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Home My WebLink AboutTR-7261AJill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Br~derneyer 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 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 AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE __ Pre-construction, hay bale line 1st day of construction ½ constructed t//'Project complete, compliance inspection. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer 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.: 7261A Date of Receipt of Application: March 3, 2010 Applicant: James P. Latham SCTM#: 32-1-3 Project Location: Peter's Neck Road, Orient Date of Resolution/Issuance: March 17, 2010 Date of Expiration: March 17, 2012 Reviewed by: Board of Trustees Project Description: Maintenance permit to hand-cut Common Reed (Phragmites australis) to 12" in height. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the $outhold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the application received on March 3, 2010. § 275-5 Permit procedures. (i) Cutting of common reed (Phragmites australis) to within 12 inches of the soil surface landward of the wetland boundary. This does not include mowing to ground level. Special Conditions: Do not disturb native vegetation during the hand cutting of Common Reed (Phragmites australis), including but not limited to; Eastern Red Cedar (Juniperus virginiana), Northern Bayberry (Myrica pensylvanica), Marsh Elder (Iva frutescens), and Gmundsel Bush (Baccharis halimfolia). Inspections: Final inspection due after initial phragmite trimming. A field inspection will be performed in the fall of 2010 to inspect re-growth of native vegetation. 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. his i not de er ' tion from any other agency. V Jill M. Doherty, Pregident Board of Trustees JMD/eac Jill M. Doh~rty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredameyer 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 Please be advised that your application dated ~ ~/o9.O/O has been reviewed by this Board at the regular meeting of ~f~,,rc~ ~ '7, ,,-2OI O 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) __ ~ Constructed ($50.00) v/ Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above, COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: Jill M, Doherty, President Board of Trustees Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer P.O. Box 1179 Southold, NY 11971 Telephone (63 l) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionANorksession Report Date/Time: JAMES P. LATHAM requests an Administrative Permit for the clearing of the dyke of phragmites and for future maintenance of the phragmites at 12" in height. Located: Peter's Neck Rd., Orient. SCTM#32-1-3 Type of area to be impacted: __Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chap[ 111 other Type of Application: __ Wetland __Coastal Erosion __Amendment ~Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: __&King __J.Doherty __d. Bredemeyer __ B.Ghosio, D. Dzenkowski other Form filled out in the field by D. Bergen__ Mailed/Faxed to: Date: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob ~nosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application ~,,,,"Administrative Permit Amendment/Transfer/Extension ~"Received Application: ~eceived Fee:$ ,,~q2ompleted Application~3 Incomplete SEQRA Classification: Type I Type II Unlisted__ Coordination:(date sent) LWRP Consistency Assessment Form CAC Referral Sent: ¥~Date of Inspection: ~]lO}l 0 Receipt of CAC Rep~r{: Lead Agency Determination: Technical Review: ~P-ublic Hearing Held: Resolution: Name of Applicant ---~--~ Address {~0 ~;~ t~-"'- {)t~,~t- Phone Nmnber:d~ ! ~-~ ~c/~ Suffolk County T~ Map Number: 1000 - ~ ~ ~ ~ Prope~y Location: ~¢ ~ ~ (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: )ard of Trustees Applicat' Land Area (in square feet): Area Zoning: /q~/ GENERAL DATA Previous use of property: Intended use of property: Covenants and Restrictions: Yes ~f No If "Yes", please provide copy. 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: 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 o f 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 "i'eason of Sucfi-pi-bpos~cf'operatl~n~ (US~' ~t~a~hm'eii{S l{'~l~Pi:0pri~t~i 6t7.20 PROJECT ID NUMBER V APPENDIX / STATE ENVIRONMENTAL QUALI~rY REVIEW PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: ¢~ I E~ SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) ~ 2. PROJECT NAME Coun /fit SEQR PRECISE LOCATION: StJ'eet Addess and Road Intersections. Prominent landmarks etc -or provide mad IS PROPOSED ACTION: [] New [] Expansion [] Modification / alteratior~ DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially IJ-7_~ 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? (Chcose as many as apply.) ~esidential ~] Indastrial [~ Commercial ~]Agric[~tiure r--] Park / Forest / Open Space ~-~ Other (describe) 10.' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, AGENCY (Federal, State or Local) ]Yes r~l~lo if yes, list agency name and permit / approval: NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL 11. u[Jl:;5 ANY A:SP'[:L;I OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? r~Yes r~o if yes, list agency name and permit / approval: 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 A~lenc¥1 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. 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 invoJved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WiTH THE FOLLOWING: (Answers may be han~lwritten, if legible) Cl. Existing air quality, surface or groundwater quality or quantity, noise levels, exisfing traffic pattem, solid waste production or disposal, potential for emsioo, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeologlcet, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: I C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: 1 C4. A community's existing plans or goals as officially adopted, or a change in use or intensity o~ use of iand or other natu~ai resources? Explain briefly: t C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: I C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly: C7. Other impacts (including changes in use of either q~ntit, t/or type of energy/? Explain l WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ~l~e£ sNME~]A~oAR~? . [1' ~es' ex~lain b fiefl~/: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~/es explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determInewhetheritissubstantia~~~arge~important~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) irreveraibitity; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that ail relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked ye-", th-~ d~t-~rm!.".--.t!o.". cf s!g.q!.¢.'c..~" .q c~ must cvs!ustc thc ~.ctcnt~cH mpcct cf-th c. prcpc~,cd ~ct[cn cn thc cnv~ronm ~ r,~,~ ch&ract~r[~t~c~ of fha C~. Name of Lead Agency Check this box if you have identified one or more potantially large or significant adverse impacts which MAY occur. Then proceed directly to the FULl EAF and/or prepare a positive declaration. · C-I~e(~l['[h~ '~X~l~-h~ve der e -mlYr~d', b~se~'~h'~ information and analysis ~bove and any supporting documel~t~ti~i t-I~ t~r oposed~ ac~i WILL NOT resutt in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi~ determination. ~/ ,(~1 /~Date Tide of Responsible Officer Signature of Preparer (If different from responsible officer) Board of Trustees ApplicOon County of Suffolk State of New York 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 ~ r6/ DAY OF "~/~q c" ~ ,20/0 ~q'cJtary Public LAIJREN M. STANDISH Nota~, Public, State of New York N~ 91ST6164008 L~u,~',!~ ~,d in Suffo!k Coullty Com,'Ttiss.~ E~:pires April 9, 20_~L APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts oflnterest on the tvart of town officem and emolovee& The otumos~ of ~is form is to nrovide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first name, ~iddle initial, unless you am applying in 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 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 interes~ "Basines~ 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% of the shares. YES NO '~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name &person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agenffreprasentative) and the town officer or employee. Either check the appropriate llne 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 (check all that apply): __A) tl~ owner of greater than 5% of the shares of the corporate stock of the applicont (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, parmei', or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submiaed'this/~_~ day of~ t~ Signature Print 1~