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HomeMy WebLinkAboutTR-8437E • S • John M. Bredemeyer III, President ��oEo UjyOTown Hall Annex Michael J.Domino,Vice-President ,`O l0 54375 Main Road P.O.Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G Q �O Telephone(631) 765-1892 Charles J. Sanders,Trustee OIy40M Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD EMERGENCY WETLANDS PERMIT Permit No.: 8437E Date of Receipt of Application: June 16, 2014 Applicant: Peter A. Moesel SCTM#: 68-3-1 Project Location: 1450 Salt Marsh Lane, Peconic Date of Issuance: June 18, 2014 Date of Expiration: 90 Days from Date of Issuance Reviewed by: Board of Trustees Project Description: Temporarily relocate the existing 32'x16' cottage 50' landward from its current location at the edge of the eroding bluff. Measure is proposed as a temporary stop-gap until all regulatory approvals can be obtained to permanently relocate the existing cottage. Findings: The project meets the requirements for issuance of an Emergency Wetlands Permit as determined by the Board.of Trustees. The issuance of an Emergency Wetlands Permit allows for the operations as indicated in the application received on June 16, 2014. Special Conditions: A Wetland Permit must be applied for within 90 days of the date of this permit in order to conduct any further activity on the cottage. This is not a determination from any other agency. Our &049%� John M. Bredemeyer III, President Board of Trustees 'tea • a°� - � �.. `� - - � ,a.•-��„s• •,rte�y„r��� Y F � Ar AW jLav b SA r.AAI L "sem Xf Ile WAS €firAPO VAUD P'.4 a to w w OFi F �BBMl6 Y N AU t10T mss. 4. 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"""ry Carr.N.rFB,N♦nM1 M r rncT xo N rrw. w. �.u. • r g P 8000 PROPERTY MAP F John M.Bredemeyer III,President �*rjf S�(/riyO Town Hall Annex Michael J.Domino,Vice-President 'lam lQ 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q Telephone(631) 765-1892 Charles J.Sanders,Trustee Ol�COUN� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD d v. lo Office Use Only "-e^cPear•,� /11tijon p _Coastal Erosion ermit Application Wetland Permit Application Administrative Permit _Amendment/Transfe r/Extprision eceived Application- eceived Fee:$ ,(>01 Completed Application _Incomplete D C _SEQRA Classification: Type 1 Type ll Unlisted Coordination:(date sent) 11 _LWRP Consistency Assessment Form JUN 1 6 2014 1 _CAC Referral Sent: _Date of Inspection: _Receipt of CAC Report: _Lead Agency.Determination: _Technical Review: _Public Hearing Held: Resolution: Name of Applicant ��i L�/Z f}' . �!o�S je,4 4�E S cam. Mailing Address 3 A/�--���5 � r� G C � PC _ !y y �D a Phone Number:( Suffolk County Tax Map Number: 1000 - �-- Property Location: l J'� .S ,� �`j jLS f{ �f-�{G 1>C5_C o/Y/C rD4 /3 5,gE7,e ,+7-7-A-c ff f s c.Gti� y' C�yr %'o/� L c�Cf�i t 0/y (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: �ard of Trustees Applicati. GENERAL DATA Land Area(in square feet): ,7�, p fl ® S a2 Area Zoning: q0 Previous use of property: Se VGLZ- fA Mit &/ Intended use of property: 5 i HG�I—E ic--.* M i G Y /?L—S, Covenants and Restrictions on property? Yes V No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ✓No If"Yes",please provide copy of decision. Will this project requirea y demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s) on property have a valid Certificate of Occupancy? V111yes 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? �No Yes If yes,provide explanation: Project Description (use attachments if necessary): 1 /ZC-� N4 t/ f=17-- T-6 /Y 5 u /z Jc Y d of Trustees Application* 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: Q feet Closest distance between nearest proposed structure and upland edge of wetlands: /S feet Does the roject involve excavation or filling? No Yes If yes,how much material will be excavated? cubic yards How much material will be filled? 6 cubic yards Depth of which material will be removed or deposited: C) 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): 617.20 Appendix B Short Environmental Assessment Form Instructions for Completinp, Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part l -Project and Sponsor Information Name of Action or Project: (Al az Project Location(describe,and attach a location map): Brief Description of Proposed Action: / S—e S a Z::' 17T ce, Name of Applicant or Sponsor: Telephone: S/ c/ E-Mail: Address: City/PO: State: Zip ode: � f 16 �—R-L) 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that E F] may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ t 3.a.Total acreage of the site of the proposed action? 2ne b acres b.Total acreage to be physically disturbed? / acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? o �a acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial [-]Commercial sidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES /A a. A permitted use under the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: F 7 1 ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? Feffl 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: �1� 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: [D] ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: Er ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO VES Places? b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Er 0- 14. Ide the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline El Forest ❑Agri cultural/grasslands El Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO Y by the State or Federal government as threatened or endangered? ❑ 16.is the project site located in the 100 year flood plain? NO S 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? �/�EIYES E] E] b.Will storm water discharges be directed to established conveyance systems(runoff and rrn drains)? If Yes,briefly describe: [�O QYES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO I YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponso ij��2 �I lu 0� C L-- Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the.following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning F] Elregulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ El 4. Will the proposed action have an impact on the environmental characteristics that caused the El 1:1establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or D affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ El a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, F] El or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, F] Elwaterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage 1:1 1:1problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-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) PRINT —] Page 4 of 4 Ad of Trustees Application County of Suffolk State of New York 'C'S� L-- BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/= IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIM 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. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO TY TO INSPECT THE PREMISES IN CONJUNCTION WIT W OF T PLICATION. Sign ture of Property Owner SWORN TO BEFORE ME THIS &�,4k DAY OF ,20� Notary Public CONNIE D. BUNCH Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County l Commission Expires April 14, 2-0 1 ' APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. t YOUR NAME: MOF•• SC/— (Last name,first name,rpiddle initial,unless you are plying 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 (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 ofSouthold? "Relationship"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 partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. 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 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%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 of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this a of Ttii � 20� Signature- Print Name Form TS 1 f e