HomeMy WebLinkAboutTR-6638A
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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
1 st day of construction
Yz constructed
boject 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.: 6638A
Date of Receipt of Application: June 11, 2007
Applicant: Deborah Doty
SCTM#: 103-13-5.3
Project Location: 670 West Creek Avenue, Cutchogue
Date of Resolution/Issuance: June 20, 2007
Date of Expiration: June 20, 2009
Reviewed by: Board of Trustees
Project Description: Trim the phragmites to 12" as needed, and to eliminate the
poison ivy by hand.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the South old Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
application received on June 11,2007.
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: ))l'" ho ra..h 'Ool-v
I
Please be advised that your application dated TUIl f'~, ;;).,,007 has
been reviewed by this Board at the regular meeting of <..A.f1f' db, dcJO 7
and your application has been approved pending the completion of the
following items checked off below.
Revised Plans for proposed project
Pre-Construction Hay Bale Line Inspection Fee ($50.00)
1st Day of Construction ($50.00)
y, Constructed ($50.00)
V-;;nallnspection Fee ($50.00)
Dock Fees ($3.00 per sq. ft.)
Permit fees are now due. Please make check or money order payable to Town
of Southold. The fee is computed below according to the schedule of rates as
set forth in Chapter 275 of the Southold Town Code.
. The following fee must be paid within 90 days or re-application fees will be
necessary. You will receive your permit upon completion of the above.
COMPUTATION OF PERMIT FEES:
",0
TOTAL FEES DUE: $ 5V~
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
Southold Town Board of Trustees
Field InspectionlW orksession Report
Date/Time:
Name of Applicant:
Name of Agent:
Property Location: SCTM# & Street
Brief Description of pro posed action:
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:
_Chap!.97 _Chap!. 37 _other
Type of Application: _ Wetland _Coastal Erosion _Amendment _Administrative
_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 Teclmician:
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DEBORAH DOTY
670 WEST CREEK AVENUE
P.O. Box 1181
CUTCHOGUE, NY 11935-0876
FAX 631.734-7702
631-734-6648
FAX LETTER
DATE:
June 18, 2007
TO:
Southold Town Trustees
~ ~ J~N ~: : ~ ~
FAX#:
631-765-6641
FROM:
Deborah Doty, Esq.
Southold Town
Board 01 Trustees
RE:
Pending Administrative Permit Regarding Phragmites at
670 West Creek Avenue, Cutchogue, NY (SCTM # 1000-103-13-5.3)
TOTAL NUMBER OF PAGES INCLUDING THIS PAGE -1-. If you do not receive all of the pages, please
call this office as soon as possible.
MESSAGE:
Dear Members of the Board:
Dave Bergen and I had an opportunity to speak during his inspection of my
property on Friday afternoon. He noted that the Phragmites have invaded an area previously
occupied by Spartina. He also noted that the poison ivy was not only moving into the Spartina
but also choking off the Baccharis.
If the Board wishes to expand the requested administrative permit, I would be
happy to expand the area of Phragmites pruning (or, if approved, removal) and to remove the
invading poison ivy. Thank you.
Respectfully submitted,
----
~
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IMPORTANT: THE INFORMATION CONTAINED IN THIS FACSIMILE TRANSMISSION IS BEING SENT BY A LAW OFFICE AND MAY CONTAIN INFORMATION WHICH
IS PRIVILEGED AND/OR CONFIDENTIAL. THE INFORMATION IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR COMPANY NAMED ABOVE. IF YOU ARE
NOT THE INTENDED RECIPIENT OR AN EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVERING THIS FACSIMILE TO THE INTENDED RECIPIENT. PLEASE BE
ADVISED THAT ANY UNAUTHORIZED DISSEMINATION, DlSTRISUflON, DISCLOSURE OR COPYING OF THIS COMMUNICATION IS PROHIBITED AND MAY BE
PUNISHABLE UNDER APPLICABLE LAWS.
.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob bnusio, 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 Permit Application
_Wetland Permit Application ........Administrative Permit
AmemlmentITransfer/Extension
~eceived Application:~
~eceived Fee:$ ."ilJ'
~mpleted Application <or I t I O'}
_Incomplete
_SEQRA Classification:
Type I_Type II_ UnIisted_
_ Coordination:( date sent)
_LWRP Consistency Assessment Form
CAC Referral Sent:
...0=Jate of Inspection:;;;,:J I:'; 10 <)
_Receipt ofCACRepo: .
_Lead Agency Determination:_
Technical Review:
-0'ublic Hearing He~
_Resolution:
r5) lE ~ lE ~ W [E I~J
lnl JUN 1 1 2007 ,g
Southold Town
80ard of Trustees
Name of Applicant ~\:',...-...J^,.. ~;\-.t~..
Address t7D 0~u--C"..()... Avt:j Po <3.D}{ I\~I/':('~&va-)
N 1 II<=tJS Phone Number: ("1) 7,3'-{ -1..1.'1 V'
Suffolk County Tax Map Number: 1000 - ,163 - ''3 - S". :3
Property Location: f. 7 D ~ +- L r.. .. 0- 4vt" / C:. c:.LA'l,S' .....
b.~".... 6\...\ <2:..::.~..... .j- N(f'l:11.. C::ros~
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
~ Board of Trustees APPlic1llPn
GENERAL DATA
Land Area (in square feet): .~2) Lf I ~
Area Zoning: R - LJ D
Previous use of property: 5' f-"'\
Intended use of property: s-P-d-
Covenants and Restrictions:_ Yes
If"Yes", please provide copy.
~ No
Prior permits/approvals for site improvements:
Agency
"""T ("'u...." --t;;. - ~
"J>?'c-
Date
crJ2r)Jo~
, f
I /~)/n7
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i-( /:27/07
I
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_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a govermnental agency?
~No_ Yes
If yes, provide explanation:
Project Description (use attachments ifnecessary):
Q-,,,-,,,, fhrtAS"" ',i~
I!J./\D. I n-v'...:. J;^1 !If \.... ",L A^-LJ - '
'u,tc.- ~ U:,~ -.I- ~s.
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... Board of Trustees APPlictljon
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
@'<^A ~r(ld~.-o ....lvU bJ ~
Iy'\V" J. ~ I' ~
".)dL ~ l^:Le..
LJ./"\,......
~~o... .... /\CL
-f-~ ~~O
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Area of wetlands on lot:
square feet SO&.- :s ~O
% $a s vJV.J~
Percent coverage of lot:
Closest distance between nearest existing spucture and upland
edge of wetlands: let):!: ' feet (~~
Closest distance between nearest proposed structure and upland
edge of wetlands: f'l..4- feet
Does the project involve excavation or filling?
~
. -
No
Yes
If yes, how much material will be excavated?
cubic yards
A_ ~~ ';l..t>1,)...'\\ W
cubic yards ~ 0
~.
Depth of which material will be removed or deposited: f\I / j4- feet
. I
AI/'+-
I
ha...... ,\
~ I '~I""^~~ .D/ L~-~~
How much material will be filled?
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
d/Jr,.^-~
.?tatemen! oftJ1~~ff~c!, if_illlY, o.lltl1e w~!I~!isan~_ti~ll!\Vll:t~r~~ftJ1e tow.n.thatrp~E~s.!ll~~)'
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)
2. PROJECT NAME
cPhr. ~
SEQR
PART 1 - PROJECT INFORMATION
1. APPLICANT I SPONSOR
-:De!;.Dr.... I...-U..
3.PROJECT LOCATION:
~
Municipality County
4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ete - or orovide map
~7D ~.rU-"'~~ Ave:-
5. IS PROPOSED ACTION:
g]
New
D Expansion
D Modification / alteration
6. DESCRIBE PROJECT BRIEFLY:
~-C?ru.J'-4-~) J f~1 h-...L-1:JJ
If'\.).{ ~ i vCo. f? 'n r~ ~S fr-4M.. S ~.
7. AMOUNT OF LAND AFFECTED: (Y'\ ,^"",c::.- l ~
Initially acres Ultimately acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
&2(lves 0 No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY
[KJ Residential D Industrial D Commercial
OF PROJECT? (Choose as many as apply.)
DAgriculture D Park { Forest I Open Space
D Other (describe)
10.' DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING.
AGENCY (Federal, State or Local)
~Yes D No If yes, list agency name and permit I approval:
NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
<::r,...,-",,~ ~~-e.
~~
VA ID P
D Yes ~ No If yes, list agency name and permit I approval:
APPROVAL?
12. AS A RE ULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
Oves No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant I Sponsor Name
Signature
Date, 'f 107
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 completed by Lead AaencYI
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? Wyes, coordinate the review process and use the FULL EAF.
DYes 0 No
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negaliv.
declaration may be superseded by another involved agency.
DYes 0 No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be han~written, ff legible)
C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal,
rential for erosion, drainage or fioodlng problems? Explain briefiy: I
C2. rsthetiC' agricultural, archaeological, historic, or other natural or cu~ural resources; or community or neighborhood Character?:XPlain brlefiy: I
C3. retatlon or fauna, fish, shellfish or wildlife species, Signift~ant ha.biffi~' or threatened ~r endangered species?Explain brl~fiY:.. ..... J
C4. yom~unitY'S exisling plansor goals as officially adopted, or a change in use or intensl~ of use of land or other natural resources? Explain b~fl~ .. ...1
C5. TMh. SUbsequent~~velopment, :: ~Iated activities likely to be i~duced bY.~e proposed actiO~?Ex~lain briefiY: I
C6. L[g:erm, short temn, cu~uiative, or other effects not identified in Cl-C5? Explain briefiy: .. . .. .. :. . ... I
C7. Other impacts (including changes in use of either quantity or type of energy? Explain briefly:
I
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
D':::"D;TC~I'","'"',"- ...... ]
, '[]"::.' 0 ::1.' "~~' ':"' CO~O~~, ~= m ~'''''~ ^~'""' ""OO"~~^' ,~^'''' '~. """J
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 ji was checked
ygg, thedet9rmiR~-sigAific3Flce ml:lst e...aluate-th~teA-ttal-t~et sflne (3f'B~esed actioA 6fl tne E:f1viroflF..cfltal t:.h81 aGleriJUu uf~,e CCA.
Check this box if you have identified one or more potentially large or significant adverse impacts which MAY oCOJr. Then proceed directly lathe FUL
EAF and/or prepare a positive declaration.
... Cfieck-Ih1fi""tKix if you "fiavedetermTned;basiidonthe}nformatlo"n ani:fanalysIS: .above ani:fany SUPporting dO.cUmenr~ltfo-nJhatthe prop-oseda-Ctic;- .
WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi
detennination.
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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Board of Trustees Application
County of Suffolk
State of New York
:D>krLJ~). L. BEING DULY SWORN
DEPOSES AND AFFIRMS THAt'RE/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 SOUTH OLD 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, THElRAGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
-
~ ,.~^V-- ~
Signature
SWORN TO BEFORE ME THIS 'f!i
DAYOF~ c.....t'\<L
,2007
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APPLICANT/AGENTnrEPRESENTATfVE
TRANSACTIONAL DISCLOSURE FORM
The Town of South old's Code of Ethics orohibits conflicts of interest on the Dart of toW" officers and emnlovees. The Durnase of
this fann is to orovide information which can alert the town of DOS sible conflicts of interest and allow it to take whatever action is
necessary to avoid same. .
'"""J:::l..j".orL I^~I "'-
(Last name, first name, l)liddle initial,1mless you are applying hi the name of
someone else or other entity, such as a company. If so, indicate_ the,other
person's or company's name.) -,
YOUR NAME:
NAME OF APPLICATiON: (Check.1l 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) h.ave a relationship with any officer or employee
of the Town of South~ld? "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
x
If you answered "YES", complete the balance of this form and dat~ 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 applicantJagenUrepresentative) 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, ot child is (check all that apply):
_A) the owner of greater than 5% ofthe shares of the corporate stock of the applic~nt
(when the applicant is. corporation); .
_8) the legal or beneficial own~ afany 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.pplicant.
DESCRIPTION OF RELA TlONSHIP
Fonn TS 1
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C>.s 2' ARfiROYEn. BY
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~oAA1f OF fRUSJEeS
TOWN Gf SOUTHOto2
DATE "/.;<0 07
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N:'1sn:rtc
A 'r'l'TI OV"PD AS P~R TEri.:v(g
r'lan
View
Proposed, Dock
Applicant. Deborah Dot~
Purpose, Private Mooring
SCi# 1000-103-13-5.3
Situate, GutGhogue
To",n, Southold
Suffolk Gount~, NY
Tide Ranqe, 2'+1-
Datum, Al.l"I.
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Amended
10-24-03
12-21-04
01-24-05
04-15-05
04-2Q-05
THIS PLOT !AlAS DEVELOPED
FROM SURVEYS OF OCl-06-03
ROBERT H. FOX, NYS Uc.'* 50IQl
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