HomeMy WebLinkAboutTR-6401A
.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
loho 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.: 6401A
Date of Receipt of Application: July 7, 2006
Applicant: Michael Braverman
SCTM#: 54-5-47
Project Location: 7615 Soundview Ave, Southold
Date of Resolutionllssuance: July 19, 2006
Date of Expiration: July 19, 2008
Reviewed by: Board of Trustees
Project Description: Trim the Phragmites around the opening of Lily Pond by hand
only with removal of the cuttings to an upland disposal site.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth by the Board of Trustees.
Special Conditions: No mowing to the left of the bench at the end of the
walkway. No disturbance of the native species including marshmallow.
Notify the office of the Trustees of the day of the cutting.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth by the Board of Trustees, a Wetland Permit will be
required.
This is not a determination from any other agency.
~07~
James F. King, President
Board of Trustees
.
.
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
TO: jV!(Ch~
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
~ rC1VeriY't:l.;J
Please be advised that your application dated
reviewed by this Board at the regular meeting of
following action was taken:
7/7 lab
i/IQ/Oc,
has been
and the
( v1 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 Chapter 97 of the Southold Town
Code.
The following fee must be paid within 90 days or re-application fees will be necessary.
COMPUTATION OF PERMIT FEES: 'It CD (I"
'J !f1h..\
inS f'-e-\-lffi
~\cJo
TOTAL FEES DUE: $ 50 ~
BY: James F. King, President
Board of Trustees
.
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
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
,/ CoLI' ~ \I'\.tS-\e~
_ 15t day of construction dv<r<" ~ w"t+i;j
Yo constructed
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Project complete, compliance inspection.
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VIEW
AVENUE
v'
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
G'-f~\ fX.
Southold Town Board of Trustees
Field Inspection/Worksession Report
Date/Time:
"1/rz / () G.
/ '
An~OA-.
.
)In~~
Name of Applicant:
Name of Agent:
I&/~ ~,.~~
lObO - fj'f- 0 ~ - '-17
Property Location: SCTM# & Street
Brief Description of proposed action: ~
..Jn7~
(/
Type of area to be impacted;.
~ Saltwater Wetland ~Freshwater Wetland _Sound Front _Bay Front
Distance of proposed work to edge of above:
P~ofTown Code proposed work falls under:
~Chapt.97 _Chapt. 37 _other
Type of Application: ~W etland _Coastal Erosion _Amendment _Administrative
_Emergency
Info needed: --t..cr<--v- ~ ?
~ ~ \.-'0 I V1 --t1,,,-
~
rov 1b",k -kJ c....+
f OYJ I' n" ",r <"" (.\'I,6.+-":i ~f \owen?)
Modifications:
Conditions:~O . ~ /Vh ~ fa-J:- F~
~ .A-A-...,,'+~.~ r~
Present Were: 0.King _l-1.Doherty L--?Dickerson. vD. Bergen VfHolzapfel
Other:
MailedIFaxed to:
'Be. ~..,.. Sue L'-I--~
1/- ~to
~ f"V" I...... r-rv
~ J-e 1n-k ~
Date:
e ~ -\,0
s.-+-r ~:~
" o....J
~
.
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
_Coastal Erosion Permit ApplicatioJ)
_ Wetland Permit Application ~ Administrative Permit
Amendment/Transfer/Extension
~ecejved Application: '111) IOJ.,
_--Received Fee:$ ~-y
~mpleted Application---1l d) 'OJ.
_Incomplete
_SEQRA Classification:
Type I_Type II_Unlisted_
_ Coordination:( date sent)
_ L WRP Consistency Assessment Form
CAC Referral Sent:
..-Bate ofInspection:~
_Receipt of CAC Report:
_Lead Agency Determination:_
Technical Review:
-i'ublic Hearing He~
_Resolution:
Office Use Only
r--
1
r
JUL
7 2006
Name of Applicant M \~ ,... ~ l.- 'lS..l2-...." tS" ~ tl..r--l
Address fJ (0 \ ? 5/,,)t?l\..lp V 1 ~ Av s /, f..R I 5
Sotrl\tOl-\.) y\,\j Phone Number:(' ) 7(, 'f"~ I f22 4 - e.1'Z,-
I +-
Suffolk County Tax Map Number: 1000 - .')'1- 0 5"- '-f/l
~JNO~\~ c:\; ~,e'Tt"'\J.
Property Location: C-eWeL
+tn (?~~ ,J,
801-ft,L.{dD
'Dr.'(- t.O ~
u__CProyide LJLCO Pole #,_ 'stance to cross streets, and location)
AGENT:
(If applicable)
Address:
~ard of Trustees APPlicat,..
Land Area (in square feet):
GENERAL DATA
~ 1/2... Ac... ILE- S ~ ./ Co '3 Clsl c:.M-?
Area Zoning:
1Z-e:. \ If) c::1\. '\\ \In.-
Previous use of property:
~~E
S>'nM f'"
Intended use of property:
Prior permits/approvals for site improvements:
Agency
Date
NONE
tJ CI IJc
/
I
/
/
_~rior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspe~ a governmental agency?
_No_ Yes
If yes, provide explanation:
/
~
,
Project Description (use attachments if necessary):
tM~,,,d-~tU1C12... ~ rE&, n
~~ ~ajt11 ~ S fJ't'l(AJt')r:> ~-Pbt'rOJ -Jv ~i:J~
p/~ . r ltd I F oJ1-l~ /11 ()/f"?; lUg pLhYl rs {Wa.. ~( ft6"'f.v?~
Q.tl..€ r~~ - -::r: do Uf.M1T" fO 'rY2tfTt.-=... ?()t,jl) - ~~':J)
2!.fVlCl/ I fA.)S ~ ~ ~ IM-IY! 71f' Alw'J 13{ pfl.tae. CU.JMGe.
5 ee= I't-'=r e 11 o-re. s .
-4' Cvr- fJlt.fIt~f4ttm?S 'h'lttrfG. --k; OfeJ y>a^-i()
4Itard of Trustees APPlicat~
.
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: -r 0 t'_ ( ~ J JI\ LR:t s.' IE"
Ut1Irt1~ .5 rrc --,0 TbiJD
ol-<WJT
,
:5 (!jli!T ScJLlJC5(
Area of wetlands on lot: square feet
Percent coverage oflot:
Go %CT)
Closest distance between nearest existing structure and upland
edge of wetlands: Q feet
Closest distance between nearest proposed structure and upland
edge of wetlands: IV ovue feet 11 /A
Does the project involve excavation or filling?
~
Yes
IJO
If yes, how much material will be excavated?
~"1?;(' yards No^, iftJrJ 1,C13l.z
cubic yards r)J A-
How much material will be filled?
Depth of which material will be removed or deposited:
feet
Proposed slope throughout the area of operations:
() ffJ
I
B / ff"wiJ
Manner in which material will be removed or deposited:
;fvwi> *rvYI - T-MvviJ ~/~
Statement of the effect, if any, on the wetlands and tidal waters of tl1e town that Illay result by
reason of such proposed operations (use attachments if appropriate):
(JVeL (/~ (IJC~~PvJ -h bItt-ie ~d,u()
I (~r) I
_Ph rJ2,.~M ,-res 'ijtZuW l.J.er -riJ 8IA.~ <; G !YlCV7H
t1 pMO dYl 4 rn~k . 'f/UJp~~ rluttt~I1e->
~wAJO rr Af~. (0 0 ~ . (J eA.J ctJ L{/.) Lr. tb.. '10 MQ (c.{ rr~.Ju\J
O(Jf1'1(A.le;- -1-0 pa-UtJ ~ ;:JusT cEr'\hJCtV7l1 f- OF- UXt.LIL~
~ ~Gb7c?' {~ ~ eN7l1lt.E" (f01C <J
PROJECT 10 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)
2. PROJECT NAME
.
SEQR
PART 1. PROJECT INFORMATION
1. APPLICANT I SPONSOR
;;;L. 1S~\J
~
3.PROJECT LOCATION: J " _ _. \
7CQI $ $(;0'\';)\\'-..1 f"I"OVC-.............
Municipality
50<JT1t1:I<4> J
County
s () F1""ot-lc::..-
4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks ete - or provide map
Cft;>lAJl!!1IL.. 9 oUll(j)IJl~ .i ~
5. IS PROPOSED ACTION: 0 New
o Expansion D Modification / alteration
tJ1 a.r.t ~,M C-Q..
6. DESCRIBE PROJECT BRIEFLY:
WGU'-O ~(C12...- -+0 f!..;(]'(" f?kvea.~~c~ 'i31'/C "
-fo I ct:..lL-D "'J\t UJ ul:S'\.l r(;(ILlttfL S e9J ~. 7h16l..f ~
&!>Nc.L~I1drpan.Lrj) - th.-so WOOY:) k,l/..(. rfO h"v.w
OUT {p ~ ((luo..$tt)(;> p"'vtr CjnIrM./ll:JSe...? )
~ At: .:::z::.+ a..ls c. l.s rM-Uc:n~ ('1uue:r ?IJL ~
rne>>T Dr--rOf;}~~~ hI). S Mi ~ - c>>cu(.~ LLkt 1-0 Y~l'
~ 0Vl l (T Q.~
:S""e> I Gl I ~ c:..c.cuJ-e.. 5' ee. f kero.r;-
Initially acres Ultimately acres
8'~';.Jl'OPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
~Yes D No If no, describe briefly:
~ IS PRESENT LAND USE IN VICINITY
L..!1" Residential D Industrial D Commercial
OF PROJECT? (Choose as many as apply.)
DAgriCU!ture 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~ra;,....s.tate or Local)
DYes ~o If yes, list agency name and permit I approval:
11. DOES A~A~ OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
D Yes ~o If yes, list agency name and permit I approval:
12. AS A RESULT OF
[]yes 0 No
I CERTIFY
PROP
IJ.
THAT
i? ACTION WILL
THE INFORMATION
EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant
If the action is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
$"~e<c
Signature
.
.
~
PART II - IMPACT ASSESSMENT (To be eomDleted bv Lead Aaenevl
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF.
DVes DNo
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NVCRR, PART 617.67 If No, a negative
declaration may be superseded by another involved agency.
o Ves 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 for 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 1
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 .1
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly:
I 1
C6. long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly:
I I
C7. Other impacts (including changes in use of either uantitv or tvoe of enerov? Explain brieflv:
I I
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
DI~~~MED~~r (CEA)7 (If yes, explain briefly I
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSV RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes ex~lain:
o Ves 0 No I I
PART 11I- 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 declaration.
Check ffiIs-boX-rf you have delermTnecf;baseifon "ilie kiformation 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
f-lnnt 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)
~oard of Trustees APPlicat~
County of Buffulk- ;1/e-.v Yo,,-/=. ~
State of New York
M\c..~f'rtc- ~J~~ 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 HlS/HER 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
REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
Signature
/'~
SWORN TO BEFORE ME THIS (2
--
DAY OF )/'/>'1-(
20 0 -6
'-
:MJ '.J-
v m.'Y ,,"bli~
LoLITA EDWARDS
Notary Public, State of New York
Nq. 01 ED6048870
9u~hfJed In Kings County /
CommissIon Expires October Z. 200 b
, -
.
.
APPLICANT/AGENTnuffiPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold' s Code of Ethics nrohibits conflicts of interest on the Dart of town officers and emolovees. The Dumose of
this ronn is to orovide information which can alert the town of DOssible conflicts of interest and allow it to take whatever action is
necessarv to avoid same. . '
YOUR NAME: ~1?1t!/Ll2...MM.1 M\c:...n A rJl ~
(Last name, first name, J)1idllle 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
Variance
Change of Zone
Approval of plat
Exemption from plat or official map
Other
(Jf"Other", name the activity.)
Building
Trustee
Coastal Erosion
Mooring
Planning
~t"""'" ..,/'
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 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 town officer or employee or his or her spouse, sibling, parent, of child is (check all that apply):
_A) the owner of greater than 5% of the 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 RELA TlONSHlP
S""""';'~i~ "
SIgnature. ~
Print Name ! .
Fonn TS 1
LoLITA EDWARDS
Notary Public, State of New York
No.01ED6048870 ,f
Qualified i~ Kings County , t7
Commission Expires October 2, 200_
.
.
July 6, 2006
To: The Town of Southold Trustees
Enclosed please find my application, survey, photos and check for $50.00 as requested to
obtain a permit to maintain and cut phragmites at the opening ofthe pond.
Also, please advise if there are any other invasive plants I should be concerned with. I
would appreciate being notified of your approval and findings.
SJ;KJ
Michael Braverman
7615 Soundview Avenue
Southold, New York 11971
917.685.2096