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Home My WebLink AboutTR-6181AAlbert J. Krupski, President James King, Vice-President Attic Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 P~oute 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 Permit No.: 6181A Date of Receipt of Application: August 2, 2005 Applicant: Crescent Beach Condominium SCTM#: 38-7-'13 Project Location: 2500 Maple Lane, Greenport Date of Resolution/Issuance: August 24, 2005 Date of Expiration: August 24, 2007 Reviewed by: Trustee Peggy Dickerson Project Description: To expand the existing deck from 16'× 69' to 20'X 69'. 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 plan approved on August 24, 2005. Special Conditions: Compliance inspection. 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. Board of Trustees G Albert J. Krupski, President James King, Vice-President Attic Foster Ken Poliwoda Peggy A. Dickerson ;2 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (6311765-1892 Fax 1631 ~ 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Onl) _ t~oastal Erosion Permit Application __ Wetland Pemfit Application ~ Administrative Permit Amendment/Transfer/Extension ~ec~ged Applica~fion: 4k~ceived Fee:$ __ C~Fpleted Application __Incomplete SEQIL{ Classification: Type I Type II Unlisted Coordination:(date sent) ~L~WRP Consistency Assessment Form i~?AC Referral _~.~Date o f Inspection: J['t'ceipt of CAC Report: ___Lead Agency Detemfination:____ Technical Review: ~.l~lblic Hearing Hel~:~ Resolution: Name of Applicant.~~7' Address ,~..~~__.~ Phone Number:( Suffolk County Tax Map Number: 1000- -~' Property Location: ~,/.,,0 (provide LILCO Pole #, distance to cross streets, and location) AGENT: ~-_.~t/~,~.~a'' /~'-/~'.~t./~'/~ ~ (If applicable) Address: ~ ~~ ~ ~-~~ of Trustees Applicat~ Land Area (in square feet):. Area Zoning:_ Previous use of property: Intended use of property: GENERAL DATA Prior permits/approvals for site improvements: Agency Date __ No prior pemfits/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 ifnecessary):.~'t,'q, o'¢.,.C~- /4' Y'~ of Trustees Applicat, WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: _square feet Percent coverage of lot: % 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 invoh'e excavation or filling? ?b/o 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 feet 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): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) SEQR 1. APPLICANT / SPONSOR 3.PROJECT LOCATION Municipality 4. PRECISE LOCATION' Street Addess and Road IntersectJon~ 2. PROJECT NAME 'County Prominent landmarks etc - or provide map IS PROPOSED ACTION: [] New [~ Expansion [] Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF ~ND AFFECTEd: 8, WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yes ~ No If n0, describe briery: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~Res,denfia, [~lndustnal [~Commercial ~---~Agriculture [--'] Park l Forest l Open Space ~} Other (descnbe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Locall IYes [] No Ii' yes, list agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~-~Yes 'No If yes, list agency name and permit / approval: 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 cor~leted by Lead A~lenc¥) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYSe, 5~. 7.J~ ~yes, coordinate the review process and use the FULL EAF. I ~3 WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617 6? If No, a negative declarabon 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) C 1. Existing air qualdy, surface or groundwater quality or quantity, noise tsvels, exislJng traffic pa~tern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2 Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources: or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlif* species, significant habitats, or threatened or endangered species? Explain bdefly: C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly: C7 it~er impacts (including changes in use of either c[uantit,/or t?'pe of energy? Explain briefly: D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (al setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (t) 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 potsntial impact of the proposed action on the environmental characteristics of the CEA. Check this box it you have identified one or more potentially large or significant adverse impacts which MAY occur Then proceed directly to file FULl EAF and/or prepare a positive declaration. Check fries box if you have determined, based on Ihe information and analysis above and any supporbng documentation, lhat the proposed acflol WILL NOT result in arly significant adverse environmental impacts AND provide, on aitachmen[s as necessary, the reasons supporting /hi: determination. Name of Lead Agency 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) Board of Trustees Application County of Suffolk State of New York o[.os[s ~ ~v~s ~AV m/sm,s ~ ~.uc~. [o~ ~}m ~o~ o~sc~ ~(s)~ ~.~ ~ s~~s co~ ~ ~ ~LL BE DONE ~ T~ MANNER SET FORTH ~ T~S ~PLICATION A~ AS MAY BE APPRO~D BY T~ SOUTHOLD TO~ BOt~ OF TRUSTEES. T~ ,~PL1C~T AG~ES TO HOLD T~ TO~ OF SOUTHOLD .~ T~ TO~ TRUSTEES H~LESS ~ F~E FROM ~Y ~ ~L D~AGES AND CEOS ~S~G U~ER OR BY VIRT~ OF SMD PE~T(S), IF G~TED. IN CO~LET~G THIS ~PLICATION, I ~BY AUTHO~E T~ ~US~ES, T~IR AGENT(S) OR ~P~SENTATI~S(S), TO EN~R ONTO MY PROPERTY TO ~SPECT T~ P~MISES ~ CON~CTION ~TH ~W OF THIS ~PLICATION signature~ SWORN TO BEFORE ME THIS 2 q 4 k DAY OF '~o I ~ ,20 O j- John M. Judge NOTARY PUBLIC, State of New Yorg No. 01JU6059400 Qualified In Suffolk County Comm~ssiorl Expires May 29, 20 ~ A D'l~O~I ZA~ION (where the applicant is not the owner) (print owner o~ property) (mailing address)' ' do hereby authorize~ (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics ~mbibits conflicts of interest on the part of town officers and emDIovees. The tmroose of this form is to provide information which can alert tile town ofpossthle conflicts of interest and allow it to take whatever action is necessan, to avoid same. YOUR NAME: ~.,,~l/_ 7" ,Z~C'~ {~O~g~'~/~ff,/'///f&~ (Last name, first name, ~iddle initial, unless you am applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or cmnpany'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 (If "Otber", name the activity.) Do yoa personally (or through )'our company, spouse, sibling, parent, or child) have a relationship with any officer or employee oftbe Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in ~ hich the town officer or employee has even a partial ownership of(or employment by) a corporation in which the town officer or employee ox,us more than 5% &the shares. YES NO If) au ansx~ered "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 shams 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 Submitte 200...4'" Signatur. d~ Print Name · Town of Southold A. INSTRUCTIONS l. All applicants for pen'nits* including Town of Southold age, :les, shal[,~[~'esttfis CCA_ for proposed actions that are subject to the Town of Southold Water i,,nt Cunsistency Review Law. Fhis assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor ~a'empt actions incfudbig Btti[dittg ?ermits and other ministerial permits not located within the Coastal Erosion []azard Area. Before answering the questions in Section C, the preparer of this £onn should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalizatkm Pro.am. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which inchides all of Southold To,wi). It' any question in Section C on this lbm~ is answered "3'es", then the proposed action may affect the ac}fievement of the L~,VRP policy standards ;:'a~d conditions contained in the consistency review law. Thus, the action should be anab~ed in mom detail and, if necessary, modified prior to rnaking a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot bc certified as consistent with the LWfCP policy standards m~d conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: ooline at the Town of Southold's website (southokltown.no~lhfork.net), the Board of Trustees Office, the Planning Depaimieot. all local libraries and the Tox~ Clerk's office· B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# The Application has beea submitted to (check appropriate response): TownBoard ~-~ Plannin~Dept. [] BaildingDept. ~-] Board of Trustees [] Category oF' Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, phmning activity, agency regulation, land transaction) (b) Finmicial assistance (e.g. gq'mit, lomb, subsidy) (c} Pemfit, approval, license, certification: Nature and extent of action: Location of action: Site acreage:_ Present land use: Present zoning classification: If an application for file proposed action has been flied with fire Town of Southold agency, the following infommtion shall be provided: (a) Name of applicant: (b) Ivlailing ad&ess: (c) Telephone number: Area Code ( )_ (d) Application number, ifany:. Will the action be directly undertaken, require fundh~g, or approval by a state or federal agency? Yes [] No ~ If)'es, which state or federal agency?_ DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use ora coastal location, and minimizes adverse effects of development. See L'WRP Section Ill -- Policies; Page 2 for evaluation criteria. Yes [-~ No .[5~. Not Applicable A~ach additional sheets if necessary Policy 2. Protect and preserve hlstorie and archaeological resources of the Tmvn of Soathold. See LSVRP Section III - Policies Pages 3 through 6 for evaluation criteria ~'~ Yes ~-~ No ~ Not Applicable ' Attach additional shee~s ifnecessae Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section Ill - 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 fi'om flooding and erosion. See LWRP Section Ill - Policies Pages 8 through 16 for evaluation criteria ~-~ Yes [-q No ~;] Not ,Applicable Aaach 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 Atlach additional sheets if necessary Policy 6. Protect and restore the quali~' and function of the Town of Southold ecosystems including Significant Coastal Fish and ~$ ildlife Habitats and wetlands. See LWRP Section II/- Policies; Pages 22 through 32 for evaluation criteria. [-~ Yes [--] No~ Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section Ill - 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~3 Not Applicable PUBLIC' COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources o[ the Toss n of Southold. See LgVRP Section II1 - Policies; Pages 38 through 46 for evaluation criteria. ~-] X~es [-~ No [~[ Not Applicable At~ach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southoid's water-dependent uses and promote siting of new water-depeudent uses in suitable locations. See LWRP Section Ill - 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 I.oug 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 il'necessary Policy 12. Protect agricultural lands in the Town of Sonthold. See ILWRP Section Ill - Policies; Pages 62 through 65 for evaluation criteria. [~] Yes ~] No[~ Not Applicable Attach additional sheels if necessac~ Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section 1II - Policies; Pages 65 through 68 for evaluation criteria. [] Yes ~ No .[~ Not Applicable Created on 5,~5.,'05 11:20 AM