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CLAPS, VINCENT
TRUSTEES John M. Bredemeyer, III. Presiden! Hem~ P. Smith, Vice Presidem Albert J. Krapski. Jr. John L. Bednoski, Jr. John B. Tuthil] Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hail, 53~95 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765~ 1800 February 27, 1990 Dr. Vincent Claps 817 Main Street Greenport, NY 11944 RE: App. No 1-10-90-52-8-~ Dear Dr. Claps: As you were notified in our letter of February 15, 1990, the Trustees determined that your property located on Long Creek Drive, Southotd, NY and adjaeemt to Arshamomoque Pond, is not within Trustee jurisdiction. Therefore, you are entitled to a refund of $115.00. This constitutes the difference between the $150.00 paid by you wetland application and the inspection fee of $35.00. Enclosed please find check for $115.00. for Sincerely, President, Board of Trustees JMB: jb TRUSTEES John M. Bredemeyer. m. Presidem Henry P. Smith. Vice President Albert J. Kmpski. Ir. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTT L. HARRIS S~perWsor Town Hall, 53B95 Main Road P.O. Box 1179 Southold~ New Yo_rk 1197 Fax (516) 765-1823 Telephone (516) 765-1800 February 15, 1990 Vincent Claps 817 main Stree-t Greenport, NY 11944 Dear Mr. Claps: The Trustees have inspected your property and found that it is not in their jurisdiction. However, the Trustees suggest that dry wells be installed under the garage and the bottom of drive way and that Hay bails are to be used when under construction. Should you have any questions, please do not hesitate to contact this office. Ver~ truly yours, ~hn M. Bre~emeyer, III President, Board of Trustees JMB:jmt 9S-20-6a (1/86}--25c ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5}, 24, 25, 34, 36 and 6 NYCRR Part 608 10. That if future operations by the State of New York require an al- teration in the position of the structure or work h~:eid ~6~h~i:i~d, or if. in the opinion of the Department of Environmental ~:onservatio~n it shall cause unreasonable obstruction to the free nayigatibn, of.~i~ waters or flood flows or endarlger the health, safet~ or w~ii~-e of the peopte of the State. or cause loss Or destruction of the natu~'~l resources of the State. the owner may be ordered by the Department to remove or alter the structural work. oostruct~ons, or hazards :a~sed 15 thereby without expense to the State, and if. upon the eAoifatio~ revocation of this permit, the structure fill e~cavatio~, or other 16 modification of the watercourse hereby authorized shall not be com~ pleted, the owners, shall, without exoense to the State. and to such extent and in such time and manner as the Deoart~nent of Environmental Conservation may reauire, remove all or any portion of the uncompJeted structure or fill and restore to its former condition the navigable and flood capacit~ of the watercourse. No claim shall be made against the State of New York on account ot any such removal or alteration. lq That the State of New York shall in no case be liable for any damage 1 or injury to the structure or work herein author zed which ma~%e caused 18. by or result from future ooerations unaerta~en by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to comoensation shall accrue from any such damage. 12. Granting of this permit does not relieve the applicant of the resoonsi- bilitv of obtaining any other permission, consent or approval from 19. the U.S. Army Corps of Engineers, U.S. Coast Guard, N~w York State Office of General Services or local government which may be reeuired 13 All necessary orecautions shall be taken to preclude contammat~o~ of any wetlan~ or waterway by suspended solids, sediments, fuels. solvents, lubricant, epoxy coatings, paints, concrete, leachate or any ) other environmentally deleterious materials associated with the project. 14. - Any material dredged in the prosecution of the work herein ~ermitted shall he removed evenly, without ]eaving large refuse piles, ridges across the bedof a waterway or floodplain or deeo holes that may have a tendency to cause damage to nawgable channels or to the banks of a waterway. There shall be no unreasonable interference with navigation b~ the work If upon the expiration or revocation of this I~ermit. the proiect hereby authorized has not been completed, the applicant shall w~thout expense to the State. and to such extent and in such time and manner as the Department of Environmental Conservauon ma,/require remove all or any portio, of the uncompleted structure or fiU and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration If. granted under Article 36. this permit does not signify m any way that the project will be free from flooemg If granted under 6 NYCRR Part 60~. the NYS Department of Environ- mental Conservation hereby certifies that the sublect project will not contravene effluent hmitations or other limitations or standards under Sections 301,302, 303. 306 and 307 of the Clean Water Act of 1977 fPL 95-217~ provlded that al~ of the conditions listed herein are met. with the approved plans submitted by the applicant 6r his agent as part of the permit application. Such approved Plans were prepared by Joseph Ingegno L.S.No, ~9668 revised on 9/30/89. SPECIALCONDITIONS 1. A 50 ft. natural, undisturbed buffer area 2. Roof runoff and pool filter backwash will 3. Driveway must be of pervious material. 4. All septic system components will be located at least seasonal ground wa:er. from wetlands will remain. be directed to dry wells. two ft. above Supplementary Special Conditions (A) through (J) attached. 1-4738-00037/00001-0 ' Page 2 of 3 Page 2 300 c.y. of clean fill to be truckend in to raise grades to those shown on submitted plan. The CAC disapproves the application, which is within jurisdiction r because: I. The CAC does not agree with the wetland line 2. The construction envelope is within 75' 3. The Cesspool is too close to the marsh 4. There is concern as to Where the well will be located 5. There is concern as to wh~re the cesspool ~ffulent is going to go 6. The drainage ditch is not shown on survey Orchard Lane r Sou~hold Vote of Council: Ayes: All Motion carried. RESOLVED to recommend to the Southo d Town Trustees D SAPPROVAL of Wetland App!ication No. 1-5-90~145-4-15 submitted by Eh-Consultants on behalf of Richard Z~id~-~ to construct a 49' bulkhead plus 6' return on north side. Bulkhead to extend !~from end' of exi$itng bulkhead north generally along mean high water to met existing rip-rap~ ~ Dredge an area up to 15~ off bulkhead to maximum depth of 4' belo~ MI~W. The CAC suggests rip-rap instead of bulkhead to fit in with neighbors. There is-no necessity for the dredging. Unnamed road off McDonald Road, L~urel Vote of C~uncil: Ayes: All MOtion carried. RESOLVED to recommend to the Southold Town Trustees APPROVAL WITH REVISIONS of Wetland Application No. 1-2-90-78-5-12 submitted by Proper-T Services for Constantinos Markotsis to replace 90 I.f. of bulkhead with new bulkhead 18" seaward of old bulkhead,; extend bulkhead 20+'; relocate walk,y, ramp and foating dock at new bulkhead; dredge area around floating dock to approximately 3' at low ~ater. The CAC ~pproves if bulkhead is replaced in kind, in place and not the 18' as subm~tted~ allows addition on same level w~th current bulkhead and truck way excess fill from site. Williamsbu?g Road, Southold Vote of C~ncil:' Ayes: All Motion ca~ied. RESOLVED to recommend to the Southold Town Trustees AFtPROVAL of W~tland Applicatic~n No. 1-10-90-52-8-2 of ~~-~ ~-~ to construct a two-story single family dwelling with garage beneath, swimming pool, deck, porch, driveway, and septic system. Lot ~1, L~ong Pond Estated, Southold Vote of C~uncil: Ayes: All Motion carried. RESOLVED to recommend to the Southold Town Trustees APPROVAL of Wetland Application No. 1-10-90-110-7-26 submitted by Proper-T Services of Sy Stahl to repalce an existing bulkhead (132'); add 15' return at each end and fill behind new bulkhead. 1435 West Road, Cutchogue Vote of C~uncil: Ayes: All Motion carried. Telephone (516] 765-1801 To: From: Dated: Re: Southold Town Board of Trustees Southold Town Conservation Advisory Council February 20, 1990 Recommendation of Applications Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL The following recommendations were made by the CAC at its last meeting of February 16, 1990: RESOLVED to recommend to the Southold Town Trustees APPROVAL of Wetland Application No. 478 submitted by Costello Marine on behalf of JOHN VASSIL to amend Wetland Permit no. 478 to extend existing 6' x 24' float dock 10' for a total of 6' x 34'. Salt Lake Lane, Mattituck Vote of Council: Ayes: All Motion carried. RESOLVED to recommend to the Southold Town Trustees APPROVAL AND DIS APPROVAL of Wetland Application No. 1-4-90-81-1-16.1 submitted by Eh-Consultants on behalf of Edward Deutsch. The Council approves the construction of a 4' x 16' hinged ramp secured to drest of bank by two 4" posts; and a 6' x 20' float secured by two 8" diameter pilings. The CAC disapproves the construction of 215 I.f. of timber retaining wall at or above the line of MHW. The Council feels this is actually bulkheading and suggest the applicant plant native vegetation to stabilize the beach and bluff. Regarding the construction of the single family dwelling with garage, deck, drive- way, well and sanitary system the CAC feels the applicant move the house back so there will be no disturbance within 75', i.e. trucks clearing the area for work. All work should be at least 75' away. Briar Lane, Southold ~Vote of Council: Ayes: All Motion carried. RESOLVED to recommend to the Southold Town Trustees APPROVAL of Wetland Application No. 1-6-90-103-3-7 submitted by En-Consultants on behalf of Dr. David Winkler to construct a tiber dock consisting of a 4' x 130' fixed elevated (4' above grade of marsh) walk; 4~ x 12' rampl 6' x 20' float secured by town 8" diameter pilings. - Beebe Drive, Cutchogue Vote of Council: Ayes: All Motion carried. RESOLVED to recommend to the Southold Town Trustees DISAPPROVAL of Wetland Application No. 1-3-90-90-4-12 submitted by Eh-Consultants on behalf of Erika Swimmer to construct a one family dwelling, sanitary system with retaining wall, well and bulestone driveway, all as shown on submitted site plan. Approximately Jobll M. Bredemeyer, HI. President Hen~ P. Smith. Vice President Albert J. Krupski. Jr. John L. Bednoski, Jr. John B. Tuthil] Telephone [516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF sOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 LEAD AGENCY COORDINATION REQUEST TO: Chris Caustopoulis DATE: February 8, 1990 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: NAME: Dr. Vincent Claps LOCATION: Long Creek Drive, Southold, NY 11971 TAX MAP: ~000-52-8-1 DE$CRPTN: See attached application PERMIT REQUIRED: (X) TOWN WETLAND ( ) OTHER SEQRA CLASSIFICATION: ( ~ Type I ( ) Type II ( ) UNLISTED [ ) CEA PERMIT 9 Pending Please contact John M. Bredemeyer, III, President, within 30 days and be advised that the Southold Town Trustees (WANT)/(DO NOT WANT) to assume lead agency. SENT TO: DOS ( ) DEC (X) DOH (X) PB ( ) ZBA ( ) BLD ( ) Please complete,.detach and return this ~orm to expedite processing. Involved Agency: Project Name: Location: sca: Ix/ /3/Y c We at / (Have/No) objection to Southold Town AGENCY Trustees assuming Lead Agency. Co~mments/Reasons: /~t- ~/'"F/~ --%,/'- /,~-':.~Lf ~.,/X.,'~,~/,.-J'/~?/''~ ~ '~4~16~, (2~87)---T~xt 12 PR~3 e(~T li~. NUMBER · PART 3. PROJECT LOCATION: Municipality County 4. PRECISE LOCATION Street address and road I¢~¢~ect~ons, prominent landmarks, etc,, or provide map) 5. IS PROPOSED ACTION: ~rNew [] Exoansior [] Modification/alteration 6. g~SCRIBE PROJECT BRIEFLY: AMOUNT OF LAND APFECTED: Initially ,/', O%-7 acres Ultimatmy acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? h '~ Yes [] No f Ne, describe briefly g. WHAT IS ~RBSENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial [] Commercial 10. DOES ACTION INVOLVE A P~:RMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL STATE OR LOCAL1? ~ Yes ~ No If yes, list agency(s) and permit/approvals · ,, ' 11. DOES AN'/ ASPECT OF THE ACTION HAV~ A CURRENTLY VALID, ERM]T OR APPROVAL? [] Yes [] No If yes, list agency name an~ permit/approv.al 12. AS A RESULT OF PROPOSED ACTION WILL EX]STING PERMIT/APPROVAL REQUIRE MODIFICATION? []Yes ~No ~ · CERTIFY THA~ ~E INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST If the action ts in the Coastal Area, and you are a state agencyT,complete the Coastal Assessment FOrm before proceeding with this ass~smSht~¢ ~ i~[! · OVER 1 FART II'ENVIRONMENTAL ASSESSME-~*I~ (To be completed by Agency) '~'~' If yes, coordinate the r~view process and use the,FULL EAF. S. WILL ACTION RECEIVE COORDINATED REVJE~W AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR P~RT 617.67 If No.a n~g~t[v~ de~[sration may be superseded.~ another involved agenb~. [] Yes [~'No C. COULD ACTION RESULT N ANY ADVERSE EF~FECTS ASSOCIATED WITH THE FOLLOWING: (Answers r~ay be handwritten, if ]egJ~ O1. Existing air c~uaI[ty, s~rface qr groundw~te~"quallty or ~uent[~, no~ le~s, existing traffic '~ns~ot[d'Wa~ p~n' or potenUa~ for erosion, drainage'or flooding problems? ~p[ain briefly: C2. Aesthetic. agricultural, archaeological, historic, or other natural ~ cultural resources: or ~mmuni~ or neighborhood chara~ ExpJa~ briery: C3. Vegetation or fauna. Hah. shellfish OF wildlife SDeCles: significant ~abitet~ or threatened or end~g~ed C4. A community's existing plans or goals as officially adop[ee, or ~ change in use or intensity of use of ~nd or other natural resources? ~plain br[efl, C5. Growth, sucsequem deveiopmenz, or related activities likely to be induced by the prooosed acrid? ~pl~in briefly. C6. Long ~erm, sno~ [erm. cumulative, or otheceffects not identified in C1-C57 Explain briefly, C7. Other ~mDac[s (including changes in use of either quantity or Iype of energy)? Explain ~riefly. D. IS THERE, OR [S~ THF~RETH LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? PART III--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each ~dverse effect identified above, determine whether it is substantial, large, impc~ant or otherwise significant. Each e~ect should be assessed in connection with i~s (a) setting li.e. urban or rural); (b) probability of occurring; (c) duration; (d) rreversibility; {e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail fo show that all relevant adverse impacts have been identified and adequately addressed. [] Check ~his box if you have identifiec 9ne or more potentially large or significant adverse impacts which MAY occur. Then 3roceed directly to ~he FULL EAF and/or prepare a positive declaration. ~ Check this box if you have.determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL <NOT result in any significant adverse environmental impacts AND DrOVide on attachments as necessary, the reasons supporting this determination: TRUSTEES John M. Bredemeyer, Ill, President Henry P. Smith. Vice President Albert J. Krupski. Jr, John L. Bednoski. Jr. John B_ TuthilI Telephone (516~ 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 1 I971 Fax (516) 765-1823 Telephone (5 ! 6) 765-1800 LEAD AGENCY COORDINATION REQUEST TO.: Suffolk County Department of Health DATE: February 8, 1990 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: NAME: Vincent Claps LOCATION: Long Creek Drive, Southold, NY 11971 TAX MAP: 1000-52-8-1 DESCRPTN: See attached application PERMIT REQUIRED: (X~ TOWN WETLAND ( SEQRA CLASSIFICATION: (X) Type I ( ) UNLISTED PERMIT $ Pending ) OTHER ( Type II ( CEA Please contact -Albert J. Krups~; Jr., Member_ ~- within 30 days and be advised that the Southold Town Trustees (WANT)/(IE)X I~U~) to assume lead agency. SENT TO: DOS ( ) DEC (XX DOH (X~ PB ( ) ZBA ( ) BLD ( ) Please complete, processing. Involved Agency: Project Name: Location: SCTM: We at Trustees detach and return this form to expedite (Have/No) AGENCY assuming Lead Agency. objection to Southold Town Commenus/Reasons: Signature of Authorized Representative TRUSTEES John M. Bredemeyen m. President Henry P, Smith. Vice President Albert J. Kmpski, Jr. John L. Bednoski. Jr. John B. Tuthill Telephone (516~ 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTt L. HARRIS Supervisor Town Halt, 53095 Main Road P20. Box 1179 Southold. blew York 11971 Fax (516} 765-1823 Telephone (516/765-1800 LEAD AGENCY COORDINATION REQUEST TO.: Chris Caustopoulis DATE: February 8, 1990 Enclosed is a permit application and a completed part I of Environmental Assessment Form. Southold Town Trustees are interested in your ageny's comments in acting as SEQRA Lead Agency for: NAME: Dr. Vincent Claps LOCATION: Long Creek Drive, Southold, NY 11971 TAX MAP: 1000-52-8-1 PERMIT $ Pending DESCRPTN: See attached application PERMIT REQUIRED: (X) TOWN WETLAND ( ) OTHER SEQRA CLASSIFICATION: ( >~ Type I ( ) Type II ( ) UNLISTED ( ) CEA Please contact John M. Bredemeyer, III, President, within 30 days and be advised that the Southold Town Trustees (WANT)/(DO NOT WANT) to assume lead agency. SENT TO: DOS ( ) DEC (X) DOH (X) PB ( ) ZBA ( ) BLD ( ) Please complete, processing. Involved Agency: Project Name: Location: SCTM: We at AGENCY Trustees assuming Lead detach and return this form to expedite (Have/No) objection to Southold Town Agency. Commenus/Reasons: Signature of Authorized Representative TRUSTEES John M. Bredemeyer, I]I, President ~-Henry P. Smith. Vice President Albert J. Krupski, Jr. John L. Bednoski, Jr, John B, Tuthill Teleph. one (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTt L. HARRIS Supervisor Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 Fax (516) 765-1823 Telephone (5t6) 765-1800 January 31, 1990 Vincent Claps 817 Main Street Greenport, NY 11944 Dear Dr. Claps: The Trustees have reviewed your application and have determined that a Long Environmental Assessment Form is necessary for further review. Please fill out part one of the enclosed form and return to this office as soon as possible. Thank you for your cooperation in this matter. Very truly your~ ~'~;ntB,reBd~dYeor~TIrIIust~ JMB: j mt TRUSTEES John M. Bredemeyer. Iii Presidem Henry. P. Smith. Vice President Albert J. KmpskL Jr. /ohn L. Bednoski. Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ScoTr L RARRIS ,Y~isor Town ~ 53095 Main Road P.O. ~ 1179 SouthokL I~ York 11971 Fax (516} 765-1823 Teleptmne (516) 765-1800 January 22, 1990 Mr. John Holzapfel, Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, New York 11971 Dear Mr. Holzapfel: Transmitted herewith is application No. 1-10-90-52-8-1 for a wetland application submitted by Vincent and Barbara Claps. Please prepare a written report of findings and recommendations with respec~ to this application. Very truly yours, ~ohn M. Bredemeyer, I~I~ President Board of Town Trustees JMB: jmt t BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 2 2 Ig90 ':!I APPLICATION IS HEREBY ~LADE TO THE TOWN TRUSTEES, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK, FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDIN~.NCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF SOUTHOLD TOWN, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODE OF THE TOWN OF SOUTHOLD. APPLICATION NO. t- w-~¢-,? _~-/ DATE MAILING ADDRESS: o°'/'7 lde/tgf~s g71 Ceee,~?m/; AGENT: TEL NO. ~f~ AGENT ADDRESS: PERMIT REQUESTED TO: LOCATION OF PROPERTY FOR REQUESTED PERMIT: TAX MAP NO: 1000- CREEK, BAY OR HARBOR FRONTING PROPERTY: SIZE OF PROPOSED WORK: LENGTH: WIDTH: YDS. TO BE EXCAVATED: ~.~4~p. Page 2. TO BE FILLED: MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: / WIDTH OF C~AL, C~EK OR BAY FRONTING PROPERS: DEPTH AT LOW TIDE: ~ A~R. RISE IN TIDE: DISTANCE TO NEAREST CHANNEL: DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: AREA ZONING: ~ f IS PROJECT FOR PRIVATE OR BUS. USE: INTENDED USE OF PROPERTY: Fe~e~ ~~¢~ DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DEPOSIT FILL ON SAID PREMISES: OR DREDGE, HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL AGENCY: ~0 ~ ~ DESCRIBE FULLY THE REHABILITATION OF PROPERTY: DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: CO%rNTY OF SUFFOLK ) STATE OF NEW YORK ) EING DUL swo DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUETO THE BEST OF HIS KlqOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHQLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT, IF GRANTED. IN COMPLETING THIS APPLICATION; I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT OR REPRESENTATIVE, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature o Appli~'ant SWORN TO BEFORE ME THIS ~E~LIC NMary P'db~, $~ate of New Ym'k No. 4879505 Ou~;~l ~n Sufto~ County Commission Expires December 8, EXAMINED BY DAY OF APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 ;" . 14-15;3 [2/87):-7c © 617.21 Appendix A State Environmental Qtiality Review- FEB - ? FULL ENVIRONMENTAL ASSESSMENT Purpose: The full EA~: is designed to help applicants and agencies determine, in an or action may be significant. The question of whether an ' a project act[on may be s~gn f cant s not always eas~ to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. It ~S also understood that those who de,ermine significance may have little or no formal EnowJed~e of the enwronment or may be technically e~pert in environmental thean~JysiS'questionln additiOn.of significance.many who have knowledge in one particular area mav not be aware of ~he broad~ concerns affectin~ The fuji EAF is intended to provide a method wh~eby applicants and agencies can be assured that the determination 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 corn ~rised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying b~ic p~oject data, it as~sts a reviewer i'n the analysis that takes ~]ace in Parts 2 an~ 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as ~o Whether an impact is likely to be considered small to moderate o~ whether it i5 a potentially- large impact. The form also, identifies whether an impact can be m~ugated or reduced. Part 3: If any impact in Part 2 is idenufied as potentially-large, then Part 3 ,s used to evaluate whether or not the impact is actuady important. DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part 1 [] Part 2 ' [~Part 3 Upon review of the informatio~ recorded on this EAF (Parts 1 and 2 and 3 if aporopr ate), and any other supporting informauon, and considering both the magitude and importance of each impact. ~t is reasonably determined by the lead agency that: [] A. The project will not result in any large and important impact[s) and. therefore, is one which will not have a s,gmhcant impact on the environment, therefore a negative declaration will be prepared. B. Although the project could have a significant ef}ect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in .PART 3 have oeen required, therefore a CONDITIONED negative declaration will be prepared.* C. The project may result in one or more arge and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agencv Print or fvne Name of Responsible Officer n Lead Agency Signature or Responsible Officer m Lead Agency Title of I,tesj~ons~ble Otiicer Signature obPmparer (if diiferent from responsible aff~-~cer~ Date -- PART 1--PROJF_CT 1NFORi'v~ATI~ Prepared by Protect Sponsor [1~' T ~ NOTICE: This document is designed to assist in determining whether the action p on the environment. Please complete the entire form, Parts A through E. Answers as Dart of the application for approval and may be subject to further verification ~ information you believe will be needed to complete Parts 2 and 3. It is exeected that completion of the full EAF will be dependent on information currently available and will not inve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and spec each instance. tNAME OF ACTION DESCRIPTION OF ACTION STATE t ZIP COCE Please Complete Each Question--indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: [~Urban l-ilndustrial E3Commercial [~,~.'Residential (suburban) ['-]Forest [~Agriculture E3Other ~Rural (non-fan 2. Total acreage of pro.ect area: [, 0 .70 . acres. APPROXIMATE ACREAGE Meadow or Brush[and fNon-agricultural) Forested Agricultural (Includes orchards, cropland, pasture etc.) Wetland (Freshwater or tidal as per Articles 24, 25 of ECL} Water Surface Area Unvegetated (Rock. earth or fill) Roads, buildings and other paved surfaces Other [indicate typeJ_ 3. What is predominant sol type(s) on prelect s~te? a. Soil drainage: ~-Well drainea ~0 % of site ~'Poorly drained % of site acres acres ;~.~M~oderately well drained ~0 ?f of site b. If any agricultural land ~s revolved, how manv acres or soil are classified within soil group I throug ~ 4 of the N'~ Lane Class~ficauon System? acres. /See 1 NYCRR 3701. 4. Are there bedrock au(crc ppmgs on prelect S tel' [-~Yes ~CNo a. What is depth to bedrock~ (in feetj .. 2 5. :Ap~proximate percentage of S~posed pro ect site with slooes: ~0-1(~'~j ?$ ~r10.15% o, · E115% or greater 6. Is prolect substantially contiguous to. or contain a building7 site, or district, listed on the State or the Nationa Registers of'Historic Places? []Yes [5~.No ' 7. Is prolect suostantially contiguous to a s~te listed on the Register of National Natural Landmarks? i-;yes '~Nc 8. What is the death of the water table? .. I ~' (in feet} 9.~ Is site located over a primary, principal, or sole source aquifer? I-IYes ~ii[No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? [Sj~Yes ~No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? r'-iYes iii'No According to Identify each species 12. Are there any unique or unusual land forms on the prolect site? (i.e., difi:s, dunes, other geological formations~ UtYes Eii~'o Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? []Yes 1~o If yes, explain 14. Does the present site include scenic views known to be tm Dortant to the commumt,/~ [IYes J~No ' 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary 16. Lakes. ponds, wetland areas within or cont guou,s to project area: a. Name ,/~*~r-, rrtOfOo__ ~.5~0.,0,~ b. Size (In acres, 17. ls the s~te serxed by~xisting public utilities? [~CYes [~No a) If Yes. ooes sufficient capacity ex~st to a ~ow connection? I~Yes ~No b) If Yes. will improvements be necessary to allow connection~ ~Yes 18. Is the site located m an agricultural district certified oursuant to Agriculture and Markets Law. Article 25-AA 5ecuon 303 anc 3047 ~Yes ~No 19 Is the s~te located in or substantially conuguou~to a Critical Environmental Area designateo pursuant to Article 8 of the ECL and 6 NYCRR 6177 ~Yes ~No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ~Yes ~No [3. Project Description 1. Physical d~mens~ons and scale of project [fill in dimensions as appropriate} a. Total conuguous acreage owned or controlled by prolect sponsor /. 0.2? _ acres. b. Project acreaqe to be developed: acres initially; _ c. Project acreage to remain undeve!oped /¢/~ acres. d Length of project, in miles: . /~'R,' (If appropriate) e. If the project is an expansron, indicate percent of expansion proposed /~/} 9,5; f Number or off-street parking spaces ex,sting /~/~- ; proposed g. Maximum vehicular trips generated per hour ~/'& On~"~n'nlv Two Family A. lultff)le Famllv ImtiaII;, Ultra, att. Iv ~ ~ ~ J- Linear ~eet or frontage along a ~ublic thoroughfare prolect wdl OCcu~ ~ /~/ [u:)on comuletion o~ prolectJ? acres ultimately. length. ft. 2. How much natura matena.. ~,e.. rock. earth, etc.) will be removed frdr, the s te~ /J~' ¢" tons/cubic ,yards 3. Will disturbed areas be recla reed? J~es E]No I'qN/A a. If yes, for what intend,,~ purpose is the site being reclaimed? L/'~/~/~(~ ~ b. Will topsoil be stockpiled for reclamation? ,[~Yes UNo c. Will upper subsoil be stockpiled for reclamation? []grYes ENo 4. How many acres of vegetation {trees, shrubs, ground covers) will he removed from site? 5. Willl_lYesanV mature[]~f~jofOrest {over 100 '/ears old) or other IocaiJy-lm Dortant vegetation be removed by this project? 6. If single phase prolectz Anticipated period of construction 7. If multi-phased: a. Total number of phases anticipated /~7/~ (number). b. Anticipated date of commencement phase I month c. Approximate completion date of final phase, monte d. Is phase 1 functionally dependent on subsequent phases? I--lyes 8. Will blasting occur during construction ? UYes J~o 9. Number of jobs generated: during construction 10. Number of jobs eliminated by this project ,t~/~4,~ ~' 11. Will project require relocation of any projects or facilities? months, (including demolition). UNo-' · year, {including demolition). year: ; after project is complete J-lyes J~o If yes, explain 12. Is surface liquid waste disposal Involved? 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,,Yes I-qNo Type 14. Will surface area of an existing water body increase or decrease by proposal? Explain 15. Is project or any portion of project located in a ']00 ;ear flood plain? 16. ~,~/ill the project generate solid waste? ~Yes a. If yes, what is the amount per month tons b, If yes, will an existing solid waste facility be used? UYes I~No c. If yes, give name ; location d. Will an'. wastes not go into a sewage disposal system or into a sanitary landfill? e. If Yes, explain E3Yes 'J~LNo ~]Yes UNo 17. VVill the project involve the disposal of solid waste? l~rYes I~No a. If yes,'what is the anticipated rate of disposal? ~ff'- tons/month b. If yes, what is the anticipated site life? 18] Will project use herbicides or pesticides? ~es ~No 19. Will project routinely produce odors (more than one hour per day)? ~Yes ~No 20. Will project produce operating no~se exceedin~ the local ambient noise levels? ~Yes 21. Will project result m an increase m energy ~e? ~Yes ~No It yes, indicate type{s) ~o~/ ~ o~h~ 22. ff water supply is from wells, indicate pumping capacity ~ ~ galJonslmmute. 23. Total anticipated water usage per day ~ gaJion~/day.~ 24 Does project revolve Local, State or Federal funding? ~Yes I[ YeL explain _ 4 · . · '25.';~pprovais Required: City, Town, Village Board f-lYes City, Town. Village Planning Board i-lYes []~'No City, Town Zoning Board fqYes [~'No City. County Health Department ii'Yes [~]No Other Local Agencies J~'Yes F'INo Other Regional Agencies ~]Yes []]No State Agencies J~'Yes I~No Federal Agencies f-lYes J~JNo C. Zoning and Planning Information ~" Submittal Type Date []N 1. Does proposed action involve a planning or zoning decision? f-tYes I~No _ If Yes, indicate decision required: I-lzoning amendment I"Izoning variance I-Jsoecial use permit E]subdivision Dsite plan [~]new/revision of master plan l-Jresource management plan J~other 2. What is the zoning cJassification(s)of the s~te? /~ ] 3. What is the maximum potential development of the site if deveioped as permitted by the present zoning? / ' 4. WFat 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 the prooosed actio~, consistent with [ne recommended uses in adonted local land use plans? I~:~es 7. What are the predominant [and use{s) and zoning classifications within a 'Arr e radius of proposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a ¼ mile? [~Tes 9. If the proposed action is the subdivision of land, how many Jots are proposed? a. What is the mimmum lot size proposed? 10. Will prol~osed action reouire any authorization(s) for the formation of sewer or water d stricts? I--lYes 11. Will the proposed action create a demand for apy community provided serwzes {recreation, education, police fire protection)? E~.Yes I-1No a. If yes, is existing capacity sufficient to handle projected demand? [~Yes f-lNo 12. Wilt the proposed action result in the generation of traffic significantly above present levels? l~"Yes E]Nc a. If yes, is the existing road network adenuate to handle the additional traffic? [~'Yes D. Informational Details Attach any additional informatmn as may be needed to clarify your project. [f there are or m-ay be any adverst impacts associated with your proposal, please discuss such :reDacts and the measures which you propose to m~tigate o avmd them· E. Verification I certify that the informauon provided ,above ~s true '.o the best of my knowledge. the action is in lhe Coastal Area, and you are a state agency, COmplete the Coa sial Assessment Form before proceeding wilh this assessment. Pa--' 2~PROjF:.CT IMPACTS AND i :IR MAGNITUDE ' " Responsibility of Lead Agency General Information (Read Carefully) · In completing the form the reviewer should be guided by the question: Have my responses and determinations be. reasonable.~ The rewewer 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 necessarily significant asksAnY largethat itimpaCtbe IookedmUStatbefurther.eValuated in PART 3 to determine significance. Identifying an impact in column 2 sim: · The Examples provided are to assist the reviewer by showing types of, im ~acts and wherever possib e the threshold magnitude that would trigger a response in cOlUmn 2. The exam pies are generally applicable t~rou ghout the State ar 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, wil vary. Therefore, the examples are illustrative ar have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds [o answer each questio · The number of examples per question does not indicate the importance of each question. · In identifying impacts, consider long term, short term and cum [ative effects Instructions {Read carefully) a, Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact b. Maybe answers should ~e considered as Yes answers. c. If answering Yes to a question then check the appropriate box Icolumn 1 or 2) to indicate the potential size of th impact. If impact threshold equals or exceeds any exampte provided, check column 2. if impact will occur but threshoi is lower than example, check column 1. d. If reviewer has doubt about size of the ~mpact then consider the impact as potentially large and proceed to PART ~ e..If a potentially large im0act checked in column 2 can be mitigated by change(s) in the proiect to a small to modern: impact, also check the Yes box in column 3. A No response indicates that such a reduction is noz possible. Th~ must be exp]ained in Part 3. IMPACT ON LAND 1. Will the proposed action result in a physical change [o the project site? E2NO FqYES Examnles that would apply to column 2 · Any construction on slopes of 15% or greater, [15 foot rise per 100 loot of length), or where the general slopes in the project area exceed 10%. ' Construction on rand where the depth to the Water table rs less than 3 leer. - · Construction of paved parking area for 1,000 or more vehicles. · Construction on land where bedrock is exposed or generally within 3 f~'et of existing ground surface. · Construction that will continue for more than 1 ,/ear or involve more than one phase or stage. "Excavation for mmmg purooses that would remove more than 'I.000 tons of natural material (i.e., reck or soil) per year. · Construction or expansion of a sanitary landfill. · Construction in a designated ~]oodwav · Other ~mpacts Will there be an effect t:, ...~y u:,q.m or unusual land forms round the s~te? ( e., chffs, dunes, geological ~ormauons. etc.)~O ~YE$ · Speofic land forms: I 2 3 Srnall to Potential Can Impact B~ Moderate Large Mitigated By Impact Impact Project Chang~ ~ [] E~Yes I-]No ~ ~Yes ~No IMPACT~ON WATER 3. Will proposed action affect any water body designated as pr~)tected? (Under Articles 15, 24, 25 of the Environmental Conservauon Law. ECL) FqNO ~YES Examoles that would apply to column 2 · Developable area of site contains a protected water body. · Dredging more than 100 cubic yards of mater[al from channel of a protected stream. · Extension of utility distribution facilities through a protected water body. · Construction in a designated freshwater or tidal wetland. · Other impacts: Small to Moderate Impact 4. Will proposed action affect am/non-protected existing or new body of water? [~NO I-lYES Examples that would apply to column 2 · A 10% increase or decrease in the surface area of an,/body of water [] or more than a 10 acre increase-or decrease. · Construction of a body of water that exceeds 10 acres of surface area. ~ PrE] · Other imoacts: [] $. Will Proposed Action affect surface or groundwater quality or quantity? JS;J¢qO EYES Examples that would apply to column 2 · Proposed Action wiil_reomre a discharge oerm~t. · Prooosed Action requires use of a source of water that does not have approval to serve proposed (proiect) action. · Proposed Action reau~res water SUODW from wells with greater than 45 gal[ohs per minute pumping capac;tv. supply system. · Proposed Action will adversely affect groundsvater. · Liquid effluent will be conveyed off the site to facilities which presently do not exist or have inadequate capacity. · Proposed Action would use water in excess of 20.000 gallons per day. · Proposed Action will likeb., £au~e si[tatlon or other discharge into an existing body of water to the eXtcrnt mat there will De an obvious visuaJ contrast to natural conditions. · Proposed Action will require the storage ot petroleum or chemical ~roducts greater than 1,100 · Proposed Action will allow residential uses in areas without water and/or sewer services. · Proposed Action locates commercial and/or industrial uses which may facdmes. · Other ~mpacts: water runoff,' E:NO ~YES Examples that would apply to column ~ · Proposed AChon would change flood water tlows 7 r2 Potential Large Impact [] [] [] [] [] [] [] [] [] [] [] [] 3 Can Impact B Mitigated Bv Proiect Chan~ []Yes i'UNc []Yes t-]Nc []Yes []Yes []No []Yes f"qNo []Yes ['~No ~JYes {~No f-lYes EJNo E]Yes I~Yes []No E]Yes ~No F!Yes ~No I--lYes E]No OYes ~No []Yes ~No [~]Yes []Yes- . E]No F'~Ye~ E~No []Ye~ r~No []Yes ~No I?Yes · Proposed Action ma,/ cause substantial erosion. · Proposed Action is incompatible with existing drainage patterns. · Proposed Action will allow development in a designated floodway. · Other impacts: Small to Moderate Impact IMPACT ON AIR 7. Wilt proposed action affect air quatity.~ UNO -~YES Examples that would apply to column 2 · Proposed Action will induce 1,000 or more vehicle trips in any given hour. · Proposed Action will result in the Incineration of more than I ton of refuse per hour. · Emission rate of total contaminants will exceed ,5 lbs. per hour or a heat source producing more than 10 million BTU's per hour. · Proposed action will allow an increase n the amount of [and 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 threatened or endangered species~ ,I~NO E]YES Examples that would apply to column 2 ' Reduction of one or more species listed on the '4ew York or Federal list. using the site, over or near site or found on the site. · Removal of any portion of a critical or significant wildlife habitat. · Application of pesticide or herbicide more than twice a year, other than [or agricultural purposes. · Other impacts: 9 Will Proposed Action substanuail¥ affect non-threatened or non-endangered species? ~NO E3YE$ Examples that wou]d apply to column 2 · Proposed Action wou[d substantially interfere with any resident or m~gratory fish, shellfish or wddlife species. · Proposed Action requires the remora of more than 10 acres or mature forest [over 100 years of ageJ or other locally unportan[ vegetabon. IMPACT ON AGRICULTURAL LAND RESOURCES'- 10 Will the Proposed Action affect agricultural land resources~' ~NO E]YES E~amples that would a[~plv to coJdmn 2 · The proposed action would sever, cross or limJt access ~o aericultura] land (includes cropland, hayfields, pasture, wnevard, orchard, etc.) 8 2 Potential Large Impact 1, Can Impact Be Mitigated By Project Chan~e {~Yes ~]No I-'~Yes t-]No []Yes []No []Yes []No []Yes r"lNo []Yes [~No []Yes []No []Yes []No ~Yes i--tNo []Yes I'-~No ~Yes [~No []Yes I--INo ]:]Yes []No []Yes []No C3¥es r No E3Yes E3,No [~rYes []No · Construction activity would excavate or compact the soil profile of agricultural land. · The proposed action would irreversibl'y convert more than 10 acres of agricultural land or, if located in an Agricultutal District, more than 2.5 acres of agricultural land. · The proposed action woulc disrupt or prevent installation of ~gricuttura] land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) · Other impacts: IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources,' -~NO -~YES (If necessary, use the Visual gAF Addendum in Section 617.21. Appendix B.) Examples that would apply to column 2 · Proposed land uses. or prolec~ comoonents obviously different from or in sharp contrast to current surrounding land use patterns, whether man-made or natural. · Proeosed land uses. or project components visible to users of aesthetic resources which will elirr hate or significand,, reduce their enjoyment of the aesthetic qualities of that resource. · Prelect components that will result in the elimmauon or significant screenm~ of scemc v~ews known to be important to the area. · Other ~mpacts: IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESO~JRCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? ~]-NO OYES Examples that would apply to column 2 · Proposed Action occurring wholly or partially within dr substantially cont~uous to any facility or site listed on the State or National Regis[er of historic places. · Any impact to an archaeological site or fossd bed located within the proiec£ site. · Proposed.. Action will occur in an area des~nated as sensitive for archaeological sites on the NYS Site Inventory. '.Other impacts: Small to Moderate Impact E IMPACT ON OPEN SPACE AND RECREATION 1.3 Will Proposed Action affect the quantity or quality of ex~stJn~, or future open spaces or recreauonaJ opportun t~es.~ Ezamples that would apply to column 2 [~'NO [~YES · The permanent torecJosure or a future ~ecreatlonal ooDortumtv. · Other ~mpacts 2 Potential Large Impact [] [] [] 3 Can Impact Be Mitigated By Project Change ~]Yes []No []Yes []No l-lYes []No []Yes []No ~]Yes []No []Yes ['-]No []Yes FINe []Yes I~No []Yes []No ~Yes []No []Yes []No .[~Yes []No []Yes ~No 1 []Yes / OYes ~No I IMPACT ON TRANSPORTATION 14. Will there be an effect to existing transportabon systems? I~NO E]YES Examples that would apply to column 2 · Alteration of present patterns of movement of people and/or goods. 'o Proposed Action will result in major traffic problems. · Other impacts: IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? [~NO I-lYES 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 commercial or industrial use. · Other impacts: NOISE AND ODOR IMPACTS 16. Will there be obiectionable odors, noise, or vibration as a resuJ: of the Proposed Action~ ~NO FqYES Examples that would apply to column 2 · BlastinR within 1,500 feet of a hospital, school or other sensitive facditv. · Odors will occur routinely (more than one hour per day). · Proposed Action wiJ] produce operating noise exceeding the local ambient noise levels for noise outside of structures. · Proposed Action will remove natural barriers that would act as a noise screen. · Other impacts:. IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety~'~' 'OI~N E]YES Examples that wou[d apply to column 2 · Prooosed Action may cause a risk of exo[osion or release of hazardous · substances (i.e. oil. pesticides, chemicals, radiation, etc.] in the event of ~ccident or upset conditions, or there may be a chronic iow leve] discharge or emission. · Proposed Action may result in the burial of "hazardous ~vastes" in any Ecrm lie. toxic, pmsonous, highly reacbve, radioacuve. ~rritatmg, infectious, etc. J · StoraRe facdities for one mdlion or more gallons of Iiquified na:ural gas or other flammable liquids. · Proposed action may result m the excavaHon or other disturbance w~mm 2.U00 feet of a s~te used for tile d~nosal of solid or hazaroous · O~h~r ~mpacts: __ 10 1 Small to Moderate Impact --0 2 3 Potential Can Impact B Large Mitigated By Impact Project Chang [] Fl'~es [] Nc li I-lYes []No '0 OYes []No [-] []Yes []No [] F-tyes E]No [] E]Yes i'-lNo [-q OYes I--lNo [] f-TYes []No [] []Yes []No [] ~]Yes []No ~ ~Yes ~No [] []Yes- . [~No [] []Yes []No [] OYes []No [] []Yes []No [] OYes []No IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 18. Will proposed action affect the character of the existing community? ~:~NO E]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 services will increase by more than 5% per year as a result of this project. · Proposed action will conflict with officially adopted plans or goals. · Proposed action will cause a change in the density of land use. · Proposed Action will replaceor eliminate existing facilities, structures or areas of historic importance to the commumty. · Development will create a demand for additional community services (e.g. schools, police and fire, etc.] · Prooosed Action will set an important precedent for future projects. · Proposed Action will create or eliminate employment. · Other impacts:_ I 2 3 'iSmall to Potential Can Impact B~ Moderate Large Mitigated By l~'np act Impact Project Chang~ t~ [] [] ~Yes [3No ~ [] El' r-lyes []No f~ [] [] E]Yes EINo ~- [] [] E]Yes E~No ~ ~ ~Yes 19. Is there, or is there likely to be, public controve~v related to potential adverse enwronmental impacts? ~NO I-'lYES If Any Acticn in Part 2 Is Identified as a P6tential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3--EVALUATION oF THE I~J1PORTANCF_. OF '"'~ .... Responsibility of Lead Agency Part 3 must be prepared i~ one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions ~iscuss the following for each impact identified in Column 2 of Part 2: 1 Briefly describe ~he impact. 2. D~scribe (if applicable) how the impact could oe mitigated or reduced to a small to moderate impact by project change{s') 3. Based on the informauon available, decide if it ~s reasonable to conclude that this ~mpact ~s important. To aeswer the q uestion of importance, consider: ' The probabihtv of the ~mpact occurring · The duration of the ~mpact · its Irreverszbili[y, including permanendv lost resources ol v,due · Whether the impact can or w~ll be controlled · The regronal consermence of the imz)act - Its potentzal divergence ~rom loca needs and 11 " SEC4R 61721. -- Appendix 13 Environmental_Quality Review V sua] EAF Addendum This form may be used to provide additional information relating to Question 11 of Part 2 of the Full EAF. - (To be con' pleted 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 obse[vation, enjoyment an~ appreciation of natural or man-made scenic qualities? · A site or structure listed 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 or State Wild. Scenic or Recreational? · Any transportation corridor of high exposure, such as part of the Interstate System, or Amtrak? · A governmentally established or designated interstate or inter-county foot trail, or one forma ty proposed for establishment or designation? · A site, area. lake. reservoir or highway designated as scenic? Distance Between Project and Resource (in Miles) · Municipal park, or designated op,en space? · County road? · State? · Loca road? 2. ISseasons)ttle visibility of the project seasonal? (i.e.. screened by summer foliage but visible u l"ur'ng other [~Yes UNo 3. Are any of the resources c['ecked in question I used by the public during the time of )'ear during which the project will be visible? EYes ~o DESCRIPTION OF EXISTING VISUAL iFN?~IRONMENT " 4.environment.Fr°m each item checked in question l, check tl~ose which generally describe the surrounding Within '1/4 mile '1 mite Essentially undeveloped ,~ [] Forested [] [] Agricultural [] [] Suburban residential [~ [] Industrial [] P~ Commercial [] {~ Urban [] 14 ~ ~ Rive~, Lake, Pond ~ ~ Cliffs, Overlooks ~ ~ ~ Designated Open Space ~ Hilly ~ ~ Mountainous ~ ~ ~ Other ~ ~ ~ NOTE: add attachments as needed ~ ~ 5. Are there visually similar projects within: "V2 mi]~ []Yes []No '1 miles [~Yes [~No *2 mi]es ~Yes [-']No *3 miles ~Yes [~No * Distance [rem project site are provided for assistance. Substi ~ute other distances as appropriate EXPOSURE 6. The annual number of viewers likely to observ~e the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 7. Thesituationoractivityin whichthevie~versareangaged whileviewingtheproposedactionis FREQUENCY Activity Travel to and from work involved in recreational activities Routine travel by residents At a residence At worksite Other Holidays/ Daily Weekly Weekends Seasonally 2 IPRbJECT i.D. NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) SEQR 5. IS PROPOSED ACTION: ~j~ New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF ~ND AF~bU~U: initially [ acres Ultimately /' 0 ~ 7O acres 8. WILL PROPOSED ACTION COMPLY WiTH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] NO If No. describe briefly 9. WHAT IS PRESENT LAND USE iN VICINITY OF PROJECT? [~ Residential [] !ndustrial [] Commercial [] AgricuIture [] ParklForest/ODen soace De,c,~be: 'T~'~ ~0¢ ~s ,~,~ ~,,, ,*f?,~o'~e4 ~,¢ ~p~o~s,~¢o [] Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes [] No If yes. list agency(s) and p,ermit/a, pprovals , 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No ~f yes, list agency name and r~ermitlaDoroval 12. AS A RESULT OF PROPOSED ACTION WILL EX STING PERMiT/APPROVAL REQUIRE MODIFICATION? ['-]Yes ~,o ICERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEET OF MY KNOWLEDGE Signature: ~J e~ctJ'-~ ~ - I If the action is in the Coastal Area, and you are ~ state agency, complete the I Coastal Assessment Form before proceeding with this assessment I OVER 1 o.' ~" If yes, coordi~'~ne Yes [] NO -- %'~ ~ B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR. PART 617.67 If No, a negative declaration may be superseded by another involved agency. [] Yes [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwrdten, if legible) C1, Existing air qt~ality, surface or'grOundwater quality or quantity, noise levels, existing traffic patterns, solid waste 3roduction or disposal, potential for erosion, drainage or flooding oroblems? Explain briefly: Aesthetic, agricultural, archaeological, historic, or other natura{ or cultural resources: or community or neighborhood character? Exelain briefly:. C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? E×plain briefly: C4, Acommunity's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly C5. Growth. subseauent aevelooment, or related activities likely to be induced by me proposed action? Explain briefly. C6. Long [errn. snort term. cumulative, or other effects not identified in 01-C57 Explain briefly. C7. Other impacts (~ncl~Jding cnanges in use of either quantity or type of energy)? Explain briefly. D. S THER6. OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL iMPACTS? [] Yes "--] No f Yes, explain briefly PART III--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified aeove, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessea in connection with Is (a) setting (i.e. urban or rural); (b} probability of occurring; (c} duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts Rave peen identified and adequately addressed. [] Check this box if you have identified one or more potentially large or mgnificant adverse impacts which MAY occur. Then proceed directly To the FULL EAF and/or prepare a positive declaration. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: New Building (516) 751-7900 orling Commissioner Mr. & 817 Main GreenP Dear Mr. & Mrs, In conforman Procedures ACC (6NYCRR, Part 62t) all conditions ca conditions, please Also enclosed posted at'the ~pro~ 037/00001-0 3niform ease read S o nspicuously ~Wieland JAW:mw Enclosure New York State Department of Envir~ ~"'~ntal Conservatio~ RECEIPT DATE 193219 ~ Article 15 Title 3 ~ ~ 6NYCRR SnR. l _J 328. 329: Aquatl~ P · [.-' ~"] Water~uallty CertificatiOn t · Article 15. Title 5: , ' "~' Article ~t,7, ~Titles L J Protection of water : ',:: ~ ~;'SPDE$~i,., .... ~ / I Water Supply ~ Air P011mion Control' - I Article 15. Title 15: -- Article 23, Title 27:" ,_ Water Traespor~ I __] Article Long ', Wetlam Article 15 __ Wild, Scenic and Re Rivers L. N/A liong Pond Estate L/~onq ~ond Es' Attic e 25: ~., ~dal Wetlanfls~; Article 27, ~it e'7~i 6NYCR, R 360: Soiid .Waste"Management ' Article 27, .3'itle: 9 'I~NYCRR 373: Hazardous WaSte Management ~ Article 34: Coastal Erosio~ Management approved 1~47~8-00037 tet~tiOn in the position of the structure w&ter~ or flood flow! the ~eople of the State~ or cause loss ~ revocation of this permi modification i pleted. Con~afion may requ re, remov~ all structure or fil and restore tO [es end flood capacity of the~ the S~ate of 11 That ~he State navigable deleterlou~ materials associated with the permitted without leaving large refuse piles, ridges across watei~vav or floodelain or deed holes that may have a ! damage to navigable channels or to the banks of unreasonable interference with navigation by the work ;vocation of this permit, the oroiect hereby pteted, the applicant shall, without expense to the State, and to sUCh extent and in such time and manner as the Departmeof of Environmental Conservation may reqdire remove ail or any portion of the uncomole~d ~tructure or fill and restore the site to its former condition. No 'claim shall be made against the State of New York on account of any such removal or alteration if¥ in any wa~ Sections 301, 302, n Water Act of 1977 (PL 95-217) provided that all Of the cbndifions listed herein are met 19: All activities authorized by this permit must be in strict conformance with the. approved plans submitted by tee applicant 6r his ~gent as part of the permit applicat on Such approved 0 ans were prepared b Jo~e~ TTt~cj-no · ~,$,No, 49668 revised o, 9/30/89. 2. 3. Driveway must be 4. All septic syst~ seasonal ground A 5'0 ft, natura~ ~ ~ ~un~lB~u~be~ b~fe~ a~ea from w~tlands will Roof ~unoff a remain. :y wells. ~ted at least two ft, above SupplementarySpec ]ed. DEC PERMIT NUMBER 1~4728-00037/00001~0 PROGRAM/FACiLITY NUMBER The following conditions apply to all permits: ii! A. If any of the permit conditions are unclear,the permittee shali~con- tact the Division of Regulatory Affairs at the address and telephone noted below. B. A copy of this permit or approval and supplementary conditions shall be available at the project site whenever authorized work is zn progress. The permit sign enclosed with the permit or a copy of letter of approval shall be protected from the weather and posted in a con- spicuous location at the work site until completion of authorized ~work. At least 48 hours prior to commencement of the project, the permittee shall complete and return the top portion of the enclosed receipt fcrm certifying 5hat he is fully aware of and understands all provisions and conditions of this permit. Within one week of completion of the permitted work, Ehe bottom portion of that form shall also be com- pleted and returned. Se For projects involving activities to be accomplished over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to the commencement of resum~sion of work each year. Em If project design modifications take place after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modi- fications. The permittee is advised that substantial modification may require submission of. a new application for permit. All necessary precautions shall be taken to preclude contamination of any wetlands or waterway by suspended solids, sediment, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project wcrk. Any failure To comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. The permzttee is advised to obtain any permits or approvals that may be required from the U.S. Department of Army Corps of Engineers, NY District, 26 Federal Plaza, New York, NY 10278, (Attention: Regulatory Functions Branch), prior to commencement of work authorized herein. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242, which may be required for any encroachment upon State-owned lands underwater. Page 3 of Regional Permit Administrator NYS Dept. of Environmental Conservation Bldg. 40, SUNY-Room 219 Stony Brook, NY 1179~-~2~.~ (516) 751-7900 · Nature'of work (check ~vhich applicable): New [3uilding ...... Additicn .......... Alteration ........ '. - - Repair ............. R~movat .............. Demolition Swimming ~_~ ~ ~ Tennis Court ......... Accessory Building .......... Fence .... ~...Other Work ............ . C,o= .... .......................... ..................................... -- (tobe paid on filing this application) ~ ;. }f dwelling, number of dwelling units ..... ~ ......... Number of dwe ~g un tg on each floor /. .' ......... ' : !fgara~e. number 0f cars'.....~.d~C.ff~... ......................................... ;3 :If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... ~ ~. ':Bimensions of~isting structures, if any: Front .... ~ ........ Rear .... ~ ...... Depth . ~ ......... ; ;:Height ............... Number of Stories .... ~ ............ ; .................................... ; of same structure with alterations or additions: Front ...... '~ .......... Rear ~ . ..... ~th ...... ~ .... Heist ..... ~. .Number of Stories ..~ .......... 'entirenew constmc~on: Front . .. ¢~.. ...... Rear., ~ ...... Depth ~ ~ /0~' . ....... Number of St6~es ....... ~ ~q; ....... ~..q2; ..... ~ ..... ..... ..... ....... ..... /(J-~ ........... Rear...~(~: ~ ~ .......... Depth ................... of Purch~e ............................. Name of Fo~mr Owner ............................ d~trict in which premises are sRuated ...................... ' o di=n orr ,ul ,io : ...................... ..... ,Z .................... i '- : . t ........................... Address ................... Phone No ................. i Addrea Phone No ' this p~oper~y located ~ithin 300 feet: of a tidal wetland? *YES2.~.80 .... yes, Southold ~o~n Irustees Permit may be required. ~c/0~eet ~i~ 9~C- ~' PLOT DIAG~M ~oeate cle~ly ~d ~st~ctly.~l build.ss, whether existing or proposed, ~d, indicate ~1 set-back d~ensions from rop,e~y Enos. G,ve street ~d block number or desc~pnon accord~g to deed, ~d show street n~es md ~dicate whether ~te~or or co.er tot. ;TATE OF NEW YORK, :OUNTYOF ...........-.-.., S.S (Name of in dividual signiug contract) bore nam ed, being duly sworn, deposes and says that he is the applicant is the ......................................................................................... (Contractor, agent, corporate officer, etc.) said OWner or owners, and is duly authorized to perform or have performed me said work and to make and file this pplication: that all statements contained in this application are true to tile best of his knowledge and belief; and that the ,ork will be performed in tile manner set forth in the application filed therewith. worn to before me this ............ .~.(7 ...... day of ..... ..~.~ ........... 19 .c/...~ '°'ary Pub' c, ~...,?......~:. './c{Z...~.77 .......... .................. NOTA~ PUa[IC, SC~te of Hew York (Signature o f applican t) SHA MOMo~o<UE ' ~ 8. 86'__~ ', POND bO~G ~ P.C. )668 AREA = 44,737 S e~r~. or I. d270 ACRES ELEVATIONS ARE REFERENCED TO N.G.V. DATUM ECONI (516) 765 P.O. BOX 909 MAIN P.OAD ,SOU THOLD,N.Y. '1i971 9 CERTIFIED TO: FIRST AMERICAN TIT~E IN~J~NCE COMPANY OF NEW YONK VINCENT CLAPS BANBARA CLAPS SURVEY ( JAN2 2 1990 LOT 1 "MAP OF LONG POND ESTATES" SECTION ONE FILED- DEC. 27; 1985 FILE NO. 8037 AT SOU THOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. ¥. I000 52 08 OI SCALE I"= 40' APRIL t6.; 1987 MAY [2. t989- (topo) SEPT. 30, 19~9 (revision)