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Home My WebLink AboutTR-5051 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town HallAnnex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 10, 2008 Mr. Robert Ban'att 4295 Vanston Rd. Cutchogue, NY 11935 RE: FRANK & DIANE PALILLO 7433 SOUNDVIEW AVE., SOUTHOLD SCTM#59-6-5.1 Dear Mr. Barratt: The following action was taken at the Southold Town Board of Trustees Regular Meeting held on Wed., December 10, 2008: RESOLVED, that the Southold Town Board of Trustees APPROVES the request for a Transfer of Wetland Permit #5051 from Shiu Ching Chen to Frank & Diane Palillo, as issued on August 25, 1999 and Transferred on July 23, 2008. If you have any questions, please contact our office at (631) 765-1892. Sincerely, JFK:lms Mr. Robert Barratt PE 4295 Vanston Road Cutchogue, NY 11935 Tel 631 875 0275 Fax 631 734 2730 E-Mail: robertbarratt~optonline.net Board of Southold Town Trustees Town Hall 53095 US Route 25 PO Box 1179 Southold, NY 11971-0959 November 25th, 2008 Subject: 7433 Soundview Avenue, Southold, NY, SCTM# 1000-59-6-5.1 Members of the Board of Trustees, The sale of the subject property was closed on Friday November 21~t, 2008 and the new Frank and Diane Palillo 16 Olendy Lane Brookville NY 11545 The following trustee docments should be wansferred to the new owners: Wetlands Permit # 6912 Dated 6/18/08 Wetlands Permit # 5051 Amended 7/23/08 and associated Certificate of Compliance # 0379C dated 11/05/08 Yours faithfully, Robert Barratt Transfer fee of $100 paid by Visa James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0379C Date November 5, 2008 THIS CERTIFIES that the 4'X 20' fixed dock constructed with untreated lumber At 7433 Soundview Ave., Southold Suffolk County Tax Map #59-6-5.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 6/23/08 pursuant to which Trustees Wetland Permit 5051 Dated 8/25/99 was Transferred and Amended on 7/23/08, and conforms to all of the requirements and conditions of the appHeable provisions of law. The project for which this certificate is being issued is for a 4'X 20' fixed dock constructed with untreated lumber. The certificate is issued to SHIU CH1NG CHEN owners of the aforesaid property. Authorized Signature James F. King, President Jill M. Doherty, Vice-President Pegg~y A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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. James F. King, President Jil! M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 23, 2008 Mr. Robert Barratt PE 4295 Vanston Rd. Cutchogue, NY 11935 RE: SHIU CHING CHEN 7433 SOUNDVIEW AVE., SOUTHOLD SCTM#59-6-5.1 Dear Mr. Barratt: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., July 23, 2008: WHEREAS, Robert Barratt PE on behalf of SHIU CHING CHEN applied to the Southold Town Trustees for Transfer of Wetland Permit #5051 and an Amendment to Permit #5051 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 23, 2008, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, Wetland Permit #5051 was issued to the previous owner for a 4'X 20' fixed dock with the condition the existing 7' wide dock was reduced in order to comply with the permit and to be completed within six (6) months from the date of the public hearing, from the Board of Trustees dated August 30, 1999, and, WHEREAS, Wetland Permit #5216 was issued to the previous owner for an additional cesspool to be added to property or to rebuild second cesspool near driveway with the stipulation the 4'X 20' fixed dock comply with the permit issued for same, from the Board of Trustees dated September 20, 2000, and, 2 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, as applied for, does not comply with the standards set forth in Chapter 275 of the Southold Town Code, and, WHERAS, the Board has determined that the structure, as applied for, will have a detrimental effect upon the health, safety and general welfare of the people of the town, and, NOW THEREFORE BE IT, RESOLVED, that for the foregoing reasons, and based upon the application's failure to meet the standards contained in Chapter 275 of the Town Code, that the Board of Trustees deems the proposed project to be Inconsistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, based on the size of the existing structure, and, BE iT FURTHER, RESOLVED, that the Southold Town Board of Trustees DISAPPROVES the application of SHIU CHING CHEN to replace the deck boards on the existing 8'X 24' fixed dock, as applied for, and, APPROVES the Transfer of Permit #5051 for a 4'X 20' fixed dock with the condition the existing 8'X 24' fixed dock is removed and replaced with a 4'X 20' fixed dock using open-grate decking or untreated lumber, within 60 days from the date of this resolution. This is not a determination from any other agency. Sincerely, ~amos F. ~in~resident President, Board of Trustees JFK:lms Donald Wilder, Chairman Lauren Standish, Secr~ary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (63 I) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., July 16, 2008, the following recommendation was made: Moved by James Eckert, seconded by Doug Hardy, it was RESOLVED to NOT SUPPORT the Amendment application of SHIU CHING CHEN to Amend Permit #5051 to replace the deck boards on the existing 8'X 24' fixed dock, and Transfer Permit #5051 from Richard Sansevere to Shiu Ching Chen. Located: 7433 Soundview Ave., Southold. SCTM#59-6-5.1 Inspected by: James Eckert, Glen McNab The CAC does Not Support the application for an 8'X 24' fixed dock but would, however, consider a 4' wide dock with rio-thru decking. Vote of Council: Ayes: All Motion Carried James F. King, President Jill M. Dohefly, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: SHIU CHING CHEN requests a Amendment to Permit #5051 to replace the deck boards on the existing 8'X 25' fixed dock and install 2"X 6" guard rails on the front and sides, and Transfer Permit #5051 from Richard Sansevere to Shiu Ching Chen. Located: 7433 Soundview Ave., Southold. SCTM#59-6-5.1 Type of area to be impacted: __Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: __J. King __d. Doherty __P. Dickerson __ __ D. Dzenkowski Mark Terry__other Form filled out in the field by D. Bergen__ B.Ghosio, Mailed/Faxed to: Date: Environmental Technician Review- ¥ ...................... ) ~ COUNTYOFSU~FOLK o I~l,~J"' SO'ii'OLD Mr. Robert Barratt PE 4295 Vanston Road Cutchogue, NY 11935 Tel 631 875 0275 Fax 631 734 2730 E-Mail: robertbarratt~optonline.net Southold Town Board of Trustees Town Hall 53095 US Route 25 PO Box 1179 $outhold, NY 11971-0959 August7,2008 Subject: Transfer of Dock Permit # 5051, 7433 Soundview Avenue, Southold, NY, SCTM# 1000-59-6-5.1 Members of the Board of Trustees, It is my pleasure to inform you that Ms. S. C Chen, the owner of the subject property, has selected John D Hocker PE of Latham Sand and Gravel as contractor to undertake the work described in your letter to me dated July 23rd, 2008. I am sure you will join me in congratulating John on this assignment. Yours faithfully, Robert Baffaff CC K. Shen / S.C.Chen ( by email) J. D Hocker PE 35180 Route 48 - PO Box 608 Peconic, NY 11958 $0uth01d Town Board of Trustees Mr. Robert Barratt PE 4295 Vanston Road Cutchogue, NY 11935 Tel 631 875 0275 Fax 631 734 2730 E-Ma robertbarratt~optonline, net Southold Town Board of Trustees Town Hall 53095 US Route 25 PO Box 1179 Southold, NY 11971-0959 July 21st, 2008 Subject: 7433 Soundview Avenue, Southold, NY, SCTM# 1000-59-6-5.1 Members of the Board of Trustees, My client Ms. S. C. Chen is in receipt of the wetlands permit to modernize the subject property and has asked me to convey her thanks for all your efforts in this matter. We have now made our application to the SC health services dept to seek their approval of the proposed septic system. She also wishes to acknowledge your patience and understanding regarding the dock, which is the subject of a separate application, while we tried to find ways to improve the existing dock. Now that this work is completed she wishes to assure the trustees of her full cooperation to bring this matter to a conclusion that meets all the requirements. Yours faithfiflly, Robert Barratt Encl/None James F. King, Preaident Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~~t Application Administrative Permit ~Amendme~rrrans fer/Extemion ,~eceived Fee:$10~ / - ' -' - ,.C~rnpleted A pp lic a tio n~I~'~C~t'L Incomplete SEQRA Classification: Type I Type II Unlisted C~9ordination:(date sent) t i~WRP Consistency AsS!~ssment Form ~ ~CAC Referral Sent: ~')1~10~ ~l~ate of Inspection:.~,q_~l~[~__ Receipt of CAC Report: Lead Agency Determination: Technical Review: .,,P~lic Hearing Held: r)!~ !{17 __Resolution: JUN 2 3 2008 $outhold Town Board of Trustees i Name of Applicant Address d-~z - ~c> ~, ~, u ~a ~ ~u~,~ ~ Phone Suffolk County Tax Map Nmber: 1000 Prope~yLocation: ~ sou~ (provide LILCO Pole #, distance to cross streets, and location) AGENT: F~, o. I~0~rv I-~ (If applicable) Address: z~2 Phone: &,~t-- ~,rt~- o~-~ ~ of Trustees Applicatio Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: -4.1 Covenants and Restrictions: Yes v''/ No If "Yes", please provide copy. 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? v' No Yes If yes, provide explanation: Project Description (use attachments if necessary): ~rd of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~-~ ~aco ~o r~ o~ a a,/~-tq ~ r- Area of wetlands on lot: o square feet Percent coverage of lot: o % Closest distance between nearest existing structure and upland edge of wetlands: o feet Closest distance between nearest proposed structure and upland edge of wetlands: o feet Does the project involve excavation or filling? J No Yes If yes, how much material will be excavated? How much material will be filled? Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: cubic yards cubic yards Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by mason of such proposed operations (use attachments if appropriate): ~rd of Trustees Applicatio~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: (cubic yards) (cubic yards) Are wetlands present within 100 feet of the proposed activity? No / Yes Does the project involve excavation or filling? ~ No Yes If Yes, how much material will be excavated? How much material will be filled? 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) James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fsx(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ................... COUNTY OF SUFFOL"K) STATE OF NEW YORK) AFFIDAVIT OF POSTiNG I, ~,a~['a~ ~v'~ , residing at being duly sworn, depose and say: That on the ~-'~ day of ~",a,,,.~, 200 , 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 poster has remained in place for eight days prior to the date of the public heating. Date of hearing noted thereon to be held II Jori. l, ta (.x./ ~ c~0t]~ - Dated: Sworn to before me this et'day of ~.,~200 ~' NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: 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 subject of Enviromental 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, and/or 97 of the Town Code is open to public comment on: . 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: .C, ~,, MAILINGADDRESS: C/o ,~, Enc: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAlL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly swoIn, 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 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS; pul ~~f~C~AL USE ru Postage Certified Fee $2.70 ,2.2o $5.32 I I ~~C]AL US~ Street, Apt. NO.; [~_~_~x__~:__~A~.A.......~.___~_~Y..~..~.~....~.~. ....... Ci~ State, ZIP+4 STATE OF NEW YORK COUNTY OF SUFFOLK ~ ~ ~ ~ ~ ~ ', being duly sworn, deposes ~d says that on ~e ~ day of ~o~ ., 20o~, deponent mailed a ~e copy of the Notice set fo~ in ~e Bored of Trustees Application, directed to each of the above n~ed persons at ~c ad~csses set opposite there respective names; ~at the ad~esses set opposite ~c n~es of s~d persons ~e the address of said persons ~ sho~ on the c~ent ~sessment roll of the To~ of Southold; ~at said Notices were mail~ at the U~ted States Post , that s~d Notices were mailed to each of said persons by Office at CoTC~O~O~' (certified) (registered) mail. Sworn to before me this Day of ~2~La ,20D~ Notary Public CONNIE O. BUNC,q · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: [] Agent I-i Addressee C. Date of Delivery D. Is delivery address different from Rem 1 ? [] Yes if YES, enter delivery address below: [] No 3. Se~ice Type [] Ce~ifled Mall [] Express Mall [] Registered [] Retum Receipt for Merchandise [] Insured Mail [] C.O.D. 4. Resisted Delivery? (Extra Fee) [] Yes 2. Artiaie Number Crrar~er f,~ ~ ~ 7006 2150 0004 2220 1826 PS Form 3811, Feb,rua~y 2004 102595-02~M-1540 · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delive~ la desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mallpiece, or on the front if space permits. B. Received by ( P~fnt~d Narne) ~1 1. Article Addressed to; D. Is delh/ery address different from If YES, enter delivery address below: 3. Service Type [] Certified Mail [] Express Mail [] Registered i'-I Return Receipt for Merchandise [] insured Mai~ [] C.O.D. 4. Restricted Delivery? (Extra Fee) i'-I Yes 2. Article Number (Transfer from aery/ce/abe/) PS Form 3811, February 2004 7006 2150 0004 2220 1819 Oom F4e~urn Recaipt PROJECT ID NUMBER 617.20 APPENDIX 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 / SPONSOR 2. PROJECT NAME 3.PROJECT LOCATION: Municipality --CC) ~' 7-,.-~ c~ ,.--/~ County I. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide mad 5. IS PROPOSED ACTION: ~ New r~ Expansion ~ Modification/alteration SEQR 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially ,O,P~ ~;' acres Ultimately O,~)o (F ~- ~' acres 8. WILL PROPOSED ACTION COMPLY ~TH ~ISTING ZONING OR OTHER RESTRICTIONS? ~ Yes ~ No If no, describe b~efly: 9. WHAT IS PRESENT LAND USE IN VICINI~ OF PROJECT? (Choose as many as apply.) ~Residential ~lndustda, ~Co~mercia, ~Agdcultura ~Park/Forast/OpenSpace ~O~er (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, ~OW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Lo~l) ~Yes ~No If yes, list name and ~it / approval: ~o~ ~o~ O~ agency 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~Yes ~No If yes, list agency name and pe~it / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ~es ~No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE IApplicant /Sponsor ' ' -- Date: Signature :'<'- ~ ' 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) A. DOES ACTION EXCEED ANY TYPE I TH RESHOLD IN 6 NYCRR, PART 617.47 if yes, coordinate the review process and use the FULL EAF. r~TM E~No B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air qualfiy, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2 Aesthetic, agricultural, amhaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3 Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: Acommumtysexmtlngplansorgoalsasoff~c~allyadopted orachange nuseor nons y ot use of land or other natural resources Expla~nbnefly C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6 Long term, short term. cumulative, or other effects not identified in C1-C57 Explain briefly: C7, Otherimpacts(includingchangesinuseotetherquanti orr peofenergy'~ Explainbdefl¥' D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA)? (If yes, explain briefly' E~] Yes E~]N° ...... : E. iS THERE, OR IS THERE L!KELY TO BE, CONTRQV.ERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL 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 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 reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. C hock this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FU Lt. 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 actta WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons suppoding thi determination. Name of Lead Agency Date Title of Responsible Officer Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) of Trustees Applicati~ County of Suffolk State of New York ~H-t~J C~t,qq Ct-4~E~3 BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCKIBED 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 1N 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 REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS Notary Public BETTY J HO of Trustees ApplicatiO (where the AUTHORIZATION applicant is not the owner) (print owner of property) residing at (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) 7433 Soundview Ave Southold NY 11971 NYSDEC-Region 1 Division of Environmental Permits SUNY-Bldg 40 Stony brook, NY117-2356 Southold Town Board of Trustees Town Hall Annex Southold, NY 11971 Suffolk County Health Services Wastewater Management 360 Yaphank Ave Suite 2C Yaphank, NY 11980 January 16, 2008 Subject: 7433 Soundview Avenue, Southold, NY 11971 To whom it may concern, Please be advised that I have appointed Mr. Robert Barratt to act as my agent regarding the subject property. His details are as follows: Mr. Robert Barratt PE 4295 Vanston Road Cutchogue NY 11935 Fax (631) 734 2730 Cell (631) 875 0275 Please address all telephone calls and correspondence to his attention Thank you for your cooperation, S ig n e ~~...~"~%..~---~ ~ .~c"C. Chen, Owner Sworn before me this ~- ~ate J'~y ~' ~)ooC~ Day of ')w~ ,20. Notary Public BETTY J HO ~,¥ I~,~h '~'w fork No 0! H0502256~ (~,~ ~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics t~rohibits conflicts of interest on the hart of town officers and emolovees. The t~umose of this form is to ~rovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME:_ ~.H~I~ ~-~k3 ~ (Last name, first name, &niddle initial, unless you are applyiag 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 (lf"Other", name the activity.) 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 N~ 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 applicont (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 Form TS 1 Submitted this ~--- dayof. IM~ 200~ Signature '~ ~ ' ' Print Name '~-.~..'x)C.. C. ~.~ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of So~llgld Town)~ If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contalned: ink. consistency review law. Thus, each answer must be explained in detail~ iistin~ both sundowns_ and non- suooortin~ facts. If an action cannot be certified as consistent with the LWRP policY standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# /*~o 5'-9 6 -- 5",/ PROJECT NAME The Application has been submitted to (check appropriate response): TownBoard [] Planning Board ~"~ BuiidingOept. ~'~ BoardofTrustees ~-~ Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital [-~ construction, planning activity, agency regulation, land transaction) [] (b) Financial assistance (e.g. grant, loan, subsidy) (c) Pemdt, approval, license, certification: Nature and extent of action: Location of action: Site acreage: Present land use: ~'~ ~ ~ ~ '%:~"4 ~ ~-'/ /'q>~ ~ Present zoning claSsification: ~--~/c z'~ ~' ~ ~ If an application for the proposed action haS been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: d//o (c) Telephone number: Area Code ( ) & ~ / -- g ? s' -. o '~ -? g' (d) Application number, if any:. Will the action be directly undea~hakcn, require funding, or approval by a state or federal agency? Yes ~ No [] If yes, which state or federal agency?_ C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southoid that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III -Policies; Page 2 for evaluation criteria. Yes [-~ No ~ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section HI ' Policies Pages 3 through 6 for evaluation criteria ~ Yes ~ No [] Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [] Yes [] No ~ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LwRP Section III - Policies Pages 8 through 16 for evaluation criteria [] Yes [] No 7] Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~ Yes ~] No [~ Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not App~cable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southoid. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~ Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~ Yes [] No ~'] Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~-~ Yes~ No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIE~ Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section IH- Policies; Pages 47 through 56 for evaluation criteria. [] Yes ~ No [~ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~'~ Yes ~ No ~-~ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~-] Yes [] No ~] Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes No [] Not Applicable PREPARED BY ~'~t~ g~'~'~Y~- TITLE ]~ ~ DATE 4 Mr. Robert Barratt PE 4295 Vanston Road Cutchogue, NY 11935 Tel 631 875 0275 Fax 631 734 2730 E-Mail: robertbarratt~optonline.net Southold Town Board of Trustees Town Hall 53095 US Route 25 PO Box 1179 Southold, NY 11971-0959 June24th, 2008 Subject: Transfer of Dock Permit # 5051, 7433 Soundview Avenue, Southold, NY, SCTM# 1000-59-6-5.1 Members of the Board of Trustees, It is my pleasure to inform you that I have been retained by Ms. S. C Chen, the owner of the subject property, to act on her behalf regarding the subject dock permit transfer. Her notarized letter of assignment is attached as part of the application. I have also been retained by Frank and Diane Palillo who plan to buy the property from S. C. Chen and their check in the amount of $100.00 is attached to cover the application fee to transfer and also respectfully apply for some changes to the permit as detailed below: The requested configuration of the dock was conceived and approved in 10/5/00. Since that time: 1. Other methods of construction are emerging that allow more daylight to penetrate below the dock walkways to the water below. 2. Our concern for the mobility impaired and their special needs are better understood. The present house with most of the living space on the first floor, the almost fiat tot and the wider dock are well suited to meet these needs with some minor additions. 3. The marine life around the dock has flourished. People better informed in these matters than the writer have identified evidence of critical fish activity as indicated by the lighter cimles in the pond bottom mud near the existing pilings. Others, in the field, at the recent workshop suggested delicate marine eco-systems might suffer disruption if established pilings are disturbed. Accordingly the applicant suggests that a better solution, addressing all of the above, would be to retain the current dock support structure and replace the current floor boards with ones that permit substantially more light to reach the pond under the dock than the proposed design of 10/5/00 allowed. For instance the currently proposed 6in floor planks 6.75in OC only permit 11.1% of the daylight to reach the pond water under the dock. Their replacement with 1.5in wide planks 3in OC, or 1 .Sin wide 2.25in OC, would permit 50% and 33% of the daylight to reach the pond water below the dock respectively. This approach has the added benefit of possibly being more pleasing to the eye than some of manufactured gratings that raise the specter of an industrial image, some might deem inappropriate, in the Great Pond setting The details of our proposal are shown in the drawing, of which (3) copies are attached, Three (3) copies of the completed application ara attached for your review. I look forward to working with you on this matter, Robert Barratt Encl/Check for $100.00 and 3 copies of drawing and application Replacement deck boards _ __~_~ ........... ,] ..... ~ }[3~ Ha~ware ..... Hot dipped galvanized ~ Soundinfls ob~ on 06~25/08 - (A) 14in ~. .................... :. ,~ ~"~ =. (B) 22in ~4' ~, ' ~/ ~' (C) 27in !1 ' R O B Owner: Shiu Ching Chen ,R~ O ~ra~ 7433 Soundview Avenue, Southold, NY 11971 4255 w..~. Ra Location: LILCO Utili~ pol~ LIL6 C~o~e CHECKED NY 11935 Phone 631 875 0275 Proposed amendment to Southold trustee Pe~it Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. fi.OKI D^TE: .~ug, 30, 1999 ISSUED TO ....... RIGHARD SAN$~'VERE 2Xutl uri utimt Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893: and Chapter 404 of the L.aws of the State of New York 1952: and the Southold Town Ordinance en- titled "REGULATING AND THE PLACIN¢= OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS end the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:" and in eccordance with the Resolution of The Board adopted at a meetincj held on ..~tug· ~ 19 99 , and in consideraiion of the sum of $ 150..00 . paid by Richard Sans~vere of . . .SP~'.h.c?ld. .... N.Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees euthorizes and permits the following: Wetland Permit for a 4~X 20~ fixed dock with the condition that the existing 7' wide dock be reduced in order to comply with th, Permit and to be completed within six (6) months from the d&te of the public hearina al in accordance w~h the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by e majority of the said Board as of this date. -, , TERivtS and C-ONDITIONS The Permitter Richard Sansevere 36 Sutton Place Apt. 88, NY, NY 10022 residing at N.Y., as part of the consideration for the issuance of the Permit does understand mad prescribe to the fol- lowing: L That the said Board of Trustees and the Town of Southold are released from any and all damages, or d,lm~ for damages, of suits arising directly or indirectly ts a result of any oper- ation performed pursuant to this permit~ and the said Permitter will~ at his or he~ own expens~ defend any and ~11 such suits inlthted b~ th/rd psrties, and the said Petmittee assum~ full liability with respect thereto, to the complete exclusion of the Bo~d of Trustees of the Town of Sonthold 2. That this Permit is valid for n potiod of 6 mos. which is conside~,d to be the esfmated time required to complete the work involved, but should cltcums~nces was'rang request for an extension ma)' be made to the Board at a later date. 3. That this Permit should be retained indefhaitely, or as long as the said Permitter wi.shes to maintain the structure or project involved, to provide evidence to anyone concerned that auth- orization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating applicadolg may be r~,,-.e roi' revocation of this Permit by resolution of the said Board. 5. That ~ere will be no unreasonable interference with navigation as a result of the ~atk herein at/thotized. 6. That there shall be no interference with the fight of the publid to pass and repass along the beach between high and low water mnrks. ?. That ff fumze opecadons of the Town of Sonthold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of ~e Board of Trustees, tile work shall cause unreasonable obstruc~on to free navigation, the said Pemzltsee will be requL~ upon due notice, to remove or alter this work or project herein stated without expenses to the Towxt of Southold. 8. That the said Board will be nodfied by the Permlrtee ot the completion of the work auth- orized. 9. That the Permitter will obtain all other permits and consents d~at may be required sup- plemental to this permit which may be subject to revoke upon falin_~ to obtain same. do. 5-o~1 Dock on Great Pond Plans Sansevere, 7433 Soundview Ave. SCTM//$9-6-&1 OCT - ~, . September 27, 2000 Specifications: Decking will be 6" wide planks spaced 3/4" apart. The dock will be 20 feet in length and 4 feet wide. The original six ~[6"x 6"1 post will be removed and moved closer together to support the dock. ~ 4ft -- ~ [6"x 6" POST] ~ [FRAMEI APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD 20ft POND -- [6' WIDE DECKING- SPACING 3/4"] NON TURF BARRIER Albert J. Krupski, President James King, Vice-President Hen~, Smith Al'tie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone ~5161 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 30, 1999 Patricia C. Moore, 51020 Main Rd. Southold, NY 11971 Esq. Re: RICHARD SANS VERE SCTM#59-6-5.'1 Dear Ms. Moore: The following action was taken by the Board of Town Trustees during its regular meeting held on August 25, 1999 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of RICHARD SANS VERE applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated July 30, 1999, 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 25, 1999, 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 and, area, 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 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 RICHARD SANS VERE for a 4'X 20' fixed dock with the condition that the existing 7' wide dock be reduced in order to comply with the Permit and to be completed within six (6) months from the date of the public hearing. 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. 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/lms cc: DEC ACE Dept. of State Telephone (516) 765-18q2. Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 SOUTIIOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold To~vn Conservation Advisory, Council held Thursday August 12, 1999, the lbllowing recommendation was made: Moved by Scott Hilary, seconded by Richard Smith, it was RESOLVED to recommend to the Sou'thold Town Board of Trustees DISAPPROVAL of the Wetland Permit Application c~f RICHARD SANSOVERE 59-6-5.1 for an as-built fixed dock 7' in width. 7433 Soundview Ave, Southold The CAC recommends Disapproval and recommends removal and a fine for the violation. However, the CAC would recommend Approval to replace the original structure. Vote of Council: Ayes: All Motion Carried PATRICIA C. MOORE Attorney at Lax~ 020 Mare Road Southold, New York 11971 Tel: (516) 765-4330 Fax: (516) 765-4643 Margaret Rutkowski Secretary July 30, 1999 Southold Town Trustees President Albert Krupski Southold Town Hall 53095 Main Road Southold, NY 11971 Re: Richard Sansovere Wetland permit for fixed dock Dear PresidenE and Board members: Enclosed please find application for wetland permit in accordance with your request, together with $150 fee. As was previously discussed with the board, an existing floating dock was replaced with a fixed dock. The floasing dock had been inhabited by rats and presented a health problem. Please place this matter on your earliest Callander. V~~yours, <-~atricia C. Moore NOTICE Police Dept. - Bay Constable Town of Southold Peconic, New York 11958 NOTICE OF VIOLATION Date: ................. , 19 ..... To: (Owner or authorized agent of owner) Addre s s: .................... (Address of owne~ Please take notice the~ Town of Southold, Chapter 97 at premises hereinafter desc ~[f~2-~ ............................. ,de of the You are therefore direc~ the on or before ........... day of ................. , 19 ....... The premises to which this Notice of Violation refers are situated at: .................................................... frown of Southold, Suffolk County, N'.~. (Surf. County 1'ax f-iap Desiqnation: Dist. Section: ....... -~----Block: ........ Lot: ....... k Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine or imprisonment or both. NOTICE: You have the right to apply for a hearing before the Board of Trustees of the Town of Southold, provided that you file a written request with the Clerk of the Trustees within 10 days after service of the Notice of Violation. Such request shall have annexed thereto a copy of the Notice of Violation upon which a Hearing is requested and shall set forth the reasons why such notice of violation should be modified or rescinded,. Bay Constable, Town of Southold, NY Richard Sansevere 36 Sutton Place South New York. NY 10022 August 13, 2000 Board of Town Trustees, Town of Southold Town Hall 53095 Route 25 Southold, NY 11971-0959 Dear Board of Trustees, Enclosed please find the plans and specifications for the dock on Great Pond. The property address is 7435 Soundview Ave., Southold. Thank you for your time and attention in this matter. Sig(~Y' ./~, Richard Sansevere Dock oll (;real Pond Plans \ugusl 13. 201,0 5pccific,tlions: Decking x~ ill be {~" xx ide planks spaced 34" apart. '['he dock ~ ill be 1(I feet length and 4 feet xx icle. q he o~5~ina[ qx pV'x ~"] post and frame ~x ill be used to support the dock. 20ft [6"x 6" NON TURF B \RRIER P( )ND [6" V~qDt; DI..CKING- SPA{ 'IN; 3 4"1 GREGORY F. YAKABOSKI TOV~VN ATTORNEY JEAN W. COCHR-~d~I Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone ~516) 765-1889 Fax (5161 765-1823 OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD MEMORANDUM TO: FROM: DATE: SUBJECT: SOUTHOLD TOWN TRUSTEES GREGORY F. YAKABOSKI, ESQ., TOWN ATTORNEY ~' MARY C. WILSON, ESQ., ASSISTANT TOWN ATTORNEY DECEMBER 2, 1999 RICHARD SANSEVERE & MARLENE LA. FILES Attached please find your files concerning the above-referenced matters. Kindly provide me with a copy of the decision regarding the permit for Sansevere. GFY:ck Att. Albert J. Krupski, President James King, Vice-President HenW Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1872 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Onl¥,r'ii'! i(' . Coastal Erosion Permit Applicatio~!~,( ~-Wetland Permit Application t~{ 313[ 3 0 ~,,~,1 C__Grandfather Permit Application ~ ~ '' Waiver/Amendment/Changes ~_~ - ~ .... ~ ~ Rec-~ved Application: 7-~-~ !~W~ 0~'~!~;.~4: - ~ Received Fee:$/~O - ~ '~ -~ ~-Completed Application?'30-F? Incomplete SEQRA Classification: Type I__.Type II Unlisted y Coordination:(date sent) ~.CAC Referral Sent: ~Date of Inspection~ Receipt of CAC Report: Lead Agency Determination: Technical Review: ~Public Hearing Held:~ Resolution: JUL3 0 Name of Applicant ~;ck/,4~z-O D,~ov~ Address ~.~ ..; N'~. Suffolk County Tax Map N~ber: 1000 Property Location: (provide LILCO Pole ~, distance to cross streets, and location) AGENT: ~ ~c~ ~ C. ~oo¢~- ~' (If applicable) Address: 516Zo M,a,h (2--oad Phone: FAX%: of Trustees Application GENERAL DATA Land Area (in square feet): 6~2~T Area Zoning: ~- 90 Previous use of property: Intended use of property: 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): Boa~ ~of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: ~/~ .square feet - Percent coverage of lot: ~/A % 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 project involve excavation or filling? No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? ~/~ cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: W/A 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): 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? ~z/ No Yes If Yes, how much material will be excavated? How much material will be filled? (cubic yards) (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) ./ 4 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART i--PROJECT INFORMATION (To be comDle[ed Dy Aeplicant or P'olec~: s[Donsor) SEC 8 o 11.~[DOES ANY AS,=Er'T~ OF T%~ AC/lO/4 HAVE A CURREHTLY VALID PERMIT OR APoROVAL? ~ Yes ~r~o If '/.-. lisl agency name and ~ermHlaD0roval L the action is in the Coastal Area. and '/au are a state agency, complete the Coastal Assessment Form t~efore proceedinG ',vitt~ th~s assessment OVER NEIGHBOR LIST Richard Sansever 7433 Soundview Ave, SCTM# 1000-59-6-51 NAME Rudolf Bernstein Rudolf Bernstein and Dasy M. Folk Catherine Smith c/o Vera Reckmeyer County of Suffolk Real Property ADDRESS 128 Bellmore Street Floral Park, NY 11001 128 Bellmore SureeE Floral Park, NY 11001 6944 Grande Vista Way South South Pasadena, Fla 33707 330 Center Drive Riverhead, NY 11901 SCTM# 1000-59-6-10 1000-59-6-6 1000-59-6-5.2 1000-59-5-25 Albert J. Krupski, President James King, Vice-President Henry. Smith Artie Foster Ken Poliwoda Town ttall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765~18~2 Fax (516) 765-1823 BOARD OF TOW-NTRUSTEES TO%VNOFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) I, PATRICIA C. MOORE AFFIDAVIT OF POSTING , residing at 370 TERRY LANE SOUTHOLD, NY 11971 being duly sworn, depose and say: That on the 13TH day of AUGUST, 1999, I personally posted the property known as 7433 SOUNDVlEW AV~ SOUTHOLD~ NY 11971 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of~ ~ t~.e.~ aS,~q~ ~ing. (date of hearing noted thereon to be held Dated: 16 AUG, 1999 signature ) Sworn to before me this 16TH day of AUGUST 1999 Not&ry t~ublic -- NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: 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 subject of Environmental Review is located adjacent to your property and is described as follows: ~outHou) N.Y. It911 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment. 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: J:~I(.HA"~-~Q MAILING ADDRESS: /~,i~ r /~'t~_/,,1.¥., N.Y., PHONE #:~l~- ~?~- Enc.: Copy of sketch or plan showing proposal for your convenience. BoaI'of Trustees Application AUTHORIZATION (where the applicant is not the owner) ~'~H~ ~'. ~.~'~--~'~q/.~[ residing at (print owner of property) (mailing address) APl- ~2 ~.~.) ~.~., %00~-- do hereby authorize (Agent) ~-q~_[C~ C. ~4OO~t~ ~. to apply for permit(s) from the Southold Board of Town Trustees on my behalf. lgnarure ) Bo~ Oi Trustees ApplicationO 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 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 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 REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION~ITH REVIEW OF THIS APPLICATION. ~i~nat~/r e / SWORN TO BEFORE ME THIS ~ DAY OF ~/~ ,19~ C TRANSACTIONAb DIS~LOSUR~ PORR The Town of Southold's Code of Ethlc~ 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 ~nterss5 and al£ow it to take whatever action is accesserZ to avoid same. YOUR NAHRt 'lLset name, first name, m[dd.le ~.it{al, Unless you are 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.) NATURR OF APPLI~ATIoN~ (chock all that apply.) Tax grievance Variance Change of zone App~p~al of plat E~emption from plat or official map other ~'u~r~3~ (If "other," name the activity.) ,, Do you pefco.ally (or ~hrough your company, eponee, .ibllng, parent, or child) have a relattou.blp with any officer or employee of the Town of Southold7 'Relationship" includes by blood, marriage, or business interest. "Business interest" mean, a business, including a partnership~ in which the town officer or ~mployee has even a partial ownership of (or employment by) a corpora~ion in which the town officer or employee owns more than 5% o~ %he chares. NO If you answered 'YES,# complete ~be balance of ~ht~ form and date and nl~n where indicated. Name of person employed by the ToWn of Southold Title or position of that person Describe the relationship between yourself (the applicant) 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 applic~nt (when the applicant iS a corporation); B) the legal or b~neficial owner of any interest in s noncorporate'ent~ty (when the applica,t is not a corporation); C) an officer, director, partner, or employee of the applicant; or .D) the actual applicant. DESCRIPTION OF RELATXONS{{IP Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~'~- ~/7, DATE:. L0./~-9/97 ISSUED TO .. RICHARD..SANSEVERE Authorization Pursuant to the provisions of Chapter 615 of the laws of the State of New York, 1893; and C~pter 404 of the L~ws of tho State of New York 19!i2: and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REbtOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROId LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on 10/39/97. 19 9? , and Jn consideration of the sum of $150.00 paid by Land Use for R~CHARD SANSEVERE ......... Of , ..Southold 'f~e' Y~ end susblJdeeCt to the Terms and Conditions listed on reverse hereof, of Southold Town Trustees authorizes and permits the followincj: 'Setland Permit to reconstruct 150~ of timber retaining wall in- kindfinplace and backfill as necessary and place a 10' non-turf buffer landward of retaining wall as per revised plans dated and ~r~ceived ~10 / 29 / 9.'~ al~ m accoraance wnn the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees hare- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this dat~. · ..... Albert J. lCaupski, President John Holzapfel, Vice President Jim King Martin H. Gan'ell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 · ?c~ober 30, 1997 Land Use Corp. 2576 Sound Ave. Baiting Hollow, NY 11933 Re: RICHAI{D SANSEVERE $cTM #59-6-5.1 Dear Ms. Lachenmeyer, The following action was taken by the Board of Town Trustees during its Regular Meeting held on October 29, 1997, regarding the above matter: WHEREAS, RICHARD SANSEVER~, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated Septe_~tber 29, 1997, 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 October 29, 1997, at which time all interested persons were given an opportunity to be heard, a~d, 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 towel, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of RICHARD SANSEVERE to reconstruct 150' of timber retaining wall inkind/inplace and backfill as necessary and place a 10' non-turf buffer landward of retaining wall as per revised plans dated and received 10/29/97. BE IT FURTHER RESOLVED that this determination should not be considered a determination ~de 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 a~d the Trustees are to be notified upon completion of said project. FEES: Very truly yours, President, Board of Trustees AJK/djh cc. DEC ACE Dept. of State Bldg. Dept. PROPOSED: TIMBER WALL RECONSTRUCTION PUR~POSE: EROSION CONTROL AT: ROW OFF SOUND VIEW AVENUE SOUTHOLD~ SUFFOLK COUNTY - 'TOWN OF SOUTHOLD APPLICANT: RICHARD V. SANSEVERE PREPARED BY: LAND USE COMPANY INC. DATE: 7-21-97 / "9-Z'~-~"'/, '10-28-97 ~'[,XISTING ROCK WALL AVERAGE WATER LEVEL PROPOSED 150 LINEAR FEET OF TIMBER TIE RETAINING WALL TO BE RECON IN KIND AND PLACE )GREAT POND WIDTH OF WATERWAY APPROX, 750' +/- EXISTING FLOATING DOC~ PLAN VIEW SCALE: 1"= 30' N/F RUDOLPH BERNSTEIN & ED1TH INGE BERNSTEIN SUFFOLK COUNTY TAX MAP # 1000-5g-6-5.1 CORP. SHEET 1 OF 2 III ' Board Of Southold.Town Trustees sou Ho,D, .Ew YORK No. 6, 1 (,, DATE, ISSUED TO ................... E!GH.6._P..D S.ANS~ ERE ................ Pursuant to the provisions of Chapter 615 of the Laws of the State of New Yor~. 1893~ end Chepte~ 404 of the .1~. ws .of the · State of New York 19S2~ and the Southotd To~n Ordinance en- titled ."RE~ULATIN~ AND THE PLA~IN~ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FRONI LANDS UNDER TOWN WATERS;?: and in accordance with the Resolution of The Board adopted at a meeting held on ..~..?...t..:..~.,.. ~0.0, and in consideration of the sum of $ ...~.:.~.~. ...... paid by ~ichard ,~a;eve~e .................................................. of .. ~_.y~.o...r.~.,....~..~ ........ ; ....... N.Y. and subject to the Terms and Conddmns I~sfed on the rever~e slde hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit for additional qesspool to be added to property or to rebuild second cesspool near driveway. with the stipulation lhat the' 4'x20' fixed 'dock comply with 'the permit issued for same. ali in accordance with the detaiJed specifications as pre;anted in the odglnafing applicaf;on. IN WITNESS WHEREOF, The lald Board of Trustees here- by causes ifs Corporate Seal to be affixed, and these preseuts to be subscribed by h'majorlfy of fha said Board as of this darn. Albert J. Krupskl, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York ! ~971-0959 Telephone (631) 765-t892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 22, 2000 Mr. Richard Sansevere 36 Sutton Place South New York, New York 10022 RE: 7433 Soundview Avenue Southold, NY SCTM# 59-6-5.1 Dear Mr. Sansevere: The following action was taken by the Board of Town Trustees during a Begular Meeting, held on September 20, 2000, regarding the above matter. Richard Sansevere applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Towh of Southold, application dated August 1, 2000, 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 September 20, 2000 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 prelect 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 approved the application of RICHARD SANSEVERE for a Wetland Permit for addltonal cesspool to be added to property or to rebuild second cesspool near driveway, with the stipulation that the 4'x20' fixed dock comply with the permit issued for same. 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 project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued witin six months of the date of this notification. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two ~nspections are required and the Trustees are to be notified when project is started and on completion of s~id project. FEES: None Very truly yours, ~ Jr. President, Board of Trustees AJK/cjc cc: DEC Health Department i 10 tMm~e.~5.1 · . N ??~?o, '.~ /ii SURV[~ FL)F:: RICHARD M SANSEVERE At; SOUTHOLD Town cf: Suffolk County, r~ew 'r'ork SOUTHOLD