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Home My WebLink AboutTR-7116A 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 ~,ND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line st 1 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 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 Permit No.: 7116A Date of Receipt of Application: May 26, 2009 Applicant: Cliffside Resort Condominium SCTM#: 45-1-2.1 Project Location: 61475 County Road 48, Greenport Date of Resolution/Issuance: June 24, 2009 Date of Expiration: June 24, 2011 Reviewed by: Board of Trustees Project Description: To construct an arbor landward of the beach stairs. 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 project plan received on May 26, 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 $outhold 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 Please be advised that your application' dated ff~c>~.~,/~C~ has been reviewed by this Board at the regular meeting ot' ._~'-,_w~.'~c/, ~OO .c)' 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) __ ¼ Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold..The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE:$ _~'~0?'~ BY: James F. King, President Board of Trustees James F. King. President Jill M. Doherty. Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio. J~. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: Patricia C. Moore, Esq. on behalf of CLIFFSIDE RESORT CONDOMINIUM requests an Administrative Permit to construct an arbor landward of the beach stairs. Located: 61475 County Rd. 48, Greenport. SCTM~45-1-2.1 ,T.y.,ee of area to be impacted: L/' Saltwater Wetland Freshwater Wetland ~Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: L/~hapt.275 Chapt. 111 __other Type of Application: ~,/~etland __Coastal Erosion ._Amendment ~Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: ~ ng ~L'//J.Doherty __P.Dickerson __ __ D. Dzenkowski Scott Hilary__other Form filled out in the field by C~D. Bergen BL~.Ghosio, Mailed/Faxed to: Date: COUNTY OF SUFFOLK 045 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 Office Use Only Coastal Erosion Permit Application Wetland Permit Application 7AdminisU'ative Permit ~Re Amendment/Trans f~rfExtension ePiPed Apphcation: /Received Fee:$ .)~ ~'~ .~ompleted Application Incomplete SEQRA Classification: Type I Type II Unlisted __Coordination:(date sent) ~.~LWRP Consistency Assessment Fo~rm r=~AC Referral Sent: ~.~Date of Inspection: __Receipt of CAC Report? * __Lead Agency Determinatioh: Technical Review: ~Publio He~i.g Held: (, !*q! __Resolution: Suffolk Coun~ T~ Map Nmber: lO00- Prope~y Location: / ~rovide LIL~O Pole ~, dist~ce to cross s~eets, ~d location) AGENT: (If applicable) Address: ~-~ 0 Lo /~ CI / t~ ~ c~/ ,~.~fJ /L¥ /f~7/ Phone: B1 d of Trustees App 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 GENERAL DATA 7. lB __ 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):. Bud of Trustees Applicatio~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: Percent coverage of lot: _square feet 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: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: feet 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): of Trustees Applicatil County of Suffolk State of New York BEING 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 H/S/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), ~ 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 RE.._VIEW O~TH/S APPLICATION. ? Signature SWORN TO BEFORE ME THIS ~ ~ DAY OF ~% 20 C)q rPROJECT ID NUMBER PART 1 - PROJECT INFORMATION APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) SEQR 1. APPLICANT / SPONSOR 2. PROJECT NA~ME .PROJEC LOC^T,ON: 5 : /lc Municipality ~CATiO~.. S~:;:dde~ss~.and~Roa/'( nte~rs~ County 4. PRECISE : I rsec~ons. Prominent landmass etc - or provide mad 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: 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 VICINITY OF PROJECT? (Choose as many as apply.) ['--]Residential [~],ndustr[al 1~7lCommercia, i---IAgriculture r--~ Park / Forest / Open Space E~Other (descdbe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ]Yes [~No if yes, list agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes r--1No If yes. list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? 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. ['-1 Yes E~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. E~] Yes F-'I No C. COULD ACTION RESULT IN ANY 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 pattem, solid waste production or disposal, potenfial for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, amhaeological, historic, or other natural or cultural msoumes; or community or neighborhood character? Explain bdefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered spedes? Explain briefly: , C4. A community's oxtsting plans or goals as officially adoplod, or a change in use or intensity of use of land or oth*r natural resources? fixplai~ ~i~y: C5. Growth, subsequenf developmant, or related acti¥itios likely to be induced by the proposed action? Explain briefly: C6. Long term, shod term, cumutstivo, or other elfecta not identified in C1-C57 Explain briefly: C7. Other impacts {includin changes n use of ether quanfi or e of ener ? Explain briofl ' D. W3LL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA r-]Yes ~INo E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: F-] Yes E]No PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~~~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) irrevem[bility; (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 signiflca rice must evaluate the potential impact of the proposed action on the environ mental characteristics of the CEA. Check this box if you have identified one or more potenUallylarge or significant adverse impacts which MAY occur. Then proceed directly to the FULL FAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any sppporting documentation, that the proposed actior 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 Title of Responsible Officer Signature of Preparer (If different from responsible officer) Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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. 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). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thns~ each answer must be explhined in detafl~ listing both supporting and non- suooortin~ facts. If an action cannot be certified as consistent with the LWRP 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 Southold ' 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 scm# PROJECT NAME Thc Application has been submitted to (cheek appropriate response): TownBoard [] Planning Board D Building Dept. [] BoardofTrustees 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) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Location of action: Site acreage: Present land use: 7,/¥ 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: d/,-/?~- Co) Mailing address: e-e ,4z~/ l~o.f~,~,¥,//7~/ ~ It/¢~lq (c) Telephone number: Area Code ( ) C~'~ /~ J/'~Ot0/'~- 7~o,~-- (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [-~ No [~2T 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 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 [] No ~ Not Applicable I / ~ Policy 2. Protect and prese~e historic and archaeolo~cal resources of the Town of Southold. See L~ Section III - Policies Pages 3 through 6 for evaluation cdteda ~ Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 3. LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes [] No ~ Not ApPlicable Enhance visual quality and protect scenic resources throughout the Town of Southold. See Atlach additional sheets if necessary 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 Attach additional sheeis if ~ecessary 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 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 III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not 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. [] Yes [] No ~ 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 LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes ~ No [~ 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. '~ Yes~ No [] Not Applicable ' ' I J / / / ' Attach additional sheets if necessary WORKING COAST POLICIES0 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. ~] Yes ~-~ No [--] Not Applicable Attach additional sheets if necessary 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. Yes ~ No ~ Not Applicable 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 evaluation criteria. ~ Yes ~]No ¢ Not Applicable Attach additional'sheets if necessary Policy 13. Promote appropriate use and development of energY and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. PREPARED BY (~~ TITLE DATE APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the vast of town officem and emolovees. The ouroose of this form is to omvide information which can alert thc town of unssible conflicts of interest and allow it to lake whatever action is necessary to avoid same. ~_ YOUR NAME: (Last name, fu~t name,~niddlc initial, unless you am applying in thc name of ~omcone else or other entity, such as a company. If ~o, 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", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a mlafioaship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business inter:sC "Business interest'~ means a business, including a pannership, 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 thc 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 posidon of that person Describe the relationship between yourself (the applicant/agenYrepresentative) and thc town officer or employee. Either check the appropriate ne A) through D) and/or describe in the space pro~ided. 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% oftbe shams 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 (whea the applicant is not a corporation); __.C) an officer, director, parmer, or employee of the applicant; or __.D) the acmal applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 200~_ May 21 09 01:24p John Wittschen 631-288-7935 p.1 fwhere the appIic.ant is _ not/~,he owner) P f propertF J '{ mailing ISLAND ~,:3" E N 23'16'20" E N 28'02'10" E :" 52.90' 5~-.04.' SouND N 22 3D .~ E 50.: N 22'35 4.9 E \ \ \ /// \ /// \ \ iii J LAND NOW OR FORMERL JERAD Mo3[L CORP