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HomeMy WebLinkAboutTR-6073Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO.. 60Z.~ .... DATE: ...g/16/o5 ..... Pursuent fo the prov;sions of Chapter 615 of the Laws of the State of New York, 1893; and C, hepter 404 of the Laws of the State of New Yor~ 197~2; and the SoufhoJd ToWn Ordinance eh- tflled .'REGULATING AND THE PLACINg'= O1: OBSTRUCTtQNS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER IvlATERIALS~F_JLOivl LANDS UNDER TOWN WATERS;~.'. and in a¢c,o~dan~e with the Resolution of The Board adopted afa meeting held on .~h.,....Z~ .... .2~)...., and in consideration of the sum of $.....~.~g.~.~g ...... paid by James Ian~one o~ ...................... ~?.~9.~.~ ..... : ................ N. Y. and ,~bieot to th, Terms and C, onditio~s J,sfed on the reverse dde hereof, of Southold Town Trustees euthorizes and permifs the following: Wetland Permit to replace the existing staircase to the beach, with the condition all disturbed ~reas on.the bluff are re-vegetated after construction, and all as depicted on the survey.prepared by John Metzger last dated Dec. ~7, 2004. all in ac.~o~danee wlfh the detei~ed speclfic, aflons as p~ese.ted in · t~ odcj'mafing applicatio~. IN WITNESS WHERECH:, The said Board Of Trustees kere- by ~uses ifs Corporate. S.e..al fo be a~xed, and these ~esent~ fo be suJ~,c~*bed by k 'melorHy of the sasd Board as of ehis da{e. I'ERIMS and CONDITIONS James Iannone 19105. Soundview Ave. , Southold '~ N. ¥~ 'ag L Tbs~ ~he said .~t'd a~ Trustees smd the Town of 8eud~old axe tv. leased ft~n any and aH d,,-,ges, oc ,4,~ for damages, of suits sa~. da~ly et I~m~y., a muir of any o~e~- ~. Tlutt ~,;~ Pennlt should be m~gtsed inde~itely, or as long ss ~ ~ P,~dg~ee ~ co' ~-.~,~.~ the sttu~me or project involved, to provide evldmce eo anyone concesned ~ sud~- 4. That the work involved will be mbject to ~ ~gea~ and aoa-comp.~,,~ tev~t~on of th/s 5. That _d~wl/lbe no unteuo~ble htedetence v&h mv/gatlon as a gmdt of tbewadc :6. TI~t tbexe d,,ll be no lntedecen~ ~gb the t~ or,be [xsMk to pass end tepsss alaa~ I~e bead~ beswem i,i~ ami low wa~. ~ permit ~ m~y I,e mbHct to m, oke upon fsl~e to e~a ssm~ AlbcIit d. I'h'upski. Pres~ Jame~ King. Vice-Presiclt'~t Artie Fo~ter Ken Poliwoda Pegg3' A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold. New York 11971-0959 Telephone ~631) 765-1892 Fax 1631, 765-1366 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE __ Pre-construction, hay bale line __ 1st day of construction ½ constructed Project complete, compliance inspection. Albert'J. ~L-upski, President James King, Vice-President .~-tie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ~ 765-1892 Fax (631) 765-1366 February 16, 2005 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. James lannone 68-41 Yellowstone Boulevard Apt. 320 Forest Hills, NY 11375 RE: 19105 SOUNDVIEW AVE., SOUTHOLD SCTM#51-1-17 Dear Mr. lannone: The Board of Town Trustees took the following action during its regular meeting held on Wed., February 16, 2005 regarding the above matter: WHEREAS, JAMES IANNONE applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 24, 2005 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 February 16, 2005, 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 standards set forth in Chapter 97 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 approve the application of JAMES IANNONE to replace the existing staircase to the beach, with the condition all disturbed areas on the bluff are re-vegetated after construction, and all as depicted on the survey prepared by John Metzger last dated December 17, 2004. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued .within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Albert J. Krupski, Jr., President Board of Trustees AJK/Ims Telephone 1631 ~ 765- I S92 I'ox,, n Hall 53u95 Rourc 25 P.O. Box 1179 Soutlmld. Neu, York 11971-11959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Mon., February 14, 2005, the following recommendation was made: Moved by Doris McGreevy, seconded by Don Wilder, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH CONDITIONS of the Wetland Permit application of JAMES IANNONE to replace the existing staircase to the beach. Located: 19105 Soundview Ave., Southold. SCTM#51-1-17 The CAC recommends Approval of the application with the Condition the bluff is re- vegetated after the construction of the stairs and no treated lumber is used. Vote of Council: Ayes: All Motion Carried New York State Department of Environmental Conservation Division of Environmental Permits · Rm 12t, Building 40-SUNY Stony Brook, New York 11790-2356 Telephone (631) 444-0365 Facsimile (631) 444-0360 Erin M. Crotty Commissioner January l2,2005 Mr. James L. Iannonc 68-61 Yellowstone Boulevard, Apt. 320 Forest Hills NY 11375 RE: Permit # 1-4738-03401/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6 NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. !fyou are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, Matthew R. Penski EA Tr 1 MRP Enclosure DEC PERMIT NUMBER 1-4738-03401/00001 FACILITY/PROGRAM NUMBER(S) SAPP [] Article 15, Title 5: Protection of Waters [] Article 15, Title 15: Water Supply [3 Article 15. Title 15: Water Transport [] Article 15, Title 15: Long Island Wells Article 15, Title 27: Wild, Scenic and Recreational Rivers PERMIT Under the Environmental Conservation Law EFFECTIVE DATE January 12, 2005 EXPIRATION DATE(S) Jaa3uary 11, 2010 TYPE OF PERMIT · New [3 Renewal [] Modification [] Permit to Construct [] Permit to Operate [] 6NYCRR 608: Water Quality Certification [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Potlutlon Control [] Adide 23, Title 27: Mined Land Reclamation [] Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands [] Article 27, Title 7; 6NYCRR 360: Solid Waste Management [3 Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Article 36: Floodplain Management [] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO James L. lannone ITELEPHONE NUMBER (718) 997-0169 ADDRESS OF PERMI'~I-EE 68-61YellowstoneBouleva~ Apt. 320, ForestHillsNY11375 CONTACT PERSON FOR PERMITrED WORK Nicolas Gibbons, 88 West Avenue, West Sayville NY 11796 ITELEPHONE NUMBER (631) 563-7833 NAME AND ADDRESS OF PROJECT/FACILITY lannone Properb/, 19105 Soundview Avenue, Southold NY LOCATION OF PROJECT/FACILITY SCTM #1000~51-1-17 COUNTY TOWN Suffolk Southold Description of Authorized Activity IWATERCOURSE Long Island Sound NYTM COORDINATES E:715.9 N:4551.5 Remove and replace in the same location the stairway down the bluff in accordance with Ihe plans prepared by John T. Metzger last revised on 12/17/04, and stamped NYSDEC approved on 1/12/05. By acceptance of this permit, the permitt~e a, the General Conditions specified tlSTRATOR: (MRP) that the permit is contingent upon strict compliance with the ECL, all applicable $ pad o[ this permit. tony Brook, NY 11790-2356 DATE I Page 1 of 4 Janua~ 12,2005 NEW Y~STATE DEPARTMENT OF ENVIRONMENTAL CONSERVAt SPECIAL CONDITIONS 1. Alteration of the existing grade of the bluff or hill during construction of the stairway is prohibited. 2. The stairway must be elevated a minimum of 3 feet over grade to minimize disturbance or loss of the natural vegetation and reduce the potential for causing or accelerating erosion of the bluffor hill. Disturbance to the natural vegetation or topography seaward of the crest (top) of the bluff or hill must be restricted to an 8 foot wide area, including the width of the stairway, as shown on the approved plans. 3. The storage of construction equipment and materials shall be confined to upland areas landward of the crest of the bluff or hill 4. Prejects involving the repair or replacement of an existing stairway or walkway, or sections thereof, shall not exceed the width of the existing structure as depicted on the approved plans or a maximum of four feet whichever is greater 5. There shall be no discharge of runoff or other effluent on, in or down the bluff face or onto the beach. 6. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. DEC PERMIT NUMBER 1-4738-03401/00001 SAPP PAGE 2 OF 4 NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the peri. it. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and adsing under article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all spocial conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit qoes not convey to the pormittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, ti6e. or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy oi' Ihe permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region < > <street>, <city>, <state> <zip>, telephone: < · General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered matedal information or a matedal change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any previsions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. OEC PERMIT NUMBER SAPP I J PAGE3 OF4 1-4738-03401/00001 ADDITIONAL GENERAL CONDITIONS FOR ARTICLES '15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS ) If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to lhe State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or dght to compensation shall accrue from any such damage. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. Any matedal dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ddges across the bed of a wateiway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a watanNay. 6. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions lisled herein are met. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom podion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in sthct conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by John T. MetzRer last revised on 12/17/04. DEC PERMIT NUMBER ~ SAPP PAGE 4 OF 4 1-4738-03401/00001 I N STREET ADDRESS: 19105 SOUND VIEW A VENUE LONG I~£ANI~ ~OUND 100.61' R~OV~ DI~PIDA TED STAIR8 ~ TO 8E REPLACED WITH NEW Z SURVEY OF PROPERTY A T SOUTHOLD TOFN 01~ SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-51-0I-1 ? $CAL~: I~-30' OCTOBER 4, 2004 DEC, I 7~, 2004 (Revl~,lons) x, 0 0 l&2 ~OU~D FI~ A V~UE ELEVATIONS REFERENCED TO N.G. V.D. AREA=JI, 140 SQ. FT. TO TIE UNE ANY ALTERANON OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 72090F TI-tE NEY/ YORK STATE EDUCATION LAY/ EXCEPT AS PER SEClION 720Q-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR I'HIS MAP AND COPIES 7HEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIENA TURE APPEARS HEREON, 'P'ECON/C ~L)~E YORS, P.C. (631.) 765-5020 FAX (6,51.) 765-1797 P. 0. BOX 909 1£`50 TRAVELER STREET SOUT, OLo, N. 1 e71 04--294 _J ,APPROVED ':OARD OF TRUSTi T, "~,..'b~ OF SOUTH(' STREET ADDRESS: 19105 SOUND VIEW AVENUE LONG ISLANI~ ~OUND SURVEY OF PROPERTY A T SOUTHOLD TO~YN OF SOUTHOLD SUFFOLK COUNTY, N.Y. i000-61-01-1 ? SCALE: 1'---$0' OCTOBER 4, 2004 D~"O, 17, EO0~t [Revlsionsl APPROVED BY BOARD OF TRU.',TEES TOWN OF SOUTHOLf 23. O' VIEW A VENUE ANY 4FION OR ADDITION TO THIS SURVEY IS A VIOLATION 72090F THE' NEW YORK S?AflZ' EDUCATION LAW. SECTION 720g-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS ~4AP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR rile iMPRESSED SEAL OF THE SURVEYOR ~Iq-IOSE SIGNA lURE APPEARS HEREON. ELEYA TlONS REFERENCED TO N.G. V,D. ,, (651) 765-5020 FAX ~5-1797 P.O. BOX 909 1250 TRAVELER Albert d. firupski, PresidL'nt · /ames King, V/ce-Pres/dent .~t't ie Fo..-t er Ken Poi O. voda Peg,KW A Diekerson Tow. Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone, 63 l~ 765-1892 Fax ,631, BO.~RD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Ool3, Coastal Erosion Pcnnit Application .....A~etland Pem~it Application Amendment,Transfer/Extension ,,,--l~ece~'ed Application:__/'./.,-Jt//O ~ ~eceived Fee:$ ~ ~ _~mpleted Application /2~~ Incomplete ~SEQ~ Classification: T~e I ~Ty~e 1I ~ Unlisted Cnordination: date sent) ~(TACRefei*al'Scnt: ~-__ ~-Date of Inspection: ~ Receipt ofCAC Repom Lead Agency Dete~ination:~ Teclmical Remew: ~ublic Hearing Held:~% Resolution: Administrative Permit Phone Number:(W£) q'~'7-c0[6'~? Suffolk County Tax Map Number: 1000 - .'T/- O/~/'7' Property Location: (provide LILCO Pole fl, distance to cross streets, and location) AGENT: { Ir'applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning' ~::~e~, Previous use of property:Ze S,c~'~ Intended use of property: Prior permits/approvals for site improvements: Agenot Date f~, ~.~ ..s ~d ~...~,~/,Z.~,.,-.,.,~,-t~ .... No prior permits/approvals for site improvements Has any permit/approval ever been revoked or suspend/d by a governmental agency? t/' No Yes If yes, provide explanation: Project Description (use attachments if necessary): PART I - PROJECT INFORMATION ' APPL,CANTISPONSOR C- 6~7 2O SEQR APPENDI× C STATE ENVIRONMENTAL DUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( TO be completed by Applmant or Project Sponsor} 2 PROJECT NAME , IS PROPOSED ACTION ~New ~ Ex0ansion ~ "odi"cadon / alterat,on 6. DESCRIBE PROJECT BRIEFLY 7 AMOUNT OF LAND AFFECTED Initially acres Ultimately acres 8 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHERIL'RESTRICTIOC~S? []Yes [] No I1 no, de$cdBe brietly: WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply. J '[~Res,dential []indus/rial E~commercial [~Agriculture []ParklForest/OpenSpace ~Other (describe} 10 DOES ACTfON INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or LoCal) ¢4/'~Yes [--~ No I~ yes, Iisi agency name and permit / approval: 1 1 DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID,/~ PERMIT OR~.AP ROVAL? , 12 AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROV?,L REQUIRE MODIFICATION'~ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor~¢l~~- ~-. Z~'~.~,//I~F¢~- Date '/,~¢.~' If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) DOES ,~,CT~ON EXCEED AN'v TYPE I THRESHOLD IN 6 NYCRR, PAR~' 617.47 N yes. coordinate the review process and use ti~e FULL EAF '.'/ILL ACTION RECEIVE COORDirIATED RE~.gEW ,AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617 6') If Ne, a negabve COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwnlten, it C 1 Existing a~r quahly, sulfate or groundwatar quahty or quantity, noise levels, existing traffic pattern, solid waste produclion or disposal, poleniial for erosion, drmnage or flooding problems? Explain briefly: Aesthehc, agricultural, archaeological historic, or other natural or Cultural resources; or community or neighborhood character? Explain briefly C3 Vegetation or tauna, fish, shelJttsh or wildlife species, significant habitats, or threatened or eltdangered species? Explain briefly: J C5 OroW[h subsequen~deve~pment~rre~a~eda~vitie~iketytabejnducedbythepr~p~sedacti~n?Exp~ainbriefly: C6 Long ternl, short term, cumulative, or other effects not idenhfled in Ct-CS? Explain bdefly: C 7 Other impacts (including changes in use of either quantity or ~pe of ener[t~'? Explain bdel]~: D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? IIf),es, explain brief]y: , E IS THERE. OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If }~es explain: PART III - 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) probabiliJy of occurring; (c) duration; (d) irreversibifity; (e) geographic scope, and (f) magnitude. If necessary, add attachments or reference supportipg materials. Ensure that explanations contain su~cient deta~r to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the de[ermination of significance must evaluate the potential impact of the propOsed action on the environmental characteristics of the CEA. ~heckthrs~xify~uhaveidentified~ne~rm~rep~tentjafly~arge~rsigni~cantadverseimpactswhichMAY~ccur ThenproceeddirecflyththeFULl- EAF and~or prepare a positive declaration. Check th~s box if you have determined, based on the information and analysis above and any supporting documenlalion, [hat the proposed actior Signature of Preparer (If different from responsible o~ficer) Pdnt or Type Name of Responsible Officer in 'Lead Agency Signature of Responsible Officer in Lead Agency James L. Iannone 68-61 Yellowstone Bh,d., Apt. 320 Forest Hills, NY 11375 (718) 997-0169 February 9, 2005 Via Certified Mail/Return Receipt Requested Southold Toxvn Board of Trustees Attention: Lattren Standish 53095 Route 25 PO Box 1179 Southold, NY 11971-0959 I ~eard If Trgstees Re: Applicatibn for t'erm~t to l~eplace Exi~ ing Staircase to Beach 19105 Soundview Avenue, Southold NY 11971 Dear Ms. Standish: Enclosed please find a sworn affidavit of posting and the return receipts showing service of my permit application to the adjacent property owners at the addresses listed at on the current assessment roll of the Town of Southo[d. The certified letter that I sent to Chardonnay Woods, Inc. at the address listed on the current assessment roll of the Town of Southold was returned to me by the post office as "attempted not knovm." I have enclosed this letter as well. Thank you tbr your assistance in this matter. ,,/'James L Iamlone Enclosures Albert J. I4a-upskl, President James King, Vice-President Artie Fo-~ter Ken Poliwoda Peggy A Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Teleph,me ~ 631 ~ 765-1892 Fax ~63D 765-I366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD h~ the Matter of the Application of COUNTY OF h:~[~kK)~O/S~'a STATE OF NEW YORK} PdFFIDAVIT OF POSTLNG being daly sworn, depose and say: That on the2q/~ay o~, 200~ I personally posed the~ropeny ~own as by placing the Board of Trustees official p6ster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the dat~fthe public hea~n~. Dine ofhe~ng noted thereon to be held Dated: F--~,-,.,..~ q; Zao~' ,~ature) -- Sworn to before me this ~ day orgu ,2o0 Notary Public SUSAN A. NYLUNO James L. lamlone 68-6l Yellowstone Blvd.. ApL 320 Forest Hills. NY 11375 (718) 997-0169 January 27, 2{)04 Via Certified MailLReturn Receipt Requested Southold Town Board of Trustees Attention: Lauren Standish 53095 Route 25 PO Box l 179 Southold. NY 11971~0959 Re: Application for Permit to Replace Existing Staircase to Beach l 9105 Sotmdview Avenue. Southold N Y 11971 Dear Ms. Standish: Enclosed please find a sworn affidavit of proof of mailing of notice of my permit application to the adjacent property owners at the addresses listed at on the current assessment roll of the Town of Southold, along with the original certified mail receipts for same. For your convenience, I have also included a cop3' of the notice and plan that was sent to each property owner, along with a copy of the section map that you provided me. Thank you for your assistance in this nmtter. EtlClOst~res Sincerel~ / James L. [allholle NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOVCN OF SOUTHOLD the maucr o f applicant: VOU ARE HEREBV GIVEN NOTICE: SC'tM# I0oo- ~1-0i- 17 I. That it is tile intention of the undersigned to request a Permit from the Board of Trustees to: ~_?/o_c~ e×.'~'r,~t¢ .~-3,,~,-~- ~ ~c/,. 2. ,T,.hat tile pro,p, erty which is the subject of Environukental Review is located adjacent to · ~,our propem, and is described, as follows:. ~/t~ 0C7~'-O~x& N,F~.ri~j ~_~;,~. 3. That the project which is subject to Environmental Review nnder Chapters 32, 37, and/or 97oftheTownCodeisopentopubliccommenton: ~-~g,,.~ I~, zoo5 .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 N.~M E: ....,'~.~,~, ~- .s' MAILING ADDRESS: Acm..~2o FSor~ /-I,'//~ Enc: Cop3, el'sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAll. RECI~.IPTS Address: STATE OF NEW YORK COLINTY OF SUFFOLK · residing at · being duly sworn, deposes and says that on thc day of .20 , deponent mailed a tree copy of the Notice set lo,ah in the Bom'd of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that thc addresses opposite the names of said persons are the address of said persons as shown on the current assessment roll of the To;~-n of Southold; that said Notices were ~nailed at the United States Post Office al , that said Notices were mailed to each of said persons by ~ceni fled )(registered) mail. Sworn to before me this Day of ,20 Notary Public PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS STATE OF NEW YORK COUNTY OF SUFFOLK , residing at ., being duly sworn, deposes and says that on the day of ,20 , 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. Sworn to before me this Day of ,20 Notary Public Bo of Trustees Application County of Suffolk State of New York SWORN TO BEFORE ME THIS ,/~ L. _~w~/~Z~ 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 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 T~.USTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY $-iRTUE 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. Signature ! Notary Public UNDA Sm TAGGART / Nollny..l~pblic, State ~ York 6 UNDA Sm TAGGART N~teU Public, State of New York ~l~i~°~n4948510k%ou APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Codq of Flhics proh bits contlicts of interest on thc part of Iowp officers and crop. o¥ces TI e purpose o~f this form is to provide information which can alert the to',vn of. possible conflicts of interest and allow it !o take whatever action is YOUR NAME: ~"~'~.~o t~ o- ,~ .do.~.e_ ,~ ~, £. (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate thc other NAME OF' APPLIC:VI iON: fCheck all that apply.) Tax grievance Building Variance IYustce Change of Zone Coastal Erosion Approval of plat Mooring Exempt/on/?onl plat or official map Planning Do you personally (or through your company, spouse, sibling, parent, or child) have a relationsbip 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 ;', hich thc io',',n o fllcer or employee has even a partial ownership of(or employment by) a corporation YES NO J If you ansx~ ered "YE S". complete tire balance of this form and date and sign where indicated. Name of person employed by the Town of Southold lille nr positi,m of that person Describe the relationship between 3'ourself { the applicant/agenffrepresentative} and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. Irbe 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 applican( (when the applicant is a corporation): __B) the legal or beneficial owner of&ny 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 RELA'FIONSHIP Form 'FSI Subnfitted this Signature ..~~-- Print Nam~ James L. lannone 68-61 Yellowstone Boulevard Apartment 320 Forest Hills. NY 11375 (718) 997-0169 JanuaD. ' 24, 2005 By Hand Southold Town Board of Trustees Attention: Lauren S 'tandish 53095 Route 25 PO Box 1179 Southold. NY 1197l~0959 Re: Application for Permit to Replace Existing Stairs to Beach l 9105 Soundview Avenue, Southold NY 11971 Dear Ms. Standish: Pursuant to our conversation, enclosed please find an application tbr a permit to replace the existing stairs to the beach for the above-referenced location. I have also enclosed a sketch of the proposed stairs, color photographs of the existing stairs, a survey and site plan for the location, and a check in the amount of two hundred fifty ($250.00) dollars. Thank you for your attention and cooperation. Enclosures ,w,,J~mes L. larmone Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone 1631) 765-1892 Fax (631'~ 765-6641 # 0045C At BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE THIS CERTIFIES that the beach stairs 19105 Soundview Ave., Southold Date July 8, 2005 Suffolk County Tax Map # 51-1-17 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 1/24/05 pursuant to which Trustees Permit # 6073 Dated 2/16/05 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for beach stairs The certificate is issued to aforesaid propert3,. James L. Iannone owner of the Authorized Signature Albert J. Ki'upski, Pres: James King, Vice-Pre: ,kr tie Foster Ken Poliwoda Peggy A. Diekerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-I366 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ½ constructed Project complete, compliance inspection.