HomeMy WebLinkAboutTR-9470A Glenn Goldsmith, President *96 � Town Hall Annex
A. Nicholas Krupski,Vice President ® ��� 54375 Route 25
P.O. Box 1179
Eric Sepenoski Southold, New York 11971
Liz Gillooly
Elizabeth PeeplesTelephone(631) 765-1892
Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 1925 C Date: June 22, 2022
THIS CERTIFIES that the removal of seven (&) oak trees at various locations across the
subject property
At 2425 Mill Creek Drive Southold
Suffolk County Tax Map #1000-51-6-40
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated May 13, 2019 pursuant to which Trustees Administrative Permit
#9470A Dated June 19, 2019,was issued and conforms to all the requirements and
conditions of the applicable provisions of law. The project for which this certificate is
being issued is for the removal of seven (&) oak trees at various locations across the subject
ro e
The certificate is issued t AjUdrew&knda Toga owners of the aforesaid property.
Authorized Signature
Glenn Goldsmith, President �� '� Town Hall Annex
A. Nicholas Krupski,Vice President �� �` 54375 Route 25
P.O. Box 1179
Eric Sepenoski Southold,New York 11971
Liz Gillooly
Elizabeth Peeples .Y` Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DATE OF INSPECTION: 2Z 2Z
INSPECTED BY: L '
Ch. 275 Ch. 111
INSPECTION SCHEDULE
Pre-construction, haybale line/silt boom/silt curtain
1St day of construction
1� Y2 constructed
Project complete, compliance inspection
COMMENTS:
CERTIFICATE OF COMPLIANCE- Q V L
' �FF0t t
Michael J. Domino, President ��o�� ooe-y.� Town Hall Annex
John M. Bredemeyer, III, Vice-President ! � �`a 54375 Route 25
Glenn GoldsmithN k P.O. Box 1179
A Nicholas Krupski y • o��r Southold, NY 11971
Greg Williams �o! , „ �a.f Telephone (631) 765-1892
ram' Fax (631) 765-6641
SOUTHOLD TOWN BOARD OF TRUSTEES
YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES
72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF
BELOW
INSPECTION SCHEDULE
Pre-construction, hay bale line/silt boom/silt curtain
1St day of construction
Y2 constructed
Whenjroect complete, call for compliance inspection;
p p p P
Michael J.Domino,PresidentO��QF SO�jl Town Hall Annex
John M.Bredemeyer III,Vice-President 54375 Route 25
O P.O.Box 1179
Glenn Goldsmith Southold,New York 11971
A.Nicholas Krupski Telephone(631) 765-1892
Greg Williams �Q Fax(631) 765-6641
CoUNT`I,Nc�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 9470A
Date of Receipt of Application: May 13, 2019
Applicant: Andrew & Linda Toga
SCTM#: 1000-51-6-40
Project Location: 2425 Mill Creek Drive, Southold
Date of Resolution/Issuance: June 19, 2019
Date of Expiration: June 19, 2021
Reviewed by: Board of Trustees
Project Description: Remove seven (7) oak trees at various locations across the
subject property.
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 site plan prepared by
Suffolk Environmental Consulting, Inc., dated May 9, 2019, and stamped approved on
June 19, 2019.
Special Conditions: None.
Inspections: Final Inspection.
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.
Michael J. Domino, President
Board of Trustees
i
TEST HOLE BY:
G McDONALD GEOSCIENCE
APPROXIMATE LOCATION DATE: APRIL_ lU' 2017
t� OF WELL HEAD .} �� B p0.00 gLY
\'_l7 )i i EL. 10,0
•L,_,', { i ;l t OO�B G SCA t11' � (�
SM BROWN SILTY SAND.
p 11 �' ♦Nif Y9� 19 �y NOTE: SANITARY SYSTEM ~ w - EL. 3.0
C,w1'S 000 ! NOT LOCATABLE, / �I�\ DROWN FINE TO
{ \][� F►' p04Sw
• y, Z COARSE SAND
4 00.0lo �Li L�WATER
0.6
!I 0 OR �Ry$Owp.- - 4 4
1p00.,�pX( �o• o ' SW IN PALE DROIYN
EDp� � y , TO COARSE SAND.
YN7,0
I J 1 •r �g� U
WATER ENCOUNTERED
��
lot) 9.4ft. BELOW SURFACE
%o �g
���,�I i i loft• �� �M y1�.��,�� � ���,
Cb C.N
GUY-; �-- O I �o OPROPOSED
WIRE Ori 15.RO TRENCH DRAIN
-— N°:I 13057'S0 DW WIT CR LOT COVERAGE CALCULATIONS:
LOT AREA: ±18,945.81 Sq.Ft. = 0.43 ACRES
of
91,g5t o �—I 22 FRAME DWELLING =2,030.12 Sq.Ft.
I \ tPROPOS -
OALON o�-HH A WOOD DECK = 336.00 Sq.Ft.
I I I \ \ PROPANE TANK Oft. COVERED PORCH+STEP= 171.33 Sq.Ft.
P.LINE I STEPS+LANDINGS = 83.00 Sq.Ft.
I U WTAINtNG WALL ;%/ DWELLING WOOD STEPS = 59.45 Sq.Ft.
AS REQUIRED 1 0�/ / WELL WATER CELLAR ENTRANCE = 55.00 Sq.Ft.
�j � (T,W. 11.5) d o 00 1000-051.00-06,00-039.000 SHOWER = 21.00 Sq.Ft.
A I ti 1 I N LAND NOT OR FORMERLY *TOTAL AREAS =2,755.90 S Ft.
PROPOSED I TH DAVID & MARILYN FUHRMANN q•
1 GAS LINE 10.0 tii PROPOSED •LOT COVERAGE = 14.54%
NO WALL MIN, G 4R,1 E ti� RETAINING WALL
EGAQ 1 I \ b I 0.0 �J 2ft AS REQUIRED
Q11.5)D
I No:2 PROPOSED IN G / G I" EXISTING
HYDRO-ACTION SANITARY SYSTEM
�AN400 [/A. '150ft, t119ft. TO BE ABANDONED
t35 /�/� N f o. t90ft 12
/ ig t123ft.
o APPROXIMATE LOCATION
., DIPROPOSED 4It UTION BOX OF WELL HEAD
f30 '0A ,_ ,y PROPOSED HYDRO-ACTION CONTROL PANEL AND
19.6. titi kp R. . AIR PUMP ON 36"x36"x8" WITH 6x6 10/10 WIRE.
jFRAME
4 5.6
"� I /PROPOSED AIR VENT EAT PROPOSED 127a
a II�BUILDING 18" ABOVE GRADE SHED
a ILWTfH CHARCOAL FILTER. o ENLARGEDo PROPOSED 4,9 ii"i
� af II ��r#28 3 ti� iGARAGE�N 1�� DRIVEWAY :
*39
NROOM
I N0:3 ) r: DW /(Ex.CF 13.7) 5.7 0�� /PROPOSED' /�i i i Ili i tiL0 APPROXIMATE LOCATION
SHOWER123.4 OF SANITARY SYSTEM
N I �J/ I X32 w 7.17/ /7`/7x7 /4;00 illi 9ti f921t. \1
ELENTRYS RYA �-
1717 /4.00"o III PROPOSED Olt, /
p �__/ 2nd STORY ilillli STONE WALKWAY}10
B.OX5.5 / ��I I
DITIONi
EXISTING %/ /�PROPOSED,/
SHOWER -=�j�COVE[ZED PORC[[' 150ft.
SFC NOTES-. PROPOSED �- /- - 8,00
O PROP SED F'j;XIS ig 11NS'I'ORY, -i� -F}7STINR N T_qm SANITARY SYST5 F-
o y WELL HEAD WITHIN 150ft. OF WELL HEAD.
RAME DWELLING%
j(Ex.FF 16,4 Ex.RG 28.9)�N DW W
14.25 5,45ch
1
A t41 DW tiEXISTING
CHIMNEY
+I SEE NOTES-•-11 Q� �w co—12
`0. _02
10
i '`
\ EXISTING `EXISTING - — — — 6--
EUG� \ WOOD STEPS--COMPOSITE O i — _ — _____4
No:4 STEPS AND-'0' NO
�G- — — 2_----
_LANDINGS / S — — 1X5
FUG
F�S 0°20'16'm' �CALCULATED— 117.44 NG:7
No:5
ARSHAMOMAQUE POND (1A, DEED)
(LONG CREEK) — (UNDERWATER LAND)
FLOATING
WOOD DOCK
METAL RAMP titi 20.0X0.0
2.7X12.9 ' DOCK
DOCK
NOTES: ±50.1S t46.9S
•PROPOSED SANITARY SYSTEM DESIGN, DRAINAGE DESIGN & RETAINING WALL DESIGN
AS PER SITE PLAN BY JOSEPH FISCHETTI, P.E., DATED: DECEMBER 20, 2017.
•EXISTING SANITARY SYSTEM IS TO BE PROPERLY ABANDONED.
•EXISTING WELL LOCATION PROVIDED BY HOMEOWNER.
•SANITARY LOCATIONS & -WELL LOCATIONS FOR ALL THE SURROUNDING
DWELLINGS ARE AS PER OLD SURVEYS, FIELD LOCATIONS AND AS PER OTHERS.
•MARK—OUT NOT DONE AT THIS TIME. SURVEYOR IS NOT RESPONSIBLE FOR SANITARY DESIGN:
UNDERGROUND UTILITIES OR STRUCTURES.
® EXISTING CHIMNEY & SHOWER TO BE REMOVED IN THEIR ENTIRETY. (THREE BEDROOM SYSTEM)
APPLICANT–OWNERS: DRAWING INFORMATION: (DESIGN R PER JOSEPH FISCHETTI, P.E)
°(1) HYDRO—ACTION AN400.
ANDREW E. TOGA & LINDA M. TOGA SCALE: 1"=30' DRAWN BY: R.K.H. o(1) 4'0"DIAMETER DISTRIBUTION BOX.
FILE No.: Q199-11 • (3) LEACHING GALLEYS - 4'0"DEEP.
PROPERTY INFORMATION: DATE: JUNE 16, 2011 •(1) EXPANSION GALLEY.
UPDATED: APRIL 12, 2017 ��
AREA TO DEED LINES: 20,899.08± Sq.FL=0.48± AC. ADDITIONAL MAPPING:SEPTEMBER 12,2017 .��
ELEVATIONS IN NAVD88 ADDITIONAL MAPPING: NOVEMBER 1, 2017 ��' �,�j%A 0'�� �� LISA McQUILIUN
ADDITIONAL MAPPING: DECEMBER 5, 2017 ���' ° + LAND SURVEYING +
SURVEY OF ADDITIONAL MAPPING:JANUARY 26, 2018ADDITIONALMAPPING: MAY 25, 2018
, s
DESCRIBED PROPERTY ADDITIONAL MAPPING: MAY 31, 2018 c- ` 274 EAST MAIN STREET
AT SOUTHOLD, TOWN OF SOUTHOLD , EAST ISLIP N.Y. 11730
ADDITIONAL MAPPING: JULY 172018 - -
SUFFOLK COUNTY, NEW YORK �, �'r® �,� TEL: 631-277-3605
SCTM: 1000-051.00-06.00-040.000 ��N Fe C A Sol.'*
.'* FAX: 631-277-3906
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED OR EMBOSSED SEAL ARE NOT CONSIDERED TO BE A TRUE VALID COPY.DISTANCES SHOWN FROM
PROPERTY 11NES TO EMSTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE,AND ARE NOT INTENDED TO GUIDE IN THE ERECTION OF FENCES OR OTHER STRUCTURES CERTIFICATION INDICTED HEREON SHALL RUN ONLY TO TILE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON I11S BEHALF,TO
THE COMPANY OR AGENCIES LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
2425 MILL CREEK DRIVE, SOUTHOLD
i
P
- S zOJECT DESCI�IP�'I®No :
'SITE -PLAN -
1.0"=30.0'+ _ fj � `' '
Applicant proposes to teinove seven. (7)_ mature, ;
Proposed !, Deciduous Trees �( reen), 'located - within subject
R i Propane Tank `� PROPOSk11 - J
TRENCH DRAWN . p rproto th
m1®rtceiproxiate cation to tie_
-
r
No: ` DW j '
i proposed activities appr®veci.'via T'®wn ®f; Southold
TREES to be N �� t -0-03
- Board of,Trustees N®. ,_dated F.eb-ruary.13, 2019. E o
REMOVED
PROP
��` ��•� 1 ��` TA[NING WALL � ^
<��
r� t' PROPOSED * x w
� �G !E RETAINING PALL
MAY 1 3 2019 xo
& § P.ROOPD
HY
t SAINITARY SYSTEM 1 Z
t \ 1AN400 I/A. i i x Z m
i
DIST, UTION Box E Z
-APPROVED "� j RDPO/SE AIIip Vfif�I1N8 AT R :'•' ISI Z W
! 11 lUI SING �R0 GRAD$ I3ROPOJ�' } I a 0 m �
d/h flffH CHA ; " , TER. • EM,ARGEN 0 c°n 0 U N —I
- BOARD OF TRUSTEES � F !Jja ; ' e ,'',_ W ZGARAGEf l n sgY;,
TOWN,OF S®UTHOLD �� Nast4 `� = � ,' rRDPQSEp'f/ O p r O m
'/SHOWER. "•
a J j ( �ry f`DIf � j '�j
_ /PROPOSED FSI N a
DATE Tvae !4 20 9 ���( , % � f 1 1 Y� f zlxdsToR��;i;� .�
r=t== /f;AbDITION`I',',tti,� v
MAR TJ Pli.1
16/, J / AND SHOW, Z�Iplx'��SED �f"',.'COVERED PORCFij;�,
L''}fISMG 1NS1ORY
E DWE
.�
Da PRDPasED.
zed STORY m,, CCHHMEY .c
LO
12 N Fy
a
eEm\m,
11l ` WOOD STEPS--COMPOS @ f �r F �4 1 bf
No:4 � �� STEPS A�ID�__ FL�� _ — :Z----- CA 2
LANDINGS No:O— _
O
No:S L
is O =D �
ARSHAMO�iAQUE POND
FLOATING 'a
METAL RAMP .WOOD DOCK y 3
DOCK j'; "g",SDOC6
Michael J. Domino, dei Town Hall Annex
Off. O ,,. _.
John M. Bredemeyer III, Vice-President „� �,,,� 54375 Route 25
Glenn Goldsmith y �' P.O:Box 1179
Zz
A.Nicholas Krupski y Southold,NY 11971
Greg Williams Telephone(631)765-1892
Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Date/Time: I Completed'in field by: rY►� ,C L�
Suffolk Environmental on behalf of ANDREW & LINDA TOGA request an Administrative Permit to
remove seven (7) oak trees at various locations across the subject property. Located: 2425 Mill
Creek Drive, Southold. SCTM#: 1000-51-6-40
CH. 275-3 - SETBACKS
WETLAND BOUNDARY: i Actual Footage or OK=4 Setback Waiver Required
1. Residence: 100'feet
2. Driveway- 50 feet
3. Sanitary Leaching Pool (cesspool): 100 feet
4. Septic Tank: 75 feet
5. Swimming Pool and related structures: 50 feet
,6. Landscaping or gardening: 50 feet!
7. Placement of C&D material: 100 feet
TOP OF BLUFF:
1. Residence: 100 feet
2. Driveway: 100 feet
3. Sanitary leaching pool (cesspool) 100 feet:
4. Swimming pool and related structures: 100 feet
i
Public Notice of Hearing Card Posted: Y / N
Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action
i
Type of Application: Pre-Submission Administrative Amendment Wetland
Coastal Erosion Emergency Violation Non-Jurisdiction
Surveys 5 years: Y/N Wetland Line by: C.E.H.A. Line
Additional information/suggested modifications/conditions/need for outside
review/consultant/application completeness/comments/standards:
� -
lN— Haccs� R�i1cGu/ � BoA�D 6-!a•!q
I have read & acknowledged the foregoing Trustees comments:
Agent/Owner:
Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski
i
G. Williams Other
TOGA Property
Situate: 2425 Mill Creek Drive • Southold,New York • 11971
SCTM#: 1000-051-06-040
(Photograph Taken 05-09-2019)
- IF y ,
The photograph above depicts the seaward most tree to be
removed from the property. This picture was taken facing
south.
TOGA Property
Situate: 2425 Mill Creek Drive • Southold, New York • 11971
S CTM#: 1000-051-06-040
(photograph Taken 05-09-2019)
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The photo above (taken facing south) depicts the trees to be
removed from the property.
TOGA Property
Situate: 2425 Mill Creek Drive • Southold, New York • 11971
SCTM#: 1000-051-06-040
(Photograph Taken 05-09-2019)
f.
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-
_
The photograph above (taken facing north) depicts the trees
on the road side of the property adjacent to the westerly
shoreline to be removed from the property. (Please note the
trees were not flagged due to the presence of Poison Ivy
Toxicodendron radicans)).
TOGA Proer
Pt
Situate: 2425 Mill Creek Drive • Southold,New York • 11971
SCTM#: 1000-051-06-040
(Photograph Taken 05-09-2019)
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The photograph above (taken facing northeast) depicts the
trees to be removed from the property. (Please note that the
trees were not flagged due to the presence of poison ivy
(Toxicodendron radicans)).
TOGA Property
Situate: 2425 Mill Creek Drive West ■ Town of Southold ■ New York
SCTM #: 1000 — 051 — 06 - 040
SITE
✓` K
I.1`.toll F11I II .. .
I.t' FID Rp v 1895 MU CPFFF 1,F
1565 LOI+�CUI I
R". I qLL 1'I C}tip
I FILL CRLI I I
SI I 'I -f FFh{.I
ILL I_.i l IJ
- 1533MLLGfifEkIl I it �IittPF:
'1 -1•�J tl Fi lei
I' M-.RILL CRLLH DR ! .
F ILL(MEEK DR r
2345 RILL CREEK DR
IFEkLIP, FlFll-
SITE
1�5 LONG CREFE DP
I.+3)L,14 IJ U(DR
F.
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WA
12.
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD,NEW YORK
PERMIT NO. 9393 DATE: FEBRUARY 13,2019
ISSUED TO: ANDREW & LINDA TOGA
PROPERTY ADDRESS: 2425 MILL CREEK,DRIVE WEST, SOUTHOLD
SCTM# 1000-51-6-40
AUTHORIZATION
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in
Ye accordance with the Resolution of the Board of Trustees adopted at the meeting held on Februa1y 13,2019,and
in consideration of application fee in the sum of$250.00 paid by Andrew & Linda Toga and subject to the
Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits
0 the following:
Wetland Permit to demolish a 14.25'x231 sunroom located at the southwestern corner of
existing dwelling and reconstruct within the same footprint of existing; construct a 40,x65'
(2,036.67sq.ft.)second story addition; proposed 22.58'x26' attached garage onto landward side
of dwelling; a proposed 24'x14' (336sq.ft.) at grade deck on westerly side of dwelling; a
proposed 5x181 (105sq.ft.) covered porch on easterly side of dwelling; proposed 83sq.ft.of
141tl L
steps and landings off of dwelling; 59.45sq.ft.of wood steps; a proposed 30sq.ft.2nd story
balcony; a proposed 21sq.ft. cellar entrance; a 21sq.ft.outdoor shower; abandon existing
cesspool and install a O.W.T.S.septic system landward of dwelling with an 89 linear foot long a
retaining wall set 22' landward of the wetland boundary; and to install gutters to leaders to
drywells to contain roof runoff,and in accordance with Chapter 236 of the Town Code
Stormwater Management;with the condition that there be no clearing of vegetation absent a 1
new permit,other than the removal of one large tree; and as depicted on the survey prepared
by Lisa McQuilkin,Land Surveying,last dated July 17,2018,and stamped approved on
February 13,2019.
IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Sea]to be affixed,
and these presents to be subscribed by a majority of the said Board as of the 13'h day of February,2019.
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P I PROPERTYMAP
OFFICE LOCATION: ®f S®Ury® MAILING ADDRESS:
Town Hall Annex lQ P.O.Box 1179
54375 State Route 25 y Southold, NY 11971
(cor.Main Rd. &Youngs Ave.)
Southold, NY 11971 Q Telephone: 631765-1938
• �O
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM
To: Michael Domino, President
Town of Southold Board of Trustees
From: Mark Terry, AICP
LWRP Coordinator
Date: June 14, 2019
Re: LWRP Coastal Consistency Review for ANDREW & LINDA TOGA
SCTM# 1000-51-6-40
Suffolk Environmental on behalf of ANDREW & LINDA TOGA request an Administrative Permit to
remove seven (7) oak trees at various locations across the subject property. Located: 2425 Mill
Creek Drive, Southold. SCTM#: 1000-51-6-40
A similar action proposed on the parcel was reviewed on February 16, 2018 and recommended as
inconsistent with the LWRP. The proposed action 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 on the new submittal and my assessment, the proposed
action is recommended as INCONSISTENT with Policy 6 of the LWRP.
1. Some trees depicted in the photographs to be removed are very close to wetlands
(standing water) and the need should be better justified.
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: Damon Hagan, Assistant Town Attorney
'S
Y �Ja
Aslichaet J.Domino,President ;,' �"�, ,u ML� �`0'F,, To=Dalt Annex
,fV �k—z °�� , wN 54376 Haute 25
Jolt 74,13re�dezme,�er 111, °ic a-Priskiont 0� 4
P.O,BON 1179
Glenn Goldsmith V "�� i lSoothold,New Ynrk 11971
A_MehDl a5 Krupuki ;;S�M�, � ,�� , =f� Tolophono(6131)7,65=1.892
Fax Greg;�rVillia � wee( 31)765-6641
BOARD OF TOWN TRIl.TSTE. ES
TOWN OF SOUTHOLD
'This Secd6n For Office Use Only
Coostol l rosion Permit AppGeetion -
PAdministrative
etland PermitApplication ! w 1L i Permit
_ AmendmentIrmnsfcr/Extensinn �f ,'d
Received Applicntion: .5� 3.�9 MAY 13 1019 � ✓
Received Pee:
Completed Application:
�„SPQR�I Cl sirtration:'T)Tu I Type fl ,,,, G:InI"ast l nar lut;let. W-�_Positive Dec,
,Lead Agency Determination Date:
�/Courdiiaation:(date sent):
V _LNVRP Consistency Assessment form Sent;
CAC Referral Sent-
]ZfDate ofitnspectiom
Receipt of CAC Report,
Technical Review:
6ublic Hearing Held:
Rcsoiution:
Owner(s) Legal Name of Property (as shown on Deed): Andrew&Linda Toga
Mailing Address: 16 St. George Glenn Dr. • Setauket,New York • 11733
Pyrene Nurnberg (516)-983 -6853
Suffolk County Tax Mala Number: 10041- 51.-6-40
Properly Location: 2425 Mill Creek Drive • Southold New York—J-97J
Uf necessary,proNgde LLLCO Iola 9, distance to cross strcets,mid location)
AGENT ff applicable); Robert W.Anderson-Suffolk Environmental Consulting, Inca
Mailing Address: P.O. Box 2003; Bridgehampton,New York • 11932
Phone Numb r, 1-(63L)-537-5160
T' i ff
Board of Trustees Application
�E
15
GE NERAL DATA
Land Area(in square feet): 20,899.08 square feet±
Area Zoning: R-40
Pr"ious use ofproperty: Residential
Intended use of property. Residential i
9 i
S
Covenants and Resuictiozns an pro cAy? Yes No
If"Yes",please provide a copy.
Will this project regtdre a Building Fennit as per TovsM Code? x"Yes . No '
If"Yes",be advised this application will be reviewed by the Building Dept,prior to a hoard of Trustee review r
and Elevation Pans%v*Pll be squired.
Dues this project require a variance from the Zoning Board of Appeals! Yes No f
If"'des",please provide copy of decision. s
Will this project require any demolition as per Tomm Code or as determined by the Building Dept.'
Yes No f
Does the structure(s) on property have a valid Certificate of Occupancy? Yes No
Prior permits/approvals for site improvements:
z..f
Agency Date <i
Trustees Permit#4769 8/4/97
Trustees Permit#8532 11/4/14
No prior perniitsla3pprovals for site improvements. t
Has any permiUapproval ever been revoked or suspended by a govemmental agency's X Flo - Yes
If yes,provide explanation:
t�
Project Description Mise attachments if necessary): „ Applicant proposes to,remove a total of seven
,:.�. ,
oak trees at various locations across the property._EoLexact locations,Tease refer to_Al e attached
plans. '
?s
Board of Trusteon Applioation
LANDS APP l;CATION DATA
Purpose.of the proposed operations. Trees to be removed to make sufficient room for construction
activity.
Area of wed cls on lot- 1954± square feet
Percent coverage of lot: 14.20± %
Closest distance between nearest existing structure and upland edge of ivetlands- 0.0 feet
Closest disiance betweon unrest proposed structure and upland edge Drwedands:-22.0 tee,[
Does the project involve excavation or filling? X No Yes
If yes, how much material-%All be excavated? N/A cubic yards
How much Material will 40 filled? N/A ,cubic yaas
Depth of which material %Nifl bu removed or deposited: N/A feet
Proposed slope throughout the area of operations: . none
Maimer in wloch material will be removed or deposited-
N/A
Statement of the effect,if any,on the wedands and fi4altN-afers of the town that may result by
reason of such prop�Dscd operations(use attaclimenis if appropflate):
-
_No impact to the wetlands antici ptpd-,b.ecausjz-the-pEQpDsd-acliy,(, i-ty-has-such-ainiaor-hut-n!--cessar-y—
I
-s-cor)e.-Siltation-fencilig,-t_o-b-e-p-ut-ar-o-uD-d-the-p-ejjme-tej:-QLtb-e-py-op.ert-y-to-pre-v-eut-LutLoff.—
Boar! of Trustees AppHmflon
County Of Suffolk
Stade of New Fork
Andrew Toga BEING DULY SWORN DEPOSES AMID AFFIRMS
THAT HE/SHE IS THE APPLff CANT FOR THE ABO—s E DESCRIBED IPE HT(S) AND
THAT ALL, STATEMENTS CONTAINED HERERN ARE TRUE TO THE BEST OF
HIS/HER KNOWLEDGE AND BEILIIEIF, AND THAT ALL WORK WILL BE ID®FTE IN
THE MANNER SET FORTH TH I N iTHES APPLICATION AND AS MAY BE APPROVED
BY THE SOUTHOILIID TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO
HOLD THE TOWN OF SO UTHOLD AND THE TOWN TRUSTEES HARMLESS AND
FREIE FROM ANY AND ALL DAMAGES ARID CLAIMS ARIISaNG UNDER OR BY
VIRTUE OF SAID IPIERMT(S), IF GRANTED. IN COMPLETING THffS
AIPIPILR CATIION, II HEREBY AUTHORIZE E THE TRUSTEES, THEIR EIIR AOIENT(S) 0R
REIPRESENTA 1TRVEES(S), TO ENTER ON-90 MY PROPERTY TO INSPECT THE
PREMMES IN CONJUNCTION WITH REVIEW OF THIS AIPIPLffCATIION.
Signal ae
SWORN TO BEFORE SHE THIS l�� DAY OF 204-
__/1
04-
ry IPUi➢iic
MATTHEW D. IVANS
NOTARY PUBLIC-STATE OF NEW YORK
No.01IV6053859
Qualified in Suffolk County
My CommWimi Expires 01-22-244-8-A
Board of Trustees Application
County of Suffolk
State of New York
Linda '!C®gra BEING DULY SWORN DEPOSES AND AFFIRMS
THAT IE/SHE IS THE APPLICANT FOR'II'IIiIIE ABOVE DESCRIBED PERMIT(S) AND
THAT ALL STA'TEMENT'S CONTAINED HEREIN ARE TRUE TO THE BEST OF
HISMIIEE KNOWLEDGE AND BELIEF, AND THAT ALL WORK WHLL BE DONE IN
THE MANNER SET FORTH IN THIS APPLICATION AMID AS MAY BE APPROVED
BY THE SOIUTHOLIID TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES EES TO
HOLD THE 'TOWN OF SOIUTHOLD AND THE TOWN) TRUSTEES HARMLESS AND
FREE FROM ANY AMID ALL DAMAGES AND CLAIMS ARISING UNDER OR BY
VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETIING THIS
APPLICATION, II HEREBY AI'LITHOIIRIIZIE TIi•IIE TRUSTEES, Tt I£I 91 R AGENT(S) OR
REPRESENTATRVES(S), TO ENTER ONTO ICY PROPERTY TO INSPECT THE
PREMISES IN tCONJfUNICTIION1 WITH REVIEW OF THIS APPLICATION.
as
1
Signatur
SWORN TO BEFOR E ME THIIS ��� DAY OE �IlD�
IPsnIleIlac -- --
MATTHEW D. IVANS
NOTARY PUBLIC-STATE OF NEW YORK
No.01 IV6053859
Qualified in Suffolk County
My Commission Expires 01-223
AUTH,OMA TION
(where the applicant is not the owner)
We, Andrew and Linda Toga residing at 16 St. George Glenn Drive a Setauket NY
11733 do hereby authorize Suffolk Environmental Consulting Inc.
To apply for permit(s)from the Southold Board of 71 own Trustees on our behalf.
v f Andrew Toga�
Linda To
APPLICANVAGENTIREPRESENTATWE
TRANSACTIONAL DISCLOSURE FORM
The Town of 5outltoWl C c of Ethics prohibits conflicts of interest on tate part of the town officers and employees. The purpose of
this Corm 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: .Andrew Toga and Linda Toga.
(Last name,first thine,rniddle initial,unless you are applying in the name of
someone else of other entity,such as a company. If so, indicate the other
person's or company's name.)
NATURE OF APPLICATION: (Check all that apply.)
Tai.grievance Building
Variance 'Trustee X
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,rzarriage,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 X
If you answered"Y7ES," complete the balance of this foram and date and sign where indicated.
Name of person employed by tate'Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agem/representative)and the town officer or employee.Either check
appropriate tine A)through LD)and/or describe its 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 then 5% of the shares of the corporate stock of the applicant
(wheel the applicant is a corporation);
j 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.
DESC-RIPTION OF RELATIONSHIP
MATTHEW D. IVANS
NOTARY PUBLIC-STATE OF NEW YORK
No.01IV6053869 Submitted�thT ? L
Qu ified in Suffolk County �igtlature �*'
My Co ion Expirp V1,za
�y Print naraa ddresd and Linaa oaa
a
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: Anderson.Bruce.
(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.)
NAIME OF APPLICATION•(Check all that apply.)
Tax grievance Building
Variance_ Trustee X
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 X
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,4s's i day of 201
SignaturA
Print Name Bruce Anderson
Form TS 1
61Z20
Append&B
Short F.,it rironm axal,-J sm-ninew Form
Instriections ror Complethig
llnrl I -Project Wfortnaflon. Thenppfltattt or project sponsor Is respon3lble for the completion or Prin L Rcspwics
bowma P"in firlim applicarlon for'Rppri-wal or ftind4ig.aro stibjeci to V;iblk:roviviv,and may be subjeci to ruribee veritication,
Complete Part I based on inrontogion eurrunfly awiloblu. Fadditimil mseorth or inytnoigation,.vould be needed to fully
tespoad Its any item,plierse answer as thoroughly r,,4-;possible based osi current in[brmanan.
Complete till items in pars 3. You may also pmvida mny additional informatiGn which you believe will be needed by or tis-441
to the I ead at
gency;atiach additional panes as necessary to supplement any item.
fart I -11roject;iud Sponsor Infornwiftn
Name or Action or Project: TOGA Property
Psaject Uwal ion(describe,mwf attach a Ineation rim p):
2425 Mill Creek Drive *Southold,New York • 11971
--n—fP—rG�[T) L iTc
13rirf Description Ion.
Applicant seeking regulatory approval to remove a total of seven trees from the
property to make sufficient room for construction activity.
Nune ofApplicant or Sponsor TelqflLone; (631)-537 -5160
Robert W.Anderson—Suffolk Environmental Consulting,Inc..
E"""""Robert@suffolkenvironmental.com
Address-
P.O. Box 2003
SmEe: Zi
Bridgehampton New York p Code:
11932
-
1,Does the proposcd Actiolt only inwlve the legislative adoption oaf a plant,,lentil kia.ordinance, =NOV7r:§-
adnifnistrative rule,or fegul2ttDrV
JrYe_s,attach a narrailve dc5crIpilan orthe rntent,onhe proposed acfion and We mourzes.that RX ❑
may be affected In the municipality and proceed to Pari 2. 11'",confinue v q Lmsflon 2.
2- Does t1w pmposccd azflan require EL permit,approval or runding rram any oifier rovernimatAl Afigncy? -INO YES
I("Ves,list agency(s)name`and Pffnlit 01 appWRI:
3.a.`Idol acreage a f the site of the propcmed vziion? 096—acus
b,Total MrTCZZCto bu physimily disturbcd? <0.2-.t EMS
C.T0,13t-.1CrW-t8U(PrUjIMI site and army contiguous proprrfi�)owmed
or canLrulled by the wippULanl or pro?.ct spnr;_or? 0.26 Wres
4. Check all land wes thil occur on,adjohfitig and nearilic poopostd ncfion.
EJ UrbU) 01odUS(&J C)Commtrckil
0 Forest OAgriculcure [RAqua(ic 00ther(spei;i fy),
E]Parklxid
Page, 1 of 4
5. Is the proposed actions, NIA
a,A perm
!tied w5c undu 1he zollino regulaiions-
N CorisiMw%l with thc�adopled rompithemsive plan'.)
h1c proposed action consistent with ft,predominant cluinxic r of the rxisting built oi ristuip I I NO VES
X1
7Is the she of the pre e0 action Iocited iR,or doffs It.wJjo[it,a mate fisqed Arem? NO', YES
If Yes,idCrili6l:
S, a.Willthe proposed action resulfin a;5obstentialiticytaw in wffw.%hovo Ores6ht lewit0 NO
ffl
4,Are PL14jjC trila-SpOrOjiOR or n the shenrthc prGposed action?
LXi
c.Are any peftstri accowivadatiom
an or bicycle Youless avallable on or near site of the pro"d action?
i1tcpr000s6d action NO VtS*
If the pwpGstd action will exeted ret uirements.de$tfific dc,%1kii Features and lechnologies:
El K
M, will action camnucl w an NO YES
If No, for providing potable viaier-__N/A
proposed activities are_ ��
sole1v to remove trees from the area.
NO YES
If No,describ-IL method for providinp,wastaky2ler treatinang, N/A the proposed activities are
solely to remove trees from the area. El
12. a.Does the sits IM ntaiii a structure that is lisla on 6 hgT thq.sizir
Jt r.urlqationftl Rep stu of Hktoit NO ET'
b.is the pro-pose d action located in en ar4icological scipsi liVe aTeg',1
ItT U
I a, pordrjn of she st iti of th6 prop,3sed'actlon,oi�lends.adju,toitig the propose-J, action,tDritain No VIES
y
�,Yol lands or M[wr wines Ives regulated 3 y kdwal,slate tar mai agericy?
11. 1
Woold dila prollw�Jactiv,�)n physicrIly miter,air twuroach into,any existlag;-welland,or waierbody'?
I FYeg,ideriffy the wvolatad or waterbody mid extent ofalmrations in square feet ipj cgm-
I _1h`at"o_cc_LLr"Vn,`®rarr I ikely to be found tut the project site. Chea 1r-.31,#11,4t npp3y,
Weiland Urban [MSuburban
15,Does the Ac ofilto pmposwd vaion'conkain,any species a F animal,or associated It'itjuiCs,listcaE o YE;s
by the Swit or Fedema govemment as threatened or endangesed? x
El
IC"BrI the prtajea sfic"locmcd in the t00 yeaw f1wd plah-V NO VES,
17,Will the pxbpo��d a-adriii ereatL'rsionii water d iich;5rge,ellherfroan point or Mon.-- 501tMe------
YFS
If Yes, POt P NO
a.ftl stents water diNhurges flow lo edjawnt pToperfies1 EINO ONTS 0 0 ,
b.WHI sloroi 4a diructe-d to csiablislitd convoyancesystems(runkiffand storm dralins)?
if Yes,brI,4y desetibe-, NO FIYES
Page 2 of 4
+ 1 .D6,esefiepmpceud t4sutr apt the i mpcnindme nc of w NO Y
water ter other liquids f c,g.rctentkm pond,vvastd lagoic t,danr,;a
ifYes, xpEiia oqos�,ai€d sie�. _
X,
19.H2� lba silo of tint;PTiDpoi-�d actio`h dr an adjoiinin �proplffly beett I 1cfZtion of ecl3_a'e cir closed 'NO YES
solid `asfespa'hagemen1 facility?
Itf 'e `descr; � X
El
20.H NO ���
completed)for bazardcrirs Waste?
If Yes,dgscfibl�; Li
I AFFIRM THAT THE INFORMATION l;'RO'4'lDE :r"IROVE IS T RUES AND ACCURATE TO THE BFST OF,MY
X K 0WR,ED
Appl'Wa tUZaPr7"a1+5 R bert W.Anderson-Suffolk Environmental Consulting Inc. Date- .5/5/20101
920l9
signatuw; �®
Part 2.Imli act The Lead AJ1,'i11'Y is r faitn,ittle For t@tit Completion of Fart 2. Ans iter all of thikf'ollowin
d1;t16esdan l:l fart 2 L sing,lite informatlon contained in Part 61tid Dal*� lay the project sponsof of
othervveso o aitabic,to tltc roio+,vcr. When amweringthe gtteation,tlta reialA`ghou'Ed lxe pgid:d by the concepr"Have my
respoal5c.9 ccn r30011able considerin?,the 1431C Mad C081w of the plop::xd=,ion`,
.w.�_. No,fir Moderate >
srrrali to rpx
Rrrtiaai�Ct lt�tpit,et
I. WiII'the,prgppsed taction cr .i€a rmalcriol conflict With an adopted had use plan w w:fjoing
t��u@ttlicita�'�
y, Will the proposed ac.6 'a rV5111C in a 4wrigg in.1ha use or hitgngts t,y of tole o F and?
TW Will the papa scd action irnpjirthe chamteror cimathy of'the€:x19€1Da Culml•tttartaily?
k Will lite p pkii cd action htavc lin ianptel sitz dho trrs+r`irctrsmntiil charnctcristics tftmt enured tale
csui lisltt,twnt of#t Criticn6 i3mvivirircierttal Arai(CEA) '
5. Wilt tllc prrsposcd action re96lt in,
an adverw citanbpo in the axisling tevtl ortrnflic oT
a.f"eaa:xtsting imtftastrtietiire for jxiass, tm.n,at,ttikiag or% lkwt.,ty
° Will tha proposed action cause an increase in the use of energy and it FAi0s to incorpGraw
raworirabi availmbly i; .,conser ticin.or re-ncav-411 t:nc-rry ortLipfties? Li
77, Will 1E1e proposed action i l4a c4stio :
L puEilic I privale water sul lies?
la. ptaialir..'private waste atter treatancnl ud11ties? l (�E l
& Will the ploposcd aelipn itripair tlrt ch iraderor gtt;tlity or important hiistwic,orclita.ological,
tli:i.it4tu11r atiitiC til,t $ s?
rr Will tFue iiro : ed aa
resEt in anadvcrcastgr ter n6turaf acscsttrccs(e, .,vc11t1rttt,,
walcebodies,grPundkVAICF,ttiT qtralhy,fiord J9Hd f1dn2)?
ge 3 o1`4
.www.«..... - .r.....w.......w.w.....:m..,...+.w-.......w..._..,..eax.w.—s.mv t..w.+...»w..............�m'.•...••� _ -t"N,,..._..
NoOr �Moderate
51L1t1i� 1D,�rd�
irnpa,cil t1oP"Iet
occur occur
10, Will the prop ;td aetlon result.P nt1 tttierelw in the pot,=aitlai larcrosioa,Roodi rg ardraainag- El El
prs�blctrrs s '`'
1.1. Will the propoii;d zciiott ctewc a fimcd to enwitonmental msoutces or hamar hcalth,?
Want 3-Detersnlnation ofsign irwarnce. The Lead 4rency is respansible for tlit cote pletton of Part 3, For eut
uastibn in Pari 2 that ww m,wcrzd"modto to large,impmct may Occur",,Qr if thein is a heed to expkwi wlty t1 partieulitr
clemeatt ortlae proposcd acdon may Dr with n>at result in it si aiffcant adVef c.CJ�VjTtltttrtental hilpa,pl4mo oomplelp,Part 3.
Pari 3 should,iia sufli°eicnt dcuill,identify the Impact,including amy Measures or design etednents trisrit I1a�c becil.incfvdod by
:e pt + t sponse Hca a°�aclrci a1 rcduee iiaapacls, Part 3 s11ould stga explain hose the le°,ttl fteitcy detamlined thai>the impact
may arNvilI a1rt be significant.Eads patentiait impact ould be assesieti caw tiledmg its&'eving,prolnilajli�y of`Occurring,
duration,isr vcr5MSiiy,geographicscope,and magraitudo, Also consider the patcntial for sraiort=term,lung,-Eurm and
cuttllirate� irrrjtacts.
Ch"V this box lfyokt have tl cenninerl„Nmed on the inrotonation tants awl ysRs ai-ve and!rin R dcicuracnip-tion,
that the proptased"nclioat mwy result in acne or more poteattieRy irtxpe or significant adv mtc impacts amd an
c6wirovvcntA impact st{ae,rieint f xc.°luEeed,
CheA.thi%box it'you have dulerrnined,lwcd on the,inronn.ition and anutl 6s,i ov-,and tiny supparting documentation,
trait the pMptiscal=60h M1111401 t &OR in alae 4plihr:.arii;LdversKe Mtviiriallnental irnpletsr
Twm of Sou:zrl-Board PTTaaslces
Name.of Lead A hency Bate -
_ �r0>adiant _
Print err Type- artae a1 sponsibf trircer In Lead,geek' Ville orMspunsiMe Officer
Signature or Responsible Officer in Land Ageilcy 5i��aturc of>t rcpae*r�iCdifler�ril fr�wtr�esp�rks'ibP��F�corl
PRINT Fan a 4 cafe
i
I
Town of'Southuld
LNVRP CONSISTENCY ASSE,SSMENT FWUM
A. INSTRUMONS
1. All applicants for pern-litsO including Tmvn of Southold agencies, shall complete this GC AF for
proposed actions that are subject to the-Tbwii,of Southold Watc&'ont tonsistene'y Review Lain, This
assesLqrnent is intended to supplement other information used by a Tavat of Southold agency in
making a determination of consistenqy, *'Ercept, minor exempt artions hicludio;g Building Permits
and other min islarial permirs not located Islitki;the Coastal Erosion HazeirdArea.
2, 'Before wismering the questions in Sediun C, tlYic preparet of Us form should review the exemlJt
minot action lispoficies and explai:ations; of each poliq contained in the To''%mi of Southold Local
Waterfront Revitalization Pfogr'IaM .[)§ed ac 'Gfi, W[ ed- cks to its -s1PW.1fvP6n1
'n
�-IrW'%�UILiL81-uLes�46fovth6�ldr6w�
3. If any question in Section C on this font is ansxercd '''yes" or"no", then the,propos d action Nvift
affic6t the achievement of the LWRP policy Vit; dards and conditions conWned in the consistenoy
review liar.' Thusetch answer must be,exIiinine4i Jn detnih lisfing both.supportin :and nun-
4jil aii-action c - t b- ifi' 'as 6ofisisti�t-%M�i the LUMP folic"a n, anno c ccrt ed I ic" standafds�d
condlfioM,it shall not be undei-taken.
A copy of the LWRP is available in the following places. online at the Town of Soudiold's
website,(southoldtown.nGrdifork,net), the Board of This,Lee$ Office,the Platin,ing Department,all
local libraries and the Town'Cler k-'s office.
B. DESCRIPTION,OF SITE AND PROPOSED ACTION
KEW,
]PkOJE CT NAIyEE TOGA Property
The Application has been.;ubmitted to(check appropriate response)z
Town Board LJ Planning B aairkl Building Dept. El Board of Trustees
il. CatejgoryL of To*n of Southold agenay action(cheek appropriate response);
(a) Action undcrtakcn directly by Tcmm agcnry(e.g.capital
conqtruction,planning activity,agency rcgulation,,land trMisaction)
(b) Financial assistance(e.g.grant,loan,subsidy)
(e) Pmnit,approval,license,cerfificafio=
Nature and extent of action.
Applicant seeking regulatory approval to remove a total of seven trees from the Property to
make sufficient room for construction activity.
Location of action: 2425 Mill Creek Drive • Southold New York • 11971
,Rgte acreage., 0.5±acres
Present land Wit~:- S'nglayamiLy ResidentiaL_.._.,. _.__.._.
Pfeserit zoning Dl sification.: .R-40_
2m If an atpplicadon for the proposed action Inas been fleet with die Tovai of Southold agency, the foltovAng
information a U be�' - vided:
. N a,-ad oft,pplicant: Andrew&Linda Tom
(b) Mai ling address. 16 St. George Glenn Dr. • Setauket,New York• 11733
elepltono rJaaaalr. Aron Gide .— X516) 9836853,. ..
fid) Application nwnb i,ifany._
`ilI the:`ctiork—c
be directly undcrtan,require i dii)g,or approval by a auto or federal agency?
'des ��t__No I� If yas,wInl6 a state or federal agency?
C. Evaluate the project to the following policici by aaualyzing how the project vvili faarther,support or
not support Ott leoli�ies� proAdc all proposed test Management ement Praactices that will further each polivy.
Incomplete aanSWerS,will require that the form be rA turned for completion.
)DEVELOPED OA 't'l QTofC�
Policy f. -Foster ti patterit of development 1-o alae Town of Southold that enhances community character,
preserves open space,makes efficient use of infrrasirtacture,makes beneficial use of aN coastal location,and
minimizes adverse effects of development. Sec L WRI'Section Eft—Politics;ics;Paage 2 6revaluatiou
eritKIM.
feta [:] No FL] Nbt Applicable
This is a necessary facet for the approved constructed activity by the Southold Town Board of Trustees Permit#9393.
r
Policy 2, Protect and preserve hiate.ric and archaeological resources of the Toivn of Southold. See
LNVRP Scefloo RI—PoliciesPages 3 through 6 for evaluation criteria
1:1' Yes EJ No FXI Not Appliesable
This is a necessary facet for the roved constructed activity by the Southold Town Board of Trustees Permit#
- 393
�ttn.le�ddit[cia�a9 s>ueets il:tietress�r�P .
Polley 3. Enhance visual quality and protect scenic resources throughout the Town of Sota hold. See
LNVRP Section M—Policies Pages b through 7 for evaluation criteria
Ye� n Not Applicable
This is a necessary facet for the approved constructed activity by the Southold Town Board of Trustees Permit
#9393
Attitch lidd°adowl sheem if ncc ar
NATURAL OAS`1'POLI IES
Policy 4. Minimize loss of life, stirtictures, and natural resources from flooding and erosion. See Lit"
Section III--Policies Pages g through 16 for evaluation criteria
571
Yes ❑ No ❑ Not Applicable
This is a necessary facet for the approved constructed activity by the Southold Town Board of Trustees Permit
#29_39_3 add't'or�,ail_tati—Qujenciug wiltYbe-ir-to led as_per the approved QQas-tructio —eon,sequent x,
—minimizing-construction_site_run=off
Attach addidianat sheets iNecessary
Policy S. Protect and improve water quality and supply in the Town of Southold.See LNNW Section HI
—Policies Pages 16 ibrough 21 for evaluation criter=ia
Yes ❑ No ONO Applicable
This is a necessary facet for the approved constructed activity by the Southold Town Board of Trustees Permit
#9393 In addition, siltation fencing_will bejnstalled as per the approved construction,consequently,
_juimmizing_construcxion.site n-off_
Attach additionsi shots ifncces&uy _
Holley 6. Protect and restore the quality and fautretion of the Fawn of Southold ecosystem including
Significant Coustal Fish and Wildlit'e Habitats and wetlands, See LMFRP Section W—Policies-, Pages 1
throe&32 far evaluation cri<terira.
❑ ❑
I
it I
Yes No Not Applicable I
This is a necessary facet for the approved constructed activity by the Southold Town Board of Trustees Permit
#9393.
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Attach Pddidi=91 Jlacets ifacecssa1fy
Policy -7. Protect and improve air quality in dile Town of Southold. See LWRP Scedon III -- Policie's �
gages 32 through 34 for evaluation criteria.
FIVeS No Not Applicable
This Policy is not applicable to this project
- - I
Attach additional shccts if nccesssty
Policy 8. Minimize environintaltal degradation in 'Gown of Soutliold fraatu saalidi waste and hazardous
substances and Nvaa.stm Scc 1,"4AIRP Section III—policies; Pages 34 through 38 for evaluation criteria.
0 Yes L1 No FX] Not Applicable:
This Policy is not applicable to this project —
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PUBLIC COAST POLICIES
Policy J, Provide for public a,ccois to, avid recreational use of, coastal waters, public lands, and public
resources of the Town of Southold, See LWRP Section M—.Policies; Pages 38 through 46 for e-valuation
crite r a.
i
Yc� Tn 71
Not Applicable
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This Policy isnot applicable to this project
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Attach eddidonal shmis ifncccsswy
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WORKING COASTPOLICIES
Policy 10. Protect Southol ' water-depeT;dent um and promote siting of ncysrw, -ater-depeadont uses in
saitAbid t eatitio sa See LNVRP Sat:ion III,Policies. Pages 47 through 56 For eavaination,eriteria4
C Yes 0 Na 0 Not Ap iicabi
le
ThisPolic is not. applicable,to this project.°. �s
Mach addEdonal sheets if"necessary
Policy 11. Promote suMainable use of 1-Mo m ana v, remarees in Long Island,'Sound, the Y"eeaaule
stuary and hawse-waalea-s. dee:L Seefinn III—Policies; Mages 57 through 2 Isar eynhiation ea°ileria.
El s E 'rias t�E Not Applicable
This Policy is not applicable to thisproject �
.Trach additional slweLs iraecc-- _
Policy 12. rot-cot a r°ie itatrul lands [a this Town of Southold. See ]LNa Section IIx=Policies; Paag
63 throe b 65 fnr evaluation criteria.
Yv 1:1N 'L:�1 Not Applicable
This Policy is not applicable to this project
Li:kb addWain- al viae if n,Cc'C33RFy
Policy 13. Promote appropriate use and development of energy and mineral resieuree , See LWJRP
Section III—Polki ; Pages 65 through 69 fox-ev.-duation criteria.
El Yvs 0 No E Not Applicable
�Uis.l?olicy isaaot,applicableAo this pr t -
PU PARED B ' t. inl. v�c�r` DA
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Board of Trustees Application
COASTAL EROSION APPLICATION DATA
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N/A
Purposes of proposed activity:
I,
Are wetlands present within 100 feet of the proposed activity?
No Yes
Does the project involve excavation or filling?
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No Yes
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If Yes, how much material will be excavated? (cubic yards)
How much material will be filled? (cubic yards)
Manner in which material will be removed or deposited:
I
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
from implementation of the project as proposed. (Use attachments if necessary)
I
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Suffolk Environmental Consulting, Inc.
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Newman Village`,Suite E,2322 Main Street,P.O. Box 2003,Bridgehampton,New York 11932-2003 {
(631)537_5160
I:ax: (631) 537-5291
Bruce Anderson,M.S.,President
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"Hand Delivered'}*
May 13,2019
Southold Town Board of Trustees
P.O. Box 1179
Southold,NY,11971
Re:
Toga
Situate: 2425 Mill Creek Drive •Southold
SCTM#: 1000—051-06—40
To whom it may concern,
This firm represents the property referenced above,who are seeking any and all' i
regulatory approval t x J fisted
above.Attached herewith you will find:
1) Wetland Application original and three [3]copies;
1
2) Short Environmental Assessment Form original and four[4]copies;
3) Authorization Form original and three [3]copies;
4) Agent Authorization original and three [3)copies;
5) Applicant/Agent/Representative transactional disclosure forms,original and three
[3]copies;
6) LWRP consistency assessment form,original and three [3)copies;
7) Survey prepared by Lisa McQuilkin, L.S.last dated July 17, 2018; i
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8) Project Pians prepared by this Firm
9) Photographs of current site conditions original and three [3)copies and;
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10) Check made out in the amount of one hundred ($100.00) madea able to
Southold Town., p y
PI �
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Thank you in advance for your anticipated cooperation. ,
I
urs trul , 1
Bruce A.Anderson �
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