HomeMy WebLinkAboutTR-7571A 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
CERTIFICATE OF COMPLIANCE
# 0668C
Date: July 11,2011
THIS CERTIFIES that the cutting down of one dead tree on the bluff to waist height
At 1095 Aquaview Avenue, East Marion, New York
Suffolk County Tax Map # 21-2-14
Conforms to the applications for a Trustees Permit heretofore filed in this office
Dated June 16, 2011 pursuant to which Trustees Administrative Permit #7571A Dated
June 22, 2011 was issued and conforms to all of the requirements and conditions of
the applicable provisions of law. The project for which this certificate is being issued
is for the cutting down of one dead tree on the bluffto waist height.
The certificate is issued to ALBERT PALUMBO owner of the
aforesaid property.
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
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
__ Ist 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
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
Project complete, compliance inspection - ~o~L~IF~,~-S-
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.: 7571A
Date of Receipt of Application: June 16, 2011
Applicant: Albert Palumbo
SCTM#: 21-2-14
Project Location: 1095 Aquaview Avenue, East Marion
Date of Resolution/issuance: June 22, 2011
Date of Expiration: June 22, 2013
Reviewed by: Board of Trustees
Project Description: To cut down a dead tree on the bluff to waist height.
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 in the
application prepared by Albert Palumbo, received on June 16, 2011 and Board of
Trustees approved on June 22,2011.
Special Conditions: None.
Inspections: Final inspection via photographs of completed project.
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.
ji,~'.* Doh~l~e'rty~, p res~l nt
Board of Trustees
JMD:eac
Jill M Dohetly, President
Bob Ghosio, Jl'., Vice President
James F King
Dave Bergen
P.O Box 1179
Southold, NY 11971
Telephone (631 765-1892
Fax (631 / 765-6641
Southold Town Board of Trustees
Field Inspection/VVorksession Report
Date/Time:
ALBERT PALUMBO requests an Administrative Permit to cut down to waist
height a dead tree on the bluff. Located: 1095 Aquaview Ave., East Marion.
~Ty. p4~ of area to be impacted:
k.~Saltwater Wetland Freshwater Wetland Bay
Distance of proposed work to edge of wetland
Part of Town Code proposed work fails under:
__Chapt.275 Chapt. 111 other
Type of Application: __ Wetland
~Administrative__Emergency __
Coastal Erosion
Pre-Submission
__Amendment
Violation
Info needed:
Modifications:
Conditions:
Present Were: J. Doherty __
__J. Bredemeyer
B. Ghosio J. King __
D. Dzenkowski other
D. Bergen,
the fie~
Date:
~,
BLOCK
DATE
TOTAL P.O1
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 (631 ) 765d 892
Fax (63 I) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
__Coastal Erosion Permit Application
__Wetland Permit Application ~//Adminish'ative Permit
Amendment/Transfer/Extension
~eCe~ved Application:~
ceived Fee:$
~Completed Application
__Incomplete
SEQRA Classification:
Type I__Type II Unlisted
Coordination:(date sent).
i wp,.P
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
Address
Phone Number:
Suffolk County Tax Map Number: 1000 -
PropertyLocation: [0 ~ .~-
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
Board of Trustees Applicatlon
Land Area (in square feet):
Area Zoning:_
GENERAL DATA
3'P o7- ct, s
Previous use of property:
Intended use of property:
Covenants and Restrictions:
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
Yes
~//No
__ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
~)( No Yes
If yes, provide explanation:
Project Description (use attachments if necessary):_
Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: 6*/.Y7--g)~o.)tt} ~0~7-7~.D ~E~'- ~
Area of wetlands on lot: -- ~ --- .square feet
Percent coverage of lot: %
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? ' --- E) ~ cubic yards
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:
feet
Statement of the effect, if any, o_n th? wet~lan~!s and tidal waters ofth_e town tha~t _may result by
reason of such proposed operations (use attachments if appropriate):
PROJECT ID NUMBER
PART 1 - PROJECT INFORMATION
1, APPLICANT / 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
Oo.n~ ~U-/~/,~--
SEQR
3.PROJECT LOCATION:
Municipality ~>Q//"/%~:~-~Z~
PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map
IS PROPOSED ACTION: [] New [] Expansion [] Modification / alteration
DESCRIBE PROJECT BRIEFLY:
Initially acres Ultimately acres
WILL PROPOSED ACTION COMPLY WffH EXISTING ZONING OR OTHER RESTRICTIONS?
E~Yos [] No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
pesidential E~lndustria, []Commercial E~Agriculture [----] Park l Forest / Open Space
]Other (describe)
10.' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING,
AGENCY (Federal, State or Local)
Yes
[~1 No If yes, list agency name and permit / approval:
NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
11.uub5 ANY A~F~ECI O~' IHE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
]Yes [~o if yes, list agency name and permit / approval:
12. AS A RESULT 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 / Sponso Name ///~ y~ / Date:
If the action is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
S) Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
Ieee~1/'' . ~.~ / ~"/ THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
STORM-WATER~ GRADING; DRAINAGE AND EROSION CONTROL PLAN
o~t,ct SECO. a~k LO~ CERTIFIED BY A DESIGN PROFESSIONAL IN THE ~TATE OF NEW YORK.
SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT [ Yes No
a. What is the Total Ama of the Project Parcels?
(Include Total Area of ,it Parcels located within c?...- ~/~? ~,~..~ J Will this Project Retain All Storm-Water Ran-Off
Generated by a Two (2") Inch Rainfall on S~te?
the Scope of Work fo~ Proposed Construction)t/~''' -./' (l~is item will include all run-off c~eated by site r~
b. What is the Total Ama of Land Clearing (S.F. I Acres) clearing andlor construction acitvities as well as all
/
and/or Ground Disturbance for the proposed/c.~2 .~ Site Improvements and the permanent creation of
consbuction activity? ~,'/ impervious surfaces.)
ts.F.,~--) 2 Does the Site Plan and/or Survey Show.NI Proposed
PRO~i]D[ BP. JE~ PRO. I'[CT DE, SCIUFT[ON (~.v,~ ~ p.;... Need~ Drainage Structures Indicating Size & Location? This
Item shall include all Proposed Grade Changes and
Slopes Controlling Surface Water Flow.
3 Does the Site Plan and/or Survey descdbe the erosion ~'~
and sediment control practices that will be used to
control site erosion and storm water discharges. This
I item must be maintained throughout the Entire
[.~ Construciton Pel~ed.
4Will this Project Require any Land Filling. Grading or
Excavation where them is a change to the Naturalr-~..
Existing Grade Involving mom than 200 Cubic Yards~ __
of Mater~al within any Parcel?
5 Will this Application Reduire 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 Coume Running thro~jh the
Site? Is this Project within the Trustaes jurisdiction
~eneral DEC SWPPP Requirements: or within One Hundred (10(7) feel of a Weitand or~-- --
;or Storm Water Discharges front Construction activity. Peri. It No. GP-0-t0-00t.) Surfaces be Sloped to Direct Storm-Water RumOff /~/' ,' ~
1. 'me SWPPP shall be prepared ~ to ~he submlaal ~ ~be NO{. ~e NOI shall be into and/or in the direction of a Town right-of-way?
2. 'me SWPPP shaJl bescdbe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material.
required, p(~t-cor3strdcfiO~l storm water management p~actices that will be used and/or Removal of VegetaUon and/or the ConsbuclJon of any
STATE OF NEW YORK,
COUNTY OF _..~ .................................. SS
altar I, /~7/~72~-'C f-~t./~¢7~ d9 be' dui
................................................................................ mg ysworn, deposes and say~ that he/she is the applicant for Permit,
And that he/she is the ........... ~....(~....A~...~ ...........................................................................................................................
Owner and/or representative of the Owner or Owners, and is duly authorized to pefforn~ or have pefforn~ed the said work and to
make and file this application; that all statements contained in this application are true to the best of his knowledge and belie[; and
that the work will be performed in the manner set forth in the application filed herewith.
Sworn to be[ore me this;
.............................................. day o/ ............................................. ~20 .....
No~ Public: ..........................................................................................
FORM - 06/10
of Trustees Applica{
County of Suffolk
State of New York
~-3~ ~//4/t~fO BEING DULY SWO~
DEPOSES ~ ~F~S THAT ~/S~ IS T~ ~PLIC~T FOR T~ ~0~
DESC~ED PE~T(S) ~ T~T ~L STATE~NTS CONT~D ~ ~
TR~ TO T~ BEST OF ~S~R ~O~EDGE ~ BEL~F, ~ T~T ~L WO~
W~L BE DO~ ~ T~ ~R SET FORTH ~ T~S ~PLICATION ~ AS MAY
BE ~PRO~D BY T~ SOUTHOLD TO~ BO~ OF TRUSTEES. T~ ~PLIC~T
AG~ES TO HOLD T~ TO~ OF SOUTHOLD ~ T~ TO~ TRUSTEES
~ESS ~ F~E FROM ~Y ~ ~L D~AGES ~ CL~S ~S~G
~ER OR BY VIRT~ OF S~ PE~T(S), W G~TED. ~ CO~LET~G T~S
~PLICATION, I ~BY AUTHO~E T~ ~US~ES, T~ AGENT(S) OR
~P~SENTATI~S(S), TO EN~R ONTO ~ PROPERTY~ TO ~SPECT T~
PREMISES IN CON~CTION ~TH ~W OF T~S~PLICATION
Signature
SWORN TO BEFORE ME THIS
/~ ~'~ DAY OF ~rt~,ql_ _,20 / /
~'~ary Public LAOREN M. SIAN~SH
Notary ~blic, Sta~ o~ NOw YO~4
No. 01S16164008
Q~al~ed in ~ C~
Commlssmn ~ ~ ~ 20 ,c'~
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics omhibits conflicts of interest on the oart of town officers and emolovans. The nuruose of
this form is to nrovide information which can alert the town of vossible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
(Last name, first name, ~iddle initial, unless you are applying in the name of
someone else or other entity, such as a company. If so, indicat~ 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
oftbe 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 J
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/agenl/representative) 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):
__?) the owner of greater than 5% of the shares 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, palmer, or employee of the applicant; or
___D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Form TS I
Submitted tly~ day
Signature [t~'~ ~
Print N~e~~
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 supporting and non-
suooortim, 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
scm#/ vo - -
PROJECT NAME
The Application has been submitted to (check appropriate response):
Town Board r-] Planning Board ~ Building Dept. ~ Board of Trustees
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:
Nature and extent of action:
Location of action:
Site acreage:
Present l~d use:
Present zon~g cl~sification:
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: /~g,~,t~ ~ff~)~bd/47 ~g>
(b) Mailingaddress: .~(v / ~4/rtq~te~) /~D-/t/[J%_ /~Wl~,qT')~-~,, ~L] y /lO ~~
(c) Telephone number: Area Code (~g; ~2 7-o~31-~
(d) Application number, if any:.
Will the action be directly undertaken, require funding, or approval by a state or federal agency.9
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 [~l Not Applicable
Attach additional sheets if necessary
Policy 2. Protect and pre~erve historic and archaeological resources of the Town of Southold. See
LWRP Section III - Poli~s Pages 3 through 6 for evaluation criteria
I [ Yesl INol~/I 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 ~Not Applicable
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Mini.m. ize loss of ljffe, structures, and natural resources from flooding and erosion. See LWRP
Section III - Pohcies Page8 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 through/2t~ for evaluation criteria
Yes I I No t~ Not 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 evaluation//eriteria.
./
Yes No Not Ap~ble
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 ev/3duation criteria.
~ Yes [] No LfJ 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 III - Policies; Pages 34 through 38 for evaluation criteria.
Yes [ I Nol ~l Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of thc Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation
criteria. ~NotA
[-~ Ye~J--] No pplicable
At, ach additional sheets if necessary
WORKING COAST POLICII~
Policy 10. Protect South/old's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See/~WRP Section III - Policies; Pages 47 through 56 for evaluation criteria.
~ Yes ~ Nor-~l~ 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 wat~. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria.
~ Yes ~ No~t-Y-I Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agric~ultural lands in the Town of Southold. See LWRP Section III - Policies; Pages
62 through 65 for eval~t~ion criteria.
~ Yes ~-~ No~L--U Not Applicable
Attach additional sheets if necessary
Policy 13. Promote appropriate usc and development of energy and mineral resources. See LWRP
Section III - Polic~ages 65 through 68 for evaluation criteria.
~ Yes ~ No~l 'l NotApphcable"