HomeMy WebLinkAboutTR-4239Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO.
ISSUED TO
]_//,~c~ DATE: ....O. ctober 1
..... ~g.e.~ &...~r~ ..~grge.r ...........................
Aulhorizalian
199~
Pursuanf fo fha provisions of Chapfer 615 of fha Laws of
fhe Sfafe of New York, 1893; and Chaplet 404 of fhe Laws of fhe
Sfafe of New York 1952; and fhe Soufhold Town Ordinance en-
flfled "REC-ULATINC= AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and fhe
REMOVAL OF SAND, C=RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance wlfh fhe
Resolufion of The Board adopfed a+ a meefing held on Sept. 3~1
19 9.3., and in consideraflon of {'he sum of $ 150.00 paid by
En-Oonsultant&.on behalf of Eugene & Ann Burge~i .....
of N.Y. and sublet{' fo the
Terms and Condfflons lisfed on fhe reverse side hereof,
of Soufhold Town Trusfees au{'horizes and permlfs fhe following:
Construct dock consisting of a 4~ X 40' fixed elevated (min.4'
above grade of marsh) pier (plus steps), 3' X 16~ hinged ramp
6' X 16' float secured by (2) pilings. Place approx. 10 c.y. of
sa~ .and grade into a berm approx. ~.~ wide at base and 1.5~
~n accordance wifh fl~e detailed specifications as presenfed in
fhe origina{.ing.applica{.ion.
high to extend the width of the parcel (68+/-), above AHW.
Map dated IN WITNESS WHEREOF, The said Board of Trus{.ees here-
9/26/~ causes ifs Corporafe Seal fo be affixed, and fhese presen{.s fo
be subscribed by e majorify of {'he said Board as of {'his dale.
~rustees
TRUSTEES
Albert J. K~upski,. Jr. ~P_resident
Joh~i.. i~lz ap fei, Vice-President
W~am Bm~lbertson~ Trustee
Peter~enc~gl-, Trustee ·
Mmy ~e~., Trustee BOARD OF TOWN TRUSTEES
~" : TO~ OF SO~HO~
'-: ' Town H~, 53095 M~ Road
P.O. Box 728
Southold, New York 11971
'PLEASE COMPLE'±'~ WITH DATE OF INSPECTION AND SIGNATURE IN SPACES
PROVIDED:
TELK~HONE
(516) 765'-1892
the structure completed· in accordance with submitted plan?
Was
Yes No
If not please explain on reverse side.~
Was the structure situated on the applicant's property in
accordance with submitted plan? (Distance must be at least 15'
from property line)
Yes ~a~e No
If not pi explain on reverse side.
e
Will pedestrians have easy access over or around the structure
for the public rlght of way below high water mark.
Yes / No
If no= please explain on reverse side.
Is the structure high enough that so it will not inhibit growth
of na=ural grasses along or below it?
Yes / No
ADDITIONAL COMMENTS:
Date
Signature of Bay Constable
TRUSTEES
John M. Bredemeyer, III, President
Albert J. Krupski, Jr., Vice President
Henry E Smith
John B. Tuthill
William G. Albertson
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRLTSTEES
TOWN OF SOUTHOLD
SUPERVISOR
SCOTT L. HARRIS
Town Hall
53095 Main Road
P.O. Box 1179
Southotd, New York 11971
October 4, 1993
En-Consultants, Inc.
1329 North Sea Road
Southampton, NY 11968
Re: Eugene Burger
SCTM ~1000-104-3-4
Dear Mr. Haje:
The following action was taken by the Board of Town Trustees during
its regular meeting held on Thursday, September 30, 1993 regarding
the above matter:
WHEREAS, En-Consultants on behalf of Eugene Burger applied to the
Southold Town Trustees for a permit under the provisions of the
Wetland Ordinance of the Town of Southold, application dated July 6,
1993 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 application on Thursday, August 26, 1993 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
RESOLVED that the Board of Trustees approves the application of
En-Consultants on behalf of Eugene Burger to construct a timber dock
consisting of a 4' X 40' fixed elevated (min. 4' above grade of
marsh) pier (plus steps), a 3' X 16' hinged ramp, a 6' X 16' float
secured by (2) pilings. Place approx. 10 c.y. of sand and grade
into a berm approx. 3' wide at the base and 1.5' high to extend the
width of the parcel (68+/-), above AHW and wetlands. Following
grading berm will be planted with Ammophilia Brevilig~lata on 18"
centers. All in accordance with revised map dated September 26, 1993.
Permit will expire two years from the date it is signed. Fees must
be paid, if applicable, and permit issued within six months of the
date of this notification. Two inspections are required and the
Trustees are to be notified upon completion of said project.
Permit will be issued upon payment of the following fees for work to
be done below Mean High Water Mark:
Catwalk 4' X 30' = 120 sq.ft. X $2.00 =240.00
Ra~p 3' X 16' = 48 aq.ft. X 2.00 = 96.00
Float 6' X t6' = 96 sq.ft. X 2.00 =192.00
528.00
e~ytruly yours,
III
President, Board of Trustee
JMB: jd
cc: CAC
Albert J. I(mPSkL Jr. Vkc Prcsidcn~ ' Hcmy R Smith ~.
W'dliam G. Albcr~on
Telephone (516) 7~5-1892
~ax (5].6) 765-1823 '
BOARD OF TOWN TRUSTI~.~
TOWN OF SOIITHOLD
30 l~ear H~tntm~.n~_~ Agre~nent
Erosion Protection Structures
Chapter 37 Southel~ Town Code
~ Southold Trustees as Administrator
~BURGER
t.yu_e or print
of record of proper~"~t:
b~tIPERVLqOR
SCOTT ~ HARR~
Town Hall
~095 Main Road
Re. Box 1179
Southol~L New York 119'
2515 Pine Tree Road,
o,~e~h~?~e. NY 11935
(tx~e or print st-Teet address) -~u~m ~1000-- 104-3-4
in applying for a Co~ ~os~n p~t for ~ ~osion
Protec~on
proqr~ for a s~=~e c~only ~ ~ a
of ~ sh~ on ~e aC~ched
fee= of len~
licensed s~ey of
It is my/our understanding that we are to maintain this
structure with materials designed't~ endure 10 years and or
equivalent ~:c .the .original approved s..t~-u.cture and ~hat for any
maintenance which Involves more than 5% In length of this
structure we are to gave prior written notice to ~he
administrator, waiting for their approval in all but true
emergency situation's which would seriously endanger life,
property and important coastal natural resource features such as
bluffs or wetlands. We further understand that failure to
maintain ~he structure could result in a requirement to post a
bond and or have thee repairs ordered ~ a ~-ien agent
property upon a finding by the Trustees that said lack of
maintenance would risk life, property or important natural
resources features inctudi~q~prctected, rare or threatened
animals and p i ants. /~/~
SWOP-N TO BEFORE ME THIS DAY OF J~ ,19 ~3
This main~en~ca agre~ent shall only be valid upon attac~ent
t~ree copies of a licensed land s~ey made wi~ one year of
the original const~c=ion and validated to sh~ ~e the final
approve! cf the a~ministrator. ~ S~se~ant owners may ~]v ~
Albert J. Krupski, President
John Holzapfel, Vice Presidem
William G. Albertson
Martin H. Garrell
Peter Wenczel
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hail
53095 Main Road
P.O. Box 1179
Southolfl. New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
January 28, 1993
Roy Haje
En-Consultants, Inc.
1329 North Sea Road
Southampton, NY 11968
RE: Eugene Burger
SCTM ~1000-104-3-4
Dear Mr. Haje:
The following action was taken by the Southold Town Board of
Trustees on Thursday, January 27, 1993.
RESOLVED that the Southold Town Board of Trustees grants an
amendment to permit ~4239 for a 4' X 35' fixed pier, a 3' X t4t
ramp with a 6' X 20' float straight out in direction instead of
"T" configuration as per revised survey dated 1/25/94.
If you have any questions, please do not hesitate to contact
this office.
Albert J. Krupski, Jr.
President, Board of Trustees
AJK: jmd
Telephone
(516) 765-1801
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
Town Hall. 53095 Main Road
P.O, Box 1179
Southold. New,York 11971
TO:
FROM:
DATED:
RE:
Southold Town Board of Trustees
Southold Town Conservation Advisory Council
January 26. 1994
Recommendation of Wetland /~pplications
Recommendation of Waiver Requests
RECOMMENDATION OF WETLAND APPLICATIONS
Moved by Bruce Loucka, seconded by John Hagerty, it was
RESOLVED to recommend to the Southold Town B6ard of Trustees
APPROVAL of the Wetland Application of THOMAS BYRNE 52-5-1
to replace (within 18") an existing cement block retaining wall 85'
in length lplus 5' return on north side and 10' return on south side)
-with a new timber wall approximately 1' higher. Approximately
c,y, of clean backfill to be trucked in from upland source, An
existing indented block stairway to be backfilled and replaced with a
4' x 8' wood stairway,
2345 Bayview Avenue, Southold
Vote of Council: Ayes: All
Motion carried,
Moved by Robert Keith, seconded by Patricia Isaksen, it was
RESOLVED to recommend to the Southold Town Board of Trustees
APPROVAL of the Wetland Application of STEVEN SPARACINO
115-17-17.14 to construct an elevated timber walkway and fixed dock
structure, The walkway will be 4' wide by 70' long and a minimum of
4' above grade, The dock .to be 51 wide and 20' long and to be
situated on the seaward edge of the existing wetlands providing
access to the dredged creek,
Willis Creek Drive, Mattituck
Vote of Council: Ayes: All
Motion carried,
The Southold Town CAC did not inspect the area of the Wetland
Application of W.L. LYONS BROWN. III 9-9-27.2 Fishers Island
project of a proposed dock and request for letter of jurisdiction for'
proposed house, garage, deck. retaining wail. drive, patio, and
pool. The CAC may make comments at a later date.
Fishers IsJand
Page 3 ,
Moved by Robert Keith, seconded by Patricia Isaksen, it was
RESOLVED to recommend to the Southold Town Board of Trustees
APPROVAl_ of the Wetland Application of GEORGE S. CASE, JR.
111-9-LL1 to construct 198 I.f. of timber retaining wall extending
from landward end of return to south, to corner of retaining walt to
north. Wall will run generally along toe of bluff and approximately
50' landward of. AHW. Approximately 300 c.y. of clean sand to be
brought in via right-of-way 400~ north off Nassau Point Road for
backfill. Rebuild existing 4' x 40+/-' stairway from crest of bluff
to beach. A 4' x 4' wood platform at crest of bluff will also be
replaced.
3745 Nassau Point Road, Cutchogue
Vote of Council: Ayes: Bruce Loucka, Robert Keith, John Hagerty,
Patricia Isaksen
Nays: Stephen Angell
Motion carried.
Moved by John Hagerty, seconded bY Bruce Loucka, it was
RESOLVED to TABLE the Wetland APplication of DR.
KIERSKY 66-2-35 to construct dock.
SANDRA
The Council has tabled the application because the project is unclear
and there were no construction plans submitted.
Rogers Road, Southold.
Vote of Council: Ayes: All
Motion carried.
Moved by Bruce Loucka~ seconded by John Hagerty, it was
RESOLVED to recommend to the Southold Town Board of Trustees
APPROVAL of the Wetland Application of THOMAS FALCO 70-6-32
for letter of non-jurisdiction for additions to existing house.
Lighthouse Lane, Southold
Vote of Council: Ayes: All
Motion carried.
Moved by Robert Keith, seconded by Stephen Angell, it was
RESOLVED to recommend to the Southold Town Board of Trustees
APPROVAL of the Wetland Application of EUGENE BURGER
104-3-~ to amend permit by Iocatin9 the float in a different
configuration,
Pine Tree Road. Cutchogue
Vote of Council: Ayes: Alt
Motion carried.
RECOMMENDATION OF WAIVER REC~UEST.~
Moved by Robert Keith. seconded by Stephen Angell. it was
~dben ~. ~umki, ~r., ~
John L Bednoski, Ir.
1ohn H. Tuthill
Telephone ($1~) 765-1892
lax ($1~) 7C~-18Z~
BOARD OF TOWN
TOWN OF SOUTHOLD
SUPI~RVISOR
SCO'rr L KARRIS
Town
$3095 Main Road
P.O. Box 1179
gout.hold, New Ycek 11971
COASTAL EROSION MANAGEMENT PERMIT APPLICATION
TOWN WETLANDS PERMIT APPLICATION
TRUSTEE LANDS PERMIT APPLICATION
Office Use Only:
~Coastal Eros%on Pe..r~t %pplication
~/Wetland Permit AppllcatlOn
~Trustee Lands Permit Application
~Grandfather
Completed Apps, Date:'9~Tt~
~AVariance Required,
~gdNeighbors notified Date:
__ coord, aeview-op=.,man=..
· ~
~Insp. comp./date. 7
--SEQ~A Determin./date:
public Hearing/date :~
-~ Findings:
Permit Vote: (Y/N):
Special Conditions:
(also see file)
TOWN OF $OUTHOLD
Application Fee:
Application Number; SCTM %1000-
Project Name (If any)
Date Prepared: 6/3n/q~
Applicant:..
AddreSs:
En-Con$~tants. Inn.
1329 North Sea Road
Southampton, New York
Interest: (owner,
Owner of Property:
Address .. ?5]5
Phone (516)
consultant,lessee,etc.)
Euqene Burqer
Cutchoguc. NY 11935
Subject Property Location:
283-6360
Phone (~16) 734-5217
2515 Pine Tree Road, Cutchogue
(Provide LILCO Pole 9, Distance to cross Streets if not on
location map)
~iS_.. IS NO~"~ ~ A PE?2,2!?
Manner in which material °will be r-~ove~ or deposltmd:
Trucked in~ dumped and qraded
~f canal, creek or bay £ront. ing property: 300±'
D~pth at low tide: 2.5' Aver. rise in tide: '" 2 5'
Dastance to nearest channel: Unknown Dist~n~ project
extends beyond similar projects in area: 0
Area zoning: R-40 ~d ar~.~in ~.res: .373
Is project fo~ private orbusiness ~se: Private
Intended use of prope-.~h~: No chanqe
Describe known prior operations conduct~i on pr~mises:
pone known.
Bas ~ny prior licens? or perm%, it besn. is~._~ to effect s~ructures,
dredge, or ~epesit fill on said Premises: None Known.
Has any license or permit: ever been revoke~ or suspen~_=d ~,y a
Governmental Agency: . No
Project D~Scri~tion
The project description must also include plans for reclamation
of Land disturbed during construction of ~heprinc£ple and
accessory structures and ~nderground structures.(i.e., pipeline
and septic s~stem; make additional attachments ifnecessary).
SEE ATTACHED
Authorization (Where the applicant is not the owner)
I Ann Burger residing at
(Prin~-owner of subject property) (Mailing address-phone)
2515 Pine Tree Road~ Cutchoquer NY 11935
do hereby g/r~horize p~v r.. w~4~ to apply ~or
Coastal D,)on pe~(s) ~rom-~e Sou~oid. Town ~tees
PROJECT DESCRIPTION
Re: EUGENE BURGER
Construct a timber dock consisting of a 4'x 40' fixed
elevated (minimum 4' above grade of marsh) pier (plus
steps); 3'x 16' hinged ramp; 6'x 16' float secured by (2)
pilings. Place approximately 10 cy of sand and grade
into a berm approximately 3' wide at the base and 1.5'
high to extend the width of the parcel (68~'), above AHW
and wetlands. Following grading berm will be planted
with Ammophilia breviligulata on 18" centers.
Purpose of berm is to prevent occasional flooding of
upland as secured during 12/92 & 3/93.
County of Suffolk )
State of New York )
~ BURG~. BEING DULY SWORN DEPOSES AND
AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED
PERMIT(S) AND TkUkT ALL STATM~EI~TS CONTAINED W~IN ARE TRUE TO
THE BEST OF HIS/~R K~OWLEDGE AND BELIEF, AND THAT WORK WILL BE
DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE
APPROVED BY T~rE~ SObTHOLD TOWN BOARD OF TRUST]~ES. THE APPLICANT
AGREES TO HOLD THE TOWN OF SODTaOLD AND THE TOWN T~USTEES
HARMLESS AND FI~ FROM ANY AND ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID PERMIT[S), IF GRANTED.
IN COMPLETING THIS APPLICATION, I HER~M¥ AUTHORIZE THE TRUSTEES~
~=~m..:~ oR ~RE~-VCn,~v~S;, TO ~T~ ONTO MY PROPERTY
TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS
APPLICATION.
Suggested space for location Map
THIS IS NOT'A PFiRMIT
·,. [~OJECT I.n. NUMEER
.Append x C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I--PROJECT INFORMATION (To be completed by Applica_nt or Proiect sponsor)
~. APPUCANT ~SPONSOR . FROJECT ~AME
___EuGene B~qe~ by En-Consul~ants, In
3- PROJECT LOCATION: Suffolk
Municipality 2515 Pine Tree Road, Cutchogue County
2515 ~1~e ~ee Aoa~ Cu~choq~e
sc~ ~o. 1000-104-3-4
[] Modification/alteration
~. IS PROPOSED AGTION:
6- DESCRIBE PROJECT BRIEFLY:
SEE ATTACHED
S:
~MOUNT OF LAND AFFECTEC: ..........
WILL FROFOSED ACTION COMPLY WITH ~ISTING ZONING OR OTHER ~ISTiNG ~NO USE RESTRICTIONS?
~ Yes ~ No If Ho. describe ~riefly
WHAT IS PREEE~'IT LAND USE tN VICINITY OF PROJECT?
[] AgricuIIure
ODES ACTIO.'I INVOLVE A PERMIT APPROVAl.-. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMEN~'AL AGENCY (FECER.
STATE OR LOCAL)?
[~Ye$ [] J'lo If ye~. Est agency(s) and ~e~miHal~provals
Southold Trustees, DOS, COE
11- ODES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
~--~ Yes [] ~1o If yes. Is! a,e~cy name and permitlaOproval
12- AS A REEULT OF PROPOSED ACTION W~LL EXISTING PERMITIAPPROVAL REQUIRE MODiFiCATiON~
r-] Yes [] No
L I CTHAT THE INFORMATION PROVIDED ABOVE IS T~UE TO THE EEST OF MY KNOWLEDGE
A~plicanUs~on~o, nam u~n~.urger by Eh-COnsultants, Inc. 0a,e: ~/30/93
If the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
1
2315 Pine Tree Road
Cutchogue, N.Y. 11935
Board of T~4stees
Southold Tovm Hall
Southold, N.Y. 11971
Attention:
Gentlemen:
July
Albert Krupski,
JLL 2 6 1998
Enclosed is copy of a certified Notice to Adjacent Property
Owner from the Board of Trustees to N~rs. Enid Rot~leder, Pine
Tree Road, Cutchogue, which has just come by chance to my atten-
tion, I believe that this letter may have been sent in error~
and was intended for me.
Please note:
Although no street number is given for N~rs. Rothleder, her
address is in fact 2110 Pine Tree Road, and her property is not
"located adjacent" to the Burger property at 2515 Pine Tree Road,
but across the street at a short distance.
No "sketch or plan" was enclosed with the letter.
Finally, although the notice itself is undated, the envelope
gives the certification date as April 5. Had I kno-~a of this
letter at the time, or better still, received one properly address-
ed to myself, I would have asked the Board and the Burgers to
locate the two large floats north in an L-shape from the end of
the dock, rather than in the present T-shape~ which places 20~
o~ the T close to my property llne (that is, to my vision and
hearing). The Burger property seems to be at least twice the
width of my 65~, and therefore the L portion would not intrude
upon the neighbor on the other (north) side of the Burgers.
I understand that it is still possible
(failure to notify) at least to that extent,
some:relief at this time.
to rectify this error
and shall appreciate
Thank you.
(Dr.) o hy S, Redden
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of
SCTM#1000- 098-1-14
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigne~ to request a
Permit from the Board of TruStees to: install (2) 6'x 20' flqa.~s
2. That the property which is the subject Environmental Review
is located adjacent to your property and is described as
follows: 2515 Pine Tree Road,' Cutcho~ue
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 at 765-1892 or in
writing.
The above referenced proposal is under review of the Board of
Trustees of the Town of Southold and dose not reference any
other adjacent that might have to review same proposal.
OWNERS NAME: Eugene & Ann Burger
MAILING ADDRESS: 2515 'Pin& Tree'Rd
Cutchogue, N.Y. 11935
PHONE ~: 734-5217
Enc.: Copy of sketch or plan showing proposal for your
convenience.
OF SOUTHOLD
ENVtRONMF:NTAL
SERVICES
FAX NO. '~'- "~~~
September 29, 1993
So~thol~ Trusteea
Town Mall
Main Road
$ot~thold, New ~ork
DEC - R.
EN-CONSULTANTS, INC.
ENVIRONMENTAL
SERVICES
TOWN OF
1329 NORTH SEA ROAD, SOUTHAMPTON, NEW YORK 11968
516-283-6360
FAX NO. 516-283-6136
January 25, 1994
Mr. Robert Thurber
New York State Department of
Environmental Conservation
SUNY, Building 40
Stony Brook, New York 11794
RE: EUGENE BURGER - ~1-4738-00828
Dear Mr. Thurber:
We wish to request a modification to the dock permit
issued December 3, 1993.
As now proposed, the dock will consist of a 4' x 35'
fixed pier; 3' x 1__{4' hinged ramp; and 6' x 20' float
secured by (2) pilings and oriented in line with the
fixed pier and ramp.
A revised plan is attached.
By copy of this letter and revised plan, I am requesting
the other involved regulatory agencies to take similar
action.
Very truly yours,
Roy L. Haje
President
RLH:KD
Enclosures
cc: CQ~ - #10GP-~993-07870
/outhold Board of Trustees
Eugene Burger
,rt J. Kmpski, President
Holzapfel, 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
January 6, 1994
Chairman
Southold Town Conservation Advisory Cottncil
Southold Town Hall
Main Road
Seuthold, NY 11971
Dear Chairman,
Transmitted herewith are the following applications for a
wetland permit:
EUGENE BURGER SCTM ~104-3-4
Please prepare a written report of findings and
recommendations with respect to these applications.
President, Board of Trustees
AJK/djh
Southold Town Trustees
Main Road
Southold, N.Y. 11971
Dear Trustees,
This letter is written in reference to a previous
approval for a dock construction for Eugene and Ann
Burger, 2515 Pine Tree Road, Cutchogue, Little Creek.
Enclosed please find a new drawing which shows the
float in a different direction. The proposed overall dock is
approximately the same distance into the water as the
approved one due to the decrease permanent pier length.
would like to amend the permit. Please contact me regarding
this matter.
Sincerely,
Eugene Burger
734-5217
EB/enc.
(little Pecontc B~y,:~ .~m~e Buv~v - Pier
L
I1
! lilt ~N i 4 1994
'?'"".','".' $OUT~OL~
LI'I'FLE
IIOG
NECK
TRUSTEES
John M. Bredemeyer, III. President
Albert J. Krupski. Jr.. Vice President
Henry. P. Smith
John B. Tmhill
William G. Albenson
Telephone (516) 765-1892
Fax [516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SUPERVISOR
SCOTT L. HARRIS
Town Hall
53095 Main Road
?.O. Box 1179
Southold. New York 11971
S.E.Q.R.A.
NEGATIVE DECLARATION
NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRON3IENT
APPLICATION NO. 1000-104-3-4
NAME: Eugene Burger
DATE: July 29, 1993
Chapt. 97 - Wetlands
Chapt. 37 - Coastal Erosion
RESOLVED that pursuant to Article 8 of the Environmental Conservation
Law, State Environmental Quality Review and 6NYCP~R Part 617,
Section 617.10 and Chapter 44 of the Code of the Town of Southold,
notice is hereby given that the Southold Town Trustees, as Lead
Agency for the action described below, has determined that the
project will not have a significant effect on the environment.
Please take further notice that this declaration should not be
considered a determination made for any other department or agency
which may also have an application pending for the same or similar
project.
TYPE OF ACTION: Type
DESCRIPTION OF ACTION: Applicant proposes to construct a timber dock
consisting of a 4' X 40' fixed elevated (min. 4' above grade of
marsh) pier (plus steps), a 3' X 16, hinged ramp, a 6' X 16' float
secured by (2) pilings. Place approx. 10 c.y. of sand and grade
into a berm approx. 3' wide at the base and 1.5' high to extend the
width of the parcel (68 +/-), above AHW a/id wetlands. Following
grading berm will be planted with Ammophilia Brevilig/llata on 18"
centers. Purpose of berm is to prevent occasional flooding of upland
as secured during 12/92 & 3/93 storms. Located 2515 Pine Tree Road,
Cutchogue.
LOCATION: SCTM 91000-104-3-4
REASONS SUPPORTING THIS DE--NATION:
1. An on site inspection has been conducted by the Board of
Trustees.
2. An environmental assessment, sttbmitted by the applicant and
reviewed and completed by the Board of Trustees, has indicated that
no significant adverse effects to the environment are likely to occur
should the following mitigation measures be implemented.
cc: CAC
structure. The Council suggests replacement be in kind/in place or
within 18".
235 Huckleberry Hill Road. East Marion
Vote of Council: Ayes: All
Motion carried.
Moved by Robert Keith. seconded by Stephen Angell, it was~
RESOLVED to recommend to the Southold Town Trustees APPROVAL
WITH STIPULATIONS the Wetland Application of PAUL J. CARE¥
123-8-27 to rebuild existing dock.
The Council recommends approval provided the structure is raised 4'
above the marsh,
270 Park Avenue Ext.. Mattituck
Vote of Council: Ayes: All
Motion carried.
Moved by John Holzapfel. seconded by Stephen Angell. it was
RESOLVED to TABLE the Wetland Application of ROBERT JOHNSEN
68-~.-3.3 ~; 3.~ to build a house.
The Council has tabled the application until an inspection can be
made with the house and building envelope staked.
4300 Soundview Avenue. Southold
Vote of Council: Ayes: All
Motion carried.
Moved by Stephen Angell, seconded by Robert Keith. it was
RESOLVED to recommend to the Southold Town Trustees
DISAPPROVAL of the Wetland Application of EUGENE BURGER
104-3-~. to construct a timber dock consisting of a 4' x 40' fixed
elevated (minimum 4' above grade of marsh) pier (plus steps); 3' x
16{ hinged ramp; 6' x 16' float secured by two pilings. Place
approximately 10 c.y. of sand and grade into a berm approximately 3'
wide at the base and 1.5' high to extend the width of the parcel (68
+/- '). above AHW and wetlands. Follow(n9 grading, berm will be
plante.d with Ammorphilia brevillgulata on 18" centers. Purpose of
berm ~s to prevent occasional flooding of upland as occurred during
12/92 and 3/93.
The Council recommends disapproval of the berm because it could
destroy the existing marsh. The Council recommends approval of
the dock.
2515 Pine Tree Road, Cutchogue
Vote of Council: Ayes: All
Motion carried,
Moved by John Holzapfel. s~-conded by John Hagerty. it was
RESOLVED to recommend to the Southold Town Trustees APPROVAL
WITH STIPULATIONS of the Wetland Application of DONALD AND
LORNA TUTHILL 53-3-28 to seek approval of a building envelope for
a single family dwellin9.
Telephone
(~16) 765-1~01
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
Town Hall, 53095 Main Eoad
P.O. Box 1179
$outhold, New York 11971
JUL 2 9 I993
'OWN OF SOUTHOLD
TO:
Southold Town Board of Trustees
FROM:
Southold Town Conservation Advisory Council
DATED: July 26, 1993
RE:
Recommendation of Applications
At the July 22 meeting of the Southold Town Conservation Advisory
Council. the following recommendations were adopted:
Moved by John Holzapfel. seconded by Robert Keith. it was
RESOLVED to recommend to the Southold Town Trustees APPROVAL
WITH STIPULATIONS of Wetland Application of MATTHEW
MCKIERNAN 86-5-11.5 to construct a I 1/2 .story residence. All
material is to be redistributed on property to establish proper
grade. Construct a 4' x 50' catwalk over marshland (to be minimum
3' over reeds in meadow) and install post to secure small boat,
The Council recommends approval provided the house is located at
least 75' from the wetlands. The Council recommends approval of the
dock. provided it does not hinder navigation.
Private Road (Kielbasa Alley) off Indian Neck Lane,' Peconic.
Vote of Council: Ayes: All
Motion carried.
'Moved by John Holzapfel, seconded by John Hagerty, it was
RESOLVED to recommend to the Southold Town Trustees APPROVAL
of the Wetland Application of PAUL RACANO 63-7-35 to construct a
timber dock consisting of a u2 x 72' fixed, elevated [4' over grade
of marsh) walk; 3' x 16~ hinged ramp; 6' x 10' float with 6' x 30'
outer float arranged in "T" configuration. ALp wide x 60' +/- path
to be cut through brush on slope leading to dock and surfaced with
wood chips.
1265 Calv~es Neck Road, Southold.
Vote of Council: Ayes: All
Motion carried.
Moved by Stephen Angell. seconded by Robert Keith, it was
STATE OF NEW YORK
DEPARTMENT OF STATE
ALbANY. N.Y.
GAILS. SHAFFER
SECRETARYOFSTATE
Mr. Roy L. Haje
President
Eh-Consultants, Inc.
1329 North Sea Road
Southampton, NY 11968
Re:
F-93-441
U.S. Army Corps of Engineers/New York District
Permit Application -
Burger Project
Little Creek, Town of Southold
Acknowledgement of Federal Consistency
Assessment Form and Request for
Additiohal Information
Dear Mr. Haje:
The Department of State received your Federal Consistency Assessment
supporting information on June 21, 1993 and has determined that the
documentation is adequate to commence our review of your pro.posed project.
Form and
submitted
However, pursuant to 15 CFR 930.58, the following data and information is necessaW to
enable the Department of State to adequately assess the coastal zone effects of this
proposed project.
The site is located within the Little Creek and Beach Significant Habitat (copy
enclosed). The narrative states that the tidal creek and salt marsh provide feeding
area cover for the diamond back terrapin during its nesting period from April
through July. Please discuss how the project can avoid disturbing terrapin nesting
(e.g. avoiding the placing and shaping of the 10 cubic yards of sand from mid-April
through July 31).
Please provide the informafion requested above to the Department of State within thirty
days from the date of this letter. Pursuant to 15 CFR 930.64{d), if this necessary data and
information is not provided, the Department of State may object to your consistency
certification on the grounds of insufficient information.
Mr. Roy L. Haje
Page 2
Any additional information which you believe will facilitate our consistency review of this
project would be appreciated.
You and the Corps of Engineers will be notified of our decision when we have completed
our review of this project for:its co ,nsi~[~ncy: with the New York State Coastal Management
Program. The Corps of Engine&rg'~nnbt issue a permit for this project unless the
Department of State concurs with y~)ur consistency certification.
A copy of this letter has been sent to th~ UiS: Army Corps of Engineers.
Please call me at (518) 474-6000 if you have any questions.
William Feldhusen
Environmental Analyst
Enclosure
WF/jtb
cc: COE/NY District - Sophie Ettinger
NYS DEC/Region 1 - Robert Greene
Town of Southold - Valerie Scopaz
TRUSTEES
John M. Bredemeyer, Iti, President
Albert J. Krupski, Jr., Vice President
Henry P. Smith
John B. Tuthill
William G: Albenson
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SUPERVISOR
SCOTT L. HARRIS
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
July 7, 1993
Mr. John HolzaPhel, Chairm~n
Southold Town Conservation Advisory Council
Southold Town Hall
Main Road
Southold, NY 11971
Dear Mr. Holzaphel:
Transmitted herewith are the followingapplications for a wetland
permits:
Eugene Burger
104-3-4
Please prepare a written report of findings and
recommendations with respect to this application.
truly yours,
John M. Bredemeyer, III
President, Board of Trustees
JMB:jmd
PART 1--PROJECT iNFORMATiON
Prepared by Project Sponsor
NOT[CE This document is designed to assist in determining whether the action proposed may have a significant effect
on the environment. Please complete the entire form. Parts A through E. Answers to these questions wi[[ be considered
as part of the application for approval and may be subject to further verification and public review. Provide an,. additional
information you believe will oe needed to complete Parts 2 and 3.
It is expected that con-pier/on of the full EAF will be dependent on information currently available and will not involve
new studies, research or investigation. If information requiring such additional work is unavailable so indicate and specify
each instance.
NAME OF ACTION
LOCATION OF ACTION Include Street Address, Municipality and County)
NAME OF APPLICANT/SPONSOR
ADDRESS
1329 NORTH SEA RD,
sOUTHAWIF[OI~I l~, ~.
CiTY/PO
NAME OF OWNER.
BUSINESS TELEPHONE
STATE ZIP CODE
BUSINESS TELEPHONE
STATE ZIP CODE
DESCRIPTION OF ACTION
a timber dock consisting of a 4'x 40' fixed
elevated (minimum 4~ above grade of marsh) pier (plu~
steps); 3'x 16' hinged ramp; 6'x 16' float secured by (2)
pilings. Place approximately 10 cy of sand and grade
into a ber~ approximately 3' wide at the base and 1.5'
with Ammophilia brevili~Ulata on 18" centers.
~ease Co~9~e~e Each Quest}ct upland as secured during 12/9~ & 3/93.
A. Site Description
Physical setting of overall project, both developed and undeveloped areas.
1. Present land use: [~Urban E31ndustria]
E~ Forest E}Agriculture
2. Total acreage of project area: ~ ~'~" ~ acres.
APPROXIMATE ACREAGE
Meadow or Brushland (Non-agricultural)
Forested
Agricultural (includes orchards, cropland, pasture, etc.)
Wetland (Freshwater or tidal as per Articles 24, 25 of ECL)
Water Surface Area
Unvegetated (Rock, earth or fill)
[3Commercial [2~Residential (suburban)
[~Other
E~Rural (non-farm)
PRESENTLY AFTER COMPLETION
acres acres
Roads, buildings and other payed sur~'aces ~ , O~ acres ~'~ acres
Other (Indicate type) Z~-~A~'~¢~ ,~' - , ' / ~'~ acres ~/'~'~ acres
3. What is predominant soil type(s)on pr0jec~~site? ~"A~_~ /~
a. soil drainage: ~Well drained ~) % of site [~M0derate[y Well drained /'~ % of site
~]Poorly drained % of site
b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS
Land Classification System? acres. (See 1 NYCRR 370).
4. Are there bedrock outcroppings on projezc,~ite~¢ ~Yes E~No
a. What is depth to bedrock? ~' ~'~ ~",. (in feet)
2
14-15-2 (2/91)--7c
617.21
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FORM
SEQR
Purpose: The fuji EAF is designed to he]p applicants and agencies determine, in an orderJy manner, whether a project
or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent-
Iy, there are aspects of a project that are subjective or unmeasureab[e, it is also understood that those who determine
significance may have little or no formal know[edge of the environment or may not be technically expert in environmental
analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting
the question of significance.
The fuji EAF is intended to provide a method whereby applicants and agencies can be assured that the determination
process has been order!y, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project
or action.
EAF Components: The' full EAF is comprised of three parts:
Pall 1: Provides objective data and information about a given project and its site. By identifying basic project
data, it assists a reviewer in the analysis that takes place in Parts 2 and 3.
Part 2: Focuses on identifying the range of possible impacts that may occur from a project or act[on, it provides
guidance as to whether an impact is likely to be considered small to moderate or whether it is a potential]y-
large impact. The form also identifies whether an impact can be mitigated or reduced.
Part 3: If any impact in Part 2 is identified as potentially-]arge, then Part 3 ]s used to evaluate whether or not the
impact is actually important.
DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions
Identify the Portions of EAF completed for th~s project: [] Part 1 [] Part 2 []Part 3
Upon review of the information recorded on this EAF (Parts I and 2 and 3 if appropriate), and any other supporting
information, and considering both the magnitude and importance of each impact, it is reasonably determined by the
lead agency that:
[] A. The project will not result in any large and important impact(s) and. therefore is one which wil~ not
have a significan't impact on the environment therefore a negative dec[ara/ion will be prepared.
[] B. Although the project could have a significant effect on the enwronmenL there will not be a significant
effect for this Unlisted Action because the mitigation measures described in PART 3 have been required,
therefore a CONDITIONED negative declaration will be prepared,*
C. The project may result in one or more large and important impacts that may have a significant impact
on the environment, therefore a positive declaration will be prepared.
~ A Conditioned Negative Declaration is only valid for Unlisted Actions
Name of Action
Name of Lead Agency
Print or Type Name of Responsible Officer in Lead Agencv
Tide of Responsible Officer
Signature of Responsible Officer in Lead Agenc~ Signature of Preparer (if different from responsible officer
Date
5. Approximate percentage of proposed project site with slopes: .~0-10% zuu % E~10-15% %
E~15% or greater %
6. is project substantia]k contiguous to. or contain a bui[ding, site. or district, listed on the State or the National
Registers of Historic Places? I~Yes [~o
7. is project substantially contiguous to a site listed on the Register of National Natura[ Landmarks? ~Yes ~]No
8. What is the depth of the water table? _ _ {in feet) ,
9. Is site located over a primary, principal, or sole source aouifer? ~es ~No
10 Do hunting, fishing or shell fish[nh opportunities presently exist in the project ama? ~es ~No
11 Does project site contain any species of plant ~amma) lif~that rs identified as threatened or endangered?
~Yes ~No According to _ ~ ~- ~ q/'~
Identify each species
12. Are there any unique or unusual land forms on the project site? (i.e. cliffs, dunes, other geo]ogical formations)
~Yes ~o Describe
13 Is the project site presently used by the communitv or neighborhood as an open space or recreation area?
]Yes ~o If yes. explain
14 Does the present site include scenic views known to be important to the community?
E3Yes I~o
15 Streams within or contiguous to project area:
a. Name of Stream and name of River to which it is tributar~
are wi 'n r con~i~uous~project area:
16 Lakes, ponds, wetland ~]d~n~o4
a. Name ~/~ b. Size (In acres) /'~"~ *¢~
17 Is the site served by existing public utilities? [~Yes t~'No
a) If Yes does sufficient capacity exist to allow connection? E~Yes I~No
b) If Yes, will imorovements be necessar', to allow connection? ~Yes [~No
18. ]s the site ]0cated m an agricultural district certified pursuant to Agriculture and Markets Law Article 25-AA,
Section 303 and 304? ~Yes Mo
19 Is the site located in or substantially contiguous to a Cdtica] Environmental Area designated pursuant to Article 8
of the ECL. and 6 NYCRR 6177 [~es E~No
20. Has the site ever been used for the disposal of solid or hazardous wastes? [~Yes ~NO
B. Project Description
1 Physical dimensions and scale of oroject (fill in dimensions as appropriate)~ ~ ~"~.-~ acres a. Total contiguous acreage owned or controlled by project sponsor
b Project acreage to be developed: ~ ¢-~k~ ~c,~es initially: acres ultimately.
c. Project acreage to remain undeveloped ~ ~.~'cres.
d. Length of project, in miles: -%('~ (If appropr~ate)~'
e. If the oro;ect ~s an expansio~ indicate oercent of expansion proposed ~ ~, %
f Number of off-stree~ ~arking spaces existing ~ ~ : proposed
g Maximum vehicular trips generated per hour t~'t ~-- {upon completion of project)?
h. If residential: Number and type of housing units:
One Familv Two Famil~ Mu[tiole Fami['. Condominium
Initially /~, ~
UltimateK ~ / .
i. Dimensions (in feet of largest proposed structure __ h~igh~ __._ width;
]. L near feet of frontage a ong a public thoroughfare project wi]]t occupy is? ~-~ ft.
3
2
3. Will disturbed areas be reclaimed? [Yes ~No ~_~N/A
a. if yes for what intended purpose is the site being reclaimed?
o. Will toosoi be stockpiled for reclamation? I~Yes
c. Wit[ upper subsoil be stockoiled tor reclamation? []Yes
How much natural material(i.e., rock earth, etc Mil oe removed from the site?
~No
tons/cubic vards
4. How many acres of vegetation [trees shrubs, ground covers will be removea from s~te? ~ acres.
5 Will any mature forest rover 100 years old/ or other Iocallvqmoortant vegetation be removed by this project?
months, (including demoiitionl
year. (including demolition,.
ear
[No
after project is corr plete ~
EEYes i2~No If yes. explain
DYes ~PNo
6. If single phase oroject: Anticipated period of construction _
7. If mufti-phased: ,~ f~
a Total number of onases anticipated :number]
b. Antic pared date of commencement phase 1 month
c. Approximate completion date of final phase month.
o. Is phase 1 functionalb denendent on subsequent ohases? ~Yes
8. Will blasting occur during construction? ~Yes
9. Number of jobs generated: during construction
10. Number of jobs eliminated bv this prolect
11 Will prolect require relocation of anv prolects or tacilities?
12 ]s surface liquid,waste disposal involved? ~Yes
a. It yes. indicate type of waste (sewage, industrial etc.) aha amount
o. Name of water bodv into which effluent will be discharged
13 Is subsurface liquid waste disposal involved? E~Yes ~No Type
14. Will surface areaof an existing water hod,. increase or decrease bv Drooosal?
Explain
[~Yes 7~No
15. Is oroject or any portion of project located n a 100 year flood ~lain?
16. Will the project generate solid waste? [Yes '11g%1o
a. If ves what is the amount per month tons
b.
d.
if ves will an existing solid waste facilitv be used? EJYes EENo
Ii yes. give name : location
Will an~ wastes not go into a sewage disposal s~stem or nto a sanitar,, landfill?
It Yes. explain
[~No
[Yes ~No
17. Will the project involve the disposal of solid waste? Z]Yes
a. Ii yes what is the anticipated rate of disposal? tons month
b. If yes. what is the anticipated site life? years
18. Will project use herbicides or pesticides? ~Yes
19. Wi[[ project routinely produce odors :more than one hour per day)? [~Yes
20 Will project produce operating no~se exceeding the local ambient noise levels?
21. Will project result ~n an increase in energy use? ~Yes [~klo
If ves indicate woe(s)
[Z]Yes
22 f water supply is from wells, indicate pumping__~lcapacity ~"~ ~,
23 Total anticipated water usage per day ~'~/ ~, gallons/day
24. Does project nvoIve Local State or Federal funding? E3Yes
If Yes. explain
gallons/minute.
4
2S. Approvals Required:
Submittal
Type Date
City, Town. Village Board []Yes F3No
Citv. Town. Village Planning Board F~Yes E]No
City, Town Zoning Board [~Yes [~No
City. County -lealth Department []Yes (No
Other Local Agencies [~Yes E~No
Other Regional Agencies [Yes []No
State Agencies RYes [~No
Federal Agencies '~]Yes (No
C. Zoning and Planning Information
1. Does proposed action involve a planning or zomng decision? [~Yes ~No
if Yes indicate decision required:
[~zomng amendment [~zoning variance [~specia[ use permit [subdivision []site I~I&n
r~new revision of master plan [~resource management plan E~other ~'~
2. What is the zoning classification(s)of the site?
3 What is the maximum potential dev~..nt of the s.~ ~developed as permitted by the present zonin8?
4. What is the proposed zoning of the site? . /~J
5 What is the maximum potential development of the site if developed as permitted bv the proposed zoning?
6 Is the proposed action consistent with the recommended uses in adopted local [and use plans? "~}Yes E]No
7. What are the predominant land use(s) anti.zoning classifications within a v, mile radius of oroposed action?
8 Is the proposed action compatible with adjoining)surrounding land uses within a lA mile? ~?Yes [~No
9. I( the proposed action is the subdivision of [and how many lots are proposed? t'~
a. What is the minimum lot size proposed?
10 Wi[[ proposed action require any authorization(s) for the formation of sewer or water districts? [~Yes ~l:No
11 Will the proposed action create a demand for any community provided services (recreation. educatio~ police.
fire protection)? ~Yes
a. if ves. is existing capacity sufficient to hah'die projected demand? (2lYes ~No
12 Will the proposed action result in the generation of traffic significantly above present levels? [~Yes
a. If yes, is the existing road networ~ adequate to handle the additional traffic? [~Yes ~No
D. Informational DetaiNs
Attach anv additional information as may be needed to clarif,~ 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 mit]gate or
avoid them.
E. Verification
I certify that .fl~ information provided above~i~true to the best Of my knowledge.
Signatur~ ~ ~ ~ / Title [/~ ~ ~ ~ ~
I~ t~e act'on is in the Coastal Area, a~d you are a state agency, complete the Coastal Assessment Form before proceedi=~
with th]s assessment.
5
Part 2--PROJECT IMPACTS AND THEIR MAGNITUDE
Responsibility of Lead Agency
Genera~ laforraafion (Read Carefully)
· In completing the form the reviewer should be guided by the question: Have my responses and determinations been
~easonabie.~ The reviewer is not expected to be an expert environmental analyst.
~ Identifying that an impact wi][ be potentially large (column 2) does not mean that it is
Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simp]y
asks that it be looked at further.
· The Examples provMed are to assist the reviewer by showing types of impacts and wherever possible the threshold of
magnitude that would trigger a response [n co]um~ 2. The examples are generally applicable throughout the State and
for most situations. But, for any spec[ftc project or site other exampges and/or lower thresho[ds may be appropriate
for a Potential Large [mpact response, thus requiring evaluation in Part 3.
· The impacts of each project, on each site, in eacb ]oca]ity, wiI[ var,/. Therefore, the exan4ptes are illustrative and
have been offered as guidance. They do not constitute a,~ exhaustive iisi of impacts and thresholds to answer each question.
· The number of examples per question does not indicate the importance of each question.
· !n identifying impacts, consider long term, short term and cum]at]ve effects.
Instrt~ctio~s (Read carefully)
a. Answer each of the 19 questions in PART 2~ Answer Yes if there w[]] 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 1 or 2) to indicate the potential size of the
impact. If impact threshold equals or exceeds any example provided, check colungn 2. if impact will occur but threshold
is bwer than example, check column 1.
d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART
e. If a potentially I~rge impact 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 r~ot possible. This
must be explained in Part 3.
IMPACT ON LAND
Will the proposed action result in a physical ct~ange to the project site?
EZ]NO F~YES
Examples that would apply to column 2
Any construction on slopes of 15% or greater, (15 foot rise per 100
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.
Construction of paved parking 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 wii] continue for more than I year or involve more
than one phase or stage.
Excavation for mining purposes that would remove more than 1,000
tons of natural material (i.e., rock or soil) per year.
Construction or expansion of a sanitary landfill.
Construction in a designated floodway.
Other impacts
2. Will there be an effect to any unique or unusual land forms found on
the site? (i.e., cliffs, dunes, geologica] formations, etc.)E]NO Z]YES
· Specific land forms:
1
Small to
Moderate
impact
Potential Can impact Be
Large Mitigated By
Impact Project Change
[] []Yes []No
[] [~Yes [~]No
[] []Yes []No
[] []Yes [~No
[] ~Yes ~No
~ ~Yes ~No
~ ~Yes ~No
~ ~Yes ~No
~ ~Yes ~No
~ ~Yes ~No
Authorization (Where the applicant i~ not the owner)
I ~AJ~ ~l~ W~residing at ~l~ ~fA~.~ ~ ~
(Print-owner or'Subject property) (Mailing address-phone)
do hereby authorize ~ ~~/-~ to apply for
CoaStal Erosion permit(s)
Signat.~r~ /~
from the Southold Town Trustees
THIS IS NOT A PEP~IT Pa~e~3
IIFOWN OF $OUTHO[Q
I
I
I
I
·
I