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Home My WebLink AboutTR-6459 . . 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, constructed t/ Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee Matthew Kar, residing at 750 Little Peconic Bay Rd" Cutchogue, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That iffuture operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. . . 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 August 23, 2006 Mr. Ian Crowley P.O. Box 618 Greenport, NY 11944 RE: MATTHEW KAR 750 LITTLE PECONIC BAY RD., CUTCHOGUE SCTM#111-14-14 Dear Mr. Crowley: The Board of Town Trustees took the following action during its regular meeting held on Wed., August 23,2006 regarding the above matter: WHEREAS, Ian Crowley on behalf of MATTHEW KAR applied to the South old Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated July 24,2006, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 23, 2006, at which time all interested persons were given an opportunity to be heard, and, WHEREAS,1I1e Board members naVe personally viewed ana are fah11!iafwltlnne--------- premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 . . WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MATTHEW KAR to remove and replace 170' of timber bulkhead with C-Loc vinyl wall, raise the elevation of the new wall 12", and establish a 10' non-turf buffer along the entire bulkhead, and as depicted on the plan prepared by Ian Crowley dated September 12, 2006. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Jam~g c? ~ President, Board of Trustees JFKllms -:Gn ~ Ie-) Please be advised that your application dated J U ~ ').'t,;)jl}/, has been reviewed by this Board at the regular meeting of 1"hA$':l. '), :2.JJb1. and the following action was taken: ., .1 \ ., ~ ~ (.o"J.,.."or- :fiy-~ b",\\<.~J.. ~l",C<.."",,^ ,-", .\ &-.. / \nv<\- ~~ re.r"'~ w'\\ "'* 6t UJ"d 0 ~) Application Approved (see below) p0->Y-'" ~ -tl-o- VV' per~.-w..( JIv>.\<..-tv.r<- '^1'(~ . . James F. King, President Jill M. Doherty, Vice-President Peggy A Dickerson Dave Bergen John Holzapfel TO: L-) Application Denied . 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 ~: M~w f:c, r (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: ~ 5 0 ~/l'" \ fv>'fZ-c~ ~ r\~se S,^I."".I,- (\Q.>J ~\'^s ~~ 10", I leMA)" '~UY15'\<U~ 0 V"\~ TOTAL FEES DUE: $ 5,0 ~ BY: James F. King, President Board of Trustees . . . . ~ BOARD OF TO TOWN OF SO I ' I , . . 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 (63'1) 765-1892 Fax (631) 765-6641 Distance of proposed work to edge of above: Part of Town Code proposed work falls under: vChapt.97 _Chapt. 37 _other , I Type of Application: .......... W etland _Coastal E~Si, n _Amendment _Administrative Emergency I i InfOnee~ ~? 6 );2~ I 0(" / )00 r<2r~ t'r' +JJ'l~ <l>'I LAk ~l vt-... - ~~ I Modifications: H . ~ .1 Present Were: _J.King _J.Doherty _p.Dickersoh ~D. Bergen_J.Holzapfel Oilier: I I --- : I 1 I llDate: Conditions: Mailed/Faxed to: . . . Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., August 16, 2006, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of MATTHEW KAR to remove and replace 170' of timber bulkhead with C-Loc vinyl wall. Establish 10' non-turf buffer behind new wall. Raise elevation of new wall 12". Located: 750 Little Peconic Bay Rd., Cutchogue. SCTM#111-14-14 Inspected by: Don Wilder, Jack McGreevy Vote of Council: Ayes: All Motion Carried . .. Matthew Kar 750 Little Peconic Bay Road Cutchogue N.Y. 11935 4100' OO.3S" N 72 26' 50.0S" W A. Looking East towards the end ofthe creek . . Matthew Kar 750 Little Pecanic Bay Road Culchogue N.Y. 11935 41 00' 00.38" N 72 26' 50.08" W B. Looking South directly across the creek . . Matthew Kar 750 lillie Peconic Bay Road Cutchogue N.Y. 11935 41 00' 00.3S" N 72 26' SO.OS" W C. View of face of bulkhead, ramp, and float . . Matthew Kar 750 Little Peconic Bay Road Cutchogue N.Y. 11935 41 00' 00.38" N 72 26' 50.08" W D. Looking westward towards Wunneweta Pond . . Matth.'W Kar 750 Little Peconic Bay Road Cutchogue N.Y. 11935 41 00' 00.38" N 72 26' 50.08" W E. View of ramp cutout are on east side of property . . Matth.'W Kar 750 Little Pecooic Bay Road Cutchogue N.Y. 11935 41 00' 00.38" 72 26' 50.08 F, Looking east along line bulkhead . . MatthL'W Kar 750 Linle Peconic Bay Road Cutchogue N.Y. 11935 41 00' 00.38" N 72 26' 50.08" W ".:r,j -.; 1',:/, 1 t.\.i~l . ';. . . ".I. "I,I L /;':'.; '..~ .,.... ;.' _.J; ..;.,." :~< : ~ " ..~~.~~~., : .(~;;::~~,.,;" i ." .~~t"'r~"" :;;;~".,,)~ '-~\'E"V~,,,,,~ ~ ~" p~"" { .,:~~\IJ1f~:b.P'?'1 ,','. ~;'~t~~~~~;jfl'~~;~~lM{~(III~~~l~i~I~~'~1-;~~:~t~~~:~~1~"'I: ~~~ '. ~ ~ ,., ' .1. ....,ri\.<< ~, }.....~. , ~.i . .....\. I'- ~ : __._~ . ~".~t: /' . I 1'. ;,'. ~.. ,J '.'.r 1....' ,. ~"..4r... . r.t.! ,lit, '" "1~~~ . .J . )~: ~'.~'~~~'i'll ;t.\: \.~I :"," rl.... ,{. tA-,4 ~:l~::;-:-~ . "0 . ','.. ',11, )1 ,..cr 'fY ".... '1"":"~"~"_":ll '""" c ,.", ," ~'I ' 1 ~'". ~..., .......... ;\ " "f '\' . ~.~\; V '_"J i'jf' "~.<l! .; .'-. , 1 l'J \ ~, i:~~"',ill' I'.' '.~, :\'~;\"!,;h.;;',~l ~' II~' \,1,"; ," 'lI' II I .' j !,ii . \ l~ ;', :JJ',;',!" ',,;d.7" ..' Jl!i . . '.,...., 4;~':, \ Ifl.'./jl r' . . J ~'r ~-.;;"~ ,', v;. :.H'~ ,r ..~~ -- , .' h,.:~.: o7j., . '1' '. 1.'.. ," I "."l L~-"" ,,' . . f 4' I ~~''': I. -,> , " .;:,~:~~:L,~.f.. ...::"::~,':,;.' ,'. ,:" ',. ' :;..' :~k,~~~~~~:'f ;;!~<~ ',,1:: .:". '_'':~~_~~'c~-.'~''''''\~':''':~_~; :l.",.~'~~,~~..j';"~" ',c' .a~' '~J ;;;'_;::..~~;...,/ ., "''.'.~.' ", .tv,,' .";" I , ,'.....,r ."" ...," - ....'~~ .'j;.... '. -~ ,~ ,>.~ ....~ ",:',j,,~ .-'::J, ~. .~. -.'!.~, " ~-; I 1 , .'. '. ,.;. .,~ . - ".-' ~-~' ~:~.. ~~;'-~ /~ ~,.. ',"~:~'~.;-"'''. " :;, . "I,~;~ . . ~~. . ,- ,i. , ~~'~~,t " ":. :v. ;" , ,,~. I " I " ~ i' .;. '.. ., '"- -)... .~ -~ ' ',' ''; ., .) '. '.t.-c!\;. "'i'~,~-~'~':";!-..~_,, ""... G. Looking north from bulkhead . . Matthew !Car 750 Little P . Cutchogue, ';';IC Bay Road 4100' 00.38.' N 11935 72 26' 50.08 W , ",--- ,.,~ Matthew Kar 750 Little Peconic Bay Road Cutchogue, N.Y. 11935 4\ 00' 00.38" Ny;,.HOOU 72 26' 50.08 W ~ ." - C.JIIJ~WJ' l . l ~t~~~~ ... .!t.J.,'t"'..~t__( "'~DV~ \ r . E..as1 Cutchogue ~ [ Huuu Point '\ JUL 2 4 2006 Cutohogue '1-" " >>.' Nt1fthFDtit C(lUIWY C/ui' J . I \ LJtt1. P"tt.Jn'jc B~y w"Jt ~.#A .II New Suffol -,.. . - - G/~.t 0- P~conic S.Y 'l. " \ b1.Okm "\ ~ 0.5mi ~ I 2005 Yahoollne l~ L1TfLE t111i ~ (lo41j HOG NECK 1!lQ: D~ tll) ~~ Ilf~ Q: kAt. ~ ~oo~ '1SfJ q(o I{/, If) . petl)llll- t*j lfTle ~" ~'~, ~&\1 ~ W~N~WIm\ r\. . . . , I: !~ '1: + 6" . . ..., " ..., Iii ..., I '>Z ~------~CC7 pE-COtlIC c o ~ ~ wr'U' 0[. -. ~.~: ~~j" ~:'"'~ ~." \z g.~ 5.t:~ L>]~ o ~ ~~!' ~~t~ ~ a~l! ".>; >- ~ 3 ~ ~ ~ ~:H; ,,,,I ~~h~ i ii!! ill,! UHf Wll i'iiii I 7 ~ : " ~ ; IIIIII l I,'lI! ljinl ].!l!}) ie!!! I Iii '.'fJ)i . , , - f,,~ <fJ'C c,,s,cf' ','-1 rj-, >; /; .!. . - , "".e ~ if " -..f.d:, .f I ~ r:, ," jn .;:; h , ~ ' I : ~ :l " II II iI '1'11 ~ I " ~ I,. ,I r III :!' i /ill i "::iCU,,';;zo . PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair . MAlUNG ADDRESS: P.O. Box 1179 SouthoId, NY 11971 KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND OFFICE WCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To: James King, President Town of Southold Board of Trustees PLANNING BOARD OFFICE TOWN OF SOUTHOLD From: Mark Terry, Senior Environmental Planner L WRP Coordinator Date: August 21, 2006 Re: Request for Wetland Permit for Mathew Kar SCTM# 111-14-14 Ian Crowley on behalf of MATTHEW KAR requests a Wetland Permit to remove and replace 170' of timber bulkhead with C-Loc vinyl wall. Establish 10' non-turf buffer behind new wall. Raise elevation of new wall 12". Located: 750 Little Peconic Bay Rd., Cutchogue. SCTM#III- 14-14 The reconstruction of the bulkhead, in-kind, is an exempt Minor Action and not subject to L WRP review pursuant to Chapter 95 of the Town of South old Town Code. This review will address the backtllling of the bulkhead with 40 c. y. of clean fill. The proposed action has been reviewed to Chapter 95 (268), Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (L WRP) Policy Standards. Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided the following best management practice is applied; 1. To further the intent of the LWRP policies and meet Chanter 275-11 (A) 2. require that the use of a floatiDl! turbiditv screen siltlboom durin!! re-construction of the structure to minimize turbidity in the water column if water depth permits. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. CC: Shawn Kiernan, New York Department of State, Division of Coastal Resources AUG 2 2006 . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Jolm Holzapfel ~ 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 Pennit Application LWetland Perntit Application _ Adntinistrative Pennit Amendment/Transfer/Extension ~eceived Application:~ ~eceived Fee:$ ..;;t '$0": _ eiimpleted Apphcation =:I1rlt.\\ (j, _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ _ Coordination:( date sent) ---=:::LWRJ> consistencY__As essmentForm~ JUL 24 2006 _--eAC Referral Sent: ---Date ofInspection: _Receipt of CAC Report: _Lead Agency Detennination:_ Teclmical Review: -Public Hearing He~J.3I~ _Resolution: ~, Name of Applicant t/477'IIe-W PAt! ~?!f)AJt" , ~M(\ Phone Number:~f) Address 157) '-'T1!e Office Use Only c=l4:;;-W NV /('1'$0 10<(- :2-"1:? f Suffolk County Tax Map Number: 1000- Property Location: 1ST) MI(~ 1/ / - 1'1- II ~<"<>t/co " .&trJ , ttkSS$t 4,,,f . (provide LILCO Pole #, distance to cross streets, and location) AGENT: -:JM (If applicable) Address:;5o Ikf aa.,l/",I" I U't' tl~ 4 /111( Phone: {h/ J2'J/ ~l7'p ~~ ~ Ii \~~ ~ard of Trustees APplicat~ GENERAL DATA Land Area (in square feet): -:rD, :dr-. :>5" . Area Zoning: Resl~ttL Previous use of property: Re<rv.J~.fL Intended use of property: J! ..Srkw-n"I-L Prior permits/approvals for site improvements: Agency Date IkIJllv&t AJrSLl~ --- '{ ?COr.. . /M Atv~ Tf# J.t,r;(,. /ss<Iejl, /1Jt!~s -:& J4 (60~ _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? V No_ Yes If yes, provide explanation: Project Description (use attachments ifnecessary): g",~ M:J i2qi~ I'/P << 1i",tl4- ~/::~ V/lm C-/.f)r!- tJ.M( tM/i/ IEsrtfBI-ISJI 10 AltW 7i't'r pr//'1'bL t"w.<il ,Jw {)AIu.. . Pths& €WVif7Je>U vI" AtW fA/IIU... 12': ~ard of Trustees APPlicat~ WETLANDITRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: 7D .&1~ ~("'-IffI-.:u'\ (3vi..1::f{~ wVllcH I IS M7t-/Afl>-; Area of wetlands on lot: square feet Percent coverage of lot: - % Closest distance between nearest existing structure and upland edge of wetlands: 16'0 feet Closest distance between nearest proposed structure and upland edge of wetlands: (en? feet Does the project involve excavation or filling? No ~ Yes If yes, how much material will be excavated? fi1 cubic yards How much material will be filled? 10 cubic yards Depth of which material will be removed or deposited: J- feet Proposed slope throughout the area of operations: 3 -ro I Manner in which material will be removed or deposited: iY1!!K~(o€. 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): -mro:" WI!! I:e /II~ M.I'_ Hb10 tJs ,f- &<111 o? /'l# ntZc(j tpw.JlflllJ'l. 0/te- M.tw w,ff( wi! & th (",!jl~ or '71tir r:vu( W. f ~"""'r ~.~ Bk,_ k1 ii>"""f !""Mm..J $r MAJtMf7l;O I~Ml NtF 4Ifard of Trustees APPlicat~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: f"p/~4!\ oP- f0</STlrJ1 17f11-iii/"{ 1()~ Are wetlands present within 100 feet of the proposed activity? No V Yes Does the project involve excavation or filling? No V Yes If Yes, how much material will be excavated? '10 (cubic yards) yb ( Manner in which material will be removed or deposited: How much material will be filled? (cubic yards) 151b.K'I!OIF . Describe the nature and extent ofthe environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) -rIlE MtJ/lt.cWMt~ /#/lIt&P of'" 7h.r /JA!f0Y<1 Pr.;e::a:r I.YI /I I r ~ , >-HI!I( ~~ or SlLTIirItW 1#1II<<t/~M ii:cwr Of 71/r II!w ~ ;116 4/11 c'1tfl7/#N kt4<-! 00/ ~ ~ iff 61 I/lfun!~. I PROJECT 10 NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLIBTED ACTIONS Only (To be completed by Applicant or Project Sponsor) 2. PROJECT NAME kit . SEQR PART 1 - PROJECT INFORMATION 1. ~ Municipality County ~Ik. 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ate - or provide map 1>:0 t-I~ ~<MC 5. is PROPOSED ACTION: 0 New ~ ~ /f.A/ !/1~r 6. DESCRIBE PROJECT BRIEFLY: f!.r::7oA.lMt- 11>1(1\ ~Itlu {I. II t/fC7ff(/ L- /litW (l1f1~ {Jlk;t iYlitJ 170 I [)f' !Atgf"1 t.ftsJ7~. i?J( (Oid:fj wtfu:;s tftI(J C--LOC ,f?v/ P/t#IJ -1'r AW {i'l-e.'Vtf-i7 rJtt/ TD is,, Co'f wtftJ 0 P- ()r( <.SlIt:1frn(f1A- 7. AMOUNT Of LAND AFFECTED: Initially 'lL acres Ultimately I acres 8.~ROPOSED ACTION COMPLY WITH EXiSTING ZONING OR OTHER RESTRICTIONS? l!J Yes D No If no, describe briefly: ~T IS PRESENT LAND USE iN VICINITY ~ Residential 0 Industrial D Commercial OF PROJECT? (Choose as many as apply.) DAgriculture D Park I Forest I Open Space o Other (describe) 10. ODES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDiNG, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL ~y (Federal, State or Local) ~Yes 0 No If yes, list agency name and permit I approval: !$hec mo-r /..JvS;{J 05 11~ ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ltJY6S DNa If yes, list agency name and permit I approval: Ae~ t'J,/s iJ oS OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature Applicant If the action Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . PARTII- IMPACT ASSESSMENT (To be comDleted bv Lead Aaencvl A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? 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 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. OVes DNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existlng 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 :1 C2. Aesthetic, agricultural, archaeological. historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: I 1 C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: 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 C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: I C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: . I :1 C7. Other impacts (including chances in use of either uantitv or type of ener!:w? Explain brietlv: I l 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: :1 o Ves 0 No I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSV RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain o Yes ONO I 1 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 (Le. 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 impactoflhe proposed aClionon 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 this box If you have determined, based on the information 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 Print or fype 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) . . PROOF OF MAILING OF NOTICE ATTACH CERTIFlED MAIL RECEIPTS Name: Address: U"l <r U"l .-'l ~ .-'l <0 o . U.S. Postal Service CEp.TlrIFD MAIL RECEIPT (DomestIc Mail Only, No Insurance Coverage ProVIded) f'- o o o Return Receipt Fee (Endorsement Required) C'J Restricted Delivery Fee CJ (Endorsement Required) .-'l o Total Postage & Fees $ Postmark He.. C~: B2J(YItO rtl/21/06 ~ /t~ AatfC d,7 ~ adW- fif/(fj'JJ lfi A... r'4J /rJIy A:f /~ fliYll@51 A L USE 0.39 001 ID: 0944 2.'10 Certified Fee ...D Dent 0 ~ WiiiiApCfIO'ou, ..n().kJ1no<da1f.!i.J.lfujL,.nnon.nnououou orpo'Sox"No..' , h" ^ ci~.5ia~;ziP+4.................................n............................:..... :~~u~; s!~ /::{:~c!s;~~that~~i ),,1 day of L1ifr . 20~ deponent mailed a true copy of the Notice set forth in the Board 0 rustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment r~oll fthe Town of South old; that said Notices were mailed at the United States Post Office at _' , that said Notices were mailed to each of said persons by (certified) (regist ed) mail. .l1d Sworn to be ore me this J. 'f .20P~ ~ JOSEPH W. IRWIN NaIIIw PublIc. Sl8le 01 New York No. _1108, SutIoIk CounIy ,....... May 16, 1JIf.ll. 4Itoard of Trustees APPlicat~n County of Suffolk State of New York -r "'- .--" (..ft.aM BEING DULY SWORN DEPOSES AND AFF S THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMI (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. ~ ----- -- ~_.- c~ Ignature SWORN TO BEFORE ME THIS :< f 111 DAY OF ,20 () /. It<; JOSEPH w. IRWIN NalIJy PuIlIIc. State of New YOIll HlI. 411111oe. SUIloIk Co~my .... ... May 16.lIIIHL . - '. ~ard of TrusteesAPPLicat~ AUTHORIZATION (where the applicant is not the owner) ... I, ~ kM- (print owner of property) residing at 7r:o l...ffU Pc,; (mailing address) R(} r./d1~ I/V /JI I(~S do hereby authorize ~ ~!:y (Agent) I to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ~) -- (Owner's signature) 8 . . APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of South old's Code of Ethics orohibits conflicts of interest on the Dart of town officers and emoJovees. The Durnase of this (ann is to nrovide information which can alert the town ofoossible conflicts of interest and allow it to take whatever action is necessarv to avoid same. . YOUR NAME: (Last Dam . first arne, J11iddle initial, unless you are applying in the name of someone lse or other entity, such as a company. If sa, 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 -- 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 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. YES NO ~ ffyou answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold 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 descrjbe 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 app1ic~t (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 ~:tName Fonn TS I . . (told #2) O NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DIVISION OF ENVIRONMENTAL PERMITS NYSDEC'REGION I HEADQUARTERS SUNY @ STONY BROOK BUILDING 40 STONY BROOK NY 11790 IAN CROWLEY PO BOX 618 GREENPORT NY 11944 (f()lll #1) n staple here NOTICE OF RECEIPT OF APPLICATION The Division of Environmental Permits has received the application referenced below. The material submitted is being reviewed by staff, and you will be advised in writing regarding the department's findings. In all future communications, please refer to the Application ID nnmber. Application ID.' 1-4738-03529/00001 Date Ret:eived: October 18, 2005 Applicant. MATTHEW KAR Facility KAR PROPERTY Descriptian' constwi 18" I 19'blkhd,l'/r50 .5'blkhd,40cydscleanfill,plantbuffer DEC Co"",cl.' tvIA TTHEW R PEN SKI Town of South old . . LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of South old Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. * Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus. each answer must be explained in detail. listinl!: both supportinl!: and non- supportinl!: facts. If an action carmot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the L WRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# (1J1Tt) - {II _ I! ~ /'{ PROJECTNAME k~ CSv1 \c.r{~ . The Application has been submitted to (check appropriate response): Town Board 0 Planning Board 0 Building Dept. 0 Board of Trustees ~ 1. Category of Town of South old agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) o o (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: ~ Nature and extent of action: tbMOIb th.tJ /&Plu I7J' 71'if/Mt- (f1btf( fMMbi1fJ ffJ th ~MJ I ftv/ f::r!o1II lNJIH (' ~ I') ,I Jc,rId-- jllia? eP1C/JW-Z Location of action: . 1!:D L. ffU . ~1l ~-S((:,~vtL- '04c0;C 'R7 ~ . C uh-4e.Ve: fJ/ l(qSD Site acreage: Present land use: Present zoning classification: l -i~ 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: j.{ It171Ibv ~ 7'\7) ?J'& fk..ht- !f,r /(q}j t4J (b) Mailing address: ~w vJ.f (c) Telephone number: Area Code ~Jb (d) Application number, if any: 13{ - 'p12- ( Will the action be directly undertaken, require funding, or approval by a state or federal agency? y es ~o WIf yes, which state or federal agency? ~ Iz:at;-- , C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. DYes D No ~ot Applicable Attacb additional sbeets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria DYes D No ~otAPPlicable . . Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria BYes 0 No 0 Not Applicable lr:.~ ~j't677IVC) /};oJ/ It> ' tf/rM/ , t:./fIIvJ{1!L<O . :~ ('m~ ~ ,(d/J/m.r , tMm /it./I&N! ~ u~ t.vVI( &€'dss _ Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria 0' Yes 0 No 0 Not ApJllicable <: '!/ AJIW6 IA/f/( II- i/i Lt..A s C&i, T/Iwi Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria rf Yes 0 No DNotAPPlicable f)I~ i!HiJ -;;f", i5v'rw" Ltke- /frzvtt LM/( JIr!jJ ~/k /I/'~,.,-(/ ~ ~:nL-f"~ Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. o o ~ Yes N~~~~) . Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. DYes 0 No ~t Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and w~ See L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes 0 No ~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See L WRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~/ o YeO No \iL1 Not Applicable Attach additional sheets if necessary ........ WORKING COAST POLICIE" . Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L WRP Section 111- Policies; Pages 47 through 56 for evaluation criteria. DYes 0 No ~t Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes 0 No 0Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. DYes 0 No ~ot Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policiesyages 65 through 68 for evaluation criteria. DYes 0 No I[] Not Applicable PREPARED BY -::1i1 t~(q / TITLE ~ DATE---Ik- ~ li1~ ~\~ 0~j ~oAt I I I ~ <. ~ i ,~ , i , ! ',-' f ~ >->., ~ , I ~ " ~ ~ , "" ~~ "" .~ ~ *' '" ~ -,~ ~'" ~ -- I- I , -nu"'"'' :\ TO\A;N OF ~\J I, ,,-, 'nO' -/~n: /#/8, Ob / / / / ,,,* f<<!- ~*\~ . ~~ ({ .~~\Y- ..."'\~' ~ ~" (j) , II~ o I(. V-~\l.~\~ "''''\:.\\~ ~ "o\S:...~.J ,1 'JI. 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