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Home My WebLink AboutTR-6611A 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 CERTIFICATE OF COMPLIANCE Date: Julv 25, 2007 # 0223C THIS CERTIFIES that the installation of a split-rail fence along the property line At 350 West Creek Avenue, Cutchogue, New York Suffolk County Tax Map # 103-13-2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 04/17/07 pursuant to which Trustees Permit # 6611A Dated 05/16/07. Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law, The project for which this certificate is being issued is for the installation of a split-rail fence along the property line. The certificate is issued to Charles F. Dignev owner of the aforesaid property, ro<~ Authorized Signature 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 SOUTH OLD 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 sl day of construction _ yonstructed ! L Project complete, compliance inspection. tf!J.-f r1 o:;~ ELIZABETH A. NEVILLE T,oWN CLERK Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765.1823 Telephone (516) 765-liJOU REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER B'REEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of I nformation Officer). One copy will be returned to you in response to your request, or as an inter' TO: ( Department ./f 1 .~ fA or Officer, if t has the informa ion you are r ----------------------------------- ----------------------------------- SECTION I. RECORD YOU WISH TO INSPECT: (Describe the recor so g If possible, supply date, file title, tax map number, and any other pertinent information.) DIIJA ~ IU.~ ~f ~.t: aH:~ Signature of Applicant: Printed Name: !~~.fy{ c{.c-, Address: SI 07.-0 /~ (~ . (' /7loo~ /llOt'/J ~oc:( 5 C'vclt7o/d Mailing Address (if different from above): Telephone Number: 7&)-:' $13 ''70 Date: ====================================================================RE~~====== [ ] APPROVED [ ] APPROVED WITH DELAY. CJ;~'UI{l~ Elizabeth A. Neville Freedom of Information Officer DENIED* JU~: 2 1 2007 SQUI~J1Jo'..:n (I".. * I f delayed or denied see reverse side for explanation. . . 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 _ y-eonstructed L 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 SOUTH OLD Permit No.: 6611A Date of Receipt of Application: April 17, 2007 Applicant: Charles F. Digney SCTM#: 103-13-2 Project Location: 350 West Creek Avenue, Cutchogue Date of Resolution/Issuance: May 16, 2007 Date of Expiration: May 16, 2009 Reviewed by: Trustee Peggy Dickerson Project Description: Install a split-rail 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 17, 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. ro<~ James F. King, President Board of Trustees JFK:eac . . 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: Dhayles P:Yljne,v Please be advised that your application dated ~I'I I~ ~7 has been reviewed by this Board at the regular meeting of may /& d;lo::J7 and the following action was taken: ' ( V;:;Plication Approved (see below) <-) 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: - F:na( ;JA-i~f;On Fee- TOTAL FEES DUE: $ :;--0. Q::) BY: James F. King, President Board of Trustees . James F. King, PTesident 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: CHARLES D1GNEY requests an Administrative Permit to install a split-rail fence along the property line. Located: 350 West Creek Ave., Cutchogue. SCTM#103- 13-2 Type of area to be impacted: V Saltwater Wetland Freshwater Wetland - - Sound _Bay Distance of proposed work to edge of above: ~ of Town Code proposed work falls under: _Chapt.275 _Chapt. Ill_other Type of Application: _ W etland _Coastal Erosion _Amendment vAdministrative _Emergency _Pre-Submission _Violation Info needed: - Modifications: Conditions: Present Were: _J.King _J.Doherty _P.Dickerson _D. Bergen_ B. Ghosio, Jr _H. Cusack_ D. Dzenkowski _Mark Terry_other MailedlFaxed to: Date: Environmental Technician Review kee,o -((>.f\c," I \ 0 I \ ~ .4. <..n:cJ... of- rr> +I VJ c'M.l. au.+ of In,,,loM . . ili I l :f jV) ~ ' II a!! "',.-1 f. \ ~: F-i ~I ' 8i' i ., ~ ., ''''ill I' i .:"~ I .~ Et"'j' 0""._ . , , I ;~"'I ~~~ I it~i j ~i:lH 1 .......-... o ~~~ ~~] . ..,. , e ~:Jn "q~l ~' H;H ., ~ ~ @ ~I ~ f ~ ~, ",in~ !; ~,I.l.I! ;;111rl hhHI '1 ii i ';';j illl; ! ~! q liHil IH I ~ ,I n '. "'~'t. e ~! ~F~"" -,~ I ~ . 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) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Pennit Application ----eWelland Pennit Application --L Administrative Pennit Amendment/Transfer/Extension ...........Received Application: 'II,'J ()? -,received Fee:$ ~ -----P>mpleted Application 'II n I~ _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ _ Coordination:( date sent) _LWRP Consistency Assessment Form CAC Referral Sent: Arate of Inspection: ~ 9 J~ _Receipt of CAC Report: _Lead Agency Detennination:_ Technical Review: rf'iiblic Hearing Held: ,':)}11I107 _Resolution: !\PR i 7 2007 C/ rI f'te Lc~ p::- o 3 S- 0 w ~ --R Z:Ei: /I (/(;:' CurQ /-/OCtJE A./f. PhoneNumber:~/) /h~-G/6-1l I I ;0"3 - I i - 2- Property Location: iJ/&.g' t~O:.. iJk:; 4- OLD fl!:TuKC L; '-Co Ihu: A.tW~ Jl:E ,ffflC//J1t.tj --.- ---'-- -- .- ---- -. -.-.'---- -/-----.--- Name of Applicant ]) /ClJelf f Address Suffolk County Tax Map Number: 1000- __(Provide LILCO Pole #,distance to cross streets, and location) AGENT: (If applicable) Jld 1/;;:::: , Address: Phone: .' tlrrd of Trustees APPlicati~ Land Area (in square feet): I.. c.sS Area Zoning: KcS / )JcAjJj,4 {., Previous use of property: tVo OJy; , jill-I; GENERAL DATA 1"; IJI{ ,It) I' Intended use of property: tUo C/J/JA;(;C: /(f)/L- Pc IV C f: Prior permits/approvals for site improvements: Agenc~ 6" A!l- of --rLtoTr.<< Date 9,1 3/ ~.j , __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspe~d by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments ifnecessary): 5 Pu r ,.(>t?/~ ~clv~e: o;{/ ?;f.oP~RT1 r;r/llfT/A/h' //7 ,fr/2r-eT' /I10A/O.lllt:II/j C.ec:c:;.e AVE: AfRos5' p-eo/t! A/Yr"'1 , , db to x/ ko R::Rr t/ /l tJ fJ..eox 1 Jl'ft4 7bLy / /' ,;::-/ ;(/ E". ) (u/6:5r ~/r-l:t,,~ ~ 160 tlrrd of Trustees APPlicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: P4 fief; JrfJ-,IT J:/JIL fiAJC c oil! PRo fZ/2 T,/ 1.-/1/;[ Area of wetlands on lot: square feet Percent coverage oflot: % 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 I If yes. how much material will be excavated? to! /11 cubic yards How much material will be filled? . ~/IJ , cubic yards Depth of which material will be removed or deposited: A/J1" E,' feet Proposed slope throughout the area of operations: ,()CJ (! 1/ iJ i&hC Manner in which material will be removed or deposited: 4"//7 Statement of the effect, if any. on the wetlllilds and tidal waters of the town that may resllltQY reason of such proposed operations (use attachments if appropriate): #14 ,- 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 I PROJECT 10 NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT I SPONSOR C II Ie G fS 'F ]) /0"1v Ff 2. PROJECT NAME 3.PROJECT LOCATION: Municipality County 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc - or ..!:'ovide m~ 1fJ5'T{/flc. $) 360 it) CI('~6k.. 1)(/!:,{!{/TC;h(f(/c Ji1./. (w_ClfD<'f'Ot-O . vy-r ?'9< 5. IS PROPOSED ACTION: ~ New o Expansion D Modification I alteration 6. DESCRIBE PROJECT BRIEFLY: s r./--/ T vf/J//- r~AJCF 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 0 Industrial o Commercial OF PROJECT? (Choose as many as apply.) DAgriCUIIUre D Park I Forest J Open Space DOlher (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) DYes l.Xl No If yes, list agency name and permit I approval: . DOES 'A!IT ASPECIUF TRFACTIOIrt1JWE A CURRENILY VlillOPERMllOR APPROVAL? o Yes ~o If yes, list agency name and permit I approval: PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant Da,e4/11/o7 Signature If the ac Ion I a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . PARTII. IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANV TYPE I THRESHOLD IN 6 NVCRR, 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 NVCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. OVes DNO C. COULD ACTION RESULT IN ANV ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) CL 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. rhetiC' agricultural, archaeologi~I, historic, or other natuml or cultural resources, or community or neighborhood characte~ Explain briefiY, C3. retation orfauna, fish, shelmsh or wildlife species, significant habita~, or threatened or endangered species? Explain briefiy . 1 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 tenn, short term, cumulative, or other effects not identified in C1~C5? Explain briefly: I I C7. Otherim acts (including changes in use of either quantity or type of energy? Explain briefly: I j 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: ] DYes 0 No I E. IS THERE, OR IS THERE L1KEL V TO BE, CONTROVERSV RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: I OVes ONo 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 determinatiGn ef eignifioaAGe-mblst 0\'311;10to the-petential-impaet-of..tfle-.propesedaeOOfHJR thc eA. iron I "cRtal c.I-,aractc::.ristic..&ofthe-€EA;-- _ Check this box jf 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. Checidhis-boX"ifyou"tiave-aeterminecfbssea-on -fhe -information and anaJysisabove and any supporting- documentation,-iiiifihe-propos-edaCtlo- 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 Offlcer In Lead Agency Title of Responsible Officer Signature of ResponSible Officer In Lead Agency Signature of Preparer (If different from responSIble officer) 4Itoard of Trustees ApPlicat~n County of Suffolk State of New York c. JI ;J K '-- e:7) r 2) /6/Jef BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER 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 REPRESENT A TIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Oktf i S;,,,,",, I2t-u SWORN TO BEFORE ME THIS~DAY OF~21G ,20..a1 SHAYoVlN llllWlO NalIIy PullIic. Slate 01 NIw'illlll No.OIBR6158999 Oualrfled In Suffolk Counlv CommlsS;(j1 ~",pIfP<' hn;l'. 'K ?O!, . -; erd of Trustees. APPlicatie AUTHORIZATION (where the applicant is not the owner) ~ I, (print owner of property) residing at (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (OWner's signature) -------- --- ----- ---------.------------ 8 .< . . APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE< FORM YOUR NAME: The Town of South old's Code of Ethics orohiblts conflicts of Interest on the "art oflown officers and em":;;ees -:;"e ~~,:se of this form is to nrovide information which can alert the town of DOssihle conflicts of interest and allow it to e wh lev a tion is necessary to avoid same. . e IIIrI2 LeI r. b/fFlll~f (Last name, first name. .tpiddle initial, unless you are applying in the name of someone else or other entity. such as a company. Ifso, 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 ,I' 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. v' 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 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 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<;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; or _D) the actual applicant DESCRIPTION OF RELATIONSHIP Form TS I =!.~~~tfiiA%1 ~~@JLr lQ} i!l ~ ~ ~ @;;) ~ ~ ~ ~~~ ~~~ ~ '\y;?~~ n U~Cl!J~ Existing Dwelling (Approximate) APR 1 7 2C07 APPROVED [;" LOARD OF TRUSTEES TOWN OF SOUTHOLC DATE . 5//& (;7 ~ ..........-.............. 00 ..... ... AREA of CLEARING - to be passively re-vegetated _ ( 4, 000 square feet :t ) '. \. ~ '" ..... '. '. f.... '" ..... " " ........ ..\~ - Edge of Uplands -: .d/l - RE-VEGETATION PLAN for the .... .......... .... ..... ", ......... " ................... ". " ". " ". ". ..... " " ........ ....... ~ DIGNEY Property Situate: 350 West Creek Avenue; Cutchogue; Town of Southold, NY SCTM #: 1000 - 103 - 13 - 002 SC ~ .... ". ..... ", '.. ~ .... ", ............ ". " ". ", .... 0.. , ~ Prepared by: SUFFOLK ENVIRONMENTAL CONSULTING, INe. P.O, Box 2003; Bridgehampton, NY 11932 (631) 537 - 5160 Date: September 2, 2004 Adaptedfrom /he survey o.fsubjec/property OTTO W VAN TUYL & SON, L.S- \d//