HomeMy WebLinkAboutTR-6594E
.
.
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
EMERGENCY WETLANDS PERMIT
Permit No.: 6594E
Date of Receipt of Application: May 15, 2007
Applicant: Elaine Romagnoli
SCTM#: 117-7-29
Project Location: 1230 First St. New Suffolk, NY
Date of Issuance: May 15, 2007
Date of Expiration: N/A
Reviewed by: Trustee Jill Doherty
Project Description: A temporary repair of the existing bulkhead using non-
treated plywood.
Findings: The project meets all the requirements for issuance of an Emergency
Wetlands Permit as determined by the Board of Trustees. The issuance of the
Emergency Wetlands Permit allows for the operations as indicated on the
application received on May 15, 2007.
Special Conditions: A full Wetland Permit must be obtained in order to conduct
any further activity on the bulkhead.
This is not a determination from any other agency.
Jam~g,c;:6
Board of Trustees
.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Gnosio, 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 [I\IJ tIOOOtl..!
~ Wetland Permit Application ./ Adillinistr.lilve Permit
~Amendm;~;jlgroxtension
.--- Received Application: ")
-.:::Received Fee:$ 5
~mpleted Application 511~OI:.
~Incomplete
~SEQRA Classification:
Type I~Type Il~Unlisted_
~ Coordination:( date sent)
~ L WRP Consistency Assessment Form
~ CAC Referral Sent:
~ Date ofInspection:
~Receipt ofCAC Report:
~ Lead Agency Determination:_
Technical Review:
Aublic Hearing Held:--5.J I ftt{ ()')
~ Resolution:
l'I"l~I~[G-rr ~'\\,r[,r ,'n-.'~
, ....\ '. -. d' ------,.'.. ,.' r
'U' " ,
I U: MAY 1 5 2007 'j L) i
I 1--- /
L-. "'_'" .. '___. ,
Soulhold 10~:1 I
E,oed of Trustees
~
~~
-10-~ ~ ~i\ \ ~1'SJ.o')
Ok.- pv<
~
Name of Applicant ;;: Ll4i;J c- ~"., /ref.;O' L. ;
Address ;:;22<7 ~~ ~hi?~/
At" J~-;Z::-6LK ~N~CeZ-f~ 7'/1- ~Y7-~~~1
r;; J / - 7.Iy-!::.-"7v-.s
Suffolk County Tax Map Number: 1000 - 1/7 - 0 7 - :J- 7,
Property Location:
~q~~~~~N~~h~~/>>Y
(provide LILCO Pole #, distance to cross streets, and location)
1/ ? S~
AGENT:
(If applicable)
Address:
Phone:
~ Board of Trustees APP1~ion
GENERAL DATA
Land Area (in square feet):
!?C/
x
"':)0
Area Zoning:
Previous use of property:
~......,c
Intended use of property:
~ ,.....r-
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 suspended by a governmental agency?
_~_Yes
If yes, provide explanation:
Project Description (use attaclunents if necessary):
P'.-?7P/P,4 ~ / -,L Y Pr~ <7//,
#Hc/ iW"/ /3!Y /f/t?Oc/ #r
ftPR--n P?~--n~C "- ~
;?...., ..L~
;;;p~..s '" .L7"
4It Board of Trustees APPltlrtion
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
~ ,P# /.R Z't. err H~ "f:D #J,;L-#7Q'-,? ~..:::/
:::;C/1/ 5'7P~ /V[ Y /rr ft 7
Area of wetlands on lot:
square feet
Percent coverage ofIot:
%
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:
uStatement of tile effect, if any, on the wetl~ds an~tidal waters of the town that mil)' res\llt\J.y
reason of such proposed operations (use attachments if appropriate):
617'
PROJECT ID NUMBER 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)
SEQR
1. APPLICANT I SPONSOR 2. PROJECT NAME
E ~ 4-10 A#~ ~ ;r) t9-~""" <>'-7-" r7 ~,-- ~.A6....r? ~A/.,..<..::7
3.PROJECT LOCATION:
Municipality Nul S ..,.:;P~L""'" County S'rlrrOL/(
4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ate - or provide map
/-::;3" r--7.e5r- .5./
5. IS PROPOSED ACTION: 0 New D Expansion ~ificalion I alteration
6. DESCRIBE PROJECT BRIEFLY:
Xl- p 1'J-7 e ;?? ?J -r.l/l- G- P~~I\..r ~"'''''7
':o'......Lf( rrE /1-0
7. AMOUNT OF LAND AFFECTED:
Initially acres Ultimately acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
~ONa If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
~Sidential D Industrial o Commercial DAgricu,ture D Park I Forest I 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)
~ DNa If ye~gency name and permit I approval:
r-/" ,.y? ~
,.. '-'V"~ '''~ ve IH" ACTION HAVt A CURRENTlY VALID PERMIT OR -ApPROVAL?
DYes 0 If yes, list agency name and permit f approval:
.00 -.-- 0
1Q; A ~F PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
es No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant I Sponsor Namu ~p,........, Date:
~ '0/rl~)
Signature
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 ITo be completed by Lead Agency)
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.
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 hanqwritten, ff 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 ~^ -^^ I
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly:
L ... .. I
C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
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 ---. ~ . .....--. ~- ." J
C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly:
I I
C7. Other imoacts (including changes in use of either auantity or type of energy? Explain briefly:
I I
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA (CEA)? (If xes, explain briefly 1
o Ves 0 No I
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSV RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ves.explai.l"l:
OVes ONO I I
PART 11I- 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
yeg, t1:j8 getermiRati9n of signiAo3Rse ml:lst evallJate---tlle--J3etential-impact of tho pr0130Sea aetieft-eft-the-elWiroRffie:f\tal chat acte.ristic..s ofll,e: CCA.
Check this box if you have identified one or more potentialfy large or significant adverse impacts which MAY occur" Then proceed directly to the FUL
EAF andior prepare a positive declaration.
Check'thls'box if yc)'u-fiave-delermmec(based-on-frieTnformation and -anollysisabove and- any supportinii documentation,. fh"iifiileproposediidio
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
Pont 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
g-f-4//V ~g ~~BEINGDULYSWORN
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 FORTHIN 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, THEIRAGENT(S) OR
REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
a~~
Signature
SWORN TO BEFORE ME THIS
Is'^'
DAY OF tnllll
,20fLL
ath..J.JA.^:: In. ..J./e,,1d~n J.f
olary Public
LAUREN M. STANDISH
Notary PublIC. StaI8 of New York
Ml:.01ST6164008
Qua ecllR SUffolk COuntv
Commission Expirus April 9. 2011-
:
.
.
APPLICANT/AGENTIREPRESENTATlVE
TRANSACTIONAL DISCLOSURE FORM
The Town of South old's Code of Ethics nrohibits conflicts of interest on the Dart allOW" officers and emnlovees. The Dumose of
this form is to "rovlde information which can alert the town ofoossible conflicts of interest and allow it to take whatever action is
necessarv to avoid same, '
YOUR NAME:
(Las name, first name, .qtiddle initial, unless yo'u are applying' in the name of
someone else or other entity, such as a company. Ifso, indicate the ather
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", naJ11e 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 South old? "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 tha~.
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 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 own~r of any interest in a non-<:orporate 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
Form TS 1
SUbmitte~d thiS. . day of 200
Si~nature----" . - V ?.r ~..
PrmtNa ~_ ~ /
E L,.,-/~ c-/f? "'7 /9-tF""-"<-..r-
~
-.------------
""Ii
\..':':.
' .~
~~
'.: "
J&
'-
J
I"
~
~
~
it.
~
~
~
'"
~
l"
~
---..---.------.------.-----
. '
ri;'~ lE c~ l if -. ie" (-I~ \'~
IL 1,---' -' ,
,: r'\'
jl 'it
lJ l: MAY 1 5 Leu7 '.
! I
~ L---_ _
~Ci!~h(:ifl 10;.-:
F ~ .',-r ., f T"!,;'
~
~
~
~
'1
/,1"",,,,/
r""'~e
"""<:,,,,~c
0-
"'- '
.~~~~
f~~
lIS \t.. Q.
,
'.!.!
" ,t. '
~ R ~
~ . .'
~ (JRC/lARO 57: ~
~ \1 eMf /~/,n>nd) )
~ t .... _ -+~ WD~'" ~
'\: . ::1 t!!Je' ~ 3 :;p.-o- /yp/,J.A,r,.,,/ - "
~ .~ .... ~ ($(),OC)' "
,
~
'~ 1
~~
It
~~ '-'LJc
.
"
<
~
~.
,
I .~
l~
,
~~
1~
"-
~
~~17(jJ~'o'c,~;,;;~~-?.:.Jj
Ai>u/ Pr' N/.....",./.,y /? L eV~"'t'N~
~"~f Cec>'P f. 7i~A///
..:f~&4 XO, 7.?<!.~~'
;4N~Y J1/. .(~;V.-9'Nm,y.f,.('/'
L..",N<7 ~./RI~)""'!.(>
::f""",,T/rO,U,,>/ /v, Y, .
:!!mY.tf=ycl2. rtM:.:..~B!Y€~!r.rst.~.f/!/,':!~. ~-1".of'~/~_ .
~~.n.cw. /V..-,... .:fprl'Ot!..C,;>l?wN eV~hY""'GP MY,
" . -------..-7--".. .---- --.--
, .
)....
~
iJ
"-
~
~
~
~
~
~}
, I
_ ..._._.____.__...._...._u_____ _.'" ___'''___._._ -.--
,
._...~. -----..-.-.-----..-.----.-.-----
~(I"~A',.y!:~~~ ]?>.:t?~~~~~c~_7!n. .:;..w.;fPA".-1'~d" ?17"..
.:f4A'~.r'I'"
p"rG,H......./.... ~&~5
/
a~ ~~{<<<.LC.t.''''~<'''-'''_
I
""+-
I
<> Z ~C..=:::7
+c
,~
(~B;"""';'
~I~~\:t'!.\:~~
~ :\;~;~ :\.~'~
~ J.~""'~': s::l . e'.. $1~ t" '50'
""- "''''m' -:"'"
,. .~~,,- ~,~' 'Ill
., '3 'l "'j~~:W"~ ,If, '~\~".~~~~P'l:r.~' "~.\$/
~ ".../ ~~.'i;l: 5ECbND !:. 10 III
, , '(/" ,\,,, , :1:1';' . ~'u
( . l ~''''1'l.....: .._~ I: t:: 1'1 ~
~ :f.j '" ~1'lV _ I~~l~ _ ~g .. -<, I., 2~,
I '" 'l " '~'3 , :'. "l~! I, HU '~, ~
r ,. ' ., \//1" . V' ''< ......I:cl:i.tES' ". '" ;rr, +'
Ii:; ~" ,1'-6: ,?,// ,(f M ~ ~M'.' . ",T' ":' ~, I
d-,...., .. ,-~:t:j;"! '''" ~. ~,
Ii" '1.1~'1~'; ,-:' , -',.,': . ~ e '~; 1j, ~
II .,1' ~ ..,;,..... I'\:\~~-:;,''\ ~ ~ ~'~';; =! ;<: ,&',\ ~
- , or"~ . ,;1" , 1 ".J r~..r ' --:i
'lL.l 'i,.......l II "' .~.:...'~ . ,,' 'V' -: J., ' '~~\
". I '" g . ---""- :\:;," ~~ B~I r lA _ ""'::; ~ ::1 . 3\
~~ "'" i ,1. l~ :..L.l.. ~ _ l l . ~ ..-i
-- ~ - t: ."0 ~ _1:. ~ ~ U ! ~
r-:-. ..~ i j " ~ ~~ ~ ~ ~ ~.1l -~ - ~ L1- . :12 !
... . 2 ~.I' 'Lfit '7] 1! El ~ ", ~ .L. e ,l ' ,::J ~ .), "
... ..,j' , 'j' .1 ~ ~f' ' " 'I '..... ,~ ~"1 ~" \l;
~,). "'. 't;,I. .1:. . ' ~~0' '~:,;'l I;, -"p
'J ... " '."~~' ~ ,l - - il. }....
-_SI"Q"H iig ~ ~ *... r", / ,
1f:a;;,...::J:;- ~<l. ~ ~~~ ~ _.:j
. 'Bs~ ~;~ .:'). ~ l;I<:.. , -
~,.__L-,'--_--f'-.'~ .... --...J _ .
I
I
,
h't:...
~
m
!~
I
+
-f""
Q
~
~
~ ; i
I' .
iI
m',
,
8i.
-,
~ -
~~;
~"'l
Vl >< ~
15,.!:? l~
>- -l:'!~
:z~!
5~t
U~j
0
~l' >
~~l:~
~.~~H
ij ~ ~:i~
'" Ii: i ~ r:
~ ~;F;
~~ fffi
~ ~~~!
H;~'ir
!!111111
lot>..
~~i~h:
;:@!
..I.!!!
iii!!
Ilii!
!!!!.
ii'll
! II II
I"'"
,I! I!!
i iiill
~ I J ~ j 1
lillil
J!H;;1
ie!!!
I Iii
! . I1!
II III
'-
!~ H ~~
. .
.I ;
"II I
jj Ii
11111
Ilil
~ i i ~
I, .
d.
: l'i
II Ii I
J
1
I'-
M
M
.
.