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HomeMy WebLinkAboutTR-4415 DiSalvo, Diane From: DiSalvo, Diane Sent: Wednesday, September 20, 2017 3:19 PM To: 'cathydonnellyl6@gmail.com' Subject: 790 Willis Creek Drive, Mattituck With respect to your request to transfer permit#4415 into your name,we had spoken after last month's Board hearing on August 16, 2017 and I advised you that we needed you to provide us with a "scaled" drawing showing the 5'x20'fixed dock in a "T" configuration in order for us to transfer and amend the permit into your name. We are not able to prepare our Resolution without same. D tut VeDt 6fWo Southold.Towti 'Frustees Town Hall .=nnexTirst Floor 54375 Route 25 P.O. Box 1179 Southold. NY 1.1971.-0959 (631) 765-1892 Tax: (631) 765-6641 i r . r pal Q �oe�✓le/� 1699 r�JQ�/o Coh1 y y fl CEIVE JUN 1 '5 2017 a a r) 0 �� u e Southold Town Boar o Tr Qe 11971 , y ZJ�, o m L f .e-ra y C'o ne-e-f 1749 .Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. /'~ ('~l ~' DATE: ..2.J. 28~.95 ..... ISSUED TO ....... NA~TGY L- FOOTE ....... Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and C~apter 404 of the Laws of the State of New York 1952; and the Sou+hold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the ResoJuflon of The Board adopted afa meeting held on 19 9.5 , and in consideration of the sum of $ 450.00 paid by Young..&..~o.ung for NANCY L. FOOTE ............................ of ~'~r~-.~ N.Y. and subject to the Terms and Conditions Ils+ed on +he reverse side hereo~, of Soufhold Town Trustees authorizes and permits J'he following: Gonstr, a single fam. dwell, swim. pool, deck, walk,, drivew; sanit, sys., water ser., 3~ X 60~ catwalk, & 5~ X 20' float, as per survey dated 1/18/95 and that no Jill he placed within 75' ju~fi~diction, and a ~no disturbance buffer' area, & that it be all in accordance with the detailed specifications as presented in the originating application, consistent with neighbors to south. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Seal fo be affixed, and these presents be subscribed by a majority of the said Board as of this daf, e. Trustees Albert J. Kxupski, President ~~~,, Town Hall Jolm HoIzapfel, Vice President ~ 53095 Main Road William G. Albertson P.O. Box 1179 Martin H. Garrell Southold, New York 11971 Peter Wenczel Telephone (516) 765-1I]92 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 28, 1995, 1995 Young & Young Thomas C. Wolpert 400Ostrander Ave Riverhead, NY 11901 Re: NANCY L. FOOTE $CTM ~iI5-17-17.13 Dear Mr. Wolpert, The following action was taken by the Board of Town Trustees during its regular meeting held on February 28, i995 regarding the above matter: WHEREAS, Young & Young on behalf of NANCY L. FOOTE, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated December $ 1994~ and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 28, 1995, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southold Town Code, which will be listed on a separate page, 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 THEREFOREBE IT, RESOLVED, that the Board of Trustees approves the application of NANCYL. FQOTE to constrUCt a single family dwelling, swimming pool, deck, driveway, sanitary system, water service, walkway, a 3~ X 60' catwalk, .and a 5' X 20' float as per Survey da~ed 1/18/95, and that no fill be placed within the 75' jura and that there be a ~no disturbance buffer' area and with neighbors to the south. Located Permit to construct project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six,months of the date of this notification. Two inspections are required and the_Trustees_~_~~notified upon completion of said project. ~~ FEES: 5' X 20' float = I00' X $3 = ~% Very truly yours, ~~ Albert J. Krupski~ Jr. President, Board of Trustees aJK/djh cc. CAC Albert J. Krupski, President Town Hall John Holzapfel, Vice President 53095 Main Road William G. Albertson P.O. Box 1179 Martin H. Garrell Southold, New York 11971 Peter Wenczel Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 1000-115-17-17.13 Chapt. 97 Wetlands NAME: NANCY L. FOOTE Chapt. 37 - Coastal Erosion DATE: JANUARY 26, 1995 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 construct a single family dwelling, swimming pool, deck, driveway, sanitary system, water service, walkway, a 4' X 60' catwalk, & a 5' X 20' float as per survey dated 6/10/94. Located Willis Creek Driver 964' south of Meadow Beach Lane, Mattituck. LOCATION: SCTM %1000-115-17-17.13 REASONS SUPPORTING THIS DETERMINATION: i. An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the following mitigation measures be implemented. Albert $. Krupski. President ~%~%,~ Town Hail John Holzapfel, Vice President 53095 Main Road William G. Albertson ~%~1*: . P.O. Box 1179 Martin H. Garrell ~- Southold, New York 11971 Peter Wenczel %~J'O~ Telephone (51'6) 765-1892 ~ Fax (516) 765-1823 BOARD OF TOVcN TRUSTEES TOWN OF SOUTHOLD LEAD AGENCY COORDINATION REQUEST TO: Whom It May Concern, DATE: 12/9/94 Enclosed is a permit application and a completed part I of the Environmental Assessment Form. Southotd Town Trustees are interested in your ageny's comments in acting as SEQP~A Lead Agency for: NAME: Nancy L~ Foote LOCATION: Willis Creek Drive, Mattituck TAX MAP: 1000-115-17-17.13 PERMIT ~ Pending DESCRPTN: single family dwelling, etc. PERMIT REQUIRED: (X) TOWN WETLAND ( ) OTHER SEQRA CLASSIFICATION: (X) Type I ( ) Type II ~ ( ) UNLISTED ( ) CEA Please contact _Albert J. i~rupski, Jr., Trustee l~res.. · within 30 days and be advised that the S0uthold Town Trustees (WANT)/(DO NOT WANT) to assume lead agency. SENT TO: DOS ~) DEC ()f) DOH ~) FB (.~) ZBA (X) BLD (~) ACE ( ) processing. We at (Have/No) objection to Southold Town AGENCY Trustees assuming Lead Agency. Comments/Reasons: Signature of Authorized Representative Albea J. Krupsld. President Town Hill John H01zapfel. Vice l~esident 53095 Ma/n Road William G. Atbertson P.O. Box 1179 Martin H. G~rell Southol& New York 11971 Peter Wenczel Telephone (516) 765-189.2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD O fioe Use OnZy NN OI Coastal ~.zosion Permit Appiidation X Wetland Permit Application ~randfather Pe~it Application Trustee Lands Permit Application /Re~ved Applicatiqn :, ~C~plstea Applica~i~ I ncomp lete SEQ,- C~ssifica~on: ~e tLT~e II Unliste~ ~CAC aeferrai S~t: /~;/~ / ~ub~ic ae~ing. (~ate) ~/~2~ Deeis~io~: Approve~'(Y/N) ('dAte) Name of ~pplicant Nancy L. F6oge Address 29 Baiting Drive, hitin~ Hollow, New York 11933 Phone N~er: (.516) 369-5590 Suffolk 'County Tax ~ap .N~er: 100~0 115-17-17.13 Property Location: Willis Creek Drive, at ~ttituck, 964' south of Meadow Beach Lane (provide LILCO Pole ~, distance to cross streats, and location) Agent: Young & Younq AT~: Thomas C. Wolpert, {kf applicable) - Address: 400 Ostrander Avenue, Riverhead, New Yegg '11901 Phone: (516) 727-2303 ~oard of Trustees Applicat~ GENERAL DATA Land Area (in square feet): 45,744 sq. ft. Area Zoning: Residential (A~CAqricultural Conservation) Previous use of property: Vacant Intended use of property: Sinqle Family Residence Prior permits/approvals for site improvements: Agency Date x No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Construct a sinqle family dwelling, swishing pool, deck, drivewaY, sanitarv system, water service, walkway, and dock. No offsite fill is required. BOARD OF TRUSTEES APPLICATION County of Suffolk State of New York NANCY L. FOOTE BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE 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 ALL 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. rotary P.b c / / SUSAN k TOPPING Notary ~k. State ~ ~ Y~ Commis~ ~ ~ 2~ 19 board of Trustees Applicat~l WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Single family dwelling Area of wetlands on lot: 9,244 square feet Percent coverage of lot: 19.3 % Closes= distance between nearest existing structure and upland edge of wetlands: N.A. feet Closest distance between nearest proposed structure and upland edge of wetlands: 75 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? 250 cubic yards How much material will be filled? 250 cubic yards Depth of which material will be removed or deposited: 2 ft. feet Proposed slope throughout the area of operations: 10 %max. Manner in which material will be removed or deposited: Backhoe Statement of the effect, if any, on the wetlands and tidal waters of the town that may result b~ reason os such proposed operations (use attachments if appropriate): No adverse impact on the wetlands and tidal waters is anticioated (refer to 25' non-disturbance buffer, 75' min. setback to proposed structures, and proposed line o~ hay bales or silt fence shown on survey)~ 6 14.1~ (2/87T--Text 12 PROJECT I.D. NUMBER 617.21 SEQR ' Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM ForUNLISTED ACTIONS Only PART I--PROJECT INFORMATION ~o, be completed by AppLicant Or Project sponsor) 1. APPLZCANT/SPONSOR / 2. pROJEGT NAME Young & Young A~N: Thomas ¢. Wolpe~, P.E~ NE~CV L~ Foote 3 .' PROJEGtT LOCATION: Murlic[pallty Mattituck, T/C Southold County Suffolk 4. PRECISE LOCATION (S~reet'a~r~ss and roa~ Willis Creek Drive, at Mattituck, T/O Southold, New York (refer tO l~oc~tion map) 5, IS PROPOSED ACTION: ~:~ New '-~ Exl3ansion [] Modl ficat/onlsit oration 8. DESCRIBE PROJECT BRIEFLY: Construct a single family dwelling, swimming pool, deck, driveway, saitary system, water service, walkway, and deck. No offsite fill is required. 7. AMOUNT OF I_AND AFFECTED: Initially 1 · ~L acres Ultimately 1.1 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING Off OTHER EXIETING LAND USE RESTRICTIONS? [] Yes [] No If No. describe briefly 9. WHAT IS PRESENT LANE USE IN VICINITY OF PROJECT?. [] Residential [] Industrtsi [] Commemial [] AgrictJitu~e [] Park/Forest/Ooen sl3ace ~10ttler Describe: New residential coca, unity 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, list agency(s) and permit/approvals SCDH - Sewage Disposal & Water Supply NYSDEC - Tidal Wetlands T/O Southold - Building Permit 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLy VALID PERMTT OR APPROVAL? [] Yes [] No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WIU. EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION~ [] YeS [] No ] CERTIFY THAT THE INFORMATION P~OVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicanUs~onsor nam~ Younq & Youna ATTN: Thomas C. Wotpert, P.E. Dat~ Dec. 6, If the action ts in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II--ENVIRONMENTAL ASSESSI~NT (To be c_~pleted by Agency) A. DOES ACTION EXCEED ANY TYPE ! THRESHOLD IN 6 NYCRR. PART 61712? if yes, ooomilnat~ the te~iew~prm~e~s and ~use the FUlLL. EAF.. ['~ Yes I-~No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR. PART 617.67 It NO, a negative declaration [] Yes [] No C1. Existing air Quality, surface or groundwater quality or quantity, noise levels, existing traffic carfares, solid waste production or di$oosm~ C3. Vegetation or fauna, fish, shellfistt or 'wildlife species, significant habitats, or tt~reatened or enoangered soecien? Explain t~riefiy: C4. A commumty's existing plans or goals as officially adopted, or a Change in use or intensity of u~e ct land or other natural resources? Exp aJn briefly. C5, Growth. sucsenuent development or related activities likely to ~e induced Dy the proposed action? Explain briefly. C6. Long term, snort term. cumulative, or other effects not identified in Cl-C57 Exolain briefly. C7. Other impacts (including ceanges in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO SE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] NO If Yes. explain briefly PART Ill--DETERMINATION OF SIGNIFICANCE (To be complected by Agency) INSTRUCTIONS: For each adverse effect k:lentffie~ ab.ov, e,~cleter~,~!ne whaler it is sui~tapUaL ~arge~ im;~o~ant or othe~i~ significant. Each effect should be asses~sed in connection with its (a) ~setfl~lg (I.e. u~oan or rurei); (b) probability of ocd~ring;.~(c) duration; (d) irreversibility; (e) geographic scope;, and (f) magnitude. If necessar/, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that ail relevant adverse impacts have been identified and adequately addressed. i--I. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL FAF and/or prepare a positive declaration. [] Check this box if you have determined, based On the information and analysis above and any suppOrting documentation, that the proposed action WiLL NO'[ result in any significant adverse environmental impacts AND provide on attachments as necesEary, the reasons supporting this daterminatlom Date 14-16-2 (2/91)--7c "~' 617~.1 ~ SEQR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action mat be significant. The question of whether an action may be significant is not always easy to answer, Frequent- ly, there are aspects of a project that are subjective or unmeasureable. It is a~so understood that those who determine significance may have little or no forma[ knowledge of the environment or may not be technically expert in environmental analysis. In addition, manywho have 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 enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides obiective data and information about a given project and its site. By identifying basic project d~ta, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of ~ossibte impacts that may occur from a proiect or action. ]t provides guidance as to whether an impact is [iketv to he considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can he mitigated or reduced. Part 3: If any impact 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 magnitude and importance of each impact, it is reasonably determined by the lead agency that: A. The prolect 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 be prepared. B. Although the project cou d 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 req~/ired. 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 onJy valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of. Responsib[e Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Date 1 PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please comptete the entire form, Part~ A through E, Answers to these questions will be consiclered as part of the application for approval and may be subject to further vedficationand public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that compieQon of the full EAF wi1! be dependent on information currently available and will not involve new studies, research or investigation. If information requinng such additional work is unavailable, so indicate and specify each instance. NAME OF ACTION Nancy L. Foote LOCATION OFAOT[ON (Include Street Address. Municipality and County) Willis Creek Drive, Mattituck, T/O Southold, County of Suffolk NAM~ OF APPLICANT/SPONSOR BUSINESS TELEPHONE Young & Young, ATTN: Thomas C. Wolpert, P.E. (5161 727-2303 ADDRESS 400 Ostrander Avenue CITY/PO STATE ZIP CODE Riverhead N.Y. 11901 NAMEOF OWNER (if different) BUSINESS TELEPHONE N~ncv L. Foote f ( 5] 61 369-5590 ADDRESS 29 ~Baitinc Drive C[TYIPO I STATE ZiP CODE B~iting Hollow I N.Y. 11933 Construc~ a single family dwelling, swimming pool, deck, ~driveway with drainage leaching pool, sanitary system, water service, walkway, and dock. No offsite fill is required. 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: [Urban [Industrial [Commercial I-[Residential (suburban) [~Rurai (non-farm) []Forest []Agriculture t-lO?her 2, Total acreage of project area: 1.1 acres, APPROXIMATE ACREACE PRESENTLY AFTER COMPLETION Meadow or 8rushland (Non-agricultural) 0.1 acres 0.1 acres Forested O. 8 acres O. 5 acres Agricultural (Includes orchards, cropland, pasture, etc.) 0 acres 0 acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) 0.2 acres 0.2 acres Water Surface Area 0 acres 0 acres Unvegetated (Rock, earth or fill) 0 acres 0 acres Roads, buildings and other paved surfaces 0 acres 0.15 acres Other (indicate type)Lawns & landscaPing 0 acres 0.15 acres PIC - Plymouth loamy sand 8-15% slope 3. What is predominant soil type{s) on project site? DTA a, Soil drainage: I~Well drained 80 % of site ][]Moderately well drained 10 % of site [][Poorly drained 10 % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? N,A, acres~ (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? a. What is depth to bedrock? N.A. (in feet) 2 S. Approximate percentage of proposed project site with slopes: ~0-10% ~_0 % ~rlO-l$ % 20 % [~5% or greater 0 % 6. Is proiec~ substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? F~Yes 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? []Yes ~]No 8. What is the depth of the water table? 0'-8' (in feet) 9. Is site located over a pnmary, principal, or sole source aquifer? []]Yes (No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? 'C]Yes j~No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? [~Yes -~No According to Young & Young Identify each species 12. Are there any unique dr unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) [~Yes ~No Describe 13. [s the project site presently used bv the community or neighborhood as an open space or recreation area? L-lYes F~No If yes, explain 14. Does the present site include scenic views known [o be important to the community? ~Yes []No 15. Streams within or contiguous to project area: Dredged Cre~k rW-tl Ii,~ 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 Great Peconic Bay bm Size {In acres) 17. is the site served bv existing public utilities? ~Yes r-lNo a) If Yes, does sufficient capacity exist to allow connection? :~]Yes I-1No b} If Yes, will improvements be necessary to allow connection? R3Yes I~No 18. Is the site located m an agricultural district certified pursuant [o Agriculture and Markets Law, Article 2S-AA. Section 303 and 304? []Yes [~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 ~Yes KtNo 20. Has the site ever been used for the disposal of solid or hazardous wastes? OYes ~No B. Project Description I Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 1.1 acres. b. Project acreage to b~ developed: 1.1 acres initially; 1.1 acres ultimately. c. Project acreage to remain undeveloped 0 acres. d. Length of project, in miles: N.A. {if appropriate} e. [f the project is an expansion, indicate percent of expansion proposed N.A, %; f. Number of off-street parking spaces existing 0 ; proposed 2 g. Maximum vehicular trips generated per hour 2 (upon completion of project)? h. If residential: Number and type of housinB units: One Family Two Family Multiple Family Condominium Initially 1 Ultimately 1 i. Dimensions (in feet) of largest proposed structure, 35' height; 33' width; 73' . length. j. Linear feet of frontage along a public thoroughfare project will occupy is?. l~' ft. 3 0 2. How much natural material time., rock, earth, etc.) will be ~emoved from the site? tons/cubic yards 3, Will disturbed areas be reclaimed? []Yes I~No r~N/A a. If yes, for what intended purpose is the site be[nB reclaimed~. LaMs & LandscaDe~ Areas b. Will topsoil be stockpiled for reclamation? ~Yes r~No c. Will upper subsoil be stockpiled for reclamation? ~Yes l-INo 4. How many acres of vegetation {trees, shrubs, ground covers) will be removed from site? 0.3 acres. 5, Will any mature forest (over 100 years old) or other locally-important veBetation be removed by this project? [Yes g'lNo 6. If single phase project: Anticipated period of construction 6 months, (includinB demolition). 7. If multi-phased: N.A. a, Total number of phases anticipated {number). b. Anticipated date of commencement phase 1 month year, {includinB demolition). c. Approximate completion date of final phase month, year. d. is phase 1 functionally dependent on subsequent phases? -]Yes I-INo 8. Will blasting occur during construction? []Yes ~No 9. Number of iobs generated: during construction 6 : after nroject is complete 0 10 Number of jobs eliminated by this ~rolect 0 11. Will project require relocation of any proiects or facilities? E]Yes ~No If yes, explain 12. Is surface liquid waste disposal involved? [Yes l~qNo 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 []No Type Sanit. ary 14. Will surface area of an existing water body increase or decrease by proposal? I-lYes Ex~: lain 15. Is project or any portion of project located in a 100 year flood plain? ~Yes 16. Wilt the project generate so[id waste? OYes E]No a. If yes, what is the amount per month 0.2 tons b. If yes, will an existing solid waste facilit~ be used? ~Yes [~No c. If yes, give name Southold Transfer Station ; location Cutchogue d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? I-tYes ~]No e. if Yes, explain 17. Will the project involve the disposal of solid waste? []Yes ~]No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes. what is the anticipated site life? years. 18. Will project use herbicides or pesticides? ~;]Yes il-?No ie. Lawn Care 19. Will project routinely produce odors (more than one hour per day)? []Yes 20. Will project produce operating noise exceeding the local ambient noise levels? E]Yes ~]No 21. Wilt project result in an increase in energy use? ]~]Yes r~No If yes , indicate type(s) Electric 22. tf water' supply is from wells, indicate pumping capacity N.A. gallons/minute. 23. Total anticipated water usage per day 300 gallons/day. 24. Does ~roject involve Local, State or Federal funding? r'qYes ~lNo If Yes. explain 4 25, Approvals Required: Submittal Type Date City, Town, Village Board []Yes ~No City, Town, Village Planning Board rqYes [~No City, Town Zoning Board []Yes ~No Ciw, County Health Deoartment r~Yes f~No Sewage Dis~ ~ Wae~r ~pply 6/94 O~er Local Agencies ~Yes ~No Buildin~ Pe~it 10/94 Other Regional Agencies ~Yes ~No State Agencies ~SD~ ~Yes ~No Tidal We~lnn~ 6/94 Federal Agencies A~ Corp ~Yes ~No River & Harbor Act 6/94 C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision~ ~Yes ~No If Yes. indicate decision required: ~zoning amendment ~zoning variance ~specia] use permit ~subdivision ~site plan ~new revision of master plan ~resource management plan ~other 2. What is the zoning classification(s)of the site~ A~ Agricultural - Conservation 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~ No Ch~ge 5. 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 ~No 7. What are the predominant land us~s'~ and zoning classifications within a ~ mile radius of propose~ action~ L~d Uses: Residenti~: Zoninc: R-~, A~ 8. Is the proposed action compatible with ad]oining/surrounding ~and uses within a ~ mile? ~Yes ~No 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) N.A. 10. Will proposed action require any authorization(s) for the formation of sewer or water districS) ~Yes ~No 11. Will the proposed action create a demand for any community provided services {recreation, education, police, fire protection}) ~es ~No a. If yes, is existing capacity sufficient to handle pro]ected demand) ~Yes ~No 12. Will the propos~ action result in the generation of traffic significantty above present levels? QYes ~No a, If yes, is the existing road ne~ork adequate to handle the additional traffic) QYes ~No D, Informational Details A~ch any additional information as may be needed to clarify your project. If there are or may be any adverse impacts ~sociated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Name Yo~g & Youn~ At?n: ~homRs C. Wo~rt Date ~. 18, 1994 If the action is in the Coastal Area, and you are a state agency, complete the Coastal Ass~ment Form before proceeding with this a~sment. 5 Part 2--PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information IRead Carefullyl · In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable~. The reviewer is not expected to be an expert environmental analyst. · Identifying that an impact will be potentially large (column 2] does not mean that it is also necessarily significant, Any large ~mpac: must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. · The Examples provided are :o 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 requiring evaluation in Part 3. · The impacts of each project, on each site. in each locality, will vary. Therefore, the examples are illustrative and ha~ebeen offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. · The number of examples per question does not indicate the importance of each question. · In identifying impact~, consider long term, short term and cumiative effects. Instructions tread carefully} a, Answer each of the 19 questions in PART 2. Answer Yes if there will oe any impact. b. Maybe answers should be considered as Yes answers. c, 1~ answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact, If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than examp[e, 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. If 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. A No response indicates that such a reduction ms not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact E~e Moderate Large Mitigated By IMPACT ON LAND impact Impact Project Change 1. Will the proposed action result in a physical change to the oroject site? r~NO ~YE$ Examples that would apply to column 2 · Any construction on slopes of 15% or greater, C15 foot rise per 100 [] [] [-]Yes [~No 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 [] [] []Yes [~]No 3 feet. · Construction of paved parking area for 1,000 or more vehicles. [] -~ ~'-]Yes []No · Construction on land where bedrock is exposed or generally within [] [] []Yes []No 3 feet of existing ground surface. · Construction that will continue for more than I year or involve more [] [] []Yes [~]No than one phase or stage. · Excavation for mining purposes that would remove more than 1,000 [] [] []yes [-]No tons of naturaJ material [i.e., rock or soil} per year. · Construction or expansion of a sanitary landfill, r- [] r-~yes []No · Construction in a designated floodway. [] [] ~]Yes []No · Other impacts [] [] []Yes []No 2. Will there be an effect to any unique or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)l"lNO r'IYE$ · Specific land forms: [] r- []Yes []No 6 I 2 3 Small to Potential Can Impact Be IMPACT ON WATER Moderate Large Mitigated By 3. Will proposed action affect any water body designated as protected? Impact Impact Project Change (Under Attic[es 15.24, 25 of the Environmental Conservation Law, ECL) f~NO rqYES Examples that would apply to column 2 · Developable area of site contains a protected water body. [] [] []Yes t--]No · Dredging more than 100 cubic yards of material from channel of a I- [] []Yes l--1No protected stream, · Extension of utility distribution facilities through a protected water body. F- [] []Yes []No · Construction in a designated freshwater or tidal wetland. [] E []Yes []No · Other impacts: [] [] []Yes []No 4. Will 3roposed action affect any non-protected existing or new body of water? r-lNO [~YES Examples that would apply to column 2 · A 10% increase or decrease in the surface area of any body of water [] [] []Yes []No or more than a 10 acre increase or decrease. · Construction of a bod~ of water that exceeds 10 acres of surface area. [] I-- []Yes []No · Other impacts: [] [] []Ye~ []No 5. Will Proposed Action affect surface or groundwater quality or quantity? ~]NO [3YES Examples that would apply to column 2 · Proposed Action will require a discharge permit. [] [] []Yes []No · Proposed Action requires use of a source of water that does not [] [] []Yes []No have approval to serve proposed {project) action. · Proposed Action requires water supply from wells with greater than 45 [] [] '-lYes []No gallons per minute 3umping capacity. · Construction or operation causing any contamination of a water --I [] []Yes []No supply system, · Proposed Action will adversely affect groundwater. [] [] []Yes []No · Liquid effluent will be conveyed off the site to facilities which presently [] [] []Yes [] No do not exist or have inadequate capacity. · Proposed Action would use water in excess of 20,000 gallons per [] [] f-lYes t~,No day. · Proposed Action will likely cause siltation or other discharge 'into an [] -1 []Yes []No 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 [] [] []Yes []No products greater than 4,100 gallons. · Proposed Action will allow residential uses in areas without water [] [] I-lYes []No and/or sewer services. · Proposed Action locates commercial andtor industrial uses which may [] [] []Yes t-~No require new or expansion of existing waste treatment and/or storage facilities. · Other impacts: [] [] []Yes E~]No 6. Will proposed action alter drainage flow or patterns, or surface water runoff? J-]NO l-lYES Examples that would apply to column 2 · Proposed Action would change flood water flows. [] [] []Yes []No 7 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change · Proposed Action may cause substantial erosion. [] [] i-'lYes [-1No · Proposed Action is incompatible with existing drainage patterns. [] [] [-]Yes []No · Proposed Action will allow development in a designated floodway. [] [] []Yes []No · Other impacts: [] [] []Yes []No IMPACT ON AIR 7. Will proposed action affect air quality? [Z]NO E]]YES Examples that would apply to column 2 · Proposed Action will induce 1,000 or more vehicle trips in any given ' [] [] l-lYes []No hour. · Proposed Action will result in the incineration of more than I ton of [] [] []Yes [-[No refuse per hour. · Emission rare of total contaminants will exceed 5 lbs. per hour or a [] [] -1Yes []No heat source producing more than 10 million BTU's per hour. · Proposed action will allow an increase in the amount of land committed [] [] -'lYes []No [o industrial use. · Proposed action will allow an ,ncrease in the density of industrial [] [] []Yes []No development within existing industrial areas. · Other impacts: [] [] []Yes []No IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? I'qNO [~YES Examples that would apply to column 2 · Reduction of one or more species listed on the New York or Federal [] . [] []Yes -]No list, using the site. over or near site or found on the site. · Removal of any portion of a critical or significant wildlife habitat. [] [] []Yes []No · Application of pesticide or herbicide more than twice a year, other r- [] []Yes []No than for agricultural purposes. · Other impacts: [- [] []Yes []No 9. Wil Proposed Action substantially affect non-threatened or non-endangered species? E]NO D1YES Examples that would apply to column 2 · Proposed Action would substantially interfere with any resident or [] [] []Yes []No migratory fish. shellfish or wildlife species, · Proposed Action requires the removal of more than 10 acres [] [] []Yes []No 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? E3NO F1YE5 Examples that would apply to column 2 · The proposed action would sever, cross or limit access to agricultural [] [] l--lYes I--]No land [includes cropland, hayfields, pasture, vineyard, orchard, etc.} 8 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change · Construction activity would excavate or compact the soil profile of [] [] ~]Yes r~No agricu]tural land. · The proposed action would irreversibly convert more than 10 acres [] [] '~Yes r-INo of agricultural land or, if located in an Agricultutal District, more than 2.5 acres of agricultural land. · The proposed action would disrup~ or prevent installation of a~ricultural [] [] r-]Yes [] No land management systems (e.~., subsurface drain lines, outlet ditches, strio cropping); or create a need for such measures {e.g, cause a farm field to drain poOrly:due'to increased runoff) · Other impacts: [] '-J J-]Yes I-]No IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources? []NO I-IYES {If necessary, use the VLsual EAF Addendum in Section 617.21, Appendix Examples that would aoply to column 2 · Proposed land uses, or projec~ components obviously different from [] [] []Yes []No or in sharl; contrast to current surrounding land use patterns, whether man-made or natural. · Proposed land uses, or project components visible to users of [] [] []Yes []No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource, · Project components that will result in the elimination or significant [] [] i-]Yes screenin~ of scenic views known to be important to the area. · Other impacts: [] [] []Yes []No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES ' 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? F'INO [~YES Examples that would apply to column 2 * Proposed Action occurring wholly or partially within or substantially [] [] []Yes {~]No contiguous to any facility or site listed on the State or National Re~ister of historic places. · Any impact to an archaeological site or fossil bed located within the [] [] []Yes []No project site. · Proposed Action will occur in an area designated as sensitive for [] . [] []Yes []No archaeological sites on the NYS Site Inventor/. · Other impacts: [] [] i'-]Yes []No 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 I-]NO []-lyES · The permanent foreclosure of a future recreational opportunity. [] [] ~iYes []No · A major reduction of an open space important to the community. [] [] i-'lYes []No · Other impacts: [] [] []Yes [-]No 9 I 2 3 IMPACT ON TRANSPORTATION Small to Potential Can Impact Be 14 Will there be'an effect to existing transportation S. ystems? Moderate Large Mitigated By []NO I-lYES Impact Impact Project Change Examples that would apply to column 2 · Alteration of 3resent patterns of movement of people and/or goods. [] [] []Yes []No · Proposed Action will result in major traffic problems. [] [] I-lYes I--iNo · Other impacts: [] [] []Yes []No IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply.~ I-INO r-lYES Examples that would apply to column 2 · Proposed Action will cause a greater than 5% increase in the use of . [] [] []Yes []No any form of energy in the municipality. · Proposed Action will require the creation or extension of an energy I-" [] i-]Yes E~No transmission or suppl~ system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. · Other impacts: [] [] []Yes i--)No NOISE AND ODOR IMPACTS 16. Wil there be objectionable odors, noise, or vibration as a result of the Proposed Action.~ []NO E~YES Examples that would apply to column 2 · Blasting within 1,500 feet of a hospital, school o~ other sensitive [] [] -)Yes []No facility. · Odors will occur routinely {more than one hour per day}. [] [] F-lyes I-)No · Proposed Action will produce operating noise exceeding the local [] [] []Yes []No ambient noise levels for noise outside of structures. · Proposed Action will remove natural barriers that would act as a [] [] []Yes []No noise screen. · Other impacts: : [] [] []Yes []No IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safeW.~ nNO E]YES Examples that would apply to column 2 · Proposed Action may cause a risk of explosion or release of hazardous [] [] []Yes []No substances {i.e. oil, pesticides, chemicals, radiation, etc:] in th~ event of accident or upset conditions, or there may be a c~ronic iow level discharge or emission. ' · Proposed Action may result in the burial of "hazardous ~astes" in any [] [] []Yes []No form {i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.} · Storage facilities for one million or more gallons o~ liquified natural [] [] []Yes -E~No gas or other flammable liquids. · Proposed action may result in the excavation or ol~her disturbance [] [] []Yes []NO within 2,000 feet of a site used for the disposal'of sohd.~r hazardous waste. · Other impacts: [] [] []Yes L"-iNo 10 I 2 3 IMPACT ON GROWTH AND CHARACTER Small to Potential Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the existing community? Impact Impact Project Change r~NO E3YES Examples that would apply to column 2 · The permanent population of the city, town or villag~ in which the [] I-- []Yes []No project is located is likely to grow by more than 5%. · The municipal budget for capital expenditures or operating services E~] [] []Yes []No will increase by more than 5% per year as a result of this project. · Proposed action will conflict with officially adopted plans or goals. [] [] I-lYes []No i Proposed ac(mn will cause a change in the density of land use. [] [] i-]Yes []No - · Proposed Action will replace or eliminate existing facilities, structures [] [] []Yes []No or areas of historic importance to the community. · Development will create a demand for additional community services [] [] []Yes []No Ce.g, schools, police and fire, etc.) · Proposed Action will set an important precedent for future projects. [] [] -lYes []No · Proposed Action will create or eliminate employment. [] [] --IYes []No · Other ~mpacts: [] [] --tYes []~o 19. Is there, or ~s there [ikel.y to be, public controversy related to potential adverse environmental impacts? CINO (1YES 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 Responsibillty of Lead Agency Part 3 must be prepared if one or more impact(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: I Briefly describe the impact. 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 i'f it is reasonable to conclude that this impact is important. To answer the question of importance, consider: · The probability of the impact occurring · The duration of the impact · Its irreversibility, including permanendy lost resources of value · Whether the impact can or will be controlled · The regional consequence of the impact · Its potential divergence from local needs and goals · Whether known objections to the project relate to this impact. (Continue on attachments) 11 ALL I{OCKS AND BULKH~DS MUST DISPLAY VISIBLE P~IT NUMBERS. ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD MAIN ROAD SOUTHOLD, NEW YORK 11971 NOTICE OF ACTION - NOT A PERMIT TO: NANCY L. FOOTE Please be advised that your application, dated December 8. 1994 has been reviewed by this Board, at a meeting of the Trustees held on February 28. 1995 and resulting in the action, as indicated below: ( XXX) Application Approved. ( ) Application Denied. ( ) Application Tabled. COMMENTS AND REMARKS: Application Fee: $150.00 Paid 5' X 20' float = 100' X $3 = $300 IF YOUR APPLICATION IS APPROVED ABOVE, A PERMIT FEE IS NOW DUE, AND SHOULD BE ~MADE PAYABLE TO THE ORDER OF THE BOARD OF SOUTHOLD TOWN TRUSTEES. THIS FEE IS COMPUTED BELOW ACCORDING TO THE SCHEDULE OF RATES AS SET FORTH IN THE INSTRUCTION SHEET (Form 1/'1). Tills FEE MUST BE PAID WITHIN 90 DAYS OR REAPPLICATION AND ADDITIONAL FEE WILL BE NECESSARY. IF THE PERMIT FEE IS PAID IN PERSON TO THE CLERK OF THE BOARD, THE PERMIT WILL BE OBTAINABLE AT THE SAME TIME. IF THE FEE IS PAID BY MAIL, THE PERMIT WILL BE MAILED IN REPLY. COMPUTATION OF PERMIT FEE: 5' X 20". fl°at X $~'~t TOTAL FEE FOR THIS APPLICATION: $ 450.0 ~ . ' President, Board of Trustees By: (~ferk, ~oard of' Town Trustees 10/87 ,. State OF NEW YORk DEPARTMENT OF STATE ALBANY, NY 122~1'000~ ALEXANDER F. TREADWELL February 3, 1995 Mr. Albert J. Krupski Town of Southold Town Hall P.O. Box 1179 Southold~ New York 11971 Re: Application N-° 1000-115-17-17.13~ Nancy L Foote. Willis Creek Dr. Dear Mr. Krupski: With regards to the above mentioned application, please note that the New York State Department of State's Coastal Management Program has yet to receive a Federal Consistency Assessment Form (FCAF) and supporting information for the project. From the submitted project description, it appears that a permit ~rom the U.S. Army Corps of Engineers/NY (ACOE) may be required for the catwalk and float. Therefore. it/a federal permit or federal fundin~ is required for any portion of this project, please instruct the applicant to submit a completed FCAF and supporting information to ACOE/N'Y with a copy to Ms. Diana Boos at the Department of State. Upon receipt, we will determine if the submitted information is adequate m commence a formal review of the project. If you have any questions, do not hesitate to call me at (518~ 474-6000. Sinc/~/~ly, Walte~'F. Meyer Coastal Resources Specialist c: ACOE NY - Sophie Ettinger file YOUNG & YOUNG PLANNING, ~NGINE~NG a ~ND SURVEYING OS~NDER AVENUE, RI~RHEAD, NEW YORK 11901 - ~694 . January 23, 1995 ATTN: Ms. Diane Herbert Board of Trustees Town of Southold 53095 Main Road P.O. Box 1179 Southold, New York 11971 RE: NANCY L. FOOTE at Mattituck, T/O Southold, New York (94-0305) Dear Ms. Herbert: Enclosed are five (5) prints of the survey for Nancy L. Foote, last dated January 18, 1995, amended to indicate the locations of numbered lath set at the seaward corners of the proposed house and pool, as requested. If you have any questions regarding this application, please advise. Very truly yours, Thomas C. Wolpert, P.E. TCW/sjt Encl. cc: Mrs. Nancy L. Foote 1 Print ALDEN W. YOU NG HOWARD W. YOUNG THOMAS C. WOLPERT KEN N Erl'lt F. ABRUZZO Professional Engineer Land Sum;eyor P~ofessional Engineer Land Surveyor &Land Surveyor Meeting of December 19. 1994 No. 1215 Moved by Robert Kelth, seconded by Patricla Isaksen, it was to the Southold Town Board of of the Wetland Application of, 115-17-17,13 to construct a single family dwelling, driveway, sanitary system, water service, walkway, ~ind dock. The CAC recommends approval provided 1. The dock is located so it is not less than 15~ from the property line. 2. The project description states that "No offsite fill is required,~ but plans call for 250 c.y. of fill. The CAC is concerned about the and feels the Trustees should seek clarification. _ 3. undisturbed because of runoff. Willis ~ , Mat~ituck Motion ~arried. RECOMMENDATION OF WAIVER REQUESTS WR21 Moved by Bruce Loucka, seconded by Jack Hagerty, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAppROVAL of the Waiver Request of PORT OF EGYPT ENTERPRISES ~6-6~r & 6.1 to inst;all a swimming pool, terrace and cabana facilities instead of b~at storage building which a permit was issued but never used. ~TISe CAC feels this project needs to go through the permit process. Main Read, 5outhold Vote of Council: Ayes: All Motion carried. RECOI~MENDATION OF AMENDMENTS TO PERMITS All Moved by Bruce Loucka, seconded by Jack Hagerty, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH CONDITIONS of the request for an amendment to a permit by MICHAEL LEAHY 6a,-3-a, to extend his walkway and ramp reach suitable water depth. The Council has concerns about the length and recommends that the float be turhed so it is parallel to the shore and that the length of the project does not interfere with the navigation of others. Hobart Avenue, Southold Vote of Council: Ayes: All Motion carried. A12 Moved by Robert Keith, seconded by Bruce Loucka, it was RESOLVED to recommend to the Southold-Town Board of Trustees APPROVAL of the request for an amendment to a permit by 8LUEPOINTS COMPANY INC. lq0-1-23.1 to eliminate the 2000 gallon per minute pump enclosed in a 5' x 5' structure and replace with two 1000 gallon per minute submersible pumps to be placed at the end of the 100' x ~ open pile pier. Two davits to be installed at the end of the pier for pump servicing. 1240 Love Lane, Mattituck Page 2 New York State Department of Environmental Conservation' Commlssl~r LTOWN Dear RE: LEAD AGENCY COORDINATION REQUEST The purpose of this request is to determine under Anticle 8 (State Environ- mental Quality Review - SEQR) of the Environmental Conservation' Law and 6 NYCRR Part 617 the following: 1. Your agency's interest in acting as lead agency; 2. Your agency's jurisdiction in the action described below; and 3. Issues of concern which your agency believes should be evaluated. Enclosed is a copy of =ne permit application and a completed Part 1 of the Environmental Assessment Form to assist you in responding. Project Location: DEC Project Number: SEQR Classification: [~/] Type I [ ] Unlisted DEC Contact Person: DEC Position: ['7~J DEChas no objectio~ to your agency or another agency assuming lead agency status for this action, but reserves the right to comment on this action if a positive determination of significance is mane. [ ] DEC has no objection tD your agen!cy or another agency assuming lead agency status for this action, but we nave the following concerns regarding this project {see "comments" below). [ ] DEC wishes to assume lead agency status for this action. [ ] The proposed action has been identified Dy DEC as occurring wholly or partially within or substantially contiguous to a critical environmental area (CEA) that was designated by It is the position of this Deoartment that your agency, if it has a juris- diction over the action, should assume the lead agency role based on the existence of the CEA and the fact that the anticipated impacts are primarily of local significance. [ ] Other. (See comments below) Comments {Optional}: Response: Please respond to this reouest within 30 days of the date of this letter. If no response is received within 30 days, we will assume that you have no objection to DEC or another agency assuming the role of lead agency, and have no comments to offer regarding the propose~ action at this time. If neither your agency nor any other involved agency, including DEC, has indicated a will- ingness to serve as lead agency within 30 days of this letter: [ ] We will petition the Commissioner of DEC to designate a lead agency for this action. [ ] We will petition the Commissioner of DEC to designate your agency as lead, presuming you have jurisdiction. Please feel free ~o contact this office for further information or discussion. Sincerely, closures C cc: (see distribution list) ._~6¢ E~d'~fon~q~-~( ~mq[y~T ,~ 14-16-2 (2/91)--7c 617.21 SEQR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The fuji EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action .may be sig~ficant, The question of whether an action may be significant is not always easy to answer. Frecuent- 1~, there are aspects of a project that are subiective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert ih environmental analysis. In addition, many who have knowledge in one particular area mav not be aware of the broader concerns affecting the question of significance. The fuji EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, vet flk=xibJe enough to allow introduction of information to fit a prolect or action. Full EAF C~omponents: The' full EAF is comprised of three parrs: Part 1: Provides ,objective data and information about a given project and its site. By identifying basic project d~ta, it assists a reviewer in the anaNsis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a projector action. It provides 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 reduced. Part 3: If any impact 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 1 and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part 1 [] Part 2 []Part 3 Uoon review of the information recorded on th $ EAF fParts ~! and 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: [] A The project will nor result in any large and important impact(s) and, therefore, is one which will not have a significant imoac~ on the environment, therefore a negative declaration will be prepared. [] B. Although the project could have a significant effect on the enwronment, 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 Declaratio, is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Tide 'of Responsible Officer Signature of Resoonsible Officer in Lead Agency Signature of Preparer[If different from responsible officer) Date 1 PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form. Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review, Provide ant additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the fulJ EAr will be dependent on information currently available and will no~ involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance, NAME OF ACTION Nancy L. Foote LOCATION OF ACTION dnciude Street Address, Municipality and Counzy) Willis Creek Drive, Mattituck, T/O Southold, County of Suffolk NAME OF APPL[CANTISPONSOR SUSINE~$ TELEPHONE Youn9 & YouTlg, ATTN: Thomas C. Wolpert, P.-E. · 516) 727-2303 . ADDBE~S GO Osr~rander Avenue CiTY/PO I STATE ZiP CODE ..Riverhead N.Y. I 11901 NAME OF OWNER (Jr differemt) j BUSINESS TELEPHONE ~cv L. Foete J 516~ 369-5590 29~ Baitino Drive Cl~l~f/pO STATE ZIP CODE Ha:it&ng Hollow I N.Y. 11933 Construct a szngle family d~elling, swir~ming pool, deck, :driveway wi~h drainage leaching pool, sanitary system, water service, walkway, and dock. No offsite fill is required. 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: ~Urban ~lndustrial ~Commercial ~ Residential {suburban) ~RuraJ (non-farm) []Forest []Agriculture []Other 2. Total acreage of project area: 1~1 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Nomagricuitura]) 0.1 acres 0.1 acres Forested 0.8 acres 0.5 acres Agricultural (includes orchards, cropland, pasture, etc.) 0 acres 0 acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) 0.2 acres 0.2 acres Water Surface Area 0 acres 0 acres Unvegetated (Rock, earth or fill) 0 acres 0 acres Roads. buildings and other paved surfaces 0 acres 0.15 acres Other {Indicate type}Lawns & land~caping O acres O.15 acres PIC- Plymouth loamy sand 8-15% slope 3. Wha[ is predominant soil type(s) on project site? PTa P'l~/~lln;~-h l~my ~n~ 0-3% =ln12e a. Soil drainage: [~Weli drained 80 % of site ;[]Moderately well drained 10 % of site [~[Poorly drained .] 0 % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group q through 4 of the NY5 Land Classification S¥'stem? N.A. acres. ISee 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? E]Yes ~¢4o a. What is depth to bedrock? N.A. (in feet) 2 5. Approximate percentage of proposed project site with slopes: ~0-10% RD % ~'10-15% 20 % [~15% or greater O % 6. is project substantially contiguous to. or contain a building, site. or district, listed on the State or the National Registers of Historic Places? [~Yes [~,No 7. is project substantially contiguous to a site listed on the Register of National Natural Landmarks? [Yes ~]No 8. What is tee depth of the water table? 0'-8' [in feet) 9. Is site located over a primary, principal, or sole source aquifer? [~Yes FqNo 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? C'lyes J~No 11 Does project site contain any speczes of 01ant or animal life that is identified as threatened or endangered? ~Yes ~[No According to Young & Young Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e.. cliffs, dunes, other geological formations) []Yes [~No Describe 13. Is the project site presently used bv the community or neighborhood as an open space or recreation area? VqYes E~No tf yes, exnlain 14. Does the present site include scenic views known to be important to the community? [Yes ~No 15 Streams within or contiguous to project area: Dredged Creek (Will. is 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 Great Peconic Bay b. Size {In acres) 17. Is the site served by existing nublic utilities? ~-TYes [No a) If Yes. does sufficient capacity exist to allow connection? ~]Yes b} If Yes, will improvements be ~ecessary to allow connection? ]~]Yes r~No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets [;aw. Article 25-AA, Section 303 and 304? []Yes r~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 i~IYes iNn 20. Has the site ever been used for the disposal of solid or hazardous wastes? []Yes I~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 1. 'i acres. b. Project acreage to b~ developed: '1.1 acres initially; ],o'1 acres ultimately. c. Project acreage to remain undeveloped 0 acres. d. Length of project, ir miles: N.A. (If appropriate) e. If the project ~s an expansion, indicate percent of expansion proposed N.A. %: f, Number of off-street parking spaces existing 0 , proposed 2 g. Maximum vehicular trips generated per hour 2 (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially 1 Ultimately 1 i. Dimensions (in feet) of largest proposed structure 35' height; 33' width: 73' length. j. Linear feet of frontage along a public thoroughfare project will occupy is? 1~' ft. 0 2. How much natural material [i.e., rock. earth, etc.) will be removed from the site? tons/cubic yards 3. Will disturbed areas be reclaimed? []Yes linc [NA a. If yes, for what intended purpose is the site being reclaimed? Lawns & Landscaped Area,~ b. Will topsoil be stockoiled for reclamation? OYes ~No c. Will upper subsoil be stockpiled for reclamation? ~Yes [~No 4- How many acres of vegetation {trees. shrubs, ground covers) will be removed from site? 0,3 acres. 5. Will any mature forest {over 100 years old) or other locally-important vegetation be removed by this project? [2]Yes ~]No 6 If single phase project: Anticipated period of construction 6 months (including demolition). 7_ f multi-phased: N.A. a. Total number of .3bases anticipated {number). b. Anticipated date of commencement phase I month year, {including demolition). c, Approximate completion date of final phase month_ year. d. Is phase I functionally dependent on subsequent phases? [Yes [No 8. Will blasting occur during construction? [Z]Yes 9. Number of iobs generated: during construction 6 : after prolect Is complete 0 10, Number of jobs eliminated by this project 0 11. Will project require relocation of any projects or facilities? I~Yes /~No If yes, explain 12. Is surface liquid waste disposal involved? FlYes 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 ~No Type Sanitary 14. WiJ[ surface area of an existing water body increase or decrease by proposal? J~Yes ~No Explain 15. Is project or an'; portion of project 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 0.2 tons b [f yes, will an existing solid waste facility be used? [~Yes c. If yes, give name Sogthold Transfer Station : location Cutcho~ue d, Will any wastes not go into a sewage disposal system or into a sanitary landfill? []Yes ~]No e. if Yes, explain 17. Wil~ the project involve the disposal of solid waste? []Yes ~No a. ]f yes, what is the anticipated rate of disposal? tons'month. b. If yes, what is the anticipated site life? years. 18. Will prolect use herbicides or pesticides? :~]Yes [ZiNc la. Lawn Care 19 Will project routinely produce odors {more than one hour per day)? []Yes ~No 20. Will project produce operating noise exceeding the local ambient noise levels? [Yes K]No 21 Will project result in an increase in energy use? ]gYes [~]No If yes , indicate type(s) Elect:~'ic 22. If water supply is from welts, indicate pumping capacity ~.A. gallons/minute. 23. Total anticipated water usage per day 300 gallons/day. 24. Does project involve Local, State or Federal funding? [Yes ~No If Yes, expJakl 4 25. Approvals Required: Submittal Type Date City. Town. Village Board r~Yes [~No C!ty. Town. Village Ptanning Board EYes F~No City, Town Zo.ning Board I-lyes ~No City, County Health Department ~Yes {No Sewage Disposal ~ W~ff~- ,qnpply 6/94 Other Local Agencies [~Yes fqNo Buildinc Permit 10/94 Other Regional Agencies EYes J~No State Agencies NYSDEC []Yes ENo Tidal Wet]and,~ 6/94 Federal Agencies Army Corp ~Yes []No River & Harbor Act 6/94 C. Zoning and Planning information 1. Does proposed action involve a ptanning or zoning decision? []Yes []No If Yes, indicate decision required: [zoning amendment []zoning variance Especial use permit I-tsubdivision I'qsite plan Enewlrevision of master plan Eresource management plan ~other 2. What is the zoning classification{$)of the site? A-C Agricultural - Conservation 3 What is the maximum potential development of the site if developed as permitted by the present zoning? N.A. 4 What is the proposed zoning of the site? No Change 5. What is the maximum potential development of the site if developed as ~ermitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use 91ann? ~Yes -1No 7. What are the predominant ]and use(s) and zomng classifications within a '/, mile radius of proposed action? Land Uses: Residential; Zonina: R-g!0, A-2C 8. Is the proposed action compatible with adjoining/surrounding land uses within a ~,~ mile? ~Yes {No 9 If the proposed action is ~he subdivision of ]and, how many lots are proposed? N.A. a. What is the minimum lot size proposed? N.A. 10. Will proposed action require an~ authorization{s] for the formation of sewer or water districtS? EYes ~JNo 11 Will the proposed action create a demand for any community provided services {recreation, education, police. fire ~rotection)? {]lYes ENo a. If yes, is existing capacity sufficient to handle projected demand? F~Yes ~No 12 Will the proposed action result in the generation of traffic significantly above present levels? EYes ~]No a. If yes. is the existing road network adequate to handle the additional traffic? il-lYes ~]No D. informational Details Attach any additiona( information as may be needed to clarify your project, if there are or may be any adverse impacts associated with your proposaJ, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true ~o the best of my knowledge. Applicant/Sponsor Name Younc & Younq[ Attn: Thoma,~ C. Wolpert Date Oct. 18, 1994 Signature X////'///~ /¢~- ~(-/~ Title Professional Enc~ineer If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 DEC 16 199z ~TAT~ OF ~ ~0~ ALBANY. NY 12231-0001 GAlL S. S ~AFFER SECrEtARY Of StaTe Mr. Albert J. Krupski, Jr., Trustee December 12, 1994 Board of Town Trustees Town Hall P.O. Box 1179 Southold, New York 11971 Re: Lead Agency Coord/nation Request for Proposal by Nancy L. F¢ote, Willis Creek Drive. Mattituck. Dear Mr. Krupski: With regards to the above mentioned Lead Agency Coordination Request. please note that the New York State Coastal Managcmem Program does not Object to Somhold Town Trustees; assuming Lead Agency. However. the Department of State has yet to receive a Federal Consistency Assessment Form (FCAF) and supporting information for the dock portion of the proposed action. Please instruct the applicant to submit a completed FCAF and supporting information to the U.S. Army Corps of Engineers/New York with a copy of the FCAF and supporting information to Ms. Diana Boos m the Department of State. Upon receipt, we will determined if the submitted information is adequate to begin review of the proposed project for consistency with New York State's Coastal Management Program. If you have any questions, do not hesitate to call me at (518) 474-6000. Sincerely,/~ Waiter F. Mever Coastal Resources Specialist c. U.S. ACOE/NY - Sophie Ettinger file printed on recycled paper YOUNG & YOUNG PLANNING, ENGINEERING & LAND SURVEVING 400 OSTRANDER AVENUE..RIVERHEAD, NEW YORK 11901. ~69~ ~le~one 51 ~727-230~ ~imfle 51~7~1~ December 6, 199~ Board of Trustees Town of Southold 53095 Main Road P.O. Box 1179 Southold, New York 11971 RE: NANCY L. FOOTE at Mattituck, T/O Southold, New York (94-0305) Dear Members of the Board: Enclosed are the following items for your review of our application for a wetland permit to construct a single family dwelling and related structures at the above referenced site: 1. five (5) prints Survey for Nancy L. Foote, last dated November 22, 1994; 2. one (1) original and four (4) copies - Wetland Permit Application, including Authorization Form and Data Sheet; 3. five (5) copies - Location Map (portion of USGS Quad Map); 4. one (1) original and four (4) copies - four (4) representative photographs of the projec~ area and surroundings; 5. one (1) copy - survey, dated June 10, 1994 showing the view direction of the photographs; 6. one (1) original and four (4) copies - Short Environmental Assessment Form; 7. one (1) original and four (4) copies - Long Environmental Assessment Form; and 8. application fee our check in the amount of One Hundred Fifty Dollars ($150.00) payable to Southold Trustees. If you have any questions regarding ~his application, please advise. Very truly yours, Thomas C. Wolpert, P.E. TCW/nas Enclso cc: Mrs. Nancy L. Foote + Encls. PHOTO NO. i NANCY L~ FOOTE AT MATTITUCK ~ T/O SOUTHOLD, ~ YORK 06/23/94 2: zlSPM 'P~/fO NO~2 NAS~CY L. FO0~ AT MATTITU~K, T/O SOUTHOLD, ~"W YORK 06/23/94 2: 50PM MATTITUCK QUADR,~ ..JLE NEW YORK--SUFFOLK CO. 7,5 MINUTE SERIES (TOPOGRAPHIC) I.S~t~S S~N ~US: (5.2) ARE ~FERENCED TO ~AN LOW WA~ER ~ATI~ ~N HERE~ ~E ~OM AC~AL S~V~ - ~ARE R~ED TO N.G.V.D. ( MSL 1929). 3.FIRM ZONE "A 4' BA~ EL.= 8.0 C~US Wi~ 8 C~TOUR 4.~EA = 457~4 5..(~)~NUMBERED LA~ ~ SU~ F~ NANCY L. FOOTE LOT NO. t3,"HARBOR VIEW AT MA~ITUCK" NOV. 22,1994 OCT. II , 1994 AT MATTITUCK DATE: JUNE 10,1994 SUFF~K C~NTY, NEW ~RK ~o. ~-~5 L TO C~STRUC T ~ ~ ~R w~o~ f~E SU~EY ~ ~R~ '" YOUNG YOUNG . ~R~AD~ NEW ,~RK F~ND ~= STAKE SET ~ MAP F~ED IN ~ ~1~ OF T~ CLERK ~ ~0 ~ S~VEYOR N.Y~.UCE~E NO, 12845 OOUN~ ~ ~U~T 2t: 1987 AS ~E N0.8~7[ ~D W. Y~G~ ~ND ~YOR