HomeMy WebLinkAboutTR-9361E Michael J.Domino,President �rjf SOUjy� Town Hall Annex
John M. Bredemeyer III,Vice-President l0 54375 Route 25
P.O.Box 1179
Glenn Goldsmith Southold,New York 11971
A.Nicholas Krupski Q Telephone(631) 765-1892
Greg Williams of i'roUFax(631) 765-6641
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BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
EMERGENCY WETLANDS PERMIT
Permit No.: 9361E
Date of Receipt of Application: December 14, 2018
Applicant: Brennan & Carly Albano
SCTM#: 1000-74-1-35.53
Project Location: 4690 Blue Horizon Bluffs, Peconic
Date of Issuance: December 18, 2018
Date of Expiration: 90 Days from Date of Issuance
Reviewed by: Board of Trustees
Project Description: Replace/restore rock revetment in-place using rocks that
composed the revetment only, and to backfill with the original material that was
used as backfill under permits #9165E & #8976, and to restore stairs in place.
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 December 14, 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
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aQ(Jf Town Hall Annex
Michael J.Domino,President ���� 54376 Route 26
john M.Bredemeyer III,Vice-President P.O.Boa 1179
(Venn Goldsmith Southold,New York 11971
A.Nicholas KrupsW Telephone(631)766.1892
Gr Williams E
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BOARD OF TOWN
TRUSTEES DEC 14
200 D
TOWN OF SOUTHOLD
Southold
This Section For Office Use Only Roand o'Taus ees
Emergency Permit: Application '
Coastal Erosion Permit Application
Wetiand Permit Application
Administrative Permit
Amendment/Transfor/Extension
11omplated
Received Application, 2 I`�•I Aeceived Fee:t So. w `i, °�`Application: 12,1 , i'° .�`
Incompleteid El`J.
SEQRA Classification: Type I— Type II _ Unlisted
Lead Agency Determination:
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): _
�(•e.�w.a.n GLS C-A.-1u...► ,�1�v�Y.o
�o S� LJ_ �� ` cam- see - � 1'?,>� Aj Y, ►N Y �o�
Mailing Address:
Phone Number: q)7 (o(Od7
Suffolk County Tax Map Number: 1000- "7y- / 3�' S 3
l qJ X31 Pa -L , � rfs' ������ �Y 11958
Property Location{: (3
A .
(If necessary,provide LILCO Pole#,distance to cross streets,and location)
AGENT(If applicable): . �A
Mailing Address:
Phone Number:
Board of 'Trustsea Application
GENERAL DATA
Land Area(in-square feet):
Area Zoning:
fly,
Previous use of property:��� �' ne-s,
Intended use of property:
Covenants and Restrictions on property? YeS `—N0 '
If"Yes",please provide a copy.
Will this project require a Building Permit as per Town Code? Yes No review
If"Yes'",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee
and Elevation Plans will be required.
Docs 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
Does the structure(s)on property have a valid Certificate of Occupancy? Yes Na
Prior permits/approvals for site improvements:
Agency Date `�2
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency? Na_____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; e'-L"r-c--6'"
41
Area of wetlands on lot: ?___�:square feet
Percent coverage of lot: • 8 %
Closest distance between nearest existing structure and upland cdge of wctlatids: feet ;
Closest distance between nearest proposed structure and upland edge of wetlands: t'14 feet
Does the project involve excavation or filling? �No C� Yes
If yes,how much material will be excavated? pubic 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:
A,vaz ABX
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 Application
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity:tt__. -
100 feet of the proposed activity? !_No Yes
Are wetlands present within P
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? Z(cubic yards)
Manner in which material will be removed or deposited.:
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)
wZ' o�
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APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DLSCLOSURM.FORM
I�Ot7L'�JIY � /►�jo•A.�a �t'�vvn�n .
YOUR NAME: N '
(Last name,flirt name,ipiddle inittat,upless you aro applying.ia the name of
someone also or other entity,such as a company.if so,indicate thb other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Varlanco Trustee K
Coastal Erosion
Change ofZone .�-
Approval of plat Mooring —,
Exemption from plat or official map _ Planning
Other
(lf"Other",mme the activity.)—,
ilk ptthtpu(�ir Crspt e:spou�sibilrt poueAkR�4`hrtt�rftitylatloT lOftship V3th710f�iltiit, � �i
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itralutif "fit 3 i
YES ti}►� vartfat.ov� Ipdf'46!itrtp�I►
or T QwltE ,
NO
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If you answered-yes',,complete the balance of this form wd date and sign where indiegted.
Name of person employed by the Town of Southold
Title br position of that person
Describe the relationship between yourself(the applicandagendrepresontative)and the town officer or employee.Either check
tate appropriate line A)through D)and/or describe in tho space prodded.
Tho town officer or employee or his or her spouse,sibling,parent,or child is(check alf that apply):
.A�lha owiracoP" ..b b{ } Mares:otilie oortwrate stock of the appiioont
jVliitn lha tl )Teartt bt.a oorpontlotr),
E)•#ha Drbeiti�ic�d ovtr.�ter.nf ttrly inteiest)n'ri,iivg=corporato entity(whin the
appRa `ii ooTt{iQ ilttlGt i fihlIcont;or
�;,t�ait'ti)XICti?Es:titt�ct4rr parb�tr.or csnployca'4 e aPp
D)the actual applicant.
DESCRIP'T'ION Of RELATIONSHIP
Submftted this day of 200
. `Sf�„rtauira.
Print Name
Form TS I
Board of Truetsme Appiiaation
AFfID nT
13apw� BEING DULY SWORN `
DEPOSES AND AFFIRMS THAT HENHE IS APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S)AND THAT�OATEMENTS CONTAINED WLF,DGE AND ELISF,ANDTHAD T .
ARB TRUE TO THE BEST OF HI
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 TINDER OR BY VIRTUE OF SAID PERM'T(S)6 IF
GRANTED. IN COMPLETING OR S�PRPF�3ENTA NTIVES,INCLUDINGHTHB � .
TRUSTEES,THEIR A (S)
CONSERVATION ADVXSOR `COUNCIL,To Wf=ONTO MY COTIJUNC'TION WITH THIS APPLICAPROPERTY
IO�
INSPECT THE PREMISES IN TO .
INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF
TRUSTEES TO ENM ONTO MY PROPERTY AND AS REQUIRED TO INSURE
COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL '
EROSION PERMIT LSSUED BY THE BOARD OF TRUSTERS DURING THE TERM
OF THE PERMIT. {
Signature of Property Owner 'Signature of Property Owner
tCe.w�.b�✓ _�
SWORN TO BEFORE ME THIS DAY OF 20
Notary Public
JENNIFER K MARTIN
Nota► ��
Que fied in New York County
Cwm nbn Expires dune 27.2020
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