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5345 Vanston Road LLC
TO sJr�e.y s,'�-e. J� PITo co r^p.)e;lr-- oLff I I'CC'A-0 n SJON 5otd,d&-- OF10, aid Gre.4-e. p-er, ► 4- Q ,5r ;EAR GA.�Or IC Skoutd A.) - 1-, Ve— s 6 D beep ) 0.S �C- ram► ► ivevle r J S August 16, 2017 lei ibee►''�ev rIccv*P QA� Patricia C. Moore, Esq. ®Plies- Wg-14- 51020 Main Road Southold, NY 11971 RE: 5345 VANSTON ROAD, LLC 5345 VANSTON ROAD, CUTCHOGUE SCTM# 1000-111-14-1 Dear Mrs. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 16, 2017, regarding the above matter: WHEREAS, Patricia C. Moore, Esq., on behalf of 5345 VANSTON ROAD, LLC 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 July 13, 2017, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 16, 2017, 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 the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Truste s approve t pplication of 5345 VANSTON ROAD, LLC for the construction of a 19. lin oot long, 36" to 42" varying high cement retaining wall continued from the jacent southerly property onto subject property, and tapering down to exist' gra ; and to regrade disturbed areas; with the condition of establishing and pe tually main fining a varying width non-disturbance buffer seaward of the silt fe g; as depicted o he survey prepared by Peconic Surveyors, P.C., last da , 2017, and sta ped approved on , 2017. Permit to constru 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 truly yours, Michael J. Domino, President, Board of Trustees MJD/dd (o Jul r , � • .�S�FFoc��. Michael J. Domino,President �Q C0 Town Hall Annex John M.Bredemeyer III,Vice-President 400 Gy�� 54375 Route 25 Charles J. Sanders +y z ;� P.O.Box 1179 Glenn Goldsmith ® Southold,NY 11971 A.Nicholas Krupski 'y p��fi Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES 91 TOWN OF SOUTHOLD TO: .543,5- VA S-RAI RPAP, UX, 4,0 PAT6CcA- a 900&'- Please be advised that your application dated -T9 131 U11 has been reviewed by this Board at the regular meeting of AV60S- Mai T—OI and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project 95VlSGO SVRt)q Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) Y2 Constructed ($50.00) 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 Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ ` olQ) BY: Michael J. Domino, President Board of Trustees Michael J. Domino,Presidi' �QSVFFOt/-CO Town Hall Annex John M. Bredemeyer III,Vice-Pre is a nt „�� Gy 54375 Route 25 Charles J. Sanders CD z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski - p!� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: /? Completed in field by: Patricia C. Moore, Esq. on behalf of 5345 VANSTON ROAD, LLC requests a Wetland Permit for the construction of a 19.8 linear foot long, 36" to 42" varying high cement retaining wall continued from the adjacent southerly property onto subject property, and tapering down to existing grade; and to regrade disturbed areas. Located: 5345 Vanston Road, Cutchogue. SCTM# 1000-111-14-1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 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: C J�wv-; - 0(- 5-OiLA Saw T s (+ ° A t, O&J J1'SJr6a,k, seawed C(z �WC9, to Present were: J. Bredemeyer M. Domino G. Goldsmith ✓ N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino, Presi&' �'0 t Town Hall Annex John M. Bredemeyer 111,Vice-Presfaent �� G� 54375 Route 25 Charles J. Sanders N P.O.Box 1179 Glenn Goldsmith 0 Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 �Ol �a%� Fax(631)765-6641 `�'�szzzurX BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Patricia C. Moore, Esq. on behalf of 5345 VANSTON ROAD, LLC requests a Wetland Permit for the construction of a 19.8 linear foot long, 36" to 42" varying high cement retaining wall continued from the adjacent southerly property onto subject property, and tapering down to existing grade; and to regrade disturbed areas. Located: 5345 Vanston Road, Cutchogue. SCTM# 1000-111-14-1 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D,. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. <_25% Expansion/Calculation T Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to.be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 C(,-ohojw Alr 111sx' Wk LC. y.2 ]nD E C E V �e6A� JUL 17 2017 Southold Town Board of Trustee] _J f m WIC LL y2 �e6A� JUL 17 2017 Southold Town BoardfTrustees SURVEY OF LOT 250 AMENDED MAP `A " OF NAS SAU POINT FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY FOUND ON AUGUST 16, 1922 AS FILE No. 156 ONC. MON. SITUATE NAS SAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK J x ` S.C. TAX No. 1 000- 1 1 1 — 1 4-01 W W N U "SCALE 1 =20' 0 " APRIL 24, 2015 DECEMBER 29, 2015 LOCATED DRIVEWAY Lo LOT 249 � 00 a, F 283.96 AREA = 26,639 sq. ff. GERALDINE o N/0�FEREND (To TIE LINE ) 0.611 ac. FOUND I REBAR & CAP ' O 160.35 .111. n I o Z3 o=Z z 2n G� (A, /7 O p 0 I E WOOD STAKE x d ° 1 09 QPR N 80°40t 30" g0.56' Lo ti I `J nm I 25.SA' J' d I 44 SIGN FL�1 N o° ° e I d � z e° e ' Z ° ° ° \ 0 0 °� W ° m�92 LOT 250 Z II z I p 03 ° 4 co d — W o y� Z—A9S'-o n I U I ^ 8 ° 0 f 1 ed B L° ���Q�te° d \ �'� ' II �� ° 16 < N Z LO O — 1 rn d ° ° P�PRE ° ° \ Oo ° ° a own\ FLAG111, m ° d�1 FOUND ON.° T 6 r< \ N CONC. 4' IRES� d OVERHEAD W o0 °n1y�9y Q \ 0 109.70' tb" cD �-- ( ° X —j J wW '' C �i l� ° ° e on 0 p ° •1�2 \ rTn m' j N W D I^ ° d 'a9 Q ° d m A w JUL 13 2017 z ° n Ln O o ° � o °° °d d 1a9.o2' NlolF N m ° d ° �m ° DAVID BOFIL SoutholdTowu i= m 64.67' COLLEEN BOFILL BoardofT� m Y ° e 25.0' ° d ° ° o pRIVEWAY W EEECTRIC� ° e ASPHA °o METER 30 F 2a gEECURB d1° 5 Q Oo 40' gE0 U PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.I.A.L.S. AND APPROVED AND ADOPTED ' FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION"ols OF NOTES: 1 . FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36103CO483H t ZONE AE: BASE FLOOD ELEVATIONS DETERMINED ZONE X: AREAS DETERMINED 70 BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. Y.S. Lic. No. 50467 UNAUTHORIZED ALTERATION OR ADDITION O WNER: TO THIS SURVEY IS A VIOLATION OF SECTION 5345 VANSTON ROAD, LLC EDUCATIONZLAW09 OF THE NEW YORK STATE Nathan Taft Corwin 'II COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR Land Surveyor_ EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S. TITLE COMPANY, GOVERNMENTAL AGENCY AND e Joseph A. In no L.S. LENDING INSTITUTION LISTED HEREON, AND p 9 g TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. Title Surveys — Subdivisions — Site Plans — Construction Layout CERTIFICATIONS ARE NOT TRANSFERABLE. Y Y PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 35-072A _; t��' � fir-` � � �.�� .:0�� •�� :�.t• ►�y.Ir� `� ` AL 17'k..' •4 *•'4..:,`7 _ mil' ~ t` *to .44 00, it •� -_ ,V „�,•. Y. i. �;.` ��".�✓} .. i�v{v } �Z�, �� - J-... { t 5345 VANSTON ROAD LLC �•�{ti.� _�!r`��p � ,�,�.. ,�, ►� ,,;,. ;� , � � - SCTM: 1000 111-14-1 ,sea � -- t;l�` - � '-�.� _ �i ��� � �, <r • E � ,,��+ yam. _ r t1 v iti •+;`f ,i+• 1 tt --sue„'-�'' mot-.L'� �•�ti �.}� i'' i �; � _ .�-r. t4 tit ti t:..�. '-�i t. a � iY ..T�� - 't =t'"- ;tl!•`4 L '•l � t �� ��4i _ l „`�'- 1. ;fit �. 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'p1 --� — ��— astwwzaxawn xiroc•o,st,o avuwrr•.� m /t ourwct N° 1000 PROPERTY MAP __ -- w+ __ �� �— as�•ouxn to P t0 • "• � (2t1 O a+ru. --w-- �'�--�-- �� waTt[x rrnrss�oNa m[ `�xi�y mx.ea.ar�^'.rcrm ms w„_o_ �� • —_i-- ori.. M�� rx•un qEµ gprtxrvt/a Y•w'.•nCExcr "n OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex ~� l� P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) y �r Southold,NY 11971 • �OQ Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: August 14, 2017 Re: Local Waterfront Revitalization Program Coastal Consistency Review for 5345 VANSTON ROAD, LLC SCTM# 1000-111-14-1 Patricia C. Moore, Esq. on behalf of 5345 VANSTON ROAD, LLC requests a Wetland Permit for the construction of a 19.8 linear foot long, 36" to 42" varying high cement retaining wall continued from the adjacent southerly property onto subject property, and tapering down to existing grade; and to regrade disturbed areas. Located: 5345 Vanston Road, Cutchogue. SCTM# 1000-111-14-1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP.- Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Fot�-Co Peter Young,Chairman ti Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Ql �� Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., August 9, 2017 the following recommendation was made: Moved by James Abbott, seconded by Peter Young, it was RESOLVED to SUPPORT the application of 5345 VANSTON ROAD, LLC to construct new cement retaining wall continued 19.8 If. from adjacent southerly property onto subject premises, approx. 36" to 42" high, based on field conditions, to taper down existing grade. Regrading to continue from adjacent southerly parcel, over property line, and taper onto subject parcel. Located: 5345 Vanston Rd., Cutchogue. SCTM#111-14-1 Inspected by: Peter Young, James Abbott Vote of Council: Ayes: All Motion Carried Town Hall Annex Michael J.Domino,President �+ 54375 Route 25 John M.Bredemeyer III,Vice-President P.O.Box 1179 JW Charles J.Sanders t„- Southold,New York 11971 Glenn Goldsmith Telephone(631) 765-1892 A.Nicholas Krupski ��y�U�l{` , tJ Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application D !� p��Mq s Wetland Permit Application 15 u v Administrative Permit Amendment/Transfer/Extension J U L 1 3 2017 V Received Application: 713• 7 ✓ Received Fee: $ 250R Completed Application: . 11 Sou!hold?cNn j Incomplete: � E;oartl of Tlus,ce.� SEQRA Classification: Type I_ Type II Unlisted Lead Agency Determination:. Coordination:(date sent):; g� 17 �LWRP Consistency Assessment Form Sent:. CAC Referral Sent: . _Z&1-1 Date of Inspection: Receipt of CAC Report: Technical Review::. . Public Hearing Held: Resolution: Legal Name of Property Owner(s): 6 24 S V A M S-'�b k) V-09 D 1 L- G Mailing Address: 577?"6' Y2_o(A-4) W-17 k-c'Cot-- �- Ill Phone Number: �� - �3 _ `� L4 ' Suffolk County Tax Map Number: 1000- `\— `A ` Property Location: 0 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Ql��el C.t Mailing Addres 0 ,i Phone Number: � �1 i Board of Trustees Application GENERAL DATA Land Area(in square feet): �cl • Area Zoning:.. Q- ° _ Previous use of property:. MCP C-cam, ' 'CAM � S az� Intended use of property:. MS cS 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 X No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. 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 Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? 1)(_No Yes If yes,provide explanation: Project Description(use attachments if necessary)";. PROJECT DESCRIPTION PROPERTY OF 5345 VANSTON ROAD, LLC SCTM#1000= =�-Y' New cement retaining wall continued 19.8 linear feet, continued from adjacent southerly property onto subject premises, approximately 36" to 42" high,based on field conditions, to taper down to existing grade. Regrading to continue from adjacent southerly parcel, over property line, and taper onto subject parcel. E C E � V E J U L 1 8 2017 Southold Town Boardof Trustees Hoard of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Qtit e S iS ' �J C 6�0 9 2L Ckr s G�UCQC b"a �,n S c-k- C.oryict O-x S Area of wetlands on lot: /i©o o_ square feet Percent coverage of lot:,, % Closest distance between nearest existing structure and upland edge of wetlands:, -f A-_.feet CR Closest distance between nearest proposed structure and upland edge of wetlands • . 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?. `'. /00 cubic yards Depth of which material will be removed or deposited: � ¢ feet Proposed slope throughout the area of operations: �5 C> 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): LCVq � s - - 6.1 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part l based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: Project Location(describe,and attach a location map):: Brief Description of Proposed Action: S ame of Applicant or Sponsor: Telephone.,; '7U 5 Addressa Tap, _ C�� � She. Code*�1 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 jroposed action require a permit,approval or funding from any other governmental Agency? NO -YES, If Yes,list agency(s)name and permit or approval: -3.a.Total acreage of the site of the proposed action? y acres b.Total acreage to be physically disturbed? .,acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? / acres 3 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban El Rural(non-agriculture) [-]Industrial ❑Commercial Residential(suburban) ❑Forest ❑Agriculture El Aquatic [:]Other(specify).. ' ❑Parkland Page 1 of 4 i 5. is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? El 10 b.Consistent with the adopted comprehensive plan? 0 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 FYES If Yes,identify: _ E{ F 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES a b.Are public transportation service(s)available at or near the site of the proposed action? KIM ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed act' 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 i If No,describe method for providing potable water:. _.4,A- 11.Will the proposed action connect to existing wastewater utilities? a4/ 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? P;f ` b. Is the proposed action located in an archeological sensitive area? o 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: 14. Idyntify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Rsnhoreline El Forest ❑Agricultural/grasslands ❑Early mid-successional "iJ 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? .E 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. Will storm water discharges flow to adjacent properties? E!rNNO YES E El b.Will storm water discharges be directed to established conveyance systems(run ff and storm drains)? If Yes,briefly describe: ErNO []YES Page 2 of 4 i 1 S.Does the proposed action include constriction 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: t 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 i KNOWLEDGE Q / Applicant/sponsor n - � 1ke u [ !`t' Date:. Signature: i Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate i 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 regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 10 3. Will the proposed action impair the character or quality ofthe existing community? �I 4. Will the proposed action have an impact on the environmental characteristics that caused the ;o establishment of a Critical Environmental Area(CF.A)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ;a reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: IV I EJ a.public/private water supplies? b.public/private wastewater treatment utilities? S. Will the proposed action impair the character or quality of important historic,archaeological, o architectural or aesthetic.resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, 10 waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,ot• 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. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. i 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 i acts Town of Southold-Board of Trustees n Name of Lead Agene 'Date X� � ,b President Pri t or Type Name f Responsibl leer in Lead Agency Title of Responsible Officer Sig iature of Responsitle Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) ,PRINT Page 4 of 4 Board of Trustees Application County of Suffolk State of New York Dry,b2!` O F 5 3q J— VAS aN N Cokt—, L-�--C— BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. 9 bi gnature SWORN TO BEFORE ME THIS 1 DAY OF U(- 20_Ll Nota u lic BETSY A.PERKINS Notary Public,State of New York Nq,01 PE6130636 Qualif.fW'in Suffolk Cou Commission Expires July 18 ��I r xd of Trustees Applicatio^�_. „ AUTHORIZATION (where the applicant is not the owner) I,Q`(w%p r Nf pcoST°D U RM residing at S-MS VA3s)-b& (print owner of property) u� (mailing address) �o authorize P4 �a C.( A- C�.�— do hereby (Agent) to apply for permit(s)from the Southold ��Oar of Town Trustees on my behalf. (Owner's ignature) ►'b��.mber- �`��-1.s` ��Prc•�s�v� ��� C�� C, 1 i APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information,which can alert the Town of possible conflicts of interest and allow it to take whatever action _is•necessary to avoid same. YOUR NAME: (J Cd—l mne&• S.�-I-V PPjTb B 2 t L (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company. If so,indicate the other person or company name.) NATURE OF APPLICATION:(Check all that apply.) Tax Grievance Variance Special Exception If"Other", name the activity: Change of Zone Approval of Plat Exemption from Plat or Official Map Other Trustees X Do you personally,(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the Town officer or employee has even a partial ownership of(or employment by) a corporation in which the Town officer or employee owns more than 5%of the shares. YES NO_X Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself(the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of "u 1 Signature: C./ �atriciaC. i BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF 5345 VANSTON ROAD LLC MAILING Applicant's Land Identified as ---- 1000-111-14-1 D E C E I V E ---------------------------------------------------------------x COUNTY OF SUFFOLK) AUG 1 0 2017 STATE OF NEW YORK) Southold Town Boardr Trustees I, Betsy Perkins, residing at Mattituck, New York, being duly sworn, depose and say that: On the 4th day of August, 2017 1 personally mailed at the United States Post Office in Southold, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, .a true copy of the attached Legal Notice in prepaid envelopes addressed to the neighbors on the attached list. j Attached hereto is the white receipt post-marked by the Southold Post Office on said date. B sy Per (rignatur 7Y Sworn to before me this9' day of August, 2017 ( otary Public) MARGARET C. RUTKOWSKI Notary Public, State of New York No. 4982528 Qualified in Suffolk County Comr,jNsicpn Expires,tune PLEASE list, on the ac o Is A r on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. . ' Michael J. Domino,President �Q CO Town Hall Annex John M.Bredemeyer III,Vice-President ��� Gy" 54375 Route 25 Charles J. Sanders P.O.Box 1179 Cn Glenn Goldsmith O Southold,NY 11971 A.Nicholas ICrupski 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 5345 VANSTON ROAD,LLC COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING ETO BE'C01VIP_lETED_AET.ER POSTING REMAINS;IN P_LA.CE-T'OR AT ZEAS-T-SEVEN IDA=YS P RORIP RORI T0-THE UUBL-IG HEARING DATE I, (�okeiY` 4,0W , residing at/dba S� ►-� CCU being duly swom,14epose and say: That on the & day of NAP , 201 , I personally posted the property known as S 34 s by placing the Board of Trustees official poster whe it can easil a seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday,August 16,2017. Dated: d ( <9- I r7 �1 U'i; (signature) Sworn to > efore me this Q day of t-) 20 11 4/ Notary Pub ' SYA.PERKINS Notary Public,State of New York No.01 PE6130636 Qualif►ed in Suffolk Coun Commission Expires July 1 Postal oRECEIPT rn Domestic N For delivery information,visit our websiteat wwW.uSPS.E=:._., i Adjacent Properties to 5345 Vanston Rd, LLC �Q Certified Mail Fee Ln $ Extra Services&Fees(check box,add fee as appropriate) _ 111-14-2 r-J ❑Return Recelpt(hardcopy) $ Q ❑Return Receipt(electronic) $ f�ROst�nlaf C3 ❑Certified Mail Restricted Delivery $ pp FIOArB"/ \� Pia Christopher L Q ❑Adult Signature Required $ 332 Bleecker St., F48 Q ❑Adult Signature Restricted Delivery$ = Postage New York NY 10014 ,0 $ f �" Q Toll- Ln $ Christopher L Pia 111.-10-14 Sa 332 Bleecker St., F48 sil New York, NY 10014 g p Glendalou h Properties Inc --------------- a. 1918 Wilshire Dr. Durham, NC 27707-2240 111.-10-13.1 TIVI Postal North Fork Kiwi LLC CERTIFIED MAILP RECEIPT C/O Karen Hauser Domestic 467 W 22nd St.,Apt B r- , •1c,; New York, NY 10011 ni Certified Mail Fee .7- Ln $ Extra services&Fees(check box,add fee as eppropdate) �, V 118.-1-1. rq ❑Return Receipt(hardcopy) $ posmar Q ❑Retum Receipt(electronic) $ He e^ Q ❑Certified Mall Restricted Delivery $ v v� David Bofill Q ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ Colleen M Bofill O Postage$ / 5785 Vanston $ Ln Cutcho ^ee y ue, NY 11935 Q Total Post- g ` :'., g Glendalou h Properties-tne', ��j r-9 Sent To 1918 Wilshire Dr _____ St�ee[an Durham, NC 27707-2240 City,Slat -------- li it V.S. Postal Service- CERTIFIED o RECEIPT u.S. Postal Ln Domestic Mail only CERTIFIED MAILO RECEIPT [� -n 1 Domestic mailonly ru Certified Mail Fee I€ ;k 9 A " U r � t a Ln $ (� I Certified Mail Fee Extra Service $Fees(checkbox,edd fee es eppropdate) hie�J �-`..� t9 ❑Return Recelpt(hardcopy) $ Ln $ � Q ❑Return Receipt(electronic) $ r r Extra Services&Fees(check box,add fee as eppropdate) O ❑Certified Mail Restricted Delivery cPOstmark tl � ❑Retum Receipt(hardcopy) $ {�POytmark Q ❑Adult Signature Required ry $ I •' Here Q ❑Retum Recelpt(electronic) $ �x 1 Q []Certified Mall Restricted Delivery $ ® Her ❑Adult Signature Restricted Delivery$ x Postage Q G' Q ❑Adult Signature Required $ �t rr ❑Adult Signature Restricted Delivery$ $ Q a^.Total Postaaw r cee^ Postage _ ° LO $ North Fork Kiwi LLC `aa TotalPostaoeandFens Sent Ti v� Q C/O Karen Hauser Ln Sent Bofill David Sheet: 467 W 22nd St Apt B ---------- � Sent To Bofill Colleen M ------- c;�y st New York, NY 10011 ---------- Stieetani 5785 Vanston _______ crty,-siaiE Cutchogue, NY 11935 NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: 5345 VANSTON ROAD, LLC { SUBJECT OF PUBLIC HEARING : For a Wetland Permit for the construction of a 19.8 linear foot long, 36" to 42" varying high cement retaining wall continued from the adjacent southerly property onto subject property, and tapering down to existing grade; and to regrade disturbed areas. Located: 5345 Vanston Road, Cutchogue. SCTM# 1000-111-14-1 TIME & DATE OF PUBLIC HEARING : Wednesday, August 16, 2017 — at or about 5:30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 ' Town of Southold :LWRP.�COI+I'SIS7riCIoTCY ASSESSMENT FORM I 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 `JJf6r)ised< act azi; will :lie" .evaliiated.:;as to, its: `si riifcani' b"ei eficial'and adverse."effects°uponA coastal:area wliichJn(;lude&all of-Southold Tcwnl.. 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. Th-us,:eath'i.ansvi%er°must.,liie.ext�lnhi6d ia�diefail, M' 'ting both suonoxtirig.and non. S00061 iiMAtets. If an action cannot be certified as consistent with the LWRP policy standards and conditions;:i"i'�shall'nat�lie uncied`akeri: , ' 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 land the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION 1a40 � SCTM# T PROJECT NAME, P,0 svo 1.) P-om, E✓�G The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees. 1. Category of Town of Southold agency action(check appropriate'response)': (a) Action undertaken directly by Town agency(e.g.capital -construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: en ('aceyll-.alw- t. /i i Location of action: �g� 1"ssi�l nr�c Site acreage: 52�0, Present land use: Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: p a Name of"a plicant: 3 (b) Mailing address:. S� L/5� 1�G��S A20 61, 4z9 -t� (c) Telephone number: Area Code (d) Application number,if any: Will the action be di r tly undertaken,require funding,or approval by a state or federal agency? Yes 0 No. If yes,which state or federal agpnrly- 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. ,I)EI vulI:OPI D.CQA T POLiCY: Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ER!res ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See " LWRP Section III—Poli 'es Pages 3 through 6 for evaluation criteria '� Yes ❑.No Not Applicable , J PROJECT DESCRIPTION PROPERTY OF 5345 VANSTON ROAD,LLC S CTM#1000-118-01-01 New cement retaining wall continued 8 linear feet, continued from adjacent southerly property onto subject premises, approximately 36"to 42" high,based on field conditions,to taper down to existing grade. Regrading to continue from adjacent southerly parcel, over property line, and taper onto subject parcel. I 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 Q Yes ,Q No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes No SJ 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 t;Not gh -for evaluation criteria Yes'0 No Applicable Attach additional sheets if necessary Policy 6. Protect and restore the-quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluatio criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Q; Yes F❑ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wZt See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. i0 Yes '❑ No Applicable r PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town o Southold. See LWRP Section III Policies; Pages 38 through 46 for evaluation criteria.❑ YeD No Not Applicable Attach additional sheets if necessary -WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Se WRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Q Yes n• 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 w rs. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes .OI No Not Applicable i 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 0 No Not Applicable Attach additional sheets if necessary Policy 13. Promote/appopriate use and development of energy and mineral resources. See LWRP Section III--Policiess 65 through 68 for evaluation criteria. EJ Yes 0. No 0 Not Applicable PREPARED BY, �GC� GL ct Q f��+p TITLE DATE, .�_�7