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Home My WebLink AboutTR-7125A (5) James F. King, President Jill M. Deherty, 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.: 7125A Date of Receipt of Application: June 23, 2009 Applicant: Mattituck Park District SCTM#: 99-3-14, 99-2-19.1,126-6-17 & 18, 126-5-20.1 Project Location: Bailie's Beach, Breakwater Beach, Veteran's Memorial Park & Peconic Bay Boulevard Ball Field Date of Resolution/Issuance: July 22, 2009 Date of Expiration: July 22, 2011 Reviewed by: Board of Trustees Project Description: To conduct periodic beach maintenance; removal of debris from park beaches from 10' above mean high water to bluff toe/bulkhead, for width of beach. Manual or rubber-tired tractor only, no treads, as needed. Maintenance to be conducted four times a year- Spring, mid-Summer, Fall and one additional, as needed. 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 Mattituck Park District, received on June 23, 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, ~r~sident Board of Trustees JFK:eac James F. Kir~g, President Jill M, Doherby. Vice-Preslde~t Pe//g;y A. Dickereon Dave Bergen Bob ~nosio, Jr. Town Hall 53095 t/ouie 25 P.O. Box 1179 Southold, New York 11971-0959 Telephoue (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUS'r~S TOWN OF SOUTHOLD Office Use Only ~wOaStal Erosion Permit etland Permit Application ~ Ad~s~a~ve P~t ZI~ --Am~ndmentrrrans fe~/Extcnsi°n /Completed App~ Incomplete ~SEQRA Cla~sitioatioa; ~ I Type II Unli,sted.~ ~Coordina~ion:(date se~t) LWRP Consistency Assessment Form CAC Referral Sent: Receipt o£CAC Re-port: Lead Agency Determination: Technical Review: ,/P~blic Hear~nl~ Re~ohlion: NameofApplicant /~'!07~/'('/'{ILk Paclt<, b(STC(c-'J[ SuffolkCo~WT~M~Number- 1000- ~q ~ ~/~ ' )ooo-1 ~m~de LILCO Pole ~, dist~cc to cross zt~s, ~d location) AGENT: (If applicable) Address: Phone: BOARD OF TRUSTEES of Trustees App PAGE 03 Land Area (in square feet):_ Area Zoning:_ GENERAL DATA PreWous u~e of property: Intended use ofpropex~y:_ Covenants and Res~icfionm Yes No If"Yes", ple. a~e provide copy. Prior permits/approvals for site ~nprovements: Agency Date __ No prior pcniiits/approvals .for sJt~ improvements. Has any permit/approval ever been revoked or suspended by a govmumental agency? ? No Yes yes, provide explanation: Project Description (use attachments de.bm Schedule of Properties ['or Mattituek Park ........ Dmtnct - apphca mn ~or Adm~mstrattve Permit for Periodic Beach Maintenance 1. 1000-99-344 1900 Bailie Beach Road, Mattituck. NY Parcel size 22 acres Structures: Scout Lodge 2. 1000-99-3-19.1 Breakwater Road, Mattituck, NY Parcel size 17 acres Structures: Concrete Block bathroom/lifeguard building Volleyball courts 3. 1000-126-6-18 and 17 Veterm~'s Memorial Park 10960 Peconic Bay Boulevard Mattituck, NY Parcel size (combined) 7 acres Stmctmes: Two frame buildings, new maint~ance/parks office building Playground Misc. recreational facilities 4. 1000-126-5-2.1 Boulevard Ballfield Park (near Yalch~Ylub) 8908 Peconic Bay Boulevard Mattit uck, NY Parcel size 5 acres Structures: Ballfield ~0 3~d S331S~W1 ~0 G~VO8 I~99S9Z [0:B0 fiOOg/gI/90 7656641 BOARD OF TRUSTEES ~o&rd of Trustees Api~lica PAGE 04 LANDS APPLICATION DATA Area of wetlands on lot: ~/~'~)~ .~' , square feet Percent coverage of lot: ,,,, ~Gllq o~ % % Closest distance be~veen nearest exiting struct~e ~nd upland edge of wetlands: feet CloseZ distance betwee~ nearest proposed structure and upland edge of wetlandz: #/.~ feet Does the project {nvolve excavation or filling7 )( No Yes If yes, how much material will be excavated? -- cubic yards How much material will be filled? ,cubic yards Depth of which matm4at will be removed or deposited: ~ feet Proposed slope throughout the area of operations: Manner in which material Will be removed or deposited: Statem~t of~e eff~g if ~y, on ~e wetl~ds ~d fid~ w~ers of~e tom that m~z ~ult by pROJEOT ID NUMBER PAR? 1 - PROJECT INFORMATION t. APPLICANT / SPONSOR 617,20 APPENDIX C SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED AC~ON~l Only ( To be completed by A ,#cant or Project Sponsor) 2. PROJECT NAME 8EQR 3,PROJECT LOCATION:,_~ 6. DESCRIBE PROJECT BRIEFLY; 7. AMOUNT OF LAND AFFECTED'. e*. WILL PROPOSED ACTION COMPLY W1TH EXISTING ZONrNG OR OTHER RESTRICTIONS? [~.,~ [] No If no. ~eacdbe bde~: 9, WHAT I~ PRESENT LAND UBB IN VICINITY OF PROJECT? (Choose as many as apply,) IO.'DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL , AGENCY (Federal, S;tate or Local) f:~os I~ Nm ff list name and I yes, agency permit approval: .[ [~e~_ ~'-~NO ti yes, list ac~a~/ name and permit / approval: I ~ERTIFY THAT THE INFORMATION PROVIDED ABOVE rs 1RUE TO THE BEST OF MY KNOWLEDGE If the action is a COS~I ~ea, and you am a ~ agency, comple~ the Coasal Asse~ment Fo~ he.re proc~ding With this assessment PART II - IMPACT ASSE'~$MENT ~o be eompteted by Lead Age. ncy) .... A. DOES ACTION I~XCEED ANY TYPE I THRESHOLD IN 6 NYCRR. PART 6tT.47 If ye~, ~;oorcllnate the review process and use the FULL FAF. "S. WILL ACT1ON RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLt~I'ED ACTIONS IN 6 HYCRR, PART 6'17.67 If N~, a negative declaration may bo supemeded by anther Invok, od agenoy. ~"~ Yes E]No C, COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be hen~tton, if legibte) C1. Existing air quality, surface ~ groundwater quality or quantie/, neise levels, exis~eg frame pattern, solid wests pmduClJon er dispceal, ~ onfia for em~ endra nags or flooding lxobtema? Exp aln briell¥.'. C2 s~otfo, agr~ultersl amr~aeoioglcal, historic, or otller natural ~ laulioral resources; P! ~o?m_ ~nity or neighborhood character? Explain briefly; [ , C3. vagatatlon or fauna, fish, shellfish or wildlife species, sk2.ni~cent ha~,itats, or threatened or ?dangemd ~pecies? EXplain briefly; C4. A communlty'~ existing plans eT goSlG as official? adopt*d, o~' a challge i~ u.~0 o,' iht en$i~/of use of land or other natural re~our:e~? Explain briefly: CS. Growth, subsequent development, or mi.ted .ct~vities lithely te be indu?ed ?¥ e proposed ~c~ion Explain bre y: l C6, Long term, short.l:erm, ,~mulative, or ether effecl~ not identified in !"' 1 C?, Oliver im?ac~s Iinclu~ln~ cnan~es n use o~ e mar cluantl~ or t~e of energY? ~x01aln briefly:, ............ WILL THE PROJECT HAVE AN iMPACT ON THE ENviI~(~NMENTAL CHARACTERISTICS THAT CAUSED THE ESTABUb-"14MENT OF A CRITICAL ENVIRONMENTAL AREA (.CEA)? . (If yes, e&xplein °"°i ...... ' E. S THERE. OR IS THERE LIKELY TO BE~ CONTROVERSY RELA.,T, EO .T~O POTENTIAL ADVERSE.EN~VIRONMENTAL IMPACTS? If¥~s explain: PART III - DETERMINATION OF SIGNIFICANCE {To be completed by A§enGy) IN:~TRUCTIONS: Foreachadverseeffectidenti§e¢lebove, determiaewhetherit~ssubstant~aLle~ge, importantorotherwise$1~'nil';c~enL Each effe~ should be assessed in connect[or~ with itS (al se~ng (La. urba'n or rural); (b) probability of occurring:. (c) duration; (d) Il'reversibility; (el ~eogtaphlc scope; and (fl magni~de. If necessary, add attachments or tel'stance supporting materials. Ensure that explanations ¢ontalr~ sufficient detail to show I/'~at all releVant adverse impacts have been Identified and adequately addressed. If questio~ d of part ~i was checked Check Illfs box If you have IdenlJf, ad one o¢ more potenf~ally large o~$1gnt#cent adveme impacts whlsh MAY occur. 1T~en proceed directly to the FULl EAF and/or prepare a bo~lUve declaration1. Name of Load Agency Date ' jarlnt or Tyl~e Name of Resl)OnSll~e rjth(~er in Le~'~' Agaric.7 Tiffs of Responsibre Officer ~dgnalum 0f Responsible Officer in Leas Agency $~g~aturs of Preparer (if different born responsible officer) BOARD OF TRUSTEES Board of Trustees Application PAGE 07 County of Suffolk State of New York DEPOSES AND AFFIRlVIS THAT BE/SHE IS THE APPLICANT FOR TI-lIE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEiVIENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, ANDTHAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH.IN THIS APPLICATION AND AS MAY BE APPROVED BY TI4[E SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AG1LEES TO HOLD TH~ TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FRI~.R 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, TI-IEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~J swomq zo SErO .E r)AV or .'T-t/rtl MARK 1:. GAG£N NOTARY PUBLIC, State of New Yo~ No. 4695650 QuMified in Sdfolk County C°mmiSm°n Expires May 31, ~011 COUNTY OF SUFFOLK ~ SOUTHOLD~ SEC COUNTY OF SUFFOLK SOUTHOLD / ~¢~.o. Properly Tax Service Agency 0C~9 371 AV~ _ 10 9 8 7 6 5 4 10 9 8 6 4