HomeMy WebLinkAboutTR-6314A
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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.: 6314A
Date of Receipt of Application: February 2, 2006
Applicant: Ernest Schneider
SCTM#: 90-4.5
Project Location: 1015 Lakeside Drive, Southold
Date of Resolution/Issuance: March 22, 2006
Date of Expiration: March 22, 2008
Reviewed by: Board of Trustees
Project Description: Permit to cut the Phragmites to l' and remove dead
vines on trees, as per the plan surveyed by Stanley J. Isaksen, Jr. last
dated June 10, 2003.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth by the Board of Trustees.
Special Conditions: Inspection to review permit at one year from date of
permit.
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.
rG<~
Jam,es F. King, Vice-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
Southold Town Board of Trustees
Field Inspection/Worksession Report
Date/Time:
"3 - \ 5 -0(,
~h.P-
Name of Applicant: ~
Name of Agent:
f'vGY\-e
Property Location: SCTM# & Street 0( -Lf-f> ~Ve ~\S).J()v,(p
Brief Description of proposed action: ~ r~,tk, ) ",.,~ "'-' F"h..,
Typ/ of area to be impacted:
lLSaltwater Wetland _Freshwater Wetland _Sound Front _Bay Front
Distance of proposed work to edge of above:
t...lofTown Code proposed work falls under:
.....:.t;apt.97 _ Chapt. 37 other
Type of Application: ~land
_Emergency
Info needed:,~ .
--r rvo1e ~ ~ "' fY1a.lJ1<. VID~ ~ VI ~ 06- ~ "'~-
lW1 ;~Gl., C<A- b ~ h 'f-.f!a. lMlD<Q,po/.9l;.Iee. o~ f.'u,,j<
Coastal Erosion _Amendment _Administrative
Modifications: 'film') 'b", ~
No f"nA'
C,,'" .
)~.IC5"n;,,'.n
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Conditions: VeA ~ ihifU-hsvID..{" ~Gl ~~"" OJ.- h l~h"''''IT'' ~-
Present Were: _J.King _J.Doherty _P.Dickerson _D. Bergen_J.Holzapfel
Other:
MailedIFaxed to:
Date:
.
.
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
1st day of construction
Yo constructed
Project complete, compliance inspection.
Ii One:y-w lh.s~~ Sr'l1(\,3 ~OO-,
.
.
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:
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
~r l'IeS t- Sc.\.,f)L; Jer
Please be advised that your application dated
reviewed by this Board at the regular meeting of
following action was taken:
~J ';kJOfo
?, I ;;<;Jlo(,
has been
and the
( J) Application Approved (see below)
<-) Application Denied (see below)
<-) Application Tabled (see below)
1/
,--rv (LA+- p~,.... ,b .-fo I;) j 00
PUll>- (A1'+1( ""'oel,. If tyf{'~A -to.z -
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: If)
One. je"4 inSpec4-oN ~l)lol~
TOTAL FEES DUE: $ Cj)
BY: James F. King, President
Board of Trustees
march 15,2006 Field Inspect.
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Albert J. Krupski, President
James King, Vice~Pre8ident
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) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
_Coastal Erosion Permit Application
~ etland Permit Application _ Administrative Permit
Amendment/Transfer xtension
./' Received Application: ~
~eceived Fee:$ 'SO
_Completed Application
_Incomplete
_SEQRA Classification:
Type 1__Type II_Unlisted_
_ Coordination:( date sent)
_ L WRP Consistency Assessment Form
. CAC Referral Sent:
..-Date ofInspection:~Inc..
_Receipt ofCAC Report:
_Lead Agency Determination:_
Technical Review:
../"'Public Hearing Held:~\':S--jo'"
Resolution:
1- i.
l i',
FEB -? 2006
--.------.---------
Name of Applicant ~1<}'[E35T ,c;CHNEID~
Address /0 IS- LflkG5/ DE""" DR. N D, (MAl L-IIJ G- #])])R=S
SouTHoLD Phone Number:( ) 7/::'-- '6D~3
Po, B~x I S'SV)
~73-C:;{,' I WJ
Suffolk County Tax Map Number: 1000 - 090 - 0(1- 00-
Property Location: No 1Itn1.,o0-4.; (,~+LIJKesll;>I;DR.lIo. JrflHKWObD Cr:(?b')
L~~ fh Lf}KESI\) t DN .NO,
. (prQvi. e LILCO Po #,distance to cross streets, and location) ..
AGENT:
(If applicable)
Address:
Phone:
~ard of Trustees APPlicat~
GENERAL DATA
Land Area (in square feet): 4 ~ ) rJ [)
Area Zoning: R - ~r 0
Previous use of property: 1< ~ \ i:> E It II It L
Intended use of property:
. C;/rME
Prior permits/approvals for site improvements:
Agency Date
S; Ii/II 0 L D TX US'S ss (S1~!) / ~/ If;/ C> [,-
)/1' 5. pEe, ('-lf7.?~-OJ.~lrOOOIJ{) ISSUJ,j) ~/D'I//) (;I...
SC 1/(,=;-,n,1/ b~1; (Rio -/)3-0 wI) ;III0.-'/~s-
5d uTlfoLj) i3Lu-r I.P I tV <Y baT (J.<;//J'f-Z) I Jj IJ &jo.s;-
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a~overnmental agency?
No Yes
If yes, provide explanation: S~/7Ji~ )L-Al.Y,.s, 1>. L~ C ,
I
(' uIu"Jrq k71 it?-eeL(vdI~ IOA41Ar
Project Description (use attachments if necessary):
~ard of Trustees APPlicat~
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
- -+
Area of wetlands on lot: J.:I () 0 -
square feet
Percent coverage oflot:
If). J.- %
Closest distance between nearest existing structure and upland
edge of wetlands: /00 feet
Closest distance between ,eftst proposed structure and upland
edge of wetlands: ;1 . . feet
,
Does the project involve excavation or filling?
y, No
Yes
If yes, how much material will be excavated?
D
cubic yards
How much material will be filled?
;:j
C
cubic yards
Depth of which material will be removed or deposited: fJ feet
Proposed slope throughout the area of operations: 0
Manner in which material will be removed or deposited:
Statement of the effect, if any, on the wetlands and tidal waters ofthe town that may result by
reason of such proposed operations (use attachments if appropriate):
J.Jb!J~
I
PROJECT ID NUMBER
-I 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
3.PROJECT LOCATION
MuniCiPality...s; lA-I H 0 L t County (,( F F 0 L- K
4. PRECISE LOCATION: StreeA Addess and Road Intersections, Prominew I~ndmarks ate. or p~vid~map /J...... ~ AI ~
/015- LIfKES ,DE y~, NO, f5;EC~uYr--L~&. j)~1 tJO, u.-wJ' Oc>-Jl.U~ L.-(.
SouTflOLD1rJ.Y. .
5. IS PROPOSED ACTION: D New D Expansion D Modification I alteration :1)?J rrctlf.A-/
6. DESCRIBE PROJECT BRIEFLY: . ,. . J-tiv-tJ-
~'t",;/iL ~ 1,jJJ-- f""'/ f"" ~ 3 1r 1-r ;'
7. AMOUNT OF LAND AFFECTED:
Initially acres Ultimately acres Ale--
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
~Yes 0 No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY
~ Residential D Industrial DCommercial
OF PROJECT? (Choose as many as apply.)
DAgricu,ture 0 Park I Forest I Open Space
D Other (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local) ~
~Yes 0 No If yes, list agency name and permit I approval: )J,y.....5.. \_J. ~ ,C '
11. DOES
DYes
ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR
~ No If yes, list agency name and permit I approval:
APPROVAL?
12. AS A RE ULT 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
Signature C-'
Date }J AI D6
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 completed by Lead Aaencvl
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? It 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, W 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. rSlhetiC' agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: 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
C6. Long term, short tenn, cumulative, or other effects not identified in C1.C5? Explain briefly:
I I
C7. Other impacts (including chanaes in use of either auanti or type of enemv? Explain briefly:
I I
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA (CEA)? (If yes, explain briefly: I
DYes 0 No I
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain:
DYes DNo 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 (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 MAYoccur. Then proceed directly to the FUL
EAF and/or prepare a positive declaration.
Check this box--ifyou-havedetermlned-,based'o'nthe Information and analysis above and any supporting documentation,ltiitthe-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
Pnnt 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
. POSES FIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF IDS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN TIDS 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 TIDS
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 TIDS APPLICATION.
~!::f~
SWORN TO BEFORE ME TIllS ~~ DAY OF jJ.~ ,20 O~
~~~'Y~l,
BONNIE J.IlllROSlG
Notary Public. _Of New""
No. 01006095328, SuIfuIII C!ntr
Term Expim.hrl17,20~
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APPLICANT/AGENTnREPRESENTATlVE
TRANSACTIONAL DISCLOSURE FORM
The Town of South old's Code of Ethics orohibits conflicts of interest on the Dart arroW" officers and emo]ovees. The numose of
this form is to orovide information which can alert the town of nossible cont1i~ of interest and allow it to take whatever action is
necessarY to avoid same.
YOUR NAME: fKNI?ST JI. -.S:urJ./f=/b F-12
(Last name, first name, J,niddle initial, Wlless yob are applying in the name of
someone else or other entity. such as a company. ]fsa, 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
y...
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, marriage, or buslness ihterest. "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
'f"
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 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 applicl;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; Of
_D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
S~bmittedthis~d~Of~ 200L
Signature ~ ,)'.
Print Name . -' N&lC>~
Fonn TS I
GUARAN TEES INDICA TED HERE ON SHALL RUN
ONLY TO THE PERSON FOR- WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
ml.E COMPANY, GOVERNMENTAL AGENCY,
LENDING INSnTUTlON, IF LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INsnTUnON.
GUARANTffS ARE Nor TRAN5F[RABLE TO
ADDITlONAL /NSmVTlONS OR SUBSEQUENT OWNERS.
UNAUTHORIZED AL rERA nON OR ADDmQN TO THIS
SURVEY IS A li10LA nON OF SECTlQN 7209 OF
THE NEW YORK STATE: EDUCATlON LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE
COPy.
TEST HOLE DA TA
PERFORMED BY McDONALD
24 MA Y. 2001
GEOSCIENCE
EXIST GRADE 7.0
l' DARK BROWN SAND Y LOAM OL
BROWN LOAMY SAND SM
4'
BROWN FINE SAND SP
g.~BROWN FINE TO COARSE SAND
SW
13'
WA TER IN BROWN FINE TO COARSE SAND SW
FOR SCDHS USE ONLY
,.
FEB -? 2006
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00
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<:<;
ALL LANDS SHOWN HEREON ARE 0..;>;
FLOOD ZONE AE (EL. 8 ) AS PER /0
FEMA MAP # 36103C0167.G NUMBER '/1 .
360813 DA TED MA Y 4, 1998 . V
GUARANTEED TO
ERNEST SCHNEIDER
COMMONWEALTH LAND TITLE INS. CO.
FIRST FL EL. '7.6
SURVEY OF
LOTS P/O 74, 75& P/O 76
IN
MAP OF CEDAR BEACH PARK
SITUA TE
/
SA YVIEW,
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
J;;
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()
FM # 90
FILED DEC. 20, 1927.
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HOLE
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L D USE
-
BY
VIA TE:R
~
PLEASANT
INLET
GRADE EL. 8
I HEREBy CERTlFY THA T THE WA rER SUPPL Y(S) AND/OR SEWAGE DISPOSAL
SYSTEMS FOR THIS PROJECT ~RE DESIGNED BY ME OR UNDER MY DIRECTlON
BASED UPON A CAREFUL AND THROUGH STUDY OF THE SOfL,SITE: AND GROUND
WA TER CGNOmONS, ALL LOTS AS PROPOSED CONFORM TO THE SUFFOLK COUNTY
DEPARTMENT OF HEAL TH SERVICES CONSTRUCTlON STANDARDS IN EFFECT AS OF
THIS DA re.
IN'll. IN'll.
8.9 8.0
IN'll. IN'll.
7.5
}.
1000 GAL.
SEPTlC TANK
HIGHEST EXPECTED
GRooN
~ CESSPOOLS (5) 8' Dio.
"
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.JOSePH F1safCm. P_E_
1725 HOBARr ROAO
SOU>>1a.b, NY 119n
6J'-765-~
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Q.V ZONED R-40
ELEVA TlONS SHOWN ARE IN
1929 NGVO.
PROPOSED
SEPTIC
TANK
PROPOSED
EXPANSION
PROPOSED
CESSPOOLS
SURVEYED 7. MA Y 2001
UPDA TED 10 JUNE 2003
SCALE 1 "=40'
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.o. BOX 294
NEW UFFOLKj NY 11956
631 34-58 5
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