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HomeMy WebLinkAboutTR-6201James F. King, President ~pF SOUry Town Hall Jill M. Doherty, Vice-President ~ o ~O ~~ 53095 Route 25 Peggy A. Dickerson P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen u+ ~e O ~ T l h (631 765 1892 Bob Ghosio, Jr. ~ ~ O e ep one ) - I~.C~~~,~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0316C Date June 2 2008 THIS CERTIFIES that the single-family dwellinggarage, Butters &drvwells, sanitar~ystem, and pervious parking area, At 860 Bayview Dr., East Marion Suffolk County Tax Map #37-5-7 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 8/25/05 pursuant to which Trustees Wetland Permit #6201Dated 9/21/05 and Amended on 4/19/06 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 asingle-family dwelling BaraBe gutters &drvwells sanitary system and pervious parking area. The certificate is issued to PAT & BART JOHNSON owner of the aforesaid property. l~- ~~ Authorized Signature S A M U E L S& S T E E L M A N ', !~.: / August 7, 2007 Board of Trustees Southold Town Town Hall Annex Main Road Southold, NY 11971 Re: Johnson Residence 860 Bayview Dr. East Marion, NY 11939 SCTM # 1000-37-05-07 Dear Trustees, We are requesting a one year extension for Trustees Permit #6201 which was issued on September 21, 2005. We have enclosed a check for $50.00 Please call us with any questions or concerns. & STELCIMAN ARCHITECTS Nancy~t elman Princip Architect ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 1631) 734-6405 FAX (6317 734-6407 p ~~~Od~ AUG - 2001 D 7 Southhold Town Board of Trustees Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson o~Q~UFFO(,~~o ~~ ti Z W • BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 APR 1 ~. ~~:~ APPLICATION FOR AN AMENDMENT TO A PERMIT DATE 4/14/06 OWNER Pat d. Bart Johnson PHONE 631-477-2579 ADDRESS P.O. Box 175 So. Salem, NY 10590 AGENT Samuels ~ Steelman pgONE 631-734-6405 ADDRESS 25235 Main Rd PROPERTY LOCATION 860 TAX MAP NO. 1000-37-05-07 ew Dr. East Marion, NY UWe Nancy Steelman request an Amendment to Permit # 6201 Due to the DEC permit requiring that the proposed house be located 75' from the existing concrete wall. Trustee approval was for 66' from Mean High Tide or 60'6" from the existi Signed E5" Cutchogue, NY 11935 ~[ James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. ,~~pF SOUIyO~ ~`~ ~i~ ~ol~ 0 NTV ~",~'" BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 22, 2007 Ms. Nancy Steelman Samuels & Steelman Architects 25235 Main Road Cutchogue, NY 11935 RE: BART & PAT JOHNSON 860 BAYVIEW DRIVE, EAST MARION SCTM# 37-5-7 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631)765-1892 Fax (631)765-6641 Dear Ms. Steelman: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 22, 2007: RESOLVED that the Southold Town Board of Trustees grants aOne-Year Extension to Permit #6201, as issued on September 21, 2005 and amended on April 19, 2006. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, o'~ 1• Z- J mes F. King d/ President, Board of Trustees JFK:eac Albert J. Krupeki, President James King, Vice-President Artie Footer Ken Poliwoda Peggy A. Dickerson h~o~gUFFO(,~coTGy ~~ ~ Z W • oy~ol ~ ~~o~ • Town Hall 53095 Route 2b P.O. Box 1179 Southold, New York 11971-0969 Telephone (631) 766-1892 Fax (631) 766-1366 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 APRE-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 '/~ constructed / Project complete, compliance inspection. Ofd p.~l /lfbb&. ~3~~e$ James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel ~o~~OF SOUjyo~ ~ ~~~,~ ~OOUNTY,~.",~'' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 19, 2006 Ms. Nancy Steelman Samuels & Steelman Architects 25235 Main Rd. Cutchogue, NY 11935 RE: PAT & BART JOHNSON 860 BAYVIEW DR., EAST MARION SCTM#37-5-7 Dear Ms. Steelman: n LJ Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631)765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed, April 19, 2006: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6201 to demolish the existing dwelling and construct a new dwelling 75' from the concrete wall, rather than 66' as originally approved. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, v~ ~~ Ja es F. King Vice-President, Board of Trustees JFK:Ims Albert J. Krupski, President James King, Vice-President Al'tie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD 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 ~ constructed __ Project complete, compliance inspection, Board Of Southold 'Town Trustees SOUTHOLD, NEW YORK ISSUED TO ...:......~....~_._~.~..:~..o.~.s...o..~ ....................................................................... t t'ltartzatian Pursuant Jo t~ ~ovislons of Chapter 615 of ~e ~ws of the. Sfa~ of New Yor~ 1893; ~nd ~pfer ~ of ~e ~ of State of New Yo~ 19~2; and the So.hold To~n OrdinanCe ~ ?~U~N~ .AND -~E,.P~CIN~. OF: OBS~RUC~S IN AND ON TOWN WATERS AND PUBLIC ~DS end ~ REMOVAL OF SAND, ~VEL-O~ O~ER MATERIA~.F~M ~NDS .UNDER TOWN 'WA~RS~, and in a~e~dan~ wi~h Resol~ion of The Board adopted at a meeting held on .....~.~.~,,~L~.~., · . ~.g.g.~., and in c~nsldereflon of ire sum of ~.....~.~.:.~ ...... paid by of ..................... ~.~.~...~.~.~.9.~_.:........'. ..................... N. Y. and subject Jo the Terms end ~ndlflo.s listed .on the revere ride he--of, of ~uthold Town Tr~ees authorizes and permi~ ~ We,~nd Pe~it to demolish ~e e~s~ng dwelling and ~ns~ct a new dwelling, a~ed g~mge, sani~ system, and ~ious pa~ng area, ~ ~e ~ndi~on d~lls and gu~em are ina~ll~ to ~n~in ~e r~f mn~ff and a line of s~k~ h~y b~l~ is plaid d~ land.rd of ~e bulkhea~ prior to ~n~tmc~on, and all as depi~ed on ~e plan prepared by ~uels & 8t~lman ~Jte~ last revised 8eptem~r 2g, 2005. aE in e~ordance w,h the defai~ sp~i~flons es ~e~nfed IN WffN~S WHERe, ~e said Board 0f Trustees ~u~s ifs ~r~rale Seal ~o be a~xed, a~ ~ese p?sen~ fo su~ed by ~'maj~ of the said ~ard .as of this TERIM$ and CONDITIONS Bart & Pat Johnson 860 Bayview Dr. East Mario,n ...... N. Y~ '~. 'gha~ d~e said ~8oazd o~ 'l'm~____ m~! the Town ~ Soudmkl m~e rdeM~ ~tom any and Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Diekerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 September 21,2005 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Nancy Steelman Samuels & Steelman Architects 25235 Main Rd. Cutchogue, NY 11935 RE: BART & PAT JOHNSON 860 BAYVlEW DR., EAST MARION SCTM#37-5-7 Dear Ms. Steelman: The Board of Town Trustees took the following action during its regular meeting held on Wed., September 21,2005 regarding the above matter: WHEREAS, Samuels & Steelman Architects on behalf of BART & PAT JOHNSON 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 August 25, 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 September 21, 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 BART & PAT JOHNSON to demolish the existing dwelling and construct a new dwelling, attached garage, sanitary system, and pervious parking area, with the condition drywells and gutters are installed to contain the roof run-off and a line of staked hay bales is placed down landward of the bulkhead prior to construction, and all as depicted on the plan prepared by Samuels & Steelman Architects last revised September 29, 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 Albert J. Krupski, President Jaraes K/ng, Vice-President Artie Foster Ken Pol/woda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: has been and the ( ~,")"Application Approved (see below) ( ) Application Denied (see below) ( ) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: SIGNED: PRESIDENT, BOARD OF TRUSTEES Telephone (631) 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., September 14, 2005, the following recommendation was made: Moved by Doris McGreevy, seconded by Jack McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Wetland Permit application of BART & PAT JOHNSON to demolish the existing dwelling and construct a new dwelling, attached garage, sanitary system, and parking area. Located: 860 Bayview Dr., East Marion. SCTM#37-5-7 The CAC recommends Disapproval of the application because of the following: the property was not posted; the house is too close to the water; access was denied onto the property by the property owner. The CAC would like to note for the record that the property owner was extremely hostile to the CAC members during inspection. Vote of Council: Ayes: All Motion Carried PLANNING BOARD MEMBERS JERILYN 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 (cor. 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 Planner LWRP Coordinator Date: September 21, 2005 Re~ Request for Permit for Bart and Pat Johnston SCTM#1000-37-5-7 The proposed action involves the demolishing of existing residence on the parcel and construction of a single family residence, deck, pervious gravel driveway, downspouts into subsurface drainage and sanitary system. A wetland system is located to the south of the subject property. The property also lies within the FEMA Flood Insurance Rate Map Zones X and Ali el 8; an Area of Special Flood Hazard. The parcel proposes to be served by public water. 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 and the applicant proves that the Policy 4.1 has been met to the greatest extent possible. 1. Require erosion and sediment controls (haybales, silt fencing) during construction. Require surface water quality protection measures for constructed areas generating runoff (gutters, downspouts, dry wells and pervious driveways). To further the intent of policy 4.1 Minimize losses of human life and structures from flooding and erosion hazards.", the following management measures to minimize are recommended: 4.1 Minimize losses of human life and structures from flooding and erosion hazards. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. Move existing development and structures as far away from flooding and erosion hazards as practical. Maintaining existing development and structures in hazard areas may be warranted for: a. structures which functionally require a location on the coast or in coastal waters. b. water-dependent uses which cannot avoid exposure to hazards. c. sites in areas with extensive public investment, public infrastructure, or major public facilities. d. sites where relocation of an existing structure is not practical. Manage development in floodplains outside of coastal hazard areas so as to reduce adverse environmental effects, minimize the need for future structural flood protection measures, or expansion of existing protection measures and to meet federal flood insurance program standards. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Alber~ 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 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application 7'~etland Permit Application. Major Waiver/AmendmenqChanges · ,'~l~eceived Application: -R--eceived Fee:$ .,~ompleted Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) .,--'CAC Referral Sent:' ~ ]o3x-~J~ .Date of Inspection: Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ~iblic Heating Held:6}/~,lt I (~- Resolution: Name of Applicant Address Minor AUG 2 5 2005 Soutl,dd Town Board ef Trustees Io~qo Suffolk County Tax Map Number: 1000 - _%7 - (>D - O7 Property Location: C~>~O ~L~N/',r~j~h Dr- ~'l-' ~'~F'iOF-), ~'T (provide LILC0 Pole #, distance to cross streets, and location) (If applicable) Phone: ~,~l - 7 4- 64o, Board of Trustees Application Land Area (in square feet): P~ea Zoning: ~- 4-0 Previous use of property: Intended use of property: GENERAL DATA r oq. Prior permits/approvals for site improvements: Agency Date ~/ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? .~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): ~'~/-~:~'~-l~tr'~'-)t~t~ o~ ard of Trustees A~plica WETLAND/TRUSTEE LANDS APPLICATION DATA . pose oft propo , oper ions Area of wetlands on lot: C~ square feet Percent coverage of lot: O % Closest distance between nearest existing structure and upland edge of wetlands: ~,~" feet Closest distance between nearest proposed structure and upland edge of wetlands ~,~, - E feet Does the project involve excavation or filling? No .~ Yes If yes, how much material will be excavated? ~k'~e~- cubic yards How much material will be filled? -~ cubic yards Depth of which material will be removed or deposited: 6 ~t._ / t feet M~ner in w~ch mat~ will ~ remov~ or deportS: ~ff//~o~. St~ement of the eff~, iffy, on the w~l~ds and tidal wmers of the tom ~at may result by r~on of such pro~ operations O~ attachments if appropriate): 14-16-4 (~; 2/97)~:1 SEQR PROJECT ID NUMBER 617.20 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) 1. APPLICANT/SPONSOR 2. PROJECT NAME 8. WI~ PRO~SED A~ION COMPLY WITH EXISTING ZONING OR OTHER ~IS~NG ~ND USE RESTRICTIONS? 9, WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or 11. ~ES ANY ~PECT OF ~E A~ON HA~ A CURRE~Y VAMD PERMff OR APPROVAL? O Yes ~No If yes, lia age~ n~e and ~approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? D Yes ~.No ~7~THAT THE IN~OBI~A'~ON PRO¥(!bED ABOVE IS~TR[.JE TO THE BEST OF MY KNOWLEDQE Ap,,,,--,,spo,,.or ..m, .Z_ o.,. i If the Intlon i$ In the Coistal Aria, and you are I state agency, complete the Coastal Assessment Form before procIedlng with this assessment OVER PART II---ENVIRONMENTAL ASSESSMENT (To I~e compteted by Agency) A. DOES ACTION EXCEED ANY I~pE I THRESHOLD ~N 6 NYCRR PART 617.47 n Yes [] No If yes, coordinate the review proc~ts and use the PULL EA£ B. WILL ACTION RECEIVE COORDINATED RENflEW AS PROVIDED FOR UNUSTED ACTIONS IN 6 NYCRR PART 617.6? [] Yes [] No If no, a negative declaration may be ntfl~u~eded t~yanofherinvolved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legibis) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal; potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or o~er natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats1 or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or · change in use or intensity of use of land or other natural resources? Explain briefly: C5, Growth, subsequent development, er related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIROHMENTAL CHARACTERISTICS THAT CAUSED THE ESTABUSHMENT OF A CEA? [~ Yes E] No E. IS THERE, OR IS THERE UKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [~ No If yes, explain briefly PART II--DETERMINATION OF SIGNIFICANCE (To be comptetad by Agency) [] Check this box if you have identified one or more potentially large end significant adverse impacts which may occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. [] Cheek this Pox if you have det~Tnined, bamed on the infomletion and analysis above and any ~uppoFtktg ~Jme~tetion, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Age~'y Print or Type Name of ReedOnSlbte Officer in Lead Agency ~ of Res~onefl~e Officer Signalure of Responsible Offl(~' in Lead Agency Signata~e of Preparer (If dleer~lt from re~ponaible officer) Board of Trustees Application County of Suffolk State of New York SWORN TO BEFORE ME THIS ~:~ DAYOF/~O~C)~T' ,20~. Notary Public PATRICIA RICHARDS Notary Public, State of New York No. 01 RI6042467 Qualified in Suffolk County Commission Expires May 30, ~8/22/20B5 i~:20 KLSD SPECZ~L~RVICE P~GE 02 LETTER OF AUTHORIZATION Bart & Pat Johnson P.O, Box 175 ,So Salem, NY 10590 August 16, 2005 We hereDy authorize Nancy Steelman of SAMUELS & 8TEELMAN ARCHITECTS to aotas our agent In obtain ng all permits requ.!rad by !he ..TOV~I. OF S.O. UTHOL.~..~S~FFO. LK COUNTY and NEW YORK STATE for me const~u~ion gl our resi(lence a[ ~)u mayvlew Drive, East Marion N,Y, Date Data Albert J. Krupski, President James King, Vice-President Artie Foster Ken Peliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-~ 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 I, ~JOl/l~ S~~, residing at ~x/qla[vo~ ~ being duly sworn, depose and say: That on the~ day of ~.f3.dc , 2095~'I personally posted the property known as 'Y0hn sam,, by placing the Bo~d of Trustees official poster where it c~ easily be seen, ~d that I have checked to be s~e ~e poster h~ remained in place for ei~t days phor to ~e date of~e public hemng. Date of hearing noted thereon to be held ~, ~, ~t~ ~ ~ ' Dated: Sworn to before me this 2-[ day of..~O~20q~ Notary Public PATRICIA RICHARDS NOtary Public, State of New York No. 01RI6042467 Qualified in Suffolk County Commission EXpires May 30, STATE OF NF, W trOILK COUNTY OF S Ut:'FOI.K ~ !; I~"?A~'~ ~" i.t~, ~l~ , residing at ,:~ )0'¥ ~ -.9 ~ ¥ · being duly sworn, deposes and says that on e "'-, day ct' i. '2 .I~ -; ~..~, 20~Y', deponent mailed a tree copy of the Notice · ~-~ t~orth, in thc Bo;~d o-~rust¢os Application, directed to each of the aboge named persons at thc 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 ~he current assessment roll of thc Town of Southold; that said Notices were mailed at the United States Post Office at (n ,,. ~ !%.. ~}~ a.~__~_, that said Notices were mailed to each of said persons by (certified) (rcgistercd) n~ail. ~ Sworn to belbre mo this Notary Public LISA K. CLUCK NOTARY PUBLIC - STATE OF NEW YORK NO. 01-CL80'52340 QUALIFIED IN SUFFOLK COUNTY MY COMMISSION EXPIRES 12-11-200 ~ interesb on bha parb el town ogficurs and employees, The ~rposs of this form is bo provide information which can alsr~ bhu hewn o~ possible con~lic~s et lnburus~ and it bo baks whabsvar action la neoeaaar¥ to avoid same, ... o~he~ en~tb~, mu~h ps a company, I~ eo~ · ax grievance., chang~ o~ ~one ' .. Ex~pbion from plab.o~ pertain1 map obhec ~o you pe~eonaXIT (se ~h~ough you~ ~u~pa~y~ ~o~, employee ot bhe Toun o~ Soubho~dT 'Relubionehl~' by blood, marrimge, or business in~eree~, uDusinees vhich ~he torn o~icer oF employee has even a partial ovnecship of (or employmen~ by) a eorp~tabion tn vhich ~he ~oun oEftcer or employee o~ns more ehan ~ o~ YES .Nq ~ '.' If you anevered 'YES,',eompleee the balance O~ bh{~ ~orm and da~e and a~gu vhe~e lndiea~ed. Name o~ person employed by ~hu ?ova of ~ou~itold Ti~lo or position sE bhtb person Describe ~ho relab~o~ship be2eee~ yourself (~h. and ~he ~ovn o~fA~er or employee, gi~her oheek bbs approprtake line ~) ehcough D) and/or describe in ~he apace provided, The ~ovn oetieec or employes Or hie or her gpouse~' paren2, or child la (chuck all hha~ apply)t . A) ~he owno~ o~ gres~er 2Baa B% of 2he shares o~ ~orporabe shOok o~ bhe applic~nb (rhea ~he Ippli~anb' . ~s a oorporabion)l ~) ~he legal or.bbne~iola~ ov~er oE afly {nberen~ In a aoneotpoFa~e en2~2y (.~hen ~he appl~ean~ ~e no~ a eorpota~ion)l ..... C) an offioer~ direeboc~ PaCifier; or employee, of appl~eanbf or ..' ......~, . . -..~: S A M U E L S & S T E E L M A N August22,2005 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 RE: Johnson Residence 860 Bayview Dr. East Marion, NY 11939 SC TAX MAP # 1000.37-05-07 Dear SidMadam: We are requesting a Permit for the above reference project, For your review we are submitting the following documents: 1. Application 2. Short Environmental Assessment Form 3. Application Affidavit 4. LWRP Consistency Assessment Form 5. Letter of Authorization 6. Four Site Plans prepared by Samuels & Steelman Architects 7. Current Survey 8. Check for $200. Please call us with any questions or concerns. Sincerely,/ SAMUF.~'S & STEEEMAN ARCHITECTS UG 2 5 2005 ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK 11935 (631) 734-6405 FAX (631) 734-6407 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 ministerial permits not located within the Coastal 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 aqlverse 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, mod/fled 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 copy of the LWRP is available in the following places: o_ ~-z~l~e ~ t~ 2~, ¥/~o~thgll~'s website (southoldtown.northfork.net), the Board of Trustees Office, [~] ll~niktnl~Dd~bat~n~tt,/~ local libraries and the Town Clerk's office. ~ B. DESCRIPTION OF SITE AND PROPOSED ACTION .~lllu AUC 2 5 2005 SCTM# ,67 o5 - ~ 7 s0~t~0rd · Bo~d o T ustees The Application has been submitted to (check appropriate response): TownBoard [] Planning Dept. ~ Building Dept. [] BoardofTrustees ~ Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital constmctiun, planning activity, agency regulation, land transaction) Co) Financial assistance (e.g. grant', loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Att'ach' additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IH - Policies Pages 6 through 7 for evaluation criteria ~'] Yes ~ No .~. Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria [] Yes ~-] No [~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve ware[ quality and supply in the Town of Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria [~ Yes ~-~ No ~Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes ~'~ No ~ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP 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 Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes ~ No,~ Not Applicable Created on 5/25/05 l l.'20 AM At~aeh additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southoid. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~ Yes [--] No~"x"~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [] No [-~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, publiC lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ['~ Yes ~-~ No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LW'RP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~ Yes [] N0f'~ Not Applicable Locafionofaction: ~[,~g') ~,)V',c~.o2 ~i~f~v ~r ~miO% ~ Site acreage: ~. ~ ~ ~_~ Present zo~g cl~sificafion: ~- ~ If m application for ~c proposed action h~ been filed wi~ ~e To~ of Sou~old agency, ~e follo~ng info~afion sh~l be prodded: (c) Telephone number: Area Code ~ I '4-7 7~ 7 ~ 7 ~ (d) Application number, if any: - Will the action be directly undertaken, require funding, or_appro.[27~ by a state or federal agency? Yes .~ No ['~ If yes, which state or federal agency? M'I'~ I')F'C., 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 Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section IH - Policie~ Pages 3 through 6 for evaluation criteria BA.YWIEV DRIVE %P % SURVEY OF PROPERTY SITUATED AT EAST MARION ol� �g°g�titi� 900 „ *" '�' `` f � TOWN OF SOUTHOLD C� a SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-37705-07 (>y w AILLdAM c�TiEUSCALE 1 "=20' PEL, rR. zw \ „ F. �'� `� , o� ;,.� v J . '� , W d EDNA A. HEMPEL •y9 OCTOBER 13, 2004 `y CO LOT dry. ` I � v _ x . `•,, h LOT EO At ro x�0 _ xjw FENCE � ' x�/ � � W �N 88'S;'39� 13 X44 A •' �' �-� mX1°u�. Wari %a '� \ I I \ rnuN / 9 Iu T 2g AREA = 18,009.63 sq.- fit. _ ` AN : yl1 (rD TIELINE) 0.413 ac.. x / I x �? a . \ \ \\ \\ ,� 1I- c� �4 x m , a \ x�\ xis+ I / x \0. t� L-- —1 A. AM x \ \ _ ,� \ /� 1 . LOT NUMBERS SHOWN THUS: LOT 24 REFER 70 _ !fr xya ` -- -- '— MAP OF GARDINER'S BAY ESTATES. ECTION TWO g A" / , • •��� ; „ � � ❑ `�" T" \ � \1 r��' FILE IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY . : ' •. 9� s tALyE�T \ I : p ' laa yyx h ON SEPTEMBER 23, 1927 AS FILE No. 275 30: '4r t x.ua\ x�'a -'PAawcno - ^' \ 5 2. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM �O" • � \ Wim* = �q ��� EXISTING ELEVATIONS ARE SHOWN THUS:M2 ;O' W °y a ' b ]+ ' * 1�^� \ EXISTING CONTOUR LINES ARE SHOWN THUS: — —s— — — FlR FlAOR +- GARAGE FIDOR G r.A - TOP OF W STORY WWiE.D OF W MHEAD O � 1 SE x� r.B.B.w - WG- TOP OF WALL . se AM OU _ A i� M. M aw. BOl'ION OF WALL Al DF \ s. ,' awD CORD 3mr Nzwi lei. xz,a a v O No ggg y � v° 3 0� v W x� xd1 A2 °' 00 � / v�`m ` P 11--qw+ Az ry U, / I PwE I coH RE'"vuxo WAIL -- —s OA . . 2.0 PREPMaI IN AOCOFI6WCE WiH DIE YINMW IN TN LI FMi TIRE 9URVEl9 /B 6G&JBXED FOR TK LIALA MD N'PM D AHD ATE L D ! �y ` �6�U5ON M NEW IOWM STATE I.IND 43 ' - Klkw N.Y.S. Uc. No. 49888 ' � AAA NNI1R101a7ID AL7lWADptI OR ADaRlar . , kA Joseph A . Ingegno Land Surveyor FLYD98EDW-AL DK OONADEAm.TO K A YAM TWE WF(- ' - OF'RRPIGIIdA. HDEON BEIIIL IIIB! _-__'- SPRING POND Y,D ,NEP ��sA D nBue Y 6 IIbF�AWooADalIMN. � /ND ., 17de sum+N - Subrl7vMone - SfH wdna - ' CwIehBOUaW Carom TIME PHONE (631)727-2090 FGe ,(831)727-1727,." 9TM5 LOETED A RING - ftE OF, 3oOvNO. B DR EASEMp/TS F'R If 4 � 901Rlvertm New.Yo i f-osas NT BpOWN r DB r ' REV. HAYBALES SITE DATA 41,29,05 SCTM # 1(100.37-05-07 PROPERTY: 860 Bayview Drive ADRESS East Marion, New York OWNER: Bart and Pat Johnson BAYVIEW DIFIN\ I ` /E P.Q. Box 175 f South Salem, NY '10590-0175 SITE: 18,009.63 SQ. FT. = .413 ACRES LOT UJ COVERAGE: tT a. ALLOWA13Lh_ COVERAGE: 20% OR 3,601 SF W PROPOSED NEw SEPnC SYSTEM FOR 4 BEDROOM-- w / PROPOSED COVERAGE: 13916 OR 2,376 SF d RL=51DENCE, 1000 GAL 5EPTIG TANK (5T) WITF (2)V DIAMETER x &' HIGH LEACHING POOLS (LP) \� v' //� ZONING: R==40 >- WITH FUTURE LOC,A71ON FOR 000' DIAMETER x 8' °'•, O'- �• HIGH LEACHING Pools (ExP,I - i,, SURVEYOR: Joseph Ingegno / 322 Roanoke Ave W 4' F OOtiti, 060 ////// \ i Riverhead, NY 11901 Z t}�0�?1¢414 �0 0' 631 72 1'.E S' tiO4 '•' ° LICENSE SE ## 49273 DATED: .October 13, 2004 Aja EDA A. HEMPE j9 6 y� / �� � � •\ ��., _LCJ►C�4"I'ION IVDP N 00 LOT N M > O _ �> 131 .44' +• � i - � ' _ LJ - _ \ - N 88'53'39° L G • A1ER _ \ _ I I J 6wx f vti� —�. EXP LP / r E-�CISTING - i �, a, _ � TL=ST HOLE 14. � \ LYl •° r , �G ELEV + 15.4 LP �STRRO �,�� _ - Marion 1 DRAINAGE RIN5 &FT DIA 4FT HIGH > Lake G Z %•"' ' U 1 - y TIED TO BUILDING DOVVNSPOL'T5 A `' O UNDER6k:0UNI ' F'IJBLIO WATER LINE - =1 - •) I , TmL i ��� N11 7 DR 6j-, 0,0 •�• i/` PR-�'8`�€� 5 _ Jr9jq� �ry`�' 4 ,or \\�Bav Vie SITE a / 00, W y 1Gardiners 5 iLA G c e \ % Bay ° \-LINE'OF EXIST -- ------ -- `" B REOSP� TO BE i / \ MOVED \ BY MARK McDONALD 40 TEST H GEOSCIENCE ca Z. 1/ — SOUTHOLD to a• N NO SCALE T y NEW YORK 11971 a \oo TEST HOLE DATA 8� 112105 8:30 AMI W IL �• -- a z 2 xN M W. E 2.0 FT. MIXED SAND AND LOAM W _ w o W.1A1x " Ile cn A'ra �= ,�' / PALE BROWN FINE SP 4 a �• *LA ""� WALL 5 11.7 FT. T M DIUM SANG _ r U). WATER FINE SP MIUMAND o$ 5 17 fir. ----- --- S 5 ) f,-� i' � O CT � -"---- -- 0507 DRAWN Y: NS GP F\1 A/ G G G l \1 CHECKED BY: DATE: AUGUST 22, 200 SCALE: 11, = 20'-0" SHEET TITLE: SITE PIAN SITE PLAN SCALE: V = 20'-0" SHEET NO.: IS P APPR0V IRA LS -..----__-_---_--_-_- ..._. _. --__ SITE DATA "A' B" 9/29/05 REV. HOUSE LOGATIO AS PER DEC. 5/29/06 SCTM # 1000-37-05-07 PROPERTY: 860 Bayview Drive ADRESS East Marion, New York OWNER: Bart. and Pat Johnson B A Y V I E W DRIVE x 175 South x175 South Salem, NY 10590-0175 SITE: 18,009.63 SQ. FT. = .413 ACRES ujY LOT COVERAGE: a ' ALLOWABLE COVERAGE: 20% OR 3,601 SF O UNDERGROUND ELECTRIC, �P6 L? r PROPOSED COVERAGE: 13% OR 2,376 SF GAN AND TELEPHONE UTILITY @sw,�. �' \ ��, � ZONING: R=40 U.I LINE PROVIDE A-FRAME d a:3, 0 >' METER NEAR UTILITY POLE e• •OO SURVEYOR: Joseph Ingegno Z N/0/F rytil 1,� ' d 322 Roanoke Ave WILLIAM 0. HEMPEL, ✓R. 0�4to`, C QOQ F` 5XI5TING UTILITY Riverhead, NY 11901 e EDNA A. XEMPEL ��p. S, P �g 4 PPLE LIL #2A 631727-1727 PUBLIC RATER d� bE�G 0� 41 . ,a LICENSE# 49273 No LOT y F�� �V L DATED: October 13, 2004 (..� PROPOSED NEW 5EPTIG SY5 FOR 4 BEDROOM & O�Q QQ x x �O LOCATION\ I�A■ 1 W I S � RESIDENCE, 1000 GAL SEPTIC TANK (5T) WITH ,ycj' \ l W . '.'8 NL`5 (2)5' DIAMETER x V HIGH LEACHING POOLS (LP) rp x 1J3 > Lr)[ .` 04 CoO W�)�`/�N WI�jTH FUTURE LOCATION HFOEAGI)HIN0POOLSR(EXP) \ `\ Ixise x Cj �+ (yQ •a Z �,• '39" E + �� I s 13�-. 4' / � „ Ns � � W in '. "D�@ OfIST. �j uEm �� xss S • nux ' UNDERbROUND - . x x �� . . IN • EXISTIN! AO [p�I�'-� A� O � • n. .a: a .�, .iew p '� s�\ii • x 14.0+ b D /NAGE RING (DR� GFT DIA 4FT a s. // S D ',`:'= 'i'\� EXISTING d PROPOSED UNDERGROUND WAT16H TIED TO BUOWNSPOUTS ILDN6ER 'd i�6�j�'/ji,��� TYPICAL LINE - PROVIDE NEW WATER LINE FROM .x xs.,i " •i; . �' i��/iii%%i%�i//'!- 'O e+ :\' EXISTING COUPLING IN WATER LINE TO HOUSE a �8 N x� .3 9 n �, , . '.. % / �iO�'J O' �� 0 x ^: I /6 E , i '., • —i 5 Sa 1 �2 Opy i. iii i E , i�,J 6 / /, rn • soe as 2 r , / {op ti— �s " A� y x x O W 'yl¢IVBWd� r�i� ' �°"e W xL5 si •i %7r'lA7^'7,7i-m'rlr //�/%/ /�i Z , G .�� l!1 1 \ r DRAINAGE RING 8PT DIA 4FT HIG}d' x� WITH,TRAFPIC COVER A CAST s O DR x ------- DR IRON SURFACE GRAT�FiMLE— a 1 / x F \ �- - ' '�IU OF"IOVEIf D BET. , .. / --- ---- Ilkp " .O x \ BY MARK McDONALD °a Z. ' x _ TEST HOLE GEOSCIENCE N a p �„ SOUTHOLD, $$ 9 9 NO SCALE NEW YORK 11971 J m' o O g p TEST HOLE DATA 8/12/05 8:30 AM w -j. / I x x w 2.0 FT. MIXED SAND AND LOAM $ CO Q Ax p� xflti°' � ry PALE BROWN FINE SPPROo 11.7 FT. MEDIUM SAND r- y CO. LINE - FED I DER6Rou%YIATER — yy LINE - PROVIDE NEW WATE[t'LINE tlw Z.D OM HOUSE TOE PRXI511146 DOCK WATER IN PALE BROWN FINE SP TO MEDIUM SAND �N 17 FT. 5 6� QA�Lti r�o s 5P APPROVED BY f; s BOARD OF TRUSTEES z TOWN OF SOUTHOLD ov It CATE BUILDING WALL FF EL 16.66 J NO: GRADE LINE ELEVATION 14.0 FT. oso7 GRADE LINE ELEVATION ± 14.0 FT. DRAWN BY. NS I ' MIN. 2' MAX. CHECKED BY: NS DATE: 3/29/06 /4"/FT. I/8"/FT TOP OF POOL 12.55 FT. SCALE: 1" =20'-0" SEPT I G LEAGH I NG SHEET TITLE: IE. +15.0' TANK IE. +12.5' POOL BOT OF POOL 6.55 FT. SITE PLAN IE. +12.22' GROUND WATER SITE PLAN SCALE: 1" = 20'-0.. a 5' MIN ELEV 1 .7' SEPTIC PROFILE RESIDENCE SHEET NO.: (N.T.S.)