceed directly to the FULL EAF and/or prepare a positive declaration.
[] Check this box if you have determined, based on the information and analysis above and any supporting
documentation, that the proposed action WILL NOT result in any significant 'adverse environmental impacts
AND provide on attachments as necessary, the reasons supporting this determination:
BOARD OF TOWN TRUSTEES
TO~ OF SOUTHOLD
Town ttall, 5~09S Maiu ~oad
P.O. Box 728
Southold, New York 11971
TELEPIIONE
(516) 765-1892
APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF
SOUTHOLD, SUFFOLK COUNTy, NEW YORK FOR THE ISSUANCE OF A PERMIT
PURSUANT TO THE LAWS~ ORDINANDE$ AND REGULATIONS GOVERNING THE
COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS
OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT
TO CHAPTER 32 OF THE CODES OF THE TOWN OF SOUTHOLD.
APPL I CAT ION NO. DATE OF APPLICAT I ON
I DENT I TV OF APPL I CANT__P_hj!j_p__P~_A~usta
ADDRESS OF APPLICANT 11t-15_queens Blvd Forest Bills NY 11375
718-26g~033
PHONE NO
TAX MAP NO. 1000 Section 031 Block 17 Lot 013
AGENT__P~42~[~j_~[usta
PERMIT REQUESTED TO
erect an extension to the wood deck at rear.
718-26~8033
PHONE NO .
LOCATION OF PROPERTY FOR WHICH PERMIT WANTED 475 Rabbit Lane North
sid~-5--~0-'~--E-~_~Y_~.~_~k~k~nj_ Suffolk Co. NY
HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION
111-15 Queens
CREEK, BAY OR HARBOR FRONTING PROPERTY Marion Lake
SIZE OF PROPOSED WORK 21'-6" wide~_j_~_~d_~_e_~ & 4' enl rD ext~__de_c_~ ............
LENGTH 12'-o" & 4'-0"
WIDTH 21'-6"
HEIGHT ABOVE HIGH WATER 9'-0" ±
DEPTH BELOW LOW WATER--------N°-t-a~pl--iCable
YARDS TO BE EXCAVATED Nol'te
yARDS TO BE FILLED
WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY--~+~--
DEPTH AT LOW T I DE__~O~--~:~
AVERAGE RISE IN TIDE Not 8Ti~[ ~ter
DISTANCE TO THE NEAREST CHANNEL .....
DISTANCE pRoJECT EXTENDS BEYOND SIMILAR pROJECTS
ARE~ ZONING ~t~l ~d~ .~c~
M~NNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED
INTENDED USE OF pROpERTY .....
DESCRIBE ANY KNOWN pRIOR oPERATIONS CONDUCTED ON THE pRE~ISE ....
construction 7~ from edge of Marion Lake
IN THE AREA__n~ .... F1
AND WHETHER ANY pRIOR LICENSE OR pERMITS HAVE BEEN ISSUED TO ERRECT
STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID pREMISES AND WHETHER
ANY pERMITS OR LICENSES WERE EVER SUSPENDED OR REvoKED BY A GOVERNMEN'
AGENCY. peri,it ___3~Z_~ 1131~
DESCRIBE FULLY THE REHABILITATION AND pROPOSED CONDITION OF THE
pREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF
THE pROJECT SITE IF NECESSARY to ~t ~ ~Te~si~ to ~e e~dst~n~__w~d__~_e~k_~k~_ea_r:
WRITTEN CoNsENT OF THE owNER OF THE pROPERTY, IF NOT THE SAME AS THE
APPLICANT.
ARE THERE ANY cOVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD
PROHIBIT THIS PROJECT?
PROJECT I.D. NUMBE
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
=ART I--PROJECT INFORMATION {To be completed by Applicant or Project sponsor)
· S~.?R
I2. PROJECT NAME
Agusta Residence
1. APPLICANT/SPONSOR
Philip P. kgusta
3. PROJECT LOCATION:
Municipality East Marion - Southold County Suffolk
4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, e~c., or provide map)
475 Rabbit Lane (Private Road) North side 520'+ East of Bay Ave.
5. ~S PROPOSED ACTION:
[] New [] Expansion [] Modilicatlonlelteralton
6. DESCRIBE PROJECT BRIEFLY:
To build a new interior partition & fire place on 1st floor - To extend
wood patio at rear for full width of building, 12'-0" deep. See plans herewith.
7. AMOUNT OF LAND AFFECTED:
initially 8,000 sq,ft. 19'Jacres Ultimately no chan~_e acres
8. WILL PROPOSED ACTION COMPLY WiTH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
~ Yes [] NO If No, describe briefly
9. WHAT iS PRESENT LAIqD UE~- iN VICINITY OF PROJECT?
~1~ Residential [] !ndustua, [] Commercial [] Agriculture [] ParklForest~Open space [] Other
Describe:
:10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOCAL}?
[] Yes [] No If yes, list agency(s} and permit/approvals
11. DOES ANY ASPECT OF THE ACTtO[I HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
[] Yes [] Ho II '/es, list agency name and pe[mltlapproval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MOOIFICATION?
[] Yes [] NO
I CERTIFY THAT THE INFORMATION pROVIDED ABOVE iS TRUE TO THE BEST OF MY KNOWLEDGE
D~e: 2123188
Applicanllspons e:
Signature.
II the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
1
PART II--ENVIRONMENTAL ASSESSMENT (To be completed by Agency
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 I1 yes, coordinate the review process and use the-'~m~;~ ~
[] Yes [] NO
may be superseded by another involved agency.
[] Yes [] No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, ti legible)
CI. Existing air quality, surtace or groundwater quality or quantity, noise levels, existing tralflc patterns, solid waste production or disposal,
potential for erosion, drainage or flooding problems? Explain briefly:
Aesthetic, agricultural, archaeologicat, historic, or olher natural or cultural resources; or community or neighborhood character? Explain briefly:
C3. Vegetation or fauna, fish, she sh or wlldllle species, significant habitats, or threatened or endangered species? Explain briefly:
C4. A community's existing plans or goals as officially adopted, or a change in use or Intensity of use of land or other natural resources? Explain briefly
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly.
C6. Long lerm, short term, cumulative, or olher effects not identified in C1-C57 Explain briefly.
C7. Other impacts (including changes in use ot either quantity or type of energy)? Explain briefly.
D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
[] Yes [] NO if Yes, explain briefly
PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or ofherwise signlfican
Each elfect should be assessed in connection with its fa) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; ((
irreversibilify; (e) geographic scope; and fl) magnitude, If necessary, add attachments or reference supporting materials. Ensure th~
explanalions contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed.
[] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY
occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration.
[] Check this box if you have determined, based on the information and analysis above and any supporting
documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts
AND provide on attachments as necessary, the reasons supporting this determination:
'] ,,
' I
,.
'" /
..
.t
ti:)'