Loading...
HomeMy WebLinkAboutTR-9826A Glenn Goldsmith, President ®��®F soTown Hall Annex v" �® �� 54375 Route 25 A. Nicholas Krupski,Vice President �® �r�, P.O. Box 1179 Eric Sepenoski `t�' Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ® Fax(631) 765-6641 C®UNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1927 C Date: June 27, 2022 THIS CERTIFIES that the installation of drainage in front yard consisting of a precast storm leaching galley (8.5'Lx4.9'Wx2.5'high) with traffic bearing concrete slab; and to establish and perpetually maintain a 158sg.ft. non-turf buffer on the south side of property adjacent to bulkhead. At 2400 Minnehaha Blvd., Southold Suffolk County Tax Map #87-3-58 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 19, 2021 pursuant to which Trustees Administrative Permit #9826A Dated March 18, 2021, 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 installation of drainage in front yard consisting of a precast storm leachingag_lley 8.5'Lx4.9'Wx2.5'high) with traffic bearing concrete slab; and to establish and perpetually maintain a 158sq.ft. non-turf buffer on the south side of property adjacent to bulkhead. The certificate is issued to FAank & Joanne Gum er owner of the aforesaid property. 4 Authorized Signature Glenn Goldsmith,PresidentQ� S � Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ® �¢� P.O.Box 1179 Eric Sepenoski 'V Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: L121122, INSPECTED BY: FW4A Qe.P, kU Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction % constructed X Project complete, compliance inspection COMMENTS: Stro�ghi�{vvwcurd Cow��ie,� wi�1 harm%"►5"0, vo 'PerMik *Jg16Ak Ok.a,\j kn �SSVE CERTIFICATE OF COMPLIANCE: ELF Glenn Goldsmith,President sot/�ti Town Hall Annex A. Nicholas Krupski,Vice President ,`O� ��� 54375 Route 25 P.O. Box 1179 John M.Bredemeyer III [ Southold,New'York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 ly10pUM`I,� BOARD OF TOW-N�TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES 'YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72'-HOURS PRIG_ R-TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction,"hay bale,line/silt bbom/silt curtain 1 St day of construction- % constructed X When project complete, call for compliance inspection; i Glenn Goldsmith,President �QF SOUTH, Town Hall Annex A.Nicholas Krupski,Vice President ,`O ��� 54375 Route 25 P.O. Box 1179 John M.Bredemeyer III Southold,New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 COUNT1,N BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ,Permit No.: 9826A Date of Receipt,of Application: February 19, 2021 Applicant: Frank & Joanne Gumper Project Location: 2400 Minnehaha Blvd., Southold SCTM#: 1000-87-3-58 .Date of Resolution/Issuance: March 18, 2021 .Date of Expiration: March 18, 2023 Reviewed by: Greg Williams, Trustee Project Description: Install drainage in front yard consisting of a precast storm leaching galley, (8.5'Lx4.9'Wx2.5'high) with traffic bearing concrete slab; and to establish and.perpetually maintain a 158sq.ft. non-turf buffer on the south side of property adjacent to bulkhead. _ 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 - Vincent Benic Architect, received on February 19; 2021-and-stamped approved-on March 18, 2021. Special Conditions: The Permittee is required to provide evidence that a copy of this 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. Inspections: Final 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. 1�414�4"_ Glenn Goldsmith, President Board of Trustees L H-20 TRAFFIC BEARING CONCRETE SLAB WITH A DOME AMD Cl H-20 COVER BURIAL DEPTH IN DRIVEWAY MARKED"STORM" VBA ASPHALT DRIVEWAY TO BEviNCENT BEI-C APCW7ECT 611 Broadway,Suite 817,New York,NY 10012 REPLACED www.vbarch.com MIN. ro f1f( ROY ® BY �� ���� — Issued/Revision _ — III= BOARD OF f fZUSTEES IIII -__ = __ I�I� ��II II=IIII= TOWN OF SOUTHOLD ---- '=III D�'�"(E r�kku+ Ig 2024 _ ��11 � 17'-1 1/2' Drawings&specifications as instruments of professional service _ 4 are,and shall remain,the property of VINCENT BENIC i _ N ARCHITECT. No reproduction,in whole or in part,shall be made without the written authorization of VINCENT BENIC ARCHITECT. This document is Intended solely for the construction of the _ project named herein and shall not be used by any other parties for any other construction without the written consent of VINCENT BENIC ARCHITECT. NOTE! GROUND WATER CONTRACTOR SHALL NOTES! VERIFY THE E BEARING CAPACITY 1. 2'-0" MIN.-EXCAVATION&BACKFILL WITH FREE DRAINING OF THE SUBSOIL GRANULAR SAND. STORM WATER CALCULATIONS TO SUPPORT THE SYSTEM 2.CULTEC NO.410 NONWOVEN GEOTEXTIKE ALL SIDES AND BOTTOM AND AROUND ALL INLET AND OUTLET PIPES. RECHARGE BASIN DETAIL 3.LEACHING POOLS SHALL BE PRECAST CONCRETE STRUCTURES INCHES CAPACITY PROPOSED TOTAL B SCALE: 1 tt _ V-0" AS MANUFACTURED BY "LI PRECAST INC." OR EQUAL.SHOP DRAWINGS F RAIN: CAPACITY VOL REQ'D CAPC'Y: NO.OF PROPOSED SHALL BE SUBMITTED TO THE TOWN ENGINEER FOR APPROVAL. AREA S.F. 2" FACTOR REQ'D CF GAL. GAL. POOLS VOL. GAL o z 3 4 FT ALL CONCRETE SHALL DEVELOPA MINIMUM OR 4000PSI AT 28 DAYS. 1. HD STORM LEACHING GALLEY E (8.5'L x D D'G ROOF 4.9'W x 2.5' EXIST.ASPHALT DRIVEWAY OPERTY LINE 0 A. 945 0.1666 1 157 1178 598 2 1196 OK TO BE REPLACED 91.28'NTS FEB 19 Z21 { B AND C. 830 0.1666 1 138 1034 598 2 1196 OK r SILT FENCE.%NC�LONG EDGE y OF DISTURBANCE EATS ep r) _ _ Southold Town s I.................. Board of Trustees t 3 a i' S VBA Proj#: Seal: T 8 378.2 rHOUSE iI Z — _ _ _ _ ROOF A. Drawn: �I Z 945 SF or WM 1178 Gal. t>1M/ $I = 1 38-107/8' Checked: AlrtlgWW M ' Volume Capacity VB p, al EXIST. WOOD DECK O TRUSTEE APPROVED, i BULKHEAD,WALKWAY m DECKS,BULKHEAD AND t m TRUSTEE PERMIT :.:... I RAILING l 2t, »» VEGETATED, ,�' T 1'' 1 m LAWN NON-TURF BUFFER I 1 '� ry ® N APPROX, , Vinci Benic AIA, I LOCATION OF��' ROOF B. ROOF C. ` NYS#014 83 � EXISTING -_� � 475 S or 355 SF or Project CESSPOOLS 1 GUMPER HOUSE 592 Gal. 442 Gal. EXISTING GRADE H- PRESSURE CREATED I eX'sTrREE Volume Capacity Volume Capacity LUMBER TO SUPP ---'--�— n WOOD WALKWAY ORT I ` WHERE MISSING 2400 MINNEHAHA BLVD. SOUTHOLD,NY 11971 • VEGETATED,NON-TURF BUFFER COREY CREEK NOTE- u, _ Drawing Title EXISTING LAWN ON AREA MARKED ASPERABOVEANO i ,5 `�' g •EP.N'T•:••�. UNDER THE UPPER DECK IS PITCHING TO THE BULKHEAD.WII F g A STORM WATER LEVEL OUT EXISTING LAW"NDER DECK AREA TH t,.tifllfrl#Y11$ te/.?rN'Qtlnlp(��-1[1 W SI.iRryf(! NEW POROUS GRAVEL FILL.REMOVE SOIL AND LAWN AND uwN W-1 INSTALL APPROX..3"TO 12"OF VEGETATED,NON-TURF :— __ __ _ - PLAN BUFFER PER THE RECOMMENDATION OF THE WARP --- ----_ __ __�_�_____—__—_ _— COORDINATOR CONSISTING OF NATIVE,SALT TOLERANT 1 SPECIES 90.96'LINE 90.96'NTS ALOCATION VEGETATED,NON-TURF BUFFER PER Drawing Number BORING DATA SUPPLIED BY: OFF TEST TEST BORE THE RECOMMENDATION O McDonald Geoscience THE WRAP C00R 1-1 ORF PERFORMED ON 9/9/20 A DETAILAT VEGETATED, NON-TURF BUFFER SITE PLAN t tf TOLERANT SOF NATIVE, A IVE,SALT SCALE: 1 GALE:-1/8" = 1 -0 SW- 100 VBA VINCENT BENIC ARCHITECT FILTER FABRIC DROP INLET PROTECTION SYMBOL TYPICL SILT FENCE DETAILS SYMBOL PO Box 92,Southo,d,NY 11971 2'X4'WOOD FRAM¢ IIII !,GEOTFMRE FABRIC - www vbarch corn STAKE ), roco'nm=-d Issued/ReVlsion FABRIC ,I MR GRDUE POSTS DRIVEN M R 72-INTO 12110/20 TRUSTEE FILING HEIGtf T OF FILTER FABRIC 24' filu laM r MAUMUM _DROP INLET BURIED FABRIC F/ p3I WITH GATE FRAMiE PERSPECME VIEW NOTTOSC&E I rI I I GEOTORRE FABRIC GATHER EXCESS V I I I AT CORNEAS U �r COMPACTED SOIL �) Uj� M�4STURBED GRDURD Drawings&specifications as Instruments of professional service / are,and shall remain,the property of VINCENT BENIC FLOW ARCHITECT No reproduction,in whole or in part,shall be made CONSTRUCTION SPECIFICATIONS. without the written authorization of VINCENT BENIC ARCHITECT ded solely for the struction ofthe 1 FILTER FABRIC SHALL HAVE AN EOS OF 40-85 BURLAP MAY .-I 4• SILT FENCE SECTION pros jest named herein and hall not be used nby any other parties \C5977368, BE USED FOR SHORT TERM APPLICATIONS °®ED�TER��tMttGRDUND NOTTOSCALE for any other ICconstructionARITE without the written consent of INTO GROUND VINCENT BENIC ARCHITECT 2 CUT FABRIC FROM A CONTINUOUS ROLL TO ELIMINATE JOINTS IF JOINTS ARE NEEDED THEY WILL BE OVERLAPPED TO THE NEXT STAKE CONSTRUCTION NOTES FOR FABRICATED SILT FENCE 3 STAKE MATERIALS WILL BE STANDARD 2"X 4"WOOD OR 1 GEOTEXTILE FABRIC TO BE FASTENED 1 ST STEEL EITHER T OR'U' EQUIVALENT METAL WITH A MINIMUM LENGTH OF 3 FEET SECURELY TO FENCE POSTS WITH STAPLES TYPE OR 2"HARDWOOD R n 2 GEOTEXTILE FABRIC SHALL BE PLACED ON 2 FENCE FABRIC SHALL BE 1\If 4 SPACE STAKES EVENLY AROUND INLET 3 FEET APART AND DRIVE A THE SIDE OF THE FLOW DIRECTION WOVEN OR NON-WOVEN FRIF MINIMUM 18 INCHES DEEP SPANS GREATER THAN 3 FEET MAY BE 3 WHEN TWO SECTIONS OF FILTER CLOTH 3 FILTER CLOTH FILTER X,BRIDGED WITH THE USE OF WIRE MESH BEHIND THE FILTER FABRIC FOR ADJOIN EACH OTHER THEY SHALL BE APPR E X,STABiLINKA7140N OR D EQUAL SUPPORT - OVERLAPPED BY 12 INCHES AND FOLDED4PPROPREFABR GATED UNIT 4 MAINTENANCE SHALL BE PERFORMED AS SEOFAB EN ABRIC TEDNCE, NI5 FABRIC SHALL BE EMBEDDED 1 FOOT MINIMUM BELOW GROUND "BULGSNEEDED ADEVELOP IN THE SIILT ND MATERIAL FDENCE� APPROVED EQUAL FAND RAME CKFILLED IT SHALL BE SECURELY FASTENED TO THE STAKES AND B 19 2021 6 A 2"x 4"WOOD FRAME SHALL BE COMPLETED AROUND THE CREST OF THE FABRIC FOR OVER FLOW STABILITY MAXIMUM DRAINAGE AREA 1 ACR Southold Town Board of Trustees ARCy�T F DUST CONTROL STANDARDS. 1. THE CONTROL OF DUST ON CONSTRUCTION SITES AND ROADS 2 TO PREVENT BLOWING AND MOVEMENT OF DUST FROM EXPOSED SOIL SURFACES, e REDUCED ON-SITE AND OFF-SITE DAMAGE AND HEALTH HAZARDS AND IMPROVE TRAFFICt a SAFETY 3 CONDITION WHERE PRACTICE APPLIES THIS PRACTICE IS APPLICABLE TO AREAS SUBJECT TO DUST BLOWING AND MOVEMENT WHERE ON-SITE AND OFF-SITE DAMAGE IS LIKELY WITHOUT TREATMENT CONSULT WITH LOCAL MUNICIPAL ORDINANCES ON ANY RESTRICTIONS ��4aa'j ��Q- 4 THE FOLLOWING METHODS SHOULD BE CONSIDERED FOR CONTROLLING DUST Sp MULCHES-SEE STANDARD OF STABILIZATION WITH MULCHES ONLY,PG 5-1 VEGETATIVE COVER-SEE STANDARD FOR TEMPORARY VEGETATIVE COVER,PG 7-1,PERMANENT VBA Proj Z. VEGETATIVE COVER FOR SOIL STABILIZATION PG 4-1 AND PERMANENT STABILIZATION WITH 3782 SOD,PG 6-1 5 SPRAY-ON ADHESIVES-ON MINERAL SOILS(NOT EFFECTIVE ON MUCK SOILS) KEEP Drawn TRAFFIC OFF THESE AREAS WN Checked 6 TILLAGE-TO ROUGHEN SURFACE AND BRING CLODS TO THE SURFACE THIS ISA VB TEMPORARY EMERGENCY MEASURE WHICH SHOULD BE USED BEFORE SOIL BLOWING STARTS BEGIN PLOWING ON WINDWARD SIDE OF SITE CHISEL-TYPE PLOWS SPACED ABOUT 12 INCHES APART AND SPRING-TOOTHED HARROWS ARE EXAMPLES OF EQUIPMENT WHICH MAY PRODUCE THE DESIRED EFFECT 7 SPRINKLING-SITE IS SPRINKLED UNTILTHE SURFACE IS WET ® N Vinci Benic AIA, NYS#014983 Project GUMPER HOUSE 2400 MINNEHAHA BLVD. SOUTHOLD,NY 11971 Drawing Title STORM WATER DETAILS Drawing Number SW 101 Glenn Goldsmith, Pio�lent ��St1FF0(�Co Town Hall Annex A. Nicholas Krup6ru,�Vice-President ,��� Gym 54375 Route 25 John M. Bredemeyer, III c ` P.O. Box 1179 Michael J. Domino o Southold, NY 11971 Greg Williams Telephone (631) 765-1892 91 �� Fax (631) 765-6641 BOARD OF TOWN TRUSTEES r ( TOWN OF SOUTHOLD / Date/Time: 3 l�� I l I S 4"` Completed in field by: �'� �✓� � � Patricia C. Moore on behalf of FRANK & JOANNE GUMPER requests an Administrative Permit to install drainage in front yard consisting of a precast storm leaching galley (8.5'Lx4.9'Wx2.5'high) with traffic bearing concrete slab; and to establish and perpetually maintain a 158sq.ft. non-turf buffer on the south side of property adjacent to bulkhead. Located: 2400 Minnehaha Boulevard, Southold. SCTM#: 1000-87-3-58 CH. 275-3 - SETBACKS WETLAND BOUNDARY: 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 Public Notice of Hearing Card Posted: Y / N Ch. 275 / Ch. 111 SEQRA Type: I 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/application completeness/comments/standards: S I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other ��` VBA I I ri .�I af,Exl BENiC ABC xiiECT en B�m..x s.er B+�E.rw.rwt nn+mu xw.w B.eYYp "4 MUM. TRUSTEE SUBMISSION rr • _ .._ -—`��+E4._'�."•• - a.r�w.wmBwBwer N.mwww.a peeaealu+eemw •,.. i'`� en.e�WY�n�Wp�toTfVx[N�HlIe BExe[tlACxrtER �M,� - IB[N nw ee mese •_.-•` — lx�ewawm nt�nterWe .1 lne w.nb.Mbn a1 Me ✓„x. e. - W.V eM W u[the wBten wrwnt et ee pwYn nem.e n.,.in� )VIEW AT DECK/BULKHEAD VIEW AT BULKHEAD 1 /Scats' 3 Sceb. ®N MnSc Bank AIA, NYS;r o14 A83 GUMPER HOUSE 2400 MINNEHAHA BLVD. SOUTHOID,NY 11971 PHOTOS �1 VIEW FROM DRIVEWAY �1 STREET VIEW FROM MINNEHAHA BLVD H-20 TRAFFIC BEARING CONCRETE SLAB • WITH ADOME AMD CI H-20 COVER BURIAL DEPTH IN DRIVEWAY MARKED"STORM" ASPHALT DRIVEWAY TO BE VINCENT BENIC A 811 Broadway,Suite 817,NewwCMYork,k,NYNY 1 10012 REPLACED www.vbarch.com MIN.95%COMPACTED FILLe e — — e e " ,, , , , ., � Issued/Revision v v v :- ii ilii iiia " V-- -- " v =iui= _ . . _ � .:.. _. .; - 3 _ - y1- Drawings&specifications as Instruments of professional set-Vice Q are,and shall remain,the property of VINCENT BENIC iv ARCHITECT. No reproduction,in whole or in part,shall be made without the written authorization of VINCENT BENIC ARCHITECT. This document is intended solely for the construction of the project named herein and shall not be used by any other parties for any other construction without the written consent of - VINCENT BENIC ARCHITECT. NOTE! GROUND WATER CONTRACTOR SHALL NOTES! VERIFY THE E BEARING CAPACITY 1. 2'-0" MIN.- EXCAVATION&BACKFILL WITH FREE DRAINING OF THE SUBSOIL GRANULAR SAND. STORM WATER CALCULATIONS TO SUPPORT THE SYSTEM 2.CULTEC NO.410 NON WOVEN GEOTEXTIKE ALL SIDES AND BOTTOM AND AROUND ALL INLET AND OUTLET PIPES. RECHARGE BASIN DETAIL 3.LEACHING POOLS SHALL BE PRECAST CONCRETE STRUCTURES INCHES CAPACITY PROPOSED TOTALe SCALE: 1 tl = 1 r-nit AS MANUFACTURED BY "LI PRECAST INC." OR EQUAL.SHOP DRAWINGS F RAIN: CAPACITY VOL REQ'D CAPC'Y: NO.OF PROPOSED SHALL BE SUBMITTED TO THE TOWN ENGINEER FOR APPROVAL. AREA S.F. 2" FACTOR REQ'D CF GAL. GAL. POOLS VOL. GAL r—� FT ALL CONCRETE SHALL DEVELOPA MINIMUM OR 4000PSI AT 28 DAYS. HD STORM LJ J IJ J LEACHING GALLEY (� E (8.5'L x D L`� D'G ROOF C EIV 4.9'W x 2.5' EXIST.ASPHAL r DRIVEWAY A. 945 0.1666 1 157 1178 598 2 1196 OK TO BE REPLACED 91.28'NTS FEB g 201 OPERTV LINE BAND C. 830 0.1666 1 138 1034 598 2 1196 OK /�SILT FENCE,\LONG EDGE Lk OF DISTURB%NCE El Ts„Ep Lf) - - - - - - S,L r a Southold Town BoardHY81/B' _..._. ..�:::: I of Trustees PIP a a m VBA Proj# i 7 Seal: 6378,2 ' HOUSE Draw :I Z — — — ROOF A. rcl — — 945 SF or Drawn. W palW atT wv'tlLrvy Sil: 9. D 1 38'-107/8" , 1olume178 . Checked: T I Volume Capacity VB 03 al EXIST. WOOD DECK A - TRUSTEEAPPROVED, I 1' BULKHEAD;WALKWAY DECKS.BULKHEAD AND 1 �1 TRUSTEE PERMIT-- RAILING I VEGETATED. I ,�• � F ' m LAWN NON-TURF BUFFER 1 R ® NVinci APPROX, T1 NYS#8014!#83 A' -e ':Pur vmr L2N ate 1', I LOCATION of��•"'� ROOF B. ROOF C. ------ ----- ---- ;... EXISTING 475 SF or .355 SF or Project CESSPOOLS 592 Gal. 442 Gal. EXISTING GRADE-/- PRESSURE BER TNtEATEO I I EXIST TREE Volume Capacity Volume Capacity G U M P E R HOUSE LUMO SUPPORT h WOOD WALKWAY I 2400 MINNEHAHA BLVD. WHERE MISSING v�K nn�t NAar * 1 SOUTHOLD,NY 11971 • VEGETATED.NON-TURF BUFFER j COREY CREEKDrawing Title NOTE- I yy 8 C EXISTING LAWN ON AREA MARKED AS PER ABOVE AND 1 y w r UNDER THE UPPER DECK IS PITCHING TO THE BULKHEAD. I 8 •E: N r T E•O. LEVEL OUT EXISTING LAWWUNDER DECK AREAWITH A _ STORM WATER 11mmilr'K AaW YM,QLI^IP/per!,yn WV,SAJ"' "r NEW POROUS GRAVEL FILL.REMOVESOIL ATED,DLAWNAND uwN W-1 INSTALL APP OX,3T0170F VEGETATED.NON-TURF � __ � � � ���'" PLAN BUFFER PER THE RECOMMENDATION OFNATIVE, E,THE WARP ---�- ��- - - _- COORDINATOR CONSISTING NATIVE,SALT TOLERANT OPERTY uNE SPECIES 90.96'NTS VEGETATED, ENDATIO BUFFER PER ` Drawing Number APPROX.LOCATION THE WP COORDINATOR BORING DATA SUPPLIED BY: oFTESTBORE - ©THE RECOMMENDATION OF McDonald Geoscience DETAIL AT VEGETATED, NON-TURF BUFFER SITE PLAN CONSISTING OFF NATIVE,SALT PERFORMED ON 9/9/20 A SCALE: 'J SCALE:-1/8" = T-Olt TOLERANT SPECIES SW_ 100 NBA' VINCENT GENIC ARCHITECT FILTER FABRIC DROP INLET PROTECTION SYMBOL TYPICL SILT FENCE DETAILS SYMBOL PO Boz 92,Southo,d,NY 11971 2'X4'WOOD FRAME I I I I .�GEI'O`TFM6E FABRIC www vbarch com - 'Jr STAKE Issued/Revision FABRIC 4NFENCE POSTS DRNEf1 MIN 17 WTO GROU 12/10/20 TRUSTEE FILING f1EiiGtR OF FILTER FABRIC2C T _ 6aNIMlLN ' B'MIMMIIM DROP r—VITTTHGA LET BURIED FABRIC P-o� PERSPECTM VIEW FRMIE �I I NorrostuE rI I I GEOTEXDIEFABRIC GATHER EXCESS IIIII � AT CORNERS Drawings&specifications "'tom u COMPAL'T®SOIL UNDISTURBED GRWND 9lain,the as Instruments of professional Service are,and shall remain,the property of VINCENT BEN[C FLOW j ARCHITECT No reproduction,in whole or In part,shall be made CONSTRUCTION SPECIFICATIONS. without the written authorization of VINCENT BENICARCHITECT —^ i This document Is Intended solely for the construction of the 'I SILT FENCE SECTION project named herein and shall not be used by any other parties 1 FILTER FABRIC SHALL HAVE AN EOS OF 40-85 BURLAP MAY ExmED FaTERctotHM Nu1ut4. 'I 4' for any other construction without the written consent of \C5977368, BE USED FOR SHORT TERM APPLICATIONS Y-- wroN J NOTTOSGLE VINCENT BENIC ARCHITECT 2 CUT FABRIC FROM ACONTINUOUS ROLL TO ELIMINATE JOINTS IF JOINTS ARE NEEDED THEY WILL BE OVERLAPPED TO THE NEXT STAKE CONSTRUCTION NOTES FOR FABRICATED SILT FENCE 3 STAKE MATERIALS WILL BE STANDARD 2"X 4"WOOD OR 1 GEOTEXTILE FABRIC TO BE FASTENED 1 ST STEEL EITHER T OR'U' EQUIVALENT METAL WITH A MINIMUM LENGTH OF 3 FEETTYPE OR 2"HARDWOOD SECURELYTO FENCE POSTS WITH STAPLES �] 2 GEOE FABRIC SHALL BE PLACED ON X11/ 4 SPACE STAKES EVENLY AROUND INLET 3 FEET APART AND DRIVE A THESIDEOFTHE WOVEN OR NON-WOVEN 2 FENCE FABRIC SHALL BE FTHEFLOwDIRECTION LJ LL�� MINIMUM 18 INCHES DEEP SPANS GREATER THAN 3 FEET MAY BE 3 WHEN TWO SECTIONS OF FILTER CLOTH 3 FILTER CLOTH.FILTER X, EFRF BRIDGED WITH THE USE OF WIRE MESH BEHIND THE FILTER FABRIC FOR ADJOIN EACH OTHERTHEYSHALL BE gp AFI 10OXED ESOTAABILINKA T1 40N OR SUPPORT OVERLAPPED BY 12 INCHES AND FOLDED 4 PREFABRICATED UNIT 4 MAINTENANCE SHALL BE PERFORMED AS SEOFAB ENABRIC TED NI NEEDED AND MATERIAL REMOVED WHEN APPROVED EQUAL 5 FABRIC SHALL BE EMBEDDED 1 FOOT MINIMUM BELOW GROUND "BULGES"DEVELOP IN THE SILT FENCE AND FRAME CKFILLED IT SHALL BE SECURELY FASTENED TO THE STAKES AND 19 202 6 A2"x 4"WOOD FRAME SHALL BE COMPLETED AROUND THE CREST OF THE FABRIC FOR OVER FLOW STABILITY MAXIMUM DRAINAGE AREA 1 ACR Southold Town Board of Trustees i ARCh�T BEN/c DUST CONTROL STANDARDS. 1 THE CONTROL OF DUST ON CONSTRUCTION SITES AND ROADS 2 TO PREVENT BLOWING AND MOVEMENT OF DUST FROM EXPOSED SOIL SURFACES, REDUCED ON-SITE AND OFF-SITE DAMAGE AND HEALTH HAZARDS AND IMPROVE TRAFFIC SAFETY 3 CONDITION WHERE PRACTICE APPLIES THIS PRACTICE IS APPLICABLE TO AREAS SUBJECT TO DUST BLOWING AND MOVEMENT WHERE ON-SITE AND OFF-SITE DAMAGE IS LIKELY WITHOUT TREATMENT CONSULT WITH LOCAL MUNICIPAL ORDINANCES ON ANY RESTRICTIONS 4. THE FOLLOWING METHODS SHOULD BE CONSIDERED FOR CONTROLLING DUST ST q g83 MULCHES-SEE STANDARD OF STABILIZATION WITH MULCHES ONLY,PG-5-1 VEGETATIVE COVER-SEE STANDARD FOR TEMPORARY VEGETATIVE COVER,PG 7-1,PERMANENT VBA Pro)# VEGETATIVE COVER FOR SOIL STABILIZATION PG 4-1 AND PERMANENT STABILIZATION WITH 3782 SOD,PG.6-1 5 SPRAY-ON ADHESIVES-ON MINERAL SOILS(NOT EFFECTIVE ON MUCK SOILS) KEEP Drawn TRAFFIC OFF THESE AREAS WN 6 TILLAGE-TO ROUGHEN SURFACE AND BRING CLODS TO THE SURFACE THIS ISA Checked: ve TEMPORARY EMERGENCY MEASURE WHICH SHOULD BE USED BEFORE SOIL BLOWING STARTS BEGIN PLOWING ON WINDWARD SIDE OF SITE CHISEL-TYPE PLOWS SPACED ABOUT 12 INCHES APART AND SPRING-TOOTHED HARROWS ARE EXAMPLES OF EQUIPMENT WHICH MAY PRODUCE THE DESIRED EFFECT 7 SPRINKLING-SITE IS SPRINKLED UNTIL THE SURFACE IS WET ® N Vinci Benic AIA, NYS#014083 j Project GUMPER HOUSE 2400 MINNEHAHA BLVD. SOUTHOLD,NY 11971 Drawing Title STORM WATER DETAILS Drawing Number SW 101 7 oPscass APSNt1E I SURVEY OF PROPERTY AT LAUGHING WATER 1 TOWN OF SO UTHOLD j ^ SUFFOLK COUNTY, NEW YORK 1000-87-03-58 ` SCALE: 1'= 20' J110/P JULY 15. 1999 p o it Au%2.1889 (revWm) S '4sr00s p GC EPwE 1 •er .�„r. ` 1 � ua: FEB 19 2021 thold To Sou Wrt of Trustees ca j upjeI-INV Derck ;1 V BECK ARRA �6k �,0 NEWy RA�= 5.734 sq. i t{. I S'<PO�N S.MF�jQFQ'p'f' 1 7 o AN, AL TERp r.�N .N2 ADDITION TO THIS SURVEY ISA VIOLATION �r Y S LIC NO 49618 RS. PC OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW EXCEPT AS PER SECTION 7209—SUODIV19ON 2 ALL CERTIFICATIONS — 20 HEREON ARL +4110 FOR THIS MAP AND COPIES THEREOF ONLY IF P 0 09 SAID MAP Oq COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET WHOSE SIp.A -jRf APPEARS HEREON SOUTHOLD. N.Y. 11977 99-,�4 OFFICE LOCATION: �µ MAILING ADDRESS: Town Hall Annex �d � �� P.O. Box 1179 54375 State Route 25a Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 k Telephone: 631 765-1938 I ti LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: March 12, 2021 Re: LWRP Coastal Consistency Review for FRANK& JOANNE GUMPER SCTM #1000-87-3-58 Patricia C. Moore on behalf of FRANK & JOANNE GUMPER requests an Administrative Permit to install drainage in front yard consisting of a precast storm leaching galley (8.5'Lx4.9'Wx2.5'high) with traffic bearing concrete slab; and to establish and perpetually maintain a 158sq.ft. non-turf buffer on the south side of property adjacent to bulkhead. Located: 2400 Minnehaha Boulevard, Southold. SCTM#: 1000-87-3-58 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 action is CONSISTENT with the LWRP. 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 Glenn Goldsmith,President q� SQtip,, Town Hall Annex 54375 Route 25 Michael J.Domino,Vice-President P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski G @ Telephone(631)765-1892 Greg Williams �� �� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application ® E C E 0 V Wetland Permit Application �C Administrative Permit Amendment/Transfer/Extension f E B 1 9 2021 Received Application: 2#1q.2-1 Received Fee:$ Completed Application: Southold Town Incomplete: f Board of Trustees SEQRA Classification: Type I Type H Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Owner(s)Legal Name of Property(as shown on Deed): 0- Mailing Mailing Address: P-t 00 r Y1 Of ha hc., R�'Vo( , �b c P/(0 �� 1 Phone Number: Suffolk County Tax Map Number: 1 Q00- ?7 " ��— Property Location: s ZVOC) (4 he-kh a 101f-d / (If necessary,provide LILCO Pole#, distance /tooccross streets,and location) AGENT(If applicable): �Lz !Y Cl,�� C�' ` l C� rr— Mailing Address: 6C9AO �//CP,P.�` �� S/94 it�"l(7 Phone Number: 7 6 RE: 2400 Minnehaha Boulevard, Southold (Gumper) SCTM: 1000-87-3-58 PROJECT DESCRIPTION As a condition of Zoning Board variance, 158 sq. ft. non-turf buffer on South side of parcel, adjacent to bulkhead, and precast storm leaching galley (8.5'L x 4.9' w x 2.5' heigh with traffic bearing concrete slab I Board of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: kfoo c f '2 (.a� a 1 i tde s k& Intended use of property: 1PV V�- YaAdT-cac Covenants and Restrictions on property? Yes K No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes X 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. a�CD 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 __4_No Does the structure(s)on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date A f 67 //,7y rq�� No prior permits/approvals for site improvements. Has any permittapproval ever been revoked or suspended by a governmental agency?_ XL_No Yes If yes,provide explanation: Project Description(use attachments if necessary): /' ,l Vy- d - , Ls6wn vi . �, �►�- aACI ada w a n ktr<F uril�' Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: dX Q cCL CSS Q C�P4—t�ir�lL�i�Y� � a� ��-r►rra,r /�Q Area of wetlands on lot: O square feet Percent coverage of lot: b % Closest distance between nearest existing structure and upland edge of wetlands: /' feet I Closest distance between nearest proposed structure and upland edge of wetlands: �' feet Does the project involve excavation or filling? No k Yes If yes,how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Q e GT v ( 12 (Yl 0AJ VbY rdl S�— cG_F7oy► CSN a A 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): . S J�n)bTom cAnnd ► dY-6 JY-F �J -�-P eti �1/�L (� at P'rY1 010N' r;14 Board of Trustees Application County of State of New Vork FRANK J. GUMPER AND JOANNE M. GUNTER,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 APPLICATION. Frank J. Gum r Yqle M. Gumper Sworn tq beforeine this day of 020 TIFFANY Stt TATE OF DIAZ WYO NOTARY PUBLIC,STATE OF NEW YORK x/vRegistration No.01DI6285147 Qualified in Queens C n n Commission Expires / Notarou, � 4 f Board of Trustees Application 1� AUTHORIZATION (where the applicant is not the owner) FRANK J. GUMPER and JOANNE M. GYTMPER, as owners of premises 2400 Minnehaha Boulevard, Southold,NY 11971 (sctm: 1000-87-3-58)residing at 20 Deerfield Road, Port Washington, NY 11050 do hereby authorize our attorney, Patricia C. Moore, to apply for permit(s) and appear before the Southold Board of Town Trustees on our behalf. �-- - (owner's signature) Frank J. Gumper (owner's signature) Jc0ne M. Gumper Sworn to before e this day of 2020 Notary bl' YIFFAN 1 SHEVONNE DIAZ MOTARY PUBLIC.STATE OF NEW YORK Registration No 01DI6285147 Qualified in Queens C my Commission Expires y f APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) 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 whatover•action is noccssary to avoid same ' YOUR NAME' GUMPER,FRANK J.,GUMPER,JOANNE M &MOORE,PATRICIA (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 or company name.) NATURE OF APPLICATION: (Check all that apply.) Tax Grievance Variance Special Exception If"Other", name the activity Change of Zone Approval of Plat Exemption from Plat or Official Map Other Trustees X Do you personally,(or through your company,spouse,sibling,parent,or cl-dld)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 Complete the balance of this form and date and sign below where indicated. 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 officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship in the space provided. The,Town officer or e-mnloyee or hie or her cpnil�es eiNipo,parent,or ehild is(nc�ck all that annlv)- A)the owner of greater than 5%of the shares of the corporate stock ^�T #L ""rr 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 this day of 202 FRANK J.GUMPE JO ER / I itni is C.3"Joo.a �. 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1-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 1 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 1-Project and Sponsor Information (-V eyupfz Name of Action or Project: Project Location(describe,and attach a location map): Brief Description of Proposed Action: Name or Applicant or Sponsor. / Telephone: ® �2 1 7G-F-%-4 3 3� �rC�v�C d �C7 tjl e LSCJ E-Mail: Address: CO l V'\ n e-"C\V1G �;`W GK City/PO: State: Zip Code: �n-w�® � J�-:] 1 (9 -1 l 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 ILEI 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? NO YES If Yes,list agency(s)name and permit or approval. F1 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? t2 acres c.Total acreage(project site and any contiguous properties)awned or controlled by the applicant or project sponsor? o ��� acres 4. Check all land uses that occur on,adjoining and near the proposed action. ®Urban ❑Rural(non-agriculture) ❑Industrial []Commercial 2fResidential(suburban) OForest QAgriculture ❑Aquatic E10ther(specify): ElParkland Page 1 of 4 5. is the proposed action. NO YES N/A a.A permitted use under the zoning regulations? EOO 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? ❑ 12 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: ❑ 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? Frl E 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: Er El 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water. E 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? Imo. EDj b.Is the proposed action located in an archeological sensitive area? o I ❑ 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? ❑ 12, b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or evaterbody and extent of alterations in square feet or acres: 14. Ide%itr the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline [I Forest ❑Agriculturallgrasslands ❑Early mid-successional ❑ Wetland ❑Urban ®Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO I YES by the State or Federal government as threatened or endangered? ❑ 16.Is the project site located in the 100 year flood plain? NO i YES 1 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? [ <0 ❑YES b.Will storm water discharges be directed to established conveyance systems(runofffand storm drains)? If Yes,briefly describe: NO EYES Page 2 of 4 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: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor na Ccs. e9� Date:_ "4 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 1 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 [:1 �--{ regulations? u 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? L� EL 4. Will the proposed action have an impact on the environmental characteristics that caused the F1 establishment of a Critical Environmental Area(CEA)? 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: F a.public/private water supplies? b.public/private wastewater treatment utilities? F] S. Will the proposed action impair the character or quality of important historic,archaeological, ❑ D architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, n waterbodies,groundwater,air quality,flora and fauna)? L._1 Page 3 of 4 r� a 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? u 11. Will the proposed action create a hazard to environmental resources or human health? El El 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. FJCheck 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 impacts. Town of Southeld-Board of Trust 'Name of Lead Agency ©ate President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Town of Southold L'VV'"CONSISTENCY ASSESSMENT,FORM A. ;1[M'1 RUM,^0-T9 1. All appiicanfs_for pern�ts* including Town of Southold ageh ies; shall. complete,this iX for proposed a-'-1s`that are:siibjet t to the Town of,;Southold Want"Consistency Review Law. This assesg erk is Mdea to sttpplentent other�ifonua6on,used by a 'To-vNn of SouthoI&agency in InAdm a' ietciiziiatzan of ctirisisten'cy *& ep� nzinrnrpfi atfc�rs`iiurfing ralda�z ' ?errrsrts and other tniit6terWa er Mh*,,not Id4&d,"A ti-the`Cd -)7,ioivis '0ar4Area. 2. Before wering-the 'questions in Section C, the patefiar of"tom-_ ftn�aqpld review thenG r action fist,policies and,o ilan tint 'each.p i c ed in'�Tomm of SouthQkl,Local - 4erfxont bene ti�fal � "alF3� wilt"beui as to its sT nficat ;andAd�eise effects upon the cci t'area Nbfeliincludesall of&Aold'jomm . �- If any,question,ih:,Section Cort this,form is 44Mgrrf-, ryes"or"no", the proposed action will affect tlie,t+chi re ed of t 'LWIRP PWIC `_St�n"'and,c6ndiidit containe i in the cd �Y mew<law., T I m each, &must bel l ' .in$ aboth.su o Wand non- sufiportii� l�€� ::If an:a i rt nnot`b ,ce ea as cot stent with Vii~IE4i?RP`policy'standards:anti �aditiQx�s;it'sIial�aa�iF.h'et uudaeri, A copy of the L is°avaiJAle in the fillowuigp,Ia,'ti at the To-% of Soutiiofd's t tisit ( ih6ldigwn uq,r net),the 13tta rl of 1�te s.in ce;,E 1a7»g Dent,all local fibrarids and4it e Town Cterk's office., R DESCRUMON OF SM AND PROPOSED AMO s 7 PROM The App tion has been.submitted,#o(c :aplaimipriate s oris }; T'o ,$oard, EJ PIaanningiBaard❑ IluildingDepty ❑ Qatl of Trustees' L 'Cdeg'PryofTOm,ofSoudiWd,�gencyac6n°(ickVptopd (a) Action andrt en-di w6,by to"agpnq(e.g:tapiW Qj constru+ctiogplamm�g".activity;agency . tion land transac4m) ❑ (b)' Financial assistanco(e.g"grarnt,loan,,subsidy) (c) Fern*approval,license,cetti&atf6w ❑ Nature and_octent of action: 011 I�e(•T S 1.A Ij �tl�`�CiSf � G_Y11� �o L't� It Y1Ci ��C� Fria I �, S L -iYa (f-� ��<.i���nil CNi� ��ef'C, 61e4 . i i Location of action: (`�" 1 +,� �„ iv, C4 Via, ��a 1� jai � t�'r k�� r Site acreage: '-7 .3 - Present land use:., 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:, 4 ' (b) Mailing address:_.,,— c ~ 6 �V'� d' � al�+�r , (c) Telephone number:Area Code (d) Application number,if any:_ Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes 11 No E If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure; makes beneficial use of a coastal location, and minimizes adverse effects of development. See LV*RP Section III—Policies; Page 2 for evaluation criteria. Ryes ❑ No ❑ Not Applicable � t�-I-r�' ,,!' ��_3_ �s.�t(i � Q'� �:t�9'i �y����t, t- (�'� � �'�, •� � j �_!�/i-f-� - Attach additional sheets if nek6sary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—,-Policj' s Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No,;z Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes No [jNot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria u `Yes 11 No D Not Applicable isl Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes 0 No 2Not Applicable Attach additional sheets if necessary - -- Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes 0 No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section In — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [] No NApplicable Attach additional sheets'if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access,to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YesEl l No S�fNot 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. Se WRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary — Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No'ef Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for,ewa1, ation_criteria. ❑ Yes ❑ 'No ,6fApplicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; P ges 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable Created on 512510511:20 AM PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 Betsy Perkins Paralegal Julia Spanburgh Julia Schade February 18, 2021 n� Board of Town Trustees FRECE � E UTown of Southold PO Box 1179 19 2021 Southold,NY 11971 Southold Town RE: 2400 Minnehaha Boulevard, Southold (Gu mpP4 Board of Trustees SCTM: 1000-87-3-58 Dear Board members: Per the request of the Trustees,please find an Administrative Permit application to the Southold Town Board of Trustees and a check for the balance due in the amount of$50.00 made payable to the Town of Southold. Thank you. Very truly yours., C, Patricia C. Moore rn a PCM/jms