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Home My WebLink AboutTR-7267AJill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Halt, 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 ¼ constructed 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.: 7267A Date of Receipt of Application: April 2, 2010 Applicant: Michael & Kathryn Russo SCTM#: 90-4-22 Project Location: 775 Oakwood Drive, Southold Date of Resolution/Issuance: April 21, 2010 Date of Expiration: April 21, 2012 Reviewed by: Trustee Bob Ghosio, Jr. 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 Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the application received on April 2, 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 Greundsel Bush (Baccharis halimfolia). Inspections: Final inspection due after initial phragmite trimming. 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. Board of Trustees any other agency. JMD/eac Jill M. Doherty, President Jame~ 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 Please be advised that your application dated /q~C'~"/oeq c~O/C) has been reviewed by th s Board at the regular meeting of-I/-~,, J ~.~ ), ~0) Oand your application has been approved pending the compl(~tion 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) Final inspection Fee ($50.00) ~2c~/~/~-°///° __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: Jill M. Doherty, President Board of Trustees Jill M, Dohe~ly, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765 - 1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: MICHAEL & KATHRYN RUSSO request an Administrative Permit to trim the phragmites to not less than 12" by hand, as needed. Located: 775 Oakwook Dr., Southold. SCTM#90-4-22 Tylenol area to be impacted: __SaltwaterV~-q~,^,~ Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type ofApplicatio-n' V~Wetland Coastal Erosion Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present We/e: J.King __J.Doherty__J. Bredemeyer B.GhosiT~)~) D. Dzenkowski __other Form filled out in the field by ~ Mailed/Faxed to: Date: D. Bergen__ James F. King, President Jill M. Doherty, Vice-President Pegg~ A. Dickerson Dave Bergen Bob ~nosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application.. Wetland Permit Application ...," Administrative Permit AmendmentPfran ~ let/Extension '~eceived Applicati~~ ~eceived Fee:$ ~ -"C~'~mplet ed App licatio n Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) LWRP Consistency Assessment Form CAC Referral Sent: ~D'~te of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: 4>fl'fi-lic Hearing Held: I./~ [ I]~ 6 Resolution: Name of Applicant ~ ,c~a e~t Address Suffolk County Tax Map Number: 1000 - Phone Number:( Property Location: 7 (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: ~rd of Trustees Applicati, GENERAL DATA Land Area (in square £eet): / 3 q %~ Area Zoning: ~Ot° ~ ,'o/~,~/(,~/ Previous use of property:. /o ~.~ ¢ Intended use of property: //o ,~ ~ Covenants and Restrictions: If "Yes", please provide copy. Yes ,/ No Prior permits/approvals for site improvements: Agency .~/D/a2,.te / __ 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):. lard of Trustees Applicat~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~ /~ 4~ ~ c,,,o Va f q] / Area of wetlands on lot: ~0 .square feet Percent coverage of lot: /3~ ~ % Closest distance between nearest existing structure and upland edge of wetlands: "/s' feet Closest distance between nearest proposed structure and upland edge of wetlands: ---'"'-- feet Does the project involve excavation or filling? J No Yes If yes, how much material will be excavated? How much material will be filled? cubic yards cubic yards Depth of which material will be removed or deposited: "/~' feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may- result by ~ i%asOn of Su~fi'p~)p~d' 0~eratl~ns ~h%' ;it~a~eii~S i~pp:[opriat~i .......... PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 3.PROJECT LOCATION: Municipality 6t7.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME County .3 ~l--/r:'O t ¢--- SEQR PRECISE LOCATION: Street Addess and Road intersections. Prominent landmarks etc -or provide map ,/ 5.'S PROPOSED ACTION: ~ New ~Expansion ~ModificaUon/atieraflon 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres Uttimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? I~Yes [] No If no, describe briefly: RAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) esidential F-~lndustrial [~Commercial r--]Agriculture ~'] Park / Forest / Open Space [---]Other(describe) 10.' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal. State or Local) [~es ~r~ No if list name and permit / approval: yes. agency 11. U~E~ ANY__~'~t*'E~I (DP [HE ACTION HAVE ~URRENTLY VALID PERMIT OR APPROVAL? I'--1Yes [~No If yes, list agency name and permit / approval: t2. AS ^ ~ESULT OF PROPOSED ^OT,O. W,LL ~,ST,N~ PERMIT~ ^PPROVAL REOU,RE MOD,F,CAT,ON? I~esE3No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE App[icant / Sponsor Name. Date: If the action Is a Coatal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT ~o be completed by Lead A~lenc¥) A. DOES ACTION_F-~Y, CEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF. 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. [---]Yes [~No C. COULD ACTION RESULT IN ANY AOVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattam, solid waste production or disposal, potential for ems[on, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resoumes; or community or neighborhood ~h~racte~"Explain ~['efly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A commungy's existing plans or goals as o~ficially adopted, or a change in use or intensity et 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 bdefly: C6. Long term, short term, cumulafive, or other effects not identified in Cl-C57 Explain briefly: C7. Other impacts (inc ud ng changes n use et' either quantity or type of energy/? Explain briefly:' D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL E. IS THERE, OR IS~.~HERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? if }/es ex,lain: [--'1 Yes ~71No PART III - DETERMINATION OF SIGNIFICANCE (To be comptated by Agency) INSTRUCTIONS; F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~~~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 (t) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identit~ed and adequately addressed. If question d of part ii was checked ~,'e~, th-~ d -~!-~rm..!~=t!c.". cf c!~n !~c.=~nc~ mu~t evcluctc *.he ~ctent~p~ct cf thc prcpc, c, cd act~c,n c,n thc c ~,v[rc ~,,T, C. ~, ~,', Ch&r&C~',$~[C~ ,~' ih= CEA. Check this box if you have ident~ed one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. C-hecl~ ~h~s b~x if~' t~'~;~'~}~?~¥n~(], b~sed on-the i~fo{:mati0n and ~naly~is'above and any supporting' d0cume~t~ti(~n~ t~l~a~ t ~ro p-~ ~ ~c~(~' WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi.~ determination. Name of Lead Agen~cy Date printer Type Name of Responsible O~'ficer In Lea~l Agency ,~'Slgnature of Res~;thsible Offi(~in Lead Agency Title of Responsible Officer Signature of Preparer (if different from responsible officer) f/ ~oard of Trustees Applica~on County of Suffolk State of New York .MiC.}acte[ 'PxtzS$o BEINGDULY 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 WlLL 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), I]; 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 1N CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS ISr DAYOF Ap ,' I ,20 O Notary Public EILEEN ANNE CHANG Noda~y Public, State of New York No. 01CH5030777 Qualified In Nassau County C~,.;J..:ac.:on Ex~!~e~- July ~; 2o I o APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE, FORM The Town of Southold's Code of Ethics nrohibits conflicts of interest on the hart of town officers and emolovees. The numose of this form is to vrovide information which can alert the town ofvossible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first name, ~alddle initial, unless you are 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 Of"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 business interest. "Business 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 of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicanffagcnffrepresentative) 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 (check all that apply): A) the 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, partner, or employee of the applicant; or ___D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submiltted this day of . Signature A/I ..~ ~ Print Name 200 .E IRVE'r' OF LOT # 51TUATE, BAYVlEi~I E:,URVEYED II-II-q~, AHENDED HARCH ~, 2000 A~DITION..~ .%HOHN NOT FIELD UPDATED 04-2'/-2005 EDC~E OF k'~TLAND5 LOCATED AHENDED 0-I-26-2005, 11-1'I-2005 RE'v'IE, ED 01-C~-2006, 02-1-1-200~, 05-04-2006 E~=FOLK COUNT'K T~X # I000- qO- 4- 22 CEP~TIFIED Propert~ ~u[hold, N.Y. IIq~l PERCENT C.,OVEP-J~E ADJACENT APdA 12~05 ~.F. EXI~TIN~ HOb~E "lh~ ~,.F. DECK E~t~ fS.F. ~ P~GH ~00 ~.F. PATIO 144 ~.F GII~D q~ 5.P.. TOT~ EXI~TIN~ 16~ ~.F. PF<OPOE~ED ~--~ITION 211 COVERED PORCH ~ 5.F. 5Gt;~JEEN POP~C,H ~51 PROPo.E~ED ~ARA~E 400 5.F. TOTed- F~::~°O~ED I/:~4~ 5.F. TOTAL AFTER ADDITION5 H~ ~2q .~.P. ~ARAC,~E 400 5.F. ~DREEN POP, CH ~52 ~.F. PATIO I~ 5.F. ~D qq ~.F. TOTAL AREA 2,100 5.F. OR 16.6 ~ LOT COVEP-,A~SE · HONUHENT FOUND PIPE FOUND AREA = 13,q36 5F OR O.~2 AC,RE5 REFERENC,E DI=ED L.E~46~ C,P.2~O A.H.H.H. = APPARENT HIGH I%~TER HARK F:~OPERTY 15 IN FEHA FLOOD ZONE AE EL 5 A~, ~HOP~N ON FEHA FLOOD HAP ~610~C016'/ ~ E4EPTIC E~O~N FROM VAN TUTL 5URVE'r' OF Iq-'/~, HOUSE 15 .e, ERVICED BY PUBLIC, HATER TOWN OF $OUTHOLD 0/ N ®P-.APHIG ~GALE I"= 20' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAI/q STREET N.Y.& LIC. NO. 50202 ~, N.Y. 11901 369-8288 Fax 369-8287 REF: \~COMPAQSERVER~no~90S~98-272B.pm