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Home My WebLink AboutTR-6026A . . 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 Permit No.: 6026a Date of Receipt of Application: October 26, 2004 Applicant: James Murray SCTM#: 127-8-12 Project Location: 1905 Peconic Bay Blvd., Laurel Date of Resolution/Issuance: November 17, 2004 Date of Expiration: November 17, 2006 Reviewed by: Trustee King Project Description: Mow Phragmites along property, no more than 10' seaward of the cedar trees and no mowing seaward of the martin pole, where there is Spartina patens (a protected wetlands species) in the under story. 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: 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. p~. j IJ ~A_~r~J.. 0. Albert J. Krups'ki, Jr., President Board of Trustees . . . 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 TO: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD J Ci "".e. S (Yi VI rr ""'I Please be advised that your application dated Ib / Cl {., (0'-( reviewed by this Board at the regular meeting of Ii! (7 ! 0 C ( following action was taken: has been and the ~ Application Approved (see below) ~) Application Denied (see below) ~) Application Tabled (see below) 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: ~ ;}.5o. 00 AJ....,..,;j+r.cP.r-<. ~errn' \- Cvff~ 0& Ph"",,.:y'" k" (,.V ,iJ.",.., In'fJ'- W'i/-k-- (...x+/"",h TOTAL FEES DUE: $ ':)5 0, 00 SIGNED: ~.$ 9- 47fld-4' 9- e PRESIDENT, BOARD OF TRUSTEES liP! fd ~ 'I' ,! i~1 J! I (P'lJ ',Ilp . . .' i ~ I . ~ I -, "I I I ;iij'i III I :1'81 ill ! J!tPI 1I1111 iH'ijii 111111 ,,'" I PiP: 11111 fii i I ill! ~ . ~ T lilll ,< I" liill ~! I rrrr:~ Will' rII r~ii illU. n UI ~ I:I:~ e ~ii:n h~ ~" ~ ~ii~-< "1-'" ! ~!;i :~.~ ige I , , i ! . . I , . I 0 i , , . '-" ~ r'0 < --.J ~ ,- -r ff 1'1 AJ *.. BUT f/IPllv5 IJP "1 fJ li!-f- /tJ I S..-AUV,qre./> iJf ,2 CJ<1f2- T7ZG ;;"5 1}r'O )/0' l'1ou),,/v selJW A~() iJr ie Ie Ph',Jc fC Ie t-J I -(A. tv--tili!.-T;d #J J)'€'. . !!I I ,"el i II !" [liPl '" JHIII ii'rii 111111 ,,'" I PiP1 lUll " , ill!! I ~ .. I1I1I "" , IHill! I rfrr ~l !1l1111 I'll rli , ,. II I, , I: ~ I!:n "'~ !f~::;! il"~ :~~ i~e ......0: -(m.. ~ . . . ! i ! . . . .~ ! u '-" " '" li 0) . ~= I' I. , . I' " " I:: t " ::::.:1i .To<--~~~~ Ii! I ~z~ I . . 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-~"'to'll BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Pennit Application petland Pennit Application .......-Administrative Pennit _ AmendmentITransfer/Exjension /tfeceived Applica' . Received Fee: .,..Gm1pleted Application I _Incomplete SEQRA Classification: Type I_Type II_Unlisted_ Coordination:( date sent) --L:AC Referral Sent: /IJate ofInspection:-=ri..J ( ~/f:>.{ _Receipt of CAC Report: _Lead Agency Detennination:_ Technical Review: -1'Ublic Hearing Held: II ( 1') [l:N Resolution: ~ [o~ ~ 68 ~: [ Southold Town Board of Trustees Name of ApplicantJPlIYI <:OS; /v1u r r~y Address P.O. !J('J'i ':/05 L(uJre~ Al~Y. //9ya , I Phone Number:t;3b ~ '1 J - g I" <j Suffolk County Tax Map Number: 1000- 1/73889' 11'7.-8-/:1.. Property Location:----Jj 05 Fk.CQ I\l ic.. BA~ BJ v'd .J11e~B4 (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): ;),50 Area Zoning: r e oS'j De f\""~( Previous use of property: yqro 7 Af'D Intended use of property: Prior permits/approvals for site improvements: Agency Date / / L No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend~f>y a governmental agency? ~No_ Yes If yes, provide explanation: Project Description (use attachments if necessary): Cu (JJoU/AI SO/?'lP Fr';:3 1Y2,l-e.s .!j"ow iN 70 YARD. ;f/PJI . . Board of Trustees Application WETLANDffRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: cur .some... {~j fYI ;+e..s +ht:JT !1row . IN -+-.0 t A Hp Area of wetlands on lot: J.. 0 () 0 Percent coverage oflot: .-t; square feet % Closest distance between nearest existing structure and upland edge of wetlands: flo feet Closest distance between nearest proposed structure and upland edge of wetlands: No s-\!"'o(fur~et 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): _N~ e.~e.ZI . I . I PROJECT ID NUMBER PART 1 . PROJECT INFORMATION 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 1 APPLICANT/SPONSOR 2. PROJECT NAME :JAm €oS /Y) U r ('0.. 't W-oIJI? 3.PROJEC~CATIOI'{ i3 13 / 11.1) Su f'f'o k 1~05 . C=JiC ~'1 Municipality County 4. PRECISE LOCATION: Street Addess 88 Road Intersections. Prominent landmarks ate - or provide map 1'/05 Pecc>AhC BAY I"P 5. IS PROPOSED ACTION: ~N~w D Expansion D Modification I alteration 6. DESCRIBE PROJECT BRIEFLY: C. 0.1 b~ck SOh) t!- -fi";5"1 f fe. f 7. AMOUNT OF ,LtjND AFFECTED: .0'1 Initially _ 0 acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~es o No If no, describe briefly: &T IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential D Industrial 0 Commercial 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 (F~, State or Local) DYes 0 If yes, list agency name and permit I approval: 11. DOES A~CT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes 0 If yes, list agency name and permit I approval: , . . .; ..-~ . 12. AS A ~t OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? []ves No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant I Sponsor Name Date: Signature a ,cfl7 ~ ~ /O/"L?h"nlj ,j7 -Q I If the action IS a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . Board of Trustees Application County of Suffolk State of New York --:s'a h\t".s. !'1\uY'rC1<. ~ BEING DULY SWORN DEPOSES AND AFFIRMS THA' 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 REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. 9~~ SWORN TO BEFORE ME THIS d d b-~ DAY OF ~le",,- ,20 d ~ &rl.cc Notary Pubr :;11-- NolIIy 4 .00000zop 7 ,. . . APPLICANT/AGENTIREPRESENTATlVE TRANSACTIONAL DISCLOSURE FORM The Town of SouthoJd's Code of Ethics nrohibits conflicts ofinterest on the Dart of town officers and emnlovees. The numose of this fonn is to nrovide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same. . YOUR NAME: _fY\ u r r cl.. '1 ""'JA ty) e .s fY) (Last name, fIrst nlme, J)1iddle 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 APPLICA nON: (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 ",""'- V""'/ Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town ofSouthoJd? "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. ~ NO YES If you answered "YES". complete the balance of this form 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 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 tnwn officer or employee or his or her spouse, sihling, paren~ or child is (check all that apply): _A) the owner of greater than 5% of the 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 of the applicant; or _D) the actual applicant. DESCRIPTION OF RELA TIONSHlP Form TS I Submitted this ~ day of .).~ Signatu~_~ ~o:;/ PrintN ~AI'I\~ 1Y\~"'l'A..y 200"1-