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HomeMy WebLinkAboutTR-6865A Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road 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 # 0624C Date March 22~ 2011 THIS CERTIFIES that the replacement of the existing stockade fence with picket fence and chain-link fence landward of the bulkhead At 12500 Main Rd.~ East Marion Suffolk County Tax Map #31-14-7 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 4/29/08 pursuant to which Trustees Wetland Permit #6865A dated 5/21/08 was issued and conforms to all of the requirements and Conditions of the applicable provisions of law. The project for which this certificate is being issued is for The replacement of the existing stockade fence with picket fence and chain-link fance landward of the bulkhead. The certificate is issued to SOPHIA ANTONIADIS & MARIA XEFOS owners of the aforesaid property. ~t~or~e 'd S~i~at~u Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY II971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ~Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ½ constructed V/'/Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: 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.: 6865A Date of Receipt of Application: April 29, 2008 Applicant: Sophia Antoniadis SCTM#: 31-14-7 Project Location: 12500 Main Road, East Marion Date of Resolution/Issuance: May 21, 2008 Date of Expiration: May 21, 2010 Reviewed by: Board of Trustees Project Description: Replace existing stockade fence with new aluminum style %" pickets on 4" centers in similar height, beginning at the bulkhead at 48" height for 30' and 72" height for the 70 linear feet landward. 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 survey prepared by Nathan Taft Corwin III, last dated October 18, 2007, and received on April 29, 2008. 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. James F. King, President 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 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 1st day of construction ½ constructed 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 Please be advised that your application dated /¢~(,'] o,1(~, ~Tf___,Ooc~' h,,as been reviewed by this Board at the regular meetin'g of /Y')~u ¢1],, c¢-OO~" and your application has been approved pending the comp~fion 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) ,/~ 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 PERMrT FEES: TOTAL FEES DUE: $ ~--'(--) ~ BY: James F. King, President Board of Trustees Sofia Antoniadis 12500 Main Road PO Box413 East Madon, New York 11939 April 30, 2008 Southold Board of Town Trustees Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold, New York 11971 MAY - 5 2OO8 Re: 12500 Main Road East Marion, New York 11939 Dist: 1000, Sect: 031.00 Block: 14.00, Lot: 007.000 Greetings: Kindly attach the enclosed photos to the permit application sent in earlier in the week. Thank you for your assistance. Sincerely, Sofia Antoniadis '~,s~ Ieee) L~/' !~.00 ~ oo'7,oo0 May 23,2008 Sofia Antoniadis 12500 Main Road PO Box413 East Marion, New York 11939 Southold Board of Town Trustees Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold, New York 11971 Re~ 12500 Main Road East Marion, New York 11939 Dist: 1000, Sect: 031.00 Block: 14.00, Lot: 007.000 Greetings: Enclosed find a check for $50 as the final inspection fee for the fence permit granted. Kindly mail permit to the above address. Should you have any questions or need additional information please do not hesitate to contact me by cell phone (646) 201-3560. Thank you for your assistance- Sincerely, James F. King, President Jill M. Doherty, Vice~President Peggy A. Dickerson Dave Bergen Bob ~nosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southo]d, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Omce Use Only Coastal Erosion Permit Applicatiofl~- Wetland perrmt Application ~ Administrative Permit ~ Amendment/Trans fer/Ex~ension Iz .Rece~ved Application: l~R. eceived ree:$ ~'~ O5~, , ~'~ompleted Application __Incomplete t - __SEQRA Classification: Type I Type II Unlisted __Coordination:(date sent) __LWRP Consistency Assessment Form ~_CAC Referral Sent: __9~Date of Inspection: __Receipt of CAC Report: __Lead Agency Determination: __Technical Review: __~-Public Hearing Held: ._gfT, _,~.t __Resolution: Name of Applicant Sofia Antoniadis PO Box 413 East Marion, New York 11939 Address Phone Number:646) 201-3560 Suffolk County Tax Map Number: 1000 - Section 031.00 Block 14.00 12500 Main Road East Marion, New Y6rk 11939 Property Location: Lot 007.000 (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: of Trustees Applicati GENERAL DATA 75,248 sq feet Land Area (in square feet): Area Zoning: 1000 Residential Previous use of property:. Residential Residential Intended use of propemy: Covenants and Restrictions: Yes xx 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? xx No Yes If yes, provide explanation: Project Description (use attachments if necessary):_ To replace existing stockade fence and replace with new aluminum style 3/4" pickets on 4" centers in similar height tothe old. The new fence will start at the bulkhead at 48" height for~0 ft and 72" height for the~0 linear feet landward. of Trustees Applicat~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: Replace exisitng rotted wooden fence with new for security and prpoerty border. Old fence is falling down. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: 100 feet Closest distance between nearest proposed structure and upland edge of wetlands: 20 feet Does the project involve excavation or filling? xx No Yes If yes, how much material will be excavated? How much material will be filled? Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: cubic yards cubic yards feet Statemen~ o~the effect, if any, on the wetlands and tidal waters of the town that maX result by reason of sU~fi proposed' ;~;ati~n~ ~us~ ~t~hmeri~s i~ h~-4p~ihte~i ............. No effect on wetland or tidal water from the proposed operat±ons IPRoJECT ID NUMBER PART 1 - PROJECT INFORMATION SEQR 1.APPLICANT/SPONSOR Sofia Antoniadis 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 Antoniadis Fence Replacement 3.PROJECT LOCATION: East Marion, Southold I County Suffolk Municipality 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc ~ or provide map 12500 Main Road, East Mar±on, New York 1]_939 DJ-st ]-000, Sect 03]-.00 Block t4.00 Lot 007.000 5. IS PROPOSED ACTION: [~ New [~ Expansion r---1Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: Replace exisiting old wooden fence with new aluminum 3/4" pickets on 4" center fence in same place as exisiting 7. AMOUNT OF LAND AFFECTED: NO ettect on land Initially acres Ultimately acres 8 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? :~Yes [] NO If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINI~/ OF PROJECT? (Choose as many as apply.) ~] Residential E~ Industrial E~ Commercial [~Agriculture E~ Park / Forest / Open Space E~ Other (descdbe) 10.' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, AGENCY (Federal, State or Local) E~Yes r~No If list name and / yes, permit NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL ]lUUb5 ANN~HECI UP IHb AUIION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? []Yes o If yes, list agency name and pe~it / approval: Non ~ur±st±ctional £or ~he DEC .... 12. AS A ~I~,ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? E~Yes __No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE 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 (To 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 FAF. r-~ Yes ["-I No B. WiLL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 6f7.67 If No, a negative declaration may be superseded by another involved agency. I-lYes E~No c. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwdffen, if legible) C1. Existing air qualib/, 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: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: I c y xls lng p a r goas a a y adap e r a chang se or m ty use o and or o her natura resources Explain briefly C5 Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not idenfiged in C1-C57 Explain briefly: C7 Other impacts (including changes in use of ~i!her quantity or type of energy'~ ~(~bin briefly: WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEAt? (if ~_es, explain E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSy RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: :'ART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, ~arge, 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) [rreversibility; (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 7es, the determ!nat!cn of s!gn!.r.'ca~ c~ must ~'a~a~u crc thc pctc~ia~mpaet~fthepr6po .~ cd aege f~oe ~heenv:,r on me~ai chF. r~ ~erisfic~of the CFA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULl EAF and/or prepare a positive declaration. C-hack t~is bo~ify~'l~-~/~ ~Jeterm~'d', b~sed-on th~ ~'f~J~:r~ation and analysis above andany supporting documentation, that'~h~l~op~edacfi~); WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi: determinafion. Name of Lead Agency Date Title of Responsible Officer Signature of Preparer (If different from responsible officer) Print or Type Name of Responsible Officer ir, Lesd Agency Signature of Responsible Officer in Lead Agency Board of Trustees Application County of Suffolk State of New York Sofia Ant oniadis BEING DULY SWORN DEPOSES AND AFFIKMS THAT HE/SH~ IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISfltER KNOWLEDGE AND BELI]~F, 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 REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO iNSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. - /Signature SWORN TO BEFORE ME THIS 28 DAY OF April ,20 08 "Notary Public IGOR GUREVICH NOTARY PUBLIC, State of New York No. 01GU5015~64 Qualified in Kings County tOG Commission Expires July 26, 20__ oard of Trustees ApplicatO AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at (mailing address) do hereby authorize (Agent to apply for permit(s) from the Southold Board of Town Trustees on my behalf. Owner's signature) 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the oart of town officers and emolovees. The ouroose of thi~ form is to provide information which can alert the town of ~ossible conflicts of intere?t and allow it to take whatever action is necessary to avoid same. YOURNAME: Anion] adq ~ _. .qo f'l a (Last name, first name, ~niddle 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 Building Variance Trastee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other Of"Other", name the activity.) 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 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 XX lfyou 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 applic0.nt (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, parmer, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this ~ o~_ i Signature ~ I-~ .k~-.~,~.. ~ PrintName~ So~a Antoniadis Albert J. Krupski, President James I~Jng, 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 OFSOUTHOLD 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 Riverhead, 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. Alhany, NI~F 19931 518-474-6000 Sofia Antoniadis 12500 Main Road PO Box413 East Madon, New York 11939 Apd128,2008 Southold Board of Town Trustees Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold, New York 11971 Re: 12500Main Road East Madon, New York11939 D~t:lO00, Sect:031.00 Block:14.00, Lot:O07.000 Greetings: I respectfully request an permit for the replacement of the exisitng fence on the east side of the property. The exisitng fence is old and falling down. I would like to install an aluminum picket fence, (photo enclosed_). The proposed fence will start at the bulkhead at a 48" height, go north landward forgO linear feet and continue at a 72" height for the remaining~O linear feet. The fence will not have effect on the wetlands. Additionally, the alteration to the fence is nonjudsdictional to the DEC since the existing bulkhead was pdor to 1977. I am in the process of obtaining a formal letter of non- judstiction from the Stony Brook office. Enclosed please find a check in the amount of $50 and two full scale copies of the property survey. Should you have any questions or need additional information please do not hesitate to contact me by cell phone (646) 201-3560. Sincere/y, '40" E 79.7%' NOTES: SURVEY OF PROPERTY SJ~TUA TE EAST MARION TOWN OF SOUTHOID SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-31-14-07 SCALE 1"=20' OCTOBER 18, 2007 AREA = 75,248 sq. ff. (TO lIE LINE) 1.727 aC. ELEVATIONS ARE REFERENCED EXISTING ELEVATIONS ARE EXISTING CONTOUR LINES TO N.G.V.D. 1929 DATUM SHOWN THUS:~ ARE SHOWN THUS: APPROVED BY BOARD OF TRUSTEES TOWN OF $OUTHOLD DATE / / / / / ×~t / I I I I / I I / / / / I I / / / / / / / / / / / ~×/ / / / / / ~?/ / / / / / / / / N.Y.S. Lic. No. 50467 Nathan Taft Corwin III Land Surveyor PHONE (631)727-2090 Fex (631)727-1727 THE RXIRTENCE OF RIGHT OF WAYS AND/OREASEMENF$ OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED.