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Home My WebLink AboutTR-6160 APPROVED BOARD OF TRUSTEE5 TOWN OF $OUTHOLD DATE '~.~ ~ o ~ Land Surveyor ~ (651)727-2~tO Fax (6~1)727-1727 -% . 2. M~Im ~ T~AGm~s tee * ~ Kmoemm ~ous~ ~ ?.oeo DWELLING S 82'51'20" E ;' 0~.~7' LO? ~ ~ (VACAm) / / SURVEY OF LOT 20 MAP OF ,~UBD[VISION WILLOW POINT FILE No. 4652 FILED JUNE 16. 1966 SITUATED AT ARSHAMOMAQUE TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORKi S.C. TAX No. 1000-56-05-22 SCALE 1"=`50' MARCH .50, 200`5 FEBRUARY 25. 2005 ADDEB FL OT P~N MAY 17, 2005 UPOAT~ FOR BULKHEAD JANUARY 30, 2006 ADDED PROPOSED DECK AREA : t3.834.65 sq. ft, TEHT HOLE DATA EL 73 '°' PROPOSED SEPTIC SYSTEM DETAIL SEPTIC TANK (1) LEACHING POOLS James F. I~ng, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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 June 18,2008 Gary F. Olsen, Esq. P.O. Box 706 Cutchogue, NY 11935 RE: ESTATE OF EILEEN O. GOLDNER 435 BAY HOME RD., SOUTHOLD SCTM#56-5-22 Dear Mr. Olsen: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., June 18, 2008: RESOLVED, that the Southold Town Board of Trustees grants the last One-Year Extension to Permit #6160, as issued on July 20, 2005. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, President, Board of Trustees JFK:lms James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 June 20,2007 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Gary F. Olsen, Esq. 32495 Main Rd. P.O. Box 706 Cutchogue, NY 11935 RE: ESTATE OF EILEEN O. GOLDNER 435 BAY HOME RD., SOUTHOLD SCTM#56-5-22 Dear Mr. Olsen: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 20, 2007: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Permit #6160, as issued on July 20, 2005 and Amended on March 22, 2006. This is not an approval from any other agency. if you have any questions, please do not hesitate to contact this office. Sincerely, Jar~es F. King President, Board of Trustees JFK:lms James F. King, President J~ll M. Doherty, Vice-Presiden~ Peggy A. Dickerson Dave Bergen John Eolzapfel I I Town Halt 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (63'1) 765-1892 Fsx (631) 765-6641 BOARD OF Southold Town Board o Field R~port Name of Applicant: · Name of Agent: Property Location: SCTM# & Street Brief Description of proposed action: / Ty/pe of ~ea to be impacted: _~Saltwater Wetland Freshwater Wetland Distance of proposed work to edge of above: P_~C of Town Code proposed work fails under: hapt.97 Chapt. 37 other Type of Application: JWetland Coastal EJ __Emergency In fo ,lato~q~. __ SoUnd Front Bay Front ~n ~Amendment __Administrative Modifications: Conditions: Present Were: Other: Mailed/Faxed to: __J.K/ng __J.Doherty P.Dick~'so' ~ D. Bergen _l. Holzapfel James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 March 22, 2006 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Rd. Southampton, NY 11968 RE: ESTATE OF EILEEN O. GOLDNER 435 BAY HOME RD., SOUTHOLD SCTM#56-5-22 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 22, 2006: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6160 to construct a 12'X 25' deck and (2) sets of 6'× 9' steps no less than 75' from the wetlands, and as depicted on the survey prepared by Joseph A. Ingegno last dated January 30, 2006. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, President, Board of Trustees JFK:lms Telephone (631) 765-1892 Town H~II 53095 Route 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 Wed., March 15, 2006, the following recommendation was made: ESTATE OF EILEEN O. GOLDNER to Amend Permit #6160 to construct a 12'X 25' deck and (2) sets of 6'X 9' steps no less than 75' from the wetlands. Located: 435 Bay Home Rd., $outhold. SCTM#56-5-22 The CAC did not make an inspection, therefore no recommendation was made. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John ~tolzapfel 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 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Name of Applicant: Name of Agent: Property Location: SCTM# & Street Brief Description of proposed action: Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Front ~/Bay Front Distance of proposed work to edge of above: ~C of Town Code proposed work falls under: __Chapt.97 Chapt. 37 other / Type of Application: ~/Wetland __Coastal Erosion __Amendment __Admin/strative __Emergency Info needed: .--4 C'- d Modifications: Conditions: Present Were: __J.King __J.Doherty __P.Dickerson __ Other: ~D. Bergen~J.Holzapfel Mailed/Faxed to: Date: OLSEN (5(~ OLSEN2 L.L.E ATTORNEYS AT LAW GARY FLANNER OLSEN ATTORNEY AT LAW DAVID WORTHINGTON OLSEN ATTORNE? AT LA\Vd 32495 MAIN ROAD · EO. BOX 706 · CUTCHOGUE, NEWYORK 11935 0706 PHONE 631 734 7666 FAX 63t-734-7712 olsenlaw@optonline.ner To Whom It May Concern: June 11, 2008 L)TM ~LI-~ ,~y~ Re: Goldner (~,~L~I~4~{ 435 Bay Home Rd., Sou~ol~ ~ SCTM 1000-56-5-22 O~ File 8762 Please be advised that I represent George Goldner. I am hereby requesting a one year extension of the Southold Town Trustees Permit #6160. A check in the sum of $50.00 payable to the Town of Southold is enclosed. Also enclosed is a coffyxof the Trustees Permit dated July 20, 2005, and Extension thereof dated June 2V007) / / Very tmly/your?~ GFO'lmk i1 Ii dUN 1 P. O. Box 1179 Southold, NY 11971 Hand Delivered. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 20,2007 Gaw F. Olsen, Esq. 32495 Main Rd. P.O. Box 706 Cutchogue, NY 11935 RE: ESTATE OF EILEEN O. GOLDNER 435 BAY HOME RD., SOUTHOLD SCTM#56-5-22 Dear Mr. Olsen: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 20, 2007: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Permit #6160, as issued on July 20, 2005 and Amended on March 22, 2006. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, James~F King~' ~ President, Board of Trustees JFK:lms Board Of Southold lown lrustee$ SOUI'HOLD, NEW YORK ISSUED TO ESTATE OF ~U 0 ~0~ ............................ ....... rovislons of C~apfer 615 o{ ~e ~ws o{ Pursuant ~o t~ p__.. ~ ~[-~ter ~ of the ~ws of the IN AND ON TOWN WAIERS AND PUBLIG ~DS ~E~OVAL OF SAND, GRAVEL OR OIHER the EstaCe of E~Zeen O. Goldner ...................... [----: ........ : ........ Terms and ~nd[ti°ns listed on the reveme side ~reof, all in accordance w~m ,-= -- -. .~e ~glna~ng app~ti°n' ~e sa~d Board O~ Trustees ~re- IN WITNESS WHEREOF'be a~xed, by suG~ed by a mal~t~ of the sasd ~ard .as of this date. be . OLSEN ~X; OLSEN~ L.L.P. ATTORNEYS AT LAW GARY FLANNER OLSEN ATTORNEY AT LAW DAVID WORTHINGTON OLSEN ATTORNEY AT LAW 32495 MAIN ROAD ° EO. BOX 706 ° CUTCHOGUE, NEWYORK 11935-0706 PHONE 631-734-7666 FAX 631-734-7712 olsenlaw@optonline.net May 22, 2007 Re: Goldner 435 Bay Home Rd., Southold SCTM 1000-56-5-22 Our File 8762 To Whom It May Concern: Please be advised that I represent George Goldner. I am hereby requesting a one year extension of the Southold Town Trustees Permit #6160. A check in the sum of $50.00 payable to the Town of Southold is enclosed. Also enclosed is a copy of the Trustees Permit dated July 20, 2005. vZ GFO:lmk Enclosures ~--~ Southold Town T, ;e~ P. O. Box 1179 Southold, NY 119' -- S0uth01d lovm JOHNNY S. DONADIC 465 WEST 23RD ST, 6B NEW YORK, NY 10011 TRANSMITTAL SHEET TO: FROM: LAUREN STANDISH JOHNNY S. DONADIC COMPANY: DATE: BOARD OF TRUSTEES OF SOUTHOLD AUGUST 30, 2006 FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: 2 PHONE NUMBER: SENDER'S REFERENCE NUMBER: RE: YOUR REFERENCE NUMBER: 435 BAYHOME ROAD, SOUTHOLD [3URGENT ~FOR REVIEW E]PLEASE COMMENT [3PLEASE REPLY ~3PLEASE RECYCLE NOTES/COMMENTS: Dear Ms. Standish, It was a pleasure speaking with you eadier this week. Thank you for the information and assistance in understanding the process. I've enclosed a letter from the property owner's agent with permission for a field inspection. Should you have any questions, please do not hesitate to call Mr. Uhlinger or myself, anytime. i've also enclosed a check (#245) for $50.00, as required for the field inspection scheduled on September 13~. Again, I am interested in purchasing this property and would like to know the possibilities of installing a bulkhead, pier or floating dock at the canal edge of this property. Please let me know if you need additional information before your field inspection. I look forward to hearing from you in the near future, in the meantime should you have any questions; please call my mobile phone or my office, anytime. MOBILE- 917.509.8825 OFFICE- 718.361.9888 08/29/2886 07:32 Douglas Ellimaq Rea/Eslate Pmde~el Douglas Ellinmn Real r;~aee 10200 Mein Road, Post Office Box 1410 Matt~t~ NY 119t~ Office 631 ~ Fax 631 299-813~ PAGE 92/82 Southold Tow~ Trustees Road SouthoUt, NY ~ ~971 RI~: Goldne~ propen~ 4351~ay Home Road, Somtmld George Goldner and Caroline Goldner Ford have appo&~ed my self as ~heit agent for file marketing and business ~eeds of the~ property loca~d at the abo~e addres~ Ple~e be advised fl~at they have authofi~d me to give 6~eir permission for the Trustees to enter the propertF f~ lheir field inspec~n requested byJohnny Donadic. il i~ su~it~ ~ut~ect to ~ll'a~, omission. ~he~ge of ~, ~1. commi~ioil a~ other cmxJi~m~s. ~or sahe, leese or ftngndng o~ wJthclr~w~l wi~ogtrlOtic~ PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Town of Southold Board of Trustees J From: Mark Terry, Senior Environmental Planner x~'X ~2> LWRP Coordinator MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hail Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Date: March 20, 2006 Re: Request for Wetland Permit for ESTATE OF EILEEN O. GOLDNER SCTM# 1000-56.-5 -22 ESTATE OF EILEEN O. GOLDNER requests an Amendment to Permit #6160 to construct a 12'X 25' deck and (2) sets of 6'X 9' steps no less than 75' from the wetlands. Located: 435 Bay Home Rd., Southold. SCTM#56-5-22 The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that the following standard best management practices are implemented. Depth to groundwater is extremely shallow (4'). To further Policies 5, 6 and 8 and protect surface and ground water quality to the greatest extent possible it is requested that the Board require the following best management practices. Prohibit the use of lumber treated with chromated copper arsenate (also known as "CCA"), commercial copper quat (CCQ), creosote, penta products or homemade wood preservatives in the construction of the deck and stairs. 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, l~ent James King, Vice-Pt'llent Henry Smith Artie Foster Ken Poliwoda 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 LETTER OF REQUEST FOR AN AMENDMENT DATE FEBRUARY 27, 2006 MAR - ! 2006 OWNER ADDRESS ESTATE OF EILEEN O. GOLDNER PHONE 516-488-4910 C/O GEORGE GOLDNER & CAROLINE FORD, EXECUTORS 26 EDGEMERE ROAD, GARDEN CITY, NY 11530 AGENT EN-CONSULTANTS, INC. PHONE 631-283-6360 ADDRESS 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 PROPERTY LOCATION 435 BAY HOME ROAD, SOUTHOLD TAX MAP NO. 1000-56-5-22 1/We EN-CONSULTANTS, INC. request an Amendment to Pemit # 6160 TO AUTHORIZE THE CONSTRUCTION OF A 12' X 25' DECK AND (2) SETS OF 6' X 9' STEPS NO LESS THAN 75 FEET FROM WETLANDS, AS REQUESTED BY THE NYS DEC, ALL AS DEPICTED ON THE REVISED SITE PLAN PREPARED BY JOSEPH A. INGEGNO, LAST DATED JANUARY 30, 2006. Signed By: ~ ~ ~"-~ ' ROBERT E.I~NN, COASTAL MGMT. SPECIALIST NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: GEORGE GOLDNER SCTM#1000- 111-14-24 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the Permit from the Board of Trustees to: undersigned to request a AMEND WETLANDS PERMIT NO. 6160 TO AUTHORIZE THE CONSTRUCTION OF A 12' X 25' DECK AND (2) SETS OF 6' X 9' STEPS NO LESS THAN 75 FEET FROM WETLANDS, AS REQUESTED BY THE NYS DEC, ALL AS DEPICTED ON THE REVISED SITE PLAN PREPARED BY JOSEPH A. INGEGNO, LAST DATED JANUARY 30, 2006. 2. That Review-is follows: the property which is the subject of Environmental located adjacent to your property and is described as 435 BAY HOME ROAD, SOUTHOLD 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 on: M ARCH22,~06~7P.M. 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. ESTATED OF EILEEN O. GOLDNER C/O GEORGE (3OLDNER & CAROLINE FORD, OWNERS NAME: EXECUTORS MAILING ADDRESS: 26 EDGEMERE ROAD GARDEN CITY, NY 11530 PHONE #: 516-488-4910 Enc. : Copy of sketch or plan showing proposal for your convenience. 5 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ..... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, depose and say: t That on the[~ day of ~tt , 200~, .I personally post, ed the pro, l?evy . own as /¢.< ve by placing the Board o~' Trustees ~fficial poster where it ~an easily be seen, and that I ha 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 ~)~. '3~)3t~t0dh r~ol. ~O~ ~ Dated: (signature) - ,o Sworn to before me this · ~-'¢xtay of ,4ffrd 200 G Name: DONNA BLANCHARD PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 15 ALEXANDRIA DRIVE P1TTSTOWN, NJ 08867 JOSEPH MAGANIN 535 BAY HOME ROAD SOUTHOLD, NY I 1971 ROSAMOND & CHRISTINA BALZ P.O. BOX 726 SOUTHOLD, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERTE. HERRMANN doing business atEN-CONSULTANTS, rNC. 1319NORTHSEAROAD SOUTHAN~TON, NY 11968 , being duly sworn, deposes and says that on the 28TH day of FEBRUARY ,20 06 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 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 SOUTHA~4PTON , that said Notices were mailed to each ~) mail. Sworn to before me this28TH day of FEBRUARY .20 06 -- Notary P~blic of said pers~rtified). ROBERT E. HERRMANN COASTAL MANAGEMENT SPECIALIST m UNIT ID: 0968 U-i (EndomementF Clerk: RFQTFO Total 02128/06 o Joseph Maganin r,- ~('Au 535 Bay Home Road ~:-~ Southold, NY 11971 Require( IAL USE 0.~ UNIT I~: 0968 1.85 :' Here lerk. RFQ?FO 02/28/06 mm j'm~rrm~ Donna Blachard -] ~ r~;~ 15 ~ex~,miar~ve '"t m m IAL USE 0.39 blllT ID: 0968 ~1.85 { ~ Clerk: RFQ?FO 02/28/06 Rosamond & Christina Balz P.O. Box 726 Southold, NY 11971 Board of Trustees App~cation County of Suffolk State of New York ro/t ~ ~-~-d t ( 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 H~S/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPKOVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD TIlE 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 COIviPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. { C Signatu~'e ~co~e ~ota~¢r, SWORN TO BEFORE ME THIS /.~¥k. DAY OF ~'uO¢ ,200q ~t"~tary 1~blic CHRISTINE WESTON Nowy ~ub,=, s_t~__qf _New Yo~ r~o. Qualified In Nasaeu Commission Explre~ 12/20/20 ~oard of Trust~es Appli~ion AUTHORIZATION (where the applicant is not the owner) (print owner of property) (mailing Hddress) Agent ) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSU]R.E FORM The Tova~ of Southold's Code of Ethics ~rohibits conflicts ofinterert on the oart of town officers and emoloveer. The ~umose of' i~is form is to orovide information which cma alert the town of~ossible conflicts of interest and allow it to take what~ver..a~on i~ II~cersa~ to avoid same. /~-- /- '~ (L~t namq first name, middle initial, unlers you are applying iff ~e name of someone else or other antity, such as a company. If so, indicate the other person's or company's nam=.) NAME OF APPLICATION: (Check all that apply.) Varian~ Change of Zone Approval of plat Exemption fi'om plat or official map Other (If "Other", name tho activity.) Do you persoaally (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 w'"' If you answered "YE", complete tho balan~ of this form and date and sign where indicated. Name of person employed by the Town of $outho!d Title or position of that person Describe the relationship batwcen yourself (tho applicant/agent/reprerantative) and the town officer or employee, Either cheek the appropriate line A) through D) and/er deacrib¢ in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of tho shares of the corporate stock of the applicant (whan the applicant is a corporation); B) the legal or baneficial owner of any interast in a non-corporate antity (when tho applilmnt is not a corporation); C) an officer, dirgtor, panner, or ~nployoe of the ap?lieant; or D) the antual applicant. DESCRIPTION OF KEI~TIONSHIP ( !/. ~0 ~ ~__ .,,..__~(., ' ~HRISTINE 'WE81'ON x..-._..-~/" I' ~.-.-JC-'~ ~--''''' ' c~Dr~, {-¢, lf~ ~70.C... No. O1GAS0214_98 _ ~£ /O C~rn Notll~P~bic, State Of New Y~t{ % Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CC,Me for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information nsed 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 ~lrea. 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 Waterfrom 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). 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- suooorting 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.noatffork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 56 5 - 22 MAR - ~ 2006 PROJECT NAME The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board ~-~ BnildingOep,. ~ BoardofTrustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: [-~ Nature and extent of action: Amend Permit #6160 to authorize the constuction of a 12' x 52' deck and (2) sets of 6' x 9' steps no less than 75 feet from wetlands, as requested bytthe NYS DEC, all as depicted on the revised site plan prepared by Joseph A. Ingegno, last dated January 30, 2006. L0cati0n0facti0n: 435 Bay Home Road, Southold Site acreage:. 0. 318 Present land use: undeveloped - residential Present zoning classification: R-4 0 If an application for the proposed action has been filed w/th the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: Estate of Eileen O. Goldner c/o George Goldner & Caroline Ford, Executors 26 Edqemere Road Garden City, NY 11530 (c) Telephone number: Area Code ( ). 516-488-4910 (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~-] No[-~ Ifyes, 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 The proposed development is situated in an existing developed, waterfront hamlet community and will be consistent with the character thereof, Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Polieies Pages 3 through 6 for evaluation criteria [] Yes ~'~ No ~ Not Applicable At~ach additional sheets if 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 ~ Not Applicable To the extent that this policy is applicable to the propo~.d prnj.mt, visual quality and scenic resources will be protected at the site by way of the establishment of a buffer area that will limit clearin~ of the site and therefore preserve existinq indigenous vegetation that ,might otherwise be cleared. Attachad~fionalsheetsifnecess~y 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 ['~Not Applicable Water quality and supply will be protected via 1) the establishment of a vegetative buffer adjacent to tidal wetlands, which will a) reduce nitrogen and other contaminant loads entering the adjacent waterway and thereby limit a major source of water quality ~mpalrm.~t~ b) retain indigenous vegetation; and c) ma~-tain a stabilized soil and filtering capacity adjacent to wetlands and surface waters; 2) the ~nntallation of a SCDHS approved sanitary system raised a sufficient distance above groundwater, Attachadditionalshee~ifnecess~hich will ensure effective treatement of sanitary sewage; and 3) installation of a drainage system, which will control, manage and ~ha~g~s~ormw~ter runoff. . Icy m ~rotect ann restore ~e quahty and ~nction of ~e Town of Southold ecosystems including Significant Coastal Fish and Wtldli~ Habita~ and wetlands. See LWRP Section HI - Policies; Pages 22 through 32 ~r evaluation criteria. Yes ~ No ~-] Not Applicable The establishment of a permanent wetlands buffer area will serve to pro- tect ecological quality through the retention ~n~ maintenance of indigenous ~lants and their associated natural ecological community. Potential impacts on ecological quality due to development will be reduced and mitigated in the short term by erection of a project-]~m~-- fence and haybales during construction and in the long term through establishment of a wetlands buffer; installation of a property sanitary system; installation of a ~dra~tem ~harge runoff and use ~rvious driveway materials. Further~ there 'I'~ be no net loss of wetlands, and statutory and regula- tory requirements of the Southold Town Board of Trustees and New York State Department of Environmental Conservation will be compiled with. Attach addMonal sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section HI - Policies Pages 32 through 34 for evaluation criteria. -- Yes [] No ~'~ Not Applicable Attach additional shccts ff necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section HI - Policies; Pages 34 through 38 for evaluation criteria. ~ 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 HI - Policies; Pages 38 through 46 for evaluation criteria. Yes [-] No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES · ' · Policy 10. Protect South~ water-dependent uses and promo~iting of new water-dependent uses in suitable locations. SeeLWY~P,~I Section HI - Policies; Pages 47 through 56 for evaluation criteria. ~'~ Yes ~ No ~-~ Not Applicable Attach additional sheets if ncccssa~ Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section HI - Policies; Pages 57 through 62 for evaluation criteria. [] Yes [] No [] Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~-~ Yes ~ No [] Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LVq~,.P Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes ~ NO ~-~ Not Applicable PREPARED BY ~ Robert E. Rerrmann ~ TITL~2oastal Mgmt. SpecDATE 2/28/06 Amended on 8/1/05 EN-CONSULTANTS, INC. 1319 Norlh Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTING Februmy 28, 2006 REOIIF.~qT li'OR AN AMENI~MENT Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Atm.: Lauren Standish Re: Estate of Eileen O. Goldner 435 Bay Home Road, Southold SCTM #1000~56-5-22 MAR - 1 2O06 Dear Ms. Standish: regard to the above referenced property, enclosed are the following for the Board of Trustees review: 3. 4. 5. 6. Three (3) Request for an Amendment Applications, (including Notice and Proof of Mailin$ to adjacent owners). Three (3) LWRP Comistency Assessment Forms. Three (3) copies of Authorization & Disclosure Forms. Three (3) copies of survey. One ( 1 ) set of site photographs. Application fee of $50.00. I trust this information shall allow you to process out permit roquest. Should any additional information be required, please do not hesitate to contact out office. Coastal Management Specialist /khs Eric. Albert J. Krupeki, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1692 Fax (631) 765-1366 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 ¼ constructed Project complete, compliance inspection. Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK PERMIT NO.. 6[~.o .... DATE: ..,J.u. ly ..20..,....21~05 ,u 'flarizatim Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; end Chapter 404 of the Laws of the · State of New York 1952; and the Southold Tovm Ordinance en- titled · "REGULATING AND THE PLACING OF OBSTRUC~[LONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL. OR OTHER IdATERIALS.F~OM LANDS ·UNDER TOWN WATERS;!~. and Jn accordance with the Resolution of The Board adopted afa meeting hem on .~.g.~y...:~.g.~ ..... . .~.g.0.~ and Jn consideration of the sum of $ ....2~.0..,.~.g ..... paid by the Estate of Eileen O. Goldner of .................. ~?~.~.~.?.~.c~ ......................... N. Y. and. subject to the Terms and Conditions listed on the reverse ride hereof, ~ . of Southold Town' Trustees authorizes and permits the following: etiand-P~r~tt to construct a two-.story, on~-family dwelling', install a drainage system of drywe'lls and public water service; !and establish a 50' non-diskurbance/non-fertilization buffer adjacent to the tidal wetlands boundary, and all as depicted the sur·vey prepared by Joseph A. IngegqR dated Mav 17, 2Q0~ a~ in accordance with th~ detailed spec~icafions as ~resentea m · the odglnating appficetlo~. IN WITNESS WHEREOF, The said Board Of Trustees here- by causes its Corporate Seal to be affixed, and these.~.resenfs to be subs~'bed by a 'majority of the said Board .es of thts darn. TERIdS ,,nd CONDmONS Estate of Eileen O. Goldner ~at 435 Bay Home Rd., S~uthold .,..- N. ¥. I~ [~r of the ~slderatlo~ ~o~ the ~,,-~ o~ d~e Permit does mxletstsnd and I,~'ibe to the ~ol- wi& ~spect thereto, to-tl~m-~-?m_. ~,~'e ~on of the ~ of Ttusa~ of the Town of $mahold 2. That thls Pe~m~ h' v~ld loc a [aedod of 24 t~or an ex~e~on .may be made to the Bodrd at a ~. That litls Petmlt should be re~,lned indefinitely, or as long as ehe ~M Pemgttee wishes eo mn;mn;n the structure or project involved, to provide evldenc~ to tnyooe ~ that math- ~.*tton wss odgi~ly o~talned. 4. Tlmt the work involved will be mbject to the inspection nad al~pt'o~al of the Boemi or ks agents, ~ non-eomplbnce with the ptovislons of the ~ application, may be c-.~" for ~vcatlon of this Permit by resolution of the mid Board. Th,st _~e_~e will be no ~le interference wt~ navig,_d9~_ as · remit of the wodc mkborlz~. upon due e~tce, to remove or alter this wodc o~ project het~a st.__*~_ ~idmut equines to the T~ 9. That me Pemlaee ~ & '- ,1~ other 1~,,-~,, sad e0ments.~,,~ m~y be required mP- I, km~+.~ m chis permit wlsleh may 'he subject to revoke upon fsli~ eo abtaln saa~ 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) 765-6641 July 20, 2005 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Rd. Southampton, NY 11968 RE: ESTATE OF EILEEN O. GOLDNER 435 BAY HOME RD., SOUTHOLD SCTM#56-5-22 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wed., July 20, 2005 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of the ESTATE OF EILEEN O. GOLDNER 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 June 17, 2005 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 July 20, 2005, 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, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of the ESTATE OF EILEEN O. GOLDNER to construct a two-story, one-family dwelling; install drainage system of drywells and public water service; and establish a 50' non-disturbance/non- fertilization buffer adjacent to tidal wetlands boundary, and all as depicted on the survey prepared by Joseph A. Ingegno dated May 17, 2005. 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, Albert J. Krupski, Jr., President Board of Trustees AJK/Ims Telephone (63 I) 765-1892 Town Hall 53095 Route 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 Wed., July 13, 2005, the following recommendation was made: Moved by Don Wilder, seconded by Jennifer Mannino, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of ESTATE OF EILEEN O. GOLDNER to construct a two.story, one-family dwelling located partially within 100' jurisdictional area; install drainage system of drywells and public water service; and establish a 50' non-disturbance/non-fertilization buffer adjacent to tidal wetlands boundary. Located: 435 Bay Home Rd., Southold. SCTM#56-5-22 The CAC recommends Approval of the application with the Condition all un-cleared areas remain natural. Vote of Council: Ayes: All Motion Carried " / , / / PLANNING BOARD MEMBERS JER[LYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON MAILING ,aDDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Toxvn Hall Annex 54375 State Route 25 tcor. Main Rd. & Youngs Ave.~ Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: July 15, 2005 Re~ Request for Permit for Goldner, George SCTM#1000-56-5-22 The proposed action involves the construction of a two-story, one family dwelling with attached outdoor shower, install a pervious driveway, drywells and roof leaders and concrete retaining wall for proposed sanitary system. Test hole indicates that groundwater is 4' from grade. The parcel is located on Budd' Pond. The subject parcel is expected to be served by public water. Construction best management practices proposed by the applicant include: 1. The establishment of a 50' non-disturbed/non -fertilization buffer adjacent to the wetland system. A 100' jurisdictional buffer from the wetlands systems to the south and southwest. 2. Prior to construction, the establishment ora hay bale line and silt fence 50' from the wetland boundary. 3. The installation of a pervious driveway and roof leaders and 4 drywells 4. An elevated septic system with retaining wall. The proposed action has been reviewed to Chapter 95, Waterfi'ont Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that the following standard best management practices are implemented. Additionally it is recommended that the Board of Trustees apply the following best management practices for landscaping, lawn establishment and maintenance of the lawn post construction to further protect the water quality of wetland systems and the aquifer: 1. Limit turf area und preserve existing native landscapes and natural ground covers. 2. Require native plants for landscaping. 3. Require disease-resistant and drought-tolerant plants. 4. Minimize lawn areas, replacing turf with native trees and understory. 5. Use integrated pest management (IPM) techniques~ including beneficial insects. 6. Use appropriate grass varieties (e.g., sun tolerant vs. shade tolerant). 7. Take steps to improve soil structure (annual or periodic soil aeration, additions of organic matter, etc.). 8. Leave grass clippings on the lawn as mulch. 9. Cut lawn no shorter than 3" to encourage deep roots. 10. Do not overwater lawns (excess irrigation causes soil nutrients to be lost). Additionally, where fertilization is proposed: 1. Apply a maximum of 1 lb. of nitrogen per 1000 square feet in any one application, with a cumulative application of no more than 2 lbs. per 1,000 square feet per year. 2. Choose fertilizers where the water~soluble nitrogen is no more than 20% of the total nitrogen in the mixture. 3. Choose organic fertilizers, whereby all nitrogen in the mixture is non-synthetic. 4. Keep equipment properly calibrated to avoid over-application. 5. Do not apply fertilizers and pesticides within 100 feet of surface waters and wetlands. 6. Apply product only during growing season (typically mid-March through mid- October). 7. Do not apply fertilizers when it is raining, or when rain is likely to occur within 24 hours 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. Cc~ Conservation Advisory Council Heather Tetrault, Environmental Analyst Albert J. Krupski, Preside James King. Vice-Presiden~ Henry Smith Attic Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Soathoid, New York 11971-0959 Telephone (631) 765-1892 Fex (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application / Wetland Permit Application ~ajor .Waiver/Amendment/Changes t,~Received Application: 01101 ,.-.Received Fee:$ ~ ' ~ ~ompleted Application ~/IOl~ ~ Incomplete SEQRA Classification: Type I Ty~ II Unlisted . Coordination:(date sent) ~AC Refe~ Sent~ ~ate of Inspection: . Receipt of CAC Repo~: Le~ Agency Dete~ination: .... Technical Review: Resolution: Minor - Name of Applicant ESTATE OF EILEEN O. GOLDNER C/O GEORGE GOLDNER & CAROLINE FORD, EXECUTORS Address 26 EDGEMERE ROAD, GARDEN CITY, NY 11530 Phone Number: 516-488-4910 Suffolk County Tax Map Number: 1000 ~ 56-5-22 Property Location: 435 BAY HOME RDAD, SOUTHOLD (provide LILCO Pole #, distance to cross streem, and location) AGENT: EN-CONSULTANTS, FNC. (If applicable) Address: 1319NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone: 631-283-6360 Board of Trustees Appl~ion GENERAL DATA Land Area (in square feet): 13,834.65 SQ.FT. Area Zoning: R-40 Previous use of property:VACANT RESIDENTIAL. Intended use of property: ONE-FAMILY RESIDENTIAL. 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? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): CONSTRUCT A TWO-STORY, ONE-FAMILY DWELLING LOCATED PARTIALLY WITHIN 100-FOOT JURISDICTIONAL AREA; INSTALL DRAINAGE SYSTEM OF DRYWELLS & PUBLIC WATER SERVICE; AND ESTABLISH A 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER ADJACENT TO TIDAL WETLANDS BOUNDARY, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOSEPH A. INGEGNO, LAST DATED MAY 17, 2005. DETERMINATION OF NON-JURISDICTION REQUESTED FOR INSTALLATION OF SANITARY SYSTEM WITH RETAINING WALL AND FILL AND PERVIOUS DRIVEWAY, WHICH WILL BE LOCATED MORE THAN 100' FROM TIDAL WETLANDS AND THEREFORE BEYOND TRUSTEES JURISDICTION PURSUANT TO 897-12(cX5). Board of Trustees AppliCon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ONE FAMILY DWELLING. Area of wetlands on lot: +/-160 .square feet Percent coverage of lot: +/-1 % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: 75 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? +/-500 cubic yards (for house foundation) (for septic system located beyond How much material will be filled? +/-300 cubic yards Chapter 97jurisdiction) Depth of which material will be removed or deposited: +/-4 feet Proposed slope throughout the area of operations: N/A Manner in which material xvill be removed or deposited: N/A Statement of the effect, if an)', on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): THE P~, TENTIAL Et~FECTS OF THE PROPOSED CONSTRUCTION LOCATED WITHIN (AND ADJACENT TO) THE TRUSTEES 100-FOOT JURISDICTIONAL AREA WILL BE MITIGATED THROUGH THE ESTABLISHMENT OF A 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER ADJACENT TO THE TIDAL WETLANDS BOUNDARY; THE INSTALLATION OF A DRAINAGE SYSTEM OF DRYWELLS; AND THE ERECTION OF A PROJECT-LIMITING FENCE AND STAKED HAYBALES DURING CONSTRUCTION. PROJECT I.D. NUMBER 617.: Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLIST~:D ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) SEQR I APPLICANT/SPONSOR.ESTATE OF EILEEN O. GOLDNER BY I EN-CONSULTANTS, INC. 3 PROJECT LOCATION: MuniCipality SOUTHOLD 2. PROJECT NAME County SUFFOLK 4 PRECISE LOCATION (Street address and road intersections, prominent landmad~s, etc, or provide map) 435 BAY HOME ROAD, TOWN OF SOUTHOLD, SCTM #1000-56-5-22, MAP PROVIDED. ~IS~OPOSEDACT~ Expans~n [] Modlfica~on/alterafio~ 6 DESCRIBE PROJECT BRIEFLY: CONSTRUCT A TWO-STORY, ONE-FAMILY DWELLING LOCATED PARTIALLY WITHIN 100-FOOT JURISDICTIONAL AREA; INSTALL DRAINAGE SYSTEM OF DRYWELLS & PUBLIC WATER SERVICE; AND ESTABLISH A 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER ADJACENT TO TIDAL WETLANDS BOUNDARY, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOSEPH A. INGEGNO, LAST DATED MAY 17, 2005. DETERMINATION OF NON-JURISDICTION REQUESTED FOR INSTALLATION OF SANITARY SYSTEM WITH RETAINING WALL AND FILL AND' PERVIOUS DRIVEWAY, WHICH WE~L BE LOCATED MORE THAN 100' FROM TIDAL WETLANDS AND THEREFORE BEYOND TRUSTEES JURISDICTION PURSUANT TO 897-12(cX5). 7. AMOUNT OF LAND AFFECTED Initially 0.32 acres Ultimately 0.32 ac~s s. ~LL PROPOSED ^CT,O. COMPLY ~.T. EX,ST, NC ZO.,.G OR CT. ER EX,ST,.G ~.D USE RESTR.CT,O.S? [~e* [] No ff NO. ~Cd~ ~ 9. ~AT IS PRESENT ~ND USE IN VlClNI~ OF PROJECT? ~ Re,idential ~ Industrial D Commercial ~ Agfi~ D Pa~ Fores~Open space D ~her ~ o. DOES AC~ON I~OLVE A PERMIT APPR~AL, OR FUN~NG, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ~ Yes ~ No If yes, list agency(s) and ~ap~r0vals NYSDEC, SUFFOLK COUNTY HEALTH DEPT. 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~Ye$ [] yes. agency name permit/approval list I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name ROB~STAL MANAGEMENT SPECIALIST Signature: DATE JUNE 15, 2005 I If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment I OVER Albert J. Kmpski, President James King, Vice-President Artie Poster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631'1 765-1892 Fax ('631) 765-I~1~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BO)d>,D OF TRUSTEES: TOWN OE SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, depose and say: * - That on the [ I fa5 of ~. , 20~, I personally posted the prope~y ~ox~n as by placing the ~oard ~f ~mstees official poser where it can easily be seen and that I bare checked to be sure the poster has remained in place for eigbt days prior to the date of the public hearing. Date of hearing noted thereon to be held ~. ~ ~ ~. ~- Dated: NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: SCTM# 1 000- 56-5-22 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: CONSTRUCT A TWO-STORY, ONE-FAMILY DWELLING LOCATED PARTIALLY WITHIN 100-FOOT JURISDICTIONAL AREA; INSTALL DRAINAGE SYSTEM OF DRY'WELLS & PUBLIC WATER SERVICE; AND ESTABLISH A 50.-FOOT NON-DISTURBAblCE/NON-FERTILLZ~TION BUFFER ADJACENT TO T{DAL WETLANDS BOUNDARY, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOSEPH A. INGEGNO, LAST DATED MAY 17, 2005. DETERNflNATION OF NON-JURISDICTION REQUESTED FOR INSTALLATION OF SANITARY SYSTEM WITH RETAINING WALL AND FILL AND PERVIOUS DRIVEWAY, WHICH WILL BE LOCATED MORE THAN I00' FROM TIDAL WETLANDS AND THEREFORE BEYOND TRUSTEES JURISDICTION PURSUANT TO g97-12(cX$). 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 435 BAY HOME ROAD, SOUTHOLD 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment on.~ULY 20TH,2~$ ~7:~ pmY°u 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. ESTATE OF EILEEN O. GOLDNER OWNERS NAME: C/OGEORGEGOLDNER&CAROLINEFORD, EXECUTORS MAILING ADDRESS: 26 EDOEMERE ROAD GARDEN CITY, NY 11530 PHONE ~: 516-~$8-4910 Enc.: Copy of sketch or plan showing proposal for your convenience. 5 Name: DONNA BLANCHARD PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 15 ALEXANDRIA DRIVE PIITSTOWN, NJ 08867 JOSEPH MAGAN1N 535 BAY HOME ROAD SOUTHOLD, NY 11971 ROSAMOND & CHRISTINA BAIZ P.O. BOX 726 SOUTHOLD, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT E. HERRMANN 1319 NORTH SEA ROAD SOUTHAMPTON, NY 11968 doing business atEN-CONSULTANTS, INC. · being duly sworn· deposes and says that on tile 29th day of JUNE ,20 05 , 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 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 SO[/rHA~TON , that said Notices were mailed to each of said persons by (certified) ~Y~(~) mail. Sworn to before me this 29th day o f JUNE ,2005 Town of Southold LWRP CONSISTENCY ASSESSMFNT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town ofSouthold Waterfi'ont 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 Buildbzg Permits and other ministerial permits not located within the Coastal Erosion Hazard.4rea. 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 Waterfi'ont Revitalization Program. A proposed action will be evaluated as to its sigrtificant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on tiffs form is answered "),es", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maxin~um extent practicable with the LWRP policy standards and conditions. If an action cam~ot be certified as consistent with the LWP, P policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the tbllowing places: online at the Town ofSouthold's website (southoldtown.northfork.net), the Board of Trustees Office, the Plamfing Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE .~ND PROPOSED ACTION SCTM# 1000 56 5 - 22 The Application has been subnfitted to (check appropriate response): Town Board ~ Planning Dept. [---] Building Dept. [--] Board of Trustees [] Category of Town of Southold agency action (check appropriate response): (a) Actiou undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Fhmncial assistance (e.g. grantl loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: See attached project description. PROJECT DESCRIPTION ESTATE OF EILEEN O. GOLDNER 435 BAY HOME ROAD SOUTHOLD, NY SCTM #1000-56-5--22 CONSTRUCT A TWO-STORY, ONE-FAMILY DWELLING LOCATED PARTIALLY WITHIN 100-FOOT JURISDICTIONAL AREA; INSTALL DRAINAGE SYSTEM OF DRYWELLS & PUBLIC WATER SERVICE; AND ESTABLISH A 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER ADJACENT TO TIDAL WETLANDS BOUNDARY, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOSEPH A. INGEGNO, LAST DATED MAY 17, 2005. DETERMINATION OF NON-JURISDICTION REQUESTED FOR INSTALLATION OF SANITARY SYSTEM WITH RETAINING WALL AND FILL AND PERVIOUS DRIVEWAY, WHICH WILL BE LOCATED MORE THAN 100' FROM TIDAL WETLANDS AND THEREFORE BEYOND TRUSTEES JURISDICTION PURSUANT TO 897-12(cX5). Attach additional sheets Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Sou;hold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~'~ Yes ~-] No ~ Not .Applicable To the extent that this policy is applicable to the proposed prnje~: visua__l quality and scenic resources will be protected at the site by .way of the establishment of a buffer area that will limit clearing of the site and therefore preserve existinq indiqenous veqetation that might otherwise be cleared. Attach additional sheets if necessary NATU1AML 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 ~Not.Applicable Water quality and supply will be protected via 1} the establishment of a_~_ve~etative bu__ffer adjacent to tidal wetlands, which will a) reduce nitroqen and other contaminant loads enterinq the adjacent waterway and thereby limit a major source of water q~ality impairment; b) retain indigenous vegetation; and c) maintain a stabilized soil and filtering capacity adjacent to wetlands and surface waters; 2) the installation of a SCDHS approved sanitary system raised a sufficient distance above groundwater, A~chadditionals~etsifnecessar~hich will ensure effective treatement of sanitary sewage~ and 3) installation of a drainage system, which will control, manage and ~harg~stormw~ter runoff. . Icy ~ Protect and restore ~e quallD' and ~nctiou of the Town of Southold ecosystems including Significant Coastal Fish and Wildli~ Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 ~r evaluation criteria. Yes ~-~ No [~ Not Applicable The establishment of a permanent wetlands buffer area will serve to pro- tect ecological quality through the retention ~nd maintenance of indigenous plants and their associated natural ecological community. Potential impacts on ecological quality due to development will be reduced and mitigated in the short term by erection of a project-limiting fence and haybales during construction and in the long term through establishment of a wetlands buffer~ installation of a property sanitary system! installation of a d~ainage system to ~arge runoff and use of plious driveway materials. .Further, there will ~no net loss of wetlands,~d statutory and requla- _tory requirements of the Southold Town Board of Trustees and New York State _Department of Environmental Conservation will be complied with. Attach additional sheets if necessary Policy 11. Promote sustainable use of li~Sng 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 ~ Not Applicable Attach additional sheets ifnecessaD' Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [~ Yes [-~ No ~ Not Applicable Ai~ach 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 [] Not Applicable Created on 5/25/05 11.'20 A~f of Trustees Applicatio~ AUTHORIZATION (where the applicant is not the owner) I,~ ~ ~/f~ ~' ~f/~residing at ~' ~_W4~-~ ~ (print owner of property) (mailing Hddress) ( Agent ) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. 8 of Trustees ApF County of Suffolk State of New York ~ro ~t t ( 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), ll: GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVll:~W OF THIS APPLICATION. Signature 6.~ Co~ e (9o SWORN TO BEFORE ME THIS qyk. DAY OF "-Jc, O¢ ,20Oq. ~ ary 1' CHRISTINE WES'ION Not~y Public, 8t~e Of New Yo~ No. 01GASO21496 Oualtfled In Nassau C, ounty,,,,~ Cornmlaslo~ Expires 12/20/20 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of S outhold's Code of Ethics vrohibits conflicts of interest on the nart Of town officers and emnlovees. The nur~ose of this form is to orovid¢ information which can aler~ the town ofnussible conflicts of interest and allow it to take whatever ~)cfioq necessary to avoid same. ~.._ / / (L~t name, first name, middle initial, unless you are applying in ~e 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.) Variance Change of Zone Approval of plat Bxemption fi.om plat or offcial map 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, maniage, 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 ~ If you answered "YE", complete thc balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __.A) the owner ofg~.ater than 5% of the shares of the corporate stock of the applicant (when the applicant is a co,ocr'atica); 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, purmer, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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 ministeria[ permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of tiffs 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 4411 be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review la~v. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A cop), of the LX,VRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Deparm~ent, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 56 5 - 22 The Application has been submitted to (check appropriate response): TownBoard ~] PianningDept. [~ Building Dept. ~ BoardofTrustees Categow 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. grantl loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: See attached project description. PROJECT DESCRIPTION ESTATE OF EILEEN O. GOLDNER 435 BAY HOME ROAD SOUTHOLD, NY SCTM 01000-56-5-22 CONSTRUCT A TWO-STORY, ONE-FAMILY DWELLING LOCATED PARTIALLY WITH1N 100-FOOT JURISDICTIONAL AREA; INSTALL DRAINAGE SYSTEM OF DRY~VELLS & PUBLIC WATER SERVICE; AND ESTABLISH A 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER ADJACENT TO TIDAL WETLANDS BOUNDARY, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOSEPH A. INGEGNO, LAST DATED MAY 17, 2005. DETERMINATION OF NON-JURISDICTION REQUESTED FOR INSTALLATION OF SANITARY SYSTEM WI'I'H RETAINING WALL AND FILL AND PERVIOUS DRIVEWAY, WI-HCH WILL BE LOCATED MORE THAN 100' FROM 'IH)AL WETLANDS AND THEREFORE BEYOND TRUSTEES JURISDICTION PURSUANT TO 897-12(cX5). 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 ~ Not Applicable To the extent that this policy is applicable to the propnged prnjmm~: visual quality and scenic resources will be protected at the site by way of the establishment of a buffer area that will limit clearing of the site and therefore preserve existing indigenous vegetation that might otherwise be cleared. 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 I [ No a[nd~N~tu~pp~Cawbilll be protected via 1) the establishment of Water quality a vegetative buffer adjacent to tidal wetlands, which will a) reduce nitrogen and other contaminant loads entering the adjacent waterway and thereby limit a major source of water quality impairment* b) retain indigenous vegetation; and c) maintain a stabilized soil and filtering capacity adjacent to wetlands and surface waters; 2) the installation of a SCDHS approved sanitary system raised a sufficient distance above groundwater, A~achadditi0nalsheets ifnecessa~Which will ensure effective treatement of sanitary sewage; and 3) installation of a drainage system, which will control, manage and ~q~ha~ge~ st. or~mw~ter, run~ff. . ...... t'OlICy O. rrotect ann restore me quanry ann mncuon 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. ~'~ Yes [] No ~ Not Applicable The establishment of a permanent wetlands buffer area will serve to pro- tect ecological quality through the retention and maintenance of indigenous ~lants and their associated natural ecological community. Potential impacts on ecological quality due to development will be reduced and mitigated in the short term by erection of a project-limiting fence and haybales during construction and in the long term through establishment of a wetlands buffer; installation of a property sanitary system; installation of a drainage system to rec~rge runoff and use of per. us driveway materials. urther there will b n 1 s wetland statutor andr__~ula- tory requirements of the Southold Town Board of Trustees and New York State --Department of Environmental Conservation will be complied with. Attach additional sheets if necessary Policy 11. Promote sustainable use of lb~ng marine resources in Long Island Sound, the Peeonie Estuary and Town waters. See L%VRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [-~ Yes ~-~ No ~ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [--] Yes ~'~ No ~-~ Not Applicable Ai~ach 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 ~ Not Applicable Created on 5/25/'05 11:20 AM 07/12/2005 14:19 FAX 631283 EN-CONSULT.~NT$,INC. If an application for the proposed action b~q be~n filed with the Town of Southold a~ncy, the ~'ollowing informalion shall be provided: (c} Telephonenumber:Ar~aCode~'~[ t~'~' (t* 310 (d) Application number, if any:.. Will the action be directly undertak~r~ requir~ fundh~ or approval by a state or federal a~mcy?. Ye~ [] No ~ Ify~, which state or federal agency?.. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhenceS community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, end minimizes adverse effects of development. See LWRP Section IH - Policies; Page 2 for evaluation criteria. ~l~es [] No [-~ Not Applicable Att~l~ a~[monal sl~eets if nec~s~ry PoUcy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section IH - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No ~Not AppUcable 07/12/2005 14:19 FAX 63126: EN-CONSULTANTS,INC. 012 Attach addilio~al sh~ts if necessary Policy 7. Protect and improve air quality in the Town of $outhold. See LWRP SecUon HI - PoUcies Pages 32 through 34 for evaluation criteria. See Section III ~ Policies Pages; 34 through 38 for evaluation criteria. ~'~ Yes [] No [~Not Applicable Attach addiiiona] sheets if neCessary Policy 8. ~imt~e ~nm~ de~ada~on ~ Town of Sou~old ~ ~iid ~te and ha~ardo~ su~nc~ ~d w~. See L~ Section HI - Pofides; Pages 34 ~rou~ 38 for evMuafion crite~a. ~ Yes ~ No ~ot A~Ucable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational Use of, coastal waters, public lands, and public resoorces of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~'~ Ye~ No ~Not Applicable Attach additional sheets if necessary 07/~.2/2005 ~.4:20 FA~ 63128 WOI~KING COAST POLICIES EN-CONSULTANTS,INC. Policy 10. Protect $outhold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRF Section II1 - Policies; Pages 47 through 56 for evaluation criteria. [] Yes [] No ~Not Applicable At~ach addit~o~ml shee~ 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 ~? through 62 for e~aluation criteria, ["] Yes [] No [] Not Applicable Attach additional sheet~ if neCeSSary Policy 12. Protect agricultural lands in the Town of $outhold. See LWRP Section mi - Policies; Pages 62 through 65 for evaluation criteria. ~ Yes [] No [] Not Applicable Attach add~tionM ~hcc~s if necessary Policy 13. Promote appropriate use and devdopment of energy and mineral resources. See LWRP Section ll~I - Policies; Pages 65 through 68 for evaluation criteria. [] Yes ~ No [] Not Applicable EN-CONSULTANTS, INC. 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTING Jane 15, 2005 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish Re: Estate of Eileen O. Goldner 435 Bay Home Road, Southold SCTM #1000-56-5-22 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees revie~v: Three (3) Wetland Permit Applications including a) Short Environmental Assessment Form; b) LWRP Consistency Assessment Form: c) Authorization & Disclosure Forms: and d) Surveys. One ( 1 ) set of site photographs, Application fee of $250.00 wetlands. I trust this information shall allow you to process our permit request. Should an)' additional information be required, please do not hesitate to contact our office. Coastal Management Specialist /khs Enc.