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HomeMy WebLinkAboutWeild, DavidAlbert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095MainRoad P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18,~2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Onl] Coastal Erosion Permit Applicatio! ~--Wetland Permit Application __Grandfather Permit Application Waiver/Amendment/Changes ~Re~-ived Application: ~Received Fee:$/_~O - ~Completed Appli6ation . Incomplete . SEQRA Classification: Type I ~ype II ~ Unlisted Coordination:(date sent) ~CAC Referral Sent: ~_Date of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: ~-Public Hearing Held:~$--~ Resolution: T_OWN OF SOl ITl-lnl n Name of Applicant ~U%~i) ~uk/"~__..%! _Ti) Suffolk County Tax Map Number: 1000 - Property Location: ~0450 licit9 (proVide LILCO Pole #, distance to cross streets, and location) (If applicab'le) ' of Trustees Application Land Area (in square Area Zoning: ~'40 Previous use of property:~%~T~ Intended use of property:~_~)~_~4T~ GENERAL DATA feet): I0"~ [~ 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 Has any permit/approval ever been revoked or suspended by a governmental agency?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): BoaI:of Trustees Application WETLAND/TRUSTeE LANDS APPLICATION DATA Purpose of the proposed operations: ~O~,~Od.T~o~ ~, Area of wetlands on lot: ~ |C:~I,Q square feet Percent coverage of lot: 5Xl~T. edgeCl°seStof wetlands:distance betw~neareStfeeteXisting structure and upland Closest distance between nearest proposed structure and upland edge of wetlands: ~ feet involve excavation or filling? Yes Does the project No If yes, how much material will be excavated? How much material will be filled? ~0 5 cubic yards cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations:~:~ ~ID Manner in which material will be removed or deposited: ~ Statement of the effect, if any. on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): 3 617.21 .,. Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) SEC 1 . APPLICANT /SPONSOR 3. PROJECT LOCATION: Municipality ~ O ~,.)T t'IL~ L.~ '[~:~ Coumy $. IS PROPOSED ACTION: ,.l~' N e w [] E.R3ans~on [] 6. DESCRIBE PROJECT BRIEFLY: t J Inflialry acres Ultimately O' ~ acres 8. [] Yes Z_~.~'('o If NO, describe brtetly ZONING OR OTHER EXISTING LANO USS RESTRICTIONS? WILL PROPOSED CTION COMPLY WiTH EXISTING 9. WHAT IS PRESENT LAND USE iN ViC N TY OF PROJECT? '~[:Residentlal r-],!ndustrf~l ~ Commercial Describe: [] Agriculture ~--~ParklForestlOoen Space ~-~Other 10. 11. 12. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY PROM ANY OTHER GOVERNMENTAL AGENCY (FSDERAL, STATE OR LOCAl.)? [] No If yes. list agency(sD and petmitla~3prOval$ 9~-~A-LTLt~J.T OF F_~,vIIZ.c,~4HF_.j,.tTAL, C.~,E;L.VATIOM DOES ANY ASPA. BP~.ECT OF THE ACTIOt,I HAVE A CURRENTLY VALID PERMIT OR APPROVAL'~. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MOOIFICATION9 I CERTIFY THAT THE ~NFORMATION PROVIDED ABOVE iS TRUE TO THE SES3~ OF MY KNOWLEDGE If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this a.~essment OVER 1 Boa~f Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: ~OC~ION Are wetlands present within 75 feet of the proposed-activity? No ~ Yes Does the project involve excavation or filling? No ~ Yes If Yes, how much material will be excavated? ~ (c~ic yards) How much material will be filled? ~0 5 (cubic yards) Manner in which material will be removed or deposited:~ Describe the nature and extent of the enviro~ental impacts reason~ly anticipated resulting from ~plementation of the project as proposed. (Use attac~ents if necessary) 4 Bo~ of Trustees Application County of Suffolk State of New York q~v~lD ~A/~1%~ BEING DUL~ sw0~ TRUE TO ~E BEST OF ~IS/HER ~OWLEDGE MD BELIEF, ~m mT ALL WO~ WILL BE DONE IN ~E ~ER SET FOR~ IN ~IS APPLICATION ~D AS ~Y BE APPROVED BY ~E SO--OLD TO~ BO~ OF ~USTEES. THE APPLIC~ AG~ES TO HO~ ~E TO~ OF SO~O~ ~ ~E TO~ TRUSTEES ~LESS ~ ~E FROM ~ ~ ~L D~GES ~D C~I~ ~ISING ~ER OR BY VIR~E OF SAID PE~IT(S), IF G~TED. IN COMPLETING ~IS APPLICATION, I HEREBY A~HORIZE THE TRUSTEES, THEIR AG~T(S) OR ~P~S~ATIVES(S), TO ENTER O~ ~ PROP~ TO INSPECT ~E PRaiSES IN CONJ~CTION WI~ R~IEW OF ~IS APPLICATION. SWORN TO BEFORE ME THIS ry Lblic LOUISE £~. ROBERI'$ DAY Oj /~~ Bo~ of Trustees Application AUTHORIZAT£ON (where the applicant is not the owner) (print owner of property) residing at4~ ~11~/~40y (mailing address) ~-~. HA~40~-:~_~ ~0~do hereby authorize~ ~0~ ~QUpM, ( Agent ) k~ A~A~ ,~ ~~.h.~.,~o a?ply for pertain'is) from the Southold Board of Town Trustees on my behalf. (Owner's signature) ~ PART II--ENVIRONMENT NT (To be compleled by Agenc~ O. I$ THERE, OR IS THERE LII(EL¥ TO 0E. CONTROVERSY RE[-ATED TO POTENTIAL AOVERSE ENVIRONMENTAL IMPACTS? ~ Yes [] NO tf Yes. eXl~lain briefly 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 signiflc~ Each effect should be assessed in connection with its (a) setting (l.e. urban or rural); (b) probability of occo?~-J41g; (c) duration; irreversibility; (e) geographic scope; and (f) magnitude. If necessa~, add attachments or reference supporting materials. Ensure ti explanations contain sufficient de,ail to show that all relevant adverse impacts have been Identified and adequately addressed. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL 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, Ihat the pro!~osed action WILL NOT result in_~ny significant adverse environmental impacts AND ~rovide on attachments as necessary, the reasons supporting this determination: 2 TRANSACTIONAL DI~CLOSURR FORH -' The Town of Soubhold's Code o£ ~.bhics prohibits con~licts, o~ interest on the part of town officers and employees. The purpose of this form Is to provide information which can alert the town of possible conflicts of interest and allo~ it to take whatever action is necessary to avoid same~ { aec name, first name, midd.le initial, 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 compsny*s name.) NATUR~ OF APP~ICATioN~ (check all ~ha{'apply;') Tax grievance Variance Change of ~one Apples! o~ Exemption ~tom p~a~ o~ oEE~a~ map o~her (I~ "O~het," name ~he activity,) ~~ ...... ~mploy~ o~ th~ Town og ~outhold? 'R~la~ton~hip- includes by blood, narria~s, or busin~n{ interest. in~r~s~' m~ann n business, l,uludin~ a partnership, in which ~h~ town officer or ~mploy~ has ~v~n a ovn~rship of (or ~mploym~n~ by} a corporation in which th~ ~own o[[ic~r or ~mpi0y~ own~ mo~ than 5~ o~ ~h~ Ir you anevere~ .lr85,#. complete the balance OE thte l~orm and date and sign where indicated. Name of person employed by the ToWn of 5outhoid Title or position of that person Describe the relationship between yourself (the appliuant) and the town officer or employee. Either cheek the appropriate line A) through D) and/or deecribe in the epace provided. The town officer or employee or his or her epouse,' sibl{ng, parent, or child is (check all that apply), A) the owner of grea~er than 9% of the shares of the' corporate stock o£ the applicant (when the applicant' ia a oorporation)t __.B) the legal or b~neficial owner o~ any i~teree~ in a n oncorporate entity (when the applicant is not a corporation)/ ~) an officer, director, partner, or employee o~ the applican~/ or D) the actual applicant. D~SCRIPTION OF R~LATIONSIIIP submitted · Print ns Telephone (516) 765-1892 Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, May 24, 1999 the following recommendation was made: Moved by Bret Hedges, seconded by Scott Hilary, it was RESOLVED to TABLE the Wetland Permit Application (-(-(-(-(-(-(-(-(-(~A¥11) WEn,l) 116-6-5 to install a swimming pool 39'X 21' and YX 5' in depth, a 10' in diameter spa with a decorative waterfall attached to pool, and a patio around pool with landscaping. 10450 New Suffolk Ave., Cutchogue The CAC Tabled the application because the proposed structure was not staked. Vote of Council: Ayes: All Motion Carried LANDSCAPE ARCHITECTS T PJ~9 ~ IOWN OF n,:'C i' DEVELOPMENTSTRATEGIST~ AGAWAM STUDIO 33 MAIN STREET, SOUTHAMPTON, B.Y.11968 (516) 283-1131 FAX 283-6677 TRANSMITTAL LETTER Date: April 6, 1999 Project: Weild Property Cutchogue, N.Y. Albert J. Krupski, President Board of Town Trustees Town of Southold Enclosed please find the following: · Application for permit · 3 copies of survey · 3 sets plans including Preliminary Plan with location map and Section through swimming pool · Pictures of site · Fee $250 Comments: Sent by: Please feel free to contact our office with any questions. Silvia Kutchoukova Associate Landscape Architect Copies To: AMERICAN SOCIETY OF LANDSCAPE ARCHITECTS WEILDTRNM4 5 SAVE DATE 04/06/99 1!6 ~E' $1D~NGE £F.K.E. +-iO.O0 DWN. BT PROPOSED P~OPOEED GUT: 82 G.Y. PI~OJEGT LIMIT LINE MATBALE5, FENGE RIP ~EGTION A-A' TMRU SWIMMING POOL 5GALE - 1' = 10'-0' WEIL~ E~E $tDENC, E C, UTC, MOGLJE. N.Y. .N/F TEST MOLE EXISTING VEGETAT}ON TO REMAIN PROJECT LiMiT LiNE SHORE LiNE MEAN LOW WATER TIMBER I~ULKhIEAD TOP OF WALL EL +50 RiP RAPCSTONE) APPROXIMATE QUANTITT OF FiLL REQUIRED TO RAISD GRADE AS SHOWN - 1E~7 C.Y. APPROXIMATE QUANTfTT OF GUT FOR THE CONSTRUCTION Off THE POOL - DRCId CF.P ' PORe / / / / / / k CRD. CS, D , COP. ELEV. 4-8G' / MYDRAUL/C POOL EXCAVATION 8,2 \ PROPOSED FrLLC$87 G C105 C ~. OF BANK RUN x,~TO. [~E D~IxVE~ED TO 51TE) LIMIT QF EXISTING WETLANDS VEGETATION PROJECT LIMIT FENCE WITH P'ATtSALES E TL'AN, D S V G TAT ON 3.5]..qcl +10 0'3 'WALK', PHOTO 4, POOL SPA ,'FALL ENTRY COURT LG~AVEL) k ,/ ' ' EXISTING VEGETATION TO REMAIN / /' / / VICINITY'MAP FROM CUTCHOGUE' STREET' MAP: tTIMOTM'f A RUMPM R.L.A. [ N.Y,5. LIC NO &52 WEILD SCALE 1"=10' TEST HOLE DATA SITE DATA OWNEF~: ZONrNO SITE PLAN TAKEN AND SiTE PELHAM MANOR. N T 1~0803, TEL: q14-755-27G4 LOW-DENSfTT RESIDENTIAL PROM CURVET PREPARED ~ODE~IGK VAN TUTL, EXISTING C©NTOURS PROPOSED CONTOUR POOL FENCE PROPERTY LINE ELIMINA ¥ PLAN ' 1'=10' TAR S74"29~40"W . MEADOW : CERTIF~IED TO: ,,% · * THE SEV£N:CO~/i~.~'S 'AI~D DJS~i~C~S SHOWN, ALONO B~WNS CREEK ARE ~EE~ ' ,INES.,ONL~%: