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HomeMy WebLinkAboutTR-9526 " C Michael J. Domino, President *oF SOUry Town Hall Annex John M.Bredemeyer I11,Vice-President ,`OVv ��� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski c� G • Q Telephone (631) 765-1892 Greg Williams Fax(631) 765-6641 lye pUM`I,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1654C Date: October 21, 2019 THIS CERTIFIES that the existing 6'x52' fixed wood dock; existing 22'x22' rg avel(non-turf area)with inlaid brick pavers 5' diameter circular(10' width); existing 20' rock wall located parallel to .Marion Lake and continued 10' perpendicular to the shore with 4' wide steps to grade; existing 13.9'x23.5' wood deck with steps to grade attached to seaward side of dwelling; existing 54'x23.4' one- story dwelling; on east side of dwelling, an existing concrete slab and cellar entrance; existing roofed over concrete stoop entrance; existing 5'x21.9' wood deck on front of dwelling; properly line fence on north side and south side of property; At 1500 Truman's Path,East Marion Suffolk County Tax Map#1000-31-12-14 Conforms to the application for a Trustees Permit heretofore filed in this office Dated June 12, 2019 pursuant to which Trustees Wetland Permit#9526 Dated August 14,2019,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The-project for which this certificate is being issued is for the existing 6'x52' fixed wood dock; existing 22'x22' r�(non-turf area)with inlaid brick pavers 5' diameter circular(10' width); existing 20' rock wall located parallel to Marion Lake and continued 10' perpendicular to the shore with 4' wide steps to grade; existing 13.9'x23.5' wood deck with steps to made attached to seaward side of dwelling; existing, 54'x23.4' one-story dwelling; on east side of dwelling, an existing concrete slab and cellar entrance; existing roofed over concrete stoop entrance; existing 5'x21.9' wood deck on front of dwelling_proppM line fence on north side and south side of property. The certificate is issued to Hector&Linda Colombo owners of the aforesaid property. Authorized Signature Michael J.Domino,President ��OF SO(/ryO Town Hall Annex John M. Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD A DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/2 constructed 4— Project complete, compliance inspection. INSPECTED BY. COMMENTS: CERTIFICATE OF COMPLIANCE: ��9 Michael J. Domino, President Yom SufFQ��o0 Town Hall Annex John M. Bredemeyer, III, Vice-President ; 4 y''% 54375 Route 25 Glenn Goldsmith r N Zt q - P.O. Box 1179 T �. A Nicholas Krupski Southold, NY 11971 Greg Williams � � -1892 `r 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 i INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed When project complete, call for compliance inspection; . I BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9526 DATE: AUGUST 14,2019 ISSUED TO: HECTOR& LINDA COLOMBO PROPERTY ADDRESS: 1500 TRUMAN'S PATH,EAST MARION SCTM# 1000-31-12-14 R�' AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 14, 2019, and in consideration of application fee in the sum of$250.00 paid by Hector& Linda Colombo and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the existing 61x52' fixed wood dock; existing 22'x22' gravel(non-turf area) with inlaid brick pavers 5' diameter circular(10' width); existing 20' rock wall located parallel to Marion Lake and continued 10' perpendicular to the shore with 4'wide steps to grade; existing 13.9'x23.5'wood deck with steps to grade attached to seaward side of dwelling; existing 54'x23.41 one-story dwelling; on east side of dwelling, an existing concrete slab and cellar entrance; existing roofed over concrete stoop entrance; existing 5'x21.9'wood deck on front of dwelling; property line fence on north side and south side of property; and as depicted on the survey prepared by Nathan Taft Corwin III Land Surveyor,dated March 29,2019,and stamped approved on August 14,2019. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the 14th day of August,2019. -*Iaf F91 e6lz coo Lilt TERMS AND CONDITIONS ; i i The Permittee Hector&Linda Colombo, residing at 1500 Truman's Path,East Marion, New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained.' 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating,application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work' . herein authorized. 6. That there shall be no,interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated-without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be'required supplemental to this permit,which may be subject to revoke upon'failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. i , I ' I Michael J.Domino,PresidentOf SOUr Town Hall Annex �� y� 54375 Route 25 John M.Bredemeyer III,Vice-President ,`O l0 P.O.Box 1179 Glenn Goldsmith l Southold,New York 11971 A.Nicholas Krupski 41r ;Telephone(631) 765-1892 Greg Williams l �� i Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD { August 14, 2019 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: HECTOR& LINDA COLOMBO 1500 TRUMAN'S PATH, EAST MARION SCTM# 1000-31-12-14 Dear Mrs. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 14, 2019 regardirig the above matter: WHEREAS, Patricia C. Moore, Esq., on behalf of HECTOR & LINDA'COLOMBO applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 12, 2019, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed'application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application August 14, 2019, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, i 2 , � WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program-pursuant to Chapter 268-5 of;the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVE the application of HECTOR & LINDA COLOMBO for the existing 6'x52' fixed wood dock; existing 22'x22' gravel (non-turf area)with inlaid brick pavers 5' diameter circular(10' width); existing 20' rock wall located parallel to Marion.Lake and continued 10' perpendicular to the shore with 4' wide steps to grade; existing 13.9'x23.5' wood deck with steps to grade attached to seaward side of dwelling; existing 54'x23.4' one-story dwelling; on east side of dwelling, an existing concrete slab and cellar entrance; existing roofed over concrete stoop entrance; existing 5'x21 i9' wood deck on front of dwelling; property line fence on north side and south side of property; 'and as depicted on the survey prepared by Nathan Taft Corwin III Land Surveyor, dated March 29, 2019, and stamped approved on August 14, 2019. I Permit to construct and complete project will expire two years from,the date the permit is signed. . Fees must be paid, if applicable, and permit issued within six months of the date of this notification. ' Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) I Fees: $770.00 Very truly yours, Michael J. Do ino President, Board of Trustees i MJD/dd 1 ' I Michael J. Domino, President Town Hall Annex John M. Bredemeyer, III, Vice-Presidents 54375 Route 25 Glenn Goldsmiths g P.O. Box 1179 A Nicholas Krupski y, m '0 Southold, NY 11971 Greg Williams �t �a�r' Telephone (631) 765-1892 Fax (631) 765-6641 TO: HECTOR & LINDA COLOMBO c/o PATRICIA MOORE Please be advised that your application dated June 12, 2019 has been reviewed by this Board at the regular meeting of Auqust 14, 2019 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) Y2 Constructed ($50.00) xx Final Inspection Fee ($50.00) - pan xx Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: 6'x40' catwalk = 240 sq. ft.x $3.00 = $ 720.00 TOTAL FEES DUE: $ 770.00 CIC/ lq BY: Michael J. Domino, President q Board of Trustees 'SURVEY OF PRO ERTY � ',=V D � E SITUATE ! ° EAST MARION I JUN 12 2019 d � GRAVEL d ° �I � ° DRIVEWAY ° !'n • TOWN OF SOUTHOL.D GA $GL'ki101()10�'Irl SI Bo r G Tnastees I� E G gGA Z6 Ar• F o Q�Fyo ° ��� SUFFOLK COUNTY, NEW YORK xANi J' S.C. TAX �I® . 1000-31 — 12- 1 sew 0,1N 9�F � e`G"` `y OO SCALE 1 "=20' i U\ 0. S� � MARCH 29, 2019 �I � � ° ° f o ° FN 5 ° WM�EF AREA = 13,420 sq. ft. S F�NGE s s a °° a d (TO TIE LINE) 0.303 dc, a � ��R� Cp. 1­4 ° ° a ° u'. O CERTIFIED TO: f 6�d °° °° o o c�T ° G HECTOR COLOMBO i ° ° d 4/ ° N LINDA COLOMBO U, FIDELITY NATIONAL TITLE INSURANCES SERVICES LLC ° d d p Fj n 6 as a d ° O��F 21P e ° e' 2�`L•(� SD �� O t/ I/" a °d ° a FF�G� Y 20 OG L, ANS �p9� a° a °° ° ° 1' GF- ° 4 6 e FEN 41 Q2.0 S(°G Gp�G' a 0c OVERHEAD WIRES ° N.;r1 - .,A \405,1- 4 a O N G R$m. • �� A O� �,NGE ��\��FF-�`G� �'�9 \\moo �9 7._ Gp�`G e , ° �\�N� _ APPROVED eQ IX I °6N / o � \ G pF o�,tp°e"° ° e ZA6�° F BY UNAUTHORIZED ALTERATION OR ADDITION �\ 6 SE( Fi / / o� rr" \2c^ pNC e ° TO THIS SURVEY IS A VIOLATION OF F 62/ ° SECTION 7209 OF HE NEW YORK STATE S�P� \ �� / ��, o ` G ° BOARD OF "�;�USTEES Fes\ NGE F�NGE EDUCATION LAW. �0 GaNjog29 DP h$ p aNj� p \G; PRFA�� TOWN OF-SOUTHOLD --- - COPIES OF_THIS SURVEY_MAP NOT BEARING l \ NGN 9 s GE oy NTHE LAND SURVEYOR'S INKED SEALR O � FE 0'JET EMBOSSED SEAL SHALL NOT BE CONSIDERED DATE TO BE A VALID TRUE COPY. hu6j sr i� ;;?q N'oo \�" OIF' gGAQ CERTIFICATIONS INDICATED HEREON SHALL RUN 3 ° ° \ \� J+o f N/ CO Qg ONLY TO THE PERSON FOR WHOM THE SURVEY o G IS PREPARED, AND ON HIS BEHALF TO HE TITLE i+lam P, COMPANY ^INSTITUTION ELISTED HE EONNENTALNC NDD a a ERR TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. ° a ° ° G� _ THE EXISTENCE OF RIGHTS OF WAY FE g5 ° 1 aGE o• AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT•GUARANTEED. o• PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED Nathan, Taft Corwin III (}> syn BY THE L I.A.L.S. AND APPROVED AND ADOPTED .3y\ FOR SUCH USE BY THE NEW YORK STATE LAND X00 NZ �� p�O TITLE ASSOCIATION, �•� " Lp. �N 6��0 �� = �� KI �1 Land Surveyor S ycF l r 00 y ? „�•4R �1� � 1 k w� Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS " 1586 Main Road P.O. Box 16 l A. —.1 N.Y.S. Lic. No. 50467 Jamesport, 'New York 11947 Jamesport, New York 11947 - - -- - - - --, - - --- ----- ---� 39-071 Michael J. Domino, PInt �O�Q CCG, i Town Hall Annex ohn M. Bredemeyer III,Vice-President ��Q 54375 Route 25 Glenn Goldsmith y a P.O.Box 1179 A.Nicholas Krupski 1_� fry Southold,NY 11971 Greg Williams A, �ap� Telephone(631)765-1892 Fax(631)765-6641 i BOARD OF TOWN TRUSTEES j TOWN OF SOUTHOLD { �Q , f Date/Time: a �/ / Completed in field by: Vere] Patricia Moore, Esq. on behalf of HECTOR & LINDA COLOMBO requests a Wetland Permit for the existing 6'x52' fixed wood dock; existing 22'x22' gravel (non-turf area) with inlaid brick pavers 5' diameter circular (10' width); existing 20' rock wall located parallel to Marion Lake and continued 10' perpendicular to the shore with 4' wide steps to grade; existing 13.9'x23.5' wood deck with steps to grade attached to seaward side of dwelling; existing 54'x23.4' one-story dwelling; on east side of dwelling, an existing concrete slab and cellar entrance; existing roofed over concrete stoop entrance; existing 5'x21.9' wood deck on front of dwelling; property line fence on north side and south side of property. Located: 1500 Truman's Path, East Marion. SCTM# 1000-31-12-14 CH. 275-3 - SETBACKS j WETLAND BOUNDARY: Actual Footage or OK=� 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 Public Notice of Hearing Card Posted: Y / N Ch. 275 / Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/app ication completeness/comments/standards: �, /9 -5-A 1 � l� �-e 1 , Or I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: Bredemeyer /`M. Domino G. Goldsmith N. Krupski GWilliams Other 1 i �• _ • '�. • 1500 Truman's / •'fit: SCTM#: 1000-31-12-148-6-19 1.� . �• /� '.. J/ 1 ! • .ob, y �a•ur. ., • tr 4 AtY► ,'�`�•-t•.S ,..rte;`;1.. I ` - ..f 0!1 1 Jas r �}5� •,� V yp i1�1 ��1; Ji�� a'r i . •7�r t+• �•' O F,l. 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) CIO z' Southold, NY 11971 ® a� Telephone: 631 765-1938 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: August 8, 2019 Re: LWRP Coastal Consistency Review for HECTOR & LINDA COLOMBO SCTM# 1000-31-12-14 Patricia Moore, Esq. on behalf of HECTOR & LINDA COLOMBO requests;a Wetland Permit for the existing 6'x52' fixed wood dock; existing 22'x22' gravel (non-turf area) with inlaid brick pavers 5' diameter circular (10' width); existing 20' rock wall located parallel to Marion Lake and continued 10' perpendicular to the shore with 4' wide steps to grade; existing 13.9'x23.5'wood deck with steps to grade attached to seaward side of dwelling; existing 54'x23.4' one-story dwelling; on east side of dwelling, an existing concrete slab and cellar entrance; existing roofed over concrete stoop entrance; existing 5'x21.9' wood deck on front of dwelling; property line fence on north side and south side of property. Located: 1500 Truman's Path, East Marion. SCTM# 1000-31-12-14 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 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 INCONSISTENT with LWRP Policy 6, specifically 6.3 (below) and therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. Town records indicate that the structures were constructed without Southold Town Board of Trustees review or permits. Aerial photo analysis indicates that the dock structure was illegally constructed between 2001 and 2004. It does not appear to meet current dimensional requirements (no dimensions are shown on plans). 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 1 , a i 1 i �y G� Peter Young,Chairman ti - Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Thurs., August 8, 2019 the following recommendation was made: Moved by John Stein, seconded by Peter Young, it was RESOLVED SUPPORT the application of HECTOR COLOMBO & LINDA COLOMBO for the existing 6'X 52' fixed wood dock to 22'X 22' gravel with inlaid brick pavers 5' dia. circular; a 20' rock wall located parallel to Marion Lake and continued 10' perpendicular to the shore with 4' steps to grade; existing wood deck with steps to'grade; existing house; concrete slab on east side of house and cellar entrance; roof over concrete stoop entrance; wood deck on front of house; and property line fence on north side and south side of property. No changes to existing structures. Located: 1500 Truman's Path, East Marion. SCTM#31-12-14 Inspected by: John Stein, Peter Young Vote of Council: Ayes: All Motion Carried SUFFD(K Michael J_ Domino, President f o� oozy Town Half Annex John M. Bredemeyer, III, Vice-President 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A Nicholas Krupski y � o Southold, NY 11971 Greg Williams mol , �a Telephone (631) 765-1892 Fax (631) 765-6641 SOUTROLD TOWN BOARD OF.TRUSTEES TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS y� ��� �1 31-12 -1� SCTM#: Property Owner Name: CC06000 � J U L ® 9 2099 (� Date Sent to Bldg. Dept: '°F.I 1 A The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? VX Willany part of this application be considered a Demolition as described under Town Code? COMMENTS: k2,3 Signature of vi wer Date I - i- { Michael J.Domino,President Town Hall Annex�{Y .t�'� /�'"� John M.Bredemeyer III,Vice-President P�" �� c:3 54375 Route 25 hra ' P.O.Box 1179 Glenn Goldsmith 's Southold,New York 11971 A.Nicholas KrupskiTelephone(631)765-1892 Greg Williams � COY Fax(631) 765-6641 I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application �)_)I �------ E X Wetland Permit Application Q�—�(� ��`' "' I Administrative Permit L� Amendment/Transfer/Extension JUN �� Received Application: &.a.l 7n 74 Received Fee: $ZSD. oq Soutliold Tom Completed Application: 7,9oltf Bar Th)ct es _ Incomplete: SEQRA Classification: TypeI Type II Unlisted Negative-Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): S�Zdq LWRP Consistency Assessment Form Sent: - CAC Referral Sent: • Date of Inspection: g,7/ Receipt of CAC Report: Technical Review:. Public Hearing Held: Resolution: Owner(s)Legal Name of Property (as shown on Deed): ple Gka, C o l om b, 4 L t nJei a lbw bo Mailing Address: 11!�v �ly a�a �R�( C�sf JV1Lw�ur► N`1 ( (`l3S Phone Number: 3�� �a y 2 Fry S Suffolk County Tax Map Number: 1000- Property Location: _ 5-0 tq If um'a 4 6 P��n Ec Sf M�tir� vn (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): _ TLi IytC4G. C on m Mailing Address: 1 1.0 !Ll lYl11QUd Phone Number: i PROJECT DESCRITION, I SCTM#1000-31-12-14 1500 Truman's Path Existing Structures built prior to Trustee's jurisdiction. Existing structures in 6'x 52' fixed wood dock to 22'x 22'gravel (non-turf area)with inlaid brick pavers 5' diameter circular(10'width); a 20' rock wall located parallel to Marion Lake and continued 10' perpendicular to the shore with 4'wide steps to grade;existing 13.9 x 23.5 wood deck with steps to grade; Existing house 54'x 23.4; On east side of house concrete slab and cellar entrance; roof over concrete stoop entrance; 5'x 21.9 wood deck on front of house; property line fence on north side and south side of property. No changes to existing structures proposed. i ,i i t I I Board of Trustees Application GENERAL DATA Land Area(in square feet): ��� ZO ( Area Zoning: : g.- �-O Previous use of property: L��5�Bnc jSQ _14 LU,\ decks ayic)_ _eJ0CV- Intended use of property: cSCA m e Covenants and Restrictions on property? Yes X No If"Yes", please provide a copy. 4 Will this project require a Building Permit as per Town Code? _Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. \,Vced c4cnck 1Y1O:::tkkz d (cdt0149 haCIC o.F lnbus�� Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes , No Does the structure(s) on property have a valid Certificate of Occupancy? X_Yes No 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? X No Yes If yes, provide explanation: Project Description(use attachments if necessary): 4ee 0*c1te6l' Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: -_ko U CSS fCe-4 AA u i re Area of wetlands on lot: ��too square feet Percent coverage of lot: l % Closest distance between nearest existing structure and upland edge of wetlands: O feet `DO c.lL Closest distance between nearest proposed structure and upland edge of wetlands: O feet Does the project involve excavation or filling? X No _ _ _ Yes If yes,how much material will be excavated? N I A cubic yards How much material will be filled? N A cubic yards Depth of which material will be removed or deposited: JA feet Proposed slope throughout the area of operations: _ Manner in which material will be removed or deposited: Cy -CA i Sd Tma_ 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): 617.20 ' i Appendix B Sl2ort Environmental Assessment Form Instructions for Complefinp, Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part l -Project and Sponsor Information Name of Action or Project: Ne-Gf re Ce,I O rY1 Yea `r L i rdG c� Project Location(describe,and attach a location map): I S-00 Brief Description of Proposed Action: r �ylsl7mc� dock �� � t Ipvlof ►-� Name of Applicant or Sponsor: I n Telephone: ?1317-61 LIZ—1 c�1i,s brlA b0 Ll rl dG `6�OYYI� 4ail: Address: 150c" ry,a V1 City/PO: State: Zip Code: ' E(�5v \/ a v O0 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that F may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NOYES If Yes,list agency(s)name and permit or approval: u i ❑ 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? ZS acres 4. Check all land uses that occur on,adjoining and near the proposed action. E]Urban ElRural(non-agriculture) ❑Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture []Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 i J 1 1 r 5. is the proposed action, NO YES N/A a A permitted use under the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? F1 y 7. is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify:- N1G V i rn !::LA , Q I 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑' ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 41A ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ ❑ 1 I.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: _ MA ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑- b. Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically after,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: ❑' 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑�Shoreline [I Forest ❑Agricultural/grasslands El Early mid-successional B Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? 21 ❑ 16.is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sourcNO YES 61A If Yes, l a.Will storm water discharges flow to adjacent properties?C�t5 ) ('NO ❑YES ❑., b.Will storm water discharges be directed to established conveyance systems(run f and storm drains)? If Yes,briefly describe: [NO E]YES .i ' E Page 2 of 4 I 18. Does the proposed action include construction or other'activities that result in the impoundment of NO " YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed .NO_ YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsornamt%--- /4"c"r- (-,e&One Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I',, Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the (—t/ establishment of a Critical Environmental Area(CEA)? J ❑- 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? ® �, 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, ;❑ architectural or aesthetic resources? E4 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate, small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? Imo-ff 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for,short-term, long-term and Cumulative impacts. ElCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. © Check this box if You have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental imp cts. Town of Southold-Board of Trustees G Name of Lead Agency Date Michael J■ Do—mina- President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsoe Officer'in Lead Agency Sisiiattire of Preparer(i'f different from Responsible Officer)i PRINT Page 4 of i i , B03Zd of Tzmstees Ap.p3-lCatxoI1 (where the applicant is not the owner) Hector Colombo&Linda Colombo, as owners(of premhaes 151010 Thnna n's PZ, East Marion,NY (sctm: 1000-31-12-14) do hereby authorize my attorney, Patricia C.Moore,to apply for permit(s)and appear before the Southold Board of Town Trustees on my behalf. Hector Colombo Linda Colombo i i i i Hector Colombo i Linda Colombo I I i i Patricia C.Moore,Esq. 51020 Main Road Southold,NY 11971 Dear Ms.Moore: We,Hector Colombo&Linda Colombo, owners of propeity, located at 1500 Tmman's Path,East Marion,New York(sctm: 1000-31-12-14),hereby authorize you to make any and all applications and appear on my behalf to the Southold Town Building Department, Trustees, and any other necessary agencies on my behalf regarding property located at 1500 Tnnnan's Patk East Marion,New York (sctm: 1000-31-12-14) Very truly yours, Hector Colombo Linda Colombo i i i I i APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) Thte Town, of SuAlidldts Code of Ethics iardhiNts conflicts of iimterebt on, the'mart of Town, (officers amd em,,Oioyees. The psulpose ofthis fform its ito g3novide Fiin,fomtatirm.W Nidti can,�IlertlGhe Towm of iooWdle camflidts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Colombo,Hector&Linda. AND MOORE, PATRICIA C. 4 (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 I other person or company name.) NATURE OF APPLICATION: (Check all that apply.) Tax Grievance Variance Special Exception Ilf lOther', name the activity: I Change of Zone Approval of Plat l Exemption from Plat or Official Map Other Trustees X Do you personally, (or through your company, spouse, sibling, parent, or child) have a relationship with any j afficer or aI I ployee of the Town of Somth►did? "IRE l tiarislhSp" includes by blood, marriage, or business in,mteresL°SBiasimess iinterest"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 imore than 5%of the shares. YES NO_X j Complete the balance of this form and date and sign below where indicated. I I Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself(the applicant)and the Town officerlor employee. Either check j the appropriate line A through D(below)and/or describe the relationship in the space provided. f 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 7 Q Submitted this day of l/ Signature: Hector Colombo Linda Colombo I ,attici .Moore i 1 I f Board of Trustees Application I J County of Suffolk State of New York Hector Colombo &Linda Colombo 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 REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS i APPLICATION. i Hector Colombo 0�4 nda Colombo 4 i Sworn to befor meis day of 4f-l' /�1 2019 i I !i Notary Public f ��y ,,�� CARMEN BLANCO _ Notary Public,State of Florida Commission#GG 191480 boa My comm expires Mar.1,2022 I I i BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF HECTOR & LINDA COLOMBO MAILING Applicant's Land Identified as 1000-31-12-14 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, JULIA SCHADE, residing in Southold, New York, being duly sworn, depose and say that: i On the 2nd Day of August, 2019, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the persons listed on the attached list at the addresses set below their respective names; that the addresses set below the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said notices were mailed at the United States Post Office at Southold, New York, that said Notices were mailed to each of said persons by CERTIFIED MAIURETURN RECEIPT. Attached hereto is the white receipt post-marked by the 'Southold Post Office on said date. � 1 JULIA SCHADE Sworn to before me this day of August, 2019 i (No Public) BETSY A.PERKINS Notary Public,State of New York No.01 PE6130636 ®ualified in Suffolk Court l Commission Expires July 18, i ' BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x j In the Matter of the Application of AFFIDAVIT OF SIGN HECTOR & LINDA COLOMBO POSTING Regarding Posting of Sign Upon Applicant's Land Identified as 1000-31-12-14 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, PATRICIA C. MOORE, residing in Southold, New York being duly sworn, depose and say that: On the 5t" say of August, 2019, 1 personally posted the property known as 1500 Truman's Path, East Marion, New York by placing the Board of Trustees official Poster where it can easily be seen, and that I have checked to be sure the post has remained in place for eight (8) days prior to the date of the public hearing. Date of Hearing to be held on Wednesday, August 14, 2019 at or about 5:30 p.m. Patricia C. Moore S orn to before me this day of August, 2019 i No ary Public BETSY A.PERKINS Notary Public, State of New York No.01 PE6130636 Qualified in Suffolk Court Commission Expires July 18, I ■ • jU.S. Postal, CERTIFIED MAIL@ RECEIPT ) CERTIFIED IVIAILORECEIPT M DomestiC Mail Only Domestic bnlyi r=31 C3 Er • > I rr I Er S-1 Mad Fee I I Certified a ee Extra Services&Fees(checkbox,add ise as eppro �t Extra Services&Fees(c ckbok,add fee as appropriate) rl ❑Return Receipt(hardcopy) $ I ❑Return Receipt(hardco�,,y)�'� $p ❑Return Receipt(electronic) $ P �n p ❑Return Receipt(electroc)- $ C - Postmark, � }erkt5eiivery $ Here O ❑Certified Mail Restricted Delivery $ 7 } O ❑Certified Mali Restdcte O ❑Adult Signature Required $ i O [:]Adult signatureRequlred Q ❑Adult Signature Restricted Delivery$ I E-3 E]Adult Signature Restricted DelNery$ Postage d� �� i I O r-3 $ostaget $ T- m - -T - n0 - I 1420 TRUMANS PATH LLC j Ira PAPSON VICKY REVOC TRUSTC N 1420 TRUMANS PATH ------ � ; 63 REVONAH CIR -------------- EAST MARION, NY 11939 !---------------- 1 STAMFORD, CT 06905 ----------------- ■ y o ■ ■ ru /e • Er t Certified Mall Fee �i Extra Services&Fees(cheekbox,add Iee as eppropdete) rq ❑Return Receipt(hardcopy) $ c C3 ❑Return Receipt(electronic) $ Postmark p ❑Certified Mail Restricted Delivery $ Li. ere ' O ❑Adult Signature Required $ '+ ❑Adult Signature Restricted Delivery$ C3 Postage N E- N T-'-'- - 1 WILLIAM J. GORGA SOI o , STEPHANIE GORGA �!p®S ._._.__._. l-PO BOX 806 EAST MARION, NY 11939 Co Ln /• • Certdled Mail 0 ee F, F A L ErI Extra Services&Fees(checkbok, d160 as appropriate)' j ❑ Return Receipt(hardcopy) � $ M ❑Return d Mall t(electrRestricted q f $� postmark M ❑Certlged Mail Restricted DelNery $ � Here O ❑Adult Signature Required $ - []Adult Signature Restricted eilvery$Er Er Postage'' �, may* M T JOHN S. GORGA C3 TERRY A. GORGA PO BOX 511 EAST MARION, NY 11939 I I COLOMBO TRUSTEES NEIGHBOR LIST SCTM: 1000-31-12-14 N - o _ I -.1 (^' D I" osv .� • ....t D m -7 8 N a'O �3 Z C�r1 0 111 1420 TRUMANS PATH LLC li._- ';tr O O z 00 w w m • i (0 X Z < l2D X33 1420 TRUMANS PATH a o ®_ p D — ,,a CD ,� EAST MARION,NY 11939 "N "^ W — 0 _ � � w-° =Q N CD, m � w sv SCTM: 1000-31-12-12 =a = o 'i �' Q Q CL0 3 m A@ca -Z w Co WILLIAM J. GORGA -`z o — cert O 6°' ° o cn ® STEPHANIE GORGA _N � — PO BOX 806 0 g EAST MARION,NY 11939 CP °' _ co c Q SCTM: 1000-31-12-13 JOHN S. GORGA 0550��c�aaco W X • TERRY A. GORGA �,�,z. � {a PO BOX 511 � =°�3� � n z EAST MARION,NY 11939 m o� age SCTM: 1000-31-12-15 = QQ s o a � a a PAPSON VICKY REVOC TRUST a s • 63 REVONAH CIR z z y STAMFORD CT 06905 g "❑❑ ❑ ❑❑❑ c a SCTM: 1000-31-13-7.2 . a �• 5 d v s3`m N'�0. a 0 70M���3 m a a c� a �, ❑ m ❑ aorto ma_6 �s3— o y _ om a� N Z ti�9 y O CL N �i m 00 ' iD COWLETETHIS SECTIONON DELIVERY SENDER: COMPLETE • ■ Complete ii�ems 1,2,and 3. :.'r` '.�"4"J� t A Sign ty I /////J, ❑Agent r H lY� L / // f � _ ■ Print your name and address on the reverse X %/�' //�� ❑Addressee so that we can return the card to you. B. Recei ed by(P; fed N e d e of D roe ■ Attach this card to the back of the maiipiece, f or on the front if space permits. 1._Article Addressed to - __ __ D. Is delivery address different frorrr_1t6m 1 If YEs,enter delivery a e�rpelouv:;�:cps• ' WILLIAM J. GORGA o ti STEPHANIE GORGA PO BOX 806 a I� EAST MARION, NY 11939 II I I I II III 3. o-5,ervice Type �� ❑Priori all Express® I Iill IIII IIIIII I IIII I Ili III III II ❑Adult Signature C] eredMail R III lI 11 Adult Signature Restricted Delivery Re verystered Mail ReatrlctedDe 4 EJ Certified PAW— ❑Retum Receipt for } 9590 9402 3554 7305 7937 00 ❑�ertified Mail Restricted Delivery Merchandise ❑' ollect on Delivery E3 Signature ConfinnationTM ❑Colle6t on Delivery Restricted Delivery 2. Article Number(transfer from service fabeQ t i , I ❑Insured Mail i I I ; !1 I I❑Signature Confirmation ❑Insured Mail Restricted Deliverq Restricted Delivery (over$500) Domestic Return Recelpt PS Form 3811,July 2015 PSN 7530-02-000-9053 i ,NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNERS) OF RECORD: HECTOR & LINDA COLOMBO SUBJECT OF PUBLIC HEARING : For a Wetland permit for the existing 6'x52' fixed wood dock; existing 22'x22' gravel (non-turf area) with inlaid brick pavers 5' diameter circular (10' width); existing 20' rock wall located parallel to Marion Lake and continued 10' perpendicular to the shore with 4' wide steps to grade; existing 13.9'x23.5' wood deck with steps to grade attached to seaward side of dwelling; existing 54'x23.4' one-story dwelling; on east side of dwelling, an existing concrete slab and cellar entrance; existing roofed over concrete stoop entrance; existing 5'x21 .9' wood deck on front of dwelling; property line fence on north side and south side of property. Located: 1500 Truman's Path, East Marion. SCTM# 1000-31 -12-14 TIME & DATE OF PUBLIC HEARING : Wednesday, August 14, 2019 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 it 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 sigiiificant. beneficial and adverse effects upon the coastal area(i hi&-includes-all of S o u6o Id: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-u supporting-facts. If an action cannot be certified as consistent with the LWRP policy standards and conditionsAt shall not be undeftdtdn. 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# PROJECT NAME G le5 f 4 did a 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: DairteA J s 9 �� CCU 0-d s �� h 4,ae L'xrs �hye�r�i�s ne.--Glee. Biu - . (/ly_�Pr�2�� 21 w' Location of action: ` '00 �v a? �(� Site acreage: r S Present land use: �� C��IS awd Clo rfG 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: (b) Mailing address: � A ' iCLI ✓��� _ AV 1l9 (c) Telephone number: Area Code( ) � (d) Application number,if any: - , I Will the action be directly undertaken,require funding,or approval by a state or federal agency? YesEl 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. DEVELOPI+WCOAST 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 E] No [:] Not Applicable /5 S •7/ - Z / Attach ad itional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWIIP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes'Q No ErNot 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 ❑✓ 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—Policie7Page 8 through 16 for evaluation criteria ❑ Yes ❑ Not Applicable F 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 ElYes F] No E 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 evaluatio riteria. ❑ Yes No -/Not Applicable 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 valuation criteria. F], 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 w�ZApplicable ee LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes 1:1 No 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. ❑ Ye�] No DZNot 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 N/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 ❑ Noa"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 65for evaluat'on 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 I Not Applicable PREPARED BY TITLE DATE