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Home My WebLink AboutTR-7129A James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE ~Prelconstruction, hay bale line 1 st day of construction ~ constructed Project complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit bio.: 7129A Date of Receipt of Application: June 18, 2009 Applicant: Suffolk County Water Authority SCTM#: N/A Project Location: Route 25, East Marion, over Dam Pond Channel Date of Resolution/Issuance: July 22, 2009 Date of Expiration: July 22, 2011 Reviewed by: Board of Trustees Project Description: For the installation of a 12" HDPE water main for the purpose of supplying drinking water and fire protection to the residents of East Madon residing east of Dam Pond channel. The grass area on the road's edge will contain all work pertaining to directional ddlling (staging and receiving). The staging and receiving permits are to be approximately 300' east and west of the centerline. Depth of drill will be approximately 10' under the channel bottom. Hay bales and silt screen are to be installed to contain sediment laden run off. All excavation to be backfilled, stabilized and returned to the odginal condition. Excess fill to be removed and disposed of legally. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Suffolk County Water Authority last dated June 16, 2009, and received on June 18, 2009. Special Conditions: None. Inspections: Hay bale line with silt fencing inspection & final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James . ing, President Board of Trustees JFK:eac James F. King, President Jill M. Doher0y, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. P,O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: James Wilson on behalf of the SUFFOLK COUNTY WATER AUTHORITY requests an Administrative Permit for the installation of a 12" HDPE water main for the purpose of supplying drinking water and fire protection to the residents of East Marion residing east of Dam Pond channel. The grass area on the road's edge will contain all work pertaining to directional drilling (staging and receiving). The staging and receiving permits are to be approx, 300' east and west of the centerline. Depth of drill will be approx. 10' under the channel bottom. Hay bales and silt screen are to be installed to contain sediment laden run off. All excavation to be backfilled, stabilized and returned to the original condition, Excess fill to be removed and disposed of legally. Located: Rt. 25, East Marion, over Dam Pond channel. Type of area to be impacted: __Saltwater Wetland __Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 __Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: __&King __J.Doherty __P.Dickerson D, Dzenkowski other Form filled out in the field by D. Bergen__ B.Ghosio, Mailed/Faxed to: Date: OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 To: From: LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD Jim King, President Town of Southold Board of Truste~/t · Mark Terry, Principal Planner LWRP Coordinator Date: July 13, 2009 ~--- ~. -~'"'~ _ j Re: Proposed Wetland Permit for SUFFOLK COUNTY WATER AUTHORITY Located: Rt. 25, East Marion, over Dam Pond channel. James Wilson on behalf of the SUFFOLK COUNTY WATER AUTHORITY requests an Administrative Permit for the installation of a 12" HDPE water main for the purpose of supplying drinking water and fire protection to the residents of East Marion residing east of Dam Pond channel. The grass area on the road's edge will contain all work pertaining to directional drilling (staging and receiving). The staging and receiving permits are to be approx. 300' east and west of the centerline. Depth of drill will be approx. 10' under the channel bottom. Hay bales and silt screen are to be installed to contain sediment laden run off. All excavation to be backfilled, stabilized and returned to the original condition. Excess fill to be removed and disposed of legally. Located: Rt. 25, East Marion, over Dam Pond channel. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney 16315677895 SUFFOLk:COUNTY 10:34:27 06-29-2009 2/7 0G/29/2009 08:34 BCI~ OF PAGE Jill 1~ Doh2r~, Vi~-Pl~ident P~8)' A. Diclmrson Dav~ B~n Bob t~o~,o~ Jr. To-ha Hall P.O. Bo~ 1179 · gout. hold, New York 11971-0959 T*l~hone (~1) 7C~-189~' Fa~ (~1) 765-6~41 BOARD OF TOWN OP SOUTHOLD ._=.WetfaudPerm~t Application ~/'Admingtmt~vc Pcrmit So~:tho!~l Town Bo~rd of T~ustees NameofApplicant , SUFFOLK COUNTY ,WATER AUTHORITY Ach;Ite~ 4060 SUNRISE HW,Y, OAKDALE, NY 11769 ~e N~:~3) 563-03~3 ~~fion: ROUTE ,~5~ EAST MARION, SOUTHOLD AT THE BRIDGE OVER DAM POND CHANNEL AOX: JAMES R. WILSON 631-563-0343 Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hail 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 Office Use Only .__~Coastal Erosion pemUt Application .~'~etland pemUt Application Major Waiver/Amendment/Changes ~ece~vved Applicatio '_.%q;~ 1I,.3 ~ ~ceived Fee:$~ __Completed A pplica~ff"- __Incomplete __SEQRA Classification: Type 1 Type I1 Unlisted __Coordination:(date sent) CAC Referral Sent: Date of Inspection: Receipt of CAC Report: ___Lead Agency Deterrmnation:__ Technical Review: __Public Hearing Held: __ _ Resolution: NameofApplicant SUFFOLK COUNTY WATER AUTHORITY Address 4060 SUNRISE HWY., OAK_D_A~E~_Ny LLZ§9 .......... Phone Numbcr:( 631-563-0343 Suffolk ('ounty T;,x Map Nt,mbcr: 1000 - PmpcrtyLocation: RTE 25. EAST MARION, SOUTHOLD OVER DAM POND CHANNEL Board of Trustees Application Land A.,'ea (in square feet): 200 Area Zoning: RESIDENTIAL GENERAL DATA Previous use of property: N/A Intended use of property: N lA Prior permits/approvals for site improvements: Agency Date NYS DOT JUNE 17, 2009 SOUTHOLD HIGHWAY JUNE 16, 2009 X No prior permits/approvals tbr site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes lffyes, provide explanation: I'rt~jcct I)esc~ipfion I.se auachmcnts it' necessary) SEE ATTACHMENT "A" ATTACHMENT "A" INSTALLATION OF A 12" HDPE WATER MAIN FOR THE PURPOSE OF SUPPYLING DRINKING WATER AND FIRE PROTECTION TO THE RESIDENTS OF EAST MARION RESIDING EAST QF DAM POND CHANNEL. THE GRASS AREA ON THE ROADS EDGE WILL CONTAIN ALL WORK PERTAINING TO DIRECTIONAL DRILLING (STAGING AND RECEIVING). THE STAGING AND RECEIVING PERMITS ARE TO BE APPROXIMATELY 300' EAST AND WEST OF THE CENTERLINE. DEPTH OF DRILL WILL BE APPROXIMATELY 10' UNDER THE CHANNEL BOTTOM. HAY BALES AND SILT SCREEN ARE TO BE INSTALLED TO CONTAIN SEDIMENT LADEN RUN OFF. ALL EXCAVATION TO BE BACKFILLED, STABILIZED AND RETURNED TO THE ORIGINAL CONDITION. EXCESS FILL TO BE REMOVED AND DISPOSED OF LEGALLY. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: BRING POTABLE WATER AND FIRE PROTECTION TO THE RESIDENTS OF EAST MARION. Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 5 feet Closest distance between nearest proposed structure and upland edge of wetlands: 5 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? How much material will be filled? Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: .cubic yards cubic yards feet 5;tatemcnt of' t e cl'["ect, ii:any, on the x~,et[ands :lnd tidal v, atcrs oi:the tovm that may result NO EFFECT Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity7 No X Yes Does the project involve excavation or filling? X No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOL D In the matter of applicaut: YOU ARE HEREBY GIVEN NOTICE: I. SCTM# PUBLIC RIGHT OF waY That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: . You may contact the Trustees Office at 765-1892 or in writing. The above-reb2renced proposal is under review of the Board of Trustees of the Town of Southold and tloes not ret'"-' · any other agency that might have to review stone proposal. OWNERS NAME: MAll IN(i AI)I)RI!SS: PROOF OF MAILING OF NOTICE ATTACll CERTIF/ED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of ,20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by (certified) (registered) mail. Swum to beli)re rile this Board of Trustees Application County of Suffolk State of New York BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLIC,M~T FOR THE ,,M~OVE 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 MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANF 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. Signature SWORN TO BEFORE ME THIS DAY OF ,20 Notary Public Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) S Appendix C State Environmefltal (~uali/,/' ,~eview SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART J--PROJECT iNFORMATiON (To ~e como~e~ed ~y Ao~Hcant or Pro~ec~ ~ooflsor) PART II - IMPACT ASSESSMENT (To be completed by Lead A~lenc¥) A. DOES ACTION EXCEED AHY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. []*es r--iNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. [-] *es r--INa C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WiTH THE FOLLOWING: (Answers may be han~Jwritten, E leg b e) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flcodieg problems? Explain bdefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources or community or neighborhood c~teO Explain bdefly' g ta ~on or fauna fish, shellfish or w~ldlde spemes slgmficant habitats, or threatened or endangered species') Explain briefly i C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natura~ resources? Explain briefly: . C5. Growth, subsequent development, or related activities likely t~) ~ !~duced by th~.?roposed action? Explain briefly: C6. Long term, short term, cumulaMve, or other effects not identified in C~-C57 Explain bdefly: ' O. WiLL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEAI? {If yes, explain bdefl¥: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes ex~flain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For eachadveraeeffectidentifiedabove, detsrminewhetheritissubstantial, large, important orotherwisesignificant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibirity; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked 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. "c~e~k ~h~,~' box if ye ~l~-v~'~i~{~m i'n~J~ b~e~ en th~ ~mation and ~naly~is =~b0ve and any ~u~Po~tin~ docu~n~t~tio~i WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi: determination. Name of Lead Agency Date Title of Responsible Officer Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from responsible officer) APPI,ICANT/AGENT/REPRESENTATIVE 'FI~t. NSACTIONAL DISCLOSURE FORM The Town of SouthoM's Code of Ethics r own o~ ~oumol~ L'ode ot k~hics roNbils conlhcts of interest on the a~p_~ftown officers and em Io ecs. The u ose of ~his form is to rowdetnformat~onwMchcanalcrtthe~ownof sslblec°nflictsof~nterestandallow~tto~akewhateveract~on~s necess~md sarape. '~OUR;~,~,',IE: 5UFEOJ-K_~:OUNTY WATER AUTHORITY [Last name, first name, m~ddle initial, unless ~,ou are applying in the name of someone else or olher entity, such as a company Ii'so. indicate ~he olher person's or company's name ) NAME OF APPL/CA HON: {t'heck al/that apply ) '/'ax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (f"Other" nametheactivity.) WET LAND PERMIT Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of $outhold'~ "Relationship" includes by blood, marrtage, or business Interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO X If you answered "YES", complete the balance of this form and dale and sign where indicated. Name of person employed by the Fown of Southold /'itle or position ti{' that person Describe the relationship between yourselftlhe applicant/agent/representati,,e) and the town officer or employee, Either check the appropriate hne A) through D) and/or describe m Ihe space pro'.ided. Fhe town ot~cer or employee or h~s or her spouse, sd)ling, parent, or child is fcheck all that apply): A) Ihe owner of greater Ihan 5°0 of the >hares t fthe ct~rporale ~tock of the applicant (when the applicant is a corporatlonL JOINT APPLICATION Ne,, York Slate FOR PERMIT united slates Army Corps of Engineers SUFFOLK COUNTY WATER AUTHORITY 4060 SUNRISE HICHWAY 631-563-0343 OAKDALE NY 11769 OWITM ~ A~MItJCowMcI pI~O# [] Owner ~ AGen, /Confld perlon I TMlpholle Number (dlyli~e) SUFFOLK COUNTY WATER AUTHORITY 1631-563-0343 406-0 ' ~-I~ R I S E HIGHWAY OAKDALE 1769 SUFFOLK EAST MARION J DAM POND CHANNEL DIRECTIONAL BORE A 12" HDPE PIPE TRANSMISSION MAIN UNDER DAM POND CHANNEL AND ALONG RTE 25. TOWN OPENING PERMIT, NYS DOT 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1 APPLICANT/SPONSOR 12. PROJECT NAME SUFFOLK COUNTY WATER AUTHORITYI RTE 25 DIRECTIONAL DRILL 3 PROJECT LOCATION: Municipality SOUTHOLD Couot~ SUFFOLK 4 PRECISE LOCATION (Slree! address and road int~sectior~, promifl®mt larldmark~, etc, or provide map) SEE ENCLOSED MAP 5 PROPOSED ACTION IS: 6 DESCRIBE PROJECT BRIEFLY: DIRECTIONAL BORE A 12" HDPE PIPE UNDER DAM POND CHANNEL TO PROVIDE POTABLE WATER AND FIRE PROTECTION TO THE RESIDENTS ON THE EAST OF DAM POND CHANNEL IN EAST MARION, TOWN OF SOUTHOLD, NEW YORK. 7 AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8~ W..L PROPOSED ACT~N CO~m.¥ W~T. ~X~ST~NG ZONING O~ eT.ER EX,STaND LAND USE REStorable,s? . w. T ,s PRES . USE ,. DE o.~: COUNTY PROPERTY WITH COUNTY MAINTAINED BRIDGE STRUCTURE SPANNING DAM POND CHANNEL, NYS DOT ROAD. 10. DOES AC TION INV~VE A PERMIT AP~OV~. OR FUNDI~, NOW ~ ~ rlMA rELY FROM ~y OTHER GOVERNMENT~ (FEDEX. STATE ~ L~L)? SOUTHOLD TOWN HIGHWAY PERMIT NYS DOT HIGHWAY PERMIT 11 D~S ANY ASPECT OF THE ACT~N H~VE A CURRENTLY VALID PE~IT OR APPROVAL? ASA RESULT OF PROPOSED ACTION WILL EXIS rING PERMI T/APPROVAL REQUIRE MOOIFICA ~]¥e, ~]No / ( ' ~-. ' -,. uate JtJNE 16, 200q OVER Reset :4-16-2 /2 871---, 617.21 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM SEQR Purpose: The tull E,'~F is des*gned to help apphcants and agencies determine, m an orderly manner whether a project or actlon may be ~gmficant The queshon of whether an actlon may be slgmflcant ls not always easy to answer Frequent- Iy, there are aspects of a prolect that are sublectlve or unmeasureable It ~s also understood that those who determmne ~gnmficance may have little or no formal knowledge of the enwronment or may be technically expert mn environmental analysis In addition, many who have knowledge mn one particular area may not be aware of the broader concerns aftectmg the question of sigmficance fhe fuji EAF *s intended to provide a method whereby applicants and agencies can be assured that the determmatmn process has been orderly, comprehensive m nature, yet flexible to allow introduction o~ information to tit a prolect or action Full EAF Components: rhe full EAF ~s comprised of three parts: Part 1: Provides obiective data and information about a gwen project and ~ts ~te By identifying basic project data, ~t assists a rewewer in the analysis that takes place m Parts 2 and ~ Part 2: Focuses on ~dentifying the range of possible ~mpacts that may occur from a project or action It provides gmdance as to whether an impact is likely to be considered small to moderate or whether ~t is a potentially- large ~mpact fhe form also identifies whether an impact can be m~tlgated or reduced Part 3: If any impact in Part 2 is identified as potentially large, then Part ~ *s used to evaluate whether or not the ~mpact is actually ~mportant DETERMINATION OF SIGNIFICANCE--Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ~ Part 1 ~ Part 2 (~Part 3 Upon rewew of the information recorded on this EAF (Parts 1 and 2 and ] if appropriate), and any other supporting information, and considering both the magitude and importance ot each impact. ~t is reasonably determined by the lead agency that: "~ A the project will not result in any large and important impact(s) and, therefore, is one which will not have a significant ~mpact on the enwronment, therefore a negative declaration will be prepared. [~ B Although the proiect could have a significant effect on the environment, there w~ll not be a s,gnificant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required. therefore a CONDITIONED negative declaration will be prepared.* ] ¢' [he prolect may result in one or more large and ~mportant ~mpacts that may have a *,gmficant ~mpact on the enwronment, therefore a positive declaration will be prepared. ° A Conditioned Negative De(:laratmn is only vahd for Unlisted '~ctmns DIRECTIONAL BORE OF A RTE 25, EAST MARION NEW YORK Nameof ,'~ltlon SUFFOLK COUNTY WATER AUTttORITY JAMES R WILSON JIJNE LIAISON 16315677895 SUFFOLK COUNTY WJ 86/29/2809 88:34 76566~' ~ TewnofSouthoM 34:45 06-29-2009 3/7 BOARD OF TRUSTEE PAGE 03 A. l~alKUClitOW3 All ~ for ~ includl~ Town of Somhold s~cles, ,i~l! complete fl'ds CCAP for propos=d m t~a~ ate .s~b. bject ~o the Tovm of Southoid W,~ ~ ___~ l~dew L~. This a~saazat is intended to sepplcm~ other iatam~on used by a Town of Sou~kl s~mcy in ma~lg a d~armination of ;omist=~. *~cept rnlnor ~xrnrpt a~ions ~lutiln8 ~ P~rn~s and other mini~t~tal l~rrn~ not located within th~ Co~fal Erosion Ha~ard Arta. A copy of lhe LWRP is available in h~e foHowiz~ places: online at the ToWn of Soud~oM ,s ~ (southoldmwn.no~thfork.net), the Boa~l of Trustees Offs, the P~ILI~all local libraries md thc Town Clerk's office - ~' '- ]~ -~i~-~j- ~ ~ [9 i ' DESCRIPHON OF SITE AND IERO1N)SED ACflON PROJ~CTNA~ DAM POND CHANNEL, DIRECTI'ONAL DRILL C.~gory of Town of Sou~hold ~ action (check appmixiatc response): (b) Fiaaricbl maLsian~ (c.g. ~rant, 1o~, subsidy) SCWA TO OPEN DRILL HOLE ON ONE. SIDE OF BRIDGE AND RECEIVING HOLE ON THE OTHER SIDE, THAN DRILL A NEW WATER MAIN UNDER CHANNEL. '[§315677895 SUFFOLK COUNTY WI 1~35:13 06-29-2009 4/7 86/29/2009 08:34 76§E,6tll~' I~O,N~D (IF' TRUST~ PAGE: 84 ~,~onof~lion: ON ROUTE 25 AT DAM POND CHANNELr,EAST MARION Site ~ctea~e: ONE Pzc~ihmduse: PUBL,I,C RIGHT OF WAY l~zonin~el~ficali(~,: RIGHT OF WAY If m ~Ec~on for the ~ ac~io~ ~ been filed ~ the Town of Southold ~m~y, the following (a) Nsm¢ of~0iic~m: (d) Ap~]i~ion number, i~a~y: ~r~l tl~ ac~ou ~ dizec~ly ~ ~ ~ or ~k~ ~y a su~ & f~l. ral agency~ Yes ~:No[~ ~Ye%WhteJ~st~teorfixlcrshlgenc~ STIMULUS MONEY · C. Evahme &e projN~ct to the foHowil~ polities by nna]yntng kew the projnct will Ikrther sttpport or not ntpport the poikfe~ Provide all propeHd Beet Managemmt Praefle~ that mil further eneh Incomplete tnfwers wJH reqnfre ~hat the form be returoed for completion, D_~f~LOPKD COA,Vr POucY Polity 1. guter · pat~n ofdevelopmmt in the Town af 8outhold that enimnm e°mmnnlty etiarltt~, preserves open st~.-~ makes dficfent use ofin~rutracture, makn beneflda] use of ·eoastal location, and minimb~ adverne e~tt~ o~ devdopment. Set LWRP Section Ill- Poli~.~ Pnge 2 for evaluation criteria. ~'~¥~s. [] No [] Not Applicable Pof~ey 2. Protect and preserve historic and arehaeological resourees of the Town of SouthoM, See LWRP ~ection rlv. Polities Pages 3 thi-.~?,h 6 for evaluation criteria [] Y. [] No [] Not Applicable 1631S677895 SUFFOLK COUNTY W.~ T~35:33 06-29-2009 5/7 0r'./29/20~$ 88:34 7GSG6'IR[P' BO~D E~' ~ PAGiE 85 Policy $. Enhance visual u ' ud ro ' · ..~. ........... q_ality _ . p tact s~.mc resources throagbout rite Town of Sou~told. See a~w~ ~ecuon ~ - Poit~e~ Fab*es 6 through 7 for evaluation criterh NATUR.4~ COAST POIAOl~S .~,.~..:.;. _..M~z.~_o_?..., '""'." ."_"'r_, -,.d......~ ,'.,our,. ~. nood.~ '"d .,'.... S.. '-MU' -~--~,- ~ x~n~tu ~n~cs o mrougA lb lOt eylhlatlou eriteFia ~-] Yes [] No [] Not AppUcable Yes [] No ~Not AppU~able ]pnmnn ~.oulal ~ and Wihl~e Habitats and wm41sud. though ~2 for ~aluatton critm4t ....... ~ ~ - ~ o~.~n m - rolkhw; Pages 22 ~ 6315677895 SUFFOLK COUNTY Wl · eE,/2cM2809 eS: 34 7E, SE~b~RP~ Yu No XNogAppHmbb EO~iRD ~F' 35:57 06-29-2009 $17 PAGE ~E, Policy 7. Protect mad bnprove ~' ~ in the Town of Sou*hold. See LWRP Section nj _ INdiaka MinimiZ~ mn4nmmmtal degradation in Town of SouthoM ~om sohM wut~ and hanrdom and m. See LWRP Sect/on lEI - Polities; Pages 34 tbroulh 38 for evaluflo~ [] Ym~ [] NO [] Not APplicable tt PolJey 9. Provide for IMubik aeeess to, fred recreational use of, eoasml wamrf, pubic brads, nd pubic r~ources of the Town of SouthoM. See LWRP ~ Ill - Poflcies; Pages 38 through 46 for evaluation [] Ye~ No[-~No~ApplJm~bk 1~1567~$ SUFFO~¢OUN~WO ~6:140~-2g-2~ 7/7 06/29/2809 08:34 765664r ~D~ P~ 87 WORglNG COAgr POLICES P~ 10. ~ ~oM's ~de~t uses ~ promo~ ~ ~ new ~~ uses s~ ~ns. b L~ i ~- Poi; Pap 47 ~ ~ for evian ~ 11. P~ ~bb use of ~g me Fefour~s h ~ r.h.d ~ ~e P~ and Town ~. See L~ ~u ~ _ p~; P~'S7 ~ ~ for ~ ~ 12. ~ ~ ~& h ~he T~wn of ~old. b L~ ~on ~ - PoH~ ~ ~rou~ ~ ~r ~ ~ P~ D. ~moa ~e use md ~meut of en~ md mh~l ruou~, b L~ I)REPAREDBY JAMES R WILSON ~ LIAISON DATE.. 06.29.09 'nIMECTInNAL 'nRILL 430' ElF' 1E° I-I;n,p,E, / / / / /2r .2'45° BEND (ANC) 12°45° ~END (ANC) TRANSITION CDUPLER VAI. V£ & Pax // / ' RECQVERY PDDL 500 ,~' CU/FT MINIMUM SITE PLAN FOR DIRECTIONAL DRILL AT ROUT 25 BRIDGE OVER DAM POND CHANNEL TII~I,.LING RECEIVING 1'~30'-0' ~ENTQNITE RECflVERY PDDL 500 CU/FT MINIMUM -- ~IRECT[I~NAL DRILUNG STAGING AREA COUPLER 9EN~ CANC) 12'45' ~EN~ (ANC) // Location Map NTS. 'A' LOOKING NORTH APPROVED BY BOARD OF TRUSTEE5 ~,~ ~,,[] OF SCiUTIIC,!4 LEGEND Proposed 12' H.D.P.E. Proposed '1£' D, LP.(by Cont.) Water Level line EXIST. WATER MAIN HAY BALES ............ PHOTO DIRECTION ~ Q]oHInO~ ~0 N~A01 'B' LOOKING SOUTH REVISIONS DESCRIPTION 2009 ,I CONTRACTOR COPY INSPECTOR COPY STOREKEEPER COPY Suffo/k County Water Authority H.D..P.E. WATER MAIN INSTALLATION (at Dam Pond Charmel) 4060 Sunrise Highwoy Oakdole, NY 11769 ... ..... 2B+O0 ~3+00 24 +00 ~ ~ . _ :~:. ~.~_~_ : ......... j ~ 25 ~00 ~ ~ 26 ~-00 .... ......... MAIN ROAD (S.R. 25) PLAN VIEW ' ...... I ~ ..... , --- ~ eo, oo - ~ ~ ~ ~ 10,00 """"'"-~" J'-~-- ..... ~-~ -~ ~.~7: w~ o.o ...... ~ ~' ~' --~-~.~ '--'- ..... ~ ..... ~_ ~ ~ ~ "' M.H.W -1.2 - .... ~.~--- ~ _ ~ CHANNEL BO: TOM APPROX, -0.5 ~ ............ : ~ .............. I ~ i _ -20,00 4+40 4+B04~0 4+10 4~00 7+~0 g+8~ ~+70 ~+60 3+~0 B+40 ~*~0 ~*~0 ~+i0 ~00 ~+~0 ~+~0 ~70 ~+6~ ~+50 ~+40 ~0 ~0 ~I0 ~+00 I+~0 i+80 1~70 i~60 1.~0 1.40 I~ i+~ i+1~ 1+00 0~0 0~0 0+70 0+~0 0~50 0+40 0+30 0~0 ~ ~ Vert. Scsi AT DAM POND O~NNEL o ~o eo Ho~z. Scele~ ~=~0' NBTES~ ]~on pipe ~nd supply ~nd ins~e~l lengths o~ ]~' ~.LP, ~o ~ke ~e in ~o ~[ncL 2~' locking ~ubbe~) existing, ~(n ~ bo~h end o~ d~l~l ~nd ~- ]~' 7) Con~c~o~ ~esponslble ~o~ ~ou~s, ~3~ No de-~e~lng, onl~ ~ench pu~ ~o be used bend ~d ~t~ting ~o ~eke ~ie in ~ on bo~h end, 8) ~e~e~ing sh~ll be included in con~cto~ lump su~ bid. wl~h ~ 4~ gpm ~ HBPE ~heR be OR9 ~) ~e~ I~ known ~o con~ln ~oc~, 3~ Cont~cto~ ~ ~upply ~1~ necess~y h~y b~les end silt screen ~ d~lll loc~ion ~ e~ound ~lg, ~0~ Horizontal Bis~nce ~ ~o~ illustration pu~pose5 only ~4) Bentonite poo( loc~tion ~ill be ~l~h-tn the R,O,~, o~ ~he ~o~d~y, g~e~te~ then ~00' ~o~ 4) Cont~cto~ ~h~d tn5~ll du~l ~0 ~G 5t~nded ~cing ~i~e ~ith HBPE H) SC~ ~o deten~tne loc~tlon ~ depth o~ directional 5) Con~c~o~ ~h~l be ~espon~ible ~o~ disposal o~ ~ny exce~ d~tlllng ~luld ~o be ~' belo~ ~lve~ botto~ es no~ed 15) ~LL [L[V~T[BN ~RE NSL ~ N,Y, ST~T[ PL~N[ F[[T, L,I, ZONE 3~04] 9~TUN~ N,~,D,]9B7 REVISIONS LEGEND ~ ~ PROPO&ED D~OWN CREEK TRIBUTARY ~o ~. DA~ DE~IP~ON P~p~ed 12" H.D.P.E, ~ DIRECTIONAL DRILLING OF 1 2" DIST M~ PROP 19 Proposed 12" D,I.P,(by Cont.) 8--E Water ~vel Line HIGH DENSI~ POLYETHYLENE ~IST. WA~R MAIN SU~O~ COUN~ WATER AUTHORI~ EAST MARION AUTH ~0. SOUTHOLD -- ~YBALES ............ CONSTRUCTION - MAINTENANCE / DRA~ING DEPARTMENT N~YORKD.E.C. ~ 4060 SUNRISE HIGHWAY OATE 06/15/09 DRAWN eY RB DWG/FILE PHOTO DIRECTION ~ ~ESHWA~R ~ ~6S~.,us~) ~ OAKDALE, NY 11769 scA~ See Scole Bors II __1 I~%_ - ..... ~ - ~- ...... ~1 ~ ~ ~ ~ -~ ..... ~ ~ M.~CWATER ~L~EL 0.0 - .... .... <~l 8~h ..... '"~"~ .,,.~,~,~,= .... -~ [ 4~'.~" ,~2 ........... ............ I .............. I , I _: -- ...... - .... , ................ ! ......