The URL can be used to link to this page

Home My WebLink AboutTR-6496A ~ . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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 -:7 Project complete, compliance inspection. . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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.: 6496A Date of Receipt of Application: November 22, 2006 Applicant: Vicki Haupt SCTM#: 106-1-25 Project Location: 2200 Central Drive, Mattituck Date of Resolution/Issuance: December 13, 2006 Date of Expiration: December 13, 2008 Reviewed by: Jill Doherty Project Description: Remove and replace stoop and deck on southeast and northeast side of two-story dwelling, remove/replace roof over kitchen/dining room and construct new covered roof, install new foundation wall on northeast side of two-story dwelling in crawlspace under kitchen/dining room and existing wood deck, and replace existing subsided pier on northeast corner of dwelling and replace with new pier with the condition of drywells to contain runoff, removal of the pipe from the bluff, hay bales during construction, and a no mow buffer 10' landward of the bluff, and all as depicted on the plans surveyed by John C. Ehlers revised 1/2/07. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth by the Board of Trustees. Special Conditions: Hay bales during construction; 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~r~~m any other agency. James F. King, President Board of Trustees JFKlhkc , . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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: Nt ~ \ vJl\1r6l~ 1Gt.. Vicki l-tt'..\Ar+- Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: Ill;));;> J 0(, I~ 113/0' has been and the ~ Application Approved IN" yJeeJ (\QvJ ,.Ic..n S>-QW, ".... 3""-\-<\<:<\') eJ,':l v><IIt)t:~ cr.......O"A\ 0(.- f\'{'-'- f<t,,,,, bl.....+f) h",~b..l<s (see below) c1LAr<~ (f>.> s +--rvo+.)~.J t?Y>.J 0.. \0 ~ (\0.. ('YlOW O-rfL, ( r/(\,), vJv-d Of ~ ~{.{- ~) 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: j S D ~Vt... \ 11"\~r<<..~,J rjO rO /(~ TOTAL FEES DUE: $ J BY: James F. King, President .-- -- --~oaraolTrustees .. . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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 InspectionlW orksession Report Date/Time: Name of Applicant: Vicki fj I tl' cJ (..-f f "t f2c)b",i Wllli~rvl.solV 10(, I';;"~ Name of Agent: Nlcy\ Property Location: SCTM# & Street ~~OQ CCt'l!r"d p.',.>, Brief Description of proposed action: lv' #\ -t'''.!1 ~'\~ t', ~ Type of area to be impacted: ~ Saltwater Wetland Freshwater Wetland _Sound Front _Bay Front Distance of proposed work to edge of above: Part of Town Code proposed work falls under: ~Chapt.91 _Chapt. 37 _other ;i.1S Type of Application: _ W etland _Coastal Erosion _Amendment VAdministrative _Emergency Info needed: Modifications: Conditions: Present Were: _J.King /J.Doherty _P.Dickerson_D. Bergen Other: Bob Ghosio, Jr. MailedIFaxed to: Date: Comments of Environmental Technician: I 1111 I I' , , , ''''_M.j" "'TO< / LII<E" " '" m7'7u.m" '~' ," pp i~~ ! j-,,~ PHi sH; lfl "j , ' " : I '" (:';"0 PHI! i' P, -:']: f ~ r ~ I I I iils' ,. \!HH ~ j - " i :; ~ HI pj i, I!' ,I' i' ~ 1 ;:. "1.,- ill', 111;,1~ i' II ! r ~~ ,ilii ~'t o ", f;;; H; , .,.~ .,.~ fC ff::: ~1: " ~e ,~, C , l e f~ 1, 1-- .- , ~ i:: @) j, , ,- I I, I ~ I' Ii i\': ~iC ~;., j . ! ! I, ,- i- e '~-?'---- 7" n ~t " II >-> o m , 'C,~~_, +". -"'~~--T I . . . . (;J., . . 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 SOUTH OLD Office Use Only . - i.vl fJ VU \...... v \)!'1.{Ud2:.( (3 no [IV( 6't-V , '~w- .. Iv f'; i x:: _Coastal Erosion Permit Application _ Welland Pennit Application / Administrative Pennit Amendment/Transfer/Extension ~eceived Application: 111a.J/\:i. _-Received Fee:$ ,')U ~ _ eompleted Application..1.JldJ-~ _Incomplete _SEQRA Classification: Type I_Type JI_Unlistcd_ Coordination:(date sent) = L WRP Consistency Assessment Form f;~f'IY)/l T _ CAC Referral Sent:_ _--f)ate oflnspection: 1;:J./~f\'i:, _Receipt ofCAC Report: _Lead Agency Determination:_ Technical Review: ---Public Hearing Held: J a.J 1.3/lJf, Resolution: (t-O , Ixv{C, l~l t7if I~~ pccy'5 NOV 2 2 2006 Name of Applicant--1'1s VIe ki J-L8:Jd.fr NE.\J 'f'l?k. CEfJTI2.t\1..- PM2.K. SourH, ti: 98 646 !JC:W Vof.i<. Phone Number:( ) 734 84/7 Address 2 I 0 Suffolk County Tax Map Number: 1000 - 10 h - I - 25 Property Location: 2200 C c:. /J T R.1l1...- D 1<.111 E.. H A-rn rlJ Ck... tJ It /1952 (provide LILCO Pole #, distance to cross streets, and location) AGENT: Nt G-f:L 1Go8fi:.l2.. WIL.LI4-Ms.oJ /ko{l~ur (If applicable) Address: p.O. ~^ J 75'8 5nU-ru-oLD tJ~..J Lpf2..k.. Phone: 1631. 7b5.4/5'(" 4Ifoard of Trustees APPlic~n GENERAL DATA Land Area (in squarefeet): 56,15<0 Area Zoning:J ... 40 Previous use of property: S/i.JC"L(; FtWllL.~ DaJ"LLIJr~ (TWO S1'"Q.,v"'r(/a.~-sJ Intended use of property: S/lJl;-LI<: ~I'-Ij DhJCU...l.Jt;- Prior permits/approvals for site improvements: Agency -4 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ---X-No_ Yes If yes, provide explanation: Project Description (use attaclunents if necessary): I. RLMovL E..<.T~' S'111-<>f _ (.!JUIL. ~ SaV'r/of C;~Sr f WIl..n1 EA.tr SIDE. t7f 2.. Str1'"'1 J+OcJ~{;'. ~IAC-f- .,.)/ iJ€..J 1;." S"flhO 4'..0'.... 1).'-0' I- JU:. 7)41 /}-/ . . 2, tfi.M.ovt:. t:;....'T4. bF 20'-.,'.... "/-0" OVt;e... K'TcHEJ l..ll,.)~ i.oaM rJ-/4-fl.uf- hi 41" hi 2.... Ie" e... fL. ,Jli.iJ Ccv E.12.{.,"b e..... >H "b1L..J . _I) 3. loJ51l;lU.... E;.J {Qv,.)7>1'>'P"'.J flLJ-- I~ /Jli>/L<n-twr;..r SIDE or 2. J("'~ H-oLl.l'-)/iJ L.-" p.c;.r. vtolbU!... E.-nJeul k./'TCttLJ D'N'"'' f!M. rf E..,-.c;:. W..oo DE.Uc.. DIWt; "~I 4. 12.E. M.a ~,R.~Pl-AC-Ec. r: t..E 1..Ot-A-;&;, OOce.> ...... I """).,).$ A.I: Sk.ohl,.J ",..r to.UV~rKlJ..s: l......1:>~~ 11-2.. .J- A..1. ~. e..'{;pw.~ t::....,..c;. ~4.1'D"'O f'f:..~ ~ IJo~L;Hr Co,wEi/L "T E"'t<T. J StOFL; I-/A LlJ(i f C4i:.fL.4<-'- wi iJE..iJ fld'- i)~ 'sJot-o.J,,) e>J be,hl C, . ll- , "l)I?:T p.( I-S I f7 '2. 4Ifoard of Trustees APPlicatlfn WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: AbD' n..:>J r Ik-rEtLA-rlaJ.s: 1'0 (.)(/ sn...:l &0 S1YWc-,vi..-,~:.~ Percent coverage of lot: o o square feet Area of wetlands on lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No )( Yes If yes, how much material will be excavated? 3. h cubic yards How much material will be filled? o cubic yards Depth of which material will be removed or deposited: 3' - 0 " feet Proposed slope throughout the area of operations: o (El(.I~n.i~.) Manner in which material will be removed or deposited: DEpos,an (W -F~I.J"- 1 I-Lov./(: Statement of the effect, if any, on the wetlands and tidal waters ofthe town that ll1ay result by reason of such proposed operations (use attachments if appropriate): /Jo/Je Il?f ~r. PROJECT ID NUMBER 617.20 . APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIQNS Only ( To be completed by Applicant or Project Sponsor) SEQR PART 1. PROJECT INFORMATION 1. APPLICANT I SPONSOR N'5tt- R.c6E;f,:r W'JI;1\1I1 ~ 2. PROJECT NAME !-It}vp-r R.E.SIOu]U 3.PROJECT LOCATION: 2200 CE.iJT'/UH..- :De.w'€: Municipality A rn r u c- tJ I 9 S z.. County 4. PRECISE LOCATION: Street Addess an Road Intersections. Prominent landmarks ete - or provide map '2'2.00 C~"'~ Dl2.lvE. ~r"-I"-lJc,~J /J'1 /l9~'2.. ItJn.f.,H:.c.no (f, L-1U1:l~ /2.09'D C~.u~ t)l!tv"-. 5. IS PROPOSED ACTION' ~ New D Expansion D Modification / alteration 6 DESCRIBE PROJECT BRIEFLY /. ~[t1o,,( (';>("-6;'. Snx:>1' Ii z,E.C-t... l'lJ s:..Vf'H"Il'''- {' w.oerH()l.r .$nll;. I7f '2. ~'f'O~ H,.oV.s~. Rq>""a. ..,/ ~,"..l l>iJ~ STV-Ol' 4'....,"" 3z'.o'L,. (sH D2.>Il'r. 'l-I) / ~, ~"""""" ,;...ftf. bF. 20:0" "- /I..'--(}" 0IIl:./l., L'TC.I(E.J bIJ,JCj ~ r ~p/,,1o-4. IJ/AliaJ '2.", Ie" 2. e.. < IJW Co\JEIUD I2...e>f (S'(;(. 1)12....14. lJ.,) 3 IJS'1lII..<- tJ'-'" [OV,)oIl"-""',j "'~.... hl I..}O/l.:q-lItJl,r no!:; D[ 1. 57l"~ /l.<:>V$"- I..J . C~ (..lp~~ (),J1)~ B,nJa;rJ k.,'T'ua"iJ /n/.J,J&r '1M, 4' f.;I.r~. 1Jc9<>t> OE'L.t... (1'JbJC,. ,1) 4. IZ.f.I'\OV~1 ~E.pl.1a. ~ e.Lwc..An:. b9<>e..c (' hh.JDo,.J,$ AS ..CI(,oj,)J 0.) E;/.k.~It(Io.J (-nrz...Jt;s. l\-1. ... 4.3.) ~,e.fi.pWt~"- E..II.Tt:;. Svino"'" /'fE-I.. .,u ~'-HUI<r Co/W1<.L Of E.llftt. I f'fU~ r- U:. /./la >oJ oJ~u ILL liS ./k.<>NJ 0..1 1>e.J /1-/ V,- f'Q,1.- I r 2. 7. AMOUNT OF LAND AFFECTED: Initially 1.27 s S<2.. Ultimately '2.'2. 7 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~ Yes D No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~ Residential D Industrial 0 Commercial DAgriCUllure D ParI< I Forest / 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) D"'c ,~~......n ~,j d I'V'f c.. - ....<-, ''''''- - r /oJ" Jl!ItI.sDI(;':p..o~ ~Yes DNa If yes, list agency name and pennit I approval: ;}EA _ -jOIJJ or ~Ur1.t;OLO BLDl<-. PI2RM.r - '1VIJ.J l;<JUTUaU:> n. DOES ANY ASPECI Or I HF7\CIION HAVe A CLJRRENTLYVALlIlJ5rnMll OR APPROVAL? DYes ~NO If yes, list agency name and permit I approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? ., n []ves 0 No IV H-. I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature lrJi;;cr Date 2.1 jr /J,..J"JAg ~" Applicant I Sponso If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . .- PART II. IMPACT ASSESSMENT (To be comoleted bv Lead Agency) 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. DYes DNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 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 han~written, 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 l 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 I C7 Other imnacts (including changes in use of either quantity or type of energy? Explain briefly: I 1 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 D No I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If xes ex~lain j DYes DNo 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 (1) 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 g8tel:minatkm-{)f.signifiGaflGemust-evatuate-tAe-petentiaHm~€-t€l-f-tA-e--flroj3osed seHeR en tRC eFl. imnFflcntal charac.t~otthe-€B\;---- 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. Checkftllsui)ox-ifyouhave-det,irmlne"d, based on -file information and analysis above and- any supporting documenta'-tion, fh-at-ihe-proposed aetlor 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 APPli!!tion County of Suffolk State of New York )..1JCrt;.L RafSEftr JJLL.llj""~.J /kcHd-,-cr BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE~S 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 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 WIT REVIEW OF TIDS APPLICATION. ~ Signature SWORN TO BEFORE ME TIDS 201C DAY OF No..; €oM BEJ2..._,200G ANNE REITMAN Notary PubliC, State of New York No. 4827014.Suifolk County Term Expires May 31, 20/.Jl 11/18/2006 02:08 FAX 2122583750 . FEDEX K1NKO'S 0763 . November 2006 I Vicki Haupt residing at 210 Central Park South, # 9B in New York, New York 10019 do hereby authorize Nigel Robert Williamson to apply for permit(s) from the Southold Board of Town Trustees on my behalf for my property located at 2200 Central Drive in Mattituck, New York 11952. S~er~IY' I "I L.d"i" 1lJ001l001 . . APPLICANT/AGENTntEPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of South old's Code of Ethics Drohibits conflicts of interest on the Dart of town officers and emolovees. The numose of this form is to orovide information which can alert the town ofoossible conflicts ofinteres't and allow it to take whatever action is necessarv to avoid same. YOUR NAME: M.s. y,C-k.i I-&rvfl (Last name, first name, -I,lliddle initial, unless you are applying in the name of someone else or other entity, such as a company. Usa, 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 (Jr"Other... name the activity.). J/ v 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 /' If you 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 bet\veen 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 applic~nt (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 RELATIONSHIP S~bmitted th~q.o-IG. da~f ;J9V'-~ 200 h SIgnature ~ ~ -----_ ~/re:c.r Print Name I t... r I L.LI /hvf >aU Form TS 1 . 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) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD OTHER POSSIBLE AGENCIES YOn MIGHT HAVE TO APPLY TO N.Y.S. Dept. of Enviromnental Conservation (DEC) SUNY, Bldg. 40 Stony Brook, NY 11790-2356 (631) 444-0355 Mon., Wed., Fri., 8:00 AM-3:00 PM Suffolk County Dept. of Health Services County Center Riverhead, NY 11901 852-2100 U.S. Army Corp. of Engineers New York District 26 Federal Plaza New York, NY 10278 212-264-3912 N.Y.S. Dept. of State Coastal Management 162 Washington Ave. A lhHn)l,-NY_12231 - 518-474-6000