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Home My WebLink AboutTR-6593E 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 OFTOWNTRUSTEES TOWN OFSOUTHOLD EMERGENCY WETLANDS PERMIT Permit No.: 6593E Date of Receipt of Application: May 14, 2007 Applicant: John T. Luscher SCTM#: 1000-31-18-4 Project Location: 110 Rabbit Lane, East Marion Date of Issuance: May ~15, 2007 Date of Expiration: N/A Reviewed by: Board of Trustees Project Description: A temporary repair of the bulkhead with non-treated plywood. Findings: The project meets all the requirements for issuance of an Emergency Wetlands Permit as determined by the Board of Trustees. The issuance of the Emergency Wetlands Permit allows for the operations as indicated on the application received on May 14, 2007. Special Conditions: A full Wetland Permit must be obtained in order to conduct any further activity on the bulkhead. This is not a determination from any other agency. James F. King, President Board of Trustees File ¥iew Toolbar Help ~ 47388S Southold Active R/S:1 Schoob Oystel Ponds Scl Lusche=. John T RollYee~: J2007 Cu~l Yi Seasonal les .,'9/trt! Lar, d AV: 1.000 110 Rabbit Ln Lar~d Size: 0.09 acies To~alAV: 3.000 Ownel Total: I Taxable Value Miscellaneou~ Name: John T Luschel County: 3.000 Book: 10G12 Addl Addl: k'tuni: 3.000 Page: 00017 Street: 16~ 'VI 23~rd St Sck~ol; 3.000 t4ortg: PO Box: Bank: City: Beef Park. HY Zip: 1172~J- Schl at[er Star: 3.000 Acct No; 04 Sale Total: 0 Site I ol 1 Land 0 ol 0 Book Page Sale Date Sale Plice Owner Prpcts: Seasonal les Nbhd Cd: 0 Sewe~: 'v/ater: Utilities: Exemption Total: 0 Term Own Building Total: 0 Code Amount Year Pcs SpecialDistlict Total: 4 Value/,*. Improvement Total: 0 Code Units PcI Type Move Tax ]'ype Name Dim1 Dim2 SQFT Y~ Built I FD026 East Halion F O0 .00 .00 -- PK065 Orient-E Ma~i[ .00 .00 .00 ~ James F, King, President Ji]] M, Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob ~osio, Jr. Town I{~ll 53095 Route 25 P.O. Box 1179 Southold, New York 11971-09159 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 __AmendmenffTrans let/Extension Received Application: ~-q(eceived Fee:S_ ~')~ ~~' ~]lql __Completed Application __Incomplete SEQRA Classification: Type I Type 11 Unlisted__ Coordination:(date sent) CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Lead Agency Determination: __Technical Review: __Public Hearing Held: __Resolution: Administrative Permit (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: r .co/ l~_ cc~r.j_u~ Previous use of property: lntended use of property: 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? ~ No Yes If yes, provide explanation: Project Description (use attachments if necessary):. Board of Trustees Application County of Suffolk State of New York 00'/,{ 4, T. /-- //$~'/,4 ~'.~ 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 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 SOUTItOLD 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 REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS tl~t'' DAY OF fl~ /~ KATHLEEN BURDG£ Board of Trustees Application 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% signature) Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of'proposed activity: Are wetlands present within 100 feet of the proposed activity? No )r,_ Yes 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) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: f~ ]~'~"- Area of wetlands on lot: square feet Percent coverage of lot: % 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? 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 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): PROJECT ID NUMBER PART 1 - PROJECT iNFORMATION 1. APPLICANT / SPONSOR 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completod by Applicant or Project Sponsor) 2. PROJECT NAME SEQR 3.P ROJ~'CT LOCATION: 4 PRECISE LOCATION: Btreet Addess and Road Intersections, Prominent landmarks e[c -or provide mad 5 IS PROPOSED ACTION: ~ Now ~ Expansion ~ M~iflca0~lalto.tion ~t/~. 6 DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: Initially acres UIt~rnately acres § WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? E~Yes [] NO If no, describe briefly: 9 WHAT iS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) E~esidendal E~lndustdal [~Commerc[ai r'--]Agriculture [~]ParklFomstlOpenSpace E'-~Other (describe) 10 DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Feder~. Stale or Local) E~Yes L~No If yes. list agency name and permit / approval: 11 DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~]Yes E~No I1 yes, list agency name and permit / approval: 12 AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? E3 e, F-INo I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / 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 :~ART Il - IMPACT ASSESSMENT (To be completed b~/Lead A~lenc¥) A DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART $17.47 If yes, coordinate the review process and USEI the FtJLL EAF B W~LLA~T~~NRECE~VEC~~RD~NATEDRE~~E~ASPR~~~DEDF~R~JNL~~TEDACT~~N~~N6NYCRR~PART617~6? IfNo, anegative declaration may be Superseded by another involved agency 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, exislJng Lraffic pattern, solid waste production or disposal, potential lOT erosion, drainage or flooding problems? Explain bdel~y: C2 A~'ihe't'~, ag 'd~llural, ar~haeotaglca~, htstoric~ or o~er natural or cultural msoumes; or community or neighborhood cha acter? Explain bdefly: I ca Vegetatior~ or fauna, f~h, shellfish or wildlife species, significant habitats, or th,:~e'~ or endangered species? ~xplain bd~fiy: I C4. A commuaify's existing ptans or goals as officiatly accepted, o;' a chan~ i;~ Use or inionsity df u~e;f land o~ <]tile; natural resources? Ex~lai~ briefly: C5. Growth. subsequent developmenl, or related activities I~kely to be induced by the proposed ~ction? Explain briefly: C6. Long term, shorf term, cumulaiivel o~' oif~e; eff~ts'n~t identifmd in C1-C5? I D WILL THE PROJEC'f HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA ICEA)? lif )'es, explain bdefl~: f--lYe, f--INo E IS THERE, OR IS THERE LIKELY TO BE. CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For~achadversee~ectidenti~edab~ve~determinewhetherit~ssubstsntia~arge~imp~rtant~r~therwisesignificant Each effect should be assessed in connection with Its (a) setting (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 materials. Ensure that explanations contain sufficient detail to show that all relevan~ adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics oi~the 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 FUL[ Name of Lead Agency Date Title of Responsible Officer Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency S~gnature of Preparer (If different from responsible of~cer) / ?