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HomeMy WebLinkAboutTR-4985Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Potiwoda 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 Office Use Coastal Erosion Permit Applics ~Wetland Permit Application Grandfather Permit Application Waiver/Amendment/C~nge~ ~_Re%ei'ved Application: ~_Received Fee:$ Completed App~z~at~on ~ Incomplete/~ ~ SEQRA Classification: Type I__~ype II Unlisted Coordination:(date sent) CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ~Public Hearing Resolution: LowN OF Name of Applicant Address Phone Number: Suffolk County Tax Map Number: 1000 - ~. O/d~;~L~ o~;~o7'O~ Property Location: ~, ~-/~//%/~L)~ ~ ~ (provide LILCO Pole ~, distance to cross streets, and location) (If applicable) Address: ~ /%/~.~/~-- Phone: FAX~: Boa~ · of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: ~ ~- ~/~ ~-/%( Previous use of property: Intended use of property: Prior permits/approvals for site improvements: ~ ~_~ al_Agency Dat~//~/~ ~ 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 Has any permit/approval ever been revoked or suspended by a governmental agency?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): - ! ' . ~ ' _ / Boa] of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: /%F~.~/~' square feet Percent coverage of lot: ,,,~V'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 Droject involve excavation or filling? / NO Yes If yes, how much material' will be excavated?/~on/~cubic yards How much material will be filled? 'V~4zZ-- cubic yards Depth of which material will be removed or deposited: /~A~-- feet Proposed slope throughout the area of operations: /6/~/~ Manner in which material will be removed or deposited: 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): Boa~ of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 75 feet of the proposed activity? No Yes Does the project involve excavation or filling? ~'~"No Yes If Yes, how much material will be excavated?~6~"/9~ (cubic yards) How much material will be filled? w4/OA~~- (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 14-!8-4 (2.~87}--Text 12 [ PR~)JEGT[.D. NUMBER ] Appendix617'21 O SEC; State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM ~ ' For UNLISTED ACTIONS Only ~pART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) I 1. APPLICANT/SPONSOR 3. PROJE~ LOCATION: 4. PRECISE ~OCATiON (Street address and road intersections, prominent landmarks, etc., or ~rovide map) / 5. iS PROPOSED ACTION: J~ New ,~'~Expansion []Modification/alteration DESCRIBE PROJECT BRIEFLY: 7, AMOUNT OF LAND AFFECTED: Initially ~ ~ .,/V',~--~ acres Ultimately acres WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? No If No. describe briefly 9. WHAT IS PBESENT LAND USE tN VICJNITv, OF PROJECT? a~/Resia;ential [],!ndus,ria, .~ommerciaJ Describe: [] Agricuiture [] FarktFores~lOcen soace i-~ Other DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTiMATEL, , ROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes ~o If yes, list agency(s) and permit/approvals - 11. JA[~OES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?  jJ~ Yes' [~No If yes, list agency name end permit/approval I CERTI~ THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE ~EST OF MY KNOWLEDGE Signature: 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 I NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: SCTM~1000- ~/~ -- ~ ~ ~ - 0~ YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the s~bject of Environmental Review is located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public co~La~,ent. 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: MAILING ADD, SS PHONE #: ~ 7~F~?~' Enc.: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK that on the R~ day of , residing at · being duly sworn, deposes and says ~¢~£ ,19 9~, 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 ..... , that said Notices were mailed to each of said persons by (certified) (registered) mail. ~ ~Pb~ ~te of New ~altft~ in Suffolk County T~m £xpl~es 1 ~31/~ Albert J. I{rupski, 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 BOAR]) OF TOV~W TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING - _~~.~~' , residing at being duly sworn, ~epos~and say: That on the ~ day ofNO~, !99~, I personally posted the 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 pester has remained in place for seven days prior to the date of the public hearing. (date of hearing noted thereon to be held Dated: SHorn to before-me this Pub{i¢ St~e ef New Yort~ No. ~,$0655g ~srm Expires 12,31/~ ( signature Board Of $outhold Town Trustees SOUTHOLD, NEW YORK DATE: ....!!/18/9~ ........ ISSUED TO SCUDDER SINCLAIR ............... u 'horizaIion Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; end Chapter 404 of the Laws of the State of New York 1952; and the Southold To*n Ordinance en- titled ."REGULATINg= AND THE PLACINC= OF OBSTRUGTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, C=RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;Y. and in ao¢ordance with the Resolution of The Board adopted at a meeting held on ...!...!../..1.8./..9.8 .... 19.......9.8, and in consideration of the sum of $...15.0.~.0.Q ...... paid by ....... S cu.d d.er....S~clair. ............................................................................................ of .......... Eist~e.r.m:.Ialanct ..................................... N. Y. and subiect fo the Terms and Conditions listed on the reverse side hereof, of Soufhold Town Trustees authorizes and permits the following: Wetland Permit to add a second f~oor addition onto an e×is~, ho~ and an existing deck and an existing dock measuring: a 4'X8' co~ca~ete walk, a 4'X12' ramp, 3- 6~X18' floating docks and a 16' fl~.t in a ",T" forr~ation...., . an ~n accoraance W~Tn ~ne ae?anea specifications as presented in the orlg~naf~ng appllcat~on. IN WITNESS WHEREOF, The sa;d Board of Trustees here- by causes. ;ts Corporate Seal fo be affixed, and these p.resenfs fo be subscribed by a maiorify of the sa~d Board as of fh~s daf=. - ' Trustees Albert J. Krupski, President James King, Vice-President Henry Smith A~tie 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 SOUTI-tOLD November 23, 1998 SCUDDER SINCLAIR P.O. Box 16 Fishers Island, NY 06390 Re: SCTM ~10-3-21 Dear Mr. Sinclair, The following action was taken by the Board of Town Trustees during a Regular Meeting, held on November 18, 1998, regarding the above matter: WHEREAS, SCUDDER SINCLAIR, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated October 29, 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 November 18, 1.998, 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 SCUDDER SINCLAIR to add a second floor addition onto an existing house and an existing deck and an existing dock measuring as follows: a 4' X 8' concrete walk, a 4' X 12' ramp, 3- 6' X 18' floating docks a 6' X 16' float in a "T" formation, and, 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. Krupski, Jr. President, Board of Trustees AJK/djh cc. DEC Dept. of State Bldg. Dept. ACE APPLICANT TRANSACTIONAL DISCLOSURE FORH interest on the par5 of town officers and employees. The purpose of 5his form is to provide information which can alert 5he ~own of possible conflicts of intsres~ and allow it to ~ake whatever action is necessary to avoid same. (Last name, first name, midd.le initial, un"es you are aPplYing in ~he name of someone else or other'entity, such as a company. If so, indicate the other person's or company's name.) NATURE OF APPblCATiON~ (Check all that apply,) Tax grievance ; ' ~ ' : · ' ' 71/ Variance Change of zone ,.,,. i A~p~i~val of plat, .. . Exemption from plat or o~ricial m~p o~her (If "o~hsr," name 5he activity, )~;~/,~/~ 0.$~7~i~.~,,,,;,,.~ Do you p~rsonally (or ~hrou~h your ~ompa~y~ ~pOu~, employee of the Town of Souhhold? "Rela~ionshtp" includes ~nteres~" means a bus,ness, ~ulud~g a partnership, which khe town officer~or employee has even a ownership of (or employment by) a corpora~ion in which the town officer or employee owns more ~han 5% Of ~he XES ,, , NO ..... ~ ~ ~':'~' If yOU answered eYES,", compleee 5he balanue'of~hie form'and date and sign where indieahed. Name of person employed by 5he Town of Southold Title or position of that person Describe the relationship between yourself (fha applicant) and the town officer or employee. Either cheek the appropriate line A) through D) and/or describe in the space provided· The town officer or employee Or Ilia or her spouse/ a~bl~ng,. parent, or child is (check all that apply)~ .... A) the owner of greater than 5% of the shares of the corporate stock Of the applicint (when the applicant' is a corpora~ion); __B) the legal or b~nsficial owner of a~y iR~ereSt in a noncorpora~e'entity (when the applican~ is not a corporation); __C) an officer, director,' pa~tner~ or'employee, of the applicantl or __.D) 5he actual applicant. : ..., DESCRIPTION OF R'ELATIONSUiP : : ... . i/.~. submitted: bhia signature · 'PriM5 name I -08-199S 5 -' 5$PNI FROM New York State DePartmeot of Environmental Conservation Su[ldlri~l o,O, SUNY. Stony Brook, NY 11790-2356 Mailing Address: 4QO, l~ t~o -~: Ba~d upon the information you have ~ub~itt~, ~d/or a si~ in~li~, ~c Deg~tmen~ ~nsc~ation h~ dctcr~a~ ~lat yourprop~rty tanraag# {0~0 l, Oto.~ ~el K/Beyond the jurisdiction of the Tidal Wetlarld La,Id Use gegulatior~ (6NYCRK Part 661) and/or the Fresh Water Watland R~gulatiOfi~ (6NYCRR Fart 663} and {herefore does not require a pexmiI because: ii is grcaler film 300fi. from tho tidal wetland :md/or greater than I0~ ft, from the f~h ~ wa~er wetland boan6aXies. O"W and FW~J x~e'~h ~$ located ~andward of lhe lO ft. elevation t'or~uf or laridwaxd of tl~ togograplaic crest of ~he duae or bluff, (TW only) it is lar~lward of a ~ubstamial ~na~:.ma~e structurc greater than 100 ft, in tel~gth and lawfully eo~:.ructed prior to Aiigust 20, 1977. (TW only) P_1 Part 661 .S of 6NYCRR as a usc not requiring a pea-mit, (TW only} Pica.sc be advised that any addkional work, or modillcation ~o {he property or proj~t as clcs¢fibed, may r~uir~ ~uthoriz~ion by this Depaxtment. Please contact this office if su~ ehmge$ protect Our val~abI~ ~el}alj0d r~.'~oUre~$, plza~ e~ire that all ;lece~sa-y plecautions are ~en to p~vent ~y $~i~ation or o~er almration ut dls[urb~e [o suff~e ~aters or vegetati~ within W~lands juri~i~on which ~y reset from ~ur pwj~t. ~ pr~utiom i~l~ ~mi~ ~ a~q~ate work area ~w~ your ~oj~t ~ ~e w~fl~d jurlsdicilonM b~ or ~tlng l¢m~ra~ ~cing~ kilt ~s or Plemc ~ ~rth~ ~vis~ ~ kit~ do~ ~1 reti~e y~ of lhe ~m~ility ~its or app~vats f~m ~ ~cies. Vew truly you[s, ~;-0S-199B ~:S6PM F~O~- P. 2 ~/2 - ¢'¢ 8"'- Telephone (516) 765-1801 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Thursday. November 12, 1998 the following recommendation was made: No. 1603 SCUDDER H. SINCLAIR ::10-3-21 existing house. Peninsula Road. Fishers island to construct a second floor addition to The CAC did not make an inspection, therefore, it has no recommendation, ,New York State Departmen'~ of Environmental Conservation Buildin(: ~O-=SUIqX~ Sto~ Brook, New York 11790-2356 Date: Re: Thomas C. Jorling Commissioner Based on the information you have summitted, the New York State Department of Environmental Con~ervatio~ has determined that: Therefore, in accordance with the current Tidal Wetlands Land Use Re~iations (6NYC~R Part 661) no perm~it is re,ired under the Tidal Wetlands Act Please be advised, however, that no const~action, sedimentation, or disturbance of any kind may take plaCe seaward of the tidal wetlands jurisdictional boundary, as indicated above, withou~ a permit, it is your responsibility tc ensure that al! necessary precautions are taken'to prevent any sedimentation or ©tker alteration or disturbance to the ground surface or vegetation wiEhin Tidal Wetlands jurisdiction wkich may result from yo~ project. Such precautions may include maintaining adeq~/ate work area between the tidal wetland jurisdictional boundal-f and your project (i.e. a 15~ to 20' wide construction area) or erecting a temporary fence~ barrier, or hay bale berm. Please be further advised that this letter does not relieve you of ~ke responsibility of obtaining any necessary permits or approvals from other agencies. Very truly 'fours, e ....... ,' .' ...... P erlmit