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Home My WebLink AboutCAMPBELL, KIM KAlbert J. Kmpski, President John Holzapfel, Vice President "g~.:; .. Jim King Martin I-L 'Garrell Peter Wencz¢l 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-.t823 January 8, 1998 J.M.O. Consultants Inc. P.O. Box 447 Quoque, NY 11959-0447 RE: ROLA B. CAMPBELL SCTM %4.-4-16 Dear Mr. Just, The Southold Town Board of Trustees reviewed your survey, dated and received 12/1/97,. and determined that your project to construct a 27' X 5.9' addition onto the west side of existing house and a boulder retaining wall and driveway, is out of the Wetland jurisdiction under Chapter 97 of the Wetland Code. However, this determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees cc. Bldg. Dept. ? Albert J. Kmpski, President John Holzapfe}, Vice President William G. Albertson Martin H. Garrell Peter WenczeI 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: July 6, 1994 J.M.O. Consultants P.O. Box 447 Quoque, NY 11959 RE: Kim K. Campbell SCTM ~4-4-t6 Dear Mr. Just: The following action was taken by the Southold Town Board of Trustees on'Thursday, June 30, 1994: RESOLVED that the Southotd Town Board of Trustees grants an amendment to permit ~4286 to construct garage, pool, decking, pool backwash filter, dr!~ells and gutters on garage and regrade garage and pool area. As per survey dated June 7, 1994. Located Fishers Island. If you have any questions, please do not hesitate to contact this office. Sincerely, Albert Krupski, Jr. President, Board of Trustees AJK:jmd cc: BUilding Dept. Zoning Board Board Of $outhold Town. Trustees' SOUTHOLD, NEW YORK PERMIT NO ..... ~.~.~(~ ............ DATE: ,F..e..b ..... ~5,....!.?,94 Aut-horizatio Pursuant to ~.he provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and' the Southotd Town Ordlnance.en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN' AND .ON TOWN WATERS AND PUBLIC LAND5 and the REMOVAL OF 5AND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:" and in accordance with the Reso[utlon of The Board adopted at a meeting held on ~,e..~,,._.~.~ ....... 19 ...... 9,4 and in consideration of the sum of $....~5.~.,...Q,0 .... paid by ............ Z~m~.~....~/ ~g.~....o..~_..b.~t~ .~ ~m...~.:,,.,.~.~.m..p.l~.,e.~ ......... of ........................... i ..................................... ~ ......................... N. Y. and'subiect to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: to ~e.cozzstruct a wood £rame ~uest cottage wit~ add~tio~ on side with new septic system. House will be moved 15' from pre~ existing location. Old foundation will be removed, regr~de and. reseed. Haybales & Sil~ fence will be used during const. all in accordance w~fh the detailed speci~icatlons as presented in the originating apptication. A non-turf 10~ buffer will be plante< at interface of wetland and lawn. IN WITNESS WHEREOF, The said Board of Trustees h~re- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a maiorlty of the said Board as of ~his det,e. ...... ............... Albert J. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczet BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095. Main Road P.O. Box 1179 Southold, New York 1 i971 Telephone (516) 765-1892 Fax (516) 765-1823 March 3, 1994 James. Volney Righter Arch. 58 Winter Street Boston, MA 02108 Re:. Kim K. Campbell SCTM ~1000-4-4-16 Dear Mr. Righter: The following action was taken by the Board of Town Trustees during its regular meeting held on Thursday, February 24, 1994 regarding the above matter: WHEREAS,James V. Righter, Arch. on behalf of Kim Campbell applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southo'ld, application dated January 20, 1994 and, WREREAS said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendati°ns, and, WHEREAS, a public hearing was held by'the Town Trustees with respect to said application on Thursday, February 24, 1994 at which time all interested persons were given an opportunity to be heard,, asd, 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 James V. Righter, Arch. on behalf of KIM CAMPBELL to reconstruct a wood frame quest cottage with addition on landward side with a new septic system. House will be movedl5' from pre-eXisting location. Old foundation will be removed,regraded and reseeded. Haybales.and silt, fence will be used during construction. A 10~ non-turf b%uffer area will be planted at interface of wetland and lawn. permit will expire two years from the date it is signed. Two inspections are required and the Trustees are to be notified' upon completion of said project. _. Very truly yours, Albert J. ski, Jr. President, Board of Trustee AJK: cc: CAC Albert J. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York t 1971 Telephone (516) 765-1892 Fax (516). 765-t823 S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 1000-4-4-16 NAME: KIM K. CAMPBELL DATE: January'27, 1994 Chapt. 97 - Wetlands Chapt. 37 - Coastal Erosion RESOLVED that pursuant to Article 8 of the Environmental Conservation Law, State Environmental Quality Review and 6NYCRR 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: I DESCRIPTION OF ACTION: Applicant requests permit to reconstruct a wood frame guest cottage with addition on same site as pre-existing cottage, with new septic system. No change to existing grades, and ground will return to existing condition following this construction. Located East Harbor, Fishers Island. LOCATION: SCTM ~1000-4-4-16 REASONS SUPPORTING'THIS DETERMINATION: 1. An on. site inspeCtion has been conducted by the Board of Trustees. 2. An environmental assessment, Submitted by the applicant and reviewed and completed bythe 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: Albert J. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garretl Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUST~ES TOWN OF SOUTHOLD Ja~ua~-~, 24, 1994 Chairman " Southold Town Conservation Advisory Council SouthoId Town Hall' Main Road Southold, NY 11971 Dear'Chairman, t Transmitted herewith are the following applications for a wetland Permit: KIM CAMPBELL SCTM $4-4-16 Please prepare a written report of findings and recommendations with respeCt to these applications. Very truly~ yoUrs, /, ..... .,? ..., Al~e~t J. K~upski~ P~sid~nt, Board of ~ru~t~ AJK/djh TRUSTEES John M. Bredemeyer, III, President Albert J. K_mpski, Jr., Vice President Henry P. Smith John B. Tuthitl William G. Atbenson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS To~vn Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 December 29, 1993 Certified Receipt Klm K. Campbell 257 D~nbar Road Palm Beach, Florida 33480 Re: SCTM ~.4-4-16 Dear Mrs. Campbell, An inspection of the remains of your guest cottage on Fishers island at SCTM ~4-4-16 made on December 17, 1993 by the Southold Town .Trustees revealed that you have demolished the original structure. Consequently~your project is viewed as a substantial restoration which is fully subject to the requirements of both the Town Coastal Erosion Hazard Area Ordinance (Chapter 37) and the Town. Wetland Ordinance (Chapter 97). The previous waiver granted for the minor additions, is not operative and the fact that you are replacing more than 50% of the value and surface area of the original structure mandates that minimum bluff setbacks of 50' be established for this site. Any proposal for a structure closer to the bluff than this will require a variance application under the Coastal Erosion Ordinance (Chapter 37). Please complete the attached application form and submit a licensed land survey of'what you propose. Your proposed setback will affect the jurisdictions involved and the application fees which will be set by the clerk. FOr bluff .setbacks in excess, of' 50' the Board of Trustees may only require a. Town Wetland Permit or Waiver. These requirements are separate from and in addition to other permissions which may be req/lired by.other agencies. Thank you for your cooperation. Yours truly, ~hn M. Bre~emeyer, tli ~President, Board of Trustees CC. Jim Volney Righter' Building Department Zoning Board of Appeals New York State DEC Coastal Erosion: Attention: Bill Southard JMB/djh TRUSTEES John M. Bredemeyer, III, President Albert J. Krupski, Jr., Vice President Henry R Smith John B. Tuthill William G. Albertson 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 May 4, 1993 James Volney Righter Arch. 58 Winter Street Boston, Ma.. 02108 RE: Kim campbell Cottage SCTM %t000-4-4-16- Dear Fir. Albert: The following action was taken'by the Southold Town Board of Trustees on Thursday, April 29,11993; RESOLVED that the Southold Town Board of Trustees grants a waiver to make additions to existing quest cottage as per revised plans dated March 25, 1993. Please note that approvals from other agencies might be necessary. If you .have any questions, please do not hesitate to contact this office. Very truly yours, Bredemeyer, President, Board of TrUstees JMB: j md cc: Bldg. Dept. County of Suffolk state of New York '~f~i~-" ~/~ ~'~] / BECNS DULY SWO~ DEPOSES ~ AFFI~S **,~ IS THE APPLIC~T FOR ~E ~OVE DESCRIBED P~IT(S) ~ T~T ALL STATEM~S CONTAINED HE~IN ~ TRUE'TO' THE BEST OF HIS/H~ ~O~EDGE ~D BELIEF, ~ T~T WO~ WILL BE DONE IN THE ~ER SET FOR~ IN ~IS APPLICATION ~ AS ~Y BE APPROVED BY ~E SOUEOLD 'TO~. BO~ OF TRUSTEES. THE ~PLIC~T AGREES ~ HOLD THE TO~ OF. SO, HOLD ~ ~E' T~ EU'STEES H~LESS ~D FREE EOM ~ ~D ALL D~GES ~D CLAIMS ~IStNG 'U~ER OR BY ~REE OF SAID P~IT(S), IF .G~TED. IN COMPLETING ElS ~PLICATION, I H~EBY AUTHORIZE ~ FUSEES, THEIR AG~(S).OR.'REPRES~TATIVE(S), TO .~E ON~ ~ PROPER~ TO INSPECT ~E PREEtSES IN CON~CTION WI~" REVIEW 'OF ElS APPLICATION. S I GNATURE SWORN TO BEFORE ME THIS NOTARY PUBLIC Suggested space ~or location Map THIs IS NOT A PERMIT TRUSTEES John M. Bredemeyer, III, President Albert J. Krupski, Jr., Vice President Henry R Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823. I (we) BOARD'OF TOWN TRUSTEES ToWN OF SOUTHOLD 30 year Maintenance Agreement Erosion Protection Structures Chapter 37 Southold Town Code 'Southold TrUstees as Administrator type or print name(s) the owners of record of uprOperty ..at: ~¢.~.. ~ ~. SUPERVISOR SCOTT L. HARRIS Town Hall · 53095 Main Road RO. Box 1179 Southotd, New York t 1971 (type or print street address) SCTM ¢1000- Ooq- ~ in applying for a Coastal Erosion permit for an Erosion Protection Structure do hereby agree ~o a 30 year maintenance programof ~7'~f°r~ ~'a structure commonly known as a ~,~fi~ as shown, on th~ attaqhed .feet of length licensed survey of the as-built 'structUre. It is my/our understanding that we are.to maintain this structure with materials designed to endure 30 years and or equivalent to the original approved structure and that for any maintenance which involves more than 5% in length of this structure we are to. give prior written notice to the administrator, waiting fOr their approval in all but tr.u'e emergency situation's which would seriOusly .... endanger 1~+~,/.....'~: "' property and important coastal natural resource featgres Such as"" bluffs or wetlands. We further understand that fail~re tO ..' maintain the structure could result in.'a requirement':i,t~'~.,P~st~ bond and or have the~repairs ordered as a lien against~he .~ .,:? .. property upon a finding by the Trustees that said lack.of .... maintenance would risk life, property or important natural resources features including protected, rare or threatened animals and plants. ~[.~ .~ C~,.~,1,~17,~.~ It Notarized Signature of [wner of record Please submit three copies of a licensed land survey made within one year of'the original construction. This maintenance agreement shall only be valid upon the final approval of the administrator. Subsequent owners may apply to the Southold Town Trustees to re-authorize this maintenance agreement. Telephone (516) 765-1801 Town Halt, 53095 Main Road P.O. Box 1179 Southold, New York 11,971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL TO: FROM: DATED: RE: SOUTHOLD TOWN BOARD OF TRUSTEES SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL FEBRUARY 22, 199/4 RECOMMENDATION OF WETLAND APPLICATIONS AND WAIVER REQUESTS The following recommendations were passed by the Southold Town Conservation Advisory Council at its meeting held Thursday, February 17, 1994. WETLAND APPLICATIONS No. 1111 Moved by Allan Connell, seconded by Jack. Hagerty, it was RESOLVED to recommend, to the Southold Town Board of Trustees APPROVAL WITH RECOMMENDATIONS of the Wetland Applications of FRANK MONT'ELEONE 57-1-30 to replace. .in-kind,' in-place. approximately 100+' bulkhead. Backfill with approximately 30 yards of clean fill from an upland source. The CAC recommends approval provided the applicant maintain a '10" buffer with beachgrass, coastal panicgrass or some like material. Blue Marlin Drive, Southold Vote of Council: Ayes: All Motion carried. No. 1112 The CAC did not make an inspection of the project, therefOre, it is unable to make a recommendation for the Wetl'and Application of KlM CAMPBELL ~-~16 to reconstruction of wood frame guest cottage with' addition to same site as preexisting cottage with new septic system. Addition is on landward side of old cottage site. Fishers Island. ~LL DOCKS AND BULKHEADS MUST· DISPLAY VISIBLE PERMIT NUMBERS. ALL MOORINGS AND ST_AK~. MUST 'DISPLAY VISIBLE MOOI~ .?G NUMBERS. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD MAIN ROAD SOUTHOLD, NEW ,YORK 11971 NOTICE OF ACTION - NOT A PERMIT TO: James V. Righter, Arch./ Kim Campbell Please be advised that your applica~on, dated ·1/20/94 has been reviewed by this Board, at a meeting of the Trustees held on 2/24/94 and resulting in the action, as indicated below: ( XXXX]~ Application Approved. *** ) Application Denied. ( ,) Application Tabled. .. COMMENTS AND REMARKS: ***SUBJECT' to receipt of revised plans showing the following: House moved landward 15·' from pre-existing location, old foundation vzlll be removed,· regraded and reseeded, haybales and silt fence wilt be used'during construction, 10' non-turf buffer area will be planted at interface of wetland and lawn. IF YOUR APPLICATION IS APPROVED ABOVE, A PERMIT FEE IS NOW DUE, AND SHOULD BE MADE PAYABLE TO THE ORDER OF TH.E BOARD OF SOUTH·OLD TOWN . TRUSTEES. · THIS FEE IS COMPUTED BELOW ACCORDING TO THE SCHEDULE OF RATES AS SET FORTH IN THE iNSTRUCTION SHEET (Form 1/1). THIS FEE MUST BE PAID WITHIN 9'0 DAYS OR REAPPLICATION AND ADDITIONAL FEE WILL BE NECESSAiiY, IF THE PERMIT FEE iS PAID IN PERSON TO THE CLERK OF THE BOARD, THE PERMIT 'WILL BE OBTAINABLE AT 'THE 3AME TIME. IF THE FEE IS PAID BY MAIL, THE PERMIT WiLL BE MAILED iN REPLY, COMPUTATION OF PERMIT FEE: TOTAL FEE FOIl THIS APPLiCATiON: $ 10/87 2_~¢r Signe~{: President, Board of Trustees BY: TRUSTEES John M. Bredemeyer, III, President Albert J. Krupski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road EO. Box 1179 Southold, New York 11971 . Office Use Only: /Coastal Erosion Permit Application Coastal Erosion Variance Application ,~wWetland. Permit ApPlication Waiver from Chapter 97(Application/pern Trustee Lands Permit ApPlication Grandfather Permit AppliCation Completed Apps. Date: ~ InsPection date: JJ CAC comments-Date: sent~Re~.~ Variance-Required: (Y/N) Neighbors notified-Date:. SEQRA Type 'Coord.: Date s~ht EQRADetermin./date:~G,b~ ublic Hearing/date: Findings: Approved (Y/N) Special Conditions: (Y/N) (see file) Permit[s) issued-date: Application Fee: Application Applicant: Address: Date: [ ~ q Phone (6t7) Interest: Owner of Address {owner, consultant,lessee,etc. Property:. ~m K' .~-~'~ b~-II Subject Property Location: (Provide LILC0 Pole ~, Distance to cross Streets if not on location map) THIS IS NOT A PE~IT Yds. to be excavated: ~ 9wo~ . Yds. to be filled: Manner in which material will be r~mo~ed or deposited: Width of canal, creek or bay fronting property: ~$+~~, Depth at low tide: . ~.~. Aver. rise in tide: ~.~ ~. Distance to nearest channel: ~e v~ extends beyond similar projects in area: Distance project Area Zoning: ~$;~.'~4~k. Is project for private or business use: .p~u~ Intended use of property: S~.~ ~k ~c~_~ ~ Describe known prior operations conducted on premises: Land area in acreS':~%~% Has any prior license or permit been issued to erect structures, dredge, or deposit fill on said premises: ~{~~ Has any license or permit ever been revoked, or Suspended by a Governmental Agency: ~.--~h..~. ~roject Description The project description must also include plans for recitation of land disturbed during construction of the principle and .accessory structures and underground structures (i.e., pipeline and septic system; make additional attac~ents if necessary). THIS IS NOT A PERMIT · Page Authorization .(Where the applicant is not the owner) I residing at (Prin=-own~r of subject property) (Mailing address-phone) do hereby authorize 'to apply'for Coastal Erosion permit(s), from the Southold Town Trustees Signature THIS IS NOT A PERMIT Pag e ..3 M~s. Rolta Campbell 1530 A Cypress Dr. Jupiter FL 33469 16 December 1992 To whom it may concern: James Volney..Righter Architects, Inc. have my permission to apply on my behalf for permission to build an addition to an existing guest cottage on my .property at Fishers Island, Suffolk County Tax map no. 1000-004-4-16. ' Very truly yours, Kim K. Campbell TRUSTEES John M. Bredemeyer, III, President Henry P. Srrd~, Vice President Albert J, Kmpsld, Jr. John L. Bednoski, Jr, John B. Tuthill Telephone (516) 765-1892 Fax (516) 765-t823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O.'Box 1179 Southold, New York 1 t971 COASTAL EROSION MANAGEMENT PERMIT APPLICATION TOWN WETLANDS PERMIT APPLICATION TRUSTEE LANDS PERMIT APPLICATION Office Use Only: oastal Erosion Permit Appl~catign Wetland Permit Application/~/~] ~Trustee. Lands Permit Application ~randfather ~Compteted. Apps. Date: ~/~/~3 ~k~garian~:::.Required, · g~Neigh~O~s notifiled Date: ~iisp. C°mp./date:~ ~ ~EQRA Determin./date%- .~ublic~earing/date: Findings: Permit Vote: (Y/N): Special Conditions: (also see file) TOWN OF SOUTHOED Date Rec. by Office Application Project. Name (If any) ~~[I ~¢r ~'~.~ Date Prepared: 5~ ~~ [~%, Phone Interest: (owner, consultant,lessee,etc.) Owner of Property: Kt~ K. Address ~U ~)o~ [-~. ; ~l~'~k ~ Phone Subject Property Location: ~a~+ ~.~. ~k&¢5 [~b~ ~Y (Provid~ LiLCO Pole ~, Distance to cross Streets if not on location map) Z~HIS IS NOT A PEFJ~iT Yds. to be excavated:~%~ Yds. to be filled: Manner in which materia~itl be removed or deposited:~e_~_~ Width of canal, dree~ or bay ~ronLing propersy: Depth at low tide: ~.~. Aver. rise in tide: %.~ Distance to nearest channel: 'S~..~, Distance project extends beyond similar projects ~n area: ~ Area zoning:~-~, Land area in acres:~-.+~% ~.,~ Is project for private or b~siness use: Intended use of property: ~.~ Describe known prior operations conducted on premises: Has any prior license or permit been issued to erect ~structures, dredge, or. deposit fill on said premises: ~~ ~ ~ Has any license or permit ever been revoke~ or suspended by a Governmental Agency P~oject Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures. (i.e., pipeline and septic system; make additional attachments if necessary). Authorization (Where the applicant is not the owner) I residing at ~ ~' (Print-owner o~ subject property) (Mailing address-phone) do hereby authorize to apply for Coastal EroSion permit(s) from the Southold Town Trustees Signature THIS IS NOT A PERMIT County of Suffolk ) State of~~ AFFIRMS THAT HE/S~IE iS THE APPLICANT 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 THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS-ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUthORIZE THE TRUSTEES, THEIR AGENT(s) OR REPRESENTATIVE[s), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Suggested space for location Map THIS iS NOT A PERMIT t4-!6-4 (2J87)--Text 12 PROJECT LD. NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT For UNLISTED ACTIONS Only ~.ART I--PROJECT INFORMATION (To be completed by Applicant or Project sp'bn'sor) FORM SEQ R APPLICANT/SPONSOR PROJECT L.OCATto~: 2. PROJECT NAME 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc. or provide map} 5. IS PROPOSED ACT[ON: ' [] New ~ Expansion [] Modificationtaite~ation 6. DESCRIBE pROJECT 'BRIEFLY: Initially O acres Ultimately ~ acres WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes ~No if No, descd.be briefly 9. WHAT IS PRESENT LAND USE iN VICiNiTY OF PROJECT? ~ Res[dentia~ E~] !ndualrial [] Commercial Describe: [] Agriculture [] Par,~lPorest/Open space L~ O~her 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? '~ Yes [] No If yes, Ifst agency{s) and permitfapprovals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? J~No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ~ cE~T,~ T~^T THE 1N~ORU^~,ON PROWDED A~OVE IS TRUE TO T~E BEST O~ ~Y ~NOW~E~GE Applicant/sponsor name: j~.4¢¢1.~ V. ~_ L'~, Date: 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 PART II--EN¥1RONMENTAL ASSF'-'MENT (To be compIeted by Agency) '~" A_ DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.'~27 If yes, coordinate the review process and use the FULL [~] Yes E~No W1LL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS tN 6 NYCRR, PART 617.67 may be superseded by another involved agency. [] Yes [] ~o If No, a negative declaration COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASS.OCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Cl. Existing air quality, surface or grou'~dwater quality or quantity, noise levels, existing tra.ff]c patterns, solid waste production o~' disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood characted?. Explain briefly:. o C3. Veget~tio~ or fauna, fish, shellfish or wildlife species, sigr~ificant,habitats, ?r threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of I~nd or other natural resources? Explain brlef.[y. C5. GrOwth, st~bsequent development, or related activ[ties ],key to be indu. ced by I~he proposed act[o¢? Explain bri¢liy. C6. Long term, short term,.cumulative, or other e~fedts not identified in (~'~-C57 F. xpl,~in brieft¢. C7. Other impacts ([nc[~Jdi~g changes in use of either quantity o~ type o[ energy)? Explain briefly. O. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No if Yes, explain briefly PART I.II--DETERMiNAT!ON OF SIGNIFICANCE (To be completed b,y Agency) INSTRUCTIONS: . For eac~ adverse effect identified above, determine whether it is substantial, large, impodant or otherwise significant. Each effect should be assessed in conneotion with its (a) setting (i.e. urban or rural); (b) probability of'occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting m~teri~ts. E~sure that explanations contain sufficient detail to show that ali relevant ~dverse impacts have been identified and adequately addressed. ' E~ Check this box if you have identified one or more potentially large or sigQificant adverse impacts which MAY occur. Then proceed directly to thel FULL.EAF and/or +prepare a positive declaration. [] Check this box if you have determined, based on the information and anaiysis above ~nd any supporting documentation, that the proposed action WILL NOT result 'in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting tlais determination; Name of Lead A~ency c~g, na. ture ot Responsible Officer ~n Lead Age~',cy Tide of 14. e~pons~ble Officer Signature DJ Preparer ttf different from responsible officer) 2 ~'.,.., .'17 "-1'4-t6~2 (2187)--Zc 617.21 · Appendix A State Environmental Quality Review .FULL ENVIRONMENTAL ASSESSMENT FORM SEC Purpose: The'fuil EAF is designed to heIp applicants and agencies determine, in an orderly manner. Whether a pro.~e( or action may be significant. The question of whether an action may be significant i$ not always easy to answer. Frequen ly, there are aspects ot: a project that are subjective or unmeasureabie, tt is also understood that those who determin significance may have little or no formal 'knowledge of the environment or may be technically e~xpert in environment; analysis. In addition, many who have knowledge in one particular area may not be aware of the broade~ concerns affectin the question of significance. The full EAF is intended to provide a method Whereby applicants and. agencies can be assured that the determinatio process has been orderly, comprehensive in nature yet flex hie to allow introduction:of in'formlation to fit a project or actior Full. hAIr Components: The futI EAF is comprised of three parts:. Part 1: Provides objective data and information about a given project and its si.te.'By ide~tif~..ng basic projec data, it assists a reviewer in the analysis that takes place in Parts'2 ant] 3. "Part 2: Focuses on identifyin§ the range of possible impacts that may occur from a project or attion.. It provide: guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially - · large impact. . The form also identifies whether an impact can be mitigated or reduceiJ_ Part 3: If any impact i.n Part 2 is identified as Potentially-large, then Part 3 is used {/o eValuate whether or not'the impact is actually important. .-' ; ..' DETERMINATION OF SIGNIFICANCE--Type 1 and unli'sted Actions ldehtify the Portions o'f EAF completed for th.i~'proiect: ~' ' Part I [] part 2 ' E3Part 3 Upon review of the informatio~n recorded o'n this EAF (Parts t and 2 ~:nd 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably-determined by the lead agency that: A; The project will not result in any large ~nd important impact(s) and, therefore, is one which ~ill not have a s~gnificant impact on the environmenL therefore a negative declaration will be p~epared. [2 B. A~though the project could have a significant effect on the environment, there will ~ot be a significant .effect for this U nlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* C. The proiect ma,/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 [ype Name of Responstrole Officer in Lead Agency Signature oi Responsible Officer in Lead ,\gency Title o~ l{espons~ble O~ficer Signature of Preparer iii different from responsible officer) Date PART I--PROJECT INF,.~RMATION :- ~ , Prepared by ?roject NOTICE: This documen~ is designed to assist in determining whether the action proposed male i,ave a significant on the en¥ironmertt. Please compiete the entire form, Parts A through E, Answers to these questions witl be cons~ as part of the application for approval and may be subject to further verification and public re¥ie~. Provide any addi information you believe wiiI be needed to comp]ere Parts 2 and 3. It is expected that completion of the full EAr will be dependent on information currently availabJe and will not in new studies, research or investigation, if information requiring such additional work is unavailable, so indicate and each instance. NAME OF ACTIOn/ LOCATrON OF ACTION (Include Street Addre~, M~ni¢ipatit¥ ~nd Count) NAM E OF APPLICANT/SPONSOR B U ~N E..SS TELEPHONE NAME OF OWNER (If differen0 ADOR~SS C]TWPO STATE ] ZIP CODE DESCRIPTION OF ACTION Please Complete Each Question--Indicate N.A. if not applicable A. Site Description Physical setting of overal'I project, both develop, ed and undeveloped areas. 1. Present [and use: [~]Urban ~industrial ~Commercial ~Forest [Z] ,Agriculture O]O/her 2. Total acreage of project aces: ~4,~ .... acres. APPROXIMATE ACREAGE .. Meadow or 8rushland (Noa-agriculturai) Forested Agricultural (Includes orchards, cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24. 25 o~ ECL) Water Surface Area Unvegetated (Rock, earth or fill) Roads, buildings and other paved surfaces .~' Other (Indicate type). []~Residential (suburban) ~Rural (non-St 'PRESENTLY AFTER COMPLETtOt' acres ~.~ acre acres ~ acre acre5 ~ acre, acres ~l,] ' ~c:e: ~C~ acres ~ ~ acre, acres ~'~~ acre~ 3. What is predominant soil type(s) on project site? ~,~.v~-[ .~ -~ ~ a..Soil drainage: ~Well drained ~ % of site E2,V~oder'ateJy well drained ?Soi site ~Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 th~6u-gh 4 of the Land Classdication System? acres_ (See I NYCRR 370). 4, Are there bedrock outcroppings on project site? ~Yes ~No a. What is depth.to bedrock? (in feetJ .. 2 .. '5. 'Approximate percentage ut p',~bposed project site with slopes: ~ [~i15% or greater % 6. Is proiect substantially contiguous to, or contain a building, site, or district, listed on the: State or the Nation; Registers of Historic Places? ~]Yes ti~No 7. ls project substantially contiguous to a site listed on the Register of National Natural Landmarks? f'qYes []N 8. What is the depth of the water table? ~ ~'~ (in feet) 9. ls site located over a primary, principal, or sole source aqui[er~ I-lYes ~No 10. Do hunting, fishing or she[t fishing opportunities presently exist in the project area? []Yes I~No 11. Does proiect site contain any species of plant or an-imal {ire that is identified as threatened or endangered ~'lYes t~]No According to Identify each species 12. Are there any unique or unusual ]and forms on the project site? {i.e., cliffs, dunes, other geological formation.~ []Yes I~[No Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area OYes 'l~No.. If yes, e~cplain 14. Does the present site include scenic views known to be important to the community? 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name ~-~t ~rta.¢~, ~'i'$~a.¢~ [,~: ~ 3~.. b. Size (In acres} 17. ls the site se~ed by~xisting public utilities? ~Yes ~No a) If Yes, does sufficient capacity exist to a~low connection? ~Yes ~No b) :lf Yes, wilt improvements be necessary to allow connection~ ~Yes ~No 18. ts the site located ~n an agricultural district certified ~ursuant to Agriculture and Markets Law, Article 25-AA - Section 303 and 304~ ~Yes ~No t9. ts the site located'~ or substantially contiguous to a Cdtica] Environmental Area designated-pursuant to Article 8 of the ECL, aad 6 NYCRR 6177 ~Yes ~No ~11 ~ P~ I~l 20, Has the site ever been used for the disposal of sol~d or hazardous wastes? ~Yes ~No B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor ~"~'~ _.acres. b. Project acreage to be developed: ~ ' ~, acres initially; ~* ~' acres ultimately. c. Pro~ect acreage [o remain undeveloped ~ acres. d. Length o~ project, in miles: ~' ~ {~f appropriate) ~ ~ ~ ~, . e. ~f the. project is an expansion, indicate percent of expansion proposed _ %; ' : f. Number of off-street parking spaces existing ~. ~'.~'.. ; proposed ..... g. Max/mum vehicular trip~ generated per hour ~,.~, (upon comple~ion of pro~ect]~ h 1[ .residential Number and type of housing units: One Family Two Family Mtdti¢le FanuJy U~tm~awi~ .~ i. Dim~ms~ons (in ~eet}o~ largest proposed structure ~ hm~ht; ~1~ width: ~.~ length_ J. Linear ieet of frontage atong a public thoroughfare proiect wdl occupy i~ ~,~.~ft. 3 Corldomin~um 2. How much natural mat...a[ (i.e., rock, earth, etcJ will be removed from the site? O to-ns/cubib.,V~rds 3: WiU disturbed areas be reclaimed? ~Yes I~No t-'IN/A a. If yes. for what inten&.Z purpose is the site befn8 reclaimed? S~ ~ b. Will topsoil be stockpiled for reclamation? ~Yes ~No c. Will upper subsoil be stockpiled for reclamation? ~Yes E3No 4. How many acres of vegetation [trees, shrubs, ground covers) will be removed from site? ~~ acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this proiect? ~Yes I~No · 6. If single phase project: Anticipated period of construction ~ months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated I~, ~, (number). b. Anticipated date of commencement phase 1 month c. Approximate completion date of final phase month d. ]s phase I functionally depend~nt on subsequent phases? r-lyes ElNa" 8. Will blasting occur during constructionf []Yes l~No 9. Number of jobs generated: during construction ~'_..~_~L~; after project is compiete 10. Number of jobs eliminated by this proiect .____~;~_._. 11. Will project require relocation of any p~oject~ or facilities? i-]Yes ;~No if yes, explain yeac (including demolition) yea n 12. [s sudace liquid waste disposal involved? E]Yes ~No' a. if yes, indicate type of waste (sewage, indu~triat, etc.)and amount b. Name of water body into which effluent will be discharged I3_ ls subsurface liquid waste disposal involved? E]Yes l~No,, Type 14. Will surface area o~ an ex'isting water body increase or decrease by proposal? Explain I-lYes ~No 15. ts project or any portion of project located in a.100 year flood plain? ~]Yes 16. Wifl the project generate solid waste? I-lyes ~t~No ~ -~ $~t~ a. If yes, what is ~he amouat per month tons b. if yes, will an existing solid waste facitity'be used? [~Yes ~No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? e. ff Yes, expI~in ~Yes I-lNo 17.' Will the. project involve the ~lisposal of solid Waste? F'IYes a. If yes, what is the anticipated rate of disposal? b. If yes, what is~ the anticipated site life? years. 18. Will proiect use herbicides or pesticides? E]Yes 19. Wifl project routinely produce odors (more than one hour per day)? ~]Yes 20. Wilt project produce operati/~g noise exceeding £he local ambient noise teveJs? 2~. Will proiect result in an increase in energy; u.s'e.~ l~Yes J~No If yes , indicate type{s) tons/month. ~Yes ~lNo 22. If water supply is from wells, indicate pumping capacity 23. Total anticipated water usage per day galionslda¥. 24. Does prolect involve Local, State or Federal funding? ~Yes ~No If Yes, explain · 252,.Approvals'Required: City, Town, V.!llage Board ~i~Yes City, Town, Village Planning Board F-IYes fi-lNo City. Town Zoning Board t-lYes I-INo City, County Health Department ~Yes I-INo Other'Locat Agencies ~Yes f-lNo Other Regional Agencies F-lYes []No State Agencies l~Yes [~No I-lYes FINo Federal Agencies Type Submittal Date Zoning and Planning Information Does proposed action involve a planning or zoning decision? If Yes, indicate decision required: [3Yes ~No ~ E3zoning amendment t-tzoning variance t-lspecial use permit E]subdivision I~site plan F-lnewtrevision of master plan t-lresource management plan I~other 2. What is the zoning classification(s)of the site? 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 4. What is the proposed zoning of the site? i-~o ~-.k~2. ....... · $. What is the maximum potential development of the site if developed as permitted by the proposed zoning./ 6. Is the proposed action consistent with the recommended uses in"adopted local land use plans? ~]Yes [-]~ 7. What are the predominant land use(s) and zoning cJassifications within a ¼ mite radius of proposed action? 8. is the proposed action compatible with adjoining/surrounding [and uses within a ¼ mile.~ i~Yes 9. if the proposed action is the subdivision of land, how many lots are proposed? lq,h, - a. What is the minimum lot size proposed? 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? i-lYes 11. Wi[[ the proposed action create a demand.for.any community provided services (recreation, education, polic 'fire protection)? []Yes ~No a. If yes, is existing capacity sufficient to handle projected demand? E]Yes E3No 12. Will the proposed action result in the generation of traffic significantly above present levels? t-lYes a. If yes. is the existing road network adequate to handle the additional traffic? I-I~es i-INo D. Informational Details Attach any additional information as may be n~eded to clarify yot~r proiect. If there' are or rn~a¥ be any adver. impacts associated with your proposal, please discuss such impacts and the measures wh. ich you propose to mitigate avmd them. E. Verification I cerufy that the information provided above is true ~o the best of my knowledge. Appticant/Sponsor~..,,-,~ J ~ ,.-,-,,.Name ,.~w'u~$ V~l~.t.~ ~.41k_~' ,~'~'~.-t..fl; J.~u2. ~ Date I'7..' ~C~' el,'"/.. Signature {~~ ~ ~ Title ,l~'~i~ tt~ ~ ... if the actioh~ ~ ~in the Coastal Areff, and you a~e a state a~ency, complete the Coastal Assessment Form before proceedin with this assessment. § P-',t 2--PROJFCT IMPACTS AND' "EIR EflAGNtTUDE '- Responsibility of Lead Agency General Information (Read Carefufly) - · In completing the form the reviewer should be guided by the question: Have my responses and determinations re,~sonable? The reviewer is nOt e×pe.cted to be an expert environmental analyst. ' · identifying that an impact will be potentially large (coIumn 2) does not mean that it is also neeessarib/significa Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 asks that it be looked at further. · The Examples provided are to assist the reviewer by showing types of. impacts and wherever, possible the threshoh magnitude that would trigger a response in column 2. The examptes are generally applicable throughout the State for most situations. [];ut, for any specific project or site other exampies and/or lower thresholds may be appropr~ for a Potential Large Impact response, thus requiring evaluation in Part 3. · The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each quesd · The number of examples per question does not indicate the importance of each question: ' la identifying impacts, consider long· term, short term and cumladve effects. -~ ~ Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as 'Yes answers. c. If answering Yes to a question then check the appropriate box (column I or 2] to indicate the potential size of impact. If impact threshold equals or exceeds'any example provided, ch~.c:k column 2. If impact will occur but threshc is lower 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 large impact checked in column 2 c,~n be mitigated by change[s) in the proiect to a small to moder; impai:t, also check the Yes box in column 3. A No response indicates that such a reduction is not possibfe. Ti must be explained in Part 3. , IMPACT ON LAND WiN the proposed action resutt in a physical change to the project site? [Z]NO ~,YES £xamptes that would appIy to column 2 Any construct/on on slopes of 15% or greater, (.15 foot rise per 100 foot of Iengthj, or where the general stobes in the project area exceed 10%. Construction on [and 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 ~vithin 3 f~'et of existing ground surface. Construction that will condnue for more than 1 year or involve more than one phase or stage. E~cavation 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 Wi/l there be an effect t; .... ,y u::~que o~ untdsuai land forms round on the si~e?,[i.e., cliffs, dunes, geolog~ca[f°rmatiOns, etc-)~NO . ~YES Spec,ftc land forms; I 2 Small to Potential Moderate Large ' impact Impact [] [] [] [] 0 [] [] [] [] [] 3 Can Impact Mitigated 8y Project Chang, [~]Yes [~]No F]Yes IMPACT ON WATER 3, Will proposed action affect any water body designated as protected? (Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) filNO U]YES ExampIes 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 impacts: 4. Will proposed action affect any non-protected existing or new body of water? ~INO I-'lyE S Examptes 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 increase or decrease. · Construction of a body of water tl~at exceeds 10 acres of surface area. · Other impacts: 5. Will Proposed Action affect surface or groundwater quality or quantity? I-INO ~YES Examples that would apply to column 2 · Proposed Action wiii_require a discharge permit. · Proposed Action requires use of a source of water that does ,not have approval to serve proposed {proiect} action. · Proposed Action requires water supply from wells with greater than 45 gallons per minute pumping capacity. · Constructio~ or operation causing any contamination of a water supply System. · Proposed Action wilt adversely affect groundwater. · Liquid effluent wilt be conveyed off the site to facilities which presently do not exist or have inadequate capacity. · Proposed Action wouid use water in excess of 20,000 gaiIons per day. · Proposed Action will likelv camm 5}]ration or other discharge into an existing body of water to tn-~ extE-nt that them wit] be an obvious visual contrast to natural conditions. · Proposed Action will require the storage of p~etroleum or chemical products greater than 1,100 gallons. · Proposed Action will allow residential uses in areas without water and/or sewer services. · Proposed Action [ocates comr=,ercial and/or industri,aJ uses which may require new or expansion oi existing1 waste treatment and/or storage [ac~hties. · Other impacts: 6. Will proposed act[on alter drainage fh,w or pa:terns, or surface water runorl:~ ~NO ~.~YE S E×=mpJes ~hat would apply to column 2 ' Proposed Action would change flood water flows. 7 Small to Potential Can Impact Moderate La~ge Mitigated Impact Impact Project Chan [] [] t-lYes ~ ~ ~Yes g ~ ~Yes ~ ~ UYes ~ac ~ E Wes ~ ~ ~Yes ~Ne ~ ~' 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 qualiW? II;NO ~YE$ Examples that would apply to column 2 * Proposed Action will induce 1,000 or more vehicle trips in any given hour. e Proposed Action wilt result in the incineration of more than I [on of refuse per hour. · Emission rate of total contaminants will exceed 5 tbs. 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 wiii alfow an increase in the density of industrial development within existing industrial areas. o Other impacts: IMPACT ON PLANTS AND ANI~dIALS WiII Proposed Action affect any threatened or endangered species? [~NO []YES Examples that woutd 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 a year, other than for agricultural purposes. ° Other impacts: 9 Will Proposed Action substantially affect non-threatened or non-endangered species? ~NO [YES Examples that would apply to column 2 '.Proposed Action would substantially interfere with any resident or migratory fish, sheil[ish or wildlife species. · Proposed Action requires the removal of more than 10 acres or mature forest (over 100 years of age) or other locally important vegetatmn_ IMPACT ON AGRICULTURAL LAND ~ESOUFICES 10 kVJjl the Proposed Action affect agricultural ~and resources? ~NO ~YES f~ample$ that wou~d apply to column 2 ' Jhe proposed acUon would sever, cross or. limit access to agricultural ~and [includes cropland, hayfields, pasture, vineyard, orchard, etc,) 1 Small to Moderate Large Impact Impact Et El- [] 2 ?otentiaI Can ImpaCt E · Mitigated. B". Project Ch an.c_ [~]Yes ~¥es E]N~ i-~lyes ii]yes []No [~Yes ~Yes [~No C]Yes ~Yes ~No f-~Yes ~No E~Yes ~-1 Yes [~Yes E]No ¥es f-lYes ~]No ~]Yes t--~No Construction activity would excavate or compact the soil profile of agricultural land. The proposed action would irreversibly convert more than 10 acres of agricultural fund 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.g, cause a farm field to drain poorly due to increased runoff) Other impacts: IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources.~ [~NO OYES (If 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 [and 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 enioyment of the aesthetic qualities of that resource. .. · Proiect components that witf 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 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance.~ I~NO E]YES ExampIes that would apply to column 2 - Proposed Action occurring 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 an archaeological site or fossil bed located within the project site. · Proposed Action will occur in an area designated as sensitive for archaeological sites on the NYS Site Inventory. · .Other impacts: IMPACT ON O2EN SPAC2 AND REC,REATION 13 Will Proposed Action affect the quantity or qualiW of existin~ or ~utu~e open spaces or recreational oppor~unit~es~ ~mples that would npp~v to column 2 ~NO ~Y~ The pem~anent foreclosure o~ a future recreational ooportuniW. A mater reduction o~ an open space important to the community Other ~mpac[s: I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] E] []Yes ~No [] [] E~Yes []No [] ~. ~Yes ~No ~ ~ ' ~Yes ~No ~ ~ ~Yes ~ ~ ~Yes ~No ~ ~ ~Yes' ~No ~ '~ Wes '~No IMPACT ON TRANSPORTATION 14. Wi][ there be an effect to existing transportation systems? E3NO E3Y£S Examples that would apply to column 2 Alteration of present patterns of movement of people and]or goods. Proposed Action will result in major traffic problems. Other impacts: IMPACT ON ENERGY t$. Witl proposed action affect the community's sources of fuet or energy supply? [~NO F'IYES Examples that would apply to coIumn 2 Proposed Action wiI[ 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 singIe or two famiiy residences or to serve a ma]or commercial or industrial use. Other impacts: NO[SE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? ]]NO [-]YES Examples that would apply to column 2 · Blasting within %500 feet of a hospital, school or other sensitive facility. · Odors will' occur routinely (more than one hour per day). · Proposed Action wilt produce operating noise exceeding the local ambient noise levels for noise outside of structures. · Proposed Action will remove natural barriers [hat would act as a noise screen. · Other impacts:_ IMPACT ON pUBLiC HEALTH '~7. Will Proposed ,A. ctJon affect public health and safety? ~NO ~YES 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 there may be a chronic low level discharge or emission. Proposed Action may result in the burial of "hazardous wastes" in any form {i.e. toxic, poisonous, hi§ht¥ reactive, radJoac£ive, irritating, infec[ious, etc,) Storage facilities for one mdt[on or ~no/e gallons of ]iquified natural gas or other flammable tiqmds. Proposed action may result in the excavation or other disturbance w~thm 2,000 feet ct a site used for d~e di-,posal of solid or hazardous wa~e. Other ~mpacts: 10 I 2 Small to Potential doderate Large Impact' Impact Can Impact ' Mitigated B 'Project Chon t-'lYes C] Yes ~Yes E]N [~Yes i-tH [-]Yes ['-~N, E~]Yes ~N, [~]Yes ~lYes I~.N~ I-lYes [~N~ [~]Yes- ~ i~Nc ~Yes [~Ne [~Yes .[~No ?[~Yes ~Yes [~No IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 18. Will proposed action affect the character of the existing commun i ty~, F1NO FqYES E×'amples that would apply to column 2 · The permanent population of the city, town or viii. age in which the project is located is likely to grow by more than 5%. · The municipal budget for capital expenditures or operatin§ services will increase by more than $% per year as a resuft of this project. · Proposed action will conflict With officially adopted plans or goals. · Proposed action will cause a change in the density of land use. · Proposed Action will replace or eliminate existing facilities, structures or areas of .historic importance to the community. · Development will create a demand for additional community services (e-g. schools, police and fire, otc,) · Proposed Action will set an important precedent for future projects. · Proposed Action will create or eliminate employment. · Other impacts: I 2 3 Small to Potential Can Impact B~ Moderate Large Mitigated By Impact Impact Project Chang~ [] [] E]Yes [~No [] [] ' E]Yes E~]No [] [] CYes ONe ~ ~ ~Yes ~No ~ ~ ~Yes ~No D ~ ~Yes ~No ~ ~ ~Yes ~No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts.,? [~NO 1-1yES If Any Action in Part 2 ls Identified as a Potential Large Impact or If Yeu Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3--EVALUATIOFJ OF THE IMPORTANCF- OF IMPACTS Responsibility of Lead Agency Pat/ 3 must be prepared if one or more im~actCs) is considered to be potentially large, even if the impact(s) may b mitigated. Instructions Discuss 'the following for each impact identified in Column 2 of Part 2: 1. Briefly describe the impact. 2. D~scribe (if applicable) how the impact could be mitigated or reduced to a small to moderate impact by project change(s 3- Based on the information available, decide if it is reasonable to conclude that this impact is imporlant. To answer the quesdon of importance, consider: · The probability of the impact occurring · The duration of the impact · its irreversibitiW. indudJn~ permam,ntly lost resources of value · Whether the impact can or wilt be controlled · The regional consequence of the impact · ~ts potential diw~gence from local needs and goals · Whed~er knowh obl~:cUons to the project relate to this m~p,lCt. (Continue on attachments} ?'-". 617.21 x..~/ Appendix B State Environmental Quality Review V Sual. EAF Addendum This form may be used to provide additional information relat.ing to Question 1 l'0f Part 2 of the Fult EAF. (To be completed by Lead Agency) Distance Between Visibility 1. Would the project be visible From: · A parcel of land which is dedicated to and available to the public for the use, enjoyment and appreciation of natural or man-made scenic qualities? * An overlook or parcel of land dedicated to public observation, enioyment and appreciation of natural or man-made scenic qualities? ' A site or structure listed ora the National or State Re§ist.ers of Historic Places? · State Parks? - The'State Forest Preserve? · biationaI Wildlife Refuges and state game refuges? o National blaturat Landmarks and other outstanding -natural features) ,' National Park Serbice lands? · Rivers designated as National or State Wild, Scenic or Recreational? * Any transportation corridor of high exposure, such as part of the Interstate System, or Amtrak? . A governmentally established or designated interstate or inter-county foot trail, or one formally proposed for establishment or designation? · A site, area, lake, reservoir or highway designated as scenic? · P4unicipal park, or designated open space? ' County road) · State? o Local road? Project and Resource (in r4iles) 0-1/4 V4 - 1/z V2-3 3-5 5 + [] [] O 0 [] [] 0-- [] O [] [] [] [] [] O [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] 0 [] [] [] [] [] [] [] [] [] [] [] [] '0 [] [] 0 'E] [] [] [] [] O. [] 2. Is the visibility of the project seasonal2 (i.e., screened by summer foliage, but visible during seasons) E] Yes [] No other Are any of the resources checked in question t used by the public during the time?pr year during which t.he project wilt be visible) ~ Yes ~ ~o DESCRIPTION OF FtXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the surrounding environment. Within *V4 mile *1 mile Essentially undeveloped [] [] Forested [] [] A~jricu[tural [] - [] Suburban residential Industrial [] Commercial [] [] Urban E~ [] River, Lake, Pond ~_~ .~ Cliffs, Overlooks [] Designated Open Space [] [] Hilly [] [] Mountainous Other [] [] NOTE: add attachments as needed 5. Are there visuaIly similar projects within: *V2 mile []Yes E~No *l miles [~Yes [~No *2 miles -[]Yes [~No -, *3 miles F-~ Yes []No * Distance from project site are provided For assistance. Substitute other distances as appropriate, EXPOSURE 6. The annuat number of viewers likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY Holidays/ Activity Daily Weekly Weekends Seasonally Travel to a.d from work [] [] [] [] Involved in recreational activities [] [] [] [] Routine travel by residents [] [] ^t a reside.ce [] [] [] [] At worksite [] [] [] [] Other [] New York State Department of Environmental Conservation Region 1 Headquarters SUNY, Building 40, Slony Brook, NY 11794 Thomas C. Jorling Commissioner Based on the informaticn you have submitted, the New York State Department of Environmental Conservation has determined that the parcel ~ _ project is: Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure greater than t00' in length which was constructed prior to 9/20/77. Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construcsion, sedimentation or disturbance of any kind may take place seaward of the ]0' contour or topographic crest without a permit. I~ is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office i~ such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obta]n]n9 any necessary permits or approvals from other agencies. V~,ry. truly yours,, Deputy Regional Pe~it AdmJ~:~stcat. or New York State Department of Environmental Conservation Region I Headquarters SUNY, Building 40, Stony Brook, NY 1i79D-2356 To: In response to your request for a freshwater wetlands determination for the property identified below, the New York State Department of Environmental Conservation has determined that the parcel is more than !00 feet from regulated freshwater wetlands. Therefore, no permit is required under the Freshwater Wetlands Act (Article 24/of the New York State EnviroD~ental Conservation Law). Location: ~ ~O Tax Map Number: tO00 Please be advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Christine J. Costopo~s Deputy Regional Permi~Administrator ~ COMLOG ~ PAPLOG MAP L~ CA/~D FILE Mrs. Rolta CampbeII 1530 A Cypress Dr. Jupiter FL 33469 16 December 1992 To whom it may concern: James Volney Righter Architects, Inc. have my perrp2ssion to apply on my behalf for permission to build an addition to an existing guest cottage on my property at Fishers Island, Suffolk County Tax map no. 1000-004-4-16. Very truly yours, Ki.m I<L Campbell New York State'Depadment' of Environmenta~ Conservation Building 40--SUNY, Stony Brook, New York 11790-2356 ~Jo~ice Thomas C. Jorlin~t commissioner · As required ,by law,' the Department of Environmental COnservation is hereby pro-d ~ding you with notice of an alleged ~Solation of the' Environmental Conservation Law which occurred within your mmficipat/ty. THIS NOTICE DOES NOT REQLriRE ANY RESPONSE OR ACTION BY YOU. action against ~'~, for a violation of Article(s) 25 and/or 15 of the Environmental C0r~rvation t_ffw of the 'State Of New York. NOTICE PROVIDED TO: Name: The Honorable Thomas Wickham Address: Sugervi s or Tow~ of Southold Main Road Southold~ NY 11971 NOTICE PROVIDED BY: N anle: Tide: Louis A. Chiaretla Regional Manager - Bureau of Marine Habitat Protection Date: · New York ..State DePartment of Environmental Conservation Building. 40--SUNY, Stony Brook, New York 11790-2356 Date: May 31, i994 Notice of Violation Thomas C. Jorling Commissioner Addressee: Katheryn A. Campbell 125 Broad St. New York, NY 100.04 Date of ViolatiOn: 'On or before 10-29-92 Location. of Violation: HippOdrome Dr. & Rogers Road, Southold ' Permit # (if applicable): Tax Map (SCTM) ID# 1000-66-2,12 Dear Ms. Campbell: Records of .this Department indicate that you are in violation of the Environmental Conservation Law. (ECL): I 1 ~ Article 15, Protection of Waters Section 6NYCRR '1 1 Article 15, Wild, Scenic and Recreational Rivers Act Section 6NYCRR I Article 23, Mined Land Reclamation Law Section 6NYCRR t ~ Article 24, Freshwater Wetlands Act Section 6NYCRR L-X2 Article 25, Tidal Wetlands Act Section 0401.1 6NYCRR 661 i" ' I ~ Article 19, Air Pollution Control Act (Restricted Burning) Section 6NYCRR In that you caused, or permitted to 'be caused: the installation of: a 24' 10rig Catwalk 2'4" over grade in a regulated intertidal and high marsh wetland; a 4'4"-X 6' terminal platform 3' over grade in an regulated intertidal marsh wetland; and the installation of leaves, evergreen trees, bushes and other landscape debris in a regulated high and intertidal marsh wet/and allegedly without benefit of DEC permit. Contravention of this/these Article(s) of the ECL is a violation and/or a misdemeanor punishable by a f'me of no more than $10,000/15,000 per day. Penalties may be assessed for each day.that the violation continues. Please be further advised that violations of the ECL which are not resolved may be. the subject of an administrative hearing pursuant to Title 6 of the Official Compilation of Codes, Rules & Regulations of the State of New York (6NYCRR, Part 622). You are hereby .advised to cease your operation at the referenced location immediately'. Please contact the following office within thirty (30) days of receipt of this letter, so that we may attempt to resolve this matter. Failure to contact this office within this time period will result in this matter being referred to the Department's Regional Attorney for further enforcement action. To schedule an appointment for a compliance conference in this matter, please contact Ms. Kay Worker at (516) 444-0295. Office of Legal Affairs Arm: Kathleen Shea Assistant Regional Attorney CC: Very truly yours, Charles T. Hamilton Regional Supervisor of Namrai Resources Stony Brook Regional Attorney Dr. Christopher S. Mallery, ACOE ECO Enright,. Law Enforcement K. Du Bois, BMHP Certified Mail NOV #94KD52 . C~nsuitino 0., Box 447 Quogue, N.Y~ 11959 6-653-0607 Mr~ Albert Krupsk!,Jr., President Board of Town Trustees Town Hail, ~3095 Main Rued P.O. Bux 1!79 S~utho!d~ N~Y. i~971-!!79 rerm~t for Roi!a B, Campbell Fishers is~_,_..,~-'.0 Dear Mr= Krupski: · A.~. _ ~:.'~-~,~ ~;.~-~= ~. +'~ ~., ~ t~me~~are request i.~g to moo~Tv" ~=, ,,~. · =~u.~ ...... .~ -.~ his issued by the Board ~f Trw. stems. The requested modification ~,s to aii~w the applicant to construct = garage, pooi~ decking, p~n~ back?i "ter to ....... sh fiz and regrade the area pool 'and garage construction. Ali of the proposed modifications shall be located ~reater than 75~ from- the Tidal Wetlands line. -For the Board's review, i have enclosed 4 sets of the revised survey as prepared by Chandler, Palmer & King dated ~.-..94~ As a.i~av~, sho~id you or any m~.m ..... c~ ....... have nay comments or questions pertaining to this request~ ~O ~ ar" enci. Fnvironmen al Consuking Services OF' November 24, 1997 Mr. Albert J. Krupski, President Board of Town Trustees Town of Southold 53095 Main Road, P.O. Box 1179 Southold, N.Y. 11971-1179 RE: Property of Roia B..Campbell No #, East End Road, Fishers Island S.C.T.M.No0 1000-004-4-16 Dear Mr. Krupski: At this time, we are seeking to obtain a determination of jurisdiction for this project. The proposed project consists of the construction of a 27'x 59' addition onto the west side of the existing single family dwelling, a boulder retaining wall and driveway. All of the proposed construction activities shall be located greater than t50' landward of East Harbor. I believe that Mr. James King had visited this site as a pre-application inspection during his last trip to Fishers Island. For your review, enclosed Please copies of the survey for this site as prepared by Chandler, Palmer & King (17 Nov 97). As always, should you have any comments or questions regarding this material, please feel free to contact our office. GEJ:arh Most sincere~ly, ~ Phone (516) 653-0607 - Fax (516) 653-3348 121 jessup Ave ~ 2nd Floor, RO. Box 447 Quogue, NewYork 1195%0447 James Volney Rig1~er a r c h [ t ¢ c t s i n c F~ ~ ~t r_~ - ~ TOWN OF SOUTHOLD 10 February 1994 Board of Town Trustees Town of Southold 53095 Main Rd. Southold NY 11971-1179 Re: Klm K. Campbell guest cottage SCTM ~1000-4-4-16 Fishers Island NY Attention: Jill To the Town Trustees: Enclosed is our check for $150 in payment of the application fee for wetlands permits. We understand that the .Campbell .application will. be discussed .................... [." ::~[[/i?,'L~; ['.'.~,, "'?:'i ~.~[ ~.'~<5~.~:'. ,.P~b'i:'~,C'.?,ihe:~:~.~n'~...:,'~>n- !~2'~4'.:i~ F.e~/:.[ii~/~Y,'/: ':i.~ 9 ~...~. ','... :~ ._:.~.¥.,'... ~ ?.:".: [:'.:'-.:?~'?~ ,'?~ ':[..-~ [' .',. Very..truly yours, Jacob Albert 58 Winter Street o Boston . Massachusetts o 02108 - telephone . 617. 451. 5740 James Volney Righter a r c h i t e c ~ s i n c 17 January 1994 Board of Town Trustees Town of Southold 53095 Main Rd. Southo!d NY 11971-'1179 Re: Kim K. Campbell guest cottage SCTM ~1000-4-4-t6 Fishers Island NY To the Town Trustees: 07 $ou r .oL¢ Enclosed is an application .for permission to reconstruct the guest cottage with an addition on the property of Klm K. Campbell on Fishers Island. We had received a waiver from you dated 4 May 1993 allowing the construction of the addition to the guest cottage. (Copy attached) As construction began last month, it immediately became apparent that the .Wood structure of the existing cottage was seriously rotted and that using it as the basis for an addition.was inappropriate. The wood structure was removed. The block foundation walls still remain. However, as it was discovered that these block walls lack footings, we now see that they, too, are inadequate for reuse. A new foundation with footings is called for. Because of these structural deficiencies in the old building, the project has become one of new construction rather than an addition. We are asking permission to rebuild the cottage exactly in its old'location and exactly according to the plans that were approved by all the relevant agencies. This reconstruction will entail no change t.o the uses that have existed on the property for many years. Even if the cottage.were not rebuilt on its old site, the site would still be in a disturbed condition, withlan existing old foundation wall in place and lawns surrounding it. We request that the project be allowed to continue as before. Very truly yours, 58 Winter Street · Boston ~ Massachusetts ~ 02108 o telephone , 617. 451. 5740 JAMES V. RIGHTER ARCHLY' '~'~TS 58 Winter Street "' · BOSTON, MASSACHUSETTS 02108 (617) 451-5740 WE ARE SENDING YOU [] Attached [] Under separate cover via [] Shop drawings .ATTENTION ... [] Prints · [] Plans [] r [ [] Copy of letter [] Change order [] COPIES DATE NO. DESCRIFmoN ' THESE ARE TRANSMITTED as checked below: [] For approval [] For your use [] As requested [] For review and comment [] FOR BiDS DUE [] Approved as submitted []' Approved as noted [] Returned for corrections 19 [] Resubmit [] Submit [] Return copies for approval copies for distribution corrected prints __ [] PRINTS RETURNED AFTER LOAN TO US REMARKS 40% Pre-Consumer Coment · ~0% Poa-Consumer Content SlG PRODL~CT24~2 ~l~='G~n. M~ ~14~1. ~f enclosures are not as noted, kiAdly not~,~t once- .New York 'State Department of .Environmental Conservation Region 1 Headquarters Thomas C. JOrling Commissioner A review has .been made .of your proposal to: ~Wo~o~~-.~ '~ proj. ec~.. is: . . Great'er..,t.han 300'~ fr~'m in~.:~ntoried tidal wetlands. Landward o~ a .subSta~nt'ial..'~n'-'made structure 9reat.e'r 'than 100": i'~':"ieng~n ~hich wis conskructed prior to 9/20/77. Landward of the ~0' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in. elevation above mean sea level. Therefore, no permit is. requir.ed under the Tidal Wetlands Act (Article 25 of the Environmental Cons'e~vati. on Law). Please be advised, however, that no construCtion, sedimenta, tion or disturbance of any kind may take place seaward of. the 10' contOur, or topographic crest without a permit. It is your responsibility to e~sur.a that all necessary precautions are taken to prevent any sedimentation o.r other alteration or disturbance to-the ground surface or vegetation'in'this .area as.a'result of your project, SuCh precautions may include provi'ding adequate work area between the 10' contour or topographiC:Crest and the project (i.e.a.15" to 20' wide construction area) or..erect'ion of a temporary fence, barrier., or hay bale berm. " Please note that any additional work, or modification to the project as described, may require a~:~i't::h°rizatiOn by this Department. Please contact this office if such are co.ntemplated. Please be further advise'd:.:that this letter does no~ relieve you of the responsibility o£ ob'talniing any necessary permits or appro~als from other agencies. Ver~/ truly yours,. /'] i ' - Deputy negional Pe~it. /~dministratot' New York State Department of Environmental ConserVation Region I Headquarters SUNY, Building 40, Stony Brook, NY ].1790-2356 Date Thomas C. Jorling Commissioner in response to your request for a freshwater wetlands determination for the property identified below, the New York State Department of Environmental Conservation has determined that the parcel is more than 100 feet from regulated freshwater wetlands. Therefore, no permit is required under the Freshwater We%lands Act (Article 24;o~ the New York State Environmental Conservation Law).' Location:' ! · Tax Map Number: ~? . ~ -.,. z JO - [& Please be advised that this letter does not relieve you of the responsibilits~ of obtaining any necessary permits or approvals from other agencies. Very. truly yours, Christine J. Costopou~ Deputy Regional. Permi~dministrator ~ QOMLOG ~ PAPLOG [~ MAP ~ CARD FILE James Volney Righler a r c h i t e c t s 9 December 1993 TOWN OF SOUTHOLD Board of Town Trustees Town of Southold 53.095 Main Rd. Southold NY 11971-1179 Re: Klm K. Campbell guest cottage SCTM ~1000-4-4-1.6 Fishers Island NY To the Town Trustees: We received a .waiver from you dated 4 May 1993 concerning'the proposed addition'to the guest cottage on the property of Klm K. Campbell at Fishers Island NY. (Copy attached) As construction began last month, it immediately became apparent that the wood structure of the existing cottage was seriously rotted and that using it as the basis for an addition was inappropriate. The wood structure was removed. The block foundation walls still remain. However, as it was discovered that these block walls lack footings, we now see that they, too, are inadequate forhreuse:. ': A~new foundation with footings is called for. ~'ecause of these structural defici~n¢ies:in~h~ 0!d building, the project has become one of new construction rather than an addition. To continue the project, we must apply for a new building permit and a zoning variance. The Building Department Notice of Disapproval that necessitates the variance also mentions that action may be required by the Town Trustees. (See copy of Notice of Disapproval.) We are asking permission to rebuild the cottage'exactly in its old location and exactly according to the plans that were approved by all the relevant agencies. This reconstruction will entail no change to the uses that have existed on the property for many years. We request that your waiver be revalidated to allow the project.to..continue as before. . .. .-- 58 Winter Street o Boston - Massachusetts , 02108 - telephone , 517, 451, 5740 TOWN O F SOUT!tO LD BL/I[LDING DEPARTiM ENT TOWN CLERK'S OFFICE SOUTF/OLD. NOTICE OF DISAPPROVAL Date ..... ~IOI~f~,R .%Ct, ........... t9 To ...{..aj~...~ ..v.q!?.ey.' .R.~F,~).t.e.r, (~ch~eet) ' Bos ton, ""~ 8~uso r ~s P~ASE TAKE NOTICE t~at you) application ~atea ... ~g. ~, .. 1~ .~.. for pe~it t.o ~ ' ' '~¢0~S~¢~ ~~ ~ DI~IO~S. . ................. Lac~t~on of Prcpe~W ~;;~; . ' ........... ~/e;? ....................... County TaX:Map No. I000 Section ..... ~ ........ Block . .~...' Lot Subdivision ................. Flied Mt~p No ................. Lot No. ~ ACT~ON~QU~ BY~ ~A~OF ~~$~S. 1/80 James Vol[ney Righter a r c h i t e c t s [ n c Board of Town Trustees ToWn Hall 53095 Main Road P.O. Box 72.8 Southold NY 11971 30 D~ Attention' John Bredemeyer Gentlemen: We would 'tike to reintroduce a project for Mrs. Kim K. Campbell on Fishers Island. Two years ago, we applied for permission to build.a new garage'for the Campbe!ls. But the Project'was dropped.before the application materials were complete. We :now hope to proceed with another project, an addition to the existing guest cottage. In 1990 the D.E.C. issued letters of no jurisdiction for the project. (See attached.) We are now seeking to renew their earlier decision. We.believe the project is outside the coastal erosion hazard zone. However, it may fall within your area of fresh water wetlands jurisdiction. We are seeking either a permit, waiver, or ruling of no jurisdiction, as you find appropriate. we have now gotten Chandler, Palmer, &. King to complete the contours in the project area. Please let us know if there is any further information we should supPly. Thank you for cOnsidering this application. Very truly yours, Jacob Albert Enclosures: Application forms (3 pages), Short Environmental Assessment Form, Long Environmental Assessment Form, D.E.C letter 4-18-90, D.E.C. letter6-27-90, Owner's authorization letter, Site photographs, Location map, Suffolk Co. Tax Map, Project plans, Survey, Fee $35. 58 Winter Street - Boston .Massachuse,ts . 02108 . telephone . 617. 45to5740 James Velney Righter a r .c h i ~ e '¢ t s ~ rt c 25 March 1993 Tom Shillo Z & S Contracting' Fishers. Island NY 06390 Dear Tom: We have enclosed some new sketches for the Rolla Campbell guest cottage addition. They are ready to go ahead again. We have gotten started again with the D.E.C and Town Trustees. The D.E.C. has signed off. But in response to the Town Trustees' opinionr we have redesigned the whole scheme so that the addition is all towards the driveway. That is why it will not look familiar to you. They have given an indication that they will approve this scheme. We'll have to give you more than the attached sketches before you can come up with even a ball-park price. But the Campbells will want a price before going ahead. Before we do that, could you give the Campbells an idea of when you might be able to fit this job into your schedule? Sincerely, Jacob Albert 58 Win~.er S[reet o Bosto: · Massachusetts · 02~08 · telephone o ~5~7o 451o 5740 /-% FART fl--ENVIRONMENTAL ASSESS~'~T (To be completed by Agency) A. DOES AC%ION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617 120 1[ yes. coordina[e the +'eview process and use the FULL EAF. B. WILL ACTION RECEIVE COORDINATED REVIEW AS pROVIDED FOR UNLISTED ACTIONS IN 6 NYCR~, PART 6'[7.6? If No, e negative declaration may be superseded by another in¥oiYed agency. [] Yes [] No ' ' · . · '' C. COULD ACTION RESULT iN ANY AD.VERSE E~-FECTS ASSOCIATED WITH THE FOLLOwING:'6Answers may be haedwritten, ii, legible) C1. Existing air quality, surfaoe or grou~,dwater quality'dr quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential fo'r erosion, dcAinage or flooding problems? Explain briefly: ' C2. Aesthetic, agricultural, archaeological, historiC, or other natural or cultural resources; or community or f~eighborhood character?- Explain briefly; G3. Vegetation or fauna, fish, shellfish or wildlife species, si§nifican[ t~abitats, dj- threatened or endangered species? Explain briefly; -- · . ';:.... ...... .~¢-... ., .'- .,.:.,~...:'- -....,.. --:..?,~ . ..., ,,:. .- . - .... C4. A community's extsting ple. B~.p~.goals as officially adopted., or a change ~n use or mtenslty o[u~. e,0[ land or othe~:.naturat resources. F-xp[ain brief[l . . · . :. .;..: ..... ':.~,;y=..' '~ :'. .,~.%.;~,~ ~- · . . · .1- . - ; .~ · . . . <¢;*,, 65, Growth, sul~equent'~leYelopment,,er related .actlv[ties Jike~ to be. induced by the .proposed .~i°n? (Explai, 5':;Ief[y.. .. C6. Long term, short term, m. tmulativ~.or other effects not Identified tn cl-C57 F2q~lain.briefly. -. .; C7. Olher impacts (inoluding changes irt use of either quanIity or type of anergy)? Explain b~ief[y; D. IS THERE, OR iS THERE LiKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL iMPACTS? [] Yes. [--]. NO tf Yes, explain briefly , .PART llI.-~,DEflBM'INATiON ..OF SIGNIFICANCE (To .be completed by. Agency) -: ..... INSTRU.CTIONS: For each.adverse .effect talent[fi'ed above= determine whether it is substantial, large, Important or otherwise significant- · Each effect Should be"as~.:jC~.':co, nnect!on .wi.tfi its (a) setting (Le. urban Or m .raJ);~-il~) probability of. occurring; (c) duration; (d) irreversi'b'itity; (e) geographic scope;.'and (f) magnitude: if necessary, add attachmer~ts.or referehce'supporting materials. Ensure that expia~ .at[ohs contain, sufficient detail to show that ali relevant adverse impacts have ~n. id =e~tifled:and adequately addressed. [] Check this· box if you have[dent[fled one or more potentially large or significant adverse impacis which MAY occur. Then proceed' directly to the FULL FAF and/or prepare a positive~eclaration, - ..... [] Check this box if you have determined, based on .the information and.a~alysis above and any supporting documentation, ·that .the'proposed action WILL NOT result in any sign[fi,can_ t .adverse environmental impacts AND provide on attachments as necessary, the reasons supporting thiS~e, rmination.-. Name of Lead Pdnt or Type Name of Responsible Officer in Lead Agency Titte of Responsible Officer S~gnature of RespOnsible Office? in Lead Agency Signatt~re of Preparer (if different from responsible officer) 14-16-4 (2¢87)--Tex. t 12 iPROJECT I.D. NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM, For UNLISTED:ACTIONS Only PART I--PROJECT INFORMATION (To be complete;d by Applicant or Project sponsor) : 1 APPLICANT /SPONSOR ~ 2. PROJECT NAME J¢..,~-<~ V,,,t,.,¢--.h 'I:L,'qL'T_~ ~~, ~.j ~¢~ K. ~pk~ ~ ~ 3- .PROJECT LOCATION: 4. PRECISE LOCATION (Street address amd road infarctions, prominent landmarks, etc., or provMe r0ap) 0 I1 SEQR 5. IS PROPOSED. ACTION: [] New :' [] Expansion DESCRIBE PROJECT BRIEFLY: initially ~ acres Ultimately : -- I' I [ 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICT'IONS? [] Yes ~ No If No, describe briefiy ~ lJ W H A~ · ~ S PRESENT LAND USE. 1N VICINITY OF PROJECT? [] aesideatiat [] industrial [] Oommercigl [] Agricultur~ [] Park/Forest/Open space ~,Other DOES ACTION tNVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY {FEDEPJ~L, STATE OR ~2. AS A RESULT ~ ~O~E9 ACTION WI~ ~ING'P~MfflAPPROVAL ~E~Ui~ MCDIFIOA~ON~ ~ Yes ~ No ' ' [ CE~TI~ ~HAT THE IN~ORMATION PROVIDED ABOVE tS ~UE TO ~E BEST OF ~ KNOWL~E 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 Soltho±d Town Trustees Field inspection Report Project Applicant/Number ?3. × Site contains the following important natural features (Beach, Bluff, DuKe-, Secondary Dune, Escarpment, Kettle holes, Erratics or Significant Habitats, Rare T_~reat~ned, Endangered.or species of.special concern. .Extent proposed activities are at variance from established standards of Coastal Erosion. Projection; is supplemental. engineering or advisory opinion indicated? Refer to CAC?~ Can impacts be moderated-by ' ~ simple project change? Sh~uid FF~LA Regs. be checked Prior to Permitting? Application complete,' ~ assemen5 form provided/complete Public services landward of Structure~ Non-movable structures/additions prohibited. Permanent'foundations not attached to movable structures Nonmovable structure within 25' of landward limit of Bluff° Nonmovable structure placed so excessive ground loading placed within 50' of point of inflection. '~ Relocation agreement required/acceptable~ Surface water not directed to/over bluff face. The Activity is: Reasonable and necessary, considering reasonable aiternatives 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 the proposed site and at o~her locations. Prevents or minimizes effects on natural protective features and their functions and protective values. existing erosion protection structures and natural resources. T~uste~ signafure / il, -~ . -f4..16k2 (2187}--7c 617.21 SEC Appegdix A State Environmental Quality Review ' " FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine. ~n an orderly'manner, whether a proie or action may be significant. The question of whether an action may be si[nificant is not Mways easy to answer. Frequef' Iy, th'ere are aspects o'f a proiect that are subjective or unmeasureabIe, it b also understood that those who determu significance may have liLtle .or no formal knowledge of the environment or may be technically e_xpert in environmenu analysis. In addition, many who have knowledge in one particuIar area may not be aware of the broade~'cancems affectic the question of significance. The full E^F is intended to provide a method whereby applicants and agencies can be assured that the de.terminatio process has been orderly, comprehensive in nature, yet flexible to atIow introduction of information to fit a project or actio4 Full EAF Components: The futt EAF is comprised of three parts: Par-t 1: provides objective.data and information about a given project and its si{e.'B¥ id~tiiy~, g b~4sic projec .' data. it assists a reviewer in.the. analysis that takes place in. Parts 2 ann 3. i Part 2:.':~:ocuses on iden.tif¥ing"the..range of possible- impacts: that"may occur from a project or'action., It provide , -' .' .:. gUidance as.~o whether an'imPact is likely to 1se' cOnsidered small to moderate of'wheth.er'it is a potentiall~ . ' '....; Ltrge impact. 'The. form.' also identifies whether an impact Can bemitigated °r..:redUceii- ': · ' ' part:3:'.;,i~in¥.imp~t:in Part:2'~s: ~a.~t{tff~'~,as P0tentialff3dqle .tl~e~ Part 3 is used'~ e~iiiu~&:wli~th'er 0t not 'th DETERMINATION' OF SIGNIF'IC-ANCE~TYpe I an'd Unlisted Acti°ns ldehdf¥ the Portions o'f.EA:F .completed for thi!; project: [] Part I [] part'2 ' IEtPart 3 Upon reviev~ of the informatioh recorded o'n this .EAF (Parts 1 and 2 ~t:nd 3 if appropriate), and any other supporting information, and considering both the magitud~ and Jmportance of 'each ~maacL ~t is reasonably.de/ermined by the lead agency that: A~ The project W/II not result in any large and important impacrCs) and. therefore, is one which ~vill not have a s~gnificant impact on the environment, therefore a negative declaration Will be prepared. g. Atthough the project could have a significant effect on the environment, there will. ~iot be a significant effect.Jar this Unlisted Action because fhe mitigation measures described ia 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 si~nifkant, impact on the environment, therefo;re a'plositi~ declaration will be prepared. ' A Conditioned Negative. Declaration is only valid for Unlisted Actions Name ot Action Name of lead Agency Print or .rype Name or Responstble Officer in Lead Agency Title at- Responsible Oiiicer Signature pt' R. espons~b[e Officer m Lead Agency Signature o'f Pwparer (If d~tferent ;rom respons,ble m:ficer) .. PART t--PROJECT ]NFORI,s[ATION :-, - Prepared by Project Spot, sar NOT[CE: This document is designed to assist in determining whether the action proposed mayhave a on the environmenL Please com~JeEe ~he entire form. Parts A through E. Answers to these qu~don~ will be con~ zs pzr~ of the app]ic~t~on for approval and ma~ be sub[act ~o further verification and public revi~. Provide any information you believe will be needed to comp]ere Parts 2 an~ 3. It is expected that completion of the full EAF will be dependent.on information currently avaiI~ble and will not new studies, research or investigation, if interruption requiring such additiO'n~J work is unavailable. ~ indicate and each instance. NAME OF: ACTION NAME OF APPLI~NTISPONSOR r. tsUS~r~s TEt~WHon[... STATE. [ 23P. CODE Please Complete Each Question-Indicate N.A. if nor applicabie A. Site Description Physical setting of overall project, both develop, ed and undeveloped areas. 1. Present.land'use: I~Ur.ban IZ]Industrial ~Commercial ~Residential.(suburban) [3R~ral (non-~, U]Forest E] .Agricultu.re ~Other 2. Total acreage qf ·project area: ~°~ ' acres. APPROXIMATE.ACREAGE : ,, - PRESENTLY AFTER COMPLETIO:' Meadow o~.hrUshland [HonragriciJltural} ~ !'. '~' acres {-~ acre · . .".~.~:,.;? ..:.:: .~ F0reste L::'-.=.',: o acres o acre Agricult~f~!;:.(lnt:ludes orchards, cropland, pasture, etc.) ~ "~'~ acres O acre wetland:(~i}~hw~ter or tidal as per Articles 24. 25 of ECL) 'J~ }'."~' _. acres . 1,3 _~ acre Water 5Ur~iie· Area O,..'.. acres o . ... t.j';.,;~...'. '~ . :. acre onvegetai~::'{Rock; earth or till) - 'J;' O',~''' acres O.Z.~ _ acre Roadgi'.b~i'iiJing'$.'and other paved surfaces ;17 0.9-,; acres 0,.'b_ acre Other'{Indicate type). 9: I.~ acres I · 3. acre 3. What is: p.~'edorn'ina.nt soil type(s) on project s~te.~ ~,~-{ ! a. Sell'drain]age: ~Well drained = I..o °.6 of .~te ~,Lioderateiy well drained ?7, of site ~Poorly drained $6 of stte b. if any agricultural land is involved, how many acres of 5oil ace classdied within spit grou~ I thr~Su_gh 4 of the; Land Cfassdicauon System? __ acres. (See t NYCRR 370). 4 Are there bedrock outcroppings on protec~ site? ~Yes fi]No a. What 'is depth .to bedrock? {in feetj 2 '$..-Approx(mate percentage of or<~'~o~'ed groiect site with slopes: . ~0- , · _ % B10-I5% 6. Is proiect substantially cond~uous to, or contain a building, site. or district, listed on the-_State or the Nati. o~' Registers of Historic Places? ~Yes 7. ~s p~oiect substantially confi~uous to a ~ite lis~ed on the Register of Nadona[ Natural Landmark~ ~Yes 8, ~Vhat is the depth of rhewater table? ~ ~ (in feet) 9. Is she .located over a primary, principal, or sole source aquifer? ~Yes ~}No 10. Do hunting, fishing or shell, fishing opportunities presently exist in the project area? ~'Ye¢ ~No ti. Does prelect site contain ann species o¢ plant or animal life that is identified as threatened or endangere According to {dendfy e~ch ~0ecies t2. Ace there any unique or unusual land forms on ~he project site~ (i.e.,' c{iffs, dunes, other gedlogical ~Yes ~No Describe 13:..Is 'the' project, site presently used by the 'com'munity:~0r'-'.neigh'borhood as an open space or recreation are. l-lYes fi~No :. If yes, e.xplain · .'~. -Do~s the' present .site i,clude scenic views' .~noW~ ;:'{~"-i'~PO~nt. ~o ~.he community~ '." a.. Na~e o~ S~eam and ha'me o~ Rive~ ~o .whiC~ ]~ is"tri~'utary 1'6.-Lakes. ponds, wetland ama¢ within or contiguous to pr°)~/ct areai a.. Name' ~e, St ~1~-,-~ ~ S ~' .[~ ~$~' b. Size (In acres) 17_ .ls the site. served by~x~ting public utilities? ~Yes ~No al If'YeL does sufficient capacity exist to allow connection? ~Yes ~No b) If Yes. wd[ ~mprovement¢ be necessary to allow connecuon? ~Yes ~No 18.,Is the site located m an agricultural distr~cr cer[iiied pursuant to Agriculture and MarkeEs Law. Article 25-3 5~ction 303 and 3048 ~Ye5 19 Is the site located in or substantially conuguoos to a Critical Environmental Area designated pursuant to Article of the ECL. ahd 6 NYCRR 6177 ~Yes ~No All e~ 20, Has the .site. ever been used for the disposal o( ~¢id or hazardous wastes? ~Yes ~No 13; Project Description '" 1, Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled- by project, sponsor ~.'~._ acres, b. Project acreai;e to be developed: tO.'~', acres initially; _._J~.b. acres ultimately. c. Project acreage to remain undeveloped ~ acres. · d:' Length of project, in miles: ~. ~ I ' {If appropriate} e. If the prelect is an expansion, indicate percent., of expansion proposed f. Number o[ off-street parking spaces existing ~:, ~* ; pcoOosed g, ~Maximum vehicular trips gene.rated per hour ~. ~, [upon completion One Famdy /tvo Family Multqde Fanuly i. 'Dim.ns,ohs /m ~ued oi largest proposed s~ructure ~Be~qht; ~ i. Linear ieec of frontage along a public thoroughiare project wdl occupy i;~ _ Condominium length. 2_ How ·much natural materiai [£e.. rock. earth, etc.) will he removed from the site? --I__"~Oo - 3- Will disturbed areas, be reclaimed? ~Yes ~No ~N/A a. If yes. for what inte~dcZ purpose is the site being reclaimed~ ~ ~_ b. Will topsoil be stockpiled ~or rectamation~ ~Yes ~No c. Will upper subsoil be.stockpiled for reclamation? ~Yes ~No 4. How many acres of vegetation (trees, shru'bL ground covers) wilI be removed From' sit~? O __ acres. 5. Wilt any mature ~orest {over 100 yearn old} or other local[y-importaat vegetation be removed by this 6. tf Single 'phase project Anticipated period of construction ~ 7. If multi-phased: a. Total number of phases anticipated J~, J~, (number)- b. Anticipated date of commencdment phase 1 month c. Approximate completion date of final phase month d. Is phase 1 functionally :depend~nt on subsequent'phases~ gitYes 8~' Will blasting occur during cofijttttction.~! ': ·-'l~]Yes 9. Number of jobs g 11. Will. uire months. (including' demolition}. year, [including demolition) year: []No-' ~;.after project is complete ,..0: ' . . '..." iec:~ rqYes Ii, NO. ':. if yes, ex~laig"' _ · :~.".:i/ :"" - ' . . ....' · ." 12.' 'Is surf~e'iiquid-Waste disposal, inv0tO~ti ::.'. ':'l:]¥es..-;(.' I~iNo' a'~: [f."'¥~S indicate:. tYpe .o'f"~t~{e. (se~ili~".: i/id'/a~triali'etcLi':.and amount b.. Name of water body, into? which ~'efflUent ~itl ..be dis'cha:rged 13. Is subsu:rface liquid waste disposal involved?. [-]Yes ~No.. Type 14_ Will surface area of an existing water 'bodY'increase or decrease by proposal? Explain · ClYes t~No ~5. Is project or any portion of project located in a 100 year flood plain? C]Yes 16. Will the project generate solid, waste-~ E]]Yes i~qo ~ ,~.-k. 5,1,,~U_~4~. a. If yes, what is the amou:~.t per month: tons ~~ ~"~'¢~' ' b. [f yes, will an existing solid waste facility'be used? l]JYes I-]No c_ If yes, give name location d. Will any wastes nol go into a sewage disposal system or into a sanitary landfill.~ e. If Yes, explain ., .< OYes []]No 17. Will the .project involve the disposal of-sdlid waste? I~Yes a. tf yes. what is the an'ticipated .rate of idisposal? b. if yes, what is-the anticipated site Ii{e? years. .~8. Will project use herbicides..Or:pesticicJe~5-.~:- EiYes I9. Will project routinely produce;odOrs (more than one hour per day)? ~Yes J~N0 20_ Wilt project produce operating noise exceeding the local ambient noise levels? ElYes 2I. Wdl project result m an increase in energy, us'et E]Yes If yes , indicate type{s) 22. If water supply is from wells, indicate pqmping capacity },}, ~- gallons/minute. tons/month. ~No 23. 1-otat anticipated water usage per day 24 Out5 project involve Local. State or Federal funding? J~No If Yes. explain ~ 2£.' ~pprovals[ R equked: City, Town, Vi[Iage Board ~Yes ~No C~ty, Town. Vii[age Planning Board [~Yes [Z]No CRy. Zown 'Zoning Board ~Z]Yes ~No City. County Health Department ~-Yes ONo Other Local Agencies [~lYes t-tNo Other Regional Agencies F-lYes State Agencies I~Yes [~No IZ]Yes [Z]No Fede'ra[ Agencies Submittal Type Date C. Zoning and Planning Information , ..r:~. 1. Does proposed, action involve a planning or zoning decision? I~Yes ~No ~ ' ' If Yes; indicate decision required: Dzoning amendment ." .~]zoning variance ~special use .permit I-lsubdNision Dsite Plan UlnlewtteVili~n-of:m~ste~q~l~h:.' .'-'.i"g]rescmrce manageme.nt', plan ~'.: Elother ' "= ~ ' '. .... ..~:' .'. ..... " ...' 'e./.':"..?~':','4".-.~-:.:' '." :' . - .'. ' ' ' ':.: :'.. ' . .". . · 3: What:'~s ttle"maXimum"potentia! i:tev'eloPment of the site if develop&d as permitted.'b¥ the present Zoning~ ...:.. .... 4. What is the pr~posed'z'oning..Of: the?ite?' . $. What,is .the 'maximum potential'development of the site if developed as permitted by the proposed zoning? 6. Is the pro~osed.'action consistent with the recommended uses in"adopted toca[ and use plans? dii~Yes 7. What are the predominant [and usefsJ and zoning classifications within a L( mite radius of proposed action? 8~ Is the ~roposed action .compatible with adioming/~urrounding land uses within a ¼ mite? gi]Yes 9. [f the proposed action is the subdivision of land. how many lots are proposed? it`/,~. ' a. What is.the minimum lot size proposed? 10, Will proposed action require any authorizationis} for the formation of sewer o.r water districts? t-lYes 11. Will the proposed action create .a ,demand fOZ.any community provided services. [recreation, education, poli~ fire protection]? ~Yes ..... ,1~N~ ~' " a. if yes. is existing capacity sufficient to handle proiected demand? I-lYes [:]No 12. Will the proposed action, resd|t"in the generation of traffic significantly .above present levels? I~Yes a. if yes, is the existing road network adequate to handle the .additional traffic? UIyes ~tNo D. Informational Details Attach any additional in'formation as may he needed to clarify your project. If ther~ are or m-ay be any adve impacts associated, w/th your proposal, please discuss such impacts and the measures which you propose to mitigate avo.d them. E. Verification [ certdy th'at the information provided above is true to the best of my knowledge. AppLicant'S onsor Nam ~r.~v.~ $ Vol,. _.. ' I~ the actio~ in the Consent Area~n,a d you a~e a stale agency, complete lhe Coastal Assessment Form before proceed[~ with this assessment. 5 Consultant Project Na~me SCT~I ~!0O0- 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 thi,s regard for any_~e-'~uired return submissicn: ~~ ~,.~.~x 4~'.~o-~ C~~; L /~ ~e~f ~ ~d~i~uSt ee RepresentatiVe This notice makes no claim with respect to other jurisdictions within or outside the Town of Southo!4 with respect to permits, Permission required. 4/92' D~Z~v£HAy \ \ NOTES: ~' ~ BENCH MARK ~ ~ TOP OF IRON PIPE ~ ELEVATION: 24.79 OAK OAK / AREA \ \ \ \ I 0.976+ ACRES CLEARING +2o.~ % / / / / 24" OAK OF SHORE 1000 GALLON · ~ SEP~IO TANK ~16" OAK (2) MAPLES ~B,6 ---~. / (2) 5: ~ k-J, ' 1.14~ ACRES T trouse ~ / ~ C~ TEST HOLE D AA (R, Sfroua, R PROP~ 0~0' '.~: ~.0 12-7-89 ~ ~ [~ 0"-6" TOPSOIL 6"-30" SUBSOIL 50"-16' SAND WATER AT 12' % LOT COVERAGE PROPOSED // 50~, EXPANSION TEST HOLE IF 1000 OALLON SEP~C TANK LOT 4- 4% LOT 5 - 9 % '~6.3 N 1269.19 8' x DEEP DRY W 685.95 8'-,' J~8.6 / [ ,.o I 18.0 .. II LTh_ CAST CONCRETE: PLAN 5*-8" ~R~ 16.9 17.o+~- B' DIA KNOCKOUT° NOT TO OCALE ~ I AM FAMILIAR WiTH THE STANDARDS FOR APPROVAL AND CONSTRUCTfON OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCE AND WILL ABIDE BY THE CONDITIONS SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT APPL CAN.T. .~.[~C_ TANK LIMITS CLEARING DRIVE 6. BASE FOR LEVELS: NGVD 7.- .... 20 ..... EXISTING 8, +21.2 9. F201 10. 16.5 COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION STATION "NIN" SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, TAX MAP 1000, SECTION 007, BLOCK ~, LOT 3.16 SITE TO BE SERVICED BY MUNICIPAL WATER AND ON SiTE SEWAGE DISPOSAL IN COMPLIANCE WITH THE STANDARDS AND REQUIREMENTS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SITE IS IN R-120 ZONE OWNER: VIRGINIA A. CAMPBELL Meadow Road Buffolo, NY 1~216 1929 CONTOURS EXISTING SPOT ELEVATION PROPOSED CONTOURS PROPOSED INVERT ELEVATION LOT NUMBER WETLANDS AS FLAGGED BY ROY JACOBSON N.Y.S.D.E.C, LIMiITS OF CLEARING / / GRAPHIC OCALE IN FEET 4O LOCATION MAP / / / REVISIONS DATE DESCRIPTION 7/24/96 ADDITION~ SITE PLAN PREPARED FOR VIRGINIA A. CAMPBELL' FISHERS ISLAND, NEW YORK BLOCK 5~ LOTS 4 & 5 N FINISHED GRADE F ~CHINNE¥ NOT TO SCALE NOT TO SCALE KNOCKOUTS / PROPOSED .¢UEST HOUgE DECK FORMER GUEST HOUSE CONSTRUCTION AREA IS PRESENTLY PROTECTED WITH SILTFENCE SACKED BY HAY~ALES, THIS EROSION PRO- TECTION TO REMAIN IN PlJCE AND PROPERLY MA,W- TAINED THROUGHOUT CONSTRUCTION. / ro eE LOAMED ~ SEEDED LANT I0' WIDE AREA I am familar with the standards for approval and construction of subsurfoce sewage disposal systems for single fomily residence ond will ~bide by the conditions set forth therein and on the permit to construct. APPLICANT 20 0 20 GRAPHIC SCALE IN FEET REVISIONS DATE DESCRIPTION SCALE: I' = zo' SHEET ~ OF [ NOTES: t. 2. LOCATION hdAP ¢00 200 O ~O0 GRAPHIC SCALE IN FEET TEST HOLE DATA DY OHANDLER PALHE~ ~ ~IN¢ 0"-I0" TOPSOIL IO"-DO' SUBSOIl ~0"-~2" TAN 5ANDY ¢t~-AVEL ~2'-15' ME~. OOHPAOT 5ANDY TILL L E E~END: L© I0 I I¢' t EXISTIN~ OONTOU~S P~OPOSE~ OONTOU~S MAR I a 1994 BASE FO~ LEVELS TAKEN F~OM N.~.V,D. 1~2~. NO ALTERATION PER~ITTEO HE~EON EXCEPT AS PROVI~E~ UNOE~ SECT[ON 920~ SUBDIVISION 2 NE~ '~0~ STATE EPUOATION LA~. SITE PLAN PF'.EPAt~.EI2 FOt~. ROLLA CAMPBELL FISHERS ISLAND NEP, I ¥O~K \\ / / / / ,/ / / / / / / / / / / / / / / I om f~mlllor Hl~.h tho stond~rds for opprovol ond cons[rucf, lon of subsurFoco so~cJ~ dlsposml For slnglo f~mll~ r~sld~nce and ~lll condl[Ions s~. forf. h f. her~ln oncl on ~.he fa~rmlt APPLICANT L REVISIONS DATE DESCRIPTION DATE' .JULY ~l,lCjC)5 SCALE: 1~ : 20' SHEET I OF 1 CAMPBELL LOCATION HAP ELEV. lO FIRST FLO0~ ELEVATION EXISTIN® SPOT EXISTIN~ GONTOUt~S p~'.OF'OSEO C, ONTOU~-S SITE LS LOCATED IN THE TOHN OF SOUTHOLD, OOUNT~ OF 2. SITE I$ LOGAT~O IN ZON~ OIST~IOT "~-~0". ~5~ OUN~A~ PAIN D~AOH, FLO~IOA ~480 SE~A~ DISPOSAL IN ~OHPLIAN~E ~ITH THE ~TANOA~ ANO R~GUIRE~NT~ OF THE SUFFOLK OOUN~ HEALTH DEPT. 5. DASE FOE LEVELS= N.5.V.O. 6. ~XISTIN~ EASEHENT TO D~ A~ANOONEO. TOTAL A~EA. 5.~q +/- ACRES INSTALL ~ MAINTAIN HAYBALE5 AND DILT ~IT~ PLAN ROLLA B. CAMPBt LL FI~HEI~,5 I~LAND, NEI~ ¥0~ DEC I - ~ OF SOU' 0~ 3771 Mr. Albert Krupski, President Southold Board of Trustees P.O. Box 1179 Southold, NY 11971 Docko, Inc. ~ RO. Box 421, Mystic, CT 06355 (860) 572-8939 Fax: (860) 572-7569, e-mail: docko@snet.net January 18, 2005 Dear Mr. Krupski: Re: Rolla Campbell Property Boat Lift Variance Last summer the Board of Trustees approved the removal of a floating dock and ramp and extension of the fixed pier including an "L' shaped end pier for Rolla and Klm Campbell's property in East Harbor on Fishers Island. Part of their original application was the installation of a boat lift as well. We would like to know if the Board of Trustees would be agreeable to reconsidering the boat li~ since it was not approved as part of the dock modification application. We understand that the dock ordinance prohibits the installation of boat lifts. I feel however that there are mitigating circumstances in East Harbor that are beyond the considerations emphasized when the ordinance was adopted. The water in East Harbor is usually wavy and can be rough when there is a west or especially northwesterly, wind. The waves build with significant fetch in Fishers Island Sound and as the water depths become shallow in East Harbor, especially at low tide, the waves build toward the breaking point in the vicinity of the Campbell's dock. This is a tough environment to put a boat in the 20' to 35' range and during such conditions the vessel will stress and wear the fie-offlines significantly and even damage the cleats or guides on the vessel. This was the justification behind the boat lift installed at the Balcom's property next door in the 90's. We feel that this is an urgent consideration for the Campbell's for boating to be realistic and for the safety of the Campbell's and the equipment to be maximized. Conditions in the Sound can change quickly; smooth water at departure does not guarantee smooth water upon returning. It would be greatly appreciated if you would reconsider this; we would be agreeable to making a presentation or visiting with you at the site at your convenience to observe these particular conditions. Again, we feel that the prohibition against boat lifts is a viable consideration in small creeks and protected areas, but this is not one of those areas. If you could let me know the consensus of the Board, we will pursue this further as appropriate. CC: Dr. & Mrs. Rolla Campbell File: 03-03-1409 CAMPBELL ~tfully submitted, (.0, INC.. B. Neilson, P.E.