HomeMy WebLinkAboutTR-6601A
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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
151 day of construction
ructed
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 (6,31) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO:-'::ill-f'/ ij)oro-/t<j lYlic-c; che-~<.Ac~+
Please be advised that your application datedl1Pril 13/ cPaJ7
reviewed by this Board at the regular meeting or (Y7a.v /~ ,;2C07
following action was taken: I
~PPlication Approved
~) Application Denied
~) Application Tabled
has been
and the
(see below)
(see below)
(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 South old Town
Code.
The following fee must be paid within 90 days or re-application fees will be necessary.
COMPUTATION OF PERMIT FEES:
- rind k'o/ecl-~of\ Fee
TOTAL FEES DUE: $ .s-O. 00
BY: James F. King, President
Board of Trustees
.
.
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.: 6601A
Date of Receipt of Application: April 13, 2007
Applicant: Peter & Dorothy Micciche Trust
SCTM#: 78-6-4.1
Project Location: 270 Windy Point Lane, South old
Date of Resolutionllssuance: May 16, 2007
Date of Expiration: May 16, 2009
Reviewed by: Board of Trustees
Project Description: Install 24' of 6'x8' stockade fence along the property line.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
plan received on April 13, 2007.
Special Conditions: None
Inspections: Final inspection
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
~t9'~
James F. King, President
Board of Trustees
JFK:eac
N_DEC
APPROVE PER TERMS
AND COi';L 'lONg OF
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18" under prior approval. _
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J MO CONSULTING
QUOGUE)
NY 653-CfCfJ7
.
.
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 Inspection/Work session Report
Date/Time: S -Cj -D l
PETER & DOROTHY MICCICHE TRUST request an Administrative Permit to
install 24' of 6'X 8' stockade fence along the property line. Located: 270 Windy
Point Lane, Southold. SCTM#78-6-4.1
Tope of area to be impacted:
{,Saltwater Wetland _Freshwater Wetland Sound _Bay
Distance of proposed work to edge of above:
Pay( of Town Code proposed work falls under:
lL.Chapt.275 _Chapt. lll_other
Type of Application: _ Wetland _Coastal Erosion _Amendment v;G;ministrative
Emergency Pre-Submission Violation
- - -
Info ~eded:
OK ~
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Lo.W\'\ to(.~oN
Modifications:
Conditions:
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Presept Were: .0.King _J.Doherty _'1>.Dlckerson _D. Bergen_ B. GhOSIO, Jr
~. Cusack_ D. Dzenkowski _Mark Terry_other
Mailed/Faxed to:
Date:
Environmental Technician
Review ~ ~c..
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Albert J. Krupski, President
James King, Vice-President
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.~~b~1
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
~ Wetland Permit Application ~ Administrative Permit
~ AmendmentITransfer/Extension
-iteceived Application: J./1/.3fa'7
../"Received Fee:$ ~..-
~rCompleted Application '/I r.3/<J7
~Incomplete
SEQRA Classification:
Type I_Type II_Unlisted_ APR 1 3 (C07
~Coordihation:(date sent)
CAC Referral Sent:
1Jate of Inspection: ,"iJq /01
._Receipt ofCAC Report:
~ Lead Agency Determination:_
Technical Review: ,
Jlttblic Hearing Held: 5/lftJf(J7
Resolution:
Name of Applicant P€TEf< t ~O~o rl+"f /t1l~G~c..-H tE Ttlt/s 1:
Address ;;;2.10 (..vI N]~..1 rt> .,JT b.cl. /V1t:tI'I,.~: ca9 ff~vCA{d.. Ave, ./J
r 5",,;MJ-c;.....,1/v 1
Phone Number:( I )),,31 -, (,..:;- - I y."3"3 //7f57
Suffolk County Tax Map Number: 1000. .J:J? "If I
Property Location:
, ......,
2:"70 ..sov'''''
of MA Ia) ~ '0, (.t.V"
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
.
Board of Trustees
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Application
GENERAL DATA
Land Area (in square feet):
Area Zoning:
Previous use of property:
Lf4.W ,..;
L "k.U,J.
?tt.IV~'ttf
Intended use of property:
Prior permits! approvals for site improvements:
Agency
Date
VI.(~. nee... f '1738- Olofo-:l./"C!CJ:) 10
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~8ID Pd.1.Mi1,f1n 'tV'-/ '3 / ~o I fI ":J -
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__ 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:
I
Project Description (use attachments if necessary)<i24- (,,)C & ~ to c. k.a d Ii.
FF~)C.t=
~1)<\E 0 F Vf\o felL~'i
Fe,ft.. YC'.\ v A~
~Board of Trustees ApPlica~n
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
g+o c..K.f3. "DE.. Ft? /<1 c.I=
6'^ r ^ '3 FOIL PilI I/~~ "'-0 1JeufJ, S-DA-
Al"'L:1/. lV.o~t c.o/'LAll!/L 0 F PJ>opr;,i/;'Iy'
Area of wetlands on lot:
C)
C)
square feet
Percent coverage of lot:
%
Closest distance between nearest existing structure and upland
edge of wetlands: feet
ClOsest distance between nearest proposed structure and upland
edge of wetlands: /6'" feet
Does the project involve excavation or filling?
x
No
Yes
If yes, how much material will be excavated? 0 cubic yards
How much material will be filled?
o
cubic yards
Depth of which material will be removed or deposited:
C)
feet
Proposed slope throughout the area of operations: CD
Manner in which material will be removed or deposited: 0
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):
PROJECT ID 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)
..
SEaR
PART 1 . PROJECT INFORMATION
1. APPLICANT I SPONSOR
Tt1.v,=--t
2. PROJECT NAME
F CE..
Municipality
4. PRECISE LOCATION: Street Addess and Road
;1..10 W, ""~ (6,,.;T I-~.
County ~U Ft=OII <.
Intersections, Prominent landmarks ate - or orovide map
::L '70 I 5ov'H, ~.".,~ ~ UW,o
5. IS PROPOSED ACTION: ~ New
o Expansion D Modification / alteration
6. DESCRIBE PROJECT BRIEFLY:
:3 ~ ,'/... 'is F ---.~ ~+()c.KAb""
01\) f!.Jlo f~ -~ w'LI.J... ~ 'tb 1U~tt.'Yh..
7. AMOUNT OF LAND AFFECTED:
Initially acres Ultimately acres
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
~ Residential D Industrial D Commercial
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)
DYes ~ No If yes, list agency name and permit I approval:
11. DOES A~~PECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR
D Yes ~ "10 If yes, list agency name and permit I approval:
APPROVAL?
PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
o
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant
Signature
t~
If the action Is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
.
(\t
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PART II - IMPACT ASSESSMENT ITa be comoleted bv Lead Agency)
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.
o Yes ONo
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NVCRR, PART 617.6? If No, a negative
declaration may be superseded by another involved agency.
OVes ONO
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, jf 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 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 teon, cumulative, or other effects not identified in C1-C5? Explain briefly:
I I
C7. Other imnacts (includina chanQes in use of either auantitv or type of enerav? Explain brieflv:
r 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
o Ves 0 No I
E. IS THERE, OR IS THERE L1KEL V TO BE, CONTROVERSV RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain
o Ves ONO 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 (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 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 andJor prepare a positive declaration.
Check this box if you have deteonined, 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 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)
.
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APPLICANT/AGENTnuffiPRESENTATfVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold' s Code of Ethics orohibits conflicts of interest on the Dart of town officers and emo]ovees. The DUroose of
this form is to orovide information which can alert the town of DOssible conflicts of interest and allow it to take whatever action is
necessary to avoid same. .
YOUR NAME: ~It.<'-"C..l( ~t(la... 'Ie!,)'!:. T
(Last name, first name. -1;J1iddte initiaJ, 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
Varianee
Change of Zone
Approval of plat
Exemption from plat or official map
Other
(If "Other", name the activity.)
Building
Trustee
Coastal Erosion
Mooring
Planning
3 get. t,or...lC;: \o)(~
F ..LtA.A /I J
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, orbus"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 ans\\'ered "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
~l";1l. e
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 applic@f1t
(when the applicant is a corporation);
_B) the legal or beneficial ow~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~hmitted~of~
Signature . '[1. ,1
Prmt Name e:
-
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