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HomeMy WebLinkAboutMoylan, Timothy & Mary Per prat e� kbcv Office Use Only , _Coastal Erosion Permit Applicatio _Wetland Permit Application Administrative Permit _Amendment/Transfe/Ext nsion eceived Application: � � � � `'7 eceived Fee:$ �5 Completed Application _Incomplete d _SEQRA Classification: N Type I Type H ®U6 212 Unlisted �'� �'� ' �L dination:(date sent) _ LWRP Consistency Assessment Form ' Tor,,q T- _CAC Referral Sent: _Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: echnical Review: Public Hearing Held: Resolution: Name of Applicant Timothy and Mary Moylan Address 3090 Equestrian Drive, Boca Raton, Florida 33434 Phone Number:( ) (561)213-7736 Suffolk County Tax Map Number: 1000 - 97-6-12.2 Property Location: 1075 Harbor Lane, Cutchogue, NY (provide LILCO Pole#, distance to cross streets,and location) AGENT:Mark Schwartz,Architect (If applicable) Address:PO 933, Cutchogue, NY 11935 Phone:(631)734-4185 Bc i of Trustees Application ' GENERAL DATA Land Area(in square feet):Gross:49,080.6 sq. ft., Net: 30,885.8 sq.ft. (-wetlands) Area Zoning: R40 Previous use of property:single family residence Intended use of property:single family residence Covenants and Restrictions:IlYes _E_No If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes _ ✓�No If"Yes",please provide copy of decision. Will thi ject require emolition 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 Yes_nNo Prior permits/approvals for site improvements: Agency Date • No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or su d by vernmental agency? No Yes If yes,provide explanation: Project Description(use attachments if necessary): garage wall and roof, in back,to be raised up for alterations and interior expansion. New windows and doors on back side, interior structural changes. (no expansion) Bc i of Trustees Application, WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: garage wall and roof, in back,to be raised up for alterations and interior expansion. New windows and doors on back side, interior structural changes. (no expansion) Area of wetlands on lot: 18194.8 SF square feet Percent coverage of lot:37.1 % Closest distance between nearest existing structure and upland edge of wetlands:88'(porch) feet Closest distance between nearest proposed structure and upland edge of wetlands: 106' (alterations) feet Does the project involve excavation or filling? M NoF-1 _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:+/-6% Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): The proposed work shall have a positive impact on the wetlands and tidal water through the installation of drywells to control water runoff, PROJECT 10 NUMBER 617.20 SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by A)plicant or Project Sponsor) 1.APPLICANT/SPONSE 2.PROJECT NAME 4 JC ke Z._ 3,12ROJECT LOCATION: r Municipality CuG 4(/g County �.1 vl' 4,PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide maD f 0 7f' H-IJe 4 ax C, A-tie , /ld f ',ro&,Trl o m ,4 o A.., ae so 5.IS PROPOSED ACTION: UNew L/ Expansion ❑Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: �X eoiti0 2 do I= .,c�/ ovc&-j 7.AMOUNT OF LAND AFFECTED: Initially . D Z. acres Ultimately D Z acres S.WIL ROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes W No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [EfResidential Industrial Commercial Agriculture r_1 Park I Forest/Open Space Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGE CY (Federal, State or Local) Yes =No If yes, list agency name and permit / approval: 9 Pi G tf 1 6 0/C,0 acv G DAA 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? 17Yes o If yes, list agency name and permit / approval: 12. AS AEF4ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? es No 1 CERTIFY THAT THE INFORM A NBOVZS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sp r e Date: f�� Signature- I elli If the ac ion a Costal Area,and you are a state agency, complete the Coa Assessment Form before proceeding with this assessment PART 11- IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE i THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAR El Yes Q No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes a No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use ofland or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly: C7:Other impacts(including than es in use of either quantitX ort a of energy? Lx2lain briefly:—' - D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ' ENVIRONMENTAL`AR (CE-A)?--(If Yes,explain bdefl : Yes a No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: Yes a No PART 111-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain - sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked M the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box If you have Identified one or more potentially large or significantadverse impacts which MAY occur.Then proceed directly to the FU EAF and/or prepare a positive declaration. Check this box If you have determined,based on the information and analysis above and any supporting documentation,that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Board of Trustees p , Name of Lead Agency Date _President - p 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) B<, i of Trustees Application;' County of Suffolk State of New York ,q&, r/ Z- BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SIAE 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 AGENTS) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSP E PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPL ION. Sign tur SWORN TO BEFORE ME THIS 15- DAY OF bV ,20 �— Notary Public VICI TOTH Nota bli tate,of VICKI TOTH . i 61 Notary Public State of New York Q�al d in `roils i', No.01Y06190696 Commn Expires h;l,�, Qualified in Suffolk County Commission Expires July 28,20 �� De G and of Trustees Applicatii- AUTHORIZATION (where the applicant is not the owner) I,_ _ �0 /�' l d residing at to Lloe ( rint owner f prorerty (mailing address) t _/7G f,1) G _do hereby authorize jJ (Agent) /A( Yc for r (o apply G✓�'J2 tpermit(s) from the f Southold Board of Town Trustees on my behalf. O e s 'gnature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of South;W's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose o) this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: 44 O O (Last name,f name,jriddl initial,unless you are applypifig in the name of someone else or other entity,such as a company.If so,' dicate the.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the ares. YES NO Ifyou answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title br position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): EJA)the owner of greater than 5%of the shares of the corporate stock of the applicant L1 (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the 4 applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitte d of 200 LZ Signature A / Print Name Form TSI L---/ v 3 Town of Southold M ® y L 4 1(1 7Y LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. rr; A copy of the LWRP is available in the following places: offiin n�otlot-hold's website (southoldtown.northfork.net), the Board of Trustees 11 -t e.Za nning Department, all local libraries and the Town Clerk's office. NOV 16 Z B. DESCRIPTION OF SITE AND PROPOSED ACTION I SCTM# 97 _6 _12.2 couthold Town I board of Trustees The Application has been submitted to(check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees 0 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan, subsidy) (c) Permit,approval,license,certification: Nature and extent of action: garage wall and roof, in back,to be raised up for alterations and interior expansion. New windows and doors on back side, interior structural changes. (no expansion) � 1 1 Location of action: 1075 Harbor Lane, Cutchogue, NY Site acreage: 1.13 Present land use:single family residential Present zoning classification: R40 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:Timothy and Mary Moylan (b) Mailing address:3090 Equestrian Drive, Boca Raton, Florida 33434 (c) Telephone number:Area Code( )(561)213-7736 (d) Application number, if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No M 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 LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No E (Not Applicable-please explain) This project entails relocating, additions and alterations to the existing single family home in a heavily developed neighborhood. Policy 1 is not applicable to the project. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes❑ No 0 (Not Applicable—please explain) The subject property does not contain nor does the project affect historic or archeological resources; nor is the project located in a historic maritime area. Policy 2 is not applicable to the project. r 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—please explain) To the extent that this policy is applicable to the proposed project, visual quality and scenic resources will be protected at the site through the protection and maintenace of the well vegetated area buffering the developed portion of the site from the tidal wetlands of Eugenes Creek. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No 0 (Not Applicable—please explain) The project does not address nor affect erosion control structures or other erosion/flooding control initiatives. Policy 4 is not applicable to the project. Attach additional sheets if necessary Policy 5.' Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑✓ Yes ❑ No ❑ (Not Applicable—please explain) The proposed project is consistent with Policy 5 via installation of a drainage system of drywells to control, manage and recharge stormwater runoff Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑✓ Yes ❑No❑ (Not Applicable—please explain) This project will be consistent with Policy 6 for the same reasons described for Policy 5; because there will be no loss L of wetlands and because the statutory r6 regulatory requirements of both the SOL-,.:.:J Town Trustees and the New York State Department of Conservation will be complied with. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. See Section III—Policies Pages; 34 through 38 for evaluation criteria. ❑ Yes ❑No❑✓ (Not Applicable—please explain) The project will neither affect nor have an impact on air quality in the Town of Southold, Policy 7 is not applicable to the project. 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—PoIicies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No ❑✓ (Not Applicable—please explain) The project will neither create nor rrequire the handling of solid waste or hazardous substances. Policy 8 is not applicable to the project. 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 0 (Not Applicable—please explain) The project is limited to the upland portion of the property, public access and recreational use of the adjacent coastal waters and public lands and resources will not be affected by the project. Policy 9 is not applicable to the project. Attach additional sheets if necessary WORKING COAST POLICIES ,V T Policy 10. Protect Southold's water-dependent uses and promote sitinL - new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages.47 through 56 for evaluation criteria. ❑Yes ❑ No ✓❑ (Not Applicable—please explain) The project neither proposes nor affects water-dependent uses. Policy 10 is not applicable to the project. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No❑ Not Applicable—please explain The project neither proposes nor affects commercial or recreational fisheries or other uses associated with the living marine resources of Long Island Sound. Policy 11 is not applicable to the project. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No❑ Not Applicable—please explain The project site is neither situated on nor adjacent to agricultural lands. Policy 12 is not applicable to the project. 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 D Not Applicable—please explain The project affects neither the use nor development of energy and mineral resources. Policy 13 is not applicable to the project. -- FEE �.:= TOWN OF S®UTFI®LD 1-0 7 6 BOARD OF TOWN'•TRUSTEES . P.O.BOX 1179 - - - SOLITHOLD,NY_11971_ 50-666-214 - _ Q�ff E December 12, 2012 - _ Mark Schwar-'t�z I :50.00 PAY,TO TM OF lars and 00/100 f ------------------ IIFifty Dol -------------------------- ®LA r N:Z=Brndgehampron National Bank ` ®► 849]0 ROAD 1 9GUiMCLD,G,N NY 1IB]1 wm bridgenb com - - g®j� Application- Refund-Moylan 97-6-12.2 M, limb L07611'+1:0 2 & ,06667x: 050003-5 L NOV 16 2012 T I T L-E "C>. n-t 14. nit - S- •L9 t 81 � Iii T�lerar2 pRo PoSEp X00 F mole-i'1,ER T,4,9 LOT 7/ TAX LoZ » is ��_ � L— m7 L—s tz- O JN I�I•L S'tY FR. \ 44 p�CM..-.6'o.JT \�� RSP PROX N1C�P{ �a14 TVR 11 t • OWEIL ING J` C e J. C.. < VQO SS OL..aE=C�E oC W Self—1 TA-I LoT I-.L d S �v � 1 �a"'� sTE•PS TAx LoT t'L.'L v J Ip ...."� - J �; o. v ,/ cuC�MT o� �u1►Y l �• 9d �'�oe- �'v 1 TIELIUE AL.Q"C- Q f {.11L•So•M�"E 45e.e1 �0 t [aewri o�wt 1. 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HOLZMAN L.S. 2011 UNATHORIZED ALTERATIONS OR ADDITIONS TO THIS SURVEY 19 A VIOLATION OF SECTION 77011 OF THE NEW YORK STATE EDUCATION LAW. •:�i(`^ , �.\Q LICENSED LAND SURVEYOR, N.Y.S. LIC. # 49176 COPIES OF THIS SURVEY MAP NOT SEARING THE LAND SURVEYOR'S INKED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. ,(/ FF�� v CERTIfICATIONS INOICATSD HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON THEIR BEHALF TO �•+�, LA 0 THE TITLE COMPANY,OOVERNMlNTAL AGENCY AND LEADING INSTITUTION LISTED HEREON,CERTIFICATIONS ARE NOT TRANSFERABLE TO \./�_. 1029 WILLIAM F L O Y D PARKWAY, SUITE 3, SHIRLEY, N Y 11967 ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. THE OFFSETS FROM PROPERTY LINES SHOWN HEREON ARE NOT INTENDED TO GUIDE IN THE ERECTION OF FENCES,RETAINING WALLS,POOLS, PHONE #: 631-281-0162 FAX #: 631-281-0292 BUILDINGS.ADDITIONS,AND OR OTHER CONSTRUCTION. 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