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HomeMy WebLinkAboutTR-7371AJill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hail, 53095 Main Rd. P.O. Box 1179 $outhold, NY 11971 Telephone (63 I) 765-1892 Fax (63 I) 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 constructed roject complota, complianco 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 Southeld, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7371A Date of Receipt of Application: July 23, 2010 Applicant: Dennis Hickey SCTM#: 118-5-2.2 Project Location: 175 Clearview Lane, Cutchogue Date of Resolution/issuance: August 18, 2010 Date of Expiration: August 18, 2012 Reviewed by: Board of Trustees Project Description: To install a pool fence on the bluff. 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 site plan prepared by Creative Environmental Design, received on July 23, 2010, and stamped approved on August 18, 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. Jill I~ Doherty, Preside~ BoaFd of Trustees JMD:eac 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 Please be advised that your application dated J-~,(,/ oO.~, c,,~O/r9 has been reviewed by this Board at the regular meeting oft3t~'o.,:t~'l~ oT~/O and your application has been approved pending the compl~tmn 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) __ ½ Constructed ($50.00) ~Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTALFEES DUE:$,~~'~° BY: Jill M. Doherty, President Board of Trustees Jill M. Doher~ President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr John Bredemeyer P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report DENNIS HICKEY requests an Administrative Permit to install a pool fence on the bluff. Located: 175 Clearview Lane, Cutchogue. SCTM#118.5-2.2 /~e of area to be impacted: altwaterWetland 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 of Application: __ Wetland __Coastal Erosion __Amendment )¢~.Ad minist rative__E mergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: ~7"JcKing ~J~_Doherty ____-~Bredemeyer .~-%Q. Bergen__ B.Ghosio, __ D. Dzenkowski other Form filled out inf~he field by Mailed/Faxed to: Date: OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. 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: Mark Terry, Principal Planner LWRP Coordinator Date: August 18, 2010 Re: Proposed Wetland Permit for DENNIS HICKEY SCTM# 1000-118-5-2.2 DENNIS HICKEY requests an Administrative Permit to install a pool fence on the bluff. Located: 175 Clearview Lane, Cutchogue. SCTM#118-5-2.2 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 denoted following Policy Standards and therefore is CONSISTENT with the LWRP provided the following: Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regardii~g 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 Brederneyer 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 Office Use Only Coastal Erosion Permit Application~ Wetland Permit Application ~'~ Administrative Permit Amendmenffrrans f~r/Extension eceived Application: eceived Fee:$ .~'-O ~ ' ~,'"Uompleted Application~t~ Incomplete SEQRA Classification: Type 1 Type II Unlisted Coordirmtion:(date sent) ~LWRP Consistency Assessment Form ,,~-,&'La"R'~&xa I Sent: ~lgate of Inspection: ~ Receipt of CAC Repo-rti Lead Agency Determination: Technical Review: ~blic Hearing Ueld:~]~ Resolution: JUL 2 3 2010 Southhold Tow. Board of Trustees Address (gM~ ~_~c~c.~, exiq ~ ]'~ Phone Number:({~/ Address: Suffolk County Tax Map Numbei': 1000- [} ~:~ --- 0,._%-- -- Z, 7__. Property Location: [ "'7~' ~Lf~'pq&- b~f4~l~C~y~ /_~,PaO~ ~ (provide LILCO Pole #, distance t6 cross streets, and location) (If applicable) rd of Trustees Applicatio GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions: Yes If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals __ If "Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency ~,// D~te Yes No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspendejt~l y~a governmental agency?. x/No Yes If yes, provide explanation: Project Description (use attachments if necessary): / ~/~ ~ c~-.'~tAj ,ard of Trustees Applicati¢ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: '~-/,4/7 ~/,~, 77 ~v,~! Area of wetlands on lot: ~7~OO .square feet Percent coverage of lot: , 6~ % Closest distance between,nearest existing structure and upland edge of wetlands: ~ ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: /~ feet Does the~involve exCaVya~ion or filling? If yes, how much material will be excavated?~__cubic yards How much material will be filled. At//} cubic yards / Depth of which material will be removed or deposited: ~/0-- feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of t~e effect, if any, on the wet!~_d5 an .d__tid.a_l wa_ters of the to~ tha_t ~ay~ r~es~!t~ by reason of such proposed operations (use attachments if appropriate): ard of Trustees Applicat~ AUTHORIZATION (where the applicant is not the owner) (print owner of ~roperty) · residing at (mailing address) do hereby authorize t ( Agent ) ply for pemit(s) from the Southold Board of Town Trustees on my behalf. i '( Owner ~lg~at~ PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. A PLICANT / SP?NSOR &PROJECT LOCATION: 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Ap )licant or Project Sponsor) SEQR PRECISE LOCATION: S~eet Addess and Road Intersections, Prominent landmarks etc -or provide map IS PROPOSED ACTION: [] New [] Expansion [~fication / alteration DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially ~ acres .~-~f/' Ultimately ~ 43:~/ acres . ~::~_.2/ 8.~OSED ACTK3N COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [~es [] No If no, describe briefly: 9. WHA S PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~;nUal [] Industrial E~] Commercial E~Agriculture [] Park / Forest / Open Spece []Other(describe) 10.'DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federa~S~ate or Local) ]Yes b_~'No if yes, list agency name and permit / approval: J ll.L)Ob.~ ANY A~P'~gl UP IHE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes ,[~No If yes, list agency name and permit / approval: 12. AS A RE.~ OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [~Yes I CERTIFY THAT THE. INFORMATION PROVIDE{:) ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE -- ~n is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment 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 ~lc(~~ //~ ~- .~, Z.- STORM-WATER/GRADING, DRAINAGE AND EROSION CONTROL pi. AN section B~ I.~ CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. scOpE OF WORK - PROPOSED CONSTRUCTION: iTEM# / WORKASSF~SMF_,NT No a. What is the Total Ama of the projeof Parceis?- ,' ~I' 1 WillthisPmjectRetalnAiIStorrn-WaterRun-Off ~/~.._ (Include Total Ama of all Parcels located within ~.~, ~ 2 Generated by a Two (2") Inch Rainfall on Site? the Scape of Work for Proposed Construction) (s.F. ~) (This item will include all mn-off created by site b. What is the Total Area of Land Clearing cleadng and/or canstmction activities as well as all and/or Ground Disturbance for the proposed ~ Site Improvements and the permanent creation of imperious surfaces.) construction activity? (S.F., ~--) 2 Does the Site Plan and/or Survey Show All Proposed PROVe)/ BR~' PROJ'~CT DESC~Hq~ON ~ ~ P,;- ~ Drainage Structures Indicating Size & Location? This item shall include all Proposed Grade Changes and ?/]~..~ ?._~ ~,~7.)~ (i/,~ ~ /~..) ~. Slopes Controlling Surface Wster Flow. ~OD~ ~'-~'~6~ O/y" ~t/~:,~- 3 Does the Sito Plan and/or Survey descflbe tho erosion and sediment control practices that will be used to control site erosion and storm wator discharges. This ,/¢~-'~.~¢~ . item must be maintained througl~out the Entire Construction Period. 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural [ [ Existing Grade Involving more than 200 Cubic Yards~ -- of Matedal within any Parcel? 5 Wit/this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? 6 is there a Natural Water course Running through the r'~ Site? is this praject within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland or Submission of a SWPPP is required le~ alt Construction activities involving soil Beach? disturbances of (me (1) or more acres; including disturbances of less than one acre that 7Will there be Site preparation on Existing Grade Slopes are pant of a larger co~nmofl p~an that will ultimately disturb one or more acres of lend; which Exceed Fifteen (15) feet of Vertical Rise to including C~flsb~ction ac6vities involving soil disturbances of less than one (1) acre where One Hundred (1 OFF) of Horizontal Distance?~-- -- the DEC has determined that a SPDES permit is required for storm w~ter discharges. S~NpPP'$ Shall meet the Minimum Requirements of the SPDES General Pemllt 8 Will Ddveways, Parking Areas or other ImderviO~s STATE OF NEW YORK, COUN"I'~' OF ........................... z .............. SS Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all s~atemenCs contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set fo~da in the application filed herewith. Sworn to before me ~his; ............................................... day of ............................................ ,20 ..... Notz~y Public: .......................................................................................... FORM - 06/10 of Trustees Applicat~ County of Suffolk State of New York / tSOO-/l~b~/d2-,/~/7Oa. 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. 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. SWORN TO BEFORE ME THIS c~3r~( DAY OF /M~,L~ ,20 ~c'/ c'-'N'ottary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc Town of Southold's Code of Ethics orohibits conflicts of interest on the oart of town officers and emolovecs. The ourouse of ~hi~ form is to nrovidc information which can alert thc town of ouss~blc conflicts of interest and allow it to take whatever actmn ~o necessary to avoid same. . (L'~name, first name, ~ dd e initial, unless you are applying ~n 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 (1 f "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 $outhold? "Relationship" includes by blood, marriage, or business interest- "Business interest" means a business, including a partnership, in which the town off~cer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% oftbe 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/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. Thc 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-corporate entity (when the applicant is not a corporation); C) an officer, director, pariner, or employee of the applicant; or ___D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 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 supoortin~ and non- suonortin~ 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.norttffork.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 SCTM# The Application has been submitted to (check appropriate response): TownBoard [--] Planning Board [--] Building Dept. [] BoardofTrustees 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: Location of action: I Site acreage: 1 , 20 ~ Present land use: 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? 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 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 [--~Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III -~ Pages 3 through 6 for evaluation criteria [] Yes ~ NoVel 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 [~NotApplicable 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 th~ evaluation criteria ~] Yes ~] No~ -'l ~rNotApplicable 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 c/rJteria. Yes 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 34fo~tion criteria. [] Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. ~,ge~LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Yes NoApplicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public re.sources of the Town of So~a*hold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~NntA nnli, ~ Ye~-~ No Not Applicable Attach additional sheets if necessary WORKING COAST POLICIE~ Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L~P Section III.- Policies; Pages 47 through 56 for evaluation criteria. [] Yes ~ NoI-~/i ~Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town water. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes ['-] No~1 ~'] 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~ 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 - Polic~; ~S 65 ?rough 68 for evaluation criteria. ~'~ Yes ~ No I~-'FNot Apphcable DATE F,~¥ED BY /? ? Sc¢¢6 f'=~d /.5'