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TR-10099
Glenn Goldsmith,President DoE so�Py Town Hall Annex A. Nicholas Krupski,Vice President ,`O� Ol0 54375 Route 25 P.O. Box 1179 Eric Sepenoski J�L Southold, New York 11971 Liz Gillooly G Telephone (631) 765-1892 Elizabeth Peeples �ol�� �� Fax(631) 765-6641 cou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction Y2 constructed When project complete, call for compliance inspection; -------------- SLIP . OP PRORWT*-- rAT �PECOMCIr 11 1111 TOW OF SOUTHOLD � SUFFOLK COUNTY, N Y 1000-8�— -0�' Lu� SC 1'=30' BUILDING DEPT. _ J+WUARY i•4,2 TOWN OF SOUTHOLD 2002(ADDMOAPS) DECEMBER 2,.2010(SOUND# S,&FLOOD ZONE) FFBA 2011 (REWma V) R"ma APRIL 7, 2011 (ADDr77aVAL SoAVAICS&RflM. Doer) MAY 9, 2011 (REVls om) DECEMaFR 6, 2016(REMONS) JUNE N, 2017 ) WE y Southof Towne ��j3D1 Board of usteestic� s �a O alo a 3 2 0& D172•Qr _ CW. / ret l5 lea zo vm Sm ftv 24 AM CM ¢M 1� i9 Sry-I pj 96' air lap' 14, �3A.3A ,, iL�W� 4LE1VlDV Vb 5rW g � u t rn w USLITY p POLEOEM rt�®R; EinOULP rt rt 657E Y o .. ` Z rgR !! E113& _t•tf1Cl �ejCq a Et0 3g - pts gAllo ' �j r a M77� 0 Low I� 4 APPROVE® M f -BOARD OF i RIJSTE 5 TOWN`®F-SOUTH! J. s ► --�— DATE 179,35, �T FjYd'S 76.8r. S811C WAY 20 � 3 r a 6 ` INDIAN NECK fid). CERTIFIED TO TIMOTHY A. BURKE NANCY 1, DuRKE 0=REEAR Et1l1 PdT A65TRAGT, INC. GO}."ss1L'NWEALTH LAND T"LE IN5UP,ANGE Wk&ANY 0=PIPE 0=40NUMENT FLOOD ZONE FROM FIRM MAP NUMBER 36103C0162H SEPTEMBER 25, 200.9 ANY AL TEKATiON 4JR A[mt3l�t TO TtitS SCVEY Is A 1d.Y.S. LIC !ti0 49618 V 1O�Ti°I' cT1011 720'1 OF Tl g tib! YORK 5TA T E ECG/�1C SJ ✓EYGRS, P.G EDUGAT{ON LAW. EXGEP-r A5 PE, SECTION (631) 765 - 5020 FAX.-(631) 765-1797 VALID FOR T 5191 2 ALL G�TIFIGATIOtdS I ERECAV f 6ff �y�y VALtD FOR TfiiS ANAP Ahtp Lpp1E5 THEREOF pa_Y IF 5AID A=22,680 Sp P d. BOAC 909 SI V C> IWh6 SESStGhlgftp I SS FOAL 'PE TO TIS' LINE 1230 TRAVELER SmEET SOUTHOLD, My 11971 ®j®2 9' 4 °r1' : - e V •li�•r -! •,de J�F x ,'i�d� 4 �,,°d r 4`4J4Ji � I�� :_ J •d ♦ •' Y a�,�° Vp - a �Y: a<11 ya al J•�'�S ` C;. .``n a�f.. .,T,V..,.........../ 1.:•W.�l.e.U.J.._..tiE\.K:'„Sb.W.DIJ_,:....a.......:rb2X+LYS:':J,Sk.!ar1Z.J7wR✓..+Z:....,..2�.-fu..:o.;.L..W;,g;:,.X.f...,r...�2�Y..J:,.,,. nI._.ai )/9rti.n@'.,�/9C..._+;He1.,.�:.,,2tv.Xl 2"sf.'17 �i BOARD OF SOUTHOLD TOWN TRUSTEES P. SOUTHOLD, NEW YORK ' .` �gJo � Fh ~•a j PERMIT NO. 10099 DATE: MARCH 16, 2022 ISSUED TO: TIMOTHY & NANCY BURKE 1= ' PROPERTY ADDRESS: 625 WOOD LANE,PECONIC SCTM#: 1000-86-6-7 3 j AUTHORIZATION '"',° Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in G: r§ accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 16, 2022, and in v ><< ' consideration of application fee in the sum of$250.00 paid by Timothy & Nancy Burke and subject to the i= Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits I � ,°,,e x`• the following. ,•4�. 4 f8tj Wetland Permit for the existing 1,332.25sq.ft. one-story dwelling including an as-built 10'3"x11'10 '/Z" one-story wood framed mudroom attached to landward side; and for an as- built±11'9" s-built±11'9"wide by 20'5' long section and 10'10"x16'11"section of trellis that wraps around the westerly side of dwelling; and as depicted on the survey prepared by Peconic Surveyors, !. P.C., received on January 18,2022,and stamped approved on March 16,2022. U IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these r' 1 resents to be subscribed b a majority of the said Board as of the 16th da of March 2022. P Y J h' Y � •e+,Jll � 'i!'•ii6�6•r' r O y ? I I � "W", V—'AL' 1 i N,( v +/eJ3 11°;4n" _ ,oJeJJd d+e�4>� '�`��10 Oks�°aP � rpaJ a !i°a ,.N,•,Y^!0 ai`'a8 .. :J!, d$a� SJ4� o°r� �- TERMS AND CONDITIONS The Permittee Timothy &Nancy Burke residing at 625 Wood Lane, econic,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. That the said Board of Trustees and the Town of Southold are released from any and all darnages, 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 anyxights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President `�®F S0 Town Hall Annex A. Nicholas Krupski,Vice President ,�®V� ��® 54375 Route 25 P.O. Box 1179 Eric Sepenoski d Southold,New York 11971 Liz Gillooly C12 4hcTelephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 22, 2022 Joan Chambers P.O. Box 49 Southold, NY 11971 RE: TIMOTHY & NANCY BURKE 625 WOOD LANE, PECONIC SCTM# 1000-86-6-7 Dear Ms. Chambers: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 16, 2022 regarding the above matter: WHEREAS, Joan Chambers on behalf of TIMOTHY & NANCY BURKE, 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 January 18, 2022, 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 March 16, 2022, 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, 2 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, 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 TIMOTHY & NANCY BURKE for the existing 1,332.25sq.ft. one-story dwelling including an as-built 10'3"x11'10 '/z" one-story wood framed mudroom attached to landward side; and for an as-built ±11'9" wide by 20'5' long section and 10'10"x16'11" section of trellis that wraps around the westerly side of dwelling; and as depicted on the survey prepared by Peconic Surveyors, P.C., received on January 18, 2022, and stamped approved on March 16, 2022. 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.) Fees: $50.00 Very ruly yours, Glenn Goldsmith President, Board of Trustees GG/dd Glenn Goldsmith, President g11FF0(I- Town Trustees A Nicholas Krupski, Vice-Presidenty = 54375 Route 25 Eric Sepenoski o "' P.O. Box 1179 Liz Gilloolyao�� Southold, NY 11971 Elizabeth Peeples of ' ' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: TIMOTHY & NANCY BURKE c/o JOAN CHAMBERS Please be advised that your application dated January 18, 2022 has been reviewed by this Board at the regular meeting of March 16, 2022 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) 18t Day of Construction ($50.00) % Constructed ($50.00) x Final Inspection Fee ($50.00) - 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 Chapter275 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: TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees Glenn Gold; 1,President iy���� 2 Town Hall Annex A.Nicholas Krup iei;dice President 54375 Route 25 Eric Sepenoski y , P.O.Box 1179 Liz Gillooly � ® ��� Southold,NY 11971 Elizabeth Peeples �� �� ' Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time:IqI ZZ Completed in field by: E, Px_eo�cA Joan Chambers on behalf of TIMOTHY & NANCY BURKE requests a Wetland Permit for the existing 1,332.25sq.ft. one-story dwelling including an as-built 10'3"x11'10 Y2" one-story wood framed mudroom attached to landward side; and for an as-built ±11'9" wide by 20'5' long section and 10'10"x16'11" section of trellis that wraps around the westerly side of dwelling. Located: 625 Wood Lane, Peconic. SCTM# 1000-86-6-7 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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: lick cud 6W&e ce�,d,t;o� v�oy►--4-t,t-� I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: V G. Goldsmith ✓N. Krupski ✓E. Sepenoski `� L. Gillooly ✓ E. Peeples Other SVR rAT 0 F, p OPSAY PECONIC TOWS' OF SOUTHOLD SUALEL 1" 6- ` BUILDING®EPT, JAN 1 8 2022, � 00 a{K 2002„,� � TOWNoe souTaoLu ! 0ECAWHER 2, 2'017 0(sauN,0jVGS&FLOOD Z0,4E) FEB.11, 2011 (REMav) Southold Town AML 7, 2011 (ADD177CWAL Sau1W.,NOS&aRM DOCK) Board of Trustees AIAY 9, 2011 ( ,tWaVS) DEt FM ER 6 2016( B) VNE 14, 2017 a vim`0 �,o�'�73 �gC►�9a� � e� 14-72.46 Oilm DECK noofl Y wa ti£ ROD stags 4 �b 2aS r. �< qs iFam T s gra a a� .� enuE. � ��X � q Bly tat• W U f8it F71 t uT FE PME ELM M ix X 10 NX zee UAU77' pr Z F FE u rn'ay f � 9 I � �s J"N , 0.3 yI J s 179,35' D.i - SFIJT N L NL CaaiT SET' F O•' JE3.�, REQ Sal 10 RG I' @,�� WAY __.. hJ '20 qr r Cf INDIAN XEC CERTIFIED TO TIWDTHY A. DMKE NANCY I, BURKE 0=REBRr2 EMINENT AD5TAACT, INC.. C-00'�'0PM'EALTH LAND TITLE INY, ANGE C O 4I'ANY 0=PIPE 0=N0NUhtENT FLOOD ZONE FROM FIRM ASAP NUMBER 3610.3C0162H SEP0.`BER 25, 2009 ANY ALTERATION OR ADOETj(M TO TH: �iNV-YS. IG. NO 44-9618 YIOL-AT'—j, o' :�cort �zoa oF: Tam EW Y I5TATE ECON#G S91 P.C. AStt?;Vlsioas ALL ERTO SCIFICATIOf6 HERECN ARE (63)) 765 — 5020 FAX-(631) 765-1797 VALID FOR HatsUAp ti aEs Tt-tEu AREA=22 ti: SA IO ,580 Sp P. O. BOX 309 kw Oct co�I�s Avz T[iE Ir Es Ec, 5EAAL of ,a.e To TIE' LINE1230 1RAPELER srREEr �] Q Sth�VEY4� 1�JP'h75E SI6AATlRE APPeAP.S FEREOhLCl 8 SOUTH0L0, R.Y. 11971 i i i i I ITCHE LIV. RM. O BEDRM 1 I I SUNPORCH. i I MUDROOM DIN. RM. \j DEN \/ BATHRM 11 ' I] BEDRM 2 ' I _ @URKE RESIDENCE VC]\ II i 625 WOOD LANE BATHRM 2 _ PECONIC -- SCTM# 1000-86-6-7 o I I E c E v EXIST. FLOOR PLAN i1/4" =1'-0" 3.3.22 I 1332.25 SQ. FT. VAR - 3 20Jul y � I I _ I 5o�€thold Tov�rn Board of Trustees 28'-8' BURKE RESIDENCE 625 WOOD LANE PECONIC N.Y. EXISTING: SINGLE FAMILY RESIDENCE SCTM# 1000-86-6-7 ZONE R-40 .55 ACRES ;r r PROPOSED: AS BUILT MUDRO©M; ARBOR, 4#0&w66" - ' --•- --- -.._ .__- - - ---- - it - GENERAL NOTES 00 1. All work shall conform to the requirements of the Residental Code of New York i� Slate, County and Town Department Regulations, Utility Company requirements and bast trade practises. 2, Before commencing work the Contractor shall file all documents required by the Building Department, pay all fees required by local agencies and obtain all required ARBOR o ! , permits. 3. The Contractoe shall visit the site and verify all dimensions and the existing conditions affecting the work prior to construction. Any discrepancies which would Interfere with the satisfactory completetion of the work described herein shall be reported to the architect or property owner. Do not start work until such conditions ' have been examined and a course of action mutually agreed upon. Follure to notify 0 the owner or architect of unsatisfactory conditions will be construed as an acceptance a = of the conditions to properly perform the required work. O 4. All work is to conform to the drawings and specifications of the architect and i engineer consultants, 5. The Contractor Is to maintain a complete and up to date set of plans on the rl� job site at all times 6. The drawings are not to be scaled under any circumstances. j� 2X8 RAFTERS 2X10 BEAMS 7. It shall be the Contractor's responsibility to ascertain all prevailing procedures Including storage and toilet faclliUes,protection of existing work to remain access to work area, hours of permitted work,availabilitv of water and electric power and all 5/8" THREADED STEEL ROD TYP. other conditions and restrictions for this particular location in order to execute the IN 8ROUND COLUMN EXISTING work In a careful and orderly manner with the least possible disturbance to the public. ANCHORED TO 14" CONC. PIER HOUSE S. The Contractor shall make the neccesary arrangements to utilities and services temporarily disconnected while performing the work as required. 9. The Contractor shall provide all dimensions and cut-outs for other trades, 10. The Contractor shall provide proper shoring and bracing for all remaining structure prior to removal of existing structure. 11. Plumbing, electrical, HVAC and similar work shall be performed by licensed persons who shall arrange for and obtain all required inspections.The General 2x8 ROOF RAFTERS Contractor shall be responsible for scheduling all other inspections as required, 12. The Contractor is solely responsible for construction safety and shall hold the 16" O.C. I owner and architect harmless from litigation arising out of the Contractor's failure to provide construction safety means and methods. o^r ARBOR MUDROOM cn NOTE: t EXISTING ARBOR IN THIS I N 2x$ COLLAR TIESI LOCATION WILL BE REMOVED FASTENED TO TOP 4; F I _1 — PLATE TYP, ?, A-103 MUD ROOM AND ARBOR PLAN Esc "' 8, I A-104 MUD ROOM SECTION AND ELEVATION W ti I I MUD ROOM & ARBOR PLAN - — — — — 2'-8" x 6'-1" W/ 2'-8" x SCALE AS NOTED 8.18.21 5'-1•, W/ _ _ 2-8„ x i-9-1/4 2'--8".x 1'-9-1/4" - - - - TRANSOM TRANSOM IS J,S �� A 103 4 -_1 0" 8'-101" 1 1'-1011, % /4" V-0" 8.18.21 JAN 18 2022 OF 2. REVISED 9.27.21 77006 �* Southold Town ^S PO BOX 49 -u JOAN CHAMBERS SOUTHOLD NY 11971 631-294-4241 BURKE RESIDENCE 625 WOOD LANE PECONIC N.Y. EXISTING: SINGLE FAMILY RESIDENCE SCTM# 1000-86-6-7 ZONE R-40 .55 ACRES �! ,i i 1� �I LI I PROPOSED: AS BUILT MUDROOM, ARBOR, 111111i GENERAL NOTES 1. All work shall conform to the requirements of the Residental Code of New York Stale. County and Town Department Regulations, Utility Company requirements and best trade practises, 2. Before commencing work the Contractor shall file all documents required by the Building Department, pay all fees required by local agencies and obtain all required Permits, 3. The Contractor shall visit the site and verify all dimensions and the existing conditions affecting the work Prior to construction. Any discrepancies which would interfere with the satisfactory completetion of the work described herein shall be reported to the architect or property owner. Do not start work until such conditions e been examined and a course of action mutually agreed upon. Failure to notify SOUTH ELEVATION ""he'owner or architect of unsatisfactory conditions will be construed as an acceptance 1/4" = V-121" 8.18.21 of its conditions to properly perform the required work. 4. All work Is to conform to the drawings and specifications of the architect and REVISED 9.27.21 engineer consultants. 5, The Contractor Is to maintain a complete and up to date set of plans on the job site at all times 6. The drawings are not to be scaled under any circumstances. 7, It shall be the Contractors responsibility to ascertain all prevailing procedures Including storage and toilet facllities,protection of existing work to remaln,access to work area, hours of permitted work,availability of water and electric power and all other conditions and restrictions for this particular location in order to execute the work in a careful and orderly manner with the least possible disturbance to the public. S. The Contractor shall make the neccesary arrangements to utilities and services ASPHALT/FIBERGLASS SHINGLES temporarily disconnected while performing the work as required. ROOFING FELT h ASPHALT/FIBERGLASS SHINGLES 1/2" COX PLYWD. SHEATHING ROOFING FELT 9. The Contractor shall provide all dimensions and cut-outs for other trades. 2-202 RIDGE 1/2" COX PLYWD. SHEATHING 10 The Contractor shall provide proper shoring and bracing for all remaining structure 2X8 RAFTERS 0 16" OC 2-2x12 RIDGE prior to removal of existing structure. 2X8 COLLAR TIES 2X8 RAFTERS @ 16" OC 2X8 COLLAR TIES 11. Plumbing, electrical, HVAC and similar work shall be performed by licensed persons who shall arrange for and obtain all required inspections.The General Contractor shall be responsible for scheduling all other inspections as required. 2X8 RAFTERS 12, The Contractor is solely responsible for construction safely and shall hold the owner and architect harmless from litigation arising out of the Contractor's failure to 2X10 BEAMS r provide construction safety means and methods. BOARD SIDING C C EDAR SIDING 5/8" COX PLYWOOD SHEATHING 2x6 STUDS @ 16 O.C. W/ R21 HD INSULATION PRWS 3/4 T&G @ INTERIOR A-103 MUD ROOM AND ARBOR PLAN A-104 MUD ROOM SECTION AND ELEVATION -5/8" THREADED STEEL ROD TYP. IN 8" ROUND COLUMN ANCHORED TO 14" CONC. PIER X6 ACO SILL BOLTED TO MUDROOM ELEV & SECTION CONCRETE SLAB SCALE AS NOTED 8.18.21 U -4 ---- - - a� y� I ! �0 I - A 104 Cn E C E 0 Is E L - .J OF SECTION JAN 1 8 2M 77006 1/4" = V-0" 8.18.21 REVISED 9.27.21 Southold Town PO BOX 49 Board of Trustees JOAN CHAMBERS SOUTHOLD NY 11971 631-294-4241 4 ` "f t . i k w rs M �" �t . 4 •t� ry 4 J j wri Ys «. .r , �ty� 44. 77 i r i 1!!.A it 0 sea � � ■i' .Ir n � p �a r . H 'E. rE� AX5 BEE Ec. EE 6EC NO D76 wE EG N0.0 . LIE lO "'o .0 'Irtar 22Al) 4 Pe % "90 2. ,% v, < I vt V.. kt A % "t % ob 's 2. 14,216 'o TOM OO- 77 7 E9K 0 OR 7 4A "go ......... 'j 2 olN ftow A oo To 4- t 41 I'A z TA" ,4'\ o, 00 14 R 4�1 IE L IN NOTICE _Z_ E 10. T.- 086 ZZj COUNTY OF SUFFOLK cn secnDN No ------- R-1 P-p—y T..6—i-Ag- OFFICE LOCATION: �� " MAILING ADDRESS: Town Hall Annex � � rk P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 P 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, AICP LWRP Coordinator Date: March 15, 2022 Re: LWRP Coastal Consistency Review for TIMOTHY& NANCY BURKE SCTM#1000-86-6-7 Joan Chambers on behalf of TIMOTHY& NANCY BURKE requests a Wetland Permit for the existing 1,332.25sq.ft. one-story dwelling including an as-built 10'3"x11'10 '2" one-story wood framed mudroom attached to landward side; and for an as-built±11'9" wide by 20'5' long section and 10'10"x16'11" section of trellis that wraps around the westerly side of dwelling. Located: 625 Wood Lane, Peconic. SCTM# 1000-86-6-7 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 INCONSISTENT with below Policy Standards and therefore is INCONSISTENT with the LWRP. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 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. The mudroom was constructed without proper permits. How the outdoor shower drains is not shown. 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 John G. Stein,Chairperson Town Hall,53095 Main Rd. Lauren Standish,Secretary r 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 Wed., March 9, 2022 the following recommendation was made: Moved by Maggie Merrill, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of TIM & NANCY BURKE to construct a 10'3"X 11-10.5" one-story wood framed mudroom attached to south side (landward) of existing house. Existing unroofed arbor on the west side of the mudroom and the arbor continues for 17' along the west side of the residence. Located: 625 Wood Lane, Peconic. SCTM#86-6-7 Inspected by: Maggie Merrill, Caroline Burghardt The CAC Supports the application and recommends the installation of gutters, leaders and drywells to contain stormwater run-off. Vote of Council: Ayes: All Motion Carried Cantrell, Elizabeth From: Joan Chambers <joanchambers10@gmail.com> Sent: Thursday, March 3, 2022 4:01 PM To: Cantrell, Elizabeth Subject: Burke Attachments: BURKE 3.3.22.pdf As requested please find attached a copy of the existing floor plan( one story) of the Burke Residence at 625 Wood Lane in Peconic. I have added the total sq. foot of the first floor and also added dimensions of the arbor that connects to the mudroom and wraps around the west side of the house. If you need more dimensions please let me know and I'll get them to you right away. Thank-you, Joan Chambers ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i i I I 1 ITCHE n LIV. RM. I BEDRM 1 I I SUNPORCH. MUDROOM cl i DIN. RM. \ DEN BATHRM 1 l < 000, BEDRM 2 a ' I BURKE RESIDENCE 625 WOOD LANEBATHRM 2 IP 11 U PECONIC oCTM# 1000-86-6-7 C EXIST. FLOOR PLANTAR — 3 20 1/4" =1'-0" 3.3.22 IIS\ � i 1332.25 SO. FT. z \ Southold Town � Board of Trustees - -- -- - i Glenn Goldsmith,President 16 Soon�. Town Hall Annex A.Nicholas Krupski,Vice President ` 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 Michael J.Domino Telephone(631) 765-1892 Greg Williams y �� "` Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application C E i vE Wetland Permit Application Administrative Permit Amendment/Transfer/Extensi4n JAW 181 7_022- -/—Received Application: 1�jg,ZZ Received Fee: $ SoutRd Town =Completed Application: I .2?/ kustees Incomplete: SEQRA Classification: Typel Type Il Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): JLWRP Consistency Ass sme t Form Sent: 2Z �,,C-AC Referral Sent: V Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: — Resolution: ( ) g Property ) � &!ANC j UZZl4� Owners Legal Name of'Pro ert as shown on Deed): TIM N C`I � Mailing Address: [ 4 SO CL4, F-',06-2 11 -7V Phone Number: 4 5( co— 816-"- Z LA Suffolk County Tax Map Number: 1000 - 8co , 6 Property Location: 69'2_5 W DOD L./-NC a _.FFe7 7V 4 C (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): J 0M CffA MQeKS Mailing Address: T'0 f5D X '4 -L 6DUTM LD Phone Number: a�`` 2-� Email: 1 O���1Qm�-S (0 @,� 'i'�° eGl3t sena Board of Trustees Appy'. Ition GENERAL DATA Land Area(in square feet): 22) 5 S V Area Zoning: 9—'�0 Previous use of property: S IN ) 6-LE E&Lq 1 VJ �S66(PENCE, Intended use of property: SAAB W� /C Hep m Uv&n "e l\ Covenants and Restrictions on property? Yes ✓ No If"Yes",please provide a copy. 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. 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? ✓ Yes ✓ No R(ast DENcl✓ His VA--to e.o. NM) ACCESSMEy 6'-M(JrrUP-Ae; ca k s R&vptKf- Prior permits/.approvals for site improvements: Agency Date SOU L-10 n _)to R(04 Qa D� tte<StP�GP, ZObo Co 0 IJGC1r, SoUTWw TbwrJ TKage--es tags( pERrat - pOK DCCt< N`( GTATS bz�c_ LET P, Oe NDN -,II&RI,SCXcrcOnl iS�r u C-�a O Cr 23 No prior permits/approvals for site improvements. Has any permiVapproval ever been revoked or suspended by a governmental agency? ✓ No Yes If yes, provide explanation: Project Description(use attachments if necessary): 10 '3,�< it -IQ/2 loG S,TMFA WOOD M meo rAU D ROONN 1 -Tt c n -M 'Sou-t-K SIDE (LAMOk A-R,D) o F X[,ST. ftWSZ M Awl&=� UN-K00 �t3D R o rJ -rte w e7Sr s tD E D T-We MU PRM T_(M I°tR,E3DC� CpNrt(NUES �t7� i '�r-O�r ��nSG Z�>=. tvE�T �S[bE ©F 'lit E RES 1 D&N CS , 2 Board of Trustees Appli_ tion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: -ro 0 5Tm(/J - (;'y'YTee;S F"yytV ON /kS-13u(c,= mU OROOM /--z8o R Ito STA-W .�, y-A-L�(o C - 0- oN� SIRU CTU KE Area of wetlands on lot: square feet Percent coverage of lot: I✓T - % >,CONCRwTe SeA WAL - Closest distance between nearest existing structure and upland edge of wetlands: I I feet AS-0 uwT' C0 NC(t6TE s eoWA-L- Closest distance between nearest proposed structure and'upland edge of wetlands: -J5' feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? 'Q"J cubic yards How much material will be filled? ® cubic yards Depth of which material will be removed or deposited: I-0u feet stfd �� G-RAc Proposed slope throughout the area of operations: Ft-A'f Manner in which material will be removed or deposited: V N KtJ 0 W M T{ �?��JsT(ZUC�tZt7l`1 �(= T� (riU0(Zrrl � f�2f3d(Z TbOI'� +/ S A-62 OT 13u(L.,T- 8Y co tKek3T 0 W alb 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): -rgu (mu ogmn 4 -h-fZT a F ntt, A-mot-Z A--Re o n1 -rte (moo vj&RQ (soUT+( 1 s t * OF 13fkExVM/0 6�- '�t M\�CC t- AU E N o 1 ME&& -C" v f\,3 -rt t E C KGTE�(4 W R t cH t S 13E-eoN O pc CON C(-Z.eT-6 067AWA-LG IRS WEST �SeGTt O(J OF Tt AE A('QB ( 1S L_.( KeWt s E �SePe-q ATEp FROM Tft't- c(Ze7eTtc 8l' THe eAsTi 4 6- cS tv AWA L c_ 1 i 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I -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 I-Project and Sponsor Information U Kt-c - Rus D a1G6 `` - u !, " rev D ROo r'rt. A-6JE!>0+0 Name of Action or Project: 4DIL5 WODU LANiF , pecoNtC Project Location(describe,and attach a location map): Brief Description of Proposed Action: ISS—B U t L T*' M V P RM (1'lv tft�AoVJA-Kv TA-Ctf EP F�MILY (Z,ES t OElsc� DN (se(j-r-+o 7(per 'OF P AL60 GARPei AIROR k'CT&CrM0 -t-0 W G( ;T-cSIPF. OF- MOOR01 L�Jff&_r_ �S (De7 OF e>c(6T-- (-Z6SI '>ePJC.r PROF'eP:-y (-mss (sT(FY G cS tultt�.c, . Name of Applicant or Sponsor: Telephone: j5((,— E3(5-.,3 Lf`1 JA N ANCA 8L)KKE E-Mail: +a tV rkC tActP rn4i •cDen Address: on 14R SPLcT Rock. s 0Sse--r nth W7Ct I City/p0: State: Zip Code: (3yowe-r IVB - 1C74I I.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 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: 30 UTttzL_0 TDW N. BULL-DING- De7T-• C •D ❑ 3.a.Total acreage of the site of the proposed action? o 55 acres b.Total acreage to be physically disturbed? too acres C sE - scl• �h, c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0 5�acres 4. Check all land uses that occur on,adjoining and near the proposed action. E]Urban ❑Rural(non-agriculture) [:]Industrial ❑Commercial ErResidential(suburban) ❑Forest 1]Agriculture QAquatic []Other(specify): ❑Parkland Page 1 of 4 5. 1s the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ElF] b.Consistent with the adopted comprehensive plan? ® X E 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 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 E 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 NES If the proposed action will exceed requirements,describe design features and technologies: _ ❑ AKJ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: p/ylU_0 4'_ r V f�Rd3o 1Z • 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? 9 0 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 alter,or encroach into,any existing wetland or waterbody? P;Z;iE] . If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Ideltify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑Forest [j Agricultural/grasslands 0 Early mid-successional ❑ Wetland ©Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,Iisted NO YES by the State or Federal government as threatened or endangered? 1—( 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 sources? NO YES If Yes, ❑ a a.Will storm water discharges flow to adjacent properties? ❑NO YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: [:]NO DYES 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: ❑ 24.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 IW�ORNATIION�R�OVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE I l°^'b' r C� Applieant/spon ame: I C� Date: 2 Signature:_ z 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning D regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? EJ 3. Will the proposed action impair the character or quality of the existing community? El 4. Will the proposed action have an impact on the environmental characteristics that caused the (� Q establishment of a Critical Environmental Area(CEA)? �l 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? Q L_.1 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? Ell 7. Will the proposed action impact existing: F� (� a.public/private water supplies? LJ b.public/private wastewater treatment utilities? F-1 F 8. Will the proposed actioti impair the character or quality of important historic,archaeological, F-1architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Q 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? 11. W ill the proposed action create a hazard to environmental resources or human health? EJ 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. Check 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 Southold-Board of Trustees Mame of Lead Agency Date 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 mage 4 of 4 _ i l Board of Trustees .Appla> tion AFFIDAVIT _� -. . . . .. .. ..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 MANLIER SET FORTH IN THIS APPLICATION AND AS MAY DE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE.APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEESHARMLESS 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER.ONTO MY PROPERTY AND AS-REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signatur " f Property Owner SWORN TO EFORE ME'PHISDAY OF o Public CRm t^ Ives Z�i Board of Trustees Apply ati.on AUTHORIZATION (Where the applicant is not the owner) Me, N ANCV 7? () F V-S owners of the property identified as SCTM# 1000- 86r6 " 7 in the town of O U T-�OI- ;New York,hereby authorizes J OA(� CE+Am BE]-P--s to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. Property Owner's Signature rope wner's Signature SWORN TO BEFO ME THIS l y�-DAY OF.66A�o{� ,20 Z Nota 1 MYr?rk% M -0111 -77 77/ T-V Z� t -. A 1C��YLL',L\l/ti`II3'L1V!L/ilEPRESi'eNT $JlYli'J TRANSACTIONAL D1ISCLOS1URF,FORM lite 7M of So ithold's Code of It �sra�l�iisits sont�iri� f i�crest rem the p ri of 4r,�vn ofcer;and ern,.ploi�es The mHwse o. is ford �a? rtsvida�ia►fa�nmatica�g i son a3ert The tpMn of conffs t.,o('intere-t and atiow it LO UAC Wlritei action is aeeCw�&M to:avoid Ume, Y01TRNAME: nnft U(Last name,first:name,altiddle initial,unless you aie applying in the name of someone else or other entity,such as a company.If so,indicate the other pan's or company's name.) NAME OF APPLICATION: (Check mll that apply.) Tax grievance Building _ Variance Trustee � Change of Zone ���_ Coastal Erosion __— Approval of plat ______aw Mooring Exemption from plat or official map _ Planning Other (if"Other",name the activity.) Do you personally(or through your company,spores,Win,,parent,or child)bavt a nelatiofiJmip with wry officer or ernploYce of the Town of Southold? "Rel:ationship"incur.ics by blood,marriage,or busiieess intere=st."Bus4wsss interesse"means a business, including a partnership,to which the town officer or employce bars even a partial oEvnmhip of(or employment b,�(a corporation in which the tmvn of'Ecer or employee Mvns rnare than 5*4 of the shares. YES NO if you answered"'YES",complete the balance of this form and date and sign where indicated. Nam of person employed by the Town of Southold Title bt position of that person Describe the relationship between yourself(the appiicantlegentlrepresentative)and the town officer or employee.Either check the appropriate litre A)through I))andler describe in the space provided. Tree town officer or employee or his or her spouse,sibling,parent,ca'r child is(check all Hiatt airply): A)the owner of greater than 51%of the sh s of the coriaoraate stock of the applicant (when the applicant is a cx rporation), B)tate 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 I))the actual:applicant. DESCRIPTION OF RELATIONSHIP Submitted of 20�„ Signature Print Ptarne--in Porth TS l ` ' �. APPucANT/AGENT/REPREsEIo TA TJrvE T ANSAC'I'IONAL DISCLOSURF,FORM r 4 The Town oof_Saut t '•Code o .th' . prohibits o fl'ct f int �s on t ofto wers,and c , tee.The f ;this forth is to rsresvide in ctt�n�i�4v}315� n alert ttse toavn of iva sib) aniaili�ts of inteegt s ra„Mears it to tall'e rvliate�ar sictirr4 ic. cessary to avoid same. YOI;RNAWR N&N C`{ OAA name,first nine quildle initial,Unless you are Wlyuag in Ilse Ram of someone else or oilier entity,such as a company.if so,indicate the other pun's of 's now.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee. Change of Zone Coastal Erosion _ Approval of plat _ � _ Mooring Exemption from pleat or official map __� Planning Other (if"Other",name the activity.) - Do you personalty(or through your company,spouse,sibling,parent,or child)have a relationship Witt;any officer or emplo}ce of the Town of Southold? "ReWonship"includes tsy blood,marriage,or bsisiness interest."Business intens mans a business, including a partnership,in which the town officeror employe has even a partial o;nership of(or employ=fit by)a corporation in which th town officer or employee owns a wre than 5%of the shares. YES NO if you answemd"YES",complete the baleam of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/reprmntative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The tnwn officer or employee or his or her spouse,sibliip&parent,or child is(che&all that apply): A}the owner of greater than 5%of the shares of tine corporate stack of the applica.0t (whet the applicant is a corporation), 1$)the legal or Oficial owner of any interest in a non-corporate entity(ash=tic applicant is not a c orlmra6nj; C}sin officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF PSLATIONSHIP Submi.Mad s - day of 20 Sf'anature 1 PrintNa e A K i 6VRACC Farm 151 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code czf Ethics prohibits conflicts of interest on the part of town officers and employees.The.puWse of this form i to provide'information which can alertthe totivnof pn�%�ble conflicts of interest and allow it to take whatever action rs .necessary to avoid same. YOUR NAME: m (Last name,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.if so,indicate the other person's or company's name.) 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 Ipersonally(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,igarriage,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 tb%yn officer or employee owns more than S°!o of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of theeshares of the corpgwc-stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of j A 1 Signature Print Name_ Form T'S 1 d. � BSS Board of Trustees Appli :ion PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAMF Y, Qf7x`u- NAME: / �r�. STATE OF NEW YORK COUNTYOF SUFFOLK ,residing at being duly'swom, deposes and says that on the day of ; 20 ,deponent mailed a true.copy of the Notice set:forth in the`Board:of Trustees Application;directed to each of the above named persons at-the addresses set opposite their'respective names; that the addresses set.opposrte 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 located at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 �___Notaq_R blic_____.._.-_ Town Hal]Annex Glenn Goldsmith,President A.Nicholas Krupski,Vice PresidentoGy� 54375 Route 25 Eric Sepenoski y P.O.Box 1179 Liz Gillooly o Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 .�' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of TIMOTHY & NANCY BURKE COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING I, `JO Ctl m B&RS , residing at/dba 5 D(o2D mA(AJ KP c3d'J1I'OL'o being duly sworn, depose and say: That on the 6'-0 day of t A-iq,c4 , 20 20 , I personally posted the property known as BUR�/-e e,&';:�LnET\�'c-F &2S KvDyp L ANe by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, March 16, 2022. Dated: (signatur Sworn to before me this t♦5}h day of Ma,,120 22 T'RACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 40taryjPic QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2 d202 Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: 66 i NAME: ADDRESS: ■ $(o. _ -(Q AN(TA< L. KNG WL-Wnl t g g RooV_.C.1,ef%/ RE(6-t(Ts IRP tl,A00,E7 COKNE-FTT' -C-(4OVI+AS-taNs W11F b486 / fist,R—P a J�tC4 56,55 !N OIAN Nt�.K. C__AJIG C�I$TiN E GLs�oN�I �r'7-U/U lC IU�( ( I q 5S STATE OF NEW YORK COUNTY OF SUFFOLK moo/ CtkA-(nI0>eKS ,residing at 506W NA-!N RP G0VT f'OC_V being duly sworn, deposes and says that on the day of MA43 C't;E , 20 2y, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite 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 located at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. 1 +� Signa e Sworn to before me this Day of M arch 20 TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY �_ Slotar�_P11 c�_� COMMISSION EXPIRES JUNE 30,2 D oR,�_ Y� U.S. Postal Service"' �U.S- Postal Service"� o RECEIPT o-. CERTIFIED MAILP RECEIPT { .. • ti .. mestic mail Only _n i I m m F. { N Pe ,� 1 9 to fh` ' qI. 61 ' ru Certified Mail Fee ru Certrfled Mail Fee .7 7 5 $3. •: Ln $ '-+ -c �%� e �� Fxdra Services&Fees(checkbox,addteeakrp �"�y�i. 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M deliveryFor • 4 i lar t ul r41 P rU Certified Mail Fee 44 3.(- ! 77. '1 r Ln $ - ` r Extra Services&Fees(chackbox,add ree-09V ate) ❑ Return Receipt(hardcopy) $ C3 ❑Return Receipt(electronic) $ / �• POStmark'J .°. J 13, E] tifi Certified Mall Restricted Delivery $ •- Here�` F C3 ❑Adult Signature Required $__ _ P IViHp 2lJ*f []Adult Signature Restricted Delivery$ '�l-°-- 0 7 I I 9 2o2 )I to @[ 13 Postage • � $ t��i°=�� ����'•,� r .sem iTotal Postage and Fees $7.38 a 5 , 11hN$� ._tel N�tLR�li� ---------- ------- - - ! Street and Apt.Afo., r.,l'r Box criy,Ste:a�ri�i RF6El.t� c ob$'� COON ■ Complete items 1,2,and 3. A Signa r + ■ Print your name and address on the reverse X 13 Agent so that we can return the card to you. 13 Addressee ■ Attach this card to the back of the maRpiece� B. ceived by(Printed Name) C. Da a of jelivery or on the front if space permits. L 1. Article Addressed to: . Is delivery address different from item 1? ❑Yes g- G4{(24cf`Y AilE ig- smwoj If YES,enter delivery address below: ❑No 56x5 IN 01A J NeCr-4*/e Pt CoN le N Y ILI IIIIILIIII III LII I IIII I II I I I IIII IIII I IIII III 13 Servide Type ❑priority Mail,EXpressV ❑Adult Signature ❑Registered MailTM 9590 9402 3554 7305 7762 15 �ced�fied Signature DeliRestricted Delivery ❑Registered Mail Restricted ❑Certifled Mail Restricted Delivery ❑ReturnReceipt for 13 Collect on Delivery Merchandise` ,2— t 1:11 dumber CTiansfer fcorrLnnca i�h n '.` n Collect on Delve Restricted Delivery Signature ConfirmationT^+ t `j(`§ured Mail tt r; i e O Signature Confirmation - Q1+5 Q b�+Q=� d V: 5 4 2 5 L E] i; I i sured Ma+l'RestrictedDe ive'ry 2' }Restricted Delivery. —� ver$500) 'PS 56tm*�3811;Uui� M5�sN'7S30-02 000'9053 Domestic Return Receipt t —�I C6MPLETE THIS SECTION • • ON DELIVERY ■ Complete items 1,2,and S. _ A. Signature ■ Print your name and address on the reverse so that we can return the card to you. f ■ Attach this card to the back of the mailpieee, B• Rafceived by(Pr'nted Name C. Da of of De'very or on the front if space permits. Z Z 1. Article Addressed to. D. Is delivery addressdiffefertt from Item 1? ❑Yes AN lr# -Noojurw If YES,enter delivery address below: ❑No iu& I + 111111111 IIII 1111111 IIIIII IIII I II I I IIII 11111 IIII III 3 Service❑dulttSignaturee d Priority�p ssO t Adult Signature Restricted,Delivery ❑Registered Mail Restricted 9590 9402 3554 7305 7761 92 Certified,Mail0 Delivery ❑Certified Mail Restricted Delivery Q Return Receipt for El Collect on Delivery Merchandise � ❑Collect on Delivery.Restricted Delivery 47 Signature Confirmation —1 2_Article Number_fTransfer from service label) �_, I�Mil 13Signature Confirmation 7 015 0640 ❑QQ1 5 4 2 5 3249ed MaiLRestricted Delivery Restricted Delivery $500) i?S Fprm8 Jtt1y 2015 PSN 7630-02;000 9053_ Domestic Return Receipt .I NUTILL Ulm H 'LA 'KING 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. OWNER(S) OF RECORD: TIMOTHY & NANCY BURKE SUBJECT OF PUBLIC HEARING : For a Wetland Permit for the existing 1,332.25sq.ft. one-story dwelling including an as-built 10'3"x11'10 %" one-story wood framed mudroom attached to landward side; and for an as-built ±11'9" wide by 20'5' long section and 10'10"x1.6'11" section of trellis that wraps around the westerly side of dwelling. Located : 62.5 Wood Lane, Peconic. SCTM# 1000-86-6-7 TIME & DATE OF PUBLIC HEARING : Wednesday, March 16, 2022 — 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 online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of B a.m. and 4 a.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1692 i Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS L, 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" 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 nom- sunnortina-facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTN1# 10 12 O && _ —7 PROJECT NAME SU RK fZC;�tDEtL1C ��-Buie—T//nnuoRft, 3� The Application has been submitted to(check appropriate response): Town Board D 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) F (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit;approval,license,certification: 41 Nature and extent of action: �Pul✓(� SDK C,0 - foe-,. AS-15U1c-; - MUD R4 Ott . ArR R Location of action: 6 /2's- , l,U OOO L-A/-'JE 'FUCOw c Site acreage, ` /CRBS 221 `tea �1 Present land use: -s( &UU- FA-M l Com`( Ri`5-(PE4-4C*,-- Present zoning classification: 'RU 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: T l(ln N N C`{ BUR-(C-E (b) Mailing address: [ l S PUT" R O Cly F C)A-0 sy oss e�T NY i1 -71s (c) Telephone number:Area Code( `) $ l S 3 (4 —7' (d) Application munber,if any: 1 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ Nog If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 4. 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 LVM Section III—Policies;Page 2 for evaluation criteria. Q,Yes Q No 'Not Applicable Attach additional 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 ❑ No ff 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 CK Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages S through 16 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria 0 Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. 0 Q t� t Yes No PYot 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. F1 Yes r] No F);r Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LVVRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No [ZrNot 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 IZI—Policies; Pages 38 through 46 for evaluation criteria. D Yez] No Not Applicable Attach additional sheets ifnecessary WORMING 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 Not Applicable l 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 D No P§Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III Policies; Pages 62 through 65 for evaluation criteria. F �1 Yes n 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. Q Yes ❑ No Not Applicable PREPARED BY TITLE DATE 10. 2-1 EGEIVE Burke Residence FEB r� ftwdTwM 625 Wood lane ofT", s Peconic 1000-86-6-7 2.9.22 Diane Please find enclosed the application fee of 500.00 for the as-built mudroom and arbor at the Burke Residence. Thank-you, Joan Chambers