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Home My WebLink AboutTR-3831Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~.! ........ DATE: ... ~.aY .~.~.....~.~c)0 ISSUED TO CONSTANTTNE GEORGIO!POULOS Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Soufhold Town Ordinance en- titled "REGULATING AND THE PLACINC~ OF OBSTRUCTIONS IN AND-ON TOWN WATERS AND PUBLIC LANDS and fha REMOVAL OF SAND, ~=RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance wlfh the Resolution of The Board adopted efa meeting held on ..May. gA 19 c~9..., and ;n consideration of the sum of $ paid by of ...................................................................................... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of SouthoJd Town Trustees authorizes and permits the following: Construct a single-family dwelling, sanitary system, and place fill to meet requirements. Condition: A 50~ uhdis:urbed soils and vegetation to be: left from the NYSD,~.C Wetla%~d Line.,la~dwg~;d.,a~on~ said.wetlands line ~n the au~n accoraance w~rn the aetaueaspecmcanons as presentea~n the originating appliCation, entire project site. IN WITNESS WHEREOF, The said Board of Trustees here- causes ~ts Corporate Seal to be affixed, and these presents to b~ subscribed by a majority of th~.said Board as of this dat,e. ..... \) ' Trustees TERMS and CONDITIONS The Pesmi~:ee Constantine Georgiopoulos residing a~ - La~e Drive, _ Southold, NY 11971 N.Y. as part of the consideration for the is.~,~-~ of the Permit do~s understand and prescribe to the fol- lowing: 1. That the said Board of Trustees ami the Town of Southold are released from any and aH damages, or cl~im~ for damages~ of suits arising directly or indicecrly as a result of any oper- ation performed pursuant to this permit, and the said Permittee will, at his or her own ~, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exdusinn of the Board of Trustees of the Town of Southold 2. That this Permit is valid for a period of 24 mos. which is considered to be the esdrnared time required to complete the work involved, but should c/.rcumstances warrang x~queat for an extension may be made to the Board at a later date. 3. That ~ Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved~ to provide evidence to anyone concerned that auth- orization was originally obtained. 4. That .the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application, may be ~,,~e for revocanon of this Permit by resolution of the said Board. 5. That there will be no ~mreasonable interference with navigation as a result of the work herein authorized. 6. That there shah be no interference with the right of the public to pass and repass along the beach between high and low water murks. 7. That ff future operations of the Town of Soorhold requite the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstroctxon to free navigation, the said Permlttee will be requized~ upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permirtee or the completion of the work auth- orized. 9. That the Permktee will obtain all other permits and coments that may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain same. TRUSTEES John M. Bredemeyer, Ili. President Henry P. Smith. Vice President Albert J. Kmpski. Jr John L. Bednoski. Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTT L HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southotd. New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 May 29~ 1990 Land Use Company 2576 Sound Avenue Baiting Hollow, NY 11933 Re: App. No. 3-2-90-59-0~-21.6-& 21.7 / Georgiopoulos Dear Tanya: The following action was taken by the Board of Town Trustees during its regular meeting held on May 24, 1990 regarding the above matter: WHEREAS, Land Use Company IN BEHALF OF Constantine Georgiopoulos applied to the Southold Town Trustees for a permit unde~ the provisions of the Wetland Ordinance of the Town of Southold, application dated March 8, 1990 and, WHEREAS said application was referred to the Southotd 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 May 24, 1990 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of -the town, NOW, THEREFORE BE IT RESOLVED THAT Land Use Company IN BEHALF OF Constantine Georgiopoulos BE AND HEREBY IS GRANTED PE1LMISSION UNDER THE WETLAND ORDINANCE TO: Construct single-family dwelling, sanitary system, driveway, and place fill to meet requirements. Condition: A 50' (fifty) natural buffer of undisturbed soils and vegetation is to.befLeft from the N.Y.S.D.E.C. Wetland Line landward along said wetlands line on the entire project site. Project adjacent to Freshwater Wetlands at Lake Drive, Southold, NY. This permit will expire two years from the date it is signed if work has not commenced by said date. Fees must be paid, if applicab%e, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: ~.o~.~,~- Very truly yours, President, Board of Trustees JMB: jb cc: Bldg, Dept. Conservation Advisory Council file TRUSTEES John M. Bredemeyer, III. Presidem Henpy P. Smith. Vice President Albert I. Krapsld. Jr. John L. Bednoski. Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ~ SCOTT L. HARRIS Supervisor Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 S.E.Q.R.A. NEGATIVE DECLAP~ATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 3-2-90-59-01-21.6 & 21.7 NAME: Constantine Georgiopoulos DATE: April 25, 1990 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 Southeld, 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 he 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: DESCRIPTION OF ACTION: Construct single family dwelling, sanitary system, driveway , and place fill to meet requirements. LOCATION: Lake Drive, Southold, NY, fronting un-named Freshwater Wetlands. Tax map No. 1000-59-01-21.6-& 21.7 REASONS SUPPORTING THIS DETERMINATION: 1. An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. cc: Planning Board, Bldg, Dept., ZBA NYSDEC, Army Corps of Engineers, CAC TRUSTEES John M. Bredemeyer, IlL President Henry P. Smith. Vice President Albert J. Krupski. Jr. John L. Bednoski. Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTt L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765~1823 Telephone (516) 765q800 ADriI 20, 1990 Mr. John Holzapfel, Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, New York 11971 Dear Mr. Holzapfel: Transmitted herewith is application No. 3-2-90-59-01-21.6&2i.7 for a wetland application submitted byLand use in behalf of Constantine ~. Georgiopoulos. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB: jb TRUSTEES John M. Bredemeyer, III, President Henry P. SmitL Vice President Albert J. Kmpski, Jr. John L. Bednosld. Jr, John B, Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTt L. HARRIS Supervisor Town Hall. 53095 Main Road P,O. Box 1t79 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 February 15, 1990 Tanya L. Esper Land Use 2576 Sound Avenue Riverhead, NY 11901 RE: Constantine P. Georgiopoulos, SCTM %1000-59-1-21.1,21.2,21.3,21.4,21.6,21.7 Dear Ms. Esper: As per our conversation this date, the Trustees have inspected the above mentioned project and found Lot numbers 21.6 and 21.7 to be in the jurisdiction of the Trustees. Therefore, the applicant must go through the review process with this Board. Should you have any questions, please do not hesitate to contact this office. Very truly yours, Bredemeyer, III' 'President, Board of Trustees JMB: jmt ~516~ 765-1501 Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York 1~971 SOUTIIOLD TOWN CONSERVATION ADVISORY COUNCIL To: From: Dated: Re: Southold Town Trustees Southold Town Conservation Advisory Council May 22, 1990 Recommendation of Wetland Applications The following recommendations were made by the Southold Town Conservation Advisory Council at its meeting held Thursday, May 17, 1990: On a motion by John Holzapfel, seconded by Margaret Feeney it was RESOLVED to recommend to the Southold Town Trustees appr~oval with conditions Wetland Application No. 3-5-90-79-4.5 submitted by Glenn E. Just/J.M.O on behalf of Harbor Lights Canal Association to maintenance dredge and place spoil on adjacent beach. The CAC approves provided the dredging is delayed until September to avoid the normal summer complications of dredging and also that the spoil is contained by haybales, etc. to avoid runoff into the cove side. Harbor Lights Drive, Southold Vote of Council: Ayes: All Motion carried. On a motion by John Holzapfel, seconded by Bruce Loucka it was RESOVLED to recommend to the Southold Town Trustees disapproval of Wetland Application No. 3-6-90-1-4 submitted by J.M.O. Consultinq on behalf of Wiilian~ Riley to construct a timber bulkhead and backfill s~ructure with clean sand. The CAC recommends disapproval because no need is shown and a dock is already in place. Cedar Point Drive West, Southold Vote of Council: Ayes: All Motion carried. On a motion by Margaret Feeney, seconded by John Holzapfel, it was -RESOLVED to recommend to the Southold Town Trustees approval with concerns of Wetland Application No. 3-2-90-59-1-21.6 submitted by {he Land Use Company on behalf of'Constantine Georgiopoulos to construct a single family dwelling. sanitary system, fill and driveway. The CAC approves but has grave concerns regarding the cesspool system. Lake Drive, Southold Vote of Council: Ayes: All Motion carried. On a motion by John Holzapfel, seconded by Margaret Feeney it was RESOLVED to recommend to the Southold Town Trustees approval with suggestion of Wetland Application No. Zl-2-90-132 submitted by Peconic Associates for . , East End Seaport and Marine Historical Foundation lighthouse. The CAC recommends approval but suggests a mode 5/17/90 Page 2 sanitary system be used (Clives Moltrum?). Gardiner's Bay Vote of Council: Ayes: All Motion carried. The Conservation Advisory Council has no recommendation concerning Wetland Application No. 4-3-90-9-3-10.1 submitted by Docko, Inc. for Peter O. Crisp to construct a fixed wood dock, floating dock, ladder and piles. The Counci| was unable to make an inspection on Fishers Island. The Council also approved the Waiver Requests of William Droeger and C. Kenneth Morrell.y. TELEPHONE (516) 765-1892 BOARD OF TO~'N TRUSTEES TO~N OF $OUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK, FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE 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 ~HE TOWN OF SOUTHOLD. APPLICATION NO~'~'~'~-~/-O/- ~Z~ ~/'7 DATE 2/28./90 APPLICANT'S NAME: Constantine P. Georglopoulos TEL. MAILING ADDRESS: 256 Read Avenue, Crestwood, N.Y. 10707 NO.(212) 732-5520 AGENT: Tanya Lachenmeyer/Land Use Company TEL NO { 516 ) 727-2400 AGENT ADDRESS: 2576 Sound Avenue, Baiting Hollow, N.Y. 11933 PERMIT REQUESTED TO: Applicant proposes to construct a single family dwellinq, sanitary system, fill and driveway adjacent to Freshwater Wetland Area. LOCATION OF PROPERTY FOR REQUESTED PERMIT: Lake Drive. Southold, N.Y. 11971 HAMLET: - TAX MAP NO: t000- 59-01-21.6 and 21.7 CREEK, BAY OR HAI{BOR FRONTING PROPERTY: SIZE OF PROPOSED WORK: See at%ached plans LENGTH: Un-named Freshwater Wetlands WI DTH: YDS. TO BE EXCAVATED: n/a YDS. TO BE FILLED: MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: to meet floodplain and SCDHS rec~irements. <, 9p. Page 2. 900 c.yds. Fill to be utilized WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: DEPTH AT LOW TIDE: n/a AVER. RISE IN TIDE: DISTANCE TO NEAREST CHkNNEL: n/a DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: AREA ZONING: Residential IS PROJECT FOR PRIVATE OR BUS. INTENDED USE OF PROPERTY: Sinqle family residence DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: None USE: Private HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: no HAS Ai%~I LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL AGENCY: no DESCRIBE FULLY THE REHABILITATION OF PROPERTY: none necessary DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: Single family dwelling, drive%ray, and buffer areas adjacent to wetlands. 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 COUNTY OF SUFFOLK ) STATE OF NEW YORK ) Georglopoulos Tanya Lachen~eyer/Land Use Company for Constantine P. BEING DULY SWORN DEPOSES AND SAYS THATSHE IS THE APPLICANT FORT HE 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. Signature ~ Applicant SWORN~~ DAY_ OF EXAMINED BY APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 . .. [, ~R~)JECT I.D. NUMBER Appehdix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTEDI ACT[O~NS Only PART I--PROJECT INFORMATIOh (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONS~RTan a ~c~ ~ / ' ~ 2. PROJECT NAME .- ~; ~ y e.~,.~zer,La~d Use ~or ~stant~ne P. GeorqioDoulos ~ P~ i~te Residence 3, PROJECT LOCATION: MunicfDalJty Southold Count~ Suffolk SEQ~ 4. PRECISE LOCATION [Street address and road mtersechons. Drommen! landmarks, ezc., or prowde map) Lake Drive Southold, N.Y. 11971 (map enclosed) SCTMNo. 1000-59-01-21.6 and 21.7 5, IS PR~)POSED ACTION: ~[1~ New [] Expansion 6. DESCRIBE PROJECT BRIEFLY: [~ Modification/alt eration Applicant proposes to construct a single family dwelling, sanitary system, driveway, and place fill to meet S.C.D.H.S. and flood plain regulations. 7. AMOUNT OF LAND AFFECTED Initially i . 8 acres Ultimately ] . R 8. WI L PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes No If No. describe briefly 9. VVPb~T IS PRESENT LAND USE tN VICINITY OF PROJECT? Residential [] !ndustrial [] Commercia [] Agncullure [] ParklForestlOpen space [] Other lescribe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL ST A ~rkF.~ R LOCAL)? FYes [] No If yes, list agency(s) and permit/approvals N.Y.S.D.E.C. and S.C.D.H.S. 11 . DOES ANY ASJ:ECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] '/es No If yes, list agency name and permit/approval CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AD01icantlsoonsor name:.Tat3yR T,~%enmeyer/ Land Use Company Date: 2/28/90 If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 A. DOES ACTION EXCeeD ANY TYPE~-~HRESHOLD IN 5 NYCRR, PART 617.127 If yes, coordinate the review process and use the r Lc¢,~ B. WILL ACTION R~EIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declara ion may be superseded by another involved agency, C. COUJ. D ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Cl. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: ~ - ~ C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Expialn C4. A commun ty's existing plans or goals as officially adoDted, or a change in use or intensity of use of land or other natural resources? Explain brlefl Growth, subsequent development or related activities like y to be induced by the ProPosed action? ExD[ain briefly. C7. Other impacts gncluding changes in use of either auantiW or type of energy)? Explain briefly. D. IS THERE. OR IS THERE LIKELY TO Be. CONTROVERSv RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? PART III~DETERMINATION OF SIGNIFICANCE [To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important orotherwise significant. Each effect should be assessed in connectian with its (a) setting (i.e. urban or rural); (b} probability of occurring; (c) duration; (d) irreversibility; (e) geographic SCOPe: and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identifieo end adequately addressed. [] 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 EAF 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 NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: 2 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM SEQ; Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a projec Iy, there a,re aspectsof a project that are subject've o u me surea e, It is a so Understood tha;~ those Who determim signific~ance may have little or no formal knowledge of the environment or may be technically expert in environmenta analysis. In addition, many who have ~<nowledge in one partJcu_lar area may not be aware of the broader concerns affectin~ the question of sigr~ificance. The full EAF is intended to provide a method whereby applicants and agencies;can be assul'edthat the determination, process has been orderly, comprehenSiVe ih nature, yet f.~exible to allow introduction of information to fit a project or action Full £AF C. ompo~ents: The full FAF is comprised of three parts: Part 1~ Prov des ob e. ct!v~ data and information about a given project, and its s~te. By idehtif¥ing basi~: proiect ..... da{a, it a~sis{~ a reviewer in the analysis that tat<es place in Parts 2 an~t 3. ~ Part 2; Focuses on,iden~ifyin§ the range of possible impacts that'ma,/occur from 'a project ~ar action. It provides ~uJdance as to whether an impact is Iii<ely to be considered small to moderate or whether it is a pc~tentialIy- la~ge impact. The f_o~m also iden~tifies whether an impact can be'mitigated 6'r reduced~ Part 3; 'if any impact in Part 2 is identified as potentially-large, then?art 3 is used to evalyate whether or not the .irhpact is actually important. D£TFRMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify lhe Portions of EAF completed for this project: Part 1 ~ Part 2 []Part 3 Upon review of the informatio~ recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and an~ other supporting mformauon, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: [] A. The prolect will not result in any large and imoortant impact(s) and, therefore, is one which will not have a s~gmf~can[ ~mpact on the environment, therefore a negative declaration will be prepared. i-I B. Although the prolect could have a significant efiect on the environment, there will notbe a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required. therefore a CONDITIONI:D negative declaration will be prepared.* [] C. The pro~ect may result in one or more large and important impacts that ma~ have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration ~s only valid for Unlisted Actions ~arne of ~CtlOn Name oi Lead Agency Print or l'ype Nameoi Responsible Officer in Lead Agency Tide of R(,~l)ons~ble Otticer Signature o~ Responsible O~hcer In Lead Agency ~ignature ot~Pr~.pare,~li: d f/erent from responsible 2/28/90 Date PART 1--PROJECT INFOR. ATION Prepared by Proiect Sponsor . NOTICE: This document is designed to assist in determining whether the action proposed ma,. have a significant ef on the environment, Please complete the entire form. Parts A through E. Answers to these questions will be consic as part of the application for approva] and may be subject to further verification and public review. Provide any additi~ information you believe will be needed to complete Parts 2 and 3. It is expected that con" pletion of the full EAF will be dependent on information currently available and will not in~ new studies, research or investigation. If information requiring such additiona] work is unavailable, so indicate and spe each instance, NAME OF ACTION Sinqle family dwellinq LOCATION OF ACTION [InClu0e S~reet Address. Mumc~pal~ty and County) Lake Drive, Southold, N.Y. Suffolk County Tanya T,aehonm~yer/T,smd Us~_ 2576 Sound Avenue, BUSINESS TELEPHONE (5161 727-2400 Baiti no l-Tol 1 o~~ NAME OF OWNER Jif different~ 156 Read Avenue STATE ZiP CODE N.Y. 11933 BUSINESS TELEPHONE ~12 ) 732-5520 CiTYYPO t STATE I ZIP CODE CresbFo6d N.Y. 10707 DESCRIPTION OF ACTION Applicant proposes to construct a single family d~.Felting, sanitary system, drive%ray and fill to meet SCDHS and flood plain regulations. Please Corn p[ete Each Question--indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areal,. 1. Present land use: E]Urban I-Ilndustrial t-iCommercia] ~Residential (suburban) r'lRural [non-far DForest FqAgriculture [~Other 2. Total acreage of project area: 1.8 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETIO,N Meadow or Brushiand (Non-agricultural) Dup, e 1.3 acres 1.1 acres Forested acres acres Agnc ~]tural (Includes orchards, cropland, pasture, eta) acres acres Wetland [Freshwater or tidal as per Articles 24. 25 of ECL] .5 acres .5 · acres Water Surface Area acres acres Unvegetated {Rock, earth or fill} acres acres Roads, buildings and other paved surfaces 0 acres .2 acres Other {Indicate type), acres acres 3. What is predominant sol) type(s) on prolect sitet Dt[ - Dozte L~l~d drainage: ~WeJl drained 65 % of site El,~.loderatel,~ ~'ell drained % of Soil site ~l[PoorJy drained 35 % of si~e b. If an'~ agncukura~ ~and is ,nvolved. how many acres oi soil are classdied within sod group 1 through 4 of the N~' Land Classification System? acres (See 1 NYCRR 370) 4 Are there bedrock ou[croppmngs on project s~te? ~_,;Yes ~No a. 'What .s depth to bedrock? 600+ {in feet) ' - ,_v; ...... rcenta,,e of nrono~ pro ect site with slopes: -1076 ] % rqlo-1 ' ~15°./o or greater ' % 6 Is pro~ec~ substanuaHy contiguous to. or c ,tam a building, site, or district listed on the State or the Nation, Registers of Historic Places? ~Ye5~No 7. Is prolec~ substantialk contiguous to a sste listed on the Register of National Natural Landmarks? ~Yes 8. What is the depth of the water table? ~-~ ' [in feet) 9. Is site located over a pr mary principal, or sole source aouifer~ ~Yes 10. Do hunting, fishing or shell fishing opportumties presently exist in the project--area? ~Yes ~No 11. Does project site ~ntain any species of plant or animal life that is identified as threatened or endangere~ ~Yes ~No According to tdentify each species 12. Are there any un~ue or unusual land forms on the project site? (Le., cliffs, dunes, other geological formations ~Yes ~o Describe 13. Is the project sit_e,~presently used bv the community or neighborhood as an open space or rec/"eation area; r~Yes ~o If yes. explain 14 [~]~ es Does the ,present.~te include scenic views known [o be important to the community? 15. Streams within or contiguous ~to project area: a. Name of Stream and name of River to which t is tributar,, a. Name Un-named Fresh%,ater Wetland 17 Is the s~te served by~xistmg public utilities? I-iYes ,J~No a) If Yes does sufficient capacity exist to allow connecticJn~ b. Size fin acres~ 15 acres ~Yes ~No ~No 18. Is the site located in an agricu/tural district certified pursuant to Agriculture aha Markets Law. Article 25-AA Section 303 and 304? ~Yes ~l~No 19. Is the site located nor substantiallvconuguous to a Critical Environmental Area designateopursuant to Article of the ECL and 6 NYCRR 6177 I-IYes ~No 20. Has the site ever been used for the disposal of solid or hazardous wastes? l-lYes B. Project Description 1. Physical d~mens~ons and scale of project (fill in dimensions as appropriateJ ~ Total cont,guous acreage owned or controlled by project sponsor 1,8 acres. b Pro~ect acreage to be developed: . -2 acres initially; .? acres ultimately. c. Project acreage to remain undeve!oped ]_.6 acres. d. Length of project, in miles: n/a {If apprcpriate) e. If the project is an expansion, indicate percent of expansion proposed r~/~ f Number o~ off-street parking spaces existing 0 . proposed 2 g. Maximum vehscular [rlp~ generated per hour 6 {upon completion of prolect)? h If res~dcntral Number and type ot housing umts One Famdv Two F:amilv MulUple Famdy Initially i - ,. Dimens,ons[in reetJoilargest proposeo structure 35' height;. 56' wmdth: ]08' length j- Linear feet or frontage along a public thoroughfare prolect w,ll OCCUpy ~? 333' 2. How much natural mat~:ri' ;e., rock, earth, etc.) will be removed f ~ the site? 0 tons/cubic yards 3. WHI disturbed areas be reclaimed? [~Yes [-1No ~/A ' ' a. If yes. for what intend_.; purpose is the site being r~c':laimed? b. Will topsoil be stockpiled for reclamation? [:3Yes E:]No c. Will opper subsoil be stockpiled for reclamation? E3Yes I-1No 4. How man,, acres of vegetation (trees. shrubs, ground covers] will be removed from site? .2 acres. 5. Wi any matu~l~ forest (over 100 years o[d) or other locally~important vegetation be removed by this project? [~Yes ~l~No - - 6. If single phase project: Anticipated period of construction 6 months, [including demolition). (number)· month year. (including demolition1 month year. [-iYes [~No' ; after project is complete 0 7. If multi-phased: n/a a. Total number of phases antic pated b. Anticipated date of commencement phase 1 c. Approximate completion date of final phase d. Is phase 1 functionally dependent on subsequent phases? 8. Will blasting occur during construction? EYes KNo 9. Number of jobs generated: during construction 10 10. Number of jobs eliminated by this project , 0 . 11. Will project require relocation of any projects or facilities? I--lYes ~No If yes, explain 12. Is surface liquid waste disoosal involved? [qYes ~[No' a If yes, indicate type of waste {sewage, industrial,e(c.] and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? ~Yes f'qNo Type Sani%ary Effluen% Wilt surface area of an existing water body increase/or decrease by proposal? EYes ]~No 14 Explain 15 Is proJ.~ct or anv portion of project located m a 100 year tlood plain? ~Yes I~No 16 Will the project generate solid waste? ~es E3No a. If yes, what is the amount per month# 0.~ tons will an existing solid waste facility be used? ~.Yes E:]No b. If yes, c. If yes, give name $o~t-,'hr~1~ d. Will any wastes not go into a sewage disposal system or e. If Yes, explain ; location Southold nto a sanitary andfiJJ? ~Yes ~No 17 Will the project nvolve the disposal of solid waste? E]Yes ,i~'~o a. [f yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? i-lYes 19. Will project routinely produce odors (more than one hour per day)? I-lYes 20 Will project produce operating no~se exceeding the local ambient noise levels? EYes 21 Will project cesult in an increase m energy use? ~j~5',s .--]No 22. If water supply is from wells, indicate r)umpmg capacity t0 gaJ[onslmmute. 23. Total anuc~pated water usage per day 300 gallons~day- 24 Does project involve Local. State or Federal funding? ~Yes :~o If Yes. explain ~No 4 2$.',Approvals R~qulred: Citv. Town. ViIlage Board I-qYes ~l~No City. Town, ViUage Planning Board I-Wes City. Town Zoning Board ]~Yes [3No City, County Health Department ~Yes r"lNo Other Local Agencies ]~Yes [3No Other Regional Agenczes~ i-lYes ~No State Agencies ]~Yes Federal Agencies [3Yes ]~o Type Front yard variance Southold To~cn Wetlands Perm~t Submitta pendin~ 7/20./8Q C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? J~l~Yes [qNo _ If Yes, indicate decision reqt~ired: [3zoning emendment ]~zoning variance Especial use permit [~subd[vision I-Isite plan Enew revision of master plan Eresource management plan I-lother 2. What is the zoning classification(s)of the site? Residential 3 What is the maximum potential development of the s tef developed as permitted by the ~resent zoning? 1 si_ngle family dwelling 4. %¥hat is the pr6posed zoning of the site? Residential · 5. What is the maximum potential development of the site ~f developed as permitted by the proposed zoning? 1 siD.o-~e family dweltin9 6 Is the ProPosed action~ consistent with the recommended uses m adopted local land use plans? ~Yes ~ 7 VVhat ;re the predominant land use(s) and zomng classifications within a ~,~ mile radius o~ proposed action./ Sinqle f~nily dwellinqs - Residential 8. Is the proposed action compatible with adjoining/~urrounding land uses within a ¼ mile? ~Yes f~ 9. [f the proposed action is the subdivision of land, how many lots are proposed? n/a a. What is the minimum lot s~ze proposed? 10 Wi] proposed action require any authorization(s) for the formation of sewer or water districts? ~Yes ~'< 11 Will the proposed action creatf~.~#,a demand for any community provided services [recreation. education, police fire protection)? E-]Yes ~No a. If yes, is existing capacity sufficient to handle projected demand? I-/Yes F-INo 12. Will the proposed action result in the generation of traffic significantly above present levels? EYes ~J~Nc a. If yes, is the existing road network adequate to handle the additional traffic? []]Yes r-]No D. Informational Details Attach any additional information as may he needed to cJ;rifv your protect. If there are or rn~av be any advers~ irnDacts associated with your proposal, please discuss such m~pacts and the measure5 which you propose to mH rga~e o avoid them. E. Verification I certJ¥ that the information providod above ~s true to the best of mv kno~vledge. ,p, ~,.,,~k~.3,/AA,_3,.%~L~.~_93,~.~%~g,~o_r~,.q.~ ~"~ Constantine P. ~or~ulos A pHcant~WameTanya Lache~eyer/Land Use 5iuna~u Title - Project Manaqer II lhe ~r~ion is in lhe Coa~ Are~. ~nd you are a*~a~e ~ency. wi~h thi* ~*ses~ment. 2/28/90 compl¢le the Coastal A~se~sment [orm be¢ore proceedln~ 5 Part/~---?ROJECT IMPACTS AND TF,~-~R MAGNITUD2 " Responsibility of Lead Agency General Information (Read Carefully) · In completing the form the rev/ewer should be guided by the question: Have my responses and determinations b, 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 slgnificaT An;, large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 sim asks that it be looked at further. · The Examples provided are to assist the' reviewer by showing types of impacts and wherever, pgssible the threshold magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State a for most situations_ But, for any specific project or site other examples and/or lower thresholds may be approprL 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 a have been offered as guidance. They do not constitute an exhaustive list of im aacts and thresholds to answer each questic · The number of examples per question does not indicate the importance of each question. · In identifying impacts, consider long term, short term and cumlative effects. -- - Instructions (Read carefully) a, Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of t? impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but thresho is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART e. If a potentially large impact checked in column 2 can be mitigated by change(s) m the prolect to a smalt to modera~ impact, also check the Yes box m column 3. ,4. No response indicates that such a reoucuon is not possible. Th must be explained in Part 3, IMPACT ON LAND 1. Will the proposed action result in a physical change to the project site? FgNO E~Y£S Examples that would apply co column 2 · Any construct/on on slopes of 15% or greater, (15 foot rise per 100 foot of length), or where the general slopes in the prolect 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 2 Wdl there be an effect t' ...,yu:;.queorunusuallandform;loundon- the site/(~ e., chffs, dunes, geological (ormations, otc )~NO ~YES · Specific land forms: I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] I~]Yes []No [] [] [~Yes []No L-] [] [~Yes []N; [] [] [~Yes []No. [] [] [~Ves []No [] [] E~ves E3No [] [] ~Yes [:]No ~ ~ ~Yes, ~No 3 f~et of existing ground surface. · Construction that will continue for more than I year or involve more than one phase or stage. · Excavation for mining purposes that would remove more than 1,000 ton5 of natural material (i.e., rock or soil) per year. · Construction or expansion of a sanitary landfill. · Construcuon in a designated floodway. · Other ~mpacts IMPACT~ WATER 3, Will proposed action affect, any~water body designated as protected? (Under Articles 15, 24, 25of the ~;nv]ronmental Conservation Law. ECL) ~YES Examples that would apply to c6lumn 2 · Developable area of site contain~ a protected water body. · Dredging more than 100 cubic yards of material from dhannel of a prot'ected stream. · Extension of utilit~, distribution facilities through a protected ~vater body. · Construction in a designated freshwater or tidal wetland. · Other impacts: 4. Will proposed action affect-any nomprotected existing or new body of water? ~NO E~YES Ex~.mp~es that would apply to column 2 · A 10% increase or decrease in thesurface area of an~- body of water or more than a,I0 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 ouantitv? [~NO ~YES E~ampies that would apply to column 2 · Proposed Action will_require a discharge permit. · Proposed Action requires use of a source of water that does not have approval to serve proposed [project) · Prooosed Action reou]res water supply from wells with greater than gallons per minute pumping capacity · Construction or operation c~.uslng any contamination et a water supply system. · Proposed Action will adversely affect ~roundwa~er. · Liquid effluent wilt be conveyed off the site to facilities which presently do not exis~ or have inadequate capacity. · Proposed Action would use water in excess of 20.000 ~allons per day. · Proposed Action will likeJ;, c:,u',e siltation or other discharge into an existing body of water to the ex~nt that tflere will be an obvious visual contrast to natural conditions · Prooosea Action will require the storage of petroJuum or chemical products ~reater than 1,100 g,d[ons. · Proposed Action will allow residenual uses in areas w~thout water and/or sewer services. · Proposed Action locates commercial and!or industrinl uses which may facHmes. · Other impacts:.. ~,¥ill Droposed action alter drain4ge fh~w or patterns, or surface water rut ~tt~ ~[~NO ~"f E S Ex;m~les that v, ould apply Io column 2 · Proposed Action would ch3nge flood water tlows 7 2 3 Small to Potential Can Impact I Moderate Large Mitigated B Impact Impact Project Chart [] [] E~Yes [] [] E]¥eS f-~,x [] ~ ~Ves Y,s ~ ~ ~Yes ~ ~ ~Yes ~ ~ ~Yes ~N, Yes ~ ~ ~Yes ~N~ DYes ~ ~ ~Yes ~Nc ~ ~ ~Yes ~Nc · Proposed Action may cause substantial erosion · Proposed Action is incompatible with existing drainage patterns. · Prooosed Action will allow development in a designated floodway. · Giber impacts: IMPACT ON AIR 7 Will bro~osed action affect air quality? I-1NO I~YES Examples that would apply to column 2 · Proposed Action will induce 1,000 or more vehicle tr~ps in any given · Proposed Action will result in the incineration of more than 1 ton of refuse per hour. · Emission rate o{ tote contaminants will exceed 5 lbs. Der hour or a heat source producing more than 10 million BTU's per hour. · Proposed action Wi allow an increase in the amount of land committed to industrial use. · Proposed action will allow an increase in the density of industrial development within ex~st, ng industria areas. · O:her impacts: IMPACT ON PLANTS AND ANIMALS Will Proposed Action affect any threatenec 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. u~mg the s~te, over or near site or found on the s~te. * 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 nomendangered species? ~N 0 E3YES Examples that would apply to column 2 · Proposed Action would substantially interfere with any resident or m~gratory fish, shellfish or wildlife speoes. · ProBosed Action requires the removal of more that 10 acres or mature forest (over 100 years of a§eJ or other locally important vegetaDon. IMPACT ON AGRICULTURAL LAND RESOURCES t0 W,II the Proposed Action affect a~rJcuJturaJ land resources? ~NO ~YFS Examples that wou~d apply to column 2 · The pronosed acuon would sever, cross or limit access to a~ncuJtural - land bncludes cropland, hayfields, pasture, vineyard orchard, etc.} 8 Small to Moderate Impact 2 Potential Large impact [] [] [] [3- Can' I'mDac! B Mitigated' By Project Chang E]Yes ~.No I~Yes i-lYes r-]No ~Yes [~No I~Yes [-INo ~¥es E]No ~]Yes [-INo [~Yes F~No ~]Yes E3¥es E]No /-lYes J-]No l~]Yes ~Yes [~Yes [~Yes l~No · Consl-uction actiwtv 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 Agricultu-tal District. more than 2.5 acres of agricultural land. · The proposed action would disrupt or prevent installation of agricultural land management systems (e.g., subsurface drain lines, outlet ditches. strip cropping); or create a need for such measures ~e_g. cause a farm field to drain poorly due to increased runoffi · Other impacts: IMPAC,T ON AESTHETIC RESOURCES 11 Will proposed action affect aesthetic resources? F1NO I-lYES {If ~ecessarv, use the Visual EAF Addendum in Section 617.21 Appendix Examples that would apply to column 2 · Proposeo land uses. or prolect components obviousl', different from or in shat3 contrast to curren[ surrounding land use pat[ems, whether man-made or natural_ · Proposed land uses. or prolect con'ponents visible to users of aesthetic resources which will eliminate or slgnificantb, reduce their enlovment of the aesthetic qualities of that resource. · Project components that will result in the eiimirauon or significant screemng of scenic views known to be imoortant to the area. · Other smpact$: IMPACT ON HISTORIC AN D ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? F'1NO Exam01es that would apply to column 2 · Proposed Action occurring wholly or partially with'in 6r substa ntialiv contiguous to any facility or site listed on the State or National Register of historic places. · Any imp;ct to an archaeological site or fossil bed located within the project s~te. · ?roposed Action will occur ~n an area designated as sensitive for archaeological sites on the NYS Site Inventory. · Other impacts: IMPACT ON OPEN SPACE AND REC,qEATION 13 WdI Proposed Action affect the quam~tv or quality oi e×istin~ or Examples that would apply to column 2 ~NO ~YI~S · Other ~mpacts: ~ 2 3 Small to PotentialCan Impact Be Moderate Large Mit)gated By Impact impact Project Change 1-1 [] Elves I-lNo [] [] []Yes []No :E] [] r~Yas r-lNo [] r"J. r-lYes i [] [] ~-qYes J~No [] [] J-}Yes [-}No [] [] t-3Yes []No [] [] r-lYes []No [] [] []Yes [~]No [] [] l-TYes.. []No [] [] []Yes []No [] ~ .~Yes ~No IMPACT ON'TRANSPORTATION 14. Will there be an effect to existing transportation systems? E3NO OYES Examples that would apply to column 2 · Alteration of present patterns of movement of people and/or goods. '. Proposed Action will result in major traffic problems. · Other impacts: IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuet or energy supply? tS]NO []YES Examples that would apply to columq 2 · Proposed Action will cause a greater than 5% ncrease c the use of any form of energy in the municipality. · Proposed Action will require the creation or extension of an energy transmission or supp]y system 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 object;enable odors, noise, or vibrauon as a result of the Proposed Action? I~NO OYES Examples that would apply to column 2 · 81asting within 1,500 feet of a hospital, school or other sensmve fatality. · Odors will occur routinely (more than one hour per day). · Proposed Action wilt produce operating no~se exceeding the local amb;ent noise levels for noise outside of structures. · Proposed Action will remove natural barriers that would act as a noise screen. · Other impacts: IMPACT ON PUBLIC HEALTH 17. Will Proposed Acbon affect public health and safety? [:]NO [:]YES Examples that would apply to column 2 · Proposed Action may cause a risk of explosion or release of hazardous ' substances {i.e. oil, pesticides, chemicals, radiation, etc.) in the event of accident or upset conditions, or there may be a chronic Iow level discharge or emission. · Proposed Action may result in the burial of "haza[dous wastes" in any form [ie. toxic, poisonous, highly feature, radioactive, irritating, infectious, etc.] · Storage facilities for one mdlion or more :;all•ns of [iquified natural gas or other flammable Jiqu.ds. · Prooosed action may result m the excavauon or other disturbance w~thm 2.000 feet of a site u~ed for the di~oosaJ of sohd or hazardoL~ ·Othc, r ~mpacts: 1 Small to Moderate Impact [] [] [] [] [] [] [] [] [] [] 2 Potential Large Impact [] [] [] [] [] [] [] [] [] [] [] Ca~ 3 Impact Mitigated Project Chart []Yes []N []Yes E]N [-]Yes r-lN []Yes r-]Nc []Yes []Nc FlYes []Nc I--lYes []No []Yes r-~No []Yes []No []Yes i-]No []Yes 1~3No E']Yes- . E]No []Yes ['-]No []Yes ["]No [:]Yes [:]NO [~Yes ON• /%, IMPACT ON GROWT~ AND CHARACTER OF COMMUNITY OR, NEIGHBORHOOD 18. Will proposed action affect three'character of ~he existing community? ~NO E]YES Examples that would apply to column 2 · The permanent population of the city, town or village in which the project is located is likeb,' to gt6,;;¢ by more than 5%. · The mumopal budget for capital expenditures or operating services wi I increase by more than 5% per year as a result of this project. · Proposed action will conflict with officially adopted plans or goals. · Proposed action will cause a ch:ange in the density of land use. · Proposed Action will replace or bIiminate existing localities, structures or areas of historic im ~ortance to the community. · Development will create a demand .for additional community services (e.g. schools, police and fire, etC.)' · Proposed Action will set an important precedent for future projects. · Proposed Action will create or eliminate employment. · Other impacts: I 2 3 Small to Potential Can Impact B Moderate Large Mitigated By Impact Impact Project Chang E~] [] []Yes I-'lNo [] [] ' ~¥es []No [] [] ~Yes I-1No [] [] ~Yes []No [] [] []Yes []No [] []' []Yes []No [] ? [] [~Yes []No [] [] [~Yes []No [] [] []yes []No 19 Is there or is there likei¢ to be. public controversy related to potential adverse environmental ~mpacts? ~lNO f-lyES 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 IMPORTANC2 OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentlallv large, even if the impact[s) may be mitigated. Instructions Discuss the following for each impact identified m Column2 of Part 2: I Briefly describe the im0act. 2 D;escribe [if applicable) how the ,rr ,0act could be mitigated or reduced to a small to moderate impact by project change(s) 3. Based on the informauon available, decide if it is reasonable to conclude that this ~mpact is important. To answer the qaesbon of importance, consider: · The probability of the impact occurring · The duration of the ~mpact · Its irrevers~bilitv, inck~ding permanootlv 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 aoats · Whether known oop:cuons to the project relate to this inlpact. 11 617.2] -- Appendix B Environmental Quality Review Visual EAF Addendum SEQR This form may be used to provide additional informatior', relating to Question 1 1 of Part 2 of the Full EA.F, (To be completed by Lead Agency) Distance Between Visibility l, Would the project be visible from: · A parcel of land which is dedicated to and available to the public for the use, enjoyment and appreciation of natural or man-made scen ~c qualities? · An overlook or parcel of land dedicated to public observation, enjoyment and appreciation of natural or man-made scenic qualities? · A site or structure listed on the l"lational or State Registers of Historic Places? · State Parks? · The State Forest Preserve? · National Wildlife Refuges and state game refuges? · National Natural Landmarks and other outstanding 'natural features? · National Park Seri, ice lands? · Rivers designated as National or State Wild, Scenic or Recreational? · Any transportation corridor of high exposure, SUCh as part of the interstate System, or Amtrak? · A governmentally established or designated interstate or inter*county foot trail, or one formally proposed for establishment or designation? · A site, area, lake. reservoir or highway designated as scenic? · t'4unicipal park. or designated op,en space? · County road? · State? · Local road? Project and Resource (in Miles) 0-'A ',~ .1/2 I/2.3 .3-5 5 + [] [] [] [] [] [] [] [] 0 [] Is the visibility of the project seasonal? (i.e., screened by summer fo iage but visible during other [~Yes EJNo Are any of the resources checked in question I used by the public during the time of year during which me project wdl be v*sib]e) ~No 1 DESCRIPTION OF EX[,~TING VISUAL ENVIRONMENT 4. From each item checked in question ! environment. check those which generally describe the surrounding Within *1/,, mile * ! mile Essentially undeveloped [] [] Forested [] [] Agricultural [] [] Suburban residential [] [] Industrial [] [] Commercial [] [] Urban [] [] River. Lake, Pond [] [] Cliffs, Overlooks [] [] Designated Open Space [] [] Flat [] [] Mountainous [] [] Other [] [] NOTE: add attachments as needed Are there visually similar projects within: *V2 mile ~]Yes []No *1 miles []Yes []No '2 miles []Yes []No '3 miles []Yes []No ] * Distance from project site are provided for assistance. Substitute other distances as appropriateJ EXPOSURE 6. The annual number o[ viewers likeiy to obserqe the proposed project is NOTE: When user data is unavailable or unknown use best estimate. CONTEXT 7. The situation or activity in which the vie~vers Activity Travel to and from work Involved in recreational activities Routine travel by residents At a resi0ence At worksite Other _ are engaged while viewing the proposed action is FREQUENCY Holidays/ Daily Weekly Weekends Seasonally [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] Land Use To all regula%ory aqencies: I hereby authorize Land Use Company to apply approvals necessary to comple%e my project. for all Constantine P. Georgiopoulos 2576 Sound Avenue · Baiting Hollow, NewYork * '11933 (516) 727-2400 · FAX (516) 727-26(]5 COUNTY OF SUFFOLK STATE OF NEW YORK ss: Patricia Wood, being duly sworn, says that she is the Editor, of THE LONG ISLAND TRAVELER-WATCHMAN, a public newspaper printed at Southold, in Suffolk County; and that the notice of which the annexed is a printed copy, has been published in said Long Island Trav.e.[er-Watchman once each week for .................... /. ..... weeks successively, commencl ng on the ......... .~.~'. .......... '" NOTICE OF HEARINGS ON WETLAND APPLICATIONS NOTICE IS HEREBY GIVEN THAT PUBLIC HEARINGS WILL BE HELD 'BY THE TOWN TRUSTEES 'OF THE TOWN OF SOUTHOLD, AT THE S-(~TH O ED T6W~' ~A£L, MAIN ROAD. SOUTHOLD; NEW YORK ON THURSDAY,. MAY 24. 1990. ON THE FOL- LOWING APPLICATIONS FOR PERMITS UNDER THE PROVISIONS OF THE WETLAND ORDINANCE 0~, apphcat~orf'~ of M~rtm Kos- mynka to construc~ a timber dock consisting of a 4' x 40' fix- ed elevated I4' above grade) walk; 3' x 1~' hinged ramp; (2) 6' x~ i6' flgats secured by (4} diamater pilings. In addition, t~e applicant intends to con- sWuct a single-family dwelling, deck, sanitary syszem, bluestone driveway, 150 c.y. of fill, all as shown. Project loc~tinn is Pine Tree Road, Peconic~ NY, frd~t- lng Little Creel~ . !7:16 P.M. In the ri'rotter'of the application o~' C & D Realty to construct a singte-£~niiy dweIl~ lng on Mattituck Creek ~t C6x Neck Road, M~fltu~k, ~.~. :7:17 RM. In ~le matter of application of Jam~ Malon~ey m ~ons~mc~ a 4~ Wide smtlonar~ dOCk and ram~ ~ 6' W~c~ flo~ lng do~qk with a,total 0r Hole Creek' ~{ 505 Bxmgal~ Sworn to before me this .......... /.? ........day of .......... ........ 7:18 P.M. In the matter of the application of Constamine P~ Georgiop0aHs to cofistruct ~in- gle- family dwelling, sanitary sys- tem, driveway, and place fill to meet requirements. Pr0je6t ad- · jaeent ~o Freshwater Wetlands at l~.k6 Drive, Southold, NY. '~ :'-7:Ig-P.M, In'the matter of the ~plication of Harbor Lights Canal Association to main- tenance dredge a dredged canal to a depth of-4' at MLW. Resul- rant spoil (approxiraafely 4,000 c5', of sand) to be placed on ad- jacent beach above MHW for beach nourishment. Project location ig Ha~5or Lights.Cove off Southold Bay, Harbor Lights Drive, Southold, NY,': ' ALL PERSONS INTEREST- ED IN SAID MATTERS SHOULD APPEAR AT THE TIME AND PLACE ABlE SPECIFIED AND WILL BE GIVEN AN OPPORTUNITY TO BE HEARD. COMME ~I~__ _ MAY BE'SUBMITTED IN WRITING PRIO~ .TO THE C~;Z; ..... ' ' ': - ~ ?" 'DAted MaY i,"~"~}JOhn 'M; Bredemeye'r, lll , !~}¢ ~,'~ :~5~: .k~r. esiden~~ ~"~'So~rd~r-rown~'nmate~s~ ,=~( ? By: J~ne Blados; Clerk Notary Public BAR~RA A. SCHNEIDER NOTARY PUBLIC. State of New York No. 4806846 Qualified in Suffolk C~uLg'/ Commission Expires W-~ 'JAY April 10, 1990 Land Use Town of Southald Board of Trustees Town Hall, 53095 Main Road P.O. Box 728 Southold, N.Y. 11991 Attn: Jill Re: Georgiopoulos Application Lake Drive, Southold Dear Jill: As per our recent discussion, enclosed please find a check in the amoun~ of $115.00 as balance of fee for the above referenced application. Should you have any questions or require additional information, kindly contact this office at your convenience. Very truly yours, Tanya Lachenmeyer TL/dm Enc. 2576 Sound Avenue · Baiting Hollow, NewYork · 11933 (516) 727-2400 · FAX (516) 727-2605 Land Use August 2, 1989 Southold Town TruStees 53095 Main Road P.O. Box 728 Southold, N.Y. 11971 Attn: Joan Re: Request for Waiver(s)' Constantine P. Georgiopoutos - Southold S.C.T.M. %'s 1000-59-01-~t.1, 21.2, 21.3, 21.6 & 21.7 -- Dear Joan: 21.4, As per our telephone conversation yesterday, enclosed please find surveys for 6 lots, a pro3ect description, location map, approved subdivision map and a check in the amount of $175.00 (inspection fee for 5 proposed dwellings @ ~35.00/ea.) for the above referenced project. Should you require additional information or have any questions regarding this request, kindly contact me at your convenience. Thank you for your continued cooperation. Very truly yours, Tanya L. Esper TLE/lp Enc. 2576 Sound Avenue · Baiting Hollow, NewYork · '11933 (516) 727-2400 · FAX (516) 727-2605 ELIZABETH A. NEVILLE TOWN CLERK REGISTi~AR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT. OFFICER FREEDOM OF INFORM~kTION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 1 I971 Fax '516) 765- 1823 .- T~lephone (5161 765-1800 OFFICE OF THE TOWN CLERK TOW~ OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complet§ Section I of this form and give to Town Clerk's Office ' [agency Freedom of ~nformation Officer}. i[(frie ~copy will be' returned to you in response to your request, or as an interim respons'e. SECTION I, TO: ~-fLU _% ~- ~' ~-~ (Department or Officer, if known, that has the information you are requesting.} RECORD YOU WISH TO INSPECT: (Describe the reco~'d sought. If possible, supply date, file title, tax map number, and any other pertinent information.) Mailing Address (if different from above): /42. ,/Z~3 2~ ~'~ ~7z ///~ ~ Telephone Number: 3 /-Y77-32 -7 Date: ~--/~[/~ / [ ]' APPROVED [ ] APPROVED WITH DE~Y* [ ] DENIED* -- E~al~eth ~A. N&~lle - Frc=~edom of Information Officer ~ECEIVED 7 2001 Date lrow~m 4~lerk * If delayed or denied see reverse side for explanation. ELIZABETH A. NEVILLE -TOW~ REG~STm~R OF vrrAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM.OF INFORMATION OFFICEI~ OFFiCE-,OF THE-TOW~~ C~E~EK TOWN OF 80UTHOLD .. TswwH'all, ~3~095-M~i~h Road P:O'. Box 1179 S0flth~ld; New York 11971 Tax (516.) 765-1823 'Telephona'(516) 765-1800 APPLICATION FOR PUBLIC ACCESS 1:0 RECORDS -"~INSTRUCTI'ONS': Please complete Section I of this 'fo~:m and' gi~e to Town Clerk's Office (agency Freedom of Information Officer).~ One copy-: will be returned to you ;.~in-response ..to~'-your .request, or as an interim response: -SECTION-i.~--...x--' r ~-- - ~ (Department or Officer, if known, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the ~t. If pply a title, tax map number, and ar~y other I Signature of Applicant: Printed Name: Address: Mailing Address (if different fro~,m above): Telephone Number: '~ ~/"---~T~~'~ Date: [ ] APPROVED [ ] APPROVED WITH DELAY* [ ]~ DENIED* Eli~z~l~e-th A. Nevi'lie 4 ~. Freedom of Infor~mation roff~cer * If delayed or denied see reverse side for explanati_on. yaD us, oA. 9loq~a°$ z0 R C T P Southold Town Clerk 40 41 L 0 N G I S L A A' GOLDSMITH'S INLET Project Description: Applicant proposes to construct a single family residential dwelling, sanitary system, fill, and driveway on each of the following lots: Lot No. Lot No. Lot No. Lot No. Lot l-one dwelling 2-one dwelling 3-one dwelling 4-one dwelling No.'s 6 and 7-one dwelling FWW limits have been indicated as located by N.Y.S.D.E.C. staff. We have enclosed one copy of an overall subdivision map for information purposes° 1