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Home My WebLink AboutTR-7454EJill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town HM1Annex 54375M~nRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD EMERGENCY WETLANDS PERMIT Permit No.: 7454E Date of Receipt of Application: January 5, 2011 Applicant: Rachel Levin-Murphy (Soundview Restaurant) SCTM#: 44-2-20 Project Location: 58775 County Road 48, Greenport Date of Issuance: January 6, 2011 Date of Expiration: N/A Reviewed by: Board of Trustees Project Description: Due to recent storm damage, temporarily repair broken cross pieces and supports to the existing building, and to clean up the debris along the beach to prevent further possible damage. Findings: The project meets all the requirements for issuance of an Emergency Wetlands Permit as determined by the Board of Trustees· The issuance of the Emergency Wetlands Permit allows for the operations as indicated in the application received on January 5, 2011. Special Conditions: A full Wetland Permit and Coastal Erosion Permit must be obtained in order to conduct any further activity. This is not a determination from any other agency. · Dohert nt Board of Trustees 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 (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension ~>_Received Application: ~._Received Fee:$ <~)~ ~ ~ __Completed App~cation __Incomplete __SEQRA Classification: Type I Type II Unlisted __Coordination:(date sent)_ __LWRP Consistency Assessment Form CAC Referral Sent: Date of Inspection: __Receipt of CAC Report: __Lead Agency Determination:__ __Technical Review: __Public Hearing Held: Resolution: Name of Applicant \t~ Address ~7'75 ~17 ~2 Phone Number:( Suffolk County Tax Map Number: 1000~ M~ Prope ynocation: 8-/75 *o4r q:i ' (pftJvid¢ LiLCO Pol~ #, distance to cross streets, and locht-ion) AGENT: (If applicable) Address: Phone: of Trustees Applicatio~ GENERAL DATA Land Area (in square feet): \/2- t2xC~-c--, "~ ,~[t,~ Previous o prope.y: Intended use of property: ¢(%-~(~ ~ (- Covenants and Restrictions: Yes fi If "Yes", please provide copy. No Does this project require a variance from the Zoning Board of Appeals __ If "Yes", please provide copy of decision. Yes Prior permits/approvals for site improvements: Agency Date No ~c No prior permits/approvals for site improvements. Has any pm'mit/approval ever been revoked or suspended by a governmental agency?. ¥ No__ Yes If yes, provide explanation: Project DescriPtion (use attachments if necessary): S~uthl~ok~ T~¥~n t rd of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purposeoftheproposedoperations: '1 t~ C?t~O It'- ~l£iv~J~e~ Area of wetlands on lot: ~,/~)O % square feet Percent coverage of lot: ~O % 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 project involve excavation or filling? No ~( Yes If yes, how much material will be excavated?~ cubic yards How much material will be filled? '¢' ~) cubic yards Depth of which material will be removed or deposited: ")--- feet Proposed slope ttu'oughout the area of operations: ~/5~-/fl5 Manner in which material will be removed or deposited: ~C(C~.~) C. Statement of the eff_ect, !f any, on the wetlands and tidal w.a__ters- _of~ town that may_ r_es~!t_.b_7 reason of such proposed operations (use attachments if appropriate): of Trustees Ap~licatio~ COASTAL EROSION APPLICATION DATA Purposes ofproposed activity: I"--~ ~'C0(kiC ~C~l(,[u(~ Are wetlands present within 100 feet of the proposed activity? No )(~ Yes Does the project involve excavation or filling? No '~ Yes If Yes, how much material will be excavated? How much material will be filled? ~ C) (cubic yards) (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 617.20 ,P.ROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART '1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 1. APPLICANT / SPONSOR 2. PROJECT NAME SEQR 3.PROJECT LOCATION: Municipality 4. PRECISE LOCATION: Street Addess and Road Intersec~ons, Prominent landmarks etc -or Drovide mao 5. IS PROPOSED ACTION: ~ New ~ Expansion ~ Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: 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 VICfNITY OF PROJECT? (Choose as many as apply.) E~ Residential E~ Industrial [~Commercial F-]Agriculture E~ Park / Forest / Open Space E] Other (describe) 10.' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E]Yes E~]No If yes, list agency name and permit / approval: 11, L)L)b~ ANY A~Pb(¢I (JF IHE AC¥1ON HAVE A C~J~ENTLY VALID PERMIT OR APPROVAL? E]Yes r'~No if yes, list name and permit / approval: agency 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? E~Yes E]No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / riser Na Date: If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment of Trustees ApE County of Suffolk State of New York DEPOSES'AND AFFIRMS THAT H~/SI~. 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 1N THE MANNER SET FORTH 1N 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 CLAlMS 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 ]k~VIEW OF THIS APPLICATION. // ,, ~--'X~nature 20// SWORN TO BEFORE ME THIS DAY OF Notary Public NO. 01G~ ard of Trustees Applicati~ AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at (mailing address) do hereby aHthorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the vart of town officers and emnlovees. The ouroose of this form is to nrovidc information which can alert the town ofoossible conflicts of interest and allow it to take whatever action is necessary to avoid same, (Last name, first name, rDiddle initial, dnless, 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 Appraval of plat Mooring Exemption from plat or official map Planning Other (1 f "Other", name the activity.) _ .~.. f, rx et'(.l ~ ~ ( ~.l 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 V 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/agenffmpresentative) 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) tbe owner of greater than 5% oftbe shares oftbe corporate stock of the applic0at {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, parmei', or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1