HomeMy WebLinkAboutTR-6629A
.
.
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 sl day of construction
_ yonstructed
~ 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.: 6629A
Date of Receipt of Application: May 23, 2007
Applicant: New Suffolk Properties, LLC
SCTM#: 110.1.12
Project Location: 3350 West Creek Avenue, Cutchogue
Date of Resolution/Issuance: June 20, 2007
Date of Expiration: June 20, 2009
Reviewed by: Board of Trustees
Project Description: Remove two (2) existing pilings at the travel-lift ramp and
relocate in line with existing, and to remove the I-beams.
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
application dated May 23,2007.
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.
l::: K: ~em
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: ~ ~LA-\-G:,\~ P,orer+;es/LLC-
Please be advised that your application dated /l7o..!:j d25" .;J::07 has
been reviewed by this Board at the regular meeting of 0 vL(\e...;70, ~'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)
VFinallnspection 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:
co
TOTAL FEES DUE: $ 5(:)--
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 Inspection/Work session Report
Date/Time:
Michael Irving on behalf of NEW SUFFOLK PROPERTIES, LLC requests an
Administrative Permit to remove two (2) existing pilings at the travel-lift ramp and
relocate in line with existing, and to remove the I-beams. Located: 3350 West
Creek Ave., Cutchogue. SCTM#110-1-12
Type of area to be impacted:
t/Saltwater Wetland Freshwater Wetland
- -
Sound _Bay
Distance of proposed work to edge of above:
Part of Town Code proposed work falls under:
V Chapt.275 _Chapt. Ill_other
Type of Application: _ Wetland _Coastal Erosion _Amendment /Administrative
_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
Form filled out in the field by
MailedIFaxed'to:
Date:
Environmental Technician
Review
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SouthhoJd To n
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.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Gnosio, Jr.
. u~q~~,\
~y -\ r
lif>( 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 Applicatio "7
v:::- Wetland Permit Application Zdministrative Permit
Amendment/TraI1!f! rlEx ension
J0l.eceived Application: 5/0l3 "
J<"'.Received Fee:$ 5lJ =-
~mpleted Application ~ ldt-\ \ ...'7
_Incomplete
_SEQRA Classification:
Type I_Type II_Unlisted~
_ Coordination:( date sent)
1- WRP Consistency Assessment Form
""7 CAC Referral sent~
.Alate ofInspection: (l,l"n
_Receipt ofCAC Report:
_Lead Agency Determination:_
Technical Review:
./Public Hearing Held:~
_Resolution:
[NtWJ Sv.~\LS4'-1WL()J.
NameofAPPlicant~ ~~...& <;(~1U'2..\ir'r '" hkt ,.
Address 33sn \tJ ~ C'fJ.JflJLL~ , ruJlA...rz- .
~~.. .... Phone Number:cb'3) - t-6tJ -h3 11
2007
"""lIId ..
-,,~
Suffolk County Tax Map Number: 1000 - I \0 - t), - n-
Property Location:1.kc:)-~ Pu I'L- 'tJ l'"E--4 ~
(provide LILCO Pole #, distance to cross streets, and location)
AGENT: 1\\ iL~~n"lJF.u I~C, lA.-'Jl. c/o hl"L"J~L(f(,\~IZ1,jA-
(If applic~ \'
Address: to 1-1~ \.,}". d Su..~ C2cl.
J\~) ~~Lk Phone: b3\-";r6'-/.-'(,~ '"
~d of Trustees APplicatio~
GENERAL DATA
Land Area (in square feet):Jbfo,Ben8.
Area Zoning:
AAT
Previous use of property: SA-Y"\ ~
Intended use of property: .5~ f'l.. .
Covenants and Restrictions: Yes
If "Yes", please provide copy.
~No
Prior permits/approvals for site improvements:
Agency
Date
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspendeil by a governmental agency?
V-No Yes
If yes, provide explanation:
Project Description (use attachments if necessary),: R~M~JII\\ (j p:
~ P\'--~ (;), t\iLA1Ifi-\ ~l ?-~ - /(J..qk~
~ ~~ ~ ~ f ti.v-~. ~/Et3~-
1Itrd of Trustees APPlicati1lt
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Area of wetlands on lot:
square feet
Percent coverage oflol:
%
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 oftl1e town thatll1:lY res_ult by
ureason of such proposed operations (use attachments if appropriate):
I-
617.20
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
( To be completed by A plicant or Project Sponsor)
2. P OJECT NAME
.
SEQR
I PROJECT 10 NUMBER
PART 1. PROJECT INFORMATION
~ County ~h
Road Intersections. Prominent landmarks ate - or provide maD
u
1. APPLICANT I SPONSOR
Wrc..ld,....vn C'l2-~~.
5. IS PROPOSED ACTION: D New D Expansion t!>F ~t$"I''''i
6.DESCRIBE PROJECT BRIEFLY: Rfl.~~1 OF /,JsiO/l. f"Ir.r.:...~A A.~'0C41.... :eN ki/V~ "",1'1.,
~ ' I
~~/5r.",>
7. AMOUNT OF LAND AFFECTED: NOIJr:!:.. .
Initially acres Ultimately acres
6. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
~ 0 No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY
o Residential D Industrial ~mmercial
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, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local)
DYes []31JO If yes, list agency name and permit I approval:
DYes ~
IFIRFACTION HAVe A lXlHKl::N I L Y VALID PERMIT OR APPROVAL?
If yes, list agency name and permit J approval:
12. AS A ~ OF PROPOSED ACTION Will EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
Oves l!1No
I CERTIFY T INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Date:
Applicant
Signatur
F
If the action is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
""
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PART II. IMPACT ASSESSMENT (To be eomDleted bv Lead ADenevl
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.
o Ves DNO
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be han~written, if 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 ._n 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 1
C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly:
I I
C7. Other Impacts (mcludlng changes m use of either quantIty or type of energy? E~pl_~i~_~_~_i~~y:
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: 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 j
OVes ONO I
PART 111- DETERMINATION OF SIGNIFICANCE (To be compleled 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 d9t9rmin3tign sf si@nific.:mcemu5Hrvaluate.-the--potential-impaet--efthe I'lroposea aetien-enthe-eA. iroflfficntal r.i'laractc.ri3tics ,,(the CCA.
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 andlor prepare a positive declaration.
CtleckTfifs-box""ifyou"have -determTiiecf;based-orl"the Irlformation and.imalysisabove and any supporting documentiitlol1, t1iitthe-proposeda-cfto-
WILL NOT result in any significant adverse environmental impacts AND provide, on allachments as necessary, the reasons supporting thi
determination.
Name of lead Agency
Date
Pnnt or Type Name of ResponsIble Officer 10 Lead Agency
Title of Responsible Officer
Signature of Responsible Officer in lead Agency
Signature of Preparer (If different from responsible officer)
4Itard of Trustees APPlicat~
County of Suffolk
State of New York
Iltd,MJ lIZ-vIM
DEPOSES AND AFFIRMS THAT HE/SHE IS THE PLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF IllS/BER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN TillS 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 TillS
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 REVIE CATION.
BEING DULY SWORN
SWORN TO BEFORE ME TillS
23
DAY OF
~
,2007
Notary Public
PENNY BEDELL
Nota.. ry Public~. Ie III New York
__ .tWO! =17
CaInm~~A::"t1r.(y ...aDo I
:,.',- .
..rd 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
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APPLlCANT/AGENTIREPRESENT ATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of South old's Code of Ethics: orohibits conflicts of interest on the Dart of town officers and emnlovees. The nuroose of
this ronn is to nrovide information which can alert the town ofoossible conflicts of interest and allow it to take whatever action is
necessarY to avoid same.
YOUR NAME:
I
first name, .qtiddle initial, unless you are applying in the name of
someone Ise or other entity, such as a company. If sa, 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
. rom plat or official map
Other ~ ~
"Other", name the activity.) mAIM 'RMt:#
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 employee
of the Town of Southold? .'Relationship" includes by blood, marriage, or business interest "Business interesC 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 answered "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
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 own~ 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~bmitte~day of /Y/?, 200 L
Signature . ~ (
Print Name /J1J'c~~1 /;2.V/1I/7
Fonn TS 1
.'
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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) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
OTHER POSSIBLE AGENCIES YOU' MIGHT HAVE TO APPLY TO
N.Y.S. Dept. of Enviromnental Conservation (DEC)
SUNY, Bldg. 40
Stony Brook, NY 11790-2356
(631) 444-0355
Mon., Wed., Fri., 8:00 AM-3:00 PM
Suffolk County Dept. of Health Services
County Center
Riverhead, NY 11901
852-2100
U.S. Army Corp. of Engineers
New York District
26 Federal Plaza
New York, NY 10278
212-264-3912
N.Y.S. Dept. of State
Coastal Management
162 Washington Ave.
_---Albany,_NY 17711
518-474-6000