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Home My WebLink AboutTR-8120A 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.: 8120A Date of Receipt of Application: February 25, 2013 Applicant: Thomas McDermott SCTM#: 144-5-20 Project Location: 315 Old Salt Road, Mattituck Date of Resolution/Issuance: March 20, 2013 Date of Expiration: March 20, 2015 Reviewed by: Jim King, President Project Description: For the existing patio 15'x30' made of composite lumber, and existing 3'+ concrete walkways. 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 Thomas McDermott, received on February 25, 2013, and stamped approved on Mamh 20, 2013. 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. James F. King, President Board of Trustees N NOTICE J ~ COUNTY OF SUFFOLK (~) J K [~ ~ j,~ ~ OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. 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 To: From: MEMORANDUIV Jim King, President Town of Southold Board of Trustees Mark Terry, Principal Planner LWRP Coordinator MAF~ 1 8 2013 Date: March 18, 2013 Re: Proposed Wetland Permit for THOMAS McDERMOTT SCTM#1000-144-5-20 THOMAS McDERMOTT requests an Administrative Permit for the existing patio 15'x30' made of composite lumber, and existing 3':1: concrete walkways. Located: 315 Old Salt Road, Mattituck. SCTM# 144-5-20 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 INCONSISTENT with LWRP Policy 6.3 (below) and therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The structures described were not constructed pursuant to Southold Board Trustees permit under Chapter 275 Wetlands and Shorelines regulations. 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 54375Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Office Use Only AGENT: (If applicable) Coastal Erosion Permit Applicatio~p/ ZWetland Permit Application ~/ Administrative Permit Amendment/Transfer/Extension ece~vved Application:~ eceived Fee:$ ~)0.~ . l/Completed Applica{ion Incomplete __SEQRA Classification: Type I Type II Unlisted ~LOordination:(date sent) -~LWRP Consistency Asse~sn}ent Form ~ ]15 t-'fCAC Referral Sent: ~/t L//'Date of Inspection' Receipt of CAC Report: Lead Agency Determination: Iectmical Review: ~J Public Hearing Held:_~ Resolution: Name of Applicant Y Mailing Address ~ D~ Phone Number:({9~ I Suffolk County Tax Map Number: 1000- Property Location: .~'~ (provide LILCO Pole #, distance to cross streets, and locatio~/ Address: FEB 2 5 2013 S~:th0 Phone: Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: 'No Covenants and Restrictions on property? Yes If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code7 Yes ~/No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes J No If"Yes", please provide copy of decision. Will this project require/any demolition as per Town Code or as determined by the Building Dept.? Yes x/No Does the structure (s) on property have a valid Certiticate of Occupancy? x~Yes No Prior permits/approvals for site improvements: Agency Date v//No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?___ If yes, provide explanation: Yes Project Description (use attachments if necessary): /~c) ~//~-C/~ ~ Boar~f Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: C(z'~(~O6Iz- Area of wetlands on lot: Percent coverage of lot: ! ~J/dc square feet Closest distance between nexa~.st existing structure and upland edge of wetlands: t~) feet Closest distance between nearest/proposed structure and upland edge of wetlands: ~ ,~ feet Does the project involve excavation or filling? ,¥~/ No Yes If yes, how much material will be excavated? AJ/td cubic yards How much material will be filled? fi,//? cubic yards Depth of which material will be removed or deposited: '6/~' feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: ,4///q 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): 617.20 PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PR~ECT INFORMATION ( To be completed by Applicant or Project Sponsor) 1. APPLI NT / 2. PROJECT .~,,.~ '~~~'~ ~ ~ County' ~'' 3.PROJECT LOCATION: IS PROPOSED ACTION: ~ New ~ Expansion ~ Modification / alteration SEQR DESCRIBE PROJECT BRIEFLY: Initially acres acres 6 WILL PROPOSED ACTION COMPLY ~TING ZONING OR OTHER RESTRICTIONS? ~Yes [] NO If no. describe briefly: 99. V~FAT IS PRESENT LAND USE iN VICINITY OF PROJECT? (Choose as many as apply) []Other (describe) 10' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal. State or Local) ~---~Yes E~No If yes, list agency name and permit / approval: 1I DOES ~CT OF~FRE ACTION HAVE A ~ORRENTLY VALID PERMIT O~-~I~'P~O~)AL? [~Yes L~No If yes, list agency name and permit / approvak 12. AS AR~ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? E~Yes NO , ~RT,~ T.AT ~,.~, .,~EORMAT,O. PROV,DE0 A,OVE ,S TRUE TO ~E ,EST OF M~ ~NOW~EDG~. ) If the action'ts-= C~-'~'tal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT tTo be completed by Lead A~enc),) A. DOES Ac*TION EXCEED ANY TYPE I TI-IRESHOLD IN 6 NYCRR, PART 617~47 if yes, coordinate the review process and use the FULL EAF. I-I Y .s IZ].° 8. ~ ~,CTION RECEIVE COORDINA11~D REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If Ne, a negative dectamflo~ may be eupemednd by am~hor tnvol,~d agency. [--'1 Yes [~No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten. If legible) C1. F.~dsfillg ak' quality, surface or groundwater quali[y or quardity, noise levels, existiog t~affic paifem, solid waste prnducflon or disposal. p~ential for erosion, drainage or llooding problems? Explain briefly: I C2. AeaUletlO, agdc~fiural, 'archaeoleg cai, ffistndc, or other n~"u'~-a '~,- m iural reso~ces; or c~mmun~ or neighberhoed character? Explain bdelly: C3. Vegetatinfl jr fa ha, fish, sheli~sh or wildlife speoes, s~gnlficant habitats, or Ihreatened or endangered species? Explain bdefly: C4. A ~.u,, ,,-, ,,Jnib/'s existing plans or goats as officially adopted, or a cha~ge in use or intensity of use o~ land or other natural resoumes? Explain Ixleily: C5. Growth, Subsequent development or celated activities likely to be induced by the proposed act on? Explain bdelly: ........... C6. Long term. shod lerm. c~mulative, or other effects no dent fled n C1 -C57 Explain briefly: C7.' Other impacts ~[includirtc~ changes in use el~ eiihe r quantit~ D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABUSHMENT OF A CRITICAL ENVIRONMENTAL AREA [~Yes PART Iff - Dt= I P..I~MINATION OF SIGNIFICANCE (To be completed by/~) INSTRUCTIGNS: F~ea~hadversee~ectide~i~edabeve~de~ermthewhether~t~ssubetar~ia~'~a~e~im~~n~L Each ~ shouM be assessed in con~ with its (a) setling (i.e. urban or rural); (b) probebif~ of oocurdng; (~) duration; (d) kTeversifl~. (e) geogr~;-;c ~ope; and (t) nmgnltude. If necessary, add altachments ~. refemnoe suppo~ matedals. Ensure that explanations oontaln .. s~ffld, e~t de~all to show Ihat all relevant adveme Impacls have been identified and adequately addressed. If question d of ps~t Il was choked Check this box ifyou hase detmlflned, based on the inl~o~matin, and analysis a~we and any suppodlng documentation, that the proposed WILL NOT msu~ in any slgni~cent adverse environmental impacts AND provide, on attachments as necessary, the masons supportir~] determlnaifo~. Board of Trustees P1 ,/j//~-/E ~ ~,~ / ~ Name of Lead Agenc~ ~. Date Pdn! or T Name of Respeas~ble Officer in Led Agency Title of Responsible Officer Sign~J~re of Responsible Officer in'Lead Age~ Sigr!ature of Preparer (If different (rom responsible officer) Town of Southold ~ ~ Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROP ~TY ION: .TIM. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ~ [7 ~ ~'~') STORM-WATER~GRADING, DRAINAGE AND EROSION CONTROL PLAN Diethct Sectichl Bl~k Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT [ Yes No a. Whet is Ihe Total Area of the Project Parcels? (li3ctude Total Area of all Parcels located within ~/,~'(~ ~-I I Will this Project Retain All Stom3-Water Run-Off Generated by a Two (2') Inch Rainfall on S;te? the Scope of Work for proposed Construction)~ (Mis item will include all mn-off created by site b. What is the Total Area of Land Clearing (s.F. IAcms) cleadng and/or construction activities as well as all and/or Ground Disturbance for the proposed (~ Site Iroproveroents and the permanent creation of construction activity? impervious surfaces.) (S.F. / ACres) 2 Does the Sita Plan and/or Survey Show Ail Propeeed ]PROVIDE B~E~' PROJ'[C~ DESC~[FT[ON (p~* ~P~eS ~ Needed) Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade ChancJes and t,~ / X "~ 0 / p ~['"'(~ ~ ~ Slopes Controlling Surfaco Water Flow. ~ ~/7~ I-~ /f - ~ 3Does the Site Plan and/or Survey descdbe the erosionr~ and sediment control practices that will be used to .,.. control site erosion and storm water discharges. This ~L/~__/~ ~ , item must be maintained throughout the Entire Construction Peded. Excavation where there is a change to the Natural Existing Grade Inv°iving m°re than 200 Cubic Yards ~r.~~ of Matedal within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project wtih[n the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wedand or SubmiesJon of a SWPPp is ~equired for all Constn~ction activities invclving sail Beach? disturbances of one (1) or more acres; including disturbances of less than one acre that 7Will there be Site preparation on Existing Grade Slopes are pa~l of e larger common p~an that wiJl ulfima tsly disturb one or more acres o~ land; which Exceed Fifteen (15) feet of Vertical Rise to including Construction activities involving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance? the DEC has detsrmined that a SPIDES permit is required ~or storm wa~er discharges. SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious for Storm Water Discharges from Construction acflvtty - Permit No. GP-0-10410t.) Surfaces be Sloped to Direct Storm-Water Run-Off 1. 333e SWPPP shall be prepared prior to the submittal of the NOI. The NOI shall be into and/or in the direction of a Town right-of-way? 2. The SWPPP s~all deschbe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Matedal, constructed ~o reduce the poilutanls ~n slom~ water diecharges and to assure Item Within the Town Right-of-Way or Road Shoulder~ -- STA~FE OF NET~ YORK, ' _. , ~ Owner and/or represenladve of the Ow~r Owners, and is duly authorized m perform or have pe~ormed the said work and to ]make and file tiffs appEcadon; tha~.afi'~tate]me~s con.ned in this application are b'ue to the best of his lu~owledKc and belief; and that the work w~ll [~o~ff.d~nied~n the ]manner set forth h~ the application ~led herewith. FORM - 06/10 O lkd k Sulk& Coule/ Boar~f Trustees Application County of Suffolk State of New York DEPOSI!S'AND AFFIRMb%TH6JF HE/SHE IS THE APPLICANT FOR THE ABOVE 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 wner Notary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the t>ar~ of town 0fficem and emolovees. The oumose of this form is to orovide information which can alert the town of oosslble cun~ts of interest and allow it to take whatever action is necessary to avoid same ~-~ J~ ~ (Last name,~first name~ddle initial, unless you are al~plying in the name of someone else or ~h~6r 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 (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~ YES NO ~ 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 applicanffagenffrepresentative) 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 Signature Print Namee,~.~.t~ ! u~ a vv~g 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 Waterfi'ont 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 si..o:nifieant 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 supporfin~ and non- supporfin~ facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. B. DESCRIPTION OF SITE AND PROPOSED ACTION 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 ~d, t~]t~ all~ local libraries and the Town Clerk's office.~ ~D~ The Application has been submitted to (check appropriate response): TownBoard ~-] Planning Board ~ BuiidingDept. [] BoardofTrustees,~. FEB 2 5 2013 S0uthold Town Board ol Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital (b) (c) construction, planning activity, agency regulation, land transaction) Financial assistance (e.g. grant, loan, subsidy) Permit, approval, license, certification: Nature and extent of action: Location of action: Site acreage: Presentland use: Present zoning classification: 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: (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 enha!l~s 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. 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 Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout thc Town of Southoid. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria 7] Yes 71 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 through 21 for evaluation criteria Yes ~] No [~ot 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'~-'P-0ilcies; Pages 22 through 32 for evaluation criteria. Yes No Not Applica 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. Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southoid 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 usc 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. Yef 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 V~ 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. 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 CNot Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section Ill - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [] No Not Applicable DATE TITLE ~ of Property SQT~ 1000-144-5-20 5i~:uote: i'~otti~uok To~n: Soukhold SCALE I"= 30' ,-,??ROY cD k f ~0~ ~ ~HOLD N Thomo5 Hc[~ermo[[ 0 ~oo~ SEA LEVEL MAPPING