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Home My WebLink AboutTR-9146E Michael J.Domino,President ��q SOy� Town Hall Annex John M.Bredemeyer III,Vice-President h0 lQ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G � O Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD EMERGENCY WETLANDS PERMIT Permit No.: 9146E Date of Receipt of Application: January 18, 2018 Applicant: John Betsch SCTM#: 54-4-24 Project Location: 2325 N. Sea Drive, Southold Date of Issuance: January 19, 2018 Date of Expiration: 90 Days from Date of Issuance Reviewed by: Board of Trustees Project Description: Install 40 tons of 2-3 ton quarrey stone along significantly eroded area as a temporary fortification. 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 and on the project plan received on January 18, 2018. 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. a Michael J. Domino Board of Trustees Ns Doc J dAN 1 8 2018 AN 1 8 2018 �Oa—ai IN et I?r4 Io De'r'm%--s of "It t PWMSEC� ftULbGP., PL&,Cr--MC- 4T' (U,O-,f ro sr-aLe-), ceo ss se.a I o �d 2.§PS%?- SV -67.k:q.C-:S Air R,,wmvjc%c-"v Loc-paulus. GaikfAit, SrALg ta=Sol I 60%eim --�M�l M �se�')ceo \ Gp� G P• (,� �•\ e �e SAIF X26 - __ .�'•�; ' �/ , � o o Fr- i7 JAN 18 =�� I 2018 PROPOSED SEPTIC SYSTEM DETAIL ' ' I NOT TO SCALE CAST IRON FRAMESFlwSHEp 1 IJP?%� AND GOVER5 TO GRADE 6RApE EL°lo• -------•---- ------ -j IE=8.7' �a• r MwM.ic MASONRY cHIr S covER 6'MIN 6'MIN MAX 1/4'PERFODT 6' ,l�• IE=8.250a�0�® MINIMUM PITCH ®®o , MIN 4°DIA PIPE 19' IE=851' MII,PER FOOT ®®® ' L MINIMUM PITCH ®®® MIN 4°DIA PIPE .v BOTTOM OF TANK ELEVATION 5' KN p _ 1000 GALLON S ,� 3'DEEP MONOLITHIC ¢ � + + 5EPTIC TANK � CESSPOOL sa 2'MINIMM SEPARATION FROM L , REMOVE IMPERVIOUS SOIL WITHIN G- 3'HORIZONTALLY AND b'VERTICALLY SEASONAL HIGH GROUP WATER O BACKFILL WITH GLEAN MATERIAL .q}" -1 GROUNDWATER N BOTTOM OF POOL }� i%yy• \c1�' ELEVATION 2 25' ELEVATION 525' - v 3'MINIMM SEPARATION FROM r GROUt•IDWATER1 SEASONAL HIGH GROUP WATER ELEVATION 225' NOTES: SEASONAL HIGH ■ MONUMENT FOUND GROUND WATER z ` MIN ELEVATIONS REFERENCE NGVD'2g l thaNied alteratlo or addltlon to a Survey FEMA ZONES SCALED FROM FIRM MAP _p'la-gI1 ol --d ll,;6=ate # 36103C0154 G MAY 4, IgaB N—Yark state kation L— •Onh�,7,_Iron!Im rigMal oI this survey AREA FROM N.Y.S. D.E.G. COASTAL EROSION HAZARD ete,V°'da el"�III�-�a lo I'd"',JOHN Y C. EHLERS LAND SURVEYOR AREA MAP SHEET Cl OF 4g PHOTO # 56-5'10-83 X105'J �j`� lel v L 'LerHEkatlans trMld Ir�i accoredaee�niNtb.1,ex's AREA = 26,812 5F OR 0.62 AGRES t5 q"Oe°f,-t v adaP 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 Go„eYork St to Assocl�aklon of ProFessiorm�l GRAPHIC SCALE I"— 30' waPe a'F� r `st RWERHEAD,N.Y. 11901 wd on his behalf to the title conipary, °ge"`y "d 9"e!'"ton1b1e° a� 369-8288 Fax 369-8287 !a�e a�,�eee aI the le�g,�tl�an urtll�a- REF.\\IIp server\d\PROS\02-294b.pro !Ions re rot trrsFerable to addl[bwl hstitvtla5 3rL]La5 b.9631AY \ [ervalOWRO�iN]-3VNa o 5URVEY OF PROs ER7*' N 51TUATE: SOUTHOLD a s TOM SOUT 4OLD w E SUFFOLK GOUN71Y, W s SURVEYED 10-10-02 ro action 05-Oji-03 pArMo&DED 07-17-03 WINTER TOPO 02-02-04 D.E.G HIGH WATER 02-I-7-04 Test Hole TRUSTEES REVISIONS 03-01-05 5-21-05 SGT# 1000-54-4-24 10:00 A.M. EL=B 25' SUFFOLK COUNTY HEALTH DEPT. 0.0' REF. # RIO - 03 - OIOG CERTIFM TO: JOHINBEMSCH 00 `V Glean oo �, -_ Sand OJ / + 4" I V. EL=2.25' SSo Water in \+SBO Glean h^ / ,�Q / �/ \ \\��\ \ q Sand ,Q �+ \ \Sao ��•�, ___� �O? r _ a! _ • '#• _ _ o - a y ^ .. ti "" ` _ -i► FF 7' t s 4 _ y, c• t, v �� k �• �art ;•. 1� a A, t' r .. z v , �'• i fl, arw ' e g e , `1 - s 4 ♦ �L • L i + ' a 4 '�� .w°.•'r � �,r;4�i 'y `tib'` Nk 6 wj i• � - � - A—VT� 1-3A(c) 245 �aA(C) 2 lb 31 12 4 244 'st, I &OA(c) < 4,11 , 1, V. le A� "o 44 218 S 4- 4 217 414 mm TOM 01' ow TCWN OF 2 SOLMIOW 3 V n4 ML N 2-IA(.) 2 SBE SEC NO 7 059�&7 ln� NOTICE COUNTY OF SUFFOLK K SOUTHOLD SECTION NO @ E Real Property Tax Service Agency y m 054 SSMO—E A --FROPERTY MAP P 4� I kkggio"� S��- Michael J.Domino,President ��f SO(/TjyO Town Hall Annex John M.Bredemeyer III,Vice-President �� lQ 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith • �Q Telephone(631) 765-1892 A.Nicholas Krupski100UNTI, O Fax(631) 765-6641 �� BOARD OF TOWN TRUSTEES ' TOWN OF SOUTHOLD _Emergency PQrmit Application _Coastal Erosion Permit Application _Wetland Permit Application Administrative Permit / _Amendment/Transfer/Extension Received Application: Received Fee:$ 51OV ,,1Ilk -;_ Completed Application �/ � n -, _i. _1Y I'Y L. j I Incomplete _SEQRA Classification: • Type I Type II Unlisted JAN 1 8 2018 -- Coordination:(date sent) LWRP Consistency Assessment Form _CAC Referral Sent: Sa!ifl+ i'io,�n Date of Inspection: Receipt of CAC Report: Zead Agency Determination: _Technical Review: _Public Hearing Held: Resolution: Name of Applicant TCO Address Phone Number:( s --U-5 'CQ t-1 t Suffolk County Tax Map Number: 1000- Property Location: (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): Z(.0 t�- Area Zoning: 4o Previous use of property: 11DR + ►✓ i `® '� u ��+t. Intended use of property: Covenants and Restrictions: Yes V11"No If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes kZNo If"Yes",please provide copy of decision. Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspen4ed by a governmental agency? No Yes If yes,provide explanation: Project Description (use attachments if necessary): 0`0-c3 ��!TAtg N-Stn. 0 STOP Gip To SP- U T%%,R<D I tJ d � R%,OPOSt\D gQ&rNRt'qD k"�CSi(W Nit> "oara or -rrusLees app-LxcaLxon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: Cab square feet Percent coverage of lot: 2>.(, % 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 °..I- Yes If yes,how much material will be excavated? —' cubic yards How much material will be filled? ti �� cubic yards 'Depth of which material will be removed or deposited: 3 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): ML?+ i%! - Board of Trustees Appli--tion COASTAL EROSION APPLICATION DATA Purposes of proposed activity: `� l 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? UA (cubic yards) How much material will be filled? '� 7 (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) APPLICANUAGENT/REPRESENTATIVE 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 ssible conflicts of interest and allow it to take whatever action is necessary to avoid same. �+ YOUR NAME (Last name,first name,giiddle initial,unless you are applying m 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 t/ 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 day of eN zoo gj Signature Print Name p U � CXR C 5C_�0 Form TS l f fr �) Board of Trustees Appl,` Ltion AFFIDAVTJC BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) 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. Si ature of rerty Owner Signature of Property Owner SWORN TO BEFORE ME THIS / DAY OF `> 20 4,* Pt � Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No, O1 D1475593 Qualified In Suffolk County MV C®MMISSIOn Expires April 30, 200