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HomeMy WebLinkAboutDUGGAN, JOSEPH Albert J. Krupski, President p�► OG ' Town Hall g John Holzapfel, Vice President =� y� 53095 Main Road P.O. Box 1179 William G. Albertson 2 Martin H. Garrell Oy �� Southold, New York 11971 Peter Wenczel ?��l �a0 Telephone (516) 765-1892 Fax.(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 18, 1994 Charles W. Bowman Land Use Company, Inc. 2567 Sound Avenue Baiting Hollow, NY 11933 Re: Joseph Duggan SCTM #35-5-31 Dear Mr. Bowman, The following action was taken by the Board of Trustees at their regular meeting of November 17, 1994: RESOLVED that the Southold Town Board of Trustees grant a. waiver to construct a 10 ' X 62' deck to -attach to an existing single family dwelling. Said deck will be located a minimum of 1913" on the north end and 51 1/2' on the south end from the existing bulkhead. Application also includes a 15 ' wide buffer planting area seaward of the proposed deck as required by NYSDEC. Located 330 W/S Snug Harbor Road, Greenport. If you have any questions, please call our office. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. CAC Meeting of 11/15/94 No. 1211 MOved by Bruce Loucka, seconded by Stephen Angell, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A STIPULATION EDWARD S. KONDAK 30-2-54 to construct wood stairs from top of bluff on sound to base of bluff to gain access to beach. Construction to consist of 32' x 3' walkway with hand rails on top of bluff connected with three sections' of railed stairs 3' in width and joined with two intermediate level sections. The CAC recommends approval with the stipulation that the walkway be elevated at least 4' above the face of the bluff. 2090 The Strand, East Marion Vote of Council: Ayes: All Motion carried. No. 1212 Moved by Stephen Angell, seconded by Patricia Isaksen, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH PROVISIONS of the Wetland Application of JOHANNA SMITH 104-7-5 to resheath (on landward side) 478 +/- I.f. of existing timber bulkhead. Remove 96 +/- I.f. of existing timber bulkhead and construct 30 +/- I.f. of new timber bulkhead to expand existing irregularly shaped boat basin. Maintenance dredge and 20' of its mouth to a maximum depth of -4 ALW. Approximately 100 c.y. of resultant spoil to be deposited on owner's upland. Excavate upland area adjacent -to existing basin (approximately 27' x 40') to expand boat basin. Approximately 150 c.y. of resultant soil and sand to be used as backfill. The Council recommends approval provided the applicant maintains a 20' buffer as stipulated in the Town Code. Also, the CAC recommends that the excess spoil be used to build a berm along the outside edge of the bulkhead. Mason Drive, Cutchogue Vote of Council: Ayes: All Motion carried. WAIVER REQUESTS WR-20 Moved by Allan Connell, seconded by Betty Wells, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Waiver Request of JOSEPH DUGGAN 35-5-31 to construct a 10' x 62' deck to attach to an existing single family dwelling. Said deck to be located a minimum of 19'3" on the north end and 51 1/2' on the south end from the existing bulkhead. Application also includes a 15' wide buffer planting area seaward of the proposed deck as required by NYSDEC. l Snug Harbor Lane, Greenport Vote of Council: ' Ayes: All Motion carried. Page 3 Land Use D � TR aQd October 27, 1994 "� 3j� l( �� TOWN OF SOU 1 Board of Trustees Town of Southold 53095 Main Road P.O. Box 1179 Southold,N.Y. 11971 Attn: Diane Re: Joseph&Madelon Duggan Greenport,N.Y. Dear Diane: As per our recent telephone conversation, enclosed please find an application for a waiver to construct a deck landward of an existing timber bulkhead. Should you have any questions or require additional information, please don't hesitate to contact this office. Very truly yours, l Tanya Lachenmeyer TL Enc. 2576 Sound Avenue • Baiting Hollow, New York • 11933 (516) 727-2400 FAX(516) 727-2605 Albert J. Krupski,President p� OG Town Hall John Holzapfel, Vice President =� y1 53095 Main Road William G. Albertson ti Z P.O. Box 1179 Martin H. Garrell d O Southold, New York l lj971 Peter Wenczel y?�� a0� Telephone (516) 765-1892 l Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 1, 1994 Bruce Loucka Chairman Southold Town Conservation Advisory Council Southold Town Hall j Main Road Southold, NY 11971 Dear Mr. Loucka: Transmitted herewith are the following applicationsfor a Wetland Permit: SERGE ROZENBAUM SCTM #k'59-5-12 JOSE?H DUGGAN SCTM #35-5-31 Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK:djh i k . I' New York State Department of Environmental conservation Building 40 - S.U.N.Y, Stony Brook, New' York 11790-2356 Telephone (516) 444-0365 A M t. Facsimile (516) 444-0373 i Langdon Marsh commissioner August 18, 1994 Joseph Duggan c/o J.R.D. Electric Corp. 67-11 79th Street Middle Village, NY 11379 RE: 1-4738-00529/00001-0 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, George W. Hammarth Deputy Regional Permit Administrator . I GWH:nw enclosure i NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER l EFFECTIVE DATE 1-4738-00529/00001-0 ISO August 18, 1994 FACI'i_ITY/PROGRAM NUMBER(S) PEMIT EXPIRATION DATE(S) August 31, 1996 Under the Environmental Conservation Law TYPE OF PERMIT ■ New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate 1 0 Article 15, Title 5: Protection 0 6NYCRR 608: Water Duality 0 Article 27, Title 7; 6NYCRR 360: of Waters Certification Solid Waste Management 0 Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRR 373: Supply Hazardous Waste Management ❑ Article 19: Air Pollution 0 Article 15, Title 15: Water Control ; 0 Article 34: Coastal Erosion Transport Management 0 Article 23, Title 27: Mined Land 0 Article 15, Title 15: Long Reclamation 0 Article 36: Floodplain Island Wells i Management 0 Article 24: Freshwater'Wetlands 0 Article 15, Title 27: Wild, 0 Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO TELEPHONE NUMBER Joseph Duggan (718) 326-1666 c/o J.R.D. Electric Corporation ADDRESS OF PERMITTEE 67-11 79th Street, Middle Village, NY 11379 i CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER. Land Use Company (516) 727-2400 2576 Sound Ave., Baiting Hollow, NY 11933 NAME AND ADDRESS OF PROJECT/FACILITY Joseph Duggan Property - w/s Snug Harbor Rd., approximately 203' south of Maple Lane, Greenport LOCATION OF PROJECT/FACILITY SCTM # 1000-035-5-31 i COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Dawn Lagoon DBMIMCN CF AM-ER17M PCHVITY Construct a variable width (101-121) x 62, deck to attach to an existing single family dwelling as shown on the attached survey by Roderick Van Tuyl, L.S. dated 6/22/83, last revised 2/23/93 and stamped "NYSDEC Approved As Per Terms and Conditions of Permit # 1-4738-00529/00001-0 8/16/94". By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of this permit. DEPUTY REGIONAL PERMIT ADMINISTRA- ADDRESS TOR: George W. Hammarth Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE August 18, 1994 =:A Page 1 of 4 CENEPAL MUTICKS Inspections 1; The permitted site or facility, including relevant records, is subject to in'- inspection at reasonable hours and intervals by an authorized representative of the Department of Envirom-ental Conservation (the Department) to determine v�hether the permittee is caTplying with this permit and the ECL. Such represen- tative may order the mrk suspended pursuant to ECL 71-0301 and SAPA 401 (3) . copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site. Failure to produce a copy of the permit upon request by a Department representative is a violation of - this permit. Permit Changes and R ne is 2. The Department reserves the right to modify,; suspend or revoke this permit Men: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regula- tions is found; b) the permit v%es obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) environmental conditions, relevant , technology, or applicable law or regulation haverraterially changed since the permit v%as issued. 3. The permittee rrust sub-nit a separate written application to the Department for ren&%a 1 , nodification. or transfer of this permit. Such application rrust include any forms, fees or supplemntal information the Department requires. Any reneAel , modification or transfer granted by the Department must be in writing. 4. The permittee must sutmit a reneAel application at least: a) 180 days before expiration of permits for State Pol.lutant Discharge Elimination Systan (SPDES) , Hazardous Vlbste Nbnagemnt Facilities (E'Vff) , major Air Po I I ut i on Cont ro I (APC) and So I i d Vlbste NbnageTent Facilities (S/VVF) ; and b) 30 days before expiration of all other permit types. 5. UnIess expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the tears, conditions or requirements contained in such order or determination. Other Legal CbIi gat ions of Permittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all damages; direct or indirect, of Matever nature and by v aTever suffered, arising out .of the project described in this permit and has agreed to indemnify and save harmless the State from suits, actions, darages and costs of every nare and description resulting from this project. 7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted v%ork nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is responsible for obtaining any other permits, approvals, lands, easeTBnts and rights-of-may that may be required for this project. Page 2of 4 95-20-6a(7/92)-25c Tidal Wetlands ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 6 NYCRR Part 608 ( ) 9. That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the teration in the position of the structure or work herein authorized,or project. if, in the opinion of the Department of Environmental Conservation 13. Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly,without leaving large refuse piles,ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State,the owner may be ordered by the Department to a waterway. remove or alter the structural work, obstructions, or hazards caused 14. There shall be iz unreasonable interference with navigation by the work thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other herein authorized. modification of the watercourse hereby authorized shall not be com- 15. If upon the expiration or revocation of this permit,the project hereby pleted, the owners, shall, without expense to the State, and to such authorized has not been completed,the applicant shall,without expense extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the Conservation may require,remove all or any portion of the uncompleted Department of Environmental Conservation may require,remove all or structure or fill and restore to its former condition the navigable any portion of the uncompleted structure or fill and restore the site and flood capacity of the watercourse.No claim shall be made against to its former condition. No claim shall be made against the State of the State of New York on account of any such removal or alteration. New York on account of any such removal or alteration. 10. That the State of New York shall in no case be liable for any damage 16. If granted under 6 NYCRR Part 608, the NYS Department of Environ- or injury to the structure or work herein authorized which may be caused mental Conservation hereby certifies that the subject project will not by or result from future operations undertaken by the State for the contravene effluent limitations or other limitations or standards under conservation or improvement of navigation,or for other purposes,and Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 no claim or right to compensation shall accrue from any such damage. (PL 95-217) provided that all of the conditions listed herein are met. .11. Granting of this permit does not relieve the applicant of the responsi- 17. All activities authorized by this permit must be in strict conformance bility of obtaining any other permission, consent or approval from with the approved plans submitted by the applicant or his agent as part the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State of the permit application. Office of General Services or local government which may be required. Such approved plans were prepared by 12. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, on solvents, lubricants,epoxy coatings,paints,concrete, leachate or any SPECIAL CONDITIONS 1. The permittee shall install a drywell in the front (road) or side yard a maximum of 45 feet west of the .eas_tern property boundary. Roof runoff from the house shall be directed to the drywell f'or on-site recharge. 2 . Prior to the ultimate expiration of this permit the permittee will cause all fill and exposed faces to be vegetated to prevent erosion. 3 . There shall be no disturbance to vegetated tidal wetlands as a result of the permitted activity. 4. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tida.l- wetlands. ­ ­ Supplementary Special Conditions (A) thru (F) Attached. DEC PERMIT NUMBER 1-4738-00529/00001-0 PROGRAM/FACILITY NUMBER Page 3 of � i SUPPLEMENTARY SPECIAL 'CONDITIONS The Following Conditions Apply To All TIDAL WETLANDS; FRESHWATER WETLANDS; COASTAL EROSION MANAGEMENT; and WILD, SCENIC, and RECREATIONAL RIVERS PERMITS: A. A copy of this permit, including all conditions and approved plans, shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous location at the work site until all authorized work has been completed. B. The permittee shall require that any contractor, project engineer, or other person responsible for the overall supervision of this -project reads,i understands, and complies with this permit and all its general, special, and supplementary special conditions. iAny failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. If any of the permit conditions are unclear, , the permittee shall contact the Division of Regulatoryi Affairs at the address on • page one or telephone (516) 444-0365. I C. if project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The Perm se is advised that substantial modification may require submission of a new application for permit. D. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within ,30 days of completion of the permitted work, the bottom portion of that form shall also be signed and returned,. along ,with photographs of the completed work and, if required, ',a ,survey. E. For projects involving activities to be undertaken in phases over a period of more than one year's, the permittee shall notify the Regional Permit Administrator in writing at least ' 48 hours prior to recommencing work, in subsequent years F. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY•12242 (516) 474-2195, which .. may be required for any encroachment upon State-owned lands underwater. DEC PERMIT NO. 1-4738-00529/00001-0 Page 4 of 4 95-20.1 (8/87)-9d New York State Department of Environmental Conservation vNOTICE v The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, ' contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator Permit Number /739=-605*249 k&0401 -0 B ROE REENA „ .. _RT A. G Expiration Date �A, NOTE: This notice is NOT a permit Albert J. Kru ski, President y q� - �� Town Hall P � John Holza fel, Vice President '��' �` r. �� p :�• 53095 Main Roa ' William G. Albertson P.O. Box 1179 I Martin H. Garrell ` ^' Southold, New York 11 d � ��•. � Peter Wenczel Telephone (516) 765-1 4 ' Fax (516) 765-182.1 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only, M Coastal Erosion Permit Application i U Wetland Permit Application ff ;1,10 Grandfather Permit Application, 3 Trustee Lands Permit Application T L.Waiver �'Ovv�N �� SOU 1 HOLD Received Application: �d 31 Q Clerical Review: 10 31 t Completed Application Incomplete i SEQRA Classification: Type I Type II Unlisted Coordination: (date s t CAC Referral Sent: l� / ,;r. ._. Date of Inspection• t7y vYls`" Receipt of CAC Report: (date) Lead Agency Determination: ! Technical Review: (date) Public Hearing: (date) /7 /7 Decision: Approved (YIN (date) Application Fee:$ i Applicant Joseph & Madelon Duggan Name of Rppl p gang _:._Address c/o JRP Electric, 67-11 79th .Street, Middle Village, I N.Y. 11379 Phone Number: Y18) 326-1666 Suffolk County Tax Map Number: 1000 - 0135-5-31 Property Location:W/S Snug Harbor Road, approximately 203 ' South of Maple Lane, Greenport, N.Y. (provide LILCO Pole #, distance to cross streets, and location) Agent: Charles W. Bowman/Land Use Company Inc. (If applicable) Address: 2576 Sound Avenue Baiting Hollow, NY 11933 ! Phone: (516 ) 727-2400 1 rd of Trustees Applicatic. GENERAL DATA Land Area (in square feet) : 12, 739 s.f. Area Zoning: Residential Previous use of property• Single family', residence Intended use of property: Same Prior permits/approvals for site improvements: Agency Date NyspFc__pool/Deck /fi/$6 #10-86�L5QQ TrnGtpng-hoat- -,1 ip./hi,lkhead/dock 8W/86 #A?Q i Trustees-pool/deck 8/29/86 #380 NYSDEC-boatslip/bulkhead/dock 1 /31 /914 #10-83-R"5: 6 USDOA- boatslip bulkhead/dock 1984 ,#83-661 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes i If yes, provide explanation: I i Project Description (use attachments if: necessary) : i Applicant proposes to construct a 10 'X62 ' deck to attach to an existing single family dwelling. Said deck will be located a minimum of 19 ' 3" on the north end and �51 ; ' on the south end from i the existing bulkhead. Application also includes a 15 ' wide buffer planting area seaward of the proposed deck as required by NYSDEC 2 rd of Trustees Applicatic County of Suffolk State of New York Duggan Charles W_ Rowman/T.and 11-ii— co_ ,Toselph & Madelon BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE' APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD' TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY'AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S) , IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S) , TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION 'WITH REVIEW OF THIS APPLICATION. tf'gn91rurb SWORN TO BEFORE ME THIS 26 th DAY 'OF October .1994 i Tanya Lachenmeyer NOTARY PUBLIC,State of New York 1 No.01 LA5032219,Suffolk County N try Public Commission Expires,August 22, f 99(p 3 ] rd of Trustees Applicatic AUTHORIZATION (where the applicant is not the owner) I, residing at (print owner of property) (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner' s signature) (See attached authorization letter) 4 rd of Trustees Applicatic COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Recreation Are wetlands present within 75 feet of the proposed activity? No X Yes Does the project involve excavation or, filling? X No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments ,if necessary) Ag the groposed deck construction will occur landward of an existing bulkhead there shall be no impact to tidal wetlands. I i 5 ' . rd of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Recreation Area of wetlands on lot: .02 s�ra�-6q"&r e Percent coverage of lot: 7 Closest distance between nearest existing structure and upland - edge of wetlands: 19 ' 3" feet (b,ulkhead-mhw) Closest distance between nearest proposed structure and upland edge of wetlands: 19 ' 3" feet (bulkhead-mhw) Does the project involve excavation or' filling? X No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal . waters of the town that may result by reason os such proposed operations (use attachments if appropriate) : The proposed Project will have no effect on tidal wetlands within project vicinity. 6 14-16.4(2187)-Text 12 PROJECT I.O.-NUMBER 617.21 SEQR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS.Only PART 1—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSORCharles W. Bowman/Land 2. PROJECT NAME h & M d 1 Proposed deck 3. PROJECT LOCATION: Municipality Green port County Suffolk 4. PRECISE LOCATION (Street address and road intersections,prominent landmarks,etc.,or provide map) W/S Snug Harbor Road, approximately 203' ' South of Maple Lane, Greenport. 5. IS PROPOSED ACTION: New ❑Expansion ❑Modificationlalteration 6. DESCRIBE PROJECT BRIEFLY:I Applicant proposes to -construct a 1 0 'X 62 ' deck -to attach to an existing single family dwelling. Said deck will be located a minimum of 19 '. 3" on the north end and 51 '-z ' on the south end from the existing bulkhead. Application also includes a 15 ' wide buffer planting area seaward of the proposed deck as required ny NYSDEC. 7. AMOUNT OF LAND AFFECTED: Initially -30 acres Ultimately _30 acres(total lot area) 8. WILL PROPOSE07ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? []Yes ®No If No,describe briefly Proposed deck construction will be less than 75 ' from existing bulkhead and project will not meet lot coverage requirements 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? i Residential ❑Industrial ❑Commercial ❑Agriculture []Park/Forest/Open space ❑Other Describe: r 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? 91 Yes ❑No If yes, list agency(s) and permitlapprovals NYSDEC, Southold ZBA 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ®Yes ❑No If yes, list agency name and permit/approval NYSDEC Permit #1 -4738-00529 100001 -0 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? - ❑Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Char Bowman/Land Use Co.for Date: 10/25/94 Jo & 14acplon Duggan Signature: 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 PART II—ENVIRONMENTAL ASSESSN._. .' (To be completed by Agency) _ A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? If yes, coordinate the review process and use the FULL EAF. ❑Yes ❑No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,'a negative declaration may be superseded by another involved agency. ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH 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: C2. Aesthetic,agricultural, archaeological, historic,or other natural or cultural resources;or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish,shellfish or wildlife species, significant habitats,or threatened or endangered species? Explain briefly: Ca. 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. C5. Growth, subsequent development,or related activities likely to be induced by'the proposed action? Explain briefly. C6. Long term, short term,cumulative,or other effects not identified in C1-05? Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes,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 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: Name of Lead Agencv Print or Type Name of Responsible Officer in Lead.Agency Title of Responsible Officer Signature of Responsibie Officer in Lead Agency Signature of Preparer(If different from responsible officer) Date 2 Ism— It 030 SEE ace. No.ISO A C" LILAC I L . 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NO. - ti j � OF r '^' � ` �� � STATEMENT OF INTENT r 7' [� : THE WATER SUPPLY AND SEWAGE DISPOSAL POI f� T — SE0 ION 7 PI E� SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE ` !f / f�Sul aDL[� C4GteJTY' l+•'11 � rl 4�5'U,i SUFFOLK CO. DEPT. OF HEALTH SERVICES. S _ APPLICANT i SUFFOLK COUNTY DEPT. OF HEALTH `t ����ty�, SERVICES — FOR APPROVAL OF' I CONSTRUCTION ONLY A DG.�. L0 .�ld t...' c � {. DATE: / Y ! H. S. REF. NO.: t APPROVED: 5G ALE 30r : !er SUFFOLK CO. TAX MAP ,DESIGNATfON: DIST. SECT.. BLOCK' PCL:. OWNERS ADDRESS: is - i �4i .���S'?�� � 1 r - _ •-- '—• .. �i1Cl�'ltJ!?S r'L� �?/' fO f77G�Gt7 SGa fE':r l • /QSI Van .�EIr'"4't'P. i"`lvle' 1` .A'; JlZ, 3 t5(Q. � "• DEED: L.- 1-1 A P. L. - `,. llL�f! :SJr1,J ffi �1 +e? } ! TEST HOLE 6TAMP rj p 0 t �,OS•VSl i ILI, nz:;a Fn.. ` 1 X j—j (1 a u 3 �� f �..a valid true ectr,. _ 1 I�T 1 y� ^ V !J .,Mess inilicoY r, r w he, as s C' ;. tha Person for�vh , L, �} - - - -- _ :,,red,end 6n his bshsic. t�l i N r f f tr tom, t 985 y(J�^•`�' .� b; ! O 1 �J �'� n £1 ,i'sny.governmentalJrLL in 'Laticn16 ., f ILI Its N.' •- 1 .• IYJar. 3Q, 1�392 f �.-a2�,; 19'-3 7 �� j �•• ii Feb. 23, 1993 l 0 k ilk 1f ra` �3. f i. - _ •, � r - � to- Uj 199 RODERICK 'VAN TUYL, P.C. , „s YL SO' _ R !C®�I��O�1� LICENSED LAND SUF,OVEYORs ` ®`r�N OF . /`\ GREENPORT NEW PORK TEIEDYNEPOST• N22035 -- - - — - - - - ---