HomeMy WebLinkAboutTR-6831A
.
.
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 SOUTH OLD
Permit No.: 6831A
Date of Receipt of Application: March 5, 2008
Applicant: Roger Flore
SCTM#: 137-4-34
Project Location: 1555 Fleetwood Road, Cutchogue
Date of Resolution/Issuance: March 19, 2008
Date of Expiration: March 19, 2010
Reviewed by: Trustee Dave Bergen
Project Description: Permit for the existing 6'x27' second-story deck, i6'x27'
first-story deck attached to existing dwelling, existing i0'xi7' detached deck, the
two existing 7' long x 1 "6" wide benches, and the existing 5'x27' timber steps and
landings.
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
site plan prepared by En-Consultants, Inc., last dated July 7,1999, and received
on March 5, 2008.
Special Conditions: If the deck, steps or landings ever need to be
repaired/replaced, untreated lumber or a flow-through decking material must be
used on the decking/steps and in accordance with Chapter 275 of the Town
Code-Wetlands and Shorelines.
Inspections: None.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the South old Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
CF::2~"t
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 SOUTH OLD
Southold Town Board of Trustees
Field Inspection/W ork session Report
Date/Time: ~ 'I G ( () 'Z. 't f ~
Applicant: {\.'" ~ ~_ 'f 'e.><>- "-
Agent:
Location and SCTM#: \ -3 7 - '"'\. - ~ '1
Description of r [
Activity: 1 ~ . ~ C - f <~~, +, 0...
{:l~_:+
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Type of area to be impacted:
,/I Saltwater Wetland
-
Freshwater Wetland
Sound
Bay
Distance of proposed work to edge of above:
Part of Town Code proposed work falls under:
~ Chapt.275 Chapt. 111 other
~.f'
Modifications:
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Conditions:
Present Were: _J.King _J.Doherty _P.Dickerson tC.o. Bergen _B. Ghosio, Jr
_H. Cusack _D. Dzenkowski _Mark Terry _other
Form filled out in the field by:
Mai1ed/Faxed to:
Date:
Environmental Technician Review:
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Notes:
I. Purpose: Pri\l<lte boat dockage
2. l>atum: ALW
3. Timber to be CCA-treated
4. Site: 1555 Fleetwood Rd.
Cutchogue. Suffolk Co.
SCTM #1000-137-4-34
5. Soundings taken @ low tide 4/28/99
By George Castello Jr. Dock Building
6. AdJacent Owners:
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Notes:
I. Purpose: Private boat dockage
2. Datum: ALW
3. Timber to be CCA-treated
4. Site: 1555 Fleetwood Rd.
Cutchague. Suffolk Co.
SCTM #1000-137-4-34
5, Soundings taken @ low tide 4/28/99
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Board of Trustees
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PROPOSED DOCK FOR WILLIAM
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CUTCHOGUE, SUFFOLK CO., NY,
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,
.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob lfnusio, 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 -L Administrative Permit
/ ~ AmendmentJTransfi rlE tension
II Received Application: ,; ~ (j 8
iZ:'Received Fee:$ 50 "9 '
_Completed Application
_Incomplete
_SEQRA Classification:
Type I_Type II_Unlisted_
_ Coordination:( date sent)
_ L WRP Consistency Assessment Form
~AC Referral Sent: 1\\0...
~ate ofInspection: 3\I.}..o
_Receipt ofCAC Report:
_Lead Agency Determination:_
_Technical Review:
-2ublic Hearing Held: 3\IQ\OS
Resolution:
!OJ,I!:!: Ii: nH ~
ilru MAR - 5 2008 1\1ll
Southhold 10W1l
BOBnI of lrustBtI
Name of Applicant
Address
On~
Suffolk County Tax Map Number: 1000-
55) PI-e-
Property Location:
~uIch~/)f_, tJl
(provide LIL Pole #, distance to cross streets, and locatIOn)
AGENT:
(If applicable)
Address:
Phone:
.'
~rd of Trustees APPlicati~
GENERAL DATA
Land Area (in square feet):
Area Zoning: P-e J lAIn JItlI
Previous use of property: f2~J/(lt'Il-l,t( L
Intended use of property: 1Z.~.J I {j..,dtJ, It~ (
Covenants and Restrictions:_Yes X No
If "Yes", please provide copy,
Prior permits/approvals for site improvements:
Agency
Date
1~~
Perll1tW~O)S
11/31 j,qqq
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
_No~es JI
If yes, provide explanation: Wtt I rty () I d~~) /Y! ~ r
fimvn tke Jr&Jk~J 41 C +-1, /1 f 2..
Project Description (use attachments if necessary):
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411rrd of Trustees APPlicati~
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Area of wetlands on lot:
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: 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:
uStatementof~he effect, if any, on the wetlilnds andtidal waters of~e town thatlll,a)' resll1tlJY
reason of such proposed operations (use attachments if appropriate):
.
PART 1 . PROJECT INFORMATION
. (\ (,
I /" '.~ I " 617.20
, \ ' . AF>PENDIX C
-''- / STATE ENVIRONMENTAL QUALITY REV]EW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
( To be completed by Applicant or Project Sponsor)
r
.
SEQR
I PROJECT ID NUMBER
ar-e......-
2. PROJECT ~AMEfj}e r M
Municipality S
County
PFa It
Ii 1\
4. PRECISE LO~IO~ f3!reeg Addess and Road Intersections. Prominent
IS'f' (-f(!-EfWCr:<l Or~
Cu (JJ Vl' Iv.:; II 3S
5. IS PROPOSED ACTION: D New 0 Expansion
landmarks ete - or provide map
edification I alteration
6. DESCR]BE PROJECT BRIEFLY:
<it +}1 ~
f~r~1 t-r
{o:,
I ~+- sfor~ Ot!c-t ~ !6X)JI
:; ,j 5 -Jo,-~ OftJ-t - t/ X ;).7 I
AAkrs~tltt fJetk ~ /0' fl(P'
7. AMOUNT OF LAND AFFECTED
Initially acres
Ultimately
acres
8. WILL PROPOSED ACT]ON COMPLY WITH EX]STING ZONING OR OTHER RESTRICTIONS?
3:5 0 No If no, describe briefly:
~T IS PRESENT LAND USE IN VICINITY
l& Residential D Industrial D Commercial
OF PROJECT? (Choose as many as apply.)
DAgriculture 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 (F~ State or Local)
DYes ~ No If yes, list agency name and permit I approval:
. ~~~1 Ur IHt:: Al.;IIUN HAVE A CURRENTLY VALID PERMIT-OR
DYes 00 No If yes, list agency name and permit I approval:
APPROVAL?
12. AS A R
Ge,
T OF PROPOSED ACTION WILL EX]STING PERMIT I APPROVAL REQUIRE MODIFICATION?
No
CERTIFY THAT THE INFORMATION PROVIDED ABOVE ]5 TRUE TO THE BEST OF MY KNOWLEDGE
Applicant
Signature
,
If the action is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
4Iloard of Trustees APPlica~n
County of Suffolk
State of New York
BEING DUL Y 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 HISIHER 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 RE W OF THIS PLICA ON.
SWORN TO BEFORE ME THIS 8C\-K. DAY OF ';j...e.~"
,200~
LA drE?~L
Notary k>ublic -
(I) ClIIDYL.M.CHIIlIID
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eM TIII~ . DO .1.
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APPLlCANT/AGENTIREPRESENTATlVE
TRANSACTIONAL DISCLOSURE FORM
The Town of South oJ d's Code of Ethics orohibits conflicts of interest on the Dart of town officers and emo)ovees. The ournose of
this Conn is to oTOvide 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: _f16 r€, I f20~ () r
(Last name, first name, _Q1idd initial, unless you are applying in the name of
someone else or other entity, such as a company. Ifsa, 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
k-
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, I11arriage, 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% 0 the shares.
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, ot child is (check all that apply):
_A) the owner of greater than 5% of the shares of the corporate stock of the applic~nt
(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
~~;n::~::thiS1ff~ ,200
PrmtName. 4t
~
Form TS ]
..
0.'
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 Environmental 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
Ri verhead, 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.
Alh"ny,~ 17731-
518-474-6000