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Home My WebLink AboutTR-6239 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0400C Date: February 9, 2009 THIS CERTIFIES that the demolish existing dwelling, abandon existing septic system, construct new dwelling, new sanitary system and associated improvements outside the Board of Trustees Wetland jurisdiction At 115 East Side Avenue, Mattituck, New York Suffolk County Tax Map # 99-3-19 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 10/11/05 pursuant to which Trustees Permit # 6239 Dated 11 / 16/05 and was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the demolish existing dwelling and abandon existing septic system, construct new dwelling, new sanitary system, and associated improvements outside the Board of Trustees Wetland jurisdiction The certificate is issued to 343E 18, LLC c/o ANDREW LOWRY owner of the aforesaid property. Authorized Signature James F. King, President Jill M. Dohe~"ty. Vicc-Prcsidcnt Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765~6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ~ Ch. 275 Ch. 111 INSPECTION SCHEDULE __ Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ½ constructed W/Project complete, compliance inspection. INSPECTED BY: ~-'~'~ ,, t_. I-1 · COMMENTS: CERTIFICATE OF COMPLIANCE: Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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~lin~e~~ 1st day of construction ½ constructed Project complete, compliance inspection. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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 ½ constructed __ Project complete, compliance inspection. Board Of $outhold Town Trustees SOUTHOLD, NEW YORK ,o... ...... 00, 343E18,LLC ISSUED TO Pursuent Jo f~ prov~ion~ of Oflap~er 61~ of ~e ~ws of ~he Sta~ of New Yo~ 1893, and ~apfer ~ of the S(~fe of New York 19~2; and the Soufhold To~n Ordinance en- ~flled ."RE~U~TIN~ AND .~E P~OIN~ OF OBSTRUO~S IN AND ON TOWN WATERS AND PUBLIC ~NDS REMOVAL OF SAND, ~RAVEL-OR OTHER MATERIA~F~M ~NDS .UN~ER TOWN WA~RS?. and in aco~d*~ wlf~ 'the Resol~ion of ~e Boerd adopted al ~ meellng held on ....~Y.,!~ ....... ~0~.~ ........ and in consideration of ~he sum of ~....~.~.~P~ .... pald by 343E18,LLC Of Mattituck N.Y. and subieo~ Terms and ~nd;fions lisled on Jhe revere ~Ide ~reof, of ~ufhold Town Tr~ees aulhorizes and permi~ fhe Wetland Permit to demolish the e~isting dwelling and abandon the existing septic system, with the condition that haybaies and a silt fence be placed during construction and all as de- picte.d on the plans surveyed ~ ~ohn .~lm~s dated a~ ;n accorda~ce w~h ~fle defa~dsp~ica~bn~ as ~re~n~e'~m · ~e odg;netin~ IN WITNESS WHERE., ~e s~d Boerd Of Trustees ~re- by ~u~ its ~r~r~t~ S~I to be ~xed, en~ ~e~e ~ ,ub~ed by ~'mel~ of the smd ~rd ~s of th~s d~te, TERUS and CONDmOHS 343E18,LLC te~4~ ~t Mattituck .~,~, N. %'~ '~ 1. That ~ said 13ott'd o~ Tnutee~ smd the Town o~ 8outhold ate teteagd ~tem ~ay a~l with ~e~-ct ~ to-ihe-~x~mplete ,~a,~ioa of t~e Board of Tre~tee~ of ~e Towa of ~ 24. e~atmated ttme'teclulted to ~omplete the wodc inv~l~l, [mt '~cmld ~n~e$ wattant~ teq~t flor aa extemton may be m~ to the 1E;~ttd at a I,~. a.-t,': ~. That this Pe~k should b~ retained lnde~u~te[y, or s~ Ion& a~ t~e said Petmtttee ~ to' ~,~-tain the stt.~,~e o~ project involved, to pt~n-lde evi&~oe e0 anyone conce~ned that snd~- .odz~tton was odlOn~y ~ 4. That d~e ~ involved ~ be subject to the ~ sad ai, ptovd vf ~he ~ e~ its agents, and noa-~mplhnce with the ptovisiom of the ott~elng application, maybe cs~e for t~woc~fion of ~ ~¢ 1,7 te~olution of the said Boa~L 5. 2'h~t ~ will be no unteasooable lnterfez'ence with tutvi~ _ao~ as · teaalt of the we~lt het~n ~t~odzed. ' ' tho Iz~ac~ between high and low wate~ marks. nlm.doe ~ottce, to ~emo~e ot ~ltet d~ ~vo~ ot ptoj~t Im~ ~_~_ ~hout ~ to the · o~ Sou~otd. 8. That the said Board will be notified by the Petndttee ot the e°m~eel°ni~ the wodc msth- Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, New Yerk11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 November 16, 2005 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Mr. Rob Hermann En-Consultants, Inc. 1319 North Sea Road Southampton, NY 11968 RE: 343E18,LLC 115 EAST SIDE AVENUE, MATTITUCK SCTM# 99-3-19 Dear Mr. Hermann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 16, 2005 regarding the above matter: WHEREAS, EmConsultants as agent for 343EI8,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 October 11,2005, 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 November 16, 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 proposal 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, RESOLVED, that the Board of Trustees approve the application of 343E18,LLC to demolish the existing dwelling and abandon the existing septic system, with the condition that haybales and a silt fence be placed during construction, and all as depicted on the plans surveyed by John C. Ehlers last dated 9/19/2005. 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/hkc Albert J. Krupski, President James King, Vice-President Arkie Fester Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 TO: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: has been and the ( bj ) 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: $ /00 SIGNED: PRESIDENT, BOARD OF TRUSTEES Standish, Lauren From: Sent: To: Festa, Carol [AM] [caroLfesta@citigroup.com] Wednesday, November 16, 2005 11:10 AM Standish, Lauren Dear MS. Standish- Regarding the variance being filed by applicant 343E18, LLC (Andrew Lowry): residence at 115 east side Avenue. I am a neighbor of this individual and I reside at 450 Harbor View Avenue. I have the following concern to submit to the trustees for consideration tonight at the hearing: On the survey is shown South Lagoon Lane which is state owned property. My understanding is that some residents have a deeded right of way to this road that provides access to the water. Further it is used by residents to gain access to the inlet. My concern is that this somehow becomes incorporated in the construction project proposed and residents then lose access to the road or are made to feel that they are having to go across someone's lawn to get to the water. Is there any way that the town can more clearly segregate this from the proposed project or that the road become more clearly marked? Perhaps plantings can be used to more clearly delineate it. Thank you for your consideration. Carol Festa Albert J. Krupski, President James King, Vice-President Artie Fester Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 7, 2005 Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Rd. Southampton, NY 11968 RE: 343E18, LLC cio ANDREW LOWRY 115 EAST SIDE AVE., MATTITUCK SCTM#99-3-19 Dear Mr. Herrmann: The Southold Town Board of Trustees reviewed the survey prepared by John C. Ehlers last dated September 19, 2005 and determined the proposed construction of a new dwelling and associated improvements to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code and Chapter 37 of the Town Code. Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 25' landward from the top of the bluff, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 97 and/or Chapter 37 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion Hazard Area would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Albert J. Krupski, Jr., President Board of Trustees AJK:lms PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON MAILING ADDRESS: P.O. Box 1179 Southald, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Aw Southald, NY Telephone: 631 765-193~ Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Board of Trustees From; Date: Re: Mark Terry, Senior Environmental Planner LWRP Coordinator November 15, 2005 Request for Wetland Permit for 343E 18, LLC SCTM# 99-3-19 En-Consultants, Inc. on behalf of 343E18, LLC requests a Wetland Permit to demolish the existing dwelling. Located: 115 East Side Ave., Mattituck. SCTM#99-3-19 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 LWRPo 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. Alberl J. Krupski, Presidenl~l~ James King, Vice-Presidenl~ Henry Smith Attic Foster Ken Poliwoda 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 Fex (631) 765-1366 Office Use Only Coastal Erosion Permit Application . ~etland Permit Application Major ~ Waiver/Amendment/Changes '~eceived Application: ] ,-'"~Received Fee:$ O~,~-O~ ~Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~C~AC Referral Sent: ~D~ate of Inspection: //]o/ Receipt of CAC Report: Lead Agency Determination: Technical Review: ~A~ublic Hearing Held: Resolution: Minor Name of Applicant 343E 18, LLC C/O ANDREW LOWRY, PRESIDENT Address441HAWTHORNEPLACE, RIDGEWOOD, NJ 07450 Phone Number: 201-670-9472 Suffolk County Tax Map Number: 1000 - 99-3-19 Property Location: 115 EAST SIDE AVENUE, MATTITUCK (provide LILCO Pole #, distance to cross Streets, and location) AGENT: EN-CONSULTANTS, INC. (If applicable) Address: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone: 631-283-6360 Board of Trustees Appliq ion Land Area (in square feet): 21,279 Area Zoning: GENERAL DATA Previous use of property: SINGLE FAMILY RESIDENTIAL Intended use of property: NO CHANGE. Prior permits/approvals for site improvements: Agency Date __No prior permits/approvals for site improvemems. 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): ADMINISTRATIVE WETLANDS PERMIT REQUESTED FOR THE DEMOLITION OF AN EXISTING DWELLING LOCATED +/-98 FEET FROM THE TIDAL WETLANDS BOUNDARY. LETrER OF NON-JURISDICTION REQUESTED FOR THE CONSTRUCTION OF A NEW DWELLING AND ASSOCIATED IMPROVEMENTS, WHICH WILL BE LOCATED A MINIMUM OF 105 FEET FROM TIDAL WETLANDS AND THEREFORE BEYOND TRUSTEES JURISDICTION PURSUANT TO CHAPTER 97, SECTION 12-C OF THE TOWN CODE, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOHN C. EHLERS, LAND SURVEYOR, LAST DATED SEPTEMBER !9, 2005. Board of Trustees Applic~on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: DEMOLITION OF EXISTING DWELLING WITHIN 100 FEET OF TIDAL WETLANDS. Area of wetlands on lot: <500 .square feet Percent coverage of lot: +/-2 % Closest distance between nearest existing structure and upland edge of wetlands: 98 feet Closest distance between nearest proposed structure and upland edge of wetlands: 105 feet Does the project involve excavation or filling? No Yes N/A If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): THE EXISTING DWELLING LOCATED WITHIN WETLANDS JURISDICTION WILL BE DEMOLISHED AND REPLACED WITH A STRUCTURE TO BE LOCATED BEYOND WETLANDS JURISDICTION. THEREFORE, WHILE THE NEW CONSTRUCTION IS EXEMPT FROM THE PERMIT REQUIREMENTS OF CHAPTER 97, ELIMINATION OF THE EXISTING DWELLING WITHIN 100 FEET OF WETLANDS CAN BE ASSUMED TO HAVE ONLY POSITIVE IMPACTS, IF ANY, ON THE ADJACENT WATERS AND WETLANDS OF THE TOWN. 14-1~.4 (2/B7)---Texl t2 PROJECT I.D. NUMBER SHORT 617. APpendix C State Environmental Quality Review ENVIRONMENTAL ASSESSMENT For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) I APPLICANT/SPONSOR; 343Et8, LLC BY EN-CONSULT^NTS, I 2. PROJECT NAME I 3 PROJECT LOCATION: Municipality ][~4~ TTITLICK County SUFFOLK FORM SEQR 4 PRECISE LOCATION (Street addross and road intersections, prominent landmarks, etc, or provide map) 115 EAST SIDE AVENUE, MATTITUCK, TOWN OF SOUTHOLD, SCTM #1000-99-3-19; MAP PROVIDED. 5 IS PROPOSED ACT ADMINISTRATIVE WETLANDS PERMIT REQUESTED FOR THE DEMOLITION OF AN EXISTING DWELLING LOCATED +/-98 FEET FROM THE TIDAL WETLANDS BOUNDARY. LE IIER OF NON-JURISDICTION REQUESTED FOR THE CONSTRUCTION OF A NEW DWELLING AND ASSOCIATED IMPROVEMENTS, WHICH WILL BE LOCATED A MINIMUM OF 105 FEET FROM TIDAL WETLANDS AND THEREFORE BEYOND TRUSTEES JURISDICTION PURSUANT TO CHAPTER 97, SECTION 12-C OF THE TOWN CODE, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOHN C. EHLERS, LAND SURVEYOR, LAST DATED SEPTEMBER 19, 2005. 7. AMOUNT OF LAND AFFECTED Initially 0.49 acres Ultimately 0.49 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~3Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Re~i(fential [] Industrial [] Commercial Describe: ]Park Forest/Open space [] Other ] o. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNEING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes [] No If yes, list agency(s) and permit/approvals DEC, SUFFOLK COUNTY DEPT. OF HEALTH 11. DOESANYASPECTOFTHEACTIONHAVEACURRENTLYVALIDPERMITOR APPROVAL? ~:]Yes [] No If yes, agency name permit/approval list and I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWI. EDGE Applicant/sponsor name R~T E. HERRMAN~, COASTAL MANAGEMENT SPECIALIST DATE OCTOBER 4, 2005 Signature ~[~1~/- If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER AUTHORI Z~TION (where the applicant is not the owner) (print owner property) (mailing address) do hereby authorize, (Agent) to apply for permit(s from the Southold Board of Town Trustees on my behalf. ( Owner ' s e ) 8 Board of Trustees County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCR/BED PERM/T(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 tREE PROM 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(S), TO ENTER ONTO MY PROPERTY TO INSPECT TI~ PRE1VIISES IN CONYJNCTION WITH REVIEW OF TH/S APPLICATION. '-~ lt ~ ~ ' g LL C'- -~ -~' ~'-~x't~ ~j~signamre SWOP. N TO BEFORE ME TH/S ~:~ /~t' DAYOF rf~cl~ ,20(~T 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., November 9, 2005, the following recommendation was made: Moved by Tom Schlichter, seconded by Jacob Smith, it was RESOLVED to recommend to ~he Southold Town Board of Trustees APPROVAL WITH CONDITIONS of the Wetland Permit application of 343E18, LLC to demolish the existing dwelling. Located: 115 East Side Ave., Mattituck. SCTM#99-3-19 The CAC recommends Approval of the application with the Condition hay bales are placed down before demolition and during construction and a 25' non-turf buffer is installed. The CAC questions whether or not the existing boat ramp is permitted and recommends a gravel buffer surrounding the boat ramp. Vote of Council: Ayes: All Motion Carried Albert J. Krupski, President James King, Vice-President Artie Fester Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-$,~ ~ 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 eing d~ly sworn, depose ~nd say: ' That on the ~ay of 0~- , 200~I p~rsonally posted,th~p[ope~y ~own as by placing the Bo~d of Trustees official poster where it c~ easily be seen, ~d that I have checked to be s~e the poster has remained in place for eight days prior to the date of the public he~ing. Date of hearing noted ~ereon to be held [~d~ .B 0~, I~ O~ $~ - Dated: u~ ' (si~at Sworn to before me this /(~-- dayof,~)~" 200 C q%tary~Public NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant:34~mlo, LL~ ~ o .~ SCTM#1000- 99~-19 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: WETLANDS PERMIT REQUESTED FOR THE DEMOLITION OF AN EXISTING DWELLING LOCATED +/-98 FEET FROM THE TIDAL WETLANDS BOUNDARY. LE ~ l ER OF NON-JURISDICTION REQUESTED FOR THE CONSTRUCTION OF A NEW DWELLING AND ASSOCIATED IMPROVEMENTS, WHICH WILL BE LOCATED A MINIMUM OF 105 FEET FROM TIDAL WETLANDS AND THEREFORE BEYOND TRUSTEES JURISDICTION PURSUANT TO CHAPTER 97, SECTION 12-C OF THE TOWN CODE, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOHN C. EHLERS, LAND SURVEYOR, LAST DATED SEPTEMBER 19, 2005. 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 115 EAST SIDE AVENUE, MATTITUCK 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public conunent on~OVEMBERI6,2005~7:~m You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. 343E18, LLC OWNERS NAME: C/O ANDREW LOWRY, PRESIDENT MAILING ADDRESS: 441 HAWTHORNE PLACE PdDGEWOOD, NJ 07450 PHONE g: 201-67~9472 ~c.: Copy of sketch Or plan showing proposal for your convenience. 5 Name: LAURIE & ERWlN RODGER PATR1CIA REILLY THOMAS GEPPEL, CAROL FESTA PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 225 EAST SIDE AVENUE MATTITUCK, NY 11952 326 WARREN AVENUE BALTIMORE, MD 21230 450 HARBORVIEW AVENUE MAITIIlJCK, NY 11952 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT E. HERRNb~NN d 0 i n g b u s i n e s s a t EN-CONSULTANTS, ~qC. 1319 NORTH SEA ROAD SOUTHAMPTON, NY 11968 , being duly sworn, deposes and says that on the 20th day of OCTOBER ,20 05, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at SOLVFHA~4PTON ~ , that said Notices were mailed to each of said pers~s by (certified) ROBERT E. HERRMANN Sworn to before me this 20th day of OCTOBER ,2o 05 133 m Patricia Reilly 326 Warren Avenue Baltimore, MD 21230 Thomas Geppel, Jr. Carol Festa 450 Harborview Avenue Mattituck, NY 11952 Laurie & Erwin Rodger 225 East Side Avenue Mattimck, NY 11952 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM T~e Town of Southold's Code of Ethics nrohibits conflicts of interest on the cart of town officer~ end emnlovees. The nuroose of this form is to ~rovide information which can alert the town ofvossible conflicts of thtemst and allow it to take whateVer action (Laat name, first n~'~, middle initial, unle~ you are applying in tho name of someone else or other entity, such as a compeny. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Variance Change of Zone Approval of plat Exemption from p]at or official map Other (If "Other", name the activity.) Do you personally (or through your company, ~oouse, 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 interco" means a businass, including a parm~rship, in which the town officer or ~mployce has even a partial ownership of(or employment by) a corporation in which the town officer or employee owns mom than 5% of the shares. NO X If you answered "YE", complete the balance of this form and date and sign where indicated. Name ofp~rson employ~ by the Town of Southo. ld Title or position of that pcr~on Describe the relationship between yourself (the applicant/agent/mprasantative) and thc town officcr or employee. Either check the appropriate line A) through D) and/or describe in the apac~ provide. Thc town officer or cmployce or his or her apou~c, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); __.B) thc legal or beneficial owner of any interest in a non-corporate entity (when thc applicant is not a corporation); C) an officer, director, parmer, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Signature Town of Southold INSTRUCTIONS i' ii ~ 2 1. ~1 applic~ for pe~B* ~clud~ To~ of So~ld ~cies, ~1 mmplete ~s CC~ for ~°~sed ~fiom~ t ~ ~ subject to ~e To~ of Sou~old W&~mm~ncy~ Re~ Law. ~s' ses~ent s m md~ ~ supplemmt o~er ~o~~ of Sou~*ld agency m ~g a d~mfion of ~mi~ncy. *~cept minor ~empt ~o~ i~l~ing Budding Permits and o&er ministerid pe~its not located within t~ Co~tal Erosion H~d 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 sim~ifieant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affec~ the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail~ listing both sunnortin~ and non- sunnortin~ facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.ne0, the Board of Trustees Office, the Planning Department, alt local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTMg 56 . 5 22 PROJECT NAME 343E18, LLC The Application has been submitted to (check appropriate response): TownBoard ~'~ Pianning Board [--] BuildingOept. [] Board of Trustees 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: SEE ATTACHED PROJECT DESCRIPTION o Location of action: Site acreage:. 115 East Side Avenue, Mattituck 0.49 Present land use: Single -family residential 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) Nameofapplicant: 343~.18, LLC c/o Anorew ,.owry, ~k~std~x~t ~) ~a~i~gaddr~ss: 441 Hawthorne Place, Ridgewood, NJ 07450 (c) Telephone number: Area Code ( ). 201-670-9472 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~'~ No~'] Ifyes, whieh state or federalagency? C. Evaluate the project to the foliowing policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section IH - 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 HI - Policies Pages 3 through 6 for evaluation criteria ~-~ Yes [--] No [] Not Applicable Attach additional sheets ifnecessmy Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section HI - Policies Pages 6 through 7 for evaluation criteria ~ Yes F~ 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 IH - Policies Pages 8 through 16 for evaluation criteria Yes I I No IXl Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section ILl - Policies Pages 16 through 21 for evaluation criteria ['-] Yes ~ No ~X-~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 ILl - Policies; Pages 22 through 32 for evaluation criteria. Yes ~-~ No ~-~ Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quali/y in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~ Yes ~=] No ~ 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 E 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. Attach additional sheets if necessary WORKING COAST POLICIES , Policy 10. Protect Southold's Wter-dependent uses and promote siiiIrg of new water-dependent uses in suitable locations. See LWRP Section HI - Policies; Pages 47 through 56 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 IH - 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 PREPARED BY Amended on 8/1/05 EN-CONSULTANTS, INC. 1319 North Sea Road Southampton, New York 11968 631-283.6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTING October 4, 2005 Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish 343E18, LLC 115 East Side Avenue, Mattituck SCTM #1000-56-5-22 E OCT l l $outhold TOWlt Board of Trusteet Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Three (3) Wetland Permit Applications including a) Short Environmental Assessment Form; b) LWRP Consistency Assessment Form; c) Authorization & Disclosure Forms; and d) Site plans. 2. One (1) set of site photographs. 3. Application fee of $250.00 wetlands. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Sincere~1 Robe~emnaan ~ Coastal Management Specialist .SUP-.VE'r' OF: PART OP LOT 2 HAP OF: OLD HILL HAVEN CO. FILED OGTOBEF~ 2, Iq25 FILE No, ~qcf 51TUAIb, PI'Al I ITUC, K Tel, fiN; .5OUTHOLD SUFFOLK. COUNTY, NY OCT ;r 2005 / I / / / ® ® I I / I / I "$oc/~h , , Irr~vl~r 'm Lc/me 2 0¸2 2 p~e¢coom .~ Oo N ®RAPHIC, 5C, ALF SEPTIC. DETAIL no[ to score JOHN C. El-II,ERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVE~, N.Y. 11901 369-8288 Fax 369-8287 R~EF.-~Server~\i~os\04\04~278.pm