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Home My WebLink AboutTR-E-99-3-7 . . l\.l~C+~ ':.5 .. TRUSTEES John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 Fax (516) 765-1823 . . SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT APPLICATION TOWN WETLANDS PERMIT APPLICATION TRUSTEE LANDS PERMIT APPLICATION Office Use Only: ...-coastal Eros~on Per~Üt ~pplication œ I< (ji) ~ n \\'l Œ rn Wetland Permlt Appllcatlon 0 ~ ~ ~ U ~ Trustee Lands Permit Application , a..-6randfather nt:"c 2 I 1992 Completed Apps. Date: Variance Required, Neighbors notified Date: TOWN OF SOUTHOLD SEQRA Type Coord. Review opt.,mand. Date Rec. by Office Insp. camp. /date: SEQRA Determin./date: Public Hearing/date: r::\/e"M.. ~L Findings: ¡.... /' \' I Permit Vote: (Y/N): Special Conditions: (also see file) Application Fee: Application Number; SCTI1 #1000- Project Name (If any) Date Prepared: Applicant: ;/Çí2~~;?\ c;'o,-þ çc.¡..,yj 11:>1 Address: .J.b PKV~f.ÇL !-RJI)E ¡..JEW ¡./·ÝÞé PfJJ<>K Phone (.sib) ?'fIø.Dðf"2-r Interest: ~ consultant, lessee, etc.) Owner of Property: Address Subject Property Location: Phone ( ) 73~ ihìl).IG .í?E~erl ¡2j) Iv? ~ 7">1, vc::¡¿ ,,/.y , (Provide LILCO Pole #, Distance to cross Streets if not on location map) THIS IS NOT A PEffi1IT · . Yds. to be excavated: Yds. to be Manner in which material will be removed or í'ru c.1C-l., .çJ"""- ßa.._ I. ~ ßeL_l... ¡l...."A ,,__&. Width of canal, creek or bay fronting property: Depth at low tide: Aver. rise in tide: Distance to nearest channel: Distance project extends beyond similar projects in area: Area zoning: Land area in acres: Is project for ~vate~r business use: Intended use of property: Describe known prior operations conducted on premises: filled: þf deposited: Has any prior license or permit been issued to erect ~tructures, dredge, or deposit fill on said premises: y~> Has any license or permit ever been revoked or suspended by a Governmental Agency: "-Ie> Project Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures (i.e., pipeline and septic system; make additional attachments if necessary). £XJEC¡'/5.If)H Or í'.7Vt-ä.Je-/JìJ I(Ç'/cJi?H "¡I)/E-{, '~I \)F" Ie fJ- ~A>/S::' þE It. f I be C'L?ib i ~1HID FJLL Authorization (Where the applicant is not the owner) I residing at (Print-owner of subject propcrty) (Mailing address-phone) do hereby authorize to apply for Coastal Erosion permit(s) from the Southold Town Trustees THIS IS NOT A PERMIT Signature · . County of Suffolk State of New York 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 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 TO BEFORE ME THIS DAY OF ,19___ NOTARY PUBLIC THIS IS NOT A PERMIT Suggested s~ace for location Map . \ \ v . ~ ". "'·~6-4 12f8T)- T~'(t 12 PRQJECT J.D. NUMB"" --. . - 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM Far UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT ¡SPONSOR ~<:'~~~T J. PROJECT LOCATION: J 2. PROJECT NAME MuniclcallfV IV) fJ- Je, Tl....C County >- V Ç-Pç.L.{¡ 4. PRECISE LOCATION (Street address and road intersections. prOmlt'lenl landmarks. elc., or provIde map) 7í?b BHO-il¿ IY) 11 Jj-, JV ~( ~ 6 N-~ J-!. 1';.'1 J KCHì) t, , 5. IS PROPOSED ACTION: New 0 Expansion 6. DESCRIBE PROJECT BRIEFLY: o Modificatlon/alter3tlon IZi J~¡..fþ ~ cJ J... r< t/. E 4» R Ë,v k¿> /"0/ ~,).>7 ~ ))E WF!>T~/J>E be cu ýi) I" !p' SH ,.)D SEQF 7. AMOUNT OF LAtm AFFECTED: InitIally !3-1=/c>J:! t::)LL Ultimatelv acres .Jcres 8. "'/ILL FAO?IJSE:iJ ACnorJ COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? rn Yes 0 No If No. descrIbe brIefly 9. VlHA TIS PAESEJH lAr~O lJ:::i::: iN VICINITY OF PROJECT? (X A~sldentlal 0 !ndu:>tnal 0 CommercIal Descnbe: D Agncullure o parkfForestJOpen space DOlher 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDItJO. tWw OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE Crt LOCAL)? (jJ Yes 0 No If yes. list agency(s) and permillapprovals .3> E. c......- 11. DOES ANY ASPECT OF THE ACnor~ HAVE A CURREtHLY VALID PERMIT OR APPROVAL? ~ Yes 0 No If y~s. list agency name and permillapproval J>fc' J, HJŸI l 12. AS A RESULT OF PROPOSED ACTiON WILL EXISTING PERMIT/APPROVAL ReQUIRE MODIFICATION? DYe, DNo Appllcanl1~ I CEfìTlFY THA T THE INFORMA ION PROVIDED AOQVE IS TnUE TO THE BEST OF MY KNOWLEDGE (J )~Ld- ) 7-/~) )q z- ~ , name: ~1'J"alure: )l-6-?r;;f:ic,,- r::-n")-~"'-Jt,.." ,Jfi D,ue: " the action is in the Co~"taJ Area. and '¡au are a stale agency. complete the Coastal Assessmen! Form bclore proceeding with this assessmcnt OVER 1 A. OCCS Aeflù," bCEcO ANY "PE I SHOW IN 6 merln. PANr OIl.ln II ,eo, com 0 Ine 'O"'.w 0'Or.0" 'no U'o ,,,. FULL "'F. DYes DNo e. WILL ACTION RECEIVE COOROII'ATED REVIEW AS PROVIDED FOR UI/LlsrED ACTlOI/S IN 6 NYCRR. PAilr 61l.6? II No. 0 negar'"e aecl"'"on may be sUperseded by another Involved agency. DYes oNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (An"Ne" moy De nanow""en. '/lea'Olo' CI. Ex""ng ,,, qUOh'y. Surtace or grounawaler qual;,y m qua",,'Y. noose 10"01S. eX"'mg "all,c pa"orns, Soha waSle o'oau""on or diSposal. potential lor erosion. Clratnage or floOding problems? Explain briefly: ,.II ';'"""'-,! C2. AeSlhellc, agriculMal. a'<haeolog'cal. hiSlO'ic. or oth., nalu,,1 m cullu'al '",ourco" or COmmunlly or nelghOOrhood Ch..acler? EXPlain brre"y: rJ· CJ. Vegetahan or fauna. /ish. shell /ish or wlldllle soec'es. "gn,ficanl hab,lats. m th,"alened or endanoe,"d soec,es? E'ol"n bIIelly: .,.¡~ C4. A commun,ty's exlshng plans or goa's as OI"ClaUy adooled. or a Change In use or Inlensity of use of land", Olhe, naru,,' resou'ce.7 Exp'aln brre"y yJC' cs. Growth. subsequent develoomenl. 0' relaled aCIIVII'es l,kelY 10 De mducod Oy lne orOooseo aCllon' E.'ola,n oneuy, JO , - CG. long term. snort term, CUmulatIVe. or alner effecls nOI Ident.lled in C1.C5? Explain OnetlV. NO C7. Other impacts ¡including Changes In use 01 either QuantIty or type at energy)? ExPJ.:un t(elty. ,VJ D. "r"ERE. OR IS rHERE LIKELY TO DE. CONTROVERSY RELATED ro POrEl/flAL ADVERSE ENV'RON""HAL".IPACTS' DYes rsp No It Yes, explain brrelry " PART /1I-DETER/.1/NATION OF SIGNIFICANCS (To be completed by Agency) II/STRUCTlOIIS: For each adverse eltecl identified "bove. determIne Whether it is SUbst"ntj",. I"rge. important or othel\vise significant ~"Ch eltec' should be assessed," Conneclion w,'h its (,,¡ setting (i.e. urbon Or rur"'I; (b) probab'f,ty of oCCUrring; (C) duration; (dj IrrCVerSlb,l,ty; (e, geogr"phlc scope; "no (II magnItude. If necessary. "dd a""chmenls or reference sUPporting male""/s. Ensure tha, axpl"n,,',ons con,,,," sultrc/ent oelall 10 show Ihat "II relev"nl adverse imp"CI. have been identIfied "nd adeQu"tely add'essed. .tf-.lcheck this box if YOU have identified one Dr more potentially large or significant adverse impacts which r'AY , Occur. Then proceed direclly to Ihe FULL EAF and/or prcpare a POsitive declaration. . . -rn Check this box if yOU have determined. based On the information and analysis above and any SUPPOrt in r docur.¿ntatlon. that the Proposcd action WILL rJOT resuit in any significant adverse env"onmental impact g AND prDV/de On attachmDnts as necessary. the reason" sUPPortlOg this determination; s N"n""If l~''¡u "J.;l'Il(V "',nl u. ",,J~ "',,","" 01 1'("\¡Jon\'UI" UI"(~, ,n l,·.It,! 1'1.",.,,('1' - )'¡,;n'¡I...~ UI 1'(_"'Pon"oJ~ UI',c,-, In le4lu ^""n,y /w ;F~L~(-' -- , '_h 1)- J"J-/ , }"l.- 10011'" ~I¡¡n.jU'''' o. '·ft·P.H,·, II' .,Jrller..nl '(0", '''\Jun''OJp UII'(~r, 2 .~ - · Telephone (516) 765-1892 Fax (516) 765-1823 SUPERVISOR SCOTT L. HARRIS TRUSTEES John M.- Bredemeyer, m, President Alben 1. Krupski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albenson Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30 year Maintenance Agreement Erosion Protection Structures Chapter 37 Southold Town Code Southold Trustees as Administrator !Jf£-~ 6-.I£.íèT G-~L. Ì)~<:!H (» \ DT type or print narne(s) the òwners of record of property at: I (we) 7?& ~,H.'"J.-I E BÞ/le t+ RJ> /"1 J)-',,( n,y~ K N.y (type or print street address) SCTM #1000- ) in applying for a Coastal Erosion permit for an Erosion Protection Structure do hereby agree to a 30 year maintenance program for a structure commonly known as a í3vl--).!.. I) ",,.:Lþ of I J-c Fj . as shown on the attached feet of length licensed survey of the as-built structure. ...... It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and or equivalent to the original approved structure arid that for any maintenance which involves more than 5% in length of this structure we are to give prior written notice to the administrator, waiting for their approval in all but true emergency situation's which would seriously endanger life, property and important coastal natural resource features such as bluffs or wetlands. We further understand that failure to maintain the structure could result in a requirement to post a bond and or have the repairs ordered as a lien against the property upon a finding by the Trustees that said lack of maintenance would risk life, property or important natural resources features including protected, rare or threatened animals and plants. W~.......-,Ç[f Notarized Signature of owner of record SWORN TO BEFORE ME THIS DAY OF ,19___ NOTARY PUBLIC ~ Please submit three copies of a licensed land survey made within one year of the original construction. This maintenance agreement shall only be valid upon the final approval of the administrator. Subsequent owners may apply to the Southold Town Trustees to re-authorize this maintenance agreement. \ \ - J " -- j ~ ... ~ '" \~ '" 10~-;ø ~,,'l4-? ~ ù < '"' ....1.,:.. ~ ,,-~ .-, ........ .'...~ '11 ..........-..... ¡::: ... I I "- .:. " )\ ~ ... ~ "" \I "" ~~ ~ ... ,... . -/ I - I I i I GJ ," '" !:' ~ -.¡ If") ,,",, I~ ¡ -\ I .'J.l c ,}- ^ '" ,,", ¡:.. <:/ 1:."t Ii' 3 ~ ¿\ ... ~ ~ ~ IA ~ ~ -) ;;; ( . . I 3 ~ ,.. w ,~, -L. '" ~l 1\ i)' ¡'I\ -:r ~ ~ I' ~ '" -) '\ ~ t 1'" c .> >.¡ ;;11;. 0 ~ .~ '" -- (' 'oJ-'i::... -....; ~ i'i\ V ':'""- 1"'" -.\ ~ - \ J.J .~\ - :µ -', -, - <: .,... ~ ,'\ r " JJ _ 'ì\ \," ~:t:.. r. -.....(.. ~ .- ~ 7'J0 <:J -, . . TRUSTEES John M. Bredemeyer. II!. President Alben J. Krupski. Jr.. Vicc President Henry P. Smith John B. Tuthill William G. Albenson ~ "-'1-'" '\ ' ~ \ ... )s , , SUPERVISOR SCOTT L. HARRIS '~~............ j" 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 COASTAL EROSION MANAGEMENT PERMIT Permit Number: Cf1 -Too 7 Name of Applicant/Agent: \\:::<:'oc-,I,. &-()Ià~\-',,,,\.\+ Name of Permittee: 5é'4~ Address of Permittee: 7';;' (" Q:iL; Uô \6c:é<L-'v-o. Ç2, l Property Located: ~\\-:.\...,,-v-.. DESCRIPTION OF ACTIVITY: £\lk...-..j,£.~ c.ç \2J0\v...\-.££~ð \~'ru,V"\ ~hk 1& ¡ l-<.'CS b <\.è..- Ie / Go '----I, 0 ~ ~o...,~ Date of permit issuance: December 21, 1992 This permit is valid for a period of two years from the date of issuance. SPECIAL CONDITIONS: Bluff restoration through a re-vegetation agreement is attached hereto and is a necessary special condition of this permi t. A relocation agreement is attached hereto and is a necessary special condition of this permit. A maintenance agreement is attached hereto and is a np.cessary special condition of this permit. . . ~ a- ~ -I a- x iI - '" -I Z eft 0 0 eft :IE -I - Z n -I m ::a ~ e e 2 '" '" ~ -I -I '" m 0 m III '" m r- -Ie 0 0 m-l "'1'1 - rX "'1'1 '" :·0 - -a .....,¡r- n r- a>!/' m þo . -< ~z -I 0 m --I co . :IE 0 to:< 0 N Z - e - 0 ..0 ::a .... "'1'1 - - z '" " 0 e n _..... ~ -I 0 X z --I 0 '" r- -I 0 ::a ,..., e n -I ,..., - 0 Z ~