The URL can be used to link to this page

Home My WebLink AboutTR-6738E James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 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.: 6738E Date of Receipt of Application: October 10, 2007 Applicant: Sofia Antoniadis SCTM#: 31-14-7 Project Location: 12500 Main Rd., East Marion Date of Issuance: October 17, 2007 Date of Expiration: N/A Reviewed by: Board of Trustees Project Description: A temporary repair of the existing bulkhead using non- treated lumber and to backfill 150 sq. area with clean fill. 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 October 10, 2007. Special Conditions: A full Wetland Permit must be obtained in order to conduct any further activity on the bulkhead. This is not a determination from any other agency. Jame F.~King, P resC~id~ Board of Trustees James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghos±o, Jr. Tovrn Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Name of Applicant: Name of Agent: Property Location: SCT¢~& Street BriefDescr/pfion of proposed action: ~t' ,...,.- Type of area to be impacted: __Saltwater Wetland Freshwater Wetland __Sound Front 7Bay Front Distance of proposed work to edge of above: P~CC of Town Code proposed work falls under: hapt.~7 Chapt. 37 other Type of Application: ~kVetland __Coastal Erosion Amendment __Administrative __Emergency ~ ~'~ ~,,~k,,,~s,,,., Info needed: Modifications: Conditions: : Present Were: ~v'~.King ~J.Doherty ~'P.Dickerson. ~D. Bergen Other: ~//Bob Chosio, Jr. Mailed/Faxed to: Comments of Environmental Technician: ' Date: James F. King, President Jill M. Doherty, Vice-President Pegg~ A. Dickerson Dave Bergen Bob ~nosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only __Coastal Erosion Permit Application///~,g~t55,/ __Wetland Permit Application V' ~l~ermit Amendment/Trans fer/Extension d Application: la/lC 7 d Fee:$ 57-~''~ -- __Completed Application __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordination:(date sent)_ __LWRP Consistency Assessment Form CAC Referral Sent: ~Y~e of Inspection: ! Q[ ~{ 1~ __Receipt of CAC Report: __Lead Agency Determination: Technical Review: ~-Prlblic Hearing Held: __Resolution: Board of Trustees Name of Applicant Address EO,~qIt' MOIflO r~ & ~5'0 ~ot r4 Po Bo~ ,-/q =o - z/-~ ?.0 35 (, Suffolk County Tax Map Number: 1000 - SeC'l' . 0 ~ [ · OO eropertyLocation: [2..50{) M. PrlN} [~O~'~ Block'. Iq . Z-oW: oo7. (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: ~rd of Trustees ApplicaOn Land Area (in square feet): Area Zoning:_ Previous use of property: Intended use of property: GENERAL DATA o o o Covenants and Restrictions: Yes ~' If "Yes", please provide copy. Prior permits/approvals for site improvements: ~ Agency No Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a govermnental agency? ," No Yes if yes, provide explanation: Project Description (use attachments if necessary):. ~oard of Trustees ApplicOn WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: "]'0 C, 105~.. hol,e. (r~ bt~/kh,e~ Area ofwetlands on lot: ,20.5' L,r~eqt'+c'e'~40 lt~elrrM'_$ .square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: /.!I[~ feet Closest distance betwee¢ nearest proposed structure and upland edge of wetlands: /I,//?°f feet Does the project involve excavation or filling? No ~ Yes If yes, how much material wilt be excavated? How much material will be filled? cubic yards cubic yards Depth of ~vhich material will be removed or de. ql?sited: Proposed slope throughout the area of operations: feet Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal wa~ters of the town that may result by reason of Such prop0sCd operations (use aita~hments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1.APPLICANT/SPONSOR SEQR 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 3 PROJECT LOCATION: n~ty U ~L"~(~ ~ ~ MunicipaIity ~' ~:~ ~'~'] ~-\~ Cou 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 5. IS PROPOSED ACTION: ~ New ~ Expansion r-~ Modi6cation / alteration b--J L-J DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres 15o s 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 VICINI/W OF PROJECT? (Choose as many as apply) ~]'Residential E~lndustrial E~commercial ~lAgriculture E~ 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 r--]No If list name and permit / approval: yes, agency 11. DUE5 ANY A~PbcI L)P TRE ACTION HAVE A CURRENTLY VALID PERMIT OR AF'PROgAE? E~Yes F"~No If yes, list agency name and permit / approval: 12. AS AREAESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor ame . Date: Sigflature ~ ~ / If the action Is a Costal 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 I THRESHOLD IN 6 NYCRR, PART 617.4? if yes, coordinate the review process and use the FULL EAF. [~1 Yes ~]No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency, r--'~ Yes E]No c. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change tn use or intensity of use of land or o~her natural resources? Explain briefly: C5. Growth, subsequent developmenl, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, shod term, cumulative, or other effects not identified in C1-C57 Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy? Explain briefly: D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAl. E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACT~? !! Y~S ~xplai~: E3Yes EEpo [ PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~r eachadversee~ectid~nti~edab~ve'determinewhetheritissubstantia~arge~imp~rtant~r~herwisesignificanb Each effect should be assessed in connection with its {a) setting (i.e, urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials, Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked :,,es, the d etermin~tien o f~il'manee4¥~st~ valuate the potential impa6t of the prcpoc, cd action on th c envi~nmerrtsl characterlat[cs of fha C FA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULIJ FAF and/or prepare a positive declaration i~ check [~is b~ hfy~ h~,e determ~}~d, based on the inf0rmaflon and analysis above and any ~upporfing docu~eni~[i~nl thai ~b~r0p~s~d ~ctio~l WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessan/, the reasons suppoding lhi~ determination. Name of Lead Agency Date Title of Responsible Officer Signature of Preparer (If different from responsible officer) Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Board of Trustees Application County of Suffolk State of New York ~'OF I1% ~ ~ {~ IO t~)[5 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 TIlE PREMISES 1N CONJUNCTION WITH REVIEW OF THIS APPLICATION. / Signature SWORN TO BEFORE ME THIS /0~ DAY OF (yOt , ,20 07 t'lqotary Public - LAUREN M. 8'TANDISH Notary laubllo, State of New York No. 01ST6164008 Qualified n Surfak County [;ommissiofl Expires Aprfl 9, 20~j_ APPLICANT/AGENTfREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics vrohibits conflicts of interest on the vart of town officers and emolovees. The oumose of ~'t~is form is to vruvide information which can alert the town of oossible conflicts ofinterost and allow it to take whatever action is necessary to avoid same. YOUR NAME: ~OF I~2~ g ~')~- 0 ~OI ~'~[ J (Last name, first name, ~niddle initial, unless you 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 ~ 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 moro than 5% of the shares. YES NO 1~ 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 applicanffagenffropmsentative) 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 sharos 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 I Sofia Antoniadis 12500 Main Road PO Box413 East Marion, New York 11939 September 10, 2007 Southold Board of Town Trustees Town Hall Annex Bu#ding 54375 Route 25 P.O. Box 1179 Southold, New York 11971 Re: 12500 Main Road L---- ~ . , :. ~, ::... ------: East Marion, New York 11939 ~: ~., -,,, Dist: 1000, Sect: 031.00 Block: 14.00, Lot: t)O-77000 Greetings: On be half of myself and Mada Xefos, we respectfully request an informal meeting with the Board of Town Trustees to visit our property listed above. The reason for this request is to view the existing bulkhead, deck and retaining wall that has incurred damages dudng the April 2007 storm. Although we have met with local marine contractors and marine consultants, we have questions regarding the repair and wish your assistance. Enclosed please find a check in the amount of $50 and a copy of the property survey. Should you have any questions or need additional information please do not hesitate to contact me by cell phone (646) 201-3560. Sincerely, ~fia Antoniadis 't ~ECE~E Southhold lown ~oa~d o~ Trustees ! / / -/ 740" E 79.7 NOTES: 1. SURVEY OF PROPERTY SITUATE EAST MARION TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S,C. TAX No, 1000-31-14-07 SCALE 1 "--20' OCTOBER 18, 2007 AREA = 75,248 sq. ff. (TO TIE UNE) 1,727 ac. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:~ EXISTING CONTOUR LINES ARE SHOWN THUS: F,FL, -- FIRST FLOOR N*Y.S. Lic. No. 50467 Nathan Taft Corwln III Land Surveyor Tl~le Surveys -- Subdivisions -- $[~ Plons -- Consfruction Loyout PHONE (651)727-2090 Fox (631)727-1727 THE EXISTENCE OF RIGHT O' WAYS / / / / / / / / / / Sofia Antoniadis & Maria Xefos 12500 Main Road East Marion, New York 11939 SCTM# 1000-31-14-7 \ / \ / \ \ \ \ / / / / / / / / / / I t I I / / / / / / / / :u×/ / / I / / t my/ I I / I / I t / / / / /~.~ / / /