The URL can be used to link to this page

Home My WebLink AboutTR-7126A James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghos±o, 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 ¼ constructed Project complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town H~lAnnex 54375M~n Road P.O. Box 1179 Southold, New York11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7126A Date of Receipt of Application: June 3, 2009 Applicant: Marlene Ferber SCTM#: 35-4-15 Project Location: 1825 Gull Pond Lane, Greenport Date of Resolution/Issuance: July 22, 2009 Date of Expiration: July 22, 2011 Reviewed by: Trustee Bob Ghosio, Jr. Project Description: To install deer fencing around a 14'x17' garden. 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 in the application prepared by Marlene Ferber, received on June 3, 2009. 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 TO: Please be advised that your application dated ,~-~ ~ ¢. ,5. ~ ~' has been reviewed by this Board at the regular meeting of ~ ~,,Q~, ,~O¢ ,O/' and your application has been approved pending the c°mpl~tl~n o~ 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 In,spection Fee ($50.00) __ Deck 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 rec;eive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES' DUE: $. "~0 ~ BY: James F. King, President Board of Trustees James F. King, President Jill M. Doher~y, Vice-President Peggy A. Dickerson Dave l~erge~l 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 Date/Time: 7[[0/~0~ MARLENE FERBER requests an Administrative Permit to install a deer fencing around a 14'X 17' garden. Located: 1825 Gull Pond Lane, Greenport. SCTM#35-4-15 ~f~wf area to be impacted: aterWetland 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 needed: Modifications: Conditions: Present Were: __J.King __J.Doherty __P.Dickerson __ __ D. Dzenkowski Scott Hilary__other D. Bergen~ B~Ghosio, Form filled out in the field by ~ Mailed/Faxed to: Date: Job No. NORTH FORK FENCE, LLC P.O. BOX 1525 · 10780 MAIN ROAD (ROUTE 25) MATTITUCK, NEW YORK 11952 (631) 298 -4777 FAX # (631) 298-1544 ADDRESS JOB LOCATION: DATE ~"'///I FOR: Purchaser is to properly mark er designate the correct fence lines by stakes er other means. All obstructions which might in any manner interfere with the erecting of the fence or gates shall be removed by the Purchaser, prior to the commencing of the work, The price quoted in this estimate is based upon normal erecting conditions. If, however, tf is necessary to drill ledge rock for setting posts, or to make special provisions for setting fence in swampy or soft ground, or to perform any additional work not covered by this contract, a reasonable charge is to be made to the Purchaser for such work or special construction as an extra. This company is not responsible for rain or wind damage to any fencing. Unless otherwise provided, the fence is to follow the existing ground lines. If grading or filling of the ground is necessary to the proper installation of the fence, this work is to be done by the Pumhaser, We are not responsible for any underground damage of wire, pipes, etc. unless properly staked or marked by owner or contractor. ACCEPTED 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, 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~ _~Wetland Permit Application b/'_ Administrative Permit R __AmendmentTFrans fer/Exlension eceived Application:~0~O~~ eceived Fee:$ ,,~0' , ~-Completed Apl~ii~'ation ~9[~ Incomplete SEQRA Classification: Type I ~Type II Unlisted Coordination:(date sent) __LWRP Consistency Assessment Form __CAC Referral Sent: ~" 4.~"Date of Inspecfion:f Q! Receipt of CAC Report: Lead Agency Determination: __Technical Review: ~------~ublic Hearing Held: r}l __Resolution: Name of Applicant /}~ 0~fl~y}~) Address. /g &~- ~! ti Phone Number:(~) Suffolk County Tax Map Number: 1000- ,~ g mropertyLocation:]~&<f ~u,~. ~tSlXL~ (provide LILC0 Pole #, distance to cross streets, AGENT: (If applicable) Address:_ "Phone,: of Trustees Applicat GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions: Yes K, 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? 0~ No__ Yes If yes, provide explanation: Project Description (use attachments if necessary): of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: 'T~ s ~ ? 4~_.~<V' e--~4AKt/h% Area of wetlands on lot: O .square feet Percent coverage of lot: ~ % Closest distance between nearest existing structure and upland edge of wetlands: !{5-6 feet Closest distance between nearest proposed structure and upland edge of wetlands: $ f) feet Does the project involve excavation or filling? ~ 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 ..~.tatement of the effect, !f any, 99 thc wet_!_aP_._d. 5 anf[tida! wa_ters_ _o£~ ~0wn_~tha_t ma~_r_es_u!t_b_y reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 6t7.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) il APPLICANT / sPONsoR 2, PROJECT NAME Municipality C~ ~.~)0 ~j 3~J ~ 4. PRECISE LOCATION: SEeet Addess and Road intersections, n -or provide SEQR 5. IS PROPOSED ACTION: [] New [] Expansion r-"l Modificauon / alteration DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially 1~ ,$J~'~J. acres Ultimately acres WILL PROPOSED ACTION COMPLY W1TH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yes [] No I[ no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Chcose as many as apply.) [~Residenlial E~Industrial[]Commerclal ~----IAgricultureE~]Park/Forest/OpenBpace E~ Other (describe) 10.' DOES ACTION iNVOLVE A PERMIT APPROVAL, OR FUNDING, AGENCY (Federal, State or Local) ~-~Yes ~71No If yes, list agency name and permit I approval: NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL -- 11. UL~[:~i ANY A~i?l;(.;i Ok IH[: A(.;IION HAVE A CURRENTLY VALID PERMIT 0[~ APPROValS' ]Yes ~]No If yes, list agency name and permit / approval: 12. AS A F SULT OF PROPOSED ACTION WILL EXISTING PERMIT, APPROVAL REQUIRE MODIFICATION? [ es I No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant , Spon,~ Name .~ 1~..~ ~.~ ~,~..~ Date: Signature i~ ~J ' 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 EAF. F'] Yes [~No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. [~] Yes [~No C. COULD ACTION RESULT iN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be han~lwrflten, 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: C2. Aesthetic, agricultural, amhaeologlcal, 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: 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: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: CO. Long term, short term, cumulative, or other e~ects not identified in C'i-C§? Explath briefly: C7. Other impacts Cncbdthg changes in use of e!!~e[ ~uantit¥ or tT~e ofener[l¥? Explain briefly: D. WILL THE PROJECT HAVE'AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA {CEAI? (If yes, exptsin briefly/: E. IS THERE, OR IS THERE LIKELY T(~ BE, CONTROVERSY RELATED TO POTENTIAL~,DVERSE ENVIRONMENTAL IMPACTS? If.Yes explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadverseeffectiden~i~edab~ve~determ[newhetheritissubstantia~~iarge'imp~rtant~r~therwisesigni~cant~ Each effect should be assessed in connection with its (a) salting (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 materiels. Ensure that explanations contain sufficient detail to show that all reJevant adverse impacts have been identified and adequately addressed. If question d el~ part ii was checked :.,es. the det~rm!~=fic,-, cf s[!Br!!fice,-.ce mutt cvcluatc thc pctcnt~al~ct cf thc prcpo.~cd c c.t ic. 7, ce thc cav[roe,~,c~.tai ch~r&ct6r~t~c~ of~h~ CEA. 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 FAF and/or prepare a positive declaration. WILL NOT rasufl in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons suppoding thi: determination. Name of Lead Agency Date Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency /'~,{,z~ ~esponsible Officer Signature of Preparer (If o~neren[ from responsible officer) Board of Trustees Ap~ County of Suffolk State of New York F,-tcb-t SEINO DULY swo 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 H/S/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TH/S 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 ~9}'vI ''' DAY OF / ,2o COMMISSIOn; EXPIRES I1/15/:~010 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE. FORM Thc Town of Southold's Code of Ethias urohibits conflicts of interest on the oart of town officers and cmulovees. Thc nuroose of this form is to orovidc information which can alert thc town of ~ossible conflict~ of interest and allow it to take whatever action is necessary to avoid same. Your NmE: tqm. 0 · (LaSt ~am~7:~rs~ name, ~piddlc initial, unless you are applying in thc name of someone else or other entity, such as a company. If so, indicate thc other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee "~ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other', nm0e 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 $outhold? "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 coq)oration in which the town officer or employee owns more than 5% oftbe 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 6r position of that per,on Describe the relationship between yourself(the applicanffagentJrepresentative) 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 ~hild is (check all that apply): __.A) th~ o~vner of greater than 5% of the shares of the corporate stock of the applic0nt (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 __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this 0 ~} day of /~Lkl 200 Signature I~ ~ Print Namo' m ~../'i./_~.fi~j tRVtE¥ OF LOT I'-/ ~,P OF FOP-.DHAPI AC, I:Z:ES, SEOTION ONF: D PiARCH 7, lq&2 FILE No. DDIq r'DA'I'~; FFOLK ¢_X:X~TY, N"f' v'EYEI~ 10-14-2004 =OLK C. OUNT¥ TAX :It 2-95-4-1-5 ~TE~: · MONUNiENT FOUND 0 PIPE FOUNI~ AREA = 2'/,~44 .~F OR O.,&:~ ACRE& ~APHIC, -~C, ALE ["= ~0' N E JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Hp server\d~PROS\04-292-pro