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Home My WebLink AboutTR-6687A 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 # 0278C Date December 3. 2007 THIS CERTIFIES that the stockade fence At 4605 Stillwater Ave.. Cutchogue Suffolk County Tax Map # 137-3-5 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 8/3/07 pursuant to which Trustees Permit #6687 A Dated 8/22/07 Was issued, and conforms to all ofthe requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for a stockade fence. The certificate is issued to WALTER WILM 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 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 _/ constructed L Project complete, compliance inspection. 1 . ~ \lnIIlIlOobIId__._ ......_..._fII --....-.,...- _We_ Ca1i11U1_1lI _ ......... ..__liIIII.... T. ........... .. J lO..___. Go _____...... .",...-...-..- ........ ~-......_....... ::..<:Lh......~...J... ............ ..........- 0Ua_~.. ........... .......... tnIIIIIuHN. - . ,- - - PPROVED BY BOARD TEES TOWN OF SOUTH OLD DATE ty~'1ld7 ~<~ L C=-~C-</E.;S" c---e'cc <::" P/z dhA; rM""F~ r2..!':L~/9,/ K) ~ ~ ~... ~~ ( ~ ---/<; "--1 ""'"> ~ ... ib ~ <::>0...-.-- : .eC)'J1r ~,... ,y.~~,y~K/' ,?AIWP d'drNJ-tUf 'ax~ ~~1"....v.Y.//j'7/ ~~yrtIK. WA~~-i LAF4t:>,f'A# J(,f"""", Lb:rZ tE ?~).#..v__~.TYa.-~4.#"'AN?H,9,.;7iJ!To LtX:;IIf;OQ, &~,7OwNQ<'"~f"'-"<!..o. y. ~~/...~, ,,_~~~MI1r~.r:7.r/y,vA ......)P.. . . 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.: 6687A Date of Receipt of Application: August 3, 2007 Applicant: Walter Wilm SCTM#: 137-3-5 Project Location: 4605 Stillwater Avenue, Cutchogue Date of Resolution/Issuance: August 22, 2007 Date of Expiration: August 22, 2009 Reviewed by: Trustee Peggy Dickerson Project Description: Replace 198'+/- of 60" high stockade fence along north property line with the same or similar type fencing. 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 plans prepared by Walter Wilm, received on August 3,2007. 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. I.:: :'Z~e"' 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: (~alk- w; 1(11 Please be advised that your application dated been reviewed by this Board at the regular meeting and your application has been approved pending the com following items checked off below. has Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) y, Constructed ($50.00) L Final Inspection 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: $ ::;U-- 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/W orksession Report Date/Time: o/~/C>7 I \ 0CAl~ VI;!'""'"' ~ Name of Applicant: Name of Agent: L-j lob s. JbLLvUtr ~ ct( ~ r~",", LM , Property Location: SCTM# & Street Brief Description of proposed action: Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound Front _Bay Front Distance of proposed work to edge of above: P3.r)-ofTown Code proposed work falls under: -t,LChapt;Ei' Chapt -n other J1S~. 11)- .'. , ./ Type of ApplicatIon: Wetland Coastal ErosIOn Amendment Administrative Emergency - _ Mo needed: C . J<!. ~ - -" ,d; J . ~ , I <?J --': t/'-.. Modifications : Conditions: Present Were: _J.King _J.Doherty ~ckerson_D. Bergen Other: Bob Ghosio, Jr. MaileciiJ'axed to: Date: Comments of Environmental Technician: C5n ('1 J 1"1. + r~, I fl.Vt- ..v~ + L ~....,.,~~". E "..,,~ ..... ~ --~.,.. N ,,-'.... 0"'.. + ~------~~'_.- ~ + ~( ~- " /\ / -N- '" '\ \ '\ r . . 1211 o OR,,, ."...."". '" " ,., ." "._ '", ""0'''''' ~"~,,,. [::- ~~~ 6) COUNTY OF SUFFOLK @ Roo Property Tox,ServlceAgency . . CIIu"I1)o&ont:;',.RI:~Nltml .~ 'M_ F'll(lPE:RTY ~~ flO!ICE SOUTHOlO srCTIONNO ~~~~"i:' :T~::T:;~'"""!,, ,u"''-''''''" 10'...< ,.".,,,,, '.HT[""_""'~T" ""PA_" 1"""'''.""" 137 __~ ".1'''"... l2.,....."" , 1>.1"0' _.N 1000 -----' . . Jam"" F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob (<Dosio, Jr. 'l'owuHall 53095 Route 25 P.O. Box 1179 Southald, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Offke Use 0uIy _Coastal Erosion Pennit Applica~ - WetlandPennit Application _ Administrative Permit ./ Amendmeot/Transfi IE tension ~ceived Application: . ~"/ r Received Fee:S .......Completed Application . _Incomplete _ SEQRA Classification: Type I_T)"pe II_ Unlisted_ _ Coordination:( date sent) _ L WRP Consistency Assessment Form CAC Referral Sent: /'Date oflnspection:~OL _Receipt ofCAC Report: _Lead Agency Detennination:_ ..:I'e"clmical Review: --1>ublic Hearing Held: ~ f.Jd 10) _Resolution: ., .....", fc; (j'U lE ~ \~r; li; 1;'\', ~~ \\D ._ , A"0 ~~: .)~ uJ _ I I .~ Southoid 10'\"'11 B03rd of Trusie~:: Name of Applicant W\\~ \N\liv-. <S:l'\~,\\.~ {\.'JB C\,\~...\~ Phone Number:(b1~ 13 + -1..., S-g- Suffolk County Tax Map Number: lOoo. 11.,- 3. _ S- Property Location:-.1-<.oS ~'\~~R.~ ~lS ?~., Address 4-l,Q'S \\~1.~ (provide LILCO Pole #, distance to cross streets, and location) AGENT; (If applicable) Address; Phone: 4Itoard of Trustees APPlicaJllb GENERAL DATA Land Area (in square feet): \ '=t 4-'" I Area Zoning: ~GS' \~ 1\ \:) ~ l.. Previous use of property: ~\\'M~ Intended use of property: S'1\mG Covenants and Restrictions: Yes If"Yes", please provide copy. 'X No Prior permits/approvals for site improvements: Agenc~ ~m\\.D ~<O- ~ff 1?>~ ()(.~~ / lJ't::L. . Date ~ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? --4--No_ Yes If yes, provide explanation: I Project Description (use attachments if necessary): 'i:'i:B\.1\c.~ \"' <6 't II D F b\:l \-\\ G-\\. ~X~"\"B ~C\3, (\\"1:1'1$;. N,"t)'tt\4 T'\l\\~ )...,$\~ 'N\~ T't\'i;. ~'t'\~ GR. ~\'('/\'~'(\\\.... T\"f\3. T'SW::\"\<;-. TB'l-\~ ~ ~'iS 'K~~\:t\(.~ ~'\1~ \1'1 ~i."':)) ~ \\1T\\G\1;,t) SUm"f. 4Itoard of Trustees APPlica~ Purpose of the proposed operations: WETLANDrrRUSTEE LANDS APPLICATION DATA ~\A& ~~ Area of wetlands on lot: o 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: N I A feet Does the project involve excavation or filling? No x Yes 'tbSl'l~()~ ( If yes, how much material will be excavated? tln"dL cubic yards How much material will be filled? . 0 cubic yards Depth of which material will be removed or deposited: '3 feet Proposed slope throughout the area of operations: 'M..ft"\' Manner in which material will be removed or deposited: 9u'Stbil l)\"~ Statement of!he ~!Iec~ ifany, 011. tiJ.e. w~~~~ 3ll'!tidlllY'.~U:rs ~f t.1J.e. !o'Y.ll.tl:ia!may !~~!ry' _. reason of such proposed operations (use attachments if appropriate): ~~"i.o rPROJE~T I' 10 NUMBER . I . 617.20 APl'ENDIX C STAli ENVIRONMENTAL 0'JAL.1T1' ~i/tE\*,: SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only (To be completed by Applicant or Project Sponsor) 2. PROJECT NAME SEQR PART 1 "PROJECT INFORMATION 1. APPLICANT I SPONSOR \ \.\ . v-.l \ \S1\ 3.PROJECT LOCATION: Municipalijy c.~\c.~~ County ~U~~'-\ 4. PRECISE LOCATION: Slr~ Addess and Road InlersecOOns. Prcminent landmarks ate - or ~fI' map.. 44'Ot; ~1"\1W\~~ ~,,~ C~'M"",,( ~"f... %\\~ $)(J~ -\~-'-"3 -'5; 5. IS PROPOSED ACTION; 0 New o Expansion D?J ModifICation I alteri!tion 6. DESCRIBE PROJECT BRIEFLY, , 1\ ~~~ \"t't + 'Of. (,.~ \\\C:,\\ S\c)~~ ~~ ~lI;W:.. l'\~ ~~~ \..l1\\'::. \.)) 't\\\ ~~ of.... "S\'N\\\j$.. ~\::, ~1J ~'-\}\(,... 7. AMOUNT OF LAND AFFECTED; Initially acres UIl:imately acres S. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [ZlYes D No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY ~ Residential 0 Industrial 0 Commercial OF PROJECT? (Choose as many as apply.) DA9riculture 0 Park I Forest J Open Space DOther (describe) 10" DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local} DYes l8J.NO If yes, list agency name and permit I approval: DYes !XIN" if OR APPROVAL? tf yes, lisl agency name and pennit ( approval: SULT OF No I CERTIFY PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEOGE ~\\.-m. Dal.;~~IT:S 2..00") Si:}natwl! Applil;iClnt If the acllon Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment , - . . PART 11- IMPACT ASSESSMENT (To be completed by Lead Agency) I. A. tM;I!:;S AC I iON t:XCEEO ANY lYPE I THRESHOLD IN 6 NYCRR, PART 617.41 o Ve. 0 No ,. B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NVCRR, PART 617.6? If No, a negative declaration may be lOupersoded by another involved agency. o Ye& 0 No. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING; (Answers may be hani!written, W Iegiblel C 1. Existing- air quality, surf~ or groundwater quality or quantity, noise levels. existing !raffic pattern, solid '....aste production or dIsposal, fotential for erosion, drainage or ftooding problems? Explain brieny; .: I C2. Aesthetic. agricultural, archaeological, historic, or other natural or cullural resources; or community or neighborhood character? E)(plaln br1etty: I.:. ....... ..m H. .1 C3. Vegelation or fauna, fish, shallfish or wildlife species. significant habitats, Of threatElned or endangered species? Explain briefly: L :. .--~.. .. :-. I C4. i cDmm'nily's exisbng plans ",goals as officially .dap!ed, ora change," use arin!ensily aluso 01 'and or oth..-nalural ''''aU=S?~plain briefly' I C5. lowlh' "bsequen._dP.VOlapmeot ~r """led act,vilies okely 10 be 'nduced by 'he proposed -""lion? Ex!,'.,,,: b,iefly : . :: I C6. rng lerm, short 'erm, cumulatiVe, Of o~er effec's not identified in C1-CS? Explain brieffy: _ .... I C7. Other impacts (inc:luding chao es in use of either cuantily or type of energy? E1.plain briefly: 1_1 If yes, coordInate the review process and use the FUll EAf. D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL D~~~MED~:r (CEM7(lf Y.S, ex~in brienr . .::. I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes eX~laln. o Yes ONo I . . ~ ~ I PART ftl- DETERMINATION OF SIGNIACANCE (To be completed by Agency) INSTRUCl1ONS: For each adverse effect identified above. determine whether it is substantial,large, important or otherwise signiffC3f\t. Each effect should be assessed In connection with its (a) setllng (i.e. UIDan ... rural); (b) probabilily of occurring; (c) duration; (d) irreversibiily; (e) geographic scope; and (I) magnl/ude. If necessary, add allacl1ments ... rele<ence supporIing malerials. Ensure that explanations cootain sufficient deta. to show that all relevant adverse impacts have been identified and adequately addressed. If questiofl d of part ii was checked y~s....th8-delermiRali9R-of~5t.evalu~tiaHmpaet efthep. aJle.5e.~ BElta.. oolhe en.JiJ~,ffl~.t:a'.J_~:..&-oIthG etA. Chect<1hIo box Wyou have identified one or mora potentially large... slgnl1icanladverse Im~acts_ MAY occur. Then proceed direclly 10 the FUU EAF andJor prepare a pD6itiVe declaration. .~. Cilea<iliiSliOXj{y..rhaV8d.ii,~,;;;;ie.f. biSedo;, 'il'i. JiltOiniatiOO .nd analySis.at.ove aT.i any suW0rtin9 dowinerrtaUO.i; IIi.Hile pflJp;;siid.CtiOi WILL NOT result In any significant adverse environmental fmpacts AND provide. on attachmentS.2S necessary. the reasons supporting thi: detennlnation. Name or lead Agency Dale PffnI or Type Name ot Responsible 01ficer In Lead Agency Title of Responsible 0lIicer 59\3tUre Of Responsible OffICer in Lead Agency :Signature of Prepare..- ~1f different from re&ponstble olficer) . . Board of Trustees Application County of Suffolk State of New York ~~l.U::l\. \,:)~ BEING DULY SWOR.l>i DEPOSES AND AFFIRMS THAT HE/SHE IS lHE APPLICANT FOR TIIE ABOVE DESCRIBED PERMIT{S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER KNOWLEDGE AND BEUEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TInS APPLICATION AND AS MAY BE APPROVED BY THE SOurnOLD 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 TIIE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES{S), TO ENTER ONTO MY PROPERTY TO INSPECT TIIE PRE.MISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~~\:J~ SWORN TO BEFORE ME THIS Signature 3 DAYOF"'\\'~.lrr\- .. ,20~ CONSTANCE SZYMCZA.'5-* NoIaIy PublIc. Slale of New "..., No.01SZ8125816 a...,.... In Su. CountY OolMilllv'l ExpireI AprIl" 20llt , . . APPUCANT/AGENTIREPRESENTATIVE TRANSACfIONAL DISCWSURE.FOP.M The To-wn of Soutbold's Code of Ethics nrohibitJ; conflicts ofinaest on tbe Dart oftltWn otTJCCrS and cmoJovees. The DlD'DOse of this fonD is to orovlde iQforination which can alert the town 9fpo.o::sible conflicts ofintcrcSl and allow it to take whatever action is necessarv to avoid same. . . YOUR NAME: \\\LlV\ ~,,~ ... (Last name, tlrst name,JP. initial, unless you are applying in the name of someone el~"e or other entity, such as 8 company. ]f so, indicate the other pet5OD.s or company's name.) , NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approvat of plat Exemption from plat VI' offitiaJ map Other (If..Other'., 113llle the activity.) Building Trustee Coastal Erosion Mooring Planning )(, Do you personally (or through your company, spous~ sibling, parent. Of child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, IIlarriage, or bYslnes~ interest. "Business interest'~ means a business, including a partnership, in which tbt: rown officer or employee has even a partial ownership of (or employment by) a corponltion in which the town officer or employee owns more than 5% of the shares. YES NO ox If you answered "YES", complete the balance of this fonn and date and sign where indicated. Name of person employed by .he Town of SouIhold Title or position of that person Dc:scribe the relationship between yourseJf(fhe applicant/agent/representative) and the lown officer or employee. Either chedc the appropriate line A) through D) and/or describe in the space provided. The town offtcer or employee or his or her spouse, sibling, parent, or child is (check alltlial apply): A) the owner of greater than 5% of the shares of me oorpor61e stock: of the applic~nt - (when the applicant is a corporation); . _8) the legal or l>eoeficial owft~r of any interest in a ooJH."Orpomte entity (when the applicant is not a corporation); . _C) an officer, director, partner, or employee of the applicant; or __0) tile actualapplieanl DESCRIPTION OF RELATlONSIDP ---....----- \D ~ Submitted ~ d ,t,). ~~-:e ~~~ ~ 200"1. Form TS 1