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HomeMy WebLinkAboutTR-3779 ��0 Cp Albert J. Krupski,President y. Gy e Town Hall John Holzapfel, Vice President c 1 53095 Main Road William G. Albertson o ,? P.O. Box 1179 Martin H. Garrell ,j, �� Southold, New York 11971 Peter Wenczel '�Oj �`�� Telephone (516) 765-1891t Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 25, 1995 Robert Mc Carthy P.O. Box 842 Southold NY 11971 Re: SCTM #77-3-17 .2 Dear Mr. Mc Carthy, The following action was taken by the Board of Trustees at their regular meeting of April 25, 1995 : RESOLVED that the Southold Town Board of Trustees grant a Transfer of Permit #3779 for a 4 ' X 16 ' catwalk, a 4 ' X 16 ' ramp & two floats each 6 ' X 20 ' with 4- 2-pile dolphins in the name of Francisco Sciotto to ROBERT MC CARTHY new owner. Located: Bayview Road, Southold. If you have any questions, please call our office. Very truly yours, 0 Albert J. Krupski, Jr. President, Board of Trustees AJK:djh cc. CAC P.O. Box 842, Southold, N.Y. 11971 April 21 , 1995 Town Trustees, Town of Southold, Main Road, Southold, N.Y. 11971 Gentlemen: As of September 29, 1989, the Town Trustees issued Permit No. 3779 for a Floating Dock, to Dr. Francisco Sciotto, copy attached. Effective March 1 , 1995 I purchased the subject property (deed in the names of Robert J. and Mona R. McCarthy) , and I therefore request that the Permit be transferred to our names. Thank you for your anticipated approval of this request. Very- Truly Yours, f Robert J. 4tccar hy , U APR Z 1199� TO�N�' OF SOU i HOLD .: � � ?.1� �Y!a. `c /� � �:�.� _�=•���"1'" �%t'�'i_s'; �"�""s!uia`�� ., _�i+ �,�_;'b f�vr_Win^_� �e'•'_..c'�'',y"u,^"'�,r� Ty a�_. ti r Board Of Southold Town Trustees 'll SOUTHOLD, NEW YORK 3779 September 29 S f" PERMIT NO. DATE: ... ............................... t DR. FRANCISCO SCIOTTO3 i� ISSUED TO ....... . ........................................................................ (� I� 2� Pursuant to the provisions of Chapter 615 of the Laws of s I the State of New York, 1893, and Chapter 404 of the Laws of the State of New'York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS I. I IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM t r 1, LANDS 'UNDER TOWN WATERS;" and in accordance with the p ' 989 y. { Resolution of The Board adopted at a meeting held on •Set.........28 1 �h 1 l� 19............. and in consideration of' the sum of $... ........................ paid by \ I .......................................... E 1 z II' o: a of .......................................................................................... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, �,�� �I of Southold Town Trustees authorizes and permits the following: t t i t ' Construct 4 x 16 catwalk; 4 x 16 ramp, two 6 x 20 floating docks, install 4 2-pile dolphins to secure float, ` associated pilings for catwalk. r, ' 1 all in accordance with the detailed specifications as presented in the originating application. s IN WITNESS WHEREOF, The said Board of Trustees here-by causes its Corporate Seal to be affixed, and these presents to ` r }' �' al be subscribed by a majority of the said Board as of this date. ; k fa p < ............ ... .. S .. .... .(/�:Fr� ............. f am . ...... . .. Trus ees , •' T�.d��ut�.9,t�'J -..7u.2.,-., �:�r.T._.a'�P .*`.i 3�Y i' RT 4sf.4�r...r�! f�•7' 'r a� "tiD� 'ai,r wY ! R'=WT � A' Hi ''a' J•7= 7 \1 ..�::r�'�,,,r..,,.+c`�� �8:..�u�'!� .�.�'�R.�.fi'd�,.f�..uCe�.�..d.•.s .�.:,s3 a 1 �c •,� •"�.��9Y7w-, �r \. ?.i ti� •i aWYw'"'\ `�9Ww" r � rt. TERMS and CONDITIONS The Permittee DR. FRANCISCO SCIOTTO residing at 90 Hidden Pnnd Urcle, lia;Appa'Age, N;34. N. Y., as part of the consideration-for the issuance of the Permit does understand and prescribe to the fol- lowing: Trustees permit must be prominenity displayed on effected premises during pperiod of work. 1. That the sand'3oard 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 open ation performed. pursuant to this permit, and the said Permit-tee will, at his or her own expense, defend any and all such suits initiated by third parties, 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 wishm 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. C�t� FRANK A. KUJAWSKI, JR., President <{ 'y$ls'.• TELEPHONE ALBERT J. KRUPSKI, JR., Vice-President � 3 (516) 165-1892 4 JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. z: ��p HENRY P. SMITH. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 October 4, 1989 Proper T Services PO Box 617 Cutchogue, N.Y. 11935 Re: Application No. 7-4-89-77-3-17. 2 Dear Mr. Fitzgerald: The following action was taken by the Board of Town Trustees during their regAar meeting held on September 28, 1989 regarding the above matter: WHEREAS, Proper T Services on behalf of Dr. .Francisco Sciotto applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated July 17, 1989 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 September 28, 1989 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 Proper T Services ON BEHALF OF Dr. Francisco Sciotto BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: Construct 4 ' x 16 catwalk, 4' x 16 ' ramp, two floating docks, each 6 ' x 201 , install 4 2-pile dolphins to secure float, associated pilings for catwalk. Property located on R.O.W. off North Bayview Rd. , Southold, N.Y. t This permit will expire two years from the date it is signed if work has not commenced by said date. Fees must be paid 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: 4' x 16' ramp . . . . $96.00 6 ' x 20' float . . . 180.00 6 ' x 20 ' float . . . 180. 00 18 pilings @ $25. . .450.00 Total fees. . . . . . . .$906.00 Very truly yours, �&" 41, llel�'11 X I ` Frank A. Kujawski, Jr. President Board of Town Trustees FAK:j as cc: Bldg. Dept. Conservation Advisory Council file SOUTHOLD TRUSTEES 77f Issued To2c- rlc9&Lka Sratar6ro Dab-&<PL%:r29i�8g Addres - %?A Sn a 14- c �1. �ll.Ualf THIS NOTICE MIDST BE DISPLAYED DURING CONSTRUCTION � TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD � SOUTHOLD, N.Y. 11971 _ - TEL.: 765-1892 TELEPHONE e , (516) 765-1892 BOARD OF TOWN TRUSTEES ! JUL I TOWN OF SOUTHOLD c 1989 Town Hall, 53095 Main Road ` P.O. Box 728 "i i; W1i00 -e �L Southold, New York 11971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK, FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF SOUTHOLD TOWN, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODE OF THE TOWN OF SOUTHOLD. APPLICATION NO. 7" ojp/_ / /��J� J� °�- DATE July. 17, 1989 APPLICANT' S NAME: Dr. Francisco Sciotto TEL. NO. 765-4776 MAILING ADDRESS: 90 Hidden Pond Circle, Hauppauge, NY 11788 AGENT: James E. Fitzgerald, Jr. ' (Proper-T Services)PEL NO. 734-5800 AGENT ADDRESS: PO Box 617, Cutchogue, NY 11935 PERMIT REQUESTED TO: Construct walkway 4' x 161 , hinged ramp 4' x 161 , two floating docks each 6' x 201 ; install four two-pile dolphins to secure the floating docks LOCATION OF PROPERTY FOR REQUESTED PERMIT: See attached maps; off ROW from North Bayview Rd, opposite Highwood Rd HAMLET: - None TAX -MAP NO: 1000- 77-3-17.2 CREEK, BAY OR HARBOR FRONTING PROPERTY: Dredged canal leading to Goose Creek SIZE OF PROPOSED WORK: LENGTH: Approx 36 ' overall WIDTH: Approx 48' overall App. Pt2. YDS. TO BE EXCAVATED: None YDS. TO BE FILLED: None MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: N/A WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: Approx 40' dredged canal DEPTH AT LOW TIDE: Approx 61 AVER. RISE IN TIDE: 2'-0" DISTANCE TO NEAREST CHANNEL: Approx 200' , across small island DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: None AREA ZONING: R-40 IS PROJECT FOR PRIVATE OR BUS. USE: Private INTENDED USE OF PROPERTY: Private single-family residence DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: None known HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: None known HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL AGENCY: None known DESCRIBE FULLY THE REHABILITATION OF PROPERTY: Rehabilitation will not be necessary, due to size and nature of project. DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: Unchanged, with addition of docking facility ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: No WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: Letter of authorization will be delivered to Trustee office on 7/21/89 COUNTY OF SUFFOLK ) STATE OF NEW YORK ) James-E® Fitzgerald, Jr. 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. Si gri ture of Appli t SWORN TO BEFORE ME THIS DAY OF V 19 NOTARY PUBLIC 9-tv '8T Aienjga3 sandx3 HISRIUM03 A}unog llo}}nS'QOTESSb•aN NJOA MON do aie;S'0I181ld MIVION VA83NIW 3NVf EXAMINED BY APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 Arta: 6e,ono .r r c U U MAP o,c' e S r �Utti G.4:� ,a,vo IL E -,V h- i •r, , ��ULi l.�C7�.�. r •• p 01 .� � r/ O f i/ o � •I • , �O c'' / QCV;"d July M,1989 ��; ' �6J a� �� \ •"�.•Tp. �� ' •>;Sur►�eyed Aq�.�0,_[988. Cgnf'ours shown ae-0 Co. UP W. aerial sur►f-0974) �`-•„ . r Cr, / R om- -----r and 10 nlC&r. :c'a fevc/, N.U.VlJ J `�••'`j z° uceKno LAM*WVg�rowz OtEgtP9" MEN+yo". CORPS OF MMOMMEERS DATA SURVEY OF PROPERTY PURPOSE: Construct fixed open walkway, hinged Application No. ramp, and floating dock for private recreational regarding the property of purposes. FRANC=SCO SC=OTTO DATUM: MLW Suffolk County Tax Map No. 1000-77-3-17.2 IN: GOOSE CREEK AT: SOUTHOLD. TOWN OF SOUTHOLD Represented by COUNTY OF: SUFFOLK STATE: NEW YORK Proper—T Servj ces P.O. Sox 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 516-734-5600 Sheet of July 15, 2989 -T - 4 1U?A�- u N� 471 -`-- TA 16 ELSE kr-- N 0 w � lCl --SC7M t4c, 1000- 77- 3-/U PROJECT PLAN CORPS O F E NG=NE E RS DAT A Application No. PURPOSE: Construct fixed open walkway, hinged regarding the property of ramp, and floating dock for private recreational FRANC=S C O S C 2 0 T T 0 purposes, DATUM: MLW Suffolk County Tax Map No. 1000-77-3-17.2 IN: GOOSE CREEK Represented by AT: SOUTHOLD, TOWN OF SOUTHOLD Pr op r—T Service s COUNTY OF: SUFFOLK STATE: NEW YORK P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 516-734-5800 Sheet of July 17, 1989 -If th d 1 I6� 1lUATF L INf- ZTEPS h r (y-0q -411 PLAN AND S E C T T O N VT E WS CORPS O F E NG=NE E RS DATA Application No. PURPOSE: Construct fixed open walkway, hinged Regarding the property of ramp, and floating dock for private recreational F RXNC S S C O S C 2 0 T T 0 purposes. Suffolk County Tax Map No. 1000-77-3-17.2 DATUM: MLW IN: GOOSE CREEK Represented by AT: SOUTHOLD, TOWN OF SOUTHOLD Proper—T S e r v i c e s COUNTY OF: SUFFOLK STATE: NEW YORK P.O. Pox 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 516-734-5800 Sheet of July 17, 3989 HENRY P. SMITH, President ' JOHN M. BREDEMEYER, Vice-Pres. TELEPHONE PHILLIP J. GOUBEAUD � � ',$..,_�; (516) 765-1892 ALBERT KRUPSKI, J R. ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 July 18, 1989 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. 7-4-89-77-3-17.2 for a Wetland Permit submitted by James E. Fitzgerald of Proper T services on behalf of Dr. Francisco Sciotto. Please prepare a written report of findings and recommendations with respect to this application.. Very truly yours, Frank A. Kujawski, Jr. President Board of Town Trustees FAK: jas cc: Bldg. Dep't. - - :",�.r �~` a�.;`•., �'}` B- US !sue.()S'3.� t X x �1�:'•.�� .. IRV rim i " M•-' �v Dat Iss a a 1 d Vrhn Addiess'll-MV- CONSTRUCTION TOWN T . . 17EES 0 OFICEsTOWN OSOUTH(.) :mac ' TH10,� �., ?-&Y. 119 1 y P ER-T S ,� '�N '�' + a LTV L `...•. �.a ! Li�� 3 i� � •�• ,}fin s ,rl-n •,oaeaa C� � . Creek ISO) /1 F�Y.. �.rf/ r•' 1 1 1,1' s�11 I.I I. 9 'I(vllh////f .. ►Y:ia6f't \\'\ i.�1�1 1;�'1!-1 1 1 rl I r I S Li:i�l ` nr �/ P� P--- O T•'.x�" \ 61/�/ /,Q// _-- b_ 8 �q—rib Z _.I I.PNe) IL /' .. '•' 11wy g _—_—_—_—_—+, yea — HICKORY r +' te0end KEY MAP © COUNTY OF SO OLK TorIDFSOUTHOLD SECTA11M0. •Ia1r1FL DfIFM.1M. I4wgF•f•L,r C.u.q U.t..w Ll.. �_�� •rr pn:nLW _—._—_ 4.M.DInkLL%w_O—_ D.N D�.nW 140 Real Properly Tax Service Agency ,ILUDF Ix �77 [wMv�f.✓..r SL4NFN%LM LW ----- ,%n.F.LW �_��� L%✓.p,%.%<%LW __.L--_ •4LFI^ ] Xr.1 p..,� !]'. SCLL[,N FffT F Ix. n or�r on Counly Cenler •NI•d B+w1 L,.b ---- t•.1 DL°M LW _—.p_-- .e' n D.d r.. 1}.%e DISTRICT NO.1000 ,',)+ y m.� Xl.r p.N%<.LW _—scN-- Xw o%.m<.LW _—s_—. s.Lea.w.eL.L N.. R)) a<.L.a•.. uu<) Rirerheod,L.L,New York PROPERTY MAP Proper-T Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935 (516)734-5800 JUL Z S 1989 July 25 , 1989 Ms ; .Joan Schneider Office of the Board of Town Trustees Town of Southold Town Hall , 53095 Main Road Southold, New York 11971 Dear Joan: As promised, but a few days behind schedule, here is the letter from Dr . Sciotto authorizing me to represent him in applying for a permit for his proposed docking facility in Southold, Be tT gards , 7 J es E, Fitzgerald, Jr . a subsidiary of THE PECONIC EASTERN CORPORATION 90 Hidden Pond Circle Hauppauge, New York 11788 July 17 , 1989 President Board of Town Trustees Town of Southold Town Hall , 53095 Main Road Southold, New York 11971 Pear Sir: Please be advised that i hereby designate and authorize James E. Fitzgerald, Jr . of Proper-T Services to act in my behalf_ as my agent in the submission and processing of a permit applica- tion for a docking facility on my property located on a right- of-way of North .Bavvi.ew Road and designated by Suffolk County Tax Map No . 1000-77-3-17 . 2 , and to furnish, upon regii.est , sup- plemental information in support of the application. _Ou.rs truly, F ancis_•o Sciotto proper-T Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935 (516)734-5800 July 17, 1989 President Board of Town Trustees Town of Southold Town Hall , 53095 Main Road Southold, New York_ 11971 Re: Application for Permit on Behalf of Dr. Francisco Sciotto Pear Sir : Attached are the documents, in quadruplicate, which have been prepared in support of the application for a permit to con- struct a walkway, hinged ramp, and floating docks on the prop- erty of Dr . Francisco Sciotto in the Town of Southold. Proper-T Services represents Dr. Sciotto in this matter, and a letter of authorization will be provided by 7/21/89, when he is next in Southold. If there are any questions, or if additional information is needed, please call me. u. t ru.l a es E. Fitzg ald 7r . Enclosures : Application Form Application Fee ($150) Notarized Statement of Applicant Short Environmental Assessment Form Vicinity Map Tax Map Survey of Property Project Plan Plan and Section Views a subsidiary of THE PECONIC EASTERN CORPORATION 14.16-4(2/87)—Text 12 PROJECT I.D. NUMBER 617.21 SEOR 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 James E. Fitzgerald, Jr. Sciotto dock 3. PROJECT LOCATION: Municipality Southold County Suffolk 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks,etc.,or provide map) See attached maps; on ROW from North Bayview Rd, opposite Highwood Rd 5. IS PROPOSED ACTION: ®New ❑Expansion ❑Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Construct walkway 4' x 161 , hinged ramp 4' x 161 , two floating docks each 6' x 201 ; install four two-pile dolphins to secure the floating docks 7. AMOUNT OF LAND AFFECTED: Initially 500 s.f. yaw Ultimately 500 S.f. X_a_X_rM 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? 91 Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: Medium-sized private residences; area zoned R-40 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 permit/approvals No approvals to date. Permits: NYSDEC, US Army Corps of Engineers, NYS Coastal Management 11. DOES ANY ASPECT 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 ZI No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/s nsor ameJame s . . ly 17, 19 itz , J oper-T Services) Date:Ju 89 or er r �is o 0 0 Signature: If the action is in t e &oastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II—ENVIRONMENTAL ASSESSMENT (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, nolse 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. i 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 Cl-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 officer) Date 2 THE SITE OF THE PROPOSED PROJECT IS CROSS-HATCHED •k / Go r r: / to IIII Jill own No N .► ' '`► � ''' III / \ N vs Ni 19 04 CIO aft _Q!1 lDtin i��♦\ H/GORY \ / ���/�/ r.;— — sue— 1 IA 24 aft, AwM.— _I�.i— 1-1..•-1 w lei H npl —�1 • 1.1 —� ow _ M _L"�_� Ir.l ` S em _I!1 -J NICKOgy AVE TAX MAP CORPS OF ENGSNEERS DATA SUFFOLK COUNTY, N.Y. PURPOSE: Construct fixed open walkway, hinged District 1000, Section 077 ramp, and floating dock for private recreational purposes. Application No. DATUM: MLW Regarding the property of IN: GOOSE CFEEK FRANC=SCO SCSOTTO AT: SOUTHOLD, TOWN OF SOUTHOLD Suffolk County Tax Map No. 1000-77-3-17.2 COUNTY OF: SUFFOLK STATE: NEW YOR.K Sheet of July 15, 1989 9 74 40 \ 57 se j Founders cA �� P:k SHEL TER65 \� 46 ISLAND rHarpers.. 2.3 ..\� ,.. h Pt 3 6 \ Cr:..:• -.v�::� Southold 17 �.: 2B �� 70 19 i a 39 o PilingBay \ 39 • .•RO• o _.: 6 3 S 0 U N D30 52' \\71 30 " �� •' 1 s THE AREA OF THE PROPOSED \ • �,�` ''' PROJECT IS CIRCLED 1z eyo . ., • /s - 77 . , , .c.•••:. '�' - Southold Paradise 6 I Gd i, / rr 4 Yacht I t' Point ` r 105 \ 0 c 24 O D 5 l o °t24Y a N ` Q / WOAD U rr . o rs ONG 13 15 , v J{.peek _ •� /V " `'` "X Beach •'. Q ';O'. :\ '` .'t Cedar Beach 2 7 / - / - •�. ,- •,� � Point O 2 9 47 5 3 3 ng- 37 3 6 - ""9 ?7 65 13 N 4100113pn a S 29 r� g�R w 72 25100" 9 /5 5_ / /9 17 /5 47 /0 1 6 72 i / /2 25 /9 /4 /6 / / 68 / 32 70 �N 7 la i CORPS OF EE4G=A4EEI2S I3Ak1rA V2CSN2TY MAP PURPOSE: Construct fixed open walkway, hinged U.S. Geological Survey ramp, and floating dock for private recreational SOUTHOLD, N.Y.: N4100 - W7222.5/7.5; 1956 purposes. Scale 1:24,000 DATUM: MLW IN: GOOSE CREEK Application No. AT: SOUTHOLD, TOWN OF SOUTHOLD Regarding the property of COUNTY OF: SUFFOLK STATE: NEW YORK FRANC=SCO SC=OTTO Suffolk County Tax Map No. 1000-77-3-17.2 Sheet of July 15, 1989