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Home My WebLink AboutEdwards, WilliamJill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Brederneyer Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 February12,2010 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Mr. William Edwards P.O. Box 1426 Mattituck, NY 11952 RE: 1600 PARK AVE., MATTITUCK SCTM#123-8-4 Dear Mr. Edwards: The Southold Town Board of Trustees reviewed the survey prepared by Stanley J. Isaksen, Jr. dated October 14, 1995 and the plans prepared by Studio a/b architects dated April 8, 2009 and determined the proposed enclosure of the existing porch to be out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111 ) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 100' landward from the top of the bluff and/or wetlands jurisdictional boundary, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary best management practices are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Siqc.erely, _ it/~l ~. Doherty,~ //Board of Trustees . JMD:lms Jill M. Doherty, President James F, King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bledemeyer P.O. Box 1179 Southol& NY 11971 lelephone ( 631 ) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: WILLIAM EDWARDS requests an Administrative Permit to enclose approx. 25 sf. of landward porch to enlarge a kitchen. Located: 1600 Park Ave., Mattituck. SCTM#123-8-4 Type of area to be impacted: __Saltwater Wetland __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: __&King __J.Doherty __J. Bredemeyer B.Ghosio, __ D. Dzenkowski other Form filled out in the field by D. Bergen__ Mailed/Faxed to: Date: Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1 t79 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Pemxit Applica[io/fl~ --Wetland Permit Application ~ Administrative Permit Amendmenffrransfer/Extensiah I ~'~eceiv~d Application:~ ~ ~ (~ , ..g~ompleted Application ~:~ OI ~i~ Incomplete SEQRA Classification: Type I Type II__Unlisted Coordirmtion:(date sent) LWRP Consistency Assessment Form CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Lead Agency Determination:__ Technical Review: 7Public Hearing Held: ~'~. ~OO--~f· ~}4f~ Resolution: Phone Number:(~Yt~ Suffolk County Tax Map Number: 1000 - / 2- Property Location: /~ ~)E) ~_~ ~ (provide LILCO Pole #, distance to cross streets, AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: erevioususeofproperty: ~-~}-~/67 ~'~.,~_i)/ Intended use of property: l t ~ ( Covenants and Restrictions: If "Yes", please provide copy. Yes ~ No 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 WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: -7 Area of wetlands on lot: t'~" square feet Percent coverage of lot: / % Closest distance between nearest existing structure and upland edge of wetlands: ~ 7 feet Closest distance between nearest proposed structure and upland edge of wetlands: ~7 feet Does ?vroject 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~e e_ ff~eq_t~ !f.m/y, °9 the wet_l~_ds an4 .tid91_ .w~t_ers_ 0f~e town that may r_es_u!t_ by_ reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR Municipality ~l~ ~.~ ~ ~ ~ ¥ . r 4. PRECISE LOCATION: Street Addess and Road rnters~ons, Prominent landmass etc -or =mvide 617.20 APPENDIX STATE ENVIRONMENTAL REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2'PROJECT NAME e, Coun SEQR 5. IS PROPOSED ACTION: r~ New ~ Expansion [~ Modification / a~teration 6. DESCRIBE PROJECT BRIEFLY: / 7. AMOUNT OF LAND AFFECTED: Initially .~.,~ acres Ultimately '(~ acres 8. I~t~ILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes [] No If no, describe bdefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~Residentia, g~lndustrial I--]Commercial F--lAgriculture []Park/Forest/OpenSpace [~ Other (describe) 10.' DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ~]Yes ~lNo If yes, list agenc me a~permit / approval: ~._ (,~ 11. uu[5 ANY AUF[~JI O'F-~[HE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~lYes [~]No If yes, list agency name and permit / approval: 12. AS A REi~ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [~Yes L_~No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS~RUE TO THE BEST OF MY KNOWLEDGE/ Applicant , Sponsor Name ~_~ .'~. [,~. ~*~-,~~a''~ ~ '-'"~''~ 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 PART II - IMPACT ASSESSMENT (To be completed by Lead A~lenc~/) A. DOES ACTIO~ N,,EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL FAF. r-]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. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WiTH THE FOLLOWING: (Answers may be handwritten, ~f legible) C1. Existing air quality, sudace or gmundwatur quality or quantity, noise levels, existing traffic pattern, solid waste pmducfion or disposal, potential for erosion, drainage or flooding problems? Explain bflefly: I C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetafion or fauna, fish, she fish or wi dlife species, s~gn~ficant hub tats, or threatened or endangered spec es? Exp a n 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 deveropment, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other e~ects not identified in C~-C57 Explain briefly: 07. Ot~r~i_m_p~cts (including chan~es in use of either ~luantity or t~e of.~r?fg~?_ E~p!ain briefly: l O. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRiTiCAL E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~(es explain: PART fit - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenfi~edab~ve~determinewhetheritissubstantia~~Iarge~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 soope; 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 ye~, r.~e d -~t~;m!na~en of _=~m~rmemustevalaatc thc pctc~tial~mFac', cf thc p;cpc.~cd c,~t~n c~n thc. cnv~,rc, nmc~,t~ ch~r~c~;',~c~ o~ 69a C~.A. Check this box if you have identified one or more poten§ally large or significant adverse impacts which MAY occur. Then proceed directly to the FULl EAF and/or prepare a posgive declaration. ~-hecl[ ~h~'~-~,~'~ve~tu-rm~n~d'i b~ea'~);3'{h~ ~form~tion and ~aly~is ~b0ve and ~y ~u~porti~g'document~ti~n~ tha~tl~r0p~c~ 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 Print or Type Name of Responsible Officer In Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Board of Trustees Appli~.on 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 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), 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 DAY OF ~'6(oc,-,., ~o-.I ,20 ~ 0 hn M Judge ~O~TAR{( pUBLIC, State of New York Board of Trustees Application ~re the 1/.,, (print owner of southold Board of Town Owner's signatu/ is not the owner) residing at ~ (mailing address) do hereby authorize (Agent) to apply for permit(s) from the APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE. FORM The Town of Southold's Code of Ethics vrohibits conflicts of interest on the vart of town officers and emnlovees. The ouroose of thi~ form is to orevide information which can alert the town of ~ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. , (Last name, first name, ~iddle initial, unless you are applying in the name of someone else or other entity, such as a anmpany. 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 Mooring Exemption from plat or official map Planning Other (If"Othef', name the activity.) Do you pemonafiy (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee &the Town of Southold? "Relationship" includes by blood, marriage, o? buginess interest. "Busines~ 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% 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 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 child is (cheek all that apply): __.A) thc owner 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, parinei', or employee of the applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I OTHER POSSIBLE AGENCIES YOU MIGHT HAVE TO APPLY TO N.Y.S. Dept. of Environmental Conservation (DEC) SUNY, Bldg. 40 Stony Brook, NY 11790-2356 (631) 444-0355 Mon., Wed., Fri., 8:00 AM-3:00 PM Suffolk County Dept. of Health Services 360 Yaphank Ave., Suite C Yaphank, NY 11980 852-5700 U.S. Army Corp. of Engineers New York District 26 Federal Plaza New York, NY 10278 917-790-8007 N.Y.S. Dept. of State Coastal Management 99 Washington Ave. Albany, NY 12231 518-474-6000 ,/ / NOTES BASE TO MATCH EXISTING, TYP SEE SHOP DRAWINGS FOR CABINE9~S DETAILS studio a/b architects RENOVATION TO WALLACH/EDWARDS i INTERIOR i ELEVATIONS A-02i RENOVATION TO WALLACH/EDWARDS RESIDENCE GENERAL NOTES: CONTROLED INSPECTIONS: SITE SAF~ AND PROTECTION NOTES STRUCTLIRAL NOTES BUILDING DEPARTMENT NOTES ZONING CODE COMPLIANCE LIST OF DRAWINGS: DOOR NOTES: ABBREVIATIONS: studio a/b architects RENOVATION TO WALLACH/EDWARDS RESIDENCE Title Sheet T-01 ~ TIE = 396' PARK AVE. N 86° 57'E TOp BROKEN MAP OF SURVEY OF LOT /,5 SITUATE MARRATOOKA PARK MATT/TUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY. SURVEYED FOR: WILLIAM EDWARDS and AMEI WALLACH LOT 14 MON. LOT 16 FILE MAP4~ 450 FILED NO~I, 1905 TAX MAP NO. 1000-/2.,~-0~-04 SCALE: I"= 50' L 9~28 SURVEYED 14 OCTOBER,/995 EARTH DRIVE WEST 0 5' STORY PORCH Unauthorized elteretie~ cr ~,~:';6,:. to thjt GUARANTEED TO · WILLIAM EDWARDS AMEI WALLACH FIDELITY NATIONAL TITLE /NS CO TOWN OF SOUTHOLD the Land Surve;. Guarantees Indicated her~ on sl~all run S TONE MON. MON S 87° NOTE: BROKEN ~ONCRETE WALL THIS AREA ( HIGH 06°28,15 "W 3.9' PECON/C BAY WATER L/NE RUNS ALONG BULKHEAD) H. WL. SURVEYED BY: STANLEY J, /SAKSEN, JR, RO BOX 294 NEW SUFFOLK, N }~, //956 (516) 7~4 - 5835