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HomeMy WebLinkAboutTR-4565-';" . ,:'AlbertJ. Krupski; President lohn Holzapfel, Vice President' 'i i". ,;.":' ":..::' "" i~'. Jim .t~n g , ..... Martin II. Garrell · ~ ~;:':.ii~:~?i:.~ .". :'i 'Peter' Wenczel BOARDOF TOWN TRUSTEES TOWN OF SOUTHOLD .COASTAL EROSION MANA~NT. PERF/KT Permit Number.: 4565 SCTM ~51-4-2 Name of Applicant/Agent: Costetlo Marine Name of. Permit.tee': KAREN DALY Address of Permittee: 34-27 79th St. Jackson Heights, NY 11372 Property Located:. 19895 Soundview Ave., Southotd DESCRIPTION OF ACTIVITY: To replace' inkind/inptage a t30' bulkhead, a 16' return, a 3:' X 8' access stairs, backfill with 5.2' c.y. and clean fill tr~cked in-~ from upland source. Date of permit issuaxice: March 27, 1996 This permit is valid for a period of two years, from the date of issuance. SPECIAL CONDITIONS: Bluff restoration, through a re-vegetation agreement is. attached' he, etc.'and, is a necessary'SPecial cond_tt~on '~f.'this permit. A relocation agreement is attacker hereto and is a necessary speciaI condition of this permit. ' :,.'.'./.">!.i:!'~i~}i-A'maintenance agreement as attache~ with applicatio~an~ ..'.." '' ...... is a necessary special Condition of-this."permitt ' ........ ' ..... Albert J. Krupsk!, Jr. President, 'Boar~ o.f' Trustees AJK/djh cc: CAC $Outhold Town Tr.ustees.. SOUTHOLD, NEW YORK PERMIT NO. '..Y~...~.~ DATE: ...3..13.7 l..9..6.. ........... ISSUED TO.. ......... K'3~Pd~N....D.AL.~. ....................................................................................... . ,g..uI'hm'i.zaiiou Pursuanf fo +he provisions of Chap+er 615 of +he Laws of~v +he Sfafe of New york, 1893; and Chap+er' 404 of +he Laws of fha Sfafe of New Yor'k 1'952; a~d +he Sou+hold Town Ordinance en- fl+led "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND' ON TOWN WATERS.AND PUBLIC LANDS and +he ~' REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER,TOWN WATERS:" 'and in accOrdanCe wJ+h +he Resolu+ion of TJ~e Board adopfed a+.a meeting held., on ......3./.~:~t.~.. ~'" 19..9'.6 , and ~n consideration of +he sum of $_Z50.0.0 .......... paid by ....... .KA.~E.N..~DALY ..... i.' ....... : .............................................................. Of ...... S~tkoldl iii .~I ................................................ N. Y. and subjecf fo +he "~ Terms and Condltions'lis+ed on '+he reverse s~de hereof, ..... of Sou+hold Town Trusfees aufhorizes' and permi+s '+he following: Grandfather Permit to repI~ce inkind/inplace a t~8' bulkhead a .16' return, a 3'X8' access stairs & backfill with 52 c.y. of fill from upland source. all in a¢=ordance w~+h +he derailed speclfica+ions as presen+ed in ':' -'- +he origlna~ing applicafi°n. iN WITNESS WHEREOF, The said Board of'Trus+ee~ here- by causes ifs Corpora+e Seal fo be affixed, and +hase presenfs +o'~ be' subscribed by a majori+y of +he said Board as of +his daf,e. ........... ............................... ................... : ................ .................................... Albert. $.. Kmpsld, President John Hotzapfel, Vice President Jim King Martin H.' Garre!l PeterWenczel Town Hall 53095 Mai~. Road P.O. Box 1179 Southotd, New York .t 1971 Telephone '.(516) 765-1892 Fax. (5.16) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Aug'ast 29, 1996 Costelio Marine Box 2124 Greenport, NY 11944 P~: Karen Daiy SC.TM ~.5'I-4-2 Dear Mr. COStello: The following action was taken by the Sout~old Town Board of Trustees AugUst 28,. 1996: RESOLVED that the Sou~hold Town Board of Trustees approve an amendment to Permit ~4565 to replace 130~ timber bulkhead within 18", replace ig.' return, replace 37 X E1 access stairs from bulkhead to. beach, backfill with 76 c.y. of clean fill from approved upland source conditioned on receipt of an as built survey. The .'Board suggests .that the applicant consider repairing structures on the bank, which can be ~randfathered. This approval' does not' constitute any other approvals from any' other agencies. if you have ~any questions, please do not hesitate tc contact this office. Albert J'. Krupski, Jr. President, Board of Trustees AJK: jmd Telephone Town Hall, 53095 Main Road P.O. Box 1179 Southold.~ New York 11971 SOUTttOLD TOWN CONSERVATION ADVISORY COUNCIL The following resolution .was 'adgpted at the meeting of the $outhold Town ConServation Advisory. Council held AUCUST 26. 1996: A-74 Moved by BrUce Loucka, seconded by John Hagerty, it was RESOLVED to recommend to the Southold Town B.~ard of Trustees .~P~RoVAI_' of the Amendment to Permit req.Ue'st of I(Ai~EN'~i..D~i-¥ 51-~t-2 to rePlaCe '130 ' timber buikhead within 18"; replace 16' return; replace 3' x 8' access stairs f.rom bulkhead to beach; backfill with 76 c.y. of clean fill from .an approved upland site. 19895 Soundview Avenue, Southol'd Vote of Council': Ayes: A~I Motion carried. Albert J. KmpSki, President John H0tzapfet. Vice President - Jim King Martin It. Garrell Peter Wenczet BOA RI) OF TOWN TRUSTEES TOWN OF SO'UTHOLD Coastal ErOsion Perm±t Applicat±on;l.-~[ ' ..... "' 'II'Htl'. ~o ' " ' ~ ~ "'- ~.1~ ti'/ OUU/II~[~~ IncompIe~e __C.oo'rdSna~:on.: { date sent) Resotut~o~: Name of App'l. ica'nt '~zatl~ Suffolk County Tax Map N~er: 1000 - Property Location: [.~~ (provide LILCO Pole ~, distance to cross streets, and { If applicable) Address: !13'%2. location) ~ew York State Department of Environmental Conservation BUilding '40 .-SU.NY, Stony Brook, .New Y~rk 1,1790-2356 Teleph°ne'(~16)444-0365 i~' '.r~-F~ F~'-fl ~ E ~ Facsimile (5~6)44~0373~~~~~~~H~J~ ~ ~~~ m U ~ ~ OF OUTH LD] AMENDMENT TO PERMIT -~s;..,:":,.~a, rem:.::.D~ty.:,, L'~~'~gth St~eet Apt 31 Jackson Heights., NY 11372 Date: August 21,1996 Re: Permit No. & Location: Michael D. Zagata Com missioner 1-4738-01283/00001 ... 19895 Soundyiew Avenue Southold (.Lon~Island Sound.) Dear Permittee: Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 62.1. It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the. existing permit conditions. Therefore, the permit is amended to authorize: Replacement of 130 linear feet of bulkhead within 18" and placement of 76 cubic yards of backfill in lieu of previously approved removal and replacement in the same location and as per attached plans prepared by Costello Marine Contracting dated 8/7/96 and subject to the following additional special condition: 7. The new bulkhead shall be constructed within a maximum of 18" seaward of the structure, measured from face of old sheathing to face of new sheathing (as shown on the approved x-section). This letter is an amendment to the original permit and, as such, shall be available at the job site whenever authorized work is in progress. All other terms, and conditions remain as written in the original permit. cc: Costello Marine BMHP Very truly yours, .P~it Administrator Contracting. ] · :'~CA L E.' ! 40' · ~ttEET i OF ~%PPRO~ AS PEK AND L~NDITION8 P~I{MIT DATE AO~u3T ?,'" 1 9~ oF;L · TliutI~E.R. ~2EN ETi~ATIe Telephone (516) 765-1801 Town HM1. 53095 Main Road P.O. Box 1179 Southold. New York 11.q71 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the. meeting of the Southold Town Conservation Advisory Council. held March 25, .1996 the fOllowing, recommendation was made: GF-19 Moved by John Hagerty, seconded by Allan Connell, it was RESOLVED. to recommend to the Southold Town. B0ar~d.. of Trustees ..DIS:~DRoVAL of the Grandfather Permit request of..KAREN'. DA:LY 51-4-2. See Wetland' Application No. 1335 Vote of Council: Ayes: All Motion carried. Telephone (516) 765-1501 Town Hall, 53095 Main Road P.O, Box 1179 Southold, Ne~ York 11971 SOUTH_OLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held March 25, 1996 the following recommendation was made: 1335 (Also GF-19) Moved by John Hagerty, seconded by Allan Connell, it was RESOLVED to recommend to .the Southold Town Board of' TrUstees:'i'.A'l~P'ROVAL WITH ...pRoVISIONS.. of the Wetland AppliCation of ~REN? OA'L¥:.:':5~l:'zt~2' to replace 13'0" timber bulkhead, 16! return, 3' x 8' access stairs, backfill wkh 52 c.y. clean fill from approved upland source. ReconStruction to be in-kind, in-place. The Council recommends approval provided the reconstruction is in-kind and in-place. 19895 Soundv[ew Avenue, $outhold VOte of Council: Ayes: All Motion carried. ' i0/o5/i995 15:51 5t~7E, 53883 ', =7 CEHT21ALBERTSOH F'AGE Ot ..~r~ 3P,t~ Gouuot~"'""-'- .! 01 ,I. I t 3 I , I 8 o.9. Ktbert J. Krupski, President JOhn Holzapfel, Vice President Jim King Martin H. Garretl Peter Wenczet Town Hall 53095 Main Road P.O. Box 1 t79 Southold, New York 1 I97t, Telephone (516) 765-1892. Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~stal Erosion Permit Application Wetland Permit Application .~ndfather Permit Application · ~e' Waive.r/Amendment/Changes.~ ~ived:APp!ication:'~ .~-~Teceived:.:'Fee:$ '':.~'~_ · . S-~ompteted 'APplic:a~ion~ __IncOmplete _ SEQRA ClassifiCation: Type-i. ~e.I!~i Unlisted or~ti°n:'(d~te sent) C".Ref.~rral sent: te"io'fInsuec, tlon~ ~Lead .Agency.Determination: L~T_D.chni~al..Reg. iew: · . -- . ReSo:tu~io'n: · N~ne of Applicant .~AR~N DA k~ · NAR l~i~i" Phone Number: Suffolk County Tax Map 1000 - ~/- Property Location: .[~~ ~G~J%~\I[.u2-~ '~U~ (provide LILCO ~ole ~, distanc~ to AGENT: · C-bAT ~ h.k~ IM. A R ) NIE_ ('If applicable ) cross streets, and location) Address: I Trustees Applicatio~..-~ Land Area (in Area' Zoning: PrevioUs use of Intended use of property: GENERAL DATA square feet): ~..//~'~ ~ ._ ~. C.~(~,~ -, .~.A~NT~i~' .E~OS~O~ site improvements: Agency Date No prior permits/approvals for site · Has any permit/approval ever been revoked governmental agency? _zz No If yes, provide explanation: improvements. or suspended by a Yes Project Description (use attachments, if necessary): E_fE?/,...Ae_~_., /,.,_.~0. -T'~H~'~ IBUa~HEA.b 16, t r-' rd of Trustees Applicatioh~~ WETLAND/TRUSTEE LANDS APPLICATION DATA PUrpose of the proposed oper.ations:... Area of wetlands' on lot: ~/~ ' ' ..square feet 'l PerCent coverage of lot:__ ~fA' .....% Closest distance between n~a~est existing structure and upland edge of wetlands: 3~..- feet FR~ BU.~E. A5 FO AMHUJ Closest distance between nearest proposed structure and upland edge of Wetlands: ~i~- feet F~O~ B~a~aD 70 ~0~ 0 ~ Does the project involve excavation or filling? No ~ Yes If yes, how much material will be excavated? --~- cubic yards How much material will be filled? .~ .... cu.bic yards Depth of which material will be removed or deposited:~ feet Proposed slope throughout the area of operations: ~ ~H~.~ Manner in which material will be removed or~ ~. ~, 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): 1 ~ ~TABL~ ~LUFF ~EA, t - ~ 3 ~O~rd of Trustees Appticatio~~,.. COASTAL EROSION APPLICATION DATA Purposes of proposed activity:_j~0~ Are wetlands· present within 75 feet~ of the proposed activity? Does the project involve excavation or .f_illing~ No ~ Yes If Yes, how much material will be excavated? --O- (cubic yards.) How much material will be filled?_ ~-~7~ (cubic yards) Manner in which material will be removed or deposited: · ACK Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) N©TICE TO AJDJACENT PROPERTY OWNER BOARD OF TRUSTEES,r TOWN OF SOUTHOLD In the matter of scn~ooo- ~/..-.¢- ~_. YOU ARE HEREBY GIVEN NOTICE: 1. That it i's the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the s~ject ~viro~ental Review is located adjacent to your property and is described as 3. That ,the property which is subject to Environmental Review under Chapters 32,37,or 97 of the Town Code is open to public comment. You may contact the Trustees Office' a.t 765-1'892 or in writing. The above referenced proposal .is under review of the Board of Trustees of the Town of Southotd and dose not reference any other adjacent that might have to review same proposal. OWNERS NAME: KA~E~ DA'kW ~HO~E ~.: ~/~\ q??'_ //~9 / · ~ -~' l ...... Enc.: Copy of sketch or plan showing proposal for your convenience.· P 2,12 580 ~77 Name: ~Certified Marl Receipt ~.No Insurance Coyerage Provided ~-, ':.Do not' bse for [nternationat Mail ~ ;ee'Re~ei~se) STATE Q COUNTY OFSUFFOLK ~G C ) MA ~ddz P-. 812 580 '378 Certified Mail Receipt No Insurance Coverage. Provided Do not use for International Mail .(See Regerse) ~E6~E_-'.~, CS~TELkO; SR., residing at ALBE~T~6~ . kAkiF_ J2R~N'~6~ ~ , being duly sworn, de~ose~' and says that. 0n; the...' .'2~ day of~7ESR Ui.R R.~ . , 19~.', '~eponent mailed a true copy. of the Notice set forth~in the Boar~ of Trustees Application, directed to each of the above name~ persons at the addresses set opposite there respective names; ~at the addresses Set opposite the names of said personsI are the address of said persons as shown on the current asseSSment 'rolI of the Town of Southold; that said Notices were mailed ~t the United b~y~ , that~said Notices States Post Office at ~.~N PO~, '(certifie~) (registered) were mailed to each of said person~ · mail. ~ Sworn to before me this ~.0~-i~ day of FE~R~.V ,19 9(,-, Notary Public ~ SI.I .S~N E.. LONG Netar~ Publiq, State of New York .No, 01~LO49583'z~3 _ Qualified ~ Suff0~k County ~ Exp~res'N~em'ber 6,1 ~ County of suffolk State of New York ~.E0~C~ ~ CO'~'TELL0,~.. BEING DULY SWO~N DEPOSES AND AFFi. RM'S T~AT ~E./SHE Is T~E ~pLi'CANT FOR THE ABOVE DEScRiBED PERMiT(s) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE.BEST OF HIS/HER'KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE .DONE IN THeE MANNER SET FORTH IN THIS APPLICATION AND AS MAy: B'E APPROVED 'BY THE.sOU'THoLD'.TOWN BoARD CF..TRUSTEEs.' THE 'APPLICANT AGREEs:'"TO.,'~oLD'THE.'ToWN':OF SoUTHOLD 'AND THE':':TowN TRUSTEES .. . ..... '+.....::..~:,;.. ',..'..B¥..~iRTUZ. OF SAID.'pEm~.ITIS).;: I.F.e'RANTED.'.. · IN'"CO~L~i~'~'T~IS';.~PP~'ICAT~O~',-I. HE~E~Y"AUT~ORiZE.THE TRUSTEES ~F-~R:';;~(z')'"OR:'~SPRZSENTATIvz(Z)*."TO.'~NTER°NTO''''MY PROPERT~ ' ~O:"'m.~ZUT':TH:S' P~'Z~ISZs IN CON.CUNCTiON ~Z'TH..REVzEW.OF THIS ~.~'~TI'O~;" ' DAY OF~CE~I~)& ~..~j ,19% NOTARY PUBLIC Suggested space for location Map THIS IS NOT A PERMIT 7 /S4 REPLACE IC"~ETu'Rt,~I "tN-K~iD, "mN- PLACE -S~).'~ND Vl.£1~/ AvENuE: ~T~EET AtT, 3.1 S~uTN~Lb,. NY 1197/ F-.6NT EACT IN G I~EPL/~cF___ I36'Tl~R EDLEgtEAb _7.T_~- Kt ND .~ ...W_N.- PLACE, I&' ~ETURN~ .__q~<gt A£CE.S~ ~TAI~ ZRClCFILL wtTH _5'& c,~, CLEAH FILL Fl%Iq A?PR6tJF~ U?LANI~ --qOURCE, 5UF'FDLK. C. bUNT~ ~ PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to.assist in determining whether the action proposed mav t~ave a significant effect on the environment. Please complete the entire form, Parts A through F. Answers to these questions will he considered as part of' the application 'for approval ai~d.mav be subject to further verification and public review. Provide any additional information you believe will be needed to comptete'Parts'2'and 3. It is.expected th~a't completion of 'thO'.full £AF'~witl be d~pendent on information"currently a~ailable and' wilt not involve new st~i'dies,;re~ea&/h or.inV~s~Jigatioiq;~ :.i.f information..requ iring ~Uch additfion'al W6rk is unavailable, so indicate and: specify each instance. N~ME OF ACTION .. 'KA~ F_~ 'DA ~, x!:' .---. __ LOCATION'OF ~CTION':(Include Street Add(ess, Munloipallty end County) ADDRESS _ CITY/PO ' NAME' OF '0~Eh"ilf'dlflbre' ti' _[7 BUSiNE$'S 'TELEPHONE ' . 7¥ CITY/PO DESCRIPTION OF .ACTION ' STATE ~' 'ZIP CODE I BUStNE~S'T~L' :. iSTATi I ZIP CODE Please Complete Each Questlon~ Indicate N.A. if not appllcable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: (3Urban []Industrial F_lCommercial 13Forest F1Agriculture. ~Other ~ [ acres. 2. Total acreage of project area: APPROXIMATE ACREAGE Meadow or Brushtand (Nomagricuttural) -~51-U ~ ~ Forested Agricultural (Includes orchards, cropland, pasture, etc.) Wetland {Fresi~water or tidal.as per Articles 24, 25 of ECL) Water Surface Area Unve~tated (Rock, earth or fill) Roads, buildings and other paved surface~ Other tl.ndicate WPe) ~.ff.51DEI6~tA~L- t);P&A16~ ~Residential [suburban) [] Rural (non-farm) PRESENTLY 0 acres C'> .' acres · ~ t")'*~o ,acres c~ acres ~ acres '~,~ a~C3 acres AFTER COMPLETION · 'Z O ~/~ acres t~ t acres (~ acres , ~ ~/~ acres ~ acres acres acres aC[~S FP ~ULKH 3. What is predominant soil' type[s) on project site? · a. Soil drainage: ~Well drained % of site l~ModeratelY drained o~ ~Po0rty drained % of site b. If any agricultural land is involved, how m~ny acres of soil are classified within soil group I through 4 of the NYS t. and Classification System~ acres. (See 1 NYCRR .370). 4. Are there bedrock o~tcroppings on project site~ ~Y~s a, What is depth to bedrock~ ~ A [in feet) 2 14-16-2 (2/87) - 7c 617.21 SEQR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSM.ENT FORM Purpose: The full irAF i~ designed lo help apl)licant~ and agencies determine, in an orderly manner, whether a project or action may be' significant. The question of whether an action may be significant is not always easy to answer. I' requent- Iy, there ate aspects of a project that are std)jective or tmmeasureab~e+ It is also understood t'l~a[ those who determine signific0nce mev have little or no formal know[~t[ge of the environment or may be technically expert in enviro~menta~ analysis, In edtlit~on, many who bare k~owled~e i~ one particular area may not be awm~e of the bro~der concerns a[fec~ing the question of significance. The fuJJ.E AF ig intended [o provide a method whereby appJican[$ and agencies can be assured ~J~at the determi~mtion process h~s bee~ orderly, comprehensive in r~ahir~, vet flexible [o allow introduction of information to fit a protect or action, tull tat Componenls: The [u~J FAF i5 comprised of three part~ Parl ~: Provides obiective data m~d ijfforn~tion about a given proiect and its site· By idenl, ifyi~g basic project d'ala, il a%ists a reviewer m ~l]e analysis that takes ~Jace in Parts 2 and 3 Pail 2: lotuses on idenUIving the range.of posqibJe impacts Ii,at may occur from a protect or action. Jt provides gHidance os [o whelhet mi hnpacl is likely to be considered smelt to moderate or whether it is a potentially- I~rge impact. I'he form aJso identifies whether an impact can be mitigated o~ tedtlced- Part 3: If any ~mpacJ in Part 2 is idenli[ied as potentially4orge, then Part 3 i5 used to evaJu~te whedwr or.not tim impact is ~cta8lty important. DETERMINATION OF SIGNIFICANCE--lype 1 and Unlisted Aciions Identity the Porlions of EAF completed for Ibis project: [_~ Part' 1 .V_] Part 2 [~Part '3 Upon review et the informatio~ recorded on dtis EAF (Parts 1 and 2 and 3 if appropriate), anti any other supporting information, and considering boll~ the magi~udv and i'mportance of each impact, it is rea.sonab.l'y determined by the lead agency lhat: A. The p~oject wilt not m~u]t in ~my arge and important impact(s) and, ttmrefore, is one which will bare a significant jlllpacJ of [he environment, therefore a negative de~latatio'n will be B. Although tJ~e projecl could have a significant eJ[ect on the environment, ~here w.ill not be a significant effect f.o~ this Unlisted AcJion beck]use the mitigation measures described in PART ] h.ave been requited, therefqre a CONDITIONED negalive declaration will be C. 1he proiecl may result in one or more large and important impacts that may have a significant impact on the environment, lherefore a positive decl~talion ~ill be * A CondJJJoned Negative Declaration is only valid for gnJistetJ Actions N~m~ of /~ctiOn Name ot Lead Agency Print or Type Name of Responsible Officer in lread Agency Title of Responsible Officer Signature of Responsible Officer in Lead A~ency. - Signature o[ Preparer(If different Jrom responsible Date ate percentage of proposed project site with slopes: ;~0-10% % ['115% or greater rz~l'o t5% % % 6 Is project substal]tialfy contiguous to. or contain a b.t, ilding, site. or district, listed on tt~e State or the National Registers of flistoric Places? F'lYes /lglNo 7. ts project substanti.ally contiguous to.a site listed on the Regi.ste'r'of National Natural Landmarks?.. [2Yes ~'No 8, 'What i; tl~e. d~'Ptl~:-of d~e" w~te.'~' ta[~'[~? ~ (in feet) 9. Is site located;over 'a .Primary'; principal, or' sole source aquifer?, ~Yes ~No 10. Do hunting, ,fis.~tng or s.helt fishing opportdnities presentl.y exist in the proiect area? ~Yes ~No tl. Does project s. ile contain any species of plant or animal life that' is identified as threatened or endangered? ~JYes ~No According to ~.~L~ H~RI~ ~m~AeTt~.~ . Identify each species 12 Are there any u.mque or unusual 'land forms on the p~oiect site? (i.e., cliffs, d~nes,::O~her geological formations} '[3Yes ~No l)escribe 13. I.¢ the project site presenlJy used I>y the corm-ntmity or .nei~4hborhood as an open space or recreation area? I_-.1Yes /~!No tf yes, explain 14. Does the present'site includ~ scenic views I<nown to be importanl to the community? ~Yes ~No 15. Streams within or contiguous to In'o'jr-cl area': ~ Name of Stream and name of River to which it is tributary ... ~J~ 16 Lakes, ponds, wetland areas within or 'contiguous to project area: 17. Is the site served by existing public utilities? ~l~Yes E]N0 a) If Yes', does sufficient capacity exist [o allow connection? b) If Yes, will tmp.rovements be necessary to allow connection? b. Size (In acres) I~Yes ~No /V/~l ~Yes iqNo /V'/A 18. ts the sile located in an agric~fltural district certified pursuant to AgricUlture and Markets Law, Article 25-AA Section 303 and 304? l-lYes ,.~No 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 .of tile FCL. and 6 NYCRR 6'177 ~Yes t-)No C_~,~T~L ~t3~l'{btO ~_~ldlC 20. Has the site ever been used for lhe disposal of solid or hazardous wastes.? L-JYes ,~No B. Project Description 1. Physical dimensions and scale of projecl (fill [n dimensions as appropriate) lotat contiguous acreage owned or controlled by project sponsor Project acreage to be developed: /'//2~' acres initially; Project acreage to remain t, ndeveloped~ _~,/~_~ acres. Lenglh of project,, in miles: .jx//~ _ ('If appropriate) .-/ acres. acres ultimately. i. Dimensions (in feet) of largest p~oposed structure ~ height'; N/~ width; ~ length. ~. Unea~ feet o~ frontage along , public thoroughfare pro~ed will occupy is~ 3 I[. the 'project is an expansion, indicate percent of ~xpansion proposed .~/ %; parking spaces existing ~/.A- ' ;proposed N//4' F Number O[' off-street Maximum vehicular trips generated per hour - ~/-r~ (upon completion of project)? If residential: Number and type of housing units: One Family Two F'amil¥ Multiple Family Condominium 2. HOw much natural material (i.e., rock, earth,, etc.) will be removed from the site? 3. Will disturbed areas tie reclaimed? F3Yes l. jl~o ~N/A a. If yes, for what intended purpose is lhe sit~; being reclaimed? b. Will topsoil be stockpiled for reclamation? []Yes ' F~No c. Will upper subsoil be stockpiled for reclamation? L~Yes [~No ~-//~ tons/cubic 4. How · 5. ·Will ~Yes )KINo 6. If single phase project: Anticipated period of Construction _7~tO ~) 7. If multi-phased: · [/1~ a, 'lotal number of phases anticipated _ /5/ (number). 'b. Anticipated date .of commencement phase t N//J month C. Approximate completion date of final phase ~/~ month d Is phase I functionally dependent on subsequent phases? UYes 8, Will blasting occur during construction? L-lYes J~No 9. Number of jobs generated: during construction ~- '~ 10. Number of ·jobs eliminated by this project ~ ~ -. 11. Will project require relocation of any prolects or facilities? many acres of vegetation (trees, shrubs, ground covers) will be removed from site? -O- acres. any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? months, (including demolition). [No year, (including demolition). year. after proiect is complete ~Yes )~No I[ yes, explain 12. Is surface liquid waste disposal involved? I_3. Yes ~'No a. If yes, indicate type of waste (sewage, industrial, otc,) and amount b. Name of water body into which efftuen! will be discharged ~ 13, Is subsurface liquid waste clisl~osal involved? ~Y.es ~bto l~vpe 14, Will surface area of an ex/sting water body increase or decrease by proposal?. 15, 16. fi_lYes 'j~No Explain j~]Yes 'Is proiect or any portion of proiect located in a 100. year flood plain? Will the project generate solid waste? EJYes LL'~No a. If yes, what is the anaount per month, tfffA tons b. If yes, will an existing solid waste facility be used? IZlYes '~No c. If yes, give name ~///~ .... location d. Wilt any wastes no! go into a sewage disposal system or into a sanitary landfill? e. ti Yes, explain ~ ~No t-3Yes t7. b. I 18. Wi'll Will the proiect involve the disposal of. solid waste? F-lYes disposal? a I[ yes, what is the anticipated rate of f yes, what is the anticipaled site life? N' ./.J~ years, pro|ed use herbicides or pesticides? E]Yes ~No ~No tons/mo nth. 19. Will project routinely produce odors (more than one hour per day)? ~lYes /~No 20. Will project produce opera·ting noise exceeding the local am.bien~ noise levels? UYes 21. Wilt project result in an increase in energy use? E3Yes -',~]No If yes , indicate type(s) _ · 22. If water supply is from wells, indicate pumping ca.pacit¥ __ gallonslminute. 23. Total anticipated water usage per day /~/,~ .. gallons/day- 24. Does proiect involve Local, State or Federal funding? IZtYes t~lNo If Yes, explain 4 Approvals Required: Type. Submit[al Dale city. Tow.. Vi,a e I oa,-d '?.Yes r- No City, Town, Village'Planning Board L'JYes ~No City; Town Zoning BOard [']Yes .~No' ~ .... City,,County,HeaJ(h Department [...lYes ~No Other;Local ~ge'ncJ~s IJYes ~No ' ~ Other RegiOnal Agencies I']Yes '~No 5late Agencies ~Ye5 ~No ~ . ~' - Federal Agencies L~]Yes ~N'o ' O. Zoning and Planning. Information ...... 1 Does proposed action involve a planning or zoning decision?' .~Yes ~No ff Yes, indicate decision required: [-]zoning amendment f~]zoning variance ~special use permit ~subdivision F~site p/an L]new/revision o~ master plan ~]resource management plan ~other 2. What i's the zonin~ cla~si'f'ication(sJof the site? ~ 3. What is the maximum potentiaJ~de.veJ.opmen/of ~he site 4. What i~' the proposed zo~in8 .'of' [be si[cF __~ 5 Whal is the maximum.potential development o¢ the site if developed as permitted by [J]e proposed zoning! 6.. Is the proposed action consistent with die recommended uses in adopted local land use plans.? ~Yes ~No 7. What are the predominan~ land use(s) end zoning classifications within a % mile radius of proposed action? 8. is the proposed action compatible with adjoining/surrounding land uses within a % mile? ~Yes ~No 9 tf the proposed action is the subdivision o~ land, ~ow many Jots °p°sed~are a. W~a[ is the minimum J.o[ size proposed? ~pr_ .., 10. Will proposed ac[ion require any auihoriza~ion(s) for the ~orma/ion of sewer or water districts! ~Yes ~N~ ~1.fireWiJJpto[ectionj?the proposed ac[ionf.}yes create~Noa demand for any community provided services [recreation, education, police, a. 1[ yes, is.existing capaciLy su[ficien[ to t]and.le projected demand? ~Yes ~No 12. Will the' proposed action result in the ~en. era[ion o~ traffic significantly above present levels? '~ Yes ~No a. ff yes, is the existing road network adequate to handle the additional ~raf¢ic? ~Yes ~No D. lnlormalional Delails Attach any additional fn~ormati0n as may ~)e needed [o clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them E. Verification ... i certify that the information provided above is true ~o the best of m knowl ~lh this assessment, en Part 2~PROJECT IMPACTS AND THEIR .... ~AGNITUDE Responsibility of Lead Agency General information [Read Carefully) · · In completing the form the reviewer shotdd be guided by the question: Have my responses and determinations been 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 significant- Any large impact must be evaluated in PART 3 to determine significance- identifying all impact in column 2 simply asks that it be looked at further. ' · The Examples.provided are lo assist [he reviewer by showing types of impacts and wherever possible the threshold of' magnitude that woufd trigger a response in column 2. The examples are generally applicable throughout time State and for most situations. But. for any specific proiect or site other examples and/or lower thresholds may be appropriate tora Potential Large Impact response, thus requiring e.,valuation in Part 3. - lt~e impacts of each proiect, on each site, in each locality, will vary. Therefore, the ,examples are il|ustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. · lhe number of exam. p[es per question does not indicate the importance of each question. · tn identi[ying impacts, consider long term, short term and cumlative effects. .lnslructions (Read carefully) a. Answer each of the .19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers shouid be considered as Yes answers~ c. If answering Yes to a question then check the appropriate box (column I or 2) to indicate the po.tential size of the impact. If impact threshold equals or exceeds any example provided,' check column 2, If impact will occur but threshold ts lower thae,-~-a~m~F.~ check column t. d. If reviewer has doubt ~bout size of the impact then consider the impact~as potentially large and proceed to PART 3. e. If a potentially large irhpact checked in column :2 can be mitigated by change(s) in the project to.a small to moderate impact, also check the Yes box in column 3. A No response indicates that Such a reduction is not possible. TI.tis must be explai'ned in Part 3. 1 Small to Moderate Impact 2 Potential Large Impact 3 Can impact. Be Mitigated By Project Change [~Yes []'No IMPACT ON LAND 1 Will tile proposed action result in a physical change to the proiect site? tZINO C]YES Examples that would apply to column 2 · Any construction on slopes of 15% or greater, [15 foot rise per 100 E~ [] foot of length), or where the general slopes in the project area 'exCeed · Construction on land where the depth to the water table is less than 3 feet, '[~ [] · Construction o~ paved parkin~ area for 1.000 or more vehicles. · Construction on land where bedrock is exposed or generally within [] [] 3 feet of existing ground surface. · Construction that will continue for more than I year or involve more [] '[] than one phase or. stage · Fxcavation for mining purposes that would remove more than 1,000 [] ~J tons of natural material (i.e.. rock or soill per year, · Construction. or expansion of a sanitary landfill. [] ' [~ · Construction in a designated floodway. []. [~ · Other impacts 2. Wilt there be an effect to any unique or .unusual land forms found on the site? fi.e. cliffs, dunes, geological formations, .~,tc.)E3NO OYES . · Specific land forms: ~Ves E]No 6 · Proposed Action may cause substantial erosion. · Proposed Action .is incompatible .Gi.~h existing drainage patterns. ' Proposed. Action will allow development in a designated floodway. · Other impacts:' IMPACT ON AIR 7. Wit] proposed action affect air q0ality? [-INO Examples: that:'woufd ~Ptd'y to column 2 · ·. ProPosed A.ic:tton witJ. induce"l,0UO~ dr mo~e Vehicle 'trips in a,y given hour. · Proposed Action will result in the incineration.of more than I ton of refuse per hour~ · Emission rate of total contaminants wilt exceed 5 lbs..per hour or a heat source producing more. than l0 million BTLYs per'hour. · Proposed action will allow an increase m the amount of land committed to indt,s.tria! use. · iProposed action will allow an increase in the density of industrial development within existing industrial areas. · Other irnpacts: IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered spec/es? I71NO i-lYES Examples that would apply to column 2 · Reduction of one or more species listed on the New York or Federal list, using the site, over or near site or found on the site. · Removal of any portion of a critical or significant wildlife habitat. · Application of pesticide or herbicide more than twice ~ year, other than for agricultural purposes. · 'Other impacts: 9. Will Proposed Action substantially affect non-threatened or non-endangered species? IZINO CIYI: S Examples that would apply to column 2 · Proposed Action would substantially interfere with any resident or migratory fish, shellfish or wildlife species· · Proposed Action requires the removal of more than 10 acres of mature forest (over 100 years of age) or other locally important vegetation, iMPACT ON AGRICULTURAL LAND RESOURCES 10. Will the Proposed Action affect agricultural land resources? ©NO l:xamples that would apply to column 2 [Z]YES The proposed actio~ woutd sever, cross or limit access to agricultural land (includes cropland, hayfielcls, pasture, vineyard, orchard, etc.) 8 Small to Potential Can Impact Be Moderate Large Mitigated By impact Impact Proiect Change [] UYes I No .... []. ' E]V:es []t o [] ~ ~Yes ~No. ~ ~ ' ~'Yes ': '~ ~N'o ~ ~ '~Yes ~No U ~ ~Yes 'UNo ~ ~ ~ Yes ~ No ~ ~ Oyes .~o ~ ~ ~Ves ~No ~ · ~ OYes ~No O ~ ~Ves ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No IMPACT ON WATER 3'. Will proposed action affect any water body designated as protected? (Under Articles 15, 24, 25 of the Fnvironmenta Conservation Law, ECL] ~]NO [~YES Examples that would apply to column 2 · Developable area of site contains a protected water body. '- · Dredging more than 100 'cubic yards o[ material from channel of a protected stream. · Extension of utility distribution facilities ii,rough a protected water body. · Construction in a designated freshwater or tidal wetland. · Other impacts: 4. Wilt proposed action affect any non-protected existing or new [body nj: water? EON• []YES Examples that would apply to column 2 * A 10% increase or decrease in the surface area of any body of water or rnore than a 10 acre increase or decrease. . Construction of a body of water that exceeds t0 acres of surface area. · Other impacts: 5. Will Proposed Action.affect surface or groundwater ON• ~YES quality or quantity? : Examples' that would appt¥ to cotunm 2 · Proposed Action wil[ require a discharge permit. · Proposed Action requires use of a source of water that does not have approvM to serve proposed (project) action. · Proposed Action requi~es water supply from wells with greater than 45 8all•ns per minute pumping capacity · Constructim~ or operati'on causing any contamination of a water supply system. · Proposed Action will adversely affect ~roundwater. · Liquid effluent will be conveyed off the site to facilities which presently do not exist or have inadequate capacHy. · Proposed Action would use wa~er in excess of 20,000 gatfons per day. · Proposed Action will likely cause, siltation or other discharge into an existing body of water to the extent that there will he an obvious visua[ contrast to natural conditions. · ProPosed Action will requtre the storage of petroleum or chemical products greater than 1.,100 8all•ns. · Proposed Action will allow residential uses in areas without water and/or sewer services. · Proposed Action locates commercial and]or industrial uses which may require new or expansion of existing waste treatment and/or storage facilities, · Other impacts: ~. 6. Will proposed action after drainage flow or patterns, or surface water runoff? ~NO ~YES Examples that would apply to column 2 · Proposed Action would change flood water flows. 7 1 Small to Moderate Impact [] [] O [] [] [] [] [] [] O [] [] [] [] [] [] 2 Potential Large Impact [] [] [] [] [] [] [] [] [] O [] [] [] [] [] 3 Can impact Be Mitigated By Project Change [~]'Yes ONe J~]Yes [TINe []Yes t-iNn OYes [7]No OYes ONe ~No ~¥es []No []]]Yes [~No J~]Yes ONo L~Yes: []No •Yes UNO []]Yes ON• []Yes []No ~]Yes []~No []Yes []]]No []Yes ON• []]]Yes FINn OYes []]]No OYes •No [~] Y.es []No []Yes •No IMPACT ON TRANSPORTATION 14. Wilt there be an effect to e~xistiii'g-transportatiOn systems? : L-]NO E~JYES Examples that'would al)ply .to cotumn 2 · 'Alteration of present patterns. O[ movement of people and/or goods. · Proposed Action will result i.t'l, r~ajor traffic problems. · O'tl~'er irnpacts: IMPACT ON ENERGY 15~ Wilt proposed action affect the community's sources Of fuel or energy supply? E]NO' UYES Examples thai would a pl)iy to column 2 -- Proposed Action will cause a greater than-5% increase in ~he use of any 'form Of energy in the mbnicipality. Proposed Action will require the creation or extension of an energy transmission or supply system to serve more than 50 sin~zleor two family residences or to:serve a major commercial or induslriaJ use. Other impacts: NOISE AN!D ODOR IMPACTS 10 Will there b(~ obiectionable colors, noise, or vibration as a result of the Proposed Action? E]NO ~YES Examples that would apply to column 2 Blasting within ~,500 feet of a hospital, school or other .sensitive facilily. Odors Wil occur routinely (more than one hour per day). Proposed Action will produce operating noise exceeding [he local ambient noise levels lot noise ou[side of struclures. Proposed Action will remove natural barriers that would act as a noise scfeen. · Other impacts: IMPACT ON PUBLIC HEALTH 17 Will Proposed Action affect public health and safety? UNO OYES Examples that would apply to column 2 · Proposed Action may cause a risk of explosion or release of hazardous substances (i.e. oil, pesticides, chemicals, radiation, etc.) in the event of accident or upset conditions, or lhere may be a chronic Iow level discharge or emission. · proposed Action may result in the burial of "hazardous wastes" in any form {i.e. toxic, poisonot,% highly reactive, radioactive, irritating, infectious, etc. J · Storage facilities [or one million or more gallons of liqui[ied natural gas or other flammable liquids · Proposed action may result in the excavation or other disturbance witifin 2 0CO [eat of a sile used for the disposal of'solid or hazardous wa ste, · Other impacts: Small to Potential Can Impact B~'~ Moderate Large Mitigated B'y. '. impact Impact Project Change [] k~ OYes i-]No [] L~ OYes ONo 'El ' ~ ~ ~Yes ~No '0 0." - OYes ONo 0 ~ ~Yes ~No ' O '.. E.J OYes · ONo g ~ []Yes'. ~No ~ L~ OYes ONo ~ 0 OYes ONo ~ [~ gYes ONo ~ ~ OYes 0 ~ OYes · Construction activity would excavate or compact the soil profile of agricuRural land. · The proposed action would irreversibly convert more than 10 acres of agricultural land or, if located i~ an Agricultural District, more than 2,5 acres of agricultural land · The proposed action would disrupt or p~event installation of agricultural land management systems (e,~., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) · Other impacts: IMPACT ON AESTHETIC RESOURCES 11. Will propos'ed action affect aesthetic resources? [:}NO [~YES (If necessary, use the Visual EAF Addendum in Section 6t7.21, Appendix B} Examples that would apply to column 2 · Proposed land uses, or project components obviously different from or in sharp contrast to current surrounding land use patterns, whether man-made or natural · Proposed land uses. or project components visible lo users of aesthetic resources wh'ich will eliminate or significantly reduce their enjoyment.Of the aeslhetic qOalities of that resource, · Project components that will result in the elimination or significant screening of scenic views known to be important to the area. · Other impacts: IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES t2. Will Proposed Action impact any site rjr structure of historic, pre- historic or paleontological importance~ L-INn ~YES Example~ tba:t would apply to column 2 · Proposed Action occurring wholly or partially within or substantially contiguous to any facility o~ site listed on the State or National Register of historic places, · Any impact to an archaeological site or fossil bed Ioca~ed within the protect site. · Proposed Action wift occur in an area designated as sensitive for archaeological sites on the NYS Site Inventory. · Other impacts: IMPACT ON OPEN SPACE'AND RECREATION 13. 'Wilt Proposed Action affect the quantity or qoal.jty 'of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 gNU E3YES · . [he permanent foreclosure of a future recreational dpP0rtunity. · A major reduction of an open space important to the community, · Other impacts: 1 2 3 Smell to PoteRtial Can Impact Be Moderate Large Mitigated By impact Impact Project Change CI ~ Elves [~No [] J~]' ~]Yes ~'No [] J~] J~]Yes •No ~ g •Yes ~No ~ ~ ~v~s UNO. ~ ~ ~Yes .~No ~ ~ ~Ves ~ ~ Wes ~No ~ U · .~Yes ~No ~ ~ ~Yes ~No ~ ~ Wes ~'No ~ ~ ~Yes ~No IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 18, Will proposed action affect the character of the existing community? L-JNO UYES Examples that would .appty to cohmm 2 · The .permanent population of the city, town or village in which the project is located is likely to grow by more than .5%. · The municipal budget for capital expenditures or operating services will increase by more than ~% per year as a result of this project. · Proposed aclio~] will conflict with officially adopted plans or goals. · I~roposed action' will cause a chanf~e in the density of land use. · ProPOsed Ac'tio~ will repiac~e or eliminate existing facilities, structures or areas o'f historic' importance to U~e commu~fit¥. · Development will create a demand for additional community services [e.g: schools, police a.t~d fire, etc.) · Proposed Action WiJJ sel ~n important precedent for future projects. · Proposed Action will cre~te or eliminate employment, · Other impacts: I '~ 2 3 Small' to Potential Can impact Be Moderate Large Mitigated' By' impact i Impact Project Change [] [] []Yes E~]No [] [] [~]Yes []No [] [] []Yes [] [] [Z]Yes ~ [] ~Yes ~No 19 Is lhere, or is there likely to be, public controversy related to potential adverse environmental impacts? ~]NO L~YES 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 IMPORTANCE O.F IMPACTS Responsibility aL Lead Agency Par! 3 must be prepared if one or more impact(s] Js considered to be potentially large, even if the impact(s) may be mitlgated, Instructions DiScuss the following for each impact ide.r~tified in Column 2 of' Part 2: 1. Briefly des'cribe ihe impact 2 Describe (if applicable) how the impa~ t could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on tile information available, decide if it is reasonable to'conclude that this impact is important. To answer the question of importan¢'e, consider: · ~[he probability DJ the ill,act occurring · The duration of the impact · Its irreversibility, includi.n~ permattenl, ly lost resources of value · Whether tim impact can or will be controlled · The .regional consequence of the impact · Its potenUal divergence from h~cal needs and goals · Whether known obiections to the project relate to this impact, (Continue on attachments) 11