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Love Lane Aquisition Corp
• , , o�gUFFO[,��o To Ha11,.53095 Main Road TOWN CLElRR �: , COD REGISTRAR OF VITAL STATISTICS • MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of Information Officer) . One copy will be returned to you in response to your request, or as an interim response. SECTION I. TO: (Department or Officer, if known, that has the information you are requesting. ) T RECORD YOU WISH, TO INSPECT: (Describe the record sought. If possible, supply date, file title, tax map number,. and any other pertinent information. ) � 1 IL� I ( A - —tldl Signature of Applicant: Printed Name: 0/�/� 1 Address: I 4 q �_� ) . __ 2 �V e4,j SRAnVY n Mailing Address (if different from above) : P, o Telephone Number: � ;Lf--%6 LfQ Date: T ----------------------- [ ] APPROVED [ ] APPROVED WITH DELAY* [ ] DENIED* AUG 8 2002 . Southold Town Clerk liza� th A. Neville Date Freedom of Information Officer * If delayed or denied see reverse side for explanation. Albert X.Krupski, President O��$UFFO1/•`'O James King,Vice-President Town Hall Artie Foster CZ53095 Route 25P Ken Poliwoday P.O.Box 1179y, Southold,New York 11971-0959 Peggy A. Dickerson �,a, • Telephone (631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Elizabeth A. Neville, Town Clerk FROM: Board of Trustees DATE: January 10, 2005 RE: Foil Request of Joan B. Robbins The file of Love Lane Acquisition Corp., SCTM#11.7-8-18 is available in the Trustees office for review between the hours of 8:00 AM —4:00 PM. ELIZABETH A.NEVILLE CDy� Town Hall, 53095 Main Road TOWN CLERK vs Z P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS O � Southold, New York 11971 RECORDS MANAGEMENT OFFICERyRIAGE OFFICER ��• �►aO�� Telephone (631 765-800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD KOTO: Southold Town Trustees' Office FROM: Linda J. Cooper,Deputy Town Clerk DATE: January 4, 2005 RE: Foil Request of Joan B. Robbins Transmitted herewith is a FOIL request of Joan B. Robbins. Please respond to this office within five (5)business days. Thank you. St3FFO�,� ELE MBETS A.NEVH,LE iC1��. CO Town Ha ll,63096 Main Road TOWN CLERK P.O.Box 1179 . REGISTRAR OF VITAL STATISTICS i Southold,New York 11971 MARRIAGE OFFICER r Fax(631) 76M146 RECORDS MANAGEMENT OFFICER ��Ql �� Telephone(631)Mrs.18oD FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBUC ACCESS TO III=CQ�DS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of Information Officer) . One co In response to your request, or as an interim response.copy will be .returned -to you SECTION 1. TO: () L Df b .P L (J p (Department or Officer, if known,' that has th-e informati n you are req sting:)� RECORD YOU WISH TO INSPECT: ' mber, and anDcro h �he record sought. If possible, supply date, file title, tax map nu y pertinent information.) _7 Signature of Applicant: 6 , Prtoted Name: a e Br . Address: 16 R1 A/ L- (\&ti 9 U L4 Mailing Address (if different from above) :_e,0 , Bo x I q Telephone Number: �Lt—6 0 `60 Date: ©l /0 6 [ I APPROVED [ ] APPROVED WITH DELAY* [ ] DENIED* RECEIVED C.l 4W JAN 2005 Elizabpt -R. ,Neville, Date Freedom of Information Officer Southold Town Clerk * if de4ayed or denied see reverse sle#e for ex rt� ��gUFFO(�C ELIZABETH A.NEVILLE =�0 OGy� Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 y REGISTRAR.OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER ?i �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �Ql ��� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Planning Department Aouthold Town Board of Trustees FROM: Elizabeth A.Neville, Southold Town Clerk DATE: February 12, 2003 RE: 2/12/2003 FOIL Request of Brian A. Andrews, Esq. Transmitted herewith is a FOIL request of Brian A. Andrews Please respond to this office, in writing,within five (5)business days. Thank you. i BRIAN A. ANDREWS, ESQ. POST OFFICE BOX 207 235 WICKS ROAD NEW SUFFOLK,NEW YORK 11956 631-734-2555 February 11, 2003 RECEIVED Southold Town Hall 53095 Route 25 FEB 1 2 2003 Southold,New York 11971 Attention: Freedom of Information Officer Southold Town Clerk Re: Love Lane Acquisitions/Cove View Marina New Suffolk,New York Dear Sir/Madam: Please accept this letter as application under the Freedom of Information Act for all documents pertaining to applications made over the last three years to the Town of Southold Planning Department and/or Trustees pertaining to the waterfront property located in New Suffolk, New York owned by Love Lane Acquisitions located in New Suffolk,New York. Allow me to thank you for your gracious assistance in this matter. Very truly yours,. Brian A. Andrew BAA:dp r� AUG 22002 Trustees ' Town of Southold The New Suffolk Civic Association wants to convey its concerns about the proposed expansion of the existing marina being proposed by the Love Lane Acquisition Corporation on the New Suffolk waterfront. As proposed, it will have a profound effect on this hamlet and the surrounding marine communities. Much of this property has been used commercially for over a century: as a submarine base,for shipbuilding,as a marina and shipyard,and for many decades as the location of a fuel business (coal, home heating oil, automotive oil, diesel fuel). The result of this activity has been increased contamination of the bay bottom,the harmful effects of which will be aggravated by the proposed dredging. We have been advised by the Peconic Baykeeper of the following points: a. Dredging this area will re-suspend and disperse heavy metals and other pollutants throughout the area. b. Dredging of this magnitude will remove all of the benthic organisms that may be present in the bottom and become a low-oxygenated pollutant sink. c. The proposed wave baffle will have an effect on the along-shore currents in the area and may have an adverse effect on the stability of adjacent shorelines. d. Enlarging the existing marina from approximately 30 to 70 slips will impact water quality as a result of more boats and accidental fuel and oil spillages. We believe that a project of this magnitude clearly requires a positive declaration pursuant to the State Environmental Quality Review Act. It is therefore essential that the developer be required to prepare and submit a new Draft EIS/EIR. The future of our hamlet is at stake. Copies to: Charles T. Hamilton ALSO: Assemblywoman Patricia Acompora New York State DEC State Senator Kenneth T. LaValle Building 40 Southold Town Board SUNY Southold Town Planning Board Stony Brook, NY 11790 July 29. 2002 _ To: Southold Town Trustees From: Stephan Roussan JUL 3 U 20U� 415 Third St. _ New Suffolk, NY 11956 To the Southold Town Trustees: Enclosed are signatures on a petition that my family and I circulated during a yard sale we held a few weeks ago. It addresses the potential environmental impacts relating to the marina project at the foot of Main Street in New Suffolk: More than 120 people signed the petition in just a few hours. Please include this petition in your files and discussions as you evaluate the project. If you have any questions about it,please don't hesitate to call me at work: 631-298-5471. Sincere Step an Roussan PETITION TO ENSURE PROACTION OF THE NEW SUFFOLK WATERFRONT We, the undersigned residents of Southold Town, are concerned about the effects of the proposed expansion of the existing marina on the New Suffolk waterfront. We ask that the Southold Town Trustees require a Draft Environmental Impact Statement and Environmental Impact Review (DEIS/EIR) of the Cove View Marina Project pursuant to SEQRA. Name Address Date 7/7/0 -2— 'Al�. 7116 o �- U� o\c) 1-1--'(03c 1pc� C1U� S��c�1l� zz- /0�-co Ale- .9 rH 0 L�) A ?'n- yllvllwL 711vot I (156 7 111110 2 J1, 71 Pg /oz d , ►i�a6 131'644&E q 16 /t/ yllaI35 0- O-z- PETITION TO ENSURE PROTECTION OF THE NEW SUFFOLK WATERFRONT We, the undersigned residents of Southold Town, are concerned about the effects of the proposed expansion of the existing marina on the New Suffolk waterfront. We ask that the Southold Town Trustees require a Draft Environmental Impact Statement and Environmental Impact Review (DEIS/EIR) of the Cove View Marina Project pursuant to SEQRA. arne Address Date t V7 .140 ol 10 10 vvt fin! B./ •�;a_„>.,-y�8'!-.t�7;�.,.,.-'w r'za!?d �'-� �`�'' / f "' a� V _J LL ti p 0 V � n PETITION TO ENSURE PROTECTION OF THE NEW SUFFOLK WATERFRONT We, the undersigned residents of Southold Town, are concerned about the effects of the proposed expansion of the existing marina on the New Suffolk waterfront. We ask that the Southold Town Trustees require a Draft Environmental Impact Statement and Environmental Impact Review (DEI.S/EIR) of the Cove View Marina Project pursuant to SEQRA. Name Address Date K 344 [T\O�, .fit, G-Q-z- Cam- -02 / 17 T� 0c)do /;C:7/ o �� � (� ( cam S / 7 /� lU PETITION TO ENSURE PROTECTION OF THE NEW SUFFOLK WATERFRONT We, the undersigned residents of Southold Town, are concerned about the effects of the proposed expansion of the existing marina on the New Suffolk waterfront. We ask that the Southold Town Trustees require a Draft Environmental Impact Statement and Environmental Impact Review (DEIS/EIR) of the Cove View Marina Project pursuant to SEQRA. Naive Address Date �J �l SU&ILe - 114% 6 . 0 � Cl R2 . l / AIJ lie -'7�� , 6 � PETITION TO ENSURE PROTECTION OF THE NEW SUFFOLK WATERFRONT We, the undersigned residents of Southold Town, are concerned about the effects of the proposed expansion of the existing marina on the New Suffolk waterfront. We ask that the Southold Town Trustees require a Draft Environmental Impact Statement and Environmental Impact Review (DEIS/EIR) of the Cove View Marina Project pursuant to SEQRA. Name /� I) Address Date A, IL 7-(1, AlA 1,70 C/' P am fix 7/6/od—,- law L f /02- 60 o L HT M / 3 3 R" L/ I I � y'-/ t2Y l> i/,Y a- Figs, $ 7 , &Zmo�L IRA, hAtrl U61<'"y 10-4 7 - 3 qa d o ec-P h a t r. vas.. �,���-��Gtc. �,�r < < C� s,�Z PETITION TO ENSURE PROTECTION OF THE NEW SUFFOLK WATERFRONT We, the undersigned residents of Southold Town, are concerned about the effects of the proposed expansion of the existing marina on the New Suffolk waterfront. We ask that the Southold Town Trustees require a Draft Environmental Impact Statement and Environmental Impact Review (DEIS/EIR) of the Cove View Marina Project pursuant to SEQRA. Name Address Date �3, or q� 7 4/o-L- pqc z- S`/ 7J� and. ' :;I° 4L hit Xv DL 300 nu C" PnAr�wi G,, cdOb a�n d2 ` ('?-a 5- 99 CN- R�,� -7/, A44 2 9 sire <1 FF6ii� /I / 'V6/J2- PETITION TO ENSURE PROTECTION OF THE NEW SUFFOLK WATERFRONT We, the undersigned residents of.Southold Town, are concerned about the effects of the proposed expansion of the existing marina on the New Suffolk waterfront. We ask that the Southold Town Trustees require a Draft Environmental Impact Statement and Environmental Impact Review (DEIS/EIR) of the Cove View Marina Project pursuant to SEQRA. Name Address Date UL 4�q5� c06 po2,, 5 0 21 71-W- 0 C) 7 M ®�rue� knv R 0 60 7� - �w 7( c) ,z — SU-K-Ok �� ( 9,56 Ea VU Pc>A-1--- S�-�—c-,q3t &-V- L�C'--6 30 ` '� I / f PETITION TO ENSURE PROTECTION OF THE NEW SUFFOLK WATERFRONT We, the undersigned residents of Southold Town, are concerned about the effects of the proposed expansion of the existing marina on the New Suffolk waterfront. We ask that the Southold Town Trustees require a Draft Environmental Impact Statement and Environmental Impact Review (DEIS/EIR) of the Cove View Marina Project pursuant to SEQRA. Name Address Date Ao, �3S Oo /0 A14 7 16 Je Orck fir--. J (OIL* foui ,' �x 6 3 1 Afexj S'( IJ (C� r. PETITION TO ENSURE PROTECTION OF THE NEW SUFFOLK WATERFRONT We, the undersigned residents of Southold Town, are concerned about the effects of the proposed expansion of the existing marina on the New Suffolk waterfront. We ask that the Southold Town Trustees require a Draft Environmental Impact Statement and Environmental Impact Review (DEIS/EIR) of the Cove View Marina Project pursuant to SEQRA. Naive Address Date C��U <y , .:r oa- -7 d 5 1 July 9, 2002 Southold Town Board of Trustees J� Southold Town Hall PO Box 1179— 53095 Main Road Southold, NY 11971 Re: Cove View Marina—SCTM# 117-8-18 The New Suffolk Civic Association wants to convey its concerns about the proposed expansion of the existing marina being proposed by the Love Lane Acquisition Corporation on the New Suffolk waterfront. As proposed, it will have a profound effect on this hamlet and the surrounding marine communities. Much of this property has been used commercially for over a century: ■ As a submarine base, for shipbuilding, • As a marina and shipyard, ■ And for many decades as the location of a fuel business (coal, home heating oil, automotive oil, diesel fuel). The result of this activity has been increased contamination of the bay bottom, the harmful effects of which will be aggravated by the proposed dredging. We have been advised by the Peconic Bay'keeper on the following points: 1. Dredging this area will re-suspend and disperse heavy metals and other pollutants throughout the area., 2. Dredging of this,magnitude will remove all of the benthic organisms that may be present in the bottom and become a low-oxygenated pollutant sink. 3. The proposed wave baffle will have an effect on the along-shore currents in the area and may have an adverse effect on the stability of adjacent shorelines. 4. Enlarging the existing marina from approximately 30 to 70 slips will impact water quality as a result of more boats and accidental fuel and oil spillages. We believe that a project of this magnitude clearly requires a positive declaration pursuant to the State Environmental Quality Review Act. It is, therefore, essential that the developer be required to prepare and submit a new Draft EIS/EIR. The future of our hamlet is at stake. Sincerely;'' JUL 112002 GLaur n Grant, President ;- 't � ` ^ New Suffolk Civic Association . _.... Cc: Charles T: Hamilton-NY State DEC Senator Kenneth T. La Valle NY State ASsemblywoman Patricia Acampora ;Southold Town Supervisor Josh Horton and the Southold Town Board Southold Town Planning Board Chairman Bennett Orlowski and the Town Planning Board NEW SUFFOLK CIVIC ASSOCIATION, INC. POST OFFICE BOX 642 NEW SUFFOLK, NY 11956 fv�FFOLd-c� ELIZABETH A. NEVILLE �� Gy Town Hall, 53095 Main Road TOWN CLERK o .�� P.O. Box 1179 ti 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823 MARRIAGE OFFICER y ��� Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freeddm of Information Officer) . One copy will be returned to you in response to your request, or as an interim response. ------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------- SECTION I. ° TO: Ta l TK.bSTt`s (Department or Officer, if known, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, file title, tax map number, and any other pertinent information. ) Co V>✓ V i E�j M Pr21 Nift Signature of Applicant: g Printed Name: �Og Address: j (, Cf� }�n/ S7�, (��✓ ,Syt�Y Ll� Mailing Address (if different from above) : Q b, lox I Lf'2 Telephone Number: r,3cf Date: p L3!/0 J [ ] APPROVED RECEIVED [ ] APPROVED WITH DELAY* [ ] DENIED* • ,r • 7PWR OCT 3 1 2002 • Eliza eth A. Neville Date Freedom of Information Officer ; Southold Town Clerk * If delayed or denied see. reverse .side for explanation. r I .`. .. u" ` MAP OF PROPERTY SITUATE AT i NEW SUFFOLK,TOWN OF SOUTHOLD NION SUFFOLK COUNTY,NEW YORK NEW SUFFOLK FISHING.STATION I LOVE LANE ACQUISION CORP. ' _ y,,•rrmnvav� WAL SCTM:1000-117-8 18 • _ - ;• ., SCALE:1"=W ' -T ®• a mum - - u cRummaran \ o \ tl MAIN STREET i CRvs�mum ) [..1 PARENGARC& : CCN= TRAVMM. ,1 • -6 -10 LEGEND-y COLOR LEGEND it MMMA%HICAL 14 ADO bMMLOWWAMPaalA7wl'OIAOIID.I7MUFBmzRUDM WON -—___ —_____ ��I 0AraVRLP19,ATSATIDYHOCRTRWI&!RY SOUTHOLD DEVELOPMENT CORP. _s -' —TAI�X APME — ramsMMXEWMBM h"L(YWWAMR iadq EHOWIIBVAT[ON9AHDYeMNIP80AIdV8LATCAtU1YR00[�N8W7�leY SITE PLAN DMRMAnGN IS BASED ON LAND SURVEY PREPARED BY WALLACUT.BRYAN•LTSCENCED LAND SURVEYOR f TOPOORAPHICALDMRMATIONIS BASED ONPLANPREPAREDBYHOWMACHER,MCLENDON&MURREII P.Q New York State Department of Environmental Conservation AM Division of Environmental Permits, Region One Building 40-SUNY, Stony Brook, New York 11790-2356 Phone: (631)444-0365 - FAX: (631)444-0360 144W Website: www.dec.state.ny.us Erin M.Crotty, Cornmissiopbr r- rm 7 May 30, 2002 JUN - 3 2 M Albert Krupski, Jr. Board of Town Trustees, Town of Southold Town Hall 53095 Route 25 P.O. Box 1179 Southold, NY 11971-0959 Dear Mr. Krupski: I am writing in response to your lead agency coordination request for the Cove View Marina project on Main Street in New Suffolk. The NYSDEC has no objection to your agency assuming the responsibilities of lead agency for this project. Issues of concern, which we feel should be evaluated include the impacts of this project on shellfish and finfish habitats and the potential re- suspension of contaminants within the marina basin. Thank you for requesting comments at this early stage of the project. As the project develops and more details become available, we would appreciate the opportunity to comment further. Sincerely, �z I 01------- N Albert J.Krupski,President Town Hall James King,Vice-President OSVFFO(/�'C 53095 Route 25 Artie Foster °� O P.O.Box 1179 .r l/ Ken Poliwoda o 'y Southold,New York 11971-0959 Peggy A.Dickerson ti 2 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 13, 2002 Re: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your jurisdiction in the action described below; 2. Your interest in assuming the responsibilities of lead agency; and 3. Issues of concern that you believe should be evaluated. Enclosed please find a copy of the proposal and a completed Environmental Assessment Form (EAF) to assist you in your response. Project Name: C-OQ k)'kQW 0\011M Requested Action: k1S`c1wl QA(S`tl(� 0-r� guoa °I—Wpd jd — �U.�1�,h2(�dS SEQRA Classificatiti�on:� �( ) Type I Contact Person: (631) 765-1892 4 Page 2 Lead Agency Coordination Request The lead agency will determine the need for an environmental impact statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether, or not you have an interest in being lead agency. If no response is received from you, it will be assumed that there is no objection to the Board of Trustees assuming lead agency status. Comments: Please feel free to contact this office for further information. Very truly yours, Albert Krupski, Jr. President cc: Army Corp. of Engineers Dept. of State DEC (*Maps are enclosed for your review) i t r '14-16-2'(9/95)-7c SEQR 617.20 , 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 not be technically expert in environmental analysis.In addition,many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. applicants and agencies can be assured that the determination The full EAF is intended to provide a method•whereby app ' g process has been orderly, comprehensive in nature,yet flexible enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data,and information about a given project and its site. By identifying basic project data, it assists a reviewer in.the analysis that takes place in Parts 2 and 3. ject or ction. it Part 2: Focuses on identifying the range of possible be considered small toimpacts that may umoderate or from a r whether't is a po provides tially- guidance as to whether an impact is likely to 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 '[ and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 OPart 3 Upon review of the information recorded on this EAF(Parts and 2 and 3 if appropriate), and any other supporting information,and considering both the magnitude 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 ma negative ative declaration f will be-prepared.ore, is one which not have a significant impact on the environment, thereforeg O B. Although the project could have a significant effect n measures described in PART 3 have beenere will.not be a required, effect for this Unlisted Action cant because the mitigation io gative declaration will be prepared.* therefore a CONDITIONED ne ❑ , 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. t A Conditioned Negative Declaration is only valid for Unlisted Actions Cv � � r �rs Gzr �Jl 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 PART 1—PROJECT INFORMATION �� 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. NAME OF ACTION f7:,w ~m �c21 till LOCATION OF ACTION(Include Street Address,Municipality and County) 1%06T a i `-n R i (',f _ NEW U BUSINESS TELEPHONE NAME OF APPLICANTISPONSOR ADDRESS STATE ZIP CODE CITYIPO _ VYj I 1 ei S— NAME OF OWNER of different) BUSINESS TELEPHONE ( ) ADDRESS STATE Z1P CODE CtTYlPO DESCRIPTION OF ACTION 9G— (�-,o v � CK j3U 2-I�� bS -t-I }��(� I— Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed Snd undeveloped areas. 1. Present land use: OUrban ❑Industrial ACommercial OResidential(suburban) ❑Rural(non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: �' �' '^��a�a1 _acres. APPROXIMATE ACREAGE Z z- `I A^St ° oM PRESENTLY AFTER COMPLETION Meadow or Brushland(Non-agricultural) acres acres acres acres Forested acres Agricultural (Includes orchards, cropland, pasture, etc.) 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) '92R72Q S i2 acres S�� acres 3. What is predominant soil type(s) on project site? s -I- 1130 a. Soil drainage: pWell drained I ° % of site OModerately 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? acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? Oyes (RNO a. What is depth to bedrock? (in feet) 2 S. Approximate percentage of proposed project site with slopes: 1§0-10% f % 010-15% % 015% or greater % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? Oyes VNo 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? OYes JkNo 8. What is the depth of the water table? L S (in feet) 9. Is site located over a primary, principal, or sole source aquifer? OYes ;@No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? JRYes ONo 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) OYes `jJNo Describe 13. Is the project site presently used by the community or neighborhood as an open space' or recreation area? ❑Yes 1�INo . If yes, explain 14. Does the present site include scenic views known to be important to the community? OYes (ANo 15. Streams within or contiguous to project area: -PC- C e N C_ y a. Name of Stream and name of River to which.it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name b. Size (In acres) 17:-1,$ Yha site served by existing public utilities? PYes ONo a) If.Yes, does sufficient capacity exist to allow connection? ;UYes ONo b) If Yes, will improvements be necessary to allow connection? OYes VINO 18. Is the site located-in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? OYes LP 19. Is.the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? OYes ONo 20. Has the site ever been used for the disposal of solid or hazardous wastes? OYes `PNo B. Project .Description 1. Physical dimensions and scale of project(fill in dimensions as appropriate)I a. Total contiguous acreage owned or controlled by project sponsor S acres. b. Project acreage to be developed: - i"Z acres initially; S i� acres ultimately. c. Project acreage to remain undeveloped o acres. d. Length of project, in miles: (If appropriate). e. -If the project is an expansion, indicate percent of expansion proposed %; f. Number of off-street parking spaces existing ; proposed _—• -Pr 2 C_ g. Maximum vehicular trips generated per hour 3�� • (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially Ultimately i S 1. Dimensions (in feet) of largest proposed structure height; width; length. J. Linear feet of frontage along a public thoroughfare project will occupy is? S Q ft. 3 2. How much natural material (i.e., rock, earth, etc.) will be removed from the site? —_--- tons/cubic yards 3. Will disturbed areas be reclaimed? 1AYes ONO ON1A 7 TV Cwn a. If yes, for what intended purpose is the site being reclaimed. � - b. Will topsoil be stockpiled for reclamation? OYes )KINO c. Will upper subsoil be stockpiled for reclamation? OYes PNO 4. How many acres of vegetation (trees, shrubs, ground covers)will be removed from site? © acres. 5. Will any mature forest over 100 years old) or other locally-important vegetation be removed by this project? OYes PO 6. If single phase project: Anticipated period of construction months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including demolition). c. Approximate completion date of final phase month year. d. Is phase 1 functionally dependent on subsequent phases? OYes ONo 8. Will blasting occur during construction?. Oyes f�.j`1�7 O 9. Number of jobs generated: during construction 1 ; after project is complete 10. Number of jobs eliminated by this project 11. Will project require relocation of any projects or facilities? OYes /VINO If-yes, explain 12. Is surface liquid waste disposal involved? Oyes I,N0 a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. is subsurface liquid waste disposal involved? - Ves ONO Type i 14. Will surface area of an existing water body increase or decrease by proposal? �Ees NO Explain L — TIC vow �p` —� �K 15. Is project or any portion of project located in a 100 year flood plain? Yes ONO 16. Will the project generate solid waste? 1A,Yes ONo a. If yes, what is the amount per month Z- tons b. If yps, will an existing solid waste facility be used? '?Yes ONo u U c. if yes, give name SSO"�' �� S.o�' 1-LO� 10 cation d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? OYes �No e. If Yes, explain 17. Will the project involve the disposal of solid waste? .,,IYes ONO a. If yes, what is the anticipated rate of disposal? 11 tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? OYes IP00 19. Will project routinely produce.odors (more than one hour per day)? OYes PNO 20. Will project produce operating noise exceeding the local ambient noise levels? OYes '�kNo 21. Will project result in an increase in energy use? `%Yes ONo If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity gallons/minute. 23. Total anticipated water usage per day gallons/day. 24. Does project involve local, State or federal funding? Oyes �No If Yes, explain 4 25. Approvals Required: Submittal Type Date City, Town, Village Board ,Yes ONO S(4(4--OLp _1 h1J� _rU4T(E,S City, Town, Village Planning Board ` Yes ONO f City, Town Zoning Board OYes ONO City, County Health Department OYes ONO Other Local Agencies OYes ONO Other Regional Agencies OYes ONO State Agencies PYes ONO IVy S AF C__ Federal Agencies E[Yes ONO 0 C-� f rvE>=f�� C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? 'Yes ONO If Yes, indicate decision required: Ozoning amendment Ozoning variance Ospecial use permit ' Osubdivision 'site plan Onew/revision of master plan ❑resource management plan Oother 2. What is the zoning classification(s)of the site? 3. What is the maximum potential development of the site if developed as permitted by the present zoning? �E C o a.c- 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? ;�t✓� CO �� 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? Yes ❑No 7. What are the predominant land use(s) and zoning classifications within a '/ mile radius of proposed action? N-Y) 'A N Pi- �- LIE S I �E N i� �2 i� -r — fi b 8. Is.the proposed action compatible with adjoining/surrounding land uses within a '/, mile? RYes ONO. 9. If the proposed action is the subdivision of land; how many lots are proposed? a. What is the minimum lot size proposed? 10. Will proposed-action require any authorization(s)for the formation of sewer or water districts? OYes �kNo 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? OYes INo a. If yes, is existing capacity sufficient to handle projected demand? OYes ONO 12. Will the proposed action result in the generation of traffic significantly above present levels? OYes' No a. If yes, is the existing road network adequate to handle the additional traffic? OYes ONO D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I.certify that the information provided above is true to the best of my knowledge. Applicant/Sp-n-or Name Lav&- L-A N C (k S r 1 f eJ C�� Date SJ o Signature Title ° If the action is In the oastal Area,and you are a state agency,complete the Coastal Assessment Form before proceeding with this assessment. 5 Part 2—PROJECT IMPACTS AND THEIR MAGNITUDE . 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. • 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 appropriiate 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 20 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. Identffying that an Impact will be potentially large (column 2)does not mean that it is also necessarily significant. Any large Impact must be evaluated In PART 3 to determine significance. Identifying an impact in column 2 simply asks that It be looked at further. e. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. f. If a potentially large impact checked In column 2 can be mitigated by change(s)In the project to a small to moderate Impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained In Part 3. 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 OYES Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ ❑Yes ONO 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 ❑ ❑ ❑Yes ONO 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ ❑Yes ONO • Construction on land where bedrock is exposed or generally'within ❑ ❑ ❑Yes ONO 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ Oyes ONO than one.phase or stage. • Excavation for mining purposes that would remove more than 1,0.00 ❑ ❑ ❑Yes ONO tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ ❑Yes ONO • Construction in a designated floodway. ❑ O ❑Yes ONO • Other impacts ❑ ❑ ❑Yes ONO 2. Will there be an effect to any unique or unusual land forms found on the site?(i.e.,cliffs,dunes,geological formations, etc.)ONO OYES • Specific land forms:. ❑ ❑ ❑Yes ONO 6 1 2 3 Small to Potential Can Impact Be IMPACT ON WATER Moderate Large Mitigated By 3. Will proposed action of fect any water body designated as protected? Impact Impact' Project Change (Under Articles 15,24,25 of the Environmental Conservation Law,ECL) ONO OYES Examples that would apply to column.2 • Developable area of site contains a protected water body. ❑ ❑ ❑Yes ❑No • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ ❑Yes ❑No protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ ❑Yes ❑No • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ Dyes ❑No 4. Will proposed action affect any non-protected existing or new body of water? ONO * OYES Examples that would apply to column 2' • A 10% increase.or decrease in the surface area of any body of water ❑ ❑ Dyes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 5. Will Proposed Action affect surface or groundwater quality or quantity? ONO OYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ ❑Yes ❑No • Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes ❑No . . have approval to serve proposed (project).action. •. Proposed Action requires water supply from wells with greater than 45 ❑ ❑ Dyes ❑No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ Dyes ❑No supply system. , • Proposed Action will adversely affect groundwater. ❑ ❑ Dyes ❑No. ❑ Dyes DNo • Liquid effluent will be conveyed off the site to facilities which presently ❑ 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 ❑ ❑ ❑Yes ❑No existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ Dyes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ Dyes ❑No and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ ❑Yes ❑No require new or expansion of existing waste treatment and/or s.torage facilities. • Other impacts-- D ❑ ❑Yes ONo 6. Will proposed action alter drainage flow or patterns, or surface water runoff? ONO OYES Examples that would apply to column 2 0 . Dyes ❑No • Proposed Action would change flood water flows. 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. ❑ ❑ Dyes ❑No • Other impacts: ❑ ❑ []Yes ❑No IMPACT ON AIR 7. Will proposed action affect air quality? ONO OYES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given ❑ ❑' ❑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 S 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 ❑ ❑ Dyes ❑No to industrial use. • Proposed action will allow an increase in the density of industrial ❑ ❑ ❑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 OYES Examples that would apply to column 2 • Reduction of one or more species listed on the New York or Federal ❑ ❑ Dyes ❑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. ❑ ❑ ❑Yes ❑No • Applicafion of pesticide or herbicide more than twice a year, other ❑ ❑ Dyes ❑No than for agricultural purposes. • Ofher impacts: ❑ ❑ ❑Yes ❑No 9. Will Proposed Action substantially affect non-threatened or non-endangered species? ONO OYES 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 OYES Examples that would apply to column 2 • The proposed action would sever, cross or limit'access to agricultural 0 ❑ ❑Yes ❑No land (includes cropland, hayfields, pasture; vineyard, orchard, etc.) 8 1 2 3 Small to Potential Can Impact E Moderate Large Mitigated B) Impact Impact Project Chan( • Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes ON. agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑.Yes ❑N, 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 ON, 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 ON. IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources? ONO DYES (If necessary, use the Visual EAF Addendum in Section 617.20, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ ❑Yes ❑N( 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 ❑N( 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 ON( screening of scenic views known to be important to the area. • ❑Yes ❑Nc Other impacts: ❑ ❑ IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? ONO OYES Examples that would apply to column 2 ❑ ❑Yes ❑N( • Proposed Action occurring wholly or partially within or substantially ❑ 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 ❑Nc project site. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ ❑Yes ON( archaeological sites on the NYS Site Inventory. • Other impacts: ❑ ❑ ❑Yes ❑Nc 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 ONO OYES ❑ ❑ QYes ❑N` • The permanent foreclosure of a future recreational opportunity. ❑ OYes ❑N( • A major reduction of an open space important to the community. ❑❑ ❑ Oyes ❑N` • Other impacts: 9 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change IMPACT ON CRITICAL ENVIRONMENTAL AREAS 14. Will Proposed Action impact the exceptional or unique character- istics of a critical environmental area (CEA) established pursuant to subdivision 6 NYCRR 617.14(g) ? ONO DYES List the environmental characteristics that caused the designation of the CEA. Examples that would apply to column 2 • Proposed Action to locate within the CEA? ❑ ❑ Dyes ONO • Proposed Action will result in a reduction in the quantity of the resource? El ❑ Dyes ONO •. Proposed Action will result in a reduction in.the quality of the resource? ❑ ❑ Dyes ONO • Proposed Action will impact the use, function or enjoyment of the ❑ ❑ Dyes ONO resource? ❑ ❑ Dyes ONO • Other impacts: IMPACT ON TRANSPORTATION 15. Will there be an effect to existing transportation systems? ONO OYES Examples that would apply to column 2 Q Dyes ONO • Alteration of present patterns of movement of people and/or goods. Dyes ONO • Proposed Action will result in major traffic problems. ❑ ❑ ❑ ❑Yes No • Other impacts: IMPACT ON ENERGY 16. Will proposed action affect the community's sources of fuel or energy supply? ONO OYES Examples that.would apply to column 2 ❑ ❑Yes ONO • Proposed Action will cause a greater than 5% increase in the use of ❑ any form of energy in the municipality. • Proposed Action will require the creation or extension of an energy ❑ ❑ Dyes ONO transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. ❑Yes ❑No • Other impacts: ❑ ❑ 10 1 2 3 NOISE AND ODOR IMPACTS Small to Potential Can Impact Be 17. Will there be objectionable odors, noise, or vibration as a result Moderate Large Mitigated By of the Proposed Action? ONO DYES Impact Impact Project Change Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ ❑Yes ❑No facility. • Odors will occur routinely (more than one hour per day). ❑ ❑ ❑Yes ❑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 ❑No' noise screen. • Other impacts: ❑ ❑ Dyes. ❑No. IMPACT ON PUBLIC HEALTH 18. 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 ❑ ❑ ❑Yes ❑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 ❑No form (i.e. toxic, poisonous, .highly reactive, radioactive, irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ ❑Yes ❑No gas or other flammable.liquids. • Proposed action may result in the excavation or other disturbance ❑ ❑ ❑Yes ONO within 2,000 feet of a site used for the disposal of solid or hazardous waste. • Other impacts: ❑ ❑ ❑Yes No IMPACT ON GROWTH AND CHARADTER OF COMMUNITY OR NEIGHBORHOOD 19. Will proposed action affect the character of the existing community? ONO DYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ ❑Yes ❑No project is located Is likely to grow by more than 5%. ❑Yes ❑No • The municipal budget for capital expenditures or operating services ❑ ❑ will increase by more than 5% per year as a result of this project ❑Yes ❑No • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ • Proposed action will cause a change in the density of land use. 0 ❑ ❑Yes ❑No • Proposed Action will replace or.eliminate existing facilities, structures .❑ ❑ ❑Yes ❑No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ ❑Yes ❑No (e.g. schools, police and fire, etc.) ❑Yes ❑No • Proposed Action will set an important precedent for future'projects. ❑ ❑ • ❑ ❑ ❑Yes ❑No Proposed Action will create or eliminate employment. • ❑Yes ❑No Other impacts: ❑ ❑ 20. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts?O NO It any action In Part 2 Is Identified as a potentlal large Impact or If you cannot determine the magnitude of Impact,proceed to Part 3 11 Part 3—EVALUATION OF THE,IMPORTANCE Or- 'IMPACTS 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 Columrf 2 of Part 2: 1 . Briefly describe the impact. Z. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3.*.Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: • The probability of the impact occurring • The duration of the impact • Its irreversibility, including permanently lost resources of value • Whether.the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether.known objections to*the project relate to this impact. (Continue on attachments) 12 - 1 14.14-11 c9/95�-9c 617.20 SEQR Appendix B State Environmental Quality Review Visual. EAF Addendum This form,may be used to provide additional information relating to Question 11 of Part 2 of the Full EAF. (To be completed by Lead Agency) Distance Between Visibility Project and Resource (in Miles). 1. Would the project be visible from: 0•'/4 '/a-'/z 1/2-3 3-5 5+ • A parcel of land which is dedicated to and available ❑ ❑ ❑ ❑ ❑ to the public for the use, enjoyment and appreciation of natural or man-made scenic qualities? • An overlook or parcel of land dedicated to public ❑ ❑ ❑ ❑ ❑ observation, enjoyment and appreciation of natural or man-made scenic qualities? • A site or structure listed on the National or State ❑ ❑ ❑ ❑ ❑ Registers of Historic Places? • State Parks? El ❑ El ❑ ❑ • The.State Forest Preserve? ❑ ❑ ❑ ❑ ❑ • National Wildlife Refuges and state game refuges? ❑ ❑ ❑ ❑ ❑ • National Natural Landhiarks and other outstanding ❑ ❑ ❑ ❑ .❑ naturalfeatures? • National Park Service lands? ❑ ❑ ❑. ❑ ❑ • RIvers designated as National or State Wild, Scenic. ❑ ❑ ❑ ❑ ❑ or Recreational? • Any transportation corridor of high exposure, such ❑ ❑ ❑ ❑ as part of the Interstate System, or Amtrak? • A governmentally established or designated Interstate ❑ ❑ ❑ ❑ ❑ or Inter-county foot trail,or one formally proposed for establishment or designation? • A site, area, lake, reservoir or highway designated as ❑ ❑ ❑ ❑ ❑ scenic? Municipal park, or designated open space? County road? ❑ ❑ ❑ ❑ ❑ • State? ❑ ❑ Cl ❑ ❑ • Local road? ❑ ❑ ❑ ❑ ❑ 2. Is the visibility of the project seasonal?(i.e.,screened by summer foliage, but visible during other seasons) ❑Yes ❑No 3. Are any of the resources checked In question 1 used by the public during the time of year during which the project will be visible? ❑Yes ❑No 1 DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the surrounding environment. Within *'/a mile *I mile Essentially undeveloped ❑ ❑ Forested ❑ ❑ Agricultural ❑ ❑ Suburban residential ❑ ❑ Industrial ❑ ❑ Commercial ❑ ❑ Urban ❑ ❑ River, Lake, Pond ❑ ❑ Cliffs, Overlooks ❑ ❑ Designated Open Space ❑ ❑ Flat ❑ ❑ Hilly ❑ ❑ Mountainous ❑ ❑ Other ❑ ❑ NOTE: add attachments as needed 5. Are there visually similar projects within: *1/z mile ❑Yes El No •1 miles ❑Yes ❑No *2 miles ❑Yes El No *3 miles ❑Yes ❑No • Distance from project site are provided for assistance.Substitute other distances as appropriate EXPOSURE 6. The annual number of viewers likely to observe the proposed project is NOTE: When user data Is unavailable or unknown, use best estimate. CONTEXT 7. .The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY Holidays/ Activity Daily Weekly Weekends Seasonally Travel to and from work ❑ ❑ ❑ ❑ Involved in recreational activities ❑ ❑ ❑ ❑ Routine travel by residents ❑ ❑ ❑ ❑ At a residence ❑ ❑ ❑ ❑ At worksite Cl ❑ ❑ ❑ Other ❑ ❑ ❑ 2 ♦ • A • I 14.16.4(9195)—Text 12 617.20 S EQ R PROJECT I.O.NUMBER Appendix C • State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (fo be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME 3. PROJECT LOCATION: • County Municipality 4. PRECISE LOCATION(Street address and road Intersections,prominent landmarks,etc.,or provide map) 6. IS PROPOSED ACTION: t eratlon ❑New ❑Expansion ❑Modiflcatlonlal 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres a. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ❑Yes ❑No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Other ❑Resldentlal ❑Industrial ❑commercial ❑Agriculture parWForesUO Pen space Describe: to. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAU? ❑Ye ❑No If yes,list agency(s)and peanlUapprovals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? ❑Yea ❑No It yes,list agency name and.permltlapproval ------------ 12. AS A RESULT OF PROPOSED ACTION WILL DaSTiNG PERMrr1APPROVAL REQUIRE MODIFICATION? ❑Yes ❑No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Dale: AppllcanUsponsor name: Signature: If the action Is In-the Coastal Area, and'you are a state agency, complete the Coastal Assessment Form before proceeding With this assessment OVER 1 PART II—ENVIRONMENTAL ASSESSMEf o be completed by Agency) o' " A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? 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? II No,a negative.declaration- may be superseded by another involved agency. + ❑Yes ❑No r C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems?Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly. C6. Long term,short term,cumulative,or other effects not Identified in C1•C5?Explain briefly. C7. Other impacts(Including changes In use of either quantity or type of energy)?Explain briefly. D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? ❑Yes ❑No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes,explalri briefly PART III—DETERMINATION OF SIGNIFICANCE(fo 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(Q 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. If question D of Part 11 was checked yes,the determination and significance'must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. ❑ 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 ai?ove 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 ype ame o•Respalsi e Off icerin Lead Agency Title of Responsi a rcer Signature o Responsi a Officer in Lea Agency ipnature o reparcr I different rom responsi e o ricer) Date 2 SEQRA RESOLUTION RE: LOVE LANE ACQUISITION SCTM#117-8-18 Resolved by the Board of Trustees of the Town of Southold that the application of Love Lane Acquisition Corp., more full described in the public hearing section #16 of the Trustee agenda dated Wednesday, March 20, 2002 is, pursuant to the SEQRA rules and regulations, is declared an Unlisted Action; and be it Further resolved that the applicant is required to submit a Long Environmental Assessment Form (LEAF); and be it Further resolved that upon receipt of the LEAF the Clerk of the Trustees is hereby directed to commence a coordinated review pursuant to SEQRA. low ; TO: SOUTHOLD TOWN BOARD OF TRUSTEES FROM: TED VICTORIA SUBJECT: SCTM # 1000-117-8-18 UNFORTUNATELY I'M UNABLE TO ATTEND THE HEARING AT SOUTHOLD TOWN HALL ON WEDNESDAY MARCH 20th. BECAUSE I WILL BE TEACHING ONE OF MY CLASSES AT KEAN UNIVERSITY IN UNION, NEW JERSEY. I OWN THE TWO WHITE HOUSES DIRECTLY ACROSS FROM THE PROPOSED MARINA EXPANSION SITE. I'M MAKING NEW SUFFOLK MY PRIMARY RESIDENCE AND HAVE JUST REGISTERED TO VOTE IN SOUTHOLD TOWN. I'M VERY CONCERNED ABOUT THE BOAT BASIN THAT I FEEL WILL HAVE A DEVASTATING EFFECT ON THE HAMLET OF NEW SUFFOLK. I HOPE THAT THE FOLLOWING SUBJECTS WILL BE ADDRESSED AT THE HEARING. 1. THE LAND MASS ON THE SIGHT IS GOING TO ELEVATED TO ACCOMMODATE THE NEEDS OF THE MARINA. THIS WILL TURN FIRST STREET INTO A CANAL DURING A HURRICANE OR SEVERE STORM. THIS COULD HAVE A DEVASTATING EFFECT ON AN AREA THAT ALREADY HAS FLOODING PROBLEMS. 2. WILL THE OWNERS OF THESE YACHTS BE ABLE TO LIVE ON THEIR BOATS WHILE THEY ARE MOORED IN THE MARINA?. THIS COULD INCREASE THE POPULATION OF NEW SUFFOLK BY AS MANY AS 60 FAMILIES DURING THE SUMMER MONTHS. WHAT ABOUT THE SEWAGE THAT THESE BOATS WILL GENERATE?. 3. WHAT WILL THE IMPACT OF SIXTY PLUS CARS CONVERGING THE HAMLET OF NEW SUFFOLK AND HOW WILL THIS EFFECT TRAFFIC PATTERNS IN THE TOWN?. WHERE WILL THE PATRONS OF LEGENDS PARK? 4. WHAT WILL THE ESTHETIC EFFECT OF A HUGE POLE BARN HAVE ON THE CENTER OF NEW SUFFOLK?. THIS BARN WHICH WILL BE OVER 35' HIGH AND RUN PARALLEL TO FIRST STREET FROM THE ROBINS ISLAND PROPERTY TO MAIN STREET WILL OCCUPY MORE THAN ONE QUARTER OF THE BUILDING MASS IN THAT AREA. NO MATTER WHAT THEY COVER THIS BUILDING WITH IT WILL STILL BE A POLE BARN MUCH LIKE THE BLUE MONSTROSITY THAT EXISTS ON THE MAIN ROAD HEADING INTO GREENPORT. 5. WHAT ENVIRONMENTAL IMPACT WILL THIS BOAT BASIN HAVE ON THE FRAGILE CONDITION OF THE PECONIC BAY?. I BELIEVE THAT THAT THIS PROPOSAL WILL HAVE TOO MUCH OF A NEGATIVE IMPACT ON THE HAMLET OF NEW SUFFOLK AND A THROUGH ENVIRONMENTAL STUDY SHOULD BE DONE TO DETERMINE IT'S EFFECT ON THE TOWN AND THE PECONIC BAY. THANK YOU FOR GIVING ME THE OPPORTUNITY TO EXPRESS MY THOUGHTS AND CONCERNS ON PROPOSAL# 1000-117-8-18. TED VICTORIA 17250 NEW SUFFOLK AVE. (MAIN STREET) BOX 218 NEW SUFFOLK, N.Y. 11956 R t PELLETREAU & PELLETREAU PETER V.SNYDER ATTORNEYS AND COUNSELLORS AT LAW ROBERT S. PELLETREAU JOHN J.HART 20 CHURCH STREET - BOX 110 (1801-1943) JOHN J.ROE,III RICHARD A.SCHOENFELD FREDERIC L.ATWOOD PATCHOGUE. NEW YORK 11772 (1980-1980) J.TIMOTHY SHEA BRUCE T WALLACE TEL.516 475-5656 KEVIN A.SEAMAN R08ERT H. PELLETREAU OF COUNSEL VANESSA M.SHEEHAN- BENJAMIN L.HERZWEIO -ALSO ADMITTED III FLORIDA July 24, 1986 Joseph Fenton, Esq. Jackson Street New Suffolk, New York 11955 Re: Marina Ray Clubs Ltd. Dear Mr. Penton: Enclosed please find an executed copy signed by Mr. Richard T. Carr of the Cotenants and Restrictions for the Marina Say Club of New Suffolk, New York. Very truly yours, PELLETREAU & PELLETREAU Janet F. Haeberle Legal Assistant JFH: llrn Enclosures Olu(7) P. O. Drawer A Jamesport, NY 11947 May 15, 1986 Mr. Jolseph Fenton Jackson Street New Suffolk, NY 11956 Dear Mr„ Fenton: Please find enclosed. a copy of a letter from Pelletreau & Pell.etreau to the Southold Town Planning Board stating that Mr. Carr will place a covenant on the New Suffolk property which will ban full time residency on boats docked in the slips. Sincerely, enrva nor Jr HER.:ml Enc. CC: Richard Carr. John J. Hart, Esq. FOur z = Town Hall, 53095 Main Road P.O. Box 1179 Telephone O Southold, New York 11971 (631) 765-1892Ql SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, January 16, 2002, the following recommendation.was made: Moved by Scott Hilary, seconded by Bob Ghosio, to TABLE the Wetland Permit Application of LOVE LANE ACQUISITION CORP. to remove the existing peninsula and rebuilt bulkheads and travel lift. Located---650 First Street, New Suffolk. SCTM#117-8-18 The CAC Tables the application because more information is needed. The CAC questions if an Environmental Impact Statement is necessary. Vote of Council: Ayes: All Motion Carried Y, 1 That as a condition of the approval of the site plan for "MARINA BAY CLUB" by the Town of ,Southold, it is covenanted and agreed that: 1 . At no time will there be erected on the premises a structure to be used for residential purposes . 2 . None of the boats moored or docked at the premises shall be used for residential purposes, i. e . , sleeping aboard overnight, -except that transient users of boat slips may stay on their boats overnight provided their use is occasional and not regular. 3 . This covenant is created for the benefit of the Town of Southold and all present and future residents of the Hamlet of New Suffolk, so long as they remain residents . 2105C/1 Town Trustees of the Town of Southold 1,,1arch,, 20, 2002 Southold Town hall Main Road RE. Piiblic Hearing Southold,, New York 11971 i March 20, 2062 MAR9 rK`T? 1_6ye Lane Acquisition Corp . 1 1 i-.--. 1 -8-18 Dear Trustees : I wish to outline a numbet. 2:c.oim4fhb_ _4bbiut the Raynors proposal to expand their marina. As you know, we in r?ew Suffolk have traveled this route before . Many of my concerns are the same as those ex- pressed in 1986-87 in regard to the then-proposed Marina May Club. questions equally valid today . 1 ) What will be the effect of the bul3Ch-eading and dock extensions on the stability of the remainder of the New Suffolk shoreline to the north, south, and west? 2) Since all construction would be within a designated flood plain, what would be the impact of site elevation on storm run-off into the Bay and onto the surrounding upland areas? 3) Prior use of the upland and underwater properties as a marina and submarine base is believed to have resulted in contamination of both. What will be the effect on marine life of the dispersion of toxic metals in the water during dredging operations and during upland construction? New soil tests are needed for the presence on the marine bottom and upland of heavy metals and pesticide residues . To my knowledge there has been no environmental clean- up of the properties . 4) Are any underground fuel storage tanks proposed? If so , what are the hazards in a tidal flood plain? What are the plans to handle possible accidental fuel spills at the docks and within the boat storage building? 5) What is the proposed sewage treatment system? Site-specific con- ditions include tidal influence , a high water table , and prior landfill. If lead Ling pools are planned, what amount of rainfall is the system designed to handle? What will prevent excess, storm- water overflow into the Bay? What wbiildbe the effect of wide seasonal variations in the waste stream flow? Have there been percolation tests and soil borings taken on site to determine what load the ground wo-uld be able to handle? What would be the effect on groundwater flows in the area? 6) How much light spillover would there 'be onto the surrounding hamlet, the Bay , and the opposite residential shore? 7) What would be the noise impact of operational mechanical systems? 8) Does the projected operation include safeguards against regular or continuous live-aboard residence on boats , i .e . , floating condos? 9) How could our narrow streets and limited parking absorb more than double the traffic? Town Trustees page 2 march 20, 2-002 Finally, with regard to underwater ownership , does the upland owner in fact own the entire underwater grant area? While the 1838 grant by Mew York State to the upland owners appears to be valid, it does include a condition: unless "all and every part" of the premises were applied "to .,,the purposes of connierce , by erecting Docks and Wharves thereon, and filling in the same , " the grant of the unused portion would be canceled.. is it possible that less than half the hew York State grant area has over, the years been utilized by the upland* owners? in view of all these concerns . surely a new Environmental Impact Statement must be a requirement. If some - of these issues fall within the jurisdiction of other Bbards -or agencies , I submit that the overriding concern for the effect on the hamlet and on the Bay should be a factor in your considerations . I 'hope the Raynors ' marina and liew Suffolk can successfully co- exist . I submit this would have to mean fewer boat slips and boats , fewer cars and parking spaces , and an office building that does not block the foot of the main street in the hamlet with its direct view of the Bay . I would hope that some consideration could be given to public access . 2002 is not 1987 . however, some things remain tne same . I quote a neighbor from that time : "In some measure 1iew Suff olk could be said to have extremely low threshold levels which would to its inhabitants signal, a perception of pollution and deterioration. ,' Our hamlet is very precious to us and, we wish- to protect it. 'Thank you for your attention. Very truly yours ,; Jd Robbins 16995 ivilain Street !�Iew Suffolk , New York 1 1 956-01 47 MAR 1 9 20", J March 15, 2002 Southold Town Board of Trustees Town Hall ,Y3 Southold,New York ? _ Re: COVE VIEW MARINA .I�IAAR 18 ?�12 ; SCTM# 117-8-18 . Dear Members of the Board, The New Suffolk Civic Association organized a public meeting at the School in New Suffolk last fall for the purpose of discussing the above referenced project, and approximately sixty people from the community attended. The sponsors of the project, Henry and Mike Raynor,were kind enough to present drawings and answer questions from those in attendance. Since that time there have been many discussions about the project in New Suffolk, and there remains serious interest. Other projects have been proposed for this site in the past, and the residents question if this, finally, is the right project for the community. The Civic Association has offered to communicate their concerns to the'relevant regulatory agencies, such as the Board of Trustees. In addition, you can expect hear from many New'Suffolk residents in person. Although significantly scaled back from the Marina Bay Club application_of fifteen years ago, and the condo project before that, many of the environmental issues are the same. There is concern that the proposed construction, which extends far out into the Bay, will affect the local ecology, particularly the natural movement of water and sand. The site is at the edge of the North Race, a narrow strait between Robins Island and the New Suffolk. Strong tidal currents move through the Race, and move significant amounts of sand along with them. Residents with long experience on the Bay have noted long term changes in the local sand bars. Of particular concern is a shoal located a few hundred yards off the point of New Suffolk,which has seemed to grow in recent years, and become shallower. How would the proposed project affect this condition and the navigable waters in the immediate vicinity? There has also been much discussion about how the project will affect the "littoral drift" of sand along the shoreline. Sand appears to move from west to east, from the shore of Great Peconic Bay to that of Cutchogue Harbor,past the project site. There is already a deficit of sand along the eastern beaches of New Suffolk, from the end of Orchard Street, to well past the Old Cove Yacht Club at Old Harbor Road. Beaches along this shore have eroded, in part because sand is trapped by the current breakwaters on the project site. Would not a'larger breakwater,projecting'further out into the Bay, block more sand from nourishing this beach? Could worse erosion occur? NEW SUFFOLK CIVIC ASSOCIATION, INC. POST OFFICE BOX 642 NEW SUFFOLK, NY 11956 The construction process itself raises some concerns. What will the effect be of dredging potentially contaminated material from the bottom of the existing boat basin? Similarly, the upland soil has been suspected of contamination for many years. Will samples of both the basin bottom and the upland soil be collected and tested as part of your review? If contamination is found,what level of clean-up will be a condition of your approval? Several people have expressed the concern that adequate steps be taken to prevent new contamination of the Bay and groundwater from the operation of the marina. The facility may end up functioning as a"dock-ominium", (live aboard yachts), which will lead to a greater concentration of impacts. We know there are stringent regulations governing fuel storage and sanitary waste collection and disposal. Will you be diligent in your review of the design and operating regulations of these facilities? Since a large part of the project involves construction on underwater land, we wonder if sufficient documentation of continuing title to that land (1838 grant) will be required? Many people have expressed the opinion that the new office building and chandlery, as proposed,will be in the wrong spot. The fact that it will block the view of the Bay from Main Street may not be one of your chief concerns. However, is it not an issue that the building is far closer to the wetland edge than the typically required 75 feet? The site has been an active port, shipyard, submarine base, commercial center, and marina for over a hundred and fifty years. It has played a central role in the history of New Suffolk. The ravages of time have brought serious deterioration to the site. Most people in the community who have spoken with us are in support of improvements, however, everyone agrees that the "improvements"must not cause un-intended environmental, social, or economic consequences,which will be regretted long into the future. In your thorough evaluation of this application, please seek answers to these important questions, and remain open to input from the community. Respectfully, Thomas C. Samuels President,New Suffolk Civic Association Cc: Henry Raynor 1 � } � f4 4,1 I'. � CIS• .. 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N0. 133 ., c ]L1 11.2 10 9a �'" a 30�5�1&x 2 `i'ate �0x..18 c�s25+m0x tm8y 9 to w 16 i , KOURO'� m 20.2. 3 zs 1 s 31 rnsT." 11_ k m• S ,a �9.3 mo .1 KWO xm. 6 3 tm• t%_ SB OF 17 aValm UFFOUJ O3.6Alc 8 282 xm SONOOL ) Y1 to. ]p 19.1 ry20.1 a 32.3 ^ m OIST' � 'T +>. a o! 5 .� O to m b 21 x i"6.6 � z 1.4A(c1- § Bps tm a, f TOMN ]6.3 k' © a vo a Y a ? 3 i i 2 9 �, ST. x a. 330 N pip no- Y m >s^ t '� ro 16.4 16S R 32.]^ tm {p0 4A04 a r 22 g 3 s to 9 1 I`dam 14.2 Fy t, to m Y1A �22 23 24 m 26m5e 26.E s. a Epp t!)s tca`R asY s 15 tv -a e 15m1 12 3 ^ °``a 17 a «21 24 s u a, k 3 lc)m trz a O _ 15.1 tm tu, mt • 19 3' (v . ,a m� SUFFOLK AVE. a ,2 +" u tm ry g 19.2p g 26 NE\ tm. x 9 3' 11 s tm 5 ? -20 713AI. 5.1 1 6.1 32 2.6A(c) 14 $5.28. m' vm (50,4.1 t ^1p0 sW 29A(d �' s y0 JACKSON tw «21 m O SlIFFO[�► Albert J.Krupski,President Q C Town Hall James King,Vice-President � OGy 53095 Route 25 co .O.Box 76 Henry Smith 1 y Z Southold,New York ].1971-0959 Artie Foster � Ken Poliwoda Telephone(631) 765-1892 Fax(631065-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD - - ----- Office Use Only -- _Coastal Erosion Permit Application" - /_ `Wetland Permit Application ./Major Minor Waiver/Amendment/Changes'` - -- deceived 01on �Received'Fee:$_Completed Applica Incomplete _SEQRA Classification: Type I Type H Unlisted ✓ (A'W6 &M4- Coordination:(date sent) SAC Referral Sent: ,Date of Inspection: I(LI 10 1-�' -- Receipt of CA -Report: - _Lead Agency Determination: _Technical Review: public Hearing Held: I �a-3J02� Resolution: Name'of Applicant L a'U L N G 16 1! I'O +y G 0 P P Address .I? (9'- 1 �fS� 3Za - LAy �-�} l I t i U� c-k cal��. 1 I gS2PhoneNumber:( ) Zc) - 8`� 7- 0 Suffolk County Tax Map Number: 1000- 1 1`7 ^ 8' _' 12' Property Location: FA fi�-S (provide LILCO Pole#, distanc6 to cross streets, and location) Q 3l AGENT: If a licable - Address: Phone: Board of Trustees Application GENERAL DATA Land Area(in square feet): 3 L�N� — Lf S N( Area Zoning: Previous use of property: 0 T y A IS 1'� Intended use of property: B io Pr T— "Y A R J')__ - - -----Prior permits/approvals for site improvements:-- ._------- - - Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes; provide explanation:-- Project Description(use attachments if necessary): 0,E x I S T I w �E,y►a� S � �-� —1— ���G 1 Bu L(c� R 7�S A i v c_ C_4 Fes" S L_ r P !'C j Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity:RL rvtU.v rP p p ose I Are wetlands present within 100 feet of the proposed activity? No --Yes - - ---- - -- --- Does the project involve excavation or filling? No `:'- Yes-- - --- - - - —- - -- - If Yes, how much material will be excavated! (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or.deposited: C T A I rJ -°d-- 16SE-Lb s t i� Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) . RE and v PEov e AJ-SQ Z A j e� ft- i 5 �'C AL A' PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL. RECEIPTS Name: Address: 1 STATE OF NEW YORK COUNTY. OF SUFFOLK residing at -1`7 S' A'D i ni A-4_ P 1 Q�p `N1 TT' �T��-I 9V• , being duly sworn, deposes and says that on the +f-\ day of riq A4 e j-F- deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named = persons---at---the--addresses--set-- opposite there- respective names; ---- that the addresses set opposite the names -of said persons are the address of said persons_ as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at `rn f}i'� -[ �t K IV `( , , that said Notices were mailed to each of said pers6As by (certified) ' mail. Sworn to befo e me this day of Notary Public MELANIE V. Notary Pi6k Stab of Now York Nrr.4112 awlPA�d N 8uftolt Cwety . % ----- - --- commbdm&on da-19,- - - f 14-16•d(2/87)—Text 12 -1 PROJECT I.D. NUMBER 617.21 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/SfGBR 2. PROJECT NAME La VLJ9 711 — 5 :f I ON 3. PROJECT LOCATION: Municipality N� 5kA (F d� County LL ��I. 4. PRECISE LOCATION (Street address and toad intersections,prominent landmarks, etc.,or provide map) 5. IS PROPOSED ACTION: ❑New ;Expansion C1 Modification/alteration _- - 6. DESCRIBE PROJECT BRIEFLY: f _ 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres d. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? "Klyes ❑No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑Residential Cdndustrial ommercial ❑Agricuiture L;Park/Forest/Ooen space LI Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? W;Yes ❑No If yes,list agency(s)and permit/approvals s . 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? ❑Yes ANo if yes,list agency name and permitlapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes `XNo I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/spnRger name: �OV ���� �1 cs C 1 1tY Cokp Date: �r Signature: ry—_ If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER i PART II—ENVIRONMENTA' 'S� MFNT (To be completea by Agenc- A. OCES ACTICN EXCEED ANY i i:1E i THRESHGLD IN o NYC:R, PART 517.t2? if yes, cocrainate the review crocess and use the Yes Cli NO e. WILL ACTION PE EiVE C:CRDINAi cc7 RE`/TEEN AS PP•CVIOEG FCR UNUSTEJ ACTIONS iN o NYC'R,?ART 517.97, it No, 3 neganve c: May be suoersedec Oy another involved agency. I L Yes i'No C. COULD ACTION RESULT IN ANY ADVERSE Er=EOTS ASSCCIAT=-0 WITH -HE FOLLOWING:,Answers may ne nandwrttten. if :egible) C1. Existing air quality,.surface or'grounawater cuatity or Quantity, noise levels, existing traffic pattersw .1a d •.vaste pI :egible) or a1 potential for erosion, crainage or flooding problems?Explain 5riefly: C2 Aesthetic, agricultural, archaeological, historic,or other natural or cultural resources:or community or neignbcrn000 character? =xolain :I C3. Vegetation or fauna. 'Isn, sneilfisn or wildlife species, significant naoitats, or threatened or endangerea _oec:es? Exclam brlaily: C4. A community's existing plans or.goafs as offlc.ally adopted,or a change in use or Intensity of use of land or other natural resources?Explain cr CS. Growth, subseauent Qevelooment.or related activities likely to be induced by the arobosea action? Explain ariefly. CS. Long term,snort ;arm•cumulative,or other effects not identified in C.-057 =xolain briefly. 1 Other impacts dnc:�cing changes in use of either quantity or type of energy)? Explain briefly. I ten.. I I I 0. ;S THERE,OR is THERE L:KELY To BE.CONTROVERSY RELATED TO POTENTIAL ADVERSE C =NVIRONME'tT.L i::P.4GTS? i _ Yes L_No :f Yes, exr1ain briefly ?ART III-01FTERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For eac:l adverse effect identified above,determine whether it is substantial,large,important or otherwiSe signific. 'each effect should be assessed in connection with its (a) setting (Le. urban or rural); (b) probability of occ=ng; (C) duration: irreversibility;(e) geogracnic scope; and (I) magnitude. If necessary, add attachments or reference supporting materials. Ensure ' exoianations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. iCSec% this box if you have identified one Or More Ootentially large or significant adverse Imoac;s whlc l MAY occur. Then proceed directly to the FULL EAF andfor prepare a positive-declaration. i Check this dox if you have determined, based on_the iniormation and .analysis above and any su000rtinc documentation, :hat the ?rcoosed action WILL NOT result in.�ny significant adverse environmental imcac:s AND provide an attachments' as necessarv, the reasons supborting this determination: I 't N,.u,a nr �edu �yrnc•r I i I ?rant or Ivpe Ndrne ai .<e)oonucie L:iticer.n Leda -1,Cncv :IIIC or ?CC:OOnsi OIC Ulric of I ],mature 9r lescons+a,e--mixer.n .rid.1gency ),ynature or ?waiter tit Uinerent cram resoonsioie arrlc20 l Jdtc • G Albert J.Krupski,President O�OSQFF®1�C0 Town Hall James King,Vice-President =� l/y� 53095 Route 25 P.O.Box Henry Smith co 1= Southold,New York 1971-0959 Artie Foster ti Ken Poliwoda • `F Telephone(631) 765-1892 '1ijJ�l �a0� Fax(631) 765-1366 �c BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In�the ` Matter of the Application COUNTY OF SUFFO ) STATE OF NEW YORK) AFFIDAVIT OF POSTING residing at a)S ChKbir► Pr - br I V F- \T"ZX being duly sworn, depose and say: That on the /)fi, day of h'Ak�A- , 200Z, I personally posted the property known as Lov LAN L ��au� S l ► u�) cu R P by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the ublic hearing. Date of hearing noted thereon to be held��,, � - � o . Dated: Fy (signatur ) Sworn to bef(prne me this day of NLq 200 '24— Notary Publi MELAN E V.BROWN Notary Me.Smw d Now York QUAW In&&k ^nmmb*n Bon oa.f 4-p S ' ' App1,1CAN1' 1 TRANSACTIONAL DISCLOSURE FORMP. 1 The Town ok sou hold ' s Code of tbhic.s OkohibUs cbrifiicbl'a of t interest on the part• of town officers and em to ees.', Th'e purpose of this form is to provide information which!:,-can! alert the town of possible conflicts ofinterest! andl'i!all;ow it to Make whatever. .action s nec'essar to avo d'.same. •1 itt:, Ott.t,.:. .,:f., YOUR NAMES Last n;a first name► middle inibiali unless YOU are applying in bhe name of someone else or other Onbity., such as ',a company. If so, indicate the other person 's or ;company ' s name. ') , NATURE Off APPLICATION: (Check all, that apply. ) ' Tax grievance Variance ,Change of zone App p�iaiof Exe phion from plat or official map other ('If "Other, " namehe activity. ) o�lR�.?>,r. .11P5J ,. 6��2�n 1 Do you personally. (or through, youir t!bMpany apeusq, ;eIbiInq, parent, or child). have a relationship with any officer or employee of the 'Town of Southold? "Relationship.", in e luc]esl by blood, marriage, or business. interest. "BuaInes8';! interest" 'Meann.,a bunineag incl ••"'ding a- partne'reh'i:ptt in Which the town -officnr or empi oyee 'haa even a partialI ownership of (or employment by) a corpbratio� ;in whic+li the town ofri6er or employee owns more than 5%, of the shares•. YES If you answered OVES, ". complete the batanco ' of this `form and date and sign where indicated. Name of person employed by the mown of Southold Title or ,positions : of bha,b person! Describe the !relationship between yourself ( the a'ppiicanb) and the town.,offieer or ,employee.. Either check bh+a appropriate line 'A) through D) and/or, describe in the space provided. The town officer or employee or his or her epousalj e!iblingj parent, or child Is (check, al,l that apply) : A) the owner. of greater than 5% of the Shares of the corporate' sbock of the applicinb .(when the: ipplicanb' is a corporation) : f � I �) the legalij or beneficial 'owner or any, intereeb in a noncorporabe 'entiby (when the applicants ,n,o•b a j ! corporation) : j ! C) an officer# director, pa•rbnort or' empibyge, d;r the applicanb!t or D) the acbua - applicanb . DESCRY PTION 0,P t2GLATIONSHIP _ , '. 1 .I. r'. •...r..r... .n a ..:....•or'...1. 'i.•.Yl�l'.u..w:..•., l• ..na h i�+?, . I. ,i• ' i11•.lf" r, I''� 'r�t:ir i•;o••Jy :flit'yi 'k 9 7. 7t:i; 't .A r su•bmibt6d bhitlS�? ,day 1 ign ! sebur Prinb n mo F �', ,•. :.,:► �,•., ;i!` 1' .•i�. ', i•. r:'' inn•:t1' :.�:.d',.,i:::••'.• ''. fN(:r. LOVE LANE ACQUINWIN t-L)rr. 1 WON NEW SUFFOLK FISHING STATION SCTlvi:1000-117-8-18 Fr •� SCALE:1"=60' u �� 1 , ® I ILI AM -t7 MAW STREET BOAT STORAGE I BUILDING r CONCRETE TRAVEL.LIFT RAMP LAUNCHING woo SOUTHOLD DEVELOPMENT CORP. SITE PLAN INFORMATION IS BASED ON LAND SURVEY PREPARED BY WALLACE T.BRYAN-LISCENCED LAND SURVEYOR