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Home My WebLink AboutMOHRING, RICHARD JR. (6) TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 March 4, 1986 Mr.. Richard Mohring, Jr. Mohring Enterprises Inc. 347 Glen Cove Avenue Sea Cliff, New York 11579 Re: Long Pond Estates Dear Mr. Mohring: The Trustees reviewed your request. for a determination regarding the above referenced matter at a regular meeting of the Board held on February 27, 1986. The Trustees have determined that no permit will be required at this time, as the work proposed is not within the Trustees. jurisdiction. Please note that if in the future, you wish to do work within the wetland area a premit will be required from this Board. Attached for your information is the section of the Wetland Ordinance pertaining to the wetlands. If you have any questions, or need additional infor- mation, please do not hesitate calling this office at the telephone number listed above. Very truly yours, Henry P. Smith, President Bogard of Trustees Ilene Pfifferling, Clerk HPS: ip Attachments cc: Bldg. Dept. Trustees File NOTICE Police Dept. - Bay Constable Town of Southold r Peconic, New York 11958 NOTICE OF. VIOLATION Date:-----ep- ------- ------ 19-86-- Ra.chard :viohring c/o Mohr ing 1,,nterprises Inc_ =- -- -- ---------------- -To: -------- -------------- ---- (Owner- - - - - or authorized agent of owner) ---------- . 347 Glen Cove Ave. � Sea Cliff N.Y- --- -------------------- (Address of owner or authorized agent of owner) Please take notice there exists a violation of the Code of the Town of Southold, Chapter 97 Article--97-------- Section-----20------- at premises hereinafter described in that--Filling-of some Tidal_ ------------------- ,'etlands ha., ta).en lace on your property at Lon _'ond - ;states --------------------- -------- ----------- -------"------ ------ ------ -------=--------------------------------------------------------------- You' are therefore directed and ordered to comply with the followin Contact this-of ice-and-have-the_fill-removed-an-re ola-n'C'---- t- a}:ea ti-rith the same type of -�rassesn or a-poly to the u�t)ohold To,: n - --- ----------------------------- ijo 3rd of Trustee ' s f o r a permit -to leave: this .i ill as is. --------------------------1---- ----------- -----------°------------- -----------------------------------------------------------------`----- ----------------------------------------------------------------------- on or before ---�5------day of -----e,)t. ------, 1986----- The premises to which this Notice of Violation refers are situated at: o 7 �;171l1 1.r-. �',;,= i� T ai z^nl L11rn Cnii i h l ro47n of Southold I r r. _ Suffolk County, N-.Y. (Suff. County Pax map Designation: Dist. j,)-,j0 r Section ° �!�2 - Block: Lot �` 4 Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine or imprisoripent or both. NOTICE: You have the right to apply for a hearing before the -Board of Trustees of the Town of Southold, provided that you file a written request with the Clerk of the Trustees within 10 days after service- of the Notice of Violation. Such request shall have annexed thereto a. copy of the Notice of Violation upon which a Hearing is requested and shall set forth the reasons why such notice of violation should be modified or rescinded., Bay Constable, Town' of Southold, NY C. L�rq _ ,oy _ - - � . ✓ I i t ti Via/a��a iU • FIELD P D REPORT � -----____-- FIEL l POLICE DEPT., - --`--- plaint No. TOWN OF SOUTHOLD 5 y 5 -�� Hamlet of Occ. .N.Y. Incident Or Crim so v`H+o IF Sector � �''`►^� U/0 GAF/o,•� 4z ° o or �O - DaY o Occurrence pate of /oww mod, Grid No p� �R Occ. Occ of Time Name r `� . Date of Repo Complainant Victi rt Oki m Address 5 D.O.S. O M O F Place of Occurrence Phone A o,v Cat£E� Time Out Time In R ot3 Founded es O No Tour O Cleared BY Arrest e1�t1OCi �-� OExceptionall ' Cu a L� AN �4tiON Y Cleared 7'a w�7 LA,�C/ A.2 0---f s f9 o•u OAJ � So�-f"l.o l d, �Juw j -A a+ U PO'j A R l2l b 4 L �- - w+�3 `vt Ptgccd Olt, ��'� g ^J j C'c y��c fed �� 14,17- PDTS 2 -Continuation Re 1— Reporting Offic P°rt Attached?er - -- -- O Yes Shield No. Form POTS Supervisor -Dec- )- l5a P. O. Drawer A Jamesport, NY 11947 November 19, 1986 Mr. Donald Dzenkowski Bay Constable, Town of Southold Main Road Southold, NY 11971 Dear Mr. Dzenkowski : Thank you again for meeting with me in the field yesterday, November 18, 1986, concerning the grading of property at Long Pond Estates, Laurel Avenue, Southold, New York. Subsequent to our meeting, I contacted Mr. Jeffrey Forchelli ; managing partner for Long Pond Estates, and he assured me that the correction on replacing fill to the existing contour line would be taken care of as expeditiously as possible. We sincerely appreciate your cooperation in bringing this matter to our attention. Best regar s, n "aVrLh, . Y HER:ml CC: Jeffrey D. Forchelli, Esq. F[Ij- HENRY P. SMITH, President JOHN M. BREDEMEYER, Vice-Pres. o '�4 ?- + � y TELEPHONE Lr) ' ";` "h 7 (516)765-1892 PHILLIP J. GOUBEAUD ALBERT KRUPSKI, JR. " ELLEN M. LARSEN :a BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 September 11, 1986 Jeanette Dumas P.O. Box 618 Mill Colony Southold, N. Y. 11971 Dear Mrs.. Dumas; Thank you for your letter of September 4, 1986 and your concern for Arshamomaque Pond. We were advised of the situation last week and the Bay Constable issued a Notice of- Violation, attached. The matter is now under investigation by the Trustees and the Department of Conservation. If you have any other concerns please do not hesitate to contact us. Very truly yours, cle) Henr 7P. Smith, Pres. Board of Town Trustees HPS: ao Att; S TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES - TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE 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 THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 3Z OF THE CODES OF THE TOWN OF SOUTHOLD. APPLICATION NO.Y __DATE OF APPL I CAT I ON ��n ZZ 1� e I DENT I TY OF' APPL I CANT_MO"tIA &v-vVt4-qS%5P-5 %A/I• -L---------PHONE NO., ADDRESS OF APPL I CANT 3yZ 1►eiA. LAU'e.4"'�_ TAX MAP' NO. 1000-�_ 6c4-. 6_6Y�- R 1 1" 07 Lc� O�---------------- AGENT • - PHONE NO. PERMIT REQUESTED TO -�VVLS 4 �\01 Vok %NX LOCATION OF PROPERTY FOR WHICH PERMIT WANTED ---------—� -L«SZCC+jVj_ u ------------------------------------- HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION__- . CREEK, MAY OR HARBOR FRONT I NG PROPERTY- SIZE OF PROPOSED WORK--_ -------- ------------------M____v____-- LENGTH_-_��_ WIDTH--- �(e------------------- ------------------------------------- HEIGHT ABOVE HIGH WATER �� '� DEPTH BELOW LOW WATER YARDS TO BE EXCAVATED- TO BE FILLED ------------------------------------------------------ WIDTH OF CANAL , CREEK OR BAY FRONTING PROPERTY DEPTH AT LOW- TIDE ---------------- -------- AVERAGE RISE IN TIDE DISTANCE TO THE NEAREST CHANNEL FT. DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA FT. 15 THIS FOR PRIVATE OR BUSINESS USE*2 ------------------------------------- AREA ZONING MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED ------------------------------------------------------------------------ INTENDED USE, OF PROPERTY DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE -------------------------------- ----------------------------------------- AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERMITS OR LICENSES WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTAL AGENCY ----------------------------------------------------------------- ------------------------------------------------------------------ ----------------------------------------------------------------------- DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF THE PROJECT SITE IF NECESSARY ------------------------------------------- -------------------r--------------------------------------------------- ------------------------------------------------------------------------- WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, IF NOT THE SAME AS THE APPLICANT . ------------------------------------------------------------------------- ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? YOU COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: �21$�, BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS , AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF , THAT THE WORK WILL BE DONE 1N 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. x !, NATURE OF A L G SWORN TO BEFORE ME THIS //-,? 4 /A?& DAY OF I9 C p DOMINIC VISSICHELLI NOTARY PUBLIC State o New ork No. 30-4740331 Qualified in Nassau County Commission.1 pires March 30, 19. 7 EXAMINED APPROVED "WETLANDS" PERMIT (CHAPTER 97) APPROVED "BOAT, DOCKS , WHARVES" PERMIT (CHAPTER 32) DISAPPROVED "'WETLANDS PERMIT" (CHAPTER 97) DISAPPROVED " BOATS , DOCKS , WHARVES" PERMIT (CHAPTER 32) CONDITIONS , 1F ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 Lan �o c� ;aJok " L �e S 9 C. a Qp.r f I � l l AJ1 S v)a van o rr a d e- f' N1 1 C c o '^ s d 3o r c 'I Ace- s S Irnil� C�t2e� brie, �aSeS a` " wC�,j C� 1 ; y TOWN OF SOUTHOLD _ BOARD OF SOUTHOLD TOWN TRUSTEES ;.'r• SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No. ..... 71 .... has been granted by the Town Trustees according to information furnished in Application No. 357.:•:•.......• filed by Applicant ..Pe:Y•Q ��••�S Q�•••••�°r Budd' s Pond Marin& .....Jan;;„27... , 19.,.86,,; A map of the proposed work will be kept ........................................ ..... On fife in the Trustee Office ` under the application number given. Permit granted to do the following work .Replace.-and install Approx:,,,6,00 • bulkhead .and �a� roximatelX••180•• ft. • aining.• wa, ll ... .................................................................................................................................................... Location of property on which work to be done Rt. 25,,••Southold.................................... ..... ........:................................................................................................:..........................a.................. ....................................................................................................................................................... Creek, Bay or Harbor fronting property Budd•!•s Pond and Southold Bay ...........................................................................................................................................6............... Sizeof work: Length .......380.......................................................................................... .................... 450 ' Width ............................................................................................................................. HeightAbove High Water ...................5.:.Q................................................................ .. DepthBelow Low Water .............. ......4.1....................................................................... Yards to be Excavated .....................700.....�t?...Y.as................................................... Yardsto be Filled ......................................................................................................... Manner in which material is to be removed or deposited ..Behind installed„bulkYhe�d,.......... ........................ ...•and..retaining wall . .............................. ...............:............................................................................................... Intended use of property .......Marina............................ ........................................................................... . ................................................................................................................................................................. Conditions if any --------- ................................................................................................................................................................. ..Aril.. ed 24, 1987 if work has -not commenced.. Expiration Date . ........................................................................... . Number of Inspections Required .. ..Trustees are to be notified upg• ..t:Y�q..,�.Q, ..................................................ed.... . of the work. Inspection Fees 5. 00 nail ................................................................... ........ . ................ d.................................. ----------------------------- Liability Policies in the Amount of ......................................................................................................... The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing. The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Trustees upon receipt by the Trustees- of written notice from such other governmental or municipal authorities of its refusal or disapproval. The applicant does by the acceptance of this permit, assume all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance, the applicant also agrees to indemni- fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any. and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by this permit are being.conducted, do, by the acceptance of this permit, give consent to the Town, and its officers and employees to enter upon the premises where such operations are being conducted to make such inspections as the Town may deem necessary to insure that such operations are being con- ducted'inconformity with this permit. This operation will not substantially: A. Adversely affect the wetlands of the town. B. Cause damage from erosion, turbidity or siltation. C. Cause saltwater intrusion into the fresh water resources of the town. D. Adversely affect fish, shellfish or other beneficial .marine organisms, aquatic wildlife and vege- tation or the natural habitat thereof. E. Increase the danger of flood and storm-tide damage. F. Adversely affect navigation on tidal ,waters or the tidal flow of the tidal waters of the town. G. Change the course of any channel or the natural movement or flow of any waters. H. Weaken or undermine the lateral support of other lands in the vicinity. I. Otherwise adversely affect the health, safety and general welfare of the people of the town. Signed 1� r� e.Az..............:: ........... .... v President J Board of Southold Town .Trustees Date......�.�...1.' .d.�.C�..�.................... Jeannette Dumas r P.O. Box 618 >r�' Mill Colony Southold, NY 11971 September 4, 1986 Southoid::Town Board of Trustees Town Hall, 53095 Main Road Southold, NY 11971 Dear Sir or Madams I am writing this letter because I am concerned about Arshamomaque Pond in Southold. On Labor Day I visited the Long Porid_Estates development. I noticed that dirt was being moved into part of a vegetated marsh area. It is not clear if the developer is planning to fill in the whole area. However, I feel it is imperative to bring this to your attention. He has already filled in an unacceptable amount of marsh area. In addition, the dirt from the filled area is eroding into the water of Arshamomaque Pond. This is potentially a serious threat to the ponds ecology. The area I am refering to is illustrated on the map on the following page. ' I feel that this situation should be investigated. I have sent a copy of this letter to the North Fork Environmental Council. I would appreciate it if you could keep me informed of your conclusions. Sincerely, Jeannette Dumas 0 18 Seacliff Road 9 W Sound Beach, NY 11789 November 22, 1991 ? 6 1991 Ms. Jill Thorpe TOl � OF SOUTHOLD Town Trustee Town of Southold Southold, NY 11971 Dear Ms. Thorpe: I spoke with you today about Building Lot #2 (Section 52, Block 8) on Long Creek Drive in Southold. You told me that so far as you could ascertain, neither Edward Kadlic (the present owner) nor Jeffrey Forchelli (the previous owner) had received permission from the Town of Southold to fill in the marsh on that land and build a house on the fill. You also expressed an intention to write to Mr. Kadlic concerning Town regulations, with a copy to be .sent to me. During our conversation you mentioned that at some time in the past someone started to fill in that marsh but was restrained and made to restore it. My husband and I would very much like to have, in writing, the details of that situation. Could you send them to me, or Jive me the name of a person who could provide them? We would greatly appreciate it. Sincerely, __1nA.CIAAI 'Sta—.t.°5. Mara Slatkin jms r.{CO -6 l To: Don Dzenkowski, Bay Constable From: Trustee Office Re: Possible Wetland Violations Date: February 3, 1987 Please make an inspection on-Laurel Lane, Southold for a possible wetland violation. Trustee Goubeaud has reported that dirt has been bulldozed into the creek. I gave copies of the Long Pond Estate complaint, your report and Henry Raynor's letter. Please contact Trustee Goubeaud at 477-9594 or 765-2225 should you have any questions. Also, pleasre make an inspection at Albertson's Marine (Budd's Pond Marine) Councilman Stoutenburgh has reported that possible dredging may have taken place. Their permit does not include any dredging at all. (See attached.) Please report your written findings and recommendations regarding these matters. cc: Bldg. Dept. Councilman Paul Stoutenburgh Trustees PUBLIC HEARING NOVEMBER 24, 1987 IN THE MATTER OF RICHARD MOHRING, JR. NOTICE IS HEREBY GIVEN THAT A PUBLIC HEARING WILL BE HELD BY THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, AT THE SOUTHOLD TOWN HALL, MAIN ROAD, SOUTHOLD, NEW YORK ON TUESDAY, NOVEMBER 24, 1987 ON THE FOLLOWING APPLICATION FOR A WETLAND PERMIT UNDER THE PROVISIONS OF THE WETLAND ORDINANCE OF THE TOWN. In the matter of the application of Richard Mohring, Jr. to fill with 3000 cu. yds. of fill and to construct a house that will be more than 75 ft. from a bulkhead. To extend the berm parallel to the bulkhead and to be placed approximately 40 ft. landward from the existing bulkhead. Property is located on Lot #1, Paradise by the Bay, Southold. This is next door to Al Koke's property on Pine Neck Road. Does anyone have any comments on this application? Mr. Richard Mohring, Sr. : My name is Richard Mohring, Sr. I am here on behalf of junior. I think that he is going to build even with 'Al's property. Trustee Smith: Basically it is going to be pretty much the same as Al's. Mr. Mohring: Yes,, right now we are a little lower than him and we want to level it off. Trustee Smith: Do any of the Trustees have any questions? Trustee Krupski: How will the final grade on .the property compare with Pine Neck Road? Mr. Mohring: There is an easement of about 20 ft. that can't be disturbed, so from that 20 ft. there will be a gradual rise to the. foundation. Trustee Krupski: Okay. Trustee Smith: Thank you. Are there any other comments? No comments? Then. I will close this public hearing in the matter of the application of Richard Mohring, Jr. Hearing Closed at: 7:42 P.M. --- FIELD REPORT - POLICE DEPT., TOWN OF SOUTHOLD,N.Y. Central Complaint No. Hamlet of Occ. Sector Incident Or Crime + Grid No. 9,'-V M-M OA-( Day of Occurrence Date of Occ. Time of Occ. Date of Report Name Complainant Victim D.O.B. / M p, nn (/Al t< O F Address Phone Place of Occurr nce 4-GP Time Out Time In Founded Tour 10Cleared By Arrest l; J" O Yes o - O Exceptionally Cleared A-SKLZ BY "01eF— -o I C)Pa-N �'�v�TcG�g7l�n6 73- ram- F2 i-wN, 1AJEX-1-w-no Ds. PDTS 2 -Continuation Report Attached? O Yes Reporting Officer Shield No. Supervisor -a. c 13 .C-. t Form PDTS 1 ir ome-ttu Ek..,-,m.2 R! 5v-3 LONC, P0n1D CSrWrF—S f sus-s9>-o��v January 24, 1986 Board of Town Trustees Town of Southold 53095 Main Road Southold, New York 11971 Re: "Long Pond Estates" Dear Sirs: Enclosed please find my application and the surveys in regard to the above captioned, for the permit required for construction of a new house. You will also find enclosed my check_.to_,cover __ -- the cost. Kindly fill in the amount _d.ue--on—the check. Thank you. Very truly yours, Richard Mohring, Jr. BOARD OF TOWN TRUSTEES:--- TOWN—OF. SOUTHOLD . SHORT ENVIRONMENTAL ASSESSMENT FORM Project Information (To be completed by Applicant'or Project sponsor) 1. Applicant/sponsor ` 2. Project Name ` 3. Project location: �_ Municipality �jp(� ' County sr'— qo 4. Is pro osed action: Alew ❑ Expansion ❑ Modification/alteration 5. Describe project briefly: 1ru�m:\C�\4 1� a 6. Precise location(road intersections,prominent landmarks,etc.or provide map) 14 b . 51 �r-� erg o s- 1,�.vu� 'Prve. Aw'L. wk ly re.�... ��.�`v 7. Amount of land affected: Initially 1A0 C Ultimately acres 8. Will proposed action comply with existing zoning or other existing land use restrictions? Yes ❑ No If No,describe briefly 9. What is present land use in vicinity of project? KResidential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Parklandlopen space ❑ Other Describe: 10. Does action involve ermit/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 11. Does any aspect of the action have a currently valid permit or approval? ❑ Yes �No If yes, list agency name and permit/approval type 12. As result of pro d action will existing permit/approval require modification? El Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: �M� `^� ��.SCS 41AC Date: Signature: PART II Environmental Assessment (To be completed by Agency) A. Does action excere,pd�an�Type I threshold in 6 NYCRR, Part 617.12? If yes,coordinate the review process and use the FULL/LONG FORM EAF. El Yes No B. Will action receive coordinated review as provided for Unlisted Actions in 6 NYCRR, Part 617.7? If No, a negative declaration may be superseded by another involved action.PIN �,� ❑ Yes L�7 No C. Could action result in ANY adverse effects on,to,or arising from the following:(Answers may be handwritten, if legible) C1. 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: hC) C2. Historic,archeological,visual or aesthetic,or other natural or cultural resources;agricultural districts;or community or neighborhood character?Explain briefly hU . . . C3. Vegetation or fauna,movement of fish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: �0 C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources? Explain briefly. �v C5. Growth, subsequent development,or related activities likely to be induced by the proposed action? Explain briefly. vkb C6. Secondary,cumulative,or other effects not identified in Cl-C6? Explain briefly. VLO C7. A change in use of either quantity or type of energy? Explain briefly. PART III Determination of Significance (To be Completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection 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 identified and 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/LONG FORM 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 here, and on attachments as necessary, the reasons supportng this determination: Agency Name Agency Preparer's Name Preparer's SignaturelTitle Date PO App�Ox.N\G � MOM PQ� T\E\'1N� ALONG \��A ELsb N ► I N EVsS ; p° 1 N 1 � �o �-0 4�9��s�• ►\ to . e° ► 0- 0 p O O 1 O ► 1 1 O ► � 1 � 1 1 CD N 1 � W 4 1> ' PR OCAT 0 Of V)sE G sl.a i � Ia' 1 / 1 1?IEpSENCIRTi J� • � � / ,5pp0 � r�plN G O� � /� /posh� /��PRO EIs%,5.9 �.LiDj / E�slg T5o38,5p �' i� N•r E1,s14.b O�1 GREED �GNG SURVEY FOR MOH R ING !ENTERPRISES, INC. R16FOCK COUrjTY DEPARTMENI OF HEALTH selrvlCt*► LOT NO. 7 "LONG POND ESTATES ,SECT. I AT SOUTHOLD DATE: DEC.30, 1985 FOR APPROVAL OF CONSTRUCTION ONLY IDWN OF SOUTHOLD SCALE: I "= 40 ' DATE HS REF. NO. SUFFOLK COUNTY, NEW YORK NO. 85 -1714 N UHAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY 13 A VIOLATION Of SECTION 7209 OF THE. OPPROdCl3 �� M NEW YORK STATE EDUCATION LAVI ZC OF NCOPIES OF THIS SURVEY NOT EEARtHO THE LAND SURVEYOR'S INKED SEAL OR EMOOSSEO SEAL SHALL NOT DE CON S11)ERED TO BE A VALID TRUE COPY I�RD 1q, q: N GUARANTEES INDICATED HEREON MALL RUN ONLY TO BEHALF FOR APPROVAL TO CONSTRUCT THE PERSON WHOPS THE IS PREPARED HEALTH DEPART MENT-DAT AND ON HISBEHALF TO THE TITITLETLE COMPANY,GOVERN' � � •�n..��::. / MENTAL AGENCY AND LENDING INSTITUTION LISTED N NEAREST eJATSR t3AIN�000 W SOURCE QF YlATER& PRI�TE_PUSl.IC Y HEREON,AND TO THE ASSIGNEES OF THE LENDING �er > N ffiUgF CO. TAXtdAP DIET SECTION .53_BLOCK OL LOT 04 INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE 19THEF ARE IF0 Dt1IELLII ItiB WITHIN100 FEET Of THis PROPERTY TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OTHER THAN THOSE SHOWN HEREON. OWNERS EI THE WATER SUPPLY ADM SEWAGE DISMAL SYSTEM MR THIS RESIDENCE *DISTANCES SHOWN HEREON FROM PROPERTY LINES �i o WILL CoNFORI9 TO THa 3TANDa'IRDE OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC OF HEALTH SeRVICES. PURPOSE AND ARE NOT TO BE USED TO ESTADLISH r� -'";,r=• APPLICANT& PROPERTY LINES OR FOR THE ERECTION OF FENCES 1AI o ytJU'" ADDRESS gg � g�o ' B �o TEL. ®VmVV a U G RI ERA D, NEW YORK NOTE: •u rs� SUBDIVISION MAP FILED IN THE OFFICE OFTHE CLERIC �y. ALDEN W.YOUNG,PROFESSIONAL ENGINEER OF SUFFOLK CO. ON DEC.27,1985 AS FILE NO.8037 1 r';; AND LAND SURVEYOR N.Y.S.LICENSE NO.12845 HOWARD W.YOUNG, LAND SURVEYOR g71M LOCAT=O9 WML(W),MMICTA CZT)OCESS.-OOLD(CP)M=N H.RSOm 3 N.Y.S.LICENSE NO.45893 ARE rROU FIELD OS ZRVATIONSI ADO OR DATA 09TAIRSD FMW OTHERS