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Home My WebLink AboutTR-7265A ` r Jill M.Doherty,President Town Hall,53095 Main Rd. James F.King,Vice-President P.O.Box 1179 Dave Bergen �,fr, ► ` Southold,NY 11971 Bob Ghosio,Jr. Telephone(631)765-1892 John Bredemeyer ¢� �` 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 $O SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION .SCHEDULE Pre-construction, hay bale line .I st day of construction % constructed Project complete, compliance inspection. Jill M.Doherty,President QF SO(/ryO Town Hall Annex James F.King,Vice-President 54375 Main Road P.O.Box 1179 Dave Bergen 4 Southold,New York 11971-0959 Bob Ghosio,Jr. John Bredemeyer �l� �� Telephone(631) 765-1892 Fax(631) 765-6641 COUKrY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7265A Date of Receipt of Application: April 20, 2010 Applicant: Todd & Elizabeth Cantrell SCTM#: 117-2-14 Project Location: 2070 Grathwohl Road, New Suffolk Date of Resolution/Issuance: April 21, 2010 Date of Expiration: April 21, 2012 , Reviewed by: Board of Trustees Project Description: To replace the existing driveway. f 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 in the application prepared by Elizabeth Cantrell, and stamped approved on April 21, 2010. Special Conditions: None. 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. IV Jill M. Doherty, President Board of Trustees JMD:eac ION I atucr RORE]�TYAMARA --07- TUTHILL 46, lo N 2 2- Q) V., CUrCHOGUE s to 14 HARBOR (4) IN O. 2&1 tD SStW r VE. 2.W 3 .D9 .::...... BAY pECONIC GREAT L NOTICE COUNTY OF SUFFOLK C SOUTHOLD SECTION NO E G M=7977= E t2ll % Red Property Tax Service Agency A -Cft Wtr M—h.�N Y M01 117 E �: 1000 IN D PROPERTY MAP FD N/F GRODSKE MOH. S 7753'30'E 140.00' O a FD / N o O 47. 6� CHAIN INK FENCE CD . ,�,. 0.8' WOOD STEPS O / WOOD DECK ' { W/RAiL1NG rT- HOUSE FLOOR . �'`•, � GARAGE ELVATtoN=10.89 �10 o0 CONC STO / ROOF OVER m ONE-STORY Z 6 8 RE-51DENC£ N. FLOOD ZONE DATA IS FROM PANEL Sol OF 1026 � .. OF FLOOD INSURANCE RATE MAP, MAP NUMOM GUARANTEES INDICATED HER£ 0l9 SHACL RUN. E70 t998 ONLY TO THE PERSON FOR IHiOM THE SURVEY �,11 ' PROPQSEO J Q 3 JCSOI C• EFFECTNE DATE MAY 6, . GARAGE' e � . IS PREPARED, AND ON HIS BEHALF TO THE ELEVATIONS SHOWN ARE W 1929 NGVD. 27TLE COMPANY, GOVERNMENTAL AGENCY .. c: AM J FRAME SHED ' LENDING INSR7U7TON, IF LISTED HEREON, AND: N `•' _ SHED �. TO BE REMOVED TO THE ASSIGNEES OF THE LENDING'INST77UAOK: ' GUARANTEES ARE'NOT 7RANSF£RABLE TO _ - ADDITIONAL /NSRIUDONSOR SUBSEQUENT OWNERS' . tho' FD N 72'50 30 i 99.99 o MOH. FENCE _UNAUTHORIZED AL 7ERAT)OM OR A OD/TION'TO"THIS '`' MON• - N�F MCINTYRE' n �' ;SURVEY IS A WOLA770M OF SECRON•7209 OF .�� /�1 � � _ S 0.7• CiV LINE - THE NEW YORK STATE EDUCATION LAW. of la� �j�C Sin _ . " .�� "tl CHAIN UNX FENCE CW LINE , COPIES Of 7NlS SURV€Y. MAP NOT BEARING SURVEYED: 13 DECEMBER ,ZD�3 THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE co»Y. SCALE 1 30' . GEORGE ROAD AREA = 7,1 05.645 s.F. @ oR -��P_P V E D D L� 0.392 ACRES SURVEY.OF .. BOARD OF TR�1 m DESCRIBED PROPERTY rM# i o00-1 -02-014 SITUATE SURVEYED BY TOWN OF SOUTHOLONEM SUFFOLK, TOWN OF SOUTHOLD STANLEY J. ISAKSEN,, .JR. . SUFFOLK COUNTY,. N.Y P.O. eon 294 DATE NEW SUE OLK. N.Y. 11956 . y�� d AI— -5835 F GUARANTEED TO: TODD CANTRELL SURVEYED FOR: TODD CANTRELL ELIZABETH CANTRELL ELIZABETH CANTRELL 2 7 !;FP 04 ADD CONTOURS. N 'OR1. 16 MAR 04 CORRECT 1M NO., SHOW PROPOSED GARAGE. FLOOD ZONE. o. 4927 03R12.86 SO Jill M.Doherty,President � Town Hall,53095 Main Rd. James F.King,Vice-President P.O.Box 1179 Dave Bergen ' ' Southold,NY 11971 Bob Ghosio,Jr. �` Telephone(631)765-1892 John Bredemeyer Q ' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application ✓Administrative Permit AmendmendTra sfer/Extension ,.,'Received Application Received Fee:$ �.� `f i` J't. Completed Application -- _Incomplete i SEQRA Classification: 2 0 2010 Type I Type II Unlisted APR Coordination:(date sent) LWRP Consistency Assessment Form CAC Referral Sent: _Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: ::;:�: ublic Hearing Held: L4 1A1 10 Resolution: Name of Applicant (IJn Address o?U�70 C�02 "k 1 RWJ , /) ,P�J Sul Phone Number:( ) 73 q of Suffolk County Tax Map Number: 1000 - Property Location: ICI-) Jrm (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: F rd of Trustees Applicatio GENERAL DATA Land Area(in square feet): / 7, /(�g (2( .g, P, Area Zoning: 0 Previous use of property: 2�1 S I arl,4_CJ Intended use of property: Ke5cj P01 Covenants and Restrictions: Yes V No If"Yes",please provide copy. Prior permits/approvals for site improvements: Agency Pate (ac" zell 11--26c)(a 977 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): oIC.P— c �cti�a i Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA. Purpose of the proposed operations:tar, Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: JO0+J/ )- feet Closest distance between nearest proposed structure and upland edge of wetlands:+4odR. feet Does the project involve excavation or filling? No ✓ Yes If yes,how much material will be excavated? (D cubic yards How much material will be filled?.Q4KoK, cubic yards Depth of which material will be removed or deposited: € 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): i 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.PROJ CT NAME XT 3.PROJECT LOCATION: Municipality �G tS �C%� County Sv (lL 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map a070 fctc�c�G,( GP Sv': 5.IS PROPOSED ACTION: ❑ New ❑Expansion ®Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: 1q I a-GP_ 7.AMOUNT_QF 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: CURRENTLY- VALID PERMIT OR APPROVAL? ❑Yes /PNo If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT APPROVAL REQUIRE MODIFICATION? Oyes D5 No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Spons -Nam Date: jaQ�J� Signature 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 EAF. Yes 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. 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 Xes,ex lain bdefl : Yes El No I E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: 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 e&rhe-deAerrnkk-tior f&ig ' uate-the peteri-tia+}rftpa n on the envirenrnen«al-characterist' . 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 to Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) yard of Trustees Applicat i County of Suffolk State of New York Z.,6 eRlt- 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/BER 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. Kal" Signature SWORN TO BEFORE ME THIS DAY OF ,20 /7) Notary P ob N,StateAof New York Notary Public No.OIST6164008 Qualified in Suffolk County Commission Expires April 9,2 // APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics rohibits conflicts of interest on the part of town officers and employees.The pumose 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: (Last name,first name,rpiddle 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 South ld 6,1 t Z t I t✓ Title or position of that person cac d c9 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 t 's da f 200 LO Signature. Print Name Form TS 1 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" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non-. supporting facts. If an action cannot be certified as consistent with the LVW policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places:._online; t thd.Town of:Southold's website (southoldtown.northfork.net), the Board of Trustees; .ffi , the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION r t � PROJECT NAME �- The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ 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: Q Nature and extent of action: M Location of action: o P/O G(Aw&l �, Site acreage: • 3 -crf---5 Present land use: � .5 i Jcn�' 1 Present zoning classification: R L/Q 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: i ZeL G�I (b) Mailing address: (c) Telephone number: Area Code (d) Application number,if any: Will the action be directly undertaken,require funding,.or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. 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 Pages 3 through 6 for evaluation criteria i ❑ Yes ❑ No Not Applicable i i 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 ❑ No Not Applicable cJ 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 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 ❑ No �NotApplicable 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 Not Apl. 'ble 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 Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LNVRP 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 Not Applicable Attach additional sheets if necessary WORKING COAST POLICII ' 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' Not 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 1P Not 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 Not 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 PREPARED BY TITLE DATE C /v