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HomeMy WebLinkAboutTR-4244 V 061 �" Y''_�c Board Of Southold Town Trustees f SOUTHOLD, NEW W YORK : �. PERMIT NO. ..Y .y.. ........ DATE: ......9../30/93........ s' i.dS y : �.S a ISSUED TO ........V.OIRTH...FORK LJNT,...,C,ORY...CL.UB............................... - cs Pursuant to the prov*isions ofprovision Chapter 615 of the Laws of 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 { IN AND ON TOWN WATERS AND PUBLIC LANDS and they REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM ! , r, LANDS UNDER TOWN WATERS;" and in accordance with the E» Resolution of The Board adopted at a meeting held on ....9-/.3.0./93,.... 19....9.3..., and in consideration of the sum of $......15.0...00...... aid b Gilbert E. Pinkham for N.F. Countr Club ......... ............. . .... .............................. .... ............... .......Y ......................................... of ............Cutchogue I......................I...................... N. Y. and subject to the r. Terms and Conditions listed on the reverse side hereof, \ a' of Southold Town Trustees authorizes and permits the following: Const. 16th tee and other operations as described in proj. de� `4 sub. to runoff be contained and ntive veget. buffer areas be maintained & 15th tee area B not to be disturbed at all on bank a ;. Y it f+i •�i 1 all in accordance with the detailed specifications as presented in , the originating application. `sl IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to �a be subscribed by a majority of the said Board as of this date. a, �o cow -< cr3 c� 1 ' Aa yr ....... ....J 1. O i I ....................................Trustees.................................... • �L_R, _ ___ — —--_ _ _ Jew � .•.�...•„ca.n� �'.*.a:.,r�,'s. ��.r., sue.%.r."' ..�`-��.� "fi r:r�.;,: a `<a -w�-'s.r. ,.,:�a�,ya ..-- �,�'��'d,��.eu-.�:rW�'�:. ,+ - �� i L\ TRUSTEES SISFF01 SUPERVISOR John M. Bredemeyer, III, President ��� �'p SCOTT L.HARRIS Albert J. Krupski, Jr., Vice President Henry P. Smith cc Town Hall John B. Tuthill W 53095 Main Road William G. Albertson �y �� P.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (516) 7654823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 30, 1993 Gilbert E. Pinkham North Fork Country club Main Road Cutchogue NY 11935 Re: SCTM #¢109-4-7.1 Dear Mr. Pinkham, The following action was taken by the Board of Town Trustees during its regular meeting held on September 30, 1993 regarding the above matter: WHEREAS, NORTH FORK COUNTRY CLUB applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated December 10, 1991 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 Thursday, September. 30, 1993 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, t RESOLVED that the Board of Trustees approves the application of NORTH FORK COUNTRY CLUB to construct the 16th tee and other operations as described in the enclosed project description and survey dated as revised August 26, 1993, subject to, the runoff be contained and native vegetation buffer areas be maintained and the 15th fee area B not to be disturbed at all on bank. Located Main Road, Cutchogue. Permit will expire two years from the date it is sighed. Fees must be paid., if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: Fees: Ve y truly yours, John M. Bredemeyer III President, Board of Trustees JMB/djh cc. CAC y Y oS�FFU(,��o .` Town Hall, 53095 Main Road Telephone P.O. Box 1179 (516) 765-1801 t' Southold, New York 11971 y�pl y,�0 SOUTHOLD TOWN =SOUITHHno CONSERVATION ADVISORY COUNCILAUG TO: Southold Town Board of Trustees FROM: Southold Town Conservation Advisory Council DATED: August 24, 1993 RE: Recommendation of Wetland Applications The following recommendation were passed by the Southold Town Conservation Advisory Council at its meeting held Thursday, August 19, 1993. Present at the meeting were Chairman John Holzapfel, Bruce Loucka, John Hagerty, and Pat Isaksen. Moved by John Holzapfel, seconded by Bruce Loucka it was RESOLVED to recommend to the Southold Town Trustees APPROVAL of the Wetland Application of CLEAVES POINT VILLAGE 38-7-4.2 & 8 and 38.2-1-45 existing dock modification. The CAC recommends approval provided there is no increase in the number of slips. 2820 Shipyard Lane, East Marion Vote of Council: Ayes: All Motion carried. Moved by Bruce Loucka, seconded by John Holzapfel, it was RESOLVED to recommend. to the Southold Town Trustees APPROVAL WITH SUGGESTIONS of the Wetland Application. of the MATTITUCK PARK DISTRICT 99-2-19.1 to repair east side of parking lot at Breakwater Beach which was storm damaged and to remove materials which were placed under lot. (Application a result of violation issued. The Council recommends approval with the following suggestions: materials be removed and replaced properly; applicant may wish to realign, the present configuration . does not provide the best protection. Breakwater Beach, Mattituck Vote of Council: Ayes: All Motion carried. r - Moved by John Holzapfel, second by Bruce Loucka, it was RESOLVED recommend to the Southold Town Trustees APPROVAL of the Wetland Application of the NORTH FORK COUNTRY CLUB 109-4-7.1 to create new 16th teeing ground and fairway in wooded area to the east of existing 15th green ,and 16th fairway according to submitted plans. The Council recommends approval with the understanding that the runoff. be contained and native vegetative buffer areas be maintained. Main Road, Cutchogue Vote of Council: Ayes: All Motion carried. Moved by Patricia Isaksen, seconded by John Hagerty, it was RESOLVED to recommend to the Southold Town Trustees APPROVAL of the Wetland Application of LEON L. MUNIER 128-6-1 which is a Grandfather Permit for stairs and decks for bulkheads; deck and bathhouse approximately 12' x 40' located in between bulkheads. 4030 Peconic Bay Blvd., Laurel Vote of Council: Ayes:. All Motion carried. Moved by Patricia Isaksen, seconded by John Holzapfel, it was RESOLVED to recommend to the Southold Town Trustees APPROVAL of the Wetland Application of VICTOR CATALANO 128-6-13.3 to replace (within 18") 103 I.f. of timber bulkhead. Wall to be backfilled with 350 c.y. of clean backfill to be trucked in from upland source and delivered over owner's property. , Remove an existing concrete stairway and replace with a 5' x 7' wood stairway. Property damaged by winter storms. The Council recommends approval and suggests the applicant may wish to tie in the adjacent bulkheads to create a solid line. Peconic Bay Boulevard, Laurel. Vote of Council: Ayes: All Motion carried. Moved by John Holpzalfel, seconded by Patricia Isaksen, it was RESOLVED to recommend to the Southold Town Trustees DISAPPROVAL of the Wetland Application of ROBERT TAYLOR 126-6-9.1 to construct 58' of timber retaining wall no more that 2' in front of existing retaining wall, with a 30' return on the east property line. Approximately 40 c.y. of clean backfill to be trucked in in from upland source. The Council recommends disapproval as submitted because there is plenty of room behind the existing seaward bulkhead (not retaining wall); the proposed plan would be 2' in front of adjacent western bulkhead which would create an angle, which can create erosion problems. The Council also questions the MHW, it does not appear to be correct on the submitted plans. Sigsbee Road, Mattituck Vote of Council: Ayes: All Motion carried. 2 Proper-T Permit Services POST OFFICE BOX 617,, CUTCHOGUE, NEW YORK 11935 (516)734-5800 December. b, 199_ President ; _TWA �J{ Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re: Application for Permit on Behalf of the North Fork Country Club Dear Sir: Attached are the documents which have been prepared in support of the application for a permit to construct a new fairway and teeing area for the 16th hole, and an extended teeing area for the 15th hole of the golf course located on the property of the North Fork Country Club in the Town of Southold, Suffolk County. Proper-T Services represents the North Fork Country Club in this matter, and a letter of authorization is part of the submission. If there are any questions, or if additional information is needed, please call me. Your tr J es E. Fitzg ld, r. Enclosures : Application Form Application Fee ($150) Letter of Authorization Notarized Statement of Applicant Short Environmental Assessment Form Vicinity Map Tax. Map Project Plan and Section Views Project Site Photos (one set) a subsidiary of THE PECONIC EASTERN CORPORATION o � TELEPHONE 5 ` (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD L's_+; 10 1991 Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 T®VV� ®1 �Q � ®� 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. IC9_ 1-4 -7. 1 DATE 12/6/91 APPLICANT'S NAME: North Fork Country Club, Inc. TEL. NO. 734-1139 MAILING ADDRESS: Main Road, Cutchogue, NY 11935 AGENT: James E. Fitzgerald, Jr./'Proper-T Services TEL NO. 734-5800 AGENT ADDRESS: P.O. Box 617, Cutchogue, NY 11935 PERMIT REQUESTED TO: Construct new 16th fairway and tee; extend 15th tee. See attached project descriptions. LOCATION OF PROPERTY FOR REQUESTED PERMIT: Main Road and Moore's bane, Cutchogue HAMLET: - Cutchogue TAX "MAP NO: 1000- 109-4-7. 1 CREEK, BAY OR HARBOR FRONTING PROPERTY: West Creek SIZE OF PROPOSED WORK: Total approx 7.5 acres LENGTH: 1000' approx WIDTH: 300' approx A Page 2. * No net change; regrading as required. approx approx YDS. TO BE EXCAVATED: 2000* YDS. TO BE FILLED: 2000* MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: dry-land earth moving equipment. WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: N/A DEPTH AT LOW TIDE: N/A AVER. RISE IN TIDE: N/A DISTANCE TO NEAREST CHANNEL: N/A DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: N/A AREA ZONING: A-C IS PROJECT FOR PRIVATE OR BUS. USE: Private INTENDED USE OF PROPERTY: Golf course, as at present DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: None of significance to Trustees . HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: No HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL AGENCY: No DESCRIBE FULLY THE REHABILITATION OF PROPERTY: See project descriptions. DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: See project descriptions. 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: See attached letter. 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. Plature f Ap 'can SWORN TO BEFORE ME THIS DAY OF 19 91 JANE R. MINERVA NOTARY o.4853108,Suffolk County NOTARY PUBLIC Commission Expires February 1 1922— EXAMINED BY APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 NORTH FORK COUNTRY CLUB MAIN ROAD • CUTCHOGUE, NEW YORK 11935 October 25, 1991 President Board of Town Trustees Town of Southold Town Hall , 53095 Main Road Southold, New York 11971 Dear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. and Proper-T Permit Services to act in the behalf of the corporation as its agent in the submission and processing of permit applications for the construction and/or renovation of certain portions of the golf course on the cor- poration' s property located on Moore ' s Lane, Cutchogue, and designated by Suffolk County Tax Map Nos. 1000-109-4-3 , 1000- 109-3-9, 1000-116-2-1 , and others , and to furnish upon request supplemental information in support of the application. NORTH FORK COUNTRY CLUB, INC . John J. Farrell, President Board of Governors NORTH FORK COUNTRY CLUB MAIN ROAD • CUTCHOGUE, NEW YORK 11935 AUG 2 9 1994 ! August 24, 1994 T1 OF SO�.��140� New York State Department of Environmental Conservation Building 40-SUNY Stony Brook, NY 11790-2356 ATTN: Ms. Sue Ackerman Dear Ms. Ackerman: With reference to your conversation with Mr. Al Krupski , Town Trustee of Southold, we are requesting permission to commence work on our 15th back tee. Only the conditions applying to that tee will be adhered to. We would also appreciate it if you could set up a pre- construction meeting. Thank you for your consideration in this matter. Weely, man cc: Mr. Al Krupski .New York State Department of Environmental Conservation Building 40—SUNY, Stony Brook, New York 11790-2356 (516) 444-0365 FAX (516) 444-0373 Thomas C. Jorling Commissioner March 3, 1994 North Fork Country Club, Inc. Main Road Cutchogue, NY 11935 RE: 1-4738-00442/00001-0 Dear Permittee In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. , Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, David DeRidder Deputy Regional Permit Administrator ` DD/nw enclosure CJ printed on recycled paper -95,20-6a(7I92 —25c ADbITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 6 NYCRR Part 608 ( TidalWets ands ) 9. That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the teration in the position of the structure or work herein authorized,or project. if, in the opinion of the Department of Environmental Conservation 13 Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the, free navigation of said shall be removed evenly,without leaving large refuse piles,ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State,the owner may be ordered by the Department to a waterway. remove or alter the structural work, obstructions, or hazards caused 14 There shall o no unreasonable interference with navigation by the work thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other herein authorized. modification of the watercourse hereby authorized shall not be com- 15. If upon the expiration or revocation of this permit,the project hereby pleted, the owners, shall, without expense to the State, and to such authorized has not been completed,the applicant shall,without expense extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the Conservation may require,remove all or any portion of the uncompleted Department of Environmental Conservation may require,remove all or structure or fill and restore to its former condition the navigable any portion of the uncompleted structure or fill and restore the site and flood capacity of the watercourse.No claim shall be made against to its former condition. No claim shall be made against the State of the State of New York on account of any such removal or alteration. New York on account of any such removal or alteration. 10 That the State of New York shall in no case be liable for any damage 16. If granted under 6 NYCRR Part 608, the NYS Department of Environ- or injury to the structure or work herein authorized which may be caused mental Conservation hereby certifies that the subject project will not by or result from future operations undertaken by the State for the contravene effluent limitations or other limitations or standards under conservation or improvement of navigation,or for other purposes,and Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 no claim or right to compensation shall accrue from any such damage. (PL 95-217) provided that all of the conditions listed herein are met. 11. Granting of this permit does not relieve the applicant of the responsi- 17. All activities authorized by this permit must be in strict conformance bility of obtaining any other permission, consent or approval from with the approved plans submitted by the applicant or his agent as part the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State of the permit application. Office of General Services or local government which may be required. Such approved plans were prepared by Land Use CO. 12. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, On 11/2?_/91 I_e,?'_sed 11/29/93, 3/27/92, 6/1/9: solvents, lubricants,epoxy coatings,paints,concrete,leachate or any 8/6/92, 3/15/93 and 8/2.6/93. SPECIAL CONDITIONS 1. Permittee shall remove all debris and equipment from the 150' buffer area east of project site as shown on approved . plan within 60 days of permit issuance. 2. Prior to commencement of project, permittee shall submit proof to the Region 1 BMHP that the 150' buffer has been created and shall conduct a pre-construction meeting with the Region I BMHP Manager and all involved contractors and/or environmental monitors. At the pre-construction meeting, the permittee shall have installed all silt barriers (silt fences, hay bales at the tidal wetland boundary as shown on approved plan) . 3. Plantings shall be installed in Area B as shown on approved plans except at the 15th Tee and there shall be no disturbance to vegetation or topography seaward of the bank at the 15th Tee. 4. There shall be no pesticide, herbicide, irrigation or fertilizer application in the maintained rough of the 16th Tee, 5. There will no draining nor directing of surface runoff toward tidal wetlands from the new tee, greens and fairway. DEC PERMIT NUMBER 1-4.738-00442/00001-0 PROGRAMIFACILITY NUMBER Page __3_ of 6 95-206f(7187) 25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 25 Tidal Wetlands For Article 6. The golf cart paths may only be constructed of crushed stone or equivalent pervious surface materials. 7. Hay bales shall be installed at seaward toe of disturbed areas for the 16th Tee, trap, fairway construction and remain in place until such time that disturbed areas are vegetated. 8. All Supplemental plantings in the Area A and B shall be maintained at an 85% survival rate for a minimum of five Years from completion of the project. 9. There shall be no alteration or disturbance to vegetated tidal wetlands. 10. All debris shall be removed to an approved solid waste management facility. 11. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for , disposal. No debris is permitted in tidal wetlands. i2 . The storage of construction equipment and materials shall be confined to within the project work site and/or upland areas greater than 75 linear feet distant from the tidal wetland boundary. 13. If seeding or soil stabilization is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather conditions favor germination and growth, but not more than six months after project completion. 14 . Prior to the ultimate expiration of this permit the permittee will cause all fill and exposed faces to be vegetated to prevent erosion. 15. All disturbed areas where soil is temporarily exposed or stockpiled for longer than one month shall be stabilized in accordance with temporary seeding or ground cover measures as stated in the attached Erosion Control Sheet. DEC PERMIT NUMBER 1-4738-00442/00001-0 FACILITY ID NUMBER PROGRAM NUMBER Page 4 of 6 95=206f(7f87)-25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For Article 25 Tidal Wetlands 16. To protect the values of the tidal wetland, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 150 linear feet landward of the tidal wetland boundary. 17. All fill shall consist of "clean" gravel and soil (not asphalt, slag, flyash, broken concrete or demolition debris) . Supplementary Special Conditions (A) thru (F) attached. DEC PERMIT NUMBER t-4738-00442/00001-0 FACILITY ID NUMBER PROGRAM NUMBER Page 5 of 6 SUPPLEMENTARY SPECIAL CONDITIONS The following conditions apply to all permitss A. A copy of this permit, including all conditions and approved plane, shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous location at the work site until all authorized work has been completed. B. The permittee 'shall require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit and all its general, special, and supplementary special conditions. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affairs at the address on page one or telephone (516) 444-0365. C. If project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification may require submission of a new application for permit. D. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of the permitted work, the bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required, a survey. E. For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years. F. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, office of General Services; Tower Building, Empire State Plaza, Albany, NY 12242 (516) 474-2195, which may be required for any encroachment upon State-owned lands underwater. DEC Permit No. Page of / I 1 NI IRK STATE DEPARTMENT OF ENVIRONMENTAL CON TION DEC PERFIIT NUMBER EFFECTIVE DATE 1-4738-00442/00001-0 March 2, 1994 FACILITY/PROGRAM NUMBER(S) P E IT EXPIRATION DATE(S) March 1, 1996 Under the Environmental Conservation Law TYPE OF PERMIT ■ New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate 0 Article 15, Title 5: Protection 0 6HYCRR 608: Water Quality 0 Article 27, Title 7; 6NYCRR 360: of Waters Certification Solid Waste Management 0 Article 15, Title IS: Water 0 Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRR 373: Supply Hazardous Waste Management 0 Article 19: Air Pollution 0 Article 15, Title 15: Water Control 0 Article 34: Coastal Erosion Transport Management 0 Article 23, Title 27: Mined Land 0 Article 15, Title 15: Long Reclamation 0 Article 36: Floodplain Island Wells Management 0 Article 24: Freshwater Wetlands 0 Article 15, Title 27: Wild, 0 Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO TELEPHONE NUMBER North Fork Country Club, Inc. (516) 734-7139 ADDRESS OF PERMITTEE Main Rd., Cutchogue, NY 11935 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Charles Bowman: 2576 Sound Ave., Baiting Hollow, NY 11933 1(516) 727-2400 NAME AND ADDRESS OF PROJECT/FACILITY North Fork Country Club - Main Rd., Cutchogue LOCATION OF PROJECT/FACILITY COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold E: 711.5 N: 4541.0 DEMPTIQV (T AUff-M12H) ACrIVITY Construct new 16th tee and fairway to the east of the existing 15th green and 16th fairway, which includes clearing trees, regrade fairway contours, create collection pond berms to contain runoff to wetlands - place fill to construct tees and traps, install two-line irrigation system, seed all disturbed areas, install crushed rock golf cart paths and reconstruct 15th tee; all in accordance with the NYSDEC stamped approved plan referenced in General Condition #17. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of this permit. DEPUTY REGIONAL PERMIT ADMINISTRA- ADDRESS TOR: David DeRidder Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE March 2, 1994 Page 1 of 6 GENERAL OCINDITIMS Inspections 1 . The permitted site or facility, including relevant records, is subject to in- inspection at reasonable hours and intervals by an. authorized representative of the Departrrent of Envirormental Conservation (the Department) to determine Mether the permittee is ccnrplying with this permit and the ECL. Such represen- tative rrey order the work suspended pursuant to ECL 71-0301 and SAPA 401 (3) . copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Permit Changes and Renewols 2. The Department reserves the right to modify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regula- tions is found; b) the permit wes obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) environmental conditions, relevant technology, or applicable lanr or regulation have materially changed since the permit was issued. 3. The permittee must submit a separate written application to the Department for renetial , m)dification or transfer of this permit. Such application rr st include any forms, fees or supplemental information the Department requires. Any renam 1 , modification or transfer granted by the Department must be in writing. 4. The permittee must submit a renenel application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SFDES) , Hazardous Vlbste IVbnagerent Facilities (FVff) , major Air Pollution Control (APC) and Solid Vlaste IVbnagement Facilities (SMJF) ; and b) 30 days before expiration of all other permit types. 5. b less expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requiremnts contained in such order or determination. Other Legal Obligations of Permittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all damages, direct or indirect, of whatever nature and by vdxrmEver suffered, arising out of the project described in this permit and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from this project. 7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the irrpai m-ent of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is responsible for obtaining any other permits, approvals, lands, easarents and rights-of-way that may be required for this project. Page 2of 6 t C)#V�),f re).3 JtV 02L.Cyr%l.L, as 1 S b-"e, CHECK OFF LIST 1. $150.00 APPLICATION FEE PAID 2. $35.00 AMENDMENT, WAIVER OR INSPECTION, FEE PAID: 3. INSPECTION DATE: 5. DATE SENT TO CAC: a p 6. CAC COMMENTS: V) 6. ASSESSMENT: 7. LEAD AGENCY: 8. D.E.C. PERMIT: 9. ARMY CORPS PERMIT: 10. PUBLIC HEARING 11. DETERMINATION: 12. CONDITIONS: 13. PERMIT ISSUED: FEES PAID: Additional Information �1j - c-�C�^'�r 15+`` ,►,� w f �(cas- cv�#- p tiles { � r TRUSTEES �gUFFO[,�c SUPERVISOR John M. Bredemeyer, III, President �O�' �p SCOTT L.HARRIS Albert J. Krupski, Jr., Vice President y�c Henry R Smith y z Town-Hall John B. Tuthill 0 53095 Main Road William G. Albertson A � p!� P.O. Box 1179 Telephone (516) 765-1892 ��l �►a Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 1000-109-4-7.1 Chapt. 97 - Wetlands NAME: North Fork Country Club Chapt. 37 - Coastal Erosion DATE: August 27, 1993 RESOLVED that pursuant to Article 8 of the Environmental Conservation Law, State Environmental Quality Review and 6NYCRR Part 617, Section 617. 10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. TYPE OF ACTION: Type I DESCRIPTION OF ACTION: to construct the 16th Tee and. other operations as described in the enclosed project description and survey dated as revised August 26, 1993. LOCATION:SCTM #1000-109-4-7.1 REASONS SUPPORTING THIS DETERMINATION: 1. An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. cc: CAC Chuck Hamilton, DEC BUFFER AREA SPECIFICATIONS �1993 AREA "A" (ROUGH AREA) TOWN OF SOUTHOLD All areas within the designated Buffer Area to' be cultivated and seeded _ with the following seed mixture. Switch Grass (Panicum viz atum Tall Fescue (Festuca arundiacea) AREA "B" All areas included within Area "B" to be seeded per Area "A" specifications. Additionally, the following shrub species to be established on 6' centers. 1) Bayberry (Myrica gennsylvanica) 2)- Honeysuckle (Lonicera g . ) 3) Sercia Lespedeza (Lespedeza cuneata) All material to be nursery grown B&B or -container stock. Minimum one gallon size. Dated: June 22, 1992 Amended: August 14, 1992 ; September 17, 1992 March 15, 1993 Land Use 2576 Sound Avenue • Baiting Hollow,N.Y.11933 �- . (516)727-2400 • FAX(516)727-2605 TRUSTES John M. B edemeyerEIII, President �o,�pSUFFO(�-COG SCOTT LL.. HARRIS Albert J. Krupski, Jr., Vice President y1 Henry P. Smith y= i Town Hall John B. Tuthill 0 • 53095 Main Road William G. Albertson ?� �� P.O. Box 1179 Telephone (516) 765-1892 �Cl Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 21, 1993 Mr. John Holzapfel, Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, NY 11971 Dear Mr. Holzapfel: Transmitted herewith are the following applications for a wetland permit: Mattituck Park District 99-2-19.1 North Fork Country Club- 10-9-4-7. 1 Leon L. Munier 128-6-1 Victor Catalano 128-6-13.3 Please prepare a written report of findings and recommendations with respect to these applications. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB/djh ETOWN G - 2-19W NORTH FORR COIINTRY CF SOUdTHOLD GENERAL PROJECT DESCRIPTION Create new 16th teeing ground and fairway in wooded area to the east of existing 15th green and 16th fairway; clear trees as required; regrade as required to prevent runoff into adjacent wetlands; install several new sand traps; seed or sod new fairway, near adjacent "rough" areas, and teeing area; install extension of existing irrigation system as required. Extend existing back ( "blue" ) teeing area of 15th hole; seed or sod the new area as required. All operations will be conducted using the methods and materials generally recognized as suitable and environmentally safe in golf course construction and management . It must be noted that while the narrative descriptions and drawings are as accurate as possible, it is possible that during construction situations may develop which would require minor changes to the present written application. It is requested that sufficient flexibility be granted by the regulatory agencies to permit minor changes which are obviously within the spirit and intent of this application, which do not impose environmental burdens, and which do not extend beyond the proposed seaward limits of the project as submitted. Detailed descriptions of the proposed operations are attached. NORTH FORK COUNTRY CLUB 0 LS AUG — U fill WORK DESCRIPTION FOR NEW 16rH 21993 A new tee and fairway for the 15th hole r, T N F SO THOLD Country Club will be constr. iict.ed in accordance with the enclosed plans and specifications contained herein . The existing green will be retained undisturbed except for modification of surrounding traps and associated mounds . All work will be performed in accordance with this work description . CLEARING: Trees will be cut down , stumps removed, and brush cleared as required for the play:"rig area as shown on the plan . All organic debris will be removed from the site, none will be buried or burned. Trees specifically marked on the plan will be retained . REGRADING: The existing contours of the land will be retained as much as possible except for the drainage control and contouring around fairway and greenside traps . Where it is necessary to significantly alter contours top -,oil will be stripped and replaced after regrading . Collection ponds and berms will be created as shown on the plans to prevent runoff Into the surrounding wetlands. TEES AND TRAPSt Teeing areas and mounds around traps will be constructed by bringing in fill as required . After final shaping and placement of top soil , clean sand will be broucitit in and placed in depressions in the mounds to create fairway arsd greenside sand traps. IRRIGATION SYSTEMv A two line irrigation system will be installed which will cover the area shown on the plan . Any runoff from the irrigation system will be contained by the drainage control described above. SEEDINGI In preparation for seeding the fairway and near rough areas the area will be plowed and disced . "Nitroform" f6ttilizer and lime will be applied prior to seeding . Certain limited areas may be sodded instead of seeded . I£ during Maturation of the turf it is determined that an insecticide is required "Banol" will be used at the rate of 2 lbs. per 1000 sq . ft. If during the maturation of the turf it is determined that some form of weed control is required a herbicide will be applied ds required to control the specific variety of weed . CART PATHS: Macadam or crushed rock cart paths will be constructed as shown on the plan . GEP Rev. A 10/16/91 BUFFER AREA SPECIFICATIONS 21 AREA "A" (ROUGH AREA) T jVV ®� SOUTHOLD All areas within the designated Buffer Area to' be cultivated and seeded with the following .seed mixture. Switch Grass (Panicum vir atum) Tall Fescue (Festuca arundiacea) AREA "B" All areas included within Area "B" to be seeded per Area "A" specifications. Additionally, the following shrub species to be established on 6' centers. 1) Bayberry (Myrica'pennsylvanica) 2)- Honeysuckle (Lonicera sp.,) 3) Sercia Lespedeza (Lespedeza,cuneata) All material to be nursery grown B&B or -container stock. Minimum one gallon size. Dated: June 22, 1992 `Amended: August 14, 1992 : September 17, 1992 March 15, 1993 Land Use 2576 Sound Avenue • Baiting Hollow,N.Y. 11933 (516)727-2400 • FAX(516)727-2605 NORTH FORK COUNTRY CLUB MAIN ROAD • CUTCHOGUE, NEW YORK 11935 p C� � C� UdC� AUG - 219� July 30 , 1993 TOWN OF SOUTHOLD John M. Bredemeyer III Board of Town Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 Re: Application # 1000-109-4-7 .1 North Fork Country Club Dear Mr . Bredemeyer, Please be advised that Mr. C. Bowman Land Use Co. has been retained to act in our behalf in matters related to the referenced application. Accordingly Mr . J. T. Fitzgerald, Proper-T Services is no longer our representative. Very truly yours, Gilbert E. Pinkham Chmn. Golf Course Planning Comm. cc: C. Bowman Land Use Co. John Farrell, Pres . NFCC F. Hetzer, Chmn Greens Comm. NFCC New York State Department yofJEnvironmental Conservation Ask Thomas C. Jorilnq To,,A—T Commissioner Toc,'n 1qa q LT __J M L 4 Dear 5 �QP C ��rcc;f RE: LEAD AGENCY COORDINATION REQUEST The purpose of this request is to determine under Article 8 (State Environ- mental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your agency's interest in acting as lead agency; 2. Your agency's jurisdiction in the action described below; and 3. Issues of concern which your agency believes should be evaluated. Enclosed is a copy of the permit application and a completed Part 1 of the Environmental Assessment Form to assist you in responding. Project Name: (C)11 1(r?1 61(,t4 Project Location: PoL,1 �Qoa-(P, C(,�.`�Cwyoe_, 1-0,� G.C. 5 u141 ol k Cot"11 5 C-r V'I 1000 — t�q _ y_7,, DEC Project Number: ,- Y73,F-0051cl Z-0000/10 DEC Permits: SEQR Classification: Type I [ ] Unlisted eccnk , ccd jcrc dv i Wf-ckrfe.k C 04 DEC Contact Person: Kapm A, DEC Position: DEC has no objection to your agency or another agency assuming lead agency status for this action, but reserves the right to comment on this action if a positive determination of significance is made. A glt't��®L�Ge TRUSTEES John M.Bredemeyer,III,President # a . SUPERVISOR Henry P. Smith,Vice President ' �xi SCOTT L. RABBIS � : Albert J.Krupski,Jr. ���i John L.Bednoski,Jr. �,� Town Hall e John B.Tuthill 53095 Main Road P.O.Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTHOLD January 28, 1992 James Fitzgerald Proper-T Services P.O. Box 617 Cutchogue, NY 11935 RE: North Fork Country Club - Hole *15 SCTM #1000-109-4-7.1 Dear Mr. Fitzgerald: The following action was taken by the Southold Town Board of Trustees on January 16, 1992: RESOLVED, that the Southold Town Board of Trustees grants a waiver to extend the teeing area of the 15th hole as applied for subject to prior inspection of a double staked row of hay bales placed between the work area and the wetland. If you have any questions, please do not hesitate to contact this office. ry truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:jmt cc: CAC TRUSTEES , John M.Bredemeyer,III,President SUPERVISOR Henry P. Smith Vice President C°� �'�s ��` °�'- SCOTT L.HARRIS Albert J.Krupski,Jr. John L.Bednoski,Jr. Town Hall John B.Tuthill 53095 Main Road P.O.Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTHOLD S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 1000-109-4-7.1 NAME: North Fork Country Club DATE: January 30, 1992 RESOLVED that pursuant to Article 8 of the Environmental Conservation Law, State Environmental Quality Review and 6NYCRR Part 617, Section 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. TYPE OF ACTION: Unlisted in Peconic CEA (Treat as type I) 15th Tee Waiver=Excempt action DESCRIPTION OF ACTION: See attached. LOCATION: Tax map No. 1000-109-4-7.1 . REASONS SUPPORTING THIS DETERMINATION: 1 . An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. cc: Applicant, CAC NORTH F O R K C OUNT RY C L U B GENERAL PROJECT DESCRIPTION Create new 16th teeing ground and fairway in wooded area to the east. of existing 15th green and 16th fairway; clear trees as required; regrade as required to prevent runoff into adjacent wetlands ; install several new sand traps; seed or sod new fairway, near adjacent "rough" areas , and teeing area; install extension of existing irrigation system as required. Extend existing back ( "blue" ) teeing area of 15th hole, using fill from regrading of new 16th hole; seed or sod the new area as required; install irrigation system extension as required. All operations will be conducted using the methods and materials generally recognized as suitable and environmentally safe in golf .course construction and management . It, must be noted that while the narrative descriptions and drawings are as accurate as possible , it is possible that during construction situations may develop which would require minor changes to the present written application. It is re- quested that sufficient flexibility be granted by the regula- tory agencies to permit minor changes which are obviously within the spirit and intent of this application, which do not impose environmental burdens , and which do not extend beyond the proposed seaward limits of the project as submitted. Detailed descriptions of the proposed operations are attached. NORTH FORK COUNTRY CLUB WORK DESCRIPTION FOR NEW 16TH HOLE A new tee and fairway for the 16th hole of the North Fork Country Club will be constructed in accordance with the enclosed plans and specifications contained herein . The existing green will be retained undisturbed except for modification of surrounding traps and associated mounds. All work will be performed in accordance with this work description . CLEARINGt Trees will be cut down , stumps removed, and brush cleared as required for, the playing area as shown on the plan . All organic debris will be removed from the site, none will be buried or burned. Trees specifically marked on the plan will be retained. REGRADING: The existing contours of the land will be retained as much as possible except for the drainage control and contouring around fairway and greenside traps. Where it is necessary to significantly alter contours top soil will be stripped and replaced after regrading . Collection ponds and berms will be created as shown on the plans to prevent runoff into the surrounding wetlands. TEES AND TRAPSt Teeing areas and mounds around traps will be constructed by bringing in fill as required . After final shaping and placement of top soil , clean sand will be brought in and placed in depressions in the mounds to create fairway and greenside sand traps. IRRIGATION SYSTEMt A two line irrigation system will be installed which will cover the area shown on the plan . Any runoff from the irrigation system will be contained by the drainage control described above. SEEDINGi In preparation for seeding the fairway anal near rough areas the area will be plowed and disced . "Nitro.form" fertilizer and lime will be applied prior to seeding . Certain limited .areas may be sodded instead of seeded . If during maturation of the turf it is determined that an insecticide is required "Banol" will be used at the rate of 2 lbs. per 1000 sq . ft. If during the maturation of the turf .it is determined that some form of weed control is required a herbicide will be applied as required to control the specific variety of weed . CART PATHSs Macadam or crushed rock cart paths will be constructed as shown on the plan. GEP Rev. A 10/16/91 NORTH FORK C OUI\TTRY C LUB EXTENSION OF 15th "BLUE" TEE Extend the back ("blue" ) teeing area of the 15th hole in a westerly direction. Deposit and grade approximately 100 cu. yds . of fill , obtained from regrading new 16th fairway, in the new teeing area of approximately 900 sq. ft. Prior to place- ment of fill, provide necessary protection (e.g. , a hay bale dike) to prevent runoff into the nearby wetlands . Remove the tree now at the NW corner of the existing teeing area . Seed or sod the surface after final grading and application of required soil amendments . Extend existing irrigation system . to provide necessary irrigation to new teeing area. TRUSTEES ~ John M.Bredemeyer,III,President SUPERVISOR HenryP. Struth Vice President SCOTT L.HARRIS Albert J.Krupski,Jr. �Al` John L.Bednoski,Jr. ``�7 Y. �� Town Hall John B.Tuthill 53095 Main Road P.O.Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTHOLD January 28, 1992 James Fitzgerald Proper-T Services P.O. Box 617 Cutchogue, NY 11935 RE: North Fork Country Club - Hole #15 SCTM #1000-109-4-7 .1 Dear Mr. Fitzgerald: The following action was taken by the Southold Town Board of Trustees on January 16, 1992: RESOLVED that the Southold Town Board of Trustees grants a waiver to extend teeing area of the 15th hole as applied for subject to placement of hay bales. Please note that if Trustees feel necessary, they will revoke this waiver. If you have any questions, please do not hesitate to contact this office. Very truly yours, John M. Bredemeyer, III President. Board of Trustees JMB:jmt cc: CAC O, TRUSTEES �'�: .:s t, ✓, John M.Bredemeyer,III,President ': ='c SUPERVISOR Henry P. Smith,Vice President "' f; ;.. SCOTT L.HARRIS Albert J.Krupski,Jr. John L. Bednoski,Jr. Y'p ~' , d � �-'•� �•`'�� Town Hall John B.Tuthill `< 53095 Main Road P.O.Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTHOLD S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 1000-109-4-7.1 NAME: North Fork Country Club DATE: January 30, 1992 RESOLVED that pursuant to Article 8 of the Environmental Conservation Law, State Environmental .Quality Review and 6NYCRR Part 617, Section 617. 10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. TYPE OF ACTION: DESCRIPTION OF ACTION: See attached. LOCATION: Tax map No. 1000-109-4-7 .1 REASONS SUPPORTING THIS DETERMINATION: 1 . An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. cc: Applicant, CAC K Now York State Department of Environmental Conservation TOW n 50c,__t�_V Id, Thomas C. Joding 'Ta_L,A-T -Fou'('1 JAN 2 2 41992 Commissioner R> A30 y M 027 )ffz / )1?,71 TOWN OF SOUTHOLDF Dear 5-&,Q?, Cbord or RE: LEAD AGENCY COORDINATION REQUEST The purpose of this request is to determine under Article 8 (State Environ- mental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your agency's interest in acting as lead agency; 2. Your agency's jurisdiction in the action described below; and 3. Issues of concern which your agency believes should be evaluated. Enclosed is a copy of the permit application and a completed Part 1 of the Environmental Assessment Form to assist you in responding. Project Name: Project Location: MO-Ln Ruc a-0, cuJC65ae7 5 LkV101 k COUVI-17 -_5 C-t M 1()00 7, DEC Project Number: I- L/73,F-00 cry-Z-0cc)o/-C) DEC Permits: SEQR Classification: Type I Unlisted �A Veccnk vba,-( Ct&y",JVe DEC Contact Person: Kw-m A. 114uoze DEC Position: DEC has no objection to your agency or another agency assuming lead agency status for this action, but reserves the right to comment on this action if a positive determination of significance is made. [ ] DEC has no objection to your agency or. another agency assuming lead agency status for this action, but we have• the. following concerns regarding this project (see "comments" below) . [ ] DEC wishes to assume lead. agency status for this action. [ ] The proposed action has been identified by DEC as occurring wholly or partially within or substantially contiguous to a critical environmental area (CEA) that was designated by I' 1! Cotixn It is the position of this Department that your dgency, if it has a juris- diction over the action, should assume the lead agency role based on the existence of. the CEA -and the .fa.ct that the anticipated impacts.,-are primarily of local significance. [ ] Other. (See comments below) Comments (Optional ) : Response• Please respond to this request within 30 days of the date of this letter. If no response is received within 30 days, we will assume that you have no objection to DEC• or another agency assuming the role of lead agency, and have no comments to offer regarding the proposed action at this time. If neither your agency nor any other involved agency, including DEC, has indicated a will- ingness to serve as lead agency within 30 days of this letter: [ ] We will petition the Commissioner- of DEC to designate a lead agency for this action. [ ] We will petition the Commissioner of DEC to- designate your agency as lead, presuming you have jurisdiction. Please feel free to contact this office for further information or discussion. Sincerely, Enclosures cc: (see distribution list) 95; —7e DEC APPLICATION NUMBER EW YORK STATE DEPARTMENT OF I ONMENTAL CONSERVATION /— -0c:' yZ 0G1K1C11`C " JOINT APPLICATICIN FOR PERMIT U.S.ARMY 5 OF ENGINEERS APPLICATION NO. ase read ALVinstructions on back before completing this application. Please type or print clearly in ink.Attach additional information as needed. L�ARTICLE 9,TITLE 1,ARTICLE 43 6NYCRR 646(LAKE GEORGE RECREATION ZONE) ❑ARTICLE 15,TITLE 3(AQUATIC PESTICIDES CONTROL) ❑6NYCRR 327(AQUATIC VEGETATION) 116NYCRR 328(FISH) 116NYCRR 329(INSECTS) S ❑ARTICLE 15,TITLE 5 6NYCRR 608(PROTECTION OF WATERS) T ❑ A For the construction, reconstruction,or repair of a DAM or other impoundment structure. T ❑For the disturbance of a STREAM BED OR BANKS or excavation in or fill of NAVIGABLE WATERS. ❑401 WATER QUALITY CERTIFICATION E ❑ARTICLE 15,TITLE 15 ❑6NYCRR 601 (WATER SUPPLY) 1:16NYCRR 602(LONG ISLAND WELL) ❑ARTICLE 15,TITLE 27 6NYCRR 666(WILD, SCENIC AND RECREATIONAL RIVERS) ❑ARTICLE 24 6NYCRR 662, 663(FRESHWATER WETLANDS) ❑ARTICLE 25 6NYCRR 661 (TIDAL WETLANDS) ❑ARTICLE 34 6NYCRR 505(COASTAL EROSION) -------------------------------------------------------------------------------------------------------------------------------------------------- F ❑SECTION 10(RIVER AND HARBOR ACT OF 1899)for structures and work in navigable waters of the U.S. ❑COASTAL CONSISTENCY CERTIFICATION. E ❑SECTION 404(CLEAN WATER ACT OF 1977)for disposal of dredged or fill material in waters of the U.S. D ❑SECTION 103(MARINE PROTECTION, RESEARCH AND SANCTUARIES ACT)for the transportation of dredged materials for dumping into ocean waters. 1. LIST PREVIOUS PERMIT/APPLICATION NUMBERS AND DATES(If any) None 2. APPLICANT IS A/AN Agent ®Owner. El Operator El Lessee ❑Municipal ity/Governmental Agency. (Check as.many as apply) 3. NAME OF APPLICANT(Use Full Name) James E. Fitzgerald, Jr. / Proper-T Services MAILING ADDRESS TELEPHONE(Where can be reached during day) P.O. Box 617 ( 51¢ 734-5800 POST OFFICE STATE 11935 Cutchogue 4. NAME OF Owner ❑Agent/Contact Person (Check one) North Fork Country Club, Inc. MAILING ADDRESS TELEPHONE(Where can be reached during day) Main Road ( 516 734-7139 POST OFFICE STATE ZIP CODE Cutchogue I NY 11935 5. PROJECT/FACILITY LOCATION(Mark location on map,see Number lb on reverse side) County Suffolk I Town or city Southold Village Cutchogue STREET ADDRESS(If different from applicant) Main Road POST OFFICE STATE ZIP CODE Cutchogue NY 11935 6. NAME OF STREAM OR BODY OF WATER N/A 7. HAS WORK BEGUN ON PROJECT? If YES, attach explanation on starting work without permit, includes dates. 8. WILL PROJECT rrU��TppILIZE STATE LAND? El Yes ERN. Show work on map and/or drawings. El Yes [XNo 9. PROPOSED USE: R 10. PROPOSED STARTING DATE: 11. APPROXIMATE COMPLETION DATE: 12. FEE OF(NYS Permit Only) Private ❑ Public ❑ Commercial 1/15/91 2/15/91 y 200 Enclosed 13. PROJECT DESCRIPTION: (e.g. quantity and type of material to be excavated, dredged or used for fill or rip rap, location of disposal sites;type of structure to be installed; height of dam; size of impoundent;capacities of proposed water sources;extent of distribution system;etc.) See attached sheets. 14. WILL THIS PROJECT REQUIRE ADDITIONAL FEDERAL, STATE AND/OR LOCAL PERMITS? ly Yes ❑ No If yes, please list: Southold Board of Town Trustees 15. CERTIFICATION: I hereby affirm that under penality of perjury that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further, the applicant accepts full responsibility for all damage,direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the Stat ro s ' ctions,damages and costs of every name and description resulting from said project. In addition, Federal Law, 18 U.S. 1001 provides o a fi o of more than $10,000 or imprisonment for not more than five years, or both, where an applicant knowingly and willf ly falsifies, nceals,or o s'up aterial fact;or wi akes or uses a false,fictitous or fraudulent statement. ®I hereby authorize the agent name ' Num bove pplication o my eh f See attached letter. 12/6/91 Agent DATE es E. F-n ral J . TITLE LEASE READ ALL Ilk-AUCTIONS ON REVERSE SIDE PERMIT ADMINISTRATOR Pa„ 1 PROJECT INFORMATION I I Prepared by Projec f-Spol so NOTICE: T-his document is designed to assist in etermining whet ter the action �o osecl may h avoal s n f ipr effe ct� ! on the environment, Please complete the entire �orm, PartslA through E� Answersjto these "que'st ons will be considered as part of the application for approval and may bq subject to,furthet verification and Public review-_Provide any-additiori�al information you be ieye will be needed to complete Parts 2 and R. It is expected that clompletion of the full;EAF will be dependent on inform,ation;currently availa le and will not invol!Ye, new studies, research or investigation. If information requiring suchl,additionallwork,is unavailable, so indicate and specify each instance. NAME OF ACTION North Fork Country Club: ' New h6th hole; 'extend 15th tee LOCATION OF ACTION (Include!Street Address, Municipality nd County) ! Moore's Lanle ! Cutchojgue, Suffolk County I NAME OF APPLICANT/SPQNSOP I I I ! BUSINES TELEPHONE James E. Fitzgerald,; Jr./PropIpr-T Permii. Services ( 516 . - 800 ADDRESS PO Box 617 j ! STATE ZIP CODE CITY/PO Cutchogue { j �NY 11935 NAME OF OWNER(If different) BUSINESS TELEPHONE North Fork Country Club, Inc.; ; I ( 1C734-7139 ADDRESS Main Road ! j CITY/PO ! j T:NY ATE ZIP CODE Cutchogue i 11 1 DESCRIPTION OF ACTION ! See sheets attached to application package: "General Project 1 Description;"; "Work Description for New 16th.Hole", and "Extension of 15th 'Blue' .Tee" 1 I .I Please Complete Each Question-Indicate N.A. if not applicable i A. Site Deser'ptton j 1 Physical setting of overalli project, both developed and u6clevel ped areas.; i 1. Present land use: ❑Urban ❑Industrial ❑Commer.ci i ❑R idential (subur j ❑Rural (non-farm) ❑Forest ❑Agriculture 'AOther Ob rf 2. Total acreage of project area: ■� acres. o APPROXIMATE ACREAGE ����--PRESENTLY AFTE COMPLETION Meadow or Brushland (Non-agricultural) •S.57t acres Iff }_ acres Forested — acres acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces acres acres Other (Indicate type) acres acres I 3. What is predominant soil type(s) on project site? ! ! a. Soil drainage: :gWell drained % of site XModerately well drained % of site ❑Poorly drained i % ofisite I I� � b. If any agricultural land is involved, how many acresiof soil'are classified within soil group 1 through 4 of the I YS Land Classification System? IVA— aches. (See 1 NYCR!R 370);. 4. Are there bedrock outcroppings on project si�e? ❑�es 1k140i I a. What is depth to bedrock N (in feet' 5. Approximate perce Rage of proposleu project site Nith slopes!!:. -10 0 I % Ell 15% ! !15% or g ea er ON 6. Is project substant ally contiguous to, or contain a building, si !e, or istr�ict; Ili ted on .the State or,the -National .71 Registers of Historii Places? ❑Yes ;9No 7. Is project substanti Ily con tiguous;to a site listed on the Register f Nati nal Natural Landmarks? ❑Yes KNo 8. What is the depth of 'the water table.? in feet) - yrlIY.t.i�Gi.:l . 9. Is site located over a;p`rimary, prihcipal;!'or sole source aquifer? 1 1�lYes I !! No I I II 10. Do hunting, fishin or shell fishing opportuniti s presently exist !in the project !al ea? ❑Yes 7KNo I I 11. Does project site contain any species: of plant or animal lif that is ident���fled as threatened or endangered?! j. ❑Yes KNo I According to ' i I Identify each splecies 12. Are there any uni uIe or unusual land forms on the project si e? ,(i.e, cl#fs, dlunes; other 'ge logical formations) ❑Yes , o I Describe I 13, Is the project sit presently used by 'the co munity or neighborhood as an open space,or recreation area? ❑Yes ?kNo i If yes, explain 14. Does the present site include scenic views known to be important to� the co ! munity? ❑Yes OKNo 15. Streams within oricontiguous to project area: a. Name if Stream and name of Riverlto which it is tributary 16. Lakes, ponds, wetland areas within or con.ti u 'us to project are : a. Name T I .IS a (In acres); I 17. Is the site served yl exi ting public utilities? ❑Yes II1 a) If Yes, does su ficient capacif y exist to allow connection? ❑Ye b) If Yes, will improvements be ecessary to a low connelIction? Yes bNo 18. Is, the site locate �n a agric 1 Itural 'district certified, rsuar to grit ltu and Markets Law, Article 25-AA, Section 303 and.3 4I ❑Yes % o 19. Is-the site located i ! oc, ubstantially•.cbntiguo s to a Ctit.caF;E 'iron ent I A a designated ursuant to Article 8 of the ECL, and.6 N CRZ 617? ' : Dyes o 20. Has the site ever be n used for!the disposal of solid or h zard L w stes i Yes l I it ,� T I Pi �� � G�✓V' � � i rye � B: Project ®escriptiori 1. Physical dimensions and kale of. project (fill in dimensions as appropriate) /�I_ i a.Total contiguous acreage owned or controlled by project s�onso X <cres. I b. Project acreage to be cltel6peeIPAML Ym=f acres initially; Z6T-MQ_- acres ultimately. C. Project acreage to remain u,developed -0 —' ;acres.' d. Length of project, in' miles: ! NA (If appropriate) e. If the project is an expansion, indicate percent of expansion propose T.X f. Number of'off-street parking spaces existing; proposed NA g. Maximum vehicular trips generated per hour _.(upon corn letion of project)? h. If residential: Number and type of housing units: { I I , One amily TYvo Family Multiple Family Condominium Initially I NA i. Ultimately NA I ! i. Dimensions (in feet);of largest proposed styucture J lam_ ;eight . width; length. j. Linear feet oflfrontage along a public thor ughfare project ill o cu y;is� ft. 2 flal el:, roc :h, etc.) will be removed T om th 5 e; 91YE_ to6sIctibicsWA, ti al IIie i Da 3 Will disturbed a-eAs b reed? E No EII`I�A I i tq 'h� le purpose�s is site,kA k s tf n c e e iing reef)imed JL/ ZL-- C i t)P T&Yrf,Svi R A[ 5J(es L] h ;t��pckpil �d forPcIamaJon? I City, TN''n',"N'l ge Planning Board I El"es I o� 10, ubs6i I be S I!pc k 1.)i 6d I o r i,r( c I a n u lion, a.Y s I c Will I City, Town E)ln rig Bo4rd O"es 01 -1 Vill D 4. How many acre Of VEg�tationi (trees',!'shrubs, grou covers) N Tern ep I I Lt:C' k e I Cit County H ,!th E Opartmont I es 01 11 UY t? Wliltany mature fo'res !(Qver 100 years olcl);o othe ocally-11-T this p -1":Po 1i Wkn' TETS I i OthfnMcal A* s es ONo; 1 1) �We S. I -tic Ar#ia period Lg'@6ns 'flo' n on ;lr1cluding emol tion). i �I I P 6. pated P �N k es No! !1' 0" r g%wllg —1 1: l J 7 I�tgsolpp%�igd: �r!of phases I anticipated number .b 7 year, (ii c'luding demolition) b. Antiqipaiedl date 4�!corri ml encerTi'ent phase 1 Mo. P 1 11 C. did Pl�ifinlh CIO c. �pniinpng 1� t year. �Omipl�t m'or:,th pprox aL [on o 1 Does propos d, action inv�' l ve gfnni or z My4ftsigN n? e E A n on 9A DseqOu M d. s phase 1 �ur)c i9pa y epe If M, indicate decision, lr(�quired: 8. Will blastinR.occurl cluYing con§trntion? I❑D) S ;5NO i t Els L_J z On i n g I a m e n10 m e n t! i zoning varia Easoec a] us per bclivji�iol �Isite Plan 9. Numbe�� e (A clyein�lcon after proj�ct I i,commete 4 M r1r aotp str on I U6 ri a�e as e r an sou man i� t plan 11 other 10.2NUFAR Alsiriffiobte (30ASP6� V I Rf tipM Imp,8tmivl� io r e lie s' a jesZ e, 0 yes �xplain cp I ? e� 0[ t,r '-�e If y c pe4-gT4W fffe"'itite if'I'deve oped a's lip" rmjj� d b 1.3WORSOIS co�,'e t 7c ) of To en iR As tl�� present zoning 12. Is Ag ray e I prwastlp ,dispp5��al involved? 11 0 zoning 4 is. Me' po;s,ed of;the site?! a. If yes, indicate of1waste (sewage, i6clustrial, etc.) 4190, amoun�-� type I I "permitted by the proposed zoning?5. What is tie iiinaxi u tentol jewntllp�Algi�kbpa I velopeo as Iberm4t 0 y '0 coev R k' — b. Name olqtr Pinot w e6louRn J. J- L., �4.. 1; 3. Is S'u5sur'tace liquid waste 91S.PosalInvolveal es I.NN U 1YPU 6. Ih the proposed yiion copisistent wi el-i­E�ipp6jdg�c 0 ca: !zM4,q5e P I an exis ing water o y1ini rom i 14. Wi surface area.o [�Re% it 1� AYes No 7 hlart are the! predominant J*" i a; '4 ?i I el radius r se(s) anckzonilg classifications,: ithl of Es 9,minariit Land u W n, p w5ed ac:tion? I I EINo QiFi�&LTIXcatecl 1fJ3nW e I WYJ&".pI''ih? .1 �s )5. Is prAjeA45alJJW46n Me 0 W4M' r Ao plain? I d Ling an ids within: a 1/4 ile? Ryes 16.8WIbJ the lgcopo�Eonakbjtms(�bffipg�t"- witOY 'n 449roUIm es I No I - L _TUTTrr1__rFV t's a re pro�osol'�'�1.e� lo�' 6�e �%I�Ss�pcl?� ONo; I b. If y%�.W�a4n� i I ismOrmi4drn simil Yes e� 16cati'dn ation of!sew' r.o es 0 10�- W'f iffVroOMAR name require any authoriz ions Tor the m giOter clNicts? 11d. Will tie wastes ootm into a sewage disposai system or into a sanitary tan i es EIPOY . E t e propose a ion create a demand for any community provided services (recreation, education, police, e. Aey6ibtk4R ;[P ElYe, )(00 a. If yes, is e i t' it hfndle ffpgcted$Q�aynd? ElYes EINo its c acs�i s c�,?p OW f i c,i.,e cpt to 17. Will the project involve 0 so i. waste. 12d. WIfill t1eA'o aaAj?a�pAt dpt �p&� qp�qn o 4kfic sigr� kfttbh� oove present levels? OYes: >kN o yes, atpliosWe b. If y6' ahyk4sistA�eafi Ci�toj&24teqt*q)rk- adequate tPyf atmile the additional traffic? ElYes ONo. 18.DWiJhF"6tijyr4fb6AW1ff pesticides? ;KYes -ONo 19. Wil�toacte(atnyoutiditiorprio"oenWL(9$1(mofRa�hb@ -n@@dwfop@raOiqY)�SJxOojec . qhere are or may be any adverse im,R_B:asniated with proropo Rle &caggdtyygj�� el fires se to mitigate or E & mf§?u V6�CA you Ow 20 Mwc produ, ce o era ng M8 �void e 21. Will project result in an increase in energy use? ElYes 0 Ei f Varij iceifid"n typ,el(s) t rr e. l�h t$Ap iof FrMo 22. If wlsWi "'r' A t p oi�a n amp _Ii"A- &f I 23A aNn Ji ;o; ae Si p6 atu re 24. oes proJp1c �MJOra—]_Wa r,_,11 aZ e e t h C 21i4rqPs_.r;M n Eor. hei ling I. lf't�eytS!i f, Coastal Area, ou arel a state g6ricy lc 11`111111131.'e th CM m6nt.with this WSIS S*r, 4 _x A1% qtlts� Proper-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935 (516)734-5800 January 15, 1992 Mr. John M. Bredemeyer, III, President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re: Application on Behalf of the North Fork Country Club Dear Mr. Bredemeyer: Here is a copy of the Full Environmental Assessment Form which was prepared at the request of the NYSDEC. Please add it to your file for this project. You s truly, a es E. itzge d, r. a subsidiary of THE PECONIC EASTERN CORPORATION I PART 1—PROJECT INFORMATIC-.. Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and maybe subject to further verification and public review. Provide any additional 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 involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. 4 NAME OF ACTION North Fork Country Club: New 16th hole; extend 15th tee LOCATION OF ACTION(Include Street Address, Munlcipallty and County) Moore's Lane, Cutchogue, Suffolk County NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE James E. Fitzgerald, Jr./Proper-P Permit Services ( 516 - 800 ADDRESS PO Box 617 CITYIPO STATE ZIP CODE Cutchogue NY 11935 NAME OF OWNER(If different) BUSINESS TELEPHONE North Fork Country Club Inc. ( 1( 734-7139 ADDRESS Main Road CITY/PO STATE ZIP CODE Cutchogue NY 11935 DESCRIPTION OF ACTION See sheets attached to application package: "General Project Description", "Work Description for New 16th.Hole", and "Extension of 15th 'Blue' .Tee" 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 ❑Commerci ❑R idential (suburb) D Rural (non-farm) ❑Forest ❑Agriculture XOther �C pq mew 2. Total acreage of project area: acres. APPROXIMATE ACREAGE ��--PRESENTLY AFTER,COMPLETION Meadow or Brushland (Non-agricultural) �C..d_* acres t _ acres Forested acres �l acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres Water Surface Area 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: KWell drained =­ % of site MModerately well drained % 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? A(A — acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? Dyes *40 a. What is depth to bedrock? NQ (in feet) 2 s 14-16-2 (2J87)-7c 617.21 SEAR 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 a 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. a ; 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. DETERMINATION OF SIGNIFICANCE—Type_1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a Significant impact on the environment, therefore a negative declaration wit! he prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action 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 1 5. Approximate percentage of proposeu project site with slopes: xD-10% _% ❑10-15% % ❑l5% 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? ❑Yes )440 7. Is project substantially contiguous to a site leis-tamed on the Register of National Natural Landmarks? ❑Yes 1KNo �8. What is the depth of the water table? (in feet) - �`jf7►1�1�r1�.. 9. Is site located over a primary, principal, or sole source aquifer? Mes ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ❑Yes 7KNo 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes KNo 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) ❑Yes KNo Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ❑Yes ;KNo If yes, explain 14. Does the present site include scenic views known to be important to the community? ❑Yes :KNo ff 15. Streams within or contiguous to project area: 404E a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within o�co�nt�iguous to project area: a. Name w CIRF � b. Size (In acres) 17. Is the site served by existing public utilities? ❑Yes ANo a) If Yes, does sufficient capacity exist to allow connection? Dyes ❑No b) If Yes, will improvements be necessary to allow connection? ❑Yes ❑No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes %NO 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? []Yes ON 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes jSlo „deve � os� �� v e�z B. Project Description e 1. Physical dimensions and scale of project (fill in dimensions as appropriate) f��, a. Total contiguous acreage owned or controlled by project sponso X �'&cres. b. Project acreage to be Aelope 00f acres initially; ;3'L7lv1 Q_- acres ultimately. C. Project acreage to remain undeveloped acres. d. Length of project, in miles: NA(If appropriate) e. If the project is an expansion, indicate percent of expansion propose m)( %; f. Number of off-street parking spaces existing SA ; proposed NA g. Maximum vehicular trips generated per hour NA. (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially NA Ultimately NA i. Dimensions (in feet) of largest proposed structure height; width; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? _LYE ft. 3 j ' 2. How much natural material (i.e., uck, earth, etc.) will be removed from th, :e? 0 E_ tons/cubic yards 3. Will disturbed areas be reclaimed? X 'es ONO ❑N/A i a. If yes, for what intended purpose is the site being reclaimed? arct LE I b. Will topsoil be stockpiled for reclamation? *es ❑No c. Will upper subsoil be stockpiled for reclamation? Axes 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? Dyes 0KNo 6. If single phase project: Anticipated period of construction months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated 1VJ4 (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? OYes ❑No 8. Will blasting occur during construction? OYes D No . 9. Number of jobs generated: during construction 1 g g ; after project is complete 10. Number of jobs eliminated by this project 11. Will project require relocation of any projects or facilities? Dyes Ao If yes, explain 12. Is surface liquid waste disposal involved? []Yes wo 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? Dyes �No Type 14. Will surface area of an existing water body increase or decrease by proposal? Oyes �(No Explain 15. Is project or any.portion of project located in a 100 year flood plain? yes ONO 16. Will the project generate solid waste? OYes *0 a. If yes, what is the amount per month _ 'Tft tons b. If yes, will an existing solid waste facility be used? ❑Yes ONo c. If yes, give name location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? Dyes []No e. If Yes, explain 17. Will the project involve the disposal of solid waste? Oyes AN a. If yes, what is the anticipated rate of disposal? _ 8A — tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? Yes ONO 19. Will project routinely produce odors (more than one hour per day)? ❑Yes Klo 20. Will project produce operating noise exceeding the local ambient noise levels? ❑Yes ^No 21. Will project result in an increase in energy use? ❑Yes NNo If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity NA gallons/minute. 23. Total anticipate vd water usage per day �� fi gallons/day. * 1 ewn rktw- 24. Does project involve Local, State or Federal funding? ❑Yes *0 (�a.�i1�%t If Yes, explain 25. Approvals Required: Submittal Type Date City, Town, Village Board Dyes KNo City, Town, Village Planning Board ❑Yes XNo City, Town Zoning Board ❑Yes 1%No :City, County Heidth Department ❑Yes XjNo Other Local Agencies XYes ❑No _ I t)OJN 7hnTmE$ /a Other Regional Agencies ❑Yes IK,No State Agencies 1KYes ❑No Federal Agencies Dyes P4slo C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? Dyes *0 i If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit ❑subdivision ❑site plan ❑new/revision of master plan []resource mana m9pt plan other 2. What is the zoning class ification(s)of the site? t AaheoHv Qt — 3. What is a 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? N 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? Ayes ❑No 7. What ar the predominant land use(s) and zoning classifications within a ' mile radius of proposed action? - �� 8. Is the proposed action compatible with adjoining/surrounding land uses within a '/, mile? Nyes ❑No 9. If the proposed action is the subdivision of land, how rrlany.lots are proposed? N& 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 V.No 11 . Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? ❑Yes ?%No a. If yes, is existing capacity sufficient to handle projected demand? ❑Yes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes $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 certi a the infor n p vided above is true to the b t o�ffmm knowledge. Applicant/ nso ame ^' " Date Signature Title If the actio is n the Coastal Area, a ou are a state gency, complete the Coas al Assessment Form before proceeding with this s ssment. 5 Part 2—PROJECT IMPACTS AND THEIR M___NITUDE 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 been 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 roiurnn 2 simply 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 of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and 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 I A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By IMPACT ON LAND Impact Impact Project Change 1 . Will the proposed action result in a physical change to the project site? ONO DYES Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ ❑Yes ❑No foot of length), or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table is less than ❑ ❑ El Yes ❑No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ El Yes El No • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ❑No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ El Yes ❑No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes El No tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ ❑Yes ❑No • Construction in a designated floodway. ❑ ❑ ❑Yes El No • Other impacts ❑ ❑ ❑Yes ❑No 2. Will there be an effect to any unique or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)❑NO DYES • Specific land forms: ❑ ❑ ❑Yes ❑No 6 1 2 3 Small to Potential Can Impact Be IMPACT ON WATER Moderate Large Mitigated By 3. Will proposed action affect any water body designated as protected? Impact Impact Project Change (Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) ❑NO ❑YES 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 El 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? ❑NO ❑YES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ ❑Yes ❑No I or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes El No • Other impacts: ❑ ❑ ❑Yes ❑No 5. Will Proposed Action affect surface or groundwater i quality or quantity? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ El 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 El No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ ❑Yes El No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ El Yes ❑No • Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ El Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ ❑Yes ❑No day. • Proposed Action will likely cause siltation or other discharge into an ❑ ❑ El Yes ❑No existing body of water to the extent that there will be an obvious visual contrast to natural conditions. I, • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ❑No products greater than 1,100 gallons. `C • 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 El No require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ El Yes ❑No 6. Will proposed action alter drainage flow or patterns, or surface water runoff? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ ❑Yes ❑Now 7 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change �• Proposed Action may cause substantial erosion. ❑ ❑ ❑Yes ❑No • Proposed Action is incompatible with existing drainage patterns. ❑ ❑ ❑Yes ❑No • Proposed Action will allow development in a designated floodway. ElEl ❑Yes ❑No • Other impacts: El El ❑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 ❑ ❑ El Yes ❑No hour. • Proposed Action will result in the incineration of more than 1 ton of ❑ ❑ ❑Yes ❑No refuse per hour. • Emission rate of total contaminants will exceed 5 lbs. per hour or a ❑ ❑ ❑Yes ❑No heat source producing more than 10 million BTU's per hour. • Proposed action will allow an increase in the amount of land committed ❑ ❑ ❑Yes El No to industrial use. • Proposed action will allow an increase in the density of industrial ❑ ❑ El Yes ❑No development within existing industrial areas. • 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 ❑ ❑ ❑Yes ❑No list, using the site, over or near site or found on the site. • Removal of any portion of a critical or significant wildlife habitat. ❑ ❑ El Yes El No • Application of pesticide or herbicide more than twice a year, other ❑ ❑ ❑Yes El No than for agricultural purposes. • El El ❑Yes ❑No Other impacts: 9. Will Proposed Action substantially affect non-threatened or non-endangered species? ❑NO DYES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident or ❑ ❑ ❑Yes ❑No migratory fish, shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres ❑ ❑ ❑Yes ❑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? ONO DYES Examples that would apply to column 2 • The proposed action would sever, cross or limit access to agricultural ❑ ❑ ❑Yes ❑No land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 f 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 El No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑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: ❑ ❑ ❑Yes El No i IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? ❑NO ❑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 El 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 ❑ ❑ El Yes ❑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? ❑NO ❑YES 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 I project site. )_ • Proposed Action will occur in an area designated as sensitive for ❑ ❑ El Yes ❑No archaeological sites on the NYS Site Inventory. • Other impacts: ❑ ❑ ❑Yes ❑No 1 IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 ❑NO ❑YES • The permanent foreclosure of a future recreational opportunity. ❑ ❑ ❑Yes ❑No i • A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No i 9 2 $ IMPACT ON TRANSPORTATION Small to Potential Can Impact'Be ' 14: Will there be an effect to existing transportation systems? Moderate Large Mitigated By ONO OYES Impact Impact Project Change Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or goods. ❑ ❑ ❑Yes ❑No • Proposed Action will result in major traffic problems. ❑ ❑ El Yes ❑No • Other impacts: ❑ ❑ ❑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 ❑ ❑ El Yes ❑No any form of energy in the municipality. • Proposed Action will require the creation or extension of an energy ❑ ❑ El Yes ❑No transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. • Other impacts: ❑ ❑ El 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 ❑ ❑ El Yes El No facility. • Odors will occur routinely (more than one hour per day). ❑ ❑ ❑Yes El No • Proposed Action will produce operating noise exceeding the local ❑ ❑ ❑Yes ❑No ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a ❑ ❑ ❑Yes El No noise screen. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety? ONO DYES Examples that would apply to column 2 • Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ El Yes El No substances(i.e. oil, pesticides, chemicals, radiation, etc.)in the event of 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 ❑ ❑ ❑Yes El No form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ El Yes ❑No gas or other flammable liquids. • Proposed action may result in the excavation or other disturbance ❑ ❑ El Yes ❑NO within 2,000 feet of a site used for the disposal of solid or hazardous waste. • Other impacts: El []Yes ❑No 10 1 2 3 IMPACT ON GROWTH AND CHARACTER Small to Potential Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the existing community? Impact Impact Project Change ONO DYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ El Yes ❑No I project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating services ❑ ❑ El Yes ❑No will increase by more than 5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ ❑Yes El No • Proposed action will cause a change in the density of land use. ❑ ❑ Dyes ❑No • Proposed Action will replace or eliminate existing facilities, structures El ❑ ❑Yes -]No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ El Yes ❑No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ El Yes ❑No 4 • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes El No k • Other impacts: ❑ ❑ El Yes El No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ONO DYES r 7 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—EVALUATION OF THE IMPORTANCE OF IMPACTS t 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: d • The probability of the impact occurring I` • The duration of the impact w • 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 impact. (Continue on attachments) 11 Page 2 - r East Road, Cutchogue Vote of council: Ayes: All Motion carried. On a motion by John Holzapfel, seconded by Robert Keith, it was RESOLVED to recommend to the Southold Town Trustees approval with stipulations Wetland Application No. 122-3-15 . 1 of Village Marine to reconsstruct and extend existing boat ramp utilizing pre-cast concrete slabs. Ramp to extend approximately 20 ' beyond existing ramp terminus . Also to maintenance dredge approximately 1500 s.f. of existing marina to . provide a 4 ' depth at MLW. Approximately 140 c.y. of sand/silt to be removed via crane with clam shell and trucked off site. The CAC recommends approval with the stipulation that applicant contains all runoff and eliminate any current runoff. 175 Bay Avenue, Mattituck Vote of Council: Ayes: All Motion carried. On a motion by John Holzapfel, seconded by Cynthia Sturner, it was RESOLVED to TABLE Wetland Application No. 867 of North Fork Country Club to construct a new 16th fairway and tee; extend 15th tee. The CAC tabled the application, it cannot make a recommendation without seeing better plans showing the placement of theh project . Main Road and Moore ' s Lane, Cutchogue. Vote of Council: Ayes: John Holzapfel, Cynthia Sturner, John McCormick, Stephen Angell, Betty Wells, Bruce Loucka Abstain: Robert Keith Motion carried. On a motion by Stephen. Angell, seconded by Robert Keith, it was RESOLVED to recommend to the Southold Town Trustees approval of Wetland Application No. 143-5-1,1 of Joseph Friedman to construct fixed open walkway 3 ' x 351 ; hinged ramp 3 ' x 12 ' ; two floating dock, each 5 ' x 15 ' and secured by four spiles. The CAC recommends approval provided there will be only one dock/walkway on property. 590 Riley Avenue, Mattituck Vote of Council: Ayes: All Motion carried. On a motion by Robert Keith, seconded by Robert. Keith, it was RESOLVED to recommend to the Southold Town Trustees approval of Wetland Application No. 122-9-7 . 9 of William Pymm to construct pool and deck. The CAC recommends approval based on the plans as . submitted in the original application. Reeve Road, Mattituck Vote of Council: Ayes: All Motion carried. \Oc��FFU(�I��OG Town Hall, 53095 Main Road Telephone 0` A P.O. Box 1179 (516) 765-1801 �,�01 ��Q� Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL To: Southold Town Board of Trustees From: Southold Town CAC Dated: January 14 , 1992 Re: Recommendation of Wetland Applications The following recommendations were adopted by the CAC at its . meeting held Thursday, January 9, 1992 : On a motion by John Holzapfel, seconded by John McCormick, ; it was RESOLVED to recommend to the Southold Town Trustees partial approval of Wetland Application No. 86-6-p/o26 of Winds Way Building Corp, to construct 4 ' x 50 ' and 4 ' x 40 ' timber stair- way from top of bluff to base of. slope. Stairway to lead . to 4 ' x 225 ' elevated timber catwalk constructed along slope toe to 4 ' x 60 ' timber catwalk connecting adjoining property staircase (4 ' x 40 ' ) and common beach. Also, to construct 4 ' x 100 ' elevated timber catwalk leading to a 3 ' x 10 ' ramp and two 6 ' x 20 ' floats in "T" formation secured by 8" pilings. Catwalk to be elevated 4 ' over TWL area. The CAC recommends approval of the dock as long as the pathway , go directly from the dock to the 15 ' contour line. The CAC, however, recommends the Trustee TABLE the remainder of the application until the ownership is clarified and written approval from the .adjacent property owner is obtained. Indian Neck Lane, Peconic. Vote of Council: Ayes: All Motion carried. On a motion by John Holzapfel, seconded by Cynthia Sturner, it was RESOLVED to recommend to the Southold Town Trustees disapproval of Wetland Application No. 110-7-25 of Gustave Wade to construct a one family dwelling, sanitary system, well, 150± l. f, of timber retaining wall landward of the wetland edge using approximately 35 c.y. of clean sand backfill and an additional 25 c.y. of top soil to establish plantings . The CAC recommends disapproval because the lot is environmentally constrained. It cannot support sanitary septic effulent from the septic system and there will be a negative environmental impact due to the proximity. of the wetlands to the proposed house. TRUSTEES ��� John M.Bredemeyer,III,President ® :4 SUPERVISOR '` Henry P. Smith,Vice President SCOTT L.HARRIS a: : Albert J.Krupski,Jr. .r ' f �� John L.Bednoski,Jr. Town Hall John B.Tuthill d 53095 Main Road P.O.Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTHOLD December 12, 1991 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. 109-4-7.1 for a wetland application submitted by Proper-T Permit Services on behalf of North Fork Country Club. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:j t NORTH FORK COUNTRY C LU B GENERAL PROJECT DESCRIPTION Create new 16th teeing ground and fairway in wooded area to the east of existing 15th green and 16th fairway; clear trees as required; regrade as required to prevent runoff into adjacent wetlands; install several new sand traps; seed or sod new fairway, near adjacent "rough" areas, and teeing area; install extension of existing irrigation system as required. Extend existing back ("blue") teeing area of 15th hole, using fill from regrading of new 16th hole; seed or sod the new area as required; install irrigation system extension as required. All operations will be conducted using the methods and materials generally recognized as suitable and environmentally safe in golf course construction and management. It must be noted that while the narrative descriptions and drawings are as accurate as possible, it is possible that during construction situations may develop which would require minor changes to the present written application. It is re- quested that sufficient flexibility be granted by the regula- tory agencies to permit minor changes which are obviously within the spirit and intent of this application, which do not impose environmental burdens, and which do not extend beyond the proposed seaward limits of the project as submitted. Detailed descriptions of the proposed operations are attached. NORTH FORK COUNTRY CLUB WORK DESCRIPTION FOR NEW 16TH HOLE A new tee and fairway for the 16th hole of the North Fork Country Club will be constructed in accordance with the enclosed plans and specifications contained herein . The existing green will be retained undisturbed except for modification of surrounding traps and associated mounds. All work will be performed in 'accordance with this work description . CLEARINGS Trees will be cut down , stumps removed, and brush cleared as required for the playing area as shown on the plan . All organic debris will be removed from the site, none will be buried or burned. Trees specifically marked on the plan will be retained. REGRADINGe The existing contours of the land will be retained as much as possible except for the drainage control and contouring around fairway and greenside traps. Where it is necessary to significantly alter contours top soil will be stripped and replaced after regrading . Collection ponds and berms will be created as shown on the plans to prevent runoff into the surrounding wetlands. TEES AND TRAPSv Teeing areas and mounds around traps will be constructed by bringing in fill as required . After final shaping and placement of top soil , clean sand will be brought in and placed in depressions in the mounds to create fairway and greenside sand traps. IRRIGATION SYSTEMS A two line irrigation system will be installed which will cover the area shown on the plan. Any runoff from the irrigation system will be contained by the drainage control described above. SEEDINGi In preparation for seeding the fairway and near rough areas the area will be plowed and disced. "Nitroform" fertilizer and lime will be applied prior to seeding . Certain limited areas may be sodded instead of seeded . If during maturation of the turf it is determined that an insecticide is required "Banol" will be used at the rate of 2 lbs. per 1000 sq . ft. If during the maturation of the turf it is determined that some form of weed control is required a herbicide will be applied . as required to control the specific variety of weed. CART PATHSe Macadam or crushed rock cart paths will be constructed as shown on the plan. GEP Rev. A 10/16/91 NORTH FOR K C OUNT RY C LU B EXTENSION OF 15th "BLUE" TEE Extend the back ("blue") teeing area of the 15th hole in a westerly direction. Deposit and grade approximately 100 cu. yds. of fill, obtained from regrading new 16th fairway, in the new teeing area of approximately 900 sq. ft. Prior to place- ment of fill, provide necessary protection (e.g. , a hay bale dike) to prevent runoff into the nearby wetlands. Remove the tree now at the NW corner of the existing teeing area. Seed or sod the surface after final grading and application of required soil amendments . Extend existing irrigation system to provide necessary irrigation to new teeing area. 14.16-4(2/87)—•Text 12 PROJECT I.D. NUMBER t317.21 SEG1R 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. NFCC: New 16th hole, extend 15th tee 3. PROJECT LOCATION: Municipality Cutchogue County Suffolk 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks,etc.,or provide map) See attached maps. Property bounded by Main Road and Moore's Lane, and West Creek. 5. IS PROPOSED ACTION: New ❑Expansion ❑ModificatIonlalteration 6. DESCRIBE PROJECT BRIEFLY: See attached sheets. 7. AMOUNT OF LAND AFFECTED: Initially approx 7.5 acres Ultimately same acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? EXYes ❑No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [)[Residential ❑Industrial ❑Commercial ❑Agriculture ®Park/Forest/Open space ❑Other Describe: Country Club/golf course bounded by medium- to low-density residential areas. 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 NYSDEC, Southold Town Trustees: no approvals to date. 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ®No If yes, list agency name and permittapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes IN No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/ onsor na e: Jame z eraor Date: Tic— oe 1 i 99i or ount C , Inc. Signature: 171 the action is in 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 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. C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term, short term,cumulative,or other effects not identified in CI-05?Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes, explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: -Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from responsible officer) Date 2 � y - 5`pND P t 1 6 E0� OREGON 119� 11935 o.P CUTCMOGUE 6TP BI Cilk EAST TTITUCK P s di EAST �s CUTCHOGUE q t ` d ttMCTfM r Ps 3� CU�TCHO E •i tti "u.s" l O r � o• s •1 � PA¢J � �y ;n< •�M at�L n 1 Xaywo(er - [ue_ _ _ �4;�s,• V F0 ° 9 •V o i NORTH K ,Marsh Pt —INTRr ntwron rt im $Gti cl Cr. t a, MozK'[we ATT.%Cr[ o = clue rtf « a J AIRPORT a �/ CUTCHOGUE w. n s .v o / o•� Old Cave HARBOR �•n'I a0000� INarraiookaP; ��°� Y.C. S ,+lac imaQene L7 Wun Pf. C7O� cn, NEW SUFFOLK THE AREA OF THE PROPOSED .; PROJECT IS CIRCLED N 0 R T H R A C E 1; • V=C 2 N=TY MAP Hagstrom - Eastern Suffolk County Scale 1" = approx 3,280' Application No. Regarding the property of NORTH FORK COUNTRY C L U B Suffolk County Tax Map No. 1000-109-9-7.1 Sheet of December 6, 1991 •fl •r•0.1•r f • • �,� a f Y O[�• wa +•' • [MI l Y •• ww w top wr uwr © ,1 ► r wam so •• wtl. r l•••1 f 01.1TEE LA w • Is too • ' w•• w.n w I •/ na /.••Y ♦ to �. . ♦ • 1 w.M I to •• w/do# wJ ' wM.l 1 1 \I .rfY w wn _ Ir1.1 ►- -•YI ' to ' •o r .`i •�f �� a�y Q of � t:f• �, /. U• •� ~,•� - u•M •na - v \ � (Atliw p a d: �a• tyre oR^•wIw111A war S a� ► • ••I rlw U•Y) 40 •f •� r••N1 11•Y • �� r 1 ' I to \ ` �• `�• 1•.r • ` ,,, w0.1.1 . 4 •., - r r •./ SIN 4.-1 O THE SITE OF THE PROPOSED. PROJECT IS SHADED - 17A•1.1... � �._ � lJ N•• I u ' fJ /• l T r f _ �• s .•M V l 1! a / •1 IIMUI • S IY Ir r !I O •/r.l c CASE 110 Iwn /• • r rw 1 • T i o f••I.1 •Ybl �.f . • • U t r• ru rr1 ; •ast.), F • � �,\_ V 1Wr1 level •L! • � lGI.1 -.- � •.�yr �IRI I.r. IY'.Ir' '• M - IJW.1 voao ron ►Z65 TAX MAP J GRE�1 SUFFOLK COUNTY, N.Y. District 1000, Sections 109 & 116 Application No. Regarding the property of NORTH FOR K COUNTRY CLUB i Suffolk County Tax Map No. 1000-109-4-7.1 Sheet of December 6, 1991 PHOTO A: Overall view of Country Club looking S; West Creek is to the left. +es h . - PHOTO B: A closer view looking S; areas of ` A proposed project are AA circled; West Creek is to the left. .h�;t' • _ A PROJECT S=T E PHOTO S Application No. regarding the property of NORTH FORK COUNTRY C LU S Suffolk County Tax Map No. 1000-109-4-7.1 Represented by Proper—T Serves cea P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 516-734-5800 Sheet of December 6, 1991 l• . '•�i a t 4. AV 7�i,• h 4•t • �`� PHOTO C: Looking g NW L across stand of trees N. where proposed new t. 16th fairway and teeing areas will be located. PHOTO D: Looking E across proposed project area toward West Creek. 'A PROJECT 8=T E PHOTO S Application No. regarding the property of NORTH FORK COUNTRY C LU B Suffolk County Tax Map No. 1000-109-9-7.1 Represented by Proper—T Serv,t cea P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 516-734-5800 Sheet of December 6, 1991 - PROJECTPLAN AND SECTSON V=EWS _ << [�,� Application No. Regarding the property of �3 NORTH FORK COUNTRY CLUB g.v Suffolk County Tax Map No. 1000-109-4-7.1 LI Represented by ,.'_ �1 � ��� �.� 1�, ;/•� ��i' Proper—T S6rvj ces r; P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 516-734-5800 /S �i MD Sheet of December 6, 1991 ra I.$8� J ��j! 6 � \ 4;✓ '�0 9 2f 7 �Z p r*6�' o !I ) J n "�P�174 U✓ 7 Ii5 JV `, 5 r / o A(7or J ,� _ t -� E�16) OC-0P� lJ �x / o � i 21Z1G�7E ' `�EDtp 13r� Alf CkElz o" z" Ro P. w i 45 .�/ (.� c; ,C UU l () p S `C •, (o'o TEE —_a I �oP ` A RZ e C B•D �CEV i' / P,I 0 I - k �12F a`-- Iz " so � �/' ti`t' �18 18 �• � f f -- ,_.. .�- "wet �' et /0 LI To of E D R E A I _ w/EET G r = SCE 70 aE U/-I Di-s Tu2BEo ( /akM.oxiv6-aT pv It 13. - I2 T� E M 15 11Z-7 i p cf •. Nl ?2A� o 1 R G � � I _ r ExlIT GQ ?v ` P2opF'41S#ECG2t /�rqr?yv�`/ 'Of / r"�Ja / M /�2APt Al �09 � soL ` Y EIeT• 9 * EL P/IO P -reA P I to a S"r K S "j © G 12 AI? - _ SSG%/0 A - �° = tea' V olLiz , fit! /o,o i G?/o AJ C- C II•� _ --�''i ,o' JG, PR,P�o` 0 1Z-C A T 0 r IL Co u 0-► (e-j (fLo e,,, o )�o(� .a--T,,E o� � Fos G_D /?EG f7/C'/'S-7/20 7/ O A) � � �(Lb pa SE O Go>u S'TiztJ G�(1 0,� 1-401,� 4 -T� A-C 3p G/�. 7EE" R o\ Z c l Sc.A.tff /-.S S++ow A) -I TI4_ PLA-1 ca G0"F>kL .D FRAM Dt,�Ia. ��tzti�1S1��O )R.e./ ti4Utl-/4DR r1uvNDS d �dtct+tl AtT4 "TnJi /---�w_S dcBeVIr.1 SoHS � G�vtt_CµGlnt� RS SO 2EJ,S� G1��1-� (�P�•CNS)ADp of^'iStZS 'TR.4P R� A, L `i -TIEI= L A-14O SuRv o (L STD PH�N kA`(i G.ot_� \n, �LaVs -Ass Mco 0.4To14 --Lerv/2.o co vRS`�- AricN�'T�o'�� µ, pb PE �10,e me4E/Z 11,FA4 D F=b/a-WA/Z0 i5Z107£E No Tc; e-LF a,s 0,U s /Z�C,1�2ac,cy-t. 72/450AJO( E?le/C- L ✓e-c_.c , ,r_y, o r-r- _w -..- . .......: .�.:.»...... ... .. .... ......_„ :+.p.,..,.. ...... . ...... ... . .....- .+ .............•__.. ___. _.- '- ...._. _.._...... _. .._-__s+rr...orr u.rrrrr.w+...••r. •---- ._._._._ .......r-.-..-...ti m. o+ ..... .......<,.s......ww..a._-.... .-.<,.. r •..__e z,..err.,...... r..ua' > . _..rr.. ♦a a« .. . _rf see buffer area specifications . 3 prepared by Land Use Company AREA "A \L Landward Limit of , r,. . Article 25 as flagged \� --- ,AND F�- �" ,V, � �r- / 'tea. j' �� �ls� ��,a Sri, by CTH/NI'SDEC �= Gam[_ _ f �� '�. ", AREA r ; O t' Landward limit of 1 Article 25 as flagged k C✓ ' , �- by CTI'/NYSDEC , Vr t/ aee - _... Drainage esF le4, AA S ✓ r �• 1v �\`�` �( \ "` `�,\\'�. �// j r I L T SCREEN i FrF' AREA g,, 0 \ / t csed Drainage e • S�a l ENS Prop ��,,•. wCod taining wall SILT SCREEN IUD\ , �, R`r ��1 L 1' j � 1Z'� ` T�p / / �3'�v E3�Ir� 1717 y ExJi7' Gk -=o Be Pee-o � � � t2/ t �� Proposed Native 13.3 i1. s' rT Buffer Area ?+' P plc,P. a i `,t �� * � /s see specifications OP Maintained Rcugh 6 No Pesticide Use 1 641 1� ' u /o� _ h r P ��iQ,'o yC; �\ ¢e '°� No Herbicide Use e x S i No Irrigation •� ,, r ._ _ _T (�;. // � �., F at+��, ro t „ � \ No Fertilizer Application { t L. 71�r��, I�' = Yl�T• r t`.��c: N . N.> > ` i? 3•s /7 J� ?'�q i� ��7X2R rJ I �+� ?•k r ti L!� ; xLt" r ' ` ✓ 2 4t� # EL,�, -~ o N Tv u R) •4.0�[v rJ 5 P 5 E t?. o ti) U S C q O/� L a t r� .N{. " 3 r Al. v .} Po W ot, �, F{•2E,t? 7-o 8E U,c/DIFbTUl2P�a t t� �lA� a of /psizT w7-,—ES t31-2�193 ' AREA y erl f t , C— C cm 3 e 30 vi2iZ 3 SILT SCREEN .� v r� 7. r OWN N SOUTHOLD o� i�pn �, D pR�P �� o iZ-C 4 T— f 2 OPP-� �TJE or all ,�EGvic/ S�i2t��,�"/ caN ` ` _ y),�op�FC-2t� vD'V-eI'Ao&4uMKtiloT��i �'2opoSEDCoXIS'CiLuC.�lo� Nolte � (G t�(i - I t a- 3 - '/ �+-• . nA 0 D,C t �r-H N Z i ne G s, 616,14 L `t• -T t`s A-N �{o k-,E-S7/1 l S 8 i / ity�E�/ �I f 'Dr / �/�► �EGr `, 3� rLe-v jE PCANI /ADD Sb`01F t`CAGGEp( tN� jC.AIE /6 �i S OVJI� �no �g'ree��>��� : �ow1ou�. ) 611tgL No t 2'Z! 1 °l�1 ` R,�vt. ED: AAA>`C>i .�5 t� Z) 2 c� 91 Z 1 �(L L c c A'C e D E C Ts>F �l 'c1' 1 R.�\/ 11 zV11-ADD I`A—NnS \1 /�resa 5 fie.a�-1 S G o1-+tP►LF� �ra.orq D r"�p. v -ta 1St� O • REJri � GA�1.� (�A�h4SJAc� oFRse'fi T�.kp F3'-( A, �prr'"Ae`s de 82V itq �j )ANS , ,� \�'� -_ ----�1�`,�• f-/ � �� � L...A*1 Q S v R v�o (t 1•v'T� P N c h1 �A`�� Cr o L F \1. 'LeYs -J4sS�MfCo 0,#To14 ELEV/2,0 co vas!_ // 745F; e7G.0,/-5 0,V 1.eV C. L 1,6./C4-6 4,"4, V, S.C, �'ca.�r. Ll 32.tm t3yA-J•d��,��+J..i ,us. -77 � r r