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HomeMy WebLinkAboutTR-4209 Michael J.Domino,President �QF sv(/�y Town Hall Annex John M.Bredemeyer III,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 CoUMI`II,N BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 16, 2019 Philip Loria P.O. Box 15 New Suffolk, NY 11956 RE: 1090 FIRST STREET, NEW SUFFOLK SCTM# 1000-117-7-31 Dear Mr. Loria: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, October 16, 2019: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#4209 from Anna Loria to Philip Loria, as issued on July 29, 1993. 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 contact our office at (631) 765-1892. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd Michael J. Domino, PresideqO�QSVFFO1A,.' „ j { Town Hall Annex John M. Bredemeyer 111,Vice-Presipent' �� yam,` 54375 Route 25 Glenn Goldsmith co P.O. Box 1179 A Nicholas Krupski %�b Southold,NY 11971 Greg Williams � 4,- p� , Telephone(631)765-1892 ��v �`� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: y 3d /� Completed in field by: PHILIP LORIA requests a Transfer of Wetland Permit #4209 from Anna Loria, as issued on July 29, 1993. Located: 1090 First Street, New Suffolk. SCTM#: , 1000-117-7-31 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet -2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening:,50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF:- 1.. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool,(cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of'Hearing Card Posted: Y / N Ch. 275 'Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.'H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: oy` w4a���w� A r%pqko,� (P.)obck j(,t&-4 x4�( �vijl 'S�cA I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were. J. Bredemeyer M. Domino G. Goldsmith ✓ N. Krupski G. Williams Other T Michael J.Domino,President O��oF SOUryOI Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 Glenn Goldsmith [ P.O. Box 1179 Southold, New York 11971 A.Nicholas Krupski G Telephone (631) 765-1892 Greg Williams 'O �4UFax(631) 765-6641 NT`(,�c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR A TRANSFER OF A WETLAND PERMIT r`a , 1\i F lQ-1 11 ll f V DATE q % SEP 6 2019 Seui;to,rf in:rn OWNER Ai R PHON MAILING ADDRESS © 0 X r S ,U t�✓ G�� �' AGENT PHONE ADDRESS PROPERTY LOCATION tot d E-140- 51 5�k-1 TAX MAP NO. 47 3 `� / ? 7 -3/ I/We P�o' i ,p ,�W-- request a Transfer of Permit# eq from R NA16 J_Ok, y} Signed By: �rt � -- Board of Trustees Appli, .ion AFFIDAVIT 1 � BEING DULY SWORN DEPOSES A14D 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 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 BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. 1; " xo;t� Signature of Pj#erty Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF S6r 920 �Q Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. G DI475593 Auafied in Suffolk couniY My Commission ExpuvS Apw 30. 21)__21v APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and em to ees.The PuWse of this form is to provide information which can alert the town of ssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name,first name,-rptddle ingial,unless you are applying to the name of — ----- someone_clse_oLother 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 ✓__ Trustee Variance 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 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 Ifyou 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 Dated: Signature Print Name Form TS 1 y Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. -~209 DATE:....7./29/93 ISSUED TO . ..A~L~ LOltlA ................... Aut'honza io. Pursuant to the provi.sions of Chapter 615 of the Laws of the State of New York, 1893, and Chapter 404 of the L.aws of the State of New Yorlc 19!S2: and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN 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 ?/29/9:~ ..... 19 .c~:~., and in consideration of the sum of $ paid by of .................................... N.Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits ~'he following: Storm Damage Permit to conszruct approx. 100' of timber planking along high water line, and approx. 70 c.y. of clean fill added. Peconic Bay all in accordance with the detailed specifications as presented i. the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a maiorit¥ of the said Board as of this dM'e. TRUSTEES John M. Bredemeyer. III, Presideht Albert J. Kmpsld. Jr.. Vice PresidenI Henry P. Smith John B. Tuthill William G. Albenson Telephone (516) 765-1892 Fax (516) 765-1823 SUPERVISOR SCOTT L. HARRIS To~v~a Hall 53095 Main Road P,O. Box 1179 Southold. New York 11971 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD office Use Only: Coastal Erosion Permit Application Coastal Erosion Variance Application --Wetland Permit Application ~aiverfrom Chapter 97(Application/permit): Trustee Lands Permit Application --Grandfather Permit Application __Completed Apps. Date: Inspection date: ~AC comments-Date: Sent ~¥ariance Required: (Y/N-) Neighbors notified-Date: SEQRA Type I iC0ord.: Date sent ! SEQRA Determin./date: [--Public Hearing/date: Findings: Approved (Y/N) Special Conditions: (Y/N) (see file) Permit(s) issued-date: Rec. DATE REC.: Application t~ee: Application Applicant: Address: Date: Phone Interest: (~, consultant,lessee,etc.) Owner of Property: ~MM~ ~Fi'~F Address Phone ( Subject Property Location: (Provide LILCO Pole location map) Distance to cr. oss Streets if not on THIS IS NOT A PE~IT Page 1 ~fds. to be excavated: Yds. to be filled: Manner in which material will be removed or deposited: Width of canal, creek or bay fronting property: IO~~ Depth at law tide: Aver. rise in tide: ~ ~ Distance to nearest channel: ~$~ Distance project extends beyond similar projects in area: ~ ~ Area zoning: Land area Is project for private or business Intended use of property: in acres: use: Describe known prior operations conducted on premises: Has any prior license or permit been issued to erect structures, dredge, or deposit fill on said premises: ~ Has any license or permit ever been revoked or suspended by a Governmental Agency: Project Description The pro3ecu description musu also include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures (i.e., pipeline and septic system; make additional attachments if necessary). THIS IS NOT A PERMIT -Page Authorization (Where the appticantis not the owner) I residing at (Print-owner of subject property) (Mailing address-phone) do hereby authorize to apply for Coastal Erosion permit(s) from t~e Southold Town Trustees Signature THIS IS NOT A PERMIT ~17.21 Appendix C State Envir~3nmental Quality Review ..' SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEQ~ PART I~PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPUCANT/SPONSOR t 2. PROJECT NAME [] New [~ Expansion [~] Modificatioh/a~terafion - ' g, WHAT IS PRESENT LAIRD USE iN VICINITY OF PROJECT? If the action is in the Co~stal Area. and ,'ou are a state agency, complete the Coastal Assessment Form betore proceeding with this assessment OVER .... D, IS THERE. (DR IS THERE LIKELY TO BE. C4DI~TROVERSY RELATED ~O POTEAITI~L ADVERSE ENVIRON~4ENTAL IMPACTS? PART III--DETERMINATION OF SIGNIFICANCE ~o De cor~ 31eted by Agency) iNSTRUCT~O~JS: For each adverse effect identJtfed above, determige Whether it is substantial, large, ~mpo~ant Or Othe~v[se significant. Each effect s~ould be assess~ in con~]ection with ~ts (al setting (i,e. urban or rural); (b) probabjtily o[ o~urrJng; (c) dur~tiom (d) irt6vers~bilJty; ;e~ geographic scope; aRd ([} magnitude. If necessaw, add attachments or reference ~uppor~ifl~ ~terta~s. Ensure that ~ Check th~s box if you have identified one or more POtentiAlly I~rge or signific=nt aoverse mpects which MAY occur. Then proceed directly ~o t~e FULL EAF aha/or prepare a positive declaration. ~ Check this box Jf you have dete/mineo, based on the informotion and ~n3ivsis abOVe and any supportiRg documentation, that the DrOpOSOQ action WILL NOT resul{ in any aignificAnt A~verse env~¢onmentaJ impacts County of Suffolk State of New York ~ L~f,~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SEE IS TEE APPLICANT FORT HE ABOVE DESCRIBED PERMIT[S) AND THATALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROUED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT ~EES TO HOLD TEE TOWN OF SOUTHOLD AND,TEE TOWN TRUSTEES LESS~LNDFREE FROM ANY AND ALL ~AM~GEsAND CLAIMS AEISII~G UNDER1 OR BY VIRTUE oF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I EEREBY AUTHORIZE THE TRUSTEES, THEIRAGEI~T(s) OR REpREsENTATI~{S)i~ To ENTER oNTo MYPROpRRTy ToI~spECTTHE PREMISES ~N CONJUNCTION WITH'REVIEW'OF THIS APPL!CATTON. SWORN TO BEFORE ME THIS DAY OF NOTARY PUBLIC Suggested space for location Map THIS IS NOT A PERMIT PERMIT NO. TW-15276-0110 WQ NEW YORK STATE DEPARTME~OF ENVIRONMENTAL CONSERVATION PERMIT Ui~ER ARTICLE 25, TITLE 2 (TIDAL WETLANDS Of THE ENVIRDNMENTAL CONSERVATION LAW APPLICANT Anna Loria APPLiuA. ~ ADDRESS First Street, New Suffolk~ New York 11958 APPLICA~ IS HEREBY PERMITTED TO: '~ Construct approximately 100 linear feet of timber bulkhead along existing high water line to connect existing bulkheads on north and south and place approximately 100 cubic yards of backfill in accordance with work plan on file with Department of Environmental Conservation. LOCATION Left of First Street, North of TOWN, COUNTY King Street, New Suffolk Southold, Suffolk Co. SECTION OF TIDAL WETLAND TO WHICH THIS PERMIT APPLIES Peconic Bay NOTE: (a) (b) This permit does non relieve the Applicant of responsibility for damages ~o riparzan owners or others. If the structure or work herein authorized is not completed on or before March 31~ 1976 , or upon the completion of the inventory of tidal wbtlands for this area pursuan[ [o Article 25 of the Environmental Conservation Law, whichever'occurs firs~ this permit, if non specifically extended, §hall cease and be null and void. CONDITIONS 1. The permitted work shall be subjecn to inspection by an authorized representative of the Department of Environmental Conserva- tion who may order the work suspended if the public interest so requires. 2. The Applicant shall file in the office of the Local Tidal Wetlands Permit ldministrator a notice of intention to commence work at leash 5 days in advance of the time of commencement and shall also notify him promptly in writing of the completion of the work. 3. As a condition of the issuance of this permit, the Applicant has accepted expressly, by the execution of the petition, the full legal responsibility for all damages, direct or indireCt~ of whatever nature, and by whomever suffered, arising oun of the project described herein and has agreed no indemnify and save. harmless 'the Stane from suits, actions, damages and costs of every name and description rcsuiting from th~ said pro- 4. Any material to be dredged under this proposal shall be removed evenly withou[ leaving large refuse piles, ridges or deep holes across the bed o~ the tidal wetland. 5, Any material no be placed as fill either in the waters of the State or on shore above the high-wate~ mark, shall be contained by a suitable bulkhead or other struc[ure to prevent any erosion of the fill back into the waters of the State. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. The Depar~menn reserves the right no reconsider this appraval an any time and after due notice and hearing no con- tinum, rescind or modify this permit in such a manner as may be found to be ]usu and equitable. If upon the expiration or revocation of this permit, the modification of the tidal, wetland hereby authorized has no~ been completed, the Applicant shall, without expense to the State, and to such ex~enz and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted s[~uunure or fill and restore the site [o its ~ormer condition. No claim shall be made asainst the State of New York on accounn of any such removal or alteration.