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Home My WebLink AboutTR-7323A 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 # 0710C Date: December 7, 2011 THIS CERTIFIES that the installation of stone steps and an electric line down onto the existing dock At 3390 Cox Neck Road, Mattituck, New York Suffolk County Tax Map # .113-8-3 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated May 27, 2010 pursuant to which Trustees Administrative Permit #7323A Dated June 16, 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 installation of stone steps and an electric line down onto the existing dock The certificate is issued to CHRISTOPHER O'CONNOR owner of the aforesaid property. Jill M. Dohcrty, President Bob Ghosio, Jr., Vice-President ,James F. King Dave Bergen John Br~xiemcyer Town Hall, 53095 Main Rd. P.O. Box 1179 Soathold, NY 11971 Telephone (63 ! ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: /~' Ch. 275 / I / 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 Halt, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631) 765-1892 Fax (63t) 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. ",.07' E STORY S 61"31'50" W F~NCE S 0.1' 2 - RAIL ~ OVER N/F JANOWlCZ FENCE~ - ~ O,S' ~ 2VER 6.4' TM 1000-113-08-03 SURVEYED 28 MARCH, 2001 SCALE 1"=40' AREA= 29,58J. 5 SF OR 0,67g ACRES ,/ GUARANTEED TO CHRISTOPHER J. O'CONNOR FIOELITY NATIONAL TITLE INS. CO. EAB MORTAGE CO. MA DESCRIBE SIT~ MA TTI R TOWN OF '. SUFFOLK Cd SURVEYED' FOR ST~ ~'END FENCE S 0.3' S 0.8' 'CZ ICK, 'OU THOLD UNTY, N.Y. 467. 80' ~ SURVEYED BY STANLEY J. ISAKSEN, JR. · P. 6I BOX 294 /]_ · NE~V SUFFOLK. NY 01R994 Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Bead 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.: 7323A Date of Receipt of Application: May 27, 2010 Applicant: Christopher O'Connor SCTM#: 113-8-3 Project Location: 3390 Cox Neck Road, Mattituck Date of Resolution/Issuance: June 16, 2010 Date of Expiration: June 16, 2012 Reviewed by: Trustee James F. King Project Description: To install stone steps and an electric line down to the existing dock. 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 project plan prepared by Christopher O'Conner, received on May 27, 2010, and stamped approved on June 16, 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 Ghosio, Jr. Johll Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated /1/)ay ,~ ~.. ,~2o,'o has been reviewed by this Board at the regular meeting of O'~_ /~,. ,--~O/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) __ Ist Day of Construction ($50.00) __ ¼ Constructed ($50.00) Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE:$,~'~~'- BY: Jill M. Doher~y, President Board of Trustees Jill M. Dohelty, 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 Natural Images Landscaping, Inc. on behalf of CHRISTOPHER O'CONNER requests an Administrative Permit to install stone steps and an electric line down to the existing dock. Located: 3390 Cox Neck Rd., Mattituck. SCTM#113-8-3 Type/of area to be impacted: _/~_,.~'altwater Wetland Freshwater Wetland Sound Distance of proposed work to edge of wetland ParLof Town Code proposed work falls under: ~hapt.275 Chapt. 111 other Typ~fApplication: 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 Mailed/Faxed to: Date: D. Bergen__ Jill M. Doherty, P~sident James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Applicatioj>~~ Wetland Permit Application ~ Administrative Permit /' Amendment/Trana,fer/Extension ~e~vved Application: ~57~9r']//O //Received Fee:$ <iT) *'~ ' .~CSompleted Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) '"'IJWRP Consistency Assessment Form - CAC Referral Sent: [~[ et _...Jhate ofInspection:/t~ l~q ~ I~ Receipt ofCAC Rel~: ' ' ' Lead Agency Determination: Technical Review: ~.~51ic Hearing Held: ~ [((/) ! Resolution: M/~Y 2 7 20~0 Southhold lown Board of Trustees Name of Applicant Address ~ ~>C~ Phone Number:(g3/) fi/3 - 300 ~, Suffolk County Tax Map Number: 1000 - //$ - Property Location: (prohde LILCO Pole ~, dist~ce to cross s~ets, ~d location) AGE~: (If applicable) Address: of Trustees Applicati¢ 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: Agency No prior pe~its/approvals for sit~ improvements. Date Has any permit/approval ever been revoked or suspended by a governmental agency? q/ No ' Yes If yes, provide explanation:__ Project Description (use attachments if necessary):. ard of Trustees Applicati¢ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~d.~ t D.~,,oz-/,,~r. "~e'~ ~a~ r/ o / Area ofwetlands on lot: *'/7 $)q60 square feet Percent coverage of lot: /O"' % Closest distance between nearest existing structure and upland edge of wetlands: 4/- 0'~ feet Closest distance between nearest proposed structure and upland edge of wetlands: O feet Does the project involve excavation or filling? No / Yes If yes, how much material will be excavated? ~L~ cubic yards How much material will be filled? o2~ cubic yards Depth of which material will be removed or deposited: '/D-~ feet Proposed slope throughout the area of operations: ~act-o ~o C0 ~ro oR Manner in which material will be removed or deposited: '~ 7 /-//~ S~aternent of.~e' ~ffect, if 9ny, o_n th~ wet_!~apds and_tidgl_ w~_ters of.t~ _town tha_t._m_ay- re§ul_[b_y- reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: ~g~9o Cox Municipality 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. PROJECT NAME County 4. PRECISE LOCATION: Street Addess a~d Road Intersections, Prominent landmarks etc -or provide mad ,~9o Co.~ /Oaoc ~o,eo 5.1S PROPOSED ACTION: [~New r--]Expansion r~Modification/aJteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: ~ Indially acres Ultimately acres SEQR 8. WIL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yos [] No If no, describe briefly: 99. V~HAT tS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) esidential []Industrial r']Commercial [~Agriculture ~]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 r-~No if yes, list name and permit / approval: agency 11. Ut.)E~5 ANY~fY A~6I'P'I=(~I OP THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? []Yes [~No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [~Yes [--']No 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 Coasta~ssessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency). A. IX}ES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF. r-I I:Z] .o B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNUSTED ACTION8 IN 6 NYCRR, PART 617.67 if No, a negative declara6on may be supemMad by anothe~ Inv~nmd agency. C. COULD ACTION RESULT IN ~ ADVF.-RSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Cl. E~-~I air qus~/, sur~ce o~ gmor~water quaaty or qusnttty, delse levels, e.~ds~g traffic paaam, su#d wa~e ~ ~ d~, C5. Growth, subseqce~t developo&mt, or rel~ad ac6v~? #kely to be Induced by Ifle IPmpo~ad 8c~Jon? F_xpta~ bdefly: C6. Longtenn, shodle~n, cumulative, o~othereffectsnotidentirmdlnCl-CS? ERolalnbdefly: D. ~tlLL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain bdefl~: E. IS THERE, OR IS THERE UKELY TO BEt CONTRoVERsy RELATED T0'POTENTIN- ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: PART El - Dc tcRMiNATION OF SIGNIFICANCE (To be completed by Agency) iN~11~UC'I1ONS: For each advame effect identified above, determine whether it is substantial, large, important.or ofhenvine signiflcenL Each elfeof should be assessed in connec~ with its (a) esfling (i.e. unban or rural); (b) probability of occurring; (c) duratiofl; (d) In~vemthility; (e) gengmphto ecepe; and (f) magnitude. If nece~___?_ry, add attachments or rstemnne supporting matedale. Eneum that e.~planatlons contain mdticlent detail to show that all relevant adverse impacts have been identified and adequately addresa~d. If question d of pat Ii was checked yes, the,detefrnlneflofl of significance must evaluate the potential Impact of the proposed actioft orl the envlronmentel chamcterletlce of the CEA. FAF and/or prepare a positive declaration. WILL NOT resutt In any significant adverse environmental Im4)ac~s AND ~, on attachments as nece~__ ?_=_fy, the masons supporting ~ Board of Trustees Name of Lead Agency Jill M. Doherb/ l, Pdnt or Type Name of Responsible Officer in Lead Agency Date President Title of Responsible Officer Signature of Preparer (If different from responsible officer) County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS T~ ~PLIC~T FOR ~ ~O~ DESC~ED PE~T(S) ~ T~T ~L STATE~S CO~D ~ ~ ~ TO T~ BEST OF ~S~R ~O~EDGE ~ BEL~F, ~ T~T ~L WO~ W~L BE DO~ ~ T~ ~R SET FORTH ~ ~S ~PLICATION ~ AS MAY BE ~PRO~D BY T~ SO--OLD TO~ BO~ OF TRUSTEES. ~ ~PLIC~T AG~ES TO HOLD ~ TO~ OF SO.HOLD ~ ~ TO~ TRUSTEES ~ESS ~ F~E ~OM ~Y ~ ~L D~AGES ~ CL~S ~S~G ~ER OR BY mT~ OF Sm PE~T(S), ~ G~ED. ~ CO~LET~G TInS ~PLICATION, I ~BY A~HO~E T~ ~US~ES, T~m AGENT(S) OR ~P~SENTATI~S(S), TO EN~R ONTO ~ PROPERTY TO ~SPECT T~ P~SES ~ CON~CTION ~TH ~W OF ~S ~PLICATION Signature ~ SWORN TO BEFORE ME THIS ,-~ -] DAY OF ~4A/~ ,20 1 U) Notary Public AUT~ORI ZATTON (where the applicant is not the owner) I, C,~1,~7-~/3/'/6~ O'CO~3A3D/~ residing at ~0~ ~ (print owner of property) (mailing address) do hereby authorize~ ~ (Agent) to apply for permit(s) from the Southo Board of Town Trustees on my behalf. ( Owner ' s signature ) 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM T~ Town of Southold's Code of Ethics nrohibits conflicts of interest on the axrt of town officers and emnlovees. The nurvos~ of this 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, (Lost name, firat name, ~iddle initial, unless you are applying in the name of someone el~ or other entity, such ss a company. If so, indicata 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"Othe~, 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, raarriage, 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 T~wn of Southold Title or position of that person Describe the relationship between yourself (the applicant/ngenl/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 child is (check all that apply): __A) the owner of greater than 5% oftbe shares of the corporate stock of the applicant (whe~ 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 Submi~tted this S ignaturo..--'~>-_-----'-'~ Print Name 20 0_ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for penn/ts* includ'mg Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Water~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 Waterfxont 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- suooortin~ 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 The Application has been submitted to (check appropriate response): Town Boa~'d [-] Planning Board [~ Building Dept. ~-] Board of Trustees 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) Co) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Site acreage: Present land use: Location of action: ,~c) t3 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 [] If yes, which state or federal agency? /3 t~ C__ 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 r~quire 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 [] Not Applicable ~$1,o~ tO~ro~ ,~_ro ~,~ ,iv '~. 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. See LWRP Section III - Policies Pm,"s 8 through 16 for evaluation criteria ~Yes [] No ~ 4Not 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 ~'Not 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 No Not Ap~ble At, ach 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.Not Applicable At, ach additional sheets ifnecessa~ 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 L~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 Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ Yes~ Non, Not Applicable Attach additional sheets if necessa~ WORKING COAST POLICIE~ 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 Not Ap.licable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section IH - Policies; Pages 57 through 62 for evaluation criteria. Yes ~ No_l~ 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 evaluation criteria. ~ Yes [] No ~Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; ,Pages 65 i. hrough 68 for evaluation criteria. [] Yes ~ No ~/Not Apphcable DATE