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Home My WebLink AboutTR-4583 GFBoard Of $oUthold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. f'/~'~-J DATE: ..4J. ZAZ.96 ISSUED TO ED~.A ~.Q....C.~L.L~QN Pursuanf fo fke provisions o{ Chaplet 615 o{ fhe Laws o{ ~he Sfafe o~ Ne~ York, 1893; Sfafe o{ New Yor~ 1952; an~ +Ee Soufkol~ Town Or~inanoe en- fifle~ "RE~ULATIN~ AND THE PLACIN~ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS an~ fhe REMOVAL OF SAND, ~YEL OR OTHER MATERIALS FROM LANDS UNDER TOWNWATERS;" an~ in a~oor~anoe ~ifh fhe Resoluflon o{ The Boar~ a~opfe~ 19 9~ , an~ in ~onsi~eraflon o~.fke sum o{ $...Z00.0.0 pai~ By Of ...... Cutcho. gue N.Y. and subiec+ Terms end Conditions lis~ed on of Soufhold Tow~ Trus+ees ~u+horlzes ~nd permifs ~he following: ~11 in accordence wi+h +he de~eiled speciflcefions es pre~nfed +he origine~ing ~ppllca~ion. IN WITNESS WHEREO~, The s~id Boerd of Trustees here- by c~uses i~s Corpore~e Se~l be subscribed by e meiorlty of ~he seid Boerd es of ~his dele. T~stees Jim King e~ ~ ~ P.O. Box 1179 Martin H. Garrell ~ r~ ~ Sou~old. New York 11971 Peter Wenczel ~~ Telephone (516) 765-1892 .F~ (516) 765 - 1823 BOARD OF TOWN TRUSTEES TOWN OF SOU~OLD Office Use On17 Coastal Erosion Permit Application Wetland Permit Application ~Grandfather Permit,~=Application Waiver / ~en~ent~/~an~e s ~Received Fee:$/~. ~0 ~/;~/~ 'Completed Application ' ~Incomplete ~/~. SEQ~ Classlflcat~. ~ ~ ~e i T~e iT ~ Unlisted _ Coordination: (dat~~ ~Date of Inspection: ~/$7/~. , ~Receipt 'of CAC Report: 'Lead kgenCy .Determinatio'n: [ Technical Review N~ne of Applicant Edna McCal] Address 459 Siwanov Place, Pelham. N.Y. 10803 Phone N~er:(914} 738-34&7 Suffolk Count7 Tax Map N~er: 1000 - 116-5-13 Property Location: 1100 Dean Drive, Cutchosue (provide LILCO Pole $, distance to cross streets, and location) AGENT: Glenn E. Just/ J.M.0. Consul[ShE (If applicable) Address: P.0. Box 447. 0uosue. N.Y. Phone: 653-0607 FAX$: same Board of TruStees ~Appli~,=~_~ion GENERAL DATA Land Area (in square feet): +~ acre Area Zoning: R-40 Previous use of property: Existing single family dwelling Intended use of property: Existing single family dwelling Prior permits/approvals for site improvements: Agency Date XX NO prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? XX No Yes If yes, provide explanation: Project Description (use attachments if necessary): Applicant proposes to resheath an existing functional timber groin. To do this, existing nuts and bolts shall be loosened, existing walers unattached, existing sheathing removed and new sheathing shall be jetted in. Existing walers shall be reattached and existing nuts and bolts retightened. ~ Board of Trustees Applic on WETLAND/T~USTEK LANDS APPLICATION DATA Purpose of the proposed operations: Resheathin§ of existinK functional §roin. Area of wetlands o~ lot: n/a square feet Percent coverage of lot: n/a % Closest distance between nearest existing structure and upland edge of wetlands: +40' feet Closest distance between nearest prqposed structure and upland edge of wetlands: n/u feet Does the project involve excavation or filling? XX No Yes C~ If yes, how much material will be excavated? cubic yards CD 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): ~s proposed, project should have no negative impact~ upon the waters or wetlands of the Town of Soathold. 3 ~Dard~ of Trustees A~plicat~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 75 feet of the proposed activity? No Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? .- (cubic yards) Manner in which material will be removed or deposited: Descr~ibe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 4 ~ Board of Trustees Applic~on GENERAL DATA Land Area (in square feet): +~ acre Area Zoning: R-40 Previous use of property: Existing single family dwelling Intended use of property: Existing single family dwelling Prior permits/approvals for site improvements: Agency Date XX No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? XX No Yes If yes, provide explanation: Project Description (use attachments if necessary): Applicant proposes to resheath an existing functional timber groin. To do thi~, existing nuts and bolts shall be loosened, existing walers unattached, existing sheathmng removed and new sheathing shall be jetted in. Existing walers shall be reattached and existing nuts and bolts retightened. · ~ Board of Trustee~ Applic~on· WETLAND/TRUSTEELANDS A~PLICATION DATA Purpose of the proposed operations: Resheathing of existing functional groin. Area of wetlands on lot: n/a square feet Percent coverage of lot: n/a Closest distance between nearest existing structure and upland edge of wetlands: ~40' feet Closest distance between nearest proposed structure and upland edge of wetlands: n/a feet Does the project involve excavation or filling? XX 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): As proposed, project should have no negative impacts upon the waters or wetlands of the Town of Sodthold, '1 PROJECTI.D. NUMBER 617.21 .:- " ' SEQR Appendix C Stats EnvIronmsntal Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION [To be completed by Applicant or Project sponsor) 1. APPLICANT ISPONSOR ~ 2. PROJECT NAME Edna- McCallion 3. PROJECT LOCATION: Municipality Cutchogue County Suffolk 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) 1100 ~ean Drive Location map & survey enclos~'d ? : ...... IS PRO BED ACTION: [] Expansion [] ModlflcatlonlaBeretlon DESCRIBE PROJECT BRIEFLY: Please see attached description 7. AMOUNT OF LAND AFFECTED: Initially 0 acres Ultimately 0 acres 8. WIL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~YPes [] No II No, describe briefly 9. WH~TT IS PREBENT LAND USE IN VICINITY OF PROJECT? esldentlal [] 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 J3'R LOCAL)? ~z:J%Yes [~ No If yes, list agency(s) and permit/approvals . Southold Town Trustees, N.Y.S.D.E':~., 11. DOES ANY ,~S..~T OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? [] Yes .[~o II yes, list agency name and permit/approval - ' ~.7~ ~' '-" 12.AS A RESULT E~F~FOPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE '1:(~ THE BEST OF MY KNOWLEDGE Signature: . If the action Is in the Coas~tal-Ar~a, and you are a state agency, compl te th Coastal Assessment Form before proceeding with this assessment OVER 1 ....... = D~ard of Trustees Application County of ~nffoT-R ~~~ .. State of New York D~POSES ~V ~FF~m~S T~AT ~m/SBE IS TH~ ~rrnIc~w ~o~ ~nz ~ow DESCRIBED PERMIT(S) ~D THAT ALL STATEMENTS CONTAINED BEREIN ~ TRUE TO T~{E BSST OF HIS/BER ~OWLmDGE ~D BELIEF, ~P THAT ALL WO~ WILL BE DONE IN THE Z~]NER SEt FORTIi IN THIS APPLICATION ~D AS [.~Y BE APPROVED BY TIIE SOUTBOLD TOWN BOARD OF TRUSTEES. TNE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD ~D THE TOWN TRUSTEES HARMLESS ~D FREE FROM ~Y AND ALL D~GES ~D CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PE~IT(S), IF GRATED. IN COMPLETING TBIS APPLICATION, I HEREB~-~UTHORIZE THE TRUSTEES, THEIR AGENT[S) OR REPRESENTATIVES(S), 'TO ENTER O~O ~ PROPER~ TO INSPECT THE PREMISES 1N CONJUNCTION WITH REVIEW OF THIS APPLICATION. 8~na~uro HOTN;~(Y PUi~' 01BE5053124 .... .j,,~ ,~. ~HarratQo~a m Z Suffolk County ~ Hagstrom Map 25 ~ ~ Scale 1"=3,000' ~ ~ P~CO~IC BAY ~m ~ ~.~. FLOOD ~ GROIN ~ WIDT ~mo 0 ,J MO GON,SULTING QUOG-U~, NY 655-~7 ,. ALW