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TR-7153A
I James F.King,President �of soaryo Town Hall Jill M.Doherty,Vice-President ,`O l0 53095 Route 25 P.O.Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen G Q Bob Ghosio, Jr. �� Telephone(631)765-1892 Fax(631)765-6641 i 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. i INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction i Y2 constructed _AZ Project complete, compliance inspection. I i i i James F.King,President ��QF SoUryo Town Hall Annex Jill M.Doherty,Vice-President 54375 Main Road P.O.Box Peggy A.Dickerson Southold,New Yorkk 11971-0959 Dave Bergen Q Bob Ghosio,Jr. �4. Telephone(631) 765-1892 ��ly Fax(631) 765-6641 I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7153A Date of Receipt of Application:'August 14, 2009 Applicant: Jeed Realty Management, LLC SCTM#: 114-9-1 Project Location: 15400 Main.Rd., Mattituck Date of Resolution/Issuance: August 21, 2009 ! Date of Expiration: August 21, 2011 Reviewed by: Board of Trustees Project Description: To remove 1,200 sf. of asphalt from the front of the property and replace.with sod; renovate the existing walkway; plant flowers, sod and shrubs; add two drywells to contain stormwater run-off, and resurface the ! existing parking lot. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the .I application received on August 14, 2009. Conditions: The use of synthetic herbicides with pesticides is prohibited in the landscaped areas. Inspections: Final inspection. 'i If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, Pr ident Board of Trustees .I I 6 a Gig 4• rn lip, L APPROVED BY I � � Flo BOARD OF TRUITEES T®WIN OF SOOT O[ DATE i. c p �1• 'pe V1���. l_ ww � t ev"EY Fuji STAR 4F LIFE• INa ' AU 14 2009 AT MaTTl7UCK QAT no Co I4 979 TOWN OF SOUTHOLO SUFFOLK COUNTY, NEW YORK No. I So thhold Town IMM MAL ? cuaRaNr�o to= Boa d of Trustees ME TM ca swrrEroa�111:eoDr+lt rocs o mew«`y u SOUTk ierwi cira«r�p�rtD`IM TOM t«Dif"Mm pr��r�rier�y-o�lur it 1� aEpiAL -FMOTAnD�LrDI 11-mvW�j LISTED Yi IAO DYID«,awlw N"r"a°axt(xp ryh7wi� gl{ IMdWTfOrYP«lDIY(q�rr ar«yea. aDlrrINcsa ruDrN MeraDx Thor no+a«rr bihca exlsrlNa Alt Tuel�a aNr raq«svicelpc �+�p�t AND as nar ro aF� D ro cTrg�,Sp �0.j ltl�},�� ' .ha.�iirr�IhEe�Irow Trf.wehrNul Gr rtMar<a. 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) G Telephone: 631 765-1938 Southold, NY 11971 � �� Fax: 631 765-3136 COUNTY,Nc� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Jim King, President 0 Town of Southold Board of Trustee AUG , From: Mark Terry, Principal Planner 2009 LWRP Coordinator Southhotd Board Tory Truste s Date: August 21, 2009 of Re: Proposed Wetland Permit for JERED REALTY MANAGEMENT SCTM#1000-114-9-1 i, The proposed action (attached) has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP pursuant to § 268-3. Definitions. Minor Actions, item A which states: A. Maintenance or repair involving no substantial changes in an existing structure or facility, Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Office Use Only _Coastal Erosion Permit Applicatio _Wetland Permit Application Administrative Permit n p// —Amendment/Trans f r/E tension ((> eceived Application_ O Received Fee:$. tA, QU_Completed Application G 74 _Incomplete 2009 _SEQRA Classification: Type I Type II Unlisted south � �oordination:(date sent) ho/WRP Consistency Assessment Form )a���� Board of Trost�s /CAC Referral Sent: a- �te of Inspection: 09 a``n`) __Receipt of CAC Report" 1 1 inn _Lead Agency Determination: _Technical Review: ublic Hearing Held: _Resolution: Name of Applicant Address ad . k9 % WA✓ Phone Number:( ➢J) (0 3/— 7 = 7-777 Suffolk County Tax Map Number: 1000 - Property Location: 1:[JK00 06ct�9d lke, 44 (provide LILCO Pole#, distance to cross streets, and location) AGENT: han �'Q��aJ gko') rI Vb4 (If applicable) r Address: Phone: Board of Trustees Application GENERAL DATA i Land Area(in square feet): 7 .L Area Zoning: K — V-0 Previous use of property: Intended use of property: Covenants and Restrictions: Yes No If"Yes",please provide copy. 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? �ONOYes If yes,provide explanation: Project Description(use attachments if necessary): F/e.aS-e- it Project description: It is our intention to improve the appearance of the property and protect the surrounding wetlands. We will be removing 1,300 square feet of asphalt from the front of the property and replacing the asphalt with sod. We will be renovating the existing walkways to improve safety. Around the property we will add flowers, sod and shrubs; We will also add two drywells to contain the storm water runoff. The existing parking lot will be resurfaced. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: Zoo feet Closest distance between nearest proposed structure and upland edge of wetlands: /©o feet Does the project involve excavation or filling?® Now 1� Yes � s°'` 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: &o feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: b c 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): C,4- a -,t- ate- 0't� Board of Trustees Application County of Suffolk State of New York 1� a_e_ BEING DULY SWORN DEPOSES AND A-RARMS TWAT 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 REV W OF THIS APPLICATION. al- Signature C) SWORN TO BEFORE ME THIS DAY OF 520 0� VICKI TOTH Notary Noo.01`f06190696w York Qualified in Suffolk County Notary Public commission Expiresluly28,2U�Z i PROJECT •1D NUMBER &7x'2q SEaR' APPENDIX ':C. STATE ENVIRONMENTAL flUALITY REVIEW SHORT ENVIRONMENTAL AS&E3:SMENT`FORM for UNL ATEp ACTIQN,S Qnly PART 7'=pRQJECT INFORMATION (To becompleted by Applicant or'Pro�ect Spon'sdt) 1.APPLICANTI SPONSOR Z:PROJECT' NAME 13.PROJECT LOCATLON: P �` �G� �1,� County ✓ 4,PRECISE LOCATION:' Street •.Addb6if,and Road 'lntersecttoit Prominent landmarks; etc or provide:map 5 IS P.RgPO j=D: ACTIOry;_ ❑`New ❑6 anslon odlficatwn(alteradon° %6,QESGRIBE ;PROJECT'BRIEFLY;. ye- 2 AMOUNT OF.LAND AFFECTED, �o Irtitiaily: aces: tJitlmatafy '` acres' 8.WILL PROPQSEO ACTION COMPLY WITH EXISTING ZONING`OR,OTHER 'RESTRICTIONS4- ❑Yes• ❑;No- if. no,.descrrbe briefly; 9.WHAT.IS PRESENT:LAND USE IN VICINITY ;OF FROJECT'7 (Gha9se,as;MW y as:apply;j Resldgntiaf ❑andustr'ial- Gomrrierc%U ❑Agriculture ❑Park.l Forest/'Qpen Space; Other (descntse:)` ❑ . . 10 DOES ACTION INVOLVE PERMIT.APPROVAL OR FUNDING,: NOW OR ULTIMATELY TRl]AA :ANY.OTHER GOVERNMENTAL AGENCY:(Federal,, State or (_ocafj, nYes. 41 yes, Ilst agency;rieme ,and perm)i;( approval; 11 DOES: "ANY:ASPECT OF'THE ACTION' HAVE A GURRENT.LY VALID; PERMIT OR. APPROVAL?` Yes; If,yes,list.agency,: name::and permit /`,,approval: i2 AS,A RESULT OP PROP„QSED ACTION WILL EXIS-r N.G PERMIT./'APPROVAL' `REQUIRE;MODIFICATION? . I: CERT,IF THAT THENKORMATION PROVIDED :ABOVE IS`TRUE TQ`THI t3EST OF MY KNOWLEDGE Applicant /Spon_ Date: the action os a Costal Area,and you:alre asEate agency;, co the Coastal Assessment Fdfm before;proceeding"with#his assessment: TA KART ASSESSMENT b be cOMOIQAOO bi Lead.A- -POEBACTIONEXCEEDANYI-YPE I'THRESHOLU IN$NYCRR PART,017%47 If yes,coordinate the review p.1ppss and u's`e fhQ FQL4,, F 6 % El El No : WILL;AC.TfON.Re6E1,V'*F:--CO6kDIN'ATED REVI ASiPROVIDEDF.OR;UNLISTED.AC,,TIONS,'IW6"NYCRR No a,negativa- ?declaration May ba1upersede'd b anotheelnVolvi§d Agenicy YesEl 40 Y5 ULD b NRkS ATiASSOCIATED �F CT- WITH 3HIE FOLLOWING'I{Answers handwritten, 'Of..Ex air.,ualt' .Ot*P n b 't lbr.rOsJ ',-.,drdjnagovrfIbWb C-2. arch ge;jo!!calmti7orZ;r other natural or cuitural resources,:or commundy or nelghbarhood character?Explain bnefty C1 Vegdtatl6n ld'hj' t0rPA" :p.rfauna rhF1IF1;qFv7�kojlf species, K)\O _76— natural:resources? C5;:Growth *U-4150A.- Xe!yXO@ 1,4 .......... onglef h ft teen, 9 Ro :07107 Im--cRIMW W;� C6.,I T,s o % nnt=1=;71 6th— o7'..'Other-Imp acts.(Inclodin chap es in mWoUelther, b: E1-m— IMPAG OBI THEEW H-:- tL iRONIAfR4 L C�, ARACT JERIS..r THATCAUSEDHE"ESTABLISHMENT OF.,KCRITICA .]E VI R, Nm CEA? If es ae lain ode Y E IS THERE Q IS HKIRE-LIKELY TO 9E,CONTROVERSY k Dl'fdpot NT-iALATVt—Fi§t-,EN dWmEtWAL)k S? If es dx lain- 0.1 .PART Ill"DETERMINATION OF SI(3NIFtCANCE(Tp be completed by Agency)' " 4i7hd*1i6"-.FGr,e I dVe aich a rs a -ad'[ -Ofrurd);(b)`,P.Obibilit�O.f,.opcu7I'ng- no qozW UA,y(bm^(� I j,(c):d0r4om irrevers birity.�e)* -:(f)*,*,magnJ1judo., attachments;jIfnecessaryi,add or'refer suppoAing,-matbridis�.' Ensure ihijt,,6kolah*atioo.s! hwl" '9 h scope and re at. W K-addressed If --fibri'd A-- 'ad'. su vdofiiii identiftederid- 6f NO�p gnop the enyirgnttiental chafaGtertstlCs:of the CAA Check this box if you trav$identified one or,mare ppten.�ally - a Mpa occur..Then proc64d*di0dqy-td1hoC.FULL large orsign' cantodws J cts Check tails box iFyou 4ye. j i .p,A6ova.qnd,pY 5,P7"inT .ruMont4; QnI;that tih.o p"ropo sb xEbcuo r;WILL N*t4e§ultIn.qny sg! icqnt,.qdvers9 environmental,jmpocfs,Ak0pr6ide, on ihL�1M6tt.as.-TdbEtsaty;tha raasons,suppoyvi4lAhls Name of Lead Agency Datd: nl Pfint-OrT y.pO Name of:Ros%ponsible.,.OffirAir fw,Loaa;�Qency. Title of:ResVbnsibI6-Officer Iq $jqpaO-7o,117mb 55[41 a�.Offiqedn 40 Ag an py . .. ....... . .. ... I, Town of Southold LWRP CONSISTENCY ASSESSMENT FORM r, A. INSTRUCTIONS i 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. J, 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 0 Planning Dept. 0 Building Dept. 0 Board of Trustees 1. 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 a nt of action: it plR dz�� ,'II Location of action: Site acreage: 7 Present land use: &11AA1)9 Present zoning classification: 12-, 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: (b) Mailing address: (c) Telephone number:Area Code( ) `;, 7 C--S`— 2?�7 (d) Application number, if any: Will the action be bee directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No J, 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 of 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 Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No of Applicable i 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 Yes E No 0 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 Sectio —Policies Pages 8 through 16 for evaluation criteria Ues 2 No E 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 through 21 for evaluation criteria Yes 0 No o 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. Yes No of Applicable Ali 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 t 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 N t Applicable i 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. ❑ YeLl No 1 t 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 Wot 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 of 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 of Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Polici s; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No of Applicable Created on 5125105 11:20 AM