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HomeMy WebLinkAboutTR-4307 AmendAlbert J. Krupski, President John Holzapfel, Vice President Jim: ' King Martin H. Garrell Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 1, 1996 William Price Yront Street Greenport, NY 11944 RE: Edward J. Barrett SCTM ~23-1-6.i Dear Mr. Price: The following action was taken by the Southold Town Board of Trustees July 31, 1996: RESOLVED that the Southold Town Board of Trustees approves the request for to transfer permits at the above referenced property from Swick to Edward J. Barrett. This approval does not constitute any other approvals from any other agencies. If you have any q~estions, please do not hesitate to contact this office. Albert J. Krupski, Jr. President, Board of Trustees AJK: jmd Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 43.0.7 .............. : ..... DATE: April..30,.._199A ISSUED TO ........ $.uzanz~e...$..wick ................................................................................. 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 19... 9..4.., and in consideration of the sum of $..~L5~.,...0..0 ....... paid by ........... S.u ~ a.n..n.e....$~ic.k ........................................................................... i .................................... of .......................................................................................... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: to construct a one family dwelling with associated sanitary syste selective pruning will be done by hand. The house shall be no closer than 60' from the wetland line, there Shall be no di. vegetation to the north of the 12' contourline, drywells to a~l~ in accordance with the detailed specifications as presented in the originating appllcafiom will be used; driveway wi]] be a vious surface and a staked row of hay bales will be placed alon the grass IN WITNESS WHEREOF, The said Board of Trustees here- area by causes its Corporate Seal to be affixed, and these presents at be subscribed by a majority of the said Board as of this dat, e. 'top of Albert J. Krupski. President John Holzapfel, Vice President Martin H. Gan'ell Peter Wenczel Town Hall 53095 Main Road P.O. Box I179 Southold, New York 11971 Telephone (516) 765-1892. Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application _~ndfather Permit Applic /~aiver/Amendment ~-~Received Application: -- ~Ceived Fee:$/~. ~ ' ,~.C~mpleted Application l/~/g& v Incomplete ° SEQRA Classification: Type i Type II Unlisted Coordination:(date sent) CAC Referral Sent: ~ate of Inspection: ~,/9~ ~Receipt of CAC Report: Lead Agency Determination: / ' ~echnical Review: ~Public Hea~ing Held: Resolution. / / - Name of Applicant~~/~/~-- Suffolk County Tax Map Number: 1000 Property Location: ~ ~.~ ~-- (provide LILCO Pole 9, distance to cross streets, and location) ( If applicable) -o-C oy FAX-ti:: Albert J. Krupsld, President John Holzapfel, Vice President Jim King .,~ Martin H. Garrell Peter Wencz¢l Town Hall 53095 Main Road P.O: Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 29, 1996 Anthony Tohill P.O. Box 1313 Ri~herhead, NY 11901 RE: Suzanne Swick SCTM 423-1-6.1 Dear Mr. Tohill: The following' action was taken by the Southotd Town Board af Trustees on Wednesday, February 28, 1996: RESOLVED that the Southold. Town Board of Trustees grant a one year extension to permit ~4307 to construct a ho~se, to expire April 30, 1997. If you have any questions, please do not hesitate ta contact this office. Sincerely, Albert J- Kki, ~' President, Board of Trustees AJK:JMB cc:CAC ANTHONY B. TOHILL iVlICHAEE T. CLIFFORD OF COUNSEL _~LNTI-IOiXlY t~. To~zz~, P.G. _kTTORNEYS it L/kW 12 FIRST STREET P. O. BOX 1330 l~_IVE:~..i]:), l',TEW YO~K 11901-0903 TELEPHONE: (516] 727-8383 Januarys25, 199~ Board of Town Trustees P.O. Box 1179 S ~^~ v -~ 119 OU~,~, New ~o~. 71 Att: Jill Re: Suzanne Swick $CTM 1000-23-1-6.1 Southold Trustees Permit #4307 - issued 4/28/94 Dear Jill: This letter will confirm your telephone conversation with my secretary this date wherein you advised that you received my January 22, 1996 letter. You advised that this matter has been plaCed on the February 28, 1996 calendar and that there was no appearance required by my office. You further advised that there would be a fee of $10.00 for this extension. I am enclosing herewith my check for same. Very truly yours, Anthony B. Tohill ABT/lap ANTHONY H ICHA£L T, CLJFFORD OF COUNSEL -&TTOtLN-E¥S AT ~W TELEPHONE:: (516) 727~e3 January 22, 1996 Board of Town Trustees P.O. Box 1179 Southold, New York 11971 Att: Albert j~ Krupski, President Re: Suzanne Swick .SCTM i000-23-1-6.1-Southold Trustees issued 4/28/94 Dear Mr. Krupski: ' Permit # 4307 My client wishes ~to.extend..the captioned permit for a period of one year. Would you kindly ask..one of your staff to advise me what procedure you would wish us to follow in order to apply for the extension. ABT/lap Very tru~ly yours, Anthony B. Tohill Albert J. Kmpski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 3, 1994 Anthony Tohill 12 First Street P.O. Box 1330 Riverhead, NY 11901 Re: Suzanne Swick SCTM ~i000-23-1-6.1 Dear Mr. Tohill: The following action was taken by the Board of Town Trustees during its regular meeting held on April 28, 1994 regarding the above matter: WHEREAS, AnthOnyTohill on behalf of Suzanne Swick applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated March 16, 1994 and, WHEREAS said .application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a public hearing was held by the Town Trustees with respect to said application on April 28, 1994 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 applicationr and, 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, THEREFOP~ BE IT RESOLVED that the Board of Trustees approves the application of Anthony Tohill on behalf of SUZANNE SWICK to construct-a one family dwelling with associated sanitary system, Selective pruning will be done by hand. The house shall be no closer than 60' from the wetland line, there shall be no disturbance to any vegetation to the north of the 12' contour line, drywells will be used, driveway will be a pervious surface and a staked row of hay bales will be placed along the grass area at the top of the ban~. Permit will expire two years from the date it is signed. Two inspections are requiredand.the Trustees are to be notified upon completion of said. project. Very truly yours, President, Board of Trustee AJK: jd cc: CAC TRUSTEES John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert I, Krupski, Jr. lohn L. Bednoski, Jr. lolm B. Tuthill Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 COASTAL EROSION MANAGEMENT PERMIT APPLICATION TOWN WETLANDS PERMIT APPLICATION TRUSTEE LANDS PERMIT APPLICATION Office Use Only: ~Coastal.Erosion Permit Application ~Wetland Permit Application ~Trustee Lands Permit Application ~__~randfather ~Completed Apps. Date. .~Variance Required, ~cNeighbor's notified Date: Review-opt.,man~.~~ _Insp. comp./date: SEQRA Determin./date: w~Public Hearing/date:['~- Findings: ~ ~)~I~7/~ p/ Permit Vote: Special Conditions: (also see file) TOWN .... OF SO: _ UTHOLD. Application Number; SC~4 ~1000- Project Name (if a'ny) Date Prepared: ~//2/~E Applicant: Sb~;4/4~ .. Interest: (owner, consultant,lessee,etc. Owner of Property: '$'~0~~ Address ~ ~UkfF RD~D A ~57 ~~ 7 ~.T. ~o~ Phone (Pm/) 7~-71~/ Subject Property Location: (Provide LILCO Pole ~, Distance to cross Streets i~ not on location map) THIS IS NOT A PERMIT ,// Yds. to be excavated: ;V/_~_ Yds. to be filled: h_f,? Manner in which mater'lal'will be removed or deposited: 9idth of canal creek or bay fronting property: ~/$ Depth at low tide: _~ Aver. rise in tide: Distance to nearest.channel: ~/~ Distance project extends beyond similar projects in area: Area zoning: ~-~o Land area in acres: 3,/~ Is project fo~ private or business use: Intended use of property: ~/~ ~;~ ~~ Describe known prior operations conducted on premises: r '}{as any prior license or permit been issued to erect structures, dredge, or deposit fill on said premises: Has any license or permit ever been revoked or suspended by a Governmental Agency: Project Description The project description must also include plans for reclamation of land disturbed during construction o~ the principle and accessory structures and underground structures (i.e., pipeline and septic s~stem; make additional attachments if necessary). · Authorization (Where the applicant is not the owner) I ~/~ residing at ~ ~ (pjint-0wne'r' of s~bject property)-----~ing add~:ess-phone) do hereby authorize to "appi'~--~or Coastal Erosion permit{s) from the Southold Town Trustees Signature THIS IS NOT A PE~IT County of Suffolk ) .State of New York ) ~'~ ~N~ ~' ~~"~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT t~/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT'S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF H~/HER KNOWLEDGE AND BELIEF, AND THAT 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 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[S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(s) OR REPRESENTATIVE[s), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWOP2~ TO BEFORE ME THIS SIGNATURE DAY OF Suggested space for loCation Map ~{IS IS NOT A PERMIT .? . -.~ 1,".-~,6-4 ¢2/8~--Text 12 ..... '1P~)JECT]'D'NUMBER SHORT 617.2 Appendix C State Environmental Quality Review ENVIRONMENTAL ASSESSMENT For UNLISTED ACTIONS Only ~ART I--PROJECT INFORMATION (To be completed by Applicant or Proiect sponsor) FORM SEQt I. APPLICANT,~u, 7-~1¢~/V)~/E/E'f'ONSO¢' ~ ~ /~k IJ 2. PROJECT NAME 3. ~RO~EOT LOCATION: 4. PRECISE LOCATION (Street address And ro~d intersections, prominent landmarks, etc., or provtde 5. IS PROPOSED ACTION: ~ [] Exoansion [] Modification/alteration ' ' 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LANO AFFECTED: :nilially "~, ] '~"~ acres Ultimately ~ '/5"~ acres 8. W~OSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [~Yes [] No If No, de'scribe briefly '-9. WHATIS ~RESENT LAND USE IN VICINITY OF PROJECT? ~,denttal [] !nduatrial [] Commercial J~J Agriculture [] Park/Farest/ODen 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 I~ ye~, list agency(s) and permit/approvals -. DOES ANy AZ~..j3F THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes Ll~o I! yes, list aaency name and permit/approval 12. AS A RESULT OF PROPOSED AgTION .WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? r-lyes E] No N/'9 I CEBTI~Y THAt THE INFORMATION P~OVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE If the action is in the Coastal Area, and you are a state agency, complelo tho Coastal Assessment Form before' proceeding with this assessment OVER 1 A. L~O£.S[]YesAOT ©,N EXCEE. D[]No ANY 1~YPEI T~,r~SHOLD IN 6 NYCiln, PARr GI7.127 if ye~,coor~ ..... Fo I~erewewproc0s~ano 'E~. WILL ACTION RECEIVE COORDINATED ~'EVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PA*qr 617.62 If may be sUperseded by another involvecl agency. [] Yes [] ~o C. COULD ACTION RESULT IN ANy ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may .be handwritten, il leq~blet Ct. Existing air quality, Surface or' groundwater quality or quantity, noise levels, ex,sting traff c patterns, SOlid waste Production or disposal. potential for erosion, drainage or flooding problems? Explain briefly: ; Aesthetic, agricultural, archaeological, histor c, or other natural'or cultural resources; or COmmunHy or neighborhood character? Explain briefly C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, ar threalened 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 C$. Growth. subsequent development, or related activities likely to be mducee by the proposed action? Exolatn bne/ly. C5. Long term. snort term, Cumulative. or other effects not identified in C1-C57 Explain briefly. C7. giber impacts (inclbding changes in use of eilher quantity or type et energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL hMPACTS7 [] Yes [] NO If Yes, explain briefly PART III--DETERMINATION OF SIGi',IIFICANCE (TO be completed by Agency) INSTRUCTIONS: For each adverse effect identified a ~]ove, determine whether it is substantial, large, important or Otherwise significant. Each e/tact should be assessed in Connection with its (a) Setting (i.e. urban or rural); (b) prObabilily of occurr, ing;.(c) duration; (d) Jr~vers b ii, y; (e} geographic scope; and (0 magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanal~OnS conlain sufficient detail to shOW__lhat ail relevant adverse impacts have been identified and adequately addressed. [] Check this box if you have identi[ied one or more Potentially large or ~ignificant adverse impacts which .' occur. Then proceed directly to the FULL EAF and/or prepare a POSitive declaration. [] Check this box if you have determined, based on tho information and analysis above and any supporting documentation, that the prol3osed ac[ion WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: ' .: · :'2,: TRUSTEES John M. Brcdemcycr, Ilk President Albert J. Krupski, Jrt, Vice President Henry P. Smith John B. Tuthill William G. Albertson Tclcphone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30 year Maintenance Agreement Erosion Protection .Structures Chapter 37 Southold Town Code Southold Trustees as Administrator I (we) type or print name(s) the owners of record of property at: SUPERVISOR SCOTT L. HARRIS Town Hall 5.3095 Main Road EO. Box 1179 'Southold, New York 11971 (type or print street address) SCTM ~1000- in applying for a Coastal Erosion permit for an Erosion Protection Structure do hereby agree to a 30 year maintenance program for a structure commonly known as a of as shown on the attached feet of length licensed survey of the as-built structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and or equivalent to the original approved structure and that for any maintenance which involves more than 5% in length of this structure we are to give prior written notice to the administrator, waiting for their approval in all but true emergency situation's which would seriously endanger life, property and important coastal natural resource features such as bluffs or wetlands. We further understand that failure to maintain the structure could result in a requirement to post a bond and or have the repairs ordered as a lien against the property upon a finding by the Trustees that said lack of maintenance would risk life, property or important natural resources features including protected, rare or threatened animals and plants. Notarized Signature of owner of record SWORN TO BEFORE ME THIS DAY OF ,19 NOTARY PUBLIC Please submit three copies of a licensed land survey made within one year of the original construction. This maintenance agreement shall only be valid upon the final approval of the administrator. Subsequent owners may apply to the Southold Town Trustees to re-authorize this maintenance agreement. ORIENT LONG' ~each UM~ISLAND L ABOR~TORY '. . i ~,ON~' 0 PLU~ ISLAND ROCK' ANTHONY E~. TOHILL SHARON D. GUNTHER I~ICHAEL T. CLIFFORD OF COUNSEL _AxNTttONY B. ToHxIi, P.G. ATTORNEYS AT IAkW ~2 FIRST STREET P. O. [BOX 1330, RIVERI-IF~D, NEW YOI~K 11901-090(3 TELEPHONE: (516) 7~7-8 383 March 28, 1994 Mr. Albert J. Krupski, Jr. Board of Town Trustees Post Office Box 1179 Southold, NY 11971 Re: 1000-23-1-6.1 - Suzanne Swick Dear Chairman Krupski: With respect the captioned appli~dation under the Wetlands Chapter 97 and Coastal Erosion Hazards Act Chapter 37, please find enclosed six copies of Van Tuyl survey revised through March 23, 1994. The application depicted on the survey shows, among other things, the following: 1. The Coastel Erosion Hazard Line locating that point 25 feet landward of the landwardmost toe of the bluff or bank along the Long Island Sound is.considerably seaward of the subject Swick parcel and the location of the bluff or bank along the shore or beach of the Long Island Sound has therefore no application to this matter; 2. The Tidal Wetlands Line is now shown on the survey exactly as the Trustees had earlier understood the location of that line; 3. Between the Tidal Wetlands Line and the seawardmost point of the proposed building envelope, the elevation reaches 13 feet and therefore the proposed house would be substantially landWard of the ten-foot contour; 4. Both the proposed dwelling location and the proposed building envelope would permit modification landward to abide the 75 foot standard except that it is my understanding that both the applicant and the pre-1994 Trustees thought the house should be located away from any residence further south from the proposed residence. If the Board feels that the hOuse should be closer to the adjacent southerly residence, I believe the 1Dcation can be modified; 5. The proposed well and proposed septic system are located in compliance with the Suffolk County Sanitary Code Mr. Albert J. Krupski, Jr. March 28, 1994 Page 2 and are subject to the approval of the Suffolk County Health Department. In reviewing the minutes of the prior meeting I note that a question was raised with respect the applicability of Zoning Ordinance Section 100-239.4. The Coastal Erosion Hazard Act was adopted after the Sound shoreline was examined by the DEC in order to establish a point landward 25 feet from the landwardmost toe of the bluff or bank landward of the beach or shore of the Long Island Sound. The proposed building envelope according to the enclosed survey is considerably landward of a point 100 feet from the Coastal Erosion Hazard Line which by definition is itself landward 25 feet from the landward toe of any bluff or bank. Could you please restore this matter to the Trustees' calendar, at your earliest conveinece. Enclosed please find a postcard self-addressed and pre,posted to my office on which I request that you notify me of the new date. Very tr~ ~rs, ABT/bb Enclosures cc: Suzanne Swick Anthony B. Tohill JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FaX (516) 765-'1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section ! of this form and giy~t~ ~o~QAClerkms Office (agency Freedom of Information Officer). One copy will ~/~r6tLfl'fi§f5~ to you in response to your request, or as an interim response. .... _ _qtbald Towa CleA SECTION I. TOt'D:r p tment or Officer, if known, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought, if possible, supply date, file title, tax map number, and any other pertinent information.) Signature of Applicant: Printed Name: Address: m C SH . Received Date .... HOW PAID CASH cHECK AMT. PAID MONEY BALANC~ ORDER DUE · 0035806 DollOr$ $ te KEEGAN & KEEGAN, P.C. ATTORNEYS AT LAW THOMAS J. KEEGAN, JR. DEBRA A. BYRNES DANIEL C. ROSS TImMAS J. KEEGAN OF COUNSEL 147 NORTH OCEAN AVENUE P.O. Box 918 PATCHOGUE, NEW YORK 11772-0918 (516) 475-9400 EAST END OFFICE MATTITUCK, NEW YORK 11952 (516) 298-4427 BY APPOINTMENT Board of Town Trustees 53095 Main Road P.O.Box 1179 Southold, NY 11971 Attention: Jill March 22, 1994 TOWBi 0F $OUTHOLD RE: Swick Trustee Application Dear Jill: This will confirm our conversation wherein you indicated the Board was awaiting requested information on the referenced appli- cation from the applicant and the matter would not be on the Trustee's March calendar. DCR: ic ws\l\[ it\brd-trus. [tr Albert J. Krupski, President John Holzapfel, Vice'President William G. Albertson Martin H. Garrell Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 28, 1994 Suzanne Swick West Orange N.J. 02052 RE: SCTM ~1000-23-1-6.1 Dear Mrs. Swick: The Southold Town Board of Trustees held a public hearing for your wetland application referenced above on January 27, 1994. During the course of the hearing certainquestions ere raised which we would like you to address. i. We will require a Board verified wetland line placed on the survey. 2. Do you require a variance from the Zoning Board of Appeals? 3. Final location of the septic system is of interest to the Board. Please note that a wetland line on your survey, once established, will limit our jurisdiction to 75' of that line. Therefore any activity upland of the 75' wetland line (roughly the base of the bluff on your property) will not require a permit from this Board. When the wetland line is located and marked, please notify the Board. We will verify it in the field before you locate it on the survey. This is not a request that we verify it, but it will save you considerable time and unnecessary controversy. If you have any questions, please do not hesitate to Contact this office. Albert J. Krupski, Jr. President, Board of Trustees AJK:jmd ~ JUDITH T~ TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O: BOx 1179 Southold, New York 11971 Fax (516) 765.1823 Telephone (516) 765-1801 INSTRUCTIONS: OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS Please complete Section I of this form and give to Town Clerk's Office.(~gency Freedom of InfOrmation Officer). One copy will be returned to you in response to your .request, or as an interim response. SECTION !. (Department or Officer, if known, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, file title, tax map number, and any other pertinent information.) Printed Name: Mailing Address (if different from above): TRUSTEES John M. Bredemeyer, III, President Albert J. Kmpski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albenson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 1000-23-1-6.1 NAME: Suzanne Swick DATE: December 8, 1993 Chapt. 97 - Wetlands Chapt. 37 - Coastal Erosion RESOLVED that pursuant to Article 8 of the Environmental Conservation Law, State Environmental Quality Review and 6NYCRR Part 617, Section 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration 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. TYPE OF ACTION: Unlisted DESCRIPTION OF ACTION: To construct a one family dwelling with excavation for foundation, slab, and septic system with no activity within 35' from top of bluff. LOCATION:SCTM #1000-23-1-6.1 REASONS SUPPORTING THIS DETE~SIINATION: 1. An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. cc: CAC DEC Telephone (516) 765o1501 Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL TO:' Southoid Town Board of Trustees FROM: Southold Town Conservation Advisory Council Dated: June 23. 1993 Re: Recommendation of Wetland Applications The following recommendation was made at the meeting of the Southold Town Conservation Advisory Council. held Thursday. June 17. 1993: Moved by Bruce Loucka. seconded by John HolZapfel. it was RESOLVED to recommend to the Southold Town Board of Trustees IONS of Wetland Application of SUZANNE to build a single family dwelling. The Council recommends approval of the building envelope provided the house is no closer than 75' of the bank and that the septic system is no closer than 100' of the bank. Main Road. East Marion Vote of Council: Ayes: All Motion carried. COUNTY OF SUFFOLK ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES John M. Bredemeyer, HI, President Board of Town Trustees Town of Southold 53095 Main Rd. - P.O. Box1179 Southold, New York 11971 MARY E. HiBBERD. M.D.. M.P.H. COMMISSIONER June 30, 1993 m~: Suzanne Swick-single family dwelling ~sc~#: 1000-23-1-6.1 Dear Mr. Bredemeyer: The Suffolk County Department of Health Services (SCDHS; "Department") has received your letter dated June 10, I993, concerning the above-referenced project. The Department has no objection to your designation as lead agency. Based on a review of the subject coordination, the Department offers the following comments. However, the Department wishes to reserve its right to provide more detailed information within the comment period(s) established for this action. Also, these comments should not be construed as an flnplicit SCDHS approval or rejection of the project. All applications are reviewed thoroughly with respect to Suffolk County Sanitary Code (SCSC) concems by appropriate departmental personnel when SCDHS applications are completed. An application has not yet been submitted to the Office of Water and Wastewater Management. Technical comments will be made at that time. The survey prepared by Van Tuyl revised May 12, 1993 does not depict a freshwater or a tidal wetland boundary. Is the limit of the wetland the edge of~ the pond as shown? The sanitary system should be located as far from the ponds edge on the southern portion of the parcel. Siting the system on the northside will require Board of Review. The survey should also depict the location of adjacent wells and septic within 200 feet of the lot. DIVISION OF ENVIRONMENTAL QUALITY COUNTY CENTER RIVERHEAD. N.Y. 119OI-3397 852-2100 Letter to John Bredemeye~ June 30, 1993 Page 2 The applicant must comply with the requirements of the Suffolk County Sanitary Code and relevant construction standards for water supply and :sewage disposal. Design and flow specifications, subsurface soil conditions, and complete site plan details are essential to the review of this project. These considerations are reviewed completely at the time of SCDHS application. SCDHS maintains jurisdiction over the final location of sewage .disposal and water supply systems. The applicant, therefore, should not undertake the construction of either system without Health Department approval. Thank you for the opportunity to review this application. If you have any questions, please feel free to contact the Office of Ecology at 852-2078. Sincerely Yours, Kirnbedy Shaw Sr. Environmental Analyst Office of Ecology KS/amf cc: Vito Minei, P.E. Stephen Costa, P.E. Frank Dowling, SC Planning TRUSTEES John M. Bredemeyer, III, President Albert' J. Krupski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L, HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 LEAD AGENCY COORDINATION REQUEST TO: DATE: 7 Enclosed is a permit application and a completed part I of the Environmental Assessment Form. Southold Town Trustees are interested in your ageny's comments in acting as SEQRA Lead Agency for: LOCATiOn: TAX MAP: ~-l-b,I DESCRPTN: ~cc. A~~ PERMIT REQUIRED: (~O~ WETL~D ( SEQRA CLASSIFICATION: ( ) T~e I (~LISTED ) OTHER ( ) Type II (~ CEA Please contact .Albert J. i~rupski, Jr., Trustee . within 30 days and be advised that the Southold Town Trustees (WANT)/(DO NOT WANT) to assume lead agency. SENT TO: DOS ( ) DEC (~/DOH (~/PB ( ) ZBA ( ) BLD ( )~ Cfi~ Please complete, detach and return this form to expedite processing. Involved Agency: Project Name: Location: -SCT : We at/[/V50 fC.~ (Hav bjection AGENCY Agency-~''- . Trustees assuming Lead . to Southold Town Comments/Reasons: ~i~~r~i ~~h00~iz~ RepreSentative ~ TRUSTEES John M. Bredemeyer, III, President Albert J. Krupski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 TO: LEAD AGENCY COORDINATION REQUEST DATE: 7-/~"~3 Enclosed is a permit application and a completed part I of the Environmental Assessment Form. Southold Town Trustees are interested in your ageny's comments in acting as SEQRA Lead Agency for- LOCATION: ~%~k5-~ ~~o~ TAX MAP: ~-l-&.~ DESCRPTN: ~c~ ~~ PERMIT REQUIRED: (L~OWN WETLAND ( SEQRA CLASSIFICATION: ( ) Type I (.4~UNLISTED ) OTHER ( ) Type II (g-~ CEA Please contact Albert J. Xrupski, Jr., Trustee ~ within 30 days and be advised that the Southold Town Trustees (WANT)/(DO NOT WANT) to assume lead agency. SENT TO: DOS ( ) DEC (%~/DOH (/PB ( ) ZBA ( ) BLD ( Please complete, detach and return this form to expedite processing. Involved Agency: Project Name: Location: SCTM: We at AGENCY Trustees assuming Lead Agency. (Have/No) objection to Southold Town Comments/Reasons: Signature of Authorized Representative Consultant Project Name SCTM ~1000- Date 2'3-1-6'./ The Southold Town Trustee of_lice has determined that your applicatio~n for a_~,.o~astal erosion/wetlan~ permi~ is n~n j~ris=iction~l<~ncomplete~ please consider the following information in this regard for any required return submission: This notice makes no claim with respect to other jurisdictions within or outside the Town of Southold with respect to permits, permission required. ' ..... PART 1--PROJF_.CT I'NF: ':MATION 4 Prepared by Project Sponsor " NOTICE: This document: is designed to assist in determining whether the action proposed may bare a significant on the environment. Please complete' the entire form, Parts'A through E. Answers to these questions will be'c0nsid~ as part of: the application for approval and may be subject to further' verification.and public revIew. Provide any. ,additior 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 invol new studies, resear'ch or investigation. If information requiring such additional work is unavailable, so indicate and spec each- instance. ' ' NAME OI; ACTT~ON . . NAME OF APPLICANTISPONSOR,, ^OORESSA'-r- .f ? Rz> and County) BUSINESS TELEPHONE CITY/PO ~1~ E~'r ~(~,J~ ) I STA E' ZIP CODE BUS IN ESS .TELEPHONE ( ADDRESS CiTY/PO .-STATE ZIP CODE DESCRIPTION OF ACTION Please Complete Each Question-Indicate N.A. if.not applicable A. ~ite Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: [-]Urban l-Ilndustrial I'Tl'Commercial [~esidential (suburban) r-]Rural (non-fan E]Forest I-IAgricuiture I~Other 2. Total acreage of proj.ect area: ~' J~¢'"~' acres: APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres ac~:es Forested acres acres Agricultural (Includes orchards, cropland, pasture, 'etc.) acres acres Wetland (Fresh(cater or tidal as per Articles 24, 25 of ECL) acres acre. s 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. YVhat is predominant soil type(s} on project site? a. Soil drainage: E]Well drained % of rite [~ode~ately'well dra ned /~;' % of site E3Poorly drained % of site b. If any agricultural land is inv.ol~ed, how many ac~es of soil are classified within soil group 1 through 4 of the NY Land Classification System? ,N'//~ acres. (See 1 NYCRR 370)· 4. Are there bedrock outcroppings on project site? [~Yes a. What is depth to bedrock? (i.n feet) 2 "'~716-2 i2,'87)-- 7c - ~ .., 6-17.21 .- S EQ iR Appendix A '" .' State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly mann~r, whether a pr(~ject 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 ;b,e technically .expert in environmental analysis: In addition', many who have knowledge in cme pa.rticular area may not be a ~¢are Of the broader conCerns affecting the qiJestion of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determ'ination process has been orderly, comprehensive in nature, yet flexible to allow introduction Of information to fit a project or action. , Full EAF Components: The full EAF is compri'seal of thr.ee 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. ' 'art 2: :ocuses on dentifying the range of possible impacts that may occur from a project or action. It provides [:;uidance as to whether an impact is like'.y to be considered small to moderate or whether,it is a potentially- large impact. The form 'also identifies whether an impact can. be mlitigated-or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is Used to evaiuate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify the Portions of EAF completed [or this project: [] Part I [] Part 2 []Part 3 Upqn review of the information rec~)rded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magitu.de a~d importance of each impact, it 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 have'a significant im.pact on the environment, therefore a negalive declaration will be prepared. [] 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.* 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 D~claration 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(If different from responsible officer) Date ;'5,.; ApproxImate percentage ?f propo, project site w~d] slopes: . ~0-10'~6 /~ , ~15% or greater 6. Is project substanti'ally contiguous to, or ~n a building, site, or district, ii'sted on the State or the National -' Registers of Historic Places? ~Yes .. " ~Yes (~' Is proje.ct substantially contiguous to a site listed on the Register of National Natural Landmarks? 8. Wh~i is the .depth of the water table? 1 0 (in feet) · 9. Is site located over a primary, principa,.or sole source aquifer? f-iYe~ ~ .. " 10. Do hunting, fishing or shell fishing opportunities presently' exist in {he project area? [~Yes 11. Di~es project site contain any species of plant or an'mai life that is identified as threatened or endangered? E3Yes ~ According to " Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) 13. Is the projec:' sit.~p,~c~.,sently used .by the community ot neig.hborhood as an open space or recreation area? I-lYes [lal~o If yes, explain.'__ , 14. Does the present site include scenic views known to be important to the communityi Il]Yes' ~ .. 15. Streams within or contiguous to project area: /~/t~A/tr_. - a. Name of Stream.and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a Name ~/~l,~. a 17. Is the site served by existing public utilities? []~t~es ~No . a) If Yes, does sufficient capacity' exist to allow connection? b) If Yes, w improvements be necessary to all;~w connection? ~Yes b. Size (In acres) E~No 18. Is the site located in an agricultural dis~trict certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304~ ~Yes .19 Is the site located in or substantially co,,%~tiguous to a Critical Environmental Area desi§nated pursuant to Article 8 of the ECL, and 6 NYCRR 6177 [~]<fes ~No 20. Has the site ever been used for the disposal of solid or hazardous wastes? [lYes B. Project' Description.. 1. Physical dimensions and scale of proiect (fill in dimensions as appropriate) a, Total contiguous acreage owned or controlled by project sponsor b. Project acreage to be developed: '~, [~'- acres initially; -' c. Project acre. age to r. emam undeveloped,. ~/'~(/' acres. d. Length of project, in miles: }'//f'41 (If appropriate) e. f. acres. acres ultimately. If the project is an expansion, indicate percent of expansion proposed %; Number of Off-street parking spaces existing." )Y/./q- ; proposed . Maximum vehicular trips generated per hour ,fl//,/~r '.(upon completion of project)? If residential.:' Number and type o[ housing units: One Family Two Family Multiple Family Condominium Initially, Ultimately i. Dimensions (in feet) of largest proposed ~tructure height; . . j. Linear feet of frontage along a public thoroughfare project will occupy is? width; length. ft. 2. ttow much natural m.~,,rial (i.e., rock, earth, etc.) will be remo~ Itrom the site? 3. Will disturbed areas [~'~"teclaimed? f-lYes i-]No E~A ... a. If yes, for what intended purpose is the site being reclaimed? · b. Will topsoil be stockpiled for reclamation?' l-lYes I-lNo ; c, Will upper subsoil be stockpiled for reclamation~ []Yes I-IN:o 4. Hbw many acres of vegetation (trees, shrubs, ground covers) will be removed from site? acres. 5. Will any mature forest (over 100 years old) or other locally-important ve§etation be removed by this project? I--lYes []~N'<'o 6. I:1: single phase project: Anticipated period of' construction 7. If mUlti-phased: a. Total number of phases anticipated b. Anticipated date of commencement phase 1 c. Approximate completion date of final phase d. Is phase 1 functional.ly dependent on subsequent phases? 8. Will bias ting occur during construction?.' []Yes 9. Number of jobs §enerated: during constru'~tion 10. Number of.jobs eliminated by this project , 11. Will project require relocation' of any projects or facilities? ~;Z4 ~C,.. ton;/'cubi% ?a. rds. (number). month month months, (including demolition). I-lYes I-1No year, (including demolition). year. .. ; after project is compl.ete I-lYes ~ If yes, explain 12. Is surface liquid waste disposal involved? I-lYes ~ 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? I-lYes ~ Type 14. Will surface area of an existing water body increase or decrease by proposal? Explain l-lYes 15. Is project or any portion of project located in a 100 year flood plain?. 16. Will the project generate solid waste? I-lyes' ~ a. If yes, what-is the amoun't per-month tons b. If yes, will an ex[sting solid waste facility be used? I-qYes I-]No c. If yes,.give name ; locatibn d. e. E3No Will any wastes not go into a sewage disposal system or into a sanitary landfill? If Yes, explain [~Yes [~"O 17, Will the project involve the disposal of solid waste? If-lYes ~o a. If yes, what is the anticipated rate of disposal? tons/month. 'b. If yes, what i~ the anticipated site life? years. l& Will project rise herbicides or pesticides? E3Yes [311q~o 19. Will project routinely produce odors (more than one hour per day)? []Yes 20. Will project produce operating noise exceeding:the local ambient noise levels? 21. Will project result in an increase in energy use? ~Yes E~o~ If yes , indica'~e type(s) []Yes 22. If water supply is from wells, indicate pumping capacity 23. Total anticipated water iJsage per day gallons/day. 24. Does project involve Local, State or Federal funding? ~Yes If Yes, explain gallons/minute. Approvals Required: City, Town, Village Board' I~es City, .Town/Village Planning Board Il.Yes City, Town Zoning Board - l-lYes City, County Health Department l]~r'es Other Local Agencies I--lYes Other Regional Agencies ' E3Y~s State Agencies E]Yes IiYes Federal Agencies []No I~o C]No I~'o - Submittal Date C. Zoning and Planning Information / 1. Does proposed action involve a.planning or zoning decision? F-lYes If Yes, indicate decision required:' E]zoning amendment i-]zoning varianc; E]special use permit ~subdivision E}site plan [new/revision of master plan, E]resource management plan F]other 2. What is the zoning ciassificatk~n(s)of the site.~ ' /~" ~; ~ 3. What is the maximum potential development of the site if developed as permi.tted by the present zoning.~ O/CE S'/~.~,~ PR~ky -. ~r"'4'c~-~ ~ ~v~t,~,~ 4. What is the proposed zoning of the site? ' 5. What is the maximum potential development of the site if devbloped as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ~ ·F-INo 7. What are the predomi.{~ant land use(s) and zqning classifications within a ¼ mile radius of proposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a ¼ mile? ~ E~No 9. If' the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed? · 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? I-lYes 11. Wilt the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? E]Yes ~o ' a. If yes, is existing capacity'sufficient to handle projected demand? r-lYes l-lNo 12. Will the proposed action result in the generation of traffic significantly above present levels? 1-1Yes ~o a. If yes, is the existing road network adequate' to handle the additional traffic? I-lYes F'INo D: Informational Details Attach any additional information as ma,/ 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 I certify that the information provided above is true to the best of my knowledge~ Applicant/~ Name If the action is in the Coastal Are'a, and you are a state affency, complete the Coastal Assessment ForTM before proceeding with this assessment. 5 ~a~r[ Z--PROJECT IMPACTS ANB~-~"HEIR MAGNITUDE -" · . Responsibility of Lead Agency : General Information IRead Carefully) ' · In completing th'e forrri the reviewer should be gui.ded by the question: Have my responses and determina.tions bei reasonable? The reviewer is not expected-to be an expert environmental analyst. · Identifying that an impact will be potentially large (column'2) does not mean that it is .also rtecessaril¥ significant Any large impact must be evaluated· in PART 3 to'determine s~gnificance. Identifying an impact in column 2 simp asks that it be looked at further. · The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold magnitude that would trigge~ a response.in Colvmn 2. The examp es are generally applicable throughout the State for most situations. But, for any specific project or'site other examples and/or lower thresholds may be.'appropria' 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 an have been offered as guiblance, They do not.constitute an exhaustive list of impacts and thresholds to answer each questior · 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 19 questions in PAR-~.2. Answer Yes if there will be any imp·act. b. Maybe answers should be considered as Yes answers.. c. If answering 'Yes to a question then check the appropriate box (column I or 2) to indicate the pdtential size of th, impa.ct. If impact threshold equals or exceeds an,/example provided, check column 2. f mpact will occur but thresholc is lower than example, check column 1. ' d. If reviewer has doubt about size of the impact then consider tl4e impact as.potential!y large &nd proceed to PART 3 e. 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 Yes box in column 3. 'A No response indicates that such a reduction is not possible. Thi: must be explained in Part. 3. 1 :' I 2 .3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact ' Impact Project Change [] ' [] [-]Yes' I-INa [] '[] I--lYes ['"]No L--J [] F-lYes I-IN0 [] '[] []Yes F-1No I El'Yes I'-INo' [] ID ' ElVes I-1No [] [] '[]ve's []No [] [] E]Yes E3No [] [] []','es E]No NO [] [] []Yes ' [] IMPACT ON LAND' 1, Will the proposed action result in a. physical change to the project site.~ E3NO E3YES Examples that would apply to cblumn 2 · Any construction on slopes of 1.5% or greater, (15 foot rise per 100 foot of length), or where the general slopes in the prolect 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. · Construct[on 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 mo~e 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 t: .... ,¥ u~,que or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etcl)E3NO E]YES · Specific land forms: 6 L IMPACT ON wATER 3. Will proposed action affect any water body designated as protected? {Under Articles 15, 24, 25 of the Environmental Conservauon Law. ECL) E3YES Examples that would apply to column 2 · Developable area of site contains a protected water' body? · Dred§in8 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 fresh;,vater or tidal wetland. · Other impacts: 4. Will proposed actibn affect any non-protected.existing or new body of water? I-)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 t'hat exceeds 10 acres Of surface area. · Other impacts: 5. Will Proposed Action affect, surface or groundwater quality or quantity? i-IN:O I--lYES 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 capaci~.'¢. · Construction or operation causing any contaminatibn of a water supply system. · Proposed Action will adversely affect groundwater. · Liquid effluent will be convet, ed off the site to facilitieswhicb presently do nof~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 wa~er to the extent that there will be an obvious visual contrast to natural conditions. · Proposed Action will require the storage of petroleum or chemic'al '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 i,~dustrial uses which may requir.e 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? [~NO E~YES Examples that would apply to column 2 · Proposed Action would change flood water flows. Small.to Potentia[ C~n impact Be Modet'ate 'Large.." Mitigated By impact Impact Project Change 'Q r E~Yes [~] No' ~ ! ~' ~Yes ~No ~ ' . ~ :~Yes. ~No ~ - ~ ~'Yes ~No ~' ~ .' ~Y~s' ~N0' ~' ~ ~Y~s ~No ~ ~ ' ~Y~s ~No ~ ~ ~Y~s ~No~ ~ ~ ~Y~ ~No ~ ~ ~Y~s ONo ~ ~ ~Y~s ONo ~ ~ ' ~Yes '~No ~ ~ ' ~Y~s ONo ~ ' ~ ~Yes ~No m · Pr(~posed 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, Wil[ proposed action affect air quality? I-1NO [YES Examples that would apply to ~olumn 2 ' · Proposed Action will induce 1,000 or more.vehicle trips in any given hOur. · Proposed Action will're~ult in the incineration of more than 1 ton of refuse per hour. ' Emission rate of total contaminants will exceed .5 les. per hour or a heat source producing more than 10 million' BTU's per hour. · 'Proposed action will allbw an increase in the amount of land committed to industrial use. ' · Proposed action will allow an increase in the density of industrial development within existing industrial areas. · Other impacts: IMPACT ON PLANTS AND ANIMALS' " · ~'. Will Proposed Action affect any threatene~[ or endangered species? I-1NO [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 o'f 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: Will Proposed Action substantially"affect non-threatened or non-endangered species? []NO []YES EXamples that would apply to column 2 Proposed Action would substantially interfere with any resident or migratory f-ish, shellfish, or wildlife, species. 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 W II the Proposed Action 'affect agricultural land resources? Examples d]a~ would appl~, to colum~ 2 , . [NO fl-lYES ['he proposed actiOn would sever cross or hm~taccess to agricultural :,md (includes cropland, hayfields, pasture, vineyard; orchard, etc.) Small to Moderate Impact 2 - Potential "' Large Impact Can Impact Be Mitigated By -Project' Chang,e, [] []Yes [--['No: [] I-lYes [--]No [] F/Yes []No' [] I-lYes [-]-No [] [~Yes []No ~ l~lYes []No [] []Yes I-]No [] []Yes r-~No [] Z]Yes '[]No ? E3¥ s [] ~Yes ' [-']No [] [~Yes ['-]No [] C1Ye's i--INo [] E]Yes [~No [~]Yes [~]No [~]Yes ~No ' []Yes [~No · Construction .activity would excavate or compact the soil pro.file of agricultural land. · The proposed action would irreversibly c'onvert'more than 10 acres of agricultural land or, if located in an Agricultural 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 createa need for such measures(e.g, cause a farm field to drain poorly due to increased runo'ff) · Other impacts: IMPACT ON AESTHETIC RESOURcEs E]NO ~11. Will proposed action affect aesthetic resources? E]YES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix Examples that would apply to column 2. · Proposed land uses, or project comlSonents obviously different 'from or xn sharp contrast to current surrounding land use pattbrns, Whether man-made or natural. ' Proposed land uses, or project components visible to users of aesthebc resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities- of that resource. · Proiect components that will result in the elimihat~on oi' 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 ~f historic, pre- historic or paleontological importance.~ E]NO E]YES Examples that would apply to column 2 · Proposed Action occurring wholly or partially within or substantiaily contiguous to any facility o~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 1_3. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? IFxamples that would apply to column 2 E]NO I-lYES · The permanent foreclosure o~ a future recreational opp0rtumty. · A major reduction of an open space important to the community. · Other Impacts: ...... 1:.. 2 3 Smalrt'o POtentials' Can Impact Be Moderate Large -Mitigated By. Impact .Impact ' Project,Change · [] [] ' I-'~Yes' '[]No [] [] E3Yes . Il'No E] [] rqYes E3No [] [] I-qYes r-IN0 [] I--]' E~]Yes I'-I No [] [] E3Yes F'INo [] [] IZ]Yes []No [] [] E3','es ' I-1No ' [] [] []Yes. l--lNo [] [] []Yes 1:3No [] [] ~ r'qYes. I-qNo IMPACT ON.'; ~NSPORTATION 14. Will there be an effeqt to e,.xisting transportation systems? · I~NO E]YES Fxamples that would apply to colgmn 2 ,' AlteratioJ~ of 'present patterns of movement of people and/or goods: · Proposed Action will result in major traffic prob ems.. · Oi:her impacts: IMPACT ON ENERGY 1.5. Will proposed action affect 'the community's sources 0f fuel or energy supply? r-INo fi]YES 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 commer, cial.or industrial use. · Other Impacts: NOISE AND ODOR IMPACTS 16. Will there be obiectionable odors, noise, or vibration as a result "ot: the Proposed Action? []NO I~YES 'Examples that would apply to column 2 · Bla'stin§ within 1,500 feet of a hospital school or other sensitive facility. dots will occur routinely (more:than one hour.per day.). Proposed Action will produce operating noise exceeding the IocaJ ambient noise levels for noise outside of structures· Proposed A'ction will remove natural barriers that would act as a noise screen. ' 'Other impacts: IMPACT ON PUBLIC HEALTH 7. Wily Proposed Action affect public health and safety? gl]NO []YES [~amPles that would apply to column 2 Proposed Action may cause a riskLof explosion or reiease 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 · , ~ or other flammable liquids. · ro.p. osed action may result ,n the excavation or other disturbance .vltltm 2,000 feet of a site used for the disposal of solid or hazardous .vaste. ©ther impacts: 10 Small to Moderate Impact 2 -Potential Large Impact Can Impact Be Mitigated By Project Ohange7 [-]Yes ['-]No I']Yes i-El" N0 i--lYes [--]No rnYes rnN; [~]Yes ' [-~No [~Yes I']No [] [--]Yes [] EJYes [] [~Yes [] [~Yes I [] -'l E]Yes / I-/No []No [Z]No lEE]No [~Yes [~No [] []Yes [--]No E]Yes E~INo []Yes [~]N0 [~Yes ['"]No IMPACT ON GROWTH AND CHARACTER OF COMMU'NITY OR NEIGHBORHOOD 18. Will prc~posed action affect the character of the existin~ community? " LINe J~YES 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' serwces will increase by more than'5% per year as a res.ult of' this project. Proposed action will conflict with.officially adopted plans or §oals. Proposed.action will cause a Change in the densit? 0( land use, Proposed Action will replace or eliminate existing facilities, structures or .areas of historic i.raportance to the community. Development wile create a demand'for additional community services (e.8. schools, police and fire, etc.) Proposed Action will set an important precedent for future projects. Proposed Action will create or elim. inate employment· Other impacts:. 19 Smatl'~o Potential,' Can I'mpact Be Moderate Large ; Mitigated By Impact .impact ~Project Change [] ' [] []Yes []No [] [] [::]Yes r-]No '1--] [ [] J-'J'Yes' ' '[]N.o [] [] i F-IYes []No "[] I .[] '[]Yes' i-]No "[] [] r-lyes 'E]No" [] ..ri .r-lYes []No .J-q [] J~]Yes' []No "J~] [] []Yes' J--lNo Is there, or is there likely to 'be, public controversy related to .potential adverse environmental impacts? []NO r-lYES 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 ._C Part 3--EVALUATION OF THE i~¢iPORTANCF 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 proiect change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is imvortant. To answer the question of importance, consi'der: · The probability of the impact occurring · The duration of the impact ° Its irreversioility, including permanently lost resources of value · Whether the ~rnpact can or will be controlled · The regional consequence 6f the impact · Its potential divergence from local needs and goals · Whether known objections to the prolect relate, to this iml)act. (Continue on attachments) 11 S. EQR " Appendix B -.-.. State Environmental Quality Revlew "' Visual EAF.Addendurn "' This form may be used to provide additional information relating to Question 11'of Part 2 of the Full EAF. (To be completed by Lead AgenCy) Visibility 1. Would the project be visible from: · ' A parcel of land 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 li~ted on the National or State Registers of Historic Places? · State Parks? · The State Forest Preserve? · National Wildlife Refuges and state 'game refuges? · National Natural Landmarks and other outstanding natural features.) · National Park Service lands? · Rivers designated as National 6r State Wild, Scenic o'r Recreational? · Any tra. nsportation 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 scenic? Dis tan ce Between Project and Resource (in Miles) O-Vn %.V2 V2-3 '3-5 5+ [] [] [] [] [] [] [] [] [] [] [] [] .'IZ] [] [] [] [] [] [] '.0 o' [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] '0 'FI [] [] [] [] [] [] [] [] [] [] [] [] FI [] O [] [] [] [] [] · Municipal park, or designated open space? FI [] [] [2_] [] · County road? [] [] [] [] [] · State? [] [] [] [] [] · Local road? [] [] [] [] [] 2. Is the visibility of the proje~:t seasonal? (i.e., screen'ed by summer fOliage, but visible during other .season~) [-]Yes FINo 3. Are any of the resources checked m question I used by thc public during the time of year during which the project will be visible? []Yes OMo DESCRIPTION G. ~rZXISTING VISUAL ENVIRONMENT 4. From each i.tem checked in question 1, 'check thos~ which gene;ally 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 Within '1/4-mile. * 1 mile .[--'] 5. Are there visually similar projects within: '1/2 mile E~] Yes E~No : * 1 miles g-lYes. :' [--]No '2 miles [:]Yes [-'} No *3 miles · ['-]Yes [-']No * Distance from project site ar.'e pi-ovide.d for assistance. Substitute other distances as appropriate. EXPOSURE 6. The annual number 8f 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 Activity Travel to and from work Involved in recreational activities Routine travel by residents Ara residence At worksite Other Daily FREQUENCY Weekly Holidays/ Weekends Seasonally 2 7:17 p.m. - In the matter of LORETTA HINDERLING requests a 335' extension:of an existing deck on North side of house. Located 1325 Smith Drive North, Southold. SCTM 976-2-2.5 7:18 p.m. - In the matter of Jack Foehrenbach on behalf of BLUEPOINTS COMPANY INC., requests Wetland Permit to construct 100' X 4' open pile pier and plac~ 4 prefabricated 8' X 30' open tanks in adjacent area. Tanks would be serviced by a 2,000 GPM pump enclosed in a 5' X 5' structure. Intake and outfatl pipes would run underneath the pier and the tanks connected in parallel. Located foot of Love Lane, Mattituck. SCTM ~140-1-23.1 7:19 p.m. - In the matter of BARBAP3~BRAATZ requests Wetland Permit to dredge by clam shell crane on barge to 5' below mean low water approx. 160 c.y. and deposit on spoil sites on applicants property and grade. SCTM ~111-10-14 7:20 p.m. - In the matter of SUZANNE V. SWICK to construct a one family dwelling with excavation for foundation, slab and septic system with no activity within 35' from top of bluff. Located Route 25 Main Road, East Marion. SCTM ~23-1-6.1 7:21 p.m. - In the matter of Eh-Consultants Inc;, in behalf of PHILIP R. MARRINER requests a Wetland Permit to construct a timber dock consisting of a 4' X 40' fixed catwalk extending off a existing deck and steps and maintaining at least 4' above elevation of vegetated marsh, a 3" X 12' hinged ramp, a 6' X 20' float (arranged in a "T" configuration) secured by (2) 10" diameter pilings. Dock will replace owners mooring which is located at easterly side of proposed float. Located 320 Sailors Needle Road, Mattituck. SCTM 9144-5-28, & 29.2 7:22 p.m. - In the matter of J.M.O. Consulting on behalf of W. L. LYONS BROWN,. III t construct a 4' X 100' timber dock to be constructed 4' above grade. Also to construct a single family dwelling, sanitary system, garage, driveway, retaining wall, patio, stonewall, pool and decking as per plans dated 9/29/93. 7:23 p.m. - In the matter of Land Use on behalf of ROBERT ALCUS to construct a 4' X 20' catwalk elevated 4~ over grade, a 3' X 10' ramp & a 6' X 20' float. Land Use is requesting that Town Trustees waive their fee due to extenuating circumstances. Located Cedar Point Drive East, Southold. SCTM 992-1-2.1 V. ASSESSMENTS/ENVIRONMENTAL DECLARATIONS: i OAM- fvlAP OF P f~ OPEP~T",/ .E,U FSVt:TY E D FOP.. P TOWN OF 50UTMOLO /J~/ M~Y I ~' Ig°':~ 'tOWN OF SOUI,~IO~.D,J :2 i f ,t t ./ ,! TEL, 477- 0544 f~LA, N© DAM t"tAP DL=LANO \ ('WELL $ ~PTtC V¢OG 't J t I I~. t d / ,/ · Pt -~T. TEL BLOCIL PCL. -- t SITE PL~tN REVISED THROUGH .2 6 :! / i '