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Home My WebLink AboutTR-7459AJill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box t 179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 76541641 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 ~"Project complete, compliance inspection. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town H~lAnnex 54375M~nRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Permit No.: 7459A Date of Receipt of Application: November 18, 2010 Applicant: Kevin O'Connor SCTM#: 70-4-33 Project Location: 105 Hill Road, Southold Date of Resolution/Issuance: December 15, 2010 Date of Expiration: December 15, 2012 Reviewed by: Board of Trustees Project Description: To replace the existing wooden pool deck with a masonry patio. 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 Creative Environmental Design, received on November 18, 2010, and stamped approved on January 3, 2011. 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. J~.. Dohert)y, Pre~s ent Board 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 (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ~ ¢~e¢- ] ~/~O/C) has been reviewed by this Board at the regular meeting o[De,-~,~_r- ~ ~.,~o/0 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) __ 1St Day of Construction ($50.00) __ ¼ Constructed ($50.00) ~'/ Final Inspection Fee ($50.00) __ Dock Fees ($3,00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code, The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: Jill M. Doherty, President Board of Trustees .5,UI~.VE"r' OF: PROPEP-.T'r' 51TUATE: ~HOLD TOk'IN~ ~5OUTHOLO c'~JFFOLK C, OUNTT', NY N APPROVED BY [,'$~)~RD OF TRUSTEE '.. ye N OF SOUTHOI. JOHN C. EIB ]~.RS LAND SURVEYOR Jill M. Doherty, President James F. King, Vice-Presiden! Dave Bergen Bob Ghosio, Jr. John Bredemeyer PO. Box 1179 Southold, NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: 72~///~/d Creative Environmental Design on behalf of KEVlN O'CONNOR requests an Administrative Permit to replace the existing wooden pool deck with a masonry patio. Located: 105 Hill Rd., Southold. SCTM#70-4-33 YTL~Pe of area to be impacted: Saltwater Wetland Freshwater Wetland Distance of proposed work to edge of wetland ~,a~t~ of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Sound ,v~'ay T~YAe of Application: Wetland __Coastal Erosion ~Amendment d ministrative__Emergency Pre-Submission Violation Info needed: Modifications: / Present Were: v'~.King ~z~J:Doherty ~ Bredemeyer ,,/D. Bergen__ B.Ghosio, D. Dzenkowski other Form filled out in the field Mailed/Faxed to: Date: O~YICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southald, 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 Coordinator DEC - 8 20i0 B~rd 0f Truste,s Date: December 8, 2010 Re: Proposed Wetland Permit for KEVIN O'CONNOR SCTM# 1000-70-4-33 Creative Environmental Design on behalf of KEVlN O'CONNOR requests an Administrative Permit to remove the phragmites and re-vegetate with native plants. Located: 105 Hill Rd., Southold. SCTM#70-4-33 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. It is recommended that the Board require type of species and detailed specifications (spacinq), includinq survival requirements, for the planted vegetation. Creative Environmental Design on behalf of KEVlN O'CONNOR requests an Administrative 'Permit to replace the existing wooden pool deck with a masonry patio. Located: 105 Hill Rd., Southold. SCTM#70-4-33 The above action is Exempt from LWRP review. 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 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Office Use Only Coastal Erosion Permit Applicatio.,~- Wetland Permit Application ¢' Administrative Permit R Amendment/Transfer/Extension ece~vved Application: eceivedFee:$ ~.)oo t -.,/Completed Application I [ [( ~ I ~ ~ Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~'~WRP Consistency Assessment Form I [ [~3 ]/~ · CAC Referral Sent: ~__..l~te oflnspection: 1~9,.I __Receipt of CAC Report: __Lead Agency Determination:__ Technical Review: ~--~P~blic Hearing Held: ] ~TJ / ~ 0 Resolution: Board o Tr~ste~;s Name of Applicant Address Phone Suffolk County Tax Map Number: 1000- Property Location: /V~.~'~ /7/~ // (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: ',-~4~ ~h _ _ of Trustees Appllcati¢ GENERAL DATA Land Area (in square feet): 3 9/ ~?t57 Area Zoning: ~t~/~,4 ¢, '/+C Previous use of property: Intended use of property: Covenants and Restrictions: If "Yes", please provide copy. Yes 40 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 Yes __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended~by a governmental agency? Yes If yes, provide explanation: Project Description (use attachments if necessary):. &rd of Trustees Applicatit WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: ~0~ square feet Percent coverage of lot: , ~.0~ % Closest distance between nearest existing structure and upland edge of wetlands: ~'.~3--" feet Closest distance between nearest proposed structure and upland edge of wetlands: t~,.,~''' feet Does the project involve excavation or filling? No ,~Yes If yes, how much material will be excavated? How much material will be filled? /O 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: cubic yards cubic yards ~'~ feet Statement of_t~e effect, if re!Y, °n the wetlands an~.tid~! w~_te, rs_ 0fthe town that.~ay_ r_¢_s_ul~t_b_7 reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. LICANT / SPONSOR - 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 SEQR 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map j 5. IS PROPOSED ACTION: [] New [] Expansion ~cation/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. WH S PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~ntial [] Industdal [~] C°mmercial ~--~Agriculture r-'~ Park / Forest / Open Space ~] Other (describe) 10."DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federa~...State or Local) E~Yes L_~o if yes, list agency name and permit / approval: ANY (JI- IHE A~;IION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes If yes, list agency name and permit / 12. AS A RESUi~.~T-~F PROPOSED ACTION WiLL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [~Yes M No I CERTIFY THAT THE INFORMAT~N PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant ~'/~-- '/¥''''¢/3/~ ':~/t~ ~Signature /"~,~:~'~¢~ ;~ ~--~ ~:~Z.~ , Date: //~ ~/.,) ~3~e action 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 i PROPERTY LOCATION: S.C.T.M. ~ THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN oisbict section Btam; L~ (;~:KTII;IED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OFWORK - PROPOSED CONSTRUCTION ITEM # / WORKASSF~SMENT [ Yes No a. What is the Total Area of the Project Parcels~ (IncludeTotalAreaofallParceislocetedwtlhin .~, h~/,~/O0~ 1 WitlthisProjectRetainAJIStonm-WaterRun-Off the Scope of Work for Proposed Construction) Generated by a Two (2") Inch Rainfall on Site? ./"'T'~ b. What is the Total Area of Land Cleadng//(s.F./~) (This item wiil include all run-off creatad by site clearing and/o~ construction activities as well as ail and/or Ground Disturbance for the proposed j~C~Z~/') / · ~) ~) Site Improvements and the permanent creation of construction activity?--' - '.~'(S.F. / Acres) impervious surfaces.) PRO~JDE BP.J~F PROJECT DESCRIi~FiON e'.~d~,~.a~.~l 2 DoestheSitaplanand/orSurveyShowAllPropesed Drainage Slmctures Indicating Size & Location? This item shall inctude all Proposed Grade Changes and f~=>~L $ ~'~-~o,vi5 ~4.J~_ (,~,"Ti-f 3 DoestheSiteplenand/orSurveydescrfpetheereSion and sediment control practices that will be used to control site erosion and storm water discharges. This ,~L3 ~'Y~ ~"~'~:)' Constmc~3n item must be maintained throughout the Entire 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 YardsL~ of Matedal within any Parcel? 5 Will this Application Require Land Distarbing Activities F~ Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? -- 6 Is there a Natural Water Coume Running thrcogh the r~.2-1 / site? is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland or -- Submission of a SWPPP is mquirecl for all Construction activities involving soil Beach? disturbances of one (1) or more acres; indeding disturbances of less than o~e acre that 7 Will there be Site preparation on Existing Grade Slopes are par~ of a larger cerumen plan that will ultimately disturb one or mom toes of land; which Exceed Fifteen (15) feet of Verficel Rise to r""1 including Cc~elruofion activities invelving sell disturbarmes o/less than ooe (1) acre where One Hundred (100') of Horizontal Distance?I~1 -- SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious ~ U 2. Tne SWPPP shall describe the erosion and sediment control pilctices aha where 9 Will this Project Require the Placement of Matedal. constructed to reduce the pollutants in eloml w~tsr discharges and to assure Item Within the Town Right-of-Way or Road Shoulder STATE OF NEW YORK, ~" .... Owner and/or ~presentalive of the Owner or Owners, ~.d. it.~[ll~..l~l~..S~1~ .1St~.. fform or have performed the said work and to make and file this application; that all statements containdl~l~l~J[~,~i~ to the best his knowledge belief; that the work will be performed in the manner set forth in dlll~t~/,a,j~. Commission Expires April 9, 20~ Sworn to before ~e this; FORM - 06/10 of Trustees Applica~n County of Suffolk State of New York 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 TO'~rN 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), 11~ 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~TION Signa~ur~ SWORN TO BEFORE ME THIS I ~ ~'' DAY OF'~ bhY. ,20/~ Notary Public LAUREN M. STAND SH ~Jetaa/P(~b~Jc..State of New York t~o. 015T6164008 (Ju~!ilied Suffolk County LJomm s.iun Expires April 9, 20//-- APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE. FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on thc oart of town Officers and cmolovces. Thc oumosc of thi~ form is to orovidc information which can alert thc town of vossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR. NAME: (Last name, first name,_~niddle initial, unless you are applying in the name of someone else or other entity, such ~s 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 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, rqarriage, 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%~s. YES NO lfy0u answered "YES", complete thc 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 linc 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 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, parmei', or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Print NameX"~- . - C~--~ ~ 'l~own of Southold LWRP CONSISTENCY ASSESSMENT FORM 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 suooortin~ and non- suooorting 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 SCTM# /OtgO . ~70 0¢ ~- ~'~ The Application has been submitted to (check appropriate response): TownBoard [] Planning Board [--] Building Dept. ~ Board of Trustees 1. 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) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Natureandextentofacfion: ¢¢&vl4,~.~g.',o 4c~ "!~_~D[ctca~_ CO~o'~ ~-.~ I Location of action: Site acreage: Present land use: Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following irfformation shall be provided: (b) Mailing address: ~_~.~ ~l~tr t ) (c) Telephone number: Area Code (/---~P,'~i -- '~'~ q~- ~'~ ~ (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 ~NotApplicable 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 I I Yes I I Nol'~1 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 ~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 Pag,gs-8 through 16 for evaluation criteria [ I Yesl I No~ w 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 throu,gl(21 for evaluation criteria II Yes I I No I "lNot 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 evaluati~eriteria. Yes No Not 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 ~ 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./See LWRP Section IIl- Policies; Pages 34 through 38 for evaluation criteria. [] Yes ~-] No~t~l Not Applicable 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 o/f/Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ ~ Yes~ No t~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES, Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. SeefWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. ~-~ Yes [] No~-~lVJ Not Applicable- Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Pecouic Estuary and Town wat~.~]/See.LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes ~'~ No l ~1 Not Apphcable 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~ion criteria. [] Yes ~ No[-D/L~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Polic~ges 65 through 68 for evaluation criteria. [] Yes ~] No ~Not Apphcable" PREPARED BYe' k~ TITLE