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Home My WebLink AboutTR-6145 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 CERTIFICATE OF COMPLIANCE # 0305C Date: March 25, 2008 THIS CERTIFIES that the construction of a two-storv dwelling with attached outdoor shower, gutters, leaders and drvwells, pervious drivewav, new sanitary svstem with retaining walls, a 50' Non-Disturbance/Non-Fertilization Buffer At 2715 Henry's Lane. Peconic. New York Suffolk County Tax Map # 74-1-44.5 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 06/01/05 pursuant to which Trustees Permit # 6145 Dated 06/22/05. 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 the construction of a two-storv dwelling with attached outdoor shower. gutters. leaders and drvwells. pervious drivewav, new sanitarv svstem with retaining walls. a 50' Non- Disturbance/Non- Fertilization Buffer The certificate is issued to FAITH BEISER & KEVIN BUCCINA owner of the aforesaid property. r~~ Authorized Signature . . James F. King, President JiJI 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 Mr. Kevin Buccinna 4158 Amboy Rd. Staten Island, NY 10308 RE: 2715 HENRY'S LANE, PECONIC SCTM#74-1-44.5 Dear Mr. Buccinna: 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 #6145, as issued on June 22, 2005. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Jamesk; c9' ~ President, Board of Trustees JFK:lms 4158 Amboy Road Staten Island NY 10308 May 16,2007 Dear Board Of Trustees, We, Kevin Buccinna & Faith Beiser, are requesting an extension of Board of Southold Town Trustees' Permit no. 6145. Enclosed is a copy of the and a check for fifty dollars. Thank you for your consideration. Kevin Buccinna FaithBei~~ .::;::. Vp(/iSi.AA-/IvLG d#~ 6o.Jj':; e--'/a-S /)./ ~-J/?-t;Sb-D5(/ D-v tELL t)/19.).-5..J7s6J:> ~~)r;J :-{t:V1J Bua/w4- 4/7# r:fiJJ[.;,u ffij) ~ ~ ~ n WI fE ~ lnJl MAY 1 8 2007 [WI Soulhhold Town BOlnl of TllIstees Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southo]d, 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 1 st day of construction ¼ constructed Project complete, compliance inspection. Board Of Southold Town Trustees SOUTHOLD, NEW YORK SCTM#74-1-44.5 PERMIT NO. (.~2J.~' ... DATE: ...fl._~....Z~.k...2.?5 FAITH BEISER & KEVIN BUCCINA ISSUED TO .............................................................................................................................. 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 19!~2: and the Southolcl ToWn Ordinance en- titled ."REGULATING AND THE PLACING OF OIBSTRUC1'LO .NS IN AND ON TOWN WATERS AND PUBLIC LANDS and .the REMOVAL OF SAND, GRAVEL. OR OTHER MATERIALSJ:~/IJ:)Ivi LANDS ·UNDER TOWN WATERS:". and in accordance with 'the Resolution of The Boarcl adopted afa meeting held on . '~.0.~, and in consideration of the sum of $.... ?.'~.:.?(~.... paid by Faith Beiser & Kevin Buccina of ........ ~!~}...~.?a.~ ................... N. Y. and subiect to the Terms and Conditions listed on the reverse side hereof, of Southold Town· Trustees authorizes end permits th4 following: Wet, and Permit to C'°nstruct a two-story, one-family dwelling with attached outdoor shower; inetall a pervious ddveway' drainage system of dryweJls, and e. oncrete retaining wall for proposed sanitary system proposed more than ~00' kern wetlands; and establish e §0' nen-diaturbaneelnoo- fertilization buffer to remain natural and undisturbed adjacent to on-site freshwater wettande, and all as depicted on the eurvey prepared by Stanley .I. Isakeen, .Ir. last dated July 'i8, 2005. dl in ~ccordance with the detailed specifications as presented in .the odglnafing epplic.~tloa. IN WITNESS WHEREOF, The sald Board Of Trustees kere- by eeuse~ its Corporate Seal to be afl?ed, end the~e p.resenis to be sul~sc.'bed by i 'mejorl4y of the sa~d Board es of this ': ,Peg, gy .Diqkersan (abstained) TERMS and CONDITIONS Faith Beiser &.Kevin Buccina "C 4158 Amboy Rd., Staten Island. '~..~ · N.Y. '~ the con~c~don ~ot the L~ntance of the P~-,~t does unde~t~md mhd [poe~'~Se to the roi- 1. ~ ~e ~d ~ ~ T~ ~ 'he Town ~ ~old ate ~ from 3. ~t ~i, p,-~ ~d ~ re~;~ indd/nltel?, or as 1~ as ~ s~ P,~,~etee ~ to. n~ntaln d~e ~e or project ~olv~ to pmMde ~dence to anyone con~ ~ ~- ~don wa~ ~y ~ zevocat~on of thls ~mit 5. ~ ~ ~ ~ no ~le ~ference ~ ntt~ as · it of ~ ~ ~~. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 June 22, 2005 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert Herrmann Eh-Consultants, 1319 North Sea Rd. Southampton, NY 11968 RE: FAITH I~,EISER & KEVlN BUCCINA 2715 HENRY'S LANE, PECONIC SCTM#74-1-44.5 Dear Mr. Herrmann; The Board of Town Trustees took the following action during its regular meeting held on Wed., June 22, 2005 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of FAITH BEISER & KEVIN BUCCINA 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 1,2005 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 June 22, 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 FAITH BEISER & KEVlN BUCClNA to construct a two-story, one-family dwelling with attached outdoor shower; install a pervious driveway, drainage system of drywells, and concrete retaining wall for proposed sanitary system proposed more than 100' from wetlands; and establish a 50' non-disturbance/non-fertilization buffer to remain natural and undisturbed adjacent to on-site freshwater wetlands, and all as depicted on the survey prepared by Stanley J. Isaksen, Jr. last dated July 18, 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 Telephoi'te (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 Tues., June 14, 2005, the following recommendation was made: Moved by Jack McGreevy, seconded by Tom Schlichter, it was RESOVLED to recommend to the Southold Town Board of Trustees APPROVAL WITH CONDITIONS of the Wetland Permit application of FAITH BEISER & KEVlN BUCCINA to construct a two-story, one-family dwelling with attached outdoor shower; install a pervious driveway, drainage system of drywells, and concrete retaining wall for proposed sanitary system proposed more than 100' from wetlands; and establish a 50' non-disturbance/non-fertilization buffer to remain natural and undisturbed adjacent to on-site freshwater wetlands. Located: 2715 Henry's Lane, Peconic. SCTM#74-1-44.5 The CAC recommends Approval of the application with the Condition a vegetation plan is submitted before a permit is issued and all trees to be removed are marked. The CAC recommends 70% of the property to remain in its natural state. Vote of Council: Ayes: All Motion Carried ? ? ? / EN-CONSULTANTS, INC. 1319 Nodh Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants com ENVIRONMENTAL CONSULTING Albert Krupski, Chairman Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 July 20, 2005 Re: Faith Besier and Kevin Buccinna, 2715 Henr),'s Lane Dear Mr. Krupski: As requested during last month's hearing on the captioned application, please find attached (3) copies of a site plan prepared by Stanley J. Isaksen, ,Ir., last dated 18 July 2005, depicting the non-disturbance area expanded in the southwest comer of the property to the proposed fence. Should you require any additional information before your permit can be issued, please let me Respectfully yours, Robert E. Herrmann Coastal Management Specialist PLANNING BOARD MEMBERS J~'.RILYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To: Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planper LWRP Coordinator Date: June 21, 2005 Request for Permit for Faith Beiser and Kcvin Buccina SCTM#1000-74-1-44.5 ]'he proposed action involves the construction of a two-story, one family dwelling with attached outdoor shower~ install a pervious driveway, drainage system or drywells and concrete retaining wall for proposed sanitary system. Test hole indicates that groundwater is 2.6' from surface. High quality freshwater systems occur to the south, and southwest of the parcel. An intermittent stream occurs on site. The subject pamel and surrounding parcels water supply is via private wells. Construction best management practices proposed by the applicant include: 1. The establishment of a 50' natural and undisturbed buffer south of the intermittent stream/wetland. A 100' jurisdictional buffer from the wetlands systems to the south and southwest. 2. The establishment of a hay bale line and silt fence 50' from intermittent stream wetland boundary. 3. The installation of a pervious driveway and drywells 4. An elevated septic system with retaining wall. 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. A fence is proposed to be installed on the northeast side of the structure. Require that the applicant show a building envelope on the final plat to determine limits of furore construction. 2. Employ the following water quality protection measures to further the intent of LWRP Policies 1, 5, and 6: a. Impose limits of clearing of the area not included within the building envelope (to be determined). 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: l. Install and preserve, existing native landscapes and natural ground covers. 2. Choose native plants for landscaping. 3. Choose 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 la,sm as mulch. 9. Cut la'am no shorter than 3" to encourage deep roots. 10. Do not overwater la'ams (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. Don't 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. Don't 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. Conservation Advisory Council Heather Tetrault, Environmental Analyst Albert J. Krupski. President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, 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 ,.,/¢/etland Permit Application Major Waiver/Amendment/Changes ../l~eceived Application:__~J~ -.--Received Fee:$~~3 ~ ...~Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~CAC Referral Sent: (~ {I ..l~ate of Inspection: ~ Receipt of CAC Report: Lead Agency Determination: Technical Review: --Pliblic Hearing Held: (~ Resolution: Minor Name of Applicant FAITH BEISER & KEVIN BUCC1NA Address4158 AMBOY ROAD, STATEN ISLAND, NY 10308 Phone Number: 718-356-0557 Suffolk County Tax Map Number: 1000 - 74-1-44.5 Property Location: 2715 HENRY'S LANE, PECONIC (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS, INC. (If applicable) Address: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone: 631-283-6360 Board of Trustees Applic, GENERAL DATA Land Area (in square feet): 40,042 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 WITH ATTACHED OUTDOOR SHOWER; INSTALL A PERVIOUS DRIVEWAY, DRAINAGE SYSTEM OF DRYWELLS, AND CONCRETE RETAINING WALL FOR PROPOSED SANITARY SYSTEM PROPOSED MORE THAN 100' FROM WETLANDS; AND ESTABLISH 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER TO REMAIN NATURAL AND UNDISTURBED ADJACENT TO ON-SITE FRESHWATER WETLANDS, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY STANLEY J. ISAKSEN, JR., LAND SURVEYOR, LAST DATED MAY 25, 2005. ~oard of Trustees Applica~n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ONE FAMILY RESIDENCE. Area of wetlands on lot: +/-1,500 _square feet Percent coverage of lot: <4 % 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 How much material will be filled? */-250 cubic yards (for septic) Depth of which material will be removed or deposited: +/-2.5 feet (for septic) Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: Unsuitable subsoils in area of septic system will be excavated and replaced with clean sand, area within (for house foundation & excavation of cubic yards unsuitable soils for septic installation) concrete retaining walls will be filled with clean sand to maintain proper elevation of cesspools above groundwater. 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): The proposed project entails the development ora residential building parcel situated between two existing houses. The majority of the proposed construction is located beyond Chapter 97 wetlands jurisdiction, and the portion of the work located within 100 feet of wetlands will be separated from the wetlands during construction by a project-limiting fence and staked haybales, and permanently by a 50-foot non-disturbunce/non-fertilzation buffer to remain natural and undisturbed. The sanitary system will be located beyond wetland jurisdiction; and the site will be equipped with a drainage system of leaders, gutters, and drywells to recharge runoff. Therefore, the proposed development of the site will have no significant adverse impacts on the adjacent freshwater wetlands. PROJECTI D. NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) SEQR I APPLICANT/SPOMSOREA[TH BE[$ER & KE'V'IN B[.~CCINA I 2. PROJECT NAME BY EN-CONSULTANTS, INC. I 3 PROJECT LOCATION: Municipagty PECON[C County SUFFOLK 4 PRECISE LOCATION (Street address and road intemections, prominent landmarks, etc. or provide map) 3715 HENRY'S LANE, PECONIC, TOWN OF SOUTHOLD, SCTM#1000-74-1-44.5; MAP PROVIDED. [~IS PROPOSED ACTrL~N New I I Expansion [] Modification/alteration DESCRIBE PROJECT BRIEFLY: CONSTRUCT A TWO-STORY, ONE-FAMILY DWELLING WITH ATTACHED OUTDOOR SHOWER; INSTALL A PERVIOUS DRWEWAY, DRAINAGE SYSTEM OF DRYWELLS, AND CONCRETE RETAINING WALL FOR PROPOSED SANITARY SYSTEM PROPOSED MORE THAN 100' FROM WETLANDS; AND ESTABLISH 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER TO REMAIN NATURAL AND UNDISTURBED ADJACENT TO ON-SITE FRESHWATER WETLANDS, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY STANLEY J. ISAKSEN, JR., LAND SURVEYOR, LAST DATED MAY 25, 2005. 7. AMOUNT OF LAND AFFECTED Initially 40,042 SQ.FT. acres Ultimately 40,042 SQ.FT. acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [~es [] NO If NO. describe briefly V.AT.S .R SE.T L^.D USE .. V,C,N,TY DE PRO.ECT. [] Residential [] Industrial [] CommerCial [] Agriculture [] Park F0¢est/Oper~ space [] Other Describe: I o. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUN~NG. NOW OR ULTIMATELY FROM ANY OTHER COVER NMENTAL AGENCY (FEDERAL. STATE OR LOCAL)? [] Yes [] No I1 yes. list agency(s) and !~ermit/a~)provals NYSDEC, SUFFOLK COUNTY DEPT. OF HEALTH 1 t. DOES ANY ASPEDT OF THE ACTION HAVE A CORRENTLY VALID PERMIT OR APPROVAL? []Yes [] NO If yes. list agency name end permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICAT,ON? []Yes []No , CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE A licantis onsor name ROB RT HERRMANN, COASTAL MANAGEMENT SPECIALIST DATE MAY 31, 2005 If the action is in the Coastal Area, and you are a state agency, complete the I Coastal Assessment Form before proceeding with this assessment OVER M~OTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: FAITH BE1SER& KEVINBUCCINA,(CONTRACTVENDEES) SCTM~1000- 74-]-~.5 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 WI]VH ATTACHED OUTDOOR SHOWER; INSTALL A PERVIOUS DRIVEWAY, DRAINAGE SYSTEM OF DRYWELLS, AND CONCRETE RETAINING WALL FOR PROPOSED SANITARY SYSTEM PROPOSED MORE THAN 100' FROM WETLANDS; AND ESTABLISH 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER TO REMAIN NATURAL AND UNDISTURBED ADJACENT TO ON-SITE FRESHWATER WETLANDS, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY STANLEY J. [SAKSEN, JR., LAND SURVEYOR, LAST DATED MAY 25, 2005. 2. That Review-is follows: the property which is the subject of Environmental located adjacent to your property and is described as 2715 HENRY'S LANE, PECONIC 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public connnent on ?ONE 22ND , 2005 ~7:00pm 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. FAITH BEISER & KEVIN BUCCINA OWNERS NAME: (CONTRACT VENDEES) MAILING ADDRESS: 4158 AMBOY ROAD SIATEN ISLAND, NY 10308 PHONE #: 718-356-0557 Eric. : Copy of sketch or plan showing proposal for your convenience. 5 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: JOHN GANNON 2865 HENRY'S LANE PECONIC, NY 11958 KENNETH & PATRICIA HOMAN 285 STILLWATER AVENUE CUTCHOGUE, NY 11935 ANGELA BATTAGLIA & VITO LOPEZ 64 CONSELYA STREET BROOKLYN, NY 11211 BLACKHAM FAMILY LIVING TRUST WILLIAM & EILEEN BLACKMAN, TRUSTEES GREGORY JOHNSON 5 FIELDSTONE LANE AVON, CT 06001 PAWLEYS PLANTATION 154 SALT CREEK COURT PAWLEYS ISLAND, SC 29585 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERTE. HERRMANN 1319 NORTH SEA ROAD SOUTHAMPTON, NY 11968 doing business atEN-CONSULTANTS,INC. · being duly sworn, deposes and says that on the IST 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 $OUTHAMFTON , that said Notices were mailed to each of said persons by (certified) ~Y~X~) mail. Sworn to before me this IST day o f ~3NE ,2005 Notary 'Publi~ Albert J. Krupski, President James King, Vice-President Artie Fester 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) 765-6~ (~] 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) AFFDAVIT OF POSTING being duly sworn, depose and sa}J: ; " - That on the~ day of ~'g , 20~J personall~osted the propeNy ~own as by placing the Board of Trustees official poster 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 - Dated: (signature~}~- -- Sworn to before me this _.~-~9',~C-day oO,'~ 200q- No"~r~eublic~ Board of Trustees Appli~ion State of New York ' L) ~ f /-['K' ~B~mO DULY SWORN' DEPOSES AND AFFIRMs THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PEK.MIT(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 GKANT~D. IN COMPLETING TH-IS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVe. S(S), TO ENTER ONTO MY PROPERTY TO INSPECT TH~ PREMISES IN CONJUNCTIQN WITH REVIEW OF TH~S APPLICATION. SWOP,2q' TO BEFORE ME THIS '¥" DAY OF ~,~g- - ,20 c f '~-~' Notary Public . / ~. (pr4n~: ovmer o~ prope~c~) (ma~L~ng ~d.d~esS~ / (A~ent) to apply for permit(s) from the Southol~ Boar~ of Town Trustees on my behalf. APPLICANT/AGENT/I~,PRF~ E1V~ATIVE TRANSA~ON~ DISCLOSURE FORM NAM~ OP APPLICATION: (Check ~I1 ~ ~91¥.) N,~c of~n emplo~d b~ ~e ~own of Somho. ld Tiff; o~ po~/flo~ of that person . Describe tho rohtionfbip between yournlf (h tpplic~qeu~q~esenmive) md ~he town o~cer o~ employee. Bi,her ~hec~ t~ spproMht~ line A) tfu~ D) md/or dosc~be in ~be q~-o pro _~t~: Thc town o~ce~ o~ ~,;f,',oyoe or his or her spout, ,aqin~ psr~ or cMld is (check 811 that ~ applicant is n~ ~ ~tlXa~afion); · C) m offl~, dir~r, p~mer, or employee o~fl~ ~uplica~; or DF~SCIUFfION OF ]t.BLATIONSH~I' EN-CONSULTANTS, INC. 1319 NoAh Sea Road Southamp~n, New York 11968 631-253-6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTING May 3 l, 2005 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish Re: Faith Beiser & Kevin Buccina 2715 Henry's Lane. Peconic SCTM #1000-74-1-44.5 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 3. 4. 5. 6. Three (3) Wetland Permit Applications, ( including Notice and Proof of Mailing to adjacent owners). Three (3) Short Environmental Assessment Forms. Three (3) copies of authorization & disclosure forms. Three (3) copies of survey. One ( 1 ) set of site photographs. Application fee of $250.00 wetlands. trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Coastal Management Specialist /kbs Enc. To~vn of Southold ~ L~VRP 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 ministerial permits not located within the Coaxtal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 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 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 maximum extent practicable with the L'C, rRP 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 cop3' of the LW1LP is available in the following places: online at the Town ofSouthold's website (southoldtown.northfork.net), tlie Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE .32qD PROPOSED ACTION SCTM# 1000 74 1 44.5 The Application has been submitted to (check appropriate response): Town~o~d V] P~nn~,ept. ~ ~u~Id~Dcpt. [] ,oa~do~Tru~tees 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 txansaction) (b) Fhaancial assistance (e.g. grantl loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: See attached project description. PROJECT DESCRIPTION FAI'IH BEISER & KEVIN BUCCI/gA 2715 HENRY'S LANE PECONIC, NY SCTM #1000-74-1..44.5 CONSTRUCT A TWO-STORY, ONE-FAMILY DWELLING WITH ATTACHED OLFrDOOR SHOWER: INSTALL A PERVIOUS DRIVEWAY, DRAINAGE SYSTEM OF DRYWELLS, AND CONCRETE RETAINING WALL FOR PROPOSED SANITARY SYSTEM PROPOSED MORE THAN 100' FROM WETLANDS; AND ESTABLISH 50-FOOT NON-DISTURBANCE/NON- FERTILIZATION BUFFER TO REMAIN NATURAL AND UNDISTURBED ADJACENT TO ON- SITE FRESHWATER WETLANDS, ALL AS DEPICTED ON THE SITt: PLAN PREPARED BY STANLEY J. ISAKSEN, JR., LAND SURVEYOR, LAST DATED MAY 25, 2005. At~achadditional sheets if necessary f ' Policy 3. Enhance visual quaht) and protect scenic resources throughout the Town of Southoid. See L'~$qlP Section III - Policies Pages 6 through 7 for evaluation criteria ['~ Yes ~-~ No D Not Applicable To the extent that this policy is applicable to the proposed project, visual quality and scenic resources will be protected at the site by the establishment of a buffer area that will limit clearing of the site and therefore preserve existing indigenous vegetation that miqht otherwise be cleared. At~ach additional sheets if necessary NATUIL, kL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See L'~qtP Section III - Policies Pages 8 through 16 for evaluation criteria [] Yes ~-~ No [] Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve ~vater quality and supply in the Town of Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria Yes ~] No I I NotApplicable Water quality and supply will be protected via 1) the installation of a Suffolk County Department of Health Services approved sanitary system ~sed a sufficient distance above groundwater, which will ensure effective treatment of sanitary sewage; 2) the establishment of a vegetative buffer ad3acent to wetlands, which will retain indigenous vegetation ano maintain a stabilized soil and filtering capacity adjacent ~o wetlands; and 3) installation of a drainage system, which will control, manage, and A~ach additi0nalsheets if necessary recharge stormwater runoff. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ~] Yes ~-] No [~ Not Applicable The establishment of a permanent wetlands buffer area will serve to pro- tect ecoloqical quality through the retention and maintenance of indigenous plants and their associated natural ecoloqical community. Potential impact: on e~oloqlcal qualitv 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 w~t£ands buffer; installation of a proper sanitary systemI installation of a d~ainage system to re~ha~ge runoff and use of ~us driveway materials. ~FurthDrt there will b~no net loss of wetlands, statutory and regula- ~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 living marine resources in Long Island Sound, the Peeonie Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. 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 At~ach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resom'ces. See L~rRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes ['~ No [-~ Not Applicable Created on 5/25/05 11.'20 AM