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~' '