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HomeMy WebLinkAboutTR-4949Albcrt I. Kmpski. President Jot. tlotzap[d. Vice President Jim King Martin It. Garrcll Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To, w. Hall 53095 Main Ro:M Southold, STew Y.~k 1197 I Telephone (516} 76% 1892 Fax ~5!6~ 765-1~23 Office Use Only Coastal Erosion Permit Application ~T-Wetland Permit Application Grandfather Permit Application Waiver/Amen.d~,ent/Changes_ ReceivedApplic~__k~on:~>--~--~- ~_Received Fee:$[~ O ~__Complete4 Application~-- -~--Incomplete SEQRA Classification: ~I~pe 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 Renee Poster, as contract vendee 17 Dosoris Lane, Glen Cove NY 11542 Phone Number: (516) 674-4289 Suffolk CoUnty Tax Map Number: 1000 _35-4-20 Property Location: (No number) }~ivate Road off Wiggins Lane (provide LILCO Pole ~, distance to cross streets, and [ocation~ AGENT: James E. Fitzgerald, Jr. / Proper-T Permit Services (If applicable) Address: Post Office Box 617, Cu%chogue, NY ~t935 Phone: 734-5800 FAX~: 734-7463 Board of TrUStees Application WETLAND/TRUSTEE LANDS APPLICATION DATA PUrpose of the proposed operations: Construct single-family private residence and on-site sewn. ge disposal facility. Area of wetlands on lot: Percent coverage of lot: 1,650 square feet 12 % 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: 4Q~ feet Does the project involve excavation or filling? No XX Yes If yes, how much material will be excav~ted? How much material will be filled? None Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: ,Uncha,nged 'Manner in which material will be removed or deposited: Basement excavation: backhoe and/or bulldozer ~00 cubic y;~rds cubic yards 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. BOard of TrUsteeS Application GENERAL DATA Land Area (in square feet): 13,789 Area Zoning: R-40 Previous use of Property: Intended use of property: Undeveloped Private residence Prior permits/approVals for site improvements: Agency Date None known XX 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):__ Construct single-family private residence and on-site sewage disposal system. l-~-16.,t (2/87I--Te×t 12 PROJECT I.D. NUMBER I 617.21 I Appendix C Stats Environm~mtal Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1 APPLICANT/SPONSOR I 2. PROJECT NAME James E. Fitzgerald, Jr. I Poncet residence 3 PROJECT LOCATION: Mu.~c~pa,ly Stifling cou.ty Suffolk SEQR PRECISE LOCATION (Street address and road Intersecllons. oromlnent landmarks, etc., or Drovld~ map) (No number) ~'ivate road off Wl§gins Lane See attached maps. 5. IS PROPOSED ACTION: ~ New [] Ex~3anslotl [] Modlllcatlontalteretlon DESCRIBE PROJECT BRIEFLY: Construct single-family disposal system. private residence and on-site sewaMe 7 AMOUNT OF LAND AFFECTED: Inillally 0 ,p '~2 acres Ultlmalely N/A acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAI'~ID USE RESTRICTIONS? [] Yes ~No If NO, describe briefly k variance for front yard setback will Southold ZBA. 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ' ~Resldentlal [] Industrial [] CommerCial Describe: Medium-size private waterfront be required from the [] AgricUlture [~ Park/Forest/Open s~ace residences. [] O~her t0. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yea [] No If yes, list agency(s) and permit/approvals~ Required: Southold Trustees, Sout~o~Ld ZBA, Southold Bldg DeTer I 1 DOES ANY ASPECT OF THE ACTION 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 PERMIT/APPROVAL REQUIRE MODIFICATION? [~] Yes ~No CERTIFY THAT THE INFORM James E..~1 ~,TION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ;/~gerald ~ Jr, .~ Se~s If t~ction Is in the 3astal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with title assessment 8/6,t98 OVER 1 PART ii--ENVIRONMENTAL ASSESSMENT Crc be completed bY Agency) DOES ACTION EXCEED ANY TYPE I THRESHOLD iH 6 NYCRR, PART 617.t27 if yes, coordinate the review process and use the FULL EAF. ~ Yes ~ No WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACtiONS IN 6 NYCRR, PART 617.67 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, il ledibte) Cl. 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: Aesthetic, agricultural, archaeological, historic, or other eatura~ or cultures resources or community or rmighborhood C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? E×plah~ briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or IntensIty of use c! land or other nature resources? Explain briefly. 05. Growth, subsequent development, or related activities like!y to be tndeced by the proposed action? Exoiain briefly. CB. 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, O. 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 significaet. Each effect should be assessed In connection with its (a) setting (i.e. urban or rural); (b) probability of c~,;cLIrrit;g; (c) duration; irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add a~tachments or reference supporting materiels. Ensure the! explanations contain sufficient detail to show that all relevant adverse impacts have been ideetified 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 enviror~mental impacts AND provide on attachments as necessary, the re.aeons supporting this determination: Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Name of Lead Agency · 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) 765-18~2 Fax (516) 765-1823 BOARD OF TRUSTEES: BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I~ames E. Fitzgerald, J~.residing at 385 Haywaters Drive Aop~lication o,f_RENEE~ PONCET ~ ~ROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Z 096 297 542 US Postal Service Receipt for Csr~ified ~lai~ No Insurance Coverage Provided. Do not use for tntemationa~ Mai~ ('See reverse Sero to Peconic Holding Co In¢ &~ & Number 925 Sleepy Hollow Lan~ Post Office S~e & ZIP Code Sout~o~[d NY 11971 t Restn~od Defivery Fee ~ R~urn Receipt Showing to - t~°~ & Data O~liver~ 1 ~ h© ~'~ 'o~ or Date % ~ 297 543 Certified erage Pro~ded. ;rnation~J Mail (See reverse e Pa&to Lar,_e 11 ing to 2~7 544 ~r Certified overage Provided. ntemafional Mail (See reverse) Snyder gins Lane Czg~.~ 11944 Fee 297 559 ~r Certified i~lail :overage Provided. ntema§onal Ma[~ (See reverse) !y Geraci .me Station ~set 1~ 11030 STATE OF NEW YORK COUNTY OF SUFFOLK James E. Fitzgerald~ Jr., residing at 385 Haywaters Drive Cutchogu% NY~11935 , being duly sworn~deposes and says that on the /~ay of ..~/~ ,194~ , 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 Cutohogue, NY were mailed to each of said persons2 mail. Sworn %~ before me thi~~ day of ~i~~ ,19"~ NoCary Pub~ % J~935 , th~ said Notices ~~~r (cert' ' ?/ Board Of $outhotd Town Trustees SOUTHOLD, NEW YORK DATE: ..Aug....27,....1998 ISSUED TO .................. F~gNgE p.ONG~T....a~ collt.ra.c.t ~¢endee Pursuant to the provisions o{ Chapter 615 of the Laws of the State of New York, 1893: and C_.Jnapfer 404 of the Laws of the State of New York 1952; and the Southold ToWn Ordinance en- titled ."REC=ULATING AND THE PLAClNC= 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 wlth the Resolution of The Board adopted afa meeting held on ......A....u..g~....~..6..,. 1998 19...9.8t., and in consideration of the sum of $150...00. ....... paid by .... P7 .... ~.~ .t.~.g.~! d....(~z'.,..REN EE PONGET .................................... : ..................... of ........ Gz~..e..~1~ ............................................... N. Y. and subject to the Terms and Conditions listed on the reverse slde hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to construct a ~ingle family dwelling and septic system with a 10' non-turf-non-fertilized burleigh'at top of bank landward. all in accordance with the detailed spec~f~catlons as presented in · the odglnating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Seal to be affixed, and these presents fo be subscribed by a 'majority of ~he sa,d Board as of th~s date. ............. 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) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 27, 1998 Proper-T Services Jim Fitzgerald P.O. Box 617 Cutchogue NY 11935 Re: RENEE PONCET SCTM #34-5-20 Dear Mr. Fitzgerald, The following action was taken by the Board of Town Trustees during its Regular Meeting held on August 26, 1998, regarding the above matter: WHEREAS, RENEE PONCET as contract vendee, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated August 6, 1998 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 August 26, 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 RENEE PONCET as contract vendee to construct a single family dwelling and septic system, with a 10' non-turf-non-fertilized buffer at top of bank landward, and, BE IT FURTHER RESOLVED Ghat 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. Krupski, Jr. President, Board of Trustees AJK/djh cc. DEC Dept. of State Bldg. Dept. Health 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 recommendation was made at the meeting of the Southold Town Conservation Advisory Council held August 24. 1998: No. 1586 RENEE PONCET 35-4-20 to construct a single family dwelling and on-site sewage disposal system. 702 Wiggins Lane, Greenport No comment, the CAC did not make an inspection. Proper-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 734-5800 August President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re:. App!ic. ation for Permit on Behalf of Renee PO ncet; .SCTM # 1000-35-4-20 Dear Sir: Attached are documents which have been prepared in support of the application for a permit to construct a dwelling with an on-site sewage disposal system on property of which Renee Poncet is the contract vendee in the Town of Southold. Proper-T Permit Services represents Ms. Poncet in this matter, and a letter of authorization is part of this submission.. If there are any questions, or if additional information is ne~xt, please call me. Enclosures: Application Fee ($150) Letter of Authorization Notarized Statement of Applicant Application Form 0 copies) Short EAF (3 copies) Vicinity Map 0 copies) Tax Map 0 copies) Survey of Property (1 copy) a subsidiary of THE PECONIC EASTERN CORPORATION TAX MAP Application of Renee Poncet, contract vendee SCTM #1000-35-4-20 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 516-734-5800 August 6. 1998 STIRLING O R I E N T H A R B 0 R VICINITY MAP Application of Renee Poncet, contract vendee SCTM #1000-354-20 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Filzgerald, Jr. 516-734-5800 August 6, 1998 ~z~ ~Z z