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Home My WebLink AboutTR-6042 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Han 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #_ 0159C THIS CERTIFIES that the At Date September 28. 2006 second-story addition to dwelling and enclosed porch 1165 Calves Neck Rd.. Southo1d Suffolk County Tax Map # 63-7-34 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 11/10/04 pursuant to which Trustees Permit # 6042 Dated 12/20/04 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for a second-story addition to dwelling and enclosed porch owner of the The certificate is issued to DAVID & ELIZABETH SHANKS aforesaid property. r~~ Authorized Signature Albert J, Krupski, pre.t . James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson . . Town Hall 53095 Route 25 P,O, Box 1179 S.outhold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO'COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction Yo constructed ,./' Project complete, compliance inspection, Bo-ard Of Southold . Town Trustees , , SOUTH OLD, NEW YORK PERMIT NO. (o04ð--- ISSUED TO .....,..P~X.IP~,H~~~~ .... DATE:1J~c.,20,. 2004 ......-................. . !\ut4nrilaUnu Pursuant to the provisions of Chapter 615 of the laws of the State of New York, 1893: and Chapter 404 of the Laws of the State of New York 1952: and the Southold Town Ordinance en- titled ,"REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC lANDS and· the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS.f-iDM LANDS UNDER TOWN WATERS;!', and in accordance with the Resolution of The BOðrd adopted at a meeting held on ...v.~Iè:.. 2.o.~.... , 2º,º.~... and in consideration of the sum of $,.25.Q..ßQ.... paid by Vav,¿d Shat!/v.. ....m............._............·...··.. ..............-....... ................n.........._..._........·.····......··-..·.. of ,.....,....$q!!A;/:t9.,M,... N. Y. and subject to the Terms and Conditions listed on the reverse sIde hereof, of Southold Town T rudees authorizes and permits the foUowing: WeX&lld Pvun.{;t to C.OMtJw.c.t ai, 100 6q. M. Mc.oltd-6tOlty 1 adcLi;t.i.on to the. e.w.ting d¡ve..U.i.llg, and a...\ de.p,¿c.te.d all tlte. ~ 6uJWe.y plte.paJte.d by J06eph A. Ingegno L.ut date.d 10(28(04. all in accordance with the detai\ed specifications as presented in . the origillðting application. . IN WITNESS WHEREOf. The said Board of Trustees here- by CIIuses its CorfxIrat~ ~al to be affixed. and th_ ~esents to be subscribed by a malority of the said Board as of thÍ$ dats. , Ø/M'J,2<~/1 'l;:¡ f7J;L. ~ M.tie FoÚVt OO~Ç,Z::O; ~^-- . . . TERMS IInd CONDITIONS Va.v,¿d Sha.111u. one I'emdttee raidiag at 1165 Ca.l'.v",~ Nec.k. Rd., Sotdhotd . N. y~ IS pm' of the coasiduatioo lor the Ü5'.,~ of the Pemút docs \IØCIeøtød and pœ$Cribe to the fot- ~: . 1. That the said Øoatd 01. TtuSteeS aðd the Town 01. SouthoId ate re1eued lrom my aM all cIamagcs, oc claims foe cIamoges, of suits arisiDg. cIúecd.y or lødlrec:dy as a ~ of IlI'f o~' adoa pedoaucd (1IIØU'I>t-«o;ebb. ~ aðd che said ~_ ,..p¡,. lit LIs or - own ~, delead u.y aM all JUCh suIts-I..&I.te<\ by tbhd (>arda, aod the said 11 II. 1,!eO' -- fall IåbIIIt.T wkh reSpect cheteto. ~'~ esdu5ioo of the I!øud of TtuSteeS of the Town of ~ 2. That chis PeuDIt Is YaIld for . pedod of 24 _ whId1. Is cICIø~ft~ to be che estimated time required to coinpIetr the wod< 1n'f01YeC1, l>utihoa1d ~nce< waaaat, nquest . for an exœøsioo may be made to the Boød al a .., ~ !. That this Pemút should be retaiøed indefùdtely, or as l00¡ as the said ~ ,.¡shCs to . ....¡nt.ln the suuaure or p('(lject Involved, to provide evkIeDœ co anyoae ~ that ambo odzadoa was odgIaaI1y obtaIoed. 4. That the wock ÚI'fOlmI wI1I be IUbject (0 the Jmpectioo aM appront of che Boud or lis ageots, aM ØOCKOIII(IIWace with the provisioøs of the nrtgI...tI'Ig appIicatioa, a.y be cause for mocation of this Pemút by ~lutloo 01. the said Board. S. That tbeœ wI1I be DO uateaSOOIb1e Intetf_ with øa-rigatIoa as a ~ 01. the wock beIeIn aùthorV~ d, . ' . 6. That tbeœ sba11 be 00 iatetf_ wkh the dp of che pdJIk to pass IØII. .. IIoag the beach Let1v~ tJIsb aM tow water øwb. . 7. That If '-e OfC""tI_ 01 the Town of SoIot!>ØA nc¡aIre tho. -.1 aø4¡« lIœ..t/oM In the \oc:otlnn oiche wock beteIn todIqI-t ~. or IE. fA the opIc>Ioø of -the Boaø1 01 Trasceef, dae . wock shall cause ameISOII"ldr obstta<DOD to free øaftp1oa, the aiel p.rn.I..... wUJ. be ~ apooduc oodœ, to remove or liter this wod< or proJ«t beteIn sweet "kLoat ~W:I to the TowD- . 01 SoIathoId. . , 8. That the aid Board wI1I be aodf/ed by tbe PHmI..... or dae ~.. Of the -" aath- 0J:bed. 9. That the 'Pe-1..... wilt dJtaIø. all other pctmIa aM CIO - nho 6It II1IIf be nquIred ..p; ~ to this permit ~ may'be sabJ«t to revuIœ apoo fallan to obtIID -. '. . "$1: "j'; . . Albert J, Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A, Dickerson Town Hall 53095 Route 25 P,O, Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 20, 2004 Mr, Bruce Anderson Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932 RE: DAVID SHANKS 1165 CALVES NECK RD., SOUTHOLD SCTM#63-7-34 Dear Mr. Anderson: The Board of Town Trustees took the following action during its regular meeting held on Monday, December 20, 2004 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of DAVID SHANKS applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated November 10, 2004 and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 20, 2004, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 . . WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determil"ed that the project as proposed will not affect the health, safety and general weUar~ of the people of the town, NOW THEREFORE BE IT, . ,. RESOLVED, that the BoardbfTrustees approve the application of DAVID SHANKS to construct a 1,100 sq,ft. second-story addition to the existing dwelling, and as depicted on the survey preparoo by Joseph A. Ingegno last dated October 28, 2004. ~. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50,00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, ~-I 9. ~·'7fJ4-J..· t} , Albert J, Krupski, Jr. President, Board of Trustees AJK/lms Albert J, Krupski, President J ames King, Vice-President Artie Foster Ken Polhvoda Peggy A. Dickerson ~ . ( ~~\\ffOL.t ~ ~ ~.~~ ~ ~" ::::Þ ;.c.~, CI - ' .,. zd! ~ ~ 1:,,14-. ~f>;/ Town Hall 53095 Route 25 P,O, Box 1179 Southold, New York 11971·0959 Telephone (6311 765·1892 Fax1631> 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JDn..Ü'¡r,\ j 1\01\./uY Please be advised that your application dated II \ IDlo'l reviewed by this Board at the regular meeting of ¡..;..}O 0 following action was taken: has been and the ( /) Application Approved (see below) L-) Application Denied (see below) L-) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due, Make check or money order payable to the Southold Town Trustees, The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: ~ L" SO ,00 - U' CìOJ LII.\)~cLUJ\ TOTAL FEES DUE: $ S'O, 00 SIGNED: J/~A~ 9, ~.t}. PRESIDENT, BOARD OF TRUSTEES . . RESOLUTION RESOLVED that the Board of Trustees of the Town of Southold hereby finds that the application of DAVID SHANKS more fully described in the public hearing item #tpof the Trustee agenda dated Monday December 20, 2004, is classified as a Type II Action pursuant to SEQRA Rules and Regulations, and is not subject to review under SEQRA. - . . " Telephone (631) 765-1892 Town Hall 53095 Roule 25 P,O, Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tues., December 7,2004, the following recommendation was made: Moved by Jack McGreevy, seconded by Don Wilder, it was RESOLVED to recommend to the South old Town Board of Trustees APPROVAL of the Wetland Permit application of DAVID SHANKS to construct a 1,100 sq. ft. second-story addition to the existing dwelling. Located: 1165 Calves Neck Rd., Southold, SCTM#63-7-34 Vote of Council: Ayes: All Motion Carried . . Suffolk Environmental Consulting, Inc. Newman Village, Main Street, P,O, Box 2003, Bridgehampton, New York [1932-2003 16311537-5160 Fax: 163[1537-5198 Bruce Anderson, M,S" President January 4, 2005 Albert Krupski, Jr., President Southold Town Trustees p, O. Box 1179 Southold, NY 11971 Re: Shanks Situate: 1165 Calves Neck Road, Southold SCTM # 1000-63-7-34 Dear Mr, Kruspski, Enclosed herewith please find a check made payable to the Town of Southold in the amount of $50,00 for the final inspection of the approved project referenced above, Kindly forward the wetland approval to this office, Thank you for your cooperation in this matter, Bruce A. Anderson ~I~ J~' ~ eM ~5~ ~ SCuti1Jld "(own Board of Trustees . . Cc, D, Shanks . . , Albert J. Krupski, President Town Hall John Holzapfel, Vice President 53095 Main Road Jim King p, O. Box 1179 Martin H. Garrell Southold, New York 11971 Peter Wenczel Telephone (631) 765-1892 Fax (631) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use only Coastal Erosion Permit Application X Wetland Permit Application Grandfather Permit Application Waiver/Amendment/Changes ~ceived Application: //1/0/lY-( ~eceived Fee: $ ~)l} , ~ompleted Application / I 11(')) '0\.{ ~ [1i~V ~ v~ U ~ Incomplete ' . SEQRA Classification: Type I Type II Unlisted Coordination: (date ~nt) - ..-/tAC Referral Sent: 1/ / öy ..Date of Inspection:' /d-)¡èJby SOlJthoJd Town Receipt of CAC Report: BJard of Trcstees Lead Agency Determination: Technical Review: ----- Public Hearing Held: 1.)./1,\115\.( Resolution: I Name of Applicant David Shanks Address 30 Surrey Lana; Tenafly, NJ 07670 Phone Number ( 201 ) 567 - 0442 Suffolk County Tax Map Number: 1000-063-07-034 Property Location: 1165 Calves Neck Road; Southold, NY 11971 provide LILCO Pole #, distance to cross streets, and location) AGENT: Suffolk Environmental Consulting, Inc. [C'~.y. 0)~\\\ifl Address: P.O. Box 2003 Bridgehampton, NY 11932 Phone Number: (631) 537-5160 Fax: (631) 537-5198 I . . . . Board of Trustees Application GENERAL DATA Land Area(in square feet): 24, 764.05 square feet ± Area Zoning: Previous use of property: Private .inqle family cl_llinq Intended use of property: Same W/2Rd_Story Addition Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Project Description (use attachments if necessary) : Applicant proposes to construct a 1, 100 square foot ± 2"d_Story Addition atop the existing dwelling within subject property. 2 · , ,. Board of Trustees Appllcatlon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Applicant proposes to construct a 1, 100 square foot ± ~-Story Addition atop the existing dwelling within subject property. Area of wetlands on lot: 140 ± square feet Percent coverage of lot: 0.57 ± % Closest distance between nearest existing structure and upland edge of wetlands: o± feet (Existing Dock Assembly) Closest distance between nearest proposed structure and upland edge of wetlands: 86 + feet (Proposed 2~-Story Addition) Does the project involve excavation or filling: x No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed/deposited: N/A ± feet Proposed slope throughout the area of operations: N/A ± Manner in which material will be removed or deposited: N/A 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) : No impact to the wetlands are anticipated due to the location of the addition atop the existing dwelling considering no negative impacts to the wetlands have occurred from the existence of said dwelling. 3 . . Board of Trustees Application COASTAL EROSION APPLICATION DATA N/A Purpose of Proposed Activity: Are wetlands present within 75 feet of the proposed activity? No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from the implementation of the project as proposed. (Use attachments if necessary) 4 > . . 817.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1- PROJECT INFORMATION ¡To be comDleted bv ADDllcent or Proiect SDonaorl 1, APPLICANT/SPONSOR 2, PROJECT NAME SulTolk Environmental Consulting (cia Shawn Barron) Shanks 3. PROJECT LOCATION: Municipality Soulhold County SulTolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, elc., or provide map) 1165 Calves Neck Road, Southold, NY 5. PROPOSED ACTION IS: o New ø Expansion o Modification/alteration 6. DESCRIBE PROJECT BRIEFL V: Construction of an 1,100 square foot second story addition, approximately 87 feellanward of the high water mark, which represents Ihe tidal wetland houndary, All work shall take place above the 10' contour elevation, and landward of the top ofblulT, 7, AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPI. V WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? o Yes DNO If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~ Residential o Industrial o Commercial D Agriculture o ParklForesUOpen Space OOlher Descn e: 10, DOES ACTION INVOLVE A PERMIT APPROVAl., OR FUNDING, NOW OR UI.TIMATEI. Y FROM ANV OTHER GOVERNMENTAl. AGENCV (FEDERAl., STATE OR I.OCAI.)? DYes [{)NO If Yes, list agency(s) name and permiUapprovals: '1. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTI. Y VALID PERMIT OR APPROVAI.? Dves IZI No If Yes. list agency(s) name and permiUapprovals: '2, AÖ RESULT OF PiZlPOSED ACTION WlI.I. EXISTING PERMIT/APPROVAl. REQUIRE MODIFICATION? Yes .¡ No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE/.. i Applicantlsponsorname: ~-::-}ì.\,^,.r~ ~J.·)\'-G-.( r 1... Date: /1 '(II/if ~// ,'," - ~l.~' ! / Signature: ~~ '--'- <'-:-~-- - ;}:',·"'L/ -- / - If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 , ï ~ .~ '~ ~ Reset . . . ,. PART II - IMPACT ASSESSMENT ITo be eomoleted bv Lead Aaenev\ A, DOES ACTION EXCEED ANV TYPE I THRESHOLD IN 6 NVCRR. PART 6174? If yes, coordinate the review process and use the FULL EAF. Dves DNo B, WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNUSTED ACTIONS IN 6 NVCRR. PART 617.6? If No. a negative dedaration may be superseded by another involved agency. OVes D No C. COULD ACTION RESUI. T IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOI.I.QWING: (Answers may be handwnUen, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential tor erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, ard1aeological. historic. or other natural Of cultural resources; or community or neighborhood charader? Exptain briefly: C3. Vegetation or fauna. fish. shellfish or Ylildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short 'erm, cumulative, or other effects not identified in C1-C5? Explain brieRy: C7. Other impacts (induding changes in use of either Quantity or type of energy)? Explain briefly: D, WlI.L THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABUSHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? DYes 0 No If Yes, explain briefly: E IS THERE, OR IS THERE UKEL V TO BE, CONTROVERSV REI.A TED TO POTENTIAl. ADVERSE ENVIRONMENTAL IMPACTS? OVes ONo If Ves, explain briefly: i J I; .~ I: PART 111- DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether ~ is substantial, large, important or otherwise significant. Each effect should be assessed in connection w~h ~s (a) setting (i,e, urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (I) magn~ude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed, If question D 01 Part II was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristicS of the CEA. o Check this box if you have ktentified one or more potentially large or significant adverse impacts which MAYoccur. Then proceed directly to the FUL EAF and/or prepare a positive dedaratlon. o Check this box ¡fyou 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 impads AND provide, on attachments as necessary, the reasons supporting this determination Name of Lead Agency Date Poot or Type Name of Responsible Officer In lead Agency Tille of Responsible Officer Srgnature of Responsible Officer In lead Agency . SlQnatu~ of Preparer (If different from responsible officer) Reset . . Suffolk Environmental Consulting, Inc. Newman Village. Main Street. P.O, Box 2003. Bridgehampton. New York 11932-2003 (6311537-5160 Fax: 16311537-5198 Bruce Anderson. M,S,. President December 10, 2004 Mr, Albert 1. Krupski, President Town Hall 53095 Main Road P,O, Box 1179 Southold, NY 11971 Re: Situate: SIwnks Property 1165 Calves Neck Road Southold; Town of Southold, NY 1000 - 063 - 07 - 034 SCTM #: Dear Mr. Krupski, As you know, this Finn represents the owners of the property referenced above who are seeking regulatory approval to improve thereon, In accordance with Chapter 58 of the Southold Town Code, enclosed herewith please find: (I) Affidavit of Mailing stating notification of Public Hearing was mailed to adjacent property owners via certified mail on December 8, 2004; and (2) Origina[ Certified Mailing Receipts for adjacent property owners along with the corresponding SCTM No, for each lot. Kindly include same into our file and maintain the pubic hearing of December 20, 2004 concerning this matter. Should you have any questions concerning this matter, please feel ftee to contact this office at any time. Thank you as always for your attention and consideration, Sincerely, fl (( >~ Diane K, Wassick enc. cc: D, Shanks . . Albert J, Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P,O, Box 1179 Southold, New York 11971,0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTH OLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of ____JßJ~:LàLJmlLI?__~_______________________ COUNTY OF SUFFOLK) STATE OF NEW YORK) I, r-(~ A.JL~ - AFFIDA VI? OF POSTING / ,reSidingatN~VrCi.l4CJ': Å'",{. h~~-, AM ( J II :::.J being duly sworn, depose and say: That on the /OfO'¡jay of 1)1;.(.. ,20ry.(, I perso ally posted the prop, 'rty known as by placing the Board of Trustees official pos r where it can easily be 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 '- -m Of) . ¡CJ(J(, rJr¡ dCO'b' tin Ð\ {/ (,l"L/T 'f):LD I /Y) ;:;&;). )1 Dated: 1)t,.c. ZO I 'lObo{ Sworn to before me this 2JJ~ day of De-L200-' NO~ Matthew 0, Ivans Notary Public ot New Vork No. 011V6053859 Qualified in Suffolk County Commission Expires January 22, 2007 I . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Clara Bjerhnes: P.O. Box 864; Southold, NY 11971 SCTM #: 1000 - 063 - 07 - 033 Thomas & Claire Drennan: 15 Whitman Ave.; Syosset, NY 11791 SCTM #: 1000 - 063 - 07 - 035 Anthony & Daniele Cacioppo: P.O. Box 1063; Syosset, NY 11791 SCTM #: 1000 - 063 - 07 - 025 STATE OF NEW YORK COUNTY OF NEW YORK ~~ /", ßo,."",A, I, 11 .. 1'\ . ____, residing at Suffolk Environmental Consulting, Inc.; Newman Village; Main Street;Bridgehampton, NY, being duly sworn deposes and says that on the day of , 2004, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Bridgehampton, that said Notices were mailed to each of said persons by (certified) (registered) mail. ~4~~ Sworn to before me this day of , 2004 Notary Public 6 . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: David Shanks SCTM# 1000-063-07-034 YOU ARE HEREBY GIVEN NOTICE: 1. That is the intention of the undersigned to request a Permit from the Board of Trustees to: Applicant proposes to construct a 1, 100 square foot ± Z"d_Story Addition atop the existing dwelling within subject property. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 1165 Calves Neck Road; Southold, NY 11971 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: MAILING ADDRESS: David Shanks 30 Surrey Lane; Tenafly, NJ 07670 PHONE # : (201) 567 - 0442 Ene.: Copy of sketch or plan showing proposal for your convenience. 5 Nov 10 04 01:47p . 631.7-5198 p.1 . / . Suffolk Environmental Consulting, Inc. Newman Village. Main Street, P,O, Box 2003. Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson. M,S,. President November 10,2004 ~~ ~ ~ U 'W ~-,ITì\ r ~~ l ", 1 c 1[0 SûuthOlo Towll 8o,)rd of TfL\)tees Mr. Albert J. Krupski, President Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 SCTM #: Shanks Property 1165 Calves Neck Road Soutbold; Town of Soutbold, NY 1000 - 063 - 07 - 034 Re: Situate: Dear Mr, Krupski, TIús Firm represents Mr. Shanks, owner of the above referenced property, who is seeking to construct a partial second story addition to the existing residence, In order to do so, a Wetland Permit from your Board is required. Enclosed herewith please find the following: (1) Town of Southold Trustees Wetlands Permit Appücation, original and one (1) copy; (2) Sbort Environmental Assessment Form, two (2) copies; (3) Pbotographs of subject property, indicating the location of the proposed dock assembly thereon, two (2) copies; (4) Location Map for easy reference, two (2) copies; (5) Survey ofthe property, prepared by Joseph A. Ingegno, last dated October 28, 2004, indicating all existing and proposed structures, two (2) copies; and (6) Cbeck made payable to the Town of South old in the amount of the requisite application fee. Nov 10 04 01:47p . 631.7-5198 ,,4 By way of this correspondence, and on behalf of Mr. Shanks, I request that you commence review of this application. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time, Thank you in advance for your cooperation. Sincerely, ~- Shawn M. Barron enc. cc: D. Shanks p.2 2 , , . . Suffolk Environmental Consulting, Inc. Newman Village, Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (63" 537-5198 Bruce Anderson, M,S., President November 8, 2004 Mr. Albert J. Krupski, President Town Hall 53095 Main Road P.O, Box 1179 Southold, NY 11971 ~ ~ N~V ~:w ¡ ~ ~ Re: Situate: Shanks Property 1165 Calves Neck Road Southold; Town of Southold, NY 1000 - 063 - 07 - 034 Southold Town Board of Trustees SCTM #: Dear Mr. Krupski, This Firm represents Mr. Bahrenburg, owner of the above referenced property, who is seeking to construct a private docking facility thereon. In order to do so, a Wetland Permit from your Board is required. Enclosed herewith please find a completed Wetland Permit Application. Application contents are as follows: (1) Town of Southold Trustees WetIands Permit Application, original and one (1) copy; (2) Short Environmental Assessment Form, two (2) copies; (3) Photographs of subject property, indicating the location of the proposed dock assembly thereon, two (2) copies; (4) Location Map for easy reference, two (2) copies; (5) Survey ofthe property, prepared by Joseph A. Ingegno, last dated October 28, 2004, indicating all existing and proposed structures, two (2) copies; and (6) Check made payable to the Town of Southold in the amount of the requisite application fee, . . I . . By way of this correspondence, and on behalf of Mr. Shanks, I request that you commence review of this application. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you in advance for your cooperation, Sincerely, Shawn M, Barron ene, cc: D. Shanks 2 . . Albert ~I. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 16, 2005 Mr. Michael Liegey Peconic Building Solutions P.O. Box 1046 Southold, NY 11971 RE: DAVID & ELIZABETH SHANKS 1165 CALVES NECK RD., SOUTH OLD SCTM#63-7-34 Dear Mr. Liegey: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 16, 2005: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6042 to enclose the existing porch and to amend the proposed second story addition to 1275 sq.ft., and as depicted on the plans prepared by Eileen Wingate dated SeptElmber 15, 2005. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, d'llx..y 9. ~,j/' Albert J. Krupski, Jr. President, Board of Trustees AJK:lms . . MAIliNG ADDRESS: P.O. Box 1179 Southold, NY 11971 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON OFFICE WCATION: Town Hall Aonex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Town of South old Board of Trustees From: Mark Terry, Senior Environmental Planner L WRP Coordinator NG\ Date: November 7,2005 Amendment to Wrtland Permit# 6042 for David & Elizabeth Shanks SCTM# 63-7-341 DAVID & ELlZABE!TH SHANKS requests an Amendment to Permit #6042 to enclose the existing porch and to amend the proposed second story addition to 1275 sq. ft. Located: 1165 Calves Neck Rd., Southold. SCTM#63-7-34 The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of South old Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me at (631) 765-1938 if you have any questions regarding the above. . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTH OLD DATE APPLICATION FOR AN AMENDMI F"~ q~~ J';J!~\'i1 1U.~r- . I I 'in:! OCT 2 5 2005 ::.s , I ".1_1 L-- C) ~IOS '''''./'110;111 8r-' -: ~f Tr~:S~i;_'~S m,IfNER . PHONE(Ql.6V5(l)7'O~ ADDRESS .~() .s'-^.Vf-e~ J a~. T4>N1...~I1' f'J'f eiu, 70 Ihi~",\ L-li'n~f /, ~ AGENTPe(W\$\ f'Yli\dr~So(u:tia:r:. PHONE lo~\-71oS -(oJ J~ ADDRESS_PO. ~O){ IOLf<o. ,~u-~(d N'I /IC) 7f PROPERTY LOCATION JLDS ('f) \ L('~:::, 1'.Jet' IL J tlnR I :)t'l J{b\d NY TAX MAP NO. \ 000 - 1...0 ~- 7 - 3lf VWe 1-\/l' ~el Li.eoe'G request an Amendment to Permit # ~o'-l d.. -~ ~Ia"'e tJord.... ~ I:K SunroOf), Q"oI ~ , aM~nd .)-f'fhIlrl o~y aclo?',4,'rr) ~ '^1S.J!' .Pi Signed By: r-- ~o.(, ~~o $CJ. Pc\ c \L tt 9C)D3 I 0 {J.~1. D ~ I ,PROJECT 10 NUMBER , PART 1 - PIWJECT INFORMATION 617.l0 . APPENDIX'lI!!" STATE ENVIRONMENTAL QUAUTY REVIEW SHORTEN~RONMENTALASSESSMENTFORM for UNLISTED ACTIONS Only ( To be oompIeled by Applicant or Project Sponsor) ~~ ,. APPLICANT I SPONSOR khae[ L.;~ 3.PROJEG.r LOCATION: 2. PROJECT NAME Municipalily ~v..l-ha tel 4. PRECISE LOCATION: Street Addess and Road Inlersections. Prominent landmarks etc _ or Provide map I/(P.~ L>'4!(/t!S Nec.k- LR,-,e .sOLJ'h / 'I //97/ 5. IS PROPOSED ACTION: 0 New 0 ~ ~ Modification I alteration County +t; J Ie.. 6. DESCRIBE PROJECT BRJEFL Y: 8r'c-IoSl ~ -€.Jl<Is.h'tI.j POrc.~ 10 k (Yo..... 8W'\Yllllft'l. Am~ l~ -sel.JtJ-.I#! '4f of' t:9- nc:sk~y ~dtb 1/a-. ~ I~ 15"'S.1' PI. 7. AMOUNT OF LAND AFFECTED: Initially acres 8. WILL PROPOSED ACTION COMPLY !R1Yes [J No Ullimalely actes \MTH EXISTING ZONING OR OTHER RESTRICTIONS? If no, desaibe briefty: 9. WHAT IS PRESENT lAND USE IN' VICINITY ~ Residential 0 Industrial DCommerciaI OF PROJECT? (Choose as many as apply.) ~Itute 0 Pari< I Forasll Opan Space DOther (~) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Fed.""I, Slale '" Local) DYes ~r No If yes, list agency name and pennit I approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENl1. Y VALID PERMIT OR APPROVAL? ~Yes [JNo If yes, list agency name and permit I approval: ru~+E<- 'Pu""it~ uO<1d. , '~O Q'2.. o ACTION W1U EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? Applicant THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWlEDGE - 'tADa;.~ hS Signature If the action Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proCeeding with this assessment . . PART II. IMPACT ASSESSMENT ITo be c:omDleted bv Lead Aoency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.41 If yes, coordinate the review process and use the FULL EAF. DYes IitNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.61 If No. a negative declaration may be superseded by another involved agency. OVes DNa C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, W legible) C1. existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, soUd waste production or disposal, potential for erosion, drainage or flooding probIems1 Explain briefly: L N" I C2. AesthEitic. agricultural. archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: L ;110 I C3. VegelEltion or fauna. fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Exptaln briefly: [ /f/o I C4. A COOll'1rwnity's existing plans or goals as officialty adopted. or a change in use Of intensity of use of land or other natural resources? Explain briefly: [ ,A/'O I C5. Growth. subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: [ 11/0 I eG. long tElon, short term. cumulative, or other effects not identified in C1-CS? ExplaIn briefly: [ ,.</" I C7. Other imoacts (incJudinn-chanm:o,s in use of either auantitv or fvnA of enernv? :xolain brieflv: I NO I D. WILL THE PHOJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain briefly: I o Ves ~ No I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTiAl ADVERSE ENVIRONMENTAlIMPACTS1 If yes explain: I o Ves L@'NO I PART 111- DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each advlll'Se effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) Irreversibility; (e) geographic ,;cope; and (I) magnitude. If necessary, add attachments or reference supporling materiels. Ensure that explanations contain sufficient dellaillo show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check thts box if you have identified one or more potentially large or significant adverse tmpacts which MAY OCOJr. Then proceed directly to the FUL EAF andlor prepare a positive declaration. ~Checll,.lhiS if u ha detennined. based on the Information and analysis above and any supporting doaJlnentation, thai the proposed actio :;"N in a ~ificanl adverse environmental impacts AND. provide; on altachme~s.,,~ 1he reasons supporting 'hi . /tJtd:.I/e.s Name gency Dale dJ ~~.tt.:_ln Lead Agency T1tIe of Responsible OfIlcer Signature of Responsible OffiCer in Lead Agency Signature Of Preparer (If different from responsible officer) . . PROOF OF MAILING OF NOTICE ATTACH .cERTIFIED MAIL RECEIPTS I'- ru rn <n <n =r ..D <n U.S. Postal Service," CERTIFIED MAIL" RECEIPT (DomestIc Mail Only; No Insurance Coverage Provided) Address: ~ ~ertffiedFe~ Cl Raw Receipt Fe'~ (Endorse nt Requlrecj D Restrict Delivery Fel~ ...D (Endorsement Required) .-'I .-'I 2.30 1. 'IS Postmark He", yo \?OX" 3~'-\, $ou\-l.-olcl, rJ'f I \l(ll \ 5 wh;~fY\c.n Ave) 5yosse+ NY I' lCf I "3 \ lOefY\aAd sf-. J Lo.wofence f'J'-f IISSC; . .. ltlIT ID: 0971 ~Nf:;&.,c Postage $ 0.37 Clerlc: KKIllIIlO Tolal Postage & FeeB $ 4.42 11/04/05 LJ"l o entTo/J<; ~ )If;;;';;-APfNi,-,CJ.4'''{&_mlJJ_~c.._I:..~ ~~:~:;~__n1~n__J3_<KnR~_i__::::::::::::::::::::::::::: 'I M. i cho.e\ ~!!!p..fY , residing at 10S I(H)f"""\ (1.r~~ L~ .sc>~ \J. 'i' ' bemg duly sworn, deposes and says that on the l{/#.. day of Alo~Wlhd... 20 tJ!r, deponent mailed a true copy of the Notice S(,t forth. in the Board of Trustees Application, directed to each of the above named pc:rsons 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 oC Southold; that said Notices were mailed at the United States Post Office at S6L.1. ft.D Id , that said Notices were mailCd to each of said persons by (""'001) <""""""') m.a ~ ;:-:/ / __ Sworn t~efore~y~s. It Day of "~VVt ( 2~ .~fJwl~ Not blic 1OllIIEJ. ... ....., PlIbIIe,.... Of...M 110. OlllO6lll5321. SaM_~ Tn "-JllJ7.20~ L . Albert J. Krupski, President James King, Vice. President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-~feIoIIl BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter ofthe Application of 'I... . r:,' . . \' ha. I., ______tJ....n._VA_aL__'it:__'!:.J..~a-fJLl::iJ.--'S;I:-m-!J.lH!.- COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDA VrT OF POSTING r, J!1.'{d1lUI L/.("trY' residing at S{Ju~{d IVy being duly sworn, depose and'say: /os T~ Ct~<!.1c... 'an<- That on the day of ,200 ,r personally posted the property known as 1/ l4S- t'~ f~ If.J.uJc L4"<. .<::V.......-II.otd /\IY by placing the Board of Trustees official poster where it can easily be seen, and that r 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 W0:l. f]()J ( I ~, Ol09r - . P . , >on @)'1 a bllt 'I : (),) If) Dated: 4i(~ signature) :::> - ....... --- Sworn Ito bt'(foJe me JIlis 14 dayofNN 200:) ~*~ IlOICNIEJ.IlOROSKI .. Public, StIle Of New 'to ao.OlD06095328.~~~ Tenn Expim Jlly 7, 2O.1l.+- 7 11/1~/2005 11:13 . Town of South old 7555541 . BOARD OF TRUSTEES . PAGE 01 LWRP CONSISTENCY ASSESSMENT FQRM A. INSTRUCTIONS .. 1. All applicants for permits. including Town of Southold agencies, shall complete tbis CCAP for proposed actions that are subject to the TO\l\n of South old waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in ._..Jllaki!'IB a determinatioD of consistenCy. · Except minor exempt actions including Building Permits and "ther ministerial permits not l"cated within the Coastal Erosion Hazard Area. ! siefo~ answering the questions in Section C, the preparer of this form should review tM exempt opnori action list, policies and explanations of each policy contained in the Town of Southold Local =:t Revitalization Program. ~::.~=d ~on.:;~ ~ ~:ted as to i~ siiI'ifi.cant and adverse effects uoon the {which In de at uthold Town . 2. ,...., = i<3 "'" i$ z W~y question in Section C on this form is answered "yes" or "no", then the proposed IILtion will fdIec~ the achievement of the L WRP policy standards and conditions contained in the consistency . tevic/w law. Thus. each answer must be nnlallled III detaiL IiIt1Dl! both SUDDOrtlDl! and non- =10rtlna raets. If an action cannot be certified as consistent with the L WRP policy standards and 'tions, it shall not be undertaken. A copy ofthe L WRP is available in the following places: online at the Town of Soutbold 's website (soutboldtcwn.northfork.net), the Board of Trustces Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION ScrM#. (03 - 7 3<f PROJECT NAME /)alJid 01 E!lZL:Jlk~ S'ho..nks The Application has been submitted to (check appropriate response): Town Board 0 PlallDiDg Board 0 Buildlllg Dept. 0 Board of Trustees 8J I. Category of Town of South old agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaetion) o o (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: @ Nature an~ent ~ '*r..oo _ ~ ~1Y"'\1..\. lfl _..:::&..-.be. ().... Sl ~Y'\rnom arld/i'on -h ~ -b. ",cJc\ efdoil()~ . ~ o.l")J.----=*" t),(Mr\rl .;l oJ sk'1 /.:175'" ~- .,q 11/16/2665 11:13 7656641 Location of action: ~ Co'!; !1t/~ BOARD OF TRUSTEES N~cl Rd.~~a/d' PAGE 62 NY Site acreage: Prl~sent land use: Rest' ~~ Ita..! Present zoning classification: .Res; rJnl,a r 2. If an application for the proposed action has been filed with the Town of Southold agency, the following intbrrnation shall be provided: (a) Name of applicant: !lJ/fYhap f L /1J f!j (b) Mailing address: fJ.a. ~>C lOt/Co <~1A-fI,o(rI ;vI 1/97( (c) Telephone number: Area Code ~ 7tA.'\- "'liS- (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Y'$ D No1'8J If yes, which state orfedcral agency? C. Evaluate the project to the lollowInl: polldes by analyzing how the project will further support or not support the policies, Provide all proposed Best MaDagemcnt Practices that wID further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLlCY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character. preservCli open space, makes efficient use of infrastructure, makes beneficial use of a coastal location. and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. DYes 0 No IKI Not Applleable Attach additional sbeets If necessary Pollcy 2. Protect and preserve hi~toric and anhaeologlcal resources of the Town of Soutbl.ld. See L WRP Section III - Polides Pages 3 through 6 for evaluation criteria DYes D No IKJ Not Applicable BOARD OF TRUSTEES . PAGE 03 755Gb41 . 11/16/2605 11:13 Attach addit.iona! shoots ifnccessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Soutbold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria o YI15 D No ftl Not Applicable Attach additional snoots if nocessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, aod natural resources from flooding and erosion. Se~ L WRP Section 111- Policies Pages 8 through 16 for evaluation criteria DYes D No I&l Not Applil:able Attach additional sheets Ifnecessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Sedioo III - Polities Pages ]6 through 21 for evaluatioo criteria DYes 0 No ~NotAPplicable Attach additional sheets ifnoc...sary Polley 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant CDastal Fish and Wildlife Habitats and wetlands. SeeLWRP Section lll- Policics; Palles 22 through 32 for evaluation criteria. o o [bl 11/1B/2005 11:13 Yes No 76566~ Not .lieable BOARD OF TRUSTEES . PAGE 04 Attach. additional sheets jf necessary Polil:y 7. Protect and improve air quality in tbe Town of Soutbold. See LWRP Sec:tion In - Policies Pagcs 32 throuch 34 for evaluation criteria. DYes 0 No ~ NotApplicable Attach nddi,tional shoet. ifnecessary Policy 8. Minimize environmental degradation in Town of Southold ft'om solid waste and hazardous substllJlces and wastes. See L WRP Section III - Policies; Pages 34 throup 38 for e\'aluation criteria. DYe. 0 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 tbe Town of Southold. See L WRP Sedion In - Policies; Pages 38 throulh 46 for evaluation criteria. o YeO No ~ Not Applicable Auach additional sheels lfnocessary . . Board of Trustees Application County of Suffolk State of New York ~""'" M. (/x..rrQ./"-- 1...~. I'-~. 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 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 REPRESENTATIVE(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. <i~ Signature SWORN BEFORE ME THIS ,/ .~ /",/' ,~&:-- . /N6tary Public / ?,-... DAY OF J;,. 2004 Malthew 0, Ivans Notary Public of New Yolk No. 011V6053859 Qualified in Suffolk County Commission Expires January 22, 2007 7 I . . Board of Trustees Application AUTHORIZATION (where applicant is not the owner) I, David Shanks residing at 30 Surrey Lane; Tenafly, New Jersey , do hereby authorize Suffolk Environmental Consulting, Inc. (Agent) to apply for permit(s} from the Southold Board of Trustees on my behalf. ~~ 8 . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Clara Bjerlme8: P.O. Box 864; Southo1d, NY 11971 SCTM #: 1000 - 063 - 07 - 033 1'h Cld Whitman Ave.; Syosset, NY 11791 ~ #: 1000 - 063 - 07 - 035 , rn I ~ i rn I:Q -:"'\ -cO I"- -~ {"- ...D '"" '" r'- . '.!.' U.S. Postal Service CERTIFIED MAIL RECEIPT (Domestic Mall Only, No Insurance Coverage ProvIded) Box 1063; Syosset, NY 11791 I #: 1000 - 063 - 07 - 025 n...D - r"I r"I", "'r'- r'- J.r'JJ.r'J J.r'Jc:Jc:J c:Jc:Jc:J c:Jc:Jc:J C Cl~~ Lr, rr rn rt:.~r-=I .... ".:r ""ec:J cec:J crr'- l' Certified Fee 2.30 1.75 Return Raclllpt Fee (Endorsement Required) Restricted Oellvmy Fee (Endorsement Required) Total Postage /~ Fees $ 4.42 to' , I'':' q"l ',k' !c" /,," 'SiiiHif,-A;ir.Mi,(jY~ .'-----"-<~"L:d._Jf/J/~2__,_______.________________ or PO Box No. _ ".' I'" 'Jt.... ,~ / L/ CitY:-stat6,-z;p+;r'.UL.c..;.""n_--"_~""~_m.~__'~-_-_________h___m____... S Y') }) Sworn to before me this day of .UEC~V..2004 /~ ---------- ./ Notary Public Matthew D. Ivans Notary Public ot New York No. 011V6053859 Qualified in Suffolk County Commission Expires January 22, 200 I 6 . . CERTIFIED MAIL RECEI (DomestIc Mall Only, No Insurance Covcra~w ProvIded) sofihf,lTMSiAL USE 0.37 WIFin:;'l1:R I.'f"~~''''~ i \ 2~" C!: ~re~~~~",,'(" \ .- ,~,' 12t0!l(~._> ~ I'- -D .-'l '" I'- Postage $ LI) t:J t:J t:J Certified Fee Return Reclept Fee (Endorsement RequIred) C Restricted Delivery Fee LI') (Endorsemenl Required) rn .-'l Total Postage & Fees $ 2.30 1.75 4.42 :r o nt 0, ,., o '/ ,.c:l-" )j""'";-;-:-""A "-,'" I'- :g;,;;,;;,AP~Nri;.:.",~........~.,.,:~.(...~...v.i::-.!......................._.... or PO Box No. . ,'. ]..,~ '-_ t ~ l/ ci,y,-Si8i9:zlp+~.--""_~''''n.u.--''''';:X'~-,;,.u.:-!-----_.._.u...--.----nnun___ ',~ .~~ I, (,I i; -: I 'I / .-~_.._--" U.S. Postal Service CERTIFIED MAIL RECEIPT (Domestic Mall Only, No fnsurance Coverage ProvIded) t:J :r '" I'- -D .-'l '" I'- Postage $ LI) o Certffied Fge t:J o Return Reclept Fee (E_R_) o Restr1cted Delivery Fee LI') (EndorSement Required) rn .-'l Total Postage & Fee!! $ IAt USE WI1 r;' ~ 1.~'>- o ~:~ \ 'i ~~)~) 4. <<;; Q C~1'I;,'~1l7FY2 ';!.!" ":'0,-0,:::-:---:':''' ... / . ""'.' / 12/oe?04.'~,,> 0.37 2.30 1.75 4.42 \, , :r g sent.a, "_""', i- .' I'- ~~~~~:::::::~~:::.~:~:'~';~;~,~:~~~;~~7~:::::::::::::::::: rn rn '" I'- U.S. Postal Service CERTIFIED MAIL RECEIPT (Domestic Mail Only, No Insurance Coverage Provided) ~ SyQ1fN~',;:ll1~ I I'- Postage $ LI) CJ Certified Fee t:J o Return Aeclepl Fee (Endonlement Required) CJ Restricted Delivery Fee ~ (EndOf8ement RequIred) .-'l Tolal Postage & Fees $ /, ~ USE ~~~ ..'....,.'1 ~S. ~'. .'1 ,.r) I".' l H ',:' ,\ f\(\I\~ /'\ Cle~: K97fY2/ / -~ "".\., :r o en To ~ ~~;~~::;i:::;t::;':~:::~~::~:~::;::::~~::~::::;:~'~:~~::::::::::: .. , . . SHANKS Property Situate: 1165 Calves Neck Road; Southold, NY SCTM #: 1000 - 063 - 07 - 034 (Photo taken on Apri/27, 2004) Photo indicating the approximate location of the proposed 2nd Story Addition atop the existing dwelling within the central section of subject p..operty. Photo taken from Calves Neck Road, facing northeast. -...:.-W . . SHANKS Property Situate: 1165 Calves Neck Road; Southold, NY SCTM#: 1000-063-07-034 (Photo taken on Apri/27, 2004) Photo indicating the approximate location of the proposed 2nd Story Addition atop the existing dwelling within the central section of subject property. Photo taken from Calves Neck Road, facing northeast. . . / SHANKS Property Situate: 1165 Calves Neck Road; Southold, NY SCTM#: 1000-063-07-034 (Photo taken on April 27, 2004) Photo indicating the approximate location of the proposed 2nd Story Addition atop the existing dwelling within the central section of subject property. Photo taken from the northwestern corner of the property, along the shoreline of Town Creek, facing southeast. . . . SHANKS Property Situate: 1165 Calves Neck Road; Southold, NY SCTM #: 1000-063-07 -034 (Photo taken on October 18, 2004) ~j Photo indicating the approximate location of the proposed 2nd Story Addition atop the existing dwelling within the central section of subject property. Photo taken from the northern section of the property, along tbe shoreline of Town Creek, facing south. --, ~ ~ . . SHANKS Property Situate: 1165 Calves Neck Road; Southold, NY SCTM #: 1000-063-07 -034 (Photo taken on October 18,2004) .~ J~ ~~~ -- Photo indicating the approximate location of the proposed 2nd Story Addition atop the existing dwelling within the central section of subject property. Photo taken from the northern section of the property, along the shoreline of Town Creek, facing south. . ~ --.r~ . . SHANKS Property Situate: 1165 Calves Neck Road; Southold, NY SCTM #: 1000 - 063 - 07 - 034 SITE , ::r ~ " "" 300m /~~&~~~~~ -. ,1>...90011.... ~ ~rJ<'~6,... <?o,€> 15q.. ~ ;So ,o~ '\ <. V' \J\ ~ ,~ ~""O' o~ po\>\!!' 1'... ~~ <. ~ ) s ... t ~ q Construction cess Route 'i .~ ~ .1 >l~...~6 ~ ~ \ \. i- I"""- ~~....l.n 'b.'\... _. -~ "'n.. <;1 1l.-" 02001 MiIPOu..l.<om, 10<.; 0 2004 NAVTEQ , , SURVEY OF LOT 1 SUBDIVISION MAP FOR ETHEL H, BETZ FILE No. 9229 FII.EO JUNE 5. 1992 SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S,C, TAX No. 1000-63-07-34 SCALE 1"=20' OCTOBER 2, 2000 JULY 2, 2004 UPDATE SURVEY & ADDED TOPOGRAPHICAL SURVEY OCTOBER 28, 2004 ADDED PROPOSED ADDITION AREA = (TOTlELlNE) 25.373,68 0.583 ac. sq, It, &:j ~ ~ ~ <t; UJ ü :z: ~ o :>-< NOTES: 1. ELEVATIONS ARE REFERENCED TO N,G,V,D, 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS"", EXISTING CONTOUR LINES ARE SHOWN THUS: - FFl - FIRST FLOOR i,' fl - GARAGE FLOOR --5-- 2, FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No, 36103C0166 G ZONE AE: BASE FLOOD ELEVATIONS DETERMINED ZONE X: AREAS DETERMINED TO BE OUTSIDE SOD-YEAR FLOODPLAIN 3. 11-16-90 COASTAL BARRIER FLOOD INSURANCE NOT AVAILABI.E FOR STRUCTURES - NEWLY BUltT OR SUBSTANTIALI. Y IMPROVED ON OR AFTER NOVEMBER 16, 199',- NOT USED IN MANNER CONSISTENT WITH THE PURPOSE OF THE OTHERWISE PROTECTED AREAS, PREPARED IN ,l,CeOR CE WITH THE MINIMUM STMlDARDS FOR mu: SURV£YS þ.S ESTABUSHED 8Y THE UALS, AND APPROVED AND MlOPlED FOR SUCH USE BY E NEW YORK STATE LAND TITLE ASSOC ON. I N.Y.S Lie, No 4966B Joseph A. Ingegno Land Surveyor Title Surveys - Subdivisions Site Pions - ConstructIOn Layout PHONE (631)727-2090 Fax (631)727-1727 MAILING ADDRESS P.O 80x 1931 Riverhe<ld, New York 11901-0965 omc£s LOCATED AT 322 ROANOKE AVENUE RIVERHEAD, Ne..... York 11901 ~ ~" ~ "~08 ,0' ~ IbßJI :P UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY 1$ A VIOLATION OF SECTION 7209 OF TIiE NEW YORK STATE EDUCAllON LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE ~ VALID TRUE COPY CER1lFlCATIONS INDIC~TEO HEREON SHALL RUN ONLY TO THE PERSON FOR WHO~ THE SURVEY IS PREPARED, ...NO ON HIS BEH...LF TO THE illLE COMPANY, GO\ÆRNI.4ENTAL AGENCY AND LENDING INSllnITlON LlSTEDHEREON,ANO TO THE ASSIGNEES OF THE LENDING INSTI- TUllON CERTWIC...llONS ARE NOT TR~NSFERABLE, THE EXISTENCE Of RIGHTS Of WAY ....ND/OR EASEMENTS Of RECORD. If ANY. 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"'J '" "" $", .? .?>. ~o /0.. ~~ " '" 3, "" <J~ '. , 1204ð~":: , " .?S "<J>J'. , , . , , , "~,. .' TITLE INSURANCE COMPANY '" '>. o . ~, ~.,.. /0., ;>, .. . , CERTIFIED TO, DAVID SHANKS ELIZABETH SHANKS COMMONWEAI.TH LAND , N B4'34'2B" E 30.56' ," ~ . ~ "-<^ 2 . J .... C) ()' cV' \..., ~, ....1..!-, ''', ,,' " ----7 ---8 ., ---10 ~ " ----~ ---I"" r 14 - --/5 -- ""'~", ...... , , '. '..' '8 " <0 ~ ç} "i / ß \~Q'I;'V \Of +Q" ~ ",;f 20-5CJ7F