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Home My WebLink AboutTR-4526Board Of Southoid Town Trustees SOUTHOLD. NEW YORK DATE: ..9./.28 / 9 5 ISSUED TO STANLEY CHASE .......... ath rtzatt n Pursuanf fo fha provisions of Chaplet 615 of *he Laws of fhe Sfafe of New York. 1893~ and Ghapfer 404 Sfafe of New York 1%2: and fhe Soufhold Tow~ Ordinance em lifted "RE~U~TIN~ AND THE PLAGIN~ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and fhe REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:" and Resolufion of The Board adopfed afa meeting held on .9.2B./95 .... 1995 and in conslderaf]on of fhe sum of $ 150.00 paid by in-Consultants [nc., for STA~[Y C~S[ ................ of MaCtiCuck N.Y. and subjecf +o fhe Terms and Condiflons lisfed on +he reverse side hereof. of Soufhold Town Trusfees aufhorizes and permffs +he following: To coms=rucc a timber dock a mzn. o~ 4' above grade of ~rsh a 3' X 30' fixed catwalk, extemding from top of bank as sho~ su~ey, a 3' X 10' hi~ged ramp and a 6' ~ 16' float in "T" and s~cu~ed by, (2) 8" p' a, ~n accoraance wif~ ~e ~+aded specificaflons as pre~n~ed '~n fhe originating appiicafbn. IN WITNESS WHEREOF The said Board of Trusfees here- by causes i+s Corporafe Seal be subscribed by a ma~rify of the said Board as of +his dale. ....... Albe~t J. t~a"agsKl. President John, 14olzapfeL Vice President ~-,William G..Albertson Martin H. Gm'retl Peter Wenczel Town Hall P.O. BOX 1179 Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use eastal Erosion Permit APr tland Permit Application Grandfather Permit Application Trustee Lands Permit Application Waiver ,,~Received Application: ~-~ [-~g' ~/-ClericaI R~view:- '~-q~ ---~completed Appiica=ion ~--~5~ IncompIete --SEQRA Classi~icatio~L_ Type ti ~-'-Unlisted [daTe sen?2 ~- ~AC Repor~:{date)~ &Z-~6 AIJ6 3 I 1995 OF SOUTHOLD date) Name of Applicant Stanley Chase Address 116 Centre Island Road Oyster Bay, NY 11771 Phone Number:(516 ) 922-1808 suffolk Counuy Tax Map Number: 1000 - 115-12-12 Propern~£ Location: Deep Hole Drive,Matti~tuck, NY 11952 (prey!de LILCO Pole =, distance uo cross s~ree~a, and ioca~Lcn Agenn: En-Consultants, Inc. (If appl£cabie~ Address: 1329 North Sea Road Southampton, NY 11968 Phone: (516) 283-6360 Lane Area {in square feet]: Area Zoning: Previous Use of property: Intended use of property: GENERAL DATA 10,300 R-40 Vacant residential Residential Prior permits/approvals for site improvements: Agency Date X No prler permius/approvals for slue Has any permitJapproval ever been revoked governmenua! agency? No 7= yes provide = 7- - ~ . -- · improvemen:s. or suspended by a Yes Projecu DescrLpuLon (use attacb~en~s ~ necessar-/): SEE ATTACHED Board of T~st~e~ ApPlication WETLAND/TRUST~I-E LANDS APPLICATION DATA Purpose of the proposed operations: Private boat dockage Area of wetlands on lot: Percent coverage of lot: 1495 15 % square feet Closest distance between nearest existing s~ructure and upland edge of wetlands: -N/A feet Closest distance between nearest proposed structure edge of we,!ands:__ 130 feet Does the project involve excavation or filling? x No,., Yes If yes, How much material will be Depth of whlch feet how much material will be excavated? filled? N/A and upland material will be N/A c~ic ~-~= cubic yards removed or deposited: N/A Proposed slope threughouu the area of operations: 0% - 10% Manner in which mauerla! will be removed or depcsiued: N/A Statemenn of the effecu, if any, on the ~ ~~~' we~_=..cs and -~-~ waters.of ~he town ~hat may result by reason os such proposed operatLons (use attacD, ments if appropriate): Temporary effect during jetting of pilings into wetlands I I State Environmental Quality Review. SHORT ENVIRONMENTAL SESSMENT FORM - For UNLISTED ACTIONS Only PART I--P~OJ~CT INFORMATION (To be completed by Applicant or Project sponsor) I ApP[JC~hT .'~PONSbR I 2. PROJECT NAME Stanley .Chase by En-Consul~ants, Inc. Municipality Oyster Bay ~,,-~. Suffolk Deep Hollow Drive, Mattituck $CTM ~1000-115-12-t2 SEE ATTACEED 7. AMOUNT DF {.AND A~F~T~: m,m,v 10r 275 sq.f~:m$ u;a,..~=w 10,275 sq.fta=es 8. WI~ ~u~uS~ A~;ON COMPLy W~H ~IS~NG ZONING OR uJ~ ~I~NG ~ND USE R~IC~ONS? ~ Yes ~ NO If N~ aescn~e D~etly 9. WHAT ]E ;~mt:~cNT ~.AND USE iN VICINITY OF ~RO,JECT? [] Agrtcutture 10. DQ~'~S ACTTON INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY PROM ANY OTHER GOVERNMENTAL AGENCY rFEm, EP.A;.. STATE OR LOCAL)? ~ Yes ~ No I! yes. iisi agency[s) an~ Derm~tlaDDrovats ' DOS, CDR -letter of no ~urisdiction. and Southold 11'. DOES ANY ASPECT O~= THE ACTZON HAVE A CURRENTLY VAL)D PERMIT OR APPROVAL? · [] Yes ~ NO If yes, list agency name ~ncl per'mit/a~3pmval 12~ AS A REBULT OF PROPOSED ACTION WiLL EXiSTiNG PERMiT/APPROVAL REQUIRE MODIFICATION? [] Yes ~ NO t %,~TiFY THAT THE ~NFORMAT~ON PROVIDED ABOVE IS TRUE TO THE BE~T OF MY KNOWLEDGE name: S~tanley Chase by En:Cons~ltants~ I~c. If the action is in the Coastal Area~ and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 CounTy of Suffolk State of New York ~"-~ C~W~ 5~- ~EiNG DULY SWORN DEPOSES AND AFFIRMS THAT HE~ IS 'z~ ~LI~ FOR ~ ~O~ DESCRIB~ P~T(S) ~ ~T Ar.r. STA~S CO~A~ ~TN ~ ~UE TO ~ B~T OF ~S/~ ~O~.~GE ~ B~, ~ ~T ~L WO~ ~ BE DO~ ~ ~ ~ ~T F~ ~ ~IS ~P~TION ~ AS ~y BE ~PR~ BY ~ SO~O~ TO~ BO~ OF ~US~s. ~ ~PLIC~ A~S TO HO~ '~ ~ 0F SO~ ~ ~ ~ ~IS~GEUS~S ~SS ~ ~ ~OM ~ ~ ~ D~GES ~ C~MS BM~ OF S~ P~T(S) IN APPLiCATioN. Signature PROP?..RTY_ OF THIS ~ Nc'Gary Pu~i£; - ;OYCE D. £~rAA"{ MUI~.IO. Sta~e of New No. ~O-~ ?.~c~fk~ In Nassau Count~ 2c '-'-, .:-ion ~o~res Nov. 2. 1~ TO WHOM IT MAY CONCERN: I, Stanley Chase Consultants, Incorporated, behalf. , authorize Eh- to apply for permits on my STATE OF NEW YOrK DEPARTMENT Ot: STATE ALBANY. NY 12231-0001 October 31. 1995 Mr. Roy L Haje, President En-Consultants. Inc. I329 North Sea Road Southampton; NY 11968 Re: F-95-547 U.S. Army Corps o£ Engmeers/New York District Permit Application #10GP-95-08570 S~eyChase. ~ T6wn of S0uthold. Suffolk County Dear Mr. Haje: The Department of State has received the information you provided on October 27, 1995 descr/bing the above proposed project. We have been informed by the U.S. Army Corps of Engineers that your project was authorized under an existing General Permit. Therefore, no further review is required by this Department. We appreciate your referring this information to the Depat tment of State for review. Sincerety~ William F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization WFB:DM:dlb cc: COE,'New York District - Sophie Ettinger DEC/Region i - Robert Greene Town of Southotd - Albert Kmpsk/ Albert J. Kmpski. Presidem John Holzapfel. Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 October 24, 1995 Eh-Consultants, Inc. 1329 North Sea Road Southampton, NY 11968 Stanley Chase SCTM%1000-115-I2-i2 Dear Mr. Haje: The above referenced property was inspected ~ the proposed house and construction of the house is out of Trustees jurisdiction. If you have any further questions, please do not hesitate to contact this office. President, Board of Trustees AJK:jmd cc: Bldg. Dept. Albert J, Krupsld. President John HolzapfeI, Vice President William G. Albertson Martin H. GarreI1 Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box I179 Southold. New York 11971 Telephone (516) 765-1892 Fax (5i6' 765-I823 TO: STANLEY C,WASE Please be advised that your application, dated August 31, 1995 has bee reviewed by this Board, a~ the regular meeting of Sept. 28~ 1995 and the ~XX) Application Approved. Application Denied. Application TaJ01ed. following accion was taken: (see below) (see below) (See below) if you application is approved as noted aJ0ove, a permic fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according co the schedule of races as sec forth iht he s±ntruction shee~. The following fee must be paid within 90 days or reapplication including fees will be necessa~-~/. COMMENTS AND REMARKS: Application Fee: $150.00 PAID COMPUTATION OF PERMIT YEES: 3' X 20' catwalk = 60' X $2 3' X 10' ram~ = 30' X $3 = $ 6' X 16' float = 96' X $3 $588.00 TOTAL FEES DUE: $588.00 SI GNED: BY: PRESIDENT-, BOARD OF TRUSTEES Albert J. Krupski, Presidem 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-t823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 2, 1965 Eh- Consultants 1329 North Sea Road Southamlaron, NY 11968 Re: Stanley Chase SCTM $115-12-12 Dear Mr. Haje: The following action was taken by the Board of Town Trustees during its regular meetiug held on September 28, 1995 regarding the above matter: WHERKAS, Eh-Consultants on behalf of Stanley Chase applied [o the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated August 31, 1995, and, WPLEREAS, 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 safd applioation on September 98, 1995, ag which vitae all ~nterested 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 suxTounding area, and, WHEREAS, the Board has considered sll the testimony and documentation submitted concernin~ this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has deiermin.ed that the project as proposed will not affect the kealth, safety and general welfare of the people of the Tow]/, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of Eh-Consultants on behalf of STANLEY CHASE to cosntruct timber dock a m~r,~m~nn of 4' above grade of marsh land a 3' X 30' fixed catwalk extending from top fo bank as shov~q on survey; 3' X 10' hinge ramp; 6' X 16' float arranged in "T" configuration and secured by (2) 8" pilings. Located Deep Hole Drive, Mattituck. Permit To construct project will expire two years from the date it is szgned if not started. Fees must be paid, if applicable, and permit issued w~tb~n six months of the date of tbim notification. T~vo inspections are required and the Trustees are to be notified upon completion of said project. FEES: 3' X 20' catwalk = 60 s.f. X $3.00 = $180.00 3' X 10' ramp = 30 s.f. X 3.00 = 90.00 6' X 16' float = 96 s.f. X 3.00 = 288.00 588.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJE/jmd cc: CAC Telephone (516) 765-1801 SOL~HOLD TOWN CONSERVATION ADVISORY Town Hat1. 53095Main Eoad P.O. Box 1179 Southold. New York 11971 At a meeting of the Southold Town Conservation Advisory Council held Thursday, September 21, 1995 the following recommendation was made: No. 1299 Moved by Stephen Angell, seconded by Allan Connell. it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH CONDITIONS. of the Wetland Application of STANLEY CHASE 115-12-12 to construct a timber dock a minimum of Lo above grade of marsh and 3' x 30' fixed catwalk extending from top of "bank" as shown on survey; 3I x 12' hinged ramp; 6~ x 16= float arranged in "T" formation and secured by two (2) 8" pilings. Deep Hole Drive, Mattituck The Council recommends approval provided the project does not interfere or 'mpede the navigation in the creek. RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH PROVISIONS of the Letter of Non-Jursidlctlon requested by STANLEY CHASE 115-12-12 for the construction of a one family dwelling, deck sanitary system, driveway, which are all shown on the submitted site plan. All work to be in excess of 75' from nearest wetland/water. Deep Hole Drive, Mattituck The Council recommends approval provided the applicant respects the required buffer area during clearing and construction. Vote of Council: Ayes: All Motion carried. .. JOINT APPLICATION~.FOR PERMIT U.S.A,MV. COReS OF E,CINEERS*PPucAnoN,O. ~R~TICE 15. TITtE 3 (AQUATIC PESTICIDES CONTROL) ~6NYCRR 327 (AQUATIC VEGETATION) ~6NYCRR 328 (FISH] ~ 6~CRR 3~INSECT5) For t~ disturbance of a STREAM BED OR ~NK5 or ~vation in et fill of NAVIGABLE WATERS. ~ WATER QUALITY CERTIFICATION ~A~TIC~ lS. T~ 15 ~6NYCRR ~ ~ATER SUPPL~ ~6NY~R ~2 [LONG I~ND WE~) ~A~TICE lS. TIT~ ~ 6NYCRR ~ ~ILD. SCENIC ~ND RECREATIONAL RIVE~) ~ARTIC~ 24 6NYCRR ~2. ~3 ~RESHWATER WET,NDE] J"'1ARTICI. E 34 6NYCRR 505 {COASTAL EROSION) [--]SECTION 10 [RIVER AND HARBOR ACT OF 1899] for structures and work in navigable waters of the u_~. [] COASTAL CONStSTENCY CERTIFICATION. r--]SECT~ON 404 (CLEAN WATER ACT .OF 1977) for disposal of dredged et fill material in waters of the U.S. r-Is~cTION 103 [MARINE PROTECTfON. RESEARCH AND SANCTUARIES ACT] for the transport~Jon of dredged m~tari~).~ ~ dumolng nto ocean waters. 1. LIST pREVIOUS PERMITIAPPLICAT[ON NUMBERS AND DATES {If any) 2. APPLICANT IS AlAN 3. NAME OF APPLICANT (Use Fui(Name) Stanley Chase MAILING ADDRESS 116 Centre Island Rd. POST OFFICE Ovster Bav, NY 11771 NAME OF r~Agent/Contac: Person (Check onei Roy L. Haje, President, En-Consultanrsr MAILING ADDRESS 1329 North Sea Road ~]Owner ~]Ooerazor []Lessee []Muaicioalite/Governmental Agency (Check as manv as aooiv] JTELEPHONE (Where can be reached du~ing aa¥] (516) 922-1808 j STAT~ j ZmCODE TELEPHONE [Where can be reacne~ during day] (5L61 283-5360 POST OFFICE J STATE j ZIP CODE Southampton , NY i1968 PROIECT/FACIUTY LOCATION (Mark location on mae. see Number la on reverse side) County Suffolk TOW~ orc~v SO(~+60/~ ~ ~q~;~ ( ~ STREET ADORE55 [If different from aopz~cantl Deep ~o[[o~ D~e, POST OFFICE STATE I ZIP CODE Mattituck NY 11952 Deep Hole Creek r--~Yes [~o Show work on mae and/or drawings. ~"Yes Public [] Com~,erc)aJ [ ASAP ASAP SEE ATTACHED WILL THIS PROIECT REQUIRE ADDITIONAL FEDERAL. STATE AND/OR LOCAL PERMITS? ~ Ye~ [] No If v~ mease t~s:: DOS, CO~ - To~n of Sout~old ~tees PLEASE READ ALL INSTRUCTIONS ON REVERSE SIDE PROJECT DESCRIPTION Construct a timber dock a minimum of 4' above grade of marsh and 3' x 30' fixed catwalk extending from top of "b~nk" as shown on survey; 3' x 12' hinged ramp; 6' x 16' float arranged in "T" configuration and secured by (2) 8"~pilings. Construct a one family dwelling,deck, sanitary system, bluestone or similar pervious driveway, well, and underground utilities, all ~.s shown on attached site plan of Van Tuyl. House will be 100! from nearest wetland/water; sanitary system 170!. No additional fill will be required. PART 1--PROJECT INFOR~IATtON Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. ?lease complete the entire form, Parts A through E. Answers to these questions will be considered as part Of the application for approval and may be subject to further verification and public review. Provide any additional 'aformation you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be oependent on information currently available and will not involve new stud e% research or investigation, If informat on requiring such additional work is unavailable, so indicate and specify each instance. NAME OF ACTION LOCATION OF ACT ONlinc}ude Street Address. Municipality and County NAME OF ~lf ,different} OWNER ADDRESS Please Complete Each Question-Indicate N.A. if no! A. Site Description Physical setting of overail pro]ecL both developed and 1. Presen~ land use: ]Urban Fqlndustriat E~Commercial ~Forest ~Agriculture E3Other 2. Total acreage of project area: ' ~ ~ acres. APPROXIMATE ACREAGE Meadow or Brushland !Non-agricultural) Forested Agricultural (Includes orchards, cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) t BUSINESE TELEPHONE STATE I ZIP CODE BUE NESS~ TELEPHONE STATE * ZiP CODE pilings. Van Tuyl. rouse will ~e 100+ from nearas~ undeveloped areas. ~..~%<~.~- 7- ~ResidentiaI (suburban) PRESENTLY acres [] Rural .non-farm} AFTER COMPLETION acres · ~ ¢/ acres acres - C ? acre_~ acres acres acres acres acres ' O?~ acres acres ~ __ acres Water Surface Area Unvegetated (Rock, earth or fill} Roads. buildings and other paved surfaces Other (Indicate type~ /_~ c/,~'~?~ 3. What is predominant soil type(s} on proiect site? a. Soil drainage: FZ~vVeil drained /d~ % of site []~oderatelv well drained % of site []Poorh drained % of site b. If any agricuItural land is involved now many acres of soil are classified within soil group I through 4 of the NY5 Land Classification System? !~ f/~' acres. (See I NYCRR 370}. at. , ,r~ .he .... a ocx ...... ~ · n ~'r~ --'/% ~JNo 5. Approximate percentage of proposed project site with siooes: ~0-10% /4~C % [10-15% % ~15% or §rea~er % 6. Is project substantially contiguous to, or contain a building, site. or district, listed on the State or the National Registers of Historic Places? -IYes ~"No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? []Yes ENo 8. What is thedepth of the water table? ~5't .(in feet}~ ~ ~%'~/'~ - 9. Is site located over a primary, principal, or sole source aquifer? q~Yes ~]No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? aYes FUNo 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? []Yes ~No According to ~ /-L, /~,' ~ Identify each species 12. A~e there any umque or unusual lanc forms on the project site? (i_e., cliffs, dunes, other geological formations) ~Yes ~W,[o Describe 13. ]s the project site pmsentl~ used by the community or neighborhood as an open soace or recreation area? [UYes ~No If yes, explain 14. Does the present site include scenic Views known to be important to the community? ~Yes ~No 15. Streams within or contiguous to proiect area: a. Name of Stream and name of River to which it is tributary 16. ~7. 18. 19. 20. Has the site ever been ased for the d soosa[ of solid or hazardous wastes? Lakes, ponds, wetland aro'as within ~r contiguous tO project area: a. Name ~,J'~'~-;'~ ~'"'~[-~- ~/~'~"/'~ b. Size [in acres) ,/'~/7~ ,~' Is the site served by existing public utilities? [~Yes ~No a) If Yes does sufficient capacit3 exist to allo~ connection? I~Yes ~No b) If Yes. will improvements be necessary to allow connection? ~Yes ~No Is the site located in an agricultural district certified pursuant ~o Agriculture and Markets Law. Article 25-AA. Section 303 and 304? ~iYes Is the site located in or substantia[b contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL. and 6 NYCRR 5177 ~¢es ~No Fqk~o 1. Physical dimensions and scaJe of project ,fid in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor a. Project acreage to be developed: · acres initially: c. Projec~ acreage to remain undeveloped "~-'<:> acres. d Length of project, in miles: >~'~"~-' _(If appropriate) e. If the project is an expansion, indicate nercent of expansion proposed ,¥ ~'/~ %: f. Number of off-street parking spaces existing ~5. proposed _ g Maximum vehicular trips generated per hour ~ (upon completion of project)? h. If residential: Number and type of housing units: One F~miiv Two Family Multioie Family Ultimate!v Dimensions ;~ z=~. - ~o~e~ ' ~' ' ~' 'width acres ultimately Condomimum ~ength. ft. 2 How much natural material [i.e.. ~ock, earth, etc.) will be removed from the site? 3, Will disturbed areas be reclaimed? r~Yes ~No a. If yes. for what intendec purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? OYes []No c Will upper subsoil be stockpiled for reclamation? ZYes I~No 4. How manv acres of vegetation Ctrees, shrubs, ground covers) will be -emoved from site? '/'~ acres. 5, Wil any mature forest (over 100 years old) or other locally-~mporrant vegetation be removed bv this project? I~Yes []No / 6. If single phase oroject: Anticipated period of construction ~ 7. if multi-phased: ~,'//~' a. Total number of phases anticipated (number) b. Anticipated date of commencemem ohase I month c. Approximate completion date of final phase month_ d. Is phase I functionall'y dependent on subsequent ohases? ~Yes 8. Will blasting occur during construction? []Yes '~No 9. Number of lOOS generaLd during construction ~ 10. Number of jobs eliminated by this project '-~ 13. Will project reouire relocation of any projects or facilities? tons/cubic vards months. (including demolition). ~.ear. [including demolition). , after prolecr is complete ~'~es ~_-~-'q~'o If yes. exolain 12. Is surface liquid waste disposal involved? ~Yes ~ 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? ~:r~, es ~No Type ~"~/ 14, Will surface area of an existing water body increase or decrease bv proposal? l~Yes Explain 15 Is project or anv portion of project located in a 100 vear flood plain? ~q~es 16. Will the project generate solid waste? ~"Yes ~No a. If ves. what is the amount per month , '~ [ tons b. Il yes will an ex~stln~ sollo~w=ste ~cfll~v be used? ~'~s ~No d. Will an~ wastes not go ~nro a sewage disposal svsrem or into a sanitarx landfill? e. Ii Yes explain [No rqYes ~lq'o 17. Will the proiect involve the disoosai of solid waste? a. If yes. what is ,.he anucre=ted 'ate of disposal? b. f yes. what is the anticipa~eo site life? t8. Will project use herbicides or oesticides? ~Yes tons~ month. ~No 19. Will project routinelv proouce odors [more than one hour per day)? rqYes 20. Will project produce operating noise exceeding the local ambient noise levels? OYes 21. Will project result in an increase in energy use?, ~-~es E2No CD,[ ~ if yes . indicate ~.ype{s} 22. if water sunolv is from we!ts indicate pumping capacit~ ~ gallons minute. 23. Tota! antic!oared water usage oer ear ~' ~Q] galtons/dav. 2z Cce~ otc!et: :n,,,o~'/~ Loca' ?a~e or 7edera] funding? ~Yes ~No 25. Approvals Required: Submittal Type Date City. Town. Village Board []Yes ~No City. Town, Village Planning Board OYes [No City, Town Zoning Board []Yes []No City, County Health Department OYes []No Otb'er Local Agencies []Yes []No Other Regional Agencies [Yes []No State Agencies ~es []No Federal Agencies 'b~Yes []No C. Zoning and ¢iann ng Information 1. Does proposed action involve a planning or zoning decision? F~s ~No If Yes ndicate decision required: []zoning amendment []zoning variance [sneciat use permit []subdivision ~site plan [ne,a revision of masmr plan ~resource management plan []other 2 What is the zoning classification(s)of the site? .~ _z._~ 3 What is the maximum potenda! deveIopmenr of the site if developed as permitted by the present zoning? 4. What is the proposed zoning of the site? ~' //~.'~ 5 What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6. Is He proposed action consistent with the recommended uses in adooted local land use plans? -E~Tes 7. What are the predominant !and use(s) and zoning c!assification.s~within a lA mile radius of proposed action? ~No 8. Is the proposed action compatible with adjoining/surropnding land uses within a ¼ mile? E~i~,es [No 9. If the proposed action is the subdivision of ]and how many lots are proposed? -~, a. What is the mimmum lot size proposed? q0 Will proposed action require any authorization(s) for the formation of sewer or water districts? [Yes 11 Will the proposed action croat a~emand for any community provided services (recreation education police. fire protection)? ~Yes a. If yes is existing capacity sufficient to handle projected demand? ~Yes - ~No 12. Will the proposed action result in the generation of traffic signif]cant[~ above present levels? ~Yes a. If yes is the existing road neCwork adequate to handle the additional traffic? ~Yes ~No D, Informational Details Attach any additional information as mav be needed to clarify your project. If there a~e or mav be any adverse moacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them E. Vedficadon I cert'fv that the information Brovided above is true to the best df ~v knowledge. Apolicant/SDonsor ,Name ,~ ..... ~ ye Date ~/' ¢ f / ~ Signature ' :~ ~--' ft~ ~ f~ RpORT G t~E-A ? E A Y CO~'IC NoRtH R~ A ',ti SUP P~ CO. HEALTH DE?T. A?P~OVAL ST ATEN!ENT Or THE WATER SUPPLY AND ~N, ~R. TO THE ~,AND~ SUFFOLK COUNTY CONSTRUCTION CNLv CATE: -EST "-i; C L= New York State Department of Environmental Conservation Thomas C. Jorllng Commissioner RE: LEAD AGi The purpose of this request is to determine under Article 8 (State Environ- mental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617 the ~ollowing: 1. Your agency's interest ~n acting as lead agency; 2. Your agency's jurisdiction in the action described below; and 3. Issues of concern which your agency believes should be evaluated, Enclosed is a copy of the permit application and a completed Part i of the Environmental Assessment Form to assist you in responding. DEC Pro3ect Number: I-- °l Sq/ oool-a DEC Permits: SE(~R Classification: ~Type I [ ] Unlisted DEC Contact Person: ~b~ ~CO%~T~cp DEC Position: [] DEC has no objection ~o your agency or anather agency assuming lead agency status for this action, but reserves the right to comment on this action if a ~ositive determination of significance is made, .--2- DEC has no objection to your agency or another agency assuming lead agency status for this action, but we have the following concerns regarding this project {see "comments" below). DEC wishes to assume lead agency status for this action. ........ -=-S~ti(f~d by DEC as occurring wholly or rd oseO action nas Deen/u~ The ? .~ ...... ~,~,~,,~,, con~nuous,~ to a. cr~tlcal,,en~ro_~g_nmen~al, ' ' ~ ' artla~)y w~tnln or suu~u ~ , ~ ~ ~?w~ /~b~ ~ Fo~F: . that was designated by ~ ~ t~ ' . . ' · · area (CEA) ............... ~ ~t ~our a~dcy, ~ ~t has ~ ~ur~s- ~t iS the pos~lon oT ~nls ~e~r~u~ ~ ~ ~ diction over the action~ should assume the lead agency role based on ~ne existence of the CEA and the fact that the anticipated impacts are primarily of local significance. [ ] Other. (See comments~below) Commen~s (Optional): Response: Please respond to %his reauest within 30 days of the date of this letter. If no response is received within 30 days, we will assume that you have no objection to DE6 or another agency assuming the role of lead agency, and have no comments to offer regarding the proposed action at this time. If neither your agency nor any other involved agency, including DEC, has indicated a will- ingness to serve as lead agency within 30 days of this letter: [ ] We will petition the Commissioner of DEC to designate a lead agency for this action. ~K/u: ,,~l n~tition the Commissioner of DEC to designate your agency as /~/~ lead, presuming you nave 3ur~sd~ct~on. Olease feel free to contact this office for further information or discussion. Sincerely, ~ Enclosures (see distribution list)~ CC: 0 z