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Home My WebLink AboutTR-5912AAlbert J. Krupski, President James King, Vice-President .~n't ie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 5912A Date of Receipt of Application: May 7, 2004 Applicant: Michael Cirrito SCTM#: 118-4-4 Project Location: 7625 Nassau Point Rd., Cutchogue Date of Resolution/Issuance: May 26, 2004 Date of Expiration: May 26, 2004 Reviewed by: Trustee Peggy Dickerson Project Description: To repair the existing stairs from the house to the bulkhead, inkind/inplace. 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 in the attached plan prepared by John C. Ehlers last dated May 9, 2003. Special Conditions: None If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Albert J. Krupski, Jr., President Board of Trustees Ne~ York State Department of Environmental Conservation Division of Environmental Permits Rm 121, Building 40-SUNY Stony Brook, New York t1790-2356 Telephone (631) 444-0365 Facsimile (631) 444-0360 LETTER OF NON-JURISDICTION Erin M. Crolty Mr. Michael Cirrito 58 Hilton Avenue Hempstead NY 11550 August 13, 2003 NYSDEC # 1-4738-03241/00001 Cirrito Property 7625 Nassau Point Road Cutchogue NY SCTM #1000-118-4-4 Dear Mr. Cirrito: Based on the information you have submitted and additional Department materials, the New York State Department of Environmental Conservation has made the following detemfination. The property landward of the functioning bulkheads greater than 100-feet in length and constructed prior to 8/20/77, as verified on NYSDEC Tidal Wetlands Map #714-540, is beyond the jurisdiction of Article 25 (Tidal Wetlands). Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6 NYCRR Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsi 'J~Btym':~h[aining any necessary pernfits or approvals from other agencies. ~ ~j~l A~Wl~e~nd~ / Deputy Permit Administrator CC: Bureau of Marine Habitat Protection File / / 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) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only __Coastal Erosion Permit App fication ~__--.-.~retland Permit Application Waive r:Amendmeni~.Chan ges ..,.R'ece~ved Application:~~ ~Received Fee:$~ ~pleted Appficafion ~lnco~lete ~SEQ~{ Classification: T)~e I T~e II__Unlisted Coordinafion:{date sent) ~ent: ~atc o f Inspection: ~/~ ~Receipt ofCAC Repo~: Lead Agency Detem~ation:~ Tec~ucal Review: ~Resolution:~ Name of Applicant ~x~'C~,*-,~ C,&~,~tt~ ,'hone um er:(. Suffolk County Tax Map Number: lO00- Property Location: --] (o~5 IN~o,%s~,a (provide L[LCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees A~plication GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property:. Intended use of property:. Prior permits/approvals for site improvements: Agency Date ~¥~ 8 - :::to ~07 __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency9 >4 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: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: .~,~. Manner in which material will be removed or deposited: 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: ~ r~_~,~.~e_ e.ff~. ~ ~,~ 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) PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT/SPONSOR 3 PROJECT LOCATION' Municipality ~.~,¥1v~ 0,~ 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME PRECISE LOCATION: Sl~eet Addess and Road Intersections, Prominent landmarks etc -or provide map SEQR 5. IS PROPOSED ACTION r'~ New FI Expansion [~ Modification / alteration i6. DESCRIBE PROJECT BRIEFLY: ? AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WIL ~ROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~yels [] No If no, descdbe briefly: 9 WH IS PRESENT LAND USE JN VICINITY OF PRQJECT? (Chooseasmanyasapply.) ~ential r--~lndustrial [~Commercial [~Agriculture [--~ Park / Forest / Open Space [~Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal. State or Local) r~Yes r~-N~-If yes, list agency name and permit / approval: 11 DOES ',IY A~q~EC' ANY CT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ---]Yes If yes, list agency name and permit / approval: F-/f.o 12 AS ARESRESL~T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [~¥es I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Sponsor Na Date: Signature ~ 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) DOES ACTION EX ELD ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF. [~] Yes W~LLAC~~~NRECEVEC~~RDlNATEDREVlEWASPR~V~DEDF~RUNL~STEDAcT~~NS~N6NYCRR~PART617-6? If NO, a negative declaration may b uperseded by another involved agency. r-]Yes c. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwdtten, 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 fl(x3ding problems? Explain briery: C2 Aesthetic, agricultural archaeological, historic, or other natural or cuflural resources; or community or neighborhood character? Explain briefly: C3 Vegetation or fauna, fish, shellfish or wil~llife species, ~igniflcant habitats, or threatened or endaogemd species? Explain briefly: I C5 Growth. subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. kong term, shod term, cumulative, or other effect~ not identified in Ct4257 ~xplain Pdofly: J C7 Other !m@~ct~ (ineludiog ?an~es in use of either quanti~ or t¥~e of energy? Expiain D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ~I~eOsNME~oAiEA ICEA}? Ill ~,es, explain briefl~': ] E ISis] Yes ' [~THERE OR IS THE~E/LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL ~MPACTS? ttyes explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~'~arge'imp~rtant~r~therwisesignificant~ 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 necessa~, 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 potential impact of the proposed action on the environmental characteristics of the CEA. Check this box ir 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 Title of Responsible Officer Signature of Preparer (If different from responsible officer) Print or Type Name of Responsible Officer in Lead Agency Signature et Responsible Off~cer in Lead Agency Board of Trustees Application County of Suffolk State of New York 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 IllS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK W1LL 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 IHIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCIION WlT~. OF THIS APiLICATION Signature SWORN TO BEFORE ME THIS ~ DAYOF r~0g '~ ,20 0~{ Notary Pu61ic NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: l. That it is the intention of the undersigned to request a Permit from the Board of Trustees 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: . You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. MAILING ADDRESS: PHONE #: Enc: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK , residing at ., being duly sworn, deposes and says that on the _ day of ,20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the 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 the United States Post Office at , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this Day of _, 20 Notary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the vart of town officers and emolovees. The purpose of this form is to provide information which can alert the town ofvossible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, t-fist 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.) 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 (it"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with an), officer or employee of the Town of Southold? "Relationship" includes by blood, man'iage, or business interest. "Business interest~ means a business, including a partnership, in which the town officer or employee has even a parxial 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, pa~ner, or employee oftbe applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted Signature Print Name~"r~