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HomeMy WebLinkAboutTR-4105$outhoid Town TrUstees: SOUTHOLD, NEW YORK PERMIT NO.. ~:~ ......... ISSUED TO .:......:g~g:g~.~:'o._~..b.~-ig .......................................................................... Pursuant to the provisions .of Chapter 615 of the Laws of the State of New York, L893; and Ohapfer 404 of the L.aws of the State of New York i952; and the Soufhotd Town Ordinance en- fi'Sad "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND .ON TOWN WATERS AND PUBLIC LANDS and fha REMOVAL OF SAND GRAVEL OR OTHER MATERIALS ~ROM LANDS UNDER TOWN WATERS;" and in accordance w~fh the Resolution of The Board adopted at a meeting held on .12'::-.].7-: ........ 19...c~z., and in consideration of the sum of $._600...00 ..... paid by .... Cq~t.~...~r~n~_.p~..t2~ of pr.~ut~...~p~ ..................... of N.Y. and subject fo the Terms and Conditions tld'ed on the reverse side hereof, of Soufhold Town Trustees authorizes and permits the following: , ~o cons~-ruct a fixed dock 3' X 15' with railing to MHW& 3~ X75' The width of the dock shall be no more than 3' between piles and shall not exceed 90' in length. The Stairs shall be BMHW, which allows for foot .p, assage along the beach & over with the detailed specifications as presented in A gate shall be placed above MHW. restrictive convenient shall be filed which shall run with the in IN WITNESS WHEREOF, The said Board of Trustees here- by causes, its Corporate S.e. al to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. the dock ~with i kalene ~ of ~ermitte~'~. Albert J. Kmpsld, Jr., Vic~ President Henry P. Smith John B. Tuthill ~rflNam O. ~dbemon Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 53095 Southold, New York 11971 December 24, 1992 Costello Marine 'B x AK Greenport, NY 11944 Re: Dragutin Gobic SCTM ~1000-64-3-14 Dear Mr. Costello: The following action was taken by the Board of Town Trustees during its regular meeting held on December 17, 1992 regarding the above matter: WHEREAS, Costello Marine on behalf of Dragutin Gobic applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of $outhold, application dated October 30, 1991 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 December 17, 1992 at which time all interested persons were given an opportunity to be heard, and, ~S, 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 a/Id documentation submitted concerning this application, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW, THEREFORE BE IT ~ RESOLVED that the Board of Trustees approves the application of Costello Marine on behalf of Draqutin Gobic to construct a fixed dock 3' X 15' with railing to mean high water and 3' X 75~ The width of the dock shall be no more than 3' between piles and not to exceed 90' in overall length. The stairs shall be located below mean high water, which allows for foot passage along the beach and over the dock. A gate shall be placed above mean high water. A restrictive convenent shall be filed which shall run with the land in perpetuity linking the dock with the property containing the principal residence of the permittee. TRUSTEES John M. Bredemeyer, III, President Albert J. Kmpski. Jr.. Vice President Henry E Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road EO. Box 1179 Southold. New York 11971 S.E.Q.R.A. NEGATIVE DECLAPJ%TION NOTICE OF NO SIGNIFIC~-NT EFFECT ON THE ENVIRONME~rT APPLICATION NO. 1000-64-3-14 Chapt. NAME: Dragutin Gobic Chapt. DATE: July, 30 1992 97 - Wetlands 37 Coastal Erosion RESOLVED that pursuant to Article 8 of the Environmental Conservation Law, State Environmental Quality Review and 6NYCRR Part 617, Section 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project Will not have a significant effect on the environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. A planting survey shall be submitted prior to final approval, if applicable. TYPE OF ACTION: ~ DESCRIPTION OF ACTION: aluminum ramp, 6' X 20' to construct 3 1/2' X 50' catwalk, 32" X 20' floating dock and (2) 2-pile support dolphins. LOCATION:SCTM ~1000-64-3-14 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: CAC Costello Marine Two upon Permit will be' issued upon payment of be done below Mean High Water Mark: the following fees for work to 3' X 75' fixed dock = 225 sg.ft. X $2.00 = 450.00 Very truly yours, Bredemeyer, III President, Board of Trustee JMB:jd NOVEMBER 20, 1992 TO WHOM IT MAY CONCERN: THE UNDERSIGNED~ KATHRYN MAZZAFERRO AND ATTORNEYS-IN-FACT FOR HELEN YOUNG, OWNER HOBART ~OAD, SOUYHOLDJ N.EW YORK, PROPOSED DOCK~-DO HEREBY OBJECT DOROTHY MAZZAFERRO~ AS OF THE PROPERTY ON ADJACENT TO THE SITE OF THE TO THE SUBJECT APPLICATION. KAI~H~ MAZZAFE~,D~ DOROTHY~MAZZ~RR0 STATE OF NEW YORK) COUNTY OF SUFFOLK) ss.: ON THIS 20TH DAY OF NOVEMBER, i992, BEFORE ME CA.ME KATHRYN MAZZAFERRO AND DOROTHY MAZZAFERRO~ TO ME KNOWN TO BE THE INDIVIDUALS DESCRIBED INJ AND WHO EXECUTED TH.E FOREGOINGJ ACKNOWLEDGED THAT THEY EXECUTED THE SAME. AND DOCK BUI 423 FIFTH STRI · STEEL & WOOD PILING · FLOATS NEW YORK 11944 · 477-1199/477-1393/477-0682 October 13, 1992 Board of Trustees Town of Southold Main Road Southold, NY 11971 Re: Dragutin Gobic HObart Road, Southold Dear Members of the Board: Did my July 15, 1992 letter to you go un-~otice~ I understand you.took action at one of your meetings to set the matter for a public hearing pending receipt of letters from the adjoining property owner~ stating they have no objection to the proposed dock. Y~ur actlonf or should I say non-action, was the identical action you had t~ken monthsprior t~ my sending you the aforementioned letter. This leads me to ask if you even read the contents of my letter. You seem to be adamant about receiving letters from the neighbors, and yet the neighbors are adamant about not sending any letters. Rather ~han repeat myself, would you please read my July 15, 1992 letter wherein we address our efforts to obtain such letters. A very upset Mr. Gobic called our office today; Another year has gone by and he is about to leave for Florida again, no closer to having a permit than this same time last year. He is paying taxes on this property and does not understand how the Trustees can allow the lac~ of cooperation by the adjoining property owners to prevent him from due process of his application. By not scheduling a public hearing, I believe you are relinquishing your authority to act on this application and giving the control to the ad~oinin~ property owners as to whether or not the proposed dock should b~ constructed. Isn't the reason to hold such ~earings for the Trustees to obtain public comments before a decision is rendered? Board of Trustees/Southold Page 2 of 2 October 13, 1992 Again, I respectfully request that you review the contents of my July 25, 1992 letter, as well as the enclosures that accompanied it. Thank you for your attention and I await your reply. Very truly yours, Secretary/Treasurer GDC/se 1 Laura Scovazzo, NYS DEC #1-4738-00416/00001-0 COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING · JETTIES · BULKHEADING · STEEL & WOOD PILING · FLOATS 423 FIFTH STREET. P.O. BOX 21'2,~ · GREENPORT. NEW YORK 11944 · [516)477-1199 477-1393/477-0682 JulY 15, 1992 Board of Trustees To~n of Southold Main Road Southold, NY 11971 Re: Dragutin Gobic Hobart Road, Southold Dear Members of the Board: Enclosed please find correspondence our office sent to Mr. Gobic's neighbors wherein we solicit any objections they might have regarding the proposed dock facility. Please note that the letters were sent in April and they included photographs of docks similar to that proposed for Mr. Gobic. Having received no written response to our letter, Mr. Gobic and his son visited the neighbors in person to discUss the ma~ter. Contact was made with Mrs. Young's grandson, who acting on behalf of his grandmother, expressed they had no objection to the proposed dock. Mr. Loehr, the other adjoining property owner, advised our client that his only objection was that he did not want to visually see the dock from his property. Not being able to obtain a written statement in opposition nor in favor, and in lieu of the foregoing, we respectfully request that the Town schedule a public hearing to bring this matter to a conclusion. A public hearing, at this time, will give the neighbors a "third" opportunity to express any opposition they may have. This would then allow the Board of Trustees to make a determination based on the information brought forward. I would also like to reiterate that the Army Corps sent each neighbor notification of the proposed project and they were given an opportunity to express their comments. Mrs. Young had her grandson address the matter by corresponding with the Army. Since that time, the concerns they expressed have been resolved. Because one neighbor fails to respond, I do not believe this Southold Town Board of Trustees July 15~ 1992 Page 2 of 2 constitutes reason that Mr. Gobic be denied his right to a public hearing and due process of his application. Mr. Gobic is most anxious to have his dock constructed and y~ur assistance in bringing this matter to a favorable conclusion will be appreciated~ Thank you. Very truly yours, George D. Costello, Sr.. Secretary/Treasurer GDC/sel cc: Laura Scovazzo, NYS DEC MARINE CONTRACTING CORPORATION DOCK I:~UiLDiNG ~ JETTIES . BULKHEADING *- STEIEL & WOOD PILING - FLOATS 423 FIFTH STREET, P.O. BOX 2124 · GREENPOFIT. flEW YORK 11944 · {516) 477-1 ~199/477-1393/477-06B2 April 14, 1992 Mr. and Mrs. George Loehr 2200 Hobart Road Southold, NY 11971 Dear Mr. and Mrs. Loehr: We are a marine contracting company located in Greenport. We have over 25 years experience building marine structures such as do~ks, floats, bulkheads, etc. We pride ourselves in the quality of our workmanship as well as the efforts we undertake to keep oU~ Waterways environmentally safe and pleasing to the eyes of those in the neighboring area. Your neighbor, Danny Gobic, has asked for our assistance to obtain permits for the construction of a small dock and float in the town creek. Mr~ and Mrs. Gobic live on Hobart Road during the warm summer months. They very much enjoy the peace and serenity Of the beautiful town waters. Mr: Gobic owns a small motor boat which he uses to go fishing during the summer months and he would like to keep his boat at his property. For your information and review, we are sending you a copy of project plah~ showing the dock we propose to install. Also, for your review ~nclosed please find photographs of similar type docks we constr~cted. As you can see, the proposed dock is very small in nature and will not have any negative effects on your property. At the present t~me we have a permit from the Army Corps of Engineers and W~ ate presently awaiting permits from the NYS Department of EnViron~ental conservation and Southold Town Trustees. Because Mr. Goblc*g dock ig located very close to your property, we would like th~ opportunity to discuss any questions, concerns or problem~ ~bu may have regarding this project. If you have any questions, please call me at my office dU~ing the days, 477-1199 or my home during the evenings, 477-0682. If it would be more convenient for you, t would be happy ~o make arrangements to meet you at the site to discuss Mr. and Mrs. George Loehr April 14~ 1992 Page -2- %bls m~r. If yo~ have no objections and do not wish to cont~t me~ would you kindly acknowledge receipt of this letter ky ign~h~ and returning the enclosed copy of this letter. For your convenience, I have enclosed ~ stamped self-addressed envelope. Tharnk yeu for your time and attention in this matter. Sincerely~ George~, Costello~ Sr. Secretary/TreasUrer GDC/sel EnG. This will acknowledge receipt of this letter. Signed: Date Date MARINE CONTRACTING CORPORATION DOCK BUILDING ~ JEI-rtES . BULKHEADING; STEEL & WOOD PILING - FLOATS 423 FIFT~ S~EET. P.o. BOX 2124 · GREENPORT. NEW YORK 11944 - (5~6] 4~7-1199/477-1393/477~0682 April i4, 1992 Mrs, Helen Young c/o Frank Mazzaferro RR Ii Box 404c Southoid, NY 11971 Dear Mrs~ Young: We are a marine contracting company located in Greenport. We have over 25 years experience building marine structures such as dock~, floatS, bulkheads, etc. We pride ourselves in the quality of our Workmanship as well as the efforts we undertake to keep our waterways envlr?nmentally safe and pleasing to the eyes of thos~ in the nelghborlng area. Your neighbor, Danny Gobic, has asked for our assistance to obtain permits for the construction of a small dock and float in the town creek. Mr. and Mrs. Gobic live on Hobart Road during the wai~ ~ummer months. They very much enjoy the peace and serenity of the beautiful town waters. Mr. Gobic owns a small motor boat which he uses to go fishing during the summer months and he Wodld like to keep his boat at his property. For your infor~aation and revieW, we are sending you a copy of project Plan~ ~hoWing the dock we propose to install. Also, for your review enclosed please find photographs of similar type docks we cons~t~c~ed. As you can see, the pr?posed dock is very small in nature and Will not have any negative effects on your property. At the pre~en~ ~ime we have a permit from the Army Corps of Engineers and we are pre~entiy awaiting permits from the NYS Department of Environmental conservation and Southold Town Trustees. Because Mr. GOhic*~ dock is located very close to.your property, we would like the opportunity to discuss any questions, concerns or problems you may have regarding this project. If you have any questions, please call me at my office during the day~, 477-1199 or my home during the evenings, 477-0682~ If I% would be more convenient for you, I would be happy to make arrangements to meet you at the site to discuss Mrs. Helen Young April 14, 1992 Page -2- %his mat%er. If you have no objections and do not wish to contac% me, Would you kindly acknowledge receipt of this letter by si~nin~ ~nd re%U~nlng the enclosed copy of this letter. For you~ coh~nience, ! have enclosed a stamped self-addresSed envelope~ Thank you for your time and attention in this matter. Sincerei¥, George~D. Co~%ello, Sr. Secretary/Treasurer GDC/sel Enc~ This will acknowledge receipt of this letter. Signed: Date ~o~ S~thold ~-nc~e~ pI~ase fi~ ~rr ~pcnd~nca o r ~fflce s~t ~o ~r. ~m~% ~ L~i~bo-~ w~_~reLn ~ ~li~it a~y ©bjentlcn~ they ~i~ht and B~ ~n ri~lC~d th~ n~ ~h%. ~,=ttmrl Co-~tac~ w~ ~-de ~it~ n -~hc f ~ D ~ 9 an~.~ot!er ~ ahe o%.aey a<j©Lni-~ lro~e~ty ck fr~m ~i~ plop~rty. ~ fore~o~:g: we r~%p~utfu!!y ~ =e~ will very t~ui2 yc-rs~ ice TOWN OF SOUTHOLD -o~ the -r~ts fL~m %h~ N2~ ~epart~enh cE · clc=~ ~o ?le~_ c~l! ~e at ~y off:Lc~ h~m~ durin~ the you ~t the ~i~e LO~l r {TOW~ OF $OU~LDJ Data ~ ~ - Page On a motion by John Holzapfel, seconded by Cynthia Sturner, it was RESOLVED to TABLE Wetland Application No. 64-3-14 of DragUtin · tr ~ ' G0bic~t~ cons uct 3~ x 50' catwalk, 32" x 20' aluminu~'~P, 6' x 20" float and two 2 pile support dolphins. The CAC has tabled the application because it needs an accurate description, submitted plans Show discrepancy in measurements. The applicant needs to submit soundings, and the Council has concerns regarding the placement of dock in front of another property. Hobart Road, Southold Vote of Council: Ayes: Ail Motion carried. WAIVER REQUESTS On a motion by John Holzapfel, seconded by Cynthia Sturner, it was RESOLVED to recommend to the Southold Town Trustees denial of Waiver Request of Noreen Giacome 123-8-28.1 to move existing house to allow construction of a porch. The CAC feels this pro]ec~ should go through the wetland application Bungalow Lane, Mattituck Vote of Council: Ayes: All Motion carried. CAC representative Bruce Loucka will the CAC's recommendation of the John at the Trustees' meeting. advise the Trustees of R. Crossley waiver request Telephone (516) 765-1801 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL Town Hall 53095 Main Road P.O. Box 1179 Southold. New,Y~a'k 11971 To: From: Dated: Re: Southold Town Board of Trustees Southold Town CAC January 14, 1992 Recommendation of Wetland Applications The followin9 recoramendations were adopted by the CAC at its meeting held Thursday, January 9, 1992: On a motion by John Holzapfel, seconded by John McCormick,; it was RESOLVED to recommend to the Southold Town Trustees partial approval of Wetland Application No. 86-6-p/o26 of Winds Way Buildin9 Corp. to construct 4' x 50' and 4' x 40' timber stair- way from top of bluff to base of slope. Stairway to lead to 4' x 225' elevated timber catwalk constructed along slope toe 5o 4' x 60' timber catwalk connecting adjoining property staircase (4' x 40') and common beach. Also, to construct 4' x 100' elevated timber ca~walk leading to a 3' x 10' ramp and two 6' x 20' floats in "T" formation secured by 8" pilings. Catwalk to be elevated 4' over TWL area. The CAC reCommends approval of the dock a~ long as the pathway go directly from the dock to the 15' contour line. The CAC, however, recommends the Trustee TABLE the remainder of the application until the ownership is clarified and written approval from the adjacent properEy owner is obtained. Indian Neck Lane, Pe¢onic. Vote of Council: Ayes: All Motion carried. On a motion by John Holzapfel, seconded by Cynthia Sturner, it was RESOLVED to recommend to the Southold Town Trustees disapproval of Wetland Application No. 110-7-25 of Gustave Wade to construct a one family dwelling, sanitary system, well, 150± 1.f. of timber retaining wall landward of the wetland edge ustn9 approximately 35 c.y. of clean sand backfill and an additional 25 c.y. of top soil 5o establish plantings. The CAC recommends disapproval because the lot is environmentally constrained. It cannot suppor~ sanitary septic effulent f.rom the septic system and there will be a negative environmeRtal impac~ due to the proximity of the wetlands to the proposed house. DEPARTMENT OF THE ARMY NEW YORK DISTRICT CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 10278-0090 December 2,. 1991 Eastern Permits Section SUBJECT: Application No. 91-1122-L2 by Dragutin Gobic To Whom It May Concern: The New York District, Corps of Engmneers has received a request for Deoartment of the Army authorization for the following activity: ACTIVITY: Construct a 3~ foot wide by 50 foot long fixed dock: a B2 inch by 20 foo~ alumini~m ramp~ a 6 foot by 20 foot float, and vwo 2~pile dolphins. IN: Town Creek, Shelter Island Sound AT: Town of Southold, SuffoLk County, New York APPLICATION BY: Dragutin Gobic 2125 Hobart Road Southotd, NY 11971 As this work is minor in nature~ authorization may be by Letter of Permission. This is in accordance with current Federal Regulations governing work in navzgable waters of the United States. To accomplish the coordination required, prior vo the issuance of a Letter of Permission, your review of the enclosed drawings is requested. Pursuant vo Secton B07 (c) of the Coastal Zone Management Act of 1972 as amended [16 U.S.0. t456[c)], the applicant has certified that the activity complies with and will be conducted in a manner that is consistent with the approved Coastal Zone Managemen~ Program of the State of New York. To allow for the timely processing of the subject application, your commenvs are requested within 15 days of the date of this temver. Enclosure ~ief, Eastern Permits Section TRUSTEES John M. Bmdemeyer. m. President Henry P. Smith. Vice President Albert J. Krupski. Jr. John L. Bednoski. Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUS TOWN OF SOUTHOLD ~CtQ[T L. HARRIS [OWN OF l UU .Town Hall. 53095 Main Road ~"%~--=----~ ~ /~ r, ~ "~C Box 1179 ]]~ (516) 765-1823 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 PERMITS PURSUANT TO CHAPTER 32 OF THE CODE OF THE TOWN OF SOUTHOLD. MAILING ADDRESS: ~115' LOCATION OF PROPERTY FOR REQUESTED PERMIT: TOWN: [& T~X ~P NO: IOOO- O&q- CREEK, BAY OR HARBOR FRONTING PROPERTY: SIZE OF PROPOSED WO~: LENG~ :: ~/~ I ,~ WIDTH: ~. Page 2. YDS. TO BE EXCAVATED:--A~//4' YDS. TO BE FILLED: MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: WIDTH OF CANAL, CREEK OR BAY DEPTH AT LOW TIDE: ~) DISTANCE TO NEAREST CHANNEL: FRONTING PROPERTY:------~OO~ t- AVER. RISE IN TIDE: DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: ~/~ AREA ZONING: ~ IS PROJECT FOR PRIVATE OR BUS. USE:?~2~__ DESCRIBE KNOWN PRIOR oPERATIONS CONDUCTED ON PREMISES: ,_,~W~tr~,~ ,' ~ HAS ANY PRIOR LICENSE OR PE~qIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL AGENCY: ~ DESCRIBE FULLY THE REHABILITATION OF PROPERTY: DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: ~ gJ~l~,f ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: ~ ~ , WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: 1 COUNTY OF SUFFOLK ) STATE OF NEW YORK ) AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND ~ELIEF~ AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLtCAT!ONA~-D 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. Signatur~f Applicant SWORN TO BEFORE ME THIS NOTARY ~UBLI~ No. 01L04958343 EXAMINED BY APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor1 C~0J2' PR°JEcTNA E, 1. PLICANT PONSOR , ~) ~(~5~J 4. PRE. SE LOCATION (Street address snd road intersections, prominent lanamarks, etc., or proviae ~ SEQR 5, IS PROPOSED ACTION: .,Mew [] Exoansion ~[] Mod/ficat ionlalterat~on 7. AMOUNT OF LAND AFFECTED: Initial y __ {~) acres Ultimately ~ WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXIST; ~IG LAND USE RESTRICTIONS? ~'es [] No If No. describe briefly WHAT iS PRESENT LA~qD USE IN VICINITY OF PROJECT? ~[-Residential [] ]ndustria [] Commercial [] Agriculture [] ParklForest/O~en seace [] Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY {FEDERAL. STATE OR LOCAL)?  es [] NO If ye~, list agency(s) and permit/approvals ~ · 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes ,,,~1o If '/es, list agency name one permit/al3Orova~ 12. AS A RESULT OF PROPOSED ACT[ON WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes CERTIFY THAT THE INFORIV,.~,TION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Coastal Assessment Form before proceeding with this assessment If the action is in the Coastal Area, and you are a state agency, complete the OVER _. _ 1 PART II--ENVIRONMENTAL A,~SSESS~4ENT iTo De completed Dy Agency). ~ [ A. DOES ACTION EXCEED ANY ~ I THRESHOLD IN 6 NYCRR PART 617.12~ If yes ~rdmate the rewew proce~ and use the EULL E~F. --] [] Yes [] N o B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, ~ nega ye declaration C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: tAnswers ma~ oe nanawmtem it teg~D~et C3. Vegetation or fauna, fish, shellfish or wildlife'species, significant habitats, or threatened or e~dangered soecies? Explain brfeny: D. IS THERE. OR IS THERE LIKELY TO SE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL tMPACTS? [] Yes [] NO If Yes, explain briefly PART Ili~DETERMI YATION OF SIGNIFICANCE {To be Dompleted by Agency) INSTRUCTIONS: For each adverse effect identified adore, determine whetber it is substaritJal, large, imDo~an[ or otherwise significant. Each effect should De assessed fn connection with its ia) setting (i.e. urban or rural); (b} probability of occurring; (Ct duration; id) irreversibility; [e) geographic scope; and it) magnitude. If necessary, add attachments or reference supporting materials. Edsure that explanaDens contain sufficient detail to show that ail relevant adverse impacts have been Jdentilied and adequately aDDressee. [] Check [his box if you have identified ore or more potentially large or significant adverse impacts which 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 documenta[Ion, that the ProPoseD action WILL NOT result in any significant aGverse environmental m pacts AND erowde on attachments as necessary, the reasons supporting tills determination: N.Y.S2~te Trans£er xO . made file 1st day of Februa~- , nineteen hundred and Seventy-Four tLd/~ R. OUNLtEFE and LOIS CUiTL?_~_~m_~ residing at 1700 North l°arsish Dsive~ Sou~hold, Ne~ Yor~9Yl as guardians of OAROL ANNE TRUB~NBACH_t au infant party of the first part, and ~t~AGUTI~ 7¢OBIO amd kLBtNA GOBIC~ his wi£e residing at 29-52 2Slat Street, Bayside, N~w York party of the second part, 'f~/I'fBIF.~SETH, that the party of the first part, m consideration of ~I-IIR~'- r2j:J. OUS.AN]) szld O0/100--- .............. ........... ($ 5o, ooo. oo) ....................... lawful money of fl~e United States. by th~ party of the second part, does hereby grant and release nuts the party of the second part. the heirs or successors and assigns of the party of the second part forever. ~ARC~L I ~ AIL that certain plot, piece or parcel o[ laud with the buildings and improvemeuts thereon erected, situate, York, known ~ud designated as Lots }6 and 57 on a certain map entitled, "Subdivision ~ap o£ Foumders ~states, situate at Southold, New a~d said map duly filed in the Suffolk County Clerk's Office on Nay 10, 1927 as Map No. 8~. ~OGET/~ER wi~h a right of w_ay for passage on £oog over other lands of ~ouise Pond Jewell which riEht of w&~ shall be over a strip land[t/~ee feet) in width on the sou_~herly side o£ land of said o~ Louise Pond Jewell ad.joining ~he northerly line o£ laud o£ Frederick %/~ ~eves and wi£e e~d running £rom the westerly side of Hobarv Road ~o hig~ Wa6er mark o£ ~own Creek and covering s portion o£ lots 120 and 119 as" laid ~own oB said map. PARCEL II: ALI, ~hat certain plot, piece or pastel of land, situate, lying and beiu{ in bhe Town of Southold~ Oounty of Suffolk and S~ate o£ new York, and known and designated on a certain map entitled, "Subdivision Hap of Fomnders Estates, situate at Southold, Suffolk County, N.Y." 0%~o W~ Van Tu~.l, Engineer and Sumveyor, and filed in the Office of the Clerk of the County o£ Suffolk on ~7 10, 1927 as ~ap No. 83~. as PAGE "2" ~ ~continued) part of lot number ll~ and a psrt of more particularly described as follows:- BEGINNING at a stake set on as shown on said maps at a point from the oortheasterly corner of lot number 120 on said map, being bhe westerly line of Hobart Road 11.78 feet southerly ~Long said line the said lot number 120~ and being the northeasterly corner of land now or formerly of Frederick Wo Teves; running thence along said land now or formerly of Teves~ two courses (1) South 42° 24' 40" Vest 176.79 feet to a stake~ thence (2) South 38~ 31' 20" West 25 feet, more or less, to ordinary high water mark of Town Creek; thence northwesterly along said ordinary high water mark of Town Creek abo~t 3 feet. thence on a line parallel to said northerly line of land now or Formerly of Teves~ e~d at all points dist~t a.O feet northerly therefrom two courses: (1) North 38° ~l' 20" East 25 feet~ more or less~ thence (2) North 42° 24~ 40" E~st 177,21 £eet to said westerly line of Hobart Road; thence along said line of Hobart Road~ South ~3~ 14' 50" East 4~01 feet ~o the point of beginning. TOGETHER w~th a']J right, title and interest. ~ any, of lhe party of/be fir~ part in and to ~ny streets an roads abutting the a~ve described premises to the center lines thereof. TO~TH~ with the appurtenances and aft the estate and rights of the pa~y of the first part in and to said premises, TO HAVE ~D TO HO~ ~he presses herein granted unto fl~e ~y of the second pa~, the heirs or succes~s and assigns of the ~rty of the second part forever. AIHD the party of the first part covenants that the party of the first part has Imf done or suffered anytblng whereby the said premises have been incumbered in any way whatever, except as aforesaid. Ai'~D the party of the first part. in compliance wltb Sectio~ 13 of the Lien Law, covenants that the party of the first par~ will receive the consideration for this conveyauce and will hold the right to receive such consid- eration as a trust fund to be applied first for the purpose of pSying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the sm~e for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of th~s indenture so requires. IH ~ttl'l'r/F_.,,%~ WHEREOF, the party of the first part has duly executed this deed the day and year first above wrlttem Lo.~ Cunl~ --~,~'- STATE Of ~ ESTATE .. . . On ~e Ist~y of Febru~ .~' 7g, ~fom me H~ry R. C~liffe & Lois C~l~fe~ his wife to ~ ~own to ~ ~e indivi~ S d~cri~ in and ~Ut~ the forgoing iast~nt~ad a~w~ fha they ~teame ~/~ /~ ~?ATE OF FlEW YORK, COUNTY OF ss: On the day of 19 , be/ore me personally came to me known, who, being by me duly sworn, did depose and say that he resides at No, ; t~t he is the of , the ~oration desc~bed in and which ~ecuted the foregoing instrument; that he knows ~e seal of said corporation; that tbs seal affixed to said instrument is such co.orate seal; that it was so affix~ by oMer of the ~ard of directors of said corpora- tion. and that he sign~ h name thereto by like order. to me known to be the individual described ia and who executed the foregoing instrument, and acknowledged that executed Se same. STATE OF FlEab' YORK, COUI4TY OF ss: On the day oF 19 , before me personally came to me known, who. being by me duly sworn, did depose and say that he resides at No. ; that he is the · the corporation described in and which executed the foregnmg instrument; that he knows the seal of said corporation; that the seal affixed to,said instrument is such corporate seal; that it was so aff~xed by order of the board of directors of said corpora- tlon, and that he signed h name thereto by like order. HARRY R. CUNLIFFE & LOIS CUNLLFFE, as guardians o£ CAROL ANNE TRUBE~BACH, an infanv 3-0 DRAGUTIN GOBIC & ALBINA GOBIC, ~tS WIFE, ATICOR COMPANY BLOCK LOT COUNTY OR IOWN Irving M. Roseuberg, ESq. 5391 Fairwey Avenue Oceanside, New Yorkt1572