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HomeMy WebLinkAboutTR-5483Board Of $outhold Town Trustees SOUTHOLD, NEW YORK ,A, utharizatiou Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893~ and C~pter 0~ of the Laws of the State of New York 1952: and theSobthold ToWn Ordinance titled ."REGULATING AND THE PLACING OF OBSTRUOTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS end the REIdOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROId LANDS UNDER TOWN WATERS~. end in accordance with the Resolution of The B6erd adopted at a meeting held on ~.~?~...~..~, · 20.°..~...., and in consideration of the sum of $..-5.~,.~ ......... paid by ~r~ncent O'Neill o~ ...~!~ ........................................................... N. Y. and subiect to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland for existing deck. all in accordance with the detailed Specifications as presented in · the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Seal to be affixed, and these.~.res,ents to be subscribed by a majorfly of ~ said Board es of th'm darn. · Artie Foster Trustees TERMS and CONDmONS pazt- of ~ consideration for the ~ of '~e'P',~ does understand and ~ to the 1. Th~ ~he sald Bosid ~ Tm~ees md the Town o~ Somt~d ~e ~elessed fi,~ any sad That ~ Petmlc should be tetdned i~ddinltt4y, or as long as the said ~ ~d~es ma/nttin the muct~e o~ project involved, to pmvlde ev~.~___c~ to anyone concerned that ~- 4. That the wodc involved will be subject to the Jnsixzdoa tod tpixovzl o~ the BoLM or its agen~ and non-oxnplhnce ~th, the provisions o~ the mi~inad~ sppflcatJon, may be ~ fo~ revocation of this Permit by resobat~on of dze said ~ 5. That there will be no unreasonable interference with navlgstL~ as a remit o~ the week 7. That i~ flttute ~ o~ tl~ Town of f~idmld ~ tho xemoval and,/ot altex~3o~ intl~ location o~ the m~dc hexetn mthoe~zed, or i~, in the opi,~ ~ the Booi o~ Tmgees, the. upon due no,ce, to remove or ake~ fids work ot project Im~n stated 'Mth0ut e=l~a~ to dm Tram 8. That the said Board will be nod_qed by th~ P,~m~ttee m the amlpleti~ml O~ the work otb~L plementa] to this permit which may be subject to revoke upoa falim~ to obtdn same, Albert J. Krupski, President James King, Vice-President &rtie 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 February 1, 2002 Mr; Vincent O'Neill 1225 Ocean Avenue Bohemia, NY 11716 3500 Cox Neck Road Mattituck, NY $CTM#Ii$-I 8-1 Dear Mr.O'Neilh: The following action as taken by the Board of Town Trustees during a Regular Meeting, held on January 23, 2002, regarding the above matter. WHEREAS, VINCENT O'NEILL apphed to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance oft he To[vn of Southold, application dated December 27, 2001 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 January 23, 2002 at which tune all interested persons were ~ven 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 standard set forth in Chapter 97-18 of the Southold Town Code. WHEREAS, the Board has deten'nined that the project as proposed will not affect the health, 2 safety and general welfare of the people of the town, NOW THEREFORE BE IT. RESOLVED, that the Board of Trustees approved the application of Vincent O'Neill for a Wetland Permit for existing deck. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Fee must be paid, if applicable and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified when project is started and on completion of said project. FEES: NONE Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees al /cjc cc: Building Department Telephone (631) 765-1892 Town I/~11, 53095 M~in Road P.O. Box 11'/9 Sovthold, New Yo~k 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, January 16, 2002, the following recommendation was made: Moved by Bill McDermott, seconded by Jason Petrucci, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of VINCENT O'NEILL for the existing deck. Located: 3500 Cox Neck Rd., Mattituck. SCTM#113-8-2 Vote of Council: Ayes: All Motion Carried Albezt J. Krupski, President Janie~ King, Vice-President Henry Smith Artie Foster Ken Poliwoda 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 Application Wetland Permit Application __ Major Walver/Amendmenffl~hanp:~es Received Application: Received Fee:$ ~ Completed Application ["~ 3-"~1 o I Incomplete SEQRA Classification: Type I _Type II Unlisted Coordination:(date se, nt } t CAC Referral Sent: ~-v~L~]/0 ! Date of Inspection: Receipt of CAC Report: -- Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: JMinor Name of Applicant ~/:'! '~- d ~--'c ~ Address ~/,,~ 2 t~-- (~ C ~ ~ ~ Phone Number:( Suffolk County Tax Map Number: 1000 - ,~"r ~ 7 f3 Property Location: ? ff'~d9 C~ ~ ~ ~ /~/~C /~- (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application 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 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): / Board of Trustees Application 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: ,~'C;~ ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? t~ 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: g~ ~ C C)/C C / Are wetlands present within 100 feet of the proposed activity? No Yes 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) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall · 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 F~x (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application ......... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I,V~(%C~ O'~\/ · residing at \~ being duly sworn, depose and say: That on the day of , 200X, I personally posted the __ property known as 3~O0 ~-Ci)< ~ecL~< ~cx-k~, ~~C.~N by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the po~ter has remained in place for eight days prior to the date ~ublic~ ~.~-~~O~~hearing' Date.~f hgar lng not d~ thereon to be held~~ Dated: Sworn to befor9 me this t BRUCE BANDES NOTARY PUBLIC, Stat~ of New No 52-0149500, Su~loJk County Term Exp,~es Mamh 39. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~\~C~'-~ C~''~ Q\~\ , residing at \~o~q%\ck,~ )lq~ ,. being duly sworn, deposes and says that on the 10q3~day of <~Ckf/~CkC~ ,190~-, deponent mailed a true copy of the Notice se~forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that. ~he addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at tb~ U~ted States Post Office at %%k)~-Uil~x~/ , that said Notices were mailed to each of said p~rsons b~ (certified) (registered) mall. ~/z/ ~~'~/~'f~g~' '-~.// ~ ~ ~/~~/~ Sworn to before me this ;/ ~- Board of Trustees Application County of Suffolk State of New York BEING DULY SWORN 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), IF GRANTED. IN COMPLETING THIS APPLICATION, 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. Signature SWORN TO BEFORE ME THIS DAY OF ,20.__ Notary Public of Trustees Application A~'-~ORI ZAT £ ON (where the applicant is not the owner) (grint owner of property) residing at 1~ 2Ir ~¢=a. (mailing address ) do hereby authorize (Agent) to apply for per~it(s) from the Southold Board of Town Trustees on my behalf. ( Owner~ signature ) 8 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT iNFORMATION ~'o be completed by Applicant or Project sponsor) 3. pROJECT LOCATION: 5. 15 PROPOSED ACTION: [] New [] Expans(oil ~ MoOificationlalteratlon 6. DESCRleE PROJECT BRIEFLY: SEQ ?. AMOUNT OF LAND AFFECTED: initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH ~XISTING ZONING OR OTHER EXISTING LANO USE RESTRICTIONS? C4~No If NO. describe Yes ~es,den[ial ~,[ncustr~al ~ Commercial ~ Agriculture ~ Park/ForesUOoen s=ace Desc~mOe: Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY STATE Da LOCAL)? [] No If yes, Iisi agency(si and germillal~rovals FSDERAL, 11. OQES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If yes, st aoency name and permit/aPproval 12. AS A RESULT OF PROPOSED ACTION WILL SXISTING PERMIT/APPROVAL REQUIRE ~OOIFICATION? [] Yes [] NO -t- I CERTIFY' THAT THE INFORMATION PROVIDED A~OVE tS TRUE TO THE SEST 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 as~s, essment OVER I PART Il--ENVIRONMENTAl ~SME.'qT~'O ~'~ ~ ~'~* '~ 9ART II]--OETERMINAT]CN OF S;GNIFICANCE {TO be completed by Agency) INSTRUCTIONS; For earn adverse effect identified score, determine whet~e~ it is suDs~andai, [arge. [mco~n~ or otherwise sJgni~[c. E3c~ e~fect should be assessed in connection wi~ ,ts {a) setting (i.e. u~an or rural); (b) probaoility of occ~g; (c) duration: irrevers~bmllty; {e) geographic score: ano (Q megnltuce. ~f necessa~, a~ a~tac~men~s or reference supposing materials. Ensure ex~m~nauons con,am sutfic~ent Qeiaii ~o s~ow t~a~ all re~evant adverse impacts have been idendfie~ and adequately acdressec. Chec.~ ;his box if you nave identified one or more potentially large or significant adverse imoac:s wt~icn MAY occur. Then 3rccaed direc:ly to ;ne FULL EAr and/or pre,are a positive' dec[aradcn, ChecX :his box if you have determined, based on the information and analysis above and any suooortinc~ Albert J. Kr~. pski, President Jambs King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town H~I1 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD OTHER POSSIBLE AGENCIES YOU MIGHT HAVE TO APPLY TO N.Y.S. Dept. of Environmental Conservation (DEC) SUNY, Bldg. 40 STONY Brook, NY 11790-2356 444-0295 Suffolk County Dept. of Health Services County Center Riverhead, NY 11901 852-2100 UoS, Army Corp. of Engineers New York District 26 Federal Plaza New York, NY 10278 212-264-3912 N.Y.S. Dept. of State Coastal Management 162 Washington Ave. Albany, NY 12231 518-474-6000 Print or Type: ACCESS CONSENT FORM Office use Only FOR ACCESS File #: .. THROUGH PRIVATE PROPERTY Permit #: (Name of Applicant)- (Address) 2) 3) 4) 5) 6) (Name & Address of Contractor (Project Location) (Name of Road or Private Involved) Property : 000-n3 -f (S.C.T.M. #) Involved) (Hamlet) (Name & Address of Homeowners Association / Property Owner) (Brief Job Des~ripti6n) 7) 8) g) Starting Date: Completion Date: Estimated Cost of Proposed Work: Insurance Coverage: A. The coverage required to be extended to the Property Owner: Bodily injury & Property Damage; $300,000/$500,000 Bodily Injury & $50,000 Property Damage. B. Insurance Company: C. Insurance Agent Name & Telephone # Dm Policy # : State whether policy or certification is on file with the Trustees Office: (Zf no, Provide a copy with ~pplication) (yes/no) . (S~gnature~f Applicant) ' (Da~e) To be completed by the Property Owner: I/We the undersigned, fully understand the nature of the Proposed Work referenced above and have no objection to allowing the Applicant to cross My/Our Property t~o do.he wo~k~ . ~.~ (~ignature~f t~e Property Owner ordulya~thorized representative) Printor Type: JOffice use only[ File #: Permit #: TOWN OF SOUTHOLD HIGHWAY DEPARTMENT PECONIC LANE PECONIC, NEW YORK 11958 PERMIT & BOND APPLICATION FOR ACCESS THROUGH TOg/N O~NED PROPERTY 1) 2) 4) 5) (Name of Applicant) (Address) (Name & Address of Contractor Involved) (Project Location) : (Name of Road or Town Property Involved) : 1000- - - (S.C.T.M. #) (Hamlet) (Brief Job Description) e) 7) s) Starting Date: Completion Date: Estimated Cost of Proposed Work: Insurance Coverage: A. The coverage required to be extended to the Town: Bodily injury & Property Damage; $300,000/$500,000 Bodily Injury & $50,000 Property Damage Insurance Company: Insurance Agent Name & Telephone # : De Policy # : State whether policy or certification is on file with the Highway Department: (If no, Provide a copy with Application) (yes/no) To be (Signature of Applicant) (Date) completed by the Superintendent of Highways: Bond Amount Required: (Signature) TRANSACTIONAL DISCLOSURE FoRM The Town o~ S~u~hold's Code of Ethics Prohibibs con~licts o~ interest on the part o~ town o~ioers and employees. The purpose o~ this form is to provide inJormation which can alert the town of possible conflicts o[ interest and allow it to take whatever action is necessary to avoid same. (bast name, Eirst name, m{dd.le initial, uniess you are applying in khe name off someone else or other entity, such ,as a company. I~ so, indicate the other person~s o~ company's name,) NATURE OF APPbI~AT[ONe (Check all that apply.) Tax grievance Variance ~ change of zone Exe~ption from plat or' official map Other (I~ "Other," name the activity,) Do you personally (o~ bh~ough your ~Ompany~ spouse, sibling, parent, or child) have a rela~ionsitip with any oE~icer or employee o~ bite Town off Southold? 'Re[ationshi~# includes by blood, marriage, or business interest. '~usinees interest" means a business, inu[uding a par~nership, in which ~he ~ovn o~£i~er or employee has oven a par~la! ownership o~ (or employment by) a corporation in which the town o[[icer or employee owns more than 5% og the shares. YES NO / date and sign where ~ndicabed. Name off person employed by the Town o~ Soubhold Title or position of that pereon Describe ~he relationship between yourself (the applicant) and the town officer or employee. Either check the appropr[ate line h) through D) and/or describe in the space provided. The town officer or employee O~ his or her ~po~ss~ eibling~ parent, or child is (check all ~hat appLy)~ A) ~he owner of greater than 5% o~ the shares o~ ~he corporate stock of the applicant (when ~he applicant' £a a corporation)~ the legal or b~ne~icial owner OE any ~ntereab in a B) noncorporate'entity (when the corporation)t c) an o~icer, director, ps'ruer, apptican~t or D) the actual applicant. DESCRIPTION OF ~ELATIONSIIIP applicant is ack a · subm{ tied 'print RA~A APPLICANT T ~TI'ONAL DISCLOSUR[{ PORM The Town of $outhold's Code of Ethics prohibits conflicts o[ interest on the part of town officer~ and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to bake whatever action is necessary to avoid same. YOUR NAME~ (Last name, first name, middle 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 company's name.) NATURE OF APRLICATIOII~ (Check all that apply.) Tax grievance Variance Change of zone Approval of plat Exem~Dtion from plat or official map 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 of ~he 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 owns more than 5% of the shares. YES %/ NO If you answered "YES," complete the balance of this form and date and sign where indicated. Name Of person employed by the Town of Semibold ~ -.- Title or position of that person '~OU3ql Describe the.relationship between yourself (the applicant) 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 appltcan~ (when ~he 'applicant' is a corporation); B) the legal or beneficial owner of any interest in a noncorporate 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 § 58-I NOTICE OF PUBLIC HEAliNG § 58-1 Chapter 58 NOTICE OF PUB LIC HE.4~RING § 58-1. Providing notice of pnhlic hearings. [HISTORY; Adopted by the Town Board of the Town of Southold 12-27-1995 as L.L. No. 25-1991S. ,4.menchnents noted where applicable.] § 58-1. P'rovtdtng notice of public hearings. Whenever the Code calls for a public hearing, this section shall apply. Upon determining ~ha~ an application is complete, the board or commission reviewing the same shall fix a time and place for a public hearing thereon. The hoard or commission reviewing an application shall provide for the giving of notice: A. By causing a notice giving the time, date, place and nature of the hearing to be published in the official newspaper within the period prescribed by law. B. By requiring ~he applicant to erect the sign provided by the town, which shall be prominently displayed on the premises facing each public or private street which the property involved in the application abuts, giving notice of the application, the nature of the approval sought thereby and the time and place of the public hearing thereon. The sign shall be set back not more. thma ten (10) feet from the property line. The sign shall be displayed rot a period of not less than seven (7) days immediately p~eceding the date of the public hearing. The applicant or his/her agent shall file an affidavit that s/ha has complied with this provisien. C. By requiring the applicant to send notice to the owners of record of every property which abuts and every property which is across from any public or privste street § 58-1 SOUTHOLD CEDIS; § 58-1 from the property included in the application. Such notice shall be made by certified mail, rsturn receipt requested, poeted at least seven O) days prior to the date of the initial public hearing on the s. pplioatton and addressed to the owners at the addresses listed for them on the local assessment roll. The applicant or agent shall file an affidavit that s/he has complied with this provision.