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HomeMy WebLinkAboutTR-7684A Jill M.Doherty,President so Town Hall Annex Bob Ghosio,Jr.,Vice-President h0 lQ 54375 Main Road 1 ( P.O.Box 1179 James F.King Southold,New York 11971-0959 Dave Bergen G Q Telephone(631) 765-1892 John Bredemeyer. D� COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7684A Date of Receipt of Application: October 24, 2011 Applicant: Muriel Johnson SCTM#: 78-2-33 Project Location: 1540 Glenn Rd., Southold Date of Resolution/Issuance: November 16, 2011 Date of Expiration: November 16, 2013 Reviewed by: Board of Trustees Project Description: To cut down a tree located on the bank, with the stump to remain. 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 indicated on the application received on October 24, 2011. Conditions: A row of staked hay bales and silt fencing shall be installed along the landward side of the top of bluff prior to demolition. 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. 6V �J Jill M. oherty, President Board of Trustees D� lll B v.9 t,9 JO NMO ! 0 O'd z 100 GIAM-Iddli amg 09, ------ IT- bqn!.4 md-AwWY1NOWI-t) zooll 44-11 1py 14 ONye 0 Ul ';�g P,,:j 'SLC)--F—s f000l-:Fq(o LN+41, 31011 Llait Owl,41;&M '.JPqu 4r4i¢4-7 goo vvb-l- 74 Ot IV is 661 81 7-7 r Jill M.Doherty,President Off'.pSUFFO(4.CQ P.O.Box 1179 Bob Ghosio,Jr.,Vice-President O� Southold,NY 11971 James F.King y Telephone(631 765-1892 Dave Bergen ,y Fax(631)765-6641 John Bredemeyer Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: MURIEL JOHNSON requests an Administrative Permit to cut down a tree located on the bank, with the stump to remain. Located: 1540 Glenn Rd., Southold. SCTM#78-2-33 Typ area to be impacted: _ altwa rZ� r Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of n Code proposed work falls under: apt.275 Chapt. 111 other Type of Application: LZ/Wetland Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present re: J. Doherty Ghosio -King L-Br-8-ergen, Bredemeyer D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: Neu �, � � `sick,7' �Q t,�.`�•.�,., ..:,�'i .�, lJ` �'���1MC • + IW .,. "fir,. ` ,{., �(♦ . roj4 r d• r� y . J . , .,� .;.:.�� _ a� �.�-} ,�- � , •.ram, :l,�►' •� ,- ,'.S obi f4`s'J may+ . F .. •f' �t/ _Y t K • •+r, .t, tv - p ` 4. 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F F 1B �? gym.., f0 b t I13 A 63 t • 121 a9 \ F eF a hlxq & etwlc, 9 '� .Bf1 ° ♦ $^ ra B ' 3 a �ro. ^, �t nNa VATCH--�--l1NE .G (bl; SEE SEC.NO.09] cs]y,mo _ __ NOTICE COUNTY OF SUFFOLK © E mB of SOOIMOtD SECTION NO ' RealPryGertyTaxService�Agency r ® � 78 O=••+wt•• — � s•� ' 1 an, —O o...u. --+-- u•--•-- a. naMcr. O�S� A rmn rm 10a0 PROPE8Em e m v.o�w "-wr �` '_" vtw w=autnrwauaxcE oea te] oe0 N y„e 2tN.ls t3i0 taw —____ FDJ Jill M.Doherty,President ti Town Hall,53095 Main Rd. James F.King,Vice-President w: P.O.Box 1179 Dave Bergen �` Southold,NY 11971 Bob Ghosio,Jr. Telephone(631)765-I 892 John Bredemeyer ¢ � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD F EGc � ..C � ►Y,': Office Use Only f ( 1; Coastal Erosion Permit Application 1�� `': OCT 2 4 2011 1 ' _Wetland Permit Application �Administrative Permit j _Amendment/Transfer/Extension Received Application: lv of )( soi!thhoiv?own Received Fee:$ Baar� of 7res:ees -*Completed Application i 1 ' S _Incomplete _SEQRA Classification: Type I Type II Unlisted —Coordination:(date sent) _LWRP Consistency Assessment Form E:yQ:�� _CAC Referral Sent: VDate of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: Public Hearing Held: t Resolution: Name of Applicant Pt U ILL f 1-- 1 J 6 0 lU 30 N Address f`1 lu Phone Number:(6- iV) 76 5 /b Suffolk County Tax Map Number: 1000 - Property Location: 5 D t_r=AJ AJ 00 0 n (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: I cd of Trustees Applicatio; GENERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: Intended use of property: I\'C%e&P-U-�Ds Covenants and Restrictions: Yes No If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes �No If"Yes", please provide copy of decision. 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): C UJ- p (/cSz a-zrd of Trustees Applicati- WETLAND/TRUSTEE LANDS APPLICATION DATA. Purpose of the proposed operations: C,+&u,vu_ tro R F-v- ( v e Lk 5 Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet 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 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 1'�e�1 J- 3.PROJECT LOCATION: n Municipality 11S411 G'(X_4z J 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 o If yes, list agency name and permit / approval: CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes K( 0 If yes, list agency name and permit / approval: 12. AS A RESULT 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 / po sor Name Date: Signature _ AM41 Zq If the action is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment -;oard of Trustees Appiica',....un County of Suffolk State of New York XI 1 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 Y REPRESENTATIVES(S), TO ENTER ONTO M PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signa re SWORN TO BEFORE ME THIS DAY OF &J-, ,20 VICKI TOTH Notary Public State of New York No.01`O6190696 Qualified in Suffolk County Notary Public Commission Expires My 2S,20 l APPLICANUAGENUREPRESENTATIVE 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 rovide 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: 1`iPJ I(' + (Last name,first name,piddle initial,unless you aib 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 ofSouthold? "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 ay,90f;;:5 �� 200 /r Signature f Print Name J v u(Z(E L n o({"( b Form TS I 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 sigaificant 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 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# - - 33 PROJECT NAME U 121 E t, 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: Nature and extent of action: CLAet d0.un1l Location of action: fS4o 9L z✓al x) Roo �>, Site acreage: Present land use:—kes aeo t 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: f• -:� ') 1+rt) _ (b) Mailing address: b 04'G__'y Il) l-oa D. �evT (c) Telephone number: Area Code 7 (o S-- 'i D (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No/L[N-9 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 ❑ Yes ❑ No n 1-1 Not Applicable 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 V] 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 © 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 V1 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. ❑ ❑ ❑ Yes No Not Apj tble 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 LVV" Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No IFY—'I 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 LVW Section III-Policies; Pages 38 through 46 for evaluation criteria. ❑ YeO No© Not Applicable Attach additional sheets if necessary WORKING COAST POLICIE , 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 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 121 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 `�Il �, TITLE DATE la�doil