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Home My WebLink AboutVallo, Benjamin (2)James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob ~nosio, Jr. BOARD OF TOWN TRU TOWN OF SOUTHOL Office Use Only Coastal Erosion Permit Application. s/ Wetland Permit Application i/ Administrative Permit RR Amendmentfrrans fer/Extentsi°~ eceived Application: eceived Fee:$ '/Completed Application Incomplete __SEQRA Classification: Type 1 Type II Unlisted Coordination:(date sent) LWRP Consistency Assessment Form __CAC Referral Sent: ~..~---'Date of Inspection: /o[l l Receipt of CAC Report: Lead Agency Determination: Technical Review: ..~Public Hearing Held: ~!l Resolution: Town Hall Name of Applicant Valle Benjamin 29315 Main Road, Orient, N.Y. 11957 Address Phone Number:( ) Suffolk County Tax Map Number: 1000 - 13-2-4 Property Location: North side Main Road, approximately 600' west of Narrow River Road (provide LILCO Pole #, distance to cross streets, and location) AGENT: Young & Young, Attn: Douglas Adams, P.E. (If applicable) Address: 400 Ostrander Avenue, Riverhead, N.Y. 11901 631-727-2303 Phone: of Trustees Applicat: GENERAL DATA Land Area (in square feet): 126,726 Area Zoning: R-80 Residential Previous use of property: Intended use of property: Residential Residential Covenants and Restrictions: Yes x No If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date __ 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 Has any permit/approval ever been revoked or suspended by a governmental agency?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): Installation of Deer Fence along the northerly portion of property as indicated on survey. ~ard of Trustees Applicat WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To protect vineyard crop from deer/wildli fe Area of wetlands on lot: 0 square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 120~- feet Closest distance between nearest proposed structure and upland edge of wetlands: 160 ' ± feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: existing Manner in which material will be removed or deposited: posts to be installed in boulders and stone with no soil penetration. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of Such pr0p~S~d 6p'~a~ions (US~ atta~en~s if ~pprop~iate)i ~ ~ There will be no effect on the tidal waters of the Long Island Sound IpROJECT ID NUMBER PARTI-PROJECTINFORMATION 1.APPLICANT/SPONSOR Valle Benjamin 3.PROJECT LOCATION: Municipality Southold 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 Valle Benjamin c0unt~ Suffolk SEQR 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 24315 Main Road, 600' west of Narrow River Road 5. IS PROPOSED ACTION: [] New [] Expansion [] Modificatiorl / alteration 6. DESCRIBE PROJECT BRIEFLY: Installation of deer fence in an effort to deter deer and other pests from accessing the vineyard crop. 7. AMOUNT OF LAND AFFECTED: None Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? E~Yes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) E~]Residential [~tndustrial []Commercial [~]Agriculture E] Park / Forest / Open Space E~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 name and permit / agency approval: 11. UL)E~ ANY ASPELH L)F THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? E~]Yes ~-~No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MOD FICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE S'ponsorr N~e/".~N e gent for the applicant: Young & Young Date:5/29/08 Applicant ! '~ I. ~'_. Attn: Douglas Adams, P.E. Signature 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 Agency) A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR, PART 617.47 Jf yes, coordinate the review process and use ~he FULL EAF. J~J Yes j'~J N0 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, r-lYes E~No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, sotid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. e c agrrcultural archaeological, h~stonc, or other natura or cultural resources or community or nmghborhood character? Explain bnefly C3. Vega a on or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intsnsity of use et ~and or other natural resources? Explain briefly: C5. Growth, subsequent devel~p~nent, or related activities ti~e_ly to b~ induced by .be Pr°~0sed acti°n~. Exp ain briefly: C6, Long term, short term, cumulative, or other effects not idantified in Ct-C57 Explain briefly: D7 Other impacts {including changes in use of either quantib~ or type of energy? Exp a n br efiy D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE EST/~I~LI~ME;'T c~F,~ ~RITI~A ENVIRONMENTAL AREA ICEAt? Ill yes, explain bdefl¥: [3Yes I--1No! E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL MPACTS? f yes exp an' []Yes E~]No I : · l PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials, Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified a nd adequately addressed. If question d of part ii was checked Check this box it you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed direcfly to the FULI EAF and/or prepare a positive declaration. c]~eck ~h~s ~i~b~-~;~ d~J~mTn~J~ ~se~ o~'tl~e ]nfoFm~fl0n and bnaly~is ~bove and an~; ~upportin~ clocum~tion, (hat i~l~r0p(~ determination.WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi~ Name of Lead Agency Date Title of Responsible Officer Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Board of Trustees on County of Suffolk State of New York {)~ d c~ ['o ~:' ~ t) vJuq.,~ BEENG DULY SWORN DEPOSES AND AlqqRMS THAT HE/SI-~ 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 BELIF_,F, 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. ~ignature SWORN TO BEFORE ME THIS ,~c[~ DAY OF PP~C<,.1 _,20 O~ Nofa}y Public of Trustees AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at (mailing address) ~%~ ~%(N ~0 ~F-%6~4~- ~ do hereby authorize (Agent) to apply for permit(s) from the Southold B f Town Trustees on my behalf. (Owner' s slgnatur~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the oat of town Officers and emnlovees. The nuroose of this form is to nrovide information which can alert ti~ town of nossible conflicts of intem*t and allow it to take whatever action is necessary to avoid same. YOURNAME: Young & Young Attn: Douglas Adams, P.E. (Last name, first name, ~niddle 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 (If"Other", name the activity.) X Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of SouthoId? "Relationship" includes by blood, marriage, or business interesL "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% oftbe shares. X 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 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 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 th~(~ of May 2008 Signature PrintName ~SDgias aoam$, P.~.'. YOUNG & YOUNG 400 Ostrander Avenue Riverhead, New York 11901 Telephone 631-727-2303 Facsimile 631-727-0144 admin ~youngengineering. com HOWARD W. YOUNG, Land Surveyor THOMAS C WOLPERT, Professional Engineer ROBERT C TAST, Architect DOUGLAS E. ADAMS, Professional Engineer May 29, 2008 HAND DELIVERED ATTN: Elizabeth Cantrell, Clerk Board of Trustees Town of Southold 53095 Route 25 P.O. Box 1179 Southold, New York 11971 RE: VALLO BENJAMIN at Orient, Town of Southold (04-0471) Dear Ms. Cantrell: Pursuant to our recent conversation, enclosed are the following: Board of Town Trustees Application, and Four (4) prints - Survey, last dated May 29, 2008. Please contact our office should you require anything further. DA/dc Encl. Very truly yours, Dougl2s~Adams Planning Engineering Land Surveying Architecture S LONG ISLAND SOUND s 87'41'07" 107.98' ! RE LINE ALONG APPROXIMATE HIGH WAI~R MARK AS LOCA~D ON NOV. 10, 2000 ~ 77 5O ~7 0 oT '5°'i~ e, 3v,, ~e,ese' 0 now or formerly Lolezor~ ~ Gecel~O MAiN ROAD (N.¥.S. RTE. 25) oO~N or Nathon ~3. Se\Omen ~ now or formerly ~ ~ Jeffrey L. Demerest Young & Young, Land Surveyors 400 Ostra~der Aven~e, R~ve~'head, iVe~ York 11901 NOTE AREA = 2.909~ ACRES · THIS SURVEY AMENDED MAY 29, 2008 TO INDICATED EXISTING DEER FENCE ONLY. SURVEYOR'S CERTiFICATION ~ WE HEREBY CERTIFY TO VALLB [] E NdAMIN THAT TRIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF PRAC~CE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATb ASSOCIATION OF PROFESSIONAL LAND SURVEYORS SURVEY FOR VALLO BENJAMIN At Orient, Town of Southold Suffolk County, New York County Tox Mop DIstrfcb 1000 s*~t,o. 13 ~o=~ 02 BOUNDARY SURVEY MAP PREPARED MAY 29, 2008 MAY 23, 2001 NOV, 28, 2000 SCALE 1" = 50' ~ JOB NO 2000 0557 ! OF 1 DWG. 2000_0557_deer_fence