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HomeMy WebLinkAboutTR-7230AJill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7230A Date of Receipt of Application: December 30, 2009 Applicant: Charles F. Digney SCTM#: 103-13-2 Project Location: 350 West Creek Ave., Cutchogue Date of Resolution/Issuance: January 20, 2010 Date of Expiration: January 20, 2012 Reviewed by: Trustee Dave Bergen Project Description: To completely remove a rotting tree and stump. 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 application received on December 30, 2009. Conditions: None 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, Jill M. Doherty Dave Bergen Bob Ghosio. Jr. John Bredemeyer P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: I I ~/tO CHARLES DIGNEY requests an Administrative Permit to completely remove a rotting tree and stump. Located: 350 West Creek Ave., Cutchogue. SCTM#103-13-2 ~___ype of area to be impacted: Saltwater Wetland Freshwater Wetland Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _~Chapt.275 __Chapt. 111 other Sound Bay _~e of Application: Wetland Coastal Erosion __Amendment dministrative__Emergency --Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: __J.King __d. Doherty__J. Bredemeyer ~ D. Bergen~ B.Ghosio, __ D. Dzenkowski __other Form filled out in the field by Mailed/Faxed to: Date: 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 ~dminlstrative Permit Amendment/Transfer/Extension __~ceived Application: ~0~ '~0~ Received Fee:$ ~Completed Application ! __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordinafion:(date sent) '"3~--WRP Consistency Assessment Form CAC Referral Sent: ~Dhte of Inspection: I {~ Receipt of CAC Report: Lead Agency Determination: __Technical Review: ~'lrffblic Hearing Held: I ! __Resolution: Name of Applicant Address ~-6_) : Phone Number:(6 /) Suffolk CountyTax MapNumber: 1000- / 0~ , - ].3 - 2-. PropertyLocation: ~_'5;~ ~' (~ Ir~C~ /~ l/~ . (? tJT-lff ~6 ~ ~/~, (provide LILCO Pole #, dista~e to cross streets, and location) AGENT: (Ifapplicable) Address: Phone: B~rd of Trustees Applicatio~ Land Area (in square feet): Area Zoning: : Previous use of property: Intended use of property: GENERAL DATA Covenants and Restrictions: Yes t~/ If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency No Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend}ed by a governmental agency? VNo Yes If yes, provide explanation: Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ,~7;/~ ~Y~Ct2~- &~/~ ~/~c, Areaofwetlandsonlot:,_~.~ !/~{}L/~squarefeet ~/ Percent coverage of lot: dax~ a'~2/~5% Closest dist~ce be~een newest existing st~c~e and upl~d edge ofwetl~ds~~ feet 7~, C1 td t ' ~ ~ oses is ~ce be~qen newest proposed s~ct~e ~d upl~d edge of wetl~ds: (¢ ~ 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? · ~'x,( [ ~5 cubic yards Depth of which material will be removed or deposited: ~[ lq Proposed slope throughout the area of operations: ~{& feet Manner in which material will be removed or deposited: Statement of~[he 9~f~ec_t, if any? 9_n [he. wet_!_m)__d.s a~d~ tidal wa_ters~ 9f~e._tp~vn_tha_t ~a~_r_es~u!t_b~_ reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJEG.~T NAME SEQR 1. APPLICANT / SPONSOR &PROJECT LOCATION: PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or Divide ma;) iS PROPOSED ACTION: ~ New [] Expansion [] Modification / alteral~on 6. DESCRIBE PROJECT BRIEFLY: ;7. AMOUNT OF LAND AFFECTED: /~! / ~.///~ (~. Initially acres Ultimately ' acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? I~Yes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) r~Residential E~]lndustria, [~Commercial E~Agriculturo E~ParklForest/OpenSpace E~Other (describe) 10.'DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GO ERNMENT L AGENCY (Federal. State or Local} ~ [~Yes []No If yes, fist agency name and permit / approval. ll. UU;c~ ANY A~P'[CI O}- IHE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes r~No If yes, list agency name and permit / approval: 12. AS A REnaULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [~Yes L~JNo Applicant / Signature I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE If the action Ys 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 rev{ew process and use the FULL EAF. [-'-~ Yes r~No B. ~~LLA~T~~NREcE~VEC~~RDINATEDREvlEWASPR~V~DEDF~RUNLI~TEDACT~~N~~N6NY~RR~PART617~6? IfNo, anegative declaration may be superseded by another involved agency. r~l Yes i'll NO C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surfaco or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or fioeding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, 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 commun~y's existin~ Hans or goals as officially adopted, or a change in use or intensily 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: C6. Long term, short term, cumulative, or other effects not iden~d in CI-C57 Explain briefly: C7. Other im~acts Iinciudii~ chan~es in use of either quan~t~ or t~ o! e~r[l¥? Ex~lain briefi)': D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEAI? (If)'es, explain brier)': [~Yes [~]NOI E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If)'es explain: r~lTM ~'~"0I 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) 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 relevant 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 of the CEA. Check this box if you have identified one or more potenfially large or significant adverse impacts which ~,[a,y occur. Then proceed directly to the FULl EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above ar~l any supporting 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. Board of Trustees Name of Lead Agency Jill M. Doherty Print or Type Name of Responsible ~)fficor ,in Lead Agency (~gnatur~ of'Responsib-re Officer in L~[d Agency Date President Title of Responsible Officer Signature of Preparer (If different from responsible officer) of Trustees Applicat~ 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 HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH 1N 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 SA1D 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 SWORN TO BEFORE ME THIS ~D DAY OF ~t(' ~. ,20 O~ "~l~otary Public LAUREN M. STAND!5~ Notary Public, State of New Yom No. 01ST616400~ Qualified in Suffo!k County Corem ssion Expires Apri! 9, 20~ [ ard of Trust~es Applicati% AUTHORI ZAp'iON (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's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE, FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the uast o£town officers and emoloveas. The uuroose of this fi)ma is to orovide information which can alert the town of ~ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. ,'OURN, E: D/'6".F. (Last name, first name, widdle initial, unless yOU are applying:ia 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.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooting 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 relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or buginass interest. "Busine~ 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% &the shares. YES NO ~5~ If you answered "YES", complete the balance of this form and daI~ 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 ~hild is (check all that apply): __~A) the owner of greater than 5% oftbe 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 1 Submitted this 36) dayof /~'~-e 2002 Signature Print Name 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 Waterfi'ont 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 Waterfi'ont 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. Thus, each answer must be explained in detafl~ listing both supporting and non- suooorting 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 SCTM# /'t~49'0 /03 - /~ -O0'Z'~ The Application has been submitted to (check appropriate response): TownBoard ~-] Planning Board [~ 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: 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: (b) Mailing address: (c) Telephone number: Area Code (~/ (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~ No[~ Ifyes, which state or federalagency?. 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 IH - Policies; Page 2 for evaluation criteria. ~]Yes [] No ['~NotApplicable 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 ~Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~ No ~- Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. Sec LwRP Section III - Policies Pages 8 through 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 Pages 16 through 21 for evaluation criteria ~ Yes ~] No [~2[htot Applicable 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 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 ~fi~f-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 Southoid. See LWRP Section III - Policies; Pages 38 through 46 for evaluatiOn criteria. ~ Yes~-] No~-Not Applicable Attach additional sheets if necessary WORKING COAST POLICIO 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 [~ot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconie Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. --L_~ Yes ~-] No ~ ~lS[ot 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 otApplicable 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. [] Yes ~ No ~ot Applicable PREPARED BY CERTIFIED TO/ CHARLES D I GNEY FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK 151-$-2132 ALTERATION OR ,4~DITIOIV TO THIS ~.~VEY I$ ,4 VIOLATION A.~ 720~ OF' TI~ NEW YORK STATE EDt.~TION LAW, ~:'E2(C~T PER ~ECTION 7EOg-,,,~UI~DIVI$10N E. ALL CERTIFIC,,4TIONZ ~ ~ VALID FOR THIS M,4P AND COPIES THEREOF ONLY IF I~ ~R C~IE$ 8EAR THE IM~RE,~$ED SE,4L OF* THE ..CURVE*Y(~ $1$NATURE ,4PPE,4R$ HEREON. TIONALLY TO CCMa[¥ t~ITH SAID I-4W THE TERU 'ALTERED BY BE ~ 8Y ANY AN~ ALL $l.~t~-'~"OR$ UTILIZING ,4 OOPY ~URVEYOR'$ MAP. TE~ ~ ,45 ° INS~ECI75D' ANO TO-D,,4T~' ARE NOT IN COI~LIAI~CE W/TH THE L,41V, . SUR VE 1' ~'//~FOR CHARLES DIGNEY A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 103 1____35~,02 Scale, 1" June 10, 1996 June I1~ 1996 (Revision) / P'E CON / C ( St~v~ YOR S , (5161 765 - 5020 P. O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N. Y. I 1971 18