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HomeMy WebLinkAboutTR-9143E Michael J.Domino,President O�'�'OF SU(/j�ol Town Hall Annex
John M.Bredemeyer III,Vice-President 54375 Route 25
P.O.Box 1179
Glenn Goldsmith Southold,New York 11971
A.Nicholas Krupski 5 • Q Telephone(631) 765-1892
Greg Williams '50%O cUUNT`1, Fax(631) 765-6641
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BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
EMERGENCY WETLANDS PERMIT
Permit No.: 9143E
Date of Receipt of Application: January 18, 2018
Applicant: SV Greenport LLC z
SCTM#: 1000-44'-4-20 & 1000-444-22
Project Location: 58855 CR 48, Greenport
Date of Issuance: January 18, 2018
Date of Expiration: 90 Days from Date of Issuance
Reviewed by: Michael J. Domino, President
Project Description: Repair all broken deck and undermined deck supports.
Clean up large debris from beach. Fill with clean fill and sand all washed out
areas, approximately 100 yards.
Findings: The project meets the requirements for issuance of an Emergency
Wetlands Permit as determined by Trustee field inspection January 17, 2018,
and Trustee resolution at January 17, 2018 work session.
Special Conditions: A full Wetland Permit must be obtained within 90 days in
order to conduct any further activity on the property.
This is not a determination from any other agency.
Michael J. DomiOno, President
Board of Trustees
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Michael J.Domino President Town Hall Annex
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John M.Bredemeyer III,Vice-President �� .,t �lQ; 54375 Route 25
P.O.Box 1179
Glenn Goldsmith y?
-�"��=`' Southold,New York
11971
A.Nicholas Krupski i G 'r' Telephone(631)765-1892
SS
Greg Williams `; +a, Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
`� ��Ei2CNc� �Gevutir h PPuc�T��! This Section For Office Use Only
Coastal Erosion Permit Application
Wetland Permit Application
Administrative Permit
Amendment/Transfer/Extension
Received Application:
Received Fee: $
Z0,00 r
Completed Application: I I,�, ,
Incomplete: o , 1101�,
SEQRA Classification: Type I_ Type II ,s e
Lead Agency Determination: � �
Coordination:(date sent): j i- µB ani!. .
LWRP Consistency Assessment Form Sent: i+�l 1 8 ��18 �?✓, '
CAC Referral Sent: i
Date of Inspection:
Receipt of CAC Report: Snt,tb�;-!Tc;vn
Technical Review: Board of T:
Public Hearing Held:
Resolution:
Legal Name of Property Owner(s): C � �i J Z fi
Mailing Address: �N5 5 CQU 4 _72C4 i en
Phone Number: _ 631 4rn— 1 916
Suffolk County Tax Map Number: 1000 -(�4 au as
Property Location: 26T�5� Calm- —PH 49 6ir (-4
(If necessary,provide LILCO Pole#, distance to cross streets,and location)
AGENT(If applicable): 4RARnY7
Mailing Address: I—a con i c 04 /j 0i5
Phone Number: (0/131
LATHAM,
SAND FY GRAVEL, INC.
-35180 Route 48.•P:O.Boz 608'm Peconic,NY 11958
Office.(631)734-6800:YAX(63J)'7342318
Email`. lath*Favel@yahoo:corr
January 15,2018'-'
SV Greenport LLC
58855 County Road 48
Greenport,NY 11944
Re: Storm Damage Repairs
In;response to your request for-an estimate to repair damage from the storm on January 4;I-
submit thefollowing:
L Repair,all'broken°deck&undermined,deck supports.
2. Clean up,large debris from the.beach:
I Fill°with clean_fillA'sand:all washed'out-areas—50' above_high-water.-
Estimate— 100ydsa
Very truly Yours,
4
,John D.Hocker,P:E.
Vice President
Marine Construction:Dkedging•Precast Cesspools*.Gravel':Fill•Topsoil•Excavating-and Land Development
Check us out'at:-lathamsandandgravel.coni
Board of Trustees Appl.....ation
GENERAL DATA
Land Area(in square feet):. I
Area Zoning: _nm err i a 1
Previous use of property: _Ze54&�aar-4 -E- rnn4c . I
Intended use of property:
Covenants and Restrictions on property? Yes No
If"Yes",please provide a copy.
Will this project require a Building Permit as per Town Code? Yes 4LNo
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 __X No
If"Yes",please provide copy of decision.
Will this project require any demolition as per Town Code or as determined by the Building Dept.?
Yes N0
Does the structure(s)on property have a valid Certificate of Occupancy? _Yes No
Prior permits/approvals for site improvements:
Agency Date
X_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):
c9 d2pn 1n l Rma (40 hr,s Jrnm 4ile &2C b
Board of Trustees Appl itiou
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: Ao ma&Q CkC&nQ , Q
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 the project involve excavation or filling? No Yes
If yes, how much material will be excavated? cubic yards
How much material will be filled? A00 cubic yards
Depth of which material will be removed or deposited: feet /1n(-Xc
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):
r
Board of Trustees Appl %.;ation
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: C maL-z" tQ'� ►n Gf-)-92 JO J
Are wetlands present within 100 feet of the proposed activity? No _ Yes
Does the project involve excavation or filling? No Yes
If Yes,how much material will be excavated? Lrq (cubic yards)
How much material will be filled? /W (cubic yards)
Manner in which material will be removed or deposited:
VIP ski J 6ke-
Describe the nature and extent of the environmental impacts to the subject property or
neighboring properties reasonably anticipated resulting from implementation of the project as
proposed, including erosion increase or adverse effects on natural protective features. (Use
attachments if necessary)
Board of Trustees Appl–.. tion
AFFIDAVIT
Seem 1/9" 4y% L
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
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.
Signatu o ro erty Owner Signature of Property Owner
HYD� (.k—
SWORN TO BEFORE ME THIS- DAY OF _ JO- Q Ar 20
Regina L Cartselos
Notary Public-State of New York
No.o1CA&98908
Notdry Public Qualified in Suffolk County
My Commission Expires January 5,2021
Board of Trustees AppT.-�,�ation
AUTHORIZATION
(Where the applicant is not the owner)
I/We, ,` eacL t GC
044 4 aQ Aes-P,-)rr 4-
owners of the property identified as SCTM# 1000- 0 44 LQ- a-,-4, �TnnT in the town of
IC? ;New York,hereby authorizes
Lim end nc)W to act as my agent and handle all
necessary work involved with the application process for permit(s)from the Southold Town
Board of T tees for this property.
Prope is Signature Property Owner's Signature
SWORN TO BEFORE ME THIS DAY OF n Af , 20 .l
Regina I,.Cartselos
Notary Public-State of New York
Notary Public No.01CA6i989o8
Qualified in Suffolk County
MY Commission Expires January S,2021
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURW 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 interestand allow it.to take whatever action is
necessnry to avoid same.
YOUR NAME: / / ncle6 or
(Last name,first harne,Middle initial,unless you are applying to 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 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/a$ent/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)tine owner of greater than 5°lo'of the shares of the corporate stock of the appliept
(-ty-iten the applicant is a corporation);
B)the legal or beneficial owner of any into est in a non-corporate entity(when the
applicant is not a corporation);
C)an o",ITfcer,director,partner,or employee-of the applicant;or
D)the actual applicant.
DESCRIPTION Of RELATIONSHIP
Submitted this day of —ierlprul 2' C5201
Signature
Print'Nam
Form TS 1 !