HomeMy WebLinkAboutTR-2-1-89-66-3-3 THIS PERMIT IS C0*TI*0NED AGAINST THE USE.,• OF ,TBT OR- OTHE. GANO-TIN BOTTO"'I
PAINTS EXCEPT WHERE EXPRESSLY-PERMITTED IN WRITING BY THE TOWN TRUSTEES.
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7-733
Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
. t1-8 -6 -3-- ERMIT NO . -..........................
DATE: M 89� j1
-A-
ISSUED TO .....ROBERT MORRIS
................................................................................................................................
:._ ? = Pursuant to the provisions of Chapter 615 of the Laws of
-ij V` 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-
R
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titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;' and in accordance with the
Resolution of The Board adopted at a meeting held on March 23
.............................
19....a.9..., and in consideration of the sum of $....A!A.......... paid 6
y
P.Q.Q1,5..........................................................................................................................
W,
of ....Southold.......N—Y.......................................... N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
Construct 18' x 36' inground pool on property located .
a805 Ashomo'mqueAve. Southold N.Y. .
all in accordance with the detailed specifications as presented in
the originating application.
tc
Ina.,
-IN WITNESS WHEREOF, The said Board of Trustees h,ere-
by causes its Corporate Seal to be affixed, and these presents to
................
be subscribed by a majority of the said Board as of this date.
......... . ...........,
......... ...... ... ...
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---------- - ------------------------------------------------------7----------- -----
Please tear off and return to the Trustee Office.
Board O h' '
f Sout0AdJown Trustees
SOUTHOLD, NEW YORK
Mooring Permit No. Date:
Mooring No.
certify that- the- work as
authorized in this permit has—been completed and is now ready
for your inspection. Also, the number required on this project
is clearly visible. I further understand this permit is not- valid
until -this tear off sheet is returned to the Trustee Office. "
Y
TERMS and CONDITIONS
The Permittee __ _ RORF.RT M(')RRTS
residing at Ashamomaque Ayg Seutheld, Nay. N. Y_ as
part of the consideration for the issuance of the Permit does understand and prescribe to the fol-
lowing: 1. That the Southold Trustees Permit must be prominently
displayed on the premises effected thereby during the period of
That the said Board of Trustees and the Town of Southold are released from any and Work
,j all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper- unde
• motion performed-pursuant to this permit, and the said Permittee will, at his or her own expense, the
•''defend any and all such suits initiated by third parties, and the said Permittee assumes full liability permit
with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold.
3:. That this Permit is valid for a period of 1v-?4 mos. which is considered to be•the
Sufficient 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.
4•: 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.
5. 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.
6. That there will be no unreasonable interference with navigation as a result of the work
herein authorized.
T. 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.
8. 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 obstrucoon 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.
9. That the said Board will be notified by the Permittee of the completion of the work auth-
orized. (See tear off sheet. ) '
10. That the Permittee will obtain all other permits and consents that may be required sup-
- elemental to this permit which.may be subject to revoke upon failure to obtain same.
i
FRANK A. KUJAWSKI, JR., President a EE TELEPHONE
ALBERT J. KRUPSKI, JR., Vice-President i 4:
(516) 765-1892
JOHN M. BREDEMEYER, III
JOHN L. BEDNOSKI, JR. ®1 ;
HENRY P. SMITH
I
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
March 31, 1989
Southold Pools
Chris Schwarting
Re: Application No. 2-1-89-66-3-3- Morris
Dear Mr. Schwarting:
The following action was taken by the Board of Town Trustees
during their regular meeting held on March 23 , 1989 regarding the
above matter:
WHEREAS, Southold Pools on behalf of Robert Morris applied to the
Southold Town Trustees for a permit under the provisions of the
Wetland Ordinance of the Town of Southold, application dated February
7, 1989 , and
WHEREAS, a public hearing was held by the Town Trustees with respect
to said application on March 23, 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 Southold Pools ON BEHALF OF Robert Morris BE AND HEREBY
IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: Construct 18 ' x
36' ingropnd pool on property located at 805 Ashamomaque Ave. ,
Southold, N.Y.
i
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.
i
Please take 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.
Permit will be issued upon payment of the following fees:
$10.00 wetland Inspection fee
Very truly yours,
1 `
Frank A. Kujawski, Jr.
President
Board of Town Trustees
FAK:jas
cc: Bldg. Dept.
Conservation Advisory Council
file
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SOUTHOLD TRUSTEES
Now-k`•3-�
Issued T,-mhTin ADR&I -S Date31034miR
Address .goy �S �le�e��E A Ilr'. Sa vtN0�,0,
' THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION �
TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD
SOUTHOLD. N.Y. 11971
� . , TEL: 765-1801
TELEPHONE
BOARD OF TOWN TRUSTEES (516) 765-1892
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. �— Olo�o—p T E OF APPL I CAT I ON
IDENTITY OF APPLICANT �dY� (Y1t,�2 5--- �� "���L PHONE NO
— ------- ----
ADDRESS OF APPLICANT
--------------------��u 1��1�t 1�--��`,L—--6 �t—--------------
TAX MAP NO. /
AGENT �=�� t1U��PCB! _CNeIS_ .S�I�WAQI INSc —=1 _31_"2.CPHONE NO .
PERM IT REQUESTED TO a.-> i &pG( k
--------
LOCATION OF PROPERTY FOR WHICH PERMIT WANTED
-----------------------------
U�— �S ?�w1 C1�► ®�J_�v� _ S �"i kl=�i _�.�¢_ 11 -------
HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION
CREEK, BAY OR HARBOR FRONTING PROPERTY_ C21I: 16
--------------------
SIZE OF PROPOSED WORK Z (r / 5Z
---------------------------------------------------
LENGTH
WIDTH 2 b
---------------
HEIGHT ABOVE HIGH WATER /S —_
-------------------------------------L---_-
DEPTH BELOW LOW WATER
YARDS TO BE EXCAVATED—)qp_ 41-6() l,J�
YARDS TO BE FILLED
WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY
DEPTH AT LOW- TIDE
AVERAGE RISE IN TIDE
DISTANCE TO THE NEAREST CHANNEL ---FT.
DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA ----FT.
IS THIS FOR PRIVATE OR BUSINESS USE? a l J A T r� -----------'— —
AREA ZONING'
-----------
` MANNER 1N WHICH MATERIAL WILL BE REMOVEQ OR DEPOSITED_____ _
INTENDED USE OF'• PROPERTY (-'XZl0�cll�
T ----------------------- —i------
DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE
AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT
STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER
ANY PERMITS OR LICENSES WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTAL
AGENCY-2v��.�
DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE ,
PREMISES AFTER THE WORK IS ' COMPLETED INCLUDE AN ADDITIONAL SURVEY OF
THE PROJECT SITE IF NECESSARY
--------------
- ---�N�I ��-�- ��r J b- �N �(�,6'J N 7,J --�1 N-�M\H/�-��L�� N✓\.�
--- - -s^--------------------------n�-----------
WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, 1F NOT THE SAME AS THE
APPLICANT.
----------------------------------
----------------------------------
ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD
PROHIBIT THIS PROJECT? N•di.,L
COUNTY OF SUFFOLK )
STATE OF NEW YORK ) SS:
BE I NG DULY SWORN DEPOSES
AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS,
AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST
OF HIS KNOWLEDGE AND BELIEF, THAT THE WORK WILL BE DONE 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,
agent or representative to enter onto my property to inspect the
premises in conjunction with review of this application.
SIGNATU OF APPLICANT
SWORN TO BEFORE ME THIS
DAY OF �—�j— 1 9 d
l e VB� HELEN K.DE VOE
NOTARY PUBLIC "vOTARY PUBLIC,State of NOW York
No.4707878,Suffolk COUFA�
Term Expires March 30,l9_e._.I
EXAMINED
e
APPROVED "WETLANDS" PERMIT CHAPTER 97)
APPROVED "BOAT, DOCKS , WHARVES" ' PERMIT (CHAPTER 32)
DISAPPROVED " WETLANDS PERMIT"CHAPTER 97)
DISAPPROVED "BOATS , DOCKS , WHARVES" PERMIT (CHAPTER 32)
CONDITIONS , IF ANY
EXAMINING BODY
SIGNATURE OF CHAIRMAN
COMPUTATION OF FEES
Approved 2/27/85
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York State Department of Environmental Conservation PRO ILE 1
ate University of New_York, Building #40 �
Slo_ny Brook, NY 11794 .r;aa.
(516) 751-7900 pe
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=wr= E
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1•4-�16-4(2/87)—Text 12 •
PROJECT I.D.NUMBER 617.21 SEW
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
Mir @.lfn
3. PROJECT LOCATION:
Municipality Ste"kIN-L t�:' Count
4. PRECISE LOCATION(Street address and road intersections, prominent landmarks,etc.,or provide map)
5. IS PROPOSED ACTION:
New ❑Expansion ❑Modification/alteration
6. DESCRIBE PROJECT BRIEFLY:
!✓ 0 cx�+ti 5 t 2Jc L A, I b )c
7. AMOUNT OF LAND AFFECTED:
Initially S Z X Zk� acres Ultimately acres
8. WILL PROPOSED ACTJAN COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
El Yes No If No,describe briefly
w j N ; !N 75 t L w, I I u c a✓i= i L-A S
9. Wr�H-AT IS PRESENT LAND USE IN VICINITY OF PROJECT?
LYFiesidential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other
Describe:
10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL,
STATE OR LOCAL)??
❑Yes L7 No If yes, list agency(s)and permit/approvals
11. DOES ANY AS OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
❑Yes El No if yes,list agency name and permit/approval
12. AS A RESULT OF P�iOPOSED 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: PQj
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
1
PART II—ENVIRONMENTAL ASSESSMENT (To be completed by Agency)
A. DOES ACTIOIWEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? '
If yes,coordinate t e review process and use the FULL Yes No LEAF.❑ -_
r
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 bby another involved agency.
❑Yes L7 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:
2
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 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?
El Yes LTNo 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. -
lJ 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 environpz_ntal impacts
AND provide on attachments as necessary, the reasons supporting this determination:^J unc ul Lcdd Aµncy
C IA(Z
Print ur lype Name-ul Responsible U1hcer m'.Lead Agency Fide or -Responsible Jincer
signature TResponsible Uthcer in Lead Agency Signature of Preparer tlf drtferent rrom responsible orricer)
Z-
Date
2
14.36 2 (2187)-7c • .
617.21 S EO R
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FORM
Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project
or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent-
ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine
significance may have little or no formal knowledge of the environment or may be technically expert in environmental
analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting
the question of significance.
The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination
process has been orderly, comprehensive in nature,yet flexible to allow introduction of information to fit a project or action.
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 project
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 provides
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 the
impact is actually important.
1
DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions
Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 OPart 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.
Cl 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
Name of Lead Agency
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Otficer
Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer)
Date
PART 1—PROJECT INIFORMATIR
Prepared by Project Sponsor
NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effe
on the environment. Please complete the entire form,- Parts A through E. Answers to these questions will be considerE
as part of the application for approval and maybe subject to further verification and public review. Provide any addition
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 invol%
new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and speci:each instance.
NAME OF ACTION
LOCATION OF ACTION(Include Street Address, Municipality and County)
NAME OF APPLICANT/SPONSOR
BUSINESS-TELEPHONE
ADDRESS
(. )
CITYIPO
STATE CODE ZIP
NAME OF OWNER(If different) BUSINESS TELEPHONE
ADDRESS
( )
CITY/PO STATE ZIP CODE
DESCRIPTION OF ACTION
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 ❑Residential (suburban) ❑Rural (non-farm
❑Forest ❑Agriculture ❑Other
2. Total acreage of project area: acres.
APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION
Meadow or Brushland (Non-agricultural) acres acres
Forested _ acres acres
Agricultural (Includes orchards, cropland, pasture, etc.) acres acres
Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres
Water Surface Area acres
acres acres
Unvegetated (Rock, earth or fill) acres
acres
Roads, buildings and other paved surfaces acres
acres
Other (Indicate type) acres
acres
3. What is predominant soil type(s) on project site?
a. Soil drainage: ❑Well drained % of site ❑Moderately well drained 40 of site
❑Poorly drained % of site
b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS
Land Classification System? acres. (See 1 NYQRR 370).
4. Are there bedrock outcroppings on project site? ❑Yes ❑No
a. What is depth.to bedrock? (in feet)
2
S. 'Approximate percenta-ef proposed project site with slopes: 00-10% °'o W 10-15%
015% or greater
6. Is project,substantially contiguous to, or contain a building, site, or district, listed on the State or the National
Registers of Historic Places? OYes ONO
7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks?. OYes ONO
8. What is the depth of the water table? (in feet)
9. Is site located over a primary, principal, or sole source aquifer? - OYes ONO
10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? DYes ONO
11. Does project site contain any species of plant or animal life that is identified as threatened or endangered?
OYes ONO According to
Identify each species
12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations)
OYes ONO Describe
13. Is the project site presently used by the community or neighborhood as an open space or recreation area?
OYes ONO If yes, explain
14. Does the present site include scenic views known to be important to the community?
OYes ONo
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 b. Size (In acres)
17. Is the site served by existing public utilities? OYes ONO
a) If Yes, does sufficient capacity exist to allow connection? OYes ONo
b) If Yes, will improvements be necessary to allow connection? OYes ONO
18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA,
Section 303 and 304? OYes ONO
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? OYes ONO
20. Has the site ever been used for the disposal of solid or hazardous wastes? OYes . ONO
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 acres.
b. Project acreage to be developed: acres initially; acres ultimately.
c. Project acreage to remain undeveloped acres.
d. Length of project, in miles: (If appropriate)
e. If the project is an expansion, indicate percent of expansion proposed 90;
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:
One Family Two Family Multiple Family Condominium'
Initially
Ultimately
i. Dimensions (in feet) of largest proposed structure height; width;
length. v
j. Linear feet of frontage along a public thoroughfare project will occupy is? ft.
3 "
2. How muclatural material (i.e., rock, earth, etc.) will be removed from the site?
tons/cubic yards,
3. Will disturbed areas be reclaimed? Dyes ONO ❑N/A
a. If yes, for what intend: purpose is the site being reclaimed?
b. Will topsoil be stockpiled for reclamation? Dyes ONO
C. Will upper subsoil be stockpiled for reclamation? Dyes ONO
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site?
acres.
5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project?
Oyes ONO
6. If single phase project: Anticipated period of construction months, (including demolition).
7. If multi-phased:
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 year.
d. Is phase 1 functionally dependent on subsequent phases? ❑Yes ❑No
8. Will blasting occur during construction? Dyes ONO
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? Dyes ONO If yes, explain
12. Is surface liquid waste disposal involved? Dyes ONO
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? Oyes ONO Type
14. Will surface area of an existing water body increase or decrease by proposal? Dyes ONO
Explain
15. Is project or any portion of project located in a 100 year flood plain? Dyes ONO
16. Will the project generate solid waste? Oyes ONO
a. If yes, what is the amoW!t per month tons
b. If yes, will an existing solid waste facility be used? [Dyes ONO
c. If yes, give name location
d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? Dyes ONO
e. If Yes, explain
17. Will the project involve the disposal of solid waste? Dyes ONO ,
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? Dyes ONO
19. Will project routinely produce odors (more than one hour per day)? Dyes ❑No
20. Will project produce operating noise exceeding the local ambient noise levels? Dyes ONO
21. Will project result in an increase in energy use? Dyes ONO
If yes , indicate type(s)
22. If water supply is from wells, indicate pumping capacity "'gallons/minute.
23. Total anticipated water usage per day gallons/day.
24. Does project involve Local, State or Federal funding? ❑Yes ONO
If Yes, explain
4
25:'Approvals Require • Submittal
Type Date
City, Town, Village Board []Yes ❑No
City, Town, Village Planning Board ❑Yes ❑No
City, Town Zoning Board Dyes ❑No
City, County Health Department []Yes ❑No
Other Local Agencies ❑Yes ❑No
Other Regional Agencies ❑Yes ❑No
State Agencies ❑Yes ❑No
Federal Agencies ❑Yes ❑No
C. Zoning and Planning Information
1. Does proposed action involve a planning or zoning decision? Dyes ❑No _
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?
3. What is the maximum potential development of the site if developed as permitted by the present zoning?
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? ❑Yes []No
7. What are the predominant land use(s) and zoning classifications within a '/4 mile radius of proposed action?
8. Is the proposed action compatible with adjoining/surrounding land uses within a '/4 mile? ❑Yes ❑No
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 authorization(s) for the formation of sewer or water districts? ❑Yes ❑No
11 . Will the proposed action create a demand for any community provided services (recreation, education, police,
fire protection)? Dyes ❑No
a. If yes, is existing capacity sufficient to handle projected demand? Dyes ❑No
12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes ❑No
a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No
D. Informational Details
Attach any additional information as may be needed to clarify your project. If there are or may be any adverse
impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or
avoid them.
E. Verification
I certify that the information provided above is true to the best of rya;>knowledge.
Applicant/Sponsor Name Date
Signature Title
If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding'
with this assessment.
5
• Part 2—PROJECT IMPACTS AND THEIR P*u1TUDE
Responsibility of Lead Agency
General Information (Read Carefully)
• In completing the form the reviewer should be guided by the question: Have my responses and determinations bee:
reasonable? The reviewer is not expected to be an expert environmental analyst.
• Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant.
Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simpl%
asks that it be looked at further.
• The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold o-
magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State anc
for most situations. But, for any specific project or site other-examples and/or lower thresholds may be appropriate
for a Potential Large Impact response, thus requiring evaluation in Part 3.
• The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and
have been offered as guidance.They do not constitute an exhaustive list of impacts and thresholds to answer each question.
• The number of examples per question does not indicate the importance of each question. '
• In identifying impacts, consider long term, short term and cumlative effects. —
Instructions (Read carefully)
a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact.
b. Maybe answers should be considered as Yes answers.
c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the
impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold
+ is lower than example, check column 1.
d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3.
e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate
impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This
must be explained in Part 3.
y 2 3
Small to Potential Can Impact Be
IMPACT ON LAND Moderate Large Mitigated By
1 . Will the proposed action result in a physical change to the project site? Impact Impact Project Change
Examples that would apply to column 2 ONO DYES
• Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑
foot of length), or where the general slopes in the project area exceed ❑Yes ❑No
10%.
• Construction on land where the depth to the water table is less than ❑ ❑
3 feet. El Yes ❑No
• Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ ,
❑Yes ❑No
• Construction on land where bedrock is exposed or generally within ❑
3 feet of existing ground surface. ❑ ❑Yes ❑No
• Construction that will continue for more than 1 year or involve more ❑ ❑
than one phase or stage. Dyes ❑No
• Excavation for mining purposes that would remove more than 1,000 ❑ ❑
tons of natural material (i.e., rock or soil) per year. TYes ❑No
• Construction or expansion of a sanitary landfill. ❑ ❑
• Construction in a designated floodway. El Yes ❑No
❑ ❑ ❑Yes
• Other imi��icts ❑No❑
❑ ❑Yes ❑No
2. Will there be an effect t.. ...iy u;,.que or unusual land forms found on v
the site? (i.e., cliffs, dunes, geological formations, etc.)❑NO DYES
• Specific land forms: ❑
❑ ❑Yes ❑No
6
IMPACT ON WATER Small to Potential Can Impact Be
3. Will proposed action affect any water body designated as protected? Moderate Large Mitigated ByImpact Impact Project Change
(Under Articles 15, 24,25 of the Environmental Conservation Law, ECL)
ONO DYES
Examples that would apply to column 2
• Developable area of site contains a protected water body. ❑ ❑ ❑Yes ❑No
• Dredging more than 100 cubic yards of material from channel of a ❑ ❑ ❑Yes ❑No
protected stream. -
• Extension of utility distribution facilities through a protected water body. ❑ ❑ ❑Yes ❑No
• Construction in a designated freshwater or tidal wetland. ❑ ❑. ❑Yes ❑No
• Other impacts: ❑ ❑ ❑Yes ❑No
4. Will proposed action affect any non-protected existing or new body
of water? ONO DYES
Examples that would apply to column 2
• A 10% increase or decrease in the surface area of any body of water ❑ ❑ ❑Yes ❑No
or more than a 10 acre increase or decrease.
• Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes ❑No
• Other impacts: ❑ ❑ El Yes ❑No
5. Will Proposed Action affect surface or groundwater
quality or quantity? ONO DYES
Examples that would apply to column 2
• Proposed Action will require a discharge permit. ❑ ❑ ❑Yes ❑No
• Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes ❑No
have approval to serve proposed (project) action.
• Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes ❑No
gallons per minute pumping capacity.
• Construction or operation causing any contamination of a water ❑ ❑ []Yes ❑No 1
supply system.
• Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No
• Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ ❑Yes ❑No
do not exist or have inadequate capacity.
• Proposed Action would use water in excess. of 20,00`0 gallons per ❑ ❑ ❑Yes ❑No
day.
• Proposed Action will likely cnue siltation or other discharge into an ❑ ❑ ❑Yes ❑No
existing body of water to tr;e extant that there will be an obvious visual
contrast to natural conditions.
• Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes- ❑No
products greater than 1,100 gallons.
• Proposed Action will allow residential uses in areas without water ❑ ❑ ❑Yes ❑No
and/or sewer services.
• Proposed Action locates commercial and/or industrial uses which may ❑ ❑ ❑Yes ❑No
require new or expansion of existing waste treatment and/or storage
facilities.
• Other impacts: ❑ ❑ ❑Yes ❑No
6. Will proposed action alter drainage flaw or patterns, or surface
water runoff? ONO ❑YFS
Examples that would apply to column 2
• Proposed Action would change flood water flows. ❑ ❑ ❑Yes ❑No
7
' 2 3,:
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
• Proposed Action may cause substantial erosion.
• Proposed Action is incompatible with existing drainage patterns. ❑ ❑ ❑Yes ❑No
• Proposed Action will allow development in a designated floodway. ❑ ❑ ❑Yes ❑No
• Other impacts: ❑ ❑Yes ❑No
❑ ❑ ❑Yes ❑No
IMPACT ON AIR
7. Will proposed action affect air quality? ONO DYES
Examples that would apply to column 2
• Proposed Action will induce 1,000 or more vehicle trips in any given
hour. ❑ ❑ []Yes ❑No `
• Proposed Action will result in the incineration of more than 1 ton
refuse per hour. of
❑ ❑ ❑Yes ❑No
• Emission rate of total contaminants will exceed 5 lbs. per hour or a ❑
heat source producing more than 10 million BTU's per hour. El ❑Yes ❑No
• Proposed action will allow an increase in the amount of land committed ❑
to industrial use. ❑ ❑Yes ❑No
• Proposed action will allow an increase in the density of industrial ❑
development within existing industrial areas. ❑ ❑Yes ❑No
• Other impacts: ❑ ❑
❑Yes ❑No
IMPACT ON PLANTS AND ANIMALS
8. Will Proposed Action affect-any threatened or endangered
species? ONO DYES
Examples that would apply to column 2
• Reduction of one or more species listed on the New York or Federal ❑
list, using the site, over or near site or found on the site. El ❑Yes ❑No
• Removal of any portion of a critical or significant wildlife habitat_. ❑
• Application of pesticide or herbicide more than twice a year,.other ❑ El El Yes ❑No
than for agricultural purposes. ❑ ❑Yes .❑No
• Other impacts: ❑ ❑
❑Yes []No
9 Will Proposed Action substantially affect non-threatened or
non-endangered species? ONO DYES
Examples that would apply to column 2
• Proposed Action would substantially interfere with any resident or ❑
migratory fish, shellfish or wildlife species. ❑ ❑Yes []No
• Proposed Action requires the removal of more than 10 acres ❑ ri y
❑ Wes ❑No
of mature forest (over 100 years of age) or other locally important
vegetation.
IMPACT ON AGRICULTURAL LAND RESOURCES
10 Will the Proposed Action affect agricultural land resources?
Examples that would apply to column 2 ENO DYES '
The proposed action would sever, cross or limit access to agricultural ❑
land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) ❑ ❑Yes ❑No
8
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
• Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes ❑No
agricultural land.
• The proposed action would irreversibly convert more than 10 acres ❑ ❑ El Yes ❑No
of agricultural land or, if located in an Agricultutal District, more -
than 2.5 acres of agricultural land.
• The proposed action would disrupt or prevent installation of agricultural ❑ ❑ ❑Yes ❑No
land management systems (e.g., subsurface drain lines, outlet ditches,
strip cropping); or create a need for such measures (e.g. cause a farm
field to drain poorly due to increased runoff)
• Other impacts: ❑ 0 ❑Yes ❑No
IMPACT ON AESTHETIC RESOURCES
11 . Will proposed action affect aesthetic resources? ONO ❑YES
(If necessary, use the Visual EAF Addendum in Section 617.21,
Appendix B.)
Examples that would apply to column 2
• Proposed land uses, or project components obviously different from ❑ ❑ ❑Yes ❑No
or in sharp contrast to current surrounding land use patterns, whether
man-made or natural.
• Proposed land uses, or project components visible to users of ❑ ❑ ❑Yes ❑No
aesthetic resources which will eliminate or significantly reduce their
enjoyment of the aesthetic qualities of that resource.
• Project components that will result in the elimination or significant ❑ ❑ ' ❑Yes El No
screening of scenic views known to be important to the area.
• Other impacts: ❑ ❑ ❑Yes ❑No
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12. Will Proposed Action impact any site or structure of historic,.pre-
historic or paleontological importance? ONO DYES
Examples that would apply to column 2
• Proposed Action occurring wholly or partially within or substantially ❑ ❑ ❑Yes ❑No
contiguous to any facility or site listed on the State or National Register
of historic places. '
• Any impact to an archaeological site or fossil bed-located,within the ❑ ❑ ❑Yes. ❑No
project site.
• Proposed Action will occur in an area designated as sensitive for ❑ ❑ ❑Yes ❑No
archaeological sites on the NYS Site Inventory.
• Other impacts: ❑ ❑ El Yes ❑No
IMPACT ON OPEN SPACE AND RECREATION
13. Will Proposed Action affect the quaritity or quality of existing or
future open spaces or recreational opportunities? .
Examples that would apply to column 2 ❑NO ❑YES
• Tile permanent foreclosure of a future recreational opportunity. ❑ ❑ ❑Yes ❑No
• A major reduction of an open space important to the community. ❑ ❑ ❑Yes QNo
• Other impacts: . ❑ ❑ ❑Yes ❑No
9 '
IMPACT ON TRANSPORTATION
14. Will there be an effect to existing transportation systems? Small to Potential Can Impact BE
Moderate Large Mitigated By
O
Examples that would apply to column 2 NO DYES Impact Impact Project Chang(
• Alteration of present patterns of movement of people and/or goods. ❑
• Proposed Action will result in major traffic problems. ❑ ❑Yes ❑NO
• Other impacts:
❑ ❑ ❑Yes ❑No
❑ ❑ ❑Yes ❑No
IMPACT ON ENERGY
15. Will proposed action affect the community's sources of fuel or
energy supply? . ONO DYES
Examples that would apply to column 2
• _Proposed Action will cause a greater than 5% increase in the use of ❑
any form of energy in the municipality. ❑ ❑Yes ❑No
• Proposed Action will require the creation or extension of an energy ❑
transmission or supply system to serve more than 50 single or two family ❑ Yes ❑No
residences or to serve a major commercial or industrial use.
• Other impacts: ❑
❑ ❑Yes ❑No
NOISE AND ODOR IMPACTS
16. Will there be objectionable odors, noise, or vibration as a result
• of the Proposed Action? ONO DYES
Examples that would apply to column 2
• Blasting within 1,500 feet of a hospital, school or other sensitive ❑
facility. ❑ ❑Yes ❑No
• Odors will occur routinely (more than one hour per day). ❑
• Proposed Action will produce operating noise exceeding the local ❑ Yes ❑No
ambient noise levels for noise outside of structures. ❑ ❑ ❑Yes ❑No
• Proposed Action will remove natural barriers that would act as a ❑ ❑
noise screen. ❑Yes ❑No
• Other impacts: ❑
❑ ❑Yes ❑No
IMPACT ON PUBLIC HEALTH
17. Will Proposed Action affect public health and safety?
Examples that would apply to column 2 ONO DYES
• Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑
substances(i.e. oil, pesticides, chemicals, radiation, etc.) in the event of ❑Yes ❑No
accident or upset conditions, or there may be a chronic low level
discharge or emission. }
• Proposed Action may result in the burial of "hazardous wastes" in any ❑ ❑ .
form (i.e. toxic, . poisonous, highly reactive, -radioactive, irritating, ❑Yes ❑No
infectious, etc.)
• Storage facilities for one million or more gallons of liquified natural ❑ ❑
gas or other flammable liquids. ❑Yes ❑No
• Proposed action may result in the excavation or other disturbance ❑
within 2,000 feet of a site used for the disposal of solid or hazardous ❑ Yes ONO
waste.
• Other impacts: ❑
❑ ❑Yes ❑No
10
IMPACT ON GROWTH AND CHARACTER 1 2 3
OF COMMUNITY OR NEIGHBORHOOD Small to Potential Can Impact Be
18. Will proposed action affect the character of the existing community? Moderate Large Mitigated By
ONO DYES
Impact Impact Project Change
Examples that would apply to column 2
• The permanent population of the city, town or village in which the ❑ ❑
project is located is likely to grow by more than 5%. ❑Yes ONO
• The municipal budget for capital expenditures or operating services ❑
will increase by more than 5% per year as a result of this project. ❑ ❑Yes ❑No j
• Proposed action will conflict with officially adopted plans or goals. ❑
• Proposed action will cause a change in the density of land use. ❑' []Yes ❑No
❑ ❑ ❑Yes ❑No
• Proposed Action will replace or eliminate existing facilities, structures ❑
or areas of historic importance to the community. El ❑Yes []No
• Development will create a demand for additional community services ❑
(e.g. schools, police and fire, etc.) ❑ ❑Yes ❑No
• Proposed Action will set an important precedent for future projects. ❑
• Proposed Action will create or eliminate employment. ❑ []Yes No
• Other impacts: ❑ El []Yes ❑No
❑ ❑ ❑Yes ❑No
19. Is there, or is there likely to be, public controversy related to
potential adverse environmental impacts? ONO DYES
If Any Action in Part 2 Is Identified as a Potential Large Impact or
If You Cannot Determine the Magnitude of Impact, Proceed to Part 3
Part 3-2-YALUATION OF THE 11"APOR ITANCE OF IMP S=�.,,TS
Responsibility of Lead Agency
Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be
mitigated.
Instructions
Discuss the following for each impact identified in Column 2 of Part 2:
1 . Briefly describe the impact. '
2. Describe(.if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s).
3. Based on the information available, decide if it is reasonable to conclude that this impact is important.
To answer the question of importance, consider:
• The probability of the impact occurring
• The duration of the impact
• Its irreversibility, including permanently lost resources of Value
• Whether the impact can or will be controlled
• The regional consequence of the impact
• Its potential divergence from local needs and goals
• Whether known objections to the project relate to this iinp,ict..`
(Continue on attachments)
11
14.14.11 (2r87)—gc 617.21 i
SE
Appendix. B QR
St;te Environmental Quality Review
Visual EAF Addendum
This form may be used to provide additional information relating to Question 11 of Part 2 of
the Full EAF.
(To be completed by Lead Agency)
Visibility Distance Between R
Project and Resource (in Miles)
1. Would the project be visible from: 0-'A '/a•'/z 1/2-3 3-5 5+
• A parcel of land which is dedicated to and available ❑ ❑ ❑ ❑ ❑
to the public for the use, enjoyment and appreciation of natural or man-made scenic qualities? _
• An overlook or parcel of land dedicated to public ❑ ❑- ❑ ❑ ❑
observation, enjoyment and appreciation of natural
or man-made scenic qualities?
• A site or structure listed on the National or State ❑ ❑ ❑ ❑ ❑
Registers of Historic Places?
• State Parks? ❑ ❑ ❑ ❑ ❑
• The State Forest Preserve? ❑ ❑ ❑ ❑ ❑
• National Wildlife Refuges and state game refuges? ❑ ❑ ❑ ❑ ❑
• National Natural Landmarks and other outstanding ❑ ❑ ❑ ❑ ❑
natural features?
• National Park Service lands? ❑ ❑ ❑ ❑ ❑
• Rivers designated as National or State Wild, Scenic ❑ ❑ ❑ ❑ ❑
or Recreational?
• Any transportation corridor of high exposure, such ❑ ❑ ❑ ❑ ❑
as part of the Interstate System, or Amtrak?
• A governmentally established or designated interstate. ❑ ❑ ❑ ❑ ❑
or inter-county foot trail, or one formally proposed for
establishment or designation?
• A site, area, lake, reservoir or highway designated as ❑ ❑ ❑ ❑ ❑
scenic?
• Municipal park, or designated open space? ❑ ❑ ❑
El El
• County road?
• State? ❑ ❑ ❑ ❑ ❑
• Local road? ❑ ❑ ❑ ❑ ❑
i
2. Is the visibility of the project seasonal? (i.e., screened by summer foliage, but visible during other
i seasons)
❑Yes ❑No
i
I 3. Are any of the resources checked in question I used by the public during the time of year
during which the project will be visible?
j ❑Yes -'No
1
DES IPTION OF EXISTING VISUAL ENVIRONMENT • I a'
4. From each item checked in question 1, check.those which generally describe the surrounding
environment.
Within
'
• Essentially undeveloped - * /a mile *1 mile� El
❑ ❑
Agricultural ❑ _ El
residential
Industrial El El
Commercial El
Urban El El
River, Lake, Pond El 0
Cliffs, Overlooks El
Designated Open Space El
Flat
Hilly E
Mountainous El
Other EJ
NOTE: add attachments as needed El
5. Are there visually similar projects within:
*'/z mile El Yes El No
*1 miles ❑Yes El No
*2 miles Yes ❑No
*3 miles ❑Yes El No
* Distance from project site are provided for assistance. Substitute other distances as appropriate.
EXPOSURE
6. The annual number of viewers likely to observe the proposed project is
NOTE: When user data is unavailable or unknown, use best estimate.
CONTEXT
7. The situation or activity in which the viewers are engaged while viewing the proposed action is
FREQUENCY
Activity Holidays/
Travel to and from work
Daily Weekly Weekends Seasonally
❑
Involved in recreational activities ❑
Routine travel by residents El El
a residence � El ❑
At worlcsite � EJ ❑ El
❑ ❑
I
r
2
1 •
NOTICE OF HEARING ON THE WETLAND APPLICATIONS
NOTICE IS HEREBY GIVEN THAT PUBLIC HEARINGS WILL BEHELD BY THE TOWN
TRUSTEES OF. THE TOWN OF SOUTHOLD, AT THE SOUTHOLD TOWN HALL, MAIN
ROAD, SOUTHOLD, NEW YORK ON THURSDAY, MARCH 23, 1989, ON THE
FOLLOWING APPLICATIONS FOR PERMITS UNDER THE PROVISIONS OF THE
WETLAND ORDINANCE OF THE TOWN.
7:30 P.M. - In the matter of the application of Donald Cox on behalf
of Zahra Benz to replace catwalk, ramp and floating dock on property
located at 575 Westview Drive, Mattituck.
7: 33 P.M. - In the matter of the application of David C. Creato to,
restore pond filled in by runoff and silt on property located at 3539
Cox Neck Road, Mattituck, N.Y.
7: 36 P.M. - In the matter of the application of John Geideman for
Crescent Beach Condominium Association to construct fixed dock, ramp
and floating dock at property located at foot of Maple Lane, East
Marion, N.Y.
7:39 P.M. - In the matter of the application of J.M.O. Consulting for
Fishers Island Country Club to replace drainage pipes and regrade and
revegetate area, property location on Private Road, Fishers Island,
N.Y.
7 :42 P.M. - In the matter of the application of J.M.O. Consulting for
Lambert Javelera to reconstruct single family dwelling on property
located on Equestrian Avenue, Fishers Island, N.Y.
7: 45 P.M. - In the matter of the application of Anthony and Carolyn
Leggio to register a floating dock and ramp on property located at
2300 Glenn Road, Southold, N.Y.
7:48 P.M. - In the matter of the application of Margaret McGwire to
construct a two story garage and adjacent storage shed on property
located on Campfire Lane, Peconic, N.Y.
7:51 P.M. - In the matter of the application of Southold Pools for
Robert Morris to construct an inground pool on property located at
805 Ashamomaque Avenue, Southold, N.Y.
7:54 P.M. - In the matter of the application of John Sinning for'
Paradise Point Association to maintenance dredge at basin off
Southold Town harbor, Southold, N.Y. ;
7: 57 P.M. - In the matter of the application of En-Consultants for
Dr. Frank Sciotto 'to construct pool, deck and gazebo on property
located at 3350 West Creek Road, Cutchogue, N.Y.
8:00 P.M. - In the matter of the application of James McMahon for
Town of Southold for Park improvements to Laurel Lake Park,
Mattituck, N.Y.
8: 03 P.M. - In the matter of the application of En-Consultants for
Gerald Wood to construct dock and elevated walk on property located
on Holbrook Lane, Mattituck, N.Y.
ALL PERSONS INTERESTED IN SAID MATTERS SHOULD APPEAR AT THE TIME AND
PLACE ABOVE SPECIFIED AND WILL BE GIVEN AN OPPORTUNITY TO BE HEARD.
COMMENTS MAY BE SUBMITTED IN WRITING PRIOR TO THE HEARING.
Dated: March 6, 1989
Frank A. Kujawski, Jr. , President
Board of Town Trustees
By: Joan Schneider, Clerk
------------------------------------------------------------------
PLEASE PUBLISH ONCE, THURSDAY, March 9, 1989 AND FORWARD ONE
AFFIDAVIT OF PUBLICATION TO FRANK A. KUJAWSKI, JR. , PRESIDENT, BOARD
OF TRUSTEES, Town Hall, Main Road, Southold, 11971.
Copies to: L.I . Traveler-Watchman, Suffolk Times, Town Clerk's
Bulletin Board.
R�i,
FOL�I'
FRANK A. KUJAWSKI R. President
J a i n TELEPHONE
ALBERT J. KRUPSKI, JR., Vice-President
t'" "-th f (516) 765-1892
JOHN M. BREDEMEYER, III
JOHN L. BEDNOSKI, JR.
HENRY P. SMITH 1
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
March 31, 1989
Southold Pools
Chris Schwarting
Re: Application No. 2-1-89-66-3-3- Morris
Dear Mr. Schwarting:
The following action was taken by the Board of Town Trustees
during their regular meeting held on March 23 , 1989 regarding the
above matter:
WHEREAS, Southold Pools on behalf of Robert Morris applied to the
Southold Town Trustees for a permit under the provisions of the
Wetland Ordinance of the Town of Southold, application dated February
7, 1989 , and
WHEREAS, a public hearing was held by the Town Trustees with respect
to said application on March 23, 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 Southold Pools ON BEHALF OF Robert Morris BE AND HEREBY
IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: Construct 18 ' x
36 ' inground pool on property located at 805 Ashamomaque_Ave. ,
Southold, N.Y.
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 take 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.
Permit will be issued upon payment of the following fees:
$10.00 wetland Inspection fee
Very truly yours, -
/� )6 fQ" r
Frank A. Kujawski, Jr. ( \
President
Board of Town Trustees
FAK:j as
cc: Bldg. Dept.
Conservation Advisory Council
file
014W ✓ •
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL 1--ONSE_RVATI'ON .,, ,
Regulatory Affairs Unit
Bldg. 40, SUNY---Room 219
Stony Brook, N.Y. 11794
( 516) 751-7900
TIDAL WETLANDS JURISDICTIONAL INQUIRIES
For us to determine that the Department does not have jurisdiction, you must
satisfy one of the following four conditions and provide the indicated
documentation. Please make sure your inquiry fulfills the stated
requirements completely. Discrepancies can not be interpreted in your favor
and inadequate submissions will be returned. Please include a cover letter
stating: reason for submittal; nature of proposal; name, address and
telephone number of owner ; name, address and telephone number of contact
person if different; representative. photographs (see below) ; and a listing
of enclosures . All surveys must have suveyors inked or embossed stamp,
signature by surveyor , and county tax map number depicted on the survey.
Photographs must clearly show relevant conditions and indicate date taken.
PHOTOGRAPHS MUST BE SUBMITTED OF SITE FOR ALL CONDITIONS BELOW.
If the proposal is:
I . Greater than 300 ' from regulated tidal wetlands . . .
Provide two( 2) copies of a survey of the site showing the exact
location of all construction ( including clearing, excavating and filling) ,
and a general map of the site sufficient to locate it relative to wetlands
or waterline. As appropriate, include road names, bodies of water ,
landmarks, telephone pole numbers, street address, etc. If a specific
location map cannot be provided, you must provide a copy of the tidal
wetland aerial photo map* (copy of order form attached) indicating the
exact location of the lot on the map.
II . Landward of a substantial man-made structure that prevents normal
tidal action, is greater than 100 ' long, and was constructed prior to
September 20 , 1977 . . .
Provide two( 2) copies of a survey of the site dated before
September 20, 1977 on which the structure (paved road, bulkhead,
retaining wall, etc. ) clearly appears and on which its length can be
determined. Indicate on the survey what exists and what is proposed.
Also provide recent dated and labelled photographs of the structure
which clearly show it (bulkhead, seawall, etc. ) to be functional today.
If a survey cannot be provided in accordance with the above requirements,
you must provide a copy of the tidal wetland aerial photo map* (copy of
order form attached) indicating the exact location of the lot on the map.
III . Landward of the 10 ' contour elevation on a gradual , natural slope. . .
OR
IV. Landward of the topographic crest of a bluff, cliff or dune in excess
of 10 ' elevation. . .
Provide two( 2 ) copies of a survey of the site showing the exact
location of all proposed construction, ( i .e. single family dwelling, deck,
sanitary system, etc. ) including clearing, excavating and filling,
and have contour lines, not spot elevations, depicted on it. These contour
lines must be put on the survey by a surveyor and must be referenced to
United States Geological Vertical Datum (U.S.G.V.D. ) .
*To obtain your map number only, indexes for these maps are located in the:
Nassau County Clerk ' s Office,
Suffolk County Clerk ' s Office,
All Town/Village Clerk ' s Offices and the
NYS Department of Environmental Conservation
Bureau of Marine Habitat Protection
( 516 ) 751-7900 , Ext . 251