The URL can be used to link to this page

Home My WebLink AboutTR-7777A James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hail 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.: 7777A Date of Receipt of Application: April 6, 2012 Applicant: Mattituck Park District SCTM#: 99-2-19.1, 99-3-14, 126-6-17&18, 126-5-20.1 Project Location: Bailie Beach, Breakwater Beach, Veteran's Memorial Park & Boulevard Ballfield & Beach Date of Resolution/Issuance: April 18, 2012 Date of Expiration: April 18. 2014 Reviewed by: Board of Trustees Project Description: A Ten-Year Maintenance Permit to conduct pedodic beach maintenance; removal of debds from park beaches from 10' above mean high water to bluff toe/bulkhead; manual or rubber-tired tractor only, no treads, as needed. Maintenance to be conducted four times a year; Spring, Mid-Summer, Fall, and one additional, 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 in the application prepared by David B. Prokup, Esq., received on April 6, 2012. Special Conditions: The approved operations must be commenced within two (2) years from the date of the resolution. Inspections: None. 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. JaYmes F. Kirin' ng~resident Board of Trustees JFK:eac James F King, P~esident Bob Ghosio. Jr. Vice P~csidcnl Dave Bergen Michael J Domino PO Box 1179 Southold. NY 11971 Telephone (631 '/65-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: David B. Prokop, Esq. on behalf of MATTITUCK PARK DISTRICT requests an Administrative/Ten-Year Maintenance Permit to conduct periodic beach maintenance; removal of debris from park beaches from 10' above mean high water to bluff toe/bulkhead; manuel or rubber-tired tractor only, no treads, as needed. Maintenance to be conducted four times a year, Spring, Mid-Summer, Fall and one additional, as needed. Located: Bailie Beach, Breakwater Beach, Veteran's Memorial Park. SCTM#99-2-19.1,99-3- 14,126-6-17&18 & 126-5-20.1 Type of area to be impacted: __Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: J. King B. Ghosio __ __J. Bredemeyer__ Michael Domino Form filled out in the field by D. Bergen, .D. Dzenkowski __ other Mailed/Faxed to: Date: / / N 126 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 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetlaad Permit Application ~ Administrative Permit Amendment/Transfer/Extension ~_Receiv~d Applicati~on:~ 't~ Received Fee:$ 2.~'~:~ f, t//Completed Application q] ~ ~ ~ ~ __Incomplete __SEQRA Classification: Type I Type II Unlisted __Coordination:(date sent) __LWRP Consistency Assessment Form CAC Referral Sent: ~-Date of Inspection: LJ ~illl ~ Receipt of CAC Report:' ' Lead Agency Determination: Technical Review: /Public Hearing Held: q II ~ ~ [ ¥ Resolution: APR - 6 Name of Applicant Address ?> ~ (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: Phone: of Trustees Application Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions: GENERAL DATA If "Yes", please provide copy. Yes No Does this project require a variance from the Zoning Board of Appeals __ lf"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 ff-~ No Does the structure (s) on property have a valid Certificate of Occupancy / Yes __No Prior permits/approvals for site improvements: Agency Date __ 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 Schedule of Properties for Mattltuck Park District - application fbr Administrative Permit for Periodic Beach Mah~tenanee 1. 1000-99-3~ ! 4 1900 Bailie B~ach Road, Mattituck. N Y Parcel size 22 acres Structures: Scout Lodge 2. 1000-99-3-19.1 Breakwater Road. Mattitt,ck, NY Parcel size 17 acres Structures: Concrete Block bathroom/hfeguard bui ding Volleyball courts 3. 1000-126-6-18 and 17 Veteran's Memorial Park 10960 Poconic Bay Boulevard Mattituck, NY Parcel size (combined) 7 acres Structures: Two frame buildings, new maint~ance/parks oil]ce building Playground Misc. recreational facilities 4. 1000-126-5-2.1 Boulevard Ballfield Park (near Yalcht'Club) 8908 Peconic Bay Boulevard Mattitu,k, NY Parcel size 5 acres Structures: Ballfield of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: -fo y *-~.~o,a-~- ~ ~ 5 Area of wetlands on lot: ~ ~ _square feet Percent coverage of lot: Go-ax~,'~5 % Closest distance between nearest existing structure and upland edge of wetlands: ~,~- feet Closest distance between nearest proposed structure and upland edge of wetlands: ./u. W- feet Does the project involve excavation or filling? .~ No Yes If yes, how much material will be excavated?. //.4 How much material will be filled? cubic yards 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, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): .~.,. -. t- ~, ,~6._ ~, ~ PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: Municipality % ~ ~-'~:~' ~ 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 cou. SEQR PRECISE LOCATION: Street Addess and Road Intersections. ProFiin.~ent landmarks etc -or provide mad IS PROPOSED ACTION: [] New [] Expansion [] Modification / alteration DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? s [] NO If no. describe briefly: 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~]Residential [-]Industrial [----]Commercial I--]Agriculture g~ark/Forest/OpenSpace []Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ~'[Yes ~ If list name and permit / approval: yes, agency g_J 11. DUbS AnY A3P'bL;T~F THE ACTION HAVE A CURRENTLY VALIU PERMIT OR APPROVAL? E~Yes ~1o 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'"INFORM~rON .P~'0VIDED AJ~E'~S/~RUE T~)HE BEST OF MY KNOWLEDGE. Applicant/Sponsor Name ~"~'"~'~""'--- ~~~/ ~ / Date: ~¢ If the action is a Costal Area,~d you are a s~te agency, C/ complete the Coastal Assessment Form before proceeding with this assessment of Trustees Application County of Suffolk State of New York (O-e..rv..e-~ D, (...-o-~r"x~'-'5.-~'" ~ b' 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 ARIS1NG 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 II~__S_.~ECT THE PREMISES IN CONJUNCTION WITH REVIEW'O~-~HIS~PPLIC~iO~ ,!/-/'Signat~l~e SWORN TO BEFORE METHIS DAYOF 141otary Public No~rv l, :, 3':~te of New York ' f&, vlSr6164008 Qua!iIiod in Suffolk Count,/ Commission Expires April 9, AUTHORIZATION (where the applicant is not the owner) b.~v%,,_.L.~'~,,-L.D---.%r:'~ residingat ~ o~..~q.o'5, (print owner of property) (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Boarfi~fi'~ee~y behalf// APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the hart of town officem and emnlovees. The ourt~se of this form is to on)vide information which can alert the town ofoossible conflict~ of interest and allow it to take whatever action is neceessarv to avoid same. YOUR NAME: ~O ~-~1 r'' ^"~~'t'', x,~ · (Last name, first ha/ne, ~niddle initial, un ess 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 Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other Of"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 shaves. YES NO If you answered "YES", complete the balance of this form and date and sign y~erc ind3icated./q Name of person employed by the ~own of Southold Title Or position of that person /~O~7~,X.f/~'~.e~-~r~ 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 own~:r of any interest in a non-corporate entity (when the applicant is not a corporation); __.C) an officer, director, par~nei', or employee of the applicant; or __.D) the actual applicant. DESCI~PTION OF RELATIONSHIP / Form TS 1 Submitted this {n~ day of ,/~/]J ~ 200 I ~ 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 Waterfxont 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- supoorting 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 PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ~ 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) [] Co) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: - Locationofaction: ifi~0tD ~,.~it~, Site acreage: ~ ~ (~1_~3/ Present ~ning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant:~X/~Ck-~~ ~OdLV-, "~t,f~' (b) Mailingaddress:~3~ ~23D3( /C~t~:~ ~,,O,_~c~'~v-~C /~L~ (c) Telephone number: Area Code ( ) ~0 5~ -- ~_C~ \ _ l 5 i ~ (d) Application number, ifany.'~-y~O~ ~-~k~ ~ -~ 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 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 Atlach 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. 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 ~P~]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 Applicable 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 POLICIES 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 71 No [~ Not Applicable Attach additional sheets ifnecessmy 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 APR - 6 2012 ,~T 9 /V"].,q. 7-7'7'TUC/~,, /',/. y'. '~ 0 '*"' COUNTY OF SUFFOLK SOUTHOLD:, s~ ~c,qq APR - 6 2012 .+ / / ~P~ - 6 2012 Real Properly 1'ax Service Agency SOUTHOLD 371 ~[0~ 9- Ud¥ 0 L Z~ ~' ~ G 9 /. ~ 6 OL I APR - 6 20]2