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Home My WebLink AboutTR-5971AAlbert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 5971a Date of Receipt of Application: 7/30/04 Applicant: Dean/Susan Johnson SCTM#: 87-4-5 Project Location: 723 Private Rd. #12, Southold Date of Resolution/Issuance: August 18, 2004 Date of Expiration: August 18, 2006 Reviewed by: Board of Trustees Project Description: Cut Phragmites to one foot, to control growth.. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code. The issuance of the Administrative Permit allows for the operations as indicated on the attached survey prepared by John Metzger last dated Dec. 21, 1999. Special Conditions: None If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Albert J. Krupski, Jr., President Board of Trustees SURVEY OF PROPERTY AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-87-04-05 $CALg: t "~0' DEC. 21. 1999 ARlgA - lO.B1.? lq. fl. to t~ Um~ luly 27, 2004 Dean Joh~lson 9650 131st Street North Seminole, FL 35776 Dear Mr. Johnson: The Board o[Town Trustees have visited your property at Private Rd. 12, Windy Point Lane, Southold, as per your request received June 30, 2004 to clear the Phragmites. The Phragmites serves as a buffer to the creek and is protecting it from runoff, lawn chemicals and fertilizers, and providing habitat. According to Chapter 97, the Town Code of Southold Town, Wetlands and Shorelines, homeowners are required to apply to this office for any cutting of Phragmites or removal of any vegetation within 100' of the water. Enclosed is an application for your convenience. If you have any questions please call our office. Sincerely, Heather Tetrault To the Board of Town of Trustees: c/o Lauren Standish I would like to acquire permission to clear the phragmites that are encroaching my yard. My local address is Private Rd. 12, Southold, on Corey Creek It's off of Main Bayview and at the end of Windy Point Lane. I will be on my property the week of July 26-July 30. If someone would be so kind as to meet me there, so that I can show him or her damage the phragmites are doing, I would truly appreciate it. If this is not possible, I could provide pictures. Please advise me as to what should do. Thank-you. Dean P. Johnson 9650 13 lst Street North Seminole, FL, 33776 727-517-8997 (evening) 727-539-4737 (daytime) Albert J. Krupski,.Pr~sident James King, Vice-Presiden~,. Artie Foster Ken Poliwoda PeggS' A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York '11971-0959 Telephone (631) 765-1892 Fax (631 h 71~'m~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~e~,~ .astal Erosion permit Application ~"Wetland Permit Application · Major __ Mtn -- Waiver, AmendmenvChanges · .-t~c e~v~d Application:~q. ~.)~ceivedFee:$ ~3~ . ~(C_ ompleted ApplicatiOn r]_~Lh! ~ __Incomplete __SEQRA Classilication: Type I___Type ti Unlisted Coordination:(date sent) ~G~AC Referral Sent: ~ ~ ~zl~at e of Inspection:~L~ Receipt of CAC Report: Lead Agency Determination:____ __~ubhnical Review:-----v,~trerr~ Itc Hearing Held:gl [ ~ [ ~H _ Resolution: Name of Applicant Address (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): ][ ~ cS I ~ Area Zoning:_ ~ ";~. ,.~ -~' .-~, ,~ ~, Previous use of property: Intended use of property: Prior permits/approvals for site ~mprovements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspende/~, by a governmental agency? ~,/ No Yes If yes, provide explanation: Project Description (use attachments if necessary.): ........".. ~ ,..~--- . . Boa~~ of Trustees Application :.~.\ji. 0.;"" WETLANDITRUSTEE LANDS APPLICA nON DATA Purpose of the proposed operations: (l-^-^-.\- '\ I -\-c ' ,",. L~ 1\ ' i.1 ' (X.'\TV (; \3('0 w~ Y--.. ~l (2 'rc.(:;.. rn I -t.E' ~ de, ~:r-.. ,j I .'V\ p~rcve V" €t.v ,tv Area of wetlands on lot: S;Y [ D square feet o-ffJ'." Percent coverage of lot: -=-s- % Closest distance between nearest existing structure and upland '- edge of wetlands: I~ feet Closest distance between)learest proposed structure and upland edge of wetlands: A fr feet Does the project involve excavation or filling? ,// " (// No -.... Yes If yes, how much material will be excavated? 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: c. v.-\- . \. ,\-0 \ ~, \ "'K'k \J .~ 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): .~\ <; \..0', \\ ,,-c\- ~'e % I ~\--\~ C~. *' 6c~ - {~ iL. Ef.e,c~ \ .-"'- 1...,':'t~J..sL\rs . ~ PROJECT ID NUMBER =ART 1 - PROJECT INFORMATION APPL{CANT~SPONSOR SEQR 3.PROJECT LOCATION. F~i~ ~;)r'~ V~1~ I~.~,-tN ~..-~ 617 2O APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be cornpleted by Applicant or Project Sponsor) 2 PROJECT NAME Municipality c7~ ~-¥~:., I<~ County ~,.-*.( ('c, ~. ti_ PRECISE LOCATION: Street Addess and Road intersections. Prominent landmarks otc -or [~rovide ma[~ 6 DESCRIBE PROJECT BRIEFLY' , ', '\ ~' ~ ' .) 7. AMOUNT OF LAND AFFECTED: IniUalty acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? F--lYes [] No If no, descdbe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.} 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E~Yes r~No I~ yes, list agency name and permit / approval: 11.C)OES ANy ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes ~No if yes, llst agency name and permit / approval: I CERTIFY THAT THE INFORMATION PROVIDED ABOVE tS TRUE TO THE BEST OF MY KNOWLEDGE Applicaot / Sponsor Name .~ Date: ¢ Signature · ~.~.~, ~ { ~J- .~,~.~¢~"-'- ~ - / If the action ~s 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~enc¥~ A. DOES ACTION EXCEED ANY TYPE I THRESHOLD iN 6 NYCRR. PART 617.47 If yes, coordinate the review process and use the FULL EAF. ~'-~ Yes []No B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617 6? If No, a negative aeclaration 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 quality, surface or groundwater quaJi~y or quantgy, noise levels, existing traffic pattern, solid waste production or d~sposal. potan~ial for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic. agdcohum~, archaeological, historic, or other natural or cufiu[al resources; or community or neighborhood charactar'~ Explain briefly: C3. Vegetation or i~auna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community;S existing phons or goals as efficia'lty adopied, or a change in use or intensity of use et land or other naturai resou"rces7 Explain briefly C5. Growth, subsequent development, or i:eiated activities flkel~ to be induced by the proposed action? Explain bdefiy: CS. Loog term short term cumulative or other effecl* not ~denlified m Ct C57 ~xpl~in b~iofiy: ' ' C 7. Othe,' irnp~c!s !!a~tadi~g 0?~c~e$ !? ~$? or e!th~r ~u~nt[t¥ or typ~ of e~er~y? ExpPain briefi¥'. D. VVILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA~CEA~? ~tt~ves, ex~la[nbdefl~/! _ E. IS THERE, OR iS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ti [/es ex~olain: Yes r--INoi ......... PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency} INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubst~ntia~arge~imp~rtant~r~therWisesignit~cant- Each effect shouJd be assessed in connection with its {a) setting (i.e. urban or rural); (bi probabiffiy of occurring; (c) duration; (d} irreversibility; (e) geographic scope; and (~ magnitude. Jf necessary, add attachments or reference supporting materials. Ensure that expJanations contain su~cien~detai~t~sh~wthata~re~evantadverseimpactshavebee~ide~t~iedandadequate~yaddressed~ If question d of part ii was checked yes, the determination of significance must eva)uate the poteetialimpact 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 directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined, ~ased on the information and analysis above and any supporting documentation, that the proposed scflor WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi., determination. Name of Lead Agency Date Title of Responsible Officer Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer 0[ different ~rom responsible officer] Board of Trustees Application County of Suttblk State of New York SU~-~ I~..~'~okv~se4~ BEING DULY SWORN DEPOSES A~ ~F~{S THAT ~/S~ IS T~ ~PLIC~T FOR T~ ~0~ DESC~BED PE~IT(S) ~ T~T ~L STATE~NTS CONT.~D TR~ TO T~ BEST OF ~S~R ~OWLEDGE A~ BEL~F, ~ T~T ALL WO~ WILL BE DO~ ~ T}~ M~R SET FORTH ~ T~S ~PLICATION ~ AS MAY BE ~PROVED BY T~ SOUTHOLD TO~ BO~ OF TRUSTEES, T~ APPLIC~T AG~ES TO HOLD T~ TO~ OF SOUTHOLD ~ T~ TOWN TRUSTEES H~LESS A~ F~E FROM ~ ~ ~L D~AGES ~ CL~S ~SING ~DEK OR BY VIRT~ OF S~ PE~T(S), IF G~TED. ~ CO~LETING THIS ~PLICATION, 1 ~BY AUTHO~E T~ ~US~ES. T~ AGENT(S) OR ~P~SENTATI~S(S), TO E~R ONTO ~ PROPERTY TO ~SPECT T~ P~MISES IN CON~CTION ~TH ~W OF THIS ~PL[CATION //~ Signature SWORN TO BEFO~ ~/HIS ~ DAYOF ~U~ ,200~ Notary Pub'll'c'~- ~ PUBLIC,State of New Ym~ No. 01D04634870 O~r~lifl~ in Suffolk Count_ -- ,. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The To~a of Southold's Code of Ethics orohibits conflicts of interest on the Da~ of town officers and employees. The ouroose of thi~ form is to provide information which can ~Jer~ thc town of possible conffic~ oflmcmst and allow it to take whatever action is YOURNAME: ,'_'~'C.~ ¥'t(%",~L ('} . ,,_~,~.%c,~t (Last name, first name, middle initial, unless you arc applying in the atone of pemon's or company's name.) NAME OF APPLICATION: (Check all {hat apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Ewsion Approval of plat Mooring Exemptioo from plat or official map _ Planning Other ({£"Other", name the activity. I ¢~ ~'-~, ~ ~:, C.~,,j- Do you personally (or through your company, spouse, sibling, parent, or child) have a mlafionsMp with any officer or employee of the Town of Southold? "Relatiunship" includes by blood, nlarriage, or business interest. "Business interest" means a business, including a partnership, in which the town off~cer 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 If you answered "YES", complete the balance of this form and date and sign where Ladicated. Name of person employed by the Town of Southold Title or position of that person Descri~ the relationship hetween yourself(the applicant/agenffrepreseotative) and the town officer or employee. Either check the appropriate line A} through D) and/or descdhe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __Al the owner of greater than 5% of the shares of the corporate stock of the applicant (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 I Submitted this Signature Print Name