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Home My WebLink AboutTR-7823A James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino 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 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 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 Permit No.: 7823A Date of Receipt of Application: May 10, 2012 Applicant: Barbara Fitzgerald SCTM#: 59-6-27.3 Project Location: 8915 Soundview Avenue, Southold Date of Resolution/Issuance: June 20, 2012 Date of Expiration: June 20, 2014 Reviewed by: Michael J. Domino, Trustee Project Description: Ten-Year Maintenance Permit to hand-cut Common Reed (Phragmites australis ) to 12" in height 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 May 10, 2012 and project plan stamped approved on June 20, 2012. § 275-5 Permit 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 w'rginiana), Northern Bayberry ( Myrica pensylvanica), Marsh Elder (Iva frutescens), and Groundsel Bush (Baccharis halimfolia). The approved operations must be commenced within two (2) years from the date of the resolution. The permittee is required to contact the Board of Trustees after the initial tdmming has been completed for an 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. amies F. ¢~' P~sident King, Board of Trustees James F King, President Bob Ghosio, Jr., Vice-Presidem Dave Bergen John Bredemeyer MichaelJ Domino P.O Box 1179 Southold, NY { 1971 Telephone (631 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: BARBARA FITZGERALD requests an Administrative/Ten-Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to 12" in height by hand, as needed. Located: 8915 Soundview Ave., Southold. SCTM#59-6- 27.3 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: Board Of $outhold 'Town Trustees SOUTHOLD. NEW YORK ISSUED TO A~o~ A ~ ff:.o .r..~[ ~. ~,~LL~ .......................................... nt'l ari atinu P ' * the -ovldons of Chapter 615 of the Lava the State of New Yor~ 17.93: and Chapter ~ of the I. eva of the State of New York 19!i2, and the Southeld Town Orclinenee tiffed ?~RE~ULATIN~ .AND THE PLACINg. OF OBSTRUCZLQbl5 IN AND ON TOWN WATERS AND pUBLIC LA,IDS and the REMOYAL OF SAND, GRAVEL OR OTHER IdATERIALS. ~OM LANDS UNDER TOWN'WATERS;'.4 and in accxxdance w'dh 'the Resolution of The Board adopJed a! a meeting held on ...@..e.c..~ ..2p., ..... .2qp~..., and in eondderatJon of the sum of $2~..0~ .... paid by Anthony and Nico%e .~l~ldakis ............................... : ........... : ........ of $ouChold .............. N. Y. and, subject to th_e . of ,~,~gthold Town' Trudees authorizes and permits the tollowmg. Wetlana rermit to construct a single-famiLy dwelling with a and drywells to contain al'l roof runoff, a 50'non-disturbance buffer and a dry well for the pool, and all as depicted on the planal['~n accordanc, e w~ the detai~d spec~ofiofls as pee~elltec! in .the odginafiflcj apprlcafiOa, sarveyed by John Ehlers last dated : ~/14/°~iN WITNESS WHEREOF. The said Board Of Trustees Kere- ,o by a'majoritY of the said Boml as o! this dat~. Art. ie eo~ter . . -. .GURVEY Ch= F~OF~-RTY .51TUATE, 'roi, IN! 5i,~-t-, OLK C, OUNTT', N'r' N ET ® N James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Office Use Only Coastal Erosion Permit Applicationf --Wetland Permit Application V Administrative Permit Amendment/Tra. o ~.~- 'Extension · ~Rece~vved Application: ~-~[ ~ecelved Fee:$ .'7)"~ t. --,~ompleted Application __Incomplete __SEQRA Classification: Type I Type 11 Unlisted Coordiaation:(date sent) ~_LWRP Consistency Asse-ssment Form ~. ~ _ CAC Referral Sent: 7Date of Inspection: -(DJ I.~![ ~'- Receipt of CAC Repo'rt[ __Lead Agency Determination:__ Technical Review: ~ublic Hearing Held: ~ Resolution: Name of Applicant ¢ O~ ~[/')gl.l~f Suffolk County Tax Map Numbs: 1000- Propeay Location: ¢~IF (provide LILCO Pole ¢, distance to cross s , and location) AGENT: (If applicable) Address: Phone: Board of Trustees Appllcation 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. Yes ~/ No Does this project require a variance from the Zoning Board of Appeals __ If "Yes", please provide copy of decision. Yes v//No Will this project require any ~emolition 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 ~/' 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 suspend~gd by a governmental agency? x/ 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: 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 1~' 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 A. fI~PLICANT / 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 coun SEQR 3.PROJECT LOCATION: 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 5.1S PROPOSED ACTION: [] New [~Expansion []Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8 W~LL 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 appty.) ~Residentia, [~lndustrial I__~]Commercial [~Agricul~ure E~Park/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 []No If yes, list agency name and permit / approval: I1:D~5 ANY A~PECI OF [HE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? E~Yes F~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 Applicanl / Sponsor Name Date: If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be cOmpleted by Lead A~lency) A. IX)ES ACTION EXL;P-~:U ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 ff yes. co4~llnate Ule revle~v ~'ocess and use the FULL EAF. 1'~1 Yes [~.o B. WILLACTIONRECEINECOORDINATEDREVIEWASPROVIDEDFORUNUSTEDAC11ONSiN6NYCRR, P~617.~ IfNo, anega~ dedaratlon may be supef'~ed by another involved ~. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED NTH THE FOLLOWING: (Answers may be ha~dwdttan, if legible) C1. Existing air quality, sudase or groundwater quality of quanffiy, nstse levels, existing traffic paUem, solid waste pro~uc~m or disposal, potential fo~ eroslen, ~alnage or floo~ problems? F_xplai~ bdefly: C2. A~ .~;J~., agricultural, archaeologlest, historic, or ob~er natural or cultural resources; o~ community or neighbefheod cflarac{er? Expiate latelly:. C3. Ve ~;a~,..iorfauna, fish,~a=;;~ahorwlldlifes4)ecies, algnificanthabltats or threatenedorendanoemd~..,..,a~e9 I::vni=~n brine iiy ....... pi goal ay dopted slty of ? F-~p(ai~ bd fly C4. a .~i~i~on a~.-~.,~ aflsor sasofficla a ,orachangei~luseorltiten useoflafldofo{hefnsturalresources e C5. Growth, subsequen( developmenL or related activi{ies likely to be induced by {he proposed ac{ion? Ex, ale be:efly: C6. Long (erin. short term. cumulative, ar other o~fec~s n;i i~entified in"~i~5'~ F-xplain bflelly: D. VVILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITIC/ ENVIRON MENTAL AREA (CEAI ? (If }fesl explain briefly,: I--lyes ~'lNe E. 1,5 ~ |,.~, OR 18 THERE LIKELY TO BE, CQN1ROVERSy RELAIED TO POTENUAL ADVERSE ENVIR~, :;,:.T.::TAL IMPACI~? If ~ea ~.;.~ PART III. i~: ~ i-i~,~L'~11ON OF $1GNIRCANCE (To be completed by Agency) . INSTRUCTIONS: F~rea~adver~eef~iden~edabev~de~em~leewhe~her~tissut~a~ia~a~ge~mpmta~r~s~n~nL Each effect should be assessed in <x)~c~o~ wl~ its (a) setting (i.e. urban or mini); (b) prol~ahire/of occulting: (c) dumlto~ (d) I~evmt~bllity: (e) ~Fapldc 6<x~e; aed (0 magt,~u~e. If ne~ssmY, add attachmm~ ~ re~emn~e supp~ mata~alt .,, ,]m~me'm~mmamw~'~mrv, gnlm;an~emustevaluatelflepo~llmpactoflhepmposedac~o~m~~,, _~oftheCEA-- WILL NOT result I~ any slgnlficard adverse envfmtlmental Impacts AND provide, on atleehmef~ as tleoe~a~/. Ihe reasons supporting detormloatfon. Board of Trustees Name of Lead Agency Date Print or Ty~ Name of Respons~le Officer le Lead Agency President Title of Responsible O/~cer Signature of Responsible Office*- in Lead/~Jency Signa~e of Preparer (if differeflf f~om responsible officer} County of Suffolk State of New York ~. ~x.-~'.~ c~ BEING DULY SWORN DEPOSES AND AFFIRIgIS 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 IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS DAY OF ~Clll ,20 i ~ % ' JNbtary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on tl~ oart of town officers and emnlovees. The oumose of this form is to provide information which can alert the town of ~ossible conflicts of intersst and allow it to take whatever action is necessary to avoid same. (Last name, first nah~, widdle initial, unlass~you are applying in me name or someone elm or other entity, such as a company. If so, indicate the other pemon's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval &plat Exemption from plat or official map Other (If"Other", name the activity.) Building Trustee Coastal Erosion 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 coq~oration in which the town officer or employee owns more than 5% of the shares. YES NO ~Q 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 child is (check all that apply): __A) the owner of greater than 5% of the shares of the corporate stock of the applic0nt (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 Signature Print Name I I day of I~o.-'./ 20~ 2. SURVEY Of= PP..OPEP..T'K SITUATE: ~UTHOLD TOI~N: f:x2UTHOLI~ SUFFOLK C,d~N'rY', NY SURVE""ED O3 22-2012 SUFFOLk; COUNT'r' TAX t¢ I000 5q ~ ~7.~, Lond No~ or Formerl~ oF: GeorQe L. Penn~ I¥ 253.10' ,, % ??ROVED BY . -qRD OF TRUSTEES TOWN OF SOUTHOLD DATE j~, ,,-',¢-' z o .z o/z Wai~cr R~mfld Old Republic N~fiomd Title NOTES: O PiPE FOUND GRAPHIC SCALE I"= 40' ¥ ¥ ¥ ¥