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HomeMy WebLinkAboutTR-7457E Jill M.Doherty,President �QF.S��ry Town Hall Annex James F.King,Vice-President ��� Ol0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 Bob Ghosio,Jr. G John Bredemeyer �� Telephone(631) 765-1892 Fax(631) 765-6641 Comm� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD EMERGENCY WETLANDS PERMIT Permit No.: 7457E Date of Receipt of Application: January 10, 2011 Applicant: Audrey Ueland SCTM#: 51-4-14 Project Location: 20845_Soundview Ave., Southold Date of Issuance: January 11, 2011 Date of Expiration: 90 days from date of issuance Reviewed by: Board of Trustees Project Description: To add fill and install boulders along the east and west portions of the shoreline where the bulkhead was torn away. Findings: The project meets all the requirements for issuance of an Emergency Wetlands Permit as determined by the, Board of Trustees. The issuance of the Emergency Wetlands Permit allows for the operations as indicated in the application received on January 10, 2011. Special Conditions: A,full Wetland Permit must be applied for within 90 days from the date of this permit in order to conduct any further activity. This is not a determination from any other.agency. Jill MAoherty, residen Boar of Trustees Og�FFO(,� Jill M.Doherty,President Off' C4 P.O.Box 1179 James F.King,Vice-President �� Gy Southold,NY 11971 Dave Bergen eQP Telephone(631)765-1892 Bob Ghosio,Jr. 0 Fax(631)765-6641 John Bredemeyer Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Costello Marine Contracting Corp. on behalf of AUDREYUELAND requests an Emergency Permit to add fill and install boulders along the east and west portions of the shoreline where the bulkhead was torn away. Located: 20845 Soundview Ave., Southold. SCTM#51-4-14 Ty of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Pa of Town Code proposed work falls under: L/Chapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: , .King — .Doherty_J. Bredemeyer D. Bergen_ B.Ghosio, D. 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Jill M.Doherty,President ti - Town Hall,53095 Main Rd. James F.King,Vice-President w P.O.Box 1179 Dave Bergen ` Southold,NY 11971 Bob Ghosio,Jr. Telephone(631)765-1892 John Bredemeyer Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Yi ✓�etland Permit Application Adn= 1: Permit —Amendment/Transfer/Extension , p Q� C( Q�1a ��� -Deceived Application: it �` 1, I _,,,KeceivedFee:$ %T-6 1 �O , -Completed Application f Incomplete _SE_RA Classification: Type I Type II Unlisted Coordination:(date sent) LV RP Consistency Assessment Form �A N �(�}� _CAC Referral Sent: ,- bate of Inspection: _Receipt of CAC Report: t._. .__.. : .•• ._. _ _a Lead Agency Determination: Technical Review: o,- Public Hearing Held: 0 fJ. Resolution: Name of Applicant Address D $ 45 56 15 Ve K .30 , . i Y 1 Phone Number:(&) Dct!kaQD�/�= Suffolk County Tax Map Number: 1000 - W15 8 8 9 5 to— 4—1 L4 Property Location: Z 0 S 4 5 S 0 u P j V I g W AV e S O tLTA0 j_b 9,0 0 k (provide LILCO Pole#, distance to cross streets, and location) AGENT: 19 C C-05 11f J,1, tJ }R a`( (If applicable) Address: P (_�;reen 0r- Lf `T Phone: "7 7 i I g 9 Board of Trustees Applicc-+-Aon GENERAL DATA Land Area(in square feet): 00 04FT I Area Zoning: Previous use of property: Intended use of property: V y Covenants and Restrictions: Yes No If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes No If"Yes",please provide copy of decision. Prior permits/approvals for site improvements: Agency Date 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): c m e at) &i s Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA. Purpose of the proposed operations: ate Area of wetlands on lot: , 604 t square feet Percent coverage of lot: �(�. ox Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: GV feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? i cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: Al 1 feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: fy 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): Board of Trustees Applic on COASTAL EROSION APPLICATION DATA Purposes of proposed activity: "I- t Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? ------------- No_ZYes If Yes,how much material will be excavated? (cubic yards) How much material will be filled? cubic yards) -r,#f Manner in which material will be removed or deposited: /�/oVr Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) ft e.nea �renynwie'4 � roe 617.2 PROJECT ID NUMBER SEQR APPENUIx EN c STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor), 1.APPLICANT/SPONSO 2.PROJECT NAME Qn� &PROJECT LO ATION: Municipality County 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map ap a01td 1,4 d9ve, , /y .ir9 5. IS PROPOSED ACTION: El ❑Expansion Modification/alteratio mz l Q M/uojie 6.DESCRIBE PROJECT BRIEFLY: 7-a (V r4 u)19 Q-c t kK fi(f Al �F d yn I -- 7.AMOUNT OF LAND AFFECTED: / Initially acres Ultimately gkres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes ❑ No If no,describe briefly: 9"T?Residential IS PRESENT LAND USE IN VICINITY OF' PROJECT? (Choose as many as apply.) ❑Industrial Commercial —]Agriculture ❑Park/Forest/Open Space ❑Other (describe) 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 name and permit / approval: CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes Zj No If yes, list agency name and permit / approval: 12. AS A RE T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? Yes No❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name �o gg Date: &V Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment J/ PART B- IMPACT ASSESSMENT(To be Completed by Lead A ene A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. Yes ONO B. WiLL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.E?• If No,a negative dedaraadon may be superseded by another involved agency. a Yes • a No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) Ci, Exisflnq air quafity,surface or groundwater quardy or quantity,&se levels,exisflng traffic patter,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: No. C2.Aesthetic,agricultural,archaeological,historic,or other natural or cuitural resources;or community or neighborhood charades?Explain brie_j fly: No C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or theateendangered species?Explain briefly: No C4.A community's existing plans or goals as officially adopted,or a change in use or intensity.of use of land or other natural resources?Explain briefly: No C5;Growth,subsequent development,or related activlties likely to be induced by the proposed action?Explain briefly: C6. Long term,short tens,cumulative,or other effects not identified in CVC5? Expiain briefly. No C7. Other impacts including changes in use.of either quanflty or type of energy? Explain briefly: LNo D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTALAREA CEA? If yes,a lain briefly: aYes , Q No E. IS THERE.OR IS THERE LIKELY TO 8E CONTROVERSY RELATED Yes No TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es a lain: a • PART 111-DETERMINATION OF SIGNIFICANCE(To be completed by Agency): iINSTRUCTIONS. Foreach adverse effect identified above,detelrminewhetherit is substantial,large,importantorotherwise 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 neference supporting materials. Ensure that explanations contain eWdentdetail.to show that all relevant adverse impacts have been identilied.and adequately addressed. Uquestion d of part it was checked yes,the determination of significance mustevalua(e the potential impact of the proposed action on the environmental characteristics of the CtA Check this box tfyou have identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FU F.AF and/or prepare a positive declaration. Checlk this box if you have determined,based on the information and analysis above and any supporting:documentation,that the proposed actio WILL NOT result in any sigrillicant adverse environmental Impacts AND provide,on attachments as necessary,the reasons supporting thi determination. Beard of Trustees Name of Lead Agency Date Jill K Doherty President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer n Lead.Agency Signature of Preparer(Ifdifferent from responsible officer) Board of Trustees App- --ation County of Suffolk State of New York ll� /�Cf L.► BEING DULY SWORN .DEPOSE/ 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/IIER 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 HARMILESS 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. nature SWORN TO BEFORE ME THIS /(`��DAY OF ,20 /r Public LAUREN M.STANDISH Notary Public,State of New York No.O1ST6164008 Qualified in Suffolk Countyy Commission Expires April 9,201L Board of Trustees Appl ---tion AUTHORIZATION (where the applicant is not the owner) M ffC Pis LY1 H�uK I. K f- tk residing .at � v 3{ 0 CiA f PJ-1 S -P -rl� (pri t owner of property) (mailing address) ��9�f SO+�-f Floe dI I�/, do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner�Ls nature 1 8 i f APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: 4 i%r' Af-LAWI) QW1iW (Last ame,first name,xpiddle initial,unless you ar applying in the name of someone else or other entity,such as a company.If so,indicate the.other person's or company's name,) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion. Approval of plat Mooring Exemption from plat or.-official map Planning Other (If"OtheC',name the activity.) s, g,"dI4 Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship.with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial.ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%/of the shares. YES NO t/ If you answered"YES",complete the balance of this form and date and sign�where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 200_ Signature. Pont Name Form TS l ELIZABETHA. NEVILLE TOWNHALL, 53095 MAINROAD ' TOWN CLERK - P.O. BOX 1179 REGISTRAR OF VITAL STATISTICS SOUTHOLD NY 11971 MARRL4GE OFFICER FAX. 631-765-.6145 RECORDS MANAGEMENT OFFICER TELEPHONE. 631-765-1800 , FREEDOM OF INFORMATION OFFICER so utholdtown.northfork.net suuJyo�o ' y 13100,z , 1�GOp�es JA N l 3 2012 s �rLP OFFICE OF THE TOWN CLERK 2, F P TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RE-CORbS��;__`1- -s"ees INSTRUCTIONS: Please complete section I 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 TO: (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). Signature of Applicant: Printed Name: Address: Mailing Address (if different from above): Telephone Number: �(Q �l ��'. Date: [ APPROVED [ ] DENIED* [ ] APPRC W, H DELAY* RECEIVED Elizabeth A. Neville Date Freedom of Information Officer Accepting Clerk's Initials Southold Town Clerk. *If delayed or denied, see reverse side for explanation.