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HomeMy WebLinkAboutNassau Point Property Owners AssocJames F. King, President Town Hall Jill M. Doherty, Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold, New York 11971~0959 Dave Bergen / Permit ~o.: $442A M.~ ~ ' Date of Receipt of ~pplication: September $, 2006-- Applioant: Nassau Point Property Owners Assoc. SCT~#: 104..8-g&8.'~ Project Lo~ation: ~assau ~oint Causeway Beach, Cutchogue Date of Resolution/Issuance: September 20, 2000 Date of Expiration: September 20, 2008 Reviewed by: Trustee Peggy Dickerson Project Description: To trim and cut, by hand, the overgrowth of poison ivy, briars and underbrush, between the parking area and road. 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 described in the application received on September 5, 2006. Special Conditions: No removal of trees, shrubs or groundcover. 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. Jam F.~King, prC~esid~ Board of Trustees James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Rou~e 25 P.O. Box 1179 Southold, New York 11971-0959 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 v/Project complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 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.: 6442A Date of Receipt of Application: September 5, 2006 Applicant: Nassau Point Property Owners Assoc. SCTM#: 104-8-9&8.1 Project Location: Nassau Point Causeway Beach, Cutchogue Date of Resolution/Issuance: September 20, 2006 Date of Expiration: September 20, 2008 Reviewed by: Trustee Peggy Dickerson Project Description: To trim and cut, by hand, the overgrowth of poison ivy, briars and underbrush, between the parking area and road. 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 described in the application received on September 5, 2006. Special Conditions: No removal of trees, shrubs or groundcover. 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 Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD to: O ooc Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: has been and the /- ( ~/' ) Application Approved (see below) ( )Application Denied (see below) ( ) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ ~-O, OO BY: James F. King, President Board of Trustees UTTLE ~ 8ROAD~IATERS C~VE ~ Albert J. Krupski, President James King, Vice-President Attic Foster Ken Poliwoda Poggy A. Dickerson Town Hall 53095 Route 25 F O. Box 1179 Southoid, New York 11971-0959 Telephone i63i) 765-1892 Fax (631) 765.6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOI,D Office Use Only __.Coastal Erosion Pernnt Application __Wetland Permit Application _ w'""'Admimstrative Permit Amendment/Transfer/Extension ___,~ecei¢~d ApplicatioaL.~ ...--R-ecoivcd Foe:$ _~.~,ompletcd Appii~:a~ion~_ t~ __Incomplete __ T~e I T~c Il U~flis~ed __Coord~don:(datv ~cnt) __~L~P Consistency Assessment 1;om~ ....... CAC Referral Scn~: ~e of Inspection: __ ~eccipt of CAC ~cport: .... Lead Agency Tcctmical Review: ~-~blic Hearing ___Resolution: Name of Applicant_ Phone Number:( Suffolk County Tax Map Number: 1000 - _ ....... Property (p.ro¥ide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: ~ I ~ I//~ Bt 5'}OIM' of Trustees Applicati Land Area (in square feet): Area Zoning:. GENERAL DATA Previous use of property: Intended use of property: R E~. ErO 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 aZ go~enunental agency? No .%- Yes If yes, provide explanation: Project Description (use attachments if necessary): of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: ~) % Closest distance between nearest existing structure and upland edge of wetlands: feet ~v' IR Closest distance between nearest proposed structure and upland edge of wetlands: feet ~L/I (Bt Does the project involve excavation or filling? ~ No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards 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: 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 617,20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 1 APPLICANT / SPONSOR 2, PROJECT NAME 3,PROJECT~;~' LOCATION:~))~'~'/O~O~(L*~' t~'~V~--l~ ~ ~ ~0~ C~% ~ Municipality ~' H 1Z ~4 0 ~ ~ ~ County ~ ~ ~ ~O L ~ 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc - or provide map 5 IS PROPOSED ACTION: ~ New ~ Expansion ~ Modification / alteration SEQR 6 DESCRIBE PROJECT BRIEFLY: OH pRIv 7 AMOUNT OF LAND AFFECTED: Initially L ~ acres Ultimately I, ~ 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.) I~Residential []Industrial E~commercial E~]Agricult.re E]Park/Forest/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 If list name and permit / approval: yes, agency 11 DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? E~Yes F-'-'-'-'-'-'-'-'-'~'No if list name and permit / yes, agency approval: 12. AS ARR~LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION~ E~Yos O Applicant / Signature CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE 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 ACTtON EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 tt yes, coordinate the review process and use the FULL EAF. J~J Yes j~JNo 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. 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 qualgy or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultu;ail ar~h~;~i0gicai, historicl or oth;r ~aiaral or cultural resources: or community or neigbborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. un ty s ex,sting plans or goals as officially adopted or a change in use or mtensgy of use of land or other natural resources? Explain briefly C5. Growth, subsequent development, or related activities' likely to be induced by ihe proposed action? Explain briefly: C6. Long ter~, ~h~0~t;~i ~unluiativel or ~il~;i e~eC~s h~[ identified in C1-C57 Explain briefly: D7. Other impacts (includin[I changes in use of either ~uantit~ or typo of energy? Explain briefly: WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA ICEAI? If es, ex lain bdefl [] Yes [] NO J I E. IS THERE, OR tS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain; PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For eachadverse effect identified above, determinewhether it is substantial, large, important orotherwisesignificant. Each et:fact 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 and adequately addressed, tf question d of par~ ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics 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 declaration. Check this box if you have dete-rm~necl, based on the ~nformation and analysis above and any supporting documentation, that the proposed actiol WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons suppoding thi determination. Name of Lead Agency Title of Responsible Officer Signature of Preparer (g different from responsible officer) Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Board of Trustees Application County of Suffolk State of New York 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 WlLL BE DONE 1N 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 DAY OF ,20 Notary Public of Trustees Applicat AUTHORIZATION (where the applicant is not the owner) I, residing at (print owner of property) (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the uart of town Officers and emolovees, The numose of this form is to orovide information which can alert the town of ~os$ibl¢ conflicts of interest and allow it to take whatever action is necassarv to avoid same. ~t~ $,~x,k Opl ~.l3 ppOt~lO.-h"{ OiVl~'tSl~5 ~ 6'~t.)t'lgl-J IOtt~ (Last name, first name, tniddle initial, anless you m'c applying in the name of someone else or other entity, such as a company, lfso, indicate the other parson'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 interesff 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. YES NO ~ lfyou 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 ownqr 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 Submitted thiste0r~day of t~{~ I~ ~'~ 200 ~_ Signature ~ ~ [_~/ ~ PrintN~e ~ ' ~1~' '