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Home My WebLink AboutTR-6180A James F.King,President so Hall Jill M. Doherty,Vice-President l0 53095 Route 25 P.O. Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen John Holzapfel 0 �Q Telephone(631)765-1892 I�COU01 � Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: P J S Name of Applicant: LcL--4'''� Name of Agent: Property Location: SCTM# & Street Brief Description of proposed action: kbff4VO I�o Type of area to be impacted: Saltwater Wetland Freshwater Wetland _Sound Front Bay Front Distance of proposed work to edge of above: Part of Town Code proposed work falls under: _Chapt.97 _Chapt. 37_other Type of Application: _Wetland_Coastal Erosion_Amendment_Administrative _Emergency Info needed: Modifications: jr-u Conditions: Present Were: J.King _J.Doherty_P.Dickerson D. Bergen J.Holzapfel `Other: R� Mailed/Faxed to: Date: James F.King,President ��OF SOUryOTown Hall Jill M. Doherty,Vice-President 01 0 53095 Route 25 P.O. Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen G YQ Telephone(631) 765-1892 John Holzapfel �OlyCO� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 16, 2006 Peconic Land Trust 22600 Main Road Cutchogue, NY 11935 RE: Harper Preserve 1920 Lake Dr., Southold SCTM# 59-1-20.1 Dear Ms. Markut: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, February 15, 2006: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit# 6180A, to cut the Phragmites to one foot (12") and remove them, prior to April 15. This project will need a final inspection. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, oZ James F. ng President, Board of Trustees Albert J. Krupski, President ��4 CD Town Hall James King,Vice-President ='r Gym 53095 Route 25 Artie Foster C2 :� P.O.Box 1179 y Z Southold,New York 11971-0959 Ken Poliwoda G Peggy A. Dickerson ifi� Telephone(631) 765-1892 �j `t►� Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A]PER ART Pf 006 ' JAN 2 4 2 DATE L — a3 - 0 OWNER f� cvn t� Lah c I VLLS PHONE ADDRESS AGENTS>�,S,.2��•��(.tA± PHONE ADDRESS tea(pOO !'Yl( PROPERTY LOCATION {�lYno�r �resere_ 1 R a.o Lagr. ��- TAX MAP NO. GT{� 0 pp — I/We � ��(jrt,c C�' request an Amendment to Permit# I n 03 S 0 q 0 o O o l w 6 ul d hl K4 4 C?ut Brei►-Y.�_ � raoY Signed� By:Y ,�l 1 Pru,cQ� a� i Albert J.Krupski,President ��OF SObryo Town Hall James King,Vice-President ,`O l0 53095 Route 25 Artie Foster P.O. Box 1179 Ken Poliwoda N Southold,New York 11971-0959 Peggy A. Dickerson �l� aQ Telephone(631)765-1892 'rou Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6180A Date of Receipt of Application: August 16, 2005 Applicant: Peconic Land Trust SCTM#: 59-1-20.1 Project Location: C/o Lake and West Drives, Southold Date of Resolution/Issuance: August 24, 2005 Date of Expiration: N/A Reviewed by: Board of Trustees Project Description: To control the spread of phragmites by.wicking the phragmites with Rodeo. 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 survey prepared by John T. Metzger dated March 31, 2005. Special Conditions: None 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 a determination from any other agency. duo Albert J. Krupski, Jr., President -- - Boardof—T-r-ustees Albert J.Krupski,President ��OF SO(/px' Town Hall James King,Vice-President O l� 53095 Route 25 Artie Foster P.O.Box 1179 Ken Poliwoda N � Southold New York 11971-0959 Peggy A.Dickerson Telephone(631)765-1892 COU ,� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Applicatio _Wetland Permit Application , Administrative Permit —Amendment/Transfer/Extension _Received Application: � _Received Fee:$ _Completed Application D E 0 n/] E __Incomplete U _SEQRA Classification: Type I Type it Unlisted AM 16 'V5_Coordination:(date sent) _LWRP Consistency Assessment Form _CAC Referral Sent: Southold Town _Date of Inspection: Board of Trustees _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: _Public Hearing Held: o dJ Resolution: Name of Applicant 1��G L(,vul Address V Phone Numb er:43) 2—T3'3 t q•5 X fit: Suffolk County Tax Map Number: 1000 - Property Location: I)f Late— aA , VenyeH15 (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: and of Trustees Applicati GENERAL DATA (� Land Area(in square feet): 2-1 2 l(jct s 4, Area Zoning: V4 0 Previous use of property: �— Intended use of property: Lt J � �fo5ewe, d�?A � t Ll �►Jl; �� CG1n�.-t/j/�1.�'1.00(� �--5�°1�V11 Prior permits/approvals for site improvements: Agency Date av) 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): I cCIC4 ` � 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.AnPPLICANT/SPONSOR L 2.PROJECT NAME n 3.PROJECT LOCATION: �L,e_ O)'- �i rya Municipality �" v e County �L! C/� 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 6wvleur op L'aA e avt'�- u/e}- wve5 5. IS PROPOSED ACTION: ffNew ❑Expansion ❑Modification/alteration 6.DESCRIBE PRO ECT BRIEFLY: - Wexll, �h VYaI , -sue ILs ei3O ,COdUvlykl O-tn eQ v- kfe cam, 4t L— tc)�/tcd 7.AMOUNT OF LAND AFFECTED: Initially l 2 J 56 aer Ultimately I 7 asc9s- 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? �Yes ❑ No If no,describe briefly: 9.WH T IS PRESENT LAND USE IN VICINITY OF PROJECT? (az many as�Spac, Residential ❑Industrial ❑Commercial ❑Agriculture Forest ❑Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGEN (Federal, State or Local) es ❑No If yes, list agency name and permit / approval: 11.DOES ANY AS ECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes If yes, list agency name and permit / approval: 12. AS A RESU OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? Dyes o I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant ! Sponsor Name - ;,�, G � " ' 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 I 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 EAF. 0 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. ❑ 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 CI-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy? Ex lain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA? If xes,ex lain briefl : Yes No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If Xes explain: ❑ Yes ONO PART Ill-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 thi determination. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer 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 ��► i� �V � 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. Signatu 'tom, SWORN TO BEFORE ME THIS DAY OF -}' 20 o 5 Marie Gallinad notary Public State of New York No.DIGA6046169 Qualified in Suffolk County CommiSSIOD Expires 08/07/200,to Notary Public 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 purpose 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. �.�� Qo YOUR NAME: ' e l C' l�i.X-�-L�. (Last name,first name,spiddle 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 indi}c-ated. Name of person employed by the Town of Southold PE 'C? tC Title or position of that person CCNI LL\WAS 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); an officer,director,partner,or employee of the applicant;or the actual applicant. DESCRIPTION OF RELATIONSHIP VVLa,JV- Submitted this ��da of _ jjt8 200 5 Signature Print Name Form TS 1 s Q V�c(U� r9� CEl�1 Sc�..vu f 1��n�►'i)i�VA-t,r s Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1, All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. - B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees l. Category of Town of Southold agency action(check appropriate response): . (a) Action undertaken directly by Town agency(e.g..capital ❑ construction,planning activity, agency regulation, land transaction) ❑ (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: , �� P�� ► �� UL Ph o4oe3s Am" fir- Location of action: (? (Vff {ie e"r 2m6±5 U O Site acreage: Present land use: V6LcG2vA Present zoning classification: �-- � 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: PQ_CWw (rl `t (b) Mailing address: Vo G) (c) Telephone number: Area Code (d) Application number, if any: Will Vtion be directly undertaken, require funding, or approval by a state or federal agency? YesNo❑ If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pa s 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable r 'Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Vyes ❑ No ❑ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No IV Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 throw h 21 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III — Policies; Pages 22 through 32 for evaluation criteria. lvYes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy. 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [:] No[VNot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes❑ No Lul Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES . Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No VNot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No WNot Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No VNot Applicable Attach additional sheets if necessary Policy,13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable Created on.5/25/0511:20AM STREET ADDRESS.• 1920 LAKE DRIVE N EcE SURVEY OF PROPERTY !� AUG 2 4 2005 v°�' � Qo� A T SOUTHOLD Southold Town �A10 ,� '� ,� ?o� TOWN OF SOUTHOLD Board of Trustees GO 19�h *� �a SUFFOLK COUNTY, MY y 1000-59-01-20.1 •4119 : . . �� SCALE. 1' 30' 15 gyp• F F S�P��JP� ��+ .� . . . . . tia� MARCH 31, 2005 �G G0�O �P •��E` �o aq- FINAL SURVEY ��4j • i �� E�ANo t _ APR — 8 2005 I 2�� .•05 6 6 k� �� DEPT.n'A,lo PRESERG ]oN �� CERTIFIED TO. PROVED BY TOWN OF SOUTHOLD 1 PECONIC LAND TRUST BOARD OF TRUSTEES STFWART TITLE INSURANCE COMPANY TOWN OF SOUTHOLD COUNTY OF SUFFOLK 00DATE _ ME 0 CO ANY ALTFRAT70N OR ADDITION TO THIS SURVEY IS A VIOLATION PECONIU5V#V=EYOR `" OF SEC77ON 7209OF THE NEW YORK STATE EDUCATION LAW. (631) 765-5020 FAX z� —1797 EXCEPT AS PER SEC770N 7209—SUBDIVISION 2. ALL CER77FICA77ONS anon HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909 —5 AREA=29,169 SQ. FT. Poi SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 05_144 O WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971