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Home My WebLink AboutTR-7494A Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ~ [( ~'~ I ~ has been reviewed by this Board at the regular meeting of ~,,~2~! II 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) ~ Constructed ($50.00) Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees am 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 m-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 Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town HallAnnex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD 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 1 st day of construction ~ constructed Project complete, compliance inspection Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen 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.: 7494A Date of Receipt of Application: March 18, 2011 Applicant: Blue Moon Partners, LLC SCTM#: 35-4-28.33 Project Location: 360 Wiggins Lane, Greenport Date of Resolution/Issuance: March 23, 2011 Date of Expiration: March 23, 2013 Reviewed by: Trustee James King Project Description: To replace inkind/inplace existing masonry patio and walkways; removal of a tree adjacent to the patio; and the repair of existing house foundation, including re-grading of adjacent soils to allow for proper drainage. 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 plan prepared by En-Consultants, Inc. last dated Mamh 11,2011. Conditions: N/A Inspections: Final 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. Boa~ of Trustees ~ Jill M Dohe:ty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Brederneyer P.O. Box [179 Southold, NY 11971 Telephone (631 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time:,¢~,~ / · 2~/~ 9:30 BLUE MOON PARTNERS, LLC requests an Administrative Permit for the inkind/inplace replacement of existing masonry patio and walkways; removal of a tree adjacent to the patio; and the repair of existing house foundation, including regarding of adjacent soils to allow for proper drainage. Type of area to be impacted: __Saltwater Wetland __Freshwater Wetland Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ~,~-4~hapt.275 __Chapt. 111 other Sound __Bay Type of Application: __ Wetland __Coastal Erosion __Amendment ~A"~minist rative__Eme rge ncy Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: J. Doherty B. Ghosio //J. King __J. Bredemeye[__ D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: __ D. Bergen, O;5 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 (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only __Coastal Erosion Permit Application __Wetland Permit Application Amendment/Transfer/Extension ~l~ece~ved Applicat ion: .~'~eceived Feel ~'~ " ,~/Completed Application ~ Incomplete SEQRA Classification: Type l~Type 11 Unlisted Coordination: (date sent). LWRP Consistency Assessment Form CAC Referral Sent: ~li~teofInspection: 2,~ ~' It Receipt ofCAC Rep~"~: .... ' Lead Agency Determination:__ Technical Review: Resolution: '~,~Administrative Permit Name of Applicant BLUE MOON PAR~qERS, LLC AddressC/O RANDALL FAIRHURST, I CAPI LANE, PORT WASHINGTON, NY 11050 Phone Number: (516) 883-2122 Suffolk County Tax Map Number: 1000 - 35-4-28.33 Property Location: 360 WIGGINS LANE, GREENPORT (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS, INC. (If applicable) Address: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone:631-283-6360 Board of Trustees ApplicOon GENERAL DATA Land Area (in square feet): 28,513 SQ. FT. Area Zoning: R-40 Previous use of property: RESIDENTIAL Intended use of property: NO CHANGE Covenants and Restrictions: X If "Yes", please provide copy. Yes 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 improvements: Agency Date TOWN WETLANDS #5347 COE #2001-00708 NYS DEC #1-4738-2887/00001 Yes X No __ 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: Project Description (use attachments if necessary): In-kind, in-place replacement of existing masonry patio and walkways; the removal of a tree adjacent to the patio; and the repair of the existing house foundation, including mgrading of the adjacent soils to allow for proper drainage, all as indicated on the project plan prepared by En-Consultants, Inc., last dated March 11,2011. Board of Trustees Applic~ >n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Maintain existing patio, walkway, repair and waterproofing of existing house foundation. Area of wetlands on lot: 7,307 _square feet Percent coverage of lot: 25.6 % 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 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 Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A feet 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 project entails the in-kind and in-place replacement of an existing masonry patio and walkways, and repair of the existing house foundation. All proposed work is landward of an existing functional bulkhead and will have no adverse impact on the adjacent tidal wetlands or waters of the Town. r~ROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR Blue Moon Partners, LLC by Eh-Consultants, Inc. 3. PROJECT LOCATION: Municipality Greenport 617.20 APPENDIX C O STATE ENVIRONMENTAL QUALIq~/REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by >licant or Proiect Sponsor) 2. PROJECT NAME Couaty Suffolk SEQR 4. PRECISE LOCATION: Street Address and Road Intersections. Prominent landmarks etc - or provide map 360 Wiggins Lane, Greenport, Town of Southold, SCTM # 1000-35- 1-28.33 6. DESCRIBE PROJECT BRIEFLY: In-kind, in-place replacement of existing masonry patio and walkways; the removal of a tree adjacent to the patio; and the repair of the existing house foundation, including regrading of the adjacent soils to allow for proper drainage, all as indicated or the project plan prepared by En-Consultants, Inc., last dated March 11,2011. 7. AMOUNT OF LAND AFFECTED: Initially 0.655 acres Ultimately 0.655 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [5~Yes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [~ Resident/al [] Induslrial [] Conm~.ercial []Agriculture [] Park / Forest/Open Space MOther (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 yes, list agency name and permit / approval: NYS DEC 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~Yes [~No If yes, list agency name and permit / approval: 1~.~S A Ph~LT 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 / SllJ~t,~r Nalne eglcJ'S'~rN]~I~B. H ERRRMANN, ENVIRONMENTAL PLANNER Date: MARCH 16, 2011 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) * B. WILLACTIONRECEIVE~I~EDREVIEWASPROVlDEDFORUNUSTEDACTIONSiN6 NYCRR, PART 617.67- ffNo, anegative I No D, WI1.4. 'I1-E PROJECT HAVE AN IMPACT ON 1TtE ENVIRONMENTAL CHARA~ISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAl. ENVIRONMENTAl_AREA(CEA)? (ff yes, e~olaln brle fly: I= I~ ~ |-'-RC., OR IS T',~ ~C, LIKELY TO BEf CONTROVERSy RELATED TO POTENTIAL ADVERSE ENVIRC~,~.;,~'AL IMPACT~' If PART ~1. D= ~ r..me:HA~ION OF SIGNIFICANCE (To be completed by Agency) IMgTRUOTION$-' F~ea~hadversee~fectide~ti~edabeve.dete~m~newhether~tissubstantia~arge.~m~rta~~n~nL Each eft~X ~ould be assessed in con~ with its (a) se~i.g (i.e. urba~ or rural); (b) ImYoabi~ of oocu~,g; (~) duration; (d) ~ (~) geographl;= eo~e; and (f) magnitude. If r~cessa~, add altachmentS or referenoe sul~Ag maledals. Ensue thst Check INs box If you have dofefmlned, based on the ktformatl~ and analysis above and any suppo~d~, ~t ~ ~ ~ B~ard of Trustees Name of Lead Agency Date Jill M. Dohert7 ' President " Pi'l~t or Type Name of Responsible Officer In Lead ,N~ency Title of Respo~sible Ofl~er Signature of Responsible Officer in Le~l Agency Slgrmture of preparer (If different from responsible officer) Town of Southold i Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 1000 35 4 28.33 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 ASSESS~ I Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain AIl Storm-Water Run-Off (include Total Area of all Parcels located wiiltin the Scope of work for Proposed Construction) 0.655 ACRE Generated by a Two (2") Inch Rainfall on Site? I I b, What is the Total Area of Land Clearing (s. Fd Acres)) (This item will include all run-off created by site clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site improvements and the permanent creation of conslxuction activity? (s.F. / ^c~es) impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed)) Drainage structures Indicating Size & Location? This 12q item shall include all proposed Grade Changes and -- In-kind, in-place replacement of existing masonry patio Slopes Controlling Surface Water Flow, 3 Does the Site Plan and/or Survey describe the erosion and walkways; the removal of a tree adjacent to the patio; and sediment control practices that will be used to control site erosion and storm water discharger. ~tis and the repair of the existing house foundation, including Item must be maintained throughout the Entire Construction Period. regrading of the adjacent soils to allow for proper 4 Will tl~s Project Require any Land Filling, Grading or Excavation where there is a cbange to tlie Natura'l ~ X drainage, all as indicated on the project plan prepared by Existing Grade involving more than 200 Cubic Yards of Material within any Parcel? Eh-Consultants, Inc., last dated March 11,2011. 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five TEousanO I I (5,000 S.F.) Square Feet ot Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC b~VPPP Requirements: or within O~e Hundred (100') feet of a Wetland or Submission of a SW~PP is re~mtred for all Construction ac~vities involvine soil Beach? l°r Storm Water Discharges from Construction acllvity - Perrait No. GP'0'I~'001.) Surfaces be Sloped to Direct Storm. Water Run. Off ~-~ X required, post-construction storm water management practices that will be ~lsed and/orRemoval of Vegetation and/or the Constructio~ of any COUNTY OF SUFFOLK .......... That I, SUSANNA B. HERRMANN, ..................... beh~g duty s'~vorn, depose~ and says ~du~t ho/she is the applicant for Y'erlTdt, AGENT FOR OWNER 16TH · ./ ~..daxot; ~M~A~ .... 20.!.~... ? FORM - 06/10 STATE OF NEN YORK CQHHISSIOU NO. 5015931 QUALIFIED IN SUFFOLK CouNTY EXPIRES AUGUST 2, 20~ of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print owner of property) (mailing address) do hereb3 authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. Board of Trustees Application County of S~- ffolk ,~ S'tate of New York DEPOSES AND AFFIRMS TH~'H..~HE 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 H^RMLESS 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. SWORN TO BEFORE ME THIS APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM l'he Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and em¢lovees The t~umose of' this form is to l)rovide information which can alert the town of possible conflicts of interest and allow it to take wlnatever acBon is necessary to axoid same. (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, sucb as a company. If so, indicate the other person's or compan3's name) NAME 3F ApPLiC ~,TION: (Clneck all that appl3.) Tax grievance Building Vmiance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other", name tile activity.) Do you personally (or tbrough 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 m which the town ofricer or emplo3ee owns more thall 5% of the shares. YES NO '~xX If 5. ou answered "YES", complete the balance of this florin and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe Ihe relationship between 3 ourself (the applicant/agent, representam'e) and lhe town officer or employee. Either check the appropriate line A) through D) and/or describe in the space pro,tided. The town of'~Scer or employee or his or ber spouse, sibling, parent, o~ child is (check all that appl3): __A) the owner of greater than 5% of the shares of the corporate stock of the applicanl (when the applicant is a corporation); B) tile legal or beneficial ov,,ner 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 EN-CONSULTANTS, INC. ENVIRONMENTAL CONSULTING 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com March 16, 2011 Lauren Standish Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 Re: Blue Moon Parmers~ LLC~ 360 WiRRins Lane, Greenport Dear Mrs. Standish: Attached please find a copy of an application for an Adminislmtive Wetlands Permit to replace On-kind and in-place) an existing masonry patio and waikways and to repair and waterproof the existing house foundation. Some minor regrading of existing soils will also be done around the house to provide for proper drainage. The work is shown on a project plan prepared by En- Consultants, inc., last dated March 11,2011. Pursuant to Town Code §268-5 (''Review of Actions") and the corresponding definitions of "action" and "minor action" by §286-3 ("Definitions"), the proposed work meets one or both of the following definitions of minor action and is thus not subject to waterfront consistency review pursuant to Chapter 268: "A. Maintenance or repair involving no substantial changes in an existing structure or facility;" and "B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site (in-place)...." Therefore, I have not included an LWRP Consistency Assessment Form with the attached application. Should it be determined that the project is not exempt from waterfront consistency review, please let me know and I will file the form immediately. Robert E. Herrmann Coastal Management Specialist EN-CONSULTANTS, INC. 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTING March 16, 2011 ~EOIIEST FOR AN ADMINISTRATIVE WETI,AND,g PERMIT Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish Blue Moon Partners, LLC 360 Wiggins Lane, Greenport SCTM # 1000-35-4-28.33 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: Three (3) Wetland Permit Applications including a) Short Environmental Assessmem Form; b) Authorization & Disclosure Forms; c) Project Plans. Application fee of $50.00 wetlands. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Eric. hooS~ · 5' kb --~,e2%-- Zt'Z_2-- 511~ ( A2~55 VIA ,~ ~Cf FROP~IEff~ WIGGINS LANE 135.00' 1" = 30' 1-1/2 STORY FRAME HOUSE & GARAGE EX. TREE TO BE REMOVED EX. MASONRY PATIO & WALKWAYS TO BE REPLACED, IK/IP (INDICATED V / / I 7' PLATFORM TO BE CONSTRUCTED PLACE OF EX. 8' X 7' PLATFORM APPROX. LIMIT OF TO RE t) ,IPORT , OUTURE TO BE LANDWARD PROPOSED LOCATIONS OF RECONSTRUCTED RAMP, FLOAT, AND (2) B" PII/S PROPOSED +127 L.F. OF VINYL BULKHEAD TO BE o CONSTRUCTED IN PLACE OF EX. TIMBER BULKHEAD FORDHAM U/o_ ]" D. & R. 'OI~AVATIS 6" RETURN TO BE REPLACED WITH 15' x 80' AREA TO BE MAINTENANCE DREDGED TO A MAX. DEPTH OF -S' ALW (MAX. 1' OVERCUT) CANAL R. & A. trI~'CZOI~K 1 g9.07'