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Home My WebLink AboutTR-6006Albert J. Krupski, Presi~ 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 (631) 765-1892 Fax (631) 765-1366 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. Board Of $outhold 'Town Trustees SOUTHOLD. NEW YORK PERMIT NO....(:~(~0.~::~ .... A ut'horizatiou Pursuant fo fha provisions of Chapter 615 of fl~e Laws of the State of New Yor~, 1893; and Chapter ~ of fha ~v~ of fha State of New Yore 1952= and fha Sodhold To~n O~mance en- 1~ed .'~U~TIN~ AND THE P~CIN~-OF OBS~RUC[~S IN AND ON TOWN WATERS AND PUBLIC ~DS and REUOVAL OF SAND, ~VEL-OR O~ER UA~IALS.F~ ~NDS .UNDER TOWN WA~RS:~. and in acc~an~ with Resol~ion of ~e Board adopted at a meeting held o~ ..~.~.~..:~.~ .... .~.0.f....., and in consideration of fha sum of $...~.~.~..~.~ ........ pa~d by ..................... ~.~..~..J0 ~.. Ni~ ............................................. ~ ........... : .......... of ~. .............. ~.~ ............................................... N. Y. ,nd subject fo ihe ~erms end ~ndifi~s lisied on the ~veme ride ~r~f, :.of ~hdd Town T~ees ~dhodzes ~nd permJ~ t~ fo~o~ng:' ~nd Pe~ to co~ a 3' x 60' c~k 2~' above the m~h, w~h steps to the ~, a's~ke and p~ey 20' p~t the dock, w~h the length of the c~k not t~ go beyond 8' p~ edge o~ the dock, and r~ove th~ d~ad .~e~ ~ ~ de~i~ed o~ t~ in ~orda~ ~h the deta~ sp~f,~s as P~n.~e ~g~flng ap~fi~, sub~e~ to the T~te~ on 0~. 20 ' 2004. ,.' IN W~S WHERe, ~e ~id ~d bf Tm~ees ~- ,ub~d b~ ~'~im~ of fha sdd ~d as of ~is def~. .Peg. gy. Dickinson (nmi) Michael and.Joann Nickich t. That the ~id Board o/Tnat~ ~1 d~e Town ~ r~thold ate relem:d trom ~? mci ·nlth mp~ d~.o~ ~o .d~-'~?~r~ete',~,~s~o~ of the tlsaxrd o~ Tmsv~ o~ the Tow~ o~ 8oud~d Albert J. Krupski, President James King, Vice-President .4xt ie 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 22, 2004 Michael and Joann Nickich 4297 Wells Road Peconic, NY 11958 RE: 4297 WELLS RD, PECONIC SCTM # 86-1-9.5 Dear Mr. And Mrs. Nickich: The Board of Town Trustees took the following action during its regular meeting held on Wednesday September 22, 2004, regarding the above matter: WHEREAS, MICHAEL AND JOANN NICKICH 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 August 30, 2004, 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 22, 2004, 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, 2 WHEREAS, the Board has deter, mined that the project as proposed will not affect the health, safety and general welfare of the people of the town, RESOLVED, that the Board of Trustees approve the application MICHAEL AND JOANN NI(;KICH to construct a 3' x 60' catwalk 2 ¼ feet above the wetland grasses, With steps to the water, a stake and pulley system 20' past the edge of the dock, with the length of the catwalk not to go beyond 8' past the edge of the marsh, and remove the dead tree, and all as depicted on the plan submitted to the Trustee office on October 20, 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.) This is not a determination from any other agency. Fees: $50.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJKJhct Albert J. Krupski, President James King. Vice-President Artie Foster Ken Poliwoda Peg~, A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 SouthoId, New York 11971-0959 Telephone (631) 765-1892 Fax ~631) 765-1366 BOARD OF TOWN TRUSTEES TOVTN OF SOUTHOLD TO: c~t ~* DOJJ nn Please be advised that your application dated ~,) reviewed by this Board at the regular meeting of. following action was taken: has been and the ( -.,"~Application Approved (see below) ( )Application Denied (see below) ( )Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $~0 L?~ SIGNED: PRESIDENT, BOARD OF TRUSTEES Telephone (63 l) 765-1892 Town Hall 53095 Route 25 P.O. Box I 179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, September 14, 2004, the following recommendation was made: Moved by William Cook, seconded by Don Wilder, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of MICHAEL & JOANN NICKICH to construct a 4'X 68' catwalk, 2 W X 12' ramp and 6'X 20' floating dock, and create an access path to the docking facility. Located: 4297 Wells Rd., Peconic. SCTM#86-1-9.5 The CAC recommends Approval of the application with the Condition the access path to the ramp is a natural path. Vote of Council: Ayes: All Motion Carried Alb.ert J. Krupski, President James I/ting, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Applicatio~ 1~ Wetland Permit Application ,,~Major · __ Waiver/Amendmept/Changes .-"Received Application: <~J.~O 4Ceceived Fee:$ ~-.Completed Application ~_ !00 __Incomplete __SEQKA Classification: Type I Type II Unlisted __Coordinafion:(date sent) ZAC Referral Sent: o.~ ~.~Date of Inspection: __Receipt of CAC Report: __Lead Agency Determination: Technical Review: ~_ ublic Hearing Held: Resolution: Minor AUG 3 o 2004 $oulhold Town Board of Trustees Address q AGENT: (If applicable) Phone Number:( ) g~] - 7 Suffolk County Tax Map Number: 1000- ~ mropertyLocation: ~Md t>~' laf£l/ r ~l~_ -- (provide LILCO Pole #, distance to cross streets, and location) Address: Phone: OBoard of Trustees Applic~ GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: . Prior permits/approvals for site improvements: No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspen.ded by a governmental agency? ~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): /'~ ~oard of Trustees Applicatio~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: Percent coverage of lot: square feet Closest distance between nearest existing structure and upland edge of wetlands: / ¢~ feet Closest distance between~arest proposed structure and upland edge of wetlands: /~ feet Does the project involve excavation or filling? d No Yes If yes, how much material will be excavated? N/~ cubic yards How much material will be filled? ff~]/~r cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the ~rea of operations: feet 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): 617.20 SEQR PROJECT ID NUMBER 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 I SPONSOR 3.PROJECT LOCATION: ~.. ~'7 Municipality ,t~C~A/i C Coun~ ~ 4 PRECISE LOCATION: SEeet Addess a~ R~d Inlerse~ons, Pmminenl landmass etc -or orovide map 5. ~S PROPOSE9 ACT~O : ~Nsw ~ Expans~n ~ ~o~i~caaon/a~maon 6.9ESCRIBE PROJECT 7. AMOUNT OF ~ND A :FECTED: Initially acres Ulamately acres 8. ~LL PROPOSED ACTION COMPLY ~TH ~ISTING ZONING OR OTHER RESTRICTIONS? ~ ~ No If no, descri~ bdefly: 9. W IS PRESENT ~ND USE IN VIClNI~ OF PROJECT? (Ch~se as many as apply.) ~dentJal ~lndus~al ~Commerc~al ~Agriculture ~Park/FomstlOpenSpace ~Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTI~TELY FROM ANY OTHER GOVERNMENTAL A~ CY (F~U~,~, St~t* or Lo~) ~ ~EC ~ ~ ~ ~ F ~. ~es ~ No If yes, list agency name and pe~ / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTL~ VALID PERMIT OR APPROVAL? ~Yes ~ ff yes, list agency name and permit / approval: 12. AS A RESU~ OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ~ CERTIFY THAT TH~ INFORMATION PROVIDED ABOVE I~ TRUE TO THE BEST OF MY KNOWLEDGE Date: Applicant I Sponsor Name __ -- 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 A~lenc¥) A. DOES ACTION EX ED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF. [~Yes ~0 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, r---1 Yes [)No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, poterltial for erosion, drainage or flooding problems? Explain bdefly: C2 A~sthetlc.agri¢u~tura~'archae~glcal.h~st~ric~r~thernatura~rcu~tum~r~$~ur~*;~r¢~mmunity~rneighb~rh~dchara¢ter?F~p~alnb~y: C3 C4 C5 C6. Vegetation o~' fauna, fish, shellfish or wildlife species, significant h~bitats, or threatened or endangered species? Explain briefly: A communiys ~Kisting plans or go~ls ~$ officially ~dopted, or 8 change i~ use or inJe~ib/ot use of laad ar other natursI rehouses? E×plsin bdefly' Growth, subsequent development, or related activities likely to be induced bi the proposed action? Explain briefly: Long term, short-term, cumulative, or other effects not identified in C 1-C57 Explain bdefiy: C7. Other impacts tincludin~ changes in use of either (]uanti~ 0,: t~pe of ~r~er~}/?" ~x'plain briefl}: D. WILL THE PROJECT HAVE AN iMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREAICEAI? Ill}es' explain briefi}: E. IS THERE, OR IS THERE LIKELY TO BE. CONTROVERSY RELATED TO POTENTIAL ADVERSE ENV'RONMENTAL IMPACTS? If}es exp)ain: r-l es PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, impotent 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. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur Then proceed direclly Io the FULL EAF and/or prepare a positive declaration. Check this box if yeu have determined, based on the information and analysis above and any supporting documentation, Ihat the proposed acfior WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting 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) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK .O' e]~ & ~ / .~,4 c_~ ~/~, residing at /-//~- q 7' ~2~//.~ AOX/ C o ~ t c ~?)///~'~-~, being duly sworn, deposes and says that on the day 6t~ Oae Z:r/e,,~.~er;, 200¥, deponent mailed a tree copy of the Notice set forth, in the Board o~ 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 T%wn of Southold; that said Notices were mailed at the United States Post Office at/9~o co~a ~c__, ,I/ , ~ , that said Notices were mailed to each of said persons by (certified) (registered)~mail. t Sworn to befo ~e this Day of~_~ L- ,20~-- Albert J. Krupski, President James tGng, Vice-President Artie 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, //~! C~/~ t//~/(-~(~ residingat ~ 7 ~-//~ ~/ being duly sworn, depose ~d say: That on the ~ day of 5e~ee00 ~ I personally posted the prope~y ~o~ ~ by placing the Bo~d df Trustees ~fficial poster where it c~ e~ily be seen, ~d that I have checked to be sure the poster has remained in place for ei~t days prior to the date of the public he~ng. Date of he~ng noted thereon to be held . .~ Dated: 09-03-04 la:al JOHN6TOI Albert J. Krupski, President James King, Vice-President Attic Foster Ken Paliwoda Peggy A. Dickerson OFFICE ID=017345891 P.02 Town Hall 5~095 P~c~ te P,O- Box 11',9 Southold, .New York 119T !-0559 Telephone 63! 765-1~92 Fax :63!.- 765-1366 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTItOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, d~ose s : That on the .:1 day of $~/~,'~,,100 .~ I personally post~ the property knm~m a~ by plac~g ~e Bo~d ofT~mes ~ffici~ poser whe% it c~ ~ily b~ s~n, ~d ~at 1 have ch~k~ to be sure the poster h~ rem~ned in place for ei~t ~ prior to ~e ~te of~e puhSc he~g. Date of he~ng noted ~g~n to be held . , ~~ SWOrn to 1 ID=I17345891 P.OI PROOF OF MAILING OF NOTICE ATTACIt CERTIFIED MA. ti. RECEIPTS Address: STATE OF NEW YORK COUNTY OF SUFFOLK '/2~ C ~ a ~ :. ~ ~//?~, ~m~ duly sworn deposes ~d sa~ fl~al ~n ~e day o~~ 20~ d~nent mml~ a ~e copy of ~e. ouce s~ fo~ in ~e Bo~d of Tmst~s Applicatio~ dk~ted to ~h of ~e above n~ p~ons at thc ~s~ set opposite ~e r~p~tive ~cs; ~t ~c ad~ess~ set o~osite ~e n~ ofs~d p~om ae ~e ~ess ofs~d pe~ ~ sho~m on ~ c~ent ~sment.roll of ~e To~ of Sou~old; ~t s~d Nofi~ were ~1~ at ~e L'nit~ S~ Post Offic~ at ~ cn~ ~c-. ~, ~ ~ ~at s~d Notic~ w~e m~led to ~h of ~d ~ bF" (certified) (rcgist~ed)~rfiail. ~ Sworn to ~be[~ me this ,-- _ TNollryPublic NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: YOU ~ HE.BY GWEN NOTICE: 1. ~at it is the intention of~e ~dersi~ed to request a Pe~it from the Bo~d of Trustees 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows 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: ~tT.q~, .LZ. Loo ~t . 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. MAILING ADDRESS: ¥.Z- q7. M£Z[--J ~,tl-c/ Enc: Copy of sketch or plan showing proposal for your convenience. County of Suffolk State of New York Board of Trustees Application 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), I1: GRANTED. IN COMPLETING THIS APPLICATION, [ 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. SWORN TO BEFORE ME THIS DAY OF /~l;ffv57 ,20 gg/'/- APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM T~e Town of Southold's Code of Ethics orohibils conflicts of interest on the o~ of town officers and emolovees. The vuroose of this form is to provide information which can alert the town of anssibie conflicts of interest and allow it to mice whatever action is necessary ~ avoid same.. (Last name, first name, ~alddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other l~rann'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 Moodng Exemption from plat or official map Planning Other (If"Other-, name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee ot the Town of Southold? "Relationship" includes by blood, marriage or business interest "Business interest" means a business, including a pa~nership, in which the town officer or employee has eve n a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% of the shrr3es. / YES NO It// If you ansxvered "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 yourscff (the applicant/age n~/represent ativc) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when thc 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, panner, or employee of the applicant; or __.D) thc actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this ~daycj.f/Z)/,)~'~,f~r-~, 20,0 cz/ ~ f PrintName./f]'~ff,.~_~'/ /~Zzct~.tf~ cz ~7~1~,o~ //tc~'<',c~ MICHAEL AND JOANN NICKICH 4297 Wells Road Richmond Creek Farm Peconic, NY 11958 August 30, 2004 Board of Town Trustees Town of Southold PO Box 1179 Southold, NY 11971 RE: Wetland Permit Application Tax Map No. 1000-86-01-9.5 Dear Trustees: We are attaching an application requesting your permission and approval to construct a private dock at our residence at 4297 Wells Koad, Peconic, NY, Town of Southold. Please note that although we have attached drawings to the application, we are willing to consider any appropriate modifications that you or 5,our staffmight suggest. We would appreciate the opportunity to discuss our application with one of your field agents and may be contacted at 631-734-8060. Thanking you in advance, we are Yours very truly, Michael Nickich o~An~ Nickic~h