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Home My WebLink AboutTR-7572A 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 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.: 7572A Date of Receipt of Application: June 3, 2011 Applicant: Robert Kuhne & Virginia Harms SCTM#: 117-1-13 Project Location: 1455 Grathwohl Road, New Suffolk Date of Resolution/issuance: June 22, 2011 Date of Expiration: June 22, 2013 Reviewed by: Trustee Jill M. Doherty, President Project Description: Maintenance permit to hand-cut Common Reed (Phragmites australis ) to no less than 12" in height on an as needed basis. 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 application received on June 3, 2011. § 275-5 Pm'mit procedures. (i) Cutting of common reed (Phragmites australis) to within 12 inches of the soil surface landward of the wetland boundary. This does not include mowing to ground level. Special Conditions: Do not disturb native vegetation during the hand cutting of Common Reed (Phragmites australis), including but not limited to; Eastern Red Cedar ( Juniperus virginiana), Northern Bayberry ( Myrica pensylvanica), Marsh Elder ( Iva frutescens), and Groundsel Bush (Baccharis halimfolia). Inspections: Final inspection due after initial phragmite trimming. 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 M~.' Doherty, ~ Board of Trustees JMD/eac Jill M Doherty, President Bob Ghosio, Jr. Vice-President James F King Dave Bergen John Bredemeyer PO Box 1179 Southold, NY 11971 Telephone ( 631 705 - 1892 Fax (631) 765-664I Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: (~--[~'"'- [ f ROBERT KUHNE & VIRGINIA HARMS request an Administrative Permit to trim the phragmites to 12" by hand, as needed. Located: 1455 Grathwohl Rd., New Suffolk. SCTM#117-1-13 TYs~'al~varea to be impacted: ater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of T~own Code proposed work falls under: ~Gfl~t.275 Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion __Amendment __Administrative__Emergency __Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: t~. Doherty__B. Ghosio J. King J. Bredemeyer D. Dzenkowski __,other Form filled out in the field by D. Bergen, Mailed/Faxed to: Date: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Sout~old, New York 11971-0959 Telephone (631) 765-1892 Fax (631} 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7101A Date of Receipt of Application: April 17, 2009 Applicant: James Blackley SCTM#: 117-1-13 Project Location: 1455 Grathwohl Rd., New Suffolk Date of Resolution/Issuance: May 20, 2009 Date of Expiration: May 20, 2011 Reviewed by: Trustee Dave Bergen Project Description: To trim the phragmites to 12' by hand, as needed. 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 application received on April 17, 2009. 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 e~s F. King, Pre~' ent Board of Trustees 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) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only __Coastal Erosion Permit Application __Wetland Permit Application .~ Administrative Permit Amendment/Transfer/Extension ~:_Received Application:~/// ~- Received Fee:$ .o~-'-~°~a' ! --~.~ompleted Application [~;~ll Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) -'~[WRP Consistency Assessment Form ~ CAC Referral Sent: ~Date of Inspection: I~!~]l~ Receipt of CAC Report: Lead Agency Determination: __.~ubhnical Review: lic Hearing Held:~]~ Resolution: Roard of Tr.stees Address ~o So~ d.X~, ~ r~C~, ~ //~ Phone Number:(gl0 Suffolk County Tax Map Number: 1000 - '~: Propmy o atio.: O (provide LILCO Pole ~, dist~ce to cross s~eets', and loc/ation) (If applicable) Address: Phone: of Trustees Applicatio GENERAL DATA Land Area (in square feet): Area Zoning: ~ -- ~ 0 Previous use of property: /~,'-.~ Intended use of property: .]~,~-~/J /,7/7 Covenants and Restrictions: If "Yes", please provide copy. Yes y No Does this project require a variance from the Zoning Board of Appeals If "Yes", please provide copy of decision. Yes Prior permits/approvals for site improvements: Agency Date r No __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? If yes, provide explanation: f.~ No__ Yes Project Description (use attachments if necessary):. }ard of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: /, 7 [ '7 square feet Percent coverage of lot: /~// % Closest distance between nearest existing structure and upland edge of wetlands: ~ 5/ feet Closest distance between/tearest proposed structure and upland edge of wetlands: /ti/~r 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? ' t'¢/7 t4c- cubic yards Depth of which material ~vill be removed or deposited: feet Proposed slope throughout the area of operations: nj///'4'-- Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reas°n of such propos~fi operatk)ns ~use ~th~e~{s ii ypi:-bpriht~i .... PROJECT ID NUMBER PART '1 - PROJECT INFORMATION 3.PROJECT LOCATION: 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 ]County SEQR 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc - or provide mao 5. IS PROPOSED ACTION: [] New ~ Expansion [] Modification / alteration 7 AMOUNT OF LAND AF,~E.(~ED: Initially~"~ [700 ~s~'''~ Ultimately acres 8. WILL PROPOSED ACTfl~N COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? OYes [] No If no, describe briefly: WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [],ndustdal ~-lcommercial [--1Agriculture F-"lParklForestlOpenSpace [~Other (describe) 10.' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ]NO If yes, list agency name and permit / approval: OR APPROVAL? //~Yes [~No 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 / Sp0nsor Name ~j~ If the action is a Go~tal Ar~a, and you aroa ~tat~ agon¢¥, comp}ere tho Coastal A~e~,ment Form borer* proceeding with thi~ assessment 6. DESCRIBE PROJECT BRIEFLY: Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM iPROPERTY LOCATION: $.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ~ O ~, /( ~7 Bl~oc~ /.~ STORM-WATER? GRADING, DRAINAGE AND EROSION CONTROL PLAN D~mct a~-.o. Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. scOpE OF WORK - PROPOSED CONSTRUC'I'ION I'I'~VI# / WORKASSESSMENT I Yes No a. What is the Total Area of the Project Parcels? / (Include Total Area of all Parcels Iocatsd wghin 1 Will this Project Retain AIl Sturm-Water Run-Off the Scope of Work for Proposed Construction) // '~1 '7 Generated by a Two (2"} lnch RainfatlonSite? (S.F. ~ ~res) (This item will include all mn-off created by site b. What is the Total Area of Land Cleating clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed ~ Site Improvements and the permanent creation of impervious surfaces.) consbuction activity? (S.F. I ^c~s) 2 Does the Site Plan andlor Survey Show AIl Propoued PROVIDE BRIEF FROJECrr DESCRIPTION (pro~e ~,f~.~ pages as Needed) Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. /'/~rJ 7~?.,w~ ~- /~z~/~ Fra 3 Does the Site Plan and/or Survey describe the erOSion ~77_f ~ ~O.p.~/,f ,. ~-~,,,,j ~r~ L~"' and sediment conb'ol practices that will be used to control site erosion and storm water discharges, This !~ "'V .3~--~'~ , /~ .tJ/~'~ ~'~ item must be maintained throughout the Entire / , Construction 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=~J~ -- of Material within any Pamel? 5 Will this Application Require 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 Couree Running through the D / Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Reqct~ments: or within One Hundred (100') feet of a Wetland or -- are hart of a larger common plan that w~# ultimately disturb one or mom acres of land; which Exceed Fifteen (15) feet of Vertical Rise to including Construction activities involving soil disturbances of less then one (1) acre where One Hundred (100') of Horizontal Distance?I~l -- SWPPP's Shall meet the Minimum Requlremen~ of the SPDES General Pemtit 8 Will Driveways, Parking Areas or other Impervious U 2. The SWpPP shell d~:fihe the erosion and sediment control practices and '~nem 9 Will this Project Require the Placement of,Material, constructed to reduce the pollutants in stoml water discharges and to assure Item Within the Town Right-of. Way or Road ShoulderL~ (NOTE: ^ Che~ ~, q~vet~ a~e~ ~ a c~,~e~ .~k:aao.) · Iq~. 0~,'~U~!--.-- STATE OF NEW YORK, Qualified In Suffolk County COUI",FI~Y OF ....,~."~.l.'~..~..~ ............. SS Commission Exptrss April 14, 20_~ ~ ..................... at e/,be ea plic t o And that he/S~ is the .................... ...~.. t"~Z~f~r~-'-'- Owner and/or representative of the Owner or Owners, *aid is duly authorized to perform or have performed the said work and to make and file fi'ds application; that all statements con~,ined in this application are lrue to die best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ~,,~. ~,~ .................,. ,,,. _ ............. ................... 0.U_ Public: .......................................... FORM - 06110 ~oard of Trustees Applica~n County of Suffolk State of New York ~--O,~,-5~%'t~ j~d/~,~- 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 1N 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. 1N COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO 1NSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS 36 ~ DAY OF ~(~Lacx.¢.. ,20 [ I Notary Public CONNIE D. BUNCH Notary Public, State of New York No. 01BU6185050 Qualified in Suffolk County Commissio~ Expires Apri 14, )ard of Trustees ApplicatJ A b'l'~Ol{I ZATI ON (where the applicant is not the owner) (print of property) (mailing ) to hereby authorize (Agent) for permit(s) from the Southold Boar~f Town Trustees on my wner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nmhibits conflicts of interest on the mit of town officers and employees. The oumose of this form is to orovide information which can alert the town of t>ossible eunflicts of inters~t and allow it to take whatever action is necessary to avoid same. (Last name, first nan~e,~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 name0 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 more than 5% of the shares. YES NO ~ 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/agent/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 ~hild is (check all that apply): __A) 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, partner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this ~._~.~day~,~( 204 L signature ~ .. Print Name 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- suo~ortino 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# / t '7 - r, / ¢ PROJECT NAME tO/der c../77 -2~t,c~/....~ lgCS~It ! The Application has been submitted to (check appropriate response): TownBoard ~-] Planning Board [] Building Dept. ~-] Board ofTrustees ~ 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 land use: Present zoning classification: ,/7/7 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: (b) Mailing address: (c) Telephone number: Area Code (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 Southoid 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 ~q3Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No ]J;~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 Pages 8 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 21 for evaluation criteria Yes [] No ~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 criteria. Yes No Not Apl~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 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 III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes ~ No [~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~] Yes~ No ~Not Applicable Attach additional sheets if necessary WORKING COAST POLICIE~ Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. Yes [] No ~ 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 waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes [] No [~Not Applicable 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 evaluation criteria. [--] Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~ Yes [] No ¢ Not Applicable PREPARED BY ~----~~ ~ TITLE DATEables? AREA t,217' s~:fI, lo tie ~ - /000-1/7-04-13 WEST CREEK ' ~ ~ ~L TITLE /~.~ ~ ~Y OF ~ Y~ SUI~I/EY PROPER.T Y BOAED OF TRUSTEES TOWN OF $OUTHOLD- FL OOD ZONES' FROM FIRM $6103C0501.H Seph ~5~. 2009 1000 - ~ 117 - ' (74 05 //? Scale 1"= 30' JUN - 3 SothhhoH lawn Board of Trustees t~.~l) 765-50~0 P.O. 80X 909 1230 TP~ VELER STREET SOUTHOLD, N.Y. 119TI 87-961