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Home My WebLink AboutTR-7394AJill M. DoherW, President 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 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 __ Ist day of construction ½ 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.: 7394A Date of Receipt of Application: August 30, 2010 Applicant: Scott & Susan Ambrosio SCTM#: 104-7-16.1 Project Location: 1940 Mason Dr., Cutchogue Date of Resolution/issuance: September 22, 2010 Date of Expiration: September 22, 2012 Reviewed by: Trustee Dave Bergen Project Description: Construct an 8'X 12' shed. 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 survey prepared by Nathan Taft Corwin III last dated July 31, 2010. Conditions: 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. Jill M/~hherty, P~rreside~n Board/of Trustees ~ Jill M. Dohedy. 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/VVorksession Report En-Consultants, Inc. on behalf of SCOTT & SUSAN AMBROSIO request an Administrative Permit for the existing 8'X 12' shed. Located: 1940 Mason Dr., Cutchogue. SCTM#104.7-16.1 T~e of area to be impacted: altwater Wetland Freshwater Wetland Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _~<,Chapt.275 __Chapt. 111 other Sound __Bay Type of Application: __ Wetland __Coastal Erosion ._Amendment ,t~dministrative__Emergency Pre-Submission __Violation Info needed: ¥"~/o¢.',=.., '~44,--..~' / ? Modifications: Conditions: Present Were: __&King __J.Doherty __J. Bredemeyer .~.._D. Bergen__ B.Ghosio, D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Brederneyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold,NY 11971 Telephone (631) 765-1892 Fax (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application~ Wetland Permit Application / Administrative Permit AmendmentyTrans fer/Extension ~-R~ceived Application:~ .~'~ce Jvc d Feel Application ~ I ~ ~lt t~ ..~ Completed Incomplete SEQRA Classification: Type I Type li Unlisted Coordination: (date sent) ~AWc~eCf~n22~t;~21y: Assessment Form ~te of Inspection: qllXZff0 Receipt of CAC Report: Lead Agency Determination:__ ~euebhnical Review: lic Hearing Held: q [ i~.lO Resolution: Name of Applicant SCOTT & SUSAN AMBROS10 Address 25 BR1AN LANE, EAST NORTHPORT, NY 11731 Phone Number: (631) 486-1079 Suffolk County Tax Map Number: 1000 - 104-7-16.1 Property Location: 1940 Mason Drive, Cutchogue, NY 11935 (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS, 1NC. (If applicable) Address: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone: 631-283-6360 Board of Trustees Appl~t±on GENERAL DATA Land Area (in square feet):.62,613 SQ. FT. Area Zoning: R40 Previous use of property: RESIDENTIAL, 1-FAMILY DWELLING Intended use of property: NO CHANGE Covenants and Restrictions: If "Yes", please provide copy. Yes X No Does this project require a variance from the Zoning Board of Appeals If "Yes", please provide copy of decision. Prior permits/approvals for site improvemems: Agency Date TOWN WETLANDS #7221 12/16/09 TOWN WETLANDS #7002A 11/19/08 NYS DEC # 1-4738-03872/00003 4/01 / 10 Yes X __No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: No Project Description (use attachments if necessary): Authorize 8' x 12' shed and wood ramp, as depicted on the survey prepared by Nathan Taft Corwin, III, L.S., last dated July 31, 2010. Board of Trustees Appliltion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Storage shed. Area of wetlands on lot: +/-31,321 .square feet Percent coverage of lot: +/-51 % Closest distance between nearest existing structure and upland edge of wetlands: --/-22 feet Closest distance between nearest proposed structure and upland edge of wetlands: 30 feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The proposed shed is less than 100 s.f. in area; has been situated near the end of the grovel driveway/parking ama; and is separated from the tidal wetlands by approximately 30 feet of natural vegetation. Therefore the shed will have no significant adverse impacts on the adjacent wetlands. PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR Scott & Susan Ambrosio by En-Consultants, Inc. 3. PROJECT LOCATION: Munidpality Cutchot~ue 617.20 APPENDIX (~ STATE ENVIRONMENTAL Q~ITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by A ~licant or Proiect Sponsor) 2. PROJECT NAME County Suffolk SEQR PRECISE LOCATION: Street Address and Road Intersections. Prominent landmarks etc - or provide map 140 Mason Drive, Cutchogue, Town of Southold, SCTM # 1000-104-7-16.1 5.1S PROPOSED ACTION: [~ New [~]Expansi~n [~M0c~catiaa/alteration 6. DESCRIBE PROJECT BRIEFLY: ~uthorize 8' x 12' shed and wood ramp, as depicted on the survey prepared by Nathan Taft Corwin, Ill, L.S., last dated July 31, 2010. 7. AMOUNT OF LAND AFFECTED: Initially +/-1.44 acres Ultimately +/-1.44 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? RYes ~ No lfno, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [] Residential [] Industrial ~] Commercial [~]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) []Yes ~No If yes, list agency name and permit / approval: NYS DEC #1-4738-03872/00003 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? E~Yes []No If yes, list agency name and permit / approval: I~.,2iS A P,0~ LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? II Yes,No I CERTIFY T/I~AT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor N~e ROBERT E. HERRRMANN, COASTAL MANAGEMENT SPECIALIST Date: AUGUST 26, 2010 Signature IlK 1]~"~ ~ ~ If the action is a Coastal 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-IRESHOLD IN 6 NYC~ PART 617.47 ff Yes. ooo~te the reVew procees and use f~e FULL EAF. B. WILLAL;iR,k~RECEIVECOORDINATEDREVIEgV.a. SPROVlDEDFORUNUSTEDACT1ONSiN6 NYCRR, PART617.67 IfNo, anegatlve r-I r71.o C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED ~ '[HE FOLLOWING: (Answers may be handrails, If legible) CL F. Sdstlng ak quaity, surface m grmmdwater query or quan~y, ~lee levels, e~;Sng irafllc paltem, solid waste pmduc~on m ~1, C6. Long tewn, .sh~tenn, cumulaflve, orothereffec~not;~ii;i',=dln C1.C57 F-xplalnl~e~. INo ~ '' I · ~ THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED ~ ESTABLISHMENT OF A CRITICAL PART III- ia= ~ =t~mire~ rue OF 81GNIFIOANCE (To be completed by Agency) IN~11~UG~IION$; F~rea~h~dveraee~e~den6~ed~beve~detet~m~ne~Vne~hm~iti~$ubstantia~arge'imp~ftant`~r~thenvise~gn~m~anL Each eltre~ should be assessed in connection wllfl its (a) set,rig (i.e. eKoan or rural); (b) pra/oe~lity of oo~; (O) dejra6on; (d) In'ever~, (e) geographies; and (f) magnitude. IfneoessaY, add attachme~lsorref~rencesul~porangmateelab. Ensure thate~lanatlonsomtaln )'es, the,determination ofetgnlflcanoe must evaluale Ihe pote~al Impactofffie Ixopo~d ~ mi ~ envlromnental chamcledstk~ of the CEA EAF and/re' ixeflam e pordllve.declara~n. Board of Trustees Name of Lead Agency Jill M. Doherty ' ~ P~dnt or Type Name of Resl~onsible Officer in Lead Agency / $1gna(ure of Re[o~lslble O1~ in Lead Aeency President Date Title of Responsible Officer Signak~re of Preparer (l~different from responsible officer) Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 1000 104 7 16. ] STORM-WATER, GRADING, DRAINAGE AMP EROSION CONTROL PLAN District Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEWYORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT [ Yes No a. What is the Total Area of the Project Parcels? 1 Wili this Project Retain AIl Storm-Water Run-Off (include Total Area of all Parcels located within the Scope of work for Proposed Construction) 1.44 ACRE Generated by a Two (2") Inch Rainfall on Site? b, What is the Total Area of Land Clearing (S.Fd A~res)) (This item will include all nm-off created by site clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed +/- 112 S.F. Site improvements and the permanent creation of construction activity? ($.E / Acres) impervious surfaces.) 2Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed)) Drainage structures Indicating Size & Location. This ~x I [ item shall include all proposed Grade Changes and Authorize 8' x 12' shed and wood ramp, as depicted on the 51opes Controlling Surface Water Flow, 3 Does the Site Plan and/or Survey describe the erosion survey prepared by Nathan Taft Corwin, Ill, L.S., last and sediment control practices that will be used to control site erosion and storm water discharger. This dated July 31, 20] 0. Item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling, Grading or Excavation wherethere is a change to the Natural Existing Grade involving more than 200 Cubic Yards of Material wifhin any Parcel? 5 Will this Application Require Land Disturbing Achvities Encompassing an Area in Excess of Five TEousand I I (5,000 S.F.) Square Feet of Ground Surface? 6ts there a Natural Water Course Running through the Site? ls this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within O~e Hundred (100') feet of a Wetland or Submission of a SWPPP is required for all Construction activities involvtu~ soil Beach? ' d~iurbances c~ c~e (1) or ra~e acres: including disturbances cfi less than one acre that 7 Will there be Site preparation on Existing Grade Slopes ate F°~t (]~ a la~ger c°nan°n plan that will altin~tely dJsK~rb c~e °r rrc~e acn~ c~ lands; which Exceed Fifteen (15) feet of Vertical Rise to tor Storm Ware. Discharges from Construction activity - Permit No. GP-0-10-001.) Sur faces be Sloped to Direct Storm_Water Run.Off ~X required, post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any that is knowledgeable in the principles and practices of Storm Water ManagemenL ( lxUIE: ACheck iv~rk ~,~ and/c~ Ans~ for e~szh O~stim is ]~qui~d for a Cc~nl~eted A~icalion). COUNTY OF SUFFOLK ss That I, ROBERT E. HERRMANN ~ duty sworn, deposes and says that he/she is the applicant for Pern~t~ (N~ecf ~t,~Xa a[r~gr]xL-mt) AGENT FOR OWNER Not2a6ryTHpu~: ~ ~U ST ,20'0 ~ ~ ~a~are 0f ~ppu~ FORM - 06/10 Board of Trustees ApplicQon AUTHORIZATION ~ /'~ i (where the applicant is not the owner) ~rS~n~ 6"~ J"~~ residing at a~-~ ~ (p ' owner of property) ~) do hereby authorize'~o ~qi- (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owher'~ Board of Trustees Application County of Suffolk State of New York S~Pf- l~f~'~tO~ {O 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. 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 Z ~4d' DAY OF ~otk.~_ ,20~L Notary Public JAN SCHOTTENFELD Notapj Public, State o! New York No 4949213 Nassau County_ Commission Exp res April ~oIo APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on th? cart of town officers and emt~lovees. The nuroose of this form is to vrovide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Lair name, first name~-middle initial} unless you are applyi~lg 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 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% oft~res. YES NO If you answered "YES", complete the balance ofthls form anddate a~d sign where indicated. Name of person employed by the To wnAo f/S/[~j~old Title or positlon of that person Describe the relationship between yourself (the applicanffagent/representativeJ 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 applicant (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 1 Submitted ~d3'!7~ f ~200 ~ Signature 1"/.~ ~~" Print Name -~Co~ fbt.,,l~q. ~'~ EN-CONSULTANTS, INC. Jill Doherty, Chairwoman Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 ENVIRONMENTAL CONSULTING 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com August 24, 2010 Re: Scott and Susan Ambrosio~ 1940 Mason Drive. Cutchoeue Dear Mrs. Doherty: It has come to my attention that after being advised by the Southold Building Department that a Building Permit was not required for a shed less than 100 square feet in area, the Ambmsios began construction of an 8' x 12' shed and small wood ramp near the end of their driveway, as depicted on the survey by Nathan Taft Corwin III, L.S., last dated July 31, 2010, (3) copies of which are attached hereto. Because of the small size of the structure and the fact that vegetation between the wetlands and shed was not cleared, we respectfully request that the shed be anthofized to remain in its current location. To that end, an application for an ^dminism~tive Wetlands Permit and check for $100 is attached. Should you require any additional information to process our application, please let me know. ReStfully yours, ._ Robert E. He,:tmann Coastal Management Specialist PLEASE FIND ENCLOSED MY PAYMENT FOR MY SHED PERMIT ~ 1940 MASON DRIVE CUTCHOGUE, NY 11935 PLEASE MAIL ALL PERMITS TO (ALSO FINAL DOCK AMENDED PERMIT ON FILE AT THE TOWN) SCOTT AMBROSIO 25 BRIAN LANE EAST NORTHPORT NY 11731 THANK YOU SCOTT AMBROSIO 516-644-3710 TOWN OF SOUTHOLD 77' NOTE~ N N N N ~ROAD~rATERS COVE SURVEY OF PROPERTY S/TUATE CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-104-07-16.1 SCALE 1'=40' AUGUST 19, 2009 JULY 31, 2010 UPDATE SURVEY AREA 62,615 sq. fl, (TO TIE LINE) 1.457 mc. CERTIFIED TO. SCOTT AMBROSIO 1. ELEVATIONS ARE REFERENCED TO MEAN LOW WATER ELEV, O,O EXISTING ELEVATIONS ARE SHOWN THUS ~ EXISTING CONTOUR LINES ARE SHOWN THUS: ..... i _ __ UNAUTHORIZED ALTERA¥]ON OR ADDITION TO THIS SURVEy IS A VIOLATION OF THE EXISTENCE OF RIGHTS OF WAY lc No 50467 Nathan Taft Corw,n III Land Surveyor Construction Luyout Fax (631)727 1727