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Home My WebLink AboutTR-6711A . 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 ~re-construction, hay bale line _ 1 sl day of construction Yo 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.: 6711A Date of Receipt of Application: August 21, 2007 Applicant: William Stanton SCTM#: 123-3-15 Project Location: 1115 Bungalow Lane, Mattituck Date of Resolution/Issuance: September 19, 2007 Date of Expiration: September 19, 2009 Reviewed by: Trustee Vice President, Jill Doherty Project Description: Remove a buried 1000 gallon fuel tank, excavate crawl space under rear of dwelling and add additional reinforced concrete walls under existing cement block walls to make area for a new 550 gallon tank installed within dwelling, and install five (5) replacement windows in southeast end of dwelling. 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 William Stanton, received on August 21,2007. Special Conditions: A line of staked hay bales are installed prior to construction. Inspections: Hay bale line inspection and 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. f::::. ::'~dent 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 &J;\\Ia.M Skton r"ol~ff1 TO: Please be advised that your application dated Ai been reviewed by this Board at the regular meeting f and your application has been approved pending the com following items checked off below. { ,;;J,co 7 I letion of the 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'" 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: 00 TOTAL FEES DUE: $ /00 .-- 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: 1-1'1-07 WILLIAM STANTON requests an Administrative Permit to remove a buried 1000 gallon fuel tank, excavate crawl space under rear of dwelling and add additional reinforced concrete walls under existing cement block walls to make area for a new 550 gal. tank installed within dwelling, and install five (5) replacement windows in southeast end of dwelling. Located: 1115 Bungalow Lane, Mattituck. SCTM#123-3-15 T~e of area to be impacted: VSaltwater Wetland Freshwater Wetland Sound _Bay Distance of proposed work to edge of above: Pary.ofTown Code proposed work falls under: ~hap!.275 _Chap!. 111 _other - Type of APplicationif" Wetland _Coastal Erosion _Amendment JAdministrative _Emergency _Pre-Submission _Violation _Planning Info needed: ~ ~~~L-S ~\~ a~()Y\J {\o,~ <;~M-- &{' ~~ \lVl~ ~'tuA(S ~ Modifications: Conditions: / Present Were: _J.King ~oherty _P.Dickerson_D. Bergen_ B. Ghosio, Jr _H. Cusack_D. Dzenkowski _Mark Terry_other Form filled ouhn the field by MailedlFaxed to: Date: Environmental Technician Review t'lll~~.:b. wi ~~l h",.':? L~, {"\A'1-h.-+ buw "'" 'r m 1<-, ~ "'l'SEc.....'" ~-r- SEE..o,,,,,-,,, 1;--~---i!- ~ -if-- !I ! ,...~... ...SEo.",,- ,,,-..-,.. FtlII,,,-...,. "',....C..... 112;0.0'.'"" I I ~ ~ 1>." , ... GRE.,&,I pE.CONIC 6~ + -+- I L "-"~..,.. E___ !::'-;-;'''" 0-'. -........--.-- -........--.-- --..-... -..'-- -_.,..--.-- -r- '..._m "".., ".........., -...,,"', ." ""~ "" co.",.,,,,, "'"."", ""'" -----'---- "." "" .. "...~, ".,. ......- :.:._~':'.',~~ ____. (21) -- -... ......., ........ ........ '-~ __ .1''''__ IJ) NOTICE ~ COUNTY OF SUfFOLK @ ~ ~ ..~""-...."",,,,,,..,.. Rea Property Tox.ServrceAgeocy y '" '" """'<6 ~,,'~':,,~, .~:, '::'': :':100. . Ctu1ty i:""~E ~~" I lllCl It '" ~, I::':"';';:'~"~::::, 1 -. -- .. I~I ". 1_'" SOUTHQJ..O -----, <---..,.. --,--, 1000 _...",._'u._ ~ o -N- il II 'j . . SECTION NO 123 F'ROPE.UY....... ~ Bill Stanton 1115 Bungalow La. Mattituck, N.Y. 11952 tel. # 298-3548 . . \5), IE ~ ~, fi \trUf\I 1U\l~~-- i_1 L ,~, -_._..~ Scut\iQid lO'Nn Purpose of the project: Bccrd 01 Trl',tees The purpose of the proposed project is to remove a buried 1000-g n s ee fuel tank that is over 50 years old. The tank will be dug up and removed by Mattituck Plumbing, and Heating. It is in good condition at the present time, but when ordering a new boiler and oil bumer from Mattituck Plumbing and Heating, they advised me to replace the buried tank with a new 550-gallon tank indoors. I propose to excavate the crawl space under the west end of the house, adding new concrete walls and a concrete slab floor and place the new tank in there. (See survey and diagrams) Removal of old fuel oil tank Proximity of Wetlands: The present tank is approximately 114 feet from the mean high water mark. The crawl space to be excavated is located from 97.8 feet to 112.1 feet from the mean high water mark. (See survey) Excavation: The crawl space area to be excavated is 14.3 feet by 32.2 feet by a depth of aprox. 5 feet. The material to be removed consists of sand and will be removed by shovel. The volume of the buried 1000-gallon oil tank is estimated as a cylinder 12 feet long, by 4 feet in diameter. The volume of the buried tank will be replaced by the sand removed from the excavated crawl space. Any remaining sand from the crawl space will be removed by the contractor. Environmental Impact: I believe that the only environmental impact will be a removal of a potential threat that a buried oil tank is to the environment. The new tank will be installed inside a concrete bunker that removes any dangers to the environment from oil leaking into the ground. Replacement windows Energy efficient replacement windows will be installed in place of the five existing windows in the southeast corner of the house. (Marked in red on survey, and photo enclosed) . . 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 SOUTH OLD Office Use Only Coastal Erosion Permit Application./ _Wetland Permit Application ~ Administrative Permit _ AmendmentJT1ifer/f)\wnSiOn ~ceived Application: d-\llJJ -----Received Fee:$ ~ _ RlYmpleted Application R ~ _Incomplete _ SEQRA Classification: Type I_Type II_Unlisted~ _Coordination:(date sent) _LWRP Consistency Assessment Form CAC Referral Sent: ./ifate oflnspection:~ Q) _Receipt ofCAC Repon: _Lead Agency Determination:_ Technical Review: IJ5iiiilic HearingHe~ _Resolution: \@r~ ~ ~ ~ ~ ~ llf\l\ \11 i II, l~ L . L---c---;.. ,_._..---1 Sou'lilOid lO\',n BOoid ot Trustees Address WII(,o"V\'\ ~+--C\.V1-hm 5uV\.juloUJ LC\\iIR J Mct:Ht+vc.k Name of Applicant Phone Number:(l>31) 298 -3S-4~ N-Y. //'))7 / ?(~ 18;~ 5'2..5'"( / I 2. 3. -3 - ) 5' \\'\e4-h~ u,k.. NY II/I) Suffolk County Tax Map Number: 1000- 41~~gg 11/5' Bu Y\8CtLo u..) l.u.~ Property Location: (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: ~ard of Trustees APPlicat~ GENERAL DATA Land Area (in square feet): .53 G.c q: Area Zoning: r {A.M', I '-< {EQ ~J,...., tl ~ \ \ Previous use of property: \ tC\.M'lll.\ 'e S'l~ft~( \ Intended use of property: \ fC\~l~ VQs'\ct.ev..-M ~ ( I 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? LNo_Yes If yes, provide explanation: Project Description (use attachments if necessary): KeW\."", ~{ CA lovan -eel lOoe v~\ -hvt.\.( 0.. lJ",,,,,^,t~"-~ ~:t ClNJ.. aA~ <to\.th~cJ <"I~~(C~.\ c.<M<x~iLw..\1 ~ v'I\clvr Q.J,<~hvt~ ee~..r h\ock 1J..\'<.\\s +0 ~ Ia/N.... (.,.,. o..lI\.W l)S'O 0""\ , +o..~k. ;"l;\....IW wi-h" lwv6t: Also i"s""\I.J-~ -+ '5 ~~\4..u.~ lI.lll'l.d..cMS .VI ~+ e.",J.1 ~ Ge-e o..\+-"-c~) """J, dlo-.zr....\IIAJ)} cwJ S"("I.l~ )C\M.J pM-liS) 4Ifoard of Trustees APPlic1llPn WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 5 N o.J.h:l_cJu J Area of wetlands on lot: square feet Percent coverage oflot: % Closest distance between nearest existing structure and upland edge of wetlands: 58 ~e t feet -f0,vv, 1'<'\ -\-\ IN Closest distance between nearest proposed structure and upland edge of wetlands: 99. Z feet f<vrn M tlvJ [..see 8\f'(lf'ej) 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: 4 - 5 Proposed slope throughout the area of operations: \ ~"e.\ feet 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 ma)' result b reason of such proposed operations (use attachments itappropnate): . . .-. _....._n.. See ~+tQc..M-cl PROJECT 10 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 . SEQR PART 1 - PROJECT INFORMATION 1. APPLICANT I SPONSOR W, lllCl.VV\ 3.PROJECT LOCATION: hj~,., 11",- BV'^'(3~. Municipality yv\. \+ ~ k.. County $J 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ete - or provide map IllS ~l..o... .d'~lN\"..Hl &\')\,,,..~-t;: C~~ S+-. E.J", ":Ia..\ow Lu.. 5. IS PROPOSED ACTION: Q?J New D Expansion [2g Modification / alteration \-o.ko. 6. DESCRIBE PROJECT BRIEFLY: ~ fE''''''ov''-\. "'t Io"r'~.( 100" 3<t.~ '-tvoe-\ oi.l tv-"k Oct!\lw C"'~-1 ~.:',Q. elCCl.Wd.~ "f ~J L" CIlcu..>\"'rCl.t.t. UV\dwr' ('E'd\, "f Vwu~ o..M:~ O'f ;-e,,,~=J.. C"""c.<tde WG<.\.\s t.><I\k€.>zc.;s.ft"g -3 ce~~ck w~\ls.lCtYl<l & C>>'J\C.\eJ'e ~\..a.Io fl,mn- V ~ Ll"sh.\L~ <tf 1'l€uJ 5'5v3o..1. *,e.\ ~k..-Vl.S'~, feplo..ctlM."..'-'\..t ~ i) tJl~cLws <T>\ St=. Cof'V\.Q.( -1 b.t~.c..- UJIn&..wS h, be ""p\a.C€ IAJ \ '" r\..0'UJ<; \ t1..V\.ttcc.) -+z, e-}C.lS.J,~. 7. AMOUNT OF LAND AFFECTED: Initially acres "'~ 14,"~1<+ ,c .3Z-,'2. f.~ Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? 5S]Yes D No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY (l] Residential D Industrial 0 Commercial OF PROJECT? (Choose as many as apply.) DAgricu!ture 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 ~ No If yes, list agency name and permit I approval: ....Tl. uut:~ ANY A::iI-'l::.C I ur- THE AG IIUN HAVl::. A CURREN I L Y VALID PERMIT- OR- APPROVAL? DYes [Z]NO If yes, list agency name and permit I approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? es DNa I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant I Sponsor Name, Date: Signature If the action Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this asse6sment . . PARTII. IMPACT ASSESSMENT (To be comDleted bv Lead Allency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. DYes DNo 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. DYes DNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be hanqwritten, il 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: [ ~ J 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 .~ . I C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: I I C7 Otherirnp~~ls (includjn~_~~~ngesin _~~~_of either qua~ti%rty~e of ~~_e_r~x? Expl.ai~__~_~_i~~y: I ....... ....... . ..~...... .. I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (11~es, explain briefly I DYes D No I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes exelain: DYes DNo [ 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 ------ -----:y-gs, the determin3tiGn of-sigAUif:3nGe mlJst evaluato tAc potential impaetoftAe proposes Belion Of! tAc CFI. iroFlFFlCFltal eharactcristic.s ofU ,e€EA-:-- 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. Cheddhfs"i)oxlfyou-hav'e defermmecf;"basecron-ftielnformation and~malysis -above and- any supporting- documentation, thai"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 Pnnt or Type Name of Responsible Officer tn 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 W:U~a.Wlf=:, S~b 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 REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. W;} ~ 1=-. 8fWA~ Signature SWORN TO BEFORE ME THIS 21~ DAYOFAdWlf- ,200'l1 a-l.I~" I In < ~ll'&.jA' otary Public I.A~EN ~A~D::: York Notary No bldTsT6'lUo08 ="f18d in SuIfGlk f-oU~ iT oem S$lon ExpIIllS Apn19. : . . APPLICANT/AGENTIREPRESENT ATIVE TRANSACTIONAL DISCLOSURE FORM The Town of South old's Code of Ethics orohibits conflicts ofinterest on the Dart of town officers and emolovees. The Dumose of this Conn is to orovide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same, . YOUR NAME: (Last name, first name, lpiddle 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 Variance Change of Zone Approval of plat Exemption from plat or official map Other (If''Other'., OaJ1le 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 employee of the Town of Southold? "Relationship" includes by blood, marriage, or bus'iness 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 X I If you answered "YES", complete the balance of this fonn and date and sign where indicated. NO Name of person employed by the Town of South old Title or position of that person Describe the relationship between yoursclf{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 applicllnt (when the applicant is a corporation); _B) the legal or beneficial own~r 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 . -1 of Submitted this ~I - day of Signature \E. Print Name W, \ lU.W\ C. 200L 5-m" fvv'I Form TS 1 FROM : MarkSct.wartz,AIA-Architect F'tOE NJ. : 6317342110 "\.\\"",,,..,....., 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 .69'~6 :I _09.~I.c1 s ... . -- . 2 " 01 I ~ -I II la i .. !I O"l i - :r '4 · I . · /' ~ ~J!:. 1 ~ tJ: '=f!! / p-.. ~..... i : '! .. : i .l"r4" ~ ; -- i I -. l- II tit i · $ -.. t ~ z !! ~ - a " .. ~ " ... c .. If .. - ~ ;;j .... " OL'18 ;.. .00.01.91 III ~ ~. ----~- -,--"-"-"- - =,-.-..-" d -.. -" dBUNGALOWd LANE - r.:l J\ --- ... ~ 8 z i! rtJ a " 1\.19. 12 2BB7 01:14PM P2 ~h~U~:; ~~e", ~~; ...~...l;i...~~ lXilh~A!l: btlll1!l:2 G ~~~a i! ~ i!~!~~~ ;a!iiBI i~h ~: i l!l il~i Ii 15 ~ ;~ibIU ~ N ~ '5;h~i'" ~ lID a: 5911011'" II: <I" 0 ~311115 I 0 -' . 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