Loading...
HomeMy WebLinkAboutFISHERS ISLAND DEVELOPMENT CORP TRUSTEES lohn M. Bredemeyer, III; President Heat 3, P. Smith, Vice President Albert J. Kmpski, Ir. Jotm L. Bednoski, Ir. John B. Tuthill 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 December 6, 1991 Chandler, Palmer & King Architects, Engineers & Surveyors 110 Broadway Norwich, Connecticut 06360 RE: Fishers Island Dev. Corp. SCTM ~1000-1-1-3.13 DEC Project 9 1-4738-00405-100001-0 Dear Sirs: After a site inspection on the above referenced property, it was determined that the project as submitted is non-jurisdictional. Enclosed please find a check in representing a partial refund. field inspection. the amount of $35.00 $35.00 was for the cost of the If you have any questions, please do not hesitate to contact this office. V~y~tru l y yours, III President, Board of Trustees JMB: jmt cc: Glenn Just Bldg. Dept. DEC, Karen Munze TRUSTEES John M. Bredemeyer, III, Presidem Henry P. Smith. Vice President Albert J. Kmpski. Jr. John L. Bednoski. Jr. John B. Tuthill Telephone (5161 765-1892 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD ['r L. HARRIS Supervisor [OWN OF SOUTNO&g ,. 53095 Main Road .O. Box 1179 Southold. New York 11971 Fax (516) 765-1823 Telephone (5 [ 6) 765-1800 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK, FOR THE ISSUANCE OF A PERMIT PURSUANT TOT HE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF SOUTHOLD TOWN, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODE OF THE TOWN OF SOUTHOLD. APPLICATION NO. APPLICANT'S NAME: MAILING ADDRESS: Fishers Island Development Corp. October 10, 1991 788-7224 TEL. NO. 1251 Avenue of the America's, New York, NY 10021 AGENT: Glenn E. Just/J.M.0. Consulting TEL NO. 653-0607 AGENT ADDRESS: P.O. Box 447, Quogue, NY 11959-0447 PERMIT REQUESTED TO: "Please see attached" LOCATION OF PROPERTY FOR REQUESTED PERMIT: Private Road, Fishers Island TOWN: Fishers Island TAX MAP NO: 1000- 001-1-3.13 CREEK, BAY OR HARBOR FRONTING PROPERTY: SIZE %F PROPOSED WORK: LENGTR: please see attachAd plans Un-named freshwater wetlands WIDTH: please see attached plans PROJECT DESCRIPTION: Applicant proposes to construct a new maintenance building, sanitary system, concrete pad and fence for propane tank, gravel parking well and to relocate existing barracks. Building shall be constructed 80' landward of freshwater wetland line as flagged by the staff of the N.Y.S.D.E.C. A staked silt fencm shall be installed prior to and maintained during all periods of construction as per enclosed plans prepared by Chandler, Palmer & King. ~.~/p. Page 2. YDS. TO BE EXCAVATED: 0 YDS. TO BE FILLED: MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: n/a WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: n/a DEPTH AT LOW TIDE: n/a AVER. RISE IN TIDE: DISTANCE TO NEAREST CHANNEL: n/a DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: AREA ZONING: R-120 IS PROJECT FOR PRIVATE OR BUS. INTENDED USE OF PROPERTY: Country Club DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: Country Club/Golf Course n/a USE: Private HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: not to my knowledge HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL AGENCY: not to my knowledge DESCRIBE FULLY THE REHABILITATION OF PROPERTY: no rehabilitation shall be necessary DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: n/a ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: no WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: enclosed TO J.M.O. Conaultlng P.O. Box 447 104 Industrial Path QUOGUE, NEW YORK 11959 (516) 653-0607 Fax (516) 653-0603 WE ARE SENDING YOU [] Attached E3 Prints r-~ Plans [] Copy of letter I;3 LETTER OF TRANSMITTAL [3 Under Separate cover Change order COPIES DATE NO. DESCRIPTION THESE ARE TRANMITTED as checked below: [] For approval r~ Approved as submitted [] For your use r3 Approved as noted m As requested ¢3 Returned for corrections [] For review and comment [] ~3 Sign and return c3 PRINTS RETURNED AFTER LOAN TO US [] Resubmit.__ copies for approval E3 Submit . copies for distribution ¢3 Return corrected prints COPY TO SIGNED: N~w York State Department of Environmental Conservation Building 40--SUNY. Stony Brook. New York 11790-2356 (5]6) 751- ]389 Thomas C. Jorling Commissioner May 6, 1992 Fishers Island DeveloPment Corp. P.O. Drawer E Fishers Island, NY 06390 RE: 1-4738-00405,/00001-0 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70,ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permi[ sign which is co be conspicuously posted at the p~oject site and protected from the weather. Very truly yours, Karen ~ktnze Sr, Environmental Analyst KAM/nw enclosure DEC PERMIT NUMBER 1-4738-00405,/000Ol-O FACILITYiRROGRAM NUMBER NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Under the ECTIVE DATE May 6, 1992 DATE May 30, 1994 [ []New E~Renewal J~Mod f cat on Article 15. Title 5: Protection of Water Article - 5 Title 15: Water Supply [~J Article 15 Title 15: Water Transport [--q Article 15. Tdle 15: Long Island Wells ~ Article t5 Title 27: Wild, S~enic and Recreati0nal Rivers J~ 6NYCRR 608: Water Quality Certification ~ Article 17. Titles 7. 8: I I SPBES I------t Article 19: Air Pollution Control ~ Article 23. Title 27: Mined Land Reclamation I---~ Article 24: Freshwater Wetlands -- Article 25: Tidal Wetlands ------]Article 27. Title 7: 6NYORR 360: Solid Waste Management ~ Article 27. Title 9: 6NYCRR 373: Hazardous Waste Management [---~ Article 34: Coastal ErOsion Management ~ Article 36: FloodPlain Management ]~--~ Article.~ 1.3, 17, 19, 27, 37; 6NYCRR .380: Radiation Control -- Other: PERMIT ISSUED TO Fishers Island Development Corp. ADDRESS CE PERMITTEE P.O. Drawer E, Fishers Island, NY CONTACT PERSON FOR PERMfTTED WORK JMO Consultinq Box 447, _Quoque, NY NAME AND ADDRESS OF PROtECTJFACIDTY TELEPHONE NUMBER 06390 TELEPHONENUMBER 11959-0447 r516653-0607 Fishers Island Develoment Corp Property, priva~road at SCIM ¢ 1000-1-i-3.t3 _OCATION C~F PROJECT FACILITY Fishers Island COUNTY TOW~ WATERCOURSE WETLAND NO. NYTM COORDINATES ~ft~olk Southold MY-6 E: 756 .~- N:4 57~ 8 DESCRIPTION OF AUTHORIZED ACTIVITY C~n.~e~c.t a m~in~_~_nsnce buil~n9~ sag_itary system, concrete pad for propane tank, qrave parking area and well and relocate exishing barracks according to attached NYSDEC By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (See Reverse Side) and any Special Conditions included as part of this permit. J ~'~ ~ ~o MI ~I~'~'T"C~I~--- ADDRESB David DeP~dder J AUTHORIZED SIGNATUR~.Z~ ~ DATE May 6, 1992 I Page 1 I GENERAL CONDITIONS Inspections 1. The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized reeresentative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). A copy of this permit, including el referenced maps, drawings and special conditions, must be available for nsDection by the Department at all times at the project site. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Permit Changes and Renewals 2. The Departmen! reserves the right to modify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations is found; b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c~ new material information is discovered: or d) environmental conditions, relevant technology, or applicable law or regulation have materially changed since the permit was issued. 3. The permittee must submit a separate written application to the Department for renewal, modifica- tion or transfer of this permit. Such application must include any forms, fees or supplemental infor- mation the Department rec uires. Any renewal, modification or transfer granted by the Department must be in writing. 4. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. 5. Unless expressly provided for by the Department. issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms con- ditions or requirements contained in such order or determination. Other Legal Obligations of Permittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibili- ty for all damages, direct or indirect, of whatever nature and by whomever suffered, arising out of the project described in this permit and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from this project. 7. This oermit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian nc~ hts of others in order to perform the permitted work nor does it authorize the impair- ment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights- of-way that may be required for this project. 5 Page 2 of ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25;,34,~3&'ahd'6 NYCRR:Part 608 [ 9. That if future operations bv the State of New York reqmre an al- teration in the position of the structure or work herein authorized or if. in the opinion of the Department of Environmental Conservation 13 it shall cause unreasonable obstruction to the free ~avigation of said waters or flood flows or enclanger the health, safer: or welfare of the people of the State, or cause loss or destruction of the natural resources of the State. the owner ma~ be ordered bv the Deoartment to remove or alter the structural work. obstructions, or hazards caused 14. thereb~ without exoense to the State. and if. upon the exultation or revocation of this permit, the structure, fill excavation or other 15 modification of the watercourse hereby authorized shall not be com- oleted, the owners, shall without expense to the State. and to such extent and in such (ime and manner as the Deoartment of Environmental Conservation may require, remove al[ or any portion of the uncompleted structure or fi[] and restore to its former condition the ~avigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal 3r alteration 10 That the State of ~4ew York shall in no case be liable for any damage or injuv/to the structure or work herein authorized which ma~ be caused 17 by or result from future operations undertaken By the State for the conservation or imorovement of navigation or for other Durnose$. and no claim or right to compensation sh~l[ accrue from any such damage 11. Granting of this permit does not relieve the applicant of the responsi- bility of obtaining any other oerm~ssion, consent or approval from 18 the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local governmeht which mav be reouired. 12 All necessary precautions shall be taken to preclude contamination of any wetland or waterwa: by suspended solids, sediments fuels. solvents, lubricants, epoxy coatings, paints, concrete. ]eachate or any other environmentally deleterious materials associated with the prolect Any material dredged in the prosecution of the work herein ~ermKted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a wateDA/a¥, There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expirauon or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without exoense to the State and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No d~im shall be made against the State of New York on account of any such removal or alteration. If granted under Article 36. this oermit does not signify in any way that the project will be free from flooding If granted under 6 NYCRR Part 608. the NYS Department of Enviro~- mental Conservation hereby certifies that the subject proie, ct will not contravene effluent limitations or other limitations or standards under Sections 301 302. 303 306 and 307 of the Clean Water Act of 1977 (PL 95-217) orovided that all of the conditions listed herein are met All activities authorized by this permit must be in strict conformanc~ with the approved plans submitted b~ the applicant or his agent as part of the oermit application Richard H. Strause Such approved olans were prepared by on 9/4/91 revised on 4/92 SPECIAL CONDITIONS The permittee shall require that any contractor, project engineer, or other person responsible for the overall supervision of this pro3ect reads, understands, and com- plies with this permit and all its general, special, and supplementary special conditions. The permittee, or authorized representative, shall complete and return the top portii of the enclosed form notifying the Bureau of Environmental Protection of project co~uencement. Upon completion of the permitted proDect, complete and return the bottom portion of the form, along with photos, notifying the Bureau of Environmental Protection of pro3ect completion. Markers used by this Department to delineate/define the boundary of the wetland or the extent of the permitted structures shall be left in place and shall r~main un- disturbed for 1 year following completion of the permitted pro3ect. 4. ~y work, disturbance, and/or storage of construction equipment and materials shall % /be confined to within the "contract limit line" shown on the approved plan and/or to ~/ upland (non-wetland) areas more than 100 feet landward of the wetland boundary. A snow fence or other temporary, project-limiting fence shall be erected prior to the comuencement of any construction activities. "contract limit line", northeast of the new maintenance building in order to prevent the inadvertent intrusion of equipment into the protected area. The fence shall be maintained until project completion. 6. Prior to commencement of any constr~ction activities, a continuous row of straw bale~ shall be staked end to end along the base of the snow fence (or other temporary, ~r~4ece_ !Lmi*~ ~) on the upslope or project side of the fence; DEC Pk~M~¥~I~UMgER ~ 1-4738-0o4o5/ooool-o ~ROGRAM/FACILITY NUMBER 3 5 Page of '95-2J~f {7187}-- 25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For Article 24 ( Freshwater Wetlands The bales shall be maintained in place until all disturbed areas are permanently vegetated. Trapped sediments shall be removed to an approx~ upland site before the bales themselves are removed. Silt screen fencing is also acceptable. Any debris , excess construction materials, or excess excavated materials shall be i~mediately and completely disposed of on an approved uplav~ site more than 100feet landward of any regulated wetland or waterbody. The materials in question shall be suitably stabilized so that they cannot re-enter any regulate~, water body, wetland, or wetland adjacent area. All fill shall consist of soil, sand and/or gravel that is free Of %he following sub~ stances: asphalt, slag, flyash, broken concrete, d~nolition debris, garbage, house- hold refuse, tires, woody materials including tree debris, metal objects. Zntr~o- duction of materials toxic to aquatic life is ex%vressly prohibited. All roof runoff shall be directed to drywelts located on the southwest side of the new maintenance building t 10. All areas of soil disturbance resulting frc~ this project shall be seeded with an appropriate perennial grass and mulched with straw immediately upon completion of th~ project, within two days of final grading, or by the expiration of the permit, which- ever is first. Mulch shall be maintained until a suitable vegetative cover is established. If seeding is i~practicable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed as soon as weather conditions favor germination and growth. 11. Irrigation well pumpaqe is limited to less than 45 gallons per minute. Pumpage of 45 gpm or more will require a NYSDEC Long Island Wells permit. Supplementary Special Conditions (A) thru (J) attached. DEC PERMIT NUMBER 1-4738-00405/00001-0 FACILITY ID NUMBER Page 4 ot SUPPLEMENTARY SPECIAL CONDITIONS The following conditions apply to all permits: A. If any of the permit conditions are unclear,the permitt~e shall con- tact the Division of Regulatory Affairs at the address [nd telephone noted below. B. A copy of this permit with supplementary conditions andlappr?ved plans shall be available at the project site whenever ahthorlzed work is in progress. C. The permit sign enclosed with the permit or a copy of l~tter of approval shall,be protected fro~ the w~ather and posted~in a ~on- spicuous location at the work sfte until completion of ~uthorlzed work. D. At least 48 hours prior to commencement of the project,~the permittee shall complete and return the t6p portion of the enclosed receipt form certifying that he is fully awar:e of and understands all provisions and conditions of this permit. Within one week of completi6n of the permitted work, the bottom portion of that form shall also be com- pleted and returned. E. For projects involving activities to be accomplished over a period of more than one year, the permittee shall notify the RegiOnal Permit Administrator zn writing at least 48 hours prior to the commencement of resumption of work each year. F. If project design modifications take place after permif{issuance, the per~itte~ shall submit the appropriate plan changes.for~approval by thp Regional Permit Administratdr prior to undertaking ~ny such modi- fications. The perm~ttee is advised that substantial m~dification may require submission of a new:application for permit.I G. Ail necessary precautions shall be taken to preclude cohtamination of any wetlands or waterway by suspended solids, sediment,~fuels, solvents, lubricants, epoxy coatings, paints, concrete,~leachate or any other environmentally deleterious materials associated with the project work. H. Any failure to comply precisely with all of the terms a~d conditions of this permit, unless authorized in writing, shall be ~reated as a violation of the Environmental Conservation Law. I. The permittee is advised to obtJin any permits or approvals that may be r~uired from the U.S. Department of Army Corps of E~gineers, NY District, 26 Federal Plaza, NewlYork, NY 10278, (Attention: Regulatory Functions Branch), prior to commencement of work author%zed herein. J. The granting of this permit does' not relieve the permit~ee of the responsibility of obtaining a grant, easement, or o~her~necessary approval from the Division of Land Utilization, Office ~f General Services, Tower Building, Empire State Plaza, Albany, N~ 12242, which may be required for any encroachment upon State-owned l~nds underwater. Regional NYS Dept. BldG. 40, Permit AdministrJtor of Environmenta% Conservation SUNY-Room 219 ~ ~YSDEC- Bureau of Environmental Protectio~ Bldg. 40, SUrf Stony Brook, New York 11790-2356 Contractor'~ N~me Contractor's Address Contractor's Phone No. To whom it may concern: Pursuann no General Condition Number 1 and Special Condition Numbe~ 2 of the above referenced permit, you are hereby notified that the authorized activity shall commence on Submihted by: This notice is to be sent~at least two days .in advance of commencement of the project. The permit sign will be posted at the site and copy of permit will be available at site for inspection. Failure no notify or posh sign will leave owner and/or contractor subjec5 ~o applicable penalties for non-compliance with permit conditions. NYSDEC Bureau of Environmental Protection Bldg. 40, SUNY Stony Brook, New York 11790-2356 Contractor s Name Contractor's Address Contractor's Phone No. To whom it may concern: Pursuant to General Condition Number 1 and Special Condition Number 2 of the above referenced permit ~ou are hereby notified that the authorized activity was completed on Submitted by: This notice, with photos of completed work and/o~ completed survey, is to be sent to above address promptly upon completion of project. Failure to notify will leave owner and/or contractor subjec5 to applicable penalities for non-compliance with permit conditions. REVISIONS' ~ 9 j.m.o, consulting p.o. box 447 quogue, n.y. 11959 (516) 653-0607 Mr, John M~ Br~demeyer~ Ii Board of Town Trustees Towp ~:'f South~!d Town Pla!i~ 55095 Main Road P.O~ Bo), i179 Sou~zholJ ~ NY i197i ?='resident Goif '" ' '-' ' ' N. Y ,, S~ D ,, E ,, C, pr--,, o~ '~ ec.. ~". i-4738-00405/0000i -'" Dear ~r~ Bredemever: con.cernip:~ the above noted project~ please bm advised ti~at have mad~ some very mincer rev±sions to 'uhe sit~ pian~ which am enciosing a copy of for' B,-.]ard o9 -rustees r~v.ze~.~ The feiiowino are the revislon~ which have been made~ In the northeast ano northwest sections o~ the prepmse~ silt fenc£ng the reno±rig mas beec reloca'~_e~ approximately 5' to limit the d±sturbed area so that there shall b~ no ~isturoamce to that area imcated ,.-~±thin 75' of tiam freshwater ~etlands boundary, as fla~ged by the staff of the N~Y,,S~D.E~C "~he re~racied- area located at 'L1-~e northeast corner of the prooosed building has ~een r'e~/!sed to shoi~ that there shall oe nm filling within 75' o~ the limits of the wetlands~ Tc do th!~ we have relocated th~ tom of the f%i! approximately 5 GEJ ~ d t New York State De Commls$iormr RE: _EAD AGENICY COORDINATION REQUEST The purpose of this request is: to determine under Article 8 (State Environ- mental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: Your agency's interest i~ acting as lead agency; Your agency's jurisdiction in the action describe~ below; and Issues of concern which your agency believes should be evaluated. Enclosed is a copy of the oermit application and a completed Part i of the Environmental ~ssessment Form to assist you in resoonding. Project Name: Project ocatio.: d DEC Pr0jec~ Number: /~ ~/~_~ ~r_~O~)O/_o SEQR Classification: D<] Type I DEC Contac~ Person: [ ] Unlisted DEC Position: DEC has no objection to your agency or another 'agency assuming lead agency status for thfs action, but reserves the rig,t to comment on ~nis action if a positive determination of significance is maoe. [] DEC has no ob]jecti:on eo-.your~a~ge~c_7 or another agency assuming lead agency status for this action, DUt we have tne following concerns regarding this project (see "comments" below). - ] DEC wishes to assume lead agency status fo'r this action. The proposed action nas oeen identified Dy DEC as occurring wholly or partially within or substantially contiguous to a critical environmen~al~ ' ' ' 14t. · ~ 1.s t,.. pos,~,~ .... t.,,s ~epar~men~ c,.:~ ~ou~agency,. 'f it' has a 2umls-"" diction over the action, ~hould assume the lead agency role based on ~ne existence of cne CEA and t~e fact that the anticipated impacts are ~rimarily of local sigqificance. [ ] Other. (See comments aelow) Comments (Optional): Response: Please resoon~ to this reeues~ within 30 oays of the date of this letter. If no response is received within 30 days, we will assume that you have, no oojection ~o DEC or another agency assuming the .role of lead agency, and have no comments to offer regarding the proposeo action at this-time. If neither your agency nor any other involved agency, including DECal has indicated a will- ~"gness to serve as 'eaQ agency within 30 ~ays of this letter: We wil:l petition tne Commissioner of DEC to designate a lead agency for this action. We will oetition the Commissioner of D~C to designate your agency as lead, presuming you nave jurisdiction. Please feel free to contact this office for further information or discussion. Enclosures Sincerely, PART 1--PROJECT INFORMATION Prepared by Proiect Sponsor NOT]CE This document is designed to assist in determining whether the action p-oposed may have a s~gnificant effect on the en.'wonment Please comD/ete the entire form, Parts A through Et Answers to these 3uestions wiil be consider(d a~ parr of the a 2pbcauon for aDnroPa] and may be subject to further verification and oubiic review' Provide any additional informahon you beheYe will be needed to comnJete Parts 2 and 3 It is expected that domDletion of t,he full EAF wi [ be dependent c~ information currently available and will not invblve new studies, research or investigation. If informati~n requiring such! additiOn.al~work is unavailable; so indicate and sPecifY each instance. NAME OF ACTION Fishers Island Country Club Golf Course LOCATION OF ACTION '~nciude :Street Address, Municipality and ~unty~ Private Roa~, F~sher[s Island, Suffolk C.ounty NAME OF APPLICANT/JPONSOR I BUSINESS TELEPHONE Glenn E. ~ust/.~.H.O. Con.su!ting [5~ ~53-0607 ADDRESS P.O. Box z, a7 CITY/PO quogue Nj~ME OF OWNEP~(If ~,Ife~ ) , . tsners ±s±,ancz Deve±,opment Corooration ~DDRESS c/o Horgan ~tanley & Co., 1251 Avenue of CNITY/PO ew York DESCRIPTION OF ACT ON "Please see attacheJ' ~ATE I Z[PCODE 11959-04~ IBUStI~IESS TELEPHONE i ' tSl~ 788-7224 the Americas Please Complete Ea~ch Question-Indicaie N.A. if not applicable A. Site Description Physical setting of overall project, both deveJoped and undeveloped areas. I Present land use: E~Urban EJIndustrial ~Forest EJAgriculture 2 Iota] acreage of prolect area: _-~ 20 acres APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Forested Agricultural flnciudes orchards, cropland, pasture, etc ) Wet(and IFreshwater or tidal a_, per Articles 24. 25 of ECL} Water Surface Area Unvegetated (~Rock earth or fil['~ _L] Roads. buildings and other Bayed surfaces Other fndicate (vDe_ 3 What is predominant sol type(s) on 2rD[eot site? a. Soil drainage: ~Well drained ,~Poork drained sated,,' tOO % of site % of site ~Commerciai E]Residential {suburban) I~Rural (non-~arm) ~Other Country Club' Golf Course RR[ $ ENTLY AFTER COMPLETION ........ : acres acres t 7 199I I, i acres acres ~Moderatek well drained % of site b if am agricultoral land is involved, how manv acres of soil are classified within soil group I through 4 of the NY5 band Clas*ific-ation Swtem? . acres fSee 1 NYCRR 370~ Are there bedrock outcront~ngs on project site? ~]Yes ~No a Wha~ ts depth to bedrock~ 600" ' .fin fee{) 2 PROJECT DESCRIPTION: Applicant nroposes to construct a new maintenance building, sanztary system, concrene pad and fence for propane tank, gravel parking well and to relocate existing barracks. Building shall be constructed 80' landward of freshwater wetland line as flagged by the staff of the N.Y.S.D.E.C. A staked silt fence shall be installed prior to and maintained during all periods of construction as per enclosed plans prepared by Chandler, Pa.lmer & King. ;oximate percentage of broposed proiect site with slopes: [~0-10% _ I O,~ % (~10-~5% % [~]15% or greater % Is prolect substantially connguou~ to. or contain a building, site, or district, listed on the State or the National , R~gisters of' tfistoric Places? L].Yes E~No 7. is orolect substantialllv conbeuous to a site listed on the Register pi National Natural Landmarks? E]Yes []No 8. What is me depth of the water taSie? >~ J-O' (in feet) 9. Is site located over a l~rimarY prinlcipa] or sole source aquifer? EiYes ~No -0 Do hunting, fishing of shell fishing opportunities presently ex~st ih the project area? ~Lyes E~No 11 Does project site contain any species of p ~nt or ammal life that is identified as threatened or endangered? L-lYes U~4No Accbrding to self Identify each' speoes 12 Are there any unmue or .unusual land forms oh the project site? (i.e. clififs, dunes, other geological formations) E3Yes E~No Describe 13 is the proiect site' nresently used by the cotr~4-nunity or rc~ghbo~hood as an open space {~Yes E_iNo I~: yes. explain bountry b±ub/t~olf Course 14 Does the present site include scenic views known to be important to the community? C]Yes L~No unknown n/a 15 Streams within or cont,guous ro proiect area: a Name of Stream and name of River to which it is tributar~ or recreation area? 16. Lakes. ponds, wetland areas within or conbguous to project area: a. Name M4-Z9-Water Pond 17. Is the site served by 'existing public utilities? I~Yes INn a) If Yes. does'sufficient capacity exist to allow connection? bl If Yes, will improvements be necessary to allow connection? b. Size (In acres) __ n/a E2Cfes UNo ~ No 18 Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law. Article 2S-AA, Section 303 and 304? E~Yes I~No 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL. and 6 NYCRR 6177 x~Yes ~No 20. Has the site ever been used for the disposal of solid or hazardous wastes? E]Yes B. Project Description ~ Phx sical dimensions and scale of project [fill in dimensions as appropria.~e) a Total contiguous acreage owned or controlled by project sponsor ~z% 2_0 acres. b Prolect acreage to be developed: 0. 179 acres initially: -- acres ultimately. c. Project acreage to remain undeve[ooed -- acres. d. Length of oroiect, n miles: -- Elf appropriate) e. [f the prolect ~s an expansion, indicate percent of expar}sion proposed %; f. Number of off-street parking suaces existing ¢ : proposed g. Maximum vehicular trips generated per hour ~1 ~ [upon completion of project)? h. ~ residential: Number.and wpe of housing units: One Family Two Family Multiple Family Cofldominium n/@ Initially . Ultimateh i Dimensions ~ ~ feet) of largest proposed str.ucture 3 5 ' height; 1 __ _ length. ~ Linear feet of frontage along a eublic thoroughfare prolect.will occupy is? ~ ft. 3 7 2 How muct~ '~atural material (ie., rock. earth, etc) Will4be 3 Will disturbed areas be reclaimed? OYes ~No [~NIA a. If yes. for what intended aurpose is the site being reclaimed? __ b. W~ topsoil be stockpiled for reclamation? [~Yes J~No c. Will upper subsoil be stockmled for reclamation? [Yes ONo . s~te? tons/cubic yards 4 How manv acres of vegetation (trees. shrubs, ground covers} will be reran(ed from site? _ O~ 1 79 acres 5. Will an,. mature forest (over 100 ',ears o/d) or other IocaHy-importa?t vegetation be removed by this project? OYes [~No 2 6. If single phase project: Anticipated period of construction 7. If multi-phased: n/a a. Total number of phases anticipated __ [number}. b. Anticipated date df commencement phase 1 month c. Approximate comglet~on date of final phase ~' ' ,~ ,,~, yea~, d. Is phase 1 functionally, dependent on subsequent phases? ~Yes UNo 8. Will blasting occur during construction? UYes ~No 9 Number of jobs generated during construction 10 : after project is complete 0 10. Number of jobs eliminated by this prolect __ 11 Will proiect reauire relocation of any projects or facilities? [~}Yes [~No [ yes, explain months. (including demolition}. vehr, [including demolition} 12. Is surface liquid waste disposal involved? []Yes Y_~No a. If yes. indicate type of waste (sewage, industrial, etc.} and amount b. Name of water' body into which effluent will be discharged 13 Is subsurface liouid waste disposal involved? [~Yes []]No Type sewage 14. Will surface area of an existing water body increase Or decrease by proposal? ['Yes [~No Explain . -- 15. Is project or any portion of pro ect located in a 100 year flood plain? [Yes ~No 16. Will the project generate solid waste? ~Yes ~}No a. If yes, what is the amount per month 0,35 tons b If yes. will an exis4ing solid waste facility be used? ~Yes UNo F~.-]E. Trash a Transfer Station . --- c I{ ves. give name ; ocaton d Will 'anv wastes not go into a sewage disposal sysmm or i'nto a sanitary landfill? OYes ~No e if Yes. explain 17. Will the project involve the disposal of se id waste? l~es 0,35 a. If yes. what is the an(it/hated rate of disposal? b. If v~s, what is the anticipated site life? n/a years. 18. Will project use herbicides or pesticides? ~]Yes ~[No tons/month. 19. Will prolect routinel~ produce odors (more than one hour per day)? 20. Will aroiect produce operating noise exceeding the incas ambient no~se 2t Will prolect result in an increase in energy use? []:Yes [~}No Electric & Heating 0il ]f yes indicate tvoe¢s] 300 Total anticipated wate~ usage per day gallons/day. [Yes 22 23. 24. Does project involve Local State or Federal funding? It Yes. explain gallons/minute ~No /,provals Required: City Town, VilMg., [:~oard [~Yes City. Town. Village PI!arming Board L~Yes ~No Cit~ Town Zomn~ Board ~JYes Ci[\ County }te,:!ll- Department :~Yes DNo Other Local Agencies ~Yes ~.]No Other Regional Agendie~ C~Yes State Agencies ~]Yes [~No Federal Agencies [~Yes C. Zoning and Planning Information [)oe~ proposed acfio~3 involve a planning or zoning Yes indicate decision required: Lgzonin8 ameffdrnent ,[~zoning variance Type se,wage southold ~wn Trust~es N.Y.S.D.E.C:. Article 24 decision? ~Yes :~No [~special use permit [~subdivision ~site Dian [~new/revision of master plan [~resource management Dian ~other R-120 What is the zoning classjfication{s)of the site? What is the maximum potential development of the site if developed as permitted by the present zoning? Submillal Date 10/91 10/91 10/91 4 What is the proposed zoning of the site? n/a 5 What is the maximum potential development of the site if developed as oermitted bv the proposed zoning? n/a 6 Is the proposed action consistent with the recommended uses in adopted local land use plans'? 7.. What are the predominant [and use(s] and zoning classifications within a ~ mile radius ot proposed action? R-120 ENo 8 Is the proposed action compatible with adjoining/surrounding land uses within a '/, mite? ~Yes [~No 9 if .the proposed acuon s the subdivision of land. how many lots are proposed? n/a a. What is the minimum Io~ size proposed? 10 Will proposed action require any authorizationfs} for the formation of sewer or water districts? ~Yes ]l~]No 11 Will the proposed action create a demand for any community provided services [recreation. education, police, fire ~rotection~ ~]Yes ~o a. If yes. ~s existing capacity sufficient to handle prolected demand? [~Yes [~No 12 Will the proDosed action result in the generation of traffic significantly above present levels? E3Yes ~No a If yes. is the existing road network ade~luate to handle the additional traffic? ~Yes [~No D: Informational Details Attach an~ additional informatioh as may be needed to cla~ifv your project If there are or may be any adverse ~mDacts associated with you.r proposal, please di~eu~s 5.u,.c~,~.c~mDacts'and the measures which you propose to mi.tigate or avoid them. E. Verification cert fv that th~'i'nfoF~nafion provided ~l~"i~tYb-~'~3 the best of my knowledge. ....... ~ ~.L"l. Oir C~hsuL(~ng for the Fishers .... Oct~be.~ 10, 1991 - / i/z,,~_~a,q,~ ))e,ve,/~s~ment Cord Pres. J.~,I.0 Consu ' ~- . I . .//.,'~'.~ /'\ I 't~.'.,, li[l~ ' ltzng If the action is in the Co.~tal Area. and.y. Ou stale agency, complete the Coastal Assessment.Form before proceeding with this assessment. 5 ~' 'JOINT A[PPI.ICATION FOR PERMIT . U'.S.AgM¥~ORi;S OE~NG'tNLERSAPPLICA~ION Nq.. ' IS^RTlC~ 9 TITLE I Al TtCLE~43 6NYCRR 646 L~KE GEORd~ RECREATION ZONE : ' J 15 TITE ] A~ UAT C PESTICIDES CONTROL ~6NYCRR 327 AQUATIC VEGETATIO~ ~6NYCRR 328 FISH S ~ARTICLE 15 TITLE , 61 YCR~ 608 PRO?ECTION lOV WATEgS) ~ ~ ~ J . ~Fo me const L :Lion ec~nstruction or repa[ of a DAM br other impoundment str~ctu e J ~ ~For the disturb no of a ~TREAM BED OR B~NKS or e ;a~at,on m or of N~VJGABL~ WA~ERS ~1 W&TER Q J~L TY GERT F CA~ ON ~ SE~ION log MAR NE] PRO~E~ION, ~ES~ARC~ AND SAh ~TUARIES ACT' for'th~ transpo ~tion of die'ged mater~ls for d, m~ing into ocean ~aters. Applicatioh r~o lO-SO-lO36, ~iled on Jdly 20, 1989 '2. APPLICANT IS A AN J~] ~ i ~ ~ ~ ~ . .zs~_ers Is%and DeveloDm&nt Coro. c ' ~ ~ R ~ (51~ 788.-7224 /o l,~organ Stanley Co; 1251 10021 Owner ~AgenqContact Person {Check o~ ~, ~,~ ~ ~ p~ I 5 PRO ECTFACIL/TY LOCATION Mark locatlqn on ma~ see Numbe~la~Jr~gs~i~L~J.~Ij~ll~ I : co..w Suzzo%k i To .... dt~ South,old · J ~ Fzsners lslan~ STREET ADDRESS gf different from applican ) , i ~ ~ : Private R d ~ r ,~ ~ ' ~ ~ ~ POSTOmCE , = ' ; ~ i~'Y 06~90 Fishers Is%and ~' , 9 PROPOSED USE:~ ~Private 10. PROPOSED STARTING DATE: 11. APPROXIMATE COMPLETION DATE: j 12. FEE OF (NYS Permit Only) ~ Public ~ Comme~dal ASAP ASAP ~] ,50.00 "PLEASE SEE ATTAC~ED" So~thold Town %rustees S.C.D.Y.S. ~ hereby authorize ~he agent ..... d ,n Number ~. ~bove to%~m,t th,s appJrcat,~ b~my bebaIR ~7 tin". .., i ..T : FROJECT DESU~IPTION: Applicant mropose~s to construct a.new,maintenance building, sanitary sysnem, concrete ,pad and fence for propane tank, gravel parking well and to ~elocate existing barracks. Building shall be constructed 8(' landward of freshwater wetl~and line ab flagged by the staff of the N.Y.S.D.E.C. A sta~e4 silt fen. ce shall be installed prior to,and maintained during all periods of constructzon as per enclosed plans prepared by onand2er. Palmer & K~ g OCT I "t' 1991 617.21 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT Fi Purpose: The full FAF is designed to help applicants and agencies determine, in an or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- Iv, there are aspects of a project that are subiective or unmeasureable. It is also understood that those who determine significance may have Jittle or no formal knowledge of the environment or may be technically expert in environmental analysis. In addition, many who ~ave knowledge in one particular area may not be aware of the broader concerns affecting the question of significance The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible tc allow introduction of information to fit a project or action. Full EAF Components: The fu EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identi~ing basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action It provides guidance as to wi{ether 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 reduced. /~ar! 3: If any ~mpact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part 1 [] Part 2 []Part 3 Upon review of the information recorded on this EAF (Parts I and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: [] A The project will not result in any large and important impact(s) and, therefore, is one which will not have a Significant impact on the environment, therefore a negative declaration will I~e ta~e~ared. [] E~. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* [] C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. ' A Conditioned Negative Declaration is only valid for unlisted Actions Name of Action Name of Lead 'Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Date PART 1--PROJECT INFORMATION Prepared by Proiect Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment Please corn plete the entire form, Parts A through E. Answers to these quesnons will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to con' DJete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation, if information requiring such addition.al work is unavailable, so indicate and specify each instance. NAME OF ACTION Fishers Island Country Club/Golf Course LOCATION OF AO~ON (Include Stree[ Address, Municipality and ~unty) Private Road, Fishers Island, Suffolk County NAME OF APPUCANT/SPONSOR BUSINE~ TELEPHONE Glenn E. Just/ J.M.O. Consulting 151~ 653-0607 ADD ESS ?.~. Box 447 CI~IPO STATE I ZIP CODE quogue NY , 11359-044 I~ME ~ OWNE~(If ~iff~t) BUSINESS TELEPHONE ls~ers ±s±an~Development Corporation ~51~ 788-7224 ADDRESS -¢/o Morgan Stanley & Co., 1251 Avenue of the Americas ~C~TeY~wPO York DESCRIPTION OF ACTION "Please see attached" Please Complete Each Question-Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: EJ0rban ]Industrial I~Commercial []Residential (suburban) ]Rural [non-farm) [:3Forest [3Agriculture ~Other Country Club/ Golf Course 2. Total acreage of project area: .~ 20 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION ~eadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24. 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock. earth or fill) acres acres Roads. buildings and other paved surfaces acres acres Other [indicate type), acres acres sand 3. What is predominant soil type(s) on projec~t~s~te? a. Soil drainage: ~gWell drained J_uu % of site [~Moderately well drained % of site ClPoorlv drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group I through 4 of the NYS n/a Land Classification 5vstem~ acres. (See I NYCRR 370). 4. Are there bedrock outcroppings on project site~ CiYes FEINo a. What is depth to bedrock? ~ ~-~ 600 (in feet) PROJECT DESCRIPTION: Applicant proposes to construct a new maintenance building, sanitary system, concrete pad and fence for propane tank, gravel parking well and to relozate existing barracks. Building shall be constructed 80' landward of freshwater wetland line as flagged by the staff of the N.Y.S.D.E.C. A staked silt fence shall be installed prior to and maintained during all periods of construction as per enclosed plans prepared by Chandler, Palmer & King. 5. Approximate percentage of proposed project site with slopes: [~0-10% 100~' % [-110-15% % D15% or greater % 6. Is project substantially contiguous to. or contain a building, site. or district, listed on the State or the National Registers of Historic Places? DYes 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? DYes ~No 8. What is the depth of the water table?';~''1 0 ' (in feet) 9. Is site located over a primary, principal, or sole source aquifer? []~Yes DNo 10 Do hunting, fishing or shell-fishing opportunities presently exist in the project area? EgYes DNo 11, Does project site contain any species of plant or animal life that is identified as threatened or endangered? DYes :~No According to sel£ Identify each species 12. Are there any unique or unusual land forms on the project site? (i,e., cliffs, dunes, other geological formations) E3Yes [~No Describe 13. Is the project site presently used by the com,~nunity or g,e~ghbo~'hoo, d~as an open space or recreation area? ~Yes liNc I} yes, ex~lain bounnry U±~3D/UOJ_3: Course 14. Does the present site ioclude scenic views known to be irt portant to the community? DYes [:]No unknown n/a 15. Streams within or contiguous to proiect 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 M4-29-Water Pond 17. Is the site served by existing public utilities? OYes I~No a) If Yes, does sufficient capacity exist to allow connection? b) If Yes, will improvements be necessary to allow connection? b. Size (In acres) D#es DNo E~Yes DNo n/a 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? DYes E~No 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL. and 6 NYCRR 6177 ~E3Yes F1No 20. Has the site ever been used for the disposal of solid or hazardous wastes? -1Yes :~]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 7 20 b. Project acreage to be developed: 0. t 79 acres initially; -- c Project acreage to remain undeveloped -- acres. d. Length of project, in miles: -- []f appropriate) e If the project is an expansion, indicate percent of expan, sion proposed acres. acres ultimately. f. Number of off-street parking spaces existing 0 g. Maximum vehicular trips generated per hour ~ h, If residential: Number and type of housing units: One Family Two Family Initially n/a Ultimately n / a 35' i. Dimensions [in feet) of largest proposed structure i. Linear feet of frontage along a public thoroughfare project will occupy is? proposed ~ (upon completion of project)? Multiple Family Condominium height: 110 ' width: 54 ' length. ¢ ft. 3 2. How much natural m~teria[ (i.e., rock, earth, etc.} will be removed from the site? 3. Will disturbed areas be reclaimed? E~Yes E]No []N/A a. If yes. for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? E3Yes [:]No c. Will upper subsoil be stockpiled for reclamation? E]Yes [~No 0.179 4 How many acres of vegetation (trees, shrubs, ground covers} will be removec from site? acres. 5 Will any mature forest (over 100 years old) or other Iocally-importa~nt vegetation be removed by this project? E]Yes E~No ' 6. If single phase project: Anticipated period of construction 2 months, (including demolition). 7. If multi-phased: n/a a. Total number of phases anticipated [number). b. Anticipated date of commencement phase I month c. Approximate completion date of final phase month d. Is phase I functionally dependent on subsequent phases? r-Wes E/No 8. Will blasting occur during construction? 3Yes [~No 9 Number of jobs generated: during construction 10 ; after prolect is complete 10. Number of jobs eliminated by this prolect 11. Will project require relocation of any projects or facilities? E]Yes []No If yes, explain tons/cubic yards year, (including demolition). year. 12. Is surface liquid waste disposal involved? I-tyes ~]No a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? ~]Yes F'INo Type 14. Will surface area of an existing water body increase or decrease by proposal? Explain sewage 3Yes ~No 15. 16. Is project or any portion of project located in a 100 year flood plain? E3Yes Will the project generate solid waste? E~Yes ~No a. If yes, what is the amount per month 0.3 5 tons b. [f ,/es, will an existing solid waste facility be used? ~]Yes F-INo F~.~I. Trash & Transfer Station --- c. If yes, g~ve name ; ocation d. Will an,,' wastes not go into a sewage disposal system or into a sanitary landfill? e. If Yes, explain [~No l-lYes PqNo 17. Will the prolect involve the disposal of solid waste? a. If yes, what is the anticipated rate of disposal? b, If ves, what is the anticipated site life? n/a Will project use herbicides or pesticides? E3Yes 18. 19 20. 21. Will project result in an increase in energy use? []C/es F1No If yes . indicate type(s} Electric & Heating Oil t0 22. If water supply is from wells, indicate pumping capacity 23. Total anticipated water usage per day 300 gallons/day. 24. Does prolect involve Local. State or Federal funding? E]Yes f Yes. explain o ¢S =No tons/month. years. E3~No Will project routinely produce odors (more than one hour per day)? I-lYes ~INo Will project produce operating noise exceeding t~e local ambient noise levels? [5]Yes ~5]No gallons/minute. 25. "Appro~;als Required: City. Town, Villag;a Board [3Yes []No City. Town. Village Planning Board []Yes []No CRv, Town Zoning Board []Yes []No City, County Hea!th Department g]Yes [No Other Local AgencEes ~]Yes I~No Other Regional Agencies []:]Yes E3XNo State Agencies ~3Yes E3No Federal Agencies [qYes [:~1o C. Zoning and Planning Information Type sewage southold ~own Trustees N.Y.S.D.E.C. Article 24 I. Does proposee action involve a planning or zoning decision? [Yes :~]No If Yes. indicate decision required: [zoning amendment ,[]zoning variance []special use permit []subdivision []site plan E3new,revision of master plan []resource management Dian [other R-120 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? u/e Submittal Date 10/91 10/91 10/91 4. What is the proposed zoning of the site? n/a 5. What is the maximum potential development of the site if developed as permitted by the prQposed zoning? n/a 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 classifications within a ¼ mile radius of proposed action? R-120 [No 8. Is the proposed action compatible with adjoining]surrounding land uses within a ¼ mile? 9. If the proposed action is the subdivision of land, how many lots are proposed? n/a a. What is the minimum lot size proposed? 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? 11 12 [No I~Yes ;C]No Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? I~Yes E~]j~l o a. If yes, is existing capacity sufficient to handle projected demand? [Yes [No Will the proposed action result in the generation of traffic significantly above present levels? [Yes I~No a. f yes, is the existing road network adequate to handle the additional traffic? ~lYes []No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impact~ associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification/--~ f~- I certify that th~f°r[ma~n prc~vided/~bove i~true to the best of knowledge, my Applicant]Sponsor N/ame ~ ~.~M.O~. C~psu~ing for the Fishers Date October_ 10_, 1991 / ]J~a~fg~e~YFraent CoT~p. Pres., J.M.O. Consulting Signature .~-/ ~-?V'~''~ t % ! ~. / 'tie .... - _- - Ii the action is in the o(~al Area, an~l~u a~a state agency, complete the Coastal Assessment Form before proceeding with this assessment. -' ParL2--~i~0J'ECT IMPACTS AND THEIR NITUDE Responsibility of Lead Agency - General Information (Read Carefully) · In completing the form the reviewer should be guided bv the c aestion: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. · Identifying that an impact will be potentia[iv large (column 2) does not mean that it is also necessarily sig~ifica,t. Any large impact must be evaluated in PART 3 to determine s~gnificance. Identifying an ~mpact in column 2 simply asks that it'be looked at further · The Examples provided are. to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But. for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requ~rmg evaluation in Part 3. · The impacts of each project, on each site. in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. · The number of example,~ per question does not indicate the importance of each question. · In identifying impacts, consider long term, short term and cumlative effects Inslruc[ions [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. [f answering Yes to a question then check the appropriate box (column I or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold 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 3. e[f a potentially large impact checked in column 2 can be mitigated by change(s] in the project to a small to moderate impact, also check the Yes box in column 3. ^ No response indicates that such a reduction is not possible. This must be explained in Part 3. IMPACT ON LAND I Will the proposed action result in a physical change to the project site? ~NO [~YES Examples that would apply to column 2 · Any construction on slopes of 15% or greater. {15 foot rise per 100 foot of length), or where the general slopes in the project area exceed 10%. · Construction on land where the depth to the water table is less than 3 feet · Construction of paved parking area for 1,000 or more vehicles. · Construction on land where bedrock is exposed or generally within 3 feet of existing ground surface · Construction that will continue for more than I year or involve more than one phase or stage. · Excavation for mming purposes that would remove more than 1,000 tons of natural material (i.e., rock or soil) per year. · Construction or expansion of a sanitary landfill. · Construction in a designated floodway. · Other impacts 2 Will there be an effect to any unique or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)E/NO I~YES · Specific [and forms: 6 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes []No [] [] []Yes []No [] [] []Yes [-]No [] ' [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No IMPACT ON WATER 3 Will proposed action affect any water body designated as protected? (Under Articles 15.24. 25 of the Environmental Conservation Law, ECL) DNO DYES Examples that would apply to column 2 · Developable area of site contains aprotected 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. · Constructio~ in a designated freshwater or tidal wetland. · Other ~mpacts: 4 Will proposed action affect any non-protected existing or new body of water? E3NO DYES Examples that would apply.to column 2 · A 10% increase or decrease in the surface area of any body of water or more than a 10 acre increase or decrease. · Construction of a body of water that exceeds 10 acres of surface area · Other impacts: 5 Will Proposed Action affect surface or groundwater quality or quantity? DNO DYES [xamples that would apply to column 2 · Proposed Action will require a discharge permit. · Proposed Action requires use of a source of water that does wot have approval to serve proposed (project) action. · Proposed Action requires water supply from wells with greater than 45 gallons per minute pumping capacity. · Construction or operation causing any contamination of a water supply system · Proposed Action will adversely affect groundwater. · Liquid effluent will be conveyed off the site to facilities which presently do not exist or have inadequate capacity. · Proposed Action would use water in excess ot 20,000 gallons per day. · Proposed Action will likely cause siltation or other discharge into an existing body of water to the extent that there will be an obvious visual contrast to natural conditions. · Proposed Action will require the storage of petroleum or chemical products greater than 1.100 gallons, · Proposed Action will allow residential uses in areas without water and/or sewer services. · Proposed Action locates commercial ~lnd/or industrial uses which may require new or expansion of existing waste treatment and/or storage facilities. · Other ~mpacts: 6. Will proposed action alter drainage flow or patterns, or surface water runoff? ~]NO E~YES Examples that would apply to column 2 · Proposed Action would change flood water flows. 7 I 2 3 Small to Potential Can Impact Be Moderate Large I Mitigated By Impact Impact Project Change [] [] []Yes ~INo [] [] []Yes []No [] [] I~Yes []No [] [] []Yes E~No [] [] [~]Yes []No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No- ~ ~ ~Yes ~No ~ ~ · ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ []Yes ~No · Proposed Action may cause substantial erosion. · Proposed Action ~s incompatible with existing drainage patterns. · Proposed Action will altow ~]evelopment in a designated floodway. · Other impacts: IMPACT ON AIR 7 Will proposed action affect air quality? [3NO [~YES Examples that would apply to column 2 · Proposed Action will induce 1.000 or more vehicle trips in any given hour. · Proposed Action will result in the incineration of more than 1 ton of refuse per hour. · Emission rate of total contaminants will exceed 5 Ihs. 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 wil allow an increase in the density of industrial development within existing industrial areas. · Other impacts: IMPACT ON PLANTS AND ANIMALS 8 Will Proposed Action affect any threatened or endangered species? []NO [:]YES Examples that would apply to column 2 · Reduction of one or more species listed on the New York or Federal list. using the site, over or near site or found on the site · Removal of any portion of a critical or significant wildlife habitat. · Application of pesticide or herbicide more than twice 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, shellfish or wildlife species. · Proposed Action requires the removal of more tha~ 10 acres of mature forest (over 100 years of age) or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will the Proposed Action affect agricultural land resources? [NO []YES Examples that w6uld apply to column 2 · The proposed action would sever, cross or [mit access to agricultural land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 1 2 3 Small to Potential Can Impact Be~ Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes [:]No [] [] []Yes (~]No [] [] ~]Yes []No [] [] ~Yes [~No [] [] []Yes ~]No [] ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No I ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~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 land or. if located in an Agricultural District, more than 2.5 acres of agricult~Jral [and. · The proposea action would disrupt or prevent installation of agricultural [and 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? ONO []YES (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 land use patterns, whether man-made or natural. * Proposed land uses. or project components visible to users of aesthetic resources which will eliminate or significantly reduce their enioyment of the aesthetic qualities of that resource. · Project components that wil 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 &ction impact any site or structure of historic, pre- historic or paleontological importance? [~NO [YES Examples 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 OPEN SPACE AND RECREATION 13 Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 E3NO ~YES · The permanen[ foreclosure of a future recreational opportunity. · A major reductio~ of an open space important to the community. · Other impacts: 9 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes []No [] [] E~Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes [~No [] [] []Yes []No [] [] []Yes []No [] [] ' [~Yes []No [] [] []Yes []NO ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No IMPAbT ON TRANSPORTATION .14 Will there be an effect to existing transportation systems? -~NO E3YES Examples that would apply to column 2 · Alteration of present patterns of movement of peop[e and/or goods. · Proposed Action will result i~ major traffic problems. · Other impacts: IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? [~NO E]YES Examples that would apply to column 2 · Proposed Action will cause a greater than 5% increase in the use of any form of energy in the mumcipaJity. · Proposed Action will require the creation or extension of an energy transmission or supply syster~ to serve more than 50 single or two family residences or to serve a major commercial or industrial use. · Other impacts: NOISE AND ODOR IMPACTS 16 Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? E3NO E3YES Examples that would apply to column 2 · Blasting within 1,500 feet of a hospital, school or other sensitive facility. · Odors will occur routinely (more than one hour per day). · Proposed Action will produce operating nmse exceeding the local ambient noise levels for noise outside of structures. · Proposed Action will remove natural barriers that would act as a noise screen. · Other ~mpacts:. IMPACT ON PUBLIC HEALTH 17 Will Proposed Action affect public health and safety? E]NO r~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.l in the event of accident or upset conditions, or there may be a chronic Iow level discharge or emission. · Proposed Action may result in the burial of "hazardous wastes" in any form (i.e. toxic poisonous, highly reactive, radioactive. 'irritating, infectious, etc.) · Storage facilities for one million or more gallons of liquified natural gas or other flammable liquids. · Proposed actior may result in the excavation or other disturbance within 2.000 feet of a site used for the disposal of solid or hazardous waste · Other impacts: 10 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] I-lYes []No [] [] []Yes [-1No ; [] [] []Yes []No [] [] []Yes J-INo [] [] []Yes []No [] [] []Yes [~No [] [] J-lYes []No [] [] []Yes •No [] [] []Yes []No [] [] []Yes •No [] [] []Yes []No' [] [] ~]Yes []No [] [] E3Yes []No [] [] []Yes E]No [] [] []Yes []N01 [] [] []Yes •No IMPACT ON GROWTH AND CHARACTER OF COI~IMUNITY OR NEIGHBORHOOD 18. Will proposed action affect the character of the existing community? []NO [YES Examples that would apply to column 2 · The permanent population of the city, town or village in which the project is located is likely to grow by more than 5% · The municipal budget for'capital expenditures or operating services will increase b~ more than 5% per year as a result of this project · Proposed action wil 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. etc.) · Proposed Action will set ae important precedent for future projects. · Proposed Action will create or eliminate employment. · Other impacts: I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [~] [] I~Ves I~N~ [] [] r~Yes I-]No [] [] E]Yes I-]Nb ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No 19. Is there, or ~s there likely to be. public controversy related to potential adverse environmental impacts? []NO []YES If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3--EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more ~mpact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1 Briefly describe the ~mpact. 2. Describe (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 important. To answer the question of importance, consider: · The probability of the impact occurring · The du ration of the impact · Its irreversibility, including permanently lost resources of value · Whether the impact can o~ will be controlled · The regional consequence of the impact · Its potential divergence from local needs and goals · Whether known obiections to the project relate to this impact. (Continue on attachments) 11 COUNTY OF SUFFOLK ) STATE OF NEW YORK ) T_OWN OF UTHOL BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. 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, IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT OR REPRESENTATIVE, TO ENTER'ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS 7--- DAY OF N~ARY PUBLIC EXAMINED BY APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 IO.32 4g 5O 53 55 OUTH DUH ?LING FISHERS' ISLAND BLOCK ISLAND SOUND SOUND 53 54 55 R D I N E R S B A Y LIONHEAD 0 ROCK ]'J'o9 xrges PARK REVISIONS W' k v ~ /& , ~ ~ j,, + ~! ¢ +- - / ~'~ CROSS SEC~ON 'b Nz 7 1000 6ALLON