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HomeMy WebLinkAboutTR-10555A Glenn Goldsmith,President ,`��� so Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ®emu ®�® P.O. Box 1179 Eric Sepenoski3 Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 C®UNTI,� 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 % constructed When project complete, call for compliance inspection; Glenn Goldsmith,President �Q�C S0(/�� Town Hall Annex A.Nicholas Krupski,Vice President ®� ®� 54375 Route 25 P.O.Box 1179 Eric Sepenoski 9 Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples � ,� Fax(631) 765-6641 cou 11� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10555A Date of Receipt of Application: March 15, 2024 Applicant: Stefanie Bassett & Elizabeth Peeples SCTM#: 1000-54-7-1.3 Project Location: 12710 Soundview Avenue, Southold Date of Resolution/Issuance: March 20, 2024 Date of Expiration: March 20, 2027 Reviewed by: Glenn Goldsmith, President Project Description: Replacement or repair of a ±32' seaward portion of the existing 4' high fence. 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 project plan prepared by Elizabeth Peeples, received on March 15, 2024, and stamped approved on March 20, 2024. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. k — G enn Goldsmith,"President Board of Trustees 'R �OUT� 1�0 �U -TEES , H, LD T ' . . . 105 rTAr Issued Ta srES�w�� fflwzm� Dat.e.!!L• ' .. Address �2710 sev�l� Nee Sovril�tp 'THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE.T0.IAIN OF SOl1THOLD SOUTHOLD, N.Y. 11971 'TEL: 765.1892' �:�,. t o��S�FFO(��oG Town Hall Annex Glenn Goldsmith,Pre A.Nicholas Krupski,Vice President < 54375 Route 25 Eric Sepenoski ,? P.O.Box 1179 Liz Gillooly ©y • 0�� Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report) Date/Time: 119/24 Completed in field by: Co. 1�o STEFANIE BASSETT & ELIZABETH PEEPLES request an Administrative Permit for the replacement or repair of a ±32' seaward portion of the existing 4' high fence. Located: 12710 Soundview Avenue, Southold. SCTM# 1000-54-7-1.3 Type of area to be impacted: Saltwater Wetland ✓ Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: I/Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: ✓ G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples 1 � /1• r •� '�, �a � • Pal qR•, •1,���; �- r/f e`-' , •� ,f,�"� • ..n, i` 3L rt• w. fs A <�\`� 1� (f41, ,�14 •1 ♦ ��- �r ��,'.4 �Afei�l��� j fi1�!.��� � �• ���+�.i'ti.•"• � r� f i`i x4_. y'S. :. IP • +��.� g4 ' rill �?�{ �� '�4 r + N 1 � 11• '.ter ; , ��, I. r'�''"'s•� �' � ,�� cif l�'►�".�fi�f,,�!fib,•"-� , t ti►�F��'��ti °,� .(��'"+�I ►�!"� •.tom. `,k..x" � `�� ¢�`�,', `` d +� 7 ,'a � 1 7Sr MON ' ..r� b � '-. ��b h �ba r Y„- ��l'!••` �` t"Y% �i � iC��1t�1.�}*� . I Ott 43 P i f o,-zsoz 1. ,.. r D♦a ♦ �. 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'� a.y r '� • '4 i,e� ``e,. sO ii '... ..,h p A, ,a'..} t, r4 'Q a R. y`b F" � A i�h ��� •9 w'1� q lad M1 'i`• ♦a' 4 ¢' ,s, '� 4. jr t ♦ ��t �'b 3,.y''ae e_,a •� .. �y, an„ml •,S Jto J'�y f^_ w ��; L a v auA�! �. - ♦en: +-..,��a,♦y, �4 ,b r � , i > ♦♦ t %'t � '•s. ,�♦ •° ♦° sesssc�ro tvtr,. -- :� d' '4e, oEs 'v ¢: .q�v � . ter ,* cy._. F w a, w •,. osamme,r iL.,.. ,.�. .. ,..�..�,�...:,�,�. ,�.�m ---- .�..., .. o COUNTYO LK�- Nonce E wx`n.a �, ` te•n G — � V .._: —�— ti , .°y�.0 >,�\«i rv,+rawrE.x+eww a,uEa v SUF �� W EI SOUTHM 04 _ _ _.,.—_ „' —_ ..... (It) v^.� wnrm,eF,•e.7W6 > •. v S rno,mry nx eae.,a rmer SURVEY OF PKOPEKTY 1 SITUATE : SOUTNOLD N TOWN : SOUTI�IOLD 5UEEOLK COUNTY, NY o° W s- E SURVEYED 02-08-201 9 v� 5UFFOLK COUNTY TAX # 1000 - 54 - 7 - 1 .3 CERTIFIED TO: �\vo��� Q a��� o Q APPROVED BY Stefanie Bassett I Elizabeth Peeples BOARD OF 1 RUSTEES r g� Eminent Abstract. Inc. a ma's Q TOWN OF SOUTHOLD Westcor Lane Title Insurance Company DATE lMkk# 20 2624 � I 7>0 oo� o a 3 ° LOT COVERAGE BUILDABLE AREA e0� C)���, 40,4GO S.F. - 4,070 WETLANDS=3G,390 �� �' �' \ R 1 ,8 1 G COVERAGE/ 3G,390 = 5% LOT COVERAGE 'Li 0 y 'k e•� 9,1, f'c0 FCNt C p QVl C I \ rrj� I CGS F laceme+ 3,� �0. z O� � MAR 1 5 2024 � � ��� �� �� � p,f �i near • '' ����,��— AJ WETLAND FLAGS SHOWN THUS Southold Town I Board of Trustees j 5ET BY ENCON5ULTANTS JUNE 1 , 2017 00 �`� I NOTES: --- -----— O 3J c�F NF .-nabt,w,_<d ah<,s.d ar odd,tian t.'s a 1 y UCN ME'v ti-- -- a• �jJr •nai ion of a licensed Iona surreya's seal s e j JOI1N C. ErILERS LAND SURVEYOR �Ayy �h -Y �alion of section a,k SW,,Eson o O ^` New 'i Olk Stalr Edu<at wn �N "CihI cop— from the o•ymol of this eu yOrk ' ���`�O-1 I f'�• r' ;I"" tV' �� Taal ' with a^ W 9'JI of the t,be s.hd t 's [N(1 SIOTp<d seal Shu�l De con siderei In be �ol�d t e' V•� ^ 'Op s• 6 EAST MAIr.( STREET N.Y.S. LIC. rJO. 50202 ({{ eertfr_ati—s ,ducted ne ,s,gnfy that this —,ey was Prepared a—doore+.;tn the Area = 40.4G0 Si. Ft. RIVERHEAD.. N.Y. 1 1901 G3 1 -3G9-8288 ;t.. ¢ st,n9 jade of p,actlae far una Sur°<s aaopt<'; ��y+ Dy the New York State AssO:.fotiJn at Pratessond Area = 0.928 Acres ` ] L� Land Sur Veyors Sad<ert foatlons sndl only GRAPhIC SGALE "= 30 jesurvey@optonime.net , '; 5020 Q the person for wnam the survey s prepared. �y, �_ �O I and Jr his hehdf to the title -ompany.9over11en- lol age-,y and ler.diny m 1-1.1 n In led nmec+i, and ito the oss gnees of t he le�d:ng n M"'Gen Gertlfico �_------ ---- -- _ _ _ -. 1 36_ _ - _. _-_----_----- ons are not transferable to oddd{oncl :nstiluffons I 5URVEY OF PROPERTY , 51TUATE: 50UTHOLD TOWN • 5OUTHOLD 5UFFOLK COUNTY, NY SURVEYED o - - 2 08 20 19 SUFFOLK COUNTY TAX # / 1000 - 54 - 7 - 1 .3 CERTIFIED T0: \ /501 , \ Stefanie Bassett O a C \ g,0 \\\ Elizabeth Peeples Eminent Abstract, Inc. ^ rD. j O \ Westcor Lane Title Insurance CompanyJoeo� ��i / O<'J 1 \ �o �,� � ,� tie •, � LOT COVERAGE BUILDABLE AREA 'aI.­O6 off; 40,460 S.F. - 4,070 WETLAND5=36,390 ���e,c� �'�/ 1 ,816 COVERAGE/ 36,390 = 5% LOT COVERAGE �'Li 0 ev�' All oe�� tiT�G P J Q � MAR 1 5 2024 SF \. Off'' J� I AZ- Southold Town # WETLAND FLAGS SHOWN THUS �` �� r(� Board of Trustees •� Aso ,� �To •' SET BY ENCONSULTANT5 �' ( !0 JUNE 1 , 2017 .�v O A41 NOTES: �'� �� Q o-J� O �� �I I •Uncothcri.ed alteration ar add;uon to a ey �p mop Dearing a licensed iand surveyor's seal is o �� —iation of section '209. suD-dvtsion 2, of the MONUMENT ROUND J O H N C. E h LE K5 LAND 5 U RVEYO O � S��Q� `b�N C.EFj�F �. � New York State Education Law'� 9 o FENCE ���`, �,`��' �J "Only copes from the originm of this surrey) �o LL`� I (� —Ned with an originol of the lend surwwr's C�'\ `O 1 'to meed seal shcil De considered fo De valid true .l n c.Pies' 6 EAST MAIN 5TREET N.Y.5. LIC. NO. 50202 ,� ,:, �,( �� "rev fificoticns indicaletl hereon signily that this 1 aurvey was prepared in accordance with the en- OiYy" Est ing Code c(PraUice for Land Surveys adopted Area = 40 460 5a. Ft. RIVERHEAD, N.Y. 1 1901 63 1 -369-8288 Q�. 'o , ,� Dy the New York Shte Association of ProfessionoiI Area = 0.928 Acres Ft �. �` Land Sarvey— said cer Ull-ti ns shall un only GRAPHIC SCALE I"=30' jesurvey@optonline.net i c''iQc 5020 o the person for wham me survey is prepared.; y, �.`- 1 and on his Dehalt to the title company, governmen-1 ,Lar!p s I toi agency and lending institulron listed her-.. and, to the assignees of the I-d:cg.nstitulion Cerlifice-1 1 7_1 36 __ __ _ _ 1 ti-s are not trcns(e-ble to oddi!ienci institutions L pF SOUryolo �y0nuNtv,��' To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: March 19, 2024 Re: LWRP Coastal Consistency Review for STEFANIE BASSETT and ELIZABETH PEEPLES SCTM# 1000-54-7-1.3 STEFANIE BASSETT and ELIZABETH PEEPLES replacement or repair of 32' seaward portion of the existing 4.0' high fence. SCTM# 1000-54-7-1.3 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 and the records available to me, I recommend that the proposal is CONSISTENT with LWRP Policies and 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: Honorable Lori Hulse, Attorney Glenn'Goldsmith,President Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President _ P.O.Box 1179 Eric Sbpenoski Southold,New York 11971 Liz Gillooly Telep hone(631)765-1892 Elizabeth Peeples Fax(631)765-6641 Coy BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD MAR This Section For Office Use 0n1ty Coastal Erosion Permit Application Southold Town Wetland Permit Application Board of Trustees G Administrative Permit Amendment/Transfer/Extensio Received Application: cry Received Fee: S c9k J'Z� Completed Application: 3 4 Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): _C�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): Stefanie Bassett and Elizabeth Peeples Mailing Address: 12710 Soundview Avenue, Southold, NY 11971 Phone Number: 917-716-3130(Elizabeth) Suffolk County Tax Map Number: 1000-054-07-01.003 Property Location: 12710 Soundview Avenue in Southold located on the Southwest corner of the intersection of Soundview Ave and Hortons Lane (If necessary,provide LILCO Pole#, distance to cross streets,and location) AGENT(If applicable): Mailing Address: Phone Number: Email:ezabeth@littleramoysters.com -'Board of Trustees Applicati,.,._ GENERAL DATA Land Area(in square feet):, .... sq/ft Area Zoning:R-40 Previous use of property: Residential Intended use of property: Residential Covenants and Restrictions on property? Yes _ZlNo If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? fiYes _allo 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. is project requaq 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 Prior permits/approvals for site improvements: Agency Date Southold Building Department February 27, 2002 Suffolk County Health Dept May 9, 2001,. Southold Building Department March 7, 2007 ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?]a No ❑ Yes If yes, provide explanation: Project Description(use attachments if necessary): Replacement or repair of a +/- 32'0" seaward portion of the existing 4'0" high fence. Board of Trustees ApplicatL_- WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose-of the proposed operations: as a compliant pool fence Area of wetlands on lot: 4,070 square feet Percent coverage of lot: 1 Closest distance between nearest existing structure and upland edge of wetlands: 92.5 feet Closest distance between nearest proposed structure and upland edge of wetlands: 90 feet Does the project involve excavation or filling? No _ 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: 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): 61 Z20 Appendix B Short Environmental Assessment Forest Instructions for,epwink�in� 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 infonnation 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 Name of Action or Project: Fence repair Project Location(describe,and attach a location map): residential lot located on the SW corner of Soundview and Hortons Brief Description of Proposed Action: replacement and repair of the seaward portion of an existing 4'0" high fence Name of Applicant or Sponsor: Telephone:917-716-3130 Stefanie Bassett and Elizabeth Peeples E-Mail:elizabeth@littleramoysters.com Address: 12710 Soundview Avenue City/PO: state: zip Code: Southold NY 11971 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 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 Yh If Yes,list agency(s)name and permit or approval: 3.a.Total acreage of the site of the proposed action? 0.92 acres b.Total acreage to be physically disturbed? p acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.92 acres 4. Che 11 land us at occur on,adjoining arillniar the propcl=4 action. Urban Rural(non-agriculture) Industrial Commercial RlResidential(suburban) Forest a _griculture Aquatic �ther(specify):. Parkland Page 1 of 4 5. is the proposed action, NO VES N/A a. A permitted use under the zoning regulations? HKL 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? ✓ 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: Z 1 8: a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? !/ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 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: . ) 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ✓ b. Is the proposed action located in an archeological sensitive area? ✓ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ✓ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: L L 14. ntify the typ?ce Lhabitat types that oc n,or are likely to be found on tf"roject site. Check all that apply: VShoreline Forest Agricultural/grasslands Early mid-successional Wetland Urban ✓Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ✓ 1 El 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 I If Yes,a.Will storm water discharges flow to adjacent properties.? O DES b.Will storm water discharges be directed to established conveyance systems ff an drains)? If Yes,briefly describe: O 'ES 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: n 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 KNO%VLEDGE Applicant/ ns n e: Elizabeth Peeples DateMarch 11, 2024 signature: Part 2-Impact Assessment. The Dead Agency is responsible for the completion of Part 2. Answer all of the.following questions in Part 2 using-the information contained in Part i and other materials submitted by the project sponsoror 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 conflictwith an adopted land use plan or zoning regulations? nX 2. Will the proposed action result in a change in the use or intensity of use of land? Fx] El 3. Will the proposed action impair the character or quality of the existing community? Fx] El 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)'d 5. Will the proposed action result in an adverse change in the existing level of traffic or a affect existing infrastructure for mass transit,biking or walkway? El 6. Will the proposed action cause an increase in the use of energy and it fails tD incorporate # l X reasonably available energy conservation or renewable energy opportunities? i•- r tJ 7. Will the proposed action impact existing: I a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, 1 ^ I architectural or aesthetic resources? -- l -- 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, � X waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage FT problems? tl E 11. Will the proposed action create a hazard to environmental resources or human health? L__.! Part -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 cumulativei impacts. ii E] Check this box if you have determined,based on the information and analysis above,and any supporting documentation, II that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. EJCheck 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 Name of Lead Agency Date President Print or Type l4ame of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer of different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Appliaat: AFFIDAVIT S cfo nie $as se} _ aNd ' 1iu�b I-h P,ce p� S 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 BOARD OF 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,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. /1/v U /3-->�- 1 a Signature of Property Owner Signa ure of Prope Owner SWORN TO)BEFORE ME THIS.�� DAY OF ,.20 2I o 'c LORICONEN Notary Public State of New Yodt Registration ado.02CQ6415027 Qualified in Suffolk County Commission Expires March8,2025 APPLICANUAGENT/REPRESENTATI VE TRANSAC HONAL DISCLOSURE FORM who empigmea 9—F t ' forrrr' vi e' orinat' w "cur can f ibfe is lave o nec b�ay4 ds same. u_ YOUR NAME PC,.GI�`r✓S 1 zabt✓k4� N a1/!Ld QS S�'I'`, S�P 11\i e A. (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee _- Change of Zane 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 officeror employee of the Town of Southold? "Relationship?'includes by blood,mange,or business interest."Business interest'means a business, including a paitiiirship,in which the town oflictr or employee has even.'partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES —F�[ _ 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_E)�%2gb tA\ ?tool ts Title or position of that perm Tow A SVij&�C u Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)andtor describe in the space provided The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): JA)the owner of greater than S®A of the shares of the corporate stock of the applicant � (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the aapplicant is not a corporation); an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP —E-Vlzp.beAx 2etf ovvvl 1VuS At e Submitted t 's 113 Alayof Mw 20-24 Signature .� Front Name i Form IS I Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minorr 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 non- supporting 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 SCTM#54. _7 -1.3 PROJECT NAME Fence Repair The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board n Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation, land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: ❑ Nature and extent of action: Replacement or repair a+/-32V long seaward portion of an existing 4V high fence Location of action: 12710 Soundview Avenue, Southold, NY 11971 Site acreage: 0.92 Present land use: Single family dwelling Present zoning classification:R-40 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: Stefanie Bassett and Elizabeth Peeples (b) Mailing address: 12710 Soundview Avenue, Southold, NY 11971 (c) Telephone number: 917-716=3130 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No❑ If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. 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 infi astructure,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 FVJ' Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LNVRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes 0 No I Not Applicable ..:............ . . Atta ch additional sh eets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section M—Policies Pages 6 through 7 for evaluation criteria ❑ Yes Ej No❑✓ Not Applicable Attach addiffaiial sheets if mmccessary NATURAL COAST POLICIES Policy 4. Tifinimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages S through 16 for evaluation criteria No 21 Not Applicable ❑ Yes ❑ ....... � ......... ....... . .... :.. Attach additio nal sheets if recess Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section HI —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No RINot 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. n Yes ❑No ❑ Not Applicable a the replacement/repair of the existing fence will be done in a manner that has no negative environmental impact on the wetland Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No Q Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold fro® solid waste and hazardous substances and wastes. See LVM Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No Z Not Applicable PUBLIC COAST P®LICEES 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 evaluatimn criteria. ❑ Ye❑ No Z Not Applicable Attach additional sheets if necessary WORDING COAST P®LICUS 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 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 0 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. ❑Yes ❑ No❑Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies;Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No RI Not Applicable PREPARED BY Elizabeth Peeples 'ITI'LE homeowner DATE 03/11/24