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HomeMy WebLinkAboutTR-6192Albert J. Krupski, President James King, Vice-President Artie Foster Ken Peliwoda Peggy A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 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 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 August24,2005 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Patricia C. Moore, Esq. 51020 Main Rd. Southold, NY 11971 RE: LEWIS & HELAINE TEPERMAN 1225 AQUAVIEW AVE., EAST MARION SCTM#21-2-16 Dear Ms. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wed., August 24, 2005 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of LEWIS & HELAINE TEPERMAN applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 28, 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 August 24, 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, 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 LEWIS AND HELAINE TEPERMAN for four foot wide stairs and one 4'x4' platform in the middle with the condition that the bluff be replanted after construction and all as per plans drawn by Creative Environmental Design dated January 2006. 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 ~nspection. (See attached schedule.) This is not a determination from any other agency. Fees: $50.00 Very Truly Yours, Vice-President, Board of Trustees JFK/hkc Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK ISSUED TO ................... ~.~...~....~;q~:~.~]~...Z~.~ ............................................ Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893, and Chapter ~t of the ,I.~, ws of the · State of New York 1952; and fha Southold To~n Ordinance titled ."REGULATING AND THE PLACING OF OBSTRUC:I'IC)HS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, <~RAVEL' OR OTHER MATERIALSJ:[OM LANDS UNDER TOWN WATERS:~, and in accoedance wlfh 'the Resolution of The Board adopted afa meeting held on .Au..g.....=Z~= ..... .20.g..5....., and in consideration of the sum of $......~.g.~.~._ paid by Lewis & Helaine Teperman of ................... .~.~.~.~...~:~:~:~ N.Y. and subject to the Terms end Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit construct four foo~ wide stairs and one 4' × 4' platform in the middle witb~ the condition that the bluff be replanted after construction and all as per· plans dra~ bv Creative Environmental Design dated January 2006. all in accordance with the deteiJed specifications as presented in · the odginafing appficafion. IN WITNESS WHEREOF. The said Board Of Trustees here- by causes its Corporate Seal to be a~xed, and these l~.resents to be subscribed by a'majorlty of the smd Board .as of this date. -. TERMS ~nd CONDITIONS Lewis & Helaine Teperman 1225 Aquaview Ave., East ~Mari0n ..... ~. Y~ U That m;, D' .,r~ic should I~ ~"~h,,xl ludeieugl~.ly, or ss lo~ ~ the s~kl P~,~ittee wlsh~ malat~ th~ s*ma~e or p~oject involved, to pro, de t-Mden~ ~o ,~yoae m~-i,,~l that suth- That the wo~ involved ~ be ~ubject to th~ ~ md apFov~l o~ che ~ o~ ~genu, sncl [m-complla~e with the pzovisiom of the o~,~,,g spldlc~lio~ ~ b~ ~ fo~ [~catioa of this _1~¢ b~ ~soluflou o~ the s~icl ~ That tlz~e will be no unl~aso~le interfel~ce with navi~on as · s~ult of the · _ .' . , .... ,... ~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Tov~n 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 Please be advised that your application dated ~/el ~')0 ~* reviewed by this Board at the regular meeting of ~/~ [}/0~'- following action was taken: has been and the ( ,.,")Application Approved (see below) ( )Application Denied (see below) ( )Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. .The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ SIGNED: PRESIDENT, BOARD OF TRUSTEES Aug. 17, 2005 Field Inspe ~i~n Aug. 17, 2005 Field Inspe~i~n Aug. 17, 2005 Field Telephone (631) 765-1892 Towa Hall 53095 Route 25 P.O. Box 1179 Southold, New York 1 t 971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., July 13, 2005, the following recommendation was made: Moved by Jennifer Mannino, seconded by Don Wilder, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH CONDITIONS of the Wetland Permit application of LEWIS & HELAINE TEPERMAN to replace or repair the existing stairs, landings and supports. Located: 1225 Aquaview Ave., East Marion. SCTM#21-2-16 The CAC recommends Approval of the application with the Condition the widths of the landings are reduced and there is no disturbance to the bluff. Vote of Council: Ayes: All Motion Carried Jtme 15, 2005 Field 6 3:22 PI,! June 15, 2005 Field Inspec~ 2;22 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 OF SOUTHOLD Board of Trustees Field Inspection f Photos taken June 15, 2005 Field Inspectio~ 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 OF SOUTHOLD June 8, 2005 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Lewis and Helaine Teperman 1225 Aquaview Ave., East Marion SCTM# 21-2-16 Trustee Application for Replacing/Repairing Stairs to beach Dear Ms. Moore: As per your request for an emergency permit for the above referenced project, the Board of Trustees has reviewed the above referenced application and determined that the current condition of the stairs places them in the category of the regular application process. The application will be on the agenda at the July 20, 2005 Trustee Public Heating. Please contact our office with any further questions. Sincerely, Heather Tetrault Environmental Technician Cc: Lewis and Helaine Teperman PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 June 24, 2005 M~g~etRutkowski Secmt~y Southold Town Trustees P.O.Box 1179 Southold Town Hall Main Road, Southold, NY 11971 Re: Lewis Teperman, MD SCTM#1000-021-02-016 Dear President Krupski and Board: In accordance with the last meeting, the existing stairs to the beach require immediate repairs and/or replacement. The house is a summer home and the stairs to the beach are the only access which are used extensively in the summer. We have requested an emergency permit because the stairs are unstable, the stairs sway and the runs are rotten. The stairs are extremely dangerous. Very truly yours, cc: Dr. Teperman Albert J. Krupsld, 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) BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Pen'mt Application ~ZWetland Permit Application Adminislxative Permit Amendment/Transfer/Extension __Received Application: __Received Fee:$ __Completed Application C r~ e~t~ 6iqc I ~Incomplete __SEQRA Classification: Type I Type II Unlisted __Coordination: (date sent) CAC Referral Sent: __Date of Inspection: __ __Receipt of CAC Report: __ __Lead Agency Determination: __Technical Review: __ __Public Hearing Held: Resolution: Name of Applicant Address Phone Nmnber:( ) '7".e? c.'4.",,.'m cz 4-',., 77'5 - o/-7 Shffolk County Tax Map Number: 1000 - c~/- Property Location: /~.~ (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: ~~/~ ~Y //qT/ _Phone: Board of Trustees Application Land Area (in square feet): Area Zoning: Previous use of property:_ Intended use of property: GENERAL DATA Prior permits/approvals for site improvements: Agency Date X 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: 'OS/ Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: ~-~ ° c'~'~:' square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: /5" feet ('-m/v Closest distance between nearest proposed structure and upland edge of wetlands: /5- feet Does the project involve excavation or filling? '~' No Yes If yes, how much material will be excavated? O cubic yards How much material will be filled? dD cubic yards Depth of which material will be removed or deposited: ~ feet Proposed slope throughout the area of operations:__ Manner in which material will be removed or deposited: / 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: /'~/,~,c~ ~:c-~ Are wetlands present within 100 feet of the proposed activity? No ~/ Yes Does the project involve excavation or filling? ~ No Yes If Yes, how much material will be excavated? How much material will be filled? Manner in which material will be removed or deposited: ,(cubic yards) (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: Municipality 61720 SEQR APPENDIX C. STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by A}plicant or Project Sponsor) 2. PROJECT NAME County 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 5. IS PROPOSED ACTION: [] New [] Expansion 6. DESCRIBE PROJECT BRIEFLY: E~Modificadon/alteration /,~ /~,¢* ,~1,/~/4~¢.~. 7. AMOUNT OF LAND AFFECTED: Initially ' ~.~'~, acres , '~ Ultimately,'~/(¢ acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? r~Yes [] No It no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.} [~ Residential E~ Industrial [~] Commercial [~]Agriculture E] Park / Forest / Open Space E~Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E]Yes r-~lNo If yes, list agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? F--lYes ~No If yes, list agency name and permit / approval: 12 AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? E3ces I No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE If the action is a Gostal ~roa, and you aro a stato complete tho Coastal ~*sossment Form before proc~edln~ with this PART fi - IMPACT ASSESSMENT (To be completed by Lead Agency) A DOES ACTION EXCEED ANY TYPE I THRESHOLD iN 6 NYCRR, PART gt7.47 If yes, coordinate the review process and use [he FULL EAF ~] Yes E]No B WiLL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN B NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) O1Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic paitern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2 Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain bdefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a chonge in use or intensib/of use of land or other natural resources? Explain bdelly: C5 Growth, subsequent development, or related activities likely te be induced by the proposed action? Explain bdefly: Cfi~ Long term, short term, cumulative, or other effects not identified in Ct-CS? Explain briefly: C7. Other impacts {including changes in use of either quantity or t~.~o2 energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)~. (If yes, explain bdefl)': E. IS THERE, OR IS THERE LIKELY TO BE. CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes expiate: PART itl - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia]~arge~imp~r~ant~r~the~isesi~ni~cant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (bi probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (fi magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacLs have been identified and adequately addressed. If question d of part ii was checked yes, the determination ofsignificsnce must evaluate the potential impact of the proposed action on the environmental characteristics oRhe 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 positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actior WILL NOT resufi in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination. Name of Lead Agency Date Print or Type Name of Responsitile Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Board of Tru~teem AppLicatioa AUTHO~-I ZATION' (where the applicant is not the owner) {print owner/ of property) ( mai~ing do hereby authorize (Agent) to apply for permit(s) from the $ou~hold Board of Town Trustees on my behalf. { 0wne~s s~e } 8 stoneengineerin c Building & Design Consultants 38-7'0 Review Avenue, 2nd Floor Long island City, New York 11101 Telephone: (718) 361-6708 Facsimile: {718) 361-6709 August 15, 2005 By UPS Next Day Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Re] Unstable/Poorly Designed Bluff Stairway 1225 Aquaview Avenue (Teperman Residence) East Marion, NY 11939 Dear Ms. Moore, On August 6, 2005, we visited the subject property to survey the existing bluff stairway. The stairway is of wood construction; contains four (4) straight flights (flights vary in height); five (5) landings; and, yields a total height of approximately 40 feet. We have attached six (6) photographs for your reference. Flight 1 - The riser:tread ratio is 80 and the angle of pitch is 43°. The preferred ratio between the riser and tread ora stairstep is between 72 and 75; the preferred angle of pitch is between 280 and 36°. The angle of pitch which a stair is considered to be uncomfortable or unsafe is 50°. The columns and/or footings of this flight are unstable; the entire flight and its lower landing wobbles as you ascend or descend the stairway. Flight 2 - The tread of each stairstep varies between 9-inches and 12-inches and the riser of each stairstep varies between 7-inches and 9-inches. The riser:tread ratio varies between 63 and 108 and the average angle of pitch is 40°. In addition, the rail height varies between 28-inches and 35-inches. The columns and/or footings of this flight are unstable; the entire flight and both landings wobble as you ascend or descend the stairway. The upper landing is pem~anently shifted toward the east (Photo #3) and the top rail has pulled away from the rail post (Photo #6). In addition, the lower landing has a 0.08 slope (Photo #4) and it appears that minor repairs have been conducted in the past (Photo #5). www,stoneengineedngpc.com Building & Design Consultants Patricia C. Moore, Esq. - 2 - August 15, 2005 Flight 3 - The riser:tread ratio is 110, the angle of pitch is 45°, and the rail height varies between 24-inches and 35-inches. The upper landing is common with the lower landing of flight #2; its existing condition is described above. Flight 4 - The tread o£each stairstep varies between 10.5-inches and 13-inches and the riser of each stairstep varies between 7-inches and 11-inches. The riser:tread ratio varies between 73.5 and 143 and the average angle of pitch is 42.5°. In addition, the rail height vas/es between 26- inches and 30-inches. It is our opinion that the entire bluff stairway is unsafe and its condition justifies the need for emergency repair or replacement. ~ Trusting that the above vdll be of service to you, we remain, Y_om s truly, Evan Petkanas, P.E. EP:ep Enclosures: Six (6) Photographs Lewis W. Teperman, M.D. (200 East 32 Street, New York, NY 10016) Office www.stoneengineefingpc.com Building & Design Consultants LONG ISLAND $ 87'57'55"E 40.01' ,~P~'ROX.~¥ mis S 0 UND x, HAZA~B-MNE 2_STORY RESIDENCE TIE= EAST SURVEY' OF DESCRIBED PROPERTY SITUATE MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: LEWIS TE'PERMAN HELAINE TEPERMAN TM# 1000-021-02-016 MAY 'I 7 Board of Trustees GUARANTEED TO: LEWIS TEPERMAN 16 MAY 05 HELAIN[ TEPERMAN 26 APR 05 ~25 MAR 05 29 APR 04 CHANGE NAMES ON MAP. ADD CONTOUR LINES ON BLUFF, COASTAL EROSION HAZARD LINE UPDATE DECK AREAS ~3ELOW BLUFF LINE CORRECT STREET NAME SPELLING, SURVEYED: 5 APRIL 2004 SCALE 1"= 40' AREA = 72,457.7 SF. OR 0.286 ACRES SURVEYED BY STANLEY J. ISAKSEN, ,JR. P.O. BOX 294 NEW SUFFOLK. N.Y, 119~,,~ ~ ~/,34-5~5 / // //NYS Lic. 1No. 49,275 Albert J. Krupski, President James King, Vice-President Attic 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) 7654~'~o(~t1 [ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~7,~wOaStal Erosion Permit Application etland Permit Application Administrative Perm/t AmendmenqTrans fer/Extension · ~ece~vved Application: ('~ .4keceived Fee:$ cPdY'lD ~ .-~ompleted Application __Incomplete __SEQRA Classification: Type I Type II__Unlisted__ Coordination:(date sent) Referral Sent: ~ate of Inspection: __Receipt of CAC Report: __Lead Agency Determination: Technical Review: --~ublic Heating Held: ~9/o?qO Resolution: Name of Applicant Address 6200 ~- 02/2 Phone Number:( /V, Y. / /v, 7'. 777- o/7 Suffolk County Tax Map Number: 1000 - cQ/- Property Location: / c~ .~ /Z~ ? (/ct 6//)~,-] (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: ~"'l 0?__.-0 5'~6~%cld '&bY* 1/?7/ Phone: Board of Trustees Application Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA 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): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:__ Area of wetlands on lot: Percent coverage of lot: square feet % Closest distance between nearest existing structure and upland edge of wetlands: /5' feet ('~.~v C.~c~L) Closest distance between nearest proposed structure and upland edge of wetlands: /b- feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? 0 cubic yards How much material will be filled? ~ cubic yards Depth of which material will be removed or deposited: t~ Proposed slope throughout the area of operations:_ Manner in which material will be removed or deposited: 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Are wetlands present within 100 feet of the proposed activity? No X Yes Does the project involve excavation or filling? ')(. No Yes If Yes, how much material will be excavated? How much material will be filled? ~ Manner in which material will be removed or deposited: (cubic yards) (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) PROJECT ID NUMBER PART 1 - PROJECT INFORMATION t. APPLICANT / SPONSOR LOCATION: 617.20 SEQR APPENDIX C. STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by A3plicant or Project Sponsor) 2. PROJECT NAME County 4. PRECISE LOCATION: Street Addess and Road intersections, Prominent landmarks etc -or provide map 5. IS PROPOSED ACTION: [] New [] Expansion 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially ' Z~ acres . ~ Uflimatelyo'-~"~ apres .~C~ 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [] Yes [] No If no, describe briefly: WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [~ Residential E~ lndustdal r~ commercial [~Agriculture [] Park l Forest l Open Space ]Other (descdbe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ]Yes ~No If yes, list agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes r~No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [~es []No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ^pplicant, O ."ff Signature. / '//~/ ~ If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 3 PROJECT LOCATION: 4 PRECISE LOCATION: Street Addess and Road Intersections. Prominent 617 20 SEQR APPENDIX C. STATE ENVIRONMENTAL QUALI~Y REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2 PROJECT NAME landmarks etc -or arovlde map 5.,S PROPOSED ACTION: [] New []Expansion [~Modif~cation/alleration ,k~l /~-~-~" '~p/4~ /'~7~4a 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF ~ND AFFECTED: Initially ' Z~ acres , '~ Ultimately, ~ acres . ~ 8. ~LL PROPOSED ACTION COMPLY WITH ~ISTING ZONING OR OTHER RESTRICTIONS? [] Yes [] No If no, describe briefly: 9. WHAT IS PRESENT ~ND USE IN VlCINl~ OF PROJECT? (Choose as many as apply.) [~ Residential [~ Industrial E~ Commercial E~]Agriculture r~ Park / Forest / Open Space E~ other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E~Yes r-'%~No If yes, list agency name and permit / approveh 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes ~-~No If yes, llst agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Spons.9or--N~ -~/~?~'~P~ ~r'~ .~C4'zTL''' Signa[ure If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A DOES ACTION EXCEED ANY TYPE t THRESHOLD iN 5 NYCRR, PART 617.47 If yes, coordinate the review process and use the PULL EAF B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN S NYCRR, PART 617.67 If No, @ negative declaration may be superseded by another involved agency C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Ct. Existing air quality, sudace or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natum~ or cultural resources; or community or neighborhood character? Explain bdefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain bflefiy: 1 C4. A community's existing plans or goals as offidafly adopted, or a change in use or intensfly of use o land or other naural resources'~ Explain briefly' O?. Other impacts (including changes in use of either quantity or type of energy? Explain bdefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONM E NTAL AREA (CEA)? (If yes. explain briefly: E. IS THERE. OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubst~ntia~~~arge~importan~~r~therwisesigni~cant~ Each affect should be assessed in connection with its (a) setting (i.e, urban or rural); (b) probability of occurring; (c) duration; (d) irreversibJlity; (e) geographic scope; and (0 magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that ail relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Ch ack this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed direcUy to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed acflor WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the geasons suppeding this determination. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Tgle of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Board of Trustees AU~f~O~I~ATIO~ (where the ~pplicant is not the owner) (mailing address) do hereby au'=homize. (Agent) to apply ~or per.it(s) from the S0u~hold Board of Town Trustees on my behalf. ( Owne~ s~e ) 8 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971-4616 Tel: (631) 765-4330 Fax: (631) 765-4643 July 14, 2005 Southold Town Board of Trustees Southold Town Hall PO Box 1179 Southold, NY 11971 Re: Premises: Hearing: Lewis and Helaine Teperman 1225 Aquaview Avenue, East Marion July 20, 2005 Dear Ladies/Gentlemen: Enclosed please find the Affidavit of Posting for the above reference matter, along with two (2) returned receipts received to date. PCM/mr Encls. Ve~ trul,y yours, Patricia C. Moore SOUTHOLD TOWN BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK In the Matter of the Application of Lewis and Helaine Teperman AFFIDAVIT OF SIGN POSTING Regarding Posting of Sign Upon Applicant's Land Identified as 1000-21-2-16 COUNTY OF SUFFOLK) STATE OF NEW YORK) I, Patricia C. Moore, residing at 370 Terry Lane, Southold, NY 11971, New York, being duly sworn, depose and say that: On thel0th day of July, I personally placed the Town's official Poster, with the date of hearing and nature of my application noted thereon, securely upon the property, located ten (10) feet or closer from the street or right-of-way (driveway entrance) - facing the street or facing each street or fight-of-way entrance*; and that I hereby confirm that the Poster has remained in place for ten days prior to the date of the subject heating date, which hearing date was shown~~ Sworn to before me this 12TM day of July, 2005 14AR(~,RET C. RUTKOW~KI *near the entrance or driveway entrance of my property, as the area most visible to passersby. PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 June 24, 2005 Margaret Rutkowski Secretary Southold Town Trustees P.O.Box 1179 Southold Town Hall Main Road, Southold, NY 11971 Re: Lewis Teperman, MD SCTM#1000-021-02-016 Dear President Krupski and Board: In accordance with the last meeting, the existing stairs to the beach require immediate repairs and/or replacement. The house is a summer home and the stairs to the beach are the only access which are used extensively in the summer. We have requested an emergency permit because unstable, the stairs sway and the runs are rotten. extremely dangerous. the stairs are The stairs are Very truly yours, cc: Dr. Teperman 242005 SoutholdTown Bosrd of Trusteet PATR/CIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971-4616 Tel: (631) 765-4330 Fax: (631) 765-4643 JUL l] 2O05 Southold Town Board of Trustees July 8, 2005 Southold Town Board of Southold Town Hall PO Box 1179 Southold, NY 11971 Trustees Re: Premises: Hearing: Lewis and Helaine Teperman 1225 Aquaview Avenue, East Marion July 20, 2005 Dear Ladies/Gentlemen: Enclosed please find the Affidavit of Mailing with certified receipts for the above application. PCM/mr Encls. four (4) pae~.~Ltru ly yours, SOUTHOLD TOWN BOARD OF TRUSTEES TOWN OF SOUTHOLD:NEW YORK In the Matter of the Application of Lewis and Helalne Teperman (Name of Applicant) AFFIDAVIT OF MAILINGS COUNTY OF SUFFOLK) STATE OF NEW YORK) I, Vanessa Craigo residing at Cutchogue, New York, being duly sworn, depose and say that: On the 7th day of July, 2005, I personally mailed at the United States Post Office in Southold, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of the attached Legal Notice in prepaid envelopes addressed to current owners shown on the current assessment roll verified from the official records on file with the ( X ) Assessors, or ( ) County Real Property Office Southold, for every property which abuts and is across a public or private street, or vehicular right-of-way of record, surrounding the applicant's property. (Signature)" Vanessa Craigo Sworn to before me this 8th day of July, 2005 t o ary u ic) MAROAR · NOta~/Public. 8t~e of New YO~ No. 498E6E8 ~uallfl~l In Surfak ~ ,.~ ~ ~,"7 ~.~m~,~Exp~m~J,n~. ~"¥ / PLEASE list, on the back of this Affidavit or on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. FEES: Postage 060 Certified Fee 2,30 Return Receipt 1.75 TOTAL $ 4.65 POSTMARK OR DATE RECEIP¥ 7192 6463 3~1 0413 SEN~ T( ~ / FEES: Postage 0.60 Ce~ed Fee 230 Retum Receipt 175 Restdcted TOTAL $ 4.65 POSTMARK OR DATE 5440 NORTH OCEAN DR. APT FEES: Postage 0 60 Cedified Fee 2.30 Ream Receipt I 75 Restdcted TOTAL $ 4.65 POSTMARK OR DATE RECEIPT 167 FEES: Postage TOTAL $ 4.65 POSTMARK OR DATE PATRIClA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 BY CERTIFIED MAIL RETURN RECEIPT REQUESTED July 7, 2005 r RE: LEWIS & HELAINE TEPERMAN PREMISES: 1225 AQUAVIEW AVENUE, EAST MARION SCTM # 1000-21-2-16 Dear Neighbor: My clients, Lewis and Helaine Teperman, are seeking approval from the Southold Town Board of Trustees to replace or repair the existing stairs, landings and supports as well as previous application for repairs to the existing beach house structure located on their property at 1225 Aquaview Avenue in East Marion. The hearing on this matter has been scheduled for Wednesday, July 20, 2005 at 7:00 p.m. at Southold Town Hall. If you have any questions, or you wish to support this application, please do not hesitate to contact me. PCM/bp encls. C: Dr. and Mrs. Lewis Teperman Very truly y/ours, Patricia C. Moore LONG ISLAND S 87'57'35"E 40.01' SO UND DESCRIBED PROPERTY F__~STMARION, TO~N OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: JOANNA CIANNOPOULOS SUF?VEYED 8Y STANLEY d. JSAKSEN. JR P.O. BOX' 294 NEW SUFFOI.K NY it95~, _.~YS Lic. No 49273/ NEIGHBOR LIST; LEWIS & HELAINE TEPERMAN SCTM: 1000-21-2-16 RICHARD AND NORMA MOELLER 59 IDELL ROAD VALLEY STREAM NY 11580 SCTM: 1000-21-2-15 ALBERT PALUMBO PO BOX 602 EAST MARION NY 11939 SCTM: 1000-21-2-14 GEORGIA C. LAMBROU REVOCABLE TRUST 5440 NORTH OCEAN DRIVE, APT. 1506 SINGER ISLAND FL 33404 SCTM: 1000-22-2-1 GEORGE AND ANTHOULA KAITERY 167-18 71s'r AVENUE FLUSHING NY 11365 SCTM: 1000-22-1-2.1 Robert G. Kassner Legal Assistant PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 7654643 Margaret Rutkowski Legal Secretary July 7, 2005 Albert J. Krupski, President Town of Southold Board of Town Trustees Town Hall 53095 Route 25 P. O. Box 1179 Southold, NY 11971 Re: Lewis & Helaine Teperman East Marion SCTM# 1000-21-2-16 Dear Mr. Krupski, Enclosed, as requested, is a revised completed LWRP form. If you have any questions, please contact this office. Very truly yours, Encl. Town of Southoid LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and 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 poli~y 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 pohcy 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.net), the Board of Tms(ees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM Y-/ .2./ d The Application has been submitted to (check appropriate response): Town Board [] Planning Dept., [: Building Dept. F-] Board of Trustees .r~. 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) Co) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: --~ - Location of action: Site acreage: Present land use: 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: ~f~]/~'/,~ x]-- J-//.;~_ ,~/./,,/jC ~-ff ]gff~7 yT/] F</t/-,[ (b) Mailing address: ~---~//C3 ~y<) 7-/[91f_~' / F'~ C- J/Y) ~53 <3 ~x~ ~ (c) Telephone number: Area Code ( ) (d) Application number, if any: 7dj---/4--.._730 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? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Sonthold 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. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LVVRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes [~ No ~1 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 ~t~ach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~ Yes ~ No [] NotApplieable . 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 ~] Yes [-~ No ~Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. [] Yes [] No~' Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. See Section III - Policies Pages; 34 through 38 for evaluation criteria. [] Yes D No~-~ Not Applicable Attach additional sheets ffnecessary 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. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See 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 Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes ~-] NoJ~ 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 1II - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [] No,,~ Not Applicable