HomeMy WebLinkAboutTR-5000A 3nme~ F. King, President
BOb Ghosio~ .tr., Vice-P~esidea~
: - .' . .'Dave Bergea ....
~olm Bredemeyer
Michel J. ~mino
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Mai~ Rd.
· · P.O.'Box 1179
Telephone (631) 765-1892
Fax (63 l) 765-6641
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
1 ~ 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
54375MainRoad
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
April 17, 2013
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Mr. David Cichanowicz
Creative Environmental Design
PO Box 160
Peconic, NY 11958
RE:
CHARLES RODIN
70 STROHSON ROAD, CUTCHOGUE
SCTM# 103-10-'16
Dear Mr. Cichanowicz:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday, April 17, 2013:
RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative
Amendment to Wetland Permit #5000 to add untreated composite wood safety railings
along both sides of the fixed dock and ramp; and as depicted on the revised site plan
prepared by Creative Environmental Design, last dated on April 2, 2013 and stamped
approved on April 17, 2013.
Any other activity within 100' of the wetland boundary requires a permit from this office.
This is not a determination from any other agency.
If you have any questions, please call our office at (631) 765-1892.
Sincerely,
James F. King
President, Board of Trustees
JFK:amn
James F. King, President
Bob Ghosio, Ir., Vien-President
Dave Bergen
John Bredemeyer
Michael J. Domino
Town Hall Annex
54375 Route 25, P.O. Box 1179
Southold, NY 11971
Telephone (631) 765-1892
Fax (631 ) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Please be advised ~at your appli~tion dated
review~ by this Board al the regular meeting of } ~ ~13 and
your appli~tion has been approved pending the completion o~ {he t011owing items
checked off below.
__ Revised Plans for proposed project
__ Pre-Construction Hay Bale Line Inspection Fee ($50.00)
1st Day of Construction ($50.00)
½ Constructed ($50.00)
t~/ Final Inspection Fee ($50.00)
__ Dock Fees ($3.00 per sq. ft.)
Permit fees are now due. Please make check or money order payable to Town of
Southoid. The fee is computed below according to the schedule of rates as set forth in
Chapter 275 of the Southold Town Code.
The following fee must be paid within 90 days or re-application fees will be necessary.
You will receive your permit upon completion of the above.
COMPUTATION OF PERMIT FEES:
TOTAL FEES DUE: $ ~), ~)0
BY:
James F. King, President
Board of Trustees
.lames F King I)rcsidcnt
Bob Ghosio. Ir. Vic¢-l)rcsidcnt
lDO Boxl179
Soulhold, NY 11971
Telephon~ (631 765-1892
]:ax f631 ) 765-6641
Date/Time:
Southold Town Board of Trustees
Field Inspection/Work Session Report
Creative Environmental Design on behalf of CHARLES RODIN requests an
Administrative Amendment to Wetland Permit #5000 to add safety railings along
both sides of the fixed dock and ramp. Located: 70 Strohson Road, Cutchogue.
SCTM# 103-10-16
Type of area to be impacted:
.~SaltwaterWetland __Freshwater Wetland
Sound Bay
Distance of proposed work to edge of wetland
Part of Town Code proposed work falls under:
__Chapt.275 Chapt. 111 other
Type of AppLication: __ Wetland
__Administrative__Emergency
Coastal Erosion Amendment
Pre-Submission Violation
Info needed:
Conditions:
Present Were: J. King B. Ghosio ~-d~). Bergen,
J. Bredemeyer.__ Michael Domino D. Dzenkowski __
Form filled out in the~ieldby
Mailed/Faxed to:
Date:
other
New Ymk Stat~ Dqna'm'~m of Moto~ 'V~klm
~'~ ~ ~ APPLICATION FOR A P~NG PERM~ OR LICENSE P~TES,
FOR PERSONS ~TH SEVE~ DISCIPLES
T~c ~s com~l~ =~li~on to ~ issuing agent in the ~ea whe~ you live. ~ ~ Yon ~ve s NYS d~dr li~n~ or
an ID card issued ~ ~S D~, b~ it wi~ yo~ w~ yon apply f~ ~ ~it. ~
~a¢ 1 INFOR~TION ABOU~ PERS~ W~H DISABILI~ --{~;===~ a~sl~ .~w.)
Do you have license plat~ for ~s wi~ di~bil~es? ~ Yes - My li~ pl~ nm~r~is:
Part 2 MEDICAL CERTIFICATION--This seat/on must be mmp~eted only by a
: Checkthe ~x(es) that desc~ the dlsablll~, and fill in the ~lngnOsls:
~ ~MPORARY DISABIL~: A ~n wi~ a ~ ~bi~ ~ ~ ~n w~ ~ ~o~ly unab~ to ~bu~ ~o~
· e aid of an ~istlng d~l~, su~ ~ a ~ ~, ~h,p~c devil,
d~icc. ~empo~ ~i~ ~ i~ for ~ of sA m~ or le~.) Ex~
Diagnosis:
What assisfive device is needed?
~.~d~RM AN ENT DISABILITY: A "seventy disable" person is any pmson with one or mor~ of the PERIviANENT impairments,
abilities or conditions listed below, which limit mobilit7.
Diagnosis: Pless~ cttack the ~ondltions that apply:
[] Uses portable oxygen [] Legally blind [] Limited or no us~ ofene or bo~a logs Il:Unable to walk 200 it. wilhout stepping
/~'Neuromusculex dysfilnction that severely limits mobility [] Class 1II or IV cardiac condition. (Ammica~ Heart Assoc. standards)
~evcrety limited in ability m walk due to an arthritic, neurological or or~, opedlc condition
r"l Res~'icted by lung disease to such an extont that forced (respiratory') expiratory volume for one secol,,d, wh~ measured by
splrometry, is less titan one liter, ot thc arterial oxygon tension is leas than sixty rtlm/hg of room air at rest
[] Has a physical or montal impairment or condition not listed above which constitutes ap equal dcgre~ of disabilitT, and which
' es ........' ~' -'~'~:' "' the use of nubile Iransno~atioll and nrevmlts th~ pet~on ftor~ oaltlna around without ereat
difficulW. EXPLAIN HOW THIS DISABILITY LIMIT~ I-UNGIIUr~P.t. mvm~ ~,
See Note on Page 2/,,
Pi~t 3 FILE INFORMAT~N
D Blue D ~ Pa~ing PermR No,
~ First D Secou~
[] Denied [] l~voked
9-digit number from NYS Driver License/ID Card
E.¢ason:
Date Exp~:
(~)
PAGE 1 OF 2
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO.
DATE: May 26, 1999
ISSUED TO CHARLES RODIN .
utl ari atiau
Pursuant to the provisions of Chapter 6IS of the Laws of
the State of New York 1893: end Chapter 404 of the .t.~.. ws of the
State of New York 1952: and the Southod Town Ord,nance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWlq WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS:" and in accordance with the
Resolution of The Board adopted at a meeting held on May .26, _1999
19 99, and in consideration of the sum of $ 528.0.0 paid by
~,and Use £o~ CHARLES RODIN
Of .Gutc. h~gue lq. Y. end subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
Wetland Permit for:
IN WITNESS WHEREOF. The said Board of Trustees here-
by causes, its Corporate. Se. al to be affixed, and these presents to
be subscribed by · malonty of the said Board as of th)s date.
NAY Kenneth Pol~q_¢l a
'5 .'r: / .....
.. .
OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cot. 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:
MEMORANDUM
Jim King, President
Town of Southold Board of Trustees
ECE VE !
APR lO 2013
From: Mark Terry, Principal Planner
LWRP Coordinator
Southold Town
Date: April 10, 2013
Re:
Proposed Wetland Permit and Coastal Erosion Permit for CHARLES RODIN
SCTM#1000-103-10-16
Creative Environmental Design on behalf of CHARLES RODIN requests an Administrative
Amendment to Wetland Permit #5000 to add safety railings along both sides of the fixed dock and
ramp. Located: 70 Strohson Road, Cutchogue. SCTM# 103-10-16
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 CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP.
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
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
APPLICATION FOR AN AMENDMENT TO A WE1
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
APR - 3
~l~o[d Town
DATE
OWNER ~ ~-~ {L~) ~_', (~_ PHONE
~ Box 1~
ADDRESS P~eonie. ~ 119~
PROPERTY LOCATION
TAX MAP NO. df)
to
Signed B~~C~~
request an Amendment to Permit # ~ ODD
Board of Trustees Application
County of' Su flblk
State of New York
DEPOSES AND AFF1RMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED ltEREIN ARE
"['RI YE TO TIlE BEST OF IllS/HER KNOWLEDGE AND BEL1EF, AND TltAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTft IN TillS APPLICATION AND AS MAY
BE APPROVED BY THE SOUTIfOLD TOWN BOARD OF TRUSTEES. ]'liE APPLICANT
AGREES TO I IOLD THE TOWN OF SOUTHOLD AND TIlE TOWN TRUSTEES
HARMEESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANFED. IN COMPLETING THIS
APPLICATION, I HEREBY AI1THORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ON¥O MY PROPERTY TO INSPECT THE
PREMISES 1N CONJUNCTION WITH REVIEW OF THIS APPLICATION.
Signature
SWORN TO BEFORE ME THIS ..~
,20 i3
'~otarf ~ub~~-~'
MICHAEL IE CREED
Notary Public, State of New York
Ql~allfled in New York County
No. 01CR6254579
My {~r~r~is~on Expi~. 01-17-2016
Board of Trustees Application
AUTHORIZATION
(where the applicant is not the owncr)
(.print owner of property)
residing at ~L~I ~7i x-'T
(mailing address)
hereby authorize David Cichanowicz, Pres.
(Agent)
Creative Environmental DesLqO_ to apply for perrait(s) from the
Southold Board of Town Trustees on my behalf.
(Omer s s~gnam'e)
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~ listin~ both supporting and non-
suooortin~ 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 Trustee~ Office, the Planning Department, all
local libraries and the Town Clerk's office. .~'_, C E I V [~ '~¥1,.
The Application has been submitted to (check appropriate response):
Town Board
Southo/d ~'own
~oa~ OT Ir~]i~!r'os
[] Planning Board [~ BuiidingDept. [] BoardofTrustees/~p
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:
Location of action:
Site acreage:
Present land use: ,~ _ t~ 0
Present zoning classification: ~ -/M 0
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 enhances 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 - Polic/jes Pages 3 through 6 for evaluation criteria
[--] Yes [] No~d Not Applicable
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III - Policies Pages 6 through 7 for evaluation criteria
~ Yes [] No ~ot 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 Page~ through 16 for evaluation criteria
~ Yes [~ No~[~/~-~ 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 th~ for evaluation criteria
I I Yes [~ No ~VlNotApplicable
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 - Policies; Pages 22
through 32 for evaluation criteria.
Yes No Not Applica~l~
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.
F~ Yes F--] No~ot Applicable
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold 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 use 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.
~es~ No [] Not 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
suitabl~ocations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria.
~es~/~-~ No [] 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.
n Yes n No ~x,fl'lY-3/'Not Applicable
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 ~ot Applicable
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III - Policies; Pagges 65 through 68 for evaluation criteria.
~-~ Yes [] No V~JN°t Applicable
PREPARED BY
:/~__TITLE 9~/~S~ DATE
Creative Environmental Design
PO Box 160
Peconic, NY 11958
N
~ Ecr~vE
APR - 3 201:t
Sou[hold Town
Board of Trustees
///
'.,\~ I//~
I/
OAD
CONNECTION OF DOWNSPOUTS
-~ DI~YWELLS
il/ fl/ il/ iP_
[/
%\1///
il/
~,N\ I///
il/
>,~ LL///
ELEVATION DETAIL FOR RAILINGS
I~ 2X4~IL- ~
NOT TO C~ALE
EAST CP-.EEK
A.H.W.M.
Revision #:
Date: 4/2/2013
Scale:
1/16"- 1'-
Landscape Plan:
Rodin
1-16-13
APPROVED BY
BOARD OF TRUSTEES
' TOWN OF SOUTHOLD
Landscape Design by: David Cichanowicz
Creative Environmental Design