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HomeMy WebLinkAboutTR-9182E Michael J. Domino, President 0g S0!/l�o Town Hall Annex John M. Bredemeyer III,Vice-President �� 01 0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski 0 Telephone(631) 765-1892 Greg Williams O! COU i Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD EMERGENCY WETLANDS PERMIT Permit No.: 9182E Date of Receipt of Application: March 28, 2018 Applicant: Alexander Perros SCTM#: 1000-51-1-18 Project Location: 19215 Soundview Avenue, Southold Date of Issuance: March 28, 2018 Date of Expiration: 90 Days from Date of Issuance Reviewed by: Board of Trustees Project Description: Install Twelve 2'x12' staked boards, cover with erosion jute and approximately 20 cu yards of sandy loam; plant with Cape American beach grass. 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 on the site plan received on March 28, 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. Michael J. Domino Board of Trustees SOUTHO'Lq No. TRUSTEES Issued To ��NpER fL�RRoS Date 3'Z4*11 Address 1Qts sevHoviSWA0., sovtH&p THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 SOUND / /caul sEE sec.No.lm Q AO ISLAND 1 ti LONA G�avr.oma � rues u LD 4$ P.D.70 1E m.t a O „ t2 ,. 1 N SCH.D.S f eM`� AVE. 11 e ) ° a M + 11T y SEE SEC.No.1. I W 1e '' T ,!1'� r it •tel]er' 12] 113 'Am. e e ]Pµ 210 113 31e _ 1A111 1 `I i w 1 1 3H ae u w 1 e 1T M1 / SEE SEG NO. I 't S]A �1G� 11, ll] PECONIC LAND TRUST.WC. � t.5e v 1211 � 'bj �.� �� ImmmwlnNFAeLaor� �JtaD Ti 3• n z O WILDBERR`A21° t2t2 � t •io 121+ L2] •1• 1115 1e.TA a ea c..^- •a 11 g� ,e N 12.w ze 1m 1 p1 MIS4Z' O °"w Tsy' 1E ueA COQ' , p y0 � 1ti 'bi � o�)� � �p,L+.1 III PawpaT,wu ramrvq Y♦�` 4 k� ax I" l ILI ey ,LJ E I L7'�. a7Ar1 ," 111*' •.1] _�y���9 e �f a0 �� QQ' i eS ga w yFrauL SII G � ��� P aazmmNO' se _ W. �(�Yy� 2s � n• $ M w 1T j iii \ ♦ � , •+ 4.15 07TCW --7----LINE ✓ ♦e 'civ ?.7�Y�� � wm,�uc 1 (71) 0 --�-- NOTICE COUNTY OF SUFFOLK © K ,n v SECTION NO ` Real Property Tax Service Agency Y sortnLo�O 1 ^-'�• v ."`^,Mn",xu �— ---- +..� -- -- '�"--•-- ca:nr r•.e..n N,a�Ro Cway fanY Rh•,M•C,Nr n]m /A ost 051 Rea,"acrtrrw•Lw�¢NxNn. A tRo lase P m` aba PROPERTY NMP 1 Michael J.Domino,President ��OF soujyo Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President �� �Q P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupsld G� • Telephone(631)765-1892 Greg Williams �yC Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension r--- ------ -? ? 3 L8c18 ' 7—Received Application: Received Fee: $ &,C0 ± '-' MAR 28 2018 Completed Application: Incomplete: z �� SEQRA Classification: Type I_ Type II Unlisted Sc!t,r.,;l'•i;nv� Lead Agency Determination: Qnar o Coordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Legal Name of Property Owner(s): 19_Y nr (TDA Mailing Address: 1 q al S !Z (V V_w IAuz- Phone Number: g1-7- 31,16- (22a�] Suffolk County Tax Map Number: 1000- S — I-1 Property Location: x•115 fZ�t)i L144%tW AW- (If necessary,provide LILCO Pole#,distance to cross streets,and location) AGENT(If applicable): GLV L L to�L-7 Creative Environmental Design Mailing Address: P-0 Box 160 Peconic.NY 1195$ Phone Number: 13 l 3 Board of Trustees Appl tion GENERAL DATA Land Area(in square feet): Area Zoning: lk- �Q Previous use of property: �`Q 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 ✓No 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 _1,,,--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 ✓ No /� Does the structure(s)on property have a valid Certificate of Occupancy? Yes q f'� No Prior permits/approvals for site improvements: Agency Date 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): Z) 1I L!` i'� c� A-tQwiG. �� c-y�5 �a,,n�y �vccrv�� �'ta,� 1 C ►��►. I,Qcc�� ��a55. r Board of Trustees Applin ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations! V��' �; a�� �fpS�oV? 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? f7 .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: &J�' qd 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): :h co66A 12 a,�}MS W ll 1�1y� 1r�1�L ,�� e � on Gp,�� Hoard of Trustees Application AFFIDAVIT fiL4 AN➢f IL- �'��S BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE 13 THE APPLICANT FOR THE ABOVE DESCRIBED PERMrf(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER 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. TSE 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 COMP'L niNG THIS APPLICATION,I HEREBY AUTHOR=THE TRUSTEES,THEM AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNM TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WrM 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 THIS PERIVIIT. Signatim of Pity Owner Swam of pmpeaty Owner SWORN TO BEFORE ME THIS DAY OF 2010 . pul� 88"W Too NotaryN0Wy Putt-Stat+a of Nm Yak � ft("Ts8 srm Q d It KWV Canty CoemdaWon Expires May 1.2M ? i %oaf _ -� � Hoard Of Trustees Amliaatiow AUTHORIZATION (Where the applicant is not the owner') i UW% ' I6-�gju ?,esf05 owners of the pwpcdy idaamfied as SC nO 1000- — — in the town of SOv t"`°� _New York hereby au&mizes `)Oty,A to act as my app and haadle all necessary work involved with Bar application prnoess for p=Ws)fro®the Southold Town Hoard ofThmees for this p mperty. Pmperty OameA siandwo ms's Sigmatum SW �oxB ME THI3 DAY OF 20�_ _4 Samuel Tse i Notary Ptbffc-StMe of New York Notary Public No.OITS6357M ��Cmugymay 1.2MI APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The,Town of Sou—ft d's C11de of Fii+ics omhibits conflicts of interest on the part aft=officers and emRlrZyees.The oulpm of this form is to tnovide mfortmmon which can alert the town of nosOk conflicts of Interest and allow it to talbe whatever action is y to avoid same. - - YOUR NAME: ��( ,.l�fx-,g, :1 . �J 1!` 9.ast namq first name,4iiddle initial.unless YAW are applym in the name of someone else or other entity,such as a comnpany.If so,indicato dw.other person's or company's name.) - NAME OF APPLICATION: ((beck all that apply.) Tax grievance Building Variance The toe Change of Zane Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (tf"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 ittterea"Business interest"means a business, including a iP,in which the town officer or employee has even a partial ownership of(or employmal 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 Tittle 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,of child is(check all ttiat 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 arty interest in a iron-corporate entity(whey the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Subm' Rhicd 2U Signature. Print Fonn TS 1 i APPLICANT/AGENT/REPREMTA IM TRANSACTIONAL DISCL *Vn FORM Mm Tom of SmdboWs Cb&of FTnacaM or io:+, emnlavaxs The aauoos�o[ this farm is as •- -w ton R• ---"�- aad atlaw it m taka wfmt YOURNAM&_- A 2 (l•A oaaqa e�R b�iel. 7�M bt>be,sato of somcone olae or other caft.y.such as a uso; ,lti;other pasaon's or oompaws seam.) WAJWB OF APPLJCATMtik ((beck off gist apply.) Ta®kwm Bandtag variance TWUN or?.olm Ooasml bodoo AWovgof mowft pap f m pletor oma!atop pbmft afe Odve,ammo the wd tq.) Do yak personmlly(or thraegh yaurooa�aay.�°.�'&���)bare a aelalicraship wilt say ofTecer or anployee of the Town of soatbow'R '•mchxbs by bloo4 amumm or busbw hWUL'&nbm hftmf'means it bad htdoftal; -11 inwhkbIbe err earplft t m>�ae thsa . � af(or by)a 4 1168 m X lrycm as waed WYW. aha bdmm of this fame cad*m sod sip wbm ta6od. MW of pop empirad by the Toon ofSoufbold 79Ra cr poaitl*m ottlot ptasoo Deaefemmbdooft > (fMIG bp 0 1 )andmatnwaafoeroa•eanpioyoarj&wcbo* ma app ml I mac th,aaRh B9 sadbrdesaiba indae > ftOwn o>lioeror=Vboyeaorbborbera psaKGvdbWb(cbeekanfbatg*p _may mo owar of 8rater thea S%of die abases of me outpotafa Stock Of"t (whendw -bacorpogdbx C a;)dte�err awnerotamy interest to a nowoaporaee et>ligr(wltta Aie . sppliesat is sot a corpot8*m); ani pmrbx�txar>p%yeeofflaeor D)Bwamd Dl 17011 OF RE ATTONSW ' _ sti6a�Oed daYof �X'� ZOOS sre Plriat tYtttne h r�tttls� 'z ._ . No"P1bC•SWe of N WIW�f�1 a 4 01Tb636T989 In COUfI�► ell C.afmnbdon May 1.2M Q A •,tµ' �ib�� i�'��,� _ > t .�f.2;�� �. 1 �� v. ., ,� � � .I"% �I �" 155 i.,` {� � ��. .,.,1.., r i��` .. a1 R r , I �., Tp� P ,� ��.> �, `"", ;. �`\ _ .\ `��r 1:. �il _ _ �,_ � '� �. .i '`, �� ��:f ti _, '" iY,L 4: '�� � � �. I I� �� � ' '���� r 'fir: ' y v�� `'\. �� Z. �' � ., �/ �� � �y, y •`` }� '� {g� t ¢� ` �', ",�r� 1 '-; - - �� ~�� i ./.r. � w�i ,� -- _ ���S.v a:-. _ - __ a.n J � , ��' l � �� �,�.: `� tt_ f 6 •�� i y ,sem � �� r 6 ��t s� • '�• `fir. Nt Apo tk� IA ow I Ali. 317 c z` ✓ ,i .Aw tt jot 1 00 Ilk Af- CIO t \ � � �v � , ,' r �'��� r � -'9- `°'tj �.�►� rte'+ r t a ;� 4 .• l IL V61 APOL t 49 4, 39 TOP OF MLff LAWN 201 25' lsl� '11V i (o c� CLEAN 5ANWY LOAM FILL 10, CAPE AMERICAN 13F-ACHGRA55 12"aAwTEP,caRLoc-5 PLANTED AT 2x12 5TAIED 5oARD5,5TAIFD 616,O.C. ELEVAIFION AIL 5' R'NU'5 PROPERTY , • e„A• 000 _5 I �"��moo'"��`•' A p��