HomeMy WebLinkAboutTR-6096A
Albert J. Krupski, President e; . Town Hall
James King, Vice-President 53095 Route 25
PlXtie Foster P.O. Box 1179
K,en Poliwoda Southold, New York 11971-0959
Peggy A. Dickerson 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
- Y, constructed
_ Project complete, compliance inspection.
/ Ru,? v.S~ ;)OO~ Pkot-os
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Albert J. Krupski, President Town Hall
James Klng, Vice-President 53095 Route 25
Artie Foster P.O. Box 1179
Ken Poliwoda Southold, New York 11971-0959
Peggy A. Dickerson Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 6096A
Date of Receipt of Application: 3/14/05
Applicant: James Reidy
SCTM#: 123-4-4
Project Location: 2910 Deep Hole Drive, Mattituck
Date of Resolution/Issuance: March 23, 2005
Date of Expiration: March 23, 2007
Reviewed by: Board of Trustees
Project Description: Trim Phragmites to l' with the condition that the
applicant submit photos to this office in August 2005 and the area be
inspected in January 2006, and no mowing the Spartina patens, which is
seaward of the retaining wall, and renew permit each year, and as depicted
on the drawing submitted by James Reidy April 11 , 2005.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 97 of the South old Town Code. The
issuance of the Administrative Permit allows for the operations as indicated in the
project description.
Special Conditions: This permit requires an annual 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.
~"? ~'0.
Albert J. Krupski, Jr., President
Board of Trustees
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NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
,/0"" .-" l\E.ip'f
,711"16S (-, SCTM#
YOU ARE HEREBY GNEN NOTICE:
I, That it is the intention ofthe undersigned to request a Permit from the Board of Trustees
to:
iRff1 THE. f'if/[fI&MlrES ON TilE !C1i3-;rf( of
rilE- r1 fE/bY pRol€Rril3-5 % Ii ;I~/~/lr of ) Fa 0 T.
711i$ C-ovrilJ<l6J' wlt~r MY }JtE..it.llfJJf.. Iiift=./f 1>( H,A-S A- fM/I1/' FtJ,f,
2. That the property which is the subject of Environmental Review is located adjacent to
your property and is described as follows:
1Jt:-IGHB~RS of ..:r: ~Eibr AT ,2 '7ID bEEf/ltJ/..-~ .bf2r /IE-
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: /ifR,f- :Zl .0<001/- . You
may contact the Trustees Office at 765-1892 or in writing. /
The above-referenced proposal is under review ofthe Board of Trustees ofthe Town of Southold
and does not reference any other agency that might have to review same proposal.
OWNERS NAME: ..:JA M 0 F Rf..IPY
MAILING ADDRESS: ..fa 136)( 15'/3
lit lIT 71 "rvt'-!( ,.v,H) '/ D t.1c' 11'15,;1.
PHONE #: b'JJi - c2 'l g - ~ ~ I"L
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 South old; 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
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Albert J. Krupski, President Town Hall
James King, Vice,President 53095 Route 25
Artie Foster P.O. Box 1179
Ken poliwoda Southold, New York 11971-0959
Peggy A. Dickerson Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
_Coastal Erosion Permit Application ~or atrrun. f~ f'YlJl &0-
_Wetland Permit Application _ Major
Waiver! Amendment! ~s q ) I) - fJO I -
....-rfeceived APplic~ : ~ t
2eceived Fee:$
~mpleted Application '3C0d-
_Incomplete ~~~~I\H1fi1
_SEQRA Classification:
Type I_Type Il_Unlisted_
_ Coordination:( date sent) FEB 1 5 2005 ,il,
CAC Referral Sent:
_Date ofInBpection:
_Receipt ofCAC Report:
_Lead Agency Detennination:_ SoutllOld 10wn
Technical Review: Board of Trustees
/Public Hearing Held:~
_Resolution:
.- (?t:f/::'Y
Name of Applicant ...J Ii fV1 ES
,2CjJD b ff-Fr f/tJ [.~ e
Address '{)!? I V~ peL ilf
phone Number:( ) a 31 - 2ft -/.jb/c2
Suffolk County Tax Map Number: lOOO -5<<' 12.3 ~L-{)L! K if
Property Location: b~f-fllol-f bid VE If /J 7/1 711/./(
INf'/(a'l :2Dof1. So v 711 of 1?HHS/I /:,(({I(& ON biff#ott bfi il i-
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
. . .
Board of Trustees Application
GENERAL DATA
Land Area (in square feet): SF! X /"i'D =c 7o(J ---r
r
Area Zoning:
Previous use of property:
Intended use of property: .1.5 T WAIVT 10 -arM Tf/E
fll/(f)(J,MITE S % lIT f/~i&/f T
Prior permits/approvals for site improvements:
Agency Date
-
-
/
V/N' '/ I fi . .
__ 0 pnor permits approva s or site Improvements,
Has any permit/approval ever been revoked or susp~~by a governmental agency?
No_ Yes
If yes, provide explanation:
N A,
-
Project Description (use attachments if necessary):
((; Tl?iM (J!lfAt:J4/~ 70 He. i~.IIr
,
t)F / Fr
. .
Board of Trustees Application
WETLANDITRUSTEE LANDS APPLICA TION DATA
Purpose of the proposed operations: ifi.
A 7 ~
"
MU- 4/~~ jYZ- ~' A71~ d 7/.'
Area of wetlands on lot: '00 02-- 700 square feet
Percent coverage oflot: %
Closest distance between nearest existing structure and upland
edge of wetlands: feet
Closest distance between nearest proposed structure and upland
edge of wetlands: feet
Doe7ject involve excavation or filling?
No Yes
If yes, how much material wiII be excavated? tJO cubic yards
How much material wiII be filled? Iv'O cubic yards
Depth of which material will be removed or deposited: fJD feet
Proposed slope throughout the area of operations: f.Jo
Manner in which material will be removed or deposited:
/JOT /; fh; (!.. Afk..~
,
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):
;1/;) }/ 6 ~ tf'/ ;Z o l/f~,e j)~) r;.!ftt1fs
IMf/6 7Rr~(1-1 p}; , 7?& !1Ij>,tJrJ-;O// TiEs IV/( Y ~!?12s
-
. .
I PROJECT 10 NUMBER I 617.20 SEQR
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
PART 1 - PROJECT INFORMATION (To be completed by Applicant or Project Sponsor)
2, PROJECT NAME
)t:.;b V
3.PROJECT LOCATION,
Municipality nA TTf TtJu County
4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks ete - or provide map
5, IS PROPOSED ACTION, Expansion o Modification I alteration
6, DESCRIBE PROJECT BRIEFLY,
h ':r~$~,4d~~~
~~OF'-Jp~~~~
da,d:l~ ~k~' .~tf~
~~ C4 . d4tL ~-e. ( ,
7, AMOUNT OF LAND AFFECTED, ~ ~ .;2
Initially acres Ultimately acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS7
%yes o No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
~ Residential 0 Industrial 0 Commercial DAgricu~ure 0 Park I Forest I Open Space DOther (describe)
10, DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNOING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local)
DYes ~NO If yes, list agency name and pennit I approval:
11, DOES A~SPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes No If yes, list agency name and permit I approval:
12. AS A R UL T OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
Ges No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant / Sponsor Name eel Date: > '
Signature /~ ~7'ftc20of
Ifthe 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 lTo be comnleted bv Lead AQencv)
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.
DYes DNo
B, WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative
declaration may be superseded by another involved agency.
DYes DNo
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 fOf erosion, drainage or flooding problems? Explain briefly:
I I
C2. Aesthetic. agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly:
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 briefly'
I I
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly:
I I
CG. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly:
I I
C7, Other impacts (incJudinn channes in use of either auantitv or tvoe of enerav? Explain brieflv:
f j
D, WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT DF A CRITICAL
ENVIRONMENTAL AREA (CEA)? (If yes, explain briefly: I
DYes D No I
E, IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes expla,n:
DYes D No 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 (Le. 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
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 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 determined, 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
Print or Type Name of Responsible Officer In Lead Agency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsIble officer)
. .
Board of Trustees Application
County of Suffolk
State of New York
BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS IRE APPLICANT FOR IRE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO IRE BEST OF IDS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN TIllS APPLICATION AND AS MAY
BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. IRE 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 TIDS
APPLICATION, I HEREBY AUTHORIZE IRE 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
~rd of Trustees APPlicati~
...
AUTHORIZATION
(where the applicant is not the owner)
I, residing at
(print owner of property) (mailing address)
do hereby authorize
(Agent)
to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
(OWner's signature)
8
. .
APPLICANT/AGENTntEPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of SouthoJd's Code of Ethics nrohibits conflicts of interest on the Dart of town officers and emolovees. The DUrDOse of
this form is to orovide information which can alert the town of DOssible conflicts of intere~t and allow it to take whatever action is
necelt~ to avoid same.
YOUR NAME: f\f.i by .>>fr/ES f
(Last name, first name. J11iddle initial, Wlless yo"u are applying in the name of
someone else or other entity, such as a company. ][50, 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 INf..n...f}IJb5 /l'tI~/6tO f/;1?ti1/r
((f"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 the Town of Southold? "Relationship" includes by blood. filarriage, 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 s s.
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% of the shares of the corporate stock of the appliclUlt
(when the applicant is a corporation);
_B) the legal or beneficial ownc;:r 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
Submitted this ,""",--day of 200 1../
Signature ~- r7 f'~
~ Print Name .:J "" ~ Ei, .
Fonn TS 1
. . .. ..
0 . {P-
o .
~v- @
~ ~Q ~'"
o / " -~'_._~
~~\ ,?-"? -
/
//
January 12, 2004 d- u.{ ,
U-\~
~~ ~ .Q\~\ "
Town of Southold . ~P\~
Board of Town Trustees {'N-f\' /
POBox 1179 ~/
Southold, NY 11971 ~ E JAH ~ 01 ,~~ ~ ~
Dear Trustees:
Southold Town
Board of Trustees
We are writing this letter r~garding cutting the Phragmites on our property
in Mattituck down to 12 inches. We understand this can be done with an
on-site inspection and Trustee permission.
We would appreciate being able to trim down the Phragmites for a number
of reasons. Our dog has been bitten by deer ticks when she has gone down
near the water. Secondly, we have a young grandchild who will be going
down to the creek over the next summer. Thirdly, our neighbors, who
already have this permit, have asked us to please trim the Phragmites
because they have grown so high that they don't get much of a breeze off
the water in the summer.
We are enclosing a copy of the survey.
Our mailing address is PO Box 1593, Mattituck, NY 11952. Our telephone
number is 298-4612.
If you need any other information please call us.
Thank you.
fJt. -\0 ('u:t ~\I~ ' Yours truly,
d--l\ r . 'f~Xr(\.L~ . ~ If17
r e- ,n~~?C-\ . _
hb \'(lQ..u'N'., O\.o(\~ \.M mm,<\.oJ \,uaJ..\.