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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"