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Home My WebLink AboutTR-4515Albert J. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hail 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 October 2, 1995 Richard Miltner 43 Old Hills Lane Greenlawn, NY 11740 Re: SCTIV[ g 115-17-14 Dear Mr. Miltner: The following action was taken by the Board of Town Trustees during its regula]' meeting held on September 28, 1995 regarding the above matter: WHEREAS, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated August 15, 1995, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 28, 1995, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familia]- with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the tes*imony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the stand~wd set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the tow-n, NOW THEREFORE BE IT, Telephone (516) 765-1801 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 1t971 At a meeting of the Southold Town Conservation Advisory Council held Thursday, September 21, 1995 the following recommendation was made: No. 1301 Moved by Stephen Angell, seconded by Allan Connell, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Application of FLORENCE TILDEN 115-17-14 to construct one and 1/2 garage and storage shed attached to house in front yard. 3100 Deep Hole Drive, Mattituck The CAC recommends approval with the reminder of the policy of containing runoff during construction through the use of hay bales, filter cloth, etc. Vote of Council: Ayes: All Motion carried. Albert J. Kmpski, President John Holzapfel, Vice President William G. Albertson Martin tt. Garrell Peter Wenczel BOA RD OF TOWN TRUSTEES TOWN OF SOUTHOLD ~Fown Hall 53095 Main Road P.O. Box I 179 Soulhold, New York I 1971 Telephone (516) 765-1892 Fax (516) 765-1823 Office Use Only Coastal Erosion Permit Application %.~land Permit Application Grandfather Permit Application , Trustee Lands Permit Application .%w/Received Application: _~oerical Review: .... mpleted Application Incomplete SEQ~ Classification: type I__TyPe II ~nlisted Coordination:(date sent) ~te of Inspection: __Receipt of CAC Report:(date) __Lead Agency Determination: Technical Review:(date) ., Public Hearing:(date) __Decision: Approved (Y/N) (date) . _Application Fee:$ Phone Number: (6J6) ~') - ~'2c~ / Suffolk County Tax Map Number: 1000 - }IZ ~l~t; ~7 ~II}i /~ (provide LILCO Pole ~, distance to cross streets, and location) {If applicable) Phone: 7._(?' q ~ ~/ . . 14-16-4 ~2/87)--Text 12 PROJECT I.D. NUMBER SHORT 617.21 Appendix C State Environmental Quality ReView ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project spbnsor) SEQI 1. APPLICANT/SPONSOR -3. PROJECT LOCATION: 4. PRECISE LOCATION {Street address and road Intersections, prominent landmarks, etc., or provide map} 2. PROJECT NAME 51 IS PROPOSED ACTION: NNew I~ Expansion 6. DESCRIBE PROJECT BRIEFLY: ?. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 9. WHAT IS PRESENT LA},~D USE ltl VICINITY OF PROJECT? [] RssidenUal [] !ndustrial [] Commorcial Describe: [] Agriculture [] Park/Forest/Open space [] Other 10. DOES ACTION INVOLVE A PERt, AlT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY {FEDERAL, ~ Yes ~ No II yes, list agency{s) and permit/approvals 11. DOES ANY ASPECT OF THE ACTIOI.I HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No II yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes ~ No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE 1 Il the action is in the Coastal Area, and you are a state agency, complete the / Coastal Assessment Form before proceeding with this a~s, essment ~ OVER 1 A. DOES ACTION EXCEED ANY TYPE i THFIESHOLD IN 6 NYC, FiR, PART 617'.127 II yes, coordinate lhe review process and Ug~ the FULL E"AF, [] Yes [] No *" B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaratlor ma.y be superseded by another Involved agency. [] Yes [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or' groundwater qualtly or quantity, noise levels, existing traffic patterns, solid waste producllon or disposal potential for erosion, drainage or flooding problems? Explain brietiy: - C2. Aeslhetlc, agricultural, archaeological, hlslorlc, or other natural or cultural resources; or communily or neighborhood character? Explain brief C3. Vegetation or fauna, Ilsh, shellfish or wlldlile species, significant habitats, or threatened or endangered species? Explain brlelly: C4. A community's existing plans or goals as officially adopted, or a change in use or Inlenslty of use of land or olher natural resources? Explain brlel C5, Growth, subsequent developmenl, or related aclivlties likely to be induced by the proposed action? Explain briefly. C$. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly. C7. Other impacts (inclbding changes in use of either quanlity or type of energy)? Explain briefly. D. IS THEFIE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If Yes, explain briefly PART IIIMDETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above, determine whether it is substantial, large, important or otherwise signiflcaf Each effect should be assessed in connection wilh its fa) selling (i.e, urban or rural); lb) probabilily of occm'dng; lc) duration; ( Ilreversibilily; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure th explanalions contain sufficient detail 1o show that all relevanl adverse impacts have been identified and adequately addressed. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to lhe FULL EAF and/or prepare a positive' declaration. [] Check this box il' you have determined, based on lhe Information and analysis above and any supporting documentation, thal Ihe proposed action WILL NOT result in.;~.ny significant adverse environmental h'npacts AND provide on attachments as necessary, the reasons supporting thfs determination: J~rlrll or l ype N.lme el Reipon,~lble E)lJ~cer ~rl Lead A~ency $,~natu~e oi Responr,,bie C)Iflcer m Lead Agency [)ate lille el Respon~.lble Signalure ~parer Ill ddlerent from responsible olflcer} Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print owner of property) (mailing address) do hereby authorize, (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner' s signature) Board of TrUstees APplication GENERAL DATA Land Area (in square feet): Previous use of property: .... Intended use of property: Prior permits/approvals for site improvements: Agency Date I~0 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 75 feet of the proposed activity? No ~/ Yes Does the project involve excavation or filling? No p~' Yes If Yes, how much material will be excavated? /~ How much material will be filled? I~ Manner in which material will be removed or deposited: (cubic yards) (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) ' , 'O , ' ~ g .J Board of Trustees Application Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: ~O feet Does the project involve excavation or filling? No / Yes If yes, how much material will be excavated? I.~ 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: /~0~"i Manner in which material will be removed or deposited: ~.~( ~ld~ Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason os such proposed operations (use attachments if appropriate): Board of Trustees Application County of Suffolk State of New York BEI S DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER 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 TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENTIS) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS ~~ Signature DAY OF ROY N. VOLL~ER NOTAI~f PUBLIC, State of New Y(~t~ No, 01VO4877357 J (~tleljfied in Suffolk COuntry ~ Albert J. Kmpski. President John Holzapfel, Vice President William G. Albertson Martin H. Gan-ell Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 76541823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only __Coastal Erosion Permit Application ~/~-~(etland Permit Application Grandfather Permit Application Trustee Lands Permit Application Received Applica%i~n:/~ ~;9 ~ Clerical Review: ~7/~/9~'- f '- ~Completed Applica%i~n' Incomplete t ~- SEQRA Classification: ~ype I Type II Unlisted Coordination:(date s~t)~ __~AC Referral Sent: ~'/~/~$~.' ~ate of Inspection: '~/~/~' c,~eceipt of CAC Report:~dat~)~ Lead Agency Determination: Technical Review:(date) · Public Hearing-(d. ~ ~&?~f~ ~ecision:~) {date) ~Applicati~~_~ TOWN OF $OU HuLD Phone Number: Suffolk County Tax Map Number: 1000 - Property Location: ~ I~ ~. {provide LILCO Pole 9, distance to cross streets, and location) Agent: (If applicable) Address: Phone: ').;7- /7~ ~--~/-_ - P~ard of Trustees Applicatior GENERAL DATA :_ Land Area (in square feet) Area Zoning: ~ Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date ~0 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): Bt .'d of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: ~}~e o~-~ ~ ~z~ ~A ~/~ ~(~¢)~ Are wetlands present within 75 feet of the proposed activity? No / Yes Does the project involve excavation or filling? No ~// Yes If Yes, how much material will be excavated? How much material will be filled? ~ Manner in which material will be removed or deposited: (cubic yards) (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) ~ , ~J ~ - B 3d of Trustees Applicatior WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands:_~g feet Closest distance between nearest proposed structure and upland edge of wetlands: ~0 feet 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 os such proposed operations (use attachments if appropriate): 14-~6.4 (2tBT~--Te×t 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 spbnsor) SEQF 1. APPLICANT/SPONSOR ;3. PROJECT LOCATION: Municipality ¢ ~j~-.~.--~L-~, --~.L.~z[ '~ County 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 2. PROJECT NAME 5, IS PROPOSED ACTION: 6. DESCRIBE PROJECT BRIEFLY: AMOUNT OF LAND AFFECTED: / Initially acres Ultimately acres } (~' . ~. ~,~.~ 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes J~O It No. describe briefly ~...~\ ~_ ,~ U~,V~i ~ ~ WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] !ndu strial [] Commercial Describe: [] Agriculture [] Park/Forest/Open space [] Other STATE OR LOCAL)? , ~ J~Yes [--~ NO Ifyes, listagency(s) andpermitlapprovals 6~'~"h~, ~3~-' ~b --J~oJjA 11. DOES ANY ASPECT OF THE ACTIOhl HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAFPRQVAL REQUIRE MODIFICATION? [] Yes [] No __~.~.; I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE - Date: 1 If the action is in the Coastal Area, and you are a state agency, complete the ~ Coastal Assessment Form before proceeding with this a,__~essment · OVER ~rdinate the review process an(; us'~ the FUL'~. DAF. ~-'¢.,~ ~ .,--'-~vlt~u~v~bJ~ ~- ~.~Ub.5,51VIEN'! (i 0 De completed by Agency) ~ A, DOES ACTION EXCEED ANY T'~ ":I'HRESHOLD IN 6 NYCRR, PART 617.127 If yes, [] Yes [] 'qo '' B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS iN 6 NYCRR, PART 617.67 if Ho, a negative declaration may be superseded by another involved agency. [] Yes [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be f~andwritten, 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 communily'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 oroposed action? Explain briefly. CB. Long term, short term. cumulative, or other effects not identified in C1-C57 Explain briefly. C7. Other impacls (incl~Jding changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If Yes. exelain briefly PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, Important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occu~-Jng; (c) duration; irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure thai explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. [] Check this box if you have identified one or more potentially large or significant adverse ~mpacts which MAY occur. Then proceed directly to the FULL EAF andfor prepare a positive' declaration. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in;&ny significant adverse environmental impacts AND provide on attachments as necessary, the reasons suppo~:ting this determination: N,Ime O~ L~'ad Agency Print or Iype Name el R. esDonslble E)filcer m Lead Agency ride oi Resoons,ble Oflicer Signature of Responsible C)ff[cer ~n Lead Agency Signature of Preparer (If d~tterent from responsible othcer) ? Board of Trustees Application County of Suffolk State of New York .... ~ ~-~ ~ . /~ ! ~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE ~D 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 TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMITIS), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS ~~ Signature DAY OF ROY N. VOLLMER NOTAWt' PUBUC, State of New ¥0~ No. Ol V04877357 ~t~alified in Suffolk Coun~ ~/ Co~miss~or~ Explre~ A~q ! I~ ~:~ rd of Trustees Applicatio~ AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at 3~j~ ~/¢'¢,'m ( mailing address do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. { Owner ' s signature) T~LL~H