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HomeMy WebLinkAboutTR-7916A James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Towa 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 X Pre-construction, hay bale line 1 st 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall Annex 54375Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 Permit No.: 7916A Date of Receipt of Application: October 4, 2012 Applicant: Theodore & Darlene Stepnowsky SCTM#: 97-8-14 Project Location: 3300 Skunk Lane, Cutchogue Date of Resolution/Issuance: October 17, 2012 Date of Expiration: October 17, 2014 Reviewed by: Board of Trustees Project Description: To complete the removal of one Black Locust tree to be cut off 2" below grade and removal of 5 overgrown shrubs; complete removal of one Honey Locust located about 5 feet off of the deck; reseed area near deck disturbed by removal of Locust tree; reseed approx. 22'x24' area south of house where Black Locust tree was removed; relocate approx. 1 cy of top soil to fill in area where tree was removed and reseed area; reseed area topsoil was removed from. 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 Theodore & Darlene Stepnowsky, received on October 4, 2012, and stamped approved on October 17, 2012. Special Conditions: No other landscaping waste be put on adjacent property, all to be kept on own property 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. James F. King, President Board of Trustees James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer 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 Please be advised that your application dated l0/LI//Z._ / , has been reviewed by this Board at the regular meeting of ' f ~/I ~///,2- 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) 1st Day of Construction ($50.00) __ lA Constructed ($50.00) 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: TOTAL FEES DUE: $. ~&. (~(~ BY: James F. King, President Board of Trustees James F King. President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino PO. BOX I 179 Soulhold. NY 11971 Telephone (631 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: THEODORE & DARLENE STEPNOWSKY request an Administrative Permit for the removal of one Black Locust tree to be cut off 2" below grade and removal of 5 overgrown shrubs; complete removal of one Honey Locust located about 5 feet off of the deck; reseed area near deck disturbed by removal of Locust tree; reseed approx. 22'x24' area south of house where Black Locust tree was removed; relocate approx. I cubic yard of top soil to fill in area where tree was removed and reseed area; reseed area topsoil was removed from. Located: 3300 Skunk Lane, Cutchogue. SCTM# 97-8-14 ,,~,~e of area to be impacted: altwater Wetland Freshwater Wetland __Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: /v,,,Chapt.275 Chapt. 111 __other Type of Application: Wetland ~Administrative__Emergency Coastal Erosion Pre-Submission Amendment ~ Violation Info needed: Modifications: 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: 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 To: LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator MEMORANDUM OCT I 6 2012 Date: October 16, 2012 Re: Proposed Wetland Permit for THEODORE & DARLENE STEPNOWSKY SCTM#1000-97-8-14 THEODORE & DARLENE STEPNOWSKY request an Administrative Permit for the removal of one Black Locust tree to be cut off 2" below grade and removal of 5 overgrown shrubs; complete removal of one Honey Locust located about 5 feet off of the deck; reseed area near deck disturbed by removal of Locust tree; reseed approx. 22'x24' area south of house where Black Locust tree was removed; relocate approx. 1 cubic yard of top soil to fill in area where tree was removed and reseed area; reseed area topsoil was removed from. Located: 3300 Skunk Lane, Cutchogue. SCTM# 97-8-14 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 action is CONSISTENT with the Policy Standards and therefore, CONSISTENT with the LWRP provided that the Board clarify that the "5 overgrown shrubs" to be removed are located adjacent to the deck and not within the wetland buffer.. 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 Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-9959 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 ~ Administrative Permit - -Amendment/Transfer/Extension '~r~Received Applicatio~ ~Received F¢¢:$/~ g: Completed Application iO/q,I t& incomplete __SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~_LWRP Consistency Assessment Form CAC Referral Sent: ~' Date of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: ~LPublic Hearing Held: loll 7//,), Resolution: OCT - 4 20)2 (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: 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 ,K No 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 )( Yes Prior permits/approvals for site improvements: Agency Date No X No prior permits/approvals for site improvements. Has any permit]approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): PROJECT DESCRIPTION Removal of 1 Black Locust to be cut off 2" below grade and removal of 5 overgrown shrubs. Removal of 1 Honey Locust which is about 5 feet offof deck, is overgrown, and messy. Reseed area near deck from cut down locust tree, prefer to remove if possible. Reseed area south of house, area of black locust. AREA 22X24 about 528 sq. ft. Moved 1 cu. yd. of top soil ( on site ) used for black locust to be cut 2 ins. below grade. Reseed this area which is 247,30 about 720 sq. ft., where 1 cu. yd., of top soil was removed. of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposeoftheproposedoperations: '~O ~ ~ n/]"~ t,./ ca tff. '7'D Area of wetlands on lot: Percent coverage of lot:. square feet Closest distance between nearest existing structure and upland edge of wetlands: t.{-/ feet Closest distance between nearest proposed structure and upland edge of wetlands: /~/oAJ~ feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? $d0M/ffcubic yards How much material will be filled? ~0 ~0~ cubic yards Depth of which material will be removed or deposited: ~q feet Proposed slope throughout the area of operations: 5'O cTFt-} - 5'r>c>rt~ o3~- sT Manner in which material will be removed or deposited: ~ ~-C--/.4 I'I,D t.~ 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 6t7.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) t. APPLICANT / SPONSOR / 2. PROJECT NAME 3.PROJECT LOCATION: 3~OO ~gO~% ~ / Municipality ~ ~ 0 / ~ ~ t I~5S /Cou.~ SEQR PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide man 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? [~]Yes [] No If no, describe briefly: 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) {~Residential []industrial [~Commercial r~Agriculture F--] Park / Forest / Open Space [~Other (describe) 10 DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUND}NG. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, Stateor Local) .~)~ r~Yes E]No If yes. list agency name and permit/approval: -- ~'D'OES' ANY A:JHEUI OI- [HE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~Yes r~No If yes, list agency name and permit / approval: I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name "/~'O J~)l[~--*L~- ~-/~.p/~)(J~)5~L~-- Date: If the action is a Costal Area, and you ars a state agency. complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT ~To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617-47 ff yes, soordleate the review p~o~esa and usa the FULL EAF. EIb? IZ]"° B. WILL ,~CTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTEO ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwrttinn, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potontlal for erosion, drainage or flooding problems? Explain bfletiy: I , C2. Aesthetic, agricultural, erchaeo{~icat, historic, or other natural or cultural msoumes: or community or neighbodmod chamctsr? Explain bdefly: I 1 C3. Vegetation or fauna, fish, shellfish or wildlife species, stgnlrmant habitats, or threatened or endangered species? Explain briefly: I C4. A community's existing plans or goals as offlcia,y adopted, or a change in use or intensity of usa of land or other P. atursl resources? Explain Ixlefiy: C5. Growth, subsequent development, or related activities likely Io be induced by the proposed action? Explain bdefiy C6. Long teon, sho~l term, cumulative, or other effects not identified in C1~:;5. Explain briefly: C7.. Other impacts Iincludin~l chan~es in use of either quantity' or t;~pe of ene;~l}~? Explain bdefl;/: - ' D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRiTICAl. ENVIRONMENTAL AREA ICEAI? lit yesl explain briefly: I--lYes r~No E. IS THERE, OR IS THERE UKELY TO BE~ CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~t~s explain: E:]ves IZ]N° I PART III - D~-~ ~,MINATION OF SIGNIFICANCE (To be completed bY Agency) INSTRUCTIONS: F~reachadve~ee~eofidenti~edab~ve~deten`n~newhethertiissubs~§a~a~im~nt~r~cos~n~nL Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of oncuning; (c) duration; (d) Irrev~; (e) geographic s~ope; and (0 magnitude. If necesoafy, add attachments o~ reference supporting matslials. Ensure that explanations contain sufficient detail to show that all relevant adveme impacts have been identified and adequately addmscod. If question d of part ii was checked yes, the deton~ination of slgnlficonce must evaluate the potential impaof of the preposed action on the environmental chara<:tads~ of the CEA. Check thle bex If you haue detemflned, bsaed on Ihe Infonnatlen and anstysis above and any suppo~ng documentstion, that the4~reposod actior WILL NOT result in any aignacent adveme environmental impacts AND pro~, on aifachme~s aa necessary, the masons suppeding thl,, Board of Trustees Name of Lead Agency ~ ~n! or ~ype Name of Responsible Officer in Lead Agency ~' Signature of Responsible Offic~,,k~'Lead Agency Da~e President Title of Responsible Officer Signature of Preparer (If different from responsible officer) of Trustees Application County of Suffolk State of New York --'~"'O~0~-~' ~7-F-4°/q'DS/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 IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS DAY OF ,20 C APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Tho Town of Southold's Code of Ethics prohibits conflicts ofintcmat on thc om of town Officers and emolovecs. The oumose of this form is to orovide information which can alert the town of oossible conflicts ofintem~t and allow it to take whatever action is (Last anm¢, first name, ~nid'dl¢ initial, unlcss you are applying in thc name of someone else or other cotity, such as a company. If so, indicate, thc other person's or company's name,) NAME OF APPLICATION: (Cbeck 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 thc 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, n~arriage, or business interest. "Business interest' means a business, including a partnership, in which thc town officer or employee has cvcn 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 form and date and sign where indicated. Name of person employed by thc Town of Southold Title or position of that person Describe the relationship betweco yourself (thc applicant/agentJrepresentativc) and thc town officer or employee. Either check the appropriate linc A) through D) and/or describe in thc 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 thc 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 thc applicant; or D) thc actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 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 Haxard 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 supi~ortine and non- sum~ortin~, 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 Nnm The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board ~ Building Dept. [] Board ofTrustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital consixuction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: f ~ ' _ . Location of action: Site acreage: Present land use: Present mn~g cl~sificafion: If ~ applimfion for ~e pro~sed action h~ ~en filed ~ ~e To~ of Sou~old agency, ~e folloMng iffo~ation shill be prodded: (a) N~e ofapplic~t: (c) Telephone number: Area Code ( ) ~ 31- ~7 ~ q~---~ ~' 3 (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 [X---~ 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 LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [] Yes [] No V~ 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. Sec 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. Yes No Not App~ble 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. ~ Ycs~ No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIE~ Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent ases 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 ~ 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 [-q No [] sot 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 DATE Z