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Home My WebLink AboutTR-6179AAlbert J. IZ~rupski, 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) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0078C Date November 1, 2005 THIS CERTIFIES that the removal of concrete driveway and improvements to new driveway At 1455 Grathwohl Rd., New Suffolk Suffolk County Tax Map # 117-1-13 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 7/25/05 pursuant to which Trustees Permit # 6179A DatedAugust 24, 2005 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal of the concrete driveway and improvements to a new drivew.ay The certificate is issued to JAMES BLACKLEY owner of the aforesaid property. Authorized Signature ~ 30,~0,~ ~ ~ ' .C PECONIC ABSTRACT INC. s .... , ~, TITLE NO. 60~ S 5294 -' -' -~.Ot"/ JAMES BLACKLEY ~zorn c~R~s,,. ~ .... A T NEW SUFFOLK ' ~-~v ~ ~ ~ TOWN OF SOUTHOLD o., ;~ SUFFOLK COUNTY, N. K 1000 - I17 - 07- 13 1000 - 117- 04 06 CON~OUR ' IN~S AR~ REFERENCE~ TO Sc~e ~'/- - 30' J~. ~ 1988 ~ ~ ~ ~ TO ~ ~ A ~ ~001 (pro/>. dec~ ) ~ V~F~ ~~S ~ ~YF ' ~ ~LL Y TO ~ Y ~ ~ LAF ~ ~ 'AL ~ BY' ~ ~ ...... ~ ~~~. ~s~c~'~ 631' '-~:~2C ~631) 765 - /797 R7 ael Albert J. Krupski, President James King, ¥ice-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 ¼ constructed L,'""Project complete, compliance inspection. 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 (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6179A Date of Receipt of Application: July 25, 2005 Applicant: James Blackley SCTM#: 117-1-13 Project Location: 1455 Grathwohl Rd., New Suffolk Date of Resolution/Issuance: August 24, 2005 Date of Expiration: August 24, 2007 Reviewed by: Board of Trustees Project Description: To trim the phragmites to 12" by hand around the catwalk, as necessary, remove the existing concrete driveway and fill with top soil and seed, and to straighten the pavers on the second driveway and place down a layer of pebbles. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the $outhold Town Code. The issuance of the Administrative Permit allows for the operations as indicated on the survey 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. Albert J. Krupski, Jr., President Board of Trustees Albert J. Krupsld, 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) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Please be advised that your application dated Q reviewed by this Board at the regular meeting ofg ]~)q105' following action was taken: (~'~) Application Approved (see below) ( )Application Denied (see below) ( )Application Tabled (see below) has been and the 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: SIGNED: PRESIDENT, BOARD OF TRUSTEES NOTICE Police Dept. - Bay Constable Town of Southold Peconic, New York 11958 NOTICE' OF VIOLATION Date: -3,. (Owner or authorized agent of owner) (Address of owner or authorized agent of owner) Please take notice there exists a violation of the Code of the Town of Southold, Article II, Section 97-20 a premises hereinafter described in that C,-, b{.,., r, ~ ~ / You are therefore directed and ordered to comply with the following: Chapter 97 on or before the / <-- day of <~e/ ,20~ 0<77. The premises to which this Notice of Violation refers are situated at: Town of Southold, Suffolk County, NY (Suffolk County Tax Map Designation: Dist. 1000 Section://7 Block: ./ Lot: Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine or imprisonment or both: NOTICE: You have the right to apply for a hearing before the Board of Trustees of the Town of Southold, provided that you file a written request with the Clerk of the Trustees within 10 days after service of the Notice of Violation. Such request shall have annexed thereto a copy of the Notice of Violation upon which a Hearing is requested and shall set forth the reasons why such notice of viola- tion should be modified or rescinded. //~'-Bay Constable, ~ g~Southold, NY BUS~NESS RESIDENCE BUSINESS RESIDENCE A/bert 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) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application~. ~Wetland permat Application /Administrative Permit AmendmentJTrans£er/E>;tension fRec e~ved Application: ~,~---~Received Fee:$ ~' ....~Tomple ted Application Incomplete_ __SEQRA Classification: Type I Type II Unlisted Coordinafion:(date sent) LWRP Consistency Assessment Form ,~CAC Referral Sent: ,.4grate of Inspection:~1 Receipt of CAC Report:_ __Lead Agency Determination: Technical Review: ~"ffublic Hearing Held: Resolution: Name of Applicant Address / ~7~ Suffolk County Tax Map Number: 1000 - Property Location: ~, ].~) (provide LILCO Pole #, distance fo AGENT: (If applicable) Address: Phone Number: ~.]q_~/l?~ o,~ cross streets, and location) ,ard 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 permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend~ by a governmental agency.'? Y No Yes If yes, provide explanation: Project Description (use attachments if necessary):~C~',_~o )ard of Trustees Applicat WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: C/e~o~ ~/ Area of wetlands on lot: Percent coverage of lot: ,J % Closest distance between nearest existing structure and upland edge of wetlands: ~' ~' feet Closest distance between nearest proposed structure and upland edge of wetlands: ~.r ,,,q feet Does the project involve excavation or filling? No t.--'"- Yes If yes, how much material will be excavated? ~JtD cubic yards How much material will be filled? Jc.D cubic yards Depth of which material will be removed or deposited: ~' Proposed slope throughout the area of operations: e,.tff. A~(4.5 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): ~ard of Trustees COASTAL EROSION APPLICATION DATA Purposes of proposed activity: ~'-~-~ ~ Are wetlands present within 100 feet of the proposed activity? No lJYes 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? ~ Manner in which material will be removed or deposited: (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) PROJECT ID NUMBER PART 1 - PROJECT INFORMATION APPLICANT / SPONSOR 3.PROJECT LOCATION: 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by A3plicant or Project Sponsor) 2. PROJECT NAME ~/-) Municipality ,~ ,~x 5~Z'zz~ tL County 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc - or Drovide mad 5. IS PROPOSED ACTION: [] New [] Expansion r-~ Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: SEQR 7. AMOUNT OF LAND AFFECTED: Initially acres .}f.~. F'C' Ultimately ~ acres ~ ;r" 7- 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [~es [] NO If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) J~..~.~'f~"~dential []Industrial [~Commercial E~Agriculture []Park/Forest/OpenSpace ]Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E~ []No If list name and / permit yes, agency approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A RRENTLY VALID PERMIT OR APPROVAL? ]Yes ~ If yes, list agency name and permit / approval: 12. AS A RESULT~OP PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant /~Signature ~'~.~--~ D ate: ?///~////~.,~ 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 Agency) A DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF, 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-]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, 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: C4. ^ community's existing plans ;r g~als as officially adopteO, ~' a ~ange in uso or intensity of use of land or ot~e~- naiural resources9 ~ain bdo~ly I C6. Long ten,n, shor~ term, cumulative, or other effects not idootified in Gf-C67 ~xplain briefly: C7 Other impacts (including chanties in use of either quantity or type of energy? E×plain I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: PART Ill - 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 expJanations contain sufficient detail to show that aH relevant adverse impacts have been identified and adequately addreseed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impactof 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, based on the information and analysis above and any supporting documentation, that the proposed actior 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 Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Off~cer in Lead Agency Signature of Preparer (If different from responsible officer) Board of Trustees Applica~on 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 1N 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 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emolovees. The purpose of this form is to orovide information which can alert the town of~ossible conflicts of interest and allow it to take whatever antion is necessary to avoid same. (Last name, first nam( gniddle initial, unl4ss 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.) NAME OF APPLICATION: (Check ali that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring tlion from plat or official map Planning er", name the activity.) ~7~Tz,9),v~o~,~v~ ffYto~'~/ ~ Do you personally (or through your company, spouse, sibling, parent, or child) 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 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 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% oftbe 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 oftbe applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 7/15/2005 SoutholdTownTrustees TownHali-Southold POBoxl179 Southold, NYl1971 Dear Sir or Madam, The attached administrative permit application is a request for permission to perform 3 tasks. 1 received a notice of viohtion (7/9/05) from the Town of Southold Bay Constable for cutting wetland vegetation without a permit and have been directed to apply for a permit by September 15, 2005. To that end, I'd like to be able to trim back the reeds & cat tails which surround the dock I have on West Creek The area I'd like to trim is noted on the attached survey I'd llke to break-up and remove the existing concrete driveway located on the west side of my home and replace it with topsoil and grass seed so that re-integrates into my front lawn. ! plan ro use a "bobcat" to breakup the driveway and then truck the concrete to the town waste transfer station for disposal. I'll then truck in the topsoil and spread k by hand. The area is a noted on the attached The driveway on the east side of the house is constructed of gravels which is contained by a cement block ~edge'. I would like to remove, re-grade and reposition the cement block edge so that the blocks are even, straight and at a consistent height. I would then like to put down another layer of gravel to make the surface uniform. Thank you very much for your cousideradon of my request James A. Bhckley 2457 Foxdale Ave Oceanside, NY 11572 Ph~ 516.763.7626or631.734.4188 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Sbuthold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions inchtding Building Permits and other ~ninisterial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program, A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent xvith the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP 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 office. B. DESCRIPTION OF SITE AND PROPOSED ACTION scm# It3 I /3_ The Application has been submitted to (check appropriate response): Town Board [] Planning Dept. ~] Building Dept. ~ Board of Trustees ~ Category of Town of Southold agency action (check appropriate response): (a) (b) (c) Action undertaken directly by Town agency (e,g. capital construction, planning activity, agency regulation, land transaction) Financial assistance (e.g. grantl loan, subsidy) Permit, approval, license, certification: Nature and extent of action: Site acreage: ~/) d5 c,-., A' ~' Present land use: /~ 5/'~ t -~ ~//~ / Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: ..--~,~ (b) Mailing address: ~ (c) Telephone number: Area Code ( ) (~ ~//,] (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~ No ~ If yes, 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 of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [-]Yes [~ No [--~pplicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages~3 through 6 for evaluation criteria [ I Yesl I Nol-l NotApplieable Attach additional sheets if necessll~ Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [-~ Yes ~] No Mot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria [-~ Yes [~ No ~Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Sonthold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria ~] Yes ~ No ~oNot Applicable 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 LWRP Section II/- Policies; Pages 22 through 32 for evaluation criteria. ~Yes ~ ~ Not Applicable Attach additional sheets 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. ~-~ Yes [~] No ~-~ot 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 [~Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Sonthold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [] Yes [~] No ~[~ot Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in , suitable locations. See LWRP Section III - 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 Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. D Yes D No Applicab,e Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No ~Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [~ Yes (-] No ~Not Applicable Created on 5/25/05 11.'20 AM