The URL can be used to link to this page

Home My WebLink AboutPATCHELL, GREGORYAlbert J. Krupski, President John Hoizaprel, 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 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765- 1823 Office Use Only Coastal Erosion Permit Application · Wetland Permit Application ... Grandfather~Permit Application Waiver/Amendment/Changes Received Application: Received Fee:$ Completed Application · Incomplete · SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: Name of Applicant Address Gregory Patchell, contract vendee 575 E. Legion Ave, Mattituck NY 11952 Phone Number:( 51~ 298-8426 Suffolk County Tax Map Number: 1000 - 78-2-27 Property Location: 910 Glenn Road, Southold See attached maos. (provide LILCO Pole $, distance to cross streets, and location) AGENT: James E. Fitzgerald, Jr. / Proper-T Permit Services (If applicable) Address: Post Office Box 617, Cutchogue, NY 11935 Phone: FAX$: .734-5800 734-7463 ~ rd of Trustees Applicatio~~' GENERAL DATA Land Area (in square feet): 28,6a5 s,f, Area Zoning: R-40 Previous use of property: Intended use of property: Undeveloped Private residence 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 Has any permit/approval ever been revoked or suspended by a governmental agency? ~ MX No Yes If yes, provide explanation: PROJECT DESCRIPTION: Construct single-family residence with private well and on-site sewage disposal system. Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18~2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 5, 1998 James E. Fitzgerald Proper-T Services P.O. Box 617 Cutchogue NY 11935 RE: GREGORY PATCHELL SCTM #78-2-27 Dear Mr. Fitzgerald, The Southold Town Board of Trustees reViewed the survey dated and received in our office on October 5, 1998 and determined that your proposal to construct a single family dwelling with private well and on site sewage disposal system, to be out of the Trustee Wetland jurisdiction. However, any activity within 75' of the Wetland line requires a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, President, Board of Trustees AJK/djh cc. Bldg. Dept. Proper-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 734-5800 October 2, 1998 President Board of Town Trustees Town of Southold Town Halt, 53095 Main Road Southold, New York 1 t 971 Re: Application for Waiver on Behalf of Gregory_ Patchell: SCTM #1000-78-2-27 Dear Sir: Attached are documents which have been prepared in support of the application for a waiver for the construction ora private residence with private well and on-site sewage disposal system on property of which Gregory Patchell is the contract vendee in the Town of Southold. Proper-T Permit Services represents Mr. Patchell in this matter, and a letter of authorization is part of this submission.. If there are any questions, or if additional information is needed, please call me. ppSUres: lication Fee ($40) Letter of Authorization ~~arized Statement of Applicant lication Form (3 copies) rt EAF (3 copies) ¢V~inity Map (3 copies) trax Map (3 copies) P~urvey/Project Plan (3 copies) ~/r?s £. Fitzgerald~J~fJ ~ a subsidiary of THE PECONIC EASTERN CORPORATION Proper-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 ,(516) 734-5800 October 2, 1998 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 R~; Application foL.Waiver on Behalf of Gregory Patchell:. SCTM #t000-78-2~27 Dear Sir: Attached are documents which have been prepared in support of the application for a waiver for the construction of a private residence with private well and on-site sewage disposal system on property of which Gregory Patchell is the contract vendee in the Town of Southold. Proper-T Permit Services represents Mr. Patchell in this matter, and a letter of authorization is part of this submission.. If there are any questions, or if additional information is needed, please call me. Enclosures: Application Fee ($40) Letter of Authorization Notarized Statement of Applicant Application Form 0 copies) Short EAF (3 copies) Vicinity Map (3 copies) Tax Map O copies) Survey/Project Plan 0 copies) a subsidiary of THE PECONIC EASTERN CORPORATION Albert J. Krupski, President Jotw: Hol~.apfei, Vice President Jim King Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York i1971 Telephone (5 i 6) 765-1892 Fax (516) 765-1823 Office Use Only Coastal Erosion Permit Application Wetland Permit Application Grandfather Permit Application Waiver/Amendment/Changes Received Application: Received Fee:$ Completed Application Incomplete SEQRA Classification: "TyPe I Type II Unlisted Coordination:(date sent) CAC Referral Sent: Date of Inspection: Receipt of CAC Report: · Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: N~ne of Applicant Address Gregory Patchell, contract vendee 575 E. Legion Ave, Mattituck NY 11952 Phone Number:( 51~ 298-8426 Suffolk County Tax Map Number: 1000 - 78-2-27 Property Location: 910 Glenn Road, Southold See attached mays. (provide LILCO Pole $, distance to cross streets, and location) AGENT: James E. Fitzgerald, Jr. / Proper-T Permit Services (If applicable) Address: Post Office Box 617, Cutchogue, NY 11935 Phone: FAX$: .734-5800 734-7463 Board of Trustees Application GENERAL DATA Land Area (in square feet): ~28~645 s.f. Area Zoning: R-40 Previous use of property: Intended use of property: Undeveloped Private residence 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? ~X No Yes If yes, provide explanation: PROJECT DESCRIPTION: Construct single-family residence with private well and on-site sewage disposal system. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~o~struct private residence. Area of wetlands on lot: EsS. 5~00 square feet Percent coverage of lot: .... 17+ % Closest distance between nearest existing structure and upland edge of wetlands: N/~ feet Closest distance between nearest proposed structure and upland edge of wetlands: 100 feet Does the project involve excavation or filling? No XX Yes If yes, how much material will be excavated? 300~ cubic yards for basement How much material will be filled? None cubic yards Depth of which material will be removed or deposited: 8' feet Proposed slope throughout the area of operations: Essentially 0 Manner in which material will be removed or deposited: Backhoe, bulldozer 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): It is expected that the project will have no significant effect on the wetlands and tidal waters of the Town. 14-16-4 (2/87)--Text 12 PROJECT LD. NUMBER 817.21 Appendix C Slate Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEQR PART i--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME James E. Fitzgerald, Jr. Gregory Patchell residence 3. PROJECT LOCATION: Municipality S outhold County Suffolk 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) 910 Glenn Road Southold, NY 11971 See attached maps. 5. IS PROPOSED ACTION: ~New [] Expansion [] Modlflcatlonialteratton 6. DESCRIBE PROJECT BRIEFLY: PROJECT DESCRIPTION: Construct single-family residence with private well and on-site sewage disposal system. ?. AMOUNT OF LAND AFFECTED: Initially . ap'Drox 0.7 acres Ultimately N/A acres 8. WILL PROPOSED ACTION COMPLY WiTH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? aYes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? :~Resldentlal [] Industrial [] Commercial [] Agriculture [] Park/Forest/Open space Describe: Medium-size private waterfront residences. [] 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 NO approvals to date. Required: NYSDEC, Suffolk Health Dept, Southold Trustees 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PF.~MIT OR APPROVAL? [] Yes ~No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes X[~ NO CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE James E.~Fit~gerald, Jr. applicant/sponsor~_.[~a~me: Prope Serv~ 3 Date: this assessment 2, 1998 OVER 1 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 EAF. ~_J Yes ~ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 ~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) C1. Existing air quality, surface or groundwater duality 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 community's existing plans or goais 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 proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly. C7. Other impacts (including 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, explain 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 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 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 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 on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Print or type Name of Responsible Officer in Lea(: Agency Signat:ure of Responsible Officer in Lead Agency Title of Responsible Oftmer Signature of Preparer (If different from responsible officer) Date ¢COUNTY) PECONIC 958 EDON SOUTHOL~ BA P~radi~ THE AREA OF THE PROPOSED PROJECT IS CIRCLED LITTLE HOG NECK NASSAU POINT ,/ / Application for contract vendee Gregory Patchell, SCTM #1000-78-2-27 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 516-734-5800 September 29, 1998