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HomeMy WebLinkAboutTR-3888 ti �ryo Michael J.Domino,President ��rjf so Town Hall Annex John M.Bredemeyer III,Vice-President ~� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski �pQ Telephone(631) 765-1892 Greg Williams l�`OU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 18, 2018 Robert Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: ANDREW TORGOVE & JONI FRIEDMAN 7165 NEW SUFFOLK ROAD, NEW SUFFOLK SCTM# 1000-117-5-31 Dear Mr. Herrmann: On July 16, 2018, a Field Inspection performed on the above mentioned property found the existing dock to be in very bad shape and beyond repair. The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, July 18, 2018: RESOLVED, that the Southold Town Board of Trustees DENIES the request for a Transfer of Wetland Permit#3888 from Joseph Fidjinski to Andrew Torgove & Joni Friedman, as issued on January 18, 1991 due to the fact that the dock as it exists is a non-functioning structure. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Michael J. Do ino President, Board of Trustees MJD:dd Michael J. Domino,F 6t o�QgOFFt?(/�ell Town Hall Annex t; John M. Bredemeyer III,Vice=rresident �� y� 54375 Route 25 Glenn Goldsmith C= a P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams ?� ap�� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 71-f(,&Date/Time: Completed in field by: En-Consultants on behalf of ANDREW TORGOVE & JONI FRIEDMAN request a Transfer of Wetland Permit#3888 from Joseph Fidjinski to Andrew Torgove & Joni Friedman, as issued on January 18, 1991. Located: 7165 New Suffolk Road, New Suffolk. SCTM# 1000-117-5-31 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 `- Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: is 1d C pie tj I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other Michael J.Domino,President r �°°Ur Town Hall Annex John M.Bredemeyer III,Vice-President yi�O l� 54375 Route 25 P.O.Box 11 Glenn Goldsmith [ Southold,New York 11971 A.Nicholas Krupski G .r Telephone (631) 765-1892 Greg Williams O 1- Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD f} JUN 1 5 2018 lSo.lit,old lovvn APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE June 8 2018 OWNER Andrew Torgove&Joni Friedman PHONE 718-986-7096 7300 New Suffolk Road MAILING ADDRESS P.O. Box231, New Suffolk, NY 11956 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road, Southampton, NY 11968 PROPERTY LOCATION 7165 New Suffolk Road, New Suffolk TAX MAP NO. 1000-117-5-31 I/We En-Consultants for Andrew Torgove &Joni Friedman request a Transfer of Permit# 3888 from Jospeh Fidjinski to Anrew Torgove &Joni Friedman. Signed By: Robert E. Herrmann, Coastal Management Specialist Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, residing at 6)(Z31 ��o 1 1L (pri t name of owner of property) mailing address) do hereby authorize a (Agent) to apply for permit(s)from the Southol 11 dBnfTown steel on my behalf. (O a e) Hoard of Trustees Applies' on AUTHORIZATION (where the applicant is not the owner) I, '�O�L(,c, f Y l �Yl a+- l�l residing at P D 60 Z l� (print name of owner of property) (mailing address) � ! 6t4'0 (0, do hereby authorize �— (Agent) G r1 to apply for permit(s)from the Southold Board of Town Trustees on my behalf. (Owner's signature) Board of Trustees Application AFFIDAVIT A y,SK,oJ -J-6V bko2 BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WELL 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 BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE B OF TRUSTEES DURING THE TERM OF THE PERMIT. afore of Prop rty Owner SWORN TO BEFORE ME THIS I DAY OF , )U ,20_ ESTEFANIA RODRIGUEZ NOTARY PUBLIC-STATE OF NEW YORK No.01 R06346355 llualified In New York County M .Commission Expires 08-08-2020 Notary ublic Board of Trustees Applici ion AFFIDAVIT � C 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 BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner SWORN TO BEFORE ME THIS �� DAY OF ,20 DENISE A. NAVARRA NOTARY PUBLIC-STATE OF NEW YORK GC� No, 01 KIA6191295 Qud1itk§d iw Su Volk County Notary Public MY goffiffiIoum I mpir@§ c::, i APPLICANT/AGENT/REPRESENTATIVE ' TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits wnflicts of interest on the part of town officers and employees.Thepu ose o this form is to provide inforinntion which can alert the town of possible conflicts of interest and allow it to take whatever action is neccesm to avoid same. YOUR NAME: (Last name,fast name,�riddte initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other i person's or company's name.) ' NAME OF APPLICATION: (Check all that apply.) Tax grievance Building i Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring 4 Exemption from plat or official map Planning Other j (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest.means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check i the appropriate line A)through D)and/or describe in the space provided. I The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the.shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,oremployee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this ® day of 200 L Signature. Print Name Form TS 1 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FARM The Town of Sauthold'c Code of Fthics prohibits contlicfs of interest on the hart of Town officers hnd emnlovees The pu ose o th>s form is to nrov�de'iofarinatian which can alert the town of oossible conflicts of interest and allow<it to take whatever action 0 n_ecessary to avoid same. YOUR NAME: ?D i^ r f'e° (Last name,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee ^L Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or tl)rough;:your companyspouse,sibling;parent-.'or child)have a relationship with any officer or employee of the Town afSouthold? "RelaUonsfiip"includes by blaad,.ntarriago or`business inte rest."Business interest"•means a business, including a p6dilership',:its whiot the tdwn o a flic�r or employee has even. partial ownership of(or employment by)a corporation in which the town officer or cmployec okans snore than 5°to ofthe shares. YES NO if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner-of greater than 5P of the,sliares of the:corporate`stoctc of ti}eapplicant (whcn the-q"phcant.'is a corporation); B)tiie legal orlienefictal owner-of any interest in.a non-corporate.entity(wlien:thc applicant is not-,a corporation); C)an otFcer,director;:partner,or"employee of the applicant;,or 1J)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this �'J day of 200 Signature. Print Name %./o m Ei!f be 41 Form TS 1 �F� At EN-CONSULTANTS PERMIT TRANSFER REQUEST June 8, 2018 lt, Town of Southold Board of Trustees Post Office Box 1179 E i J U N 1 5 2018 Southold, New York 11971 Attn.. Elizabeth Cantrell Re: Permit#3888 7165 New Suffolk Road, New Suffolk SCTM#1000-117-5-31 Dear Board of Trustees: Please accept this letter as a request to transfer the above referenced permits from Joseph Fidjinski to the current owners of record, Andrew Torgove &Joni Friedman, whose address is 7300 New Suffolk Road, P.O. Box 231,New Suffolk,NY 11956. An application for Transfer of Wetlands Permit, copy of Permit#3888, and transfer fee of$50 is attached. Sin erely, Robert E. Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting '`may�yy. " i ' �£ ;�`iy.,,i Y \i � 'yi '�_Y � +p�►�* .r'� �a y*�'�e��� 1�.• rY � Sv pry ..V� fJ �V ' ��r, Vi., ' •../i � V' V �. +aw.• +'ae��,. +yf�a'�'R" .+ssv__irs?•" "�?;'k�:r..�°':i��1.� y_r i •r" r�''s+yr' �i':_�' !•.,,r"�,!� n- v_'SSy�i"4`,,r,:" } } 1 Board Of Southold Town Trustees SOUTHOLD, NEW YORK cs PERMIT NO. ...3888 DATE: January 18,." 1991� ISSUED TO J ' ............oseph..Fdjnslci.............................................................................: Pursuant to the provisions of Chapter 615 of the Laws of !� f the State of New York, 1893; and Chapter 404 of the Laws of the {I State of New York 1952• and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS !* IN AND ON TOWN WATERS AND PUBLIC LANDS and the ►j ` REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the F Resolution of The Board adopted at a meeting held on .January....17 19....9.1..., and in consideration of the sum of $........159•,.00..._ paid b ;14 : ..Jos.eph...F.udjinski..................... of .......................................................................................... N. Y. and subject to the .` 1 Terms and Conditions listed on the reverse side hereof N* of Southold Town Trustees authorizes and permits the following: To construct a 4' X 30' fixed dock; 3' X 10' ram , �.I p 6 X 2 0 � �I float and fence surrounding property as per revised plan i a�. g P P Y P P ,I of John H. Geideman dated January 18, 1991. F ` 1 all in accordance with the detailed specifications as presented in the originating application. Sr 5s IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to >Y be subscribed by a majority of the soo Board as of this date. F ..... le.�w...... • - �aI ., V3 y, rk Trustees .i ...ej�..:.s`��,'r�X:�, .8:1' > �.r<.�''.y.�"ir.:.n�:. ° sTI� a,.�.��''s rrs�.,erE,d.�t�'+ '�`� +�.!..�,�,���.•�°'t °'.r:.,�°' rl 1 'Pd r// :, �, .moo► _ x: \� A Y.. ,A .� � ,I�aD.rs. A , ,,oho, A „moo. A ��� TERMS and CONDITIONS The Permittee TnaPph Fiirliinglri residing at Fifth Street, New Suffolk N. Y., as part of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper- ation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third.parries, and the said Permittee assumes full liability with respect thereto, to the complete exclusion 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 estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at"a later date. 3. That this 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 cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require 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 obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work,or project herein stated without expenses to the Town of Southold. S. That the said Board will be notified by the Permittee of the completion of the work auth- orized. 9. That the Permittee will obtain all other permits and consents -that may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain same. TRUSTEES ! a , SCOTT L. HARRIS k k 5' John M. Bredemeyer, III, President ® � �� Supervisor Henry P. Smith, Vice President "��,(. , v "8� Albert J. Krupski, Jr. Town Hall, 53095 Main Road John L. Bednoski, Jr. P.O. Box 1179 John B. Tuthill Southold, New York 11971 BOARD OF TOWN TRUSTEES Fax (516) 765-1823 , Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 January 22, 1991 John H. Geideman P.O. Box 416 East Marion, NY 11939 Re: Joseph Fidjinski Dear Mr. Geideman: The following action was taken by the Board of Town Trustees during its regular meeting held on January 17, 1991 regarding the above matter: WHEREAS, JOHN GEIDEMAN IN BEHALF OF JOSEPH FIDJINSKI applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated May 22, 1990 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 January 17, 1991 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 JOHN GEIDEMAN ON BEHALF JOSEPH FIDJINSKI OF BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO.- construct a 4 ' X 30' fixed dock; 3 ' X 10 ' ramp; 6 ' X 20' float and fence surrounding property as per revised plan of John H. Geideman dated January 18, 1991. This permit will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months. of the date of this notification. Two inspections are required and the Trustees 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: Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB: jt cc: Bldg. Dept. Conservation Advisory Council file Cz� Gyp TRUSTEES W SCOTT L. HARRIS John M. Bredemeyer,III, President �,j, O!� Supervisor Henry P. Smith, Vice President Ql �a Albert J. Krupski, Jr. Town Hall, 53095 Main Road John L. Bednoski, Jr. P.O. Box 1179 John B. Tuthill Southold, New York 11971 BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 5-3-90-117-5-31 ' . NAME: Joseph Fidjinksi DATE: December 26, 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 Southold, notice is hereby given that the Southold. Town Trustees, as Lead Agency for the action described below, has determined that the . project will not have a significant effect on the environment-. - Please take further notice that this declaration should not be considered a determination made for any other department or -agency which may also have an application pending for the same or similar project. TYPE OF ACTION: - Unlisted Action DESCRIPTION._._OF ACTION: To --construct _a 4' X 30 ' fixed dock; 3 ' X 10 ' ramp; 6' X 20 ' .float and a fence surrounding proper-ty.- LOCATION: Tax map No. 1000-117-5-31 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. 3. A report was received from the Conservation Advisory-- Council approving this project as long as no dredging will take. place. cc: Planning Brd. , Bldg. Dept. , ZBA, CAC, NYSDEC, COE k �,. x.>-�.-_ ''.. . , a`:- fib:, �.: _.� s.�.._. ?` ��: r rt� ,4 ��i--w. ,,_it. - i^.- `a...�'� _ _.t�'�: •;; SfFO��-co c� Gy1 TRUSTEES COD SCOTT L. HARRIS John M. Bredemeyer, III, President CW,y � Supervisor Henry P. Smith, Vice President ��,( .��� � Town Hall, 53095 Main Road Albert J. Krupski, Jr. John L. Bednoski, Jr. P.O. Box 1179 John B. Tuthill BOARD OF TOWN TRUSTEES Sou Fax (5 6) 765-thold, New 823971 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 December 4, 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 REVISED application No. 5-3-90-117-5-31 for a wetland application submitted by John Geideman in behalf of Joseph Fudjinski. 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:jt r�¢s ; s�i` ( SCOTT L. HARRIS TRUSTEES � (:�'>-� .,� John M. Bredemeyer, III, President -. '° ��n Supervisor Henry P. Smith, Vice President Albert J. Krupski, Jr. �- Town Hall, 53095 Main Road John L. Bednoski, Jr. .P.O. Box 1179 John B. Tuthill Southold, New York 11971 BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD' Telephone (516) 765-1800 LEAD AGENCY COORDINATION REQUEST TO: David Morrell DATE: October 19, 1990 Enclosed is a permit application and a completed part I of the Environmental Assessment Form. Southold Town Trustees are interested in your ageny' s comments in acting as SEQRA Lead Agency for: NAME: Joseph Fudjinski LOCATION: 4th St. & Schoolhouse Creek, New Suffolk TAX MAP: 1000-117-5-31 PERMIT # Pending DESCRPTN: See enclosed PERMIT REQUIRED: (XX TOWN WETLAND ( ) OTHER SEQRA CLASSIFICATION: (XX Type I ( ) Type II ( ) UNLISTED ( ) CEA Please contact John M. Bredemeyer, III, President, within 30 days and be advised that the Southold Town Trustees (WANT)/(DO NOT WANT) to assume lead agency. SENT TO: DOS ( ) DEC (XX DOH ( ) PB ( ) ZBA ( ) BLD ( ) **** Please note this project has been amended to remove construction of the ramp with dredgh to a catwalk ramp/float assembly with NO dredging. Please complete, detach and return this form to expedite processing. Involved Agency: Project Name: Location: SCTM: We at (Have/No) objection to Southold Town AGENCY Trustees assuming Lead Agency. Comments/Reasons: Signature of Authorized Representative L2; r SCOTT L. HARRIS TRUSTEES y .. A Supervisor :ohn M. Bredemeyer, III, President Henry P. Smith, Vice President ®� ��� Town Hall, 53095 Main Road Albert J. Krupski, Jr. P.O. Box 1179 John L. Bednoski, Jr. Southold, New York 11971 John B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 September 14, 1990 f TO: Building Department FROM: John M. Bredemeyer, III, President RE: Joseph Fudjinski/SCTM #1000-117-5-31 Kindly supply this office with a written response as to the current zoning of this parcel. Thank you for your assistance. TRUSTEES SCOTT L. HARRIS John M. Bredemeyer, III, President !>� ' �„ Supervisor Henry P. Smith, Vice-President �,� �^� Town Hall, 53095 Main Road Albert J. Krupski, Jr. W P.O. Box 1179 John L. Bednoski, Jr. John B. Tuthill Southold, New York 11971 BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 August 1, 1990 John H. Geidemann P.O. Box 416 East Marion, NY 11939 RE: Joseph Fudjinski Application Dear Mr. Geideman: The following action was taken by the Board of Trustees at its regular meeting held on July 26, 1990: RESOLVED that the above referenced application be TABLED. The Trustees determined that it is an incomplete application since it didn't show zoning. Also, more information is required along with advice from the Town Attorney. Should you have any questions, please feel free to contact this office. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB: jb cc: CAC L "COT H d h !ohn %A. Rrv.1onj-yer, 111, PICSI'I Nt ,'henry P. Smith, Vice President r ;fix.t- :� Albert J. lir�.pski, Jr. `��� A Town Hall, 53095 Main Poad .,: Sohn L. Rednc�::ki, Jr. ��;;,� P.O. Box 1179 Southold, New York 11971 John B. Tuthill BIOA.D OF TOWN T BUST E7ES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUT'HOLD Telephone (516) 765-1800 June 26, 1990 John H. Geideinan P . 0. Lox 416 TEast. 1,larion, KY 13.939 RE: Joseph Fudjinski 5-3-90-117-5-31 Dear Mir. Geide ma-n: The Trustees have inspected the above mentioned site and would like the project staked, including the spoil site. Please notify this office as soon as this is done, so another inspection can be made. y truly boars, i ch.n M. Bredemeyer, III P esident., Board of `trustees MB: j mt cc: CAC I Of ell � ��• �i' , ( r k� �,�` fit, � �2 r I x15iG � V1C'1riTY h1 }, '-(h figs -) s?I fll3, L3SC°,.> is Lra�A 4 7§1 � s t k9riu der ' J, Fr✓.d �r�3 Cl :� o° Sr7!r�.(1 `i' ' �1 leecrQf` . .. n14o ru H. G f D. NEW. YORK cf or. 4 � y y. Y' . . .S Lind� 5�rveyW.,_ r /r {y�_^ _` f} ,h Date; �1�'l •+,,rG.J ! !�.I r "r t. 'r:f-._ ,. TRUSTEES ..,i SCOTT L. HARRIS John M. Bredeme er, III, President t L �� Supervisor Henry P. Smith, Vice President Albert J. Krupski, Jr. Town Hall, 53095 Main Road P.O. Box 1179 John L. Bednoski, Jr. Southold, New John B. Tuthill BOARD OF TOWN TRUSTEES Fax(5 6) 765-8971 23 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 LEAD AGENCY COORDINATION REQUEST TO: ���^�'n C-(�5 DATE: 1 cf 9 0 Enclosed is a permit application and a completed part I of the Environmental Assessment Form. Southold Town Trustees are interested in your ageny' s comments J in acting as SEQRA Lead Agency for: NAME: p�e��, LOCATION: TAX MAP: leap- 1 t-7 -S-3 l PERMIT DESCRPTN: Se.e. PERMIT REQUIRED: �4 TOWN WETLAND ( ) OTHER SEQRA CLASSIFICATION: ()6 Type I ( ) Type II ( ) UNLISTED (,IC) CEA Please contact John M. Bredemeyer, III, President, within 30 days and be advised that the Southold Town Trustees (WANT) / (DO NOT WANT) to assume lead agency. SENT TO: DOS ( ) DEC (V( DOH ( ) PB ( ) ZBA ( ) BLD ( ) Please complete, detach and return this form to expedite processing. ;. Involved Agency: Project Name: Location: SCTM: We at (Have/No) objection to Southold Town AGENCY Trustees assuming Lead Agency. Comments/Reasons: Signature of Authorized Representative M; . TRUSTEES �� SCOTT L. HARRIS ���`°"Y�°r ,��;' � . John M. Bredem Supervisor eyer, III, President °�'® `° ��- Henry P. Smith, Vice President Albert J. Krupski, Jr. i� Town Hall, 53095 Main Road P.O. Box 1179 John L. Bednoski, Jr. John B. Tuthill Southold, New York 11971 BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 May 22, 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. 5-3-90-117-5-31 for a wetland application submitted by John H. Geideman in behalf of Joseph Fudjinski. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, 64 John M. Bredemeyer, III President, Board of Trustees JMB:jt ' .4t `a DEC 1 9 1990 .,. Town Hall, 53095 Main Road P.O. Box 1117-9 Telephon TOWN OF SOUTHOLD Q��:� � Southold, New Yeak 1.1971 (516) 765-1 SOUTHOLD TOWN - a" CONSERVATION ADVISORY COUNCIL DEC 1919W °�I � To: Southold Town Trustees U�g �� From: Southold Town Conservation Advisory Council 6.O" OF SOUTHOLD Dated: December 18, 1990 Re: Recommendation of Wetland Applications The CAC discussed the Larry Tuthill application for two bulkheads and recommend that the Trustees disapprove the project. The Council is still opposed because the project would destroy the spartina. On a motion by John Holzapfel, seconded by Margaret Feeney, it was RESOVLED to recommend to the Southold Town Trustees approval of. Wetland Application of Joseph Fukjinski revised application, amended to construciton of a catwalk ramp/float assembly with no dredging. New Suffolk. Vote of Council: Ayes: All Motion carried. On a motion by Bruce Loucka, seconded by John Holzapfel it was RESOLVED to recommend to the Southold Town Trustees approval of Wetland Application No. 11-1-90-57-2-20 of John Milazzo to build an .addition to an existing house. The CAC recommends approval of the project only as it was written on the submitted appplication, any revisions _ - the owner may consider must be resubmitted before the CAC would approve. Recommend approval only for the second story. 9 Island View Lane, Southold Vote of Council: Ayes: All Motion carried. On a motion by Stephen Angell, second by Bruce Loucka, it was RESOVLED to recommend to the Southold Town Trustees approval of Wetland Application No. 11-2-90-116-6-3 8 4 of Adrian McCall to replace. within 18" 43 I.f. of timber bulkhead. 10230 New Suffolk Avenue, Cutchogue, New York Vote of Council: , Ayes: Stephen Angell, Bruce Loucka, John Holzapfel, Cynthia Sturner, Margaret Feeney Abstain: Robert Keith Motion carried. On a motion by Stephen Angell, seconded by Cynthia Sturner, it was RESOVLED to recommend to the Southold Town Trustees approval with stipulations of Wetland Application No. 11-3-90-118-5-2 of Frances Frisbie to construct a timber dock. The CAC stipulate that the applicant contain all runoff and take measures to stop any erosion during con— struction. The Council also suggests applicant install a stairway or form terracing (stairway is prefered) to help eliminate erosion. 8050 Nassau Point Road, Cutchogue Vote of Council: Ayes: All Motion carried. COREY CREEK ASSOCIATION APPLICATION Additional comments The CAC still feels the project is a Type I action and needs a positive declaration. i Town Hall, 53095 Main Road T P.O. Box 1179 Telephone Southold, New York 11971 (516) 765-1801 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL To: Southold Town Trustees From: Southold Town Conservation Advisory Council Dated: June 19, 1990 Re: Weland Application Recommendations The following .recommendations were made by the Southold Town CAC at its meeting held Thursday, June 14, 1990 at Southold Town Hall: On a motion by Bruce Loucka, seconded by Stephen Angell, it was RESOLVED to recommend to the Southold Town Trustees approval with stipulations of Wetland Application No. 3-3-90-99-4-1 submitted by Permit Research and Acquisition Co for Carey Tank Farms to demolish Carey Tank Farms (above ground petroleum tank storage), demolition of three (3) 250,000 gallon tanks and three (3) 100,000 gallon tanks, and two (2) 20,000 gallon tanks. The CAC approves provided that during the course of removal, nothing is allowed to enter the creek or groundwater and that any connecting lines or plumbing be removed also. Luthers Road, Mattituck _ Vote of Council: Ayes: All Motion carried. On a motion by John Holzapfel, seconded by Stephen Angell, it was RESOLVED to recommend to the Southold Town Trustees approval with stipulations of Wetland Application No. 5-1-90-115-17-6.2 submitted by Bookmiller Realty on behalf of Brent Bookmiller to construct a single family dwelling, well and associated sanitary system. The CAC approves provided all runoff be contained on property (hay bales, filter cloth, etc.), gutters, downspouts, and drywells be installed and a 45' native vegetation buffer be maintained. The suggests applicant site the house as closer to the road, as much as zoning will allow. Deep Hole Road, Mattituck Vote of Council: Ayes: All Motion carried. On a motion by Bruce Loucka, seconded by Margaret Feeney, it was RESOLVED to recommend to the Southold Town Trustees disapproval of Wetland Application No. 5-3-90-117-5-31 submitted by John H. Geideman on behalf of Joseph Fudjinski to excavate to create a small boat basin (pleasure craft), and place spoil on owner's land close to site. The CAC recommends disapproval because no need is shown for this project. The project would result in the removing of wetlands, dredging would destroy the whole waterfront area by his property and damage would occur to the wetlands. The Council suggests the applicant instead submit plans for a dock and catwalk. Foot of Fifth Street, New Suffolk Vote of Council: Ayes: All Motion carried. SUFFOG �, ge{p`iUr: cr' .f TOWN OF SOUTHOLD 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 32 OF THE CODES OF THE TOWN OF SOUTHOLD. APPLICATION NO. DATE OF APPLICATION �7rf IDENTITY OF APPLICANT_— .JaSei /j'7.S'/� -----------PHONE NO ADDRESS OF APPLICANT-----��`T=—� � _ �%�DG? � f�J -- ' =--------- TAX MAP NO. j / 7 S f AGENT-- _!7'� L7�'lq�� /�'!c7lJ_-�p?< �G_I/ /�Gli'/D�/ —5K77- 7-V41 PHONE NO._ PERMIT - REQUESTED TO ,�.`�'t2,:-;!-* l� j�.r��►-�.,j,�Z / uL' ✓Zr=�%.�J"'�`.-vv � '7" /� ���'y-����t'L -- / `=COCAT 1 ON OF PROPERTY FOR WHICH PERMIT WANTED-- -- � _----------- HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION - -- CREEK, BAY OR HARBOR FRONTING PROPERTY----E —=` �j �1 ------- -------- S 1 ZE OF PROPOSED WORK LENGTH WIDTH ------------------------------------------ HEIGHT ABOVE HIGH WATER DEPTH BELOW LOW WATER ---------------------------- -------- --------- YARDS TO BE EXCAVATED YARDS TO BE FILLED WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY ----L�DEPTH AT AT LOW- TIDE AVERAGE RISE 1N TIDE / DISTANCE TO THE NEAREST CHANNEL--N415: --FT. r _ DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA '" � FT 15 THIS FOR PRIVATE OR BUSINESS USE? . ------ ------------------ - AREA ZONING MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED INTENDED USE OF PROPERTY DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED O 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 1S COMPLETED INCLUDE AN ADDITIONAL SURVEY OF THE PROJECT SITE IF NECESSARY ---------------------------------------------------------------------- ----------------------------------------------------------------------- WRITTEN CONSENT OF THE OWNER F T E PR ER H, IF NOT THE SAME AS THE APPLICANT. ----------------------------------------------------------------------- ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? BOARD OF TOWN TRUSTEES - TOWN. ..OF. SOUTHOLD SHORT ENVIRONMENTAL ASSESSMENT FORM Project Information (To be completed by Applicant or Project sponsor) 1. Applicant/span so 2. Project Name 3. Project locati n: Municipality County i.. � 4. Is proposed action: New ❑ Expansion ❑ Modification/alteration 5. Describe project riefly: F.f." J 6. Precise location(road intersections,/prominent landmarks,etc. provide ap) 7. Amount of land affected: ��"((•�� Initially acres 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? Residential ElIndustrial ElCommercial ElAgriculture ElParkland/open space ❑ Other Describe: ,9111� 11L- 7 al-;yl� ~-� 10. Does action involve a permit/approval,or funding,now or ultimately,from any other governmental agency(Federal,state or local)? Yes ❑ No If yes, list agency(s)and permitlapprovals 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 proposed action will existing permit/approval require modification? ❑ Yes ❑ No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE 15 TRUE TO THE BEST OF MY KNOWLEDGE t , /�7 S l/ ApplicanUsponsor name: L Date: Signature: G-- / 'Z� Ri t TELEPHONE N (516) 765-1892 I t, BOARD OF TOWN TRUSTEES + , ' I TOWN OF SOUTHOLD 44Y9 MAY 2. 2 I990 Town Hall, 53095 Main Road ;• P.O. Box 728 Southold, New York 11971 TOWN OF SOUTHOLD 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 THE TOWN OF SOUTHOLD. APPLICATION NO. J�-� f0- I i� -3'3I DATE APPLICANT'S NAME: T7y'Cl/l�"JS�/ TEL. NO. 7/R-Zff-j" 3% MAILING ADDRESS: � ` n AGENT: j.,/ �E/�� p� f'L S'_ TEL NO. ,�477 2-4> / AGENT ADDRESS: 13yy 4-A- / , PERMIT REQUESTED TO: '���111 F' �Ti C�'G,Gt�e� a, S'/Yrw// haal P d2 �Gai! YS le,?. va✓ �"/U S LOCATION OF PROPERTY FOR REQUESTED PERMIT: o / ,y/ �� HAMLET: - / 1fa/ hr TAX -MAP NO: 10 0 0- ,/%7- �- CREEK, BAY OR HARBOR FRONTING PROPERTY: e SIZE OF PROPOSED WORK: LENGTH: .% f ..i WIDTH: I _ Page 2. YDS. TO BE EXCAVATED: ('d 00, YDS. TO BE FILLED MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: �� l�G° wig/ Glci/N sl22ll WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: �l�P DEPTH AT LOW TIDE: 3 . AVER. RISE IN TIDE: 2 DISTANCE TO NEAREST CHANNEL: 210 DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: `72 ? AREA ZONING: IS PROJECT FOR PRIVATE OR BUS. USE: INTENDED USE OF PROPERTY: DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: �la C ae2l HAS ANY PRIOR LICENSE OR PERMIT 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. INN�CL_�U��DE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: , WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: 14-16.4(2187)—Text 12 PROJECT I.D. NUMBER 617.21 SEQR 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 sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME 3. PROJECT LOCATION, Municipality County 4. PRECISE LOCATION (Street address and r,6aif intersections, prominent landmarks,etc., or provid p) 5. IS PROPOSED ACTION: %New ❑Expansion ❑Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? WYes ❑No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑Residential ❑Industrial Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other _ Describe: 10. DOES ACTION INVOLVE A PERMIT APPR STA AL, OR FUNDING, NOW CA ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, T�R LOCAL)? Yes ❑No If yes, list agency(s)and permit/approvals 11. DOES ANY ACT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes No If yes, list agency name and permit/approval 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: S/�/^ � Date: 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 PART II—ENVIRONMENTAL A SSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYP_. .JRESHOLD IN 6 NYCRR, PART 617.12? If yes,c.:-.-.nate the review process and use the FULL f3AF. ❑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 ❑Nci 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: 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. 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 CI-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 Agency Print or type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible otticer) Date 2 ' . f PART 1—PROJECT INFvfiMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be consi as part of the application for approval and may be subject to further verification and public review. Provide any addi information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not in new studies, research or investigation. If information requiring such additional work is unavailable,so indicate and sr each instance. NAME OF ACTION J� / v'd 4 1)Sit LOCATION OF ACTION(Include Street Address, icipality and Coun y) �r�6igi'r ' ��NAME OF APPLICANT/SP NS' R BUSINESS TELEPHONE ADDRESS CITY/Po Jc -4! L ✓ Y f�J7 f\/ ���� STATE ZIP CODE NAME OF OWNER(If different) i 27V ��5 A_, BUSINESS TELEPHONE ADDRESS v+ (7Oc)`) �_�- ;,-.4/ CITY/PO / � r&9 0/My'vi STATE =ZIPCODEDESCRIPTION OF ACTION con 67 Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ❑Urban ❑Industrial ❑Commercial Nkesidential (suburban) DRural (non-f, ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: ` acreA APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) Forested acres acre acres acre Agricultural (Includes orchards, cropland, pasture, etc.) acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acrev acre Water Surface Area acre acres Unvegetated (Rock, earth or fill) acre Roads, buildings and other paved surfaces acres acre acres Other (Indicate type) acre acres 3. What is predominant soil t acre P type(s) on project site? a. Soil drainage: PoNell drained --&� °% of site ❑,Moderately well drained CPoorly drained of site °o of site b..If any agricultural land is invol e how many acres of soil are classified within soil group 1 through 4 of the Land Classification System? o acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? 0-Yes a. What is depth.to bedrock? �`No (in feet) 2 ' .T4.1 b 2 (2/87 7c j 14 �.. It )— ,.. ` 617.21x �` ° SEC Appendix A ( ( It State Environmental Quality Review _5..L- ' fit. .. FULL ENVIFONMENTAL ASSESSMENT F �� O 50 T EOz_e Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a proje or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequen ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determir .significance may have little or no formal knowledge of the environment or may be technically expert in environments analysis. In addition, many who have knowledge in one particular area.may not be aware of the broader concerns affectir,the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determinatic process has been orderly, comprehensive in nature,yet flexible to allow introduction of information to fit a project or actior Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic projec data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action: It provide guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used'to- evaluate whether or not th, impact is actually important. DETERMINATICIN OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF(Parts 1 and 2 and, 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which -will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration'will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action i Name of Lead Agency J Print or type Name of Responsible Officer in Lead Agency h ,. c� Title of ponsible Utficer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) Date 1 Approximate percentage c )posed project site with slopes: 110-1„,,, ✓ "0 1110-15% 015% or greater 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the Nation. Registers of Historic Places? ❑Yes - lylo 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes 01 8. What is the depth of the water table? (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ❑Yes ,kNo 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? 13Yes J5M0 11. Does project site contain any species of plant or animal life that is identified as threatened or endangerec ❑Yes FN0 According to Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formation: ❑Yes LXN0 Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area ❑Yes �No If yes, explain 14. Does the present site include scenic views known to be important to the community? ❑Yes IgNo 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name JS& C"-d'2/r° b. Size (In acres) 17. Is the site served by existing public utilities? N&es ❑No a) If Yes, does sufficient capacity exist to allow connection? 1$ SIes ❑No b) If Yes, will improvements be necessary to allow connection? ❑Yes li o 18. Is the site located in an agricultural district certified pursuant to Agriculture and �Ilarkets Law, Article 25-AA Section 303 and 304? ❑Yes '1i to 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ❑Yes XNo 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yeslo B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor ® acreX b. Project acreage to be developed: o 0y)19 acres initially; acres ultimately. - c. Project acreage to remain undeveloped 1. acres. d. Length of project, in miles: �-'� (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed •��; f. Number of off-street parking spaces existing _ proposed g. Maximum vehicular trips generated per hour �'- (upon completion of project)? h. If residential Number and type of housing; units: --j One Family _ Two Family ZV Multiple Family . Condominium Ultimately ' i. Dimensions (in teet) of largest proposed structure height; width; length. j. Linear feet or frontage along a public thoroughfare project will occupy.is? ft. 3 ' "2. How much natural mate Gam (i.e., rock, earth, etc.) will be removed from the site? 3: Will disturbed areas be reclaimed? 1�/cubic yards ❑Yes RNo ❑N/A a. If yes, for what intend._,: purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? Yes ONo C. Will upper subsoil be stockpiled for reclamation? ❑Yes 0140 _ 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? 1,4�/I C� 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed acres.project? []Yes IXNo 6. If single phase/project: Anticipated period of construction Z months, (including demolition). 7. If multi-phased: g10 a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including demolition) c. Approximate completion date of final phase month d. Is phase 1 functionally dependent on subsequent phases? ❑Yes ON07 year: 8. Will blasting occur during construction? ❑Yes r7No 9. Number of jobs generated: during construction after project is complete 10. Number of jobs eliminated by this project 11. Will project require relocation of any projects or facilities? ❑Yes /QYNo If yes, explain 12. Is surface liquid waste disposal involved? ❑Yes TR"N0. a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? ❑Yes q. Type 14. Will surface area of an existing water body increase or decrease by proposal? ❑Yes No Explain 15. Is project or any portion of project located in a 100 year flood plain? es �' ONo 16. Will the project generate solid waste? ❑Yes P<No a. If yes, what is the amou:lt per month tons b. If yes, will an existing solid waste facility be used? ❑Yes ONo C. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? Oyes ONo e. If Yes, explain 17. Will the project involve the disposal of solid waste? ❑Yes XN0 a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? OYes )rNo 19. Will project routinely produce odors (more than one hour per day)? ❑Yes YIN 20. Will project produce operating noise exceeding the local ambient noise levels? Oyes �,yo 21. Will project result in an increase in energy use? Oyes XN0 If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity gallons/minute. 23. Total anticipated water usage per day �c? gallons/day. 24. Does project involve Local, State or Federal funding? Oyes JirNo If Yes, explain 4 25.'Approvals Required: Submittal Type Date Town, Vie.Board $Yes ONO ° i• ���2P� - r�,�/ 6 6 City, Town, Village Planning Board ❑Yes P�N0 City, Town Zoning Board ❑Yes ENO City, County Health Department ❑Yes C%No Other Local Agencies ❑Yes Plo Other Regional Agencies ❑Yes CSlo State Agencies gyes ONO L .C. 47 1 Federal Agencies ❑Yes UNo C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? ❑Yes WIo _ If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit ❑subdivision ❑site plan ❑new/revision of master plan ❑resource management plan ❑other 2. What is the zoning classification(s)of the site? *G ivi, L 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 9 4. What is the proposed zoning of the site? 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in-adopted local land use plans? 1 Yes ❑ 7. What are the predominant land uses) and zoning classifications within a '/ mile radius of proposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a '/ mile? O(Yes ❑ 9. if the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed? 10. Will proposed action require any authorizations) for the formation of sewer or water districts? ❑Yes rolf 11 . Will the'proposed action create a demand for any community provided services (recreation, education, polic fire protection)? ❑Yes PNo a. If yes, is existing capacity sufficient to handle projected demand? ❑Yes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes XN a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ONO D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adver impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. Applicant/ Title S pNames C' %t/� /s�Slf/ ®�v� J Date �U Signature If the actioe Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceedin with this assessment. 5 j {I 516-477-2421 ! i i�l!? JOHN H. GEIDEMAN Consulting Engineer Civil-Industrial-Marine P.O. Box 416 `i�; ;. East Marion, New York,11.939 To Whom It May Concern; i . :X I, oS�°,J`1 /�UD�fPhS`'/ authorize John H. Geideman, PLS .to. act as my agent in applying for permits to construct and Qreagw fat- p''� on my property at NEW: wf-rolle - Schoy Aouie ey I; Signed• e�.r Owner ' ' To be included °I �( N.Y.S Dept. of Environmental Conservation, 'i XTown of I! N.Y. State Lic. Land Surveyor �j I I.y is COUNTY OF SUFFOLK } STATE OF NEW YORK ) 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, 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. S gnature of Applicant SWORN TO BEFORE ME THIS DAY OF 19 90 UNDA J.COOPER Notary Public,State of New York No.4822563,Suffolk County U Term Expires December 31,19 0TARY P BLIC EXAMINED BY APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 -u w w. .......w... r.r....�awrrG.us.r.uwr..ae.er.u.tiu.w !ns_„a�4iYu..O� xueYI0l1N o �I V P4 ocr I OWN OF SOUTHOD IJ �(1 I,I 1 Jjj /C el c�/f' I�1 � � � �� k`/i'X 2 O'{/Q i t y R /� f S�hQodhovs 1 Vff N/TY h'1r),U- C/.,��C7. PL A I�C01a/����— n ' o'; A dd ::.3 X_lo NIF. L, Tu Iri sr��r:fl �f�e, cro f ro X/k Pho,�c — 73•f ( 3 0/ !✓�r ScY'rQJT) /are ReJ15�6n�• .� H. G E!D E1A IN. ram .rn NEW YORK SChDo oase. "c:'7"'I ";...Y:..State...Lir....Land Surveyor....... II• SOUTHOLD TRUSTEES No. 3 8$g Issue ® Date r Ad ress s� �\ Aoosc < we qs THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION y TOWN TRUSTEES OFFICETOWN OF SOUTHOLD t - SOUTHOLD, N.Y. 11971 w TEL.: 765-1892 DOCKAGE TEL. (516) 477-1652 LARRY TUTHI'LL SCHOOLHOUSE CREEK NEW SUFFOLK, NEW YORK 11956 ©ct'ober l9, 19'?0 Mr. John Eredemeyer � Chairman, Southold Town Trustees Main Sttet ` Southold, NYC' 11�"j3:. 00T ! 9 s Dear Mr. Bredemeyert TOWN OF SOUTHOLD 11have reviewed the Tan of the proposed dock-for Mr. Joseph Fudjinski at schoolhbuse Creek, New Suffolk drawn by Mr. :John C,eideman, dated 9/4 f 90 and I have no objection to the �boposed project if it is bu*1t within the confines of the adjacent propezty lines, (that beifig, those pnoroerty Tines parallel to Fourth Street Sincerely yours, �_F156M Z -Z - �J)F SEP 2 4 1990 —TOWN OF SOUTHOLD 104 /vz� PI 7' /* ✓rd S/ A Xe /9�� 1,S . a 71-1/1-AVII iel, lVe, e le ev! <!f 10 40 lot:`/c -e . 7P ZtC /. 4�, A, J /_z JANE R,MINERVA NOTARY PUBLIC,State of Now York 08 No,4853J Suffolk county Commission Expires February 18,1917— �oc��FFOL�cOGy VICTOR LESSARD ® Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR = z P.O. Box 1179 (516)765-1802 v Southold, New York 11971 FAX(516)765-1823 1 f990 OFFICE OF BUILDING INSPECTOR SEP 14 •,!'�I 4 TOWN OF SOUTHOLD TOWN OF SOUTHOLD September 14, 1990 TO: Board of Town Trustees FROM: Victor G. Lessard, Principal Inspector�l- RE: Joseph Fudjinski SCTM #1000-117-5-31 In response to your memo for a written response to the current zoning of the above parcel: It is mostly R-40. Small finger section of lot--M-1 R-40 governs use of property. VGL:hkd a ? 9 lei 01- _C 15.1 90 a TOM OF SOUTH® %�, ✓D � ti �"-E' �C e k% �c,Pam.� C� k..�//- !2i A�0 .� �a rim a � Q��/c ��6-y► �e � �IiCo ✓�ols�- o� /60 1u111 7Z C.4 qx su/- A(,el y f�i-ciGv�sr�y /Jef-Lyr/lS /4y ,� u//cr4-, tz J c Ile �ia yr s o Ce �� u v-e O 7`tr s e S o, /e z� c-� y4 a �-� IZ u/ /tease ac1V ZA O /��J c A /rO 11 �d /�Pis�oC �ILg dDc 1c- Q7 /' //�'• f Cs Gc mac. r�/� �r e � GCi�i s �i- kJ� r a�<� ��-e CYO a," Pict Q Uh ri`O /Cl G d a/ 2;zc T¢ Si cI"r 0 y <gD ?1 SC �✓�p-q �!O LJ N�3 4> NEW SUFFOLK SHIPYARD, INC. -- New Suffolk Road, New Suffolk, New York 11956 • Telephone (516) 734-6311 x •-Fax 516-7346246 February 1 , 1991 FULL SERVICE L�'��N OF OLD MARINA INBOARD & OUTBOARD Southold Town Trustees REPAIRS Southold Town Hall HULL REPAIRS & Main Road REFINISHING Southold, NY 11971 HAULING INDOOR/OUTDOOR Re : Application of Joseph Fidjinski STORAGE According to the drawing by Jf: Geideman revised SLIPS & GAS DOCK January 18 , 1991 of the proposed dock work, it is our understanding that : * The finished fixed dock will extend to- ward the water a total of seventeen feet from the monument .- * From the end of the dock, there will be a ten foot boat ramp and a six foot float . Assuming that the above is correct , New Suffolk Shipyard has no objections to the proposed work. However, if our interpretation of the drawing is incorrect or if there are any changes requiring further extension into School :douse Creek, we request an opportunity for further review of the project . Sincerely, Dion Lynch General Manager N. S . S .Y. DL; dr SEP'1IZI ► a DETA c 17 '"1I"t%- �r \' S. e,s 4-r 2. �" La- 2CJ2.G£i �a SIJIQVL'-`�L�-T7 ;rC7iZ 1.•g.. + j' f►rtly r t r^v�•� 1� r•�") 1 ,i �� t r_., r 1 7 y y 1 tn ---`--� -�"-e �c z- ...�.a.. �b . .� e !R .. S��, �,o vin J S i'j�1/1•*L7 7 f!w54G �.�td oA- �ota.�eEll Y47 14ke or .� -. n - t ' � 6?-• r'C7LL� � k�T.7�J II ..