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Home My WebLink AboutTR-6779 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. ,~ OF SOUTyo~ 'F a #~ • ~,0,~ ~~y~OUNTV ,~~'' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 19, 2008 Mr. Derek Bossen Creative Environmental Design P.O. Box 160 Peconic, NY 11958 RE: DENNIS HICKEY 175 CLEARWATER LANE, CUTCHOGUE SCTM# 118-5-2.2 Dear Mr. Bossen: Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 19, 2008: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6779 to install a flagpole above the Non-Disturbance buffer below the retaining wall, and as depicted on the revised site plan prepared by Creative Environmental Design, last dated March 7, 2008, and received on March 7, 2008. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, o'er ~~. ames F. King ~" President, Board of Trustees JFK:eac James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel . ,. ~- . ~_ ,~ OF SO~Tyo~ • ~~0,~ ~~y00UNT`I ,~.,~' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631)765-1892 Fax (6311765-6641 APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATE ~~~' OWNER 1 _ ntC, 1~1(,~~ PHONE G3It~~5R`{ (~2$Z ADDRESS ~ ~V ck.:n~l~cm ~Jf~ rj~~,,m/eS 1 ~7 Y ~ 17~ AGENT ~~~v~'kr•~'.C~'w~ ~t~jd'HONE ~3>~ ~`~ ~~z3 ADDRESS3~~~b F~J~e Z~ ~1~_ Cp,,~\L ~`~ Il `~ Sg PROPERTY LOCATION l~ ~ Gl~ ~-w,k~ 1/n~ ~'(~,~~ TAX MAP NO. ~ d e~0 - l1$-0 5 -Z .Z I/We GlQ.v~~~rc. t.+~pp~~~Y~v,wlav~~ ~?~5~request an Amendment to Permit # ~'J7~ to inc~+s1\ NTWw~G~~ a~ ~ 1•a4Y~ at~lJ~b-rw ~ ~1"coSn(h p, ~,J a~~ Signed By: ~~_ . . 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 Yo constructed / Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee, Dennis Hickev. residing at 175 Clearwater Lane. Cutchogue. NY as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That iffuture operations of the Town of South old require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. .;.. . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Han 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 December 12, 2007 Mr. Derek Bossen Creative Environmental Design P.O. Box 160 Peconic, NY 11958 RE: DENNIS HICKEY 175 CLEARWATER LANE, CUTCHOGUE SCTM#118-5-2.2 Dear Mr. Bossen: The Board of Town Trustees took the following action during its regular meeting held on Wed., December 12, 2007 regarding the above matter: WHEREAS, Creative Environmental Design on behalf of DENNIS HICKEY applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application. dated November 19, 2007, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6 of the Local Waterfront Revitalization Program to the greatest extent practical through the imposition of the following Best Management Practice requirement: the project has been scaled back including the elimination of the proposed lower stone wall, and, , 2 . . WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 12, 2007, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirements imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of DENNIS HICKEY to terrace the area seaward of the lawn area with one (1) stone wall at elevation 16' and replant with native grasses and shrubs, and install drywells to capture downspouts and surface waters from terracing, as depicted on the plan prepared by Derek Bossen, ASLA, last revised December 7,2007. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Jameh;, !::si1!? Board of Trustees JFK:lms . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Han 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: fOen f1 ~ /-Ire t~ Please be advised that your application dated IllfO,{b1 has been reviewed by this Board at the regular meeting of /J../I1-{ 07 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) Y2 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: TOTAL FEES DUE: $ SO.oo BY: James F. King, President Board of Trustees . . Donald Wilder, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., December 5, 2007, the following recommendation was made: Moved by Jack McGreevy, seconded by Doug Hardy, it was RESOLVED to SUPPORT the Wetland Permit application of DENNIS HICKEY to remove existing non-native species, build terraces above the 10' elevation and pitch grade landward from water. Install drywells upland to capture downspouts and surface waters from terracing. Replant entire area affected by terracing with native grasses and shrubs 18-36" on center depending on species. Install gravel and stones throughout plantings for maintenance of planting areas. Located: 175 Clearwater Lane, Cutchogue. SCTM#118-5-2.2 Inspected by: Jack McGreevy, Chris Kempner The CAC Supports the application with the Condition there is no removal of trees along the s/e corner of the property. The CAC observed a floating device stored on the wetlands and questions the legality of the existing fence. The CAC and also questions whether the shed is on private or public property. Vote of Council: Ayes: All Motion Carried . . 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 InspectionIW ork session Report Date/Time: L:? -- S -a 7 DENNIS HICKEY requests a Wetland Permit to remove existing non-native species, build terraces above the 10' elevation and pitch grade landward from water. Install drywells upland to capture downspouts and surface waters from terracing. Replant entire area affected by terracing with native grasses and shrubs 18-36" on center depending on species. I nstall gravel and stones throughout plantings for maintenance of planting areas. Located: 175 Clearwater Lane, Cutchogue. SCTM#118-5-2.2 TY,J6e of area to be impacted: .'i:Saltwater W etland _Freshwater Wetland _ Sound _Bay Distance of proposed work to edge of above: P<}li of Town Code proposed work falls under: ~Chapt.275 _Chapt. Ill_other Type of Application: ./ W etland _Coastal Erosion _Amendment _Administrative _Emergency ~Pre-Submission _Violation ~Planning Info needeg: I {vO e(/)j",... (;,vbl t',~, f} "'rJ Ie. CL-'V'e~1 r.-J I n, nc<.+/~ J/cer- j,D'tjl~1')1 (JCiK, Modifications: /"l.flt.1 ~I f7'<iJd1., Conditions: fe> n-. sve p/crj...J.,c. v -{I v4 ~,.., rnCr(.J~ Present Were: viKing '/oT.Doherty _P.Dickerson L/'D. Bergen_ B. Ghosio, Jr v H. Cusack_ D. Dzenkowski _Mark Terry_other Form filled out in the field by MailedlFaxed to: Date: Environmental Technician Review . . -~ .""Jl'"!ilI~''''~!..J.''!l'.J1I"~~r .::g:t:v'"> ".",..".'I;~.'t"'~ <,; - . . - i:'I5II . 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(') . > 0 tt fA X~ ~::x:: n- -',., ~,. 6~l>> ~ o~ii~ 8-t""" J _8 :::\O~ OOW ,VI <:> L I T ~' .J/;;4;:~: p E c f L C H uatrom Map C mpany. Inc. .~ ,,",-, 40 41 72 FOR ADJOINING AREA SEE MAP NO.30 . . + I <>- Z -----__C7 I ----~~~ / ii /i i/ -h" ---, ' '"' '. / . ""=--'1 'f v ~. r"'t \ . . OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY MAIUNG ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD MEMORANDUM To: James King, President Town of South old Board of Trustees :- . r~ n[~' : \: Ie:, \ ~ ., _rr-- . . Ii! ~ \ Ii i - - fr~--\~l I From: Mark Terry, Principal Plarmer \rt:. L WRP Coordinator 1. . DEe 1 2 2C07 I \ \ Date: December 12,2007 I ! . i L.___ Request for Wetland Permit for DENNIS HICKEY SCTM# 118-5-2.2 SC,'L,." !=~" -< !r'"'" 1." I' .,,-,.-,,-,..-' , . . -._~ Re: DENNIS HICKEY requests a Wetland Permit to remove existing non-native species, build terraces above the 10' elevation and pitch grade landward from water. Install drywells upland to capture downspouts and surface waters from terracing. Replant entire area affected by terracing with native grasses and shrubs ~8-36" on center depending on species. Install gravel and stones throughout plantings for maintenance of planting areas. Located: 175 Clearwater Lane, Cutchogue. SCTM#118-5-2.2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (L WRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. Policy 6 Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. " . . The distance from the proposed stone walls and landscapine to the wetland line is 20 feet: a minimum setback distance of 50 feet is required pursuant to Chapter 275-3.Findines: purpose: iurisdiction: setbacks: for landscapine or eardenine. The existine bank is stable, and veeetated with oak trees, bavberrv bushes, and native erasses. There are currentlv no siens of erosion. Please require that the applicant amend the application to meet the above policv to the ereatest extent practical. 6.1 Protect and restore ecological quality throughout the Town of Southold. B. Protect and restore ecological quality by adhering to the following measures. 1. Maintain values associated with natural ecological communities. Each natural ecological community has associated values which contribute to the ecological quality of the Town of Southold. These values should be assessed on a case-by-case basis. 2. Retain and add indigenous plants to maintain and restore values of natural ecological communities. a. Protect existing indigenous plants from loss or disturbance to the extent practical. b. Include use of suitable indigenous plants in the landscaping plans for new development and in redevelopment projects where loss or disturbance of existing indigenous plants could not be prevented during construction. If the action is approved the following best management practices (EMP's) are recommended: I. Retain the native species between the wetland line and the stone wall. 2. Reauire hay bales during construction. The EMP's will further Policies 5, Protect and improve water aualitv in the Town of Southold and 6.3 Protect and restore tidal and freshwater wetlands. item D (below). D. Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order to ensure protection of the wetland's character, quality, values, andfunctions. MT /hkc . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel . 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 -----,>:oastal Erosion Permit Application 3L- Wetland Permit Application _ Administrative Permit Amendment/Trans er/ xtension / Received Application: II I q 07 i2:Received Fee:$ . ~mpleted Application , 0 _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ _ Coordination:( date sent) ----L WRP Consistency Assessment Form / f ( ('1/0) -CAC Referral Sent: fJIJ,C/01 _...Bate ofInspection: 1;;"'( S-/OJ _Receipt of CAC Report: _Lead Agency Determination:_ _Technical Review: ....0'ublic Hearing Held: 1J..!IJ/01 _Resolution: Office Use Only '. .: ...". '---:=,-..,..--.., I' if." I 1 , l'~, ! I\'j i f~ ((~ 12; ,) / ,.-----. r-,": ! ," :.1 NOV 1 9 2007 , I L__._.,....;..: I ~,~,',,:;:},C ie:.."': L-.__.,!'.~L' Di TrL!~:Ci'S Address: Do Bey I lp <:; P .e uY\ I L !\Ill Phone: ~ '3 I 110s-8 -1~<..f-7q2~ c~ 9~ ~~'l ~ard of Trustees APPlicati~ GENERAL DATA Land Area (in square feet): 5 ~ G(oLf I Area Zoning:_R. ... %'D Previous use of property: res \ ('1 e. \trn o-..Q. Intended use of property: '(' R... SId tV)-\-'J Covenants and Restrictions:_Yes If "Yes", please provide copy, 'Ii. 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? ----K- No_ Yes If yes, provide explanation: Project Description (use attachments if necessary): Re mOl/oJ) U6 ox/'shhj ()o A no hve ~peG'ts 7,;', tIel -kM.o.u S Ckloove \0' e le.vu-tun mJ. \JI +c. h ':'r-dv \o..n.o..w(J..~ -+am lJ-',-c.Je1 . ~'1<.1'<l11 d.hjl.LlQ.ll~ l\..plahd.. ~ Co..p_JUAI d..o.vnspcl\A"K (u-d.. "1,). r4 <.R WQ~ ~ bm(J~. QQP lCu,t eV\-\-I~ C,l(fU- o..4-ed-J. k1.t-kl\A().C!'/'S w..J.h 11(,( l1vL 51'Zl5.s..e~ (\.I~ ~i IS -3(.," D.c, (~e.)'\cf(fj d'r\. sp" CAI''' ~(tt'lll'3rz.-ue \ ~ sh:r-Q.. S '-ii.~\uwt"" e lOIi1-11~:l tr YYlQrvdel1a flU ~ p(f{ft-hfJ Cl.-uv...5. ~rd of Trustees APPlicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: r e ct.A,~ c -\-r o~ 0b I'lAn (5))b C (] 1m if :; ) JD:t! Jfv~hnj vJVJfiondc. Area of wetlands on lot: "I 0'0 square feet Percent coverage of lot: \ .::; % Closest distance between nearest existing structure and upland edge ofwetlands:~feet Closest distance between nearest proposed structure and upland edge of wetlands: ;;> () feet Does the project involve excavation or filling? No 'I---.. Yes If yes, how much material will be excavated? <;sg cubic yards How much material will be filled? 20 cubic yards Depth of which material will be removed or deposited: \-Z.' d 0/0 feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: S tJcl s te.eA- I tJ6r,{p/\ () nJ... &1 110 ncJ..- , Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): f'0\>~ 0'P~f1<lYiC, !/..I"U y-~U nl~-rnk ('uMo~6 -from lA-p(Qhd.. OrRI;lS {! VI+tAlflS la500fl tlJrd of Trustees APPlicati~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: (flo,/w-hon (~ lAu !I ({ f)ti 5 n, h-rde ~ "l,lfvcrl-, t1j Are wetlands present within 100 feet of the proposed activity? No y Yes Does the project involve excavation or filling? No I-. Yes If Yes, how much material will be excavated??:J) (cubic yards) How much material will be filled? 2.0 (cubic yards) Manner in which material will be removed or deposited: S ~\(i\ S-KoA- j('jod.o, Q\t\(i ~ ~a~ Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) (J\"i.,"\?O,S.,Q J. ~j{(t- IA.),'t\ Y.Q_dAAC.Q n,+vo.-l-Z.. \'1 1 VI (yW -{2n\ffi \Af (~nd.. 0 n- "'- s. e..ni-tA1 ~ \ ~O{) . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS - . ... . . I:J ,.. . ,.., ". - . - .-. :;:;: . ,- - '.' . -. - . . ,", PRGlEfi6~ I A l " I'" flU fa ,LrJ Postage $ $0.41 $2.65 $2.15 $0.00 $5.21 11 g :~."~. APt~;I7~"(4.!J~~~.~.mmmmm........m... l'- ., Box No. -,'1 ). . J 0 \ m....._...._.... h.. h.h.h. d"", ~ c, Stat.. ZIP+4p~:;~~:.cmN~...Qi;S~O...........,.-.....--....... Certified Fee IU Cl Return Rece!pt Faa C (Endorsement Required) a Restricted Delivery Fee CJ (Endorsement Required) LrJ r'I IU Total Postage & Fees $ l'- Address: l7 . Me~(.~g 'Sh.~\ NY N~. 100)"2- , I (,f0>6wJ>.."" PNJ.~ yJ. W001)~'NY lIi'\l t;'t~ +lI<:O"~~\<. ?El-1\N1 J-I)~ NY l~~ '-l't G~t>\Z.~~ \2,O-"ID 1'~ \-leIS/ON J N3 CS'5l-to ng at 775'? MAIN ?:>A'{Y I'f...W '?GAD duly sworn, deposes and says that on the l, deponent mailed a true copy of the Notice ation, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ~C<:ll'\r . N i " , that said Notices were mailed to each of said persons by (certified) (registered) mail. ~~ ~ ---.... Sworn ~fore me this d- 0 Day of tSV ,20 0 "7 , f ~ ~J/l~ , Notary Public .~~ llaIIIY No 1 7852 -==. ~~Ol NOV-17-2007 06:20 AM P.02 .r4 of TrU8tee& App1J.gatiOze , ~, AU'1'IlOJlIZATICB (where the applicant 1. not the owner) I.l)fV\r\I-' tb~ print owner 0 perty) residing at s:, +.y rf\.t. S ~11780 do hereby authorize G on-h Ii R' ~ . f" it\ \J\ V"OV1 <<l U\ 4oJl. \)0 ~ I .5 ~ (Agent) to apply for perm1t(s) from the Southold Board of Town Trustees on my behalf. b(;vt</,.s -J It/WI:'j _RYERSON .., NlIc. ..,Of....__ ....~.- .... - ....~ ~- . .I........au i/L~ J;~ 8 ~OV-17-2Be7 06:21 AM P.03 . \ PROJECT 10 NUMBER I . PAAT 1 . PAOJECT INFORMATION , APPLICANT I SPONSOR 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSI!SSMENT FORM lor UNLISTED ACllONS Only ( To b. completed by A plican! or Pro)ecISponaor) Z. PROJECT NAME lEaI' MunlcipelllY . PRECISE (..,~ CQunty LOqATION~ Street del"" and Road Intersection.. Promlnenl landmar'ltl ttc . Of Drovlde maD c..l (j).y vU~ LA/VL. ~\'<. ~. IS PROPOSED ACTION: New 0 Exp,n5lon 0 Modlncation I alte'lllon 6 DESCRIBE PROJECT BRIE~L V: ()nsfrud sfw. Wl"~ -+0 -kAro.u 1a.NJ. +0 r-e.dJ,lCA n,mne rnno6? a.M eAOSi6'f\ ~ eVl-/t,iJ'j IfAJoon 0...jrah artPs 1-0 pr+~ 'fv.rpt~ tUiJ~ ..f?trr..wa/u. RR.VtJa~ ()fW.iJ.JI-Ji.. n~.I1Vl.r;~('lts. 7. AMOUNT OF LAND AFFECTED: Initially . 0 ~ acre. Ultltrlltely ~. 0 3 acre. S WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~ Yes D No If no, deec:ribe brletly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? IChoooo ff mony.. .pply,) ~ R89iden,j~1 0 Industrial Dcommerci.' DAgrtcultur. 0 Pa/1li I Foretll Open Spice Dath'r (describe) 10, OOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANV OTHER GOVERNM~NTAL AOeNCY (Federal, Slate or LOcll) . ,J ~Y.s D No If YOI. list I"e,.,e)' name &tOG permit I .PPI'OVCtI~ 6v-i\4o I lI. r...s 11 DOES ANY ASPECY OF THE ACTION HAVE A CURRENTLV VALID PERMIT OR APPROVAL? o Yes ~No If yes, list ,grt"cy name and p.rmit I .pprovll: PROPOSED ACTION WILL EXISTiNG PERMIT I APPROVAL REQUIRE MODIFICATION? I CERTIFV THAT THE INFOF\MATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDClE Appllcanl II Slgnalure If the actio Is. Coslal Arta, and you are . state agency, complets Iha Coastal A.....m.nl Form before proceeding wllh Ihls a.....m.nt . . PART II - IMPACT ASSESSMENT ITa be eomoleted bv Lead Aaeney) A. DOES ACTION EXCEED ANV 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 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. Dves DNo C. COULD ACTION RESULT IN ANV ADVERSE EFFECTS ASSOCIATED WITH THE FOllOWING: (Answers may be handwritten, 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 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 I C6. Long term, short term, cumulative, or other effects not identified in C1~C5? Explain briefly: - I I C7 Other impacts (including chan es in use of either ouantitv or tvee of energy? Explain brieflv: I I D. Will THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEAI? {If yes, explain briefly: I D Ves D No I E. IS THERE, OR IS THERE lIKEl V TO BE, CONTROVERSV RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: Dves DNo I 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 othelWise 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 determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you h~ve 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. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that 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 Pnnl 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) Town of South old . . L WRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits. including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. · Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus. each answer must be explained in detail. Iistinl! both supportinl! and non- sUPDortinl! facts. If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of South old 's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# fooO - II Q - O':T - 2..;l... . PROJECT NAME U.e VI n IS i::h..Gk&j The Application has been submitted to (check appropriate response): Town Board 0 Planning Board 0 Building Dept. 0 Board of Trustees ~ 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) o o (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: ~ Nature and extent of action: Cl0()<:"fyv/ d- .'jltmp wailful /-frrac.tc;fo ru/iAU () Ifrl1:W nJl)tlU- Q,f)d €r1J.'\/rYJ If?h. I~r?n/) _ fZ.p/lJdV~ cSlJ (J1f'()- (JIliN/€" SpeC/t.) ,12 tJe. ~1' tile WI Ii IJI<'ht,-(' IfPOt'S. Location of action: / .''') C &Or(J.)~ . !..,al7.f ~--f(h{:JiAf2. IVi Site acreage: I. ;) 0 q Present land use: ( e Sf of (j q-h 11/ Present zoning classification: R 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: DR nt1/ ~ fhr/.{ ~ (b) Mailing address: I Bur f'Jl!JhtllYl ~+- 5f- II'{mf ~ /1./1../ Il7ro V I (c) Telephone number: Area Code ~j'/) f>S''i - (,( p ). (d) Application number, ifany: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes 0 NoM If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient yse of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. ~Yes 0 No 0 Not Applicable g:&~'tj~1ft~~~r*~~ ~iJJ~~jf~ '~-sr Anach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of South old. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria DYes 0 No [] Not Applicable . . Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes D No D Not Applicable -rE~h 1ft f/;vef?ljd~ ~ ~~ ~~ g()ItI/~~/7c(es- ~/<,Iue Ii { u' I 11:' , ff. 'A 'S ()A P 1// ~ .J. /1{/ i)('" Ctu /I ! OJMf'). Attach additional sheets ifnecessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ijJ Yes D No D Not Applicable t/!!r ,~;:t :: ~ff~d fJ~~k JK:~:f/u ."tf ~',;~'td i"t:J:f::::;;;":f Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~ Yes 0 No DNot Applicable /{::;/;)();;;I~l}jet;}I;;'~~~;f ~ f-f1;;1~~ )~e;;};; argV,kA 0:J (a~lurlj Anach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ~ D D Yes No Not APltable . Worf~ will r.pcUfrY fll'o)'(m a~s.ec/f7IJ1P/l-k-hoYJ d) f{,:IltA LU ,r / t{ <"001'7 v , Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. DYes D No [Ii Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes D No [E Not Applicable PUBLIC COAST POLICIES , Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. DYeD No[XJ Not Applicable Attach additional sheets if necessary WORKING COAST POUCI" . Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. DYes 0 No [I] Not Applicable Anach additional sheets ifnecessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes 0 No I2J Not Applicable Anach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. DYes 0 No lEI Not Applicable , Anach additional sheets ifnecessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. DYes 0 No ~ Not Applicable PREPARED BY})~ (( /L i3QSscJ() TITLEJ- tl Vl d s' c.O.fU ~~~E NOV-20-2007 02:30 AM . . P.Bl Mr. Derek Hossen Creative Environmental Design 39160 Route 25 POBox 160 Peconic, NY 11958 Dennis a: Kathy Hickey 1 Buckingham Ct. StIames,N.Y.11780 (631 )584-6182 DJHickey@aol.com April 1', 2007 . Dear Derek, It was nice meetina with you yesterday and thanks again for coming over to the house so quickly. Enclosed is a copy of the survey. If this copy is not good enough please let us know and we will send the original. Abo if you have any questions at all during the process please don't hesitate to give us a call or send and e-mail. . One area that we forgot to mention is by the gate near the pool. The area continually gets significant run-oft' and may need some reprding. could you please take a look at this also. Please also use this letter as a release to have access to the property as required for the term of this project, to include bringing others on site such as inspectors, or town officials required as part of the approval process. Thanks again for all your help and we look forward to getting back together with you in the near future. Sincerely, Dennis Hickey . . APPLlCANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of South old's Code of Ethics orohibits conflict.. of interest on the Dart of town officers and emo.avtes. The Durnase 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: Bossen D..eM~ (Last name, drst name, JIliddle initial, unless you are applying in the name of someone else or other entity, such as a company. Ifso, 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", name the activity.) Building Trustee Coastal Erosion Mooring Planning 0<..., Do you personally (or through your company, spouse, sibling, paren~ or child) have a relationship with any officer or employee of the Town of Southold? "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 'fyou 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) andlor describe in the space provided. The town officer or employee or his or her spouse, sibling, paren~ 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 owner 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 _0) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I ~~~~ \"~ 200] PrintNa~,~ ~~