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HomeMy WebLinkAboutTR-3820 Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO .... 3.8Z0 DATE: Aprfl..Z6, .19.90 ISSUED TO .._2;D~'.AP,.D...D]ELT.T.S~CH ......................................................................... Pursuant' to fhe provisions of Chapfer 615 of fhe Laws of fhe S~'afe of New York, 1893; and C~apter 404of fhe 'L.aws of fhe Sfafe of New York 1952; a~d ~'he Soufhold Town Ordinance eh- rifled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND .ON TOWN WATERS AND PUBLIC LANDS and fhe REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance wifh fhe Resolution of The Board adopfed afa meefing held on/~pril.25, .... 19.1 ~g. , and in consideration of fhe sum of $ ......................... paid by of ................................................................................... N. Y. end subjecf fo fhe Terms and Condiflons lisfed on fhe reverse side hereof, of Soufhold Town Trusfees aufhorizes and permifs fhe following: Cons?uc~t 215 l.f. of timber retaining w~ll at or above the line Backfill with 15+ c.y. of cle~n sand~ an'd loam to be lruclie, Wall will be built only along side where shoreline zs receding a 4'x 16' hinged ramp secured to crest of bank by (2) all in accoJ'dance wi~'h ~'he defai|ed specificafions as present'ed in fhe originaflng applicafion.4"posts; and a 6'x20' Qoat secured by (2) 8" diameter pilings. IN WITNESS WHEREOF, The said Board of Trusfees here- by causes, ifs Corporafe Seal fo be affixed, and ~'hese presenfs fo be subscribed by a mai of this daf.e. TERMS and CONDITIONS The Permittee . Edward Deut$ch residing at Briar Lane, Southold, NY 11971 N. ¥., as par~ of the consideration for the issuance of the Permit doe~ understand and pt~a'ibe to the fol- lowing: 1. That the said Board of Trustees and the Town of 5outhold a~e released from any and aH damages, or d~ircn for d~m~ges, of suits arising d/rectiy or indlrectl~ es a re.It of any ol~- ation performed pursuant to this per, t, and the said Permittee wilL, a~: bis or her own expenee, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, *o the complete exdasion of the Board of Trustees of the Town of 5omhold 2. That this Permit is valid for a period of 24 mos. which is consi~rod to be the estimated time required ro complete the work involved, but should cil:clllllstanc~ w~l'nnr. ~clne~ for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Pezmitme wishes to maintain the structure or project involved, to provide evidence to anyone concerned tha~ auth- orization was origlmlly obtained. 4. That Iht work involved will be subject to the inspection and approval of the Board or its agents, and non-complianee with the pr&~sions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be n? unreas0~_na__b_l~ ~n~e.rfer_~nce with ~avi~ation _as a result of the work 11 b ~bllt TRUSTEES ~ SUPERVISOR John M. Bredemeyer, III. President SCOTT L. HARRIS Albert J. Krupski. Jr.. Vice President Henry P. Smith Town Hall John B. Tuthill 53095 Main Road William G. Albertson P.O. Box 1179 Telephone (516) 765-1892 Southold. New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 8, 1993 Edward Deutsch 87 Bellows Lane Manhasset, NY 11030 RE: SCTM 81-1-16. Dear Mr. Deutsch: The following action was taken by the Southold Town Board of Trustees on Wednesday, May 26, 1993: RESOLVED that the Southold Town Board of Trustees grants an extension to Permit ~3820 for one year to expire April 26, 1994. to construct 215 1.f. of timber retaining wall at or above the line of MHW, backfill with 15 +/- c.y. of clean sand and loam to be =rucked in, wall will be built only along side where shoreline is receding, construct a 4' X 16' hinged ramp secured ~o crest of bank by (2) 4" posts, and a6' X 20' float secured by (2) 8" pilings. If you have any questions, please do not hesitate to contact this office. truly yours, John M. Bredemeyer, III President, Board of Trustees JMB: jmd TRUSTEES SCOTI' L. HARRIS lohn M. Bredemeyer, III. President Supervisor Henry P. Smith. Vice President Albert J. Kmpski, Jr. Town Hall, 53095 Main Road John L. Bednoski, Jr. P.O. Box 1179 Southold, New York 11971 John B. Tuthil] BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 April 27, 1990 Roy Haje, President En-Consultants, Inc. 1329 North Sea Road Southampton, NY 11968 Re: App. No. 1-4-90-81-1-16.1/Edward Deutsch Dear Mr. Haje: The following action was taken by the Board of Town Trustees during its regular meeting held on April 25, 1990 regarding the above matter: WHEREAS, Eh-Consultants, Inc. IN BEHALF OF Edward Deutsch applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated December 18, 1989 and, WHEREAS said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a public hearing was held by the Town Trustees with respect to said applic'ation on April 25, 1990 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation -submitted concerning this application, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW, THEREFORE BE IT RESOLyED THAT En-Consultants,Inc. IN BEHALF OF Edward Deutsch BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: Construct 215 1.f. of timber retaining wall at or above the line of MHW. Backfill with 15+ c.y. of clean sand and loam to be trucked in. Wall will be built only along side where shoreline is receding. Construct a 4' x 16' hinged ramp secured to crest of bank by (2) 4" pests; and a 6' x 20' float secured by (2) 8" diameter pilings. This permit will expire two years from the date it is signed if work has not commenced by said date. Fees must be paid, if applicable, and permit issued within six menths of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: 4' x ~' = 64 s.f. x ~00 = ~128.00 6' x 20' =120 s.f. x 2.00 = 240.00 -~368.00 Total du~ Very truly yours, Bredemeyer, III President, Board of Trustees JMB:jb cc: Bldg. Dept. Conservation Advisory Council file TRUSTEES SCOTT L, HARRIS John M, Bmdemeyer, III, President Supervisor Henry P. Smith, Vice President Albert J. Krapski. Jr. Town Halt, 53095 Main Road John L. Bednoski. Jr. P.O. Box 1179 Southold, New York 11971 John B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 March 26, I990 Roy Haje, President Eh-Consultants, Inc. 1329 North Sea Road Southapmton, Ny 11968 RE: Edward Deutsch/Application ~1-4-90-81-1-16.1 Dear Mr. Haje: The following action was taken by the Board of Town Trustees at its regular meeting held on March 22, 1990. The Board rescinded its Negative Declaration of 1/25/90 as it was done ou~ of sequence of the SEQRA process. Since there were no objections from other involved agencies, Lead Agency Status was assumed by the Trustees. The Board gave this project a Negative Declaration as of this meeting (3/22/90), all in accordance with the previous (1/25/90) declaration, copy enclosed. A public hearing will be scheduled for April 25, 1990. Sincerely, ~ J ~ohn M. Bredemeyer, II~~ JMB:jb encl. cc: CAC File TRUSTEES SCOTI' L. HARRIS John M. Bredemeyer, III, President Supervisor Hem2v P. Smith. Vice President Albert J. Kmpski, Jr. Town Hall, 53095 Main Road P.O. Box 1179 John L. Bednoski. Jr. Southold, New York 11971 lohn B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 February 27, 1990 The following action was taken by the Board of Town Trustees at its regular meeting held on February 22, 1990: RESOLVED that the $outhold Town Board of Trustees assumed Lead Agency on the application of Edward Deutseh. 91-4-90-81-1-16.1. This was unanimously approved by the Board. ALBERT J. KRUPSKI. JR.. ~"'~R~e~%re~ '~" ~'"J, ':~L'%L .;~?~,';" ...... ' '7 (5~ 765-t892 JOHN ~. BREDE~EYER, III· President ~,~, . . ~. ~._,, JOHN L. BEDNOSKI, JR. '~' -O -, . '- HENRY P. S5IITH · Vice President John B. Tuthill BOARD OF TOWN TRUSTEES TO~ OF SO,HOLD Town Hall, 53095 Main Koad P.O. Box 728 Southo[d. New York I Janaary 12, 1990 Mr. John Holzapfel, Chazrman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, New York 11971 Dear Mr. Hol~apfel: Transmitted herewith is application No. 1-4-90-81-1-16.1 for a wetland permit subm~{ted by Eh-Consultants. Please prepare a written report o~ findings and reco~enda~ions with respect to this application. Very truly yours, John M. Bredemeyer, III President Board of Town TrusLees JMB: j mt Town Hall. 53095 ~]ain Road P.O. Box 1179 Telephone Southold. New York 11971 (516) 765-1801 SOUTHOLD TOWN ~ CONSERVATION ADVISORY COUNCIL'~ .... ~ [,,TOW:~ U~' ~- ' To: Southold Town Board of Trustees From: Southold Town Conservation Advisory Council Dat~: February 20, 1990 Re: Recommendation of Applications 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 Apphcahon No. 1-4-90-81-1-16.1 submitted by Eh-Consultants on behalf 0~~~ The Co~~he construction of a 4' ~x ]6' hin~~ to drest of bank by two' 4" posts; and a 6' x 20' floai secured by two 8" d ameter pilings. The CAC disapproves the construction of 215 l.f. of timber retaining wall at or above the line of MH~. 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. Bri~ Lane, Southold Mote 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 Eh-Consultants on behalf of Dr. David Winkler to construct a tiber d~k 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 Southoid Town Trustees DISAPPROVAL of Wetland Application No. 1-3-90-90-4-12 submitted by En-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 · ;:',':," ?* DEC BOARD OF TOWN TRI'STEES TO;~ OF SO.HOLD Towa Hall. 53095 Main Road P.O_ Box 728 Southold. New York 11971 IDENTITy OF APPLICANT Edward DeHtsch PHONE NO 516-559-8000 ADDRESS OF APPLICANT 87 Bellows Lane, Manhasset, New York 11030 TAX MAP NO. 1000-81-1-16.1 AGENT En-ConsultantsL_~D~j__1329 North Sea Roadx_~_~Oj~pHON[ NO New York 11968 516-283-63~0 PERMIT REQUESTED TO SEE ATTACHED LOCATION OF PROPERTY FOR WHICH PERMIT WANTED_ ~T~aT ..~3_l-L~_~f_~]~]~ .... HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION 87 Bellows Lane, Manhasset CREEK. BAY OR HARBOR FRONTING PROPERTY Boa~ basin off SoutholA Ba~__ SIZE OF PROPOSED WORK LENGTH See attached WIDTH See attached HEIGHT ABOVE HIGH WATER See attached Page YDS. TO BE EXCAVATED: 0 YDS. TO BE FILLED: MANNER IN WHICH F~%TERIALWILL BE REMOVED OR DEPOSITED: Trucked in, dumped, and graded WIDTH~OF CANAL, CREEK OR BAY FRONTING PROPERTY: 40~' DEPTH AT LOW TIDE: N/A AV~. RISE IN TIDE: 2'6" DISTANCE TO NEAREST CHANNEL: 20+ DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: 0 AREA ZONING: IS PROJECT FOR PRIVATE OR BUS. USE: I~Ta/qDED USE OF PROPERTY: Residential DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: None HAS Ably PRIOR LICENSE OR PEP/~IT BEEN ISSUED TO ERECT STRUCTURES, DP~DGE, OR DEPOSIT FILL ON SAID PREMISES: None HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL AGENCY: No DESCRIBE FULLY THE REHABILITATION OF PROPERTY: Upon completion~ soil will be stabilized with Dlantinqs. DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: Upon completion of project, are will be graded and landscaped. ARE THERE ~ COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: N/A WRI~TEN coHSF~NT OF OWI~ER IF NOT THE SAME AS APPLICANT: See attached TRUSTEES John M. Hevmy I LEAD AGENCY COORDINATION REQUEST TO:' ~d~.~ ~-~q~\~ DATE.~ ~.~o~ ~ ~ Enclosed is a permit app'lication ~nd: a completed part I of tbs EnviroD=~en~a! Assessment Porm. in acting · o: Dos ( ) (~PB ( ) ZBA ( ) BLD (,) PSease complete, detac~ and return this form to expedite proces'smng. ~nvol~ed Agency: ~olject Name: - Location: Wet'at ~ (Have/No) objection to Southold Town ./ AGENCY TruStees assuming Lead Agency. Co.,~ents/ /~ Reasons: / TRUSTEES John M. Bredemeyer, It[i, Su~e._'w~sor Heno' P. Sm/th. Vice Albert J. KrupskL Jr. T n Hal~, 5~095 Mare P.O.~Box It7~ · John L. Bednosk~.. Jr. South01~i New York 1 ~97,t John B. Tuthiii BOARD OF TOWN TRUSTEES Fax (5~6) 765-1823 Telephone (516) 765-1892 TO\:VN OF SOUTHOLD Telepho~e (5t6~ 5'65 ~aN_~l RONklENT NO. ~-~--~-81-I-!6.1 ~dw~rd Deutsch ~ January 25f 1990 ~ of the action below, e a slgn!flcant ezf~ the envmroD~enu. Please take further notice that this ~ not be considered a determination made for apex other del agency which may also have an application pending f~r ~he s~me or similar DE~C~&~T!ON OF kCT~ON: Construct 215 l.f. of -thiner retainin~ wall at or above the line of F~. Backfill with 15+ and loam to be trucked crest of bank by (2) 4~' posts~ and a 6~ x 20 float secrued by (2) 8" ~i~me~er pilings. LOCATION: Briar Lane~ Southold, ~ !197! - Southold BeV Tax map No. REASONS SUPPORTING -.~ ~. on site':iSsp~mtion has been conGuc~ed ~ the 2. An enviromTtehtal assessmenq[, submitted~ by thA~%Dp~icm~ reviewed and completed by the Board of T~us~ees~r has i~dic~%ed no significant adverse effects to the envirop~ent are ~ikely should the project be implemented as planned. cc: Ali TowD Departments NYSDEC Arm~ CorDs of Engineers Edward Deutsch 87 Bellows Lane Manhasset, New York 11030 March 31, 1994 Southold Town Board of Town Trustees Town Hall 53095 Main Road P.O. Box 1179 Southold. New York 11971 RE: SCTM 81-1-16 Gentlemen, Enclosed is a copy of your letter dated June 8, 1993. Unfortunately, we were never able to work out our water supply and other problems with the DEC and owners of the lot. Therefore, I ask that you refund my $368 permit fee. Thank you for being so helpful with your portion of the permitting process. We really appreciated the way everyone in Town Hall tried to help us. Sincerely, ETflc/ar JD/euYs~h New York:State Depart.~e:~nt of Environmental Cor~serva~ ~ 7~{3-2356 July 20, 1990 1329 Road Sot 1968 Att: Haje Re: Edward Deutsc~ 1-4738-00066/00001-0 Dear Mn. Baje: '~'~ The proposed retaining wall is, for the most part, approvable, except for the 25' and 18' sections; because the area is vegetated with'tidal wetland vegetation. The re~aining wall should begin at the northern:terminus of the 18! section and here also have a 5' southerly return. Therefore, the entire ;length of the retaining wall will be 177'. The single family dwelling and associated structures are approvable on a setback basis. However, the datum submitted for the non-jurisdictional request is inadequate since it is a S.C.D:P.WZ.aerial interpretation of contours and not field verified. Additionally, the garage Footprint is..a~ the 10' contou~ and therefore will-definitely require work within the regulated adjacent area. Please submit revised plans. you~ ~-~dohn'A. Wieland Sr. Environmental Analyst JAW:slc cc: Ed Deutsch Southold Town V Joe Enrico 617.21 Appendix A SEC~ State Environmental Quality Review FULL ENVIRON1VIENT~L ASSESSMENT FQRM Purpose: The full EAF is designed ~o help applicants and agencies determine, in an orderly ma~. ~hether a projec or action m~y be s 8n f cant. The quesdon of whether an action may be significan~ is no~ ~Jwavs e~nSwer. Frequen I~, them are aspects of a project tha~ are Subjective or unmeasureab~e. I~ is a~so understood ~hat ~e who determM significance may have Ii[de or no formal Enowledge of the environment or may be technic~ll~ ~ in environmen~z analysis. ~n addition, many who have knowiee~e in one particular ~rea may no~ be aware of the bro~¢oncems affectin the question of significance. The full EAF is [nmnded ~o provide a method whereby appJ[can~s and agencies can be assured ~at~e determinatio: process has been orderly, comprehensive in nature, yet flexible ~ allow introduction of information ~ fit ~ project or actior Full EAF Eomponents: The full EAF is comprised of three parts: Part 1= Provides objective da~a and informado~ abou~ a given project and its site. By id~yin8 basic projec data. it assists a reviewer in the analysis that takes place in Parts 2 ana 3. Part 2: Focuses on identifyin~ the range of possible impacts that may occur from a pro}e~[on' It provide~ guidance as to whether an impact is likely to be considered small to moderato or w~it is a potentially large impact. The form also identifies whether an impact can be mitigated or re~ Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 [s used~ evaluatewhether or not impact is actually ~mportant. DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part 1 [] Part 2 t-'lPart 3 Upon review of the information recorded on this EAF (Parts 1 and 2 ~nd 3 if appropriate], and any other suooorting information, anu considering both the magitude and importance of each impact, it is reasonably deta~rmined by the lead agency that: [] A. The prolect will not result in any large and important impact, s] and. therefore, is one which will' not have a significant impact on the enwronment, therefore a negative declaration ~i]l ~ F[epared. B. Although the project could nave a significant effect on the environment, ther~ will not ~ a significant effect for this Unlisted Action because the mitigation measures described in PART 3 ha~en required. therefore A CONDITIONED negative declaration ~ill be prepared.* C. The project may result in one or more large and important im pacts that may have a ~icant impact on the environment, therefore a positive declaration ~ill be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name or Lead Agency ~ Si~ oi Respons~ Officer in Lead~Agen~y/ff~/~__ Signature or- Prepa~dJiferent lrom res~tbIeZ officer) Date 1 PART 1--PROJECT IN,'ORI~IATION '' Pre pared by Project Sponsor . NOTICE: This document is designed to in determining whether the action proposed may have a significant on the environment. Please complete the entire fo~m, Parts A through E. Answers to these questions will be cons, as part of the application for approval and may be subject to further verification and public review. Provide any add! information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not i~ new studies, research or invesugation. If information requiring such additional work is unavailable, so indicate and st each instance. NAME OF OWNER (If different) ~O-~ Please Complete Each Question- Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both develop, ed and undeveloped areas. 1. Present land use: []Urban []Industrial []-]Commercial [Residential ~suburban) E~Rural (notate E3Forest r"lAgriculture [~Other 2. Total acreage of project area: acres. APPROXIMATE ACREAGE Meadow or grushland (NomagricuJtural) PRESENTLY AFTER CO,\,JPLETIo~ Forested acres Agricultural ClncJudes orchards, crop and. ~asture, etc.) acres -- acre Wetland [Freshwater or tidal as per Arbcles 24, 25 of ECL) acres ' Water Surface Area -- ~ acre: Unvegetated (Rock. earth or fill) acres __ ~ acre~ Roads. buildings and other ,gaved surfaces - -- __ acre. Other [Indicate type) acres 3. What is predominant soil type(s) on prol,~ct s~te? . -- acre_~ a. Soil drainage: CTWeII drainecJ . % of site ~,~,locJerateJ¥ well drained ~Poorlv drained _ o, fi of s~te -' ?,~ of Site b.Lanclf anVClassl£icationagricuJturaJ JandsYstem?iS involved, hOWacresmanV[seeaCres] N¥CRR°i' soil are370).ctasslfied within soil group 1 tbr~u.gh 4 of the ~ 4. Are there bedrock outcroppings on project site? ~Yes ~]No a. What ~s depth.to bedrock? (in feetJ PART 1--PROJECT INFORMATION ' NOTICE: This document is Prepared by Project Sponsor -. on the environment. Please designed to assist in determining whether the action proposed may have a significant complete the entire form, Parts ^ throUgh E. Answers to these quest'ions will be con, as part of the application for approval and may be subject to further Yeriflcation and public review. Provide any adc information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on informatio-n currently available and will not new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and each instance. NAME OF AC'~ON - $ ' ' 'p 'ty d County) ~rlar Lane, Sou?hold NAM~ En-Consultants, Inc. Sea Road 1329 North Southampton Manh. a~set DESCRIPTION OF ACTIO~ SEE ATTACHED Please Complete Each Question--Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. I. Present land use: I-IUrban i-Ilndustrial C]Commerciai [~Residentia[ (suburban) ~Rura( (non- i-IF°rest I'-IAgriculture [~ther _~. ~_,~ ~ ~ ~ 2. Total acreage of project area: 1.3 acres. APPROXIMATE ACREAGE Meadow or grushland (Non-agricultural) PRESENTLY AFTER COMPLET C Forested acres 1.2 acres .6 act Agricultural Ilncludes orchards, cropland, pasture, etc.} acres __ act Wetland {Freshwater or tidal as per Artictes 24. 25 of ECL} --. _ act Water Surface Area acres act Unvegetated IRock. earth or fill) (beach) acres act Roads. buildings and other paved surfaces ] acres ,1 act Other (Indicate type) ~ ~'~'~C'~T~q n,~- acres - ] act, 3. What is predominant soil type(s) on project site? Loam a. Soil drainage. ]~WeJl drained ~ · ~-0,, _ % of sate Im,%toderately well drained .% of site F':Pooriy drained % of site b. If anv agricultural land is involved; how many acres of soil are classified within soil group 1 th;~ugh 4 of the Land Classfficauon System? N/A acres. ~$ee I NYCRR 370L 4. Are there gedrock outcroppings on prolect site? f'~Yes ~]No a. What ~s depth to bedrock~nknown (in feet) ~. 'Approxi~nate percentage of proposed proiec:site with slopes: ~O-IO~G '10 0 ~ r'115% or greater % 6. Is,lJroiec~ substantially contiguous to. or contain a building, site. or district, listed on the' State or the Natic Register~ of Historic Places? [:]Yes I~No 7. ts project substantially contiguous~to a site listed on the Register of National Natural Landmarks? F'lyes 8. What is the depth of the water table? 7+ [in feet) 9. is site located over a primary, principal, or sole source aquifer? :~Ye$ I-INo 10. Do hunting, fishing or shell fishing opportunities presently exist in the pro~ect area? :~Yes I-iNo 11. Does project site contain any species of plant or a~imal life that is identified as threatened or endanger [~Yes ~]No According to Roy L. Bale Identify each species 12. Are there any unique or unusual land forms on the project site? [i.e., cliffs, dunes, other geoio§ica! formatk r'lYes lrlNo Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation ar~ []Yes :~No If yes, explain 14, Does the present site include scenic views known to be important to the community? ~Yes KiND 15. Streams within or contiguous to proiect area: a. Name of Stream and name of River to which it is tributary 16. Lakes. ponds, wetland areas within or contiguous to project area: a. Name Boat Basin b. Size (In acres) 17. IS the site served b¥~xisting public utilities? ayes a) if Yes. does sufficient capacity exist to allow connection? (~'lYes f~,No b) If Yes. wilt improvements be necessary to allow connection( F-IYes I~No 18. Is the site located in an agricultural district certified pursuant to Agriculture and ,~,tarkets Law, Article 2,~-~ SecUon 303 and 304? [~Yes ~[No 19. Is the site located in or substanuaJly contiguous to a OiticaJ Environmental Area designated pursuant to Article of the ECL, and 6 NYCRR 6177 K]Yes ~No 20. Has the site ever been used for the disposal of solid ar hazardous wastes? ~-Iyes ~No 13. Pro~ect Description 1. Physici~i dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor., 1.3 acres. , b. Proiect acreaqe to he deve{oped: .6 acres initially; .6 acres u(timate{y. c. Proiect acreage to remain undeveloped .7 acres. d. Length of proiect, in mites: N/A Jif appropriate} e. If the project is an expansion, indicate percent of expansion proposed N/A f. Nuniber of off-street parking spaces ex~sting 0 ; proposed 3 g. ~%taximum vehicular tr~ps genera[ed per hour 5 [upon compleuou of protect)? h. If residential: Number and type of housinq umts: One Famdy Two Family ~tultiple F,tm~[y Condominium Ultm~atelv i. Dimensions {in teet) oi largest proposed structure R~ height: _ 50 width; 40 length. i. Linear fee~ of frontage ~tong a public thoroughfare proiect xvdl occupy i~? N/A ft. 2. How much natural materia~at~.~e., rock. earth, etc.) will be removed from the site? 0 tons/cubic ,yarc ~. Will disturbed areas be reclaimed? I-lyes I-1No ~N/A a. If'.yes, for what intend..Z purpose is the site being reclaimed? b. Will top~oil be stockpiled for reclamation? r-lyes l-JNo c. Will upper subsoil be stockpiled for reclamation? i"~Yes i-lNo 4. How many acres of vegetation (trees, shrubs, ground covers} wile be removed from site? .6 acres. $. Will any mature forest (over 100 years old) or other IocaUwimpor~ant vegera:ion be removed by this project? I-lYes EqNo · . 6. if single phase project: Anticipated period of construction t2 months, (including demolition). 7. If multi-phased: N/A a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month , year, [including demolitio~ c. Approximate completion date of final phase month year; d. Is phase 1 functionally dependent on subsequent phases? r-~Yes 8. Will blasting occur during construction? OYes [~'4o 9. Number of jobs generated: during construction ]_2 ; after proiect is complete 10. Number of jobs eliminated by this project 0 11. Wiil proiect require re[ocation of any proiects or facilities? t-lYes t~'[No [f yes, exp(ain 12. Is surface liquid waste disposal involved? C]Yes GNa' a. If yes, indicate Wpe 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? ~Yes C]Nq Type Sesvaqe 14. 1,Viii surface area of an existing water body increase or decrease by proposal? I-lYes l~No Expiain 1.~. Is prolect or any portion of project located in a 100 year flood plain? l~riYes 16. Will the proiect generate solid waste? J~Yes J~No a. If yes, what is the amount per month .1 tons b. If yes, wiil an existing mhd waste facility be used? r~Yes r/No c. If yes, give name~Qwn Landfill ; location d. Will any wastes not ~o into a sewa[le disposal system or into a sanitary klndfi[[? CIYes Xl-lNo e. If Yes, explain 17. Will the proiect involve the disposal of solid waste? C'IYes ~No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site llfe? years, 18. will proiect use herbicides or pesticides? ~]k'Yes C1No 19. Will project routinely produce odors (more than one hour per day)? I-~Yes 20. Will project produce operatin~ noise exceeding the local ambient noise levels? []Yes ~J~No .~1. Will prolect result in an increase in energy use? I~¥es ri.No If yes , indicate type(s) Ail and electricity 22. If water supply iS from wells, indicate pumping capacity 3 gal[ohs/minute. >. 23. Total anticipated water usage per day 300 gallons/day. 24. Does prolect involve Local. State or Federal funding? [~]Yes l~lNo If Yes. explain 25.' ,.Approvals Required: ~'"~/ Submit Type Date City, Town. Village Board r-[Yes []No City, Town. Village Planning Board ~Yes ~No City. Town Zoning Board []Yes [No City. County Health Department ][~Yes' C1No SCDH, Sanitary syste.m & 12./89 well Other Local Agencies CIYes {2]No Other Regional Agencies EYes State Agencies ~]Yes FqNo DEC TW~ DOS 12/89 Federal Agencies ][~Yes [~No COE~ Section 10 1/289 C. Zoning and Planning information 1. Does proposed action involve a planning or zoning decision? f-~Yes ~No _ If Yes, indicate decision required: []zoning amendment r'~zoning variance r-lspecial use permit nsubdivision Flsite plan i'-inewlrevision of master Dian []resource management plan F-Iother 2. What is the zoning c[assification(s:[of the site? R80 3. What is the maximum potential development of the site if developed as permitted by the present zoning? (] I ~-fam~y residence 4. What is the proposed zoning of the site? N/A S. What is the maximum potential development of the site if developed as permitted by the proposed zoning? N/A 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ~Yes ( 7. What are the predominant land use(s) and zoning classifications within a '4 mile radius or proposed action? Residence one-family dwelling B Is the proposed action compatible with adjoinin~[surroundinB [and uses within a % mi[e? ~_iYes 9 If the proposed action is the subdivision of ]and. how many lots are proposed? N/A a. What is the minimum lot size proposed? 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ~Yes 11 Will the proposed action create a demand for any community provided services (recreation, education, pc fire protection)? [:]Yes [~No a. If yes, is existing capacity sufficient to handle proiected demand? []:]Yes 12, Will the proposed action result in the generation of traffic significantly above present levels? []Yes a. if yes, is the existing road network adequate to handle the additional traffic? []Yes D. Informational Details Attach any additional information as ma,/ he needed to clarify your proiect If there are or m'ay be any impacts associated with your proposal, please discuss such in]pacts and the measures which ,/au propose to mitigal avoid them. E. Verification I certify that the int~rmation pro¥ided above is true to the best of my knowledge. Applicant/Sponsor Na~ Edw~eutsch' by Eh-Consultants,Inc. Date 12/14/89 Si§nature /o(;~_~. ~4~/V<X Tide President Roy L. Ha]e~ . If the action is in the Coastal Area, an~ you ate a state aRency, complete the Coastal Assessment Form beiore procee~ with this assessment. . ;~5.' ,Approvals. Requir ed: ~ ~ Submittal '.- . :' - Type Date City, Town, Village Board I-lYes f-li~o City, Town, Village Planning Board I-lYes I-'lNo City. Town Zoning Board I-lYes []No ./ Cit,/, County Hea~th Department ['3Yes [~No Other Local Agencies I-lYes ~No / Other Regional Agencies F-tYes [3No State Agencies I-lYes J~No Federal Agencies ~Yes UNo C. Zoning and Planning Information 1. Does proposed action involve a p arming or zoning decision? IZ]Ye/ [3No _ ' Yes, indicate decision required: / . . If I-Izoning amendment [~zoning variance [3special use p~rmit [subdivision J-lsite plan l-lnew/revision of master plan rqresource management p~ [~other ____ 2. What is the zoning classification(s)of ' /,/ 3.. What is the maximum potential dove the site if ~eloped as permitted by the present zoning? 4, What is the proposed zomn / · 5. What is the maximum potential the s¢if developed as permitted by the proposed zoning? 6 Is the proposed action consistent with /ded uses in adopted )DCa) land use plans? [~Yes 7 What are the predominant ]and use{s) anc zonin~class~fications within a ~A mile radius of proposed acuon? 8 Is the proposed action compatible with a~oining/surrounding land uses within a '/~ mile? I-lYes 9. If the proposed action is the subdivision ~'f land, how many lots are proposed? a. What is the minimum tot size j/ropo~ed? 10. Will proposed action require any auth/~rization{s) for the formation of sewer or water districts~ ~Yes J~b 11. Will the proposed action create a ~/emand for any community provided services (recreation, education, po[ic fire protection)? IqYes a. If yes, is the existing/~6ad network adequate to handle the additional traffic? I-IYes l~No D. Informational Details Attach any additional in.formation as may be needed to clarify your prolec~. If there' are or m~av he any adver. imnacts associated with you~' proposal, please discuss such m]pacts and the measures ~vl!ich you propose to mitigate avoid them. E. Verification / I certify that the fnformation providect above ,s true to the best of my knoxvledge. ApplicantlSvonsor N'ame Date Signature Tide I[ the action is in/ihe Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceedln with this assessment. 5 ~-art 2--PROJECT IMPACTS ANE'--HEIR 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 reasonable? The reviewer is not expected to be an expert environmental analyst. · Identifying that an impact will be potentially large {column 2) does not mean that it is also necessarily significa asksAny largethat itimpaCtbe tookedmUStatbefurther.eVatuated in PART 3 to determine significance. Identifying an impact in column 2 sin- · The Examples provided are to assist the reviewer by showing types of, irt pacts and wherever, possibie the thresho]~ magnitude that would trigger a response in column 2. The examples are generally applicable t~rougbout the State for most situations· But, for any specific project or site other examples and/or lower thresholds may be appropn for a'PotentiaJ Large Impact response, thus requiring evaluation in Part 3. · The imoacts of each project, on each site, in each locality, will vary. Therefore, the examples are iIIustrative have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each quest~ · The number of examples per question does not indicate the importance of each question. · In identifying im gacts, consider long term, short term and cumlative effects. - _ Instructions [Read careful]y) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box {column I or 2] to indicate the potential size of impact. If impact threshold eouals or exceeds any example provided, cheek column 2. If impact will occur out threshc is ~ower than example, check colurr n 1, d. If rewewer has douot about size of the impact then consider the impact as ~otentialJ v large and proceed to PART e. If a ootentialiy large impact checked in column 2 can be mitigated by change{s) in the project to a small to moder; Impact. also check the Yes box in column 3. A No response mdicates that such a reduction is not possible. must be exoiained in Part 3. SmaU to Potential Can Impact IMPACT ON LAND Moderate Large Mitigated B~ 1 Will the proposed action result in a physical change to the prelect site~ Impact Impact i Project Chani E]NO Examples that would apply to column 2 · Any construction on slopes of 15% or greater. ~.15 foot rise per 100 [] [] []Yes foot of length], or where the general slopes In the project area exceed 10%, · Construction on land where the depth to the water table is less than ~ ~ 3 feet. [] []Yes [~]Nc ° Con., :ruction of paved parking area for 1.000 or more vehicles, L-J [] []Yes [~Nc · Conslruction on land where bedrock is exposed or generally within [] [] 3 f~et of ex~sting ground surface. []Yes I'-INo · Construction that will continue for more than I year or involve more [] [] than one phase or stage. []Yes []No · Ex'cavation for mining purposes that would remove more than 1,000 [] [] tons of natural material [i.e., rock or soil) per year. []Yes []No · Construction or expansion of a samtary landfill ~Constructlon m a designated floodway./ ~ ~Z~/¢¢~ [] [] []Yes []No 2 ~,¥i11 there be an effect tr. _..,v u;;~que or unusual land forms round on the s~te? [i.e., cliffs, dunes geological formations, etc. J~NO ~YES . · Specific land forms: 6 -- [] [] i J~]Yes []No IMPACT ON WAT~ER ~ ~ ~ SmaJ to Potential Can Impact · 3. Will proposed action affect any water ~odv c~s]:gna[~e~,~s, pr~t~cte~d~ Moderate L~ge J Mitigated B (Under ArticJ es 1.5, 24, 2.5 of the Environmental Conservation Law ECL) Impact Impact ~Project Chan Ezamples that would apply to column 2 . ' Deveiooable area of site contains a protected water body· ~'~s~'4~/(~'r~ v:~Z-I-~ [] F~Yes FIN ·protectedDredgin8 moreszream.than 100 cubic yards of material from channel of a [] [] []Yes []N · Extension of utility distribution facilities through a protected wa[er body. [] [] []Yes · Construction in a designated freshwater or tidal, wetland. ~'~ "~] [] []Yes []N · Other impacts: ~-~[:;~O,~2 ~_~..,~ 4. Will proposed action affect any non-protected existing or new body of water~ · I!~NO []YES Examples that would apply to column 2 · A 10% in zrease or decrease in the surface area of any body of water [] [] ~]Yes I--IN, or more than a 10 acre increase or decrease. · Construction of a bodv of water that exceeds 10 acres of surface area. [] [] [:]Yes IIJN · Other impacts: [] [] []Yes ["~N 5. Will Proposed Action affect surface or groundwater quality or quantity? ~NO ~YE$ Examples that would apply to column 2 · Proposed Action will_require a discharge permit. [] [] []Yes []N,. · Proposed Action requires use of a source of water that does .nor [] [] []Yes []N have aDoroval to serve proposed (prolect) action. · Prooosect Action reqmres water suoolv from wells with greater than 45 [] I'~ [:]Yes gallons der minute pumomg capaotv. ·supplyC°nstructl°nsystem.°r c.~erat:or causing any contamination of a water [] [] [:]Yes · Proposed Action wiJI adversely affect groundwater ~l~l-h~ -'~f [] [:]Yes []N~ · Liquid effluent wdl be conveyed off the site to facilities which presently [] [] []Yes []N. do not exist or have inadequate capacity. ·day. Proposed Action would use water in excess of 20,000 ~allons per [] [] [:]Yes ° Proposed Action wi] like[,., cause s!!tation or other disc? 2rge into an [] [] [:]Yes []Nc existing body of water ~o tr;e extent that there will be an ol0vious visual contrast to natural conditions. · Proposed Actioc will reqmre the storage of petroleum or chemlca [] [] ~Yes, []Ne products greater than 1,100 ~allons. . ·and/orPr°p°SedsewerACti°nservlces.Will allow residential uses m areas withou[ water [] [] []Yes []No · Proposed ^Chon Ioca~es comrr,orcial and!or industrial uses which may [] [] []Yes []No facdmes. · Other impacts: ~ ~' ~dO'v'~t ~-~]~'~t ~/.a/ 6 Will proposed action alter drain,~ge flow or patterns, or '.urrace water runou' ~NO ,T-YES Examples that would apply to column 2 · Proposed Action would change flood wa/er flows. '~'-] "-' ~,Yes ~No 7 -- Small to Potential Can Impact Moderate LarGe MitigatecJ B', Impact Impact Project Chan~ ' Proposed Action may cause substantial erosion. [] [] r-lYes []N · Proposed Action is incompatible with existing drainaBe patterns. [] [] []Yes []N~ ' Proposed Action will allow development in a designated floodway [] [] []Yes []N~ · Other ,mpacts: [] [] - []Yes E3N~ IMPACT ON Alii 7. Wi] pro0osed action affect air quality? ~{~]NO [UYES Examples that would apply to column 2 · Proposed Action will induce 1,000 or more vehicle trips in any given hour. [] [] []Yes []No · Proposed Action will result in the incineration of more than I ton of [] refuse per hour. [] []Yes [-]No · Emission rate of total contaminants will exceed 5 lbs. per hour or a [] / [] []Yes []No heat source producing more than 10 million BTU's per hour. ·toPr°p°sedindustrialaCti°nuse.Will allow an increase in the amount of land corem ~tted [] [] []Yes []No · Proposed action will allow an increase in the density of industrial [] [] []Yes E]No development within existing industrial areas. · Other impacts: [] [] []Yes []No hVLPACT ON PLANTS AND ANI~.~ALS a Will Proposed Action affect any threatened or endangered species? ,~NO [:]YES Examples that would apply to column 2 · Reduction of one or more species listed on the New York or Federal [] [] []Yes []No list. using the silo, over or near site or founG on the s~te. · Removal of any portion o( a critical or significant wildlife habitat. [] [] [~]Yes E~]No ·thanApOlicati°nfor agricultural°f pesticidepurposes.Or herbicide more than twice a year, other [] [] []Yes .[~]No · Other impacts: [] [] []Yes ['UNo Will Proposed Action substantially affect non-threatej~d or non-endangered species? t.~NO EJYES Examples mat would apply [o column 2 · ProooseG Action would substantially interfere with any resident or [] [] m,gratory fish, shellfish or wildlife species. []Yes ~'~No · Proposed Action requires the removal of more than 10 acres [] [] []Yes []No or mature forest (over 100 '/ears of age) or other locally important ~.'egel :~tlon. IMPACT ON AGRICULTURAL LAND RESOURCES ]0 Will the Proposed Action affect agricultural land resources? Examples mat would apply to column 2 / "' · [he proposeo acuon would sever, cross or limit access :o agricultural [] [] []Yes []No land [includes cropland, hayfields, pasture, vineyarcl, orcharcl, etc. J 8 - 1 2 3 Small to Potential Ca~ Impact Be Moderate Large ~(tigated By Impact Impact Project Change · Construction activity would excavate or compact the soil profile of [] [] ~[-]Yes [~]No agricultural land. · The proposed action would irreversibly convert more than 10 acres [] [] E]Yes []No of agricultural land or, if located in an Agricultural District, more than 2.5 acres of agricultural land. · The proposed action would disrupt or prevent installation of agricultural [] [] []Yes i-]No land management systems [e,g., subsurface drain lines, outlet ditc]' es. strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due [o increased runoff) · Other ~mpacl:s; [] [] []Yes [--]No I~PACT ON AESTHETIC RESOURCES~, . 11. Will ~ropos~ed action affect aesthetic resources~ dO i-lYES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would aPPly tO column 2 · Proposed land uses, or prolect components obviously different from [] [] []Yes []No or in sharp contrast [o current surroundin§ land use patterns, whether · Proposed land uses. or 3rolect components visible to users of [] [] [-]Yes []No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic uuaiitJes of that resoL rce. · Project comoonents that will result in the elimination or significant [] [] [~Yes []No screening of scenic wews known £o be important to the area. · Other impacts: ~ [] []Yes []No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or 3aleontological importance? [~]'NO []YES Examples that would apply to column 2 · Prooosed Action occurring wholly or partially within or substant~allv ~-- [] OYes I--]No conuguous to anv facility or site listed on Ihe State or National Register ol~ historic places. ·prolectAny impaCtsite_ to an archaeological site or fossl bed located within the [] [] ~¥es ~]No · ~ Proposed Action will occur h~ an area designated as sensitive for [] ~- ~]¥es [--~No archaeological sites on the NYS Site Inventory. · O~her Impacts: [] '[] ..~¥es []No IMPACT ON OPEN SPACE AND RECREATION 13 Will. Proposeo Action affect the quantity or quality of existing or tuture open spaces or recte,luonaJ opPortunJhes~ Examples that would ap~lv ~o column 2 ~NO [:]YES The permanent foreclosure o~ a ~uture recreauonaJ opportumtv A mulct reducuon of an ooen space ~mportant to the COrn m ur~rtv. Other ~mpacts. g I 2 , 3 IMPACT ON TRANSPORTATION Small to Potential C~n impact 14. Will there be an effect to existing transnortation systems? Moderate LArge Mitigated -~NO [~YE5 Impact impact Project Chan Examples that would apply to column 2 · Alteration of present patterns of movement of people and/or goods. ' [] [] []Yes [-]~ '- Proposed Action will result in major traffic problems. [] [] []Yes []~ · Other impacts: [] 'E~ []Yes IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or . energy supply? "l~N O I-lYES Examples that would apply to column 2 · Proposed Action will cause a 8rearer than 5% increase in the use of [] [] []Yes J'~N any form of energy in the municipality. I' · Proposed Action will require the creation-or extension of an energy [] [] []Yes [-iN 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: [] [] []Yes []N. NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the ProDoseo Action? ~NO []YES Examoles that wou{d app{y to cotumn 2 · Blasting within t,500 feet of a hospital, school or other sensitive [] [] []Yes r-~N~ facihtv, r · Odors will occur routinely [more than one hour per day). [] [] []Yes · Prooosed Action wilt produce operating no~se exceeding the local [] [] [~Yes ambient noise levels [or no~se outside of structures. ~ · Proposea Action will remove natural barriers that would ac[ as a [] [] []Yes []N( · Other impacts: [] [] []Yes I~IPACT ON PUI3LIO HEALTH 17. Will Proposed Action affect public 5ealth and safety? "zNo [zY~S Exam ~[es that wou[d apply to column 2 · Prooosed Action may cause a risk of explosion or release of hazardous [] [] [~Yes- . [~Nc substances (i.e. oil, pesticides, chemicals, radiatiog, etc.] in the event of aCClcJent or u 9set conditions, or there may be a chronic Iow level discharge or emission. · Progosed Action may result in the burial of "hazardous wastes" in any [] [] [~Yes ~Nc form (i.e. toxic, poisonous, hi[~hly reacuve..radioactive, irritating, infectious, etc,) · Storage facilities for one md[ion or more ~,allons oi~ [iquified natural [] [] ~:]Yes []Nc gas or omar qammable · Pronosea act,on may result m me excavation o~ other disturbance [] [] :'[]Yes , [~NC w~thm 2.000 feet o~ a s~te used for the dt~posa[ oi: sohd or hazardous · Other Impacts: - .1'-] [] []Yes ["']NC 10 IMPACT ON GROWTH AND CHARACTER I 9 Small to Potential Can Impact OF COMMUNITY OR NEIGHBORHOOD 18. Wil proposed action affect the character of the exisO~ community? Moderate Large Mitigated By ~NO FqYES impact impact ,Project Chang Examples that would apply to column 2 · The permanent population of the city, town or village in whic]~ the [] [] ' []Yes []Nc project is located ~s likely to grow bY more than 5%. · The municipal budget for capital expenditures or operating services [] [] ' fl-lYes []Nc will increase by more than 5% per year as a result of this project. · Proposed action will conflict with officially adopted plans or goals. [] [] [~]Yes []Nc · Proposed action will cause a change in the density of land use. [] [] []Yes r"lNc · Proposed Action will replace or eliminate existing facilities, structures [] [] i-lYes r"'JNc or areas of historic importance to the community. · Development will create a demand for additiona community services [] []' [-]Yes []No (e.~, schools, police and fire, etc.) - : Proposed Action will set an important precedent f~r future projects. [] [] r-lYes J-~No Proposed Action will create or eliminate employment. [] [] [:]Yes []No · Other impact~: [] [] : []Yes []No 19. Is there, or is there likely to be, public conrro~rsy related potential adverse environmental impacts? .J~..~O ~YE$ If Any Action in Part 2 Is Identified as a Potential Large impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3--EVALUATION oF THE i?gPORTANCE OF iMPA,.;'TS ' ' Responsil~illty of Lead Agency Part 3 must be prepared if one or mot · ' - . mitigated, e Impact(s) is considered to be potent ally large, even ~f the impact{s) may b Instructions Discuss the icj,owing for eac!(~,pact i~entffie~d/.m Cc Jm~ ~ of Part 2: f~,a~¢~ . Descnbe (if apphcable) how the rmnact could be m ~.i to t ~ ptolect change(s' ~. Based on the information ava [able, decide if it is easonable to conclude that this impact is To answer the question of importance, cons~de · The probability of the impact occurring Q ~ ' The duration of the impact ~~ ~o ~ Z~ ' {ts ~rreversibilitv. inc~udin~ permanently los resources of value · Whether the u~nact can or wdl t~e con~rol 'd ~ · · The regional conseauence of the im,)act · Its potential divergence from local needs a o ~oals (Continue on attach~ ents] ' '" ' ' SEQR .... Appendix B State Environmental Quality Review V sua] FAF Addc ndum Th~s form may be to provide additional informatioCrelating to Question ] 1 ~f Part 2 of the Full FAF. ' (To be completed by Lead ,~gency) Visibility / Distance Between 1, Would the project be visible from: / Project and Resource (in Miles) / 0-¼ ¼-V2 V2-3 3-5 5 + · 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? / n overlook or parcel of land dedicated to/public [] [] .... [] [] [] Observation, enjo~,ment and appreciation of/~atural 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 ga refuges? [] [] [] [] [] National Naturai Landmarks and ot/r outstanding [] [] [] [] [] 'natural features? · National Park SerVice lands? / [] [] [] [] [] · Rivers designated as National or d', ......... or Recreational? / [] [] [] [~ [] · Any transportation corridor of ~)~gh exposure, such as part of the Interstate System,/o~Amtrak? [] [] [] [] [] · A governmentally established o/designated interstate [] ' or inter-county foot trail, or on~ formally proposed for [] [] [~1 [] establishment or designationS/ ·scenic?A site, area, lake, reservoir 7r highway designated as [] [] [] Bi [] / : Municipal park, or design/ed open space? [] [] [] County road? / [] [] [] [~ [] · State? / · Local road? [] [] [] [] [] 2.seasons'~Is the visibility of the project seasonal? (i.e., screened by SUmmer foliage, but visible during other []Yes []No 3. AreduringanYwhichof thethereSourCeSproject wdlchec~edbe visible?in question ] used by the public during me time?pr year []Yes []No DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4.environment.Fr°m each item checker~ in question 1, check those which generally describe the surrounding Within 'I/4 mile *1 mile Essentially undeveloped [] [] Forested j [] [] Agriculture] [] [] Suburban residential [] [] Industrial / [] [] Commercial Urban [] [] River, Lake. Pond [] [] Cliffs, Overlooks · Designated Open Space [] [] Flat Hilly / [] [] Mountainous / [] [] Other ~ ~-} [] NOTE: add attachments as needed / / 5. Are there visually similar projects within: *V2 mile []Yes []No/ '1 miles []Yes []No / *2 miles -[]Yes []N ,'3 miles I'-~ Yes []N~ . Distance from project site are prov)'ded for assistance. Substitute ether distances as appropriate EXPOSURE .ke~y 15. The annual number of viewers Ii to observe the proposed project is _ . NOTE: When user data is unavailab~ or unknown, use best estimate. CONTEXT 7. The situation or activity in wh the viewers are engaged while viewing the proposed action is FREQUENCY Holidays/ Activity Travel to and from work / Daily Weekly Weekends Seasonally Involved in recreational activ'~ies [] [] [] [] Routine travel by residents / [] [] At a residence f / [] [] [] [] At worksite [] [] [] [] Other ~/ [] [] [] [] 2 ~' .- ' ::'.~' ," Appendix C ~'~'~ " ' State Environmental Quality Review ? SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION Cio be comDlete~3 by Ai~plicant or Proiec! sponsorl Edward Deutsch by Eh-ConsultationS, Inc. 3. FeO~CT LOCA~nON Briar Lane, So~thoid County Suf folk Briar Lane, Southold SCTM No. 1000-81-1-16.1 5 IS PROPOSED ACTION: [] New [] Expansion [] Mod*~icatiOnlallei'at~on 6. DESCRIBE PROJECT BRIEFLY: SEE ATTACHED 7. AMOUNT OF LAN[} AFFECTED. ].. 3 3ores UIt,malely 1.3 ~c,es 8. V*qLL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXiSTiNG LAND USE RESTRICTIONS~ DOS, COE, Town of Southold, SCDH name: Edward/~utsch ;~r':7 Eh-Consultants, Inc 12/12/89 If the action is in the Co~s/al Area, and you are a state agency, complete Coastal Assessmen: Form before proceeding with this assessment OVER PROJECT DESCRIPTION Construct 215 1.f. of timber retaining wall at or above the line of MHW. Backfill with 15~ c.y. of clean sand and loam to be trucked in. Wall will be built only along no~th side where shoreline is receding. Construct a 4' x 16' hinqed ramp secured to crest of bank by (2) 4" posts; and a 6' x 20' floa~ secured by (2) 8" diameter pilings. No Jurisdiction request for construction of one-family dwelling, garage, deck, bluestone driveway, well, sani- tary system as shown on attached site plan. All work will be more than 75' from edge. .~ COUNTY OF SUFFOLK ) STATE OF NEW YORK )SS: , Roy L. ~aje amlfla OULY SWORN OEPO5 in completing this application I hereb~"~uthori~e tile Trustees, agent ~r representative to enter on~o~y/proper~y to inspect ~he premises in conjunction ~ith review o~h~s_~_ [~ation. SWORN TO ,BEFORE ME THIS ~r ~ ~ /~k~.~.~ ~ NOTARY PUBLIC. Stmte of New York . ~, NC 0t~i~! Su~o~ ~oanty '~l '. Term Exp;res July 20, Letter of Authorization This letter will authorize Mr. Roy L. Haje to act as my a§ent in connection with filing such permits as may be necessary to secure approvals from any and all §overnment agencies to construct a dock on my property on Cedar Beach Road in Southold, New York. Edward R. Deutsch 12/8/87 ~ew York State Department of Environmental Conservation ~ Wolf Road, Albany, New York 12233 Comml.io~r RE: LE~B 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 following: 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 1 of the Environmental Assessment Form ~o assist you in responding. Project Name: Y-c~ /moo- Yt- I- F/o I{. i DEC Pxo~ct DEC SEqR Classification: [~ I [ ] Unlisted DEC Contac: Person: DEC Position: [ ] DEC has no objection ~o your agency or another agency assuming lead agency status for this action, but reserves the right to commeng on this action a positive determination of significance is made. -2- ~ DEC nas no objection to your agency or another agency assuming lead agency status for this action, but we nave the following concerns regarding this project (see "comments" below). [ ] DEC wishes to assume lead agency status for this action. [ ] The proposed action ~:~j ~e~ntified by DEC as occurring wholly or partially within or substantially contiguous to a critical environmental area (CEA) that was designated by It is the oosition of this Department that your agency, if it nas a juris- diction over the action, should assume the lead agency role based on the existence of the CEA and tne fact that the anticipated impacts are primarily of local significance. [ ] Other. (See comments below) Comments (Optional): Response: Please respond to this request within 30 days of the date of this letter. If no response is received within 30 Gays, we will assume that you have no objection to DEC. or another agency assuming the role of lead agency, eno 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. [ ] We will petition the Commissioner of DEC to designate your agency as lead, presuming you nave jurisdiction. Please feel free to contact this office for further information~j~r ~n¢losures cc: (see distribution list) 95-19~ (1/85) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION J APPLICATION NUMBER -.- APPLICATION FOR PERMIT 'Bead Instru~tion~ on back before completing this application. Please LTpe or print clearly in ~ink, Use separate addeada and e~blbits to provide all data and explanations for which space on this form is inadequate. [] ARTICLE 1,5, TITLE 3 (CONTROL OF AQUATIC INSECTS WEEDS.. OR UNDESIRABLE FISH) ' [] ARTICLE 15, TITLE S (PROTECTION OF WATERS) ~]. For the construction, reconstruction, :or repair of a DAM or other impoundment structure. [] For the disturbance of a STREAM BE~D or 9xcavation in 6r fill of navigab[e waters. [] ARTICLE 1S, TITLE 15 [] WATER SbPPL'~ [] LONG ISLAND WELL [] Permit [] Letter of Permission Dy En-Consultants, Inc. T'lS A/AN [] Partuetshio [] Association ~Corpora~on [] Mu.icipalit¥ [] Governmental Agency 3-6360 Road~ - STATE z,y g% 8 N.Y. 516-559-831.0 L~e STATE NAME OF STREAM OR OTHER WATER BODY: 6 WILL PROJECT If approoriate: if un-named, show on map--See UTILIZE STATE~DWNED Item 5b: LAND? B~:~ :[{,ane. Southold $~u~ho]d Boat basin off ~oSnw Southo Ld Bay S~ffolk ~Pub~[c ~ Comme~c,a, ASAP 1 year s 20.00 of dam; s~e of imDoun~ent; capacdies Of propsed water sources: extent of dist~bufion system; etc. SEE ATTACHED 12. THIS PROIECT WILL REQUIRE ADDITIONAL PERMITS APPLICATIONS FOR WHICH ARE THE RESPONSIBILITY OF OTHERS: [] Dam [] Excavation/Fill [] Stream Disturbance [] SPDES/NPDES [] Water Supply [] El. Wells [] Freshwater Wetland [] Tidal Wetlands LONG ISLAND TRAVELER-WATCHMAN, Traveler Street, Southold, New York 11971 14. S ANY PORTION OF THE ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED? DATE [O-.O~ L, [~j~ Presid~hI~IGNATURE _==SE~E, R~¥ERSE SIDE-- INSTRUCTIONS 1. Prepare and submit four (4) copies of this application. Use typewriter or print clearly in ink. 2. Submit with the application three copies of a drawing showing Ioc~tion and extent of work to be done. 3. Applications by counties, cities, towns and villages shall be signed by the chief executive officer thereof or the head of the department or agency undertaking the project. 4. The applicant may be required to publish a "Notice of Application" as provided by the Regional Permit Administrator. 5. If other than owner makes application, written consent of the owner must accompany application. 6. Acceptance of a permit subjects permittee to restrictions, regulations or obligatlons stated in application and/or permit. 7. If a public hearing is necessary, the applicant may be required to furnish the names and addresses of all adjacent landowners and all known claimants to water rights. 8. Applications for the construction, reconstruction or repair of a dam or other impoundment structure must be accompanied by Supplement D-1. 9. Applications for a water supply permit must be accompanied by Supplement W-l, special instructions on which SUPERCEDE certain of the above instructions. See "Water Supply" handbook. 10. Anp cat OhS for a permit to apply a chemical to control or eliminate aquatic vegetation must be accompanied by Supplement A-l, A-2, or A~3. ,,i 11. Question No. 12 pertains to projects involving two or more applicants. One typical example is a new subdivision, requiring a Wetlands Permit for the developer, the project to be within a water district extension, requiring a Water Supply Permit for the town. 12~ Be sure to enclose proper application fee, noted accordingly in item 10; see Part 62~1, Uniform Procedures Ru[e~, Rule 621.4. (If in doubt, discuss with Regional Office before submitting application). 13. INCOMPLETE OR INACCURATE INFORMATION MAY DELAY PROCESSING! INFORMATION Application for oermit to the New York State Department of Environmental Conservation is author[zed by Environmen- tal Conservation Law Article 15 (Tide 3-Control of Aquatic Insects, Weeds. or Undesirable Fish: Title 5-Stream Protection Title 15-Water SUDO[V~ ano Article 24 (Freshwater Wetlands). NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION REGIONS Region I Region 2 Region 3 Bldg. 40-Room 219 2 World Trade Center 21 South Putt Corners Road Region 7 PROJECTU3. NUMBER._ I . 817,21 SEQR- tNFORMA?ION (TO be ?ompleted Briar L~ne, SOuthold ~un~ Suffolk · Briar Lane, Southold SCTM No. ~1000-81-1-16.1 ' SEE ATTACHED 7. AMOUNT OF LAND AFFECTED:. ~ - ' 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER E:XJSTING LAND USE RESTRICTIONS? [] No If No. describe briefly :~Resid~ltial ~'~ Industrial [] CommerCial [] Agriculture ' that 10. DOES ACTION INVOLVE, STATE OR LOCAL)? COE, DOS, NEW Y~,~K STATE DEPARTMENi /A3qON ~ ' · Return the WHITE :Cop~ ,, Publlo Notio® New Y~ ~0 ~ ~ ~ In rep~InO m~ ~. Jac~ [. Javits Federal Building Public Notloe NO. 13933-89-~214-L2 New Y~k. N.Y. 10278- ~ ATTN:Regulatory Branch Published: 29 dAN 90 Expires: 28 FEB 90 I To ~hom It May Concern: The New York District, Corps of Engineers has received an application for a Department of the Army permit pursuant to Section l0 of the Aivers and ~arbors Act of 1899 (33 U.$.C. A03) a~d Section 404 o~ Clean ~a~e~ Act (33 U.S.C. 13~4). 87 Bellows ga~e ff~has~e~, ffe~ ~o~A 11030 A detailed ~scription ~d___p~ans of_ th~ _. applicant's activit~ are enclosed to assist in your review. The decision whether to issue a p~rmit will be based on an evaluation of the probable impact, including c~utative impacts, of the activity on the p~lic interest. That decision will reflect the national concern for both protection and utilization of importer resources. The benefits which reasonably may. be expected to accrue from the activity must be balanced against its reasonably foreseeable detriments. All factors which ma~ be relevant ~o the activity will be considered including the c~ulative effects thereof; ~ong those are conservation, economics, aesthetics, general enviro~ental concerns, wetl~ds, cultural values, l~d use, navigation, shoreline eroslon ~d accretion, recreation, water supply and conservation, water quality, energy needs, safety, food production ~d, in general, the needs and welfare of %he people. The Corps of Engineers is soliciting co~ents from the p~lic; Federal, state, ~d local agencies and officials; Indian Tribes; and other interested parties ~n order to consider and evaluate the impacts of this proposed activity. ~y co~ents received will be considered by the Corps of Engineers to determine whether to issue, modify, condition or deny a permit for this proposal. To make this decision, co~ents are used to assess impacts on sndangered species, historic properties, water quality, general enviro~ental effects, and the other public interest factors listed above. Co~ents are used in the preparation of ~ Enviro~ental Assessment ~d/or an Enviro~ental Impact Statement pursuit to the National Enviro~ental Policy Act. Co~ents are also NANY,FL-129 ~ug 89 Pursuant to the Natlo/lal Enviroranenta{ ~oticy ~Cto Comments are also used to de%ermine the need ~or a public~e~ri~ 8Jtd to determine the overall public interest of the proposed activity~ ALL COMMENTS REGARDING THE PEPaMiT APPLICATION ~.PJST BE PREPARED IN W~ITI~G ANI~MAILF~D TO REACH THIS OFFICE BEFORE THE EXPIRATION DATE OF THIS NOTICE~ otherwise, it will be presumed that there are no objections to the activity. Any person may request, in writing, before this public notice expires~ that a public hearing be held to collect information necessary to consider this application. Requests for public hearings shall state, with particutarity~ the reasons why a public hearing should be held. It should be noted that information submitted by mail is considered just as carefully in the permit dectsion process and bears the s~ne weight as that furnished at a public hearing. Pursuant to Section 7 of the Endangered Species Act (16 U.S.C. t531) and based upon a review o~ the latest published version of the threatened and enda!l~gered species listing, a preliminary determination is Chat the activity under consideration will not affect those species listed or their critical habitat° Based upon a review of the latest published version of the National Register of Historic Places, there are no kno'v~ sites eligible for, or included in, the Register within the permit area. Presently unknown archaeological~ scientific, prehistorical or historical data may be lost by work accomplished under the required permit~ Reviews of activities pursuant to Section 404 of the Clean Water Act will include application of the guidelines promulgated by the Administrator~ U.S~ ~nvironmental Protection Agency, under authority of Section ~04(b) of the Cle~n Water Act and the applicant will obtain a water quality certificate or waiver from the appropriate state agency in accordanc~ with Section ~01 of the Clean Water Act prior to a permit decision. Pursuant to Section 307(c) of the Coastal Zone Management Act of 1972 as amended [16 U.S.C. 1456(c)]~ for ~c~vities under consideration that are located within the coastal zone of a state which has a federally approved coastal zone management program, the applicsnt has certified in the permit application that the activity complies with~ and will be conducted in a manner that is consistent with~ the approved state coastal zone m~agement program. By this public notice, we are requesting the state's concurrence with~ objection te, or waiver of the applicant's certification. No permit decision will be made until one of these actions occur. For activities within the coastal zone of New York State, the applicant's certification ~nd accompanying information is available from the New York State Department of State, Division of Coastal Resources and Waterfront Revitalization, Coastal Zone Management Program, 162 Washington Avenue, Albany, New York 12231 Telephone (518) 47~-3642. Comments regarding the applicant's certification should be so addressed. In addition to any req~ire~ water quality certificate ~nd coastal ~one ~anage~ent pro~r~ co~c~rrence~ the applicant has ~t~ined or re~ste~ the £o~ow±n~ gover~'~enta~ authorization ~or the activity under consi~erat~o~ N.Y. State Dept. of Environmental Conservation Tidal Wetlands Permit Town of Southold Permit It is requested that you communicate the foregoing information concerning the activity to any persons known by you to be interested and who did not receive a copy of this notice. If you have any questions concerning this application, you may contact this office at (212) 264-3912 and as~ for Mr. Michae~ Infurna. FOR THE DISTRICT ENGINEER: l pseph J. Seebod '~'k~nief, Regulatory Branch Enclosures 1. Work Description 2. Project Drawings CENAN-OP-RE APPLICATION NO. 89-1214-L2 PIJBLIC NOTICE NO. t3933-8~-1214-L2 DESCRIPTIO~ OF WORK The applicant, Mr. Edward Deutsch~ h~s requested D~part~ent of the Army authorization to construct a retaining wall, ra~Bp and float in Southold ~ay, Shelter Island Sound at S0uthol~, Suffolk CoBnty, New ¥o~k for the stated purpose of providing erosion Control and e'rgaanced recreational moorinw. The work wo~ld involve the construction of ~15 linear feet of timber retaining wall at th~ northern s~ction of the ..property. The proposed retaining wall would be backfilled with 15 cubic yards of clean fill material fro~ ~ upland source. In addition, a 4 foo~ wide by 16 foot lo~g hin~ed r~p secured to the crest of the bank and a 6 foog by 20 foot float secured by two (2) timber pilings would be constructed in association with the aforemention~ work.