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Home My WebLink AboutMURRAY, DAROLD & HILDEGARD HENRY P. SMITH, President ` Ya,• `� TELEPHONE JOHN M. BREDEMEYER, Vice-Pres. PHILLIP J. GOUBEAUD (516) 765-1892 ALBERT KRUPSKI, JR. ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 - August 5, 1986 Mr. Walter Gaipa Lakeview Terrace East Marion, New York 11939 Re: Darold and Hildegard Murray Pebble Beach Farms, East Marion, New York Dear Mr. Gaipa: The following action was taken by the Board of Trustees during their regular meeting held on July 31, 1986 regarding the above captioned matter. Moved by Trustee Goubeaud seconded by Trustee Bredemeyer WHEREAS, Walter Gaipa on behalf of Darold and Hildegard Murray applied to the Southold Town Trustees for relief of teh Wetland Ordinance, Chapter 97, Article II, Section 97-22 for the construction of stairs to the beach from his property located at 1380 The Strand Pebble Beach Farms, East Marion, New York, 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 documentation in the file pertaining to this request; and WHEREAS, the Board has made the following findings of fact: 1. By this request appellant requests a Waiver of the Wetland Ordinance Chapter 97, Article II, Section 97-22 to construct a set of steps to the beach, and 2. The property in question is identified on the Suffolk County Tax Map as 1000-030-2-68 and located at 1380 The Strand Pebble Beach Farms, East Marion, New York, IN VIEW OF THE FOREGOING INFORMATION NOW, THEREFORE BE IT RESOLVED that Walter Gaipa on behalf of Darold and Hildegard Murray be and hereby are granted a WAIVER of the Wetland Ordinance for the construction of steps all in accordance with the application submitted. In considering this determination, 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. Very truly yours, Henry P. mith, President Board of Town Trustees HPS:ip cc: Bldg. Dent. LA tom , a��er�aa Walter Gaipa O( °Q U - �� Complete Landscape Development � '1 g Lakeview Terrace Landscaping East Marion, New York 11939 —__-=- (516)477-0462 July 17 , 1986 Southold Town Trustees Town Hall Main Road Southold, New York 11971 Dear Trustees : I am acting on behalf of Darold and Hildegard Murray owners of the property described on the enclosed addenda. In April of this year, we requested permission from the New York State Department of Conservation to construct stairs leading from the rear yard to the Murray residence to the beach on the bluff of Long Island Sound. The main purpose of the construction was to secure a rental agreement with a party for July through September. The rental was accepted with the understanding that the stairs would be installed as soon as the DEC permit arrived, which it did on July 17 , 1986 . I was then informed that new regulations exist where as the Town Trustees have possible jurisdiction in this area. The owner and myself, while appreciating the Town Trustees concern for protecting our environment and our willingness to cooperate fully, are faced with a lengthy permit applica- tion period and are in a dilemma of not having the stairs installed during the rental period. Therefore, we. are requesting a waiver of permit as per Southold code Chapter 97, Section 97-22 . Being that the New York State DEC has already, through a lengthy applica- tion and inspection period, granted their approval, the delay caused by a similar operation would be hardship to those involved. We would greatly appreciate it if on July 24th. you could -find time in your busy schedule to inspect the site, it is staked, and act upon it at your next meeting on July 31st . If any additional information is needed, please contact me . Thank you in anticipation of your cooperation: Velry truly ' rs, . 5 _ r n / N Walter Gaipa 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�J � IDENTITY OF APPLICANT 1Aj -®r A I �'G� - - PT NO ADDRESS OF APPLICANTr — -- TAX MAP NO.-�I LLv�118JJ f7 L- �p�JL3 HONE NO.- PERMIT REQUESTED TO ns - - LOCATION OF PROPERTY FOR WHICH PERMIT WANTEDJ//7I1 o f umvwc) [am — s`1 HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION tkedi ov) is L CREEK, BAY OR HARBOR FRONT 1 NG PROPERTY— f�► SIZE OF PROPOSED WORK- ) VCR Y-n ---------- ---_ LENGTH WIDTH--- - -------- HEIGHT ABOVE HIGH WATER�p��Q�- � ! Too! — -- DEPTH BELOW L O W ------------- YARDS TO BE EXCAVATED YARDS TO BE FILLED-- — � WIDTH OF CANAL, CREEK OR BAY FRO TING 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? � ------- --- AREA ZONING--- ��N T�L -- - ------- MANNER IN WHICH M—A--TPE`R�I'AAL WILL ] EE REMOVED OR DEPOSITED_____ _ INTENDED USE OF PROPERTY �� 1 ------- 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 U�Ixvar�iv DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF THE PROJECTAJ6 SITE IF NECESSARY_'��,�p/ 4 VO .{. fGS �}rr — L /(�X LL (�`#— ---- �1114. of L-...f.iLf..7 L- (L-c"oo V�—1+J"a �n�� veu------ WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, IF NOT THE SAME AS THE APPLICANT. I�T�--�s ------- ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? /�� STR(_R TD - - j] I .�. I? 'AIL _DECK.. _ L. L._. OUN 0 . _GLU.F i f Maxion Sca le 1 = 10 _ c P QF BLUFF Y b � � C iNowmoo r ' \ 3' WIDE TRE ._Aos 1 04' PLATFORMS -NOT CC S _ _ qs I--� J HARDWARE G , I.VfN(ZED. BEL 1aL AIDE, If ?Y 10 STRINC' S £ TREADS 8 t7Eck FRAMING '_X A _DFCKIUG- x Q4 CRoS-, La a�img �E ACC brl NY'a� f i 1 I ) j r 50 5�P •. 0 ► / Q op4 a 0 �E � � '? °Z 4° o ` G 'Q,. 107.47 Z w. Oa O O 5..760 8,�~ 60 0 O, % 66�, O P SAJ 296 B ZZ,0 f (0,Z 5 '3 r j � � e 15 • r , r J I 11 j 'ii-- SURVEY FOR SUFFOLK CbUNTY DEPARTMENT of HEALTH SERvicES OgROLn MURRAY B HILDE64RD HURRAY - ' LOT NO 121 PEBBLE BEACH FARMS FOR APPROVAL OF CONSfRUCTiON ONLY AT EAST MARIDIV DATE OCT /7, 1980 I ' TOWN OF SOUTHOLD SCALE l rr = 50 r DATE ' NHS REF. NO. SUFFOLK COUNTY, NEW YORK No. 80-523 M UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO APPROVED d _ ._ SURVEY IS A VIOLATION OF SECTION 7209 OF THE TNET/TLE6UARANTEECO. NEW YORK STATE EDUCATION LAW v COPIES OF THIS SURVEY NOT BEARING THE LAND ( SUPvEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL F NEW { NOT BE CONSIDERED TO BE A VALID TRUE COPY (EO �YOR KGUARANTEES INDICATED HEREON SHALL RUN ONLY TO �'. W� Y-_ ,F HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED y Y,N Off. AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- * O�K� y •\� tr NEAREST WATER iAIN_MI.` 11SOURCE OF 4ATER1 PRIVATE_PUBLIC Lf MENTAL AGENCY AND (ENDING INSTITUTION LISTED v ` M SUFF CO. TAX NAP DIST�SECTION OSQBLOCK 2 LOT HEREON, AND 70 THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES APE NOT TRANSFERABLE ci a__i ,.•,j, 1 III THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OTHER THAN THOSE SHOWN HEREON. I I''-y�'' co 0144 E R S °7 t.. . ,;,.. O 0 THE WATER SUPPLY AND SEWAGE�DISPOSAL SYSTEM FOR THIS RESIDENCE *DISTANCES SHOWN HEREON FROM PROPERTY LINES "' WILL CONFORM: TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC OF HEALTH SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH APPLICANT- PROPERTY LINES OR FOR THE ERECTION OF FENCES ��SS �o• 12t3aa*�� /pN .tg ADDRESS I 1 DER AVENUE TEL. YOUNG a YOUNG RIVERHEAD, NEW YORK NOTE. ■ = MONUMENT ALDEN W•YOUNG,PROFESSIONAL ENGINEER SUBDIVISION~FILED/NT HEOFF/CEOFTNECLERKOF AND LAND SURVEYOR N.Y_S.LICENSE NO.12845 SUFFOLK COUNTY AN✓UNE-//, 1975ASFILEN06266 HpwARD W.YOUNG, LAND SURVEYOR i *THE LOCATION OF WELL(W),SEPTIC TANK(ST)S CESSPOOLS(CP)SHOWN HEREON N.Y.S LICENSE NO.45893 ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS n :i I'tre; 1 1 , Darold Murray 21 Beverly Drive Albertson , NY 11507 April 6 , 1986 New York State Department of Environmental Conservation Division of Regulatory Affairs Building 40, SUNY Stony Brook , NY 11794 To whom it may concern : E Dear Sirs , Mr . Walter Gaipa. acts on my behalf in making the application to construct stairs down the Sound bank of my property . The property is located in East Marion, New York at Pebble Beach Farms . 121 is the lot number. The house number is 1380 The -Strand . I "ry truly yours, Darold Murray i k 95.20-s(9185) P 'ORK STATE DEPARTMENT OF ENVIRONMENTAL CON., -ATION DEC PERMIT NUMBER EFFECTIVE DATE 10-86-0544 0 7/11/86 FACILITY/PROGRAM NUMBER(s) PERMIT EXPIRATION DATE(s) Under the Environmental Conservation Law N/A 12 31 87 ❑Article 15, Title 5: ❑Article 17, Titles 7, 8: SPDES ❑Article 27, Title 7: Protection of Water ❑Article 19: Solid Waste Management ❑Article 15,Title 15: Air Pollution Control ❑Article 27, Title 9: Water Supply ❑Article 23, Title 27: Hazardous ❑Article 15, Title 15: Mined Land Waste Management Water Transport Reclamation ❑Article 34: ❑Article 15, Title 15: ❑Article 24: Coastal Long Island Wells Freshwater Wetlands Erosion Management ❑Article 15, Title 27: OArticle 25: ❑Article 36: Wild, Scenic Tidal Wetlands N Floodplain Management and Recreational Rivers ❑Articles 1, 3, 37; 6NYCRR 380: 116NYCRR 608: N—New, R—Renewal, M—Modification Radiation Control Water Quality Certification C—Construction, O—Operation, (If Applicable) PERMIT ISSUED TO Donald Murray ADDRESS OF PERMITTEE 21 Beverly Drive, Albertson, N.Y. 11507 AGENT FOR PERMITTEE/CONTACT PERSON TELEPHONE NUMBER Walter Gai a L (477-0462) - NAME AND ADDRESS OF FACILITY(If different from Permittee) 11939 N/A LOCATION OF PROJECT-1380 "The Str �]NTY TOWN/CITY/VILLAGE UTM COORDINATES Long Island Sound Suffolk Southold DESCRIPTION OF PROJECT/FACILITY Construct 3 wide stairways down face of bluff approximately. 95 ' long course of stairways and a 4 'x4' platform at bottom and a 8 'xl2 ' deck at top on crest of bluff. Mrk to be n accoraance with reterenced plans. GENERAL CONDITIONS -" By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations and the conditions specified herein or attached hereto. 1. The permittee shall file in the office of the appropriate regional permit administrator,or other office designated in the special conditions,a notice of intention to commence work at least 48 hours in advance of the time of commencement and shall also notify him/her promptly in writing of the completion of the work. 2. The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation which may order the work suspended if the public interest so requires. 3. The permittee has accepted expressly,by the execution of the application,the full legal responsibility for all damages,direct or indirect,of whatever nature,and by whomever suffered,arising out of the project described herein and has agreed to indemnify and save harmless the State from suits,actions,damages and costs of every name and descrip- tion resulting from-the said project 4. The Department reserves the right to modify,suspend or revoke this permit at any time after due notice,and, if requested,hold a hearing when: a) the scope of the project is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations are found;or b) the permit was obtained by misrepresentation or failure to disclose relevent facts;or c) newly discovered information or significant physical changes are discovered since the permit was issued. 5. The permittee is responsible for keeping the permit active by submitting a renewal application,including any forms,fees or supplemental information which may be required by the Department,no later than 30 days(180 days for SPDES or Solid or Hazarduous Waste Management permits)prior to the expiration date. 6. This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work or as authorizing the impairment of any rights,title or interest in real or personal property held or vested in a person not a party to the permit 7. The permittee is responsible for obtaining any other permits,approvals,lands,easements and rights-of way which may be required for this project. 8. Issuance of this permit by the Department does not,unless expressly provided for,modify,supersede or rescind an order on consent or determination by the Commissioner issued heretofore by the Department or any of the terms,conditions,or requirements contained in such order or determination. 9. Any modification of this permit gram th rtme ust be in wri ing and attached hereto. PERMIT ISSUANCE DATE PERMIT ADMINISTRATOR ADDRESSBldg. 40 SUNY, Room 219 Charles T. .Hamilton IStonyBrook N. Y. 11794 AUTHORIZED TURE X J•� Page 1 of 3 - cc:D. Fallon BOARD OF TOWN TRUSTEES. - TOWN ..OF. SOUTHOLD SHORT ENVIRONMENTAL ASSESSMENT FORM Project Information(To be completed by Applicant or Project sponsor) 1. Applicant/sponsor roject Name 3. Project location:. 13 8O Municipality " County 4JL 4. Is o ed action: New ❑ Expansion ❑ Modification/alteration S. Describe project briefly. I NdT4"nT100 OT- -STA`DS rAom —Op ots, %`two 6. Precise location(road intersections,prominent landmarks,etc.or provide map) tky- (LLro 7. Amount of I nd affected: ■ Initially -' V=f Ultimately y'1�� acres a. VVIIpkoposed action comply with existing zoning or other existing land use restrictions? IKYes ❑ -No If No,describe briefly 9. rh spresent land use in vicinity of project? esidential ❑ Industrial ElCommercial ElAgriculture ElParkland/open space ElOther ibe: 10. Doe c' n 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 bec APPt\o0q_D Ikkk Rkmrr_ �'Jo ' 1646_ 6s. y� 'Sce- cb Ouccmocl 11. Xany aspect of the action have a currently valid permit or approval? Yes ❑ No If yes,list agency name and permit/approval type sce- N o r t 0 12. As result of pZo action will existing permit/approval require modification? ❑ Yes I C TIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE P (�j Applicanusponsor name: 1 Date: 7)/tr v 6 Signature: 95.206(9185) IRK"STATE DEPARTMENT OF ENVIRONMENTAL CONOATION .ti DEC PERMIT NUMBER EFFECTIVE DATE 10-86-0544 7/11/86 FACILITY/PROGRAM NUMBER(s) PERMIT EXPIRATION DATE(s) Under the Environmental Conservation Law N/A 12 31 87 ❑Article 15, Title 5: ❑Article 17, Titles 7, 8: SPDES ❑Article 27, Title 7: Protection of Water ❑Article 19: Solid Waste Management ❑Article 15,Title 15: Air Pollution Control ❑Article 27, Title 9: Water Supply ❑Article 23, Title 27: Hazardous ❑Article 15, Title 15: Mined Land Waste Management Water Transport Reclamation ❑Article 34: ❑Article 15, Title 15: ❑Article 24: Coastal Long Island Wells Freshwater Wetlands Erosion Management ❑Article 15, Title 27: RIArticle 25: ❑Article 36: Wild, Scenic Tidal Wetlands N Floodplain Management and Recreational Rivers ❑Articles 1, 3, 37; 6NYCRR 380: ❑6NYCRR 608: N—New, R—Renewal, M—Modification Radiation Control Water Quality Certification C—Construction, O—Operation, (If Applicable) PERMIT ISSUED TO Donald MUrray ADDRESS OF PERMITTEE 21 Beverly Drive, Albertson, N.Y. 11507 AGENT FOR PERMITTEE/CONTACT PERSON TELEPHONE NUMBER Walter Gai a L (477-0462) NAME AND ADDRESS OF FACILITY(If different from Pernittee) 11939 N/A LOCATION OF PROJECL1380 "The Str I4TY TOWNICITY/VILLAGE UTM COORDINATES Lon Island Sound Suffolk Southold DESCRIPTION OF PROJECT/FACILITY Construct 3 . wide stairways down face of bluff approximately. 95 ' long course o s airways an a 4 'x4' platform at bottom and a 8'xl2 ' deck at top on crest of bluff. Wbrk to be n accorclance With referenced plans. , GENERAL CONDITIONS By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations and the conditions specified herein.or attached hereto. 1. The permittee shall file in the office of the appropriate regional permit administrator,or other office designated in the special conditions,a notice of intention to commence work at least 48 hours in advance of the time of commencement and shall also notify him/her promptly in writing of the completion of the work. 2. The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation which may order the work suspended if the public interest so requires. 3. The permittee has accepted expressly,by the execution of the application,the full legal responsibility for all damages,direct or indirect,of whatever nature,and by whomever suffered,arising out of the project described herein and has agreed to indemnify and save harmless the State from suits,actions,damages and costs of every name and descrip- tion resulting from.the said project 4. The Department reserves the right to modify,suspend or revoke this permit at any time after due notice,and, if requested,hold a hearing when: a) the scope of the project is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations are found-or b) the permit was obtained by misrepresentation or failure to disclose relevent facts;or c) newly discovered information or significant physical changes are discovered since the permit was issued. .5. The permittee is responsible for keeping the permit active by submitting a renewal application,including any fortes,fees or supplemental information which may be required by the Department,no later than 30 days(180 days for SPDES or Solid or Hazarduous Waste Management permits)prior to the expiration date. 6. This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work or as authorizing the impairment of any rights,title or interest in real or personal property held or vested in a person not a party to the permit 7. The permittee is responsible for obtaining any other permits,approvals,lands,easements and rights-of way which may be required for this project 8. Issuance of this permit by the Department does not,unless expressly provided for,modify,supersede or rescind an order on consent or determination by the Commissioner issued heretofore by the Department or any of the temp,conditions,or requirements contained in such order or determination. 9. Any modification of this permit gram th rt ust be in wr'ing and attached hereto. PERMIT ISSUANCE DATE PERMIT ADMINISTRATOR ADDRESsBldg, 40 SUNY, Room 219 Charles T. Hamilton IStonYBrook N. AUTHORIZED TORE X J Page 1 of 3 cc:D. Fallon COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: BEING DULY SWORN DEPOSES AND SAYS THAT HE 1S 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 o to my prop ty to inspect tie premises in conjunction with revi of this ligation. SIGNATURE O A PLICANT SWORN TO BEFORE ME THIS DAY OF 19 UNDA I COOPER Notary Public,State c New Y ountyW NO ARY Pu I C Term Expires December 31,19_-. EXAMINED APPROVED "WETLANDS" PERMIT CHAPTER 97) APPROVED "BOAT, DOCKS, WHARVES" PERMIT (CHAPTER 32) DISAPPROVED "WETLANDS PERMIT"CHAPTER 97) DISAPPROVED "BOATS ,DOCKS , WHARVES" PERMIT CHAPTER 32) CONDITIONS , IF ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 PART If 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 FULLILONG FORM EAF. ❑ Yes ❑ No B. Will action receive coordinated review as provided for Unlisted Actions in 6 NYCRR, Part 617.7? If No,a negative declaration may be superceded by another involved action. ❑ Yes ❑ No C. Could action result in ANY adverse effects on,to.or arising from the following:(Answers may be handwritten, if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic patterns,solid waste production or disposal,potential for erosion, drainage or flooding problems? Explain briefly: C2. Historic,archeological,visual or aesthetic,or other natural or cultural resources;agricultural districts;or community or neighborhood character?Explain brief C3. Vegetation or fauna,movement of fish 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. Secondary,cumulative,or other effects not identified in C1-C6? Explain briefly. C7. A change in use of either quantity or type of energy? Explain briefly. PART III Determination of Significance (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e. urban or rural); (b) probability of occurring; (c)duration;(d) irreversibility;(e)geographic scope; and(f)magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed.. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY Occur. Then proceed directly to the FULL/LONG FORM EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide here, and on attachments as necessary, the reasons supportng this determination: Agency Name Agency Preparefs Name Prevarer's SignaturerTitle Date 4/