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HomeMy WebLinkAboutTR-6273A James F.King,President �\OF SO(/r�o Town Hall Jill M.Doherty,Vice-President 53095 Route 25 Peggy A. Dickerson 4 P.O. Box 1179 • Southold,New York 11971-0959 Dave Bergen G John Holzapfel � �� Telephone(631)765-1892 COU +� Fax(631)765-6641 lm BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6273A Date of Receipt of Application: December 27, 2005 Applicant: Southold Park District SCTM#: 65-1-19.1 Project Location: Founder's Landing Park, Southold Date of Resolution/Issuance: January 18, 2006 Date of Expiration: January 18, 2008 Reviewed by: Board of Trustees Project Description: To replace the existing chain-link fence with new stone columns with chain fence in the same place, and to place dumpster located at the northwest corner of the parking lot on an 8'x 10' concrete slab and construct a 6' high stockade fence with a gate surrounding it, and all as depicted on the plan approved 1/18/06 by the Board of Trustees. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth by the Board of Trustees. Special Conditions: This permit is issued with the Condition that a drywell is installed to contain the run-off from the impervious surface of the concrete slab. This project requires a final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth by the Board of Trustees, a Wetland Permit will be required. This is not a determination from any other agency. Jarn4s F. King, Vice- resident Board of Trustees i . JVa �a�4K r �u+ Tr ( � `r • J �-�• 8.i �� i :t I car�•���..:�:f•;::� ,. � • ! � r 11 ,r• 1 ' �i✓..y�•�� l'��VVG � � �M1. •;t• L ti�` S�ti1 �yf� i �[ .� :.J-.3 .. lk't. ... .... .. ..r-.,.,r_ •- ++ram-. .-."'� �13._"�,,"'OT.@_+- ®�.r...�-- '- � - . U.S.C.G S ►•!p_2r 917; rr Of .a t - #ti W ----- --~. Cli- [)ATE 4 2.P�r u.5,C r,.5 WO.2(t'917) M Qt , r ,T• � r S 1• I � ( t x� 'e S S�[-']'tl�T�f.�/\C-JLJ i �' _ .�1�`•0 '.•�., '�.Z �Ji (� � •r,`a 1 J ffff ..1 L A _ .S a 1i �•_ ..,.,� r�� J( Y a � ... - ._.-- _ ++WW"fff V .'� �� \,• 1�:t4..l raw Ck � Il "S ,e i y 1� ,�r' Ell � �� � ��•- � /fly �� � f � d• � �� Z • --.: u f fi m Ll DEC 2 7 2005 4` i Tk C I [ ,�... . 1 n i •tJ ; �r?t,f � f'1 � iz al 1 � 1 � Jtr � r t I• �: MA.i . - `fir �, +�• J James F.King,President as yo Town Hall Jill M. Doherty,Vice-President ,`O l0 53095 Route 25 Peggy A. Dickerson l P.O. Box 1179 Southold,New York 11971-0959 Dave Bergen John Holzapfel �� Telephone(631) 765-1892 �'COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction Y2 constructed ,/Project complete, compliance inspection. James F. King,President OF S0UI Town Hall Jill M.Doherty,Vice-President ,`O� y�1 53095 Route 25 Peggy A.Dickerson P.O. Box 1179 Southold,New York 11971-0959 Dave Bergen G John Holzapfel �� �Q Telephone(631)765-1892 lyIroulm Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 24, 2006 Southold Park District P.O. Box 959 Southold,NY 11971 Re: FOUNDERS LANDING PARK, SOUTHOLD SCTM# 65-1-19.1 Dear Mrs. Bertani: Enclosed is the revised administrative permit for the above referenced property. The Trustees intention is that the drywell be placed in the location indicated on the survey, in order to collect runoff from the new concrete slab, and any water that may pool in that area from the parking lot,which runs into the street, and eventually into the creek. Please contact this office with any further questions. Very Truly Yours, Q . o'er es F. King President, Board of Trustees Cc: David Cichonowicz James F. Kin �F so& g,President �� ryo Town Hall 01 Jill M. Doherty,Vice-President W 53095 Route 25 Peggy A. Dickerson P.O. Box 1179Southold,New York 11971-0959 Dave Bergen en John Holzapfel Telephone(631) 765-1892 l COU ' Fax(631) 765 6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: __j0( _ffi OVj Po k. Please be advised that your application dated rj' al l oT has been reviewed by this Board at the regular meeting of 1TITI n6 and the following action was taken: �) Application Approved (see below) �) Application Denied (see below) �) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: 6cjoa cn,jcuw r � TOTAL FEES DUE: $ 5-19 f BY: James F. King, President Board of Trustees ro n —N— / 1 / of "° 36 L6>Icl _ r ze - n 11 zz ----- zs n a't I. w v HOe4RI ro u ' 4yF, S 1e.1 a SeNeaD PIrsR—T ,ef NOTICE COUNTY OF SUFFOLK © E ,tea SOUTHOLD .SECTION No 121' a —_ ;—_ — a Red Property Tax Service Agency Y 1[e1 SALE aV YUIS 6 Ns,a, -.�--- :„ __ —_ —_.—_ suF cartr> u�.Prs aaamrEo ti Canty Center N e t..1 N Y 11901 M �n 065 a°.n.r tl .. m13.1 Alm or u.l<� ---- , --°-- ,.m.P.n¢,:n—..-- ua .srz.. 6ELL PP®EFfiYee.62mTE aa]<Y. 86190� P msric6w 1000 u1e PROPERTY MAP � —_ -- wnvE6sw o.1E:�,.:o,nee —J SOUTHOLD PARK DISTRICT P.O. BOX 959 SOUTHOLD, L.I., N.Y. 11971 681-765-6019 January 10,2006 Mr. James King, President Southold Town Trustees Town Hall,Main Road Southold, NY 11971 Dear Mr. Kng, Re: Founders Landing Park,Terry Lane, Southold The Commissioners have requested that I write to you regarding amending the pending administrative permit application that we have on file for our Founders Landing Park. We are also proposing to place the dumpster located at the north west comer of the parking lot on an 8' x 10'concrete slab and construct a 6'high stockade fence with agate surrounding it. (See drawing on survey). Thank you for your consideration. Sincerely, IL Linda D. Bertani U't 0 AN t J 1 2006 Secretary/Treasurer kr, ( ti. SOi1t11GiG` TOVo-'It�-.,.•,,,� of TraVees Albert J.Krupski,President 'OF soUTyo 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 Telephone(631)765-1892 Co(11 � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application administrative Permit _Amendment/Transfer/Exte sion _✓Received Applica ' I Received Fee:$ "C 10,o _,-Completed Appli ' n QS _SEQRA Classification: _ _.._-.._.. Type I Type II Unlisted Coordination:(date sent) LWRP Consistency Assessment Form DEC 2 7 2005 CAC Referral Sent: !, --Date of Inspection: / !/ Sont'oo'c Tovan —Receipt of CAC Repo : r;u.rd ai Trustees ------ -Lead Agency Determination: Technical Review: /Public Hearing Held: Resolution: Name of Applicant_ S��,�y.� ( � t 0�rry­ Address P. �- (;CA(, Phone Number:(b3� -1(0� 1001 cj Suffolk County Tax Map Number: 1000 - (o S - I— 19• I Property Location: O a Tex Cu , �) ram..+ '�p �jg�--}— (Coc�v _.---(provide..LU-,C_O-Po-te#,distance_to-cross_streets,...and.location). . _._.._ ---------..--____--.-.---------_----------------.-__-__-.. AGENT: (If applicable) Address: Phone: _ Lrd of Trustees Applicati GENERAL DATA . Land Area(in square feet): 0< • N atl"--r" Area Zoning: Previous use of property: ✓J CA rk Intended use of property: Pcu-IL- 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): _. ,_. .. . . _ ..- -...--- ---- --------- 16-& 1Publ Iiloc U- Wig ne u') S �O n — Q 1 Lcm of LJ i t'L- Jame, p Ia,e,v S Lrd of Trustees Applicati, c ' WETLAND/TRUSTEE LANDS APPLICATION DATA. Purpose of the proposed operations: G e- wufin5, o h a.,L �Gv�c,L w `� d �Y►.t_ e-I U-rAr►s CAA a_ C-1�c..i t e_ i►�, 'S u�mc. ,n r,...c-o,.. Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing)structure and upland edge of wetlands: z feet Closest distance between nearest proposed structure and upland edge of wetlands: VI -L feet Does the roject 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: no n e.. 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): �P,c�c, w►1� h-c• r,o e.-(r�cc.� c�� ��. �.3 e.'f't 0.n c�.�r pf- 4-1.&" LLd *fs 1 J W 0-- PROJECT ID NUMBER 617.20 SEAR APPENDIX 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 nn �o►�`t�o 1� Park- 1��u�-r�c�l- (7ouAtbe.r" k- 3.PROJECT LOCATION:�p c / L Municipality U 0\,,t-A o County v u—++0 C- 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 1 D a t� Tt'rZ Lck r.j. c-- — No b c...-+ Qo e..z.l J'��`I-Ro 5. IS PROPOSED ACTION: ❑ New ❑Expansion 9Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 1`e.mo ot-, &-f l c 'n A C11\em c..1 n.la- {t-NC A- Gw 1'-- rt f CLCA. L V%tt- S n G r-.Z C,h CL t V-�- t-C^tG_ r` a u, 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately o�, acres 8.WILVNOPOSED 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, tate or Local) ElYes L if yes, list agency name and permit / approval: 11.DOES ANY A CT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? If yes, list agency name and permit / approval: El Yes 12. AS A RES OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: -y--� r Signature L.--d` `�iC "�--�— �2-A If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment 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 0 Yes D 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 hantlwritten,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. Long term,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? 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 briefl : Yes No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes ex lain: Yes No 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 mustevaluate the potential impact of 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) ward of Trustees Application County of Suffolk State of New York I n e rn 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 JN 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. �,�-�+'Gam- �. �•-P.Ci�j�--.-� Signature SWORN TO BEFORE ME THIS DAY OF 20 65 ry Public LYNDA M BOHN NOTARY PUBLIC,State of New York NO.01B06020932,Suffolk County Term Expires March 8,20 LL 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. YOUR NAME: �C r+-CLA I Ll A � t,_ ` (Last name,first name,middle 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 V 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 rz Submitted this 'day of -200 Signature a"t�ica..r Print Name Lind.., ✓ge.,- ru Form TS 1 t MAR 15 1995 �s TOWN OF SOUTHOLD tr *• a '. �..rv,++� ' '{ A j i L3A r _'69 Ak 1 VA v (U 'rop f21 BATH u 14, < CAI tom,, C'JjZ&'fir--':�_ - __ J -- 40I Q 46 ' P LarT _ — — - — ' jijJ F , 1 1\ • �01 Unauthorized Aeration or addition } to this survey is a violation of F Section 7208 of the New York State F N E y, Education Law r P�GK Vq,� `p Copies of this survey map not bearing f t A the land surveyors Inked seal or } embossed seal shall not be considered ! ) ir * to be a valid true copy \� Guarantees indicated hereon shall run *° i `�O — 2r♦p aO only to the person for whom the survey L` is prepared,and on his behalf to the Ftis� L S 25 JQJ title r.ompanye governmental agency and LAND 5 lending institution listed hereon and to the assignees of the lending insti '` s^ ..- tution.Guarantees are not transferable to additional institutions or subsequent !f lq.iti k✓e"? z+'! r owners. h- 6 - x -- �ar�: ,�:„ 4 r.• ....,r .. .: r'e•,/+. . .. 4_ .._ .- .. . - _ jMl��1��_ - •.�.we,wi.�--•�--.—w_w�._ _.,yyq.: 1{f• + 99• y •�t T�X ' 1yr {y �- ��qyCA- zi y )))y yi - yWj► r i 1 7 r_` a tr r a .. .. 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