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HomeMy WebLinkAboutTR-5969A �S�FFO��►c Albert J.Krupski,President 0�. Q Town Hall James King,Vice-President �� G'y� 53095 Route 25 Artie Foster y - P.O.Box 1179 Ken Poliwoda Southold, New York 11971-0959 Peggy A:Dickerson Telephone(631) 765-1892 •( `1► Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 5969a . Date of Receipt of Application: 8118/04 Applicant: Mark Baisch SCTM#: 35-4-11 Project Location: 1425 Gull Pond Lane, Greenport Date of Resolution/Issuance: August 18, 2004 Date of Expiration: August 18, 2006 Reviewed by: Board of Town Trustees Project Description: Install 6x6 whaler with 2x6 trex cap to top of existing bulkhead entire property width. Remove (1) pine (2) beech (2) birch trees from bank on south portion of bulkhead area. Temporarily remove natural vegetation adjacent to bulkhead and replace when regrading is complete. Install landscape border minimum 5' behind bulkhead- fill area with gravel. Grade behind landscape border to contour of neighbor to the south. Area north on bulkhead to remain natural with vegetation Remove frame steps to landing for dock-replace with path to house at grade. Install gutters on north and south roof fascia and install drywells to contain runoff as shown on diagram Findings: The project meets all the requirements for issuance of an •Administrative Permit set forth in Chapter 97 of the Southold Town Code. The issuance of the Administrative Permit allows for the operations as indicated on the attached plans submitted to the Trustee office August 23, 2004. Special Conditions: Place hay bale line along bulkhead while working near water. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not adetermination from any other agency. Albert J. Krupski, Jr., President Board of Trustees Gt 1 S C,� - ft e��a�:�5 rc k e o LA.+ (;ram Wes, -( -� o LA+ 0 GI Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: 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? (cubic yards) How much material will be filled? (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) soo}snll}o ploo8 uMol ploy}noS Vooz z z Inv IA9333Q -Z ��� toZ�W-t,14'I dvo �'2 f�� ff 2 oz i . 11 r/' j-z./ l `+S K »a SECTION NO .m --- rmncE COUNTY OF SUFFOLK © E SOUTHgD E ma o,. —�— aru.se�ea. (211 — - - os�rs Red C u'xn a v xE ODY B Ag2f1Cy Y wa a oR mo0. mxa ux wr s vwmm car N1Y 11>'9uW Y 034 ._ r.. ....�..-.... _y r. .. 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Krupski,President ��0 C� Town Hall James King,Vice-President 53095 Route 25 Artie Foster o P.O.Box 1179 Ken Poliwoda W Southold,New York 11971-0959 Peggy A.Dickerson � Telephone(631) 765-1892 ��.( `1►a Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _0!!�GVetland Permit Application Major Minor 0,00ftL,M _Waiver/Amendment/C an es ,00Seceived Application: de D 2 (� E / ❑n Uceived Fee:$ tiV/ Completed Application _Incomplete 1 �_SEQRA Classification: AUG 2004 i Type I Type II Unlisted —Coordination:(date sent) CAC Referral Sent: Southold Town Board of Trustees _Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: _AeopPublic Hearing Held: Resolution: Name of Applicant M Ole k 6a Vsc� Address I `f a 5 & H eib. ! Lan e 2,' P T v2. 9A Phone Number:( Suffolk County Tax Map Number: 1000 - S J Property Location: (provide LILCO Pole#, distance to c oss streets, and location) AGENT: a 0, (If applicable Address: -,� 3 O O (!® AIX-Gk 1 AA �� Phone: � I � yy q, ; 3 2— 1 Board of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: Intended use of property: 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): 2:)e_' 1"4 d cld_4 lee,, Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed ope ations: JJJ� fo b ( f (fir !mil d1'l a '�f ! drat SAS !mot o cd Area of wetlands on lot: ® square feet Percent coverage of lot: d % �r2e_Q5 Closest distance between nearest existing structure and upland edge of wetlands: 0 ' feet v 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? 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: 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): PROJECT ID NUMBER 617.20 SEQRAPPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME 3.PROJECT LOCATION: Municipality County 4.PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map 5.IS PROPOSED ACTION: ❑ New ❑Expansion ❑Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ❑Yes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ❑Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open Space ❑Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ❑Yes ❑No If yes, list agency name and permit / approval: 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ❑No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? Dyes [:]No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: Signature If the action is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment 6 PART II - IMPACT ASSESSMENT(To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAR Yes 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. El Yes ® No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly. C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: _.._...._.. .- C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly. C6. Longterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly: C7. Other impacts(including changes in use of either quanti or type of energy? Explain briefly. D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA? If es,ex lain briefly: Yes 60 No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes ex lain: Yes No i PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility; (e) geographic scope; and (f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential impactof the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed actin WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting W determination. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer 4. Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) Board of Trustees Application County of Suffolk State of New York C AAk 4f-S Srl 01(/12C') W t,G Z 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 TOWN 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(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. • � 5 Signature SWORN TO BEFORE ME THIS DAY OF g 20A L6 Notary iluWc MELANIE WOW NOTARY PUBLIC,State of New Yo* No.01004634870 Qualified in Suffolk County UOL Corrantssion Expires September Op.. Ird of Trustees Applicani( Jk AUTHORIZATION (where the applicant is not the owner) I, " C° residing .at evp-S ie (print owner o property) (mailing address) G�OCIC � /, 'U. J `� do hereby authorize (Agent) O P2 G -Uj 1 CZ to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owne ' s signature) 8 APPLICANT/AGENT/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 puroose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. p� YOUR NAME: � i, l-,4., s Cr & (Last name,first name,4iidd a initial,unless you are applying 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.) 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/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 d f 200 Signature Print Name Form TS 1 3 r- , 1 ' I Project Description 1425 Gull Pond Lane Greenport,New York 6yc 9 Pae,-7 A a x G 7-k P-x CA-P ❑ Install Ste" whaler to top of existing bulkhead entire property width. ❑ Remove(1)pine(2)beech(2)birch trees from bank on south portion of bulkhead area. ❑ Temporarily remove natural vegetation adjacent to bulkhead and replace when regrading is complete. ❑ Install landscape border minimum 5' behind bulkhead-fill area with gravel. ❑ Grade behind landscape border to contour of neighbor to the south, ❑ Area north on bulkhead to remain natural with vegetation. ❑ Remove frame steps to landing for dock-replace with path to house at grade. ❑ Install gutters on north and south roof fascia and install drywells to contain run off as shown on diagram. AUG 2 3 . Southold Town. Board of Trustees ITI CD a 0 ., 00 CS � O 84 x x Y kcA � R' J p $ � f - t- -. j, 74, *, ����+✓� rv.t� ' Mir if - t'{ � ,mr ar+ , Al Qt lot �9i .$ Field Inspection 8/10/04 @ � F .x y� E F � w D 40 All 0 Epp E �o B "a d 40 00 SL,q 99 �' N �U�� „ �1 iN/ /0 LO 5 ro �- Q' CK & RAMP WALK cv FRAME F LO A-D N G DO 2. 1 2.2 r FN C. B H 94 a v K� H o. 3S o. 5s qq 5 . 6A S 0. 2W )cv� p ULK R� E BHE PAo FR _ RM . o F 9.,� � EI�t Al LAN p � WALK �v tjQA� MO N OL NS z ---IFNI 0.8E o Frs 7 O. E co C. L. F. FN C. 0. j n• 7S D FRAME LANDINGS �t- ca � 0 • 5 ' BRA 0 ME DE � w j & ST U EPS L6 z C "> > w 42 7 qd- SrpR 04 Y C FR z V- AME :-1 12.9 D WELD! �- 29. 2' NG � z 12. 4' U � J rn w 32 5 ,p � 0 0 3. 0,- � Q _v o m FRAME v STEPS w FRAM E LIJ o LANDING � o � FRAME . ' d 23. 114 R. W. 2 � ASPN A ONE GULL PC E ,= N 400� b U cd� (11��-' l-f:�F�.� _ P/0 LOT 15 in I N� U/1S�G//Ve f�/fJNIE/�/� 7- r & RAMP WALK G /JD� /��ST'�d FLOATING DOCK o�„ r �'� I c� FRAME; 2.1 P .Z3' F M W �.� N � ;a � G ,l/7 I . / B.H FNC. BH 9�00 OZ ME B��KHBH� a ��! /lf/� ! 0,7S 0.35 0.55 q1 5 F(tP 0.6W w �] 0.2W I 1 0,6E ULK►�EAD FRAOE !0 f' Blp—,ci4 / f F WALK 0 FRA E LANDING s & STEPS MON �-- OL NS 3 FND. f( 0.8E '0 ® 0.6S C.L.F. FNC. l� `� 0.3S 0'7S FRAME LANDINGS 6: f � 1T o, cv & DECK EC 0 K p c� STEPS Ui w Qi 42.7' •4- Y N 1 StOR Y ^ (V FRA I m r 12.9' 29.2' DWELLNG �. LOT 14 a 12.4' U z J 0) 3. of 0) o ¢ Y 32.5' 1.3 LOT 16 Y U FRAME w 0 m Y � LLJ v FRAME LANDING STEPS LANDING s o �j R W E 23.2 11.4' b RI SALT vi`� F-R r Q AME iv p b N GA�AGEL p O FNC. a 23. p C.L.F.Z 0.1S o. 2 O 0.3N CO I V) O FNC. 1366,99, 0.1 N b z 4 , 0.3E 0 MFT MON �Irc. OP NEby ry AL FNC FND CERTIFIED TO: �� ��N H. e�o� * R sN * r �Z °S 13z)0 00 � r W 104.s7. FND. tk THE EXISTENCE OF R/GH7S�OS WdvANo�J �<< p LIL #13 AND/OR EAStMENTS OF RECORD IF �N� ANY, NOT SHOWN ARE NOT A/�/� GUARANTEED. ' �l UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY'1S A VIOLATION OF SECT70N 7209 OF THE NEW YORK STA TE EDUCA770N LAW. COPIES OF THIS SURVEY MAP NOT BEARING` THE LAND SURVEYORS INKED SEAL OR EMBOSSED SL'AL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES.IND/CATE6 HEREON SHALL RUN ONLY TO 77-1E PERSON FOR WHOM THE SURVEY IS PREPARED; AND ON;H/S BEHALF TO 77-IE T77LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS177UTION LISTED HEREON, AND TO THE ASSIGNEES OF 7HE LENDING INSTI- TUTION, GUARAN7EES ARE NOT TRANSFERABLE. SURVEY Or: P/O LOT No. 15 Y MAP OF FORDHAM ACRES, SECT. ONE KENNETH H. $E.CKAN, L.S. FILED MAR. 07, 1962 FILE No. 3519 SITUATED IN: G/�EENPOf?T Surveying and Land Planning 1814 Middle Cbuntry Road TOWN OF: SOUTHOLD Suite D Ridge, N.Y. 11961 SUFFOLK 6OUNTY-6 NEW YORK 345-9427 FAX �631� 631 345-9429 DATE: 04113104 JOB NO. B04-6211 SCALE: 1" - 30' DIST. SEC. BLK. LOT " S.C.t.M. N0. 1000 035 64 11 '» r •�i h ,j .�'b a ',fir �+. �. -',� ;'�.•J, �' �"� -'� 1 Moil f" 1 7l . r �r K y! ► ' ,• r .�.,; _-.:,'�.• �� J* ►�V tom- -- , i • s� �' ,• ,� � (., .�? _ � �'� �► t t. y �• � a ,S`.` `,.,F, .� . � .. i t