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HomeMy WebLinkAboutTR-7830A James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Ma/n 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.: 7830A Date of Receipt of Application: May 31, 2012 Applicant: Christine Rivera SCTM#: 99-1-16.1 Project Location: 250 Sound Beach Drive, Mattituck Date of Resolution/Issuance: June 20, 2012 Date of Expiration: June 20,~2014 Reviewed by: Board of Trustees Project Description: To place 12"x12" signs on the existing split rail fence, 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 Christine Rivera, received on May 31, 2012, and stamped approved on June 29, 2012. Special Conditions: Only one posted 12"x12" sign per 100 linear feet of fence is allowed. 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. Board of Trustees 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 Kmg. Picsident Bob Ghosio, Jr., Vice-President Dave Bergen Michael J Domino P.O Box 1179 Soud~old. NY 11971 Telephone{631 765-1892 Fax{631)765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: CHRISTINE RIVERA requests an Administrative Permit to place 12"X 12" signs on the existing split-rail fence. Located: 250 Sound Beach Dr., Mattituck. SCTM#99-1-16.1 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 __Administrative__Emergency Coastal Erosion Amendment Pre-Submission Violation Info needed: U j o Modifications: Conditions: Present Were:/,..i j. Kir~Ghosio ,.-~D. Bergen, ~' /,/~ Bredemeyer ~:,...-~M~chael Domino- D. Dzenkowski Form filled out in the field by ~ Mailed/Faxed to: Date: other Jill M. Doherty, President Jamez F. King, Vice-President Dave Bergen Bob G. htmio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (~31) 765-1892 Fax (631) 765-fifi41 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0616C Date December 14, 2010 THIS CERTIFIES that the ~nn~l split-rail fence 210' from the souttleast survey marker seaward alon~ the nrooertv line; not in~tnlle~d before Al~ril 1= and removed no later than December Ia of each year At 250 Sound Beach Dr., Mattituck Suffolk County Tax Map 099-1-16 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 3/29/05 pursuant to which Trustees Wetland Permit ff6104A dated 4/20/05 and Amended on 7/21/10 and 11/17/10 was issued and conforms to all of the requirements and Conditions of the applicable provisions of law. The project for which this certificate is being issued is for a seasonal solit-rail fence 210' from the soutbe~z~ survey marker seaward alon~ the orooertv line, not installed before Aorii Ia ~nd removed no later than December 1~ of each year. The certificate is lssned to CHRISTINE RIVERA owner of the aforesaid property. 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 Wetland Permit Application ~"~dministrativc Permit Amendmenffrrans fer/Extcnsion ~'~eceiv~d Applicat~n_.'~[J~ · ,./Received Fee:$ ~Completed Application ~] X I[ ~-~ __Incomplete __SEQKA Classification: Type I Type II Unlisted Coordination:(date sent)_ --,~'~WRP Consistency Assessment Form _{C~ CAC Referral Sent: ~--'Date of Inspection: ~!l.~_~! )3~- __Receipt of CAC Report:_ Lead Agency Determination:__ Technical Review: ~--------t~ublic Hearing Held: Resolution: Name of Applicant Address c~qd'o //~a //3 '~"~,'c Phone Number:( ) ~'"'/a ~J',~(/- ~',~*/5 Suffolk County Tax Map Number: 1000 - ~'- /" / g'l Property Location: ~.~',q ~ ~ (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application Land Area (in square feet): Area Zoning: A~ ,ff o Previous use of property: Intended use of property: Covenants and Restrictions: If "Yes", please provide copy. GENERAL DATA Yes ~'~No 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 f No Does the structure (s) on property have a valid Certificate of Occupancy ~"YYes No Prior permits/approvals for site improvements: Agency/. 'J~fZ/ 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 if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ? Area of wetlands on lot: +/,~ oo.. square feet ? Percent coverage of lot: '~,t -.'~? % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: ///W- 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 =ART '1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: r~unicipality ~ ~- 4. PRECISE LOCATION: Street Addess and Road I~tersections, 617,20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) PROJECT NAM SEQR County -~"//-'~//'E'* ~ Prominent landmarks etc - or provide map 5, IS PROPOSED ACTION: ~ew ~]Expansion r~ModificatJon/alteration 6 DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: / Initially acres Ultimately acres 8. WILL PROPOSED 10N COMPLY W~TH EXISTING ZONING OR OTHER RESTRICTIONS? ~-]Yes ~ If no, describe briefly: 9 WHA PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~ntia, r~lndustdal ~Commercial r~Agriculture r~ParklForest/OpenSpace E~Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (F~e or Local) r~Yes L~No if yes, list agency name and permit / approval: ~:D(JE~ ANY ASPECTOF fHE ACTION HAVE A CURRENTLY ¥,~LID PERMIT OR APPROVAL? E~ees [] No /,If yes, list agency/,~ name and permit· / approva 'rova/~ .,~ · 12. AS A RESU[,-I' Of PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE A,pli¢,ntl ~/~Bponsor m ~ D.~ite~/~.~ Signature ' If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment Board of Trustees Application County of Suffolk State of New York D~POSES AND AFFIRMS TH,,A'T 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 BEL1EF, 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 i~ [~d'- DAY OF "-/]qOq ,20/ lic LAUREN M STANDISH Public, ~te of New York · APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics t>rohibits conflicts of interest on the oart of town 0fficcm and emnlovees. The oumose of this form is to orovide information which can alert the town of ~ossible conflicts of inter~sl and allow it to rake whatever action is necessary to avoid same. ('Last na~e, first name, ~nid~dle-initial, unless you am applying in the name of someone else or other entity, such as a company. If so, indicate thc 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 (If"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 shares. YES NO If you answered "YES", complete the balance of this fort]] 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 applicanffagenl/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 corporatinn); 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, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 20¢ ~ 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. SCTM# ~ 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 Qffice,xhe planning Department, all local libraries and the Town Clerk's office. ; DESCRIPTION OF SITE AND PROPOSED ACTION PROJECT NAME The Application has been submitted to (check appropriate response): Town Board [] PianningBoarO[5] Building Dept. ~ Board ofTrustees ~ 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: ~//-~. ~ A'~ Present zoning classification: ~' if/ 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: pt,/ (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 Southoid 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 ~o~ Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southoid. 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 LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~-] No ~ot 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 ~Applicable At~ach 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 I ~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 IIl- 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 ~Ffq'd~pplicable 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 ~ 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 N[~'~ot 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 ~ No ~t Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southoid. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~l Yes ~ No ~ 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 ~X~ot Applicable PREPARED By~~'L' Z~ J-~.-.- TITLE ~>~tt DATE Page 1 of l rED BY B~_4~D OF TRUSTEES TOWN OF SOUTHOLD JUN 2 5 20~2 Monday, June 25, 2012 AOL: CDROnTheBeach APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD k \ \ \ 'k \ SURVEY LOTS SHOWING HIGHWATER MARK 60, 61 & PART OF 59 BLOCK 2 MAP OF CAPTAIN KIDD ESTATES FILE No. 1672 FILED JANUARY 19, 1949 ~ITUA T£D A T MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX LOT No. 1000-99-01-115 ' 80' SCALE 1 -- DECEMBER 12, 2007 NOVEMBER 26, 2010 MARK OUT EAST PROPERTY LINE MARCH 12, 2011 LOCATE FENCE ON EAST PROPERTY LINE DECEMBER 3, 2011 SET MONUMENT NOTE: HIGHWATER MARK DETERMINED BY ELEVATION FROM NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTATION TIDAL STATION No. 8512668 AT MATTITUCK INLET. JUN 2 5 2012 Southhold lown Beard of Trustees UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDfCATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING iNSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION CERTWICATfONS ARE NOT TRANSFERABLE THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHE BY THE LrAL.S AND APPROVED AND ADOR T~TLE ASSOCIATION N.Y.S. Lic. No. 50467 Nathan Taft Corwin III Survey°r uccesso o: Stonley J Isoksen, Jr. LS Joseph A Ingegno LS. Title Surveys -- Subdiws/ons Site Plans Construct[on Layout PHONE (651)727-2090 Fox (651)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road Jomesport, New York 11947 P.O. Box 16 Jamesport, New York 11947 25-3061 0 PECONIC (5161 765 - ?. 0 BOX 909 IE30 TRAVELER STREET ~OUTHOLD, N,Y, 11971 ./ LOT 0 N LOT 496/8 ' SCDHq. PEF # t710- 96- 0023 FLOOD ZONE LINES FROM FIRM $6105C10145 G MAY ~, 1998 CONTOUR LINES & ELEVATIONS ARE REFERENCED TO N,G,V.D. COASTAL EROSION HAZARD LfNE FROM COASTAL EROSION HAZARD AREA MAP PHOTO 59-533-83. 4,1 ANY AL TERA TION OR ADD/T/ON TO THIS SURVEY IS A VIOLA T/ON OF' ~CTION X'~09 O~ THE NEE~ YORK STATE EDUCATION EXCEPT AS PER SECTION ~209-$URDIVISION ~.. ALL CERTIFICATIONS HEREON AR~ VALID FOR ]7¢1S MAP ,AND COPIES THEREOF' ONLY IF SAiD M.4P OR COPIES REAR THC IMPRESSED SEAL OF THE SURVEYOR V/HOSE SI6NATURE APPEARS ADDITIONALLY TO CGMPLY WITH ~41D LAW THE TERM 'ALTERED BY' MUST ~E ~ BY ANY ~ ALL SURVEYORS UT~R A COPY SURVEY OF LOTS 61, 60 & PlO LOT 59 MAP OF "CAPTAIN KIDD ESTATES" FILE NO. 1672, F/LED JAN 19, 1949 A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. I000 - 99 - 0 1- '16 1" 20' SCALE: = JAN 9, 1995 Dec. 28, 1995 (TOPOGRAPHICAL INFO ) Jon. I0~ 1997 (Revisions) Dec. E3, 1997 I Pilings ) AUG. 9, 1999 I firlbl ) AREA =39,996sq. ft to tie//ne 94-381 SURVEY OF ' LOTS61,60&P/OLOT59 I " MAP OF "cApTAIN KIDD ESTATES" ' FILE NO. 1672, FILED JAN 19, 1949 -,~' A T MA TTiTUGK TOWN OF SOUTHOLD ;ooo Jan. I0~ 1997 ¢Rew~[ions) FLOOD ZONE ~E$ FROM FIRM 3610~CI01~3 G MA~ 4, 199~ , CONTOUR LINE~ & ELEVATIONS ARE COASTAL E~SION HAZARD L~ FRO ~, ,,. I5161 765 -, 1250 TRAVELER $OUTHOLD, N.Y.