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Home My WebLink AboutTR-6268 Board Of Southold Town Trustees /!SOUTHOLD, NEW YORK ~2,{pg Dec 1, 2005 PERMIT NO.......__..... _......... TE:...........' ..._.....- ._.. DAVID, PRESTON, ,._RY,ME~AND... . 0 ....CRUSE ISSUED TO .....................~............._......_.................. Pursuant to the provisions apte bl of the La of the. State of New York, 1893• d epter f the La f the State of New York 145 • and a ut own Ord' once en- titled ~"`REGULATING D - •PLA N ..OF: OBS . , llCT~NS IN ANO ON TOW BLIC DS and the REMOVAL OF SA , G L-OR HER M ERIALS_F~OM LANDS .UNDER TO N A S;:' and in cordance with the Resolution of The and adopted a meet' g held on .__DaG,.:2~1.-:.... 2005 ..~ and in o ide~tion o the su of S_250_.00,._.... paid by ._..._.._ ............._.~ .............n.-.................. _ ___ of .._~ ._..._h.°..g _e._......./...._.`...._.._ ................_.......... N. Y. and. subject to, the Ter an Conditions listed on the reverse side hereof, of thold wri Trust s auth izes and permits the following: Wetl nd Permit to r m ve e existing woodsteps; construct a tached wood d c ap steps onto an existing one story one 'ly dwelli g, in tall drywalls, place haybales during const uc 'on, an a 1 n,/ ind~incs,ated on the plan surveyed by S nl y. Is ksen if ~t~ilea.. ecificetions as resented in a~in ccor~ance ~ e sp P IN WI NESS~GJHEREOF, The said Board of Trustees hsre- ses it Corporate Seal to be affixed, end these presents to scrib d by e~majority of the said Board .as of this data. n . / v TERMS noel. CONpITIONS ,~ Petaatttee Mears and Couse at Cutchosue of the coasidendoa for the issuaaoe of the P~umit'does uttdastsnd and ~t N. Y„ ~~...' - ro the fol i. Thar'the said )3oard o[ Tmstecs and the Town of Southold ate released from say and all datnages, oe titdms for damagts, of suits arising: dlroaly ae fadiredly u a result of say open adpu' ;~etfotated .purnlaitr;~tl:3#~1s.i, a~ the said fundccee svtllt .u. 6ts a 6~r owa ex~imte, . .. - . , defend,wy aced all such suits"initlaoed by t~td ~atdss, end the aM Petmtttec sswMes full liablllg rgitL eespsu thetcro, h?-fhe~eoaapletc eulusioa of the Boatel of TtuSOtes of toe Town of Southold. - 2. That Ibis i4tttintc k va11d for ~ ptdnd of 24 tsar. tvhtt6 is doktstdectd ro be the ' admaced date requited ro complete the work involved, but ibonid dtduirftanres warnat, acgntYt for an e>:oension ,may fie made to the Boatel at a later date: ' 3. That this Pettnit should be retained indefioitdy, of as long es the said Petmittte wlsha ' ao' maintain the sttuaure or project iavolved, to provide evidence to anyom ooaceraed that aunt- odz;doa was otigtaailY obttiaed. 4. That die wade Involved will be wbjea [o the iaspecdoa sad approval of the Boatel oc . its agora, and aoa-compliance with the ptovisioos of the otlgidadag applicadoa, maybe cause foe seyoeadon of this Permit by resoludoa of du said Board. S. That theft will be ao unrcasoaalile iatrtfercntt with oavigatbn as a tewit of the work 6e~dn authorized. . 6. That there shall be as intecfereace with the tight of the public ro pass and repass along ' the beads between high sad sow water anrks. 7. That If future opecadoos of the Town of Southold rsgaice tha removal and/or alatadoos fur the button of the wndc 6erdn audatuized, of B, is the opitdon of tLe. Board of Tsnsted, the . want than txttse nntcasonable obsttuwon ro free navigarloo, the said Peomittee wlll be regained, , tik0° tine notice, ro remove or alto dill work or projext 6etda stated ~tttholu eaP~ ro the Town' of $outtioid ' e. That tiro said Board will be nodfled by the Permittee of the optnpledoa:of the work anh- orize4 ~ . .. 9. Tbat dx 'Peanittee will otxaln all odter pernilts sad tnntcats tbae may 6e rogaiced mp' ' plemenatt m . this pamlt which may be sabJect to revoke span ftdhue ttr o6aia wnc. f Albert J. Krupski, 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 OFSOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction 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) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD December 21,2005 En-Consultants, Inc. 1319 North Sea Road Southampton, NY 11968 Re: PRESTON, DAVID, and MARY ANN MEARS, THOMAS COUSE 1050 DEAN DRIVE, CUTCHOGUE SCTM# '116-5-12 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 21,2005 regarding the above matter: WHEREAS, En-Consultants, Inc. as agent for MEARS/COUSE 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 November 30, 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 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, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MEARS/COUSE to remove the existing wood steps; construct an attached wood deck and steps onto an existing one-story, one-family dwelling, install drywells, place hay bales during construction, and all as depicted on the survey prepared by Stanley J. Isaksen, Jr. last dated October 25, 2005. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, ;,James F. King,' Vice-President, Board of Trustees JFK:hkc Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson To~m Hall 53095 Route25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Please be advised that your application dated it / O/O~f~ reviewed by this Board at the regular meeting of following action was taken: ( V//Application Approved (see below) has been and the )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: $ ~'C) SIGNED: PRESIDENT, BOARD OF TRUSTEES Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADXqSORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., December 14, 2005, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetlan6 Permit application of DAVID, PRESTON & MARY MEARS AND THOMAS COUSE to remove the existing wood steps; construct an attached wood deck and steps onto an existing one-story, one-family dwelling; and install drywells. Located: 1050 Dean Dr., Cutchogue. SCTM#116-5-12 The CAC recommends Approval of the application with the Condition all non-turf areas remain as is. Vote of Council: Ayes: All Motion Carried il' .i PLANNING BOARD ME1VIBERS JERILYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING .Z~DDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To: Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: December 1,2005 Re: Request for Wetland Permit for Mary Ann Mears SCTM# 116-5-12 DAVID, PRESTON & MARY MEARS AND THOMAS COUSE request a Wetland Permit to remove the existing wood steps; construct an attached wood deck and steps onto an existing one-story, one-family dwelling; and install drywells. Located: 1050 Dean Dr., Cutchogue. SCTM#116-5-12 The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP with the following conditions: 1. Placement of ha.y~ales during construction. 2. Drywell for the~._oSb~ackwash and drywells to contain roof runoff. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me at (631 ) 765-1938 if you have any questions regarding the above. Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New Y'ork 11971-0959 Telephone (631) 765-1892 Fex (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application '~'-Wetland Permit Application Major Waiver/Amendment/Changes -~'Received Application: ///,~OJO ~'- Received Fee :$ c:~ "5 .._~ompleted Application ]/ Incomplete SEQRA Classification: Type I Type II Unlisted __Coordirmtion:(date sent) ,~GAC Referral Sent: .-tgate oflnspection: /~l_//~/0~' · Receipt of CAC Report: .Lead Agency Determination: __ Technical Review: ..-Plablic Hearing Held: J~ff.-f/O Resolution: Minor 2005 Name of Applicant DAVID, PRESTON & MARY ANN IV[EARS AND THOMAS COUSE AddressC/O MARY ANN MEARS; 903 POPLAR HILL ROAD, BALTIMORE, MD 21210 Phone N umber: 410-599-9007 Suffolk County Tax Map Number: 1000 - 116-5-12 Property Location: 1050 DEAN DRIVE, CUTCHOGUE (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 ApplicOn Land Area (in square feet): 15,2,~1 Area Zoning: GENERAL DATA Previous use of property:.SiNOLE FAMILY RESIDENTIAL Intended use of property: NO CHANGE, Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): REMOVE EXISTING WOOD STEPS; CONSTRUCT AN ATTACHED WOOD DECK & STEPS ONTO AN EXISTING ONE-STORY, ONE-FAMILY DWELLING; AND INSTALL DRYWI~I.I.S, ALL AS DEPICTED ON THE SURVEY. PREPARED BY STAI~, EY .l. ISAKSEN, JR. DATED 25 OCTOBER 2005. ~oard of Trustees Applica WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: PROVIDE STRUCTURAL AREA FOR RECREATION ON WATERSIDE OF EXISTING DWELLING. Area of wetlands on lot: 0 Percent coverage of lot: 0 _square feet Closest distance between nearest existing structure and upland edge of wetlands: +/-75 feet Closest distance between nearest proposed structure and upland edge of wetlands: +/-64 feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated7 0 cubic yards How much material will bc filled? 0 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 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): B,Y INCORPORATING T/qE INSTALLATION ,OF DRYWELLS TO RECHARGE RUNOFF AND THE INSTALI.ATION OF A PROJECT-LIMITING FENCE DURING CONSTRUCTION,, THE PROPOSED PROJECT WILL HAVE NO ADVERSE IMPACTS ON THE ADJACENT TIDAL WATERS. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTROLD In the matter of applicant:DAVID, PRESTON S: ~4ARY ANN MEARS AND ~OMAS COUSE SCTM#1000- YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to Permit from the Board of Trustees to: REMOVE EXISTING WOOD STEPS; CONSTRUCT AN ATTACHED WOOD DECK & STEPS ONTO AN EXISTING ONF_,-STORY, ONE-FAMILY DWELLING; AND INSTALL DRYWELLS, ALL AS DEPICTED ON THE SURVEY PREPARED BY STANLEY $. ISAKSEN, JR. DATED 25 OCTOBER 2005. 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 1050 DEAN DRIYE, CUTCHOGUE 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public conmtent on:DECg~gR2{,2~5~7:~pm 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: DAVID, PRESTON 8: MARY ANN MEARS AND THOMAS COUSE C/O MARY ANN MEARS MAILING ADDRESS: 903 POPLAR HILL ROAD BALTIMORE, MD 21210 PHONE #: 4lO-599-0007 Eno. : Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: FLORENCE $. TAYLOR & ROBERT SHAW TAYLOR AS CO-TRUSTEES OF THE HARRY P. TAYLOR TRUST Address: 1045 DEAN DRIVE CUTCHOGUE, NY 11935 EDNA & HARRY McCALLION 914 WYNNEWOOD ROAD PELHAM, NY 10803 ROBERT & PATRICIA AYLWARD JANET GOLON 500 EAST 77TH STREET, APT. 1277 NEW YORK, NY 10162-0010 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERTE. HERRMANN doing business atEN-CONSULTANTS,~C. 1319NORTHSEAROAD SOUTHAIMPTON, NY l[~8 , being duly sworn, deposes and says that on the 14th day of DECEMBER ,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 Southoldl that said Notices were mailed at the United States Post Office at SOUTHAN~yFON ~ , that said Notices were mailed to each of said persons by (certified) ~) mail. Sworn to before me this ±4th ,20 05 ROB RT ¥, RRM U~IT I0:0968 '> Clerk: RFg?FO 4.42 12/14/05 Florence S, Taylor & Robert S. Taylor as Trustees of the Har~, P. Taylor Trust 1045 Dean Drive Cutchogue, NY 11935 ~ 0.3? t~/IT IB: 0968 (EndorsemerltRequlmd) 1.~ .; -x Ham 12/14/0~ Robert & Patricia Aylward Janet Golon 500 East 77th St., Apt. 1277 New York, NY 10162-0010 USE r 4.42 C1Qrk: ~0 Edna & Harry McCallion 914 Wynnewood Road Pelham, NY 10803 "1 14.16.4 (2/BT)--Texl t2 PROJECT I.D. NUMBER 817.2t Appendix C ERate Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Ooly SEQR PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) I APPLICANT/SPONSOR:DA~q[D' PRESTON ~ MARY ANN [ 2. PROJECT NAME ,EARS & THOMAS COUSE BY EN.-CONSULTANTS, INC. I 3 PROJECT LOCATION: Municipality CUTCHOGUE County SUFFOLK 4 PRECISE LOCATION (Street addmu and road intersections, prominent landmarks, etc, or provide map) 1050 DEAN DPd-VE, CUTCHOGUF~ TOVWI'q OF SOUTHOLD, SCTlVi 1000-116-5-12; MAP PROVIDED IS PROPOSED ACT [] New ~]NExp~nlion [] ModmcaUon/,Iterltlo, DESCRIBE PROJECT BRIEFLY: [~EMOVE EXISTING WOOD STEPS; CONSTRUCT AN ATTACHED WOOD DECK & STEPS ONTO AN EXISTING DNE-STORY, ONE-FAMILY DWELLING; AND INSTALL DRYWELLS, ALL AS DEPICTED ON THE SURVEY PREPARED BY STANLEY J. ISAKSEN, JR. DATED 25 OCTOBER 2005. 7. AMOUNT OF LAND AFFECTED Initially 0.35 acres Ultimately 0.~$ a~res WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [~3Yes [] NO If NO. descrlb~ briefly WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Re,identlal [] Industrial [] CommerOal [] A~HCUHUm [] Park Forest/Open space lo. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAL)? [] Yea [] No If yes, lIM agency(s) and pemlWapprovals IVYS DEC TIDAL WETLANDS 11. DOES ANY ASPECT OF THE ACTION 'HAVE A CURRENTLy VALID PERMIT OR APPR'OVAL? [] No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED AC]~I~N W1LL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PRODDED ABOVE lO TRUE TO THE BEST OF MY KNO~EDGE Appli~n~sponsor name ROBERT ~, COAST~ ~AG~NT SPEC~IST DATE NO--ER 29 2~5 If the action is in the Coastal Area, and you ara s state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 12/21/2005 13:23 YAZ 6312836 EN-CONSULTANTS,INC. [~o0~ Alb~ J. Krupskt. President Jmnos King, Vice-President Al~ie Fearer Ken Poliwoda P~/~r A. Dkkerson Town 53095 Route 25 P,O. Box 1179 Soutl~old, New York 11971-0966 T~l~phone (631) 765-1892 Fox (631) BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TKUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of .... ......................... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OFPOSTING I, Robert E. Herrmann .,~migir~. Eh-Consultants., Inc., 1319 North Sea Road, Southampton, NY being duly swor~ depose and say: That on the~J~day of ~ ,200za, I personally posted the property known as by placing the Board ;f Trust.s official poster whe/~ it can easily b~ seen, and that I have checked to be sure the poster has remained in place for gight days_vt/or to the date of the public hearing. Date of hearing noted thereon to be held ~1 b~. A.Oo~, ~-G ~)~1~,' ' . Dated: Sworn to b¢£o~ me ~his day of~ec~2005 of Trustees Application0 AUTHORIZATION (where the applicant is not the owner) (print owner of property) (mailing add~ess) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ( Owner ' s signature ) of Trustees Application0 AbT~ORI ZATION (where the applicant is not the owner) (print owner of property) residing at./.~//~/~/~ ~ (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. Owner's signature) of Trustees Applicati0 AUTHORIZATION (where the applicant is not the owner) I, ~,~ ~t~ ~ residing at~il~Pl~/[ ~ (p~i~ bwner of property) (mai ihg addies-s) ' do hereby authorize ( Agent ) E~- ~0~0%0~'~c~ to apply for permit(s) from the n my behalf. . ( Ow~ Signa~ ~ of Trustees ApplicationO AD'£'~ORI ZATION (where the applicant is not the owner) I, ~ ~ ~ ~,~. ~ residing at /~/~/ ~ ~ ~ (print o~e~ of pro~rty) (mailing ad~e~ ~~/~ ~1~ ~ hereb~ a~thorize ( Agent ) ~ ~~~ to apply for pe~it(s from the Southold~rd of To~ Trustees on my behalf. ( ~wne~rTM s -~ignature ) ~ Board of Trustees Application 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, THEE% AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVI~F THIS APPLICATION Signature / SWORN TO BEFORE ME THIS c~~'~-- DAYOF ~ ,200~ Board of Trustees Application County of Suffolk State of New York C_.o 3"6 BEINO PUnY SWOm, 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 TIlE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), ll* GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE_ PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME TillS t/,:te''~'~ DAY OF //o/;, r ,-'" ,20 ~ (- ~ STATE OF NJ EXPIRES 3/18./,"~ Board of Trustees Application County of Suffolk State of New York J~tSt. gl4 y~l'%~/~Z ~L3ff~ BEING DULY SWORN DEPOSES ~ AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE 1N 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 O,F~,~IT(S), 117 GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEm AGENT(S) OR REPRESENTATIVES(S), TO ENTER O~TO MY PROPERTY TO INSPECT THE PREMISE S IN CONJUNCTIO~~~,T,, ~. Signature SWORN TO BEFORE ME THIS /ff-44x DAY OF /~)'~,f/-- ,2005'"' Board of Trustees Application County of Suffolk State of New York · ~/$t {,./ I ~ 2' /'%'[ ~-'4-1~ 5- 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 nEST OF IIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TH/S APPLICATION AND AS MAY nE APPROVED aY 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 REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME TH/tS DAY OF %~z~ ,20D~" NAZEEHA PUBLIC OF NEW J.SRS~ I~ EXPIRES OCT. 10, Not a~ay Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to urovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necqssarg to avoid same. Your NME: o os , /7.34. {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 ) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other-, name the activity.) Do you personall3 (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 parmership, 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 555 oftbe shares. YES NO ~ If you anst~ered "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 applicanffagent/representative) and the toxvn 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 o~ ncr of greater than 5% oftbe shares of the coq~orate stock of the applicant (when the applicant is a corporation): __B) the legal or beneficial own~:r of any interest in a non-corporate entity (when the applicant is not a coq0oration); __C) an officer, director, p~mmer, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this ~~'(-o./7' 200t'' Signature Print Name APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc Town of Southold's Code of Ethics nrohibits conflicts of interest on thc Dart of town officers and cmnlovees. The OUt. SC of this form i~ to nrovide information which can alert the town of oossible conflicts of interest and allow it to t~ke whatever action is p~cessarv to avoid same. S/~ D ~ (Las[ name, first name, ~id~e initial, unless you ar~pplying 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 Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map _ Planning Other (If "Other". name the activin'.) Do you personalty (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 coq~oratinn in which the town officer or employee owns more than 5% of the shares, YES NO X __ If you ansx~ered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title o[ 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. Thc town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): _____A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation): __.B) the legal or beneficial owner of uny interest in a non-corporate entity (when the applicant is not a coq~oration); __C) an officer, director, par~er, or employee of the applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this ~day of~ ~ ~.~200 ~ Signature Print Name APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of SoBthold's Code of ]gthics vrohibits conflicts of interest on the t~arl of town officers and emolovees. The oumose of this.form is to provide information which can alert the town of ~ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. ~(Las-i~name, f'utst r[ame,~l[d-~l~ 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 ali that apply.) Tax ~ievance Building Variance Trustee Change of Zone Coastal Erosion Approval of p/at Mooring Exemption from plat or official map Planning Other (If"Other". name the activity.) Do you personally (or through your company, spouse, sibling, patent, or child) have a relationship with any officer or employee of the Town of Soathold? "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~hams. 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 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 than 5% of the shams 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 corpomtiun); ___C) an officer, director, partner, or employee of the applicant; or ___D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submi of 200 ~_ Signature' 1~,~ ~/~.~q*~ o PrintNa~ne ]-bttta, t'~ ~ ~', ~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics t}rohibits conflicts of interest on the oart of town officers and emnlovees. The numose of this form is to orovide information which can alert the town of oossible conflic~ of interest and allow it to take whatever action is necossarv to avoid same. YOUR N E: (Last name, first name, ~iddle 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 Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Otber", name the activity.) Do )'ou personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of SouthoM? "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 conporation in which the town officer or employee owns more than 5% of the shares. YES NO ~ If you answered '~¥ES", 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 cheek 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 than 5% of the shares of the coeporate stock of the applic0~nt (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 coq:~oratinn); ___C) an officer, director, parlner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Town of Southold INSTRUCTIONS 1. Fk~i~.~i.- .-: ........ : LWRP CONSISTENCY ASSESSMENT ',,.: ~0V 30 2005 ..'. All applicants for permits* including Town of Southold ager~cies, shal]~ix~l~'4his CC~ for proposed actions that arc subject to thc Town of Southold Wate~onz~s~ncyREv~c-i-~L-~w. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coaxtal Erosion Hazard/lrea. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si~aificant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- snonorting 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.nortlffork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 116 5 - 12 PROJECT NAME Mary Ann Mears, et al The Application has been submitted to (check appropriate response): TownBoard r-] Planning Board F-] Building Dept. ~] BoardofTrustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital [--] construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) PermiL approvfl, license, ceaificafion: ~] Nature ande~ent ofacfion: Remove existing wood steps: construct an attached wood deck & steps onto an exxsting one-story, one-family dweiiing! and install drywells, all as depicted on the survey prepared by Stanley J. Isaksen, Jr., dated 25 October 2005. Location of action: Site acreage:_ 0.35 acres Present land use: Re s ident ia 1, Present zoning classification: R-40 1050 Dean Drive, Cutchogue one-family dwelling 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: (b) Mailing address: (c) Telephone number: Area Code (). (d) Application number, if any: 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? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [] Yes [] No ['~ Not Applicable Anach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ~] Yes ~ No [] Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~ No ~ Not Applicable The project will be consistent with Policy 3 insofar as the proposed deck will be constructed in place of existing wood steps and over lawned areas. All existing natural vegetation will remain undisturbed and preserved. The project is also consistent with neighborinq uses and is screened frmm public view by the existing natural veqetated "dune" areas. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria [---1 Yes F--~ No [-~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria F~i Yes F~l No I I Not Applicable The project is consistent with Policy 5. as it will preserve existing buffer vegetation and incorporates the installation of drywells to recharqe not only potential runoff from the proposed deck but also roof runoff from the existing dwelling. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ~'~ Yes [~ No ~ Not Applicable The project is consistent with Policy 6~ as it will retain and preserve the existing natural buffer vegetation between the existing dwelling and surface waters of Great Peconic Bay. The addition of drywells to the site will ensure that there is no physical loss, degradation, or functional loss of ecological components of the Peconic Bay ecosystem as a result of this minor project. Attach additional sheets if necessary Policy 7. Protect and improve air quality 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 ~-~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. Yes [] No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southoid's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - 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 Peconie Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~ Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes ~ No ~ Not Applicable PREPARED BY ~ Robert E. ' I~errmann ~ TITLECoastal ManagementDATE 11/29/05 Amended on &7/05 EN-CONSULTANTS, INC. 1319 No~h Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsul~nts.com ENVIRONMENTAL CONSULTING November 29, 2005 Mark Terry, LWRP Coordinator Planning Board Town of Southold P.O. Box 1179 Southold, NY 11971 Re: Mears, et. al, 1050 Dean Drive, Mattituck Dear Mr. Terry: Attached please find an LWRP Consistency Assessment Form being submitted in association with an application for a Town Wetlands Permit being filed with the Board of Trustees, to alloxv for the removal and replacement of an existing bulkhead and incidental dredging to recover lost backfill up to 10 feet offthe bulkhead. I have indicated that all policies are "Not Applicable," because pursuant to §95-5(A) and the corresponding definitions of "action" and "minor action" by §95-3, the submission of a LWRP Consistency Assessment Form is not required for the bulkhead replacement, and I cannot determine how any of the listed policies would be applicable to the incidental dredging of lost backfill. Please contact me directly if you have any questions or require any further information regarding this submission. Coastal Management Specialist cc: Lauren Standish, Board of Trustees EN-CONSULTANTS, INC. 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTING November 29, 2005 Town of Southold Board of Trustees ; ' NOV ~: ' 2005 54375 Main Road Post Office Box 1179 Southold, New York 11971 ........ Atm.: Lauren Standish L_ David, Preston & Mar5' Ann Meats & Thomas Couse 1050 Dean Drive, Cutchogue SCTM #1000-116-5-12 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: Three (3) Wetland Permit Applications including a) Short Environmental Assessment Form; b) LWRP Consistency Assessment Form; c) Authorization & Disclosure Forms; and d) surveys One (1) set of site photographs. Application fee of $250.00 wetlands. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Robert E. Herrmarm Coastal Management Specialist /khs Eric. N Z O ~55 50.( ? Z 0 (PROPOSED.} DESCRIBED PROPERTY CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: DAVID R. MEARS. PRESTON K. ME/RS, MARY ANN E, M£ARS TNI# 1000-115-05-012 GUARANTEED TO: DAVID R. PRESTOH K. MAIRY ANN E JTHIS ENTIRE PARCEL IS FOUND IN FLOOD ZOt~E AE-~ ON MAP NUMBER 3~h)SCOSZ, 1 O, I 'OVED BY E." . OF TRUSTEES T .... ' C,F SOUTHOLD DAT~ i~/2, 1o,~ ~'~OTE: HIGH WATER WETLANDS LiNE EQUALS TIDAL WETLANDS BOUNDARY, AB DETERi~ilNED Ely EN CONSULTANTS, RIC. O~ OCT. 06, 2005. SURv£YED: 25 OCTOBER 2005 $CALL t"= 50' AREA = 15,241 $.F. OR 0.35 ACRES SURVEYED BY STAIdLEY J. ISA,klSEfJ, JR. P.O. BOX 294- ~EW S~U,FFOLK. H.Y. 1 ~956 / ~.,~EP,iiED /~'~D? SUR¥'EY~- ~Y5 L~ H~ 49~5R~ 44'~R2,3 iE'EC05