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Home My WebLink AboutTR-7058A James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095Route25 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 ~ constructed V/"Project corn plete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hail 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 Permit No.: 7058A Date of Receipt of Application: March 31, 2009 Applicant: Pete & Gall Schembri SCTM#: 15-3-16 Project Location: 1425 Sound View Rd., Orient Date of Resolution/issuance: April 22, 2009 Date of Expiration: April 22, 2011 Reviewed by: Trustee Bob Ghosio Project Description: To maintain the over-growth on the bluff to 1' in height. 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 last dated February 25, 2009 and received on March 31, 2009. 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. Jame F.~King, Presid '~t Board of Trustees James F. King, President Jill M Dohe~ly, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. P.O. Box 1179 Southold. NY 11971 Telephone(631) 765-1892 Fax (631)765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report PETE & GAlL SCHEMBRI request an Administrative Permit to maintain the over-growth on the bluff to 1' in height. Located: 1425 Sound View Rd., Orient. SCTM#15-3-16 T.T.~sO of area to be impacted: ~ altwaterWetland Freshwater Wetland __Sound Bay Distance of'proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of APplication: __ Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info n~eded:' *9J~ [ ~¢ '~, Modifications: Conditions: Present Were: __&King __J.Doherty __P.Dickerson __ __ D. Dzenkowski Mark Terry__other D. Bergen__ B.Ghosio, Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review- 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 Southold, NewYork 11971-0959 Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Office Use Only Coastal Erosion Permit Applicatio.~. Wetland Permit Application ~ Administrative Permit Amendmentfrrans fer/Extension ceived Application: ~/~ ~/~ ceived Fee:$ 5/~) ....'"Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ,...,L-'WRP Consistency Assessment Form CAC Referral Sent: --D~e of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: ~---'l~]blic Hearing Held: __Resolution: · Address 7~' O~ Phone Number:( Suffolk County Tax Map Number: 1000- / ~ ~ ~P~ - /~" Property Location: /cf, Lf"- .~ff-~ ~ ?~ (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Ad.ess: Phone: ~rd of Trustees Applicati, GENERAL DATA Land Area (in square feet): Area Zoning: ~ Previous use of property: Intended use of property: Covenants and Restrictions: Yes If "Yes", please provide copy. Prior permits/approvals for site improvements: No __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a govermnental agency? Yes If yes, provide explanation: Project Description (use attachments if necessary): ard of Trustees Applicati 'WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~ ~ Area of wetlands on lot: / .square feet Percent coverage of lot: 'J- % Closest distance between nearest existing structure and upland edge of wetlands: /fO feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? ~o 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: ~ ...~atement of~e ~ec_t~ if any, q_n [he wet_!~_ds and.tid~.wa__ters of~ _tpwn that._m_ay- r~e~s_ult by reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALtTY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJEC~M~ SEQR 3.PROJECT LOCATION: 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide mad 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 6. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? L_~es ~ No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~ial [~lndustrial [~Commercial [~Agriculture [~Park/Forest/OpenSpace [~] Other (describe) 10.'DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ["--~Yes If yes, list name and permit / agency approval: E~Yes I I...11~'1~ If yes, agency permit approval: list name and 12. AS A RESUL'[~OF PROPOSED ACTION WiLL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATtON? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ~ 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 assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCel. ED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL FAF. {~] Yes B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be s~ee/rseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be han~wditen, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, exisUng traffic pattern, solid waste pmducfion or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other naturar or cultural resoumes; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, pecies, significant habitats, or threatened or endangered species? Explain bdefly: 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: C6. Long term, short term, cumulative, or other effecLs not identified in C1-C57 Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy? Explain bdeflv: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA ICEAI? lif }'es, explain briefl}c E. IS THERE, OR IS TH~IKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes exaiain: [~Yes J~l~ J ! t PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determineWhetheritissubstan~a~arge~imp~rtant~r~therwisesigni~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibillty; (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 :,'es, th-~ det-~rm!~:~o.-. ef e!g.q!fic:nco must c vclu c te4hecc tc,~tial~mf~2 ct cf thc prcpc.~cd act[c,~ cn thc c~,v~ronm~nt~l charactari~t[c~ of fha C ,~A. Check this box if you have identified one or more paten§ally large or significant adverse impacts which MAy occur. Then proceed directly to the FULl EAF and/or prepare a positive declaration. · ~--I~ecl~ ~h~s box if yo~ t~-v~ ~l~J~ned, based'on-Jhe irffom~ation and analysis ~bove and any supportin~ documeni~tion~ that th~l~roP~ ~c~or WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessa~, the reasons supporting thfl determination. Name of Lead Agency Date Title of Responsible Officer Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) )ard of Trustees Applica~on County of Suffolk State of New York ~ BE1NG 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. 1N 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 RE OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS ~1''t~ DAYOF (~Q~ 20oC4 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE, FORM Thc Town of Southold's Code of Ethics omhibJts conflicts of interest on thc oart of town 6fficcrs and emnlovees. The nuroos¢ of thi; form is to vrovidc information which can alert the town of ~ossible conflicts of intereSt and allow it to take whatever action is necessary to avoid same. (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.) T~x grievance Building Variance Trustee ~ ~ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf "Other', name the activity.) Do you personally {or through your company, spouse, sibling, patent, 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 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 o~vner of greater than 5% of the shares of the corporate stock of the applicant {when the applicant is a corporation); B) the legal o~' beneficial owner of any interest in a non-corporate entity {when the applicant is not a co~poration); __.C) an Officer, director, partnei', or employee of the applicant; or ___D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. 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 nscd 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.4rea. 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 sio/nificant 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 thc achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listing both supporting and non- suooortin~ facts. If an action cannot bc certified as consistent with the LWRP policy standards and conditions, it shall not bc undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. DESCRIPTION OF SITE AND PROPOSED ACTION scm# PROJECT NAME [] Planning Board [--] Building Dept. ~ Board of Trustees ~ The Application has been submitted to (check appropriate response): Town Board 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) Co) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: WORKING COAST POLICIE~ Policy 10. Protect Southoid's water-dependent uses and promote siting of new water-dependent uses in suitable Iocations~_~,WRP ~ection III- Policies; Pages 47 through 56 for evaluation criteria. ~] Yes ~ No I~_~Not Apphcable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town wat?~ See.LWRP~ Section III - Policies; Pages 57 through 62 for evaluation criteria. [~ Yes ['-] No l ~1 Not Apphcable ~ Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluatio~ criteria. ~ Yes [] NoIT-]//I "-VNot Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Polic~; ~9 65 i. hrough 68 for evaluation criteria. ~ Yes ~ No L_~Not Apphcable PREPARED BY ~(~t. TITLE ~)n.~-t~ DATE Yes No Not Aplble 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 eval~uafion criteria. 71 No Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes./See~LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [-~ Yes [] No [~ot 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 Southoid. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ [] Yes~ No [~Not Applicable Attach additional sheets if necessary Attach additional sheets if necessary Policy 3. Enhance v~ual quality and protect scenic resources throughout the Town of Southold. See iii o g. 6 7 for c te a ~] Yes ~r~/ ~ / "No k.~a~lNot Apphcable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimi~.e loss of life/structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages/8~rough 16 for evaluation criteria ~ Yes ~-] No~ ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies~ Yes [-~ NoPages 16 throughN~ot APphcable21 fo~ evaluation criteria Attach 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 HI - Policies; Pages 22 through 32 for evaluation criteria. Location of action: Site acreage: Present land use: Present zoning classification: 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: /~--r Co) Mailing address: /~'~ (c) Telephone number: Area Code ( ) ~,2 / (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes No [~IIf 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 use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ~Yes ~//~o N~o t Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ~ Yes [] No [~/otApplicable SURVEY OF p/o OTS MAP OF ORIENT BY THE SEA SECTION No. 1 FILE No. 2777 FILED NOVEMBER 21, 1957 SITUATE ORIENT POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-15-03-16 SCALE 1"=20' AUGUST 25, 2008 NOVEMBER 25, 2008 ADDED PROPOSED DECK JANUARY 19, 2009 ADDED PROPOSED GARAGE ADDITION FEBRUARY 25, 2009 ADDED REAR SETBACK AREA = 24,053 sq. ff. (TO TIE LINE) 0.552 OC. _CERTIFIED TO: PETER SCHEMBRI GAlL SCHEMBRI FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK LOT COVERAGE DATA LOT AREA LANDWARD OF TOP OF BLUFF = 18,350 sq. ff. DESCRIPTION AREA % LOT COVERAGE EXISTING HOUSE 1,670 sq. ff. 9.1% PROPOSED DECK 965 sq. fl. 5.2% PROPOSED ADDITION 324 sq. ft. 1.8% TOTAL 2,959 sq. ff. 16.1% 1,384.42, EXISTING HOUSE 3 I 2009 / / / / / / / / APPROVED BY BOARD OF TI~USTE~S _..?OWN OF SOUTHOLD DATE /~.¢/z ,~? O? ADDITION::; 29 5' 0 uND t,/ l& 1-1/2 STORY FRAME HOUSE & STEP 78'30'00,Fo OAD UNff 85'57'4o 25.00' EXISTING HOUSE N Y.S. Lic. No 50457 Nathan Taft Corwm III Land Surveyor PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED,