HomeMy WebLinkAboutTR-6608A 7)0 ''-q3% '
. Boarde s
i
James F.King, President k0f SOUry Town Hall Annex
Jill M.Doherty,Vice-President ® �lO 54375 Main Road
Peggy A.Dickerson P.O. Box 1179Southold,New York 11971-0959
Dave Bergen
Bob Ghosio,Jr. A3% ,�� Telephone(631) 765-1892
Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
April 22, 2009
Ms. Carol Denson
1184 Corner Ketch Rd.
Newark, DE 19711
RE: CAROL DENSON
OLD MAIN RD., SOUTHOLD
SCTM##56-6-8.7
Dear Ms. Denson:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wed., April 22, 2009:
RESOLVED, that the Southold Town Board of Trustees grants a One-Year Extension to
Permit#6608A, as issued on May 16, 2007.
This is not an approval from any other agency.
Sincerely,
J es F. King - -
President-, Board of Trustees'
JFK:Ims
0 0
James F. King, President ��0f SOUTyo Town Hall
Jill M. Doherty,Vice-President 53095 Route 25
P.O. Box 1179
Peggy A. Dickerson Southold, New York 11971-0959
Dave Bergen CP
Bob Ghosio, Jr. k �� Telephone(631) 765-1892
OOum, c� 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't day of construction
constructed
Project complete, compliance inspection.
0 0
James F. King, PresidentOq so 53095 Town Hall
Jill M. Doherty,Vice-President 53095 Route 25
P.O. Box 1179
Peggy A. Dickerson l ( # Southold, New York 11971-0959
Dave Bergen
• O Telephone(631) 765-1892
Bob Ghosio,Jr. 'Q
COUNT`I, Fax(631) 765-6641��
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 6608A
Date of Receipt of Application: April 13, 2007
Applicant: Carol R. Denson
SCTM#: 56-06-8.7
Project Location: Old Main Road, Southold
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 Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
James F. King, President
Board of Trustees
JFK:eac
0 0
James F. King, President ��pf soUTy� Town Hall
Jill M. Doherty,Vice-President 53095 Route 25
P.O. Box 1179
Peggy A. Dickerson Southold, New York 11971-0959
Dave Bergen
Bob Ghosio, Jr. �` �� Telephone(631) 765-1892
Cow Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO: 0-f(D Pn�f-'� n
Please be advised that your application dated o�00/7has been
reviewed by this Board at the regular meeting of�,�?rX�7 and the
following action was taken:
LZ) Application 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:
TOTAL FEES DUE: $ �)U , (�
BY: James F. King, President
Board of Trustees
James F. King, President Soy
Jill M. Doherty, Vice-President ryQ Town Hall
53095 Route 25
Peggy A. Dickerson * P.O. Box 1179
Dave Bergen Southold,New York 11971-0959
cn
Bob Ghosio, Jr. �O Telephone-(631) 765-1892
UNN' Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Southold Town Board of Trustees
Field Inspection/Work session Report
Date/Time: S - 0 -1
CAROL R. DENSON requests an Administrative Permit to cut the phragmites
to 1' above bottom of wetland area and at ground level landward of retaining
wall. Located: Old Main Rd., Southold. SCTM#56-6-8.7
TY�e of area to be impacted:
liSaltwater Wetland Freshwater Wetland _Sound _Bay
Distance of proposed work to edge of above:
Past of Town Code proposed work falls under:
_Chapt.275 Chapt. 111 _other
Type of Application: Wetland_Coastal Erosion_Amendment ZDdministrative
_Emergency Pre-Submission Violation
Info needed:
Modifications:_0 0
G�ncck r'Hra5 o) tck J'Aky -
Conditions:
Pregent Were: D.King�/J.Doherty P Dickerson D. Bergen_ B. Ghosio, Jr
H. Cusack_D. Dzenkowski_Mark Terry_other
Mailed/Faxed to: Date:
Environmental Technician
Review 45ze'p GZ rtiyp ae� L"r C(
-0 va
v
/21
Ilk
—S�DUTPOLD
sect nx nn
;L�I IITI T..1 1 1--
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I-�-T,
I ..T,T 7- -
Albert J. Krupaki, President g11FF0(,�0� C49, Town Hall
James King, Vice-President ti'i` 53095 Route 25
Artie Foster P.O. Box 1179
Ken Poliwoda v, Southold, New York 11971-0959
Peggy A. Dickerson 0 � Oe� Telephone (631) 765-1892
41 Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Oftice Use Only
_Coastal Erosion Permit Application
_Wetland Permit Application _Major —Minor
—Waiver/Amendment/Changes
_, eceived Application: q//3/o7
,LReceived Fee:$
Completed Application
_Incomplete
_SEQRA Classification:
Type I_Type II_Unlisted_
_Coordination:(date sent) APO 3 2001
_CAC Referral Sent:
Bate of Inspection: S Q
_Receipt of CAC Report:
_Lead Agency Determination:
Technical Review:
_Public Hearing Held: O�3
Resolution:
Name of Applicant ARO L I J $O J\f
Address HO GQP-002- K �d JV&A-1&
Phone Number:(
Suffolk County Tax Map Number: 1000 - 5�,—dG-- g I J I
Property Location: '15-6 W MAW 66Q 10 SOOmoa' /Uy Po�� �:.Uq( y UU/ 9 3�
Loca cQ mXIMA�tzy I ,m wd r c� bolah IN ,DYl U1- QA) So orsm a f OLA�tr�1 1
(provide LILCO Pole#, distance to crossnstreetf, and location)
AGENT: JohA) A, Oogreuo . 1 mtEW') A (AQ1067 &)17Zft WT C)Pp
(If applicable)
��
Address:
Phone: CO�� -�—
*Board of Trustees Applic4n
GENERAL DATA
Land Area (in square feet):/
Area Zoning: 71i�./AO / �V
Previous use of property: C'es 1q(),e ft7l)
Intended use of property: CL-ST IIJ/Z f
Covenants and Restrictions: Yes / No
If"Yes",please provide copy.
Prior permits/approvals for site improvements:
Agency Date
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 attachments if necessary):
$03 ) l U tJemg, -D D %
(,p2od,)p �EI/�2 �fM/Du/fY/L�� 8 i lJ ci/ 121 s �71�6
Ulktt l
•Board of Trustees Applicspn
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
644—
Area of wetlands on lot: Al 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: feet
Does the project involve excavation or filling?
No Yes
If yes, how much material will be excavated? cubic yards
How much 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 and tidal waters of the town that may result by
--
reason of such proposed operations (use attachments if appropriate):
PROJECT ID NUMBER 617.200 SEAR
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)
1.APPLICANT/SPONSO 2.PROJECT NAME
�IJL f��—x�
3.PROJECT LOCATION: ssll /�l
Municipality �,u —��dd 7OCL County SJ F1G
00(:�'
4. PRECISE LOCATION: Street Access and Road Intersections, Prominent landmarks etc -or provide map
0(1 26 a(l. L(f)c) D, / � 7tl/
o � qcf6 9-
5. IS PROPOSED ACTION: 11 New ❑Expansion Modification/alteration b i/
6.DESCRIBE PROJECT BRIEFLY: Q y
w rH war ,E,c»s *,LR ' �e r H2Or2.mD tc—tom
/Q n r>uitt� sr3e-- AC64(0A)6 k1ft LL-
7.AMOUNT OF LAND AFFECTED:
Initially C) acres U Ultimately acres
8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
r
I Y. IYes ❑ No If no,describe briefly:
9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
Residential ❑Industrial n Commercial ❑Agriculture F]Park/Forest/Open Space E]Other (describe)
d(f.5rA-oaAd,1 t/�
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local)
0 Yes I�INo If yes, list agency name and permit / approval:
�
11.DOES ANY
—AbPEG I OF I HE AU I ON HAVE A CURRENTLY VALID PERMIT-UR—APPROVAL?
Yes No If yes, list agency name and permit / approval:
12. ASAULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
es No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant / Sp nsor Name Date:
Signature 3 a
If the action is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
0
PART II - IMPACT ASSESSMENT To be completed by 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 FAR
❑Yes ❑ No
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.
Yes ❑ No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible)
C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattem,solid waste production or disposal,
potential for erosion,drainage or flooding problems? Explain briefly:
C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly:
C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly:
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:
C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly
C6. Long term,short term,cumulative,or other effects not identified in Cl-05? Explain briefly
C7. Other im acts(including changes in use of either quantior a of energy? Explain briefly:
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA(CEA)? If yes,ex Iain brieFl :
Yes 0 No
rff�
,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es ex Iain:
El No __.
[" I
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(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
e` ttiv aetemination Of signifisance must-evaluate4 tiaTimpa the environmental eheraetelisticeofthe 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 FULL
EAF and/or prepare a positive declaration.
_..__... __ —___cl _._. - -
Check this box if you have determined,based on-the 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)
• Board of Trustees Application
County of Suffolk
State of New York
&V"V P �b —NSA 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
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
Signature
SWORN TO BEFORE ME THIS 3 r+� DAY OF 20 0 7
JOHN A. COSTELLO
Notary Public,State of New York
Notary Public No.01C04958344
Qualified in Suffolk County
Commission Expires March 1, 2010
• Board of Trustees Applition
AUTHORIZATION
(where the applicant is not the owner)
a ��� ding at /G O /
(print owner ofroperty) (mailing aaddress)'J
VVC
Delq l 7 11 do hereby authorize"'99 ( �
Agent)
to apply for permit(s) from the
Southold Board of Town Trustees on my behalf .
� Q- b2t�lly�
(Owner' s signature)
8
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The,purpose of
this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
YOUR NAME:
(Last name,first name,griddle initial,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 - Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other",name the activity.)
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 corpomtimt
in which the town officer or employee owns more than 5%of the shares.
YES NO t�
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 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 applicant
(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 RELATIONSHIP
Submitted th' 13 da 6 2001
Signature SCC
Print Name 94-eD4- te_pe5"55Ai
Form TS I
' 1
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