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Home My WebLink AboutTR-7295A Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen 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 CERTIFICATE OF COMPLIANCE # 0627C Date: March 24, 2011 THIS CERTIFIES that the constrUction of a 90' long stone wall that begins at ~xound level on the easterly side of property and gradually increases to 4' high toward westerly side of property At 1025 Pine Neck Road, Southold, New York Suffolk County Tax Map # 70-5-34 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated May 4, 2010 pursuant to which Trustees Administrative Permit #7295A Dated May 19, 2010 was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a 90' long stone wall that begins at ground level on the easterly side of property and gradually increases to 4' high toward westerly side of property The certificate is issued to PATRICIA & THOMAS NADHERNY owner of the aforesaid property. Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: v//' Ch. 275 Ch. 111 INSPECTION SCHEDULE __ Pre-construction, hay bale line/silt boom/silt curtain __ 1st day of construction ~ constructed /'/' Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: Jill 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 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 V'/' 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.: 7295A Date of Receipt of Application: May 4, 2010 Applicant: Patricia & Thomas Nadherny SCTM#: 70-5-34 Project Location: 1025 Pine Neck Road, Southold Date of Resolution/Issuance: May 19, 2010 Date of Expiration: May 19, 2012 Reviewed by: Board of Trustees Project Description: To construct a 90' long stone wall to level property in order to lesson possibility of erosion. Stone wall will begin on easterly side of property at ground level and gradually increase to 4' high toward westerly side of property. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the $outhold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Patricia & Thomas Nadhemy, received on May 4, 2010, and stamped approved on May 19, 2010. Special Conditions: None. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Board of Trustees JMD:eac Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Gho$io, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated /~,/ Z/~, ,,,~)/<~ has been reviewed by this Board at the regular meeting of /')')'A~ ~'~. go/~ and your application has been approved pending the completion ~f the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of Construction ($50.00) __ ½ Constructed ($50.00) 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: $. ~-"-C.} ~ BY: Jill M. Doherty, President Board of Trustees N ~ ~oo~c~Z SURVEY OF PROPERTY AT $OUTHOLD TOWN OF $OUTHOLD SUFFOLK COUNTY;, N.Y. 1000--70--05-34 & 35 SCALE: 1'=40' DECEMBER 19, 2007 JAN. 3, 2007 [ADDITIONSI $faf'T. 8, 2008 (REVISIONS) OCT. ~, 2008 (REVISIONS) £L 27' ZONING D/STRICT, R 40 NO DWELLING. - PUBLIC PgA TER EXISTING CESSPOOLS TO BE REMOVED OR FILLED IN NEPg SEPT(C SYSTEM ( 4 8EDRO~ ~ - IO009d RRECAST SEPTIC TANK ~ - LEACi'IING POOLS B'~ · G. 5' daep WITH $' SAND COLLAR {SW) $'* A~ GROU~ WA ?ER 2G DWELLINGS IpuOIic waterl ELEVA EONS REFERENCED TO N.C. VD. '29 The location of we/Is and cesspools shown hereon are from field observations and or from data obtained from others. ANY ALTERADON OR ADDIITON TO THIS SURVEY IS A VTOLA~70N OF SECTION 72090F THE NEW YORK STATE EDUCAITON LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION ~. ALL CERTIFICADONS HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SL~RYEYOR __~O.~E SICNA_A~_~_TUR~E_~A_P~~ ' I TEST HOLE by McDonald Geo$cl~lc~ O' 1ELIS Sand SM 1000-70-05-34 1000-70-05-35 AREA=..47, I01 sq.B. ~ AREA= zI1~319~ sq. lk TO DE LINE ~ TO ~E UNE ~ sw AREA OF UPLANDS ~ AREA OF UPLANDS ' 45,505' ~q. lt. ~ ='40,011 sq. lt. ~ ~ Water In Pale ~ " Brown Fine IQ ~ ~ ~ Cour~e Son& m PL NNING 115.83' . ~r EL 25 )~w PI~ N~K ROAD FLOOD FROM FIRM ~ ~6103C0166 G ~/0.~/98 Jill M. Dohm~.y, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer P O Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax ( 631 ) 765 -6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: PATRICIA & THOMAS NADHERNY request an Administrative Permit to construct a 90' long stone wall to level property in order to lesson possibility of erosion. Stone wall will begin on easterly side of property at ground level and gradually increas~to 4' high toward westerly side of property. Located: 1025 Pine Neck Rd., Southold. SCTM#70-5-34 Type/df area to be impacted: ~,~'altwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland own Code proposed work fails under: .275 Chapt. 111 other Type of Application:/c///Wetland Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission Violation Info needed_(r~) ~' Modifications: Conditions: Present Were: J.King __ . oherty__ . redemeyer . Bergen__ B.Ghosio, ~¢~'"D. Dzenkowski __other Form filled out in the field by Mailed/Faxed to: Date: OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, President Town of Southold Board of Trustees From: MarkTerry, Principal Planner . ~ LWRP Coo rd in ato'r~"-.L..~ Date: May 17, 2010 Re: Proposed Wetland Permit for PATRICIA & THOMAS NADHERNY SCTM#1000-70-5-34 PATRICIA & THOMAS NADHERNY request an Administrative Permit to construct a 90' long stone wall to level property in order to lesson possibility of erosion. Stone wall will begin on easterly side of property at ground level and gradually increase to 4' high toward westerly side of property. Located: 1025 Pine Neck Rd., Southold. SCTM#70-5- 34 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Jill 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 (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application ~/t Administrative Permit ~ Amendmenffrrans~'er/Ext_ension Received Application: ..~/ 91 i0 --~'l~eived Fee:$ ~X-~" --~'~omplet ed App li~-ation Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) w..'LWRP Consistency Assessment Form CAC Referral Sent: ~...D-ate of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: /Public Hearing Held: ~t/Iql(~ Resolution: - - 2010 Address Phone Number:( ) _t~' ~ l- (~ -7 ~ - Suffolk County Tax Map Number: 1000 - Property Location: ,I'OOEk-- m-] O -- (-~ ~- -- 3 ~/ (provide LILCO Pole #, distance to ~oss streets, and ioc~[ibn) AGENT: (Ifapplicable) Address: Phone: oBoard of Trustees ApplicOn Land Area (in square feet): Area Zoning: ~ Previous use of property: Intended use of property: GENERAL DATA Covenants and Restrictions: If "Yes", please provide copy. Yes , / No Prior permits/approvals for site improvements: __ 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 Applica~on WETLAND/TRUSTEE LANDS APPLICATION DATA pu oseoftheproposedoperations: ,. Area of wetlands on lot: -/00 square feet Percent coverageoflot: ~ O/ % Closest distance between nearest existing structure and upland edge of wetlands: 6 '/ feet Closest distance between nearest proposed structure and upland edge of wetlands: ~ q feet Does the project involve excavation or filling? No o/ Yes If yes, how much material will be excavated? cubic yards How much material will be filled? ~{.) - /~) C3 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 ma 'reas°n of Such prop~s~d-~peratk;ns ~uS~ PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1, APPLICANT / SPONSOR 3.PROJECT LOCATION: 6J7.20 APPENDIX STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME County ~ f~/h SEQR PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification / alteration 7. AMOUNT OF LAND AFFECTED: Initially 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? (Choose as many as apply.) [~esidential [~lndustrial []Commercial r~Agriculture []Park/Forest/OpenSpace F'~Other (describe) 10.'DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ]Yes ~No If yes, list agency name and permit / approval: 11, L~(Jt:~5 ANY ^~PEGI DF iHE A(.;[ION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? []Yes ~'~No if yes, list agency name and permit / approval: 12. AS AR~C~SULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: S,g,,ature If the action is a Costa{/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 111-IRESI-IOLD IN 6 NYCR~ PART 617.47 If YeS, coo~nate the re,'lew process and use the FULL EAF. I-I*- 171"0 B. WILLACTION REC~VECOORDINATEDREVlEWASPROVlDEDFORUNLISTEDACTiONSlN6NYCRR, PART617.67 IfNo, a naga~ve I-I - 171.o WILL NOT result in any slIptiflnant adverse environmental Impaats AND provide, on a~aahmen~ as ne~esMly, the reaaofle supp~ling thb determlnaSo~.. Board of Trustees Name of Lead Age~-'y Jill M. Doherty President Signature of r~,.ur (Ed~erent from responsible ~ of Responsible Officer Board of Trustees Appli~ion County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHF_~S 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), 1~ 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 ~re( DAY OF ,20 lO ~qotary Public CAUREN M. STANDISH Notary Public, State of New York No. 01ST6164008 Qualified in Suffolk County Commission Expires April 9,20/[ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics vrohibits conflicts of interest on the vart of town officem and emolovees. The ouroose of this form is to omvide information which can alert the town of ~ossible conflicts of interest and allow it to take whatever action ia necessary to avoid same, YOUR NAME: (Last name, first name, ~aiddl¢ initial unless you am applying in thc name of someom~ elm or other entity, such as a company. If so, indicate thc 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 Soothold? "Relationship" includes by blood, nlartinge, 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 applicant/agent/representativel 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% 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-co~pomte 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 Submitted this ~d~a.y~of ~:'/~,~, 200 Signature Print Name ~ ~,~J~ ~ 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 Waterfront 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 Waterfront 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 detail~ listing both supporting and non- suooortim, 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. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# /OCE~ -70 O 5 3 ' '- I I The Application has been submi~ed to (check approp~ate response): TownBoard ~ Plann~gBoard~ Building Dept. ~ BoardofT~ste~ 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 txansaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: ¢o' II ,4 Location of action: Site acreage: d_/-], Present land use: Present zoning classification: /~P <//(.7) If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (b) Mailing address: ,/,/ C/~geet,~-/2- ~eoc k Dc'" (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [--] No [~/ If yes, which state or federal agency?_ C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide ali 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 III - 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 Southoid. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [] Yes [] No [--~ot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See 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~l for evaluation criteria ~[ I Yes~ No[~x/IVINotApplicable 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 HI - Policies; Pages 22 through 32 for evaluation criteria. Yes No Nol~plicable 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 [--1 No 7-0Aot App,icablc 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 ~Nol 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 Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ Ye~ No ~Not Applicable Attach additional sheets if necessary WORKING COAST POLI~S Policy I0. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. S~o-LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. ~ Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconie Estuary and Town wa~xs. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [-~ Yes ~ NoF-k/t-ha Not 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 eval~tation criteria. ~L_J Yes [] No I[--3/'/I Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section HI - Policies; P~ges 65 through 68 for evaluation criteria. ~ Yes ~ No I vi Not Applicable PREPARED BY TITLE DATE