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Home My WebLink AboutTR-6261 -r S1 Town Hall Annex Glenn Goldsmith,President �� ® A. Nicholas Krupski,Vice President �® �® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Q Telephone(631) 765-1892 Elizabeth Peeples �® ® �® Fax(631) 765-6641 COU ,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 20, 2023 Robert Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: KP REALTY OF GREENPORT CORP. 2006 GULL POND LANE, GREENPORT SCTM# 1000-35-3-12.11 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 18, 2023: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#6261 from Gregersen's Keep, LLC to KP Realty of Greenport Corp., as issued on December 21, 2005, and Amended on February 14, 2007. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, 41j" '<t—— Glenn Goldsmith, President Board of Trustees S�FFO Glenn voldsmith,President �p�� -%y Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 CO Eric Sepenoski ,? P.O.Box 1179 Liz Gillooly �y • �� Southold,NY 11971 Elizabeth Peeples l �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed infield.by: Sc�� En-Consultants on behalf of KP REALTY OF GREENPORT CORP. requests a Transfer of Wetland Permit#6261 from Gregersen's Keep, LLC to KP Realty of Greenport Corp., as issued on December 21, 2005, and Amended on February 14, 2007. Located: 2006 Gull Pond Lane, Greenport. SCTM#: 1000-35-3-12.11 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound ---Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: - Yes No ''Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: G. Goldsmith N. Krupski 4-1E. Sepenoski L. Gillooly E. Peeples Q Town Hall Annex Glenn Goldsmith,President �� 1�1f A.Nicholas Krupski,Vice President <r t 54375 Route 25 P.O.Box 1179 Eric,S,epenoski Ate ; Southold,New York 11971 E `? .iz G* loot c.� =� 'I- 1 1.i ,� �: �"t Telephone(631) 765-1892 Elizabeth, ;ee les ^� p f Fax(631) 765-6641 OCT 6 2023 BOARD OF TOWN TRUSTEES 5�u�hc�4c;Torar Bnard ofTrvsie2s TOWN OF SOUTHOLD APPLICATION FOR A TRANSFER OF A WETLAND PERMIT and COASTAL EROSION MANAGEMENT PERMIT DATE August 31, 2023 OWNER KP Realty of Greenport Corp. PHONE 516-315-2743 Karen Adler, President MAILING ADDRESS 1359 Hewlett Lane, Hewlett Harbor NY 11557 0 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road, Southampton, NY 11968 PROPERTY LOCATION 2006 Gull Pond Lane, Greenport TAX MAP NO. 1000-35-3-12.11 I/We En Consultants for KP Realty of Greenport Corp. request a Transfer of Permit#6261 from Gregersen's Keep, LLC Signed By: Robe . Nnann, Coastal Management Specialist Board of Trac ®tea Application AUTHORIZATION Gere the applicant is not the owner) I/We, Karen Adler, President, KP Realty of Greenport Corp. owners of the property identified as SCTM# 1000 35-3-12.011 in the town of Southold .New York,hereby authorizes En-Consultants to act as any agent and handle all necessary work involved with the application process for permit(s) from the Southold'Town Board of Trustees for this property. O,A " , N/A Prop -yowner's Signature Property Owner's Signature Karen Adler, President KP Realty of Greenport Corp. SWORN TO BEFORE ME THIS_ � DAY OF Notary Public VICTOR E. RERISI NOI�TAR�YpUBLIC STATE OF NEW YORK No .01RE4634970 ualified In Suffolk County Commission Expires 2/28/a Board of Trus__,s Application AFFIDAVIT Karen Adler, President, KP Realty of Greenport Corp. BEING.DULY SWORN DEPOSES AND AFFIRMS THAT HE/SITE 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 WORD WILL DE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY DE APPROVED BY THE SOUTHOLD TOWN BOARD OF'TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER.OR BY VIRTUE OF SAID PERMIT'(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT"THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ON'T'O ICY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. a a �' a N/A Sign tore of Property Owner Signature of Property Owner Karen Adler, President KP Realty of Greenport Corp. SWORN TO BEFORE ME TRIS_1� DAY OF . . RERISI t2igtj TE OF NEW YORK —— 634970 Notary Public ffolk CountyExpires 2/28/.y APPLICANVAGENTAREPRESENTATIVE B'RANSAMONAL DISCLOSURE FORM The Town orsoutholds Code Qf Ethiprohibits n liis of inWmt on the f oMn o officers and em Eo s e se of this form is In provide information which can alert the town o€oassible conflicts of interest and allow it to take whatever action is necessary to avoid same. Karen Adler, President YOURNAME: _ KP Realty of Greenport Com. (hast name,first name,Middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION. (Check all that apply) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other",name the activity.) - Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title br 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): f2A)the owner of greater than 3%of the shares of the cogwratc stock of the applicant _n (when the applicant Is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,paruici,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted tl 's day of 20 Sig Prin arne Karen Air, President Fonn TS l KP Realty of Greenport Corp. APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purnose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME : H err m ann, Robert E. (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit X X Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D) and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of qPM ,202a_ Signature Print Name Robert`-E. Herrmann �F� At EN-CONSULTANTS PERMIT TRANSFER REQUEST September 27, 2023 � '-� ell r� Town of Southold �� f �� ►� Board of TrusteesH7 t Post Office Box 1179 ' 0 CTV Southold,New York 11971 _ 6 2023 Attn.: Elizabeth Cantrell __________ 13C3r 7 Ci TR .Cos �4 Re: Wetland Permit#6261 2006 Gull Pond Lane,Greenport SCTM#1000-35-3-12.11 Dear Board of Trustees: Please accept this letter as a request to transfer Permit#6261 from Gregersen's Keep LLC to the current owner, KP Realty of Greenport Corp., whose address is 1359 Hewlett Lane, Hewlett Harbor,NY 11557. An Application for Transfer of Permit, transfer fee of$100, and a copy of the deed are attached. Sincere y,1 Robert E. lmann �� Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsu[tants.com environmental consulting James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. ~O~~pf SOUI,~o~ • ~~O ~C~U~~ "~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 18, 2008 Mr. & Mrs. William Claudio 2006 Gull Pond Lane Greenport, NY 11944 RE: 2006 Gull Pond Lane, Greenport SCTM#35-3-12.11 Dear Mr. & Mrs. Claudio: Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631)765-1892 Fax (631) 765-6641 In regard to the above-referenced property, an inspection was made by the Code Enforcement Officer for the Town of Southold and your deck and landscape wall were found to be in compliance with Wetland Permit #6261, as issued on December 21, 2005 and Amended on February 14, 2007. If you have any questions, please don't hesitate to contact our office. Very t ly yours, Jam F. King, Preside Board of Trustees JFK:Ims James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. ~o~~pF SOUI~o~yy T • ~O ~~'yCO--url N~~ 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 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 15~ day of construction / %2 constructed Project complete, compliance inspection. C~Ck. p- ~Q~J~ ~-~ • James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. i ~o~~pf SOUTyo~,~/, T G • ~~ Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631)765-1892 Fax (631) 765-8641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0212C Date June 19, 2007 THIS CERTIFIES that the single-family dwelling and Qarage At 2006 Gull Pond Lane, Greenport, Suffolk County Tax Map # 35-3-12.11 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 9/15/05 pursuant to which Trustees Permit # 6261Dated 12/21/05 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 asingle-family dwelling and garage. The certificate is issued to GREGERSEN'S KEEP, LLC owner of the aforesaid property. ~ ~~ Authorized Signature Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson ~~O~gUFFO(,~co ~a W . ' Town Hall 53095 Route 25 PA. sox 1176 Southold, New York 11971-0959 Telephone (631) 766.1892 Fax (631) 76b-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 ~~ 16 b (~ b ~(. 15~ day of construction '/z constructed Project complete, compliance inspection. (011/07• Q~ _ James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghoaio, Jr. ~O~~OF SOUjy~~~/, T ~ ~~0,~ ~'~OOUNiV ~°,r9'" BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 14, 2007 Janice and Bill Claudio 1105 Westwood Lane Greenport, N.Y. 11944 RE: GREGERSEN'S KEEP 2006 GULL POND LANE, GREENPORT SCTM# 35-3-12.11 Dear Mr. and Ms. Claudio: 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 Wednesday, February 14, 2007: RESOLVED, that the Southold Town Board of Trustees APPROVE the amendment to Permit #6261 for the new roof configuration of deck and to construct a 3' stone landscape wall, as depicted on the plan received February 1, 2007. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, ~~ James F. King President, Board of Trustees JFK/hkc ~~ -~ f ~.a ~ Y t5y • N 7 -:, ~ ~ G c;, ~ C;~ /~ "ff7 _ ~. _,, c. ~~ - I w~P~y.~u ,a.~b -...__ ~ ~Q. ~~~ ~, GPu4F'ERM'~'TLC- V ~ I ~ ~ r - ~_~_:. L . ~ ~`_ r I k'N~ok Pt,gNa '~FCrE ~-c~RAL R.ARK V~ ~e~~1 At~~ ~p,N' Ike. ~~~ ~~ ~ IL,~ 1i1 ~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson BOARD OFTOWNTRUSTEES TOV~NOFSOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 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 v'"' Project complete, compliance inspection. . . 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 February 14, 2007 Janice and Bill Claudio 1105 Westwood Lane Greenport, N.Y. 11944 RE: GREGERSEN'S KEEP 2006 GULL POND LANE, GREENPORT SCTM# 35.3.12.11 Dear Mr. and Ms. Claudio: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, February 14, 2007: RESOLVED, that the Southold Town Board ofTrustees APPROVE the amendment to Permit #6261 for the new roof configuration of deck and to construct a 3' stone landscape wall, as depicted on the plan received February 1, 2007. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, ~(9!~ James F. King President, Board of Trustees JFK/hkc Board Of $outhold 'Tow. Trustees SOUTHOLD, NEW YORK f ,,,.~£ ! ISSUED TO GREGERSEN"S KEEP, LLC Pursuant to the proYi[ions of Chepfer 615 of Se L~w-s of the Sla~ of Hew Yor~ 1893, and ~apler ~ of f~e ~ws of the · Stele of New Yor~ 19~2~ and f~e So.hold To~n Ordinance eh- IN AND ON TOWN WATERS AND PUBLIC ~NDS and' t~ REMOVAL OF SAND, GRAVEL-.OR OTHER ~ATERIALS~M ~NDS UNDER TOWN'WA~RSj~. ~,d m ~c~d~n~ ~dfl Resol~ioa of The Board ~dopfed ~f ~ meeflng held o~ ...~.c~.,...,,ZL ..... Terms end ~nditions listed .on the revere slde ~reof, of Southeld Town Tr~ees eufherlzes end perml~ ~he We~n~ permit to construct ~ s~ngle4~m~ly ~welling, pe~ou~ d~vew~y, dep~i~ ?00 ~. of dean tiff from ~n upland ~ouroe. ~n~ m~int~in ~he exis~ng wood ~r~me ~nd ~nv~s building ~thln subject pro~e~, wit~ the con~itions that ~ runoff be ~n~ined in d~ells, F~n~ dmin~ to ~e ~nst~uote~ to ~nt~in run0~ from ~yb~le I~ne be placed during ~n~t~uotion, ~nd ~ 50' non- distu~n~, non-~ buffer kom ~ ~etl~nd line Me.gerund lestd~te~ November~ 200~. det~d sp~ffi~tlons es pre.riled in ~e odglnMin9 eppfi~fi~. : IN WITNESS WHERE', ~e *Md Board Of Trustees ~re- by ~u~s its ~r~r~te Seel fo be ~xed, en~ ~ese pre~en~ to ~ sub~ed by ~'m*i~ of the smd ~ard .as of ~hls TERMS *nd CONDITIONS · ~1~ 1~ GreRersen's Keep. LLC Greenp°r~ , .. . . · .. .... N. Y~.'~' · . '~ ~o~..~...~t.. ~ ..~ ~ ~..~_~..~ ~ .~ ~ ~ .., 24' 4. That the wo~. lm'oived ~ t~ ~ubject to the /aslx~don ~ approval ~don of ~ ~t ~ ~lud~ ~ ~ ~M ~ '5. ~~ no ~le h~f~ ~ ~ ~ a ~t t~m~tsl to dt~ 'permit'..val~. · ~y'be ~im to t~woto t~oon ~ ~o otxala 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 December 21,2005 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Suffolk Environmental Consulting, Inc P.O. Box 2003 Bridgehampton, NY 11932 RE: GREGERSEN'S KEEP, LLC - LOT 1 GULL POND ROAD, GREENPORT SCTM# 35-3-12.6 Dear Mr. Anderson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday December 21,2005 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. as agent for GREGERSEN'S KEEP, LLC 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 September 15, 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 December 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, 2 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, RESOLVED, that the Board of Trustees approve the application of GREGERSEN'S KEEP, LLC- LOT 1 to construct a single-family dwelling, pervious driveway, deposit 700 cy. of clean fill from an upland source, and maintain the existing wood frame and canvas building within subject property, with the conditions that all runoff be contained in drywells, French drains to be constructed to contain runoff from fill, haybale line be placed during construction, and a 50' non- disturbance, non-turf buffer from the wetland line landward, and remove the fence around the property, and all as depicted on the plans surveyed by John Metzger and last dated November 1,2005. 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.) This is not a determination from any other agency. Fees: $100.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/hct Alber~ J. Krupski, President James King, Vice-President Artie Foster Ken Potiwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 TO: ~' t~-~ Ik_ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated II reviewed by this Board at the regular meeting of /,.~ /,2 ! ./ o (; following action was taken: has been and the (V) 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 JohnT. MetzgegL. S. {~PECONIC SURVEYORS, P.O. Box 909 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 631-765-5020 - Ft~x 631-765-1797 Oct. 31,2005 Al Krupski Southold Town Trustee P.O. Box 1179 Southold, N.Y. 11971 Re. Gregersen's Keep, LLC Dear Mr. Krupski; This letter is to confirm that lhe tidal ~lands boundary is defined by mean high water and the wetlands line as delineated by Suffolk Environmenlal Consulting, Inc. on April, 20, 2005 and approved by the NYSDEC by Tklal Wetland Permit # 1-4738-00072/00007, Dated July 29, 2005. All wetlands lines are based on an aclu,al field sun~ey. ./i/bhn T. Mel~ger L.S. .:..: Gregersen's Keep, LLC Suffolk Environmental Consulting, Inc. Gregersen's Keep LLC 970 Willow Drive G~enport, New York 11944 REVISION (Revision to the November 1, 2005 letter to Mr. Krupski and the November 1, 2005 subdivision map.) November 7, 2005 Mr. Albert J. Krupski, President Town Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Hearing: Date: October 19th, 2005 Situate: Southern Terminus of Gull Pond Lane Greenport; Town of Southold, NY $CTM #: 1000-035-03-p/o 12.6 & 12.7 I OV - 7 2005 S04i~61d Town , Board 9f Trustees J Dear Mr. Krupski: As you may remember, our application was "tabled" at the October 194 meeting. At that tkme, a few recommendations were made regarding our survey. Accordingly enclosed please fmd an updated survey which includes: I). A delineation ora 50' non fertilization buffer zone; 2). The addition of French Drains; and 3). The inclusion of the fight of way to the existing dock on lot 1 .... Additionally, enclosed please find a letter from John Metzger, L.S. confirming the tidal wetlands boundary. Aside from the above items, we have amended our survey to include: dry wells sufficient to capture the roof ruin runoff; and repositioned the house on lot 2 within the building envelope and delineated the 10' covered patio as a separate part within the house footprint. Brace Anderson of Suffolk Environmental continues to represent us and perhaps is best equipped to answer any questions you may have. He can be reached at (631)-537-5160. Sincerely, Barbara Berbrich Managing Partner cc: Bruce Anderson Patricia Moore Mr. and Mrs. Paul Ahlers 1905 Gull Pond Lane Greenport, New York 11944 BOARD OF TRUSTEES, TOWN OF SOUTHOLD OCT 31 2005 RE: Barbara G. Berbrich SCTM#1000-035-03-p/o 012.6 & 012.7 October 30, 2005 Gentlemen: We are the northerly adjacent property owners of above parcel and have serious concerns. The main reason we wanted to move to the North Fork was the Southold towns zoning policies and property preservation laws. We grew up in Northport which use to be potatoe farms and vacant land, up until the 60's. Then the "building boom" arrived and we saw first hand, how a pristine area can be ruined by over development and improper planning. When we bought our home on Gull Pond, we were aware of a 2 acre vacant lot next door which was zoned 2 acre for one house. We realized someday a house would be built. What we don't understand is how a 2 acre lot can be subdivided with the Board's policy on land preservation and 2 acre zoning. Because of the configuration of the 2 lots and the sizes of the proposed homes, this will require over 1900 cubic yards of fill to be brought in to enable the requirements by the Board of Health for their septic system. Whereas, one home which was already approved will have enough area to put in a shallower cesspool system and will require no fill. Page 2 As I have an engineering degree and over 30 years of experience designing, developing and building residential homes, the grades of the 2 proposed houses raised 5' or more above the existing grade poses a serious potential for flooding. Already the end of Gull Pond Lane floods in heavy rains. With ground water only at elevation 3.4 there can be a serious problem installing enough drainage to contain the run off from a storm such as we just experienced 2 weeks ago. We also understand that the property can not be bulk-headed in any fashion. So will we have run off going into the Pond? Who will be responsible if we have flooding in our basement, pool or property? Since this subdivision requires so much fill and requires putting decks with less than 100' set backs from the water I believe the planning board should review this subdivision with all its problems with the Board of Trustees before making a bad decision. John Braider, the former owner approached the Board sometime ago requested a subdivision on this piece of property and was told "This will not happen". Why would you change your minds now? We have sent letters, submitted petitions and voiced our concerns at the Zoning Board of Appeals. They are available for you to review. Thank you for your attention. Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 South. old, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., October 12, 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 GREGERSEN'S KEEP, LLC-LOT 1 to construct a single-family dwelling, pervious driveway, deposit 700 cy. of clean fill from an upland source and maintain the existing wood frame and canvas building within subject property. Located: Gull Pond Lane, Greenport. SCTM#35-3-12.6&12.7 The CAC recommends Approval of the application with the Condition of a 50' non-turf buffer, a berm and swale are installed on the seaward side of the dwelling, and the existing trees on the property remain as part of the landscaping plan. Vote of Council: Ayes: All Motion Carried PLANNING BOARD MEMB~S 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 (col Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To: Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: December 20, 2005 Re~ Request for Wetland Permit for Gregerson's Keep LLC SCTM#35-3- l 2.6&12.7 GREGERSEN'S KEEP, LLC-LOT 1 requests a Wetland Permit to construct a single-family dwelling, pervious driveway, deposit 700 cy. of clean fill fi.om an upland source and maintain the existing wood frame and canvas building within subject property. GREGERSEN'S KEEP, LLC-LOT 2 requests a Wetland Permit to construct a single-family dwelling and attached garage, attached terrace off the southeastern comer of subject dwelling, an attached terrace off the northeastern comer of subject dwelling, gazebo, pervious driveway, and deposit 1,200 cy. of clean fill from an upland source within subject property. Located: Gull Pond Lane, Greenport. 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 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. PLANNING BOARD MEMBER~ JER[LYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON !i:~7 "~? r''~'-- ''1 '11 PLANNING BOARD OFFICE I'. / rV,i ' ~O i~ ~Y ~ 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. I Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To: Board of Trustees From: Anthony Trezza, Sr. Planner Date: October 14, 2005 Re: Gregersen's Keep, LLC 1000-35-3-12.6 & 12.7 It has been brought to the Planning Board's attention that there are applications before the Board of Trustees to construct residences and accessory structures on the above- referenced properties. The Trustees should be aware that these lots do not exist because the Planning Board has not yet approved the subdivision application, which remains pending at this time. In addition, according to our records, the Health Department has not issued an approval for the proposed subdivision. It is our understanding that the Trustees normally do not issue permits on lots before the Planning Board has approved the subdivision. In addition, it appears that the development proposals currently before the Trustees are different than what is shown on the proposed subdivision map. Therefore, the Planning Board is requesting that the Trustees hgld-~off on making any decisions until the subdivision has received final approval. ~ If you have any questions or need additional information, please feel free to contact this office. Albert J. Krupski, President John Holzapf¢l, Vice President Jim King Martin H. Garr~ll Peter Wenczet BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P. O. Box 1179 Southold, New York 11971 Telephone (631) 765-1892 Fax (631) 765-1823 office Use only X Coastal Erosion Permit Application Wetland Permit Application Grandfather Permit Application Waiver/Amendment/Changes /Received Application: /Received Fee: $ /Completed Application ~//~O~ Incomplete SEQRA Classification: Type I Type II Unlisted Coordination: (date sent) ~-~YAC Referral Sent: ~.-Bate of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: ..-Public Hearing Held: /O/l~/O~- Resolution: Name of Applicant GREGERSEN'S KEEP, LLC- LOT 1 Address (c/o Barbara G. Berbrich): 970 Willow Drive; Greenport, NY 11944 Phone Number(631) 537 - 5160 Suffolk County Tax Map Number: 1000-035-03-p/o 012.6 & 012.7 Property Location: Southern terminus of Gull Pond Road - Lot 1 AGENT: Suffolk Environmental Consulting, Inc. Address: P.O. Box 2003 Bridgehampton, NY 11932 Phone Number: (631) 537-5160 Fax: #(631) 537-5291 Board of Trustees Application Land Area ( in square Area Zoning: Previous use of property: Intended use of property: Prior permits/approvals Agency GENERAL DATA feet) : 40, 913 square feet Improved w/dock assembly & frame building. Improve with single family residence. for site improvements: X No prior permits/approvals for site improvements. Has any permit/approval governmental agency? ever been revoked or suspended by a X No Yes If yes, provide explanation: P~o3ect Description (use attachments if necessary) Applicant proposes to construct a private sin§le family dwelling (2, 800 square feet +/- "footprint"), a pervious driveway (1,200 square feet +/-), deposit 700 cubic yards of clean fill from an upland source and maintain the existing wood frame & canvas building (480 square feet +/~ "footprint") within subject property. of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Applicant proposes to construct a private ~ngle family residence within subject.property. Area of wetlands on lot: 1, 000 · Percent coverage of lot: 2.4 · % .square feet Closest distance between nearest existing structure and upland edge of wetlands: 0.0 feet (wood dock) Closest distance between nearest proposed structure and upland edge of wetlands: 100.0 ± feet (proposed dwelling) Does the project involve excavation or filling: No X Yes If yes, how much material will be excavated? 0.0 ± cubic yards How much material will be filled? 700 ± cubic yards Depth of which material will be removed: N/A; or deposited:4' ± Proposed slope throughout the area of operations: < 20 % max. Manner in which material will be removed or deposited: Typical dump truck/front-end loaders. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): No ~mpact to the wetlands are anticipated dV~ to the conforming setback from the vegetated edge of the tidal wetlands boundary, as well as the installation of staked haybales and siltation fencing du~ing construction to prevent any and all run-off from entering Gull Pond Inlet. Purpose of Board of Trustees Application COASTAL EROSION APPLICATION DATA Proposed Activity: Are wetlands present within 75 No Yes If Yes, how much material will be excavated? How much material will be filled? feet of the proposed activity? (cubic yards) (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from the implementation of the project as proposed. (Use attachments if necessary) NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Barbara G. Berbrich SCTM# 1000 - 035 - 03 - p/o 012.6 & 012.7 YOU ARE HEREBY GIVEN NOTICE: 1. That is the intention of the undersigned to request a Permit from the Board of Trustees to: Applicant p~oposes to construct a p~ivate single family residence within subject property. . 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: Southern terminus of Gull Pond Road; Greenport, New York 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: GREGERSEN'S KEEP, LLC (c/o Barbara G. Berbrich) MAILING ADDRESS:970 Willow Drive; Greenport, NY 11944 PHONE # (631) 537 - 5160 Enc.: Copy of sketch or plan showing proposal for your convenience. ~ . ___{f' - cr;. t{ - ~i/vt/ 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 APPLICATION FORAN AMENDMENT TO A WETLAND PERMIT DATE //:$/ /.:l0eJ/ '/' ./ _ U,2.VCi.17 ~ ~c!/ .) OWNER/anN.... '1-6//1 {'/It.l~;J PHONE 171- j/13 (?cJ6 -9<1,;2/ cdl ADDRESS IIO$' l{Uslamcl kc. rgeC/J;W/ )/:J jl1W - f'lan dr().lVY/ P!:J Alexandra.- ~ . AGENT 17/mdh II {LJf'-h; ~ ;,1/,1'('_ PHoNE Ifhc.nrlm \/7.11 -pk>'1G U, t/.- / '/:2'1 / W 0 -c:e.- '7~--~J'f ADDRESS 44100 I('~ de; ~dtoJd 1/9// PROPERTY LOCATION dOOt. (lu..11 f6nol he- C/u:npJYf N!f I/'fW TAX MAP NO. :'5.(, 'Z,-I.:{./t/J I/W~ "G c:i? .fcoA! r )~ r request an Amendment to Permit # & zip ( to -1/tn<l' eOAf f'-J(:,,,/)eanLJ/lJ ~ }J,g("J[ AJ' j?@2 /kr/1(!/4;d> eL/I~( /hfII- 1#t?,.vSV# fJI::Oe. /tAft" /3 /(jClT Se,d,u/~ 0/ . /ftYIOt/J I #{!:t~.l'"'~ fJtAAI, ;C;ddl!tonCl~ -fI,(/~ 0 Q. 3/ )OhdsCUfc- Wal!lIcDns!yu.c.-/tdrpj' /VJl?StftianlCi.. -5 . 1m} slone. Si"'OO~"O ~<,'/~ ~., FE3 - ;0-7 Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Pegg~ 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) AFFDAVIT OF POSTING BRIDGEHAMPTON, NY 11932-2003 being duly sworn, depose and say: That on the V-day of 0do/~'~, 200 ~I personally posted the prope~v ~own as ~ ~~ of Trustees official poster a~ere it can easil5 be see~ ~?hat I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date ofhe~ing noted thereon to be held [~. ~ ,]~. ~ - (~at~c) v Sworn to before me this ~O('k~ day ofO_.J-2oo 5 Notary Public PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF NEW YORK0 Matt D. Ivans, residing at Suffolk Environmental Consulting, Inc.; Main Street, Brid~eham~ton~ NY 11932 , being duly sworn deposes and says that on the day of 2005, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Bridgehampton, that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this day of , 2005 Notary Public Board of Trustees Application County of Suffolk State of New York Shawn M. Barron BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVE(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ry Public Matthew D, frans Notary Public of New York No. 011V6053859 Qualified in Suffolk County Commission Expires January 22, 20(2 DAY OF~Z_2005 OWNER'S ENDORSEMENT (TO BE SIGNED IF APPLICANT IS NOT OWNER) STATE OF NEW YORK) COUNTY OF SUFFOLK) SS: GREGERSEN'S KEEP~ LLC (c/o Barbara Gregersen Berbrich), being duly sworn, deposes and says; I reside at 970 Willow Drive; Greenport . hi the Counh' of Suffolk and the state of New York and I am the (owner in fee) (officer of the Corporation which is owoer in fee) of the premises described in the foregoing application and that I have authorized Suffolk Environmental Consulting, Inc. to make the foregoing application as described herein. Signature Signature If Corporation, name of corporation and Officer Officer's Title ,..-Bgfprq me, this~day of ~ o~- Pubnc / Vem~i~ F. Cldone ~ .... ~ ~ NO~ Public, State of New YO~ No: 52~661406 Qualified in Suffolk Coun~ . ~ ~ Commi~on Exoires Dec.31,~ 14-t6-4 (9/g$)-Test 12 PROJECT I.D. NUMBER 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For U~LI~TED AC't~3N~ Only SEQR PART 1 - PROJECT INFOI~4AllON (To be .cqm~etgd by, ]. APPLICANT/SPONSOR Suffolk Enviromnental Consulting, Inc. ~plicant or Project sponsor) 2. PROJECT NAME GREGERSEN'S KEEP, LLC- LOT 1 3. PROJECT LOCATION: Municipality Town of Southold County Suffolk 4. PRECISE LOCATION (Street .ddro~ and road i~temections, prom~ent landmarks, etc. or provide map) LOT 1; Southern terminus of Gull Pond Lane; Cn'oenport, NY 11944 (SCTM #: 1000 - 035 - 03 - p/o 012.6 & 012.7) 5. IS PROPOSED ACTION: JS~ New [:~ Expansion ~:] Mndification/alteralion 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to construct a private single family dwelling (2, 800 square feet +/- "footprint"), a pervious driveway (1, 200 square feet +/-), deposit 700 cubic yards ofclenn fill from an upland source and maintain the existing wood flame & canvas building (4g0 square feet +/- "footprint") within subject property. 7. AMOUNT OF LAND EFFECTED: Initially < O. 2 acres Ultimately 8. WILL PROPOSED ACTION COMPLY WffH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No if No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINiTY OF PROJECT? []Residential []Industrial [--Icommercial [::]Agdcalture Describe; [:::] P a~k,~= crest/Open spa~e []Other Private single family residences with appurtenances, situated on similarly sized lots. .... 10. DOES ACTIONINVOLVE A PERMff APPROVAL, OR FUNDING, NOW OR ULTIM^TELY FROM ANY OTHER GOVERNMENT AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes F"JNo If yes, list age~cy(e) and permit/approvals New York State Department of Environmental Conservation approval; Suffolk County DeparUnent of Henlth Services approval; Town of Southold Board of Trustees & Building Dept. approval. II. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERM1T OR APPROVAL? [] Yes [] No ffyee, list agoncy(s) and permPJappmvais 12. AB A RESULT OF PROPOSED ACTION WILL EXISTING PERMiT/APPROVAL REQUIRE MODIFICATION? Yes [] Ne I CERTIFY THAT THE iNFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor~name: ans - Suffolk Environmental Consulting, Inc. Date: 09/12/2005 Signature: ~v ~ ~. A.s~es~nent Fofln before pro~eeding wiUt ~ a~ee~nent OVER PART II- ENVIRONMENTAL ASSESSMENT (To be completed by Agency) DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 usethe FULL EAF. [] Yes [] NO If yes, coordinate the review process and E,. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. O Yes O No COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Eidsfing air quality, surface or groundwater qualtiy, noise levels, existing traffic patterns, so#d waste production or disposal, pctenfial for erosion, drainage or floeding problems? Explain briefly: C2. Aesthetic, agricultural, archeological, historical or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauns, fish, shellfish or wiMlife species, significant habitat, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, ar change in use er intensity of use of land or natural rasouroes? E~eplain briefly: C5. Growth, subseduent development, or related a~vities 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: 1~. WiLL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? []Yes []No D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If yes, explain I)defly PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it ia substantial, large, important, or othenstse significant. Each effect should be assessed in connection wP, h its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duretiofl; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or roference supporting metmieis. Ensure that explanations contain sufficient detail to show that eli relevant edveroe impacts have been identified and adequately addressed. If question D of Part Il was checked yea, the determination and significance must evaluate the potential Impact of the proposed action on the environmental cheraotedetins of the CEA. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a pnsitive declaration. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Print or Type Name of Responsible Officer Signature of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Preparer (if different From responsible officer) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Paul D. Ahlers & Patricia A. Ahlers 1905 Gull Pond Lane Greenport. NY 11944 Richard Witt & Antionette Beck-Witt 1710 Gull Pond Lane Greenport, NY 11944 Fyne Instrument Corp. 95 Meadow Lane Greenport, NY 11944 STATE OF NEW YORK COUNTY OF NEW YORK0 William J. Lohn, residing at Suffolk Environmental Consulting, Inc.; Main Street, Bridgehampton, NY 11932 , being duly sworn deposes and says that on the 30tn day of September 2005, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on 5he current assessmenE roll of the Town of Southold; that said Notices were mailed at the United States Pos~ Office at Bridgehampton, that said Notices we{en_~iled to each of said persons by (certified} (registered)~~ Sworn to before me this ~07R day of ~h--/, 2005 / / Notary Public Matthew D. Ivar~ Notary Public of New No. 011V$053859 Oualified in Suttolk Count~ I~omrmssion Expires January 0.3~ DIIT ID: 0932 _ 2.30 i Clerk: K'30~O $ ~.42 09~/05 ",,,., O.T/ LlfllT I[1:09~2 Clerk: $ t~. 42 09130105 ,' NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Barbara G. Berbrich SCTM# 1000 035 03 - p/o 012.6 & 012.7 YOU ARE HEREBY GIVEN NOTICE: 1. That is the intention of the undersigned from the Board of Trustees to: to request a Permit Applicant proposes to construct a private single family residence within subject property. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: Southern terminus of Gull Pond Road; Greenport, New York 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: GREGERSEN'S KEEP, LLC (c/o Barbara G. Berbrich) MAILING ADDRESS:970 Willow Drive; Greenport, NY 11944 PHONE # (631) 537 5160 Enc.: Copy of sketch or plan showing proposal for your convenience. Suffolk Environmental Consulting, Inc. Newman Village. Suite E. 2322 Main Street. RO. Box 2003, Bridgehampton. New York 11932-2003 (63 l) 537-5160 Fax: (631 ) 537-5291 Bruce .Anderson. M.S., President Via Regular Mail September 30, 2005 Mr. Albert J. Krupski, President Town Hall P.O. Box l 179 Southold, NY 11971 Re: Hearing Date: Situate: SCTM #: Gregersen's Keep Lot I Application October 19th, 2005 Southern Terminus of Gull Pond Lane Greenport; Town of Southold, NY 1000 - 035 - 03 - p/o 12.6 & 12.7 Dear Mr. Kmpski, As you may remember, this Firm represents the owner of the above referenced proper¢ who is seeking approval from your Board to construct a private single family dwelling thereon. This matter has been added to the Board of Trustees of the Iown of Southold agenda for October 19th, 2005. Therefore, in accordance with Town Code, please find enclosed herewith: 1 ) Signed and Notarized Affidavit of Mailing; and 2~ Original Certified Mailing Receipts & copies of the same; and 3} Copy of the Legal Notice that was mailed to adjacent property owners. If you have any questions regarding this matter, please feel free to contact this office at an3' time. Thank you in advance for your attention and consideration. William J. Lohn enclosed cc: B. Berbrich Town of Southold LWRP CONSISTENCY ASSESSMENT FORM INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, proposed.actions that arc subject to the Town of Southold Waterfr shall compl~,!~ ~'¢2~F for ............ ~ R~vtcw Law. '1'1~ assessment is imended 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 £ermits not located within the Coastal Erosion Hazard ,~rea. 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 Wat~ffiont Revitalization Program. A proposed action witt 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 LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be ~ndertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork. nct), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 035 - 03 - p/o 0,12.6 & 012.7 (LOT 1) The Application has been submitted to (check appropriate response): Town Board [] Planning Dept. [] Building Dept. [] Board of Trostees [] 1. 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: An~lieant ~ronases to eoastmet a nrivate single fi~milv dwellinu (2. 800 s,,uare feet +/- "£oot~r/nt"L a nervioas driveway O. 200 ~,,are feet +/-L deposit 700 eobie yards of el~mn fill from an nnland ~onree and m~int~in the ~xi~tln~ wood frame & e~nvas bniidinu ¢4~0 ~nare feet +/- "£ootor/nt"l within ~bleet nr~nertv. Location of action: Sit~ acrcago: Presem land us~: SouThern terminus of Gull Po~d Lane~ Gr~np0rt~ New York 0.9 ac~e ± Vacant r~sidential (w/dock & s, maH flame buildlnn) Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: GRI~GERSEN'S KEEp~ LLC - LOT 1 (c/o Barbara G. Berbrictt) (b) Mailing address: 970 Wffiow Dr~e~ Gr~nport~ NY 11944 (c) Telephone number: Area Code ( 631 ) ~.7 - $160 ..... (d) Application number, if any: N/A Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No [] If yes, which state or federal agency? NY~DFC 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 As indicated within Policy 1 t 'Development that does not reinforce the traditional land use pattern of the Town of $outhold would result in a loss of the community and landscape character of Southold.'~ this project is a proposal to imprqve upon a vacant lot situated in a neighborhood consisting primarily of similarly-sized single-famib/dwellings within similarly-size~ properties. The. proposal, as d~signedf will not result in adverse effects to the surrounding environment in that the project has been designed in such a way as to maximize a!l. requimd regulatory setbacks associated with improving on a lot situated in proxi~nity to the surface waters situat~cl contiguous to subject property. In addition, the surrounding neighborhood is comprised of older residential dwellings which have existed harmoniously within this area for years and have not resulted in any form of adverse effects to the surrounding environment. Accordingly, we believe that this project is consistent with this policy. At~ach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southoid. See LWRP Section III -Polieies Pages 3 through 6 for evaluation criteria [] Yes [] No [] Not Applicable Policy 2 is not applicable in that subject lot and the surrounding neighborhood cannot be deemed a substantial historic and/or archaeological resources. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. Sec LWRP Section IH - Policies Pages $ through 7 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal will not adversely impact the visual quality of the surrounding area in that the surrounding ama is currently comprised.of properties improved with single-family dwellings of similar~ if not larger, size. Scen!c resources, assumedly views of Gull Pond Inlet to the east~ are not at risk due to the minor size of the proposed dwelling with respect to the scenic vista offered by the current condition of subject property (i.e. primarily lawn) Furthermor% this policy could not preclude the legal creation of this property as a building lot. 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 IH - Policies Pages 8 through 16 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal will fully comply with Policy 4 in .that the location of the improvements within subject propertyare to be situated above the ten foot (10.0') contour~ which typi.cally do not have th9 potential for being effected by floodin~erosion. ^ccordingly, the proposal will not result in any fora) of loss of life~ structures.~ and natural resources from flooding and erosion. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section IH - Policies Pages 16 through 21 for evaluation criteria [] Yes [] No [] Not Applicable Subje~. proposal will comply with Policy 5 in that the property will utilize public water~ as well as to utilize an efficient sanitary systo, m~ which will be c9mp[iant with the requirements of the Suffolk County Department of Health Services. Accordingly, no adverse impacts to either the water quality and/or water supply of Southold Town are anticipated, 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 WiMlife Habitats and wetlands. See LWRP Section IH - Policies; Pages 22 through 32 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal will comply with Policy 6 in that the improying of this lawfully created residential building lot is to be designed to meet the environmental guidelines and requirements of both the Town of Southold Board of Trustees and the New York State Department of Environmental Conservation, arid consequently~ will maintain the inteflrity of the surrounding ecosystem. Attach additional sheets ifn~'ssary Policy 7. Protect and improve air quality in the Town of Southold. Sec LWRP Section IH - Policies Pages 32 through 34 for evaluation criteria [] Yes [] No [] Not Applieable Subject proposal is not applicable in that the proposal is simply to improve subject property with a typical single-family dwellin,g and related appurtenances which historically do not result in any form of adverse effects to air quality. Accordingly, this proposal is not applicable with this policy. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See I,WRP Section IH - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [] No [] Not Applieable Subject proposal is not applicable in that the proposal does not involve disposal and/or transportation of ~olid waste~ hazardous waste, toxic Pollutants~ petroleum products. Attach additional sheets if necessary PUBLIC COAST POLICIES Poflcy 9. Provide for public access to, and recreational use o~ coastal waters, public lands, and public resources of the Town of Southoid. See LWRP Section II1 - Policies; Pages 38 through 46 for evaluation criteria [] Yes [] No [] Not Applieable Subject proposal is not applicable in that the proposal is not situated within a I~rope~ty containing~ or having the potential to contain~ public access to coastal waterst public lands and/or public resources within the Town of Southold. Attach additional sheets ifneeessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP ~'tion III - Policies; Pages 47 through 56 for evaluation criteria [] Yes [] No [] Not Applieable Subject proposal is not applicable in that the prqposal does not involve a water-dependent use (i.e. marina, aquaculture~ etc...). Attach additional sheets if neeessary Poliey 11. Promote sestainable use of livlng marine resources in Long Ishnd Sound, the Peconic Estuary and Town Waters. See LWRP Seetlon 111 -Policies; Pages S7 through 62 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the proposal does not involve any form of marine resource management (i.e. commercial fisheriest recreational fisheries, aquaculturet etc...). Attach additional sheets if necessary Policy 12. Protect agrieulturnl lands in the Town of Southold. See LWRP Seetion III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No [] Not Applieable Subject proposal is not applicable in that the proposal does not involve agricultural lands (i.e. the conversion of farmlandt the establishment and/or maintenance of new coastal agricultural production, etc...) Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section HI - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [] No [] Not Appllcable Subject proposal is not applicable in that the proposal does not involve the conservation of ener~ resources on a commercial level and/or the promotion of alternative energy, sources, proper maintenance of fuel storage facilities and/or the extraction of mineral extraction Attach additional sheets ifneeessary Created on 5/25/05 11:20 dM Suffolk Environmental Consulting, Inc. Newman Village. Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631 ) 537-5160 Fax: (63 l J 537-5291 Bruce Anderson. M.S.. President September 13, 2005 Mr. Albert J. Krupski, President Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re-' Situate: SCTM #: GREGERSEN'S KEEP, LLC Property - Lot 1 Southern terminus of Gull Pond Lane Greenport, New York 1000 - 035 - 03 - p/o 012.6 & 012.7 Dear Mr. Kmpski, This Firm represents the property owners referenced above, who are seeking all required regulatory permits to improve thereon. In order to do so, approval fi.om your Board is required. Enclosed herewith please find a completed Wetland Permit Application. Application contents are as follows: (1) Town of Southold Trustees Wetlands Permit Application; (2) Short Environmental Assessment Form; (3) Local Waterfront Revitalization Program Consistency Assessment Form; (4) Photographs of subject property, indicating the location of the proposed structure thereon (two [2] sets); (5) Location Map for easy reference (two [2] copies); (6) Survey of subject property, prepared by PECONIC SURVEYORS, P.C.~ indicating all existing and proposed structures thereon, last dated September 6, 2005 (two [2] copies); and (7) Cheek made payable to the Town of Southold in the mount of $250.00 covering the requisite application fee. By way of this correspondence, and on behalf of GREGERSEN'S KEEP, LLC, I request that you commence review of this application and schedule for the next available Board of Trustees meeting for permit issuance. Should you have any questions regarding this matter, or require additional information, please feel flee to contact this office at any time. Thank you in advance for your cooperation. Matt D. Ivans ellc. cc: B. Berbrich ". '" ( , ~ t'J I::: ;" :::c I (~ - (") G 'I () ~ ,:- '- -I( ::c o f" .-- o J ,] ',,:J "-) f, "'" " -n J ",","", <:~ ... I f , ~ ~ ""~<-..... vc::::;..... I , I / , I I c.r<.Ap e: M>fR:J"" 'E., ~ - - V \.J I t "J \6 )0 :j- V- I I r- --Sl r- r% :r- ~: \ \ \\ \ p HI JAN 2 9 2007 ~/ I "-:--~jl ;t / )11 / -- / /" .-/' .' ----- L<)/~AI.,- &AR.K-., ~' TF<.ELLj "'.:;;, <56 fZ~fA,J ~""-'=- I : gf,lo1A -'-~. I ,1" H INlOKI "'y. l3ox.wovv P~c<-i ",'1& WEE-::>tNo.- ISL.l.JE s,lt;:UCe. !Oo)(woot=> DE-c...K .! , LANN D~lveWAI P"'YF3-~ C-LAUprD F'<..r;:.S. '\-1iG;'I-IEofl'6<1'A/?E ""'1' eox~oOP WAU-. ~l. 0,/ O~ Le.~~~ :1 <.A~.. 2:'/.? ' I=i:::Ar...".&9S:E.r............ :4-PfiN~.".'-fi........'A,Jf". W, oS,----=;' c..a^1Pe: r""~._~/J 1""00' " ~,--. ...... iNAt.1.. 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