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HomeMy WebLinkAboutTR-8176A James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town 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 ,/ Pre-construction, hay bale line Ist day of construction % constructed Project complete, compliance inspection 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.: 8176A Date of Receipt of Application: April 30, 2013 Applicant: John Liegey SCTM#: 31-18-1 Project Location: 2395 Bay Avenue, East Marion Date of Resolution/Issuance: May 15, 2013 Date of Expiration: May 15, 2015 Reviewed by: Trustee John Bredemeyer Project Description: To construct a 3'x3' platform with stairs to dwelling; for the existing outdoor shower; and place boulders along the side yard property line. 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 John Liegey, received on April 30, 2013, and stamped approved on May 15, 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 $outhold 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 Bredemeycr Michael J. Domino PO Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631) 765-6641 Date/Time: Southold Town Board of Trustees Field Inspection/Work Session Report JOHN LIEGEY requests an Administrative Permit to construct a 3'x3' platform with stairs to dwelling; for the existing outdoor shower; and place boulders along the side yard property line. Located: 2395 Bay Avenue, East Marion. SCTM# 31-18-1 ~ of area to be impacted: Saltwater Wetland Freshwater Wetland Sound /"Bay Distance of proposed work to edge of wetland ,~C. of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other TY/AAd of Application: Wetland __Coastal Erosion __Amendment ministrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: P~t Were: J. King B. Ghosio__ Bredemeyer. Michael Domino D. Bergen, D. Dzenkowski other Form filled out, jp th,e field by Mailed/Faxed to: Date: EOE~V~ APR Southold OFFICE LOCATION: Town I-Iall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: From: MEMORANDUM Jim King, President Town of Southold Board of Trustees Mark Terry, Principal Planner LWRP Coordinator ECEJVE MAY 13 2013 So~thold Town Board of Trustees Date: May 10, 2013 Re: Proposed Wetland Permit for JOHN LIEGEY SCTM#1000-31-18-1 JOHN LIEGEY requests an Administrative Permit to construct a 3'x3' platform with stairs to dwelling; for the existing outdoor shower; and place boulders along the side yard property line. Located: 2395 Bay Avenue, East Marion. SCTM# 31-18-1 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 depadment, as well as the records available to me, it is my recommendation that the proposed actions are CONSISTENT with the Policy Standards and therefore CONSISTENT with the LWRP. Pursuant to Chapter 266, 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 Hail 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 Office Use Only Coastal Erosion Permit Applic~ti~)n Wetland Permit Application ~ Administrative Permit _ Amendment/Transfer/Extension .~ Received Application: ~/'~ O//:~ ~[;~Received Fee:$ ! ~-Completed Application ~/~O//z> n--incomplete ! ! __SEQRA Classification: Type 1 Type II Unlisted Coordination:(date sent) ~!_~-LWRP Consistency Assessment Form ~///~:~/~ _-5- CAC Referral Sent: ~_Date of Inspection: .~'~t~'f] :~ Receipt ofCAC Re-po~: ! Lead Agency Determination: Technical Review: ~ Public Hearing Held:. 5-"//~-"//?-. Resolution: ! ! -- APR 3 0 20;3 ~ of Trustees Name of Applicant Mailing Address Phone Number:({~$ 7~ ~;~ ' ~-'~t)_r~ Suffolk County Tax Map Number: 1000- 3 1 ~' I~>' _t~ ] Urop~y Location: ~ ~ ~ g~ ~ ~ (provide LILCO Pole g, 'di~ance~o cro~s s~eets, and location) [ AGENT: (If applicable) Address: Phone: of Trustees Applicatio~ GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: Covenants ~d Restrictions on prope~y? ~Yes ~No If"Yes", plebe provide a copy. Will this project require a Building Pe~it as per Town Code? ~Yes No If"Yes", be Mvised this application will be review~ by the Building Dept. prior to a Bo~d of Trustee review ~d Elevation Plans will be required. Yes P~No Does this project require a variance from the Zoning Board of Appeals? .__ If "Yes", please provide copy of decision. Will this project require~ demolition as per Town Code or as determined by the Building Dept.? Yes i/ No Does the structure (s) on property have a valid Certificate of Occupancy? /Yes No 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?. _ If yes, provide explanation: No Yes Project Description (use attachments if necessary):: .~~__ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: t~ _square feet Percent coverage of lot: ~ % Closest distance between nearest existing structure and upland edge of wetlands: :]~ ~t feet Closest distance between ngarest proposed structure and upland edgeofwetlands: :~' %,~t feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? How much material will be filled? 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: cubic yards cubic yards 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 )ART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 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 SEQR 3.PROJECT LOCATION: ~ I PRECISE LOCATION: Street Addess and Road Intersec~ons, Prominent landmarks etc -or 9rovide map IS PROPOSED ACTION: ~ New [] Expansion [] Modification / alteration 6. 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: 99.,~WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential E~]lndustrial ['--]Commercial ~Agriculture r~ Park / Forest / Open Space [~Other (describe) 10.' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL ,~NCY (Federal, State or Local) Yes r~ No It~ yes, list agency name and permit / approval: 11. uuL~ ANY A~PECI r j;- I h~. AC I ION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? --'-]Yes [~No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ~ CERTIFY ]~,~ THE ]NFOIi~IATION~,PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature q. fthe act on s a Co~al~rea, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 6174? If yes, COordinate the review process and use the FULL EAF. r~Yes ~]No 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. n--J Yes [~'lNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surfaceorgroundwaterqualityorquantty, noiselevels, existing traffic pattern sofidwaste productidn ordisposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or Community or neighborhood character? Explain briefly: C3. Vegetation 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 intensity of use of land or other natural resources? Explain bdefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in Cl-C57 Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? [] Yes [] No If Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If Yes, explain briefly: 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 and adequately addressed. If question D of Part 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 have identified adverse which MAY occur. Then proceed directly to the FULl you ona Or more potentially large or significant impacts EAF and/or prepare a positive declaration. [] Checkthisboxifyou have determined, based on the information andanalysisaboveandanysupportingdocumentation,thatthepmposed action wiLI NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) of Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS THAT~E/~HE 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. 1N 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. t~ignature o f~r~pe~/~wner SWORN TO BEFORE ME THIS ?~'('Z DAYOF ..~ ,20 I')D Notary Public CONNIE D. BUNCH Notary Public, Str~te of New York NO. 01BU' 185(;';0 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE. FORM The Town of Southold's Code of Ethics orohibits conflicts ofinterost on the vart of town Officers and emolovces. The vumose of this form is to orovide information which can alert the town ofoosalble conflicls of interost and allow it to take whatever action is necessary to avoid same. YOURNAME: (Last name, first name, gaiddle 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 (lf"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? "ReIationship" 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 pmtial ownembip of (or employment by) a corporation in which the town officer or employee owns more than 5% ofth~aros. / 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 Soothold Title or position of that person Describe the relationship between yourself{the applicant/agent/ropresentative) 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 ofgroater than 5% of the shares of the corporate stock of the applicant (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 oftbe applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I 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 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 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 supporting and non- suooorting 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 SCTM# !'il fit') - ~' { [~:~ ~' 0 I PROJECT NAME The Application has been submitted to (check appropriate response): Town Board Plann gBoara[] Building Oept. C1 Boara ofTr. stees IF( Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: [~-]/ Nature and extent of action: 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: ~ O._e,t (b, Mailing address: . - ~]'~_ '~ ~ ~ l1 '~qq (c) Telephone number: Area Code (d) Application number, if any:. Will the action/directly undertaken, require funding, or approval by a state or federal agency? Yes [] No I t/I 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 o~development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ~ / []Yes [] No otApplicable Attach additional sheets if necessary Policy 2. Protect and pres~e hlstorie and archaeological resources of the Town of Southold. See LWRP Section III -~ Pages 3 through 6 for evaluation criteria [] Yes [] No [~Z] Not Applicable Attach additional sheets if necessao' Policy 3. Enhance visual/quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - PoliCes Pages 6 through 7 for evaluation criteria [] Yes [] No I V l Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES 4. Minimize loss o~e, structures, and natural resources from flooding and erosion. See LWRP Policy Section III - Policies Pa~s 8 through 16 for evaluation criteria ~ Yes [] No[~t-~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and impr/ove water quality and supply in the Town of Southold. See LWRP Section III -Policies Pages 16 throu~ 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 a~d Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluati?6 criteria. / Yes No ~ot Appl?able 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/t~aluation criteria. ~-~ Yes [] No L_~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize envi/ronmental degradation in To~n of Southold from solid waste and hazardous substances and w~/See LWRP Section III - Policies, Pages 34 through 38 for evaluation criteria. ~ Yes [] No I ~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public re.sou.rces of the Town of/8outhold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~// F~ Yes~ No t/~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Sout/hold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. S~ LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. [] Yes ~'~ No~l'l Not Applicable ARach additional sheets if necessary Policy 11. Promote__sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town wa/t~rs. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. I lYes ~ I Nolg/1 Not Applicable Attach additional sheets if necessary 12. Protect agric)d'~ural lands in Policy 62 through 65 for eval~tion criteria. ~ Yes [] No l[~]J~' Not Applicable the Town of Southold. See LWRP Section III - Policies; Pages Attach additional sheets if necessary 13. Promote apprgl~riate use and development of energy and mineral resources. See LWRP Policy Section III - Policies; Pa~s 65 through 68 for evaluation criteria. ~ Yes [] No ~ot/Applicable P~PA~DBY DATE ~ ECEIVE '-I APR 3 0 2013 -. Southold Town Board of Trustees APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD SURVEY OF PROPERTY ~ITUA T£'D A T EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-31-18-01 SCALE 1"=20' SEPTEMBER 28, 1999 APRIL i9, 2013 ADD COASTAL EROSION HAZARD LINE AREA = 6,124.47 sq. (TO BULKHEAD) O. 1 41 CERTIFIED TO: FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK EXECUTIVE MORTGAGE BANKERS, LTD. JOHN LIEGEY ELIZABETH LIEOEY ECEIVE APR 3 0 2013 PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY TIlE LIA[ S AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION Lic No 50467 Nathan Taft Corwin III Land Surveyor Successor Ti): Stanley J Is(]ksen, Jr LS Joseph A Iqgegno L.S Title Surveys Subdivisions Site Plans Construction Layout PHONE (631)727 2090 Fox (651)727 1727 OFFICES LOCATED AT MAILING ADDRESS 1586 Main Roac PO. Box 16 Jamesport, New 11947 Jamesport, New York 11947 ,,,% UNATHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS B VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMDOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDfND INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI TUTION CERTIFICATIONS ARE NOT TRANSFERABLE THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED, 99 604