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Home My WebLink AboutTR-7787A James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southald, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Permit No.: 7787A Date of Receipt of Application: May 4, 2012 Applicant: Barbara Bodkin SCTM#: 37-5-2 Project Location: 610 Bayview Dr., East Marion Date of Resolution/Issuance: May 16, 2012 Date of Expiration: May 16, 2014 Reviewed by: Trustee John Bredemeyer Project Description: To remove a dead tree with the stump to remain. 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 May 4, 2012 and as depicted on the survey stamped approved on May 16, 2012. Conditions: The permittee is required to provide the Trustees with before and after photos of the area. 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. Jar c~ ne .~Kin~, Presido~ Board of Trustees James F King, President Bob Ghosio, Ji, Vice President Dave Bergen John B~edemeye~ Michael J Domino 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: BARBARA BODKIN requests an Administrative Permit to remove a dead tree with the stump to remain. Located: 610 Bayview Dr., East Marion. SCTM#37-5-2 T~Sa of area to be impacted: Itwater Wetland Freshwater Wetland Sound __Bay Distance of proposed work to edge of wetland P~of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Aiof Application: Wetland Coastal Erosion Amendment ministrative__Emergency --Pre-Submission -- Violation Info needed: Modifications: Conditions: Present Were: J. King __B. Ghosio __ /,,'"-'J. Bredemeyer Michael Domino Form filled.o, ut in the field by Mailed/Faxed to: Date: D. Bergen, D. Dzenkowski other COUN~f OF SUFFOLK N James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~Wetland Permit Application ~" Administrative Permit Amendment/Transfer/Extension '/~Rece~vved Application: ~'~ q ~l 3.- ~-/Received Fee:$ ~ ..... .~mpleted Application _~. Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) · -~L-WRP Consistency Assessment Form ~ ~k~- _ CAC Referral Sent: ~Date of Inspection: .~! q ~ Receipt of CAC Report: Lead Agency Determination: Technical Review: ~.~Public Hearing Held: Resolution: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 Name of Applicant Address Phone Suffolk County Tax MapNumber: 1000- /--{"'/3 $<~ Property Location: (olO ~c~v;7~¢3 b~'. ~--, ,,~,&?;O~ (provide LILCO Pole #, distance to cross streets, and location{) ('m'~,~"/.-o ,.,,~,o~, ~--r v~" o to AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: ~, ~, Previous use of property: Intended use of property: Covenants and Restrictions: Yes ~ No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals __ Yes ~ If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept. Yes ~ No Does the structure (s) on property have a valid Certificate of Occupancy .~g Yes Prior permits/approvals for site improvements: Agency Date No No __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a govemmental agency? /~ No__ Yes If yes, provide explanation: Project Description (use attachments if necessary): Board of Trustees Applicatlon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: 9quare 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? How much material will be filled? 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: cubic yards cubic yards 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): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: Municipality ~.~10 1~ 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 6. DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: Initially acres 6 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [~Yes [] No If no, describe briefly: 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply) [~Residentlal E~lndustrial [~Commercial E~Agriculture E~Park/Forest/OpenSpace [~O,her (describe) 10.' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E~Yes ~]No If yes, list agency name and permit / approval: 1T DOES~ ATCf A~FECI [DP iHE ACTION HAV~ A CURREN~TLY V~,LTD PERMIT 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? E~Yes r-~No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Spons~r~:~fe (~/~.~-~,A~.~- ~"~c~..[ ~ Date: If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc- or provide map 5. IS PROPOSED ACTION: ~ New ~ Expansion ~ Modification / alteration PART II - IMPACT ASSESSMENT (To be completed by Lead A~lency') A. OOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR. PART 6'17.47 It'yes, coon:linate the review Ixocess and use the FULL FAF. B. wgJ. ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNUSTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative dedamtle~ maybe supe'seded by atothor involved agency. C. CO{JLD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Arlswe~ may be handwflffon, If legible} C1. F-.xis~ng air quality, surface or gmundwala' quality or quantity, noise levels, exis~g traffic paifem, solid waste ixequctJen or disposal. potential [or orosien, drainage e¢ Ilood{hg problems? Explain bdefly:. C2. Aesthetic, agricultural, archaeetoglcai, 1,;,.[~. k~, or other natural or c~4tural resoumes; or communl[y or nelghborho~l sharaC~e~? Explain b~ofly: I C3. Vc-~e{~[;~, or fauna, fish, ~;;;~ ~ or w;~G;= ~, signil~con( ;,ab;~[s, or tt'a'eatoned or endangered species? P~n~!q bdefly: C4. A .... ~,nity's exist~g plans or goals e~ o,T.~ .;;y adopted, or a change in use or I~enslty of use o¢ [and o~ o~he~ natucsi resenrce$? Explain b~efly: C5. Growth, subsequent de~inpment, or related ac~ivihes likely to be induced by {he proposed action? Explain bdefly' C6. Long term, shod term. cemu[ative, or other effects ~t iden{ifled in C1~57 Explain briefly: C7. either Impacts ~incieding changes in use of el{her quen§~f or i~13e of energy,? Ex~[aie t~efl),: / D. VVILL THE PROJECT HAVE AN IMPACT ON THE ENVrRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICA I PART III - ~= ~ ~-~A'RON OF SIGNIFICANCE (To be completed by Agency) . r INSTRU~$: F~ea=hadversee~ectidenti~ed~beve~de~erminawhe~heritissubstantia~Mrge~impedant~r~theneisesigni~can~ EaCh ~ should be assessed in connection with its (a) sel~Jng (i.e. ud~an or rural); (b) pro~ o~ oc~; (c) duralio~; (d) In'eversll~lity;, (e) ~3graphic s¢x3be; and (f) magnitude. If na¢esnalT, add a{tachmeals or reference ~u~ materials. Enaum thet explanations suffident detail to show fhat ~ relevant adverse impacts have been tdendfled and ~m~equatety add~. . If qUeStlofl d o~ pa~t il was clmd(ad EAF a~f~or p~r~ a pos~v~ d~maOo~ ~'m~k tt~s bex if yoo trove ~r~L based on tile le~om~at~m and arians abew a~ any s~pp~t~ docomen~at~o~, ~t ~ ~~ WILL NOT mso~ in ony deleml{hatlen, sigeit~ant adveme orwlronmentai Impacts AND pmvlde, on affacha~w~ts as necessary, the masons a~opoffing Board of Trustees Name of Lead Agency Oate Pdn~ or Ty~e Name of Responsible Officer in Lead Agency President Title of Responsible Officer Signatu~e of Responsible O~cer in Lead/~ency Sigaa~-e of Preparer (if different fi-om responsible officer~ Board of Trustees Application County of Suffolk State of New York "'~/~ ~p,~.,q_ (~ o&\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 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 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 AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES 1N CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS DAYOF ~'['~Oa I ,20. 1~-- N~ar p0'2~'1 ublic L[ V?~ ~,q. STAlX]DISH Nota:y F'~ i!:., o,,,~, of New York Qua!iliad iu Suffoik Countv ~- Commission ~pir~s April 9, 20~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics t~mhibits conflicts of interest on the tort of town officers and emolovees. The ourt~se of this form i$ to provide information which can alert the town of oossible conflicts of inter~St and allow it to take whate~:er action is necessary to avoid same. (Last name, first name, gaiddle 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 name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat tion from plat or official map (If"Other", name the activity.) ~ ~,r>'0 ~- Building Trustee Coastal Emsiun Mooring Planning 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 ~ lfyou 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 child 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 1 Submitted this ,~ dayof {'vx~t~ 20~- Signature ~ -- Print Nam~---~ L-~ ~ ~, Pr e~ p~ xl-, 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- suooortin~ 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 The Application has been submitted to (check appropriate response): TownBoard [] Planning Board [~ Building Dept. [~ BoardofTrustees 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: '-¢~ ~w~o~ ~ \ Present zoning classification: (~e:~ c[2~ ~ ~ [, 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: AreaCode ~,~ ~_~>~- ~%q'~ (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 thc project to thc following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practieas 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 ~] Not 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 ~ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout thc Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [] Yes [] No Not Applicahic 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. 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 [X~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 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 POLICIES i 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. Attach additional sheets ifnecessa~ 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 [5~[ Not Applicable PREPARED BY / TITLE ~r~,.r ~ ~.~ ~ ~ DATE ~] 19-~ ~I~IY ~L TE~.4 TION OR ,4DDITION TO THI$ SURVEY ~ OF SECT~N 7209 OF T~ ~W YORK STATE ~T~N L~W, EXCEPT ~S P~ SECT~N 7209-~DIV~N E. ~L C~T~ H~EON ~E V~L~ FOR TH~ MAP A~ COP~S TH~E~ O~Y ~ MAP OR COP~S 8~R T~ ~RE~ S~ OF T~ ~VEYOR ADDITION4LL Y TO COMPLY WITH ~41D L~F/ TH~ TERM '~L TERED ~T aE us~ aY ~Y ~ ~L ~VEYOR$ UTL~ ~ COPY 'BRO~HT-TO-D~TE' ~RE ~T ~ COMPL~E WITH THE L~W. AREA = 11,791 sq. ft. to tie lines SURVEY OF PROPERTY A T EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000- 37- 05- 02 SCALE. 1" = 20' NOV. 25, 1998 APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD )ATE NOTE, LOT NUM8ER$ REFER TO ' J4AP OF SECTION TWO-- GARDINER'S 8A Y ESTATES ' FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON SEPT. 23, 1927 AS MAP NO. 275 N.Y.$. LIC. NO. 49618 ~C~_~ 'ORS, 1230 TRAVELER STREET SOUTHQLD~ N. Y. 11971 98-367