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HomeMy WebLinkAboutRengifo, Robert 0 James F. King, President o~%UFFD(4, Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President a~ P.O. Box 1179 Dave Bergen y Southold, NY 11971 John Bredemeyer vT Telephone (631) 765-1892 Michael J. Domino Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: AP 7/ / 9 /7 f Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 151 day of construction constructed v Project complete, compliance inspection. INSPECTED BY: COMMENTS: / CERTIFICATE OF COMPLIANCE: - R1'I l b 14 f ~ r dY f ,N 7r'P 'F t1y•~ r, ~ ILA 34 ~ s ayes lit i { f ~ ~i~ • ~t, ,tom, ' ~ E, fRF . 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Gn fU LAC 1-fc~/'c~ i BOA I e } 9~ ES PERMIT NO. 8296 DATE: SEPTEMBER 18.2013 ISSUED TO: ROBERT RENGIFO PROPERTY ADDRESS: 2175 BAYSHORE ROAD, GREENPORT SCTM# 534-14 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on September 18. 2013, and in consideration of application fees in the sum of $350.00 paid by Creative Environmental Design and subject to the Terms and Conditions as staled in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the removal of existing wooden retaining wall; install a 280' Redi-Rock retaining wall block; insta11250-300 cubic yards clean fill material; install two drywells for house gutters; and as depicted on the site plan prepared by Creative Environmental Design, last dated August 23, 2013 and stamped approved on September 18, 2013. A Ten (10) Year Maintenance Permit to hand-cut the Common Reed (Phragmites aas&dis) to no less than 12" in height by band on an as needed basis; for a 4' wide access path to the water; and as depicted on the project plan submitted by Creative Environmental Design, received on August 30, 2013 and stamp approved on September 18, 2013. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. rs~ ichael J. ino i is ~.h ~ - ~ r' ~ a~r;k i JILL. vs2. 'i.•.r 2Y ~e y S ~G'1r ~ ^,..~r-~ a1h 0~ w +~r~ _ 4 ~ fi.:• '•q,.- {A -,:Y ~"~r1 ~fl1~:` •M - V „ • • Y. < ~S 72 t a xc.i 's s -'Yx ? \r 9 ^c _ ~ r 1 ±r MS * :yam . ,~rh~.,7.$d..?'4"` '~`,.r''.t t. ~1•*rkr „ ~r p ` 1;,! i r + ap ad',.;e a - r i.r a 4i..y ,s r r y p. _ 'n ? r of '.t - c #~yy } i11'; r+rf E s c}'. y, r v°" ..n.1r ~ y F:..}. S ~ x ~ ~ 5 k * ,A./~, t MF'~~. ,'4~y, ~E~ ~.4 •f.r ~K[ a;., ~F`~~ Y~: e - Nw Robert Rengifo 2175 Bayshore Road, Greenport CTM# 53-4-14 /11/13 guFFO(~ Jame F. king. President P O. Box 1179 Bob Ghosio. Jr.. Vice-President Southold. NY 11971 Dave Hereell Telephone (631765-1892 lohn Hrcdcmcccr Pax (631) 76?-6641 Michael I. Domino Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: Creative Environmental Design on behalf of ROBERT RENGIFO requests an Administrative Permit for a Ten (10) Year Maintenance Permit to hand-cut the Common Reed (Phragmites australis) to no less than 12" in height by hand on an as needed basis, and for a 4' wide access path to the water. Located: 2175 Bayshore Road, Greenport. SCTM# 53-4-14 Type of area to be impacted: -Saltwater Wetland -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 -Coastal Erosion -Amendment _Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: J. King B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to. Date: r s amok- t~.s A Cp I r ~ ~Sl i~~ ( rr;'r l dI , It nk~ y c ~r _ ,I~ r~ia9~ L• r 4 rr .9 t. ~,'r~ =..w-'t a~." !1 s r' ".K ~:3•€5 ! r ! ! r -^~'S2'sr,'~' c'~' rl 3' f 'r r'i 's c~ C! ~ ~ e i r i r t,ly r• yKf t~ ,a r t^~•a ~S~ + ! ~~1 r ~ ~ '1 te~_.. u, ~i 8'' ~7 ~ az ~r i Y• ; % 2- I Y`fa . YD'Y rye F r L zzzzzz b7k. uwa:. ~ ~ J - 5 c ~y lynx s , kjq Toy n vT a,r F__ i _ bA }y i•~:~'~r 1 iii t r i . WL J, gy, If ISO t - i - Ifyae; a .t t•• - 'i. WAS 3!MZ mom 1 5 1 t t}. -in It 4 no W > r'r iz "J5 IWO_ M, Tom. H Rt n ~ - - la. )~f.. \ s a '~,"~,ti'N';~.~r z. ~'-.x' y 'x ~ ~ _ • S a~ , ,.,`-i.a° ct~C ~ ;i ~ ~ .;yam •S"~. Y ""'fir,.. - 5[ P~ ~ x ~5~' = ` FF l i . L [jy 7 ?y ~Y 1 {V y 1 ~~~l~i -Al sal"- " L 'o ? r - # p{~~ a ,~n~ ~ ; ww ~4T:A°~1~jC~'S~ 'S7~%'~-ef' 1 e .'c.;- s ;4As' -'r~ i \ { •j C ~ J Ste.' J ~l ~ T ~ ~ - ' M it v ~ b r v' < ww, 7, ~5 0 cl. i F w °ti GPSkk ih~'Trt 4-~ A It ?3 z' ? ramnai rowmw,xno G£R vr°ES I m,apr. ,?'o ?Ia Ierr s ^F> I - ,t ~ ^ r a I I r m ~ ~ t p kl %x 0 A x ? ~i _ S't.' 4 d V V .,o V .v v I. J I rm.e ? ~ v ~ ' ~~1mt xO m, 9 ' .ivs.xam sr.Eac. w. mr x ~ (AUNTY W SUFFO © e wrm secrxox xo %.I PM dy TTu baxica Apercy m Y 53 mn OFFICE LOCATION: ~~OF soujyo MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 4 # Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 r, Q Telephone: 631 765-1938 G Fax: 631765-3136 o~yCOU~,N~ LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM M,r To: Jim K ing, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: September 18, 2013 Re: LWRP Coastal Consistency Review for ROBERT RENGIFO SCTM#1000-53-4-14 Creative Environmental Design on behalf of ROBERT RENGIFO requests an Administrative Permit for a Ten (10) Year Maintenance Permit to hand-cut the Common Reed (Phragmites australis) to no less than 12" in height by hand on an as needed basis; and for a 4' wide access path to the water. Located: 2175 Bayshore Road, Greenport. SCTM# 53-4-14 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 actions are 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 • *1~F SO • Town Hall Annex James F. King, President Ul/fr 54375 Main Road Bob Chosio, Jr., Vice-President h O P.O. Box 1179 Dave Bergen N * Southold, New York 11971-0959 v John Bredemeyer G p Telephone (631) 765-1892 Michael J. Domino~Q Fax (631) 765-6641 OOUN V, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only -Coastal Erosion Permit Applicatiopy Wetland Permit Application _ Administrative Permit _Amendment/Transf, r/E. ension II )I E Q E V E Received Application: C' /•3 llllfL"1/lllt/1 v V/~~c' ceived Fee:$. Z` Y 1Ctompleted Application- Z 13 AUG 3 0 2013 --Incomplete SEQRA Classification: Type Ifype ll__Unlisted__ Coordination:(date sent) uthmd o,rn I.WRP Consistency Assessment Form AC' Referral Sent: Date of Inspection:--3 _ _ _ -Receipt of CAC Report: Lead Agency Detennination: _ _ Technical Review:- Public Hearing Held:__ Resolution: Name of Applicant Address.01 E _PhoneNunlber:(1I-7) lrl~- Suffolk County Tax Map Number: 1000 - Jr 3 - _ Property Location: (A\-1:5 (provide LI CO Pole distance to cross streets, and location) AGENT: Po~renfaT° Sf ~"aA CZ (If applicable) PO Box 160 ~ Address: PW0i1109NY 11W Phone: /0`31 --131 =J~f:~ 'j rd of Trustees Applicatiob GENERAL DATA Land Area (in square feet): Area Zoning: R -"4-U Previous use of property: Intended use of property: t~1Cf~ Covenants and Restrictions: Yes vl*~'No If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date V No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspende by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): Li ; At- Vi-~te~ Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: \ o 0'//- Area of wetlands on lot: 4)4-71) square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: LA I feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the pro_je~t 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: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 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): 1) C)n'e - 617.20 SEQR PROJECT ID NUMBER 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 ' r 0f4'\14\Vk)i k U 3.PROJECT LOCATION: Municipality ~e D County vqww 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map 5. IS PROPOSED ACTION' New ? Expansion ? Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: G9 cL l-~ 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: 9. WHAT 'PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) UlKesidential ? Industrial ? Commercial ?Agriculture ? Park / Forest / Open Space ? Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ?Yes Fk__1tle-- If yes, list agency name and permit / approval: --T1-DO RYASFECT-UF-THE-ACTION-HAVE--A CU VA D MlT OR APPROVAL?- E] Yes nNq/ If yes, list agency name and permit / approval: 12LA'S A R_E._I,(SUUULLT_OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? Dyes L=Ko 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE : Applicant / 77' N Date 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 b Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.41 If yes, coordinate the review process and use the FULL EAF. 11 Yes 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. Yes ? No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Cl. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, 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 briefly: 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 C1-C5? Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA ? If es, ex lain brieFl Yes No E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es ex lain: Yes No PART 111 - 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 it was checked --des, thedeterminatioaefsignificansemustevatuatehhepotentia"mpaete"hepfeposedaeti eristiesofthe&EA 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 determined, based on the information and analysis above and any supporting documentation, that the proposed actin WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Name of Lead Agency Date rent or Type Name o Responsible Officer in Lead Agency Title of Responsible Officer Signature o Responsible Officer in Lead Agency Signature of Preparer(I different from responsible officer) Board of Trustees Application Count) of Suffolk State of New York Rop elT k BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SIIF IS THEAPPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL ST 1TEMFNTS 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 TRLTST1BES HARMI.FSS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF URANTED. IN CONIPI- TING.THIS APPLICATION, I HEREBY AUTHORIZE THF. TRI TSTEES, THEIR AGrNT(S) OR REPRESENTAFIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature 6 4t SWORN TO BEFORE ME THIS ~ L_DAY OF_fNlL t-- .20L Notary Public z ; DIANA IENZ Y I"Aft State of NaW York No. Q1LE69173og Quauned fn Weetciater cou}1Jy QoaMaAm Exphm Japery 19. !UY Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) A N\r 1t~t4 I, 49 residing at ~ ~ B, , ~ 4s,- ~-retyei 1 (print owner of property) (mailing address) do hereby authorize David Cichanowicz, Pres. (Agent) Creative Environmental Desjqn__ _ to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) L