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Home My WebLink AboutTUTHILL, HELEN DBOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, $3095 Main Road P.O. Box 728 Southold, New York 11971 March 27, 1987 TELEPHONE {516) 765-1892 Mrs. Helen D. Tuthill 5650 New Suffolk Ave. Mattituck, New York 11952 Re: Request for a Determination on the need of a Permit Dear Mrs. Tuthill: Pursuant to your request for ~the determination on the need of a Wetland Permit for the removal of two trees, which have fallen down on the subject property and to regrade, please be advised that the Trustees have conducted an on-site inspection of your property and it has been determined that this is an ordinary repair, no permit is required. Should you have any questions or concerns, please do not hesitate to call this office at the telephone number listed above. Very truly yours, Henry P. Smfth, President Board of Town Trustees HPS:ip FOR INSPECTION AND DETERMINATION ON THE NEED OF A PERMIT? NORMAL MAINTENANCE OR REPAIR ON THIS PROPERTY? IS THIS A REQUEST BY HELEN D. TUTHILL - to remove 2 trees which have f~len down and to regrade (bring in fill'- only the amount pos'~_~bly needed to fill the hole from the trees). Property is located at 5650 New Suffolk Ave., Mattituck.-- BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE {516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Halt, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE' OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODES OF THE TOWN OF SOUTHOLD. APPLICATION NO. DATE OF APPLICATION TAX MAP .O. //~ ~-- ~ AGENT PHONE NO. PERMIT REQUESTED TO~ ..... ~ LOCATION OF PROPERTY FOR ~Hi ~H PERMIT WANTED HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION CREEK, BAY OR HARBOR FRONTING PROPERTY SIZE OF P'R~pOsED WORK LENGTH WIDTH HEIGHT ABOVE HIGH WATER DEPTH BELOW LOW WATER YARDS TO BE EXCAVATED YARDS TO BE FILLED WIDTH OF CANAL, CREEK OR BAY DEPTH AT LOW-TIDE AVERAGE RISE IN TIDE FRONTING PROPERTy DISTANCE TO THE NEAREST CHANNEL ~ FT. DISTANCE PROJECT EXTENDS eEYOND SIMILAR PROJECTS IN THE AREA FT. l~ THIS FOR PRIVATE OR BUSINESS USE? AREA ZONING ~,/__~_ MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED ......... DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL SU~EY OF THE PROJECT SITE IF NECESSARY _~_ WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, IF NOT THE SAME AS THE APPLICANT, ARE THERE ANY'COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? BOARD OF TOWN TRUSTEES TOWN .OF SOUTHOLD SHORT ENVIRONMENTAL ASSESSMENT FORM Project Information (To be completed by Applicant or Project sponsor) 1. Applicant/sponsor 2. Project Name 3. Project location: . Municipality County 4. Is proposed action: ~ [] New [] Expansion ~;'~-~ Modification[alteration 5. Describe project briefly: 6. Precise location [road intersections, prominent landmarks, etc. or provide map) 7. Amount of land affected: Initially acres Ultimately acres 8. Will propose(~ action corn ply with existing zoning or other existing [and use restrictions~' [] Yes E]~'qo If No, describe briefly 9. What is present land use in vicinity of project.~ [] Residential [] industrial [] Commercial Describe: [] Agriculture [] Parkland/open space [] Other 10. Does action involve a permit/approval, or funding, now or ultimately, from any other governmental agency (Federal, state or local]? [] Yes [] No If yes, list agency(s) and permit/approvals 11. Does any aspect of the action have a currently valid permit or approval~ [] Yes [] No If yes, list agency name and permit/approval type 12. As result of proposed action will existing per,mit/approval require modification? []Yes E] No Applicant/sponsor Signature: name: I CERTIFY THAT THE INFORMATION PROVIDED ABOVE tS TRUE TO THE BEST OF MY KNOWLEDGE PART II Environmental Assessment (To be completed by Agency) A. Does action exceed any Type I threshold in 6 NYCRR, Part 617.127 If yes, coordinate the review process and use 'the FULL/LONG FORM EAF. [] Yes [] No , B. Will action receive coordinated review as provided for Unlisted Actions in 6 NYCRR, Part 617.77 involved action. [] Yes [] No If No, a negative declaration may be superceded by another C. Could action result in ANY adverse effects on, to, or arising from the following: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems,) Explain briefly: C2. Historic, archeological, visual or aesthetic, or other natural or cultural resources; agricultural districts; or community or neighborhood character? Explain brief C3. Vegetation or fauna, movement of fish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of [and or other natural resources? Explain briefly. C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly. C6. Secondary, cumulative, or other effects not identified in C1-C67 Explain briefly. C7. A change in use of either quantity or type of energy? Explain briefly. PART III Determination of Significance (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show'that all relevant ~dverse impacts have been identified and adequately addressed. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAy occur. Then proceed directly to the FULL/LONG FORM EAF and/or prepare a positive declaration. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide here, and on attachments as necessary, the reasons supportng this determination: Agency Name PreDarer's $:~,nature/TltJe Agency Preparer's Name COUNTY OF SUFFOLK STATE OF NEW YORK ) )ss: BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, THAT THE WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT, IF GRANTED. in completing this application I hereby authorize the Trustees~ agent or representative to-enter onto my property to inspect the premises in conjunction with review of this application. SIGNATURE OF APPLICANT SWORN TO B£FORE ME THIS DAY OF ~O~~ UNDA J. COOPER Notary Public, State of New York.~ ~o. 4uzz~u;~. ~uffolk County Term Expires December 31.19,~Q E~3%MINED APPROVED ~'WETLANDS" PERMIT (CHAPTER 97) APPROVED "BOAT,DOCKS, WHARVES" PERMIT (CHAPTER 32) DISAPPROVED "'WETLANDS PERMIT" (CHAPTER 97) DISAPPROVED "BOATS,DOCKS, WHARVES" PERMIT (CHAPTER 32) CONDITIONS, IF ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 COreC, tV.