HomeMy WebLinkAboutTR-6606A
.
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
_? constructed
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 SOUTHOLD
Permit No.: 6606A
Date of Receipt of Application: April 13, 2007
Applicant: The Barge and Associates
SCTM#: 56-6-8.2
Project Location: Old Main Road, South old
Date of Resolution/Issuance: May 16, 2007
Date of Expiration: May 16, 2009
Reviewed by: Board of Trustees
Project Description: Trim the phragmites to 12", landward of the retaining wall.
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: No trimming/disturbance seaward of the retaining walls with
the Board of Trustees to inspect again in July to determine if the phragmites
should be trimmed seaward of the retaining wall as originally applied for.
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 South old Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
/:., ; :: Zeo,
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:!he ~13 E='_ o-nd I+osv{'_f CA--Ies
Please be advised that your application dated [trl'l (3, .;<t07 has been
reviewed by this Board at the regular meeting of mou,/ It" ,;;>o:J7 and the
following action was taken: / '
~cation Approved (see below)
(_) 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:
,- p'/(70-( Jflred:Of\ ~
TOTAL FEES DUE: $ SO, CO
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BY: James F. King, President
Board of Trustees
~J
.
.
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
- - <1 - 0'1
Date/Time: ~
THE BARGE AND ASSOC. requests an Administrative Permit to cut the
phragmites to l' above bottom of wetland area and at ground level landward of
retaining wall. Located: Old Main Rd., Southold. SCTM#56-6-8.2
Ty'pe of area to be impacted:
~Sa1twater Wetland _Freshwater Wetland Sound _Bay
Distance of proposed work to edge of above:
PaIJ of Town Code proposed work falls under:
~Chapt.275 _Chapt. 111_other
Type of Application: _ W etland _Coastal Erosion _Amendment vJ\dministrative
_Emergency _Pre-Submission _Violation
Info needed:
Modifications:
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Conditions:
pre~nt Were: J J.King ::_JDoherty ./ P.Dickerson '/"0. Bergen--= B. Gho~io, Jr
_H. Cusack_ D. Dzenkowski _Mark Terry_other
Mailed/Faxed to:
Date:
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.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Gnusio, 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
Office Use Only
_Coastal Erosion Pennit Application
_Wetland Pennit Application .--"1\dministrative Permit
Amendment/Transfer/Extension
/"Received Application: 'flt.b/(}J
----Received Fee:$ [';\}'
~mpleted Application Iff 1<3/1))
_Incomplete
_SEQRA Classification:
Type I_Type II_Unlisted_
_ Coordination:( date sent)
~ L WRP Consistency Assessment Form
CAC Referral Sent:
...-nate ofInspection: 579 tC37
_Receipt ofCAC Report:
_Lead Agency Determination:~
Technical Review:
-Plililic Hearing Held: 6711(,1'<7
Resolution:
APR 13
Name of Applicant rte---~r C!!/)/) .;k;-S0Ct.?t-rE
Address cjo (!,f?'I)er.J&tnt-J Ii &4- (i oeJJevK ad.. EL
AJ~) 1)cI171/ Phone Number:( ) .302--d31-CJ?7C;
Suffolk County Tax Map Number: 1000 - 6l., 0 (" . >t,;J.-
Proportyl~",ioo, of Ii Ii1lH~ I6fl~ cS,J'*'''D Mi
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:'-~W [od-ettJ (j(;1?3lL-O IJttR-/tVC ~llfJelU1/b
(If applicable) J
Address: ~3 SJi-S~ G1et2AtJ(j>>t6l IIJ(} 1/9t/f
Phone: ro3(-~77 - 1/77
~ Board of Trustees APPli~ion
GENERAL DATA
Land Area (in square feet):
J- ;f{fLt:;:s
Area Zoning:
(MRIUC ~
vUA-ur l-it!1/J)
V ftt-/JrVi ?-f+1IJ [)
Previous use of property:
Intended use of property:
Covenants and Restrictions:_Yes
If "Yes", please provide copy.
/' No
Prior permits/approvals for site improvements:
Agency
Date
AI/~
I
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
/No Yes
If yes, provide explanation:
Project Description (use attachments ifnecessary):
t!0t P!f!ZJr(;/J1/ res (tJ / ~ () II ;f8~
I
f3p /1VfIJ (/ IJ ItJ n&J-tf}]) /t-{;:fl-!6 ~:p *r <a tLO eJ;lJ D
/~IJ t:: L /....{t;VPI{}M..:IJ cg ee-r-t-< I rV t/Vb tV A L.f--
~ Board of Trustees APPl4iftion
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: (!,t/ r- jJflf2fJ--6/?J t rc:s /Z)
1/-bJrJr[Co'/ fJ80i/t?'" BoJ77JV (IV tfJ~i6
(t-;(e?r- IsrJ D frT rtf-OUAIO 1. e U e Llri / W()~M [)1J
g roe-Ij IC~~I N/IJG W,.+LA,/
Area of wetlands on lot: square feet
Percent coverage of lot:
%
Closest distance between nearest existing stmcture and upland
edge ofwctlands: feet
Closest distance between nearest proposed stmcture and upland
edge of wetlands: feet
Does the project involve excavation or filling?
No
Yes
If yes, how much material will be excavated?
eubic yards
How mueh material will be filled?
cubic yards
Depth of which material will be removed or deposited:
feet
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
Statement of the effect, if any, on the. wetlands andtidal waters of the town that l1la)' result by
.---- -- - -- .-
reason of such proposed operations (use attachments if appropriate):
.
617.20
PROJECT ID NUMBER APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
PART 1 - PROJECT INFORMATION (To be completed by Applicant or Project Sponsor)
SEQR
1 C;;(' ~:V&1li 2. PROJECT NAME
Pf/-I(fJ--GIhIr&S
3.PROJECT LOCATION
Municipality S()U(JfO V]) County SUf-H)L(C.
4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ete - or provide map
(j fcL (J)-t3/1) IZ () IrD SQ cJ r[Cf-tJ L P I{)(j 1177/
5. IS PROPOSED ACTION: D New D Expansion D Modification / alteration tV/A
6. DESCRIBE PROJECT BRIEFLY:
Vcr P ffr-fTG ffJ 1 r b--S VD Moo r / / - /) (/ -,rT-b ~
d3~ I'flJ7Y) 11/ WeiL-n ND A: ar-A- ;<tND A-r- COl2oJvo U;:z)",,-G
).I:jllf;>{{)f'r/LD ... (D~- ~ RreH./O (JJq, ?J(}-~
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 OF PROJECT? (Choose as many as 2RW
o Residential D Industrial o Commercial DAgriCUllure Jll Park I ForeSI~:pace DOther (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local)
DYes l1J No If yes, list agency name and permit { approval:
.
11:-o0E:s ANY A::JI-'ECT Ur I HI:. AC IIUN HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes l7JNO If yes, list agency name and permit { approval:
12. AS A I\ZfULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
Qes No
II CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant I sP(fi~:a~e ~ ~?l GtJfi?<.-- f, 16':07
Signature
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 ITo be comoleted 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.
DVes DNo
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, salld 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:
r
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 impacts (including changes in use of either quantity or type of energy? Explain briefly:
I 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
D Ves D No I
E. IS THERE, OR IS THERE L1KELV TO BE, CONTROVERSV RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes eXPla;n'l
DVes DNO 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 signjf;cant. 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-detem\iHa-tioA-9f-siQnitif:JRce mloJE:t Gvoll:late-th&f)9teA-tial-impact of the proposed aetioA--eft--#1e ClR y ireRffif:.fltal ci'laFacteristics-ofthe-€Ek-----
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.
Chec::-kThTs -box-if you have -determTrie"d",based -o-n -the-in-formation and analysis above and- any supporting documenta-tlon,. tha"t'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 Pre parer (If different from responsible officer)
.
.
Board of Trustees Application
County of Suffolk
State of New York
(! A-1?o r- IG Dc )JS.O,J 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 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
REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
~f2~
Signature
SWORN TO BEFORE ME THIS
/3ToI
DAY OF Jl.j'I24L
,20 07
JOHN A. COSTEllO
Notary Public, State of New York
NO.OIC04958344
Qualified in Suffolk Coun~
Commission Expires March 1,2010
~ Board of Trustees APPll~tion
~.
AUTHORIZATION
(where the applicant is not the owner)
I,
~ 0 r2 bds.fr\
(print owner of
[b ee1~iding
roperty)
NrMNUL j Del;?1 /
do hereby
at 1!6~ ~;:~~
(mailing address)
authoriz~1~ [o;Nw
( .
'-(Agent)
to apply for permit(s) from the
southold Board of Town Trustees
UW{ (L. ~ffW
(owner's signature)
on my behalf.
8
.
.
APPLICANT/AGENTIREPRESENT A TIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of South oJ d's Code orE.hies orohibits conflicts orin.crest on the Dart arrOW" officers and emolovees. The Durnose of
this ronn is to orovide information which can alert the town of oossible conflict'\ of interest and allow it to take whatever action is
necessary to avoid same.
YOUR NAME: ~?:,to\ l, (1:111LD G
(Last name, lrst name, -1',TIiddle 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
./
Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or clllplnyc~~
of the To\'m of South old? "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 corpor-,llin[l
in which the town officer or employee owns more than 5% of the shares.
YES
NO
~
(fyou ans\\'ered "YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the Towll of South old
Title or position of that person
Describe the relationship between yourself (the applicant/agent/representative) and Ule town officer or employee. EiLher dl\.'l'K
the appropriate line A) through D) and/or describe in the space provided.
The town officer or employee or hi-s 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 owner 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 T10NSHIP
Form TS ]
SUbmittedt~f3 d~Of~ 2001
Signature '.2tij:( feO
Print Name ~L- f2-p~s~AJ
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