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HomeMy WebLinkAboutTR-9189E Michael J.Domino,President O��QF SQUlyOI _ Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President O P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski � • Q Telephone(631) 765-1892 Greg Williams O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD EMERGENCY WETLANDS PERMIT Permit No.: 9189E Date of Receipt of Application: April 36, 2018 Applicant: Theodore M. Gault & Carol A. Gault SCTM#: 1000-51-4-10 Project Location: 20485 Soundview Avenue, Southold Date of Issuance: April 16, 2018 Date of Expiration: 90 Days from Date of Issuance Reviewed by: Board of Trustees Project Description: Restore eroded areas landward of seawall and at top of bluff by backfilling with approximately 150 yards of clean 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 in the application received on April 13, 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. j Michael J. Domino Board of Trustees n74 FEE APR 1 3 2018 7"ZC AWIC ,90 i7- .Board of Luz r.,. ALMA.r - l� '\ *rte' 46,p N.p 8 Q v � w • ease �, r ♦op New r OP View sed 1�BG� TD, s `j`S,'yr r l9� �rf ��./ / � �_ � '� •_ � �� -_ -/• /" ��, � � .rte i ift ri{.'�:'r/�-:� s ••t r Imo- •� _ / /'+'� 1 '1. �� '/'�. ' w Ab yiP i'� �!f- _ " - y ,' �.�e^ _ "_ ♦,' .may 46 �I.. •� � �s� „#t. - '�,'v",�� _ i -'tri� / -�� - �i � - � ol Ir Aj � f is � � / ._ /r `t.' •<_ it -.I''� �"'��.� � ,�':M :r�/e// 'i �' ( j �' ' ,'�` + � .-",,�--,•sac•"��= '' ._ - � �. � / _..�it ♦ -_. r � .. �! 1. 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SEQRA Classification: Type I_ Type II Unlisted Lead Agency Determination: Board 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): /BEd J���- �' V L T' ' -o L A ��az Mailing Address: I x l SZ� S-o v 0 L-b► �✓ �� ��9�f Phone Number: _ 3 01 Suffolk County Tax Map Number: 1000- S� D Property Location: z��- S'ptJ /bt1lElAJ (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Mailing Address: Phone Number: Board of Trustees Applici-_, n GENERAL DATA Land Area(in-square feet): Area Zoning: Previous use of property: -5/ 2/72 �9 L lq- Intended use of property: ' � L 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 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 No Prior permits/approvals for site improvements: Agency Date a 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): Ai4C'-Je- ,1L L 4LL ERo,DE-b Xe��45- � � FL,4AI-o wA,<b dFFo fiPE- s7��PM alb!T/on/S dT' dze-Xd S1:1,J3 40A �€` 1-2i4-d-r wi T!✓ A1A3j✓E 1Crft R 1 C'%J 12 4 SS. Board of Trustees Applica, )n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: S-i okl nil d�kO/-77 a IIJ r1q1u)a6r0efeetArea of wetlands on 1 - / �o 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 r filling? No Yes If yes,how much material will be excavated? cubic yards How much material will be filled?6 zsb , 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: 1V)6-n u 6 UJ a pro 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): Board of Trustees Applica, )n AFFIDAVIT 64/fDL A �'4al,; 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. "Signature of Property Owner Signature of - opp y Owner SWORN TO BEFORE ME THIS - I J DAY OF �1 I 20 I �-� DANIELLE NOTARY PUBLIC STATETATE OF OF NEW YORK QUALIFIED IN SUFFOLK COUNTY Nota blic LIC.#01 GR6208717 ? b2_l rY COMM.EXP.JULY 6, l � i APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE.FORM The T 'r ; i.ii::lv,..,«iu�.nf4nterESt'bn ilia na_�'oftown of$eSts and.em n.---- ,ti. 1n1..� .�lw..ww t.11nw it fn faltw whatever AetIO�i9 - r....:.n�.��R•AlEft�t_11E.WWfl01; ...,�;�vr.u,uww..+.,.�,«.....�......'.._•-'_'-----` ----- -� u�T YOUR NAME: ` AU L-F, N L�GLQ • (Last n e,flirt name,griddle initial,unless you are apply ng 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.) po you pers<iriallY(Qf tficough: . r;oompaay.spouse,sibling;:peiieak.of child)tiayeyinJiltoiistiip with any ofl3cer or aiiployee of.theiTovm..-q Sou' IdT «l�ocistiip'"Irialudes by':bloodl.l4}ani08e.:Or`bus interest "Btlitrx.>Et irtterost'!moans a business, tacludfrlgtt.piirtiliAsJriP:in. fiich:Ihe tgwri:ot7erArpttplpyoe;ba+o�cn'a<partlel:owndaiupof'(oremployxnatt.lsy)moaporatloti Inwhlch.tlie:town:ottlecr:oremprtoyoeowns moro.tfian 316:tsf t}1`e>altors€s: 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/agont/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space proAded. The town officer or employee or his or her spouse,sibling,parent,or child is(check alf that apply): --. A)ilia o`vncr ofgFeater445%of tht+slialres;of.the?oorporatc stock of the applicant (.i+vtrotr the applicant is a corporetlon);. B)thg legal oFBeilefYciai.ovraef'of�itiiy inteiesl.1014 tiotj-corporate entity(when the applitahtia:not atofpor4tfotik ticw::dlttcwr,..p.arbw,.or.•emplbyte:ofthe:applicant;or Dj the actual applicant. DESCRIPTION Of RELATIONSHIP Submitted th• da o P L 20 Signature Print Nam -h=299- M-C7IW17- dh0o(-.A.6;kti47' Form TS 1