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HomeMy WebLinkAboutBURNHAM, DAVIDConsultant DAVID BURNHAM Project N~me DAVID BURArHAM SCTM ~1000- 10-3-4,1 Date 2/15/93 The Southold Town Trustee office has determined that your application for a coastal erosion/wetland permit is non-jurisdictional/incomplete~ please consider the following information in this regard for any required return sttbmission: Unfortunately this office has not had a chance to.follow up in to you on your permit requests for 1992. is incomplete in that it does no~ show the dimension of'~width on the drawing you submitted. Once you submit us a more detailed drawin~ wkich may a~tornatic~¥ 'be included in your Goast~l Erosion appli- cation packet as a survey, we will be ~n a position to consider your 2) Tb-e~repairs & construction of a revetment require an applicatio~r~for Coastal Erosion Permit (Chapter 37). You should submit same~shortly we are currently wa~vin~ fees for storm dam~o~ under ±his program. F~c]osed please_find an application form for use in~ this Town Code Ch~.pter 37 Permit. Your application must include a licensed gurve~ the structure(s~ and an executed 30 year~maintenance a~reemen~ which shah serve to reduce such paper work in the future. 3) F~ilnre to actively seek these permits in 1993 'gould result in' an in~ v~z~ation as to whether violations of either Chapter 97 (Wetlands) or 37 (coastal erosion) of the Town code exist on your property work done without~permit. cc: S~x~ {= 4~a~= ~f = ~UUe a{~ = _ This notice makes no claim with respect to other jurisdictions within or o~ltside the Town of Southold with respect to permits, permission required. 4/92 Project Applicant/Number Southold Town Trustees Field Inspection Report Site contains the following mmportant natural features (Beach, Bluff, Du~e, Secondary Dune, Escarpment, Kettle holes, Erratics or Significant Habitats, Rare, Threatened, Endangered or species of special concern. Extent proposed activities are a~ variance from established standards of Coastal Erosion Projection; is supplemental engineering or adviso~y~o~znion indicated? Refer to CAC? Can impacts be moderated by simple project change? /b~ Should FEFLA Regs. be checked Prior to'Permitting?_ ~ pplication complete~ assemen~ form provided/complete.~~~ ublic services landward of Structure. ~ Non-movable structures/add_tzons prohibited. /~. Permanent foundations not attached to movable structures _~_ No movable structure within 25~ of landward limit of Bluff~ /%-9 No movable structure placed so excessive ground loading /~ placed within 50' of point of inflection. · ~locatlon agreement ~equ~red/acceptable. ~ Surface water not directed to/over bluff face~ The Activity is: /Reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location. ~"' Not likely to cause a measurable increase in erosion at ~phe proposed site and at other locations. revent~ or minimizes effects on natural protective features and their funCtions and protective values existing erosion protectien structures and natural resources. Trustee signature Date inspected: TRUSTEES John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski, Jn John B. Tuthill Telephone (516) 765-1892 Name of Applicant: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD GRANDFATHER APPLICATION SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 ., Mailing address: ~C>~ ~ ~l~--~ ~fd_~cbJ~ Address of Property: ~[~d~ ~ ~t$~ ~~ Tax Map N~ber: 1000- %0 ~ ~- ~.{ Approx.yr.of construct: ~ Prior owner if know~: ~/~ Diagr~ of existing structures, including all dimensions, must included with this application: Indicate on attached map: Location, ie; reference point, telephone pole number, adjacent property owners, etc. Signature of applicant: ~~~44_~ ~Qate: ~/~ ~/~ Please note, there is a one time fee of $50.00 for filing this application. ~,Poert J. Kmpski, President J~hn Hotzapfel, Vice President William G. Albertson Martin H. Gm'rell Peter Wenczet BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southotd, New York 11971 Telephone (516) 765q892 Fax (516) 765-1823 Office Use Only Coastal Erosion Permit Application Wetland Permit Application Grandfather Permit Application Trustee Lands Permit Application Waiver Received Application: Clerical Review: Completed Application Incomplete SEQRA Classification: Type I__.Type II__Unlisted Coordination:(date sent) CAC Referral Sent: Date of Inspection: Receipt of CAC Report:(date) Lead Agency Determination: Technical Review:(date) Public Hearing:(date) Decision: Approved (Y/N) (date) Application Fee:$ ~Z~ Phone Number: Suffolk County Tax Map Number: 1000 - (provide LILCO Pole ~, distanqe to cross streets, and location) (If applicable) Board of Trustees Application GENERAL DATA Land Area (in square feet): ~ Area Zoning:_..~o~o-~ Previous use of property: (3~O~1/~-~) Intended use of property: ~~~ Prior permits/approvals for site improvements: Agency Date No prier permits/approvals for site improvements. Has any permit/approval governmental agency? ever been revoked or suspended by a V/ No Yes If yes, provide explanation: Projec~ Description (use attachments if ~"~r- ~.%~7~-C l ~oL~.,u~pe-~, '-n4~ necessary) Board of Trustees Application County of Suffolk State of New York A%~-~ O~ I~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PER~!T(S) AND THAT ALL STA~EhF~NTS 'CONTAINED R~i~EiN ARE TRUE TO '£hl~ BEST OF H!S/.qER KNOW-LEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MAN~ SET FORTH 'iN THIS APPLICATION AND AS MAY BE APPROVED BY ~ SODa, HOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD T~E TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HAPJ~LESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMiT(S), IF G_R~/~TED. IN COMPLETING THIS APPLICATION, I ~_Lww~y AUTHORIZE THE TRUSTEES, THEIR AGENT( S ) OR REPRESENTATIVES ( S), TO E~'i'~ ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJ~3NCTION WiTH REVIEW OF THIS APPLICATION. Signature Board of Trustees Application AbT~OR!ZATION (where the applicant is not the owner) (print owner 6f prdperty) (mailing address) do hereby authorize~_~ (Agent) to apply for permit(s) from the Southold Board of Town Trusuees on my behalf. (0Qner' s signature) Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: ~ f~/~O~- ~UF-rA~-~ ~Z~,gm~ ~ Are wetlands present within 75 feet of the proposed activity? V/ No Yes Does the project involve excavation or filling? No W'~ Yes If Yes, how much material will be excavated? ~/~ (cubic yards) How much material will be filled? ~ - ~ v~- (cubic yards) Manner in which material will be removed or deposited: ~/ 7"~6~ ! Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) ,f tS IPRbJECT t.D, NUMt~BR [ 817.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACT1QNS Only PART i--PROJECT INFORMATION (To be completed by Applicant or Project spbnsor) SEQ 3. PROJECT LOCATION: 5. [$ PROPOSED ACTION: ~New [] Expansion [] Modification/alteration ' ' 6. DESCRibE PROJECT BRIEFLY: : ~ · . . 7. AMOUNT OF ~ND AFFECTED; W~OPOSED ACTION COMPLY WITH ~ISTING ZON1NG OR OTHER S~ISTING LAND USE RESTRICTIONS? Yes [] No If NO, describe briefly ' 9. WHAT I ESENT LAND USE iN VICINITY OF PROJECT? DOES ACTION INVOLVE A PER~'41T APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTNE~ GOVERNMENTAL AGENCY (FEDERAL, STATr~,~A L)? · ~.J Yes [] No if yes, Iist agency(s) and permittappfrovsls '- 11, COBS ANY ASFBC~SFBC_.T.-~F THE ACTION HAVE A CURRENTLY VALLE} PERMIT OR AFPROVAL? [] Yes [~o if yes. list ~genc¥ name and permitt~p~rovai AS A RESULT OF P POSED ACTION WILL EXISTING pERMIT/APPROVAL REQUIRE MODIFICATION? 1~. ~]Yes ICERTiFYT;A,~NFO~TiCNPROV[DEDABF.jEISTRUETOTHESESTOFMY~NOWLBBGE '- 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 Appendix A · 'State Envir0nCnental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM " Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a projec · or iction may be significant. The question of whether an action may be sigpificant is not always easy to answer. Frequen: · [y, there are aspects of a project that are subjective or unmeasureabJe, it is also' understood that those who determin( ~ignific~nce may have little or no formal knowledge of the environment or may b9 technically expert in environmenta. analysis, in addition, many who have knowJedgelin bna pa?t!cui&r area may not be aware of the broader concerns affectin~ the quesdon of significance. . ' ' ' ' The full E,&F is intended to orovide a method whereby applicants and agencies can be assured that the determina~ior process has been orderiy comprehensive in nature, yet.fie¢ible to allow introduction of infdrmadon to fit a project or action l~ull EAF Components: The full EAF is comprised of three parts: · Part 1: Provides'~bjective data and.infbrmation about'a given pro}ec~ and its site. 8y ident fy ng basic project dat~, it assists a revie~eE in the analysis that takes place in Parts 2 and 3. [[o~oance as to wne[ner an imoac~ is like v to be considered small to moderate or whether ~t is a ootentiailv- large ~moact; The for.m also identifies whether an imoact can ~e mitigate~ or reduce, d. Part 3: if any ~mpact in Part 2 is identified as ~otentiaiiy-large, [nen Part 3' is used ~o evaluate whethe~ or not ~he DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Idendf¥ the Portions of. EA,c completed ~or this prolect: [] Part 1 [] Part 2 ~Part 3 Upqn review of the information recorded on this EAF'[Parts I ano 2 and 3 if appropriate), and any o~ner su~oordn8 infCrma[~on, and conside~m8 bo~h the manitoba.and import=hCa of e~ch ~mo~ct. ~c ~s reasonably de[ermined by the lead agency A. The project will nog result in any large and [mportanc impact(s} ano. therefore, ~s one which wli] have a si~nifican~ impact on cna environment, therefore a negative declaration wl[] be prepared. B. A[thoug~ the proiect could have a s~gnificant effect on the enwronmenc, there wii[ not be a significant effect for this Unlisted Action because ~ne mitigation measures described in PART 3 have been reouired. therefore a COND'ITIONED negative declaration ~iil be prepared.' C. The project may resuit in one or more large and imuortant impac[s that may have a significant on the eflwronmen[, therefore ~ positive declaration wl]] be prepared. ' A Conditioned Negative ~edaratio~ is only valid for Uniis[ed Acz~ons Name o~ Action Name ot Lead Agency Print or Type Name oi Responsible Officer in Lead Agency Title or Rest}ons;o*e Officer ,C Signature of Resoons~bie Officer in Lead /\~¢encv Signature of Preoarer(rf different from resoons~bte officer] Date PART 1--PROJECT INFORMATION ~ P~epared by Project Sponsor '" NOTICE: This doc~men't is designed to assist in determining whether the action proposed may have a signi?ican~ er on the environment. Please complete the entire form; Parts A through E. Answers to these questions will be'c;~nsid as part of' the application for approval and may be subiect to further verification and pubiic review. Provide any ad~ti information.you believe ,will be needed to complete Parts 2 and 3. It is expected that completion of the full EAr will be dependent on information currendv available and will not new studies, research or investigation. If information requiring such additional work is una~,ai!;ble, so indicate and spe each- instance. tSUSINES~ TEL~HONE Please Complete Each Question-Indicate N.A. if not applicable A. Site Description Physical setting of overall project, bot,5 developed and undeveloped areas. 1. Present land use: ~Urban ~Industrial [3Commercial [~esidentlal (suburban) ~Rural (non-fa FtForest [~AgricuJture ~Other 2. Total acreage of project area: ' ' .1" ] , O acres. APPROXIMATE ACREAGE PRESENTLY AFTER CO;vtPLETIOh Meadow or 8rushlan8 (Non-agric,qltural) ~,O~ acres ac?es Forested acres acre_~ · Agricultural [Includes orchards, cropland, pasture, etc.) acres acres Wetland (Fresh~,ater or tidal as per Articles 24. 25 of ECL] ' acres acres Water Surf-ace Area &ties acres Unvegetated (Rock, earth or fill) acres . acres Roads, buildings and other paved surfaces acres acres Other (Indicate type), acres acres 3. What is predominant soil Wpe(s) dn project site? a. Soli drain~,ge: 'l~C~/ell drained foe % of site [~Moderateiy well drained % of site I~Poorly drained % of site b. [f any agricultural Iand is involved, how many acres of soil are classified wid~in soil group I d~rough 4 of the N' Land CJassificadon System? __ acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ~Yes a. What is deoth to bedrock? (in feet) 2 · . or greater 6. is prolec~ substantially contiguous to. or con~Hn.~a,.buildin~, site. or district. 'listed on the Sta'te or me Nation~ -' Registers of Historic Places? fi'lYes ~'~;3~ ~'?: ~ ..... ~' I~ oroie.c~ substantially conuguous to a site listed on the Register of National Natural Landmarks? ~Yes ~N 8. Wh~t is the degth o( the water robie? {in feet) 9. Is site located over a ~rimary, principal, or sole source aau~fer? ~Yes ~o 10. Do hunting, fishing or shell fishing oppormnkles presentlv'~xist in t~e projec: area? ~Yes 11. Odes oroiec[ site con=am any soecies of otaht or animal life that is identified as threatened or enaangerea gYes ~ According to identify each species 12. Are there any uniqq~or unusual land ~orms on the ~rolect site? fi.e, cliffs· dunes, o~her ~eologicai Eormatiom gYes ~o Describe 13. Is the projnc:' sit,., presendy used by the commumtv or neighborhood as an open space or -ecreation EYes ~,~o If yes, exo!ain. 14. Does the present~it~ inciude scenic views known co be imoortant to the commumt¥? ~Yes ~N.o 1S. Streams w/thin or con6guous to project area: a. Name of Stream.aaa name of River [o wh~ctt it s tributary 16. Lakes, pones, wetland areas within or contiguous to project area: a. Name 17. ls the site served by existing public utilities? ~es ~No j - a) If Yes. oes sUmclent :apac~[y exist to allow connection? b) If Yes, will improvements be necessary to allow connection? b. Size lin acres) ~Yes 18. ls the site located in' an agricultural/district certified oursuanc to ^gricu~ure and ,Market~ Law. Articie 25-AA~ Section 303 and 304? ~Yes ~o :19. Is the s~te ~ocatea in or substantially c/Q~tiguous to a Critical Environmental Area oes~gnated pursuant to Article 8 of the ECL. and 6 NYCRR 6177 20. Has the site ever been used for the disposal of solid or hazardous wastes? ~Yes C B. Project Description. 1. Physical dimensions aaa scale of proje<:t (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled bv project sponsor , ~'~ b.' Project acreage to be develooed: acres initially; c. Proiec~ acreage to ~emam undeve!oped acres. d. Length of project, in miles: (if aopropriate) e, If the prelect ~s an exoansion, indicate percent of expansion proposed Ir. Numner of off-street parking soaces existmg , proposed g. Maximum vehicular trips generated per hour (uoon completion et project)? h. If residentia;: Number and type of housing units: One Family Two Family Nlultiple Family Initially Ultinlately i. Dimensions (in feet) of ~arges~ prooosee structure j. Linear feet of frontage along a pub/lc thoroughfare project will occupy is? ., acres,~,//.z/~ff ,X~/4~.-,"~-'O . acres u~timateJv Condominium height; ~ o width: ~, O length. ft. 3 _.v How much. natural ma. teria:~ i.e., rock, eartl~, etc.) wH! be removed from ,.~" ]. Will disturbed ~reas be recJ~imed? ~Yes ~No ~A .. , , a. f yes. for what intended purpose ~s the site be[nj reclaimed? b. Will topsoi~ be stockpiled for reclamation?' ~es ~No " " c, Will upper subsoil be stockpil~d for reci~mation? ~es 4. How many acres of vesetadon (trees, shrubs, 8round covers) will be removed from ~[te? ~ acres. 5. Will any ma~ure forest (over 100 years oid) or other locally-important veEetedon be removed by this project? 6. If single phase project: Anticipated period of'construction 7. If multi-phased: .] a. Total number of phases anticipated ~ (number). b. Ahtidpated date' of commencement phase 1 AI,~Mi' c. Appro:dmate pompletion date of final phase .'~/~2-- d. Is phase I functionally dependent on subsequent phases? 8. Will blas~ing occur during construction? ' FlYes [~o 9. Number of jobs generated: during construction 10. Number of jobs eliminated bv ihis pro'act 11. WiIl orolecz reouire_re]ocadon ~f any pro[acts or facflities.~ ~ons/cu bic_ yarc months, (including demolition). month '~ ~, year. (inctudlng demoEtion month ~f year. ~Yes ~ -after project is complete FlYes ~o if yes, explain 12. Is surface iquid 'waste msoosat involved? []Yes ~/o a. If yes, indicate type of waste [sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? FlYes [~o Type 14. ',Vitl surface area of an existing water bod~ )r~c[ease or decrease by proposal? Explain 15. Is project or any portion of prolect located in a 100 year flood piain? ~es 16. Will the project generate solid waste? FiY.es ~ a. f yes, what-is the amoun~ Der month tons b, If yes, will an existing solid waste facility be used? FlYes ~No c. If yes, give name ' )ocatidn d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? e. If Yes. explain FqNo F-iyes t-lNo 17. Will the project involve the disposal of solid waste? fi'lyes a. If yes, what is the anticipated-rate of disoosal? b. If yes. what is the anticipated site life? years. 18. Will project 0se herbicides or pesticides? F-lYes ~o tons/month. lO. Wii project routinely produce odors (more than one hour per day)? FlYes 20. Wii] project produce operating noise exceeding the local .amolent/O~ise levets~ 21. Will oroiect result in a~ 'ncrease in energy use? I~Yes ~-,No If yes , indicate type(s) ~Yes 22. If wamr suooiv Is ~rom wails, indicate pumping capac:ty 23. Total ant~cioateo water usage per dav gallonstday. 24. Does proiect involve Local. State or Federal funding? ~Yes !f Yes. exolaln gallons/minute. / City. Town. Vdiage Board ~Yas C~, ~own. Villn~ Plannin~ Board ~Y~s '-C~ty, Tow. Zonin~ Board ~Y~s C~ty, Coun(y H~lth Oaa~r~men~ ~Y~s Other Local ~gencieS ~Yes Other Regional Agencies ~Yes ~o State Agencies ~Yes Federal Agencies ~Yes Submilt,~] Oate C. Zoning and Planning Information / 1. Does proposed action involve a planning-or zoning decision.~ I~Yes r-THo · If Yes. indicate decision required: l-lzoninf~ amendment I-Izoning variance r-~sDeciai use oermit E:]subdivision _ l~,site plan ~new/revision of master Dian {~]resource mana~,ement Dian ~other 2. YVhat is the zonlnq ciassificatioms)of ~ne site? 3. What ts the maximum 3otentiai aevelo~ment o~ the site ii develooed as Dermitted by the 4. What is the proposed zoning of the site? ~/~ 5. What is the maximum ~o~endal devetooment of the site if developed as permitted bv the proposed zoning~ 6~ Is me proposed ac:~on cons~sten~ ~v~t}~ the recommended uses in adooted local land use pians~ 7. Whal are the prndominant land use(s} ~nd zonm8 classifications wid~in a % mile radius o~ oroposed B, Is the proposed action compatible with adioinin~/surroundin~ land uses within a ~4 mi]a~ 9. I[ d~e ~rouosed acdon ~s the subdivision DJ land, how many lots are proposed~ a. What is the minimum lot size propose~? 10, Will proposed action require any authorization(s) for the formation ot~Sekver ar water districts~ ~Yes 11. Will the proposed action create a demand ~or any communi[y ;~ravided services (recreation· e.ducadon fire pro ection)~ ~Yes a. If yes. is exisdn~ caoacity sufficient ~o handlt~ proj~x:[ed demand~ ~ ~No 12. Will the proposed'action result in the neneralion o~ traffic si~:nificantly above present levels~ ~Yes a. ff yes. is the exiFdn~ r~ad nchv~rk adenun~e to handle ~he additional ~raffic~ ~Yes ~No polic~ D, Informational Details avoid d~em. C Part 2--PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information (Read Carefully) · In completing the form the reviewer should be guided by the question: Have my responses and determinations 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 an impact in column 2 simply asks that it be looked at further. · The Examples provided are to assist magnitude that would for most situations. But, for any for a Potential Large Impact resi · The impacts of each project, on each have been offered as guidance. They do not c · The number of examples per question does · In identifying impacts, consider long term, Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. b. Maybe answers should be considered as Yes c. If answering Yes to a question then check the impact. If impact threshold equals or exceeds an is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consi e. If a potentially large impact checked in column 2 can be mi impact, also check the Yes box in column 3. A No respor must be explained in Part 3. IMPACT ON LAND Will the proposed action result in a physical change to the reviewer by showing types of impacts and wi~erever possible the threshold of in column 2. The examples are generally applicable throughout the State and }roject or site other examples andjor lower thresholds may be appropriate requiring evaluation in Part 3. // in each locality, will vary. Therefore, the examples are ilk and list of impacts and threshoJds to answer uestion. : indicate the importance of each question, term and cum]ative effects. Examples that would apply to column 2 · Any construction on slopes of 15% or greater. (1: per 100 foot of length), or where the general slopes in ~ct area exceed 10%. i Construction'on land where the depth to/t~e water table is less than 3 feet. ' Construction of paved parking area f.~ 1,000 or more vehicles. Construction on land where bedroc/k/is exposed or generally within 3 feet of existing ground surface, t/ · Construction that will 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. Wdl there be an effect to any unique or unusual land fo~ms found on the site? (i.e., cliffs: dunes, geological formations, etc.)Et]NO []YES · Specific land forms: ~rYes if there will be any impact. riate box (column I or 2) to ind size of the ~rovided, check column 2. )act will occur but threshold the impact as ]ated by chang indicates large and proceed to PART 3. project to a small to moderate a reduction is not possib!e. This 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact impact Project Change LEVI [] I-'lYes [~No ~ [] [~]Yes [] '~ [] I--] Yes E~]No ~ ~~ ~No ~ ~ ~Yes ~No ~ ~ DYes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No U ~ ~Yes' ~No ~ ~ ~ ~Yes ~No IMPACT ON WATER Will proposed action affect anv water body designated as~protected? {Under Articles 1,5, 24, 25 of the Environmental Conservat~n Law, ECL) UNO E]YES Examples that would apply to column 2 · Developable area of site contains a protected water body. · Dredging more than 100 cubic yards of material from channel of a protected stream. · Extension of utility distribution facilities through a protected water body. · Construction in a designated freshwater or tidal wetland. · Other ~mpacts: 4 Will proposed actioh affect any non-protected existing/or new body of water? []NO ~YES Examples that would apply to column 2 · A 10% increase or decrease in the surface area of any body of water or more than a 10 acre ncrease or decrease. · Construction of a bod'y of water that exceeds 10 acres of surface area. · Other redacts: 5 Will Proposed Action affect surface or groundwater / quality or quantity? ~O FqYES Examples that would apply to column 2 · Proposed Action will require a discharge permit. · Prooosed Action requires use of a source of water that does have approval to serve proposed (project) action. · Proposed Action requires water supply from wells with greater than 45 gallons per minute gumping capacity. · Construction or operation causing any contamination of a water supply system. · Proposed Action will adversely affect groundwater. · Liquid effluent will be conveyed off the site to facilities which presently do not exist or haye inadequate capacity. · Proposed Action would use water in excess of 20,000 gallons per day. · Proposed Action witl likely cause siltation or other discharge into an existing body of water to the extent that there will be an obvious visual contrast to natural conditions. · Proposed Action will require the storage of petroleum or chemical products greater than 1,100 gallons. · 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 alter drainage flow or pattern~, or surface ~qNO [~YES water runoff? Examples that wouli~ apply to column 2 · Proposed Action would change flood water flows. 7 I 2 3 Small to Poteptial Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] [~]Yes J-qNo J'-) [] I-~Ye~ J--)No [] [] •Yes []No [] [] F]¥es []No [] [] E]Ye~ E]No [] [] E3Yes []No [] ~ gYe~ ~ ~ gYe~ ~ ~ gYes ~ ~ gYes gnu ~ ~ ~Yes ~No I ~ ~ ~Yes ~No ~ ~ ~Yes gnu ~ ~ , ~Yes gnu ~ ~ gYes gnu ~ ~ ~Yes ~No ~ g ~Yes gNu ~ ~ ~Yes gNu ~ g ~Yes gnu g ~ gYes ~No · Proposed Action may cause substantial erosion. · Proposed Action is incompatible with existing drainage patterns. · Proposed Action will allow development in a designated floodway. · Other impacts: IMPACT ON AIR / 7, Will proposed action affect air quality? I~/NO []YES Examples that would apply to column 2 · Proposed Action will induce 1,000 or more vehicle trips in any given ' hour, · Proposed Action will result in the incineration of more than I ton of refuse per hour. · Emission rate of total contaminants will exceed $ lbs. per hour or a heat source producing more than 10 million BTU's per hour. · Proposed action will allow an increase in the amount of land committed to industrial use. · Proposed action will allow an increase in the density of industrial development within existing industrial areas. · Other impacts: IMPACT ON PLANTS AND ANIMALS Will Proposed Action affect any threatened or endang~/ed species? ~NO E]YES Examples that would apply to column 2 · Reduction of one or more seecies 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, · ^pplication of pesticide or herbicide more than twice a year, other than for agricultural purposes. · Other impacts: / 9. Will Proposed Action substantially affect non-threaten~J or non-endangered species? ~NO E3YE$ Examples that would apply to column 2 · Prooosed 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 RESOURCE~ / 10. Will the Proposed Action affect agricultural land reso~ces? [~'No ~]YES Examples that would apply to column 2 · The proposed action would sever, cross or limit access to agricultural land iincludes cropland, hayfields, pasture, vineyard, orchard, etc.) I 2 !Can 3 Small to Potential Impact Be Moderate Large Mitigated By Impact impact Project Change [] [] []Yes I-INo [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] I [] []Yes [~]No []I [] []Yes E~]No [] ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ D ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No~ ~ ~ ~Yes ~No · Construction activity would excavate or compact the soil profile of a§ricuitura[ land, · The proposed action would irreversibly convert more than 10 acres of agricultural land or if located in an Agricultutal District. more than 2.5 acres of agricultural land. · The proposed action would disrupt or prevent installation of agricultural land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.§. cause a farm field to drain poorly dueto increased runoff) · Other impacts: / IMPACT ON AESTHETIC RESOURCES/ 11 WiJ proposed action affect aesthetic resources? ~NO r~YES :lf necessary, use the Visual EAF Addendum in Section 617.21, 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 to users of aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic ¢ ~alities of that resource. · Project components that will result in the elimination or significant screenin§ of scenic views known to be important to the area, · Other impacts: IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure o_f/t~'istoric, pre- historic or paleontologica importance? L~NO [~YES Examples that would apnlv [o column 2 · Proposed Action occurnng wholly or partially within or substantially contiguous to any facility or site listed on the State or National Register of historic places. · Any impact to a~ archaeological site or fossil bed located within the proiect site. ·ProDosed Action will occur in an area designated as sensitive for archaeological sites on the NYS Site Inventory · Other impacts: IMPACT ON OPEN SPACE AND RECREATIOI';I 13 Wilt Proposed Action affect the quantity or quality o// existin8 or future open spaces or recreational opportunities-~ ~/ Examples that would apply to column 2 F/1NO []YES o The permanent foreclosure of a future recreational opportunity. · ^ major reduction of an open space ~mportant to the community. - Other impacts: 9 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] I~Yes [] [] ~lYes [-1No [] [] ~]Yes E~No [] [] l~Yes []No [] [] [-]Yes ONo ~ ~ ~Yes ~No ~ ~ ~Y~s ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Ye~ ~No ~ ~ ~Yes ~No ~ ~ ~Ye~ ~No ~ ~ ~Ye~ ~No IMPACT ON TRANSPORTATION / 14. Will there be an effect to existing transportation systems? I~NO []YES Examples that would .apply to column 2 · Alteration of present patterns of movement of people and/or goods. · Proposed Action will result in ma]or traffic problems. · Other impacts: IMPACT ON ENERGY / 15. Will ~roposed action affect the community's sourc~ of fuet or energy supply? E~NO [YES Examples that would apply to column 2 · Proposed Action will cause a greater than 5% increase in the use of any form of energy in the municipality. · Proposed Action will require the creation or extension of an energy transmission or supply system to serve more than 50 single or two family residences or to serve a majqr commercial or industrial use. · Other impacts: NOISE AND ODOR IMPACTS j 16. Will there be obiectionable odors, noise, or vibratio~l~ as a result of the Proposed Action? ~NO []YES Examples that would apply to column 2 · Blasting within 1,500 feet of a hospital, school or other sensitive facility. · Odors will occur routinely (more than one hour per day). · Proposed Action will produce operating noise exceeding the local ambient noise levels for noise outside of structures. · Proposed Action wi[[ remove natural barriers that would act as a noise screen. · Other impacts: IMPACT ON PUBLIC HEALTH 17. Wii[ Proposed Action affect public health and safety~O E3YES Examples that would apply to column 2 · Proposed Action may cause a rise of explosion or release of hazardous substances (i.e. oil, pesticides, chemicals, radiation, etc.) in the event of accident or upset conditions, or there may be a chronic low level discharge or emission. · Proposed Action may result in the burial of "hazardous wastes" in any form {Le. toxic, poisonous, highly reactive~ radioactive, irritating, infectious, etc.) · Storage facilities for one million or more gallons of [[quified natural gas or other flammable liquids. · Proposed action may result in the excavation or other disturbance within 2,000 feet of a site used for the disposal of solid or hazardous waste. · Other impacts: 10 1 Can In'Pact Be Small to Potential Moderate Large Mitigated By Impact Impact Pro ect Change [] [] []Yes I-/No [] [] l~Yes []No [] [] []Yes []No [] [] []Yes []No [] [] i-lYes []No [] [] []Yes []No [] [] []Yes []No [] / [] [~]Yes []No []~ ~ ~ves ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No I ~ ~ ~Yes ~No ~ ~ ~ ~Yes ~No ~ ~ ~Yes .~No ~ ~ ~Yes ~N0 ~ .I ~ ~Yes ~No ~enf of ~cjh a ~rant al Oce(3nic e Management 77 ~/.F LEGEND COASTAL EROSION HAZARD ARE/ Landward Limit of Natur~ Landward Limit of Strucb j,~ ~h~ .¢,./h.¢ LEGEND COASTAL EROSION HAZARD AREA CLASS! COASTAL EROSION HAZARD AREA CLASS O t,000 CONSU~ LAWYER BEFORE SIGhI~NG THIS lihISTI:[URRE/~T--THIS IblSTRUME~IT SHOULD BE USED fly LAWYERS OI~LY, T~HIS II~D~qTURF. made the 25th day of December , n~neteen hundred and BETW~-~N ANNE ROBINSON BURNHAM OWEN, RUFUS BRADFORD BURNHAM II1, SARAH BURNHAM MALINOWSKI, DAVID CAMPBELL BURNHAM and RACHEL BEVAN BURNHAM, 15 Prospect Street, Hudson, Ohio, 44236, party of the first part, and SCRIBNER L. FAUVER. TRUSTEE under Trust Agreement dated 1-2-83 between Anne Robinson Burnham Owen, Rufus Bradford Burnham III, Sarah Burnham Malin0wski, David Campb}II Burnham and Rachel Bevan Burnham, as Donors, and Scribner L. Fauver, as Trustee, eighty SUF~'~>LK 15 Prospect Street, Hudson, Ohio, 44236, party o£ the second part, V~I'INESSETH, that the party of the first part, in consideration o£ ..... Ten and no/100 ........................................................................ dollars. lawful money of the United States, paid remise, release and quit-claim by the party of the second part, does hereby g'm~b~'~.~x~t~ unto the party of the second part, the heirs or successors and assigns of the party of the second pail forever, ALI. that certain plot, piece or parcel of land, with the buildings and improvements thereon erecte¢, situate, PARCEL NO. 1 ;~J.J_l~j ,_ C). ,-...~ A certain tract or parcel of land situate, lying Island, in the To~ of Southold, County of Suffolk, Stane and described as follows: Beginning at a point, marked with an iron, on the Westerly line of the twenty foot right of way shown on the Plan hereinafter mentioned, leading Northerly from the highway leading to the Peninsula, sometimes called Peninsula Road, said beginning point being on the dividing line between the herein conveyed tract and Lot # 32, as shown on said Plan; thence rannirLg Southerly, along the Westerly line of said twenty foot right of way, one hundred thirty feet to a point marked by another iron, said point being the Northeasterly corner of Lot # 35 as shown on said Plan; thence Westerly, along the Northerly line of said Lot # 35, as shown on said Plan, on a line forming an interior angle of seventy-seven degrees sixteen minutes, one hundred sixty-four feet, more or less, to the shore of Great Harbor; thence following the meanders of said shore, in a general Northwesterly, Northerly and Northeasterly direction one hundred thirty-five feet, more or less, to a point, being the Southwesterly corner of Lot # 32 as shown on said Plan; thence Easterly, along the Southerly line of said Lot # 32, as shown on said Plan, on a line at right angles to said Westerly line of said twenty foot right of way, one hundred eleven feet, more or less, to the Westerly line of said twenty foot right of way, at the point of beginning; containing thirty-eight hundredths of an acre, more or less. Being Lots 33 and 34 as shown on a certain map entitled "Flan of Peninsula at Fishers Island owned by Charles W. Hedge & Frances G. Thorp, by Chandler & P~lmer, Engrs. Norwich, Conn. dated 1913", and filed in the Office of the Clerk of the County of Suffolk on March 11, 1913, File No. 223. Together with all the right, title and interest, if any, of the party of the first part in and to the shores and land nnder the waters of Great Harbor in front of and adjoining said premises. K MAP ;NATION 1,000 THIS h'qDF~RE, made the 25th day of December , nineteen hundred and BETWEZ~N ANNE ROBINSON BURNHAM OWEN, RUFUS BRADFORD BURNHAM III, SARAH BURNHAM MALINOWSKI, DAVID CAMPBELL BURNHAM and RACHEL BEVAN BURNHAM, 15 Prospect Street, Hudson, Ohio, 44236, party of the first part, and SCRIBNER L. FAUVER. TRUSTEE under Trust Agreement dated 1-2-83 between Anne Robinson Burnham Owen, Rufus Bradford Burnham III, Sarah Burnham Malin0wski, David Campb'ell Burnham and Rachel Bevan Burnham, as Donors, and Scribner L. Fauver, as Trustee, eighty two Rt.'*- ~STA'r E FEB 9 1383 ll"~,-, o,',.R iAX SUFFOLK ...... 15 Prospect Street, Hudson, Ohio, 44236, party et the second part. VvlTN~, that the party of the first part. in consideration of--=--Ten and no/100 ......................................................................... dollars. lawful money of the United States, paid remise, release and quit-claim by the party of the second part, does hereby g~labr4,t~ix~s~runto the party of the second part, the heirs ar successors and assigns o[ the party of the secood part forever, ~,T_l'. that certain plot, pi~:e or parcel o[ land, with the buildings and improvements thereon erected, situate, lying and being in theD{STRICT SECTI ON BLOCK LOT PARCEL NO. I .......... --~Q; i .... r.} 0 a certain tract or parcel of land situate, lying OCDM 000 s Island, in the Torn of Southold, County of Suffolk, State u~ ~*~. .~., ..... dad and described as follo~: Beginning at a point, marked with an iron, on the Westerly line of the twenty foot right of way shown on the Plan hereinafter mentioned, leading Northerly from the highway leading to the Peninsula, sometimes called Peninsula Road, said beginning point being on the dividing line between the herein conveyed tract and Lot # 32, as shown on said Plan; thence running Southerly, along the Westerly line of said twenty foot right of way, one hundred thirty feet to a point marked by another iron, said point being the Northeasterly corner of Lot # 35 as shown on said Plan; thence Westerly, along the Northerly line of said Lot # 35, as shown on said Plan, on a line forming an interior angle of seventy-seven degrees sixteen minutes, one hundred sixty-four feet, ~ore or less, to the shore of Great Harbor; thence following the meanders of said shore, in a general Northwesterly, Northerly and Northeasterly direction one hundred thirty-five feet, more or less, to a point, being the Southwesterly corner of Lot # 32 as shown on said Plan; thence Easterly, along the Southerly line of said l~t # 32, as show~ on said Plan, on a line at right angles to said Westerly line of said twenty foot right of way, one hundred eleven feet, more or less, to the Westerly line of said twenty foot right of way, at the point of beginning; containing thirty-eight hundredths of an acre, more or less. Being Lots 33 and 34 as shown on a certain map entitled "Plan of Peninsula at Fishers Island owned by Charles W. }ledge & Frances G. Thorp, by Chandler & Palmer, Engrs. Norwich, Conn. dated 1913", and filed in the Office of the Clerk of the County of Suffolk on March 11, 1913, File No. 223. Together with all the right, title and interest, if any, of the party of the first part is and to the shores and land under the waters of Great Harbor in front of and adjoining said premises. / / / A-A x \ \ \ ~'iAP 5~CT~O~ C-C bATE, MAY 3, 1993 SCALE, t'=~O! SHEET 1 BF 1 PLAN OF' PENINSULA AT FISHERS 15LANO OINN~I? BY GHAt, LED ~. H~D~ ~ P~ANG~5 ~. THO~P 5~1~ 50 f~t to th~ Inch ~ Gh~ndl~r * P~Jmor ~r~. Norwich, Gonm. Iq~. DAVID BURNHAM, ET. AL.