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HomeMy WebLinkAboutBORNSCHEIN, GEORGEFRANK A. KUJAWSKI, JR., President ALBERT J. KRUPSKI, JR., Vice-President JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. SMITH BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 June 27, 1988 TELEPHONE (516) 765-1892 Mr. George W. Bornschein 1750 Stevens Ave. North Merrick, New York 11566 Re: Waiver- 1000-136-01-044 Dear Mr. Bornschein: The following action was taken by the Board of Town Trustees regarding the request for a Waiver of the Wetland Ordinance for the construction to be done on your residence located at 560 Oak Street, Cutchogue. RESOLVED that the Southold Town Trustees approve the request for a Waiver of the Wetland Ordinance for the construction of two 507 additions to the back of property located at 560 Oak Street, Cutchogue, all in accordance with the plan submitted. --~ Please be advised that th'ere is a $25.00 fee for this waiver due at this time. Very truly yours, ~rank A. awski, Jr. President Board of Town TrusTees FAK: ip cc: Bldg. Dept. file TELEPHONE [516~ 765-1801 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTIIOLD TOWN CONSERVATION ADVISORY COUNCIL To: Southold Town Trustees From: Southold Town Conservation Advisory Council Dated: June 22, 1988 Re: Wetland Application Recommendations The following recommendations were made by the CAC at its regular meeting held Thursday, June 22, 1988: No. 625 - Clifford Eginton - Recommend disapproval. No major need is shown, CAC suggests applicant revegetate the slight problem area. No. 628 - Anthony Panzarino - CAC divided the application into parts A and B. It recommends approval of Part A which is to repair existing deck; constuct a timber dock with a fixed elevated walk; hinged ramp; float; and construct an additon ot w/s of beach house. The CAC recommends disapproval of Part B which consists of a retaining wall with returns; backfilling; additions to existing wood decks; construct concrete pads on n/s of beach house. The CAC feels that the applicant has shown no need for the retaining wall and additional deck would be too close, and as a result wetlands would filled. The land is stable, further work would destroy wetlands. No. 629 - Linda Wilton- Recommend:disapproval. Property is wetlands. Check for possible violation. No. Andrew and Bernice Lettieri - Recommend disapproval. Not enough space for prosposed project, presents a navigational hazard. Recommend approval of Waiver Requests of Henry Smith, Joseph Policano, George W. Bornschein, Venetia McKeighan and Jon Mulholland. ~roadwater. -o~i~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hail, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE [5161 765-1892 APPLICATION IS HERESY 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 PHONE NO ADDRESS OF APPL I CANT.J_7__~_C2_- ~._~._~_~_~__~__A~__~) ~__.(~_~_~_.__~'/'~ ~ ~C~--__6~_~ .... LJ_~6~ AGENT PHONE NO. HOME ADDRESS OF PERMIT APPL ICANT IF DI FFERENT FROM AFORESAID LOCATION _] ~o__~r~~_~_y~v_(__3 /go./~ 6 ~ ~, c~, _M__Y_!/.c6 ~ LENGTH _.~_ ~ WIDTH DEPTH BELOW LOW WATER YARDS TO BE EXCAVATED YARDS TO BE FILLED WIDTH OF CANAL. CREEK OR BAY FRONTING PRCPERTY ! DEPTH AT LOW TIDE DISTANCE TO THE NEAREST CHANNEL FT. DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA .IS THIS FOR PRIVATE OR BUSINESS USE?_____ q~ ~"~. ..... AREA ZONING .i~___ ~_~_~ [ ~ ~___~_T~_~ MANNE~ IN WHICH MATERIAL WILL BE ~EMOVED O~ DEPOSITED DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE AND WHETHER ANY PRIOR LI CENSE 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 GOVERNMENTAl $o,,,r~_kL!~_~_i?e~ ' " " " - m" l___ ~o~ /~- ~- ~_ DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE P~EMISES AFTE~ THE ~ORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, I F NOT THE SAME AS THE APPLICANT. ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? t4-16-2 (2/87)-- 7c 617.21 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM SEQ: Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a projec or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequem ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determin significance mav have little or no formal knowledge of the enwronment or may be technically e.xpert in environmenta analysis. In addition, man'/who have knowle(~ge in one particular area may not be aware of the broader concerns affectin the question of significance. The fu I EAF is intended to provide:a method whereby al~pJicanfs ah~l:a~&n~ik~k,~,be assured that the determinatio~ process has been orderly, corn prehensive ir~ nature, yet flexible to allow introduction of information to fit a project or action Full 'EAF Components: The full EAF-is ~co'mpris'ed'~f ;tfiree parts: ~art 1: Provides objective data and inform,~tion- ~bbut ~ gi~/en:prbj~/~t:and i~si~e. 'B~/'i~dttfying basic projec 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 th~ ma,/occur fr(~m a pr(~je~:t or action. It provide: guidance as to whether an impact is likely to be considered small t9 moderate o~';~.hether it is a potentially large impact. The form also identifies whether an impact c;~h be ~,~tig~ted 'of reduced Part 3: If any impact in Part 2 is identified as potent a Iv-large, then Part 3 is used to evaluate whether or not th( imF~act is actually ~mportant. DETERMINATION O[~'$1G~I~=IC-~N~I~--Typ~e,1· and Unliste! Actions Idenfi~yI the P~.r~ion~ o'f~,.E,AF ~:om'p4.eted;f~r thi~ pro,~ect'~::-~3, ,:"~ ',Pa~t i ~ [:}' ~P~f::2 ': :~' []Part 3 Upon review of the informatio~ recorded on this EAF (Parts 1 and 2 and 3 ~f appropriate); andr a;ny~other supporting information, and considering both the magitude and importance of each impact, it is reasonablv determined by the lead agency that: A The prciect will not result in any large and Important impact(s) and. therefore, is one which will not have a s~gniticant mpact on the environment, therefore a negative declaration will be prepared. ~. 13. 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 h ave been required, therefore a CONDITIONED negative declaration ~ill be prepared.* [] C. The project may result in one or more largeand important impacts tha~ may have a significant impact on the environment, therefore a positive ~leclaration will be prepared. ' A Condit Dned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Tvoe Name of Resoonsible Officer nLeadAgency, Signature of Responsible Officer ~n Leao Agency Title ot Responsible Otricer Signature ol Preparer f f different from responsible officer) Date 1 PART 1--PROJECT INFORMATION · Prepared Dy Project Sponsor NOTICE: This document is designed to assist in determinin8 whether the action proposed may have a significant ef on the environment. Please complete the entire form, Parts A throu§h E Answers to these questions will be consid~ as part of the application for approval and may be subject to further verification and public review. Provide any additi¢ information you believe wil be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on informatio~ currently available and will not inv( new studies, research or investigation. If information requinn§ such additional work is unavailable, so indicate and spe each instance. NAME OF ACTION LOCATION OF ACTION(include Street Address, Municipality and County) ADDRESS BUSINESS TELEPHONE CITY/PO ZIP CODE ¢ NAME OF OWNER Jif different) BUSINESS TELEPHONE ( ADDRESS CITY/PO STATE ZiP CODE DESCRIPTION OF ACTION gt. . oF oF NoOsE' AbbtAJ Please Complete Each Question-Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. ?resent land use: V1Urban l~lndustrial ~]Commercial ]~esidential ~suburba~) l~Rural (non-fa I~Forest E~Agriculture r~Other 2. Total acreage of project area: ~)A acres. APPROXIMA~TE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (Include.s orchards, crcoland, pasEure, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) 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. What ~s predominant soil type(s) on project site? a Soil drainage: ~Well drained ! I~{~ % of site ~Moderately well drained % of site · ~Poorlv drained % o[ site b. If any agricultural land is revolved, how many acres of soil are classified within soil group 1 through 4 of the N Land Classification System,( acres. {See I NYCRR 370). 4. Are there bedrock outcro:)pmgs on project site? ~]Yes '~No a. What ig depth .to bedrock? ~in feet) 2 5'. 'Approxima~te percentage of ~fbposed project site with slooes: [0-10%~' % [10-15% ~' ~J~,15% or greater % 6. Is aroject substantially contiguous to, or contain a building, site, or district, listed on the State or the Nationa Registers of Historic Places? I~Yes 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? I~Yes 8. What is the depth of the water table? ~i~ [in feet) 9. Is site located over a primary, principal, or sole source aquifer? ii-lYes ~No 10. Do hunting, fishing or shell fishing opportunities oresently exist in the project area? ~Yes 11. Does project site contain any ~s'Decies of plant or animal life that is identified as threatened or endangered []Yes ~o According to Identify each species 12. Are there any unique or unusual land forms on the project site? li.e., cliffs, dunes, other geological formations ~Yes ~,No Describe 13. Is the pro'ect site presently used by .the community or neighborhood as an open space or recreation area [Yes ~]No f yes, explain~,,,~ 14. Does the present site include scemc views known to be important to the community? I-lYes ~JJ~No 15. Streams within or cont,guous to project area: ~/~I~ a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within 9r conti~uous to project area: 17. Is the site served by~xisting public util ties? ~,Yes [No a) If Yes, does sufficient cap-acity ekist to allow connection? ]~,Yes [No b) If Yes. will improvements be necessarv to allow connection? [Z]Yes ,~No 18 [s the site located 'n an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA Section 303 and 304? r3Yes [No 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 6177 [~Yes 20. Has the site ever been used for the disposal of solid or hazardous wastes? F1Yes ~No B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate} a Total contiguous acreage owned or control ed by project sponsor b. Proiect acreage [o be develope~: acres initially; c. Project acreage to remain undeve!oped acres. d. Length of pro~ect, in miles: ~'lf appropriate) e. If the prolect'is an e~Dansion, indicate percent of expansion proposed -- .f. Number of off-street parking spaces existing proposed g. Maximum vehicular ~rlps generated per hour (upon completion o~ proie~:t)? h. If residential: Number anu typ~ of hoLsmg uni:s: One Family Two Fami y Multiple Family UltJma[:elv t ~ I. Dimensions (in feet) of largest proposed structure2,~':~O' height; :2-~" width: j Linear feet of frontage along a public thoroughfare project will occupy i~? 3 acres acres ultimately. ?'~ "~ ' length. ft. Condominium 2. How much natural mat'4fffa (i.e.. rock earth, etc.] will be removed from the site? ~ 3. Will disturbed ~reas be reclaird~ed? E]Yes [2]No ~,N/A a. If yes, for what intend_,; purpose is the site~being reclaimed? b. Will topsoil be stockpiled for reclamation? E]Yes I-TNo c. Will upper subsoil be stockpiled for reclamation? E3Yes FqNo 4. How many acres of vegetation (trees, shrubs, grouna~vers) will be removed from site? &)~ acres. 5. Will anv mature f~)rest (over 100 years o]d) or other locally-important vegetation be removed by this project? FIYes ~4o . . 6. If single phase project: Anticipated period of construction ~' 7. If multi-phased: a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 c. Approximate completion date of final phase d. Is phase 1 functionally dependent on subsequent phases? 8. Will blasting occur during construction? I-lYes ]~ii~No 9. Number of jobs generated: during construction /am 10. Number of jobs eliminated by this project /~/J~ 11 Will project require relocation of any pY~,j'ei:ts or facilities? months, (including demolition). tons/cubic yards month year, (including demolition). month year.. I-lYes I-]No- ; after project is corrplete []Yes ~No If yes, explain 12 Is surface liquid waste disposal involved? IX]Yes a. f yes, indicate type of waste (sewage, industrial, etc.! and amount b. Name of water body into which effluent~will be.dfsch~rged 13 Is subsurface liquid waste disposal involved?~ EEYes j~No Type 14 Will surface area of an existing water body increase or decrease bv proposal? ExPlain [~Yes IZJNo 15. Is project or anyportion of project located in a 100 vear flood plain? ~Yes 16. Will the project generate solid w~,ste? FqYes ~]No a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? IZ]Yes I~No c. If yes, give name ; location d. Wil any wastes not go into a sewage disposal system or into a sanitary landfill? e If Yes, explain /~No E~Yes ~No 17. Will the project involve the disposal of solid waste? EE]Yes ' ~]No a If ,/es, what is the anticipated rate of disposal? tons month. b If yes, what is the anticipated site life? years 18 Will prolect use h~:rbicides or pesticides? FlYes )!0No 19 Will project routinely produce odors (more than one hour per day)? F1Yes 20. Will project Droduceoperating nmse exceeding the Ioca ambient noise levels? 21. Will prolect result in an increase in energy use? [Yes If ves. indicate type(s) XNo [Z]Yes J~JNo 22. If water supply is from wells, indicate pumping capacity /J~ 23. Total anticipated water usage per day /~/~ gallons/day. 24. Does'project involve Local, State or l~de?~:l: funding? [Yes If Yes, explain gallons,, minute. 25.'~pprovals Required: City, Town, Village Board j~Yes []No City, Town, Village Planning Board t-lYes E}No City, Town Zoning Board ~,Yes E3No City, County Health Department I~Yes ~lNo Other Local Agencies E3Yes F-INo Other Regional Agencies []Yes E3No State Agencies ~Yes [No Federal Agencies E:]Yes '[]-]No Type Submittal Date C. Zoning and Planning Information 1 Does proposed action involve a planning or zoning decision? ~;]Yes_ E]No _ [f Yes, indicate decision required: I--Izoning amendment j~oning variance E3special use permit E]subdivision l-lnew,rrevision of master plan []resource management plan l-'lother 2. What is the zon.ng classification(s)of the site? plan 3, What is the maximum potential development Of the site if developed as permitted by the present zoning? 4. What is the proposed zoni6g of the site? ,~i~14,~' · 5. What is the maximum potentia development of the site if developed as permitted by the proposed zoning? 6 Is the proposed action consistent with the recommended uses in adeoted local land use plans? ,~Yes 7 What are the predominant land use(s) and zoning classificatior, s within a ~,4 mi e radius of proposee action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a ~A mile? 9. [f the proposed action is the subdivision of land, how many lots are proposed? a. What is {he minimum lot size proposed? 10. Wil proposed action require any authorization(s) for the formatio~ of sewer or water di3tricts? ~Yes [Yes 11 Will the proposed action create-a demand for any community provided services (recreation. education, potic fire protectior~)? ~Yes ~No a. If yes, is existing capacity sufficient to handle projected demand? E~Yes [No 12. Will the 0roposed action result in the generation of traffic significantlv above present levels? I~Yes ~N a. If yes, is the existing road network adequate to handle the additional traffic? [Yes [No D. Informational Details Attach anv additional information as may be needed to clarify your project. If th.ere are or mav be a~v advers ~mpacts associated with ,/our proposal, please discuss such Imoac~s and the measures which you propose to mitigate avoid them. E. Verification I certify that the information provided above is true to the best of mv knowledge. If the action Is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceedin with this assessment. 5 .~r-~. rt 2--PROJFCT IMPACTS AN~,_~HE]R ~IAGNITUDF:. Responsibility of Lead Agency ' General Information (Read Carefully) · l~;~9~'~!~?g-'d~'~°~m,,';i,t, he;re~,k~g~et,~ould be guided ~by the question: .Have my responses and determinations be reasonabl~.~ The reviewer is not expected to be an expert environmental analyst. · Identifying that an imp,~ct wil. l be, potentially large (column 2) does not mean that it is also necessarily significan Any large impact m~j~t [~e-~:[d~te~l in PART 3 to dete}mine significance· Identifying an impact in column 2 simF asks that it be looked at further. · The Examples provided are to assist the reviewer by showing types of 'mpacts and wherever possibie the threshold magnitude that would trigger a response in column 2. The examples are generally applicable'tHroughout the State a~ for most situations. But. for any specific project or site other examples and/or lower thresholds may be appropria for a Potential Largb, I;~p'a,c,t.,¥esp~hS~, thus requiring e~;aluation in Part 3. · The impacts of each project, on each site, in each locality, will vary. Therefore. the examples are illustrative ar have been offered as guidance· They do not constitute an exhaustive list of impacts and thresholds to answer each questic · The number of examples per question does not indicate the importance of each question. · n identifying impacts, consiSbr long term, short term and cumlative effects. ~ _ Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. - f answering Yes to a~,q,u~es~"o.n th~ti~h, eck'~'~'appropriate box (co]utah 1 or 2) to indicate the potential size of tf impact. If impact thr~sh'oid ~qua'l~ ~r exceeds any exam pie provided, check co] umn 2. If impact will occur but thresho is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART e. If a potentially large impact checked in c0tuPnn2,can be mitigated by change(s) in the project to a small to modera: impact, also check {he Yes box in column 3. A No response indi:ates that such a reduction is not possible. T~ must be explained in Part 3. IIViPAOT ON LAND 1 Will the proposed action result in a physical change to the project site? E}NO .~YES Examples tha~ would apply to column 2 · Any construction on slepes 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 (Le., rock or soil) per year. · Construction or expansion of a sanitary landfill. · Construcuo~ m a des]gnat-ed floodway. · Other ~mpacts Will there oe an effect t.'. .... ~v umque oi~.u,~u~ ,~.,a/,lhndt:fb~:rms t~ound the site?. .¢ . ~(i'e",~, ~'c!'i f~s, dun,es,,: -, ~.ge°lpgical~, ~ . format on~. ~et.c.~Q . Specific and forms: 6 I 2 3 Small to Potential Can Impact B~ Moderate~ · ,Large Mitigated By · 'l~A'(~t': ':l;mpact Project Chang, [] [] I~Yes [~No [] [] E~Yes' ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ' ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No IMPACT ON WATER 3. Will proposed action affect any water body designated as protected? (Under Articles 15, 24, 2.5 of the Environmental Conservation Law, ECL) ,J~NO F1YES 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 3roposed act on affect any non-protected existi~or new body of water? )~NO I-lyES 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? XNO []YES Examples that would apply to column 2 · Proposed Action will_require a discharge permit. · Proposed Action requires use of a source ot water that does not have approva to serve proposed (proiect) action. · Proposed Actio~ requires water supply from ~ells with greater than 45 gallons per minute pumping capacity. · Construction or operation causing any contamination of a water supply system. · Prooosed Action will adversely affect groundwater. · Liquid effluent will be conveyed off the site to facilities which presently do not exist or have inadeoua[e capacitv. · Proposed Action would use water in excess of 20,000 gal]ohs per day. · Proposed Action will like(',, cause si]ration 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 comr:.ercial and/or industrial uses which mav requwe new or expansion of ex sung waste treatment and/or storage facilities. Other impacts: ..... 6. Will prooosed action alter drainage fh;w or ~}atterns, or water runoff? ~,~NO Examples that would apply to column 2 · Proposed Aobon would change flood water flows. 7 surface .~ ES 1 2 3 Small to Potential Can Impact Moderate Large Mitigated E Impact Impact Project Char [] [] []Yes [] [] []Yes [] [] []Yes []t' [] [] F-lYes [] [] []Yes []I' [] [] . E~]Yes ~ ~ ~Yes ~ ~ ~Yes ~ ~ ~Yes ~ ~ ~Yes ~N ~ ~Yes ~N ~ ~ ~Yes ~N · Proposed Action may cause substantial erosion. · Proposed Action is incompatible with existing drainage patterns. · Proposed Action will allow development in a designated floodway. · Other impacts: IMPACT ON AIR 7. Will proposed action affect air quality? ~NO l-lYES Examples that would apply to column 2 · Proposed Action will induce 1,000 or more vehicle trips in any given hour. · Proposed Action will result in the incineration of more than 1 ton of refuse per hour. · Emission rate of total contaminants will exceed 5 lbs. per hour or a heat source producing more than 10 million BTU's per hour. · Proposed action will allow an increase in theamount of land committed to industrial use. · Proposed action will allow an increase in the density of industrial development within existing industrial areas. · Other imoacts: '~ IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endan, gered species? ~'NO [Z]YES Examples that Would apply to column 2 \ · 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 · Removal of any portion of a critical or significant wildlife habitat. · Application of pesticide or herbicide more than twice a year, other than for agricultural purposes. · Other impacts: 9 Will Proposed Action substantially affect non4hreatened or non-?ndangered species? ~]NO r~YES Examples that would apply to column 2 · Proposed Action would substantially interfere with any resident or m~gratory fish, shellfish or wildlife species. · Proposed Action requires the removal of more than 10 acres of mature forest (over 100 years of age) or other local v important vegetabon. IMPACT ON AGRICULTURAL LAND RESOURCES 10 Will the Proposed Acbon affect agricultural land resources? -' ,/~NO []YES Examples that would apply to column 2 · The proposed action would sever, cross or limit acce-ss to agricultural Mhd (includes crooJand, hayfields, pasture, vineyard, orchard, etc.) Small to Moderate ._ Impact 2 Potential Large Impact [] [--[Yes [] I-lYes [] ~Yes [] - I-lYes Can Impact Be Mitigated By Project Change [-1No I--INo [-INo [-'[Yes I-1No IT]Yes [-]No ['-[Yes l=lNo l--lYes [-INo I--lyes I-[No [~]Yes I-[No [] []Yes ~]No [] [~]Yes I-]No [] I-lYes [~No [] [~]Yes [~]No [] []Yes [] []Yes [~No [] []Yes I-[No · Construction activity would excavate or compact the sol ;rofile of agricultura land. · The proposed action would irreversibly convert more than 10 acres of agricultura land or, if located in an Agricu]tutal District. more than 2.5 acres of agricultural land, · The proposed action would disrupt or prevent installation of agricultura[ 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. Wiil proposed action affect aesthetic resources.~ ~]NO []YES (If necessary, use the Visual EAF Addendum in~ection 617.21, Appendix B) . Examples 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 IEnd 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 comoonents that will result ih the elimination or s~gnificant screening .of scenic views known to be important to the area. · Other mpacts: IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure~o~f historic, pre- historic or paleontological importance? J~JNO []YES 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 ~n 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 affect the quantity or quality of existing or future open spaces or recreational opportumties.~ Examples that would apply to column 2 ~;~NO [YFS · The permanent foreclosure of a future recreational opportuhitv. · A major reduction ot an open space ~mportant to the community. · Other impacts: 1 2 3 Small to Potential Can Impact Moderate Large Mitigated By Impact Impact Project Chang, [] [] E~]Yes i-'~ No [] [] [-qYes I"-J N o [] [] ~-[ Y e s I--I No [] El. []Yes I-1No [] [] l-lYes []No [] [] l~Yes r-lNo [] [] []Yes [No [] [] []Yes [h~o [] [] []Yes F-Ihto [] [] []Yes.. []No [] [] , []Yes []No [] [] []Yes []No [] [] []Yes [] [] []Yes [] [] []Yes [No ir~ PACT ON TRANSPORTATION 14. Will there be an effect to existing transportation sy_stems? Examples that would apply to column 2 ~NO ~]YES Small to Potential Can lmpact Moderate Large Mitigated Impact Impact Project Chal [] [] l-lYes ~]l [] [] : [-]Yes [] ~1~ [-]Yes l--Il ~ ~ ~Yes ~ ~ ~Ves -o Alteration of present patterns of movement of people and/or goods. · Proposed Action-will result in major traffic problems. · Other impacts: IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? /~NO []YES Examples that would apply to column 2 · Proposed Action will cause a greater than 5% increase in the use of an'/ form of energy in the municipality. · Proposed Action wi[I require the creation or extension of an energy transmission or supply system to serve more t.han 50 single or two family residences or to serve a major commercial or industrial use. · Other Impacts: NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? j~NO []YES 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 oroduce 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 17. Will Prcposed Action affect public health and safety?NO F~Y-ES 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 mav result in the burial of "hazardous wastes" in any form (.e. [oxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.j · Storage facilities for one million or more gallons of liquified natural gas or other flammable liquids. · Proposed acuon may result in the excavation or other disturbance within 2,000 feet of a s~te used for the m~posa'l of solid or hazardous · Oth~,r impacts: 10 IMPACT ON GROWTH AND CHARACTER OF CO~tMUNITY OR NEIGHBORHOOD 18. Will proposed action affect the character of the exist~,~ community? ,~NO ,~YES £xamples 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 wil 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 emplo,/ment. · Other impacts: 1 2 3 Small to Potential Can Impact B, Moderate Large Mitigated By Impact Impact Project Chang [] [] []Yes []Nc [] [] ' ~]Yes []Nc [] [] []Yes E]Nc [] [] []Yes E]Nc [] [] []Yes []Nc [] -. []' []Yes ~Nc ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ~i~NO FIYES ,\ If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3--EVALUATION OF THE IMPORTANCE OF IMPA,..;TS 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 b~ mitigated. Instructions Discuss the following for each ~mpact identified in Column 2 of Part 2: 1. Briefly describe the impact. 2. Describe (if applicable) how the impact cou]d be mitigated or reduced to a small to moderate im pact bv project change(s) 3. Based on the information available, decide if it's reasonable to conclude that this impact is important. To answer the question of mportance, con~ider: · The probability of the impact occumng · The duration of the mpact · Its irreversibil ty, including permanent y lost resources of va ue · Whether the mpact can or will be controlled · The regional consecuence of the impact · Its potential divergence from local needs and goals · Whether known object~ons to the oro'ect relate [o this unpact (Continue on attachments) 11 6 ! 7.21 SF. QR Appendix B Environmental Quality Review Visual EAF Addendum This form may be used to provide additional information rdadng to Question 11 c~f Part 2 of the Full lEAF. (To be completed by Lead Agency) Visibility 1. Would the project be visible from: · A parcel of [and which is dedicated to and available to the public for the use. enjoyment and appreciation of natural or man-made scenic qualities? · An overlook or parcel of land dedicated to public observation, enjoyment and appreciation of natural or man-made scenic qualities? · A site or structure listed on the National or State Registers of Historic Places? · State Parks? · Th s State Forest Preserve? · National Wildlife Refuges and state game refuges? · National Natural Landmarks and other outstanding natural features? · National Park Servi'ce lands? · Rivers designated as National or State Wild. Scenic or Recreational? · Any transportation corridor of high exposure, such as part of the Interstate System. or Amtrak? · A governmentally established or designated interstate or inter-county foot trail, or one formally proposed for establishment or designation? · A site, area, lake, reservoir or highway designated as scenii:? Distance Between Project and Resource (in Miles) 0-1/~ 1/4-1/2 1/2-3 3-5 5 + [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] · Municipal park. or designated open space? · County road?. · State? ° Local road? 2. Is the visibility-of the project seasonal? (i.e., screened by summer foliage, but visible during other seasons) []Yes ~'No 3. Are any of the resources checked ie question 1 used by the public duripg the time of year during which the project wil be visible? ?Yes ~No DESCRIPTION OF EXISTING VISUAL ENVIRONMENT ~ 4. From each item checked in question 1, check those which generally describe the surrounding environment. Essentially undeveloped Forested Agricultural Suburban residential Industrial Commercial Urban River, Lake, Pond Cliffs, Overlooks Designated Open Space Flat Hilly Mountainous Other NOTE: add attachments as needed 5. Are there visually similar projects within: *l/z mile [~] Yes ]--[No '1 miles [--[Yes }--]No ~2 miles -[~ Yes [~No *3 miles I-lYes [~No Within '1/4 mile * 1- mile * Distance from project site are provided for assistance. Substitute other distances as appropriate EXPOSURE 6. The annual number of viewers likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY Holidays/ Activity Dafty Weekly Weekends Seasonally Travel to and from work [] [] [] [] Involved in recreational activities [] [] [] [] Routine travel, by residents [] [] ~ ~ At a residence [] [] "-[] ~} At worksite [] [] [] [] Other ~ [] [] [] COUNTY OF SUFFOLt~' ) STATE OF NEW YORK )SS: BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, THAT THE WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. THE APPLICANT 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, IF GRANTED. in completing this application I hereby authorize the Trustees, agent 6r representatzve to enter onto my property to inspect the premises in conjunction with review of thi~ applica~on. ~-~tlG~ATURE OF APPLICANT SWORN TO BEFORE ME THIS EXAMINED APPROVED "WETLANDS" PERMIT (CHAPTER 97) APPROVED "BOAT,DOCKS, WHARVES" PERMIT (CHAPTER 32) DISAPPROVED "WETLANDS PERMIT" (CHAPTER 97) DISAPPROVED "BOATS.DOCKS, WHARVES" PERMIT (CHAPTER 32) CONDITIONS, IF ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Aporovet] 2/27/85 "