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HomeMy WebLinkAboutTR-9113E Michael J.Domino,President ��0� SO(/r�o Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith G Q ® p Telephone(631) 765-1892 A.Nicholas Krupski Fax(631) 765-6641 �y�QUMiY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD EMERGENCY WETLANDS PERMIT Permit No.: 9113E Date of Receipt of Application: November 13, 2017 Applicant: Joanne Kraebel SCTM#: 145-2-11 Project Location: 1150 Peconic Bay Blvd., Laurel Date of Issuance: November 14, 2017 Date of Expiration: February 14, 2018 Reviewed by: Board,of Trustees Project Description: Install sandbags to be placed seaward of concrete bulkhead, 4ft out from wall and 5 ft. high.. 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 November 13, 2017. Special Conditions: A full Wetland Permit must be obtained within 90 days in order to conduct any further activity on the bulkhead. This is not a determination from any other agency. Michael J. Domino Board of Trustees 400 Oatronder Avarua,Riverhead,New York Il9e' telat651651"1272303 foz 631,1310144 admNeyoungenginecring com �:r, 9� \ HOHord R Young Lend%rvoyor ! ��Cj i=t: �I 1! •L�, i The O Wolpert,Profaenloml EngVuer Robert G T. Arehiteet V­91­Dglm E Adame,Profoeslo-I Erg,— NOV 1 3 2017 SITE DATA _ O \t` TOTAL AREA=1.2106 ACRES TD 0 g S`' _ � \ \\ Board o.TSU J -0-- \ 3 3 C/1 PZ yNw C/3 "O G b g 3 0{ 00 i . o \ \ V SURVEYOR'S CERTIFICATION ,\ `� "„� •S2EBY GRATIFY TO THOMAS L.KRAEBEL 6 JOANN NE KRAE SEL TNIS SURVEY WAS PREPARED IN AGGORDANGE WITH THE COVE ODS PRAOTIGE FOR LAND SJRVEYS ADOPTED BY THE NCS YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS O p 0 CO ^ — HOWARD W YOUN6.NY L5 NO 45693 Sk -p JUN 10 2016 SURVEY FOR l .6 THOMAS L. KRAEBEL , ra nb' L' ' JOANNE KRAEBEL s & ,tip at Laurel,Town of Southold Suffolk County,New York TITLE SURVEY � f ry \ C ✓1/-t� ;lr:�rW County Tax Map o,.InkI 1000 s.,l 145 11—02 - 1100 APPROVED BY \ l��n kJ'C-�1 BOARD OF iRU57EES > > �^ I FIELD SURVEY COMPLETED AUb 6,2009 �.�! 1J-!� 0 HAP PREPARED AUG 25 3009 TO;:'V OF SOUTHOLDce \ 1 Record OF Revisions F .\ RECORD OF REVISIONS DATE DAM 70.5 22,201(0 19�1 pfGGO�\G -- �p.� SO O 25 50 100 150 (7 1 Scala. 1•= 50' ❑•row'+evr sem ■.rorwm�r rowo JOB N Q•arAte aeT ♦.eTw�e rato O 2009—KRAEBEL DWb,OKRAMML—Ts—KR I OF I , ryN9 —I a.. I>sa.s 1 �- LL`�•w'w.aamcmrr EfcEn[E.mrci ' '' '�'Tp.'---•_'••��,f"`•••�-', -i"-pROPERIYh7hP-` 1. / R��O O � n Q/A'l w s 6 '� �� '� �® � � "k9yJ'+`p•eb` N /// +s s � � pO + .4 a e•+,` s *\\ � F^4 / IS m — / 0. qA .� 6 trarKi y � yx�P s`.q Oa�G 9 0 COUNTY OF SUFFOLK e rxix df SOUTHOLD SECTION NO NOTICE mIDw� © y�IReal Property Tax ServlceAgency Y �,,,zfdF 145 L v w vx. (p' --O__ vwiva --w-- o.aw--rof-- pay Counb Cexler RiveTe+E.NYtf9% M `� E p vv acr xo 1000 PROPERTY MAP a. w s,�rsrw,f x. m mf ., xvuvf dsmis�nmvaf.xvfoatoxa r� r wd _______ orr.� w., uexr e. ..rzx swfaucmdmnwfsfrovxdvenEn `"" .m mo vs* -.C's.feuw rnw -- yxo.�w --f-- .a.ecww--x-- arm mrue P vnxouttwrtffx ffcrosva+ff r� ? +m c a,..fse. '••�--.•�—• jpiO^�, o omu.+a r.umwrzx mxxfnsmxa,Er,amma N mwv f]1Nely f2fp `�"u` r..o.nw --° �r,,,vww--r�r-- xFAt vxoefarvTat sEdncf•d:xcr D Jill M.Doherty,President "' Town Hall,53095 Main Rd. James F.King,Vice-President ,Y P.O.Box 1179 Dave Bergen , # Southold,NY 11971 Bob Ghosio,Jr. � �� Telephone(631)765-1892 John Bredemeyer Fax(631)765-6641 + BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I j NOV 13 2017 I Office Use Only _Emergency Permit Application Soot old a _Coastal Erosion Permit Application BoardIf 5L:F _Wetland Permit Application Administrative Permit —Amendment/Transfer/Extension Received Application: tlo o,i l Received Fee:$ &,m APP V BY _Completed Application B®�4R® ®F i 1�USTEES _Incomplete _SEQRA Classification: TOWN OF SOUTH'= Type I Type II Unlisted _Coordination:(date sent) DATE LWRP Consistency Assessment Form _CAC Referral Sent: _Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: _Public Hearing Held: Resolution: Name of Applicant �C��(V7►��', 14 ra�G Address /.��® P420 DIV rC , L4 AI VC( Ga UY-e L A r! (q`t b Phone NumU( l ) � tu z t4C�l� ✓�j /(167 Suffolk County Tax Map Number: 1000 - A3 Property Location: Sam as (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area(in square feet): 00 �-� cea)en4 by l ki h�a Area Zoning: &Iden±a L— Previous use of property: &a ,k ii��4 Intended use of property: Covenants and Restrictions: Yes V/ No If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes No If"Yes",please provide copy of decision. Prior permits/approvals for site improvements: Agency yy Date .S0vf- of �1�w rl '�Yv.s" e1e,5 to ��� —7 Ch Feud No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend d by a governmental agency? No Yes If yes,provide explanation: Project Description(use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: o 090 I n+C2 aejA b UI 1C.ho a4 Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does t e 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 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): PROJECT ID NUMBER _ SEQR APPENDIX 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 o l`IrQ�� C/ 3.PROJECT LOCATION: Municipality County 4.PRECISE LO�C 'TION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map /IS-0 YeaviviG '60V /3l>r,5(7 Z-, L've 1 Q 5.IS PROPOSED ACTION: ❑ New ❑Expansion ❑Modification/alteration 6.DESCRIBE °PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres &WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes ❑ No If no,describe briefly. 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential ❑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 �No If yes, list agency name and permit / approval: CURRENTLY VALID PERMIT OR APPROVAL? ElYes No If yes, list agency name and permit ! approval: 12. ASA RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? Dyes [:]No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name ate: Signature C-C'-v ((�ql,1-7 If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment Board of Trustees Applic _ !ion County of Suffolk State of New York -:J_0 Q y)n C Krae- be BEING DULY SWORN DEPOSES AND 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 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 MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS 3 DAY OF � - ,20 17 Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. O1 DIA75593 Qualified In Suffolk County My Commission Expires April 30, 20 APPLICANT/AGENT/REPRESENTATIVF 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. � YOUR NAME: A ae_ (Last name,rust name,itiddle initial,unless you are applying 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 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 %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 !Nl day of 2001 Signature t Print Name rae be (� Form TS l