HomeMy WebLinkAboutTR-6462A
.
.
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
1 st day of construction
Y:z constructed
v
Project complete, compliance inspection.
.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
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.: 6462A
Date of Receipt of Application: October 2,2006
Applicant: Rosemarie and William Blanchard
SCTM#: 117-1-10
Project Location: 1800 Grathwohl Rd., New Suffolk
Date of Resolution/Issuance: October 18, 2006
Date of Expiration: October 18, 2008
Reviewed by: Jill Doherty
Project Description: Trim the Phragmites ONLY, to 12" with the condition that
all cutting be done by hand with no machinery near the wetlands, a final
inspection at the completion of the cutting, and all as depicted on the plan as
surveyed by Otto Van Tuyl received by the Board of Trustees Oct.2, 2006.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth by the Board of Trustees.
Special Conditions: Final inspection.
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 n~rm~~m any other agency.
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
TO: (Jdl"'rll 't ~S-erl"lCA,y- 1)16\I"\chQ-rJ
Please be advised that your application dated
reviewed by this Board at the regular meeting of
following action was taken:
jO(:l.(ob
10 I / g { Ob
has been
and the
~ Application Approved (see below)
L-) Application Denied (see below)
L-) 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: hn(A1 itf pec-t-o" .fe<2- ~ 50
TOTAL FEES DUE: $ SO ~
BY: James F. King, President
Board of Trustees
.
-
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
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:
TY,Pe of area to be impacted:
~Saltwater Wetland _Freshwater Wetland _Sound Front _Bay Front
Distance of proposed work to edge of above:
tit of Town Code proposed work falls under:
_Chapt.275 _Chapt. Ill_other
Type of Application: _ Wetland _Coastal Erosion _Amendment ~dministrative
_Emergency
Info needed:
Modifications:
Conditions:
Present Were: _J.King 0Doherty _P.Dickerson_D. Bergen_
H. Cusack Don Dzenkowski
MailedlFaxed to:
Date:
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MAP OF Lors
$U.R.VEYED FOR.
WI\'? 4 AN GEJ..A BLA NCI-IA/~..D
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NEW SUrP"OL.1<
TOWN 0"- ~. UT'HOLD
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Co. 170$ .5UrV6Y4'Q JpnU(JIry 14, ,go/;)
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AIboot J. KrupeJd, ~
Jamea KIng, Vlce-Pl-eIItd3l'
Artie lI'oeter
KeD Poliwoda
PllIIY A Dick&rson
. TowDHeIl
~ Route 16
P.O. Boll 1179
Southold, New York 11971-09(1(1
Telephone (631) 765-1892
Fu (631) 76/i..8&1
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
om"" Un Only
_Coastal Erosion Permit Application
_Wetland Pennit Applicabon ........L Administrative Pennit
AmendmlonfIT~ilEli:~on
~ivcd Application: ,),10<.0
~ea::ivod Fee:S SO
~mpl.ledApplication 'n~
_Incomplete
_ SEQRA Classillcalion:
Type I_Type IJ_Unhsled_
_ Coordlnation:( dale sent)
L WRP Conslslell(;Y Assessment Form
v'CACReft:rral SCIlI:~
..:::;:Dale oflnspeellon: II (().I
_Receipt ofCAC Report:
_Lead Agency DctenninalJon:_
Technical Review:
...LPublic~"rIng He~ 'ru. .........1\
_Resolunon: RD'~~ uAAk?If=_ C L-VJrf{(!.J{64~
Name of Applicant \0\\\'IQIY\~~q\'\[~C1rJ.
Address \ <60 C) ~'~IA")()\' \ ~ rQ .
\.J ~Lo ~ ~\ \c t.) .'-\ Phone Number:( ) b~ \ - I ~ '-\ -) ~ {", LJ_
\
Suffolk County Tax Map Number: 1000 - 4..] ?-2. X" - U '1 . - \ - \ 0
PropertyLocation: \~C)C) G,\,<\'W,u."\r,'h \ \:?~. "'\l{u.) S\.;Ct.\~ ~~
00 F~t:="-
- - . ~- {proYide LJLCO.Pole #.distance locross streets, and location
OCT . 2 2006
f(? P.>o 1- Y3
,
Doara ox Trustees App1ication
. .
GENERAL DATA
Land Area (in square feet):
Area Zoning:-KF-C ('L) Er-fT IJl'rL.
Previous use of property: Y\ () 'x\ UL
Intended use of property:
h () Y\ '-'Z-
Prior permits/approvals for site improvements:
Agency
Date
_ No prior permits/approvals for site improvements.
Has auy permit/approval ever been revoked or suspen~ by a govenunenlal agency?
No Yes
-
If yes, provide explanation:
.~
~,
Project Description (use attachments if necessary):
~~
d-~~
"
Board of Trust... Application
. .
WETLANDfl'RVSTEE LANDS APPUCATION DATA
PuIpoae ofthe proposed operations: To '->M ~rCl 'J ~ . \J; ~ ~
Area of wetlands on lot: t-J OD 0
square feet
Percent coverage oflot:
%
Closest distance between nearest existing structure and upland
edge of wetlands: I ~ 0 feet
Closest distance between nearest proposed structure and upland
edge of wetlands: f~ D feet
Does the project involve excavation or filling?
\/ No Yes
,
If yes, how much material will be excavated? r\ \ 0- cubic yards
How much material will be filled? . 'C\ \ A cubie yards
Depth of which material will be removed or deposited: f\ \ ~ feet
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
f~ ~ ~ It') Du ""?
__~tatemen!_ of !.he ~itecl. !f,!Ul)'. ()D th~ wetl~~anl!ti~~J!!6!! ~f~!ownJha!J!lay _~t~y.
reason of such proposed operations (use attachments if appropriate):
,
817.20 _
APPENDIX ~
STAlE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLIStED ACTIONS Only
or Pro/8Ct Sponsor}
2. PROJECT NA/lE
seaR
I PROJECT ID NUMBeR
PART 1 . PROJECT INFORMATION ( To be completed by
1. APPLICANT I SPONSOR
W qY) C\
3.PROJECT LOCATION;
_paliIy \ ~O ~rOl~V-:l~ \ R~.
4 PRECISE LOCATION. _ -. lIIlII _ ....._... _ tandAlalk& elt -or _ map
J!
~ U.) s.,..,~\\C
COunty("
~\\
5 IS PROPOSED ACTION: fi4 New OExpenslon 0-11oo1-
6. DESCRIBE PROJECT BRlEfL V,
\0
c...u.-r-
~& ~ ~~~~\
7 Jlo.IQVNT OF LAND AFFECTED:
IniUal acres: Ultima IwrM
8. WILL PROPOSED ACTION COMPL V WITH EXISTING ZOIlING OIl OTHER RESTRICTIONS?
DOve. 0 No W no.desCItIlebriefty:
9. WHAT IS PRESENT LANa USE IN VICINfTY OF PROJECT? (Choooe as """'I' as oppIy.)
lZI_onUal 0 Indu8IrioI OCommen:laI ~ 0 Pa[~ 1 f"",.ll Open Spate
0QU\er lOOSCrlltl)
10. DOES ACTION INVOlVE ^ Pt!RMIT Pn>PDl/IIL. OR FUNOIHG. NOW OR ULT_TELV FROM NN OTHER GOIIERHMENTAL
AGENCY IFedtmlJ. Stale...~)
Dv" DNo 1_. 1ioI_ ""me - pormiIl "I'JIIlMlI:
DVM 6?J.No
AL?
1/ yes. IIsI agency no_........... 1 .....-
T OF PROPOSED ACT1QIII W1I.l. EXISTING PERMIT 1 APPROVAL REQUIRE IdOOIFICATION1
No
CERTIFY 'IliAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST Of MY KHClWL&DGl;
AppIcanI 1 Sponsor Neme
0aIIt:
S tunl
If the action ,. a Coatal Anla, and you ..... a atate allsney.
c:omp..18 tile CoHIll' AlIHument Form before pro"..dlng with thla ......mont
.
.
PART II. IMPACT A88E88MENT 0 be com Lead IDe
A. DOES ACTION EXCI!ED ANY TYPE I THMSHOlD IN 8 NYeM.I'AftT 817.47 Wyea, <OOIdIna1e ...._........ and... "'l'UI.LW.
Teo No
8. WILL ACI10H RECEI\IE COORDINATED REVIEW AS PROVIDED FOR UM.ISTED ACTlONS IN 6 NYCRR. PART 6tT.6? . No.. _....
_lIon"",y be auperoededby.-__.
Y.. No
C. COULD ACTION RESUlT IN NN ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: ~ may lie haniJWrilI8n. 11egibIe)
Cl. ExI$11ng air quaUIy. _ or fIIOII_r quaI\y '" quanUly. nolle _. o.xl$lIng IraflIc IlIItam, &IlIId wasle producllon "'.........,.
rtimfnoWn. d~orb<<ng~? ~m breIy: . .. _ ... J
C2. _\Ie, 8G'leuI1uttl. __ gJ .1.hkIaric, or __ "'_ _; or c:ommuniIY or neiu- cIIaracIat? I!!lqlIaln bdIllIy:
l . ____ . "~u_LL. I
C3. Vogala_orfaun&. lISh. SMmlSIl or_1lfe opedes, IlgnIIcanI haIlitall. or 111_ ora~ opecieI?........ brIeIIy:
I . .. ...... ... ._.._ -_.~.- ~C~". .. ... . I
C4. A ~- ~ _ or goaI5 as UIIK:MIJ' =;=. or a ~ .. use or 1JMAIiIIf 01 use 01 mxI Of other n81UrB1.uc..n...? ExpIUIi brIdJ:
brle .
CS. Growth..
de
or
....lylobe
by "'--' acIion1
:'.1~:'I1enn. - tenn. CI8IIUIa..... or - - not idenIilIed in Cl-C5?
~,~_ cts IncIud Inuseoleilher or o(ener
ExpIoln llrieIy
" ~f~"=;-~'"'"^"'"'""~'"""'-~-~'I
E. IS THERE. OR IS THERE ut<ELY TO BE. CONTROVERSY RE1.ATEOTO POTENTlALADVERSE ENVtIlONMENTAl. IMPACTS? ,,_ .....In:
o Teo ~No I = . .. . . . _ . =~ I
PARTIII. DETERMINATION OF S1GNIFIC......CI;(TO ~COIllIlIeted by 1\llefM;Y)
INSTRUCTIONS: For """" adYerse elIectldenlilled above, deIermIne_er~ issubslanllel.I8Ige,lmpor1anl orOlherwl88s1glllllcanl. Each
elIect _ be .....sect In conn_ wIIh lis (8) -.g (10.. udlen or -k (b) plObebiIIIy oIoccurring; (e) duraIIon; (d) Irreverslllilily; (eJ
geographic scope; SOd (I) magnitude. If """""""'Y. add a_ants or _nee supporting mal8rials. E"",,"''''I exprana_ conl8In
suflkllent delalllo show lhal aU relevant adverse Impacts have been IdenIilled and ad8lJl81e1y addressed. If quesllon d 01 pert & _ checked
'Y" tM cIellltJlUrakn eI stgnllG8AG8 must evBhMt&thepoleRtiatimJ a f.ellha prep;-- -~ rtf/lAM thaan.:.......I..ntaIdw'8d8riltic6of~ C&A.
Chectc IhIs boocllyou..... __or_ pol8nIIaIIylalge or slgnIIlcanI_impeels_ MAY _. Thon...-cIlr8I:IIy 10... F
EAF __ a pooilMo_lIon.
CIieok... _. yauliM <teleimlilid; _.i....Jrilormelloll and 0rieJySIs __ or4 anj ~~........ prop...d - -
WILL NOT raeullln any IigniAcant -. en..",.,.,*" fmpacla ANa prnvlde. on alla_ as _. ... raasans -""a
d.........1lOn.
""'" of Lead Agency
Dale
PI1nI 0I"1}'p8 NamIt or ~ OIOoIr In. LNd: AgenCy
Tille oI_~ 0III0er
8IgIl1llUra 01 RasponsIIlIo 0IIlcel in I.ead Agency
SIgn8h.n of PrepIr8r (If diIIerent from I'UpOnIIIIIIe otIC8r)
. Board of Trustees Appli..on
County of Suffolk
State of New York
~-
t::::i BEING DULY SWORN
DEPO ES AND AFFIRMS mAT HFJSHE IS PLICANT FOR TIm ABOVE
DESCRIBED PERMlT(S) AND THAT ALL STATEMENTS CONTAlNEl> HEREIN ARE
TRUE TO THE BEST OF HISIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WD.,L BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY
BE APPROVED BY THE SOUmOLD 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
UNDBR OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING TIllS
APPLICATION. I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENT ATlVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONRlNcn~:VIEW ':' THIS APPLICATION.
~Q~~ ~/JucY
Signature
SWORN TO BEFORE ME TIllS ~ts1. DAY OF () ~ W ,20 O..b
~.
Notary Pu ic
BONNIEJ. ROSKl
Notary Public, State Of New 'jlllt
No. 01006095328, Suffolk Countr
Term Expires July 7. 20 <)"},
.
.
APPLlCANT/AGENTIREPRESEN'tATIVE
TRANSACI10NAL DISCLOSURE FORM
Th! Town ofSouthold.s Code ntElhM:s nmhibitsCOllftictsofin~ on the ftIIltoftMWI ftffiem!tJllld ~46fA Ths ~ of
this fbnn is to orovldc inl'onnaii~which can almt the town o,_1Id#t mm.... oflntlfta aftd allow it to tab whatever adion hi
neoc!l'lAl"V to avoid some. '
YOURNAMI!: '"R\Qh("\'-"G\y...r~-W~\\;"Itr. ~,
(Last name, IIrst namc.~ inIlIaI. unless you ... apply!" ia 1M name of
someone else or ollter Clllity. such as a compIII1Y. If so, ~ thil oIhcr
penon'sorcomp8n)'~S ftIfM.)
NAME OF APPLICA nON: (CIIect alIlbal apply.)
Tax sricvll1CC Building
Variencc Trustee
Change ofZonc CoutaI EmsiOll
Approv.lofpl" MooriDg
Exemption from plat or official map plannift&
Other -r;;' "i () /'
(If"Otha", name \he activity.) ~ ~ I ,.n flCl,~ lC.h.f (>-12.A,,52,
Do you personally (or Ihrougb youraHllJlllllY. spouse, sibling. porcnt, or child) have. rdllllonshlpwllh..y oIflCCl" or ....pIoyee
of/he Town ofSouthold? "ReladllllSblp" Includes by blood, IIllUria&c. or business in_ QBus..... intc_" ........ a huoinc:ot,
incl\Jdiug a portncnhip. in wbich the town off'_ Of ClS1IpIo)'ao bas a_ a pGIdal owncrsblp of (or ampIoymenI by). corporation
in which the lown off'_ or employee owns IIIOJC dJIIl 5% of the sbIrn.
\/
YES
NO
IF you answered ~YES-. complc\c the beJonce oflbi. Corm llIld date llIld sign wI1cre indicaltd.
Name of person cmpIoyed by \he Town of_
Tille or pooidon of 11101 person
Dcscn'bc!he rdatiotullip be~ yOQl1l;If{1he oppn-tI~n\lllive) llIld the IoWII oIf_ or empJoree. Eilhercbeclc:
the appropriate Ji... ^) through 0) and/or desaibe in \he space provided
The Iown officer or employee or his or her spouse. sibling, porcnt, or chiJd is (cbeclc:.n \haIapply):
----1'<) tha owner of goo.ler than S% of\he ~ of \he eorponte SlOCt oflbe appIjqnt
(when \he opplicanl is. corporotlon);
_8)thillcgalorbeneficial ~ofonyin_ in. _IJlOI'IICClItity(wIlcft\llo
oPPlicanl is not a COI'JlOtllllon);
_ C) an officer, dlreclDl', pnnncr, or cntploy<c oftha Ippll..1II; or
_0) \he actua1 oppIiCBIIL
DESCRIPTION 01' !lELA nONSHIP
Form 1'8 I
~~~~ 200~
~tN ~.:: ~t:-{~; .'
~