HomeMy WebLinkAboutTR-1322 Albert I. Krupski, President
John Holzapfel, Vice President
Martin H. Gan'ell
Peter Wenczel
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 1 t971
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
~-'Wetland Permit Application
Grandfather Permit Application
Waiver/Amendment/Changes
I~e~ceived Application:
~--~-5~,eceived Fee:$/~. o O
I/Completed Application
I Incomplete
~ .SEQRA Clas~~
Type I Type II~ Unliste~
oordination-(date s~nt]
AC Referral'Sent:f/~/~.--~----~--
~Date of Inspection: ~/~
~Receipt of CAC Report: ~/~&
Lead Agency Determinatidn:
Technical Review:
~-'Public Hearing Held:~/~/~
Resolution:
Address
Phone Number
Suffolk County T~ Map N~er: 1000
(provide LILCO Pole 9, distance to cross streets~ and location)
AGENT:
(If applicable)
Address:
Phone:
FAX~:
~ ~%rd of TrUstees Applicati¢ ~/
GENF~ DATA
Land Area (in square feet):
Area Zoning: ~~
Previous use of property:
Intended use of property:
Prior permits/approvals for site improvements:
Agency Date
No prior permits/ab~rovals 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Has any permit/approval ever been revoked or suspended by a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):
.rd of Trustees Applicatio. ~.//
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: ~ }~J ~ ~ ~4~
Area of wetlands on lot: ~ square feet
Percent coverage of lot:~ow, ~-O %
Closest distance between nearest existing structure and upland
edge of wetlands: feet
Closest distance between nearest proposed structure and upland
-edge of wetlands: feet
Does the project involve excavation or filling?
No ~ Yes
If' yes, how much material will be excavated?
How much material will be filled?
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:
cubic yards
cubic yards
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):
14-18-4 f2187~--Te×t 12
J PROJECT
I.D. NUMBER
SHORT
617.21
SEC
Appendix C
State Environmental Quality Review
ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
=ART I--PROJECT INFORMATION (-To be completed by ADP icant or Project sD0nsort
1. APPLI¢C~.NT tS~ONSOR ~ 2. PROJECT NAME
/I///
3. PRO. ECT LOCATION:
4. PRECISE LOCATION (Street address and road intersections, orominent landmarks, etc.. or Drovide
5. IS PROPOSED ACTION:
~LNow [] Expansion ~ Modification/alteration
6. DESCRIBE PROJECT BRIEFLY:
7. AMOUNT OF LAND AFFECTED:
initially acres
Ultimately acres
WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
~Yes [] No It No, describe briefly
9. WHAT iS PRESENT LAND USE iN VICINITY OF PROJECT?
~-' Residential ~,!nclustrial [] Commercial
Describe:
[] Agriculture F'- ParktForestlODen scace F-- Other
10.
DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY
STATE OR LOCAL)?
[] Yes r--] No if yes, list agency(s) and permit/approvals
FEDERAL.
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
Yes [~_No If yes, list agency name and permittaporoval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE ~O01FtCATION?
F'] Yes
CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
If the action is in the Coastal Area, and you are a state agency, cemptete the
Coastal Assessment Form before proceeding with this assessment
OVER
1
PART II--ENViRONMENTAL ASSESSMENT q'o be completed by Agency) _.
'"~OES ACTION EXCEED ANY T'-- .... THRESHOLD IN 6 NYCRR. PART 617.127 If yes, ;d~na[e (ne review process end use ~he FULL
8. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 8 NYC~R, PART 817.~?
may ce supersedec by another involved agency. If No, ~ negative declaratlc
~ Ye, I~ No
O. GOULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITt~ THE FOLLOWING: (Answers may I~e handwritten, il~ Iegible)
C1. Existing air quality, surface or' groundwater quality or quantity, noise levels, existing traffic patterns, solid waste oroductloa or disuosa
potentim for erosion, drainage or flaoding problems? Exgiain briefly:
C2. Aesmedc, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood cnaracJer? ExgJain brief
C~. Vegetation or fauna, fish. shellfish or wildlife species, significant habitats, or threatened or encangereo specJes? Exalain briefly:
64. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or omar natural resources? Explain brleT
C5. Growth. suDseouem development, or re~ated activities likely to De induced by the oroposed action? Ex;lain briefly.
C8. Long term. snort term. cumulative, or other effects not identified n 01-C5~ Explain briefly.
C7. Other ~moacts (including c,banges. _in use of e~ther quantity or type of energy)? Explain briefly.
O. IS THERE. OR IS THERE LIKELY TO BE. CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
[] Yes ~ No If Yes. exalam briefly
PART III--DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
iNSTRUCTIONS: For each adverse effect identified ~Oove. determine whemer it is substantial, large, important or otherwise sJgnifican
Each e/fact snould be assessed in connection with its (a) setting (i.e. urgan or rural); (b) grobability of occ[~-~g; (.c) duration; (c
irreversibility; (e) geographic scace; and (f) magnitude, if necessary, add attachments or reference supporting materials. Ensure th~
ex[~lanatJons contain sufficient detail to s~Jow that all relevant adverse impacts have ~een identified and adequately addressed.
[] Check this box if you have identified one or more ootentJaily large or significant adverse impacts which i','~AY
occur. Then proceed directly [o the FULL EAF and/or prepare a positive-declaration.
Check this box 'f you have determined, based on the information and analysis above and any supporting
documentation, that the proposed action WILL NOT result in_~y significant adverse environmental impacts
AN D orovide on attachments as necessary, ~he reasons supporting this determination:
NOTICE TO ~DJACENT PROPERTY OWNER
BOARD OF TRUSTEESr TOWN OF SOUTHOLD
In the matter of
SCT 1000- - --/
YOU ARE HEREBY G!VENNOT!CE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to: ~O~CT-~u~ ~
2. That the property which is the subject Environmental Review
is located adjacent to your property and is described as
follows: 5~.w--~%:~r-- /~0~ - ~-~--~--/& 7~/j~E ~
3.. That the property which is subject to Environmental Review
under Chapters 32,37,or 97 of the Town Code is open to public
comment. You may contact the Trustees Office at 765-1892 or in
writing.
The above referenced proposal is under review of the Board of
Trustees of the Town of Southold and dose not reference any
other adjacent that might have to review same proposal.
MAILING ADDRESS: ~.~. /~ /%~/
PHONE ~: ~y -&7~o
Enc.: Copy of sketch or plan showing proposal for your
convenience.
Name:
P 226 t81 ~11
US Postal Service
Receipt for C r ified
No Insurance Coverage Provided,
Do not use for International Mail ~See
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Address:
/000
, being duly sworn~ deposes and says
that on the ~ day of ~-~ ,19 Y~ , 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 ~o~/~ , that said Notices
were mailed to'each of said persons by (certified) (registered)
mail. ~
Sworn to bef~Ye me this
day of '~,~' ~.~¥ ,19~
NOTARY PUBLIC, State of N.Y.
Ne, 472~89, Suffolk Cou~
Term E~ires May 33, 19~
~ ~rd of Trustees Applicatio'
County of Suffolk
State of New York
~~/~ ~ ~/~S,~ ~ ~' ~ BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS T~W_E 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 AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY
TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS
APPLICATION.
Signature
SWORN TO BEFORE ME THIS
DAY OF ~--'~
Notary Publi~F~
ROBERT L~//OTT. JR.
NOTARY PU~tC, State of N.Y,
No. 4725089, Suffolk Count~
Term Exi~res May 3~1,
Albert J. Krupsld, President
John Holzapfel, Vice President
Jim King
Martin H. Garrell
Peter Wenczel
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
In the Matter of the Application
of
COUNTY OF SUFFO~K)
STATE OF NEW YORK}
AFFIDAVIT OF POSTING
· residing at /~
being duly sworn· depose and say:
That on the ~Or# day of r~g- , 1996· I personally ~..sted t.h
property known as
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 seven days prior to the date of the
public hearing. (date of hearing noted thereon to be held
Dated: ~/Z/~
Sworn to ~fCFe me this
'Z(~ da~/of/~f~vuag~ 1996
No~?~ Public
No. 472~89. Suffolk
Term E~ims May 31, 19~
LAURY L. DOV*rD
TOWN ATTORNEY
OFFICE OF THE TOWN ATTORNEY
TOWN OF SOUTHOLD
MEMORANDUM
JEAN W. COC}ERAN
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1889
· Fax (516) 765-1823
'TO:
FROM:
RE:
DATE:
Andrew Epple, Bay Constable
Laury L. Dowd, Town Attorney
Summons No. 2052- Michael Pisacano
July 30, 1997
Would you please provide me with additional informalion on the above
captioned summons and fine recommendation.
Thank you.
cc: Trustees
'Albert J. Kmpski, President
John Holzapfel, Vice President
Jim King
Martin H. Garrell
Peter Wenczel
Town Hall
53095 Ma~n Road
P.O; Box 1179
Southold, New York 11971.
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
March 22, 1996
Michael Pisacano
P.O. Box 1931
Southold, NY 11.971
RE: 8095 Sound Ave., $outhold
SCTM ~59-6-16
Dear Mr. Pisacano:
The above referenced lot was inspected by the Southold Town
Trustees. As per map dated March 19, 1996 showing the DEC
flagged wetland boundary, the proposed house is out of the
Trustees jurisdiction.
This is not an approval from any other agency.
If you have any other questions, please do not hesitate to
contact this office.
¢
Albert J. Krupski, Jr.
President, Board of Trustees
AjK:jmd
cc: CAC
Bldg. Dept.
' Albert J. Kmpski, President
John Holzapfel, Vice President
Jim King.
Martin H. Gan:ell
Peter Wenczel
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall
53095 Main Road
P,O::Box 1179
' soUtholcl; N'e~/: YOrk fl 971
Tel~Ph;~e ~i~i~ 765fl892
Fax (516) 765-1823
March 5, 1996
Michael Pisacano
P.O. Box 1931.
So~thold, NY 11971
RE: Proposed Single Family Dwellinq
SCTM 959-6-16
Dear Mr. Pisacano:
Enclosed please find the estimate of Timothy Collins, AICP with
regard to the environmental review of the aD,ye referenced
property.
Please let us know as'soon as p~ssible if we sho~ldinstr~ctMr.
Collins to go ahead with his review.
If you have anT questions, please do not hesitate to call.
Albert J. Krupski, Jr.
President, Board of Trustees
AJK: ~md
cc: Timothy Collins~/
'Albert J. Kmpski, President
John Holzapfel, Vice President
~." Jim King.
Martin H. Garrell
Peter Wenczel
Town Hall
53095 Main Road
P,O.~Box 1179 .
Southold; New York. Il971
Telephone (5I 6) 765r 1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
March 5, 1996
Michael Pisacano
P.O. Box 1931
Southold, NY 11971
RE: Proposed Single Family Dwelling
SCTM 959-6-16
Dear Mr. Pisac~o:
Enclosed please find the estimate of Timothy COll~-~, AICP with
regard to the environmental review of the abov~ referenced
property.
Please let us k~was'soon as possibte if we should instr~ctMr.
Collins to go ahead with his review.
If you have any questions, please do not hesitate to call.
Sincerely,
Albert J. Krupskir Jr.
President, Board of Trustees
AJK:jmd
cc: Timothy Collins
Albert J. Krupski, President
John Holzapfel, Vice President
Jim KiCg
Martin H. Garrell
Peter Wenczel
Town Hall
53095 Main Road
P.O..Box 1179
Southold, New York 11971
Telephone (516) 765~ 1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
March 4, 1996
NYSDEC
SUNY, Bldg. 40
Stony Brook, NY 11790-2356
RE: Michael Pisacano
SCTM ~1000-59-6-16
Dear Sirs:
We understand that you are going out on March 7, 1996 to flag
the wetlands on the above referenced property.
Would you please notify this office so a representative can be
present at the field inspection.
Thank you.
Sincerely,
President, Board. of Trustees
AJK:jmd
cc: Tim Collins
East Hampton, New York 11937
(516) 329-5930
Fax (516) 329-6932
Timothy Collins, AICP
Environmental, Planning & Land Development Consultant
27 Joshua Edwards Court
March 3, 1996
BY FAX
Mr. Albert J. Krupski, Jr.
President, Board of Trustees
Town of Southold
P.O. Box 1179
Southold, New York 11971
RE: Michael Pisacano, Sound View Avenue, Southold (059-06-16)
Dear Mr. Krupski:
With reference to the above application, I estimate the total number of hours to field inspect the
ske, flag the wetland, and prepare a report of my findings to be approximately 5 hours. At an
hourly rate of $65.00 the estimate cost for this project is $325. I have contacted the New York
State Department of Environmental Conservation (NYSDEC). The NYSDEC has scheduled a
field inspection for March 7, 1996. I will coordinate my field inspection and flagging with their
staff.
If you have any questions or require further information, please contact me.
Yours truly,
Timothy Collins, AICP
TC: tc
Telephone
(516) 765-1801
Town Hall. 53095 Main Road
P.O. Box 1179
Southold, New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At a meeting of the Southold Town Conservation Advisory Council held Monday,
February 26, 1996 the following recommendation was made:
No. 1322
Moved by Allan Connell, seconded by John Hagerty, it was
RESOLVED to TABLE the Wetland Application of MICHAEL PISACANO
59-6-16 to clear area for home and construct an 1700 s.f. single family
dwelling.
The Council tabled the application pending the report from the Trustee's
environmental consultant.
Sound Avenue, Southold
Vote of Council: Ayes: All
Motion carried.
Albe~t J. Kmpski, President
John HolzapfeI, Vice President
· ' Jim King
Martin H. Garrell
Peter Wenczel
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall
53095 Ma/n Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
February 23, 1996
Timothy Collins, AICP
Environmental, Planning
& Land Development Consultant
27 Joshua Edwards Court
East Hampton, NY 11937
RE:
MICHAEL PISACANO
SCTM $59-6-16
Dear Mr. Collins:
Can you please review the enclosed application and submit an
estimate to flag and review the wetlands.
If you need any more information, please do not hesitate to
contact this office.
S,~ce,re ly~ .~
Albert J. Krupski, Jr.
President, Board of Trustees
AJK: jmd