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1050 West Cove Rd, LLC
John Bredemeyer, President sAFFOLte Town Hall Annex Michael J. Domino, Vice-President °° °°y 54375 Route 25 Glenn Goldsmith ti P.O. Box 1179 A. Nicholas Krupski �y • Southold, NY 11971 Charles J. Sanders ''�i , , �a° Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: lk/A '1:3 a 1050 WEST COVE RD. LLC, c/o EUGENE BURGER requests a Wetland Permit for the existing dwelling and to reconstruct in-place a 22'x20' section of exterior walls and raise plate height to 10'. Located: 1050 West Cove Road, Cutchogue. SCTM# 1000- 111-5-1 Type of area to be impacted: t Saltwater Wetland Freshwater Wetland Sound `� Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: VChapt.275 Chapt. 111 other Type of Application: V Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No LO Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: - IR,+(fy �40'N I�udzrr +o 0(ty lts V/�T f4 f 111 o,( G(,F< he 6p v Present Were: �_J. IBredemeyer ill. Domino i,G. Goldsmith N. Krupski A C. Sanders Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: led — t P �fM, V ear ' I I' 16�/8/ ��yrp''°1 i POLME TOP PLATE ZXG WALL I 4' STUDS � I � I � I j j 10' I I 6' - I K I TGIJEN 22'I j I I I j 12' 1 I NEW 4" 1=Ri3T i I was 5' i I 5' I j I L -- - - - - - - -- -- - - - J J_ . . . .. . .. .. . . . - ... .. 20 I; DEC 2 1 2015 L DF-TA So',t�c�c Tc.:vn WALK I T-Gf-t�N 1=LOOR PLAN SURVEY OF PROPERTY SITUATE NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-1 1 1 -05-01 SCALE 1 "=20' SEPTEMBER 29, 2011 AREA = 67,247 s . ft. (TO TIE LINES & BULKHEAD) 1.544 ac. T � v 0 / J• r.. OF MAP ° �p AMEN SAU PST T TIES, INC. «N As PROPER J T U POINT CL UB OF 5UFF056 COUNT YyNASSA ofTHEE FILE No. �pOy . ,a : d e v ED B OFFICE 1922 AS O WN FILED IN ONE AUGUST 16. • • , b . • °. • 'v e:r°d •'�_' A ; °• .• ° •• v• EDGE OF PAVEMENT ° •� 'e •. d °• . .°•.• °v A T �• : LQ 2 ° :. ° v' ° • ° U"ILI �' . d . • ° OR d • METR� E 'e. NYT# POLE E ^ , • ° d .•°.. •d�4 n d4 S 84°29'ooff •. v GRpVE� e. 4 6.6 ° t o O d .. 0/r' : ° d.•• • OVERHEAD WIRES oo. n 17y E • ° d ° 114 POL e t .d• '' N� BURGFK BELciAN ..: e GQ „ E n�c'Ne ` • ' v ANN R. BLOCk CURB FENCE �� �� ° ! .° ° N 7 9°5S'20 ALONG 1RReG L4R ' ° !• ° 4 �w .. ' i RNL CE !�0 9.0 •.. o REMAINS OF POST ° s. -C TIE LINE AO CUR O ENC CONC• BLOCK wAL / ° COArC BLOCK CURS ° • ° ° MpN 8 1 BELGIAN �Q4'y •• °: :°a. e a". °•• � HAI LIN FEN E �� t,Q • .•1 N °. d• e K GU 1 oo� v " E Q d•. • :.. . P� 1 e OEUG�N e / 303,60' LIND 3 11v 7 g°58 20 GO�Zf �. . d N�� OR °• • �� / CONC F MON. •�. .' a°' v .Q / OF �W 3 frO'D J NER '• GOaG. / YIOOO 5 O°O INK •� �09 O Toq a• .. 1 F�ti -1 e., OJ 7 O V4 v O� 5 moo. 0R of OIL y / O 1 1 / LAMP � POST" 1 G '4 91• Av, G No 0 BROKEN FENCE " •° e d. °' ° v 1 REMAINS pp I FOUND MON. \.45. / o GRAVEL DRIVEWAY DRIVEWAY CONC• v Vv 1 d.v PROANKS 223.00� ° °! �� ...:......_e. _.._—_ 1 O 1 • '1 LINK FENCE ' r I d: • II 1, CHAIN d. DEC 2 1 2015 L 1 F`NOOOp PpST DRAIN ° ° v . • CON FOUND y,ON. IN a ' •,a FENCE p.5'S. G4. o� J�aI ° Q 9 20 e� s t 5 7C 5 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. �� Of NEiV y -\AFT CO,Q N.Y.S. Lic. No. 50467 TO THIS SURVEY ALTERATION TI ADDITION Nathan Taft Corwin III TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. Land Surveyor COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— PHONE (631)727-2090 Fax (631)727-1727 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS 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 1-1 tiw t a1� t Y 11,Ril r✓,.. h� fit•All ��J y T4.R Now g. r a /j �sr -S,•S y �./Rn r , ><+`� P � rtt � PROPERTY A4 0 2 u ,-u+•a >.tr�21 ,r yeaM� '� \' '� \p a i5 ,• to 121 21 °" n naNWrDEN` OLD • 21 �• -1,�� L lgc'°'raN w g 3 sn p°'ra ' V< 5 T „a,'1\ `9 2 6 Is J1,111: '\ 1.3Nc) ew on 17 C,(_' 3 ��� wr'S t.Wcl- ` 12 a �_- _1_•.t_ a ,i?'- r ..-..... . � ,,.\ / e .� 1• fyiir.+ � � 01 WmJ ---------------- n 2 iWh ' ,'s is N ice_ O .. .Na.ra � srur r-tm ': 4,• p ,' °",' — ,3 aW� 3 s C ... \ to A - � zt_, °.a ,_ t.a°Nq 1 ,e� • .'£t Nm\ I 1 W4 \ 1IZf A;''' ,' l' iw z �" tat � 1• +' 11+ � *' H - 19 ... ' „2 r • m Y+' s t.s'3•tc sip •j to n r � N T 22 wCF • - ,-IFl "ws rlHcla ° s AA '.�•' .♦\ "� � � � GIXt,G, + 0eY ,? �� �m'Nt t.tryc) d ;'('p' '_y t5 ° 1.eMnS'� *•to" ��Wc) „ r \ Lrgq� L 1 J 11 i2r o, �` 71 - ' ° iPj9/, s' � �•7+ a as - zWU 44 Tr.t 10 O'Q e: +\- ,.3ae) • ) s f.4 ? P °w EyyETA >A ) z NO PCL No P% m SEE SEC.NO. 3a.B p -�.. .D,g p0 1 °y° 11e414D l z.e < m sit 11 �- weicli--z----- is § qS 3Nc) _ __ NOTICE w,a COUNTY OF SUFFOLK 101 - — �_. 12t) O �� --�-- �..�- -- '""",I'"""."`r`""„°".WEM Real Property Tax SermeA en v SOUTMOiD SECTION NO �.rss r r+ wo.... --�-- °�nr.. • onaa[°rr r•l C^r�N scmnc[•¢^cr € 16rr`rRMNwO,N Y,lrpt M 1!t H1 r r A pn P nS Nc^0 1000 PROPERTY\Ir, s 1` 0 �G Peter Young,Chairman co y Town Hall,53095 Main Rd. Lauren Standish,Secretary 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., January 13, 2016 the following recommendation was made: Moved by Peter Meeker, seconded by John Stein, it was RESOLVED to SUPPORT the application of 1050 WEST COVE ROAD, LLC C/O EUGENE BURGER to renovate and insulate existing,kitchen within the existing dwelling. Located: 1050 West Cove Rd., Cutchogue. SCTM#111-5-1 Inspected by: Peter Meeker, John Stein Vote of Council: Ayes: All Motion Carried John M. Bredemeyer III, President %®F.SO�lyo Town Hall Annex Michael J. Domino,Vice-President AO l0 54375 Main Road P.O.Box 1179 James F. King,Trustee J0 Southold,New York 11971-0959 Dave Bergen,Trustee CIO Charles J.Sanders,Trustee 'Q ® �� Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD D 1 I To: Southold.Town Building Department DEC 2 3 2015 Re: Verification of Building Department Permit Requirements SCTM#: Property Owner Name: ' 1050 w�i COVE-0 LLC- COV661,87- P �-) Date Sent to Bldg. Dept.: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from tbo2oning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature of viewer Date ` 1 �rj\f SOUry John M.Bredemeyer III,President Town Hall Annex 0� ®l Michael J. Domino,Vice-President O 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee �Q Telephone(631) 765-1892 Charles J. Sanders,Trustee KyeouffN Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application _Wetland Permit Application _Administrative Permit Amendment/Transfer/Extension Received Application ��+21��� "" Received Fee:$ �1�D ,s '�� �, �"r� �: �,::� _Completed Application: 2`Z • P'_;Ey - '! _Incomplete: _SEQRA Classification: `." D EC 2 1 2015 'J Type I Type II Unlisted oordination:(datesent): �/ LCWRP Consistency Assessment Form: Southold Towe CAC Referral Sent: I z,23`1,�!;_ ,__ Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: Public Hearing Held: r+ + Resolution: I Sb 045 Cove, UC Name of Applicant:�c) Mailing Address: 'PO a QX 1 3 `•i' LuAdjoque (A N C( 3 s Phone Number: �p 3 , 3 4 5 Z 1 77 Suffolk County Tax Map Number: 1000 - ` 1 k — O S — d 1 Property Location: 1050 \AJ e_SV CID Ve— RQaA C'u Cc tl o G tI e, N`( k Q( 3 (provide LILCO Pole#, distance to cr ss streets, and location) AGENT: (If applicable) Address: Phone: �� 1 Bc __,.1 of Trustees Applicationr GENERAL /DATA Land Area(in square feet): 7 ,, 2-to Q s Area Zoning: R Res I�YI•�j�Q Previous use of property: RE bi &nii a-Q Intended use of property: R,�-05 i &-A:b {g Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. 0.i+o Ck t d, 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 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? No Yes If yes,provide explanation: Project Description(use attachments if necessary): Z.n ` Atearj,e% TeMP p�f 'eis i Sb n C, w a lk s r e-n` C e ( 1 Y�sftryl& .I o Cabavl1 c lu i u (A.111a5► a R Aln�- �_ " QU 4 Bc- _ d of Trustees Application' WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ovr� , �,►1 c\ lrSuQ . lC c,�Ce�n Ore_a . Area of wetlands on lot: square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: 3 2 feet Closest distance between nearest proposed structure and upland_ edge of wetlands: , feet Does the project involve excavation or filling? 4 No Yes If yes,how much material will be excavated? �A cubic yards How much material will be filled? iJ 1 _ cubic yards Depth of which material will be removed or deposited: N / feet Proposed slope throughout the area of operations: �- Manner in which material will be removed or deposited: P1 IN 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): 1 �Here- W 1 0 e W r c.- to %g— A ,rA a c eQL. 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part l -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 Proj t: K.i f ch Project Location(describe,and attach a location map): Brief Description of Proposed Action: Zln ILi+chevt, eX i s-h n 9 4 ``waA(S rep 6ce, ( ir, Same 1oc.aL+jtom) tau J+h heW (o1l wakIS, _cL(Se_ extsty n9 p 1 a�� be-1 9 ht i n ki fCh�h �-o Io`-O" � t� P-I-t1 Y1eu.�e�t�l�edretQ ceilinc�a Name of Applicant or Sponsor: Telephone: `&A Q.en T)umrE-Mail: = C0141 Address: F0 BOX City/PO: State: Zip Code: NJ Il 55 1.Does the proposed actiodonly 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 P may be affected in the municipality and proceed to Part 2. If no,continue.to question 2. ' V x El 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: ❑ ❑ 3.a.Total acreage of the site of the proposed action? 0,C) I acres ( 433 s+ b.Total acreage to be physically disturbed? O acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? I ° 544 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) [:]Industrial ❑Commercial Residential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1. of 4 5. Is the proposed action, NO YES I N/A a.A permitted use under the zoning regulations? ❑ ® ❑ b.Consistent with the adopted comprehensive plan? ❑ ® I ❑ 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 1 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: ❑ IdnJ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 171 12. a.Does the site contain a structure that is listed on.either the,State or National Register of Historic NO YESI Places? 21 ❑ b. Is the proposed action located in an archeological sensitive area? r,71 ❑ 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? ® ElIf Yes,identify the wetland or waterbody and extent.of alterations-in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely'to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional TO 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? ® ❑ 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, [:]YES M ❑ 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: 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 KNOWLEDGE Applicant/sponsor name: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 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? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: 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, architectural 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)? 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 Elproblems? - 4 11. Will the proposed action create a hazard to environmental resources or human health? 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 nvironmental 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 .l Town of Southold-Board of Trustees I 'mil 0 !J Name of Lead Agen y Date Ae, President Print or Type Xame of R nsible Officer in tead Agency Title of Responsible Officer Sena ire of Responsible Officer'n Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: :'ho mast Roby Cj luc krhail a*n FowNeS _ 1 (o E 34rth S�1 Floor 5, l4eW yor V- N v/ l oolb --qa-r tha Pa�I --: Po 8oX -734 , Cutc.ho9ve, 10 119 BE Ross o.nna� Mon9ICkrclo — 11 O We_i-herhill Rd . Clarclen Ci� N a� t15 —Rani�t'v t la810, �0.verga C,c rl E.Juu ielsen } Pa+rida Ca�avia( 95 4U.n+ rs Qr• N�t�tton-town, NY STATE OF NEW YORK COUNTY OF SUFFOLK residing at E© BQX Q64��h AO , 1J Y IN55 ee , being duly sworn, deposes and says tha I P day of , 20 lfA , deponent mailed a-true copy of the Notice set forth in the Board of Trust es Application, directed to each of the above named persons at the addresses set opposite there 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 at fChoRoe, N Y , that said Notices were mailed to each of said persons by CERTIFIED MA /RETURN RECEIPT. Sworn tp before me this r� Day o 20/_ i Notary Public DEBORAH H.VAN DUZER Notary Public,State C New York No.01VA6186177 Qualified in Suffolk County Commission Expires April 28,66 i Postal Service U.S. Post rvice CERTIFIED oRECEIPT CERTIFIED o RECEIPT Domestic s ,-9 Domestic MailOnly IU m LnOWES— u_I� .n NEW YS tpO 6 0 A L � ._a CUTCH '1.1 V� U •� � Certified Malkt-ea'� f3.4� ^ - „� Certified Mall Fee f3.45 P� Extra Services&Fees(checkbox,add fee as appropriate) p,•j 0935 `�\� � �s l f�.^ `O Extra Services&Fees(checkbox,add fee as appropriate)/ � 9 V� ❑Return Receipt(hardcopy) $ So f(' `,,, ®y�►, ❑Return Receipt(hardcopy) $ C3 ❑Return Receipt(electronic) $, g �Z�s•" 1� ❑Retum Receipt(elecronic) $ a4 Pr Clark 0 0 ❑Certified Mail Restdcted Delivery $ t� Here Q ❑Certified Mall Restricted Delivery $ �•IBre �y []Adult Signature Required $ 0 ❑Adult Signature Required $ 0 []Adult Signature Restricted Delivery$ V� (]��.J C ❑Adult Signature Restricted Delivery$ ` I 0 Postage fp.49 O. Postage ti $ $0.49 Ln Total Postage and Fees Ln Total Postage and Fees f 74 ra $ $6.74 6$ ` Ln Sent To �r��� / a 1�+Q11i1A t �_(u�I�MtlCa atfr• FO�r(}�!_ Sent To at r�/!Q t.Lclelc F- - Street and Apt.No. orb Sox�fo. r 0 St eet rq ndApt. or PC7 Boz ---F tQD -5---------- --------------- y -------------------------------------- Iti City, te,ZIP+4• / Q/� ortc ! c;� to l h o ve IJ 1/935 J, 1 U.S. Postal Service'm TM -t Postal CERTIFIED MAILP RECEIPT I u"1 Domestic Mail,Only Domestic Mail Only Ln '�Ln 02-MR10- GARDE . � a or.. _.; : "ROSLY Y PiF � r' L U S f� Certified Mail Fee •� Certified Mail Fee p` \ Ln •O $ $3.45 .\, N. 1 rO $ .. ro date Sl . 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Srreei an�pt�llo.;orYP Box Afh�_(1_.ISO a G �c�__._ r�-Y�----- -- - - J 5f�1 r N --- ------------------------- I try s zl a N ctry,sr ,zjX N �J`7�o - A [7 U.S. Postal Service T" CERTIFIED aRECEIPT Domestic Mail Only co SYOS5�l� A L U ' �Ln Certified Mail Fee f.'Z 45 /1 ,�/ 11' Extra Services&Fees(checkbox,add fee as appropriate) �Q C� O ❑Return Receipt(hardcopy) $� 4 O ❑Return Recelpt(electronic) $ 4 POStmaflf�.I li O ❑Ceriiffed Mall Restricted Delivery $ • HercK` i 0 ❑Adult Signature Required �$ []Adult Signature Restricted Delivery$ p Postage $0.49 01%1 t1�6 61.E ru $ Ln Total Postage and Fees rq $ $6.74 Ln S t To " O free r�dAp No.,�o�rPO Boz No. i A it V --------------------------------- u NUTIL' t: Ui --- Ht: AKING- - 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: 1050 WEST COVE RD. LLC, c/o EUGENE BURGER SUBJECT OF PUBLIC HEARING : For a Wetland Permit for the existing dwelling and to reconstruct in-place a 22'x20' section of exterior walls and raise plate height to 10'. Located: 1050 West Cove Road, Cutchogue. SCTM# 1000-111 -5-1 TIME & DATE OF PUBLIC HEARING : Wednesday, January 20, 2016 — 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 Bt,_-mod of Trustees Application AFFIDAVIT BEING DULY SWORN DEPOSESI IND AFFIRMS T14AT 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 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-T-HE-PERMIT-. - Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF DA6: )L) y,/eZ , 20 I]C' . "4 Notary Public DEBORAH H.VAN DUZER Notary Public,Stated New York No.01VA6186177 Qualified in Suffolk County Commission Expires April 28,2016 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose If this form is to Rrovide information which can alert the town of Rossib16 conflicts of interest and allow it to take whatever action is nemssarto avoid same. YOUR NAME: (LastWame,fast name,rpidd a itial,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 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 Ifyou answered`-`YES'-'-;complete the balance of this form and.date.and sign where indicated.. Name of person employed by the Town of Southold Title 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,of 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 lotday of hgce-dlur204 Signature y Print Name Ve P�Rf Form TS I . f 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 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 non- supportink 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# _ PROJECT NAME _ {'1'1�Y1 Ze_ o V ail OYN The Application has been submitted to(check appropriate response): oard❑ Building Dept. ElBoard of Trustees Town Board El Planning B I. 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: '-(9 Nature and extent of action: To V x i s-h 4 J OTC' �\o1 PIA tQ W-O" i An \L� -hf n ftrp a c6 u-na � e., Location of action: 1050 h)&S-"cove, �OQd,,n4 f rhn A ue, ►J y /i g?LS- Site acreage:' Present land use: Res I oCQ.nli n.1 Present zoning classification: R -�i p 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: U C/e n P B u r ae r (b) Mailing address: P Q Box g h ve /U y I- �'J 33 • (c) Telephone number: Area Code( )�� � �.3 °�- ZA 7 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No[K 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 infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. Yes ❑ No ❑ Not Applicable G c �f�G)e�z,� �ruCfuv'��- �j,, Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III=Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No N Not Applicable r _ Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No W 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 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 ❑ Yes ❑ No LFVAJ 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 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. Yes No 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 LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. El Yes._- _- No -_. _- Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the.Town of Southold. See LWRP Section III=Policies; Pages 38 through 46,for evaluation criteria. nn n YeF-1 No f 4 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. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. nt Yes ❑ No `4 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 M 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-f6-t evaluation criteria. ❑ Yes ❑ No LN 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 M Not Applicable PREPARED BY C,Ltae h e- B U re TITLE O ry rW—r DATE v.r DECLARATION OF COVENANTS THIS DECLARATION made this 3D day of April, 2012, by 1050 West Cove Road, LLC. doing business at 2215 Pine Tree Road, Cutchogue, New York 11935, hereinafter referred to as "DECLARANT": WITNESSETH: WHEREAS, DECLARANT is the owner of certain real property located at 1050 West Cove Road, Cutchogue, Town of Southold, bounty of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 111, Block 5, Lot 001.000 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town,Code of.the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the-Trustees required that the existing non turf area between the bulkhead to the top of the bluff is to remain as non turf, and as depicted on the survey prepared by.Nathan Taft Corwin, III last dated September 29, 2011; NOW, THEREFORE, the DECLARANT does hereby covenant and agree as follows: 1) The existing non turf buffer must remain and be subsequently maintained between the bulkhead-and the top of the bluff as depicted on the survey prepared by Nathan Taft Corwin, III last updated dated September 29, 2011 and stamped approved on April 4, 2012 by the Board of Trustees. 2) These covenants shall run with the land and shall be binding on the DECLARANT, their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner has duly executed this instrument this Jb day of April,2012. 1050 West Cove Road, LLC. BY: ----- Euge� e Burger, Member STATE OF NEW YORK) ss.: COUNTY OF SUFFOLK) On th&5 day of April, in the year 2012, before me the undersigned, a Notary Public in and for said State, personally appeared, Eugene Burger personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed.the same in his capacity, and that by his signature on the instrument, the individual or the persons on behalf of which the individual acted, executed the.instrument. NOTARY PUBLIC ELAINET.VILLANO Notary Public,State of New York No.01V16029229,Suffolk CouQty Commission.Expires Aug.9, ►3 2 1 SCHEDULE A PROPERTY DESCRIPTION i I The land referred to in this Commitment is described as follows:. AMENDED 10/14/11 I ALL THAT CERTAIN PLOT, PIECE OR PARCEL OF LAND, SITUATE, LYING AND BEING at Nassau Point, Town of Southold,County of Suffolk, State of New York, being the westerly part of the northerly 200 feet of the "Clara Barclay" plot as shown on the map of Nassau Point No. 156, being more particularly bounded and described as follows: i BEGINNING'at a point on high water mark of Cutchogue Harbor and the southerly side of a certain 10 foot strip of land adjacent to Lot 281 as shown on"Amended Map of Nassau Point, owned by Nassau Point Club Properties, Inc."filed in the Suffolk County Clerk's Office at Riverhead, New York; RUNNING thence along the southerly side of said 1.0 foot strip, north 79 degrees 58 minutes 20 seconds east 218.79 feet to the southerly revised line of Northwest Loop; THENCE along said southerly revised line of Northwest Loop,on a curve to the left whose chord runs south 84 degrees 29 minutes east 46.61 feet; THENCE along said revised southerly line of Northwest Loop,on a line parallel to the original,line as shown on said map north 79 degrees.58 minutes 20 seconds east 125.80 feet'-to a concrete monument; THENCE along said revised southerly lien of Northwest Loop, on a curve to the left whose chord runs south 71 degrees 50 minutes east 79 feet to a concrete monument on the westerly side of private road, 15`feet in width; THENCE along the westerly side of said private road, south 43 degrees 44 minutes west 247.34 feet to a concrete monument; THENCE south 79 degrees 58 minutes 20 seconds west 223 feet to said high water mark of Cutchogue Harbor; THENCE along said high water mark of Cutchogue Harbor the following two courses and distance; 1. North 17 degrees 44 minutes 14 seconds west 109.56 feet; 2. North 23 degrees 55 minutes 53 seconds west 90.10 feet to the point or place of BEGINNING. TOGETHER with a right of way to all points 15 feet In width over the said private road from Northwest Loop southerly to the southeasterly corner of the premises herein described and as described in right of way and repair agreement in Liber 9978 Page,385. FOR INFORMATION ONLY:SAID PREMISES BEING KNOWN AS AND BY: District: 1000 Section:111.00 Block:05.00 Lot:001,000 1050 West Cove Road Cutchogue, NY