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Home My WebLink AboutTR-6184 TERMS and CONDI11QNS ne 1Umic.uc Brian McGinn ~ at 645 Wateredge Way. Southold '... N. Y., as c.;~ the cOl1SidetalÍoa for the .....~ of the PCrmk docs uø&øc:aod and ~ to the foi- l. Tbat the saidØoud of Trustees and the Tqwn of Soud1oId ate rd~ from any and all cIamages, or claims for cIamages, of IUlts arlsiøg. cIitectIy or ~y as .. ~ of any oper- adoo pedoaned panliant·'(O.ÜIIs.pcø;oir. ~ the ptd ~~ ,~. at Ids or bee own ar-e. defend any and all $UCb 1Ults·nltl·œd by ddtd t'uda, and the aid PcrmIt1ee ........... fullllabl1ity with tcipect thereto, to ·th~pIete exctusioo of the Board of T~ of the Town of ~ 2. That this Fennk Is ~d for.. period of 24 ØIIOS. .,.¡,¡œ. Is ~ to be the estimated time· requited II) complete the _rk InYObcd, ....t 'ihoaJ.d cirøui!$t:anœs wuraor, request . for an extenSÏoomay be made to the Ðoud at a bt1:c ÙIIe. . . , 3. That this Petø1it ohould be reUined indefWtdy, or as loag as the .aid p<!tmlttee 'IrishU to . mAln..;n the sttuCtUCe or project Involved, to provide evi&11œ to WY0D<: cooceroed that utdl- «izalÍoo was origW.Uy obtÄoe<t 4. That the work ÍIJvolved will be IUbject to the lo$(>eàioo and approval. of the Boacd or lis agents, and 11OO-o:>mp1Jaoce with the provisions of the odgInadog applicatioa, may be cause f« mocalÍoo of this Permit by resolution of the said Bœtd. S. That there will be 00 """,,soo,ble Interfereoœ with aavigatioo. as .. ~ of the work beIeIn authorized. . . 6. That there sbaU be 00 Interfereøce with tbe right of the public to pass and RpW I100g the beach between bJ&b and low water mark$. , 7. That if future opew!oos of the Town of Southøld ~ the removal and/rx alteratioas in the locatioo of the work beteIn ..~~. or ff, In cbe opIaIoo al.6e Boatð of T~ die , ~ sba11 cause ancea~e obsttucÞOo to free ....vIgadoo, the said p..-I- will be recpted, apoø. due ootiœ, to remove Or alter tbIs work or project herein staled ~ Ø¡>e"'ef to cbe Towø' , of Southold. " ' , 8. That the said Board will be notified by tbe Permitœe ot the ~., of cbe work auth- odzed. 9. That the 'Peanittee will obtain all other permits and ~.. ,ChIt -r be cequIted sa¡;; 1>1-"'" to tbIs permit ~ -Tbe IIIbject to revoI<e upoo flllare to obaJa same. ~ . . Albert 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 (15311765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 24, 2005 Mr. John Hocker Latham, Sand & Gravel, Inc. P,O. Box 608 Peconic, NY 11958 RE: BRIAN MCGINN 645 WATEREDGE WAY, SOUTHOLD SCTM#88-5-61.1 , Dear Mr. Hocker: I The Board of Town Trustees took the following action during its regular meeting held on Wed" August 24, 2005 regarding the above matter: , WHEREAS, Latham, Sand & Gravel, Inc. on behalf of BRIAN MCGINN apPII~d to the Southold Town Trustees for a permit under the provisions of Chapter 97 of th Southold Town Code, the Wetland Ordinance of the Town of Southold, application dat d July 28, 2005 and, ¡ WHEREAS, said application was referred to the Southold Town conservati01 Advisory Council for their findings and recommendations, and, , I WHEREAS, a Public Hearing was held by the Town Trustees with respect to~aid application on August 24, 2005, at which time all interested persons were giv n an opportunity to be heard, and, I WHEREAS, the Board members have personally viewed and are familiar Wit~ the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation ~ubmitted concerning this application, and, 2 . . 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 ~ffect 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 BRIAN MCGINN to remove 126' of old, deteriorated wood bulkhead and replace with 126' of vin I sheathing, with the condition of a 10' non-turf buffer landward of the bulkhea , and all as depicted on the plan prepared by Latham, Sand & Gravel, Inc. last revise September 6, 2005, Permit to construct and complete project will expire two years from the date t e permit is signed. Fees must be paid, if applicable, and permit issued within six mon hs of the date of this notification, I Inspections are required at a fee of $50.00 per inspection, (See attached sctedule,) Fees: $50.00 I Very truly yours, 4/(,c'! 9. ~. f} . Albert J. Krupski, Jr" President Board of Trustees AJK/lms . . Telephone (631) 765-1892 Town Han 53095 Route 25 P.O, Box 1179 Southold, Ne\d'ork 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held WFd" August 17,2005, the following recommendation was made: I I , Moved by Jack McGreevy, seconded by Doris McGreevy, it was I RESOLVED to recommend to the Southold Town Board ofTrustees APPR<!>VAL WITH A CONDITION of the Wetland Permit application of BRIAN MCGINN to renlove 126' of old, deteriorated wood bulkhead and replace with 126' of vinyl sheathing. I Located: 645 Watersedge Way, Southold, SCTM#88-5-61.1 I The CAC recommends APpro~al of the application with the Condition a 1 0' ~on-tUrf buffer is installed landward of the bulkhead. ' Vote of Council: Ayes: All Motion Carried . . Latham Sand & Gravel, Inc. tòr Brian Mc . 645 Watersedge ~/h/t?5- . . Latham Sand & Gravel, Inc. for Brian Melli 645 Watersedge W &, J '5 / oS- Albert J, Krupski, president. James King, Vice-President Artie Foster Ken Poliwoda Pegg~T 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 1 st day of construction Yo constructed ~ Project complete, compliance inspection, ,,.., I..J W l- V) ::> ;0::: I- u.. )0 o - 0::: -« '0 '. <:a o _. o :x: I- ::> o V) u.. o z ~ Ow I- I- « a I ") " J- ~ 'I:, »Þ tl" ,... 1\ _t .J ¡~ ~C \ r~ eA , ,J; f} --'~o \'\ ;,fa- ¥ " a- I~ .) !'l oJ I G;~¡)... ,j 11 .:.-y ! Il.3 ,0. >: ....<1: "'I ....¡- ~' '" ï ;:" .~ ~ ,i, 4 -, I.'. C· . " I o ' w~ ~ ",' j /';,(',L) . ,'" , ' 't:...-.- i... \ i!'ò" \ l) (} j ; f v~ ~ !. :~{), / ~ , I'I\Y t-) .\ ~I J V,. ....'~,; \ j .....'1 LJL\ 5 'vi A-íf ,(i,5r::-~'LÎ;~ £lV~ \ ¡ (2oa,J t rd.s ed~c'" \.v'mt - - - - - -~ Prepared By: Latham Sand & Gravel Inc. PO Box 608 Peconic, NY ] I958 Phone 63\-734-6800 Fax 631-734-23\8 \:z..,"' \.I,l-'.",' T ';--1- ¡-.¡)- ;}.·1' v 0' A'rIvJ Pr L'to! #\~/)ì ..," I .../'~ J:-' ~' '. r I I i I I I I I ¡: I -.: ! ..j I 't I ,!:; ¡ , '.1. -.. ~ ,; ~ " ,e~{I.JIO~ 0' ,le'1 !~ 1{f f ",,,,,,,,,,,.. -lw, ß -' ~"J ./ Tax. Map 1000-88-5-61.\ ~~ J~Li:: :\TI; ~ '," ¡'__'J l",',"f1 -- I" ~"''''2' I" -fl"-£' (Gel I I '- ~ ~~ll II '. /10 IN Atf.s ~"ln~ISh-'o+I'" 'ð ett.'£ ':'1:;"'1 i) ~ I~_ _ÍÎLillJ:LJtl 'f I DO((¡i nt,', c:",Cd' " I 5GJSIi¡ad-" IIN ~~~,¿, L1, ( CD <'_ l{L.( ,1 ì- '-., erj (', u: ttJ:¡ <::':' ,. ~ <0 t,iú35IZ.~,'¡'¡"Hf>'n'~ -;6 7"'>'tJ¡;~c~c'" "", , '3 5,)0+, "d ,', --, :i· Œ \ 2''(.~' ,>-0).. :';6, -g',"" A~ ].....7' " ~- ....", . " v' Prepared By: Latham Sand & Gravel, PO Box 608 Peconic, NY 11958 Phone 631-734-6800 FAX 631-734-2318 It "'tJ'f'~' ,- ~ Á,.r-(So. /v"0'¡" ~.. ¡ð \qY I f'?'fCXJ.V':V"HC(,.s~L' ~.¡( b" .Jr O?ela.",~ 7 ,,..,, v,,'cI¡¡',¡, I , ,lj.'" .k r"c. c~':~~LT~: ~~¡~ For: Brian McGinn 645 Watersedge Way Southold, NY 11971 Tax Map #1000-88-5-61.1 Southold ¡own P¡1'1rd of Tfl~~tp~'3 .- @~~ì) ,- n ':> :~ -- o c-J -' ? -> -- ::~-- ~---:::1 ~\~ l"lJileA OF ey"sr. st;¡:>T;c. ~ # IV/! 7lFe UA/E. tDCAnoA/ By Ol//.v8e Elevadoas Rñrto u..s.C.4:,Q.S. Datum, based (JII die Five 1!asI:~ T~ Topngi-aphio M._ __~"T"'IiiEIcil.e.-"'. -;-- -...~ _.'--~........ - ~~. ~ - ...-..~ ----' 1/ ::J 11·5 -_~ _c::; ,,, . . "'c::::.""&E, - ¡ I, o a ø 11.7 ~ II x ~ a i~ o 0 11\. J !\I 1"41 .. ~ ~ ~ 13 ~ ] ~~ ~ q, "'~ /112<=4 OP' _-...eJ(:~~. ~ \_Pru:. ~. ¡" .sy,o. f r :..e~ ~ \ ~~ -r .. ..- ~ .; .. Þ.4c~_ MÞ;e,y "'"'"'. I . -..- ".~ '.. ... .iIIiiIR: .... ç~~'-~-~. ~ ."".,~ ' -; , w /O~ -.-: ........ ~. .... a.... ~ð.N, 111.... .......c::Þ".....I --'_____ _,--.-æ¡ -.. <!:....v 2,7 51,<¥"~ ~-=-~ .:='-..a I c:. -'-'P-t! ~ ~! ~~ ,-S ;::: c/;c DC Map ofDescribcd Property Situated 81 Soutbold Town of SOUIboId, Suffolk County, New YorIc: District 1000 Section 88 Block 5 Lot 61,1 \ Certified To: Urian McGinn C.ommoowealth Land Tide losul1tJlœ Company Well. Fargo Private Mortgage Banker. ANTHONY ABRUZZO R.L,S. REGISTERED LAND SURVEYOR 1500 Honons Lane SoutboId, New Yod< 11971 (631) 76S~242 SURVEYED:Oor.......20 20Ql TOPOGRAPHY: MaT 10.2003 ~2)~ Æ!Æ ,'"/7''' I"""'P'I"'PPð"t;M£KT5oN£-Y:~/,/o~ t...t:d 81£2Þ£L 1£916 :01 t9S06tL£02t SrHt\M3S 3.lHId SEI1:~ S0:tt SOO2'-02-èkM . PLANNING BOARD MEMBERS JERILYN ß, WOODHOUSE Chair . MAILING ADDRESS: p,O, Box 1179 Southold. NY 1197\ WILLIAM J, CREMERS KENNETH L. EDWARDS MARTIN H, SIDOR GEORGf; D, SOLOMON OFFICE LOCATION: Town Hall Annex ,'54:375 State Route 25 (,cor. Main H.d. & Youngs A\'€'.', Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLl> To: Town of South old Board of Trustees r ...-, r 11"'">.\ II ':1 I I " !; From: Mark Terry, Senior Environmental Planner L WRP Coordinator t-· ¿- Date: August 15,2005 L_. ---,---_-! I -" I I I - -.-.---- Re: Request for Permit for Brian McGinn SCTM# I 000-88-5-61,1 The proposed action involves the replacement of a 126' bulkhead and in-place with vinyl sheathing, in Southold, The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of South old Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards, Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department, as well as the records available to me, it has been determined that the proposed action EXEMPT from L WRP review pursuant to the Chapter 95, WATERFRONT CONSISTENCY REVIEW; Minor Exempt Actions. Please contact me at (631) 765-1938 if you have any questions regarding the above, Cc: Conservation Advisory Council Heather Tetrault, Environmental Analyst . . MAILING ADDRESS: P,O, Box 1179 Southold, NY 11971 PLANNING BOARD MEMBERS .JERILYN ß, WOODHOUSE Chair WILLIAM ,J, ('REMERS KENNETH L, EDWARDS MARTIN H, SIDOR GEORG,: D, SOLOMON ~.~~f SOU~tt,~ ':. : "æ ~ r,fCOUrm.~ OFFICE WCA110N: Tm,'\-'n Hall Annex 54375 State Route 25 (cor. Main Hd. & Youngs Ave. I Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD From: Mark Terry, Senior Environmental Planner L WRP Coordinator ~ ~ tT~,rn¡ ¡A, ¡r~ ~, w "6 Il p ¡¡:.In, "- 2d& '%<-'I~·T-jT-:(I\·;:: --E-_. '"I:... ':, ., ~~ l;:"~C; To: Town of Southold Board of Trustees Date: August 15,2005 Re: Request for Permit for Brian McGinn SCTM#1000-88-5-61.1 The proposed action involves the replacement of a 126' bulkhead and in-place with vinyl sheathing, in Southold, The proposed action has been reviewed to Chapter 95, Waterrront Consistency Review of the Town of Southold Town Code and the Local Waterrront Revitalization Program (L WRP) Policy Standards, Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department, as well as the records available to me, it has been determined that the proposed action EXEMPT from L WRP review pursuant 10 the Chapter 95, WATERFRONT CONSISTENCY REVIEW; Minor Exempt Actions. Please contact me at (631) 765-1938 if you have any questions regarding the above, Cc: Conservation Advisory Council Heather Tetrault, Environmental Analyst . . Mbert J, Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. DickerBon Town Hall 53095 Route 25 P,O, Box 1179 Southold. N ew York 11971-0959 Telephone (631) 765-1892 Fax(631)765-~~~1 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~nastal Erosion Permit Application - Wetland Permit Application _ Administrative Permit AmendmentffransferlExtension VR;:c~lved Application: 7 / «II / of' /Received Fee:$ ¡;¡ S!J - ~r J(~' ~ ~ \1./ - if~ I" .......,p,mpleted Application 1/ ó( ~ J Df u , _Incomplete " _SEQRA Classification: .J Type I__Type 1l__Unlisted_ ,-,-"J -...I Coordìnation:( date SC1 , ~C Referral Sent: ~~riö 0 r i ~te of Inspection: 8, ') " ~ :~ " ,;,,-..''-1 r . '"j - .'..,' f----.--..: _Receipt ofCAC Report: ---'- _Lead Agency Determination:_ Technical Review: 'K./dl.f 10\ v1'ublic Hearing Held: Resolution: - L-II )~ Name of Applicant Brian McGinn Address 556 Carle Rd., Westbury, NY 11950 Phone Number:( I ~ 318-6180 Suffolk County Tax Map Number: 1000 - 88-5-61.1 Property Location: 645 Water.edge Way, Southold. NY 11971 Next to berm separating both ends of Watersedge (provide LILCO Pole #, distance to cross streets, and location) Way, tele. poles #5 & #6. AGENT: Latham Sand & Gravel, Inc. (If applicable) Phone: (631) 734-6800 JOh" cord ,~# ,~~ " Address: 'f'''' \' L ~.,~ \ -") (r' ' ~ P.o. Box 60R. Pp-conic. NY l1Q,R . . Board of Trustees Application GENERAL DATA Land Area (in square feet): 126' X 12' work area Area Zoning: R Previous use of property: Private Intended use of property: Private Prior permits/approvals for site improvements: Agency Southold Town - Deck Date 2003 _ No prior permits/approvals for site improvements, Has any permit/approval ever been revoked or suspended by a governmental agency? -.X...- No_Yes If yes, provide explanation: Project Description (use attachments if necessary): To r<>ffiove 126' of old, deteriorated wood bulkhead and replace with 126' of vinyl sheathing. Existing bulkhead was originally located on a survey of property dated July 1980. . Board of Trustees . Application WETLANDffRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: InK i n d - 0 f pIa c e b u 1 k h e a d r e pIa c e men t due to age and deterioratio~. Area of wetlands on lot: nnnp square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: " feet from house to BLKD Closest distance between nearest proposed structure and upland edge of wetlands: N I . feet . Does the project involve excavation or filling? No x Yes ¡fyes, how much material will be excavated? l' n cubic yards 170 cubic yards How much material will be filled? Depth of which material will be removed or deposited: ¡; feet Proposed slope throughout the area of operations: none Manner in which material will be removed or deposited: B a c k h 0 ~ Slatement 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): Nonp- . . Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: ¡¡ Q P 1." Q d Q tar ior ¡, t ad ,,,<1 kl¡a ad Are wetlands present within 100 feet of the proposed activity? No x Yes -- Does the project involve excavation or filling? No -- x Yes If Yes, how much material will be excavated? 1 ~o (cubic yards) How much material will be filled? 170 (cubic yards) 20 Yds. c leanfi 11 as needed Manner in which material will be removed or deposited: l' '''' ~"" . ø cI h Y 1" n cI wit h a b a c k h 0" Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed, (Use attachments if necessary) N/A , . . Board of Trustees Application County of Suffolk State of New York Latham Sand & Gravel, Inc as agpo. for appl; ~a,..ijEING DULY SWORN DEPOSES AND AFFIRMS THAT HEISHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER 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 COI\1PLETING THIS APPLIC ATION, 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, Ý~{na~ John D. Hocker, Vice President Latham Sand & Gravel, Inc. SWORN TO BEFORE ME THIS 15;- ,~ DAY OF :¡ ~\ Î ,200S- ~' 'f¡ J)__~ ,J ,.~, ~~~ olary Pub he MARION G. LATHAM Notary Public, State Of New York No. 52-4649732. Suffolk County Term Expjres'1;>Q,CQ...... 10«-..- 3 I , dO<>"- I JUN-21-200511:29 FROM:UBS PPIME SERVICES 12037190561 TO:916317342311? P:1'l ttoard of Trustees APPl.i<:ati', . AUTHOlUZATrON (where the applicant is not the owner) I, '7 - '7- c;>--c. Of...-' (print owner HC6.;.n....- of property) residing ç ~ ¿ Cbl.,-7£i:>/ W....~.:.... ß'f at '/' (mai~inq address) IIS'Ë.; do hereby authorize J.a~h~m ~~~d & Cr~vp' Tnr (Agent) to apply for pennit(s) from the southold Board of Town Trustees on ~ bebalf. i:~~øa- , (owner'" gnat.1lre) &>¡~ .JoS- 8 . . Albert J, Krupski, President James King, Vice· President Artie Foster KE'n Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 1',0, Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-~trløYI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the 1\ latter of the Application of _____~-l\---~-~-~-~~----------------------- COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, Tnhn n Hn~kpr , residing at 7¡;OI) No. R;¡yv; ¡::ow F.xt". , ~nllthnl ci being duly sworn, depose and say: That on the ;,)X-day of J... \ ~ ,2005, I personally posted the propel1y known as h4S W;:¡t"pr!=ì;pdgp w;:¡y, SOllt'holrl by placing the Board of Tmstees official poster where it can easily be seen, and that I ~ ...,.11 checkM to be sure the poster has remained in place for eight days prior to the date of the public hearing, Date of hearing noted thereon to be held /J.JtaçJ. (1.JJA . 6J\ a7@ . ðI\.o-' , ~ d A.t-t ?:O) rr'l, Dated: '7 j-;..', {o ;- 2Z /hL (si Sworn to before me this .;;,~1\day of;r~l, 2005 2'(1; ;L ú, ',' -,~ ~ ""'-, j~r 053!:~ - Nota ~ I'ubhc MARION G. LATHAM Notary Public. State 01 New York No. 52-4649732, Suffolk County Term Expires dJece """ b e.... 3 I ;;).<-0"- . I . I PROJECT ID NU~1BER 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. APPlICAN r I SPONSOR 2, PROJECT NAME 3PROJECT LOCATION 645 Waters edge Way MunicIpality County Suff lk 4 PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ate ~ or crovide map 645 Waters edge Way, Southold. Cross Street - Longview Lane. Next to berm separating both ends of Watersedge Way between tele. poles #5 & #6. 5. IS PROPOSED ACTION D New o Expansion Ix:] Modification I alteration 6, DESCRIBE PROJECT BRIEFLY: Removal of 126' of deteriorated wood bulkhead and replace with 126' of vinyl sheathing. Backfill with clean sandy fill. 7 AMOUNT OF LAND AFFECTED: work site - 126' x 12' Initially acres Ultimately acres 8, WJLL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Q Yes 0 No If no, describe briefly: 9 WHAT IS PRESENT LAND USE IN VICINITY [X] ResIdential 0 Industrial D Commercial OF PROJECT? (Choose as many as apply.) DAgriCUJture D Park / Forest I Open Space DOther (descrioe) 10, DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR UL TIMATEL Y FROM ANY OTHER GOVERNMENTAL AGENCY (Federal. State or Local) [XJ Yes D No If yes, list agency name and permit I approval; 11. DOES DYes ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR [X] No If yes, list agency name and permit I approval: APPROVAL? 12_ AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? []ves No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant I Sponsor Name Latham Date Signature John D. Hocker VP 7 ';-/cs- 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 eomDleted by Lead Aaeney) A. DOES ACTION EXCEED ANY lYPE I THRESHOLD IN 6 NYCRR. PART 617,4? If yes, coordinate the review process and use the FULL EAF. DYes DNo ß, WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.61 If No, a negative declaratoo may be superseded by another involved agency. DYes DNo C, COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwñtten. if legible) C 1. Existing air quality, surface or groundwater quality or quantity. noise levels. existing traffic pattern. solid waste production or disposal, potential for erosion. drainage or nooding probkmls? Exptain briefly: I LSlhetic. agricullural, archaeological. hIstoric. or olher nalural or cullural resources; or community or neighborhood character? Explain brieny; C2, I I C3, Vegetation or fauna. fish, shellfish or wildlife species. significant habitats. or threatened or endangered species? Explain briefly: I . .. , , I C4, A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain bneny. I I C5 Growth, subsequent development, or related activities likely to be induced by the proposed action? ExpJain briefly: I I C6, long term, short lenn, cumulative. or other effects not identified in C1-G5? Explain briefly: I I C7, Other impacts (including chanOAs in use of either nuantitv or tvne of enemv? Explain brieflv: I I D, WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, expJain briefly: I DYes 0 No I E. IS THERE, OR IS THERE LIKELY TO BE. CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: DYes DNo I I PART 111- 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 suff~ient detail to show that all relevant adverse impacts have been identified and adequatefy 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 directly to the FUl EAF and/or prepare a positive declaration. Check this box if you have detennined, based on the information and analysis above and any supporting documentation, that the proposed actio! 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 Pnnt or Type Name of Responsible Officer In lead Agency TIDe of Responsible Officer Signature of Responsible Officer in lead Agency Signature of Preparer (If different from responsible officer) . . APPLICANT/ AGENTIREPRESENT ATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Drohibits conflicts of interest on the Dart of town officers and emolovees. The DUroose of this form is to orovide infonnation which can alert the town ofoossible conflicts of interest and allow it to take whatever action is necessarv to avoid same. YOUR NAME: T,~~h~m S~nrl & ~r~vplTnr fnr Brian McGinn (Last name, first name, -Q1iddle initial, unless you are applying in the name of someone else or other entity, such as a company. Jfso, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply,) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (Ir"Other'", name the activity.) Building Trustee Coastal Erosion Mooring Planning Do you personally (or through your company, spouse, sibling, parent, orchild) 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 o\vns more than 5% of the shares. YES ~--- NO x If you ans\\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 shares of the corporate stock of the appliqmt (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 ~~:n:~~;'dth~~Of T~\;a PrintName~H~~ VP Latham Sand & Gravel, Inc. 2005- Town of South old . . LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants tor pennits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of South old Watertront Consistency Review Law, TIÜs assessment is intended to supplement other intonnation used by a Town of Southold agency in making a detennination of consistency, *Except milloI' exempt actiolls illeluding Building Permits alld other ministerial permits IIOt located 1I'ithill the Coastal Erosion Hazard Area, 2, Before answering the questions in Section C, the preparer of this fonn should review the exempt minor action list policies and explanations of each policy contained in the Town of Southold Local Waterfront Re\'italization Program, A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of South old Town), 3, If any question in Section C on this fonn is answered "yes", then the proposed action may affect the achievement of the L WRP policy standards and conditions contained in the consistency review law, Thus, the action should be analyzed in more detail and, if necessary, moditied prior to making a detennination that it is consistent to the maximum extent practicable with the L WRP policy standards and conditions, If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken, A copy of the L WRP 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 oftice, Mc.G,~", ~ I~ (G [E ~ V [E I~ JUL ') Q 2005 L " '-.oJ ~ l' II ~ Ii :.' Ii T(";,:n " I L'f If:.~, 11'r:'~ B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTl\I# 1000 - 'ð 8' -~-{;,'. The Application has been submitted to (check appropriate response): Town Board 0 Planning Dept. 0 Building Dept. 0 Board of Trustees IX] 1. Category of Town of South old agency action (check appropriate response): (a) Action undertaken directly by Town agency (e,g. capital construction, platming activity, agency regulation, land transaction) o o (b) Financial assistance (e,g, grant, loan, subsidy) (c) PemÜt approval. license, certification: [iJ Nature and extent of action: ~.~n,'€ \'~l.' ole!- À e-+e... ."'-.. <~-t,,-,I. \.",,='" \, ~ \ Ie ¿. ~ ,.I. 'f E'- ~ \ «-c e- ¡ '" f \ "-L P '-"'If\... v'':'JLs1.,.",rl...'d' . . Location of action: (", 'i ~ \.....:),\'+<:..<-" F-d¿. \.;..,~ ""I ')ð",'fl-,ÐI¿ Site acreage: '.£:¡I:,..or(c ~ t-t'..a.. IJ-{.,'''- , l'h Present land use: R c,>, ~e ~ ~',,-\ Present zoning classification: ~ 2, If an application tor the proposed action has been filed with the Town of Southold agency. the following infonnation shall be provided: (a) Name of applicant: '{1:¡{';a..... ''''-c- G, ~ ~ ~J L c.::ï\...." "'" S-C\~ ). 4 ~"...'< I (b) Mailing address: " 0 '6"" '/- ("of;; ~ C" en--..', t , Nì Il'f Ç8 (c) Telephone number: Area Code (¡PI! ì... l( _ (... E. IS D (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or tederal agency~ '{es 5(] NoD If yes, which state or federal agency~ ~ ç D £' C ~~ 1 G..... r ~ DEVELOPED COAST POLICY Policy l. 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 of a coastal location, and minimizes adverse effects of development. See L WRP Section 111- Policies: Page 2 for evaluation criteria. ~Yes D No D Not Applicable R~t\<A"-"~<--r h'^\kl....~_~~,.',11 \01,,,,,,,1' 'f<''''f''-<'....7 ~".~ -f.((,~J ..~, '..J""~~""" Anach addmonal sheets It necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria DYes D No ~ Not Applicable . . Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria DYes 0 No ~ Not Applicable ß.Io.\\<h...e_,,--r\. '-LJk!\ \t~"'<L"""-\ )tx.......c:l ~ '" ~ eA cr! '"d A--'> +<>-I(.J ,..-\<..." <.<èq,t-ef' -- Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See L WRP Section III - Policies Pages 8 through 16 for evaluation criteria I2J Yes 0 No 0 Not Applicable ~ e..-L ,p: -3 Attach additional sheets ¡fnecessary 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 DYes 0 No OONotApplicable -- 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 L WRP Section III - Policies; Pages 22 through 32 for evaluation criteria, 5a Yes 0 No 0 Not Applicable . . ----------- ;:;~-,¡1.5___ ------ ------ ------- Attach additional sheet::' if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. See Section III - Policies Pages; 34 through 38 for evaluation criteria. DYes D No [B. Not Applicable ------~ Attach additional sheets if necessary Policy 8. Minimize environmental degradalion in Town of Southold from solid waste and hazardous substances and wastes. See L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes D No 0 Not Applicable ----- PUBLIC COAST POLICIES Polic}' 9. Provide for public access to. and recreational use of, coastal waters. public lands, and public resources of the Town of Southold. See L WRP Section 111- Policies; Pages 38 through 46 for evaluation criteria. DYeD No ~ Not Applicable Attach additional sheets ¡fnecessary \V~RKING COAST POLlCI~ . Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L WRP Section III - Policies; Pages 47 through S6 for evaluation criteria. DYes 0 No [iJ Not Applicable ---- -- Attach additional sheets if necessary Policy 11. Promote sustainable use of Ih'ing marine resources in Long Island Sound, the Peconic Estuary and Town waters. See L WRP Section III - Policies; Pages S7 through 62 for evaluation criteria. DYes 0 No [2g 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 6S for evaluation criteria. DYes 0 No 121 Not Applicable ------ --- --- --- -- Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See L WRP Section III - Policies; Pages 6S through 68 for evaluation criteria. DYes 0 No ¡z:¡ Not Applicable --- -- . . :1 ,~'i I !i\ z [I ---+c.,.~ I ' , I !i~) 'ri;* 1 ê;¡ ~ I , .;¡ ,. j ,;. "'1r~ '; ,7"~." , .,' J. ì ----1' Õ¡ , fB:;' ----- -;;: ~ ~.;¡; ;¡: ii!~~ ~ ~ ~ ð ~ ~ -'::!: " ; ~ ~ ~:;¡~ . i"- ,/ / , I "r' ;, - \. - , L; ~. .. 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