HomeMy WebLinkAboutTR-6331A
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James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
John Holzapfel
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.: 6331A
Date of Receipt of Application: April 14, 2006
Applicant: Karen & Roland Grant
SCTM#: 86-5-9.1
Project Location: 1775 Indian Neck Lane, Peconic
Date of Resolutionllssuance: April 19, 2006
Date of Expiration: April 19, 2008
Reviewed by: Trustee Dave Bergen
Project Description: To remove dead and/or diseased limbs and branches
landward of the top of the bank.
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 an Administrative Permit allows for the operations as indicated in the
application received on April 14, 2006
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.
Ja1::ng:e12
Board of Trustees
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'i' WETLANDS f"LAG BY /ItOBERT E:. HERRMAN
( E:N ~ CONSUL TANTS, INC. J ON iotA Y r, 1999
. ~ STIr FOfI DOCK
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SURVEY FOR>
ROL"A'ND. &K:4'REN GRANT
AT PECONIC
. TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY.
1000 - 86 ~ 05 - 9.1
Scale: 1" = 60'
. Mar. 16, 1995
APRIL 4, 7995 (revisions)
April 6,1995 (re visions)
May I, .i995 Ire visions}
MA Y 4, i995 (revisions)
JAN. i6, 1996 ( sl. hse & barn .1
Mar. II, 1996 (loundalion location)
April 3, 1996 ( Additions)
Dec. 20,1996 (fino/J
MA Y 14, 1999 ( ST/( FOR DOCK I
J"'0~ 23 !9'I,?(r",,:;;oo)
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JUNE 7, 2001 ( prop. additions)
July 24, 2001 (addlllons)
NOV. 4, 2002 (Final I
;'ATER
ANY AL TERA TION OR ADOITION TO THIS SURVey IS A VIOLA TlON
OF SECTION 7209 OF THE NEW YORK STATE EOUCATlON LAW,
EXCEPT AS PER SECTION r209-SUBDIVISION 2. ALL CERTIFICA TJONS
HEREON ARE VALlO FOR THIS MAP AND COPIES THEREOF ONL Y IF
SAID MAP OR COPIES BEAR THE IMPRESSUJ SCAL OF THE SURVEYOR
WHOSE SIGNA TURE APPEARS HEREON.
ADDITIONALL Y TO COMPL Y WITH SAID LA II' THE TERM 'AL TERE'D BY"
I MUST BE USEO BY ANY AND ALL SURVf:YORS UTII..IZING A COPY
_OF ANOTHeR SURVE:YOR'S MAP. TERMS SUCH AS 'INSPECTED" AND
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CeRTI~/eD TO'
ROLAND GRANT
KARDI GRANT
SOUTH BA Y ABSTRACT INC.
. WASHINGTON MUTUAL BANK, F.A.
. APR 1 4 2006
Jl,L1ll/1J;;,N'Y'S' Lie. NO. 49618
PECONlC SU, EYORS, P.C.
(63iJ 765 - 5020 FAX (63/J 765 - 1797
P. O. BOX 909
1230 TRA VELER STReET
SOU TWJLD, N. Y. 1197/
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Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Han
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 Pennit Application
_Wetland Pennit Application L Administrative Pennit
AmendmentITransf"rlExtension
-?eceived Application:$1I 0"
ReceivedFee:$ 51:l~> ~ll1/o("
_Completed Application
_Incomplete
_SEQRA Classification:
Type I_Type II_Unlisted_
_ Coordination:(date sent)__
_ L WRP Consistency Assessment Form
CAC Referral Sent:
~te of Inspection: ~'Io ~
_Receipt ofCAC Report:
_Lead Agency Detennination:_
Technical Review:
./Public Hearing Held:-W-~
~Resolution:
APfl 1
Name of Applicant K~Ril~ ~. ROL,A.t-.)O ~QA.~\
Address \>,O.~O'i \~\\'H)\~N \\Jf:(K. L^~,
\>f.C..O~\C,~" \\0.';)8 PhoneNumber:(~~ 13l.\:t3'b'b
Suffolk County Tax Map Number: 1000 - ~ - OS - q . \
Property Location: \115 IN\)\ A..N \'o.l~c~ LA~, ~~QO~\c..
3/10 lV\\L~ ~u.\\A o~ QT ""~5
_(provide LILCQ Pole #,distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
I
~ Board of Trustees APPli~on
GENERAL DATA
Land Area (in square feet): APPQO)(. \).0, OOO'SQ f\" (d.(P Aca~"))
Area Zoning:
R~~~IOEo~\l AL
P.~\D~!\..i1l AL-
Previous use of property:
Intended use of property:
~("S I Of: r-.J' I AL-
Prior permits/approvals for site improvements:
Agency
~'~D -row~ \"QoSTtk:.
l' .f.lt 50<.11-
So~.tnWl-O \l)vJ~1 Bloc.:-
PbZN\\"'pll 2. '!;"1-"l.,\ -"Z.
'l1~o 5 -1.
21 q~,,- ,~
;1.18010-2.
?-1~ 1:>11-"'2_
Date
~j2Sj!qq (00(1:-)
'/z.?i/,qq", (1I0U~E.)
IO/It,/2001 LS~"'i:.CCIV\)
\ I;}oJ 1.001. (/!AM"''')
10/\'6/1.oe. (SvJ'''''W\ IN!. l'cellj
,\ '"'>'2.<'0\ (flAl!.N)
_ 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 ifnecessary): \0 ~"" O\l.f:
D€::AD ANt>(OR. 1)\SE~~D U\'(\e,s~' ~~~
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4It Board of Trustees APP1"'tion
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: 10 RE:l\'\o\J t 0 \ S&p.,~ D
~N'DI O~ vf,.~'D UVY\e,S ANt> BRAN{\\'lE.S
Area of wetlands on lot:
square feet
Percent coverage of lot:_
%
Closest distance between nearest existing structure and upland
edge of wetlands: 1150 feet
Closest distance between nearest proposed structure and upland
edge of wetlands: N/~ feet
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Does the project involve excavation or filling?
x
No
Yes
rfyes, 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: A. LL. Wo R..K
W\LL ~ PO~E:: W\"" \-t A;"-I\:> _ f:aV\PI'f'lE:.N'T--J.--
AN'\> V{:;e,RIS R~N\C\)'=:\) ~'/ \.\ A.\\)\)
Statement of tlie effect, if any, ()tl the wetl~(ls and tidal waters of the town that may result by
-reason of such proposed operations (use attachments if appropriate):
W~ 00 ~O\ fIt\.\\\C \P~T(. A:~"" O\<;'\\)~~Ck
~-r Au.,.W -ru ~ Wt"'i LA-NQS I ~ -n.\ €:: \~E::f::..S
\N o.U(.:S"O~ P\:t.<: LA-~O\).)~Q:D <;\Of: O~ \O~
o y e, ~ ~ ( ~\k-\1 ~\\ O~ \~. '5 ')
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PROJECT ID NUMBER
]
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
PART 1. PROJECT INFORMATION
1. APPLICANT I SPONSOR 2. PROJECT NAME
I(p'~~ ~ RoLAN\) (~QA\.J't
3.PROJECT LOCATION
Municipality SOU-ntO\.;{) \l)\U~ County SuHOU<"
4. PRECISE LOCATION: Street Addes:s and Road Intersections Prominent landmarks ete - or Drovide map
111-:7 \~\)Il\~ ~\E:.C"- LANE:; I ~(eo~c.
5. IS PROPOSED ACTION: (KJ New o Expansion D Modification I alteration
6. DESCRIBE PROJECT BRIEFLY:
iO \<kl'<' O\l ~ OtA.O L\m~ P-.\'.J\) e:,QAN<::l-\b ~R.OW\
f;~\S\\~G: '\1<.(;:f;;S . \).\€.. ~\L'" AND D~Tt..((\OQAT\()N
O~ "^\~ D~P.\) tv\ Pt\1;.QIAL. \-\AS B~ VY\t A t-tAZkRD,
A~\) I~ P, UA6\L\,'-I \(: U::.fT \N \l R.~ <:::k~ 'S TP\lt ,
7. AMOUNT OF LAND AFFECTED: fl- 10 "t"IZ.'*:S ACROSS TO\' O{= ""~~\:.. J'O ~ \R.\IY\lV\tD O!'
Initially acres Ultimately acres PEA\), ac:r^"k{) WOOD
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
~Yes o No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
~ Residential o Industrial Dcommercia' DAgriculture D Park I Forest I Open Space DOther (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local)
DYes [g] No If yes, list agency name and permit I approval:
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes ~NO If yes, list agency name and permit I approval:
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12. AS A /jijULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
[Jy es No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant I Sponsor Name Date: ~/1-'-\IOIo
- ~ ~ ~lMi:
Signature
If the action is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
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PART II. IMPACT ASSESSMENT (To be comoleted (Lead Age~~ Vl. ()
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART o".4? If yes, coordinate the review process and use the FULL EAF.
DYes 0 No
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 ONo
c. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, il 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:
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C2. Aesthetic, agricultural, archaeolo!~jcaf, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly:
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C3. Vegetation or fauna, fish, shellfish or wildlife species. significant habitats, or threatened or endangered species? Explain briefly:
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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:
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C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly:
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C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly:
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C7. Other imoacts includln changes in use of either auantitv or tyoe of energy? Explain brie~
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D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AT (CEA)?. (II yes, explain briefly I
o Ves ONo
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain:
OVes ONOC I
PART III- 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
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 deGlaration.
Checkthisbox--jfyou-havedeteiriifned,based-on -the-information and analysis a.bove 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
Dale
Pnnt or Type Name of ResponSible Officer In Lead Agency
Title of Responsible Officer
Signature of ResponSible Offio:!r in Lead Agency
Signature of Pre parer (If different from responsible officer)
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Board of Trustees Application
County of Suffolk
State of New York
~Ra.lCN L. &a AN1' 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 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 COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATlVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION
;<0 J\oX\ 'd ~
Signature
SWORN TO BEFORE ME THIS I d DAY OF ~ L
,20 00(,
/-;~ 1Q .~
Notary Public
HELENE D. HORNE
Notary Public. State of New York
No. 4951364
Qualified in Suffolk County
Commission bpi res Ma)' 22, ~ CD ,.
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APPLICANT/AGENTIREPRESENTATIVE
TRANSACTIONAL DISCLOSURE. FORM
The Town of South oJ d's Code of Ethics nrohibits conflicts of interest on the Dart of town officers and emDlovees. The Dumose of
this ronn is to nrovide information which can alert the town of nossible conflicts of interest and allow it to take whatever action is
necessary to avoid same, '
YOUR NAME:
e:.a.Jl,,,SI J \(A(2f~ l.-
(Last name, first name, -I1liddle initial, wtless you are applying in the name of
someone else or other entity. such as a company. Ifso, 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
(If "Other", name the activity.).
Building
Trustee
Coastal Erosion
Mooring
Planning
'f...
Do you personally (or through your company. spouse, sibling, parent, or child) have a relationship with any officer or employee
of the Town of South old? "Relationship" includes by blood, marriage. or bus'iness 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 fonn and date and sign where indicated.
Name of person employed by the Town of South old
Title or position of that person
Describe the relationship between yourself (the applicantlagc:;ntlrepresentative) 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% oflhe shares of the corporate stock of the appliC\lnt
(when the applicant is a corporation);
_B) the legal or beneficial own~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
Fonn TS I
Submitted this 1:Lday of M"'Q.C Ii
Signature ~~ .~
Print Name \(.I>.~ \... ~
200 Co
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1775 Indian Neck Lane P. 0. Box 126
Peconic, NY 11958
March 21,2006
To Whom It May Concern:
We would like to attain permission from the Board of Trustees to remove dead
limbs from trees located landward of the "top of the bank" (which is a 10Joot elevation).
The size and deterioration of this dead material has become a hazard, and is a liability if
left as is.
We will hire a professional tree company that will only utilize ladders. hand
and/or chain saws that they can carry to the site. We will ascertain that they do all
possible to minimize disturbing the environment at all.
1 have attached a copy of the survey, with the area 1 have mentioned highlighted 1
can be available at any time. to go over with your representative. on site, what we can be
allowed to do. Please contact me at home (631) 734-7388 or by cell (631) 764-3749 so
that we may set up a meeting as soon as possible.
1 thank you in advance for your consideration in this matter.
Sincerely,
~0J\QJY1 'd ~e>>v'L
Karen L. Grant
MAR 2 1 2006