Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Wade, Gustave
Glenn Goldsmith, President �QF SOT, Town Hall Annex A.Nicholas Krupski,Vice President ,`OOl0 54375 Route 25 P.O. Box 1 John M.Bredemeyer III Southold,New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 CO- BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD NOTICE- OF DISAPPROVAL -ADMINISTRATIVE- PERMIT Date of Receipt of Application: February 5, 2021 Applicant: Gustave J. Wade SCTM#: 1000-110-7-28 Project Location: 1024 East Road, Cutchogue Date of Resolution/Issuance: March.18, 2021 Date of Expiration: March 18, 2023 Reviewed by: Board of Trustees Project Description: Remove approximately fifty (50) Locust bushes and numerous poison ivy vines, and place on the surface woodchips made from the removed locust bushes; the placement of the woodchips is to be limited to the same area as the removal. Findings: The Board of Trustees DENIES WITHOUT PREJUDICE the application as submitted. The project does not meet the requirements for issuance of an Administrative Permit set forth in Chapter'275 of the Southold Town Code. Applicant proposes to clear a beach habitat in close proximity to wetlands and will result in a physical loss of ecological components; the amount and method of clearing has not been identified. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees Glenn Goldsmith, Pt lent o��SUEFQ(,�cpG Town Hall Annex A. Nicholas Kruptsm,Vice-President „� yam, 54375 Route 25 John M. Bredemeyer, III o ` P.O. Box 1179 Michael J. Domino o Southold, NY 11971 Greg Williams y'fJp� Telephone�00�� -1892 (631) 765 6641 Fax BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time-.. Completed in field by: A GUSTAVE J. WADE requests an Administrative Permit to remove approximately fifty (50) Locust bushes and numerous poison ivy vines and place on the surface woodchips made from the removed Locust bushes, the placement of the woodchips is to be limited to the same area as the removal. Located: 1024 East Road, Cutchogue. SCTM#: 1000-110-7-28 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet , 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 —/ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: — Poss.()i e Pari eoww w/ I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer 'f M. Domino `/G. Goldsmith N. Krupski G. Williams Other —.Tit I E C E W E SA,,U FD. 117 0) 1 1 a 1_L r_t A�. iz.,id VO F E B 2021 cnsy v)tt-,e prrvon for v&,orn:•ic r-ur,,:�j Southold Town f,--i O�olja,,,�!a,�11ru ort h:,t�c-�;,,zo Board of Trustees T,.,cj ooinnanv, -nd V I I I-J W: L 1,� ILI^,;-e of the r, are not trc7l-:,11;ri m—otations or sut-�r- c, ueni Ia 0 F C) 110'T-P.L AU A 70 0. 14.47 5 S F 47 1-A— 60 4,= UMP)5'rUr2_E3E[) AREA A 'UPLAt4P +V\JETLPN_-5 - 8,4'755,. , ®r .11-9?W5— ELl R `�J5 5 U QFAC E �O U 5 f- :7:3-3 3 rio, IMFI�L�Vll 9- _L PIT IA pQvv/ FF 5 1d- te _WF_L Q FO Q R, 0. 5YIFTJ�m UPL,43NC COVEQAG E 7.5^/a L* cil eelk kl 11 cap i; SEPT- C; 2-0 1 SCALE J\ YO/ ,j-- OcMONU wff,`,T rTC) AS 2s ',PIET Lmr-i 0.5 N Tr<,Ii 5 T M It Q 2 8, 1901, '/,jALL , 5/3 EOLT Ec ;N 3UG ' 0 ZOE)U4 AL3k,::_; 2 _', JAl J, 1! �190- I~C5.+, i.9c, N C 8� P,L E A, -q- L7_., v LZ Z-10 TtG 14 cc) q S 9 �IPC -A ,U ac, v o James"F.King,President Jill M.Daheity;Vice-President ��' � :53(D96;Iiaiite-126 Peggy A.Dickerson ,- :�!;; '�,° Sou�halii IVd,�Ygak�`11971=0959' Dave Bergen ob Gh B osio,Jr. �"�,-y- �'• • ,, Telerpli6iie{631.)�765¢1892> Bo _ RUSTITEER- Per',m!t`No. 6900A. ate"b#rReceipt ofaApplicatioor:Nfay^0t3<y_200� APPticarat.:Gustave J"iNade` Pe'ojec ;L®cation:_1,02 E.*St;ROOD;Cutch�gue_ :f]ate�of�Resoli�tio'rillssuani��:�Juii��18,�2008= ` , . - �� Dateafi;Expiry►tor%hJerie�9;8'''201,0 ,; � , eiviied:tiy®oardWTrustees v Pr®ject;Decription:r';;Remaverappcoximately48Locust esandrtrees'._=approxima a tely - - _ -_- •- __ - - '+a+" •tet".,_!` - - 3. dx: y`,_ _ "L�='Li'__ _, _ poi o.i�►.y -.. .,_ „;p -.. ., _. .< .� - - -: ,. �..- so vin . Ince on ttie,s'iirfaceT3 j,of=.natural nar lyetl/nark=trreated,uvoodchi s x'. inclucii_ngwoodctiips niadefr'om tta'e°reiuioved°i±o'cust tre®sate placement,otq the== . E` o c s"to=te timted`;to the areas of:the,eiosting_pihngrtodfipririt: _51 Findings:-The_'project,,mets;�Il-therequi��ments:for Hissiiartce°o#ar►_;Ptriinistratve's t` Pearnit et foitta in Cha`ter275 of=ttie;So"utl%old,To_wn~Cade:Ttae'`issaane'uoifian'_', Permw I- fiiws -'`. _ - =S �E'3C -- fli :i:S:..:'.,ia •1.:'in q{;•".,`,Sia3"r ^Kley(M -""�1�.;�yu e,{d.'rc`.^ "4't " S Adrriinisfiretive '4for'th!'"operations as.mdicated:on the:sife,plari{' re'rared-b �usteve'J."1Natle, 'received on may G;`2008: S,'peciiaU,dojiditi3Oris:.A,tiond muStNbe;post�dffor access Through Towi Fof:Sauthol ,ir; - ro`e prj6, &,an k,uva h,tie`inn y Y . P, ,p "�l►rp Y. :13- _ tng��ti?e't3oaird'of,Triistees? ustbe3rioti0ed.of��tne,tdk .^ +d " , i.�.t " {',.r . ;-•-.:`.:r.,°.x- 'i. `i [T` ^_•#'-s'.7 the Virortt_.writt iiegin'no,whieular,traffic is Perrruttedwitl ktf�e exception excava4or,_,this'pertriitfi$";for,�tl e;:�eitiovat of:Locust traea:aiid Poison "' - - -- _--- ',.5•_""'r`.�- - _ --`q,'-- 1,=--- '<. w�'_ - ":.,�-;:�.:,"v�.,.>< s. =,'�„mY=v> -_--,- - - ,�f�i, r'e n0` f O' arty-othertreeslveget tion'jt:e Ce�a� Bayi eery h ;; aka*hug` a; f2ose;Mild f Eose�wi- i ea cion's`itlereri5a;vtola ioit ofigtt is permit arltl oma recut iOYa= _ _ saaineriona``siid'virilt-require^a'fti�ther-=i evierdr=tiyJt�ia:8o;�rrd of Trusties:= " lnspectioas: Firstday.of activity ins"pection&.finauhtpection. If the proposed-acti-vigps,do",not meet.theliquiraments, rt^ Ad%nir istrative:: _ for isua ce afa`rti== Pei�rriit s it,orth in Chapter' -"; � ' 275 of the'Sbii#M`o1d=Town£Code;a"11Ueland Permit:uv�ltdi�e' required. . ., - F-- -, This isnot a de- termiriation'from any-otheragency. Ames F.,king, Pr sident 96 d of Trustees JFK:eac Real Property Tax Service.Agenq v - wr b r fit y�yw or ep SEES LINE KL lo ,aztcozaz + to �' Rp• fi ,^ d e � ♦,e �j ♦ a t 7 <,0+f" .�, l § 7 x l 41 a4(e> ,*+a a ,/A s 'C ♦ b P�'-! TOM OF - > 3 . 6 `fb b n '� (6) bm - ` - ,,. - �� + •� tom' I q� d ,b S°3" a x 5 5 n + �a r7) b + 5 to.0 a i ,.° a�,� .6 /.96. • ,o b,, �i - .. 6.04(`) �Y �� 0r•.sowwrn�ooa m - }`Si � �, SCIi D.9 _� �`"Y.`A;,p%� �z �-- +4�„"' �"`�a.� �``" � '+ ' 1.4 1.6. * oEsswu cevarnoiraarne � . _ ` y„ r I - \ � \.1 , � 'laM4lJ I l`J-s Qp ZZs "t �•�, t� �z R�i;�`� �,Y a �x •''T z +l yt .•+^ as » iownrvofasreu ,j VAI/ 1 : y 6. - a 23 zs \\\ 33.° - - .•�„.. �.^z.. nom" \ PY. C,; j % wfcNa Np, •`� xs,(N to �@ - i:' °� d :.•^16. t7J4 r • \\. - . c. LINE i'- —I_�• - SEE SEC.NO.f,] HE. ' I { SECTION NO COUNTY OF SUFFOLK © NOTICE E Real Property Tax Service Agency E 110 w'Nt '�'Hb4101t%`�E OA v ,,. 4vr PCN,pN a G 3 rrt >o __._— mm.urt _ _ _— m o.+ . 00 Cr�Ne drw.lO�vAmf.4Y lIMI Ca MY iM w6.s PRpafEO O � W dafalHRlaN ff M �� SOUTNOID P Zen M✓cx OFFICE LOCATION: � � � ���° << MAILING ADDRESS: Town Hall Annex �s� �� P.O. Box 1179 54375 State Route 25 V + Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) y Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To; Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: March 12, 2021 Re: LWRP Coastal Consistency Review for GUSTAVE J. WADE SCTM # 1000-110-7-28. GUSTAVE J. WADE "requests an Administrative Permit to remove approximately fifty (50) Locust bushes and numerous poison ivy vines and place on the surface woodchips made from the removed Locust bushes, the placement of the woodchips is to be limited to the same area as the removal. Located: 1024 East Road, Cutchogue. SCTM#: 1000-110-7-28. The plan submitted is not readable and gives no indication to what is being proposed. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is INCONSISTENT with policy 6.3 of the LWRP. 6.3. Protect and restore tidal and freshwater wetlands. E. Maintain buffers to ensure that adverse effects of adjacent or nearby development are avoided: 1. Maintain buffers to achieve a high filtration efficiency of surface runoff. 2. Avoid permanent or unnecessary disturbance within buffer areas. 3. Maintain existing indigenous vegetation within buffer areas. The applicant is proposing to clear a beach habitat in close proximity to wetlands and will result in a physical loss of ecological components. The amount and method of clearing have not been identified. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,Vice President 54875 Route 25- P.0-Box 1179 John M,Eredemeyer III Southold,New York 1.1971 Michael J.Domino Telephone(631) 765-18.92 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This SectfoifFor Office Ilse Only Coastal Erosion Permit Application I� (r� 2 n �1B 2 Wetland Permit Application FD) E l' LS ll U E _Administrative Permit Amendment/Transfer/Extension XReceivedApplication,- Z.SZI FEB — 5 1 Received Fee: $ /00.� 0 Completed Application: Southold Town Incomplete: Gtr and of Trustees SEQRA-Classificatiow Type I Type II Unlisted Negative Dec. osi ive Lead Agency Determination Date: --Aordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent:_ Date of Inspection: 3•l0•Zl Receipt of CAC Report; =Pethnical Review: ublic Hearing Held: 3.1$r M Resolution: ct&-te, Owner(s)Legal Name of Property(as shown on Deed): S-Vaw �— Mailing Address: `'61 - L� r a ® ' M�S f Phone Number (01,,NL—(naab 1W � C Suffolk County``Tax Map Number: 1000 p ' Pro e Locatid Ull- &r, (If necessary,provide LILCO Pole#,distance to cross streets, and location) AGENT(If applicable): Mailing Address:.. `� Phone Number: Email: coarct of 'Trustees Appplicat__n GENERAL DATA Land Area(in square feet):. P ' q 6 V Area Zoning: �Q. . -1, 1 Previous use of property: `! '�- * faA Intended use of property: - Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. Will this project requir any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure (s) on property have a valid Certificate of Occupancy? Yes*kNo Prior permits/approvals for site improvements: Agency � pate No prior permits/approvals for site improvements. ��// Has any permit/approval ever been revoked or suspended by a governmental agency?,No 4—Yes If yes,provide explanation: &o 0 vi` Project Descriptiorn(use attachments inecessary): . 3oard of Trustees Appli.ca, in WETLAND/TRIUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: _ `® �`p L4'kt)Vg' ���`� �1 � (a Area of wetlands on lot: square-feet Percent coverage of lot: Q % Closest distance between nearest existing structure and upland edge of wetlands;J0 feet Closest distance between nearest proposed structure and upland edge of wetlands:_gfeet 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 Depth of which material will be removed or deposited: "► ® �' feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited; Statement of the effect, if any,on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): N'p.66 61 Z20 Appendix B Short Environ menial Assessment Form biftrug n for.CoMkfin Part I-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further veri f cation. Complete Part J based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project: 'Project Location(desbribe,andpatch a location map):' 4, , --- MET Brief Description fl roposed Action;� Li Jai a(0 twtp Name of Applicant or Sponsor: f Telephone: 1,—Ao F iLnl 6®o-<. Address ' ��_ �d City/Po- State• Zip Code: - 1.Does the proposed action only in lve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that `❑ may be affected-in the municipality and proceed to Part 2. If no,continue to question 2. --- 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 3.a:Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? ----+-L—acres c.Total acreage(project site and any contiguous properties)owned f or controlled by the applicant or project sponsor? �acres T Check all land uses that occur on,adjoining and near the proposed action. E]Urban Rural(non-agriculture) ❑Industrial ❑Commercial Residential(suburban) ❑Forest ElAgriculture []Aquatic [:]Other(specify); E]Parkland Page I of 4 5. Is the proposed action, NO YES NIA a.A permitted-use under the zoning regulations? b.Consistent with the adopted comprehensive plan? 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7: Is the site ofthe proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: _ p 8. -a.Will the proposed action result in asubstantial increase in traffic above present levers? NO - YES, b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? M Ell 9.Does the proposed action meet or exceed the state energy code requirements? NO YE I€the proposed action will exceed requirements,describe design features and technologies: 10, Will the proposed action connect to an existing public/private water supply? / -_NO YES If No,describe method for providing potable water: 6 �'---�'}} 11.Will theproposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment:, 12. a.Doe's the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b_Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain- NO YE wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically after,or encroach into,any existing wetland or waterbody? , If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur ont or are likely to be found on the project site. Check all that apply; Shoreline 0Forest ElAgricultural/grasslands [)Early mid-successional Wetland ❑Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO- I YES- by ES_by the State orFederal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES' 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES' If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO []YES b.Will, water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,brkily describe: ❑NO []YES Page 2 of 4 i 18.Does the proposed action include construction or other activities that Fesult in the impoundment of -N0 _.YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19_Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES_ solid waste management fatality? If Yes,describe; El 20.Has the site of the proposed action or an adjoining property been the subject of retnediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: -_ El I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURAtETO THZ BEST OF Mir KNOWLEDGE Applicants sor me: O�Jv � ® `� Date: 4J OtLL __ . Signature L MW Part 2-Impact Assessment. The head Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials-submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the-reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate squall to large impact impact may may occur occur l. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the.proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the (-' establishment ofa Critical Environmental Area(CEA)? El L 1 5. Will the proposed action result in an adverse change in the existing level of traffic or g� affect existing infrastructure for mass transit,biking or walkway? },_,, l 6. Will the proposed action Cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable.eneM opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public 1 private wastewater treatment utilities? El 8. Will the proposed action impair the character or quality of important historic,archaeological, "' _architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Fart-3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in fart 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action mayor will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or Viii not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative-impacts. ECheck this box if you have determined,based on the information and analysis above,and any supporting documentation that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box ifyou 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. Town of Soutbofd-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Ufficer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT:J Page 4 of 4 'loard -of Trustees Appliea` rn J AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENT&CONTAINED HEREIN ARE TRUE TO THE BEST OF-HISMER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES, THE APPLICANT.AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S)2,IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY.COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH.THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature ofProp Owner Signature of Property Owner SWORN TO BEFORE ME THIS , -.� - _DAY OF,„ &�_rw * , Y tary'Public NANCY J PISANO NOTARY-PUBLIC,STATE OF NEW YORK Registration No.01PI6378348 Qualified in Suffolk County Commission Expires,July 23,2022 APPLICANT/AGENT/RE-PRESENTATPVE TRANSACTIONAL DISCLOSURE bRM YOUR NAME, (Last name,first name,. iddle initial,unless you are applyingJt the nan ae of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from-plat or official map _ ,r Planning Other (If"Other,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of-the Town of Southold? "Relationship"includes by blood,marriage,or business interest:"Business,interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES _ NO If you ansivered'YES",complete the balance of this form and date and sign where indicated_ Name of person employed by the Town of Southold Title br position of that person Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)-and/or describe in the.space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): the owner of greater than 5%ofthe shares of the corporate stock of the applicant (whet;the applicant is a corporation); $)the legal or beneficial owner of any interest in a non-corporate entity(when.tate applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Subm tt day o 200 sift Print iJame _ Form TS l Town of Southold Y I.W"-CONSISTEN+_Y ASSESSIVI. N_T FORM A. INSTRVC IONS 1, All applicants for permits* including Town of Southold agencies," complete this CC4 for proposed actions that ate subject -to-the Tonin of Southold Waterfront_ Consistency Review Law. This assessment is =intended=to supplement other'information used.by. a Town of Southold agency in making a determination of consistency. *Except-minor exempt actions including Bt ilding.,Permits and other-ministerial permits notlocated within the-Coastal Ermon Hazard Area. 2. Befote answering the questions in.Section C; the preparer:of this form.should review the exempt Minor,action-list;policies.and explanations of eaeh.poliey-cmitanied-in the Town of&uthold Local %terfront. Revitalizatigh Pr-ogratn, sed.-a as its Si ant . � nefi i and adverse u n the co - � - ea w °' incl a -all f So_` ' 1 T Q wn 3. If any question in, Section C on this form is answered ".yes" or`5io"s then theproposed a�#on-will affect the achievement of the LWRP policy standards and conditions contained in the.-eopsistency review.lavv: 'b eae xns�► to t e-- ed:im c� o . d non- i ff au-action caiiriQt certified as oonsistent rdti.the LWRP policy stan . ds and conditions-, _ uticlertaken. A copy of the tWkP is-available mi the f9 lowing-places::online at the-Town of Southoid'.s " websito(southoldtown:northfork:net),the Board of-trustees Office;the-Planning:Department, all looal.-libzarWs=and the Town Clerk`s office. 13, DOCRII'T'ION OP-SITE.SVD*PROPOSE?ACTION -PRO&&-T-XA.W. 29_ . .U Tho App#i,#ioa has been submitted-to-(check.appropriate.response): Town Doard 0 Planning-Board Building Dept. 0 Board of Trustees 1,�, Category of Town-of Southold-agency-action(check appropriate response): (a) Action men directly by Town agency(e.g.capital-- construction,planning ac&ity,agency regulation,land-Vaiisaction) (ir) Financial assistance(e.g:grant:loan,subsidy) (c) Permit, approval,license,certification: Nature and-extent of action: , A lb 9A Location of action: `f-Ot ill WAS b_A site Present land use: o � Nese It zoning olassifieation: 2. If an application for the proposed action leas-been filed with the Town of Southold agency, the foll?wing information Ghali be provided: (a) -Name of applicant: (1�*� (b) Mailing address: � '>CLIA (c) Telephone number:Area Code 417M — AOL- (4) AO ,`(fit) Application number,ifany*- Will the action.be directly undertAen,require funding;©r:approval-by-a state or federal agency.? Yes 06 No -yes,which state or federal WNs� C. Evaluate the project to the following-policies-lay analyzing how the project,WM further support or t not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete-answers will require-that the form.be retarned�for.completion. Policy 1. Foster a pattern ofdevelopmentin the To"of SoutholdAhut enhances community-character, preserves open space,makes:efficient use of infirastr6ctare;makes beneficial use of a constaC location,a nd minimizes adverse effects of development. See LVW Sedtioxt III Policies;Page 2 for evaluation criteria. Yes [] No U<Not Applicable Attach g 17donal sheets if necessary Policy 2. -Protect and preserve historic and archaeological resources of the Town of Southqld. See LWRP Section III-Policies Pages 3 through 6 for-evaluation criteria. Q Yes E] leo IR Not Applicable Attach additional sheets if necessary Policy 3. -Enhance-visual quality and protect scenic.resources throughout the Town--of Southold. See LWRP Sectioli:Ili—policies Pages 6 through 7 for evaluation criteria Yes No Not Applicable Attach dn -ifneceary NAT-URAL.-COAST-POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and-erosion. See LWRP Section III—Policies P$ges-$-through:I6 for evaletation criteria Yes 0 No NotApplicable Attach additional sheets ifriecasswrj+ Policy S. Protect and=improve water quality and supply_in the Town of Southold:-See L-WRP Section III —Pi lxexes'Pages 16 through_21 for evaluation.criteria r r' Yes -No Not Applicable Attach-additi"sheets if necessary Polio 6. Protect and restore-the-quality and'-function of-the-Town of Southold ecosystems including Significant Coastal Fish and.Wildlife Iialiitats and wedands. See LWRP Sect ion in—Policies;Pages_22 -through 32=for evaluation criteria. D 0 �- 'Yes No Not Applicable Attach additioisal s$eefs fri"sj6 y Policy 7. Protect and improve air quality-in the Town of Southold. See LUMP Section III— Policies Pages 32 through 34'for evaluation criteria.- Yes riteria:Yes No Not Applicable Attach a"donal-sheets it'necessary Policy Sr Minimize environmental degradation in Town of Southold from solid waste and hazardous 'substances and wastes! See 1;WR' P Seeti6n IH—Policies; Pages 34 throu'gh-38 for evaluation criteria. Yes 0 No KNO Applicable - l PUBLIC COAST-POLIOICES Policy 9. Provide for public access to, and recreational use.of, coastal waters, public lands, and public resources of the Town-ol`Southold.. See-LWRP Section M=Policies;-Pages-38 through 46 for evaluation criteria. +--t No Not Applicable Attach additional sheets ifnecessary i J WORIMO-COAST POLIS Policy-Zd. Protect Southold}s water-dependent uses and promote-siting of new water-dependent uses in suitable locations. See LVIIItP Section M Policies; Mages 47 through 56 for evaluation criteria. Q,Yes No-[KNot Applicable Attach additional sheets If necessary -Police-M Promote sustainable use of wing marine -resources in Loag.±Island- Sound, the Peeonic Estuary and.Town waters. See LWRP-Section M—Policies;:Pages 57-through 62 for evaluation criteria. • j� � t 'Q'Yes No Not Applicable Attach ad_diti d-sheets ifueces%." Policy 12. -Protect agricultural lands in the-T-awof Southold. See t;'V'4RP Seetioji:III_Polieies; Pages 62 through 65 for evaluation criteria. Yes No Not Applicable Attach addWonai-sbeets if necessary Policy 13. Promote appropriate use and development of energy-and mineral resources. See LWRP Section III—Policies; Pages 65:through 68 for evaluation criteria, Ye [I No ® Not Applicable �u�Vt PIIiEPAIR +D BY Ti.E- DATE 41 Willoughby Path East Northport,NY 11731 �% �/%/�,�;,',�•,�%/'/ ,,,;�%/� i/%/�%�®%j, �� " �� �/ a�/v/� %moi�{,/ / /!� / '�'' ,/%��i�,�i%�/�/ �/ /%/'/G/.%ti /,��//�/�%/� / � /// /�gar%" / ✓ �' ��/�i/i��a / /%/%��//�����.v/�O//' ���f�//////,�'1��//�i/�%%�i/i��, February 12,2021 Board of Trustees Town of Southold To Whom It May Concern; Please find enclosed(2)surveys of my property located at 1024 East Road Cutchogue NY SCTM#110-7-28. I wok�y move approximately(50)various undesirable Locust bushes on said property as was done in 20 v )OOA. owing on placed portion of said property. approximate location of said bushes and vines on surveys. The chi he bushes will be spread out on the same area as the removal takes place i Thank-yob/ attention to this request. Yours truly, p I y1 Gustave J.Wade Sr. 631-804-2309 p � C � o � � FEB 16 Southold Town Board of Trustees 41 Willoughby Path East Northport,NY 11731 / �;r%� ,�.ro�/%��%�/7�/%„/'i%'y�/%'�'i///'�'r� ,v %/�� ,�,re/,/„%,,,//%i��'�z'”"�r✓r��1^/,/rii/�/�9/��/%,%r,////,�"/�/////'"/�'� "/%/��%/„��,//,/�//�/ro/////�y,,,w�„%�/,//te/a',////.//e/r,%oo//�,ee,/�,/J�!�%��'/%moi��%�%//i%/,�iy�,�°%'/ /i s ��%e��r''GO�'/�,///'��� F/ r � �„� ;%���"'/'%/e'//'��%�%,a�� ����i'�r,,�%�/i%��//ir�//�i,���������i�/����✓�G�''//li/i/�///"% February 3,2021 Board of Trustees Town of Southold To whom it may concern; Please find enclosed an application for my property located at 1024 East Road Cutchogue,NY. 411 •` � The t ,jlZ�as a check in the amount of$1 000.00from m first request to the trustees in 2008. Alsoc��ed my check for$100.00 as a fee for this application dated February 2,2021. ermit#6900A is enclosed for your records as mentioned. rF need additional information for the record. Your ;i FEB a 5 2021 Soo” "ld Town Board of Trustees .