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Home My WebLink AboutDUGGAN, JOSEPH Albert J. Kmpski. President John Hohapfel, Vice President William G. Albertson Martin H. Gan-ell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold. New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 November 18, 1994 Charles W. Bowman Land Use Company, Inc. 2567 Sound Avenue Baiting Hollow, NY 11933 Re: Joseph Duggan SCTM %35-5-31 Dear Mr. Bowman, The following action was taken by the Board of Trustees at their regular meeting of November 17, 1994: RESOLVED that the ~muthold Town Board of Trustees grant a waiver to construct a 10' X 62' deck to attach to an existing single family dwelling. Said deck will be located a minimum of 19'3" on the north end and 51 1/2' on the south end from the existing bulkhead. Application also includes a 15' wide buffer planting area seaward of the proposed deck as required by NYSDEC. Located 330 W/S Snug Harbor Road, Greenport. If you have any questions, please call our office. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/dj h cc. CAC Meeting of ~ 11/15/9~ No. 1211 MOved by Bruce Loucka, seconded by Stephen Angell, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A STIPULATION EDWARD S. KONDAK 30-2-5a, to construct wood stairs from top of bluff on sound to base of bluff to gain access to beach. Construction to consist of 32' x 3~ walkway with hand rails on top of bluff connected with three sections of railed stairs 3~ in width and ~oined with two intermediate level sections. The CAC recommends approval with the stipulation ~hat the walkway be elevated at least 44 above the face of the bluff. 2090 The Strand, East Marion Vote of Council: Ayes: All Motion carried. No. 1212 Moved by Stephen Angell, seconded by Patricia Isaksen, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH PROVISIONS of the Wetland Application of JOHANNA SMITH 10o,-7-5 to resheath (on landward side) 478 +/- I.f. of existing timber bul'khead. Remove 96 +/- I.f. of existing timber bulkhead and construct 30 +/- I.f. of new timber bulkhead to expand existing irregularly shaped boat basin. Maintenance dredge and 20~ of its mouth to a maximum depth of -4 ALW. Approximately 100 c.y. of resultant spoil to be dep0sl+,ed on owner's upland. Excavate upland area adjacent to existing basin (approximately 27~ x L~0~) to expand boat ~basin. Approximately 150 c.¥. of resultant soll and sand to be used as backfill. The Council recommends approval provided the applicant maintains a 20~ buffer as stipulated in the Town Code. Also, the CAC recommends that the excess spoil be used to build a berm along the outside edge of the buJkhead. Mason Drive, Cutchogue Vote of Council: Ayes: All Motion carried. WAIVER REQUESTS WR-20 Moved by Allan Connell, seconded by Betty Wells, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Waiver Request of JOSEPH DUGGAN 35-S-31 to construct a 10' x 62' deck to attach to an existing single family dwelling. Said deck to be located a minimum of 19'3" on the north end and 51 1/2' on the south end from the existing bulkhead. Application also includes a 15~ wide buffer planting area seaward of the proposed deck as required by NYSDEC. Snug Harbor Lane, Greenport Vote of Council: Ayes: Motion carried. Page 3 Land Use October 27, 1994 Board of Trustees Town of Southold 53095 Main Road P. O. Box 1179 Southold, N.Y. 11971 Attn: Diane Re~ Joseph & Madelon Duggan Greenport, N.Y. Dear Diane: As per our recent telephone conversation, enclosed please find an application for a waiver to construct a deck landward of an existing timber bulkhead. Should you have any questions or require additional information, please don't hesitate to contact this office. TL Eric. Very truly yours, Tan~ 2576 Sound Avenue · Baiting Hollow, New York · 11933 (516) 727-2400 · FAX (516) 727-2605 Albert J. Krupski. President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold. New York 1 ~71 Telephone (516) 765-1892 Fax (516) 765-1823 November 1, I994 Bruce Loucka, Chairman Southold Town ConServation Advisory Council Southold Town Hall Main Road Southold, NY 11971 Dear Mr. Loucka: Transmitted herewith are the following applications for a Wetland Permit: SERGE ROZENBAU~ JOSEPH DUGGAN SCTM ~59-5-12 SCTM $35-5-31 Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK:djh New Yz.ork Sntate Department of Environmental ~on--~ervatlon Buildlng 40 S.U.N.Y, Stony Brook, New York 11790-2356 T~lephone (516) 444-0365 Facs~nile (516) 444-0373 Langdon Marsh con;ssloner August 18, 1994 Joseph Duggan c/o J.R.D. Electric Corp. 67-11 79th.Street Middle. Village, N~ 11379 In conformance with the requirement~ of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. _ Very ~ George Deput~ AdminJ ruly yours, W. Hammarth Regional Permit strator GWH:nw enclosure IDEC PERMIT NUMBER 1-4738-00529/00001-0 FACI[ITY/PEOGE/~4 NUMBER(S) ITYPE OF PERMIT · Mew HEN YORK STATE DEPARTMENT OF ENVIRONMEMTAL CONSERVATION PEI AIT EFFECTIVE DATE August 18, 1994 EXPIPJ&TION DATE(S) August 31, 1996 D Eenewa[ O Modification O Permit to Construct D Permit to Operate Article 15, Title 5: Protection of Waters Article 15, Title 15: Water Supply Article 15, Title 15: Water Transpor= Article 15, Title 15: Long Islar~ Wells Article 15, Title ~7: Wi[d, Scenic and Recreational Rivers Other: 6NYCRR 608= Water Quality Certification O Article 17, Tit[es 7, 8: BPDES D Article 19: Air Pollution Control Article 23, Title 27: Mined Land Reclamation D Article 24: Freshwater Wet[ands · Article 25: Tidal Wet[ands Article27, Title T; 6NYCRR 360: So[id Waste Management Article 27, Title ~; 6HYDRA 373: Hazardous Waste Management Article $4: Coastal Erosion Management Article 56: Floodplain Articles I, $, 17, 19, 27, 37; 6NYCRE 380: Radiation :entre[ PERMIT ISSUED TO Joseph Duggan c/o J.R.D. Electric Corporation ITELEPNOHE NUMBER (718) 326-1666 ~J)DRESS OF PERMITTEE 67-11 79th Street, Middle Village, NY 1137~ CONTA~T PERSON FOR PEPJ41TTED t~RE Land Use Con,pan/ 2576 Bound Ave., Baiting Hollow, 11933 TELEPHONE NUMBER C516) 727-2400 NAME AND AJ)DRESS OF PROJECT/FACILITY Joseph Duggan Property - w/s Snug Harbor Rd., approximately 203' south of Maple Lane, Greemport LOCATION OF PROJECT/FACILITY SCTM # 1000-035-5-31 COUNTY ) TOWN Suffolk Southo[d I]EEiCI~I FrFI~ CF/~JTI-I]~ITFF)/~-TIVlTV gATERCOURSE I RYTM COOROINATES Dawn Lagoon Construct a variable width (10~-12~) x 62~ deck :o attach to an existing single family dwelling as shown on the attached survey by Roderick Van TuyLt L.S. dated 6/22/83, Last revised 2/~3/9~ and stamped "NYSDEC Approved As Per Terms and Conditions of Permit # 1-4~8-00529/00001-0 8/16/94'% S/ acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance With the ECL, ail applicable regulations, the General Cohditions specified (see page 2) and any Special Conditions included as part of this permit. George W. Hammarth BLdg. 40, BURY, Room 219, Stony Brook, NY 11790-2356 I Page I of 4 CE~DITIOq~ Inspect ions 1.. The permitted site or facility, including relevant records, is sub~aet to in- inspection at reasonable hours and intervals by an authorized representative of the Depar~'l'unt of Envirorrrental Conservation (the Deparb~nt) to determine v~ether the permittee is co'l'plying with this permit and the ECL. Such represen- tative rray order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). A copy of this permit, including all referenced traps, drivings and speeial conditions, trust be available for nspection by the Deparl~rent at all tirres at the project site. Failure to produce a copy of the permit upon request by a Depari~nt representative is a violation of this permit. Permit C~anges and Re~e~ls 2. The Depart'lent reserves the right to m3dify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regula- tions is found; b) the permit was obtained by misrepresentation or failure to disclose re revant facts; c) n~vrraterial infom'ation is discovered; or d} enviro.[untal conditions, relevant technology, or applicable lan or regulation have material ly changed since the permit ~s issued. The permittee rrust sul~nit a separatewritten application to the Deparb,unt for rene¢~l, rred ifJcation or transfer of this permit. Such application trust include any foiH~, fees or supplu~untal infomution the DeparlzTent requires. Any renewal, rrod ification or transfer granted by the Deparl~rentrrust be in writing. 4. The permitteerrust sub-nit a renewal application at least: a) 180 days before expiration of permits for State PolJutant Discharge Elimination Syste-n (S~:CES), Hazardous V~ste IV~nagulunt Facilities (F{~VF), rrajor Air Pollution Control (APC) and Solid V~ste Managu~unt Facilities (DIX/F); and does b) 30days before expiration of all other permit types. 5. Unless expressly provided for by the Depar~¥ent, issuance of this permit herr r edify, supersede or rescind any order or determination previous y issued by the Deparu'rent or any of the te,~, conditions or requiruiunts conta ned in such order or determination. Other 6. Legal CI31igations of Pe~nittee The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all da~uges, direct or indirect, of ~J~atever nature and by whaTever suffered, arising out of the project described in this permit and has agreed to inde.,ify and save harmless the State frcrn suits, actions, damages and costs of every naru and description resulting frem this project. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted v~rk nor does it authorize the irrpaim'unt of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is responsible for obtaining any other permits, approvals, lands ease[unts and rights-of-v~ay that may be required for this project. Page 2 of ,1 95-20-6a 17/92)-- 25c ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5}, 24, 25, 34 and 6 NYCRR Part 608 [ 9 Th.at if future ooerations bv the State of New York recluire an al- teration in the position of the structure or work herein authorized, or if. ~n the oo~mon of the Department of Environmental Conservation 13 iT sna]l cause unreasonable obstruction to the free nawgation of said warer~ or flood flows or endanger the health safet~ or welfare of tne people of me State. or cause loss or destruction of the natural resources of the State me owner ma,. be ordered by the Deoartment to remove or alter the structural work obstructions or hazards caused thereb~ without expense to the State and if. upon tne expiration or 14 revocation of this permit the ~tructure fill excavahon, or other modification of the watercourse hereby, authorized shah not be com- 15 pleted, the owners shall, without expense to the State and to such extent and in such time and manner as the Deoartrnent of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill aha restore to ~ts former condition the navigable and flood caDac~w of the watercourse. No claim shall be maoe against the State of New York on account of an,. such removal or alteraL~on 10 That the State of New York shall in no case be liable for am. aamage 16. or inlur~ to the structure or work herein authorized which ma'. be caused ov or result from future ooerations undertaken by the State for the conservation or irc~rovement of navigation or for other purposes and no claim or right to compensation shall accrue from an. such damage 11 Granting of this permit does not relieve the applicant of the response- 17 bilit~ of obtaining any other permission consent or approval from the U.S. Arm, Corps of Engineers. U.S. Coast Guard New York State Office of General Services or local government which may be required 12 All necessar', precautions shall De taken ~o ~reclude contamination ot am wetland or waterwa,. Dy suspended solids, semments, fuels. Tidal Wetlands J othei environmenta][~ deleterious materials associatec with the prolect ^n~ material dredged in the prosecution of the work herein permitted shall be removed evenix without leaving large refuse piles, ddges across the bed of a waterway or floodplain or dee~ holes that may have a ~enoenc¥ to cause damage To navigable channels or to the banks of a waterway There shall be no unreasonable interference with navigation b,~ the work herein authorized If upon the expiration or revocation of this permit, the project herebv authorized has not been completed, the applicant shall, without expense to the State and to such extent ano in such time and manner as the Department of Environmenta Conservation may requmre remove al( or any portion of me uncorr ~leted structure or fill and restore tile site to its former condition. No claim shah I~e made against the State of New York on account of any such rembYal or alteration. If gran~eo under 6 NYCRR Part 608 the NYS Department of Environ- mental Conservation hereby certifies that the sub)ect project wil) not contravene effluent limitations o~ other limitations or stanclarcU under Sections 301. 302. 303. 306 and 307 of the Clean Water Act of 1977 (PL 95-217) orovloed that all of the conditions listed nereln are met All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part ot the permit application. Such approveo plans ~ere prepared by on Se SPECIAL CONDITIONS The permittee shall install a drywell in the front (road) or side yard a maximum of 45 feet west of the eastern property boundary. Roof runoff from the house shall be'directed to the drywei1 for on-site recharge. Prior to the ultimate expiration of this permit the permittee will cause all fill and exposed faces to be vegetated to prevent erosion. There shall be no disturbance to vegetated tidal wetlands as a result of the permitted activity. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tida~-~wet~a~ds. Supplementary Special Conditions (A) thru (F) Attached. DEC PERMIT NUMBER 1-4738-00529/00001-0 Page 3 of ~ A~ De SU~PLEMENT~-RY SPECIAJ5 CONDITIONS The Following Conditions Apply To Ail TIDAL WETLANDS; FRESh-WATER WETLA=NDS; COASTAL F--ROSiON MANAGEMENT; and WILD, SCENIC, and P~ECt~EATION'~_L RIVERS PERMITS: A copy of ~his permit, including all conditions and approved plans, shall be available at t_he project sits whenever aut~horizad work is in progress. The permit sign enclosed with the pal-mit shall be protected from the weather and posted in a conspicuous location at the work site until all authorized work has been completed. The permittee shall require that any contractor, projec= engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit and all its general, special, and supplementary special conditions. Any failure to comply precisely with ali of the ter~s and conditions of this permit, unless authorized in writing, shall be treated as a viola=ion of the Environmental Conservation Law. if any of the permit conditions are unclear, the permittee shall contact the Division of Re~u!atory Affairs at the address on page one cr telephone (5!6) 444-0365. If project design modifications become necessa_~y after permit issuance, t-he perm~ttee shall submit the appropriate p!~n changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The~ permittee is advised t-hat s-~bstantia! modification may reqn/ira submission of a new application for permit. At least 48 hours prior to co~encement of the project, pe!-mittee and contractor shall sign and return the top por+_ion of ~he enclosed notification form certifying that +--~ey are fully aware of and u=nderstand all terms and conditions of this permit. Within 30 days of completion of the permitto--d work, ~he bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required, a survey. For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify ~he Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years The .granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from t--he Division of Land Utilization, Office of General Sez-¢ices, Tower Building, ~.-hnpire State Plaza, Albany, lqSf-12242 (516) 474-2195, which may be required for any encroachment upon State-owned lands underwater. DEC PERMIT NO. 1-4738-00529/00001-0 Page 4 of 4 Albert J. ICJupski. President J6h)] Holzap/bl, Vice President William G, Albertson Martin 14_ Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Coastal Erosion Permit ApPlication Wetland Permit ApPlication Grandfather Permit ApPlication Trustee Lands Permit APplication ~__Waiver o' ' ~_~ce~ve~ Application: ~ ±er~cal Review: ~/;~/t~¢ ~_~ompl:eted Applic~t~o~ incomplete SEQRA Classification: / ~fpe I Type II__Unlisted C°°~di~tion:(date seA/t) ~Date 0f Inspection: / Receipt of CAC RePort:(date') · Lead ~gency Deracination: ~echnicai Review:(date) ectslo~: ApProVed [yyN~' ApPlication Fee:$ Name of Applicant Joseph & Madelon D.uqqan ~Address c/o JRP ElsctrSc, 67-11 79th Street~ M~ddle Villaqe, N.Y. 11379 Phone NLh~ber:(718) 326_1666 Suffolk County Tax Map Number: 1000 -035-5-31 Property Location:W/S Snug Harbor Roadt approximately 203' Soubh (~r°~f~ .~ap~lre,~L~e~ ~re~nport_ N.Y. (provide LILCO Pole ~, distan-~e %o cr~ss streets, and 1~ Agent:~)rl,ts ~. Bowman/Land Use Coma~3_SZ_inc. (If applicable) Town Hall 53095 Main Roa~ P.O. Box 1179 Southold. New York 1 Telephone (516) 765- Fax (516) 765~1 g2] Address: 2576 Sound Avenue Baiting Hollow, NY 11933 Phone: (516) 727-2400 1 ~F~.rd of Trustees Applicatio~ GENERAL DATA Land Area (in square feet):12,739 s.f. Area Zoning:Residential Previous use of property:Single family residence Intended use of property: Same Prior permits/approvals for site improvements: Agency Date NV~DEC~Pool/Deck 17./R./R~ Trustees-pool/deck 8/29/86 #380 NYSDEC-boatslip/bulkhead/dock 1/31/94 #10-83-~6 USDOA- boatslipJbulkhead/dock 1984 #83-661- No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Project Description (use attachments if necessary): Applicant proposes to construct a 10'X62' deck to attach to an existing single family dwelling. Said deck will be located a minimum of 19'3" on the north end and 51~' ~ on the south end from the existing bulkhead. Application also includes a 15' wide buffer planting area seagard of the proposed deck as required by NYSDEC 2 rd of Trustees Applicatic CounTy of Suffolk State of New York Duqqan Charl~ w_ R~wm~n/Lan8 ~ Co_ Joseoh & MadeloR BEING DULY SWORN DEPOSES AND AFFIRMS THAT HEYSEE IS ~fHE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINF~D HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WOP~K WILL BE DONE IN THE MANNER SET FORTH IN ~S APPLICATION AArD AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES. TO NOLDTHE TOWN.OF SOUTHOL~ AND THE TOWN TRUSTEES HAPu~T~SSAND FREE FROMANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY ~IRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THISAPPLICATION, I F~ERRRYAUTHORIZE THE TRUSTEES, THEIR AGENT{S) OR REPRESENTATIVES(S), TO ENTER ONTO MY pRopErTy TO INSPECT THE pREMISEs IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS 26th DAY OF October Tan Lachenmeyer NOTARY P~Bi~I,C, State of New Yo~ No. Commismon ~pires, August 22, {~qCP ~rd~ of Trustees Applicati~C~ AUTHORIZATION (where the applicant is not the owner) I, residing at (print owner of property) (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) (See attached authorization letter) f~lrd of Trustees Applicatic~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Recreation Are wetlands present within 75 feet of the proposed activity? No X Yes Does the project involve excavation or filling? x No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) the DroDosed deck construction will occur existing bulkhead there shall be no impact to tidal wetlands. 5 C~rd of Trustees Applicati¢~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Recreation Area of wetlands on lot: .02 ~/~~ Percent coverage of lot: 7 % Closest distance between nearest existing structure and upland edge of wetlands: 19'3" feet (bulkhead-mhw) Closest distance between nearest proposed structure and upland edge of wetlands: 19'3" feet (bulkhead-mhw) Does the project involve excavation or filling? x No Yes If yes, how much material will be How much material will be filled? excavated? cubic yards cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason os such proposed operations (use attachments if appropriate): The orooosed project will have no effect on tidal wetlands within oroject vicinity. 6 617.21 ~ "i Appendix C State Envirenmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed hy Applicant or Project,sponsor) 1. %PP[JCANT/S~ONSORCharles W · Bowman/Land: '21 RROJECTNAME Use Co. Joseph & Madelon Duaaa~ PropOsed deck 3. PROJECT LOCAT)ON: - - MunicipaIity Greenport Coumy Suffolk - ~- PRECISE LOC~TION (St[eet address and r?ad inte~secbons, prom[nent landmarks, etc., or provide ~11~p W/S snug Harbor Road, approximately 203' south of Maple Lane, Greenport. SEQR 5. IS PROPOSED ACTION: [~New [] Ex~ans]o~ [] Modification/aReration 5. DESCRIBE PROJECT BRIEFLY: Applicant proposes ~ · ~ ~ · to construc~ a 10'X 62' deck.to aatm~aCh to an~e~S~i'ng single famiiy dwelling. Said deck will be located inimum of 19 3 on the north end and 51~' on the south end from the e~isting bulkhead. Application also includes a 15' wide buffer planting a~ea seaward of the proposed deck as required ny 'NYSDEC. 7'. AMOUNT OF LAND AFFECTED: Initially . ~ 0 acres Ultimately .30 acres ( total lot area ) 8i. WILL PROPOSED 'ACTION COMPLY-V~ITH EXISTING ZONING OR OTHER EXISTING LAND usa RESTRIC'~ONS? · ~-]Yes r~No [fNo, descdbebrief[y Propose~_ deck construction will be from existing bulkhead and project will not mee~ lot coverage less than 75' requirements 9; WHAT IS ~=~=NT LAND USE iN VICINITY OF PROJECT? ~ Residential [] industrial [] Commercial ~ Agriculture [] Park/Forest/Open space [] OtJler Describe: 10. DOES ACTION NVOLVE A PERMit APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER SOVERNiV ENTAL AGENCY (FEDERA2 STATE OR LOCAL)? ~ Yes ~ No ff yes, list ~gency(s) and perm~uapprovals NYSDEC, Southold ZBA 1~. ~O~S ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~ Y~ ' ~ NO If yes, list agency name and pe~miEapprova~ NYSDEC Permit ~1-4738-00529 100001-~ I CERTI~ THAT THE iNFORMATiON PROVIDED ABOVE IS TRUE TO ~E BEST QF MY KNOWLEDGE A~olicsn~soonsor name: ~ha~~o~ma~/~a~d ~se Co.~o~ Bate: 10/~5/94 J Duggan I If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment I OVER 1 ~o~ zmo