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HomeMy WebLinkAboutTR-7821A 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 ½ 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.: 7821A Date of Receipt of Application: June 11, 2012 Applicant: Anita Lang Knowlton SCTM#: 86-6-6 Project Location: 505 Wood Lane, Peconic Date of Resolution/Issuance: June 20, 2012 Date of Expiration: June 20, 2014 Reviewed by: James F. King, President Project Description: To install a 3' high and 90' long split rail fence along the property line. 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 project plan prepared by Anita Lang Knowlton, received on June 11, 2012, and stamped approved on June 20, 2012. Special Conditions: None. 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. am~eses F. Ki~gng,~esrdent Board of Trustees James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Brederneyer Michael J. Domino Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ANITA LANG KNOWLTON Please be advised that your application dated June 11, 2012 has been reviewed by this Board at the regular meeting of June 20, 2012 and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of Construction ($50.00) __ ½ Constructed ($50.00) XX Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Final Inspection Fee = $50.00 TOTAL FEES DUE: $ 50.00 BY: James F. King, President Board of Trustees James F King, President Bob Ghosio, Jr, Vice-President Dave Bergen John Bredemeyer 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/Worksession Report Date/Time: ANITA LANG KNOWLTON requests an Administrative Permit to install a 3' high and 90' long split rail fence along the property line. Located: 505 Wood Lane, Peconic. SCTM#86-6-5 Type~of area to be impacted: c--S'altwater Wetland Freshwater Wetland Sound __Bay - Distance of proposed work to edge of wetland P~.P~ of Town Code proposed work falls under: hapt.275 Chapt. 111 other T~A e of Application: Wetland Coastal Erosion Amendment dministrative__Emergency --Pre-Submission -- Violation Info needed: /c/dx/E-- ,-- Modifications: Conditions: Present Were: 'v J. King B. Ghosio__ J. Bredemeyer.__ Michael Domino Form filled out in the field by J, /~'/L] ~ Mailed/Faxed to: Date: D. Bergen, D. Dzenkowski other OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator JUN 18 2012 S.u~h ,..I lo,';n Date: June 19, 2012 Re: Proposed Wetland Permit for ANITA LANG KNOWLTON SCTM#1000-86-6-5 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "Z" which states: Z. Split rail fences or fences used to control nuisance wildlife that do not interfere with the public's rights of passage along the foreshore; Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town HallAnnex 54375Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631)766-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Office Use Only Coastal Erosion Permit Applicationj --Wetland Permit Application-/aAdministrative Permit Amendment/Transfer/Extension ,/'~Rece~vved Applicat~o~n: ,~Receivcd Fee:$ ~mplcted Application __Incomplete SEQRA Classification: Type I__Type II Unlisted Coordination:(date sent) ~-~WRP Consistency Asscssmen~ Form CAC Referral Sent: '"'-" ~3~ate of Inspection: Receipt of CAC Report: __Lead Agency Determination: ~T~ical Review: Hearing Held: {'~ Resolution: Name of Applicant Address /~ Phone Number:( Suffolk County Tax Map Number: 1000- ~/~ -f3& -E~5~'~. (. Property Location: ~0,~ (A)Dc~A ~.A/I/~' i .~ C©/If~C~` (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): ~ Area Zoning: ~ ~[)t~(~!/~,/Y~J. ~_~J'l~d/'f~ Al / Previous use of property: .~.¢~', ~.~ff~ Intended use of property: Covenants and Restrictions: Yes L/ No 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,$1emolition as per Town Code or as determined by the Building Dept. Yes L/ No Does the structure (s) on property have a valid Certificate of Occupancy Yes 1/No Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspende~d by ~/No If yes, provide explanation: a governmental agency? Yes Project Description (use attachments if necessary): ~.~ ~D~, ('Q./~/3/[ LPROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.P~OJECT LOCATION: ! ~nicipality ¢e£ ~/~r i,~__- 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 SEQR i4. PRECISE LOCATION: S~-eet Addess and Road Intersections. Prominent landmarks etc -or provide map i~5''S PROPOSED ACTION: ~Uew D Expansion ~Modificationlalteration i6. DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: Initially ~1 acres Ultimately ~ / acres 8 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? E~Yes [~No Ifno, describebdefly: ~.~i/--~i/4// )00~'~)1/~ ~)/¢~L~.._. 9 W T IS PRESENT LAND USE IN VICINITY OF PROJECT? (r~.~easmanyasapply.) ~ReAsidentia, [~,ndustrial ~Commercia, [~Agrioulture ~lPark/ForeM/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 yes, agency name and permit / approval: list llFDOES ~CT OF- IHE ACFION HA~FE 'A CURRENTLY VALID PERMIT OR APPROVAL? E3Yes L~l'~o If yes, list agency name and permit / approval: 12.E]YesAS A RES~NoT 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 , S/..?onsor Name ~-/,~?.~L//~ ~/~,F/[/-~.~ /¢~/0(,,~/~(~/~// Date: ,'~/~/'/,,~ Signature ///~]~','~ ¢/~/~l~J~ 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. DOES ACTION EXCEED ANY TYPE I THRESHOLD iN 6 NYCRR, PART 617.4? if yes, coordinate the review process and use the FULL EAF. B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. [~Yes ~']No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Cl.Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattem, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricuhturat, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain bdefly: C3. Vegetat on or fauna, fish, she fish or w d ~fe speaes, s~gn~ficant hab ts s, or threate e or endaegemd species. Explain bnefly 1 C5. !rowth, subsequent development, or related activities likely to b; indLlced b~"th~ proposed ac~¥l~h? Explain briefly: J I 1 C7. Other impacts lincludin~ changes in use of either quantity, oi t},~ 0i en~;~,~ Explain b;i;fi},i ENVIRONMENTAL AREA (CEA~? Ill ~'es, explain bdefl),: E. iS THERE, OR IS THERE LIKELY TO BE~ CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If)'es explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantiai~~arge~imp~rtant~r~therwisesignificant~ Each effect should be assessed in connection with its (a) setting (i.e. u[ban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting ma~rials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the dete rmin ation of significan ce must evaluate the potential impact of the proposed action o n the environmental characte ristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive decJarafion. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed acfior WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi.· determination. Board of Trustees Name of Lead Agency Print'.~ Typ~ Name of Responsible Offi/ce~n Lead Agency ~Signatureof Responsible Officer in Lt~ency Date President [] Title of Responsible Officer Signature of Preparer (If different from responsible officer) Board of Trustees Application County of Suffolk State of New York 3/yi ~3(-,~ ~._/~Ar~'~.- J(#D(~) ]-~)t~ BEING DULY SWORN DEPOSES AND AFFIRM~ 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 DAYOF '~/'~',-e ,20/~x. Notary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interast on the hart of town officers and emolovees. The numose of this form is to t>rovide information which can alert the town of ~ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. · ' (Last name, first n~une, ~mdd[e 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 Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"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, nlarriage, 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 *t/ 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% oftbe 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 SubmittedthB /', da¥of /'~,~,/'f~_ 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 detaii~ listing both supporting and non- suonortino 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 SCTM# fl)Df') - O~(d -~-00~ PROJECT NAM~ The Application has been submitted to (check appropriate response): TownBoard [] Planning Board [--] Building Dept. [-~ BoardofTrustees-~ 1. 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: Site acreage: · Present land use: Present zoning classification: If ~ applicmion for ~e proposed action h~ been filed wi~ ~e Tom of Sou~old agency, ~e folloMng i~o~ation shill be provided: (a) Nme ofapplic~t: (b) M~ling ad.ess: (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 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 the Town of Southold. See LWRl~Seetion III - Policies Pages 6 through 7 for evaluation criteria I'Vt 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 I~/] 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 throujlh 21 for evaluation criteria Yes[ I 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 AppOle 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 3 fo~yaluation criteria. [-~ Yes ~No[--~NotApplicable 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. Sec LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria.[_~ ]-~ ~//N Yes , No pt 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 Iocations~LWRP Section HI - Policies; Pages 47 through 56 for evaluation criteria. [~ Yes [~ No L~J Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconie 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--IV[ Not Applicable TITLE APPRCVED BOARD OF TRU TOWN OF DA~ j~ 2o zm o~ ptp£ FOUND 2012 '~-.~_ ~,~6, / glGItT oF WAY S U RV'E'~ OF DESCRIBED PROPERTY SITUATE P£OONIC, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. GUARANT£ED TO: JOHN F LANG ELEANOR C. LANG SURVEYED FOR: JOHN F. LANG ELEANOR C. LANG IOO0 086-06-005 SURVEYED: 18 MARCH 2003 SCALE 1"= 40' AREA = 33,89045 SF. OR 0778 AC~ES SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLk. N.Y. ~'1956 65~,- 34.-583L ,~.~ NYS Li~ No. 4:327,?' 03F?1214