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Home My WebLink AboutTR-7686E Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Brederaeyer 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 EMERGENCY WETLANDS PERMIT Permit No.: 7686E Date of Receipt of Application: November 21, 2011 Applicant: Beixedon Estates Association, Inc. SCTM#: 66-2-47 Project Location: Right of Way at End of Arshamomaque Lane, Southold Date of Issuance: November 22, 2011 Date of Expiration: NIA Reviewed by: Board of Trustees Project Description: Temporarily place approximately 100 sandbags (filled from an upland source) along the western half of the bulkhead to prevent any further erosion. Findings: The project meets the requirements for issuance of an Emergency Wetlands Permit as determined by the Board of Trustees. The issuance of an Emergency Wetlands Permit allows for the operations as indicated in the application received on November 21,2011. Special Conditions: A full Wetland Permit must be obtained in order to conduct any further activity. This is not a determination from any other agency. IteM. Dohert)y, Pr~e dent Board of Trustees SOUTHOLD TRUSTEES IssUed To~e;x~ · Date; aJ!/~ · ~ Address '~' ull~lct THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES oFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 Beixedon Estates Association Inc. Bulkhead Damages from Hurricane Irene Beixedon Estates Association inc. Bulkhead Damages from Hurricane irene 8/2 8/2 0 :~ :~ 8/2 9/2 01 1 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 TOW~ OF SOUTHOLD · n-, . t ^ ._ I, t. Office Use Only Coastal Erosion Permit Application __Wetland Permit Application __ Administrative Permit Amendment/Trans fer/l~xtension Received Application: tt/~lltl ~ Received Fee:$ ~'-~ ~'~ $ Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted __Coordination:(date sent)_ __LWRP Consistency Assessment Form __CAC Referral Sent: __Date of Inspection: __Receipt of CAC Report: __Lead Agency Determination: Technical Review: ~Public Hearing Held: __Resolution: NameofApplicant ge,v. ffsk&es J s cc:c sn Thc. M:chbel ,~reslde~, Address~O ~a,~ i~.~Z Suffolk County Tax Map Number: 1000 - ~ ~ -~ - ~ ~ (provide LILC~ Pole ~, dist~ce to cross streets, ~d location) AGENT: (If applicable) Address: ~.0 of Trustees Applicatio~ GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions: If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals If "Yes", please provide copy of decision. Yes ~'/ No Will this project require any demolition as per Town Code or as determined by the Building Dept. Yes v" No Prior permits/approvals for site improvements: Agency Date p p pp s o site ~provements. Has any permit/approval ever been revoked or suspended by a governmental agency? ~ No__ Yes If yes, provide explanation: Project Description (use attachments of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: 7 % Closest distance between nearest existing structure and upland edgeofwetlands: feet ~. ] k~e,~ d / ~ ~ c/ja ce,~ -/~ ,5''~ ~ pl~o/ at ~'¢? 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? How much material will be filled?~'3ri'l I~rl~ I~) cubic yards cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters &the town that may result by reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER ~ff 1~17~.0 " SEQR APPENDIX C STATE ENVIRONMENTAl. QUALITy REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNU8~ ACTIONS Only PART 1 - PROJECT INFORMATION ( TO be completed by A~icant or P~ect Sponsor) 1. ~ANT I SPONSOR 12. PROJECT NAME 8. WILL PROPOSED A~i'ION COMPLY ~/~ITH EXISTING ZONING O~ OTHER RESTR$CTIONS? [~Re$identia, [~lndustrial [~Commercial []AgdcuRum I~]PatklForestlOpenSpace [~Other (descnbe) CERTIFY E INF ON PROVfDED ABOVE IS TRUE TO ME I~EST OF MY KNOWLEDGE .... ~ ate/[ [ If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment APPLICANT/AGENT/REPRESENtATIVE TRANSACTIONAL DISCLOSURE FORM TI~ Town of Southold's Code of Effiics omhibits conflicts of intcr~t on tl~ oart of tobm bflicera ~ ~ob~. ~ m~ o[ th~ f~ ~ ~ Omvi~ ink.ion which ~n ~ ~ to~ of ~ibld ~fll~ of~t ~d ~w it to ~o ~a~r action NAME OF APPLICATION: (Ch~ck all that apply.) Tax grievsnce Building Vafianc~ Trtrq~¢ Change of Zone Coastal Erosion Approval of plat Moodng Ex*mptlon from plat or official map Planning Other Of"Other". name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) hav~ a v~latlon~ip.with aay officer or employee &the Town ~f ~uthold? "Relationship" includes by blo~ d~.Flaninge, or business i~lterc~t_ ~gu~inr~s intere~n means a buslne~ incluiting a parlncr~hlp, in w¥ch thc lown officcr or employee h~t~vcn ~ partial ownership of {or ¢mployrm:nt by) a corporation __D} tt~ actual q~plican[ DESCRIPTION OF RELATIONSHIP Form TS I Subm~ed thi$~dja~o f O (~ 209 ]_ Si§natur~ f 1~}~'~,~.--~"'~" Board of Trustaes ApPlication County of Suffolk State of New York _ % C.,~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN AKE TRUE TO THE BEST OF HIS/H~P, 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 TIIE 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 AUTHORIZ~ THE TRUSTEES, THEI~ AGENT(S) OR REPRESENTATIVES(S), TO ENTEa~ ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH RE.~'~F TI~6~PLICATION. Signature swo~ TO B~O~ ~ m~s_ ~ 1 ~)^¥ oF~_e~~20 I X - ', NOTARY P. UB~C, S_tat~ofNewYo~k Notary Public - . NC.~.~O ~ ~ 9S~-0 Oualilled in N~ Y~k ~u~ ~mm~sion Expi~ 3 -~--1 ~ ard of Trustees Applicati% (print owner of property) AUTHORIZATION (where the applicant is not the owner) residing at ?6 ~1~)~ /~ g (mailing address) do hereby authorize ~iXe~O~ ~d~J~ tO apply for permitls) from the Southold Board of Town Trustees on my behalf. (Owner' s ~ignature) NOTES: ELEVATIONS ARE REFERENCED TO HIGH WATER BEING ELEVATION EXISTING ELEVATIONS ARE SHOWN THUS: 5.o PROPOSED CROSS SECTION RIP RAP PLACEMENT SCALE 1 "= 1 O' OF EXISTIN~ BUL.J<HEAD J (I/2 TO I TON PLAN t/2 to END OF FOR PLACEMENT ! TON STONE RIP ARSHAMOMAQUE MAP OF BEIXEDON ESTATES BLOCK 7 SITUATE SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YOEK S.C. TAX No. 1000-66-02-66 SCALE 1"=,40' MAY 14, 2010 OF RAP LANE AREA = 19,282 sq. ft. (TO BULKHF~D) 0.445 ac. Nathan~l~orw~n III Land Surveyor PHONE (~31)727-2090 Fox (631)727-1727