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HomeMy WebLinkAboutTR-4886Albert J. Krupski, President John Holzapfel, Vice President Jim King Martin H. Garrell Peter Wenczel BOARD OF TOVV-N TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P. O. Box 1179 Southold, New York 1 t971 Telephone (516) 765-1892 Fax (516) 765-1823 Office Use only Coastal Erosmon Permit Applicai Wetland Permit Application Grandfather Permit Application Waiver/Amendment/Changes ~ Received Application: 3 ___Received Fee: Completed Application Incomplete SEQRA Classification: Type I Type II__Unlisted Coordination: (date sent) CAC Referral Sent: ~- Date of Inspection: j-~ Receipt of CAC Report: Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: TOWN OF $OUTHOL Name of Applicant George Mayer Address 17 Wood Lane, Smithtown, NY 11789 Phone Number(516) 724-5615 Suffolk County Tax Map Nu~ber~: 1000-70-10-61.1 Property Location: Pine Neck, To~ of Southold, Suffolk County 1,592.75' south of Park Way (provide LILCO Pole %, distance to cross streets~ and location) AGENT: Suffolk Environmental Consulting, Inc. Address: P.O. Box 2003 Bridqehampton, NY 11932 Phone Number: (516) 537-5160 Fax: %(516) 537-5198 Board of Trustees Application GENERAL DATA Land Area (in square feet) : 19,769.95 Area Zoning: R-40 Previous use of property: Vacant Intended use of property: Residential Prior permits/approvals for site improvements: Agency Date xx No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? xx No Yes If yes, provide explanation: Project Description (use attachments if necessary) : Construct a single family residence, driveway, septic system and well. Also, to fill approximately 387.2 cubic yards under the proposed house to raise its first floor elevation to eiqht feet. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To construct a sinqle family residence, driveway, septic system and well. Also, to fill approximately 387.2 cubic yards under the proposed house to raise the first floor elevation to eight feet. Area of wetlands on lot: 3,060 square feet Percent coverage of lot: 15.5 % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: 75 feet Does the project involve excavation or filling: No xx Yes If yes, how much material will be excavated? cubic yards How much material will be filled? 387.2 cubic yards Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: 6.7 % Manner in which material will be removed or deposited: Pay- loader and bulldozer 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): There will be no adverse effect to the wetlands or tidal waters as a result of the proposed project. 4 Board of ,Trustees Application COASTAL EROSION APPLICATION DATA Purpose of Proposed Activity: N/A Are wetlands present within 75 feet of the proposed activity? xx No Yes If Yes, how much material will be excavated? How much material will be filled? (cubic yards) (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from the implementation of the project as proposed. (Use attachments if necessary) NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: George Mayer SCTM# 1000-70-10-61.1 YOU ARE HEREBY GIVEN NOTICE: 1. That is the intention of the undersigned to request a Permit from the Board of Trustees to: Construct a single family residence, driveway, septic system and well. Also, to fill 387.2 cubic yards under the proposed house to raise the first floor elevation to eight feet. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 1,592.75 feet south of Park Way, in Pine Neck, Southold. 3. That the project 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 does not reference any other agency that might have to review same proposal. OWNERS NAME: George Mayer MAILING ADDRESS: 17 Wood Lane, Smithtown, NY 11789 PHONE % (516) 724-1665 Enc.: Copy of sketch or plan showing proposal for your convenience. Name: PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: Dorothy Gallagher PO Box 25 Southold, NY 11971 Nancy W. Hilbig 1700 Park Way Southold, NY 11971 Ethyl Jane Hardy 146 Connecticut Ave. Freeport, NY 11520-1531 STATE OF NEW YORK COUNTY OF NEW YORK Paul D'Angelo, Suffolk Environmental Consulting residing at Newmann Village, Bridgehampton, New York, being duly sworn deposes and says that on the 27 day of February, 1998, 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 their 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 Bridgehampton, NY , that said Notices were mailed to each of said persons by {certified) {registered) mail. Sworn to before me this ~c[ day of [¥~,~ , 19 ~_~ Notary Public Board of Trustees Application County of Suffolk ) State of New York ) Paul D'Angelo 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 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 REPRESENTATIVE(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature~ SWORN BEFORE ME THIS Notary Public DAY OF /{~C~ 19 q~) Board of Trustees Applicatzon AUTHORIZATION (where applicant is no~ the owner) I, George Mayer residing at NY 11787, do hereby authorize Suffolk Environmental Consu!ting~ Inc. (Agent) 17 Wood Lane, Smithtown to apply for permit(s) from the Southold Board of Trustees on my behalf. (Owen's signature) ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 . Telephone (516) 76.5-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section ! 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. (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.) Printed Name: _/~'~]!z//~ Address: ~ ~ ~--fh ~'///.//'? ~)t) Mailing Address (if different from above): Telephone Number: 25 [ ] APPROVED [ ] APPROVED WITH DELAY* Elizal~eth A. Neville Freedom of Information Officer [ ] DENIED* l own Gtera 5oumoi( Date * If delayed or denied see reverse side for explanation. Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO.. ~'.~!~ DATE: ...32.25/.98 ........... ISSUED TO ............. GEQ.:~G F~...MAY.E.P~ ................................................................. Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, t893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACIN$ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on 19....c)8 .... and in consideration of the sum of $..!50.,.~.C~ .... paid by .... Br.u.cc... An.der san....for~, G.EO P~G.E .. MAYE.R .................................................... of ....... Sn.u.:~:b..o.:Ld. ......................................................... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to construct a single family dwelling, driveway, septic, well and raise first floor elevation to 8' using 387.2 c.y. of fill. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees' here- by causes its Corporate Seal to be affixed, and fhese Presents to be subscribed by a maiorlty of the said Board as of this dat, e~ Trustees Albert J. Krupski, President James King, Vice-President Henry Smith Arkie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1842 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 30, 1998 Suffolk Environmental Consulting George Mayer P.O. 2003 Bridgehampton Ny 11932 Re: GEORGE MAYER SCTM ~70-10-61.1 Dear Mr. Anderson, The following action was taken by the Board of Town Trustees during its Regular Meeting held on March 25, 1998, regarding the above matter: WHEREAS, GEORGE MAYER, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated March 3, 1998 and, WHEREAS, said application was referred to the $outhold 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 March 25, 1998, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 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 town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of GEORGE MAYER to construct a single family dwelling, driveway, septic, well & raise first floor elevation to 8' using 387.2 c.y. of fill. Located: 1800 Park Way, Southold. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: None Very ~truly yours, Albert J. Krups-ki, Jr. President, Board of Trustees ~ AJK/djh cc. DEC ACE Dept. of State Bldg. Dept. Telephone (516) 765-1801 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL The following action taken at a meeting of the Southold Town Conservation Advisory CounCil held Monday, March 23, 1998: No. 15~2 Moved by Sharon Shine, seconded by Alicia Marin, it was RESOLVED to recommend to the Southoid Town Board of Trustees APPROVAl WITH PROVISIONS of the Wetland Permit Application of GEORGE MAYER 70-10-61.1 to construct a single family residence, driveway, septic system and well; to fill approximately 387.2 c.y. under the proposed house to raise its first floor elevation to eight feet. The Council recommends approval provided haybales are used during construction; stay within the proposed clearing limits; and any additional clearing be done only to allow a view. The CAC also has concerns about the proximity of the well to the wetlands. Pine Neck, Southold Vote of Council: Ayes: All Motion Carried Suffolk'Environmental Consulting, Inc Newman Village, Main Street, P.O. Box 2003, Bridgehampton, New (516) 537-5160 Fax: (516) Bruce Anderson, M.S., President March 2, 1998 Town of Southold Board of Trustees POBox 1179 Southold, NY 11971 Re: Situate: Board of Trustees - Wetlands Application 1800 Park Way, Southold Dear Sir or Madam, This firm represents Mr. George Mayer, who is applying for a Board of Trustees Wetland Permit. Mr. Mayer plans to build a single family residence, driveway, septic system and well on the above referenced property. Also, approximately 387.2 cubic yards of fill is needed to raise the first floor elevation of the proposed house to eight feet. EnclOsed herewith, please find · 1. Board of Trustees Application 2. Short EAF 3. (7) Surveys of the above referenced property and proposals 4. A check for $150.00 you have any questions or problems, please feel free to contact this office. Sincerely~ Paul D Angem ' Research Assistant, B.S. 95-19-3 (6/95)-7 NEW YORK STATE ~ DEPARTMENT OF ENVIRONMENTAL ~ CONSERVATION UNITED STATES ARMY CORP OF ENGINEERS JOINT APPLICATION FOR PERMIT DEC APPLICATION NUMBER US ARMY COPRS APPLICAION NO 9ISTRIBUTION COPY Pemfit Administrator COPY Corps of Engineers ' a° COPY Program TM COPY NYS Agency TM COPY Applicant Please read ALL instruction on back before completing this application. Please type or print clearly in ink. Attach additional information as needed. [] FRESHWATER WETLANDS [] TIDAL WETLANDS [] WATER SUPPLY [] LONG ISLAND WELL [] PROTECTION OF WATERS FOR: [] A. Coustructlon or placement of docks and moorings [] B. Construction, reconstruction or repair ora DAM or other impoundment structure [] C. Disturbance cfa STREAM BED or BANKS or excavation o fill of NAVIGABLE WATERS [] 401 WATER QUALITY CERTIFICATION [] COASTAL EROSION CONTROL [] LAKE GEORGE PARK COMMISSION [] WILD SCENIC OR RECREATIONAL RIVERS [] AQUATIC P£ST CONTROL FOR: [] A. Aquatic Vegetation Control ~ B. Fish Control [] C. Insect Control I. I,IST PREVIOUS PERMIT/APPLICATION NUMBERS AND DATES (If any) I IF OTHER THAN INDIVIDUAL PROVIDE Southold Town Trustees ] TAXPAYER ID NUMBER 2. APPIACANT IS A/AN (~ [] Owner [] Operator [] Lessee [] Municipality/Government Agency (Check as many as apply) 3. NAME OF APPLICANT (Use Full Name) George Mayer MAILING ADDRESS 17 Wood Lane, Smithtown post OFFICE TELEPHONE (Where can ie reached during day) (516)724-1665 STATE ZIP CODE NY 11787 NAME OF [] OWNER Suffolk Environmental Consulting MAILING ADDRESS PO Box 2003 POST OFFICE Bridgehampton [] AGENT/CONTACT PERSON (Check One) TELEPHONE (Where can be reached during day) (516) 537-5160 STATE ZIP CODE NY i 1932 PROJECT/FACILITY LOCATION IMark location on map, see number la on reverse side.) Count), Suflblk I Town or city Southold STREET ADDRESS/LOCATION t l f different from applicant) 1800 Park Way POST OFFICE ISTATENY [ ZIP CODE 11971 NAME OF STREET OR BODY OF WATER Goose Creek Village DEC USE ONLY NYTM-E NYTM-N 4 7. HAS WORK BEGUN ON THE PROJECT? If YES. attach explanation on starting work without permit, include dates. Show work on map and/or drawing. [] Yes [] No 9. APPROXIMATE 10. PROPOSED USE: COMPLETION DATE N/A [] Private [] Public [] Commercial PROPSED STARTING DATE ASAP 1 I. WILL PROJECT OCCUPY STATE LAND? [] Yes [] No 10. PROPOSED PURPOSE: To raise parcel land with fill. All proposed projects are for private use. 13. PROJECT DESCRIPTION: (e.g. quantity and type of material to be excavated, dredged or used for fill or rip rap, location of disposal sites; type of structure to be installed: height of dam; size of impoundment; capaciti.es o£proposed water sources: extent of distribution system: size of marina and type of docks and moorings to be iustallcd: elc. See attached project description. 14. WILL 'rillS PROJECT REOUIRE ADDITIONAL F,.EDI~RAL~STA, TEhArND/OI~L P~l~vlllT~a[~yles [] No Southold Towh T~ustees, uurro±K .o n~y .m . 15. Separate Authorization or Letter of No Jurisdiction Should be Received from DEC aud the IlS Army Corps Prior to Initiation of Work in Wetlands aud Waterways. I hereby affirm that information provided on this tbrm and all attachments submitted herewith is true to the best of my knowledge and belief. False statements made herein are punlshable as Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further. the applicant accepts full responsibility for all damage, direct or indirect, of whatever nalure, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State flora suits, actions, damages and costs of every name and description resulting from said project. In addition, Federal Law. 18 U. S. C. Section 1001 provides for a fine of not more than $10.000 or ~mprisonment for not more than five years, or befit, where an applicant kuowingly and willingly falsifies, conceals, or covers up a material tact: or knowingly makes or uses a false, fictitious or fraudulent statemeut. [] ! hereby.authorize the agent.named in Number4. above to submit this application on my behalf Date l - ' ~ - t. ! ~ignatureofOwne~ z ' Title Agent Date Signature of Agent Title PROJECT ID NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEQRA PART l- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR [ 2. PROJECT NAME Suffolk Environmental Consulting, Inc. I George Mayer 3. PROJECT LOCATION: Municipality Town of Southold County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc. or provide map) 1800 Park Way, Southold, NY 11971 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BR1EFLY: Construction ora single family house, driveway, septic system and well. Also, the addition of 387.2 cubic 'ards of fill to raise the first floor elevation of the proposed house to eight feet 7. AMOUNT OF LAND EFFECTED: Initially .23 acres Ultimately .23 acres 8. WILL PROPOSED ACTION COMPLY WlTH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [-]Industrial I--ICommercial []Agriculture [] Park/Forest/Open space Describe: R-40 zoning. I-]Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENT AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes []No If yes, list agency(s) and permit/approvals Town of Southold Trustees, and the Suffolk County Department of Health 11 DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If yes, list agency(s) and permit/approvals 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes [] No I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Signature: Paul D'Angelo - Suffolk Environmental Consulting, Inc. Date: 02~7~8 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 PART il- ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE l THRESHOLD IN 6 NYCRR. PART 617.127 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? If No. 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 handwritten, if legible) Cl. Existing air quality, surface or ground5vater quality, noise levels, existing traffic pattems, solid waste production or disposal, potential for erosiou, drainage or flooding problems? Explain briefly: C2. Aesthetic. agricultural, arcbeological, historical or other natural or cultural resources: or community or neighborhood character? Explain briefly: C3 Vegetation or fauna, fish. shellfish or wildlife species, significant habitaL or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or change in use or iutensity of use of land or natural resources? Explain briefly: C5. Growth. subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. l.ong tenn. short term. cmnulative, or.other effects not identified in CI -C57 Explain briefly: C7. Other impacts (including changes in use ofeitber quantity or type of energy)? Explain briefly: D. IS THERE. OR IS THERE LIKEt,Y TO BE. CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If yes, explain briefly PART ! il - DETERMINATION OF SIGN IFICANCE [To be completed by Agency) INSTRUCTIONS: For each adverse elTec! identified above, determine whether it is substantial, large, important, or othenvise 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 (1) magnitude. Ifnecessa~, add attachments or reference supporting materials. Ensure that exnlanations 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 impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. [] Check this box if you bare determined, based on the inl'ormation and analysis above 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 supportiug this determination: Name of Lead Agency Print or Type Name of Responsible Officer Title of Responsible Officer Signature o1' Responsible Officer in Lead Agenc> Signature of Preparer (if different From responsible officerl Date RD. ,S.R. 25