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HomeMy WebLinkAboutTR-6445 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Ir. 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 CERTIFICATE OF COMPLIANCE # 0185C Date January 8. 2007 THIS CERTIFIES that the bluff stairs At 1690 The Strand. East Marion, Suffolk County Tax Map # 30-2-61 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 8/28/06 pursuant to which Trustees Permit # 6445 Dated 9/20/06 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for bluff stairs The certificate is issued to JLH ASSOCIATES. LLC owner of the aforesaid property. r6<~ Authorized Signature . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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 151 day of construction Y:i constructed / Project complete, compliance inspection. r . . TERMS AND CONDITIONS The Permittee JLH Assoc.. LLC. residing at P.O. Box 1925. Southold. NY, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of South old. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result ofthe work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance ofthis permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 20,2006 Mr. John Hurtado JLH Assoc., LLC P.O. Box 1925 Southold, NY 11971 RE: JLH ASSOC., LLC 1690 THE STRAND, EAST MARION SCTM#30.2.61 Dear Mr. Hurtado: The Board of Town Trustees took the following action during its regular meeting held on Wed., September 20,2006 regarding the above matter: WHEREAS, JLH ASSOC., LLC applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the South old Town Code, the Wetland Ordinance of the Town of Southold, application dated August 28,2006, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 20, 2006, 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, 2 . . WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 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 JLH ASSOC., LLC to construct bluff stairs from top of bluff to beach, and as depicted on the survey prepared by Howard W. Young last dated August 8, 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 inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Jam1::g 0;; ~ President, Board of Trustees JFK/lms . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: cJ Lfi (} f)J)C( . Please be advised that your application dated~rn, reviewed by this Board at the regular meeting -ci-=:g] d.O I O~ following action was taken: has been and the ( 0 Application Approved (see below) L-) Application Denied (see below) L-) 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 Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: '=ttf\QJ l~~~ - ~ S-O,OD TOTAL FEES DUE: $ :;:n,OO BY: James F. King, President Board of Trustees . . Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., September 13, 2006, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of JLH ASSOCIATES, LLC to construct bluff stairs from top of bluff to beacl'l. Located: 1690 The Strand, East Marion. SCTM#30-2-61 Inspected by: Don Wilder The CAC Supports the application with the Condition the width of the stairs is verified, open mesh grating is used on the landings, there is minimal disturbance to the bluff, and there is no disturbance to the existing non-turf areas. Vote of Council: Ayes: All Motion Carried . . >z~~__>__/ Jr."".,..,,, ''''ON',..", ----? - !!~ ,,~.~'> " "j.)' %,,, ,....,""" 0<>'0> "'> r ie!!! I I Iii I ... I ~ ! ~ II'! ~Ji i j ~~ '~ :i"'ji I! II d Iw, 1:1 ; 0.. ; "" t' ," ,;1 ~,~ ;~ I ~~~ . Iii ~ P!;i~ , i!ji- ~ ~ ~ u~ '" ~~ s 1Bi~ '~"', 1, . ~ i 8 ! ~ ~ ~ , j i I ~t ~ Eli ~ ~ is e~ ~r ~.I" ~~..~ >- +- ill ~ ~~. ~",t U;j1" e "'-'l l' ,- "I' t! ~~; I ~ ,- ffi ~ " Ir ~ ',mi linE !: ~ II 1.1 i~ !h~~ ;;@) ~d~Hi Ijir! i iiii ~ !.. HIli I"" , ,'l'!! i i i i i i ..!I.I llll II Jd!.!J 'II I 'I 1,: d. 'J'! hIli J . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD _Coastal Erosion Pennit Application /\Vetland Pennit Application _ Administrative Pennit Amendment/Transfer/Extension _Iteceived Application: 'i I:l!J Clb ....d'teceived Fee:$ a. ~ _ .€ompleted Application ~ \~ fJ QL. _Incomplete _SEQRA Classification: Type I__Type II_Unlisted~ _ Coordination:( date sent) ,.-L WRP Consistency Assessment Form - CAe Referral Sent: rld,~ It>" ....d>ate ofInspection:$ (~ _Receipt ofCAC Report: _Lead Agency Detennination:_ Technical Review: ..,LPublic Hearing He~JD J C)b _Resolution: Office Use Only 'I '_. ^'l,r L l hUG t Jd-lJi)). ~If\+-~Q~'<. ~r CO<<\jllJl..hd..l.O .., Name of Applicant JLJ-i AS5OCIAT~S L.L-C / Address P.o. 130';<. 1'1;)5 SOU-rIlOL[) N./. 1197( / Phone Number:(h3~ ,:)'::3 - 4-3/7 Suffolk County Tax Map Number: 1000 - 3 D - 0..:2 - b ( Property Location: /b~O EASr TII~ STRAJJD , I11A1<../oAl #, distance to cross streets, and location) (provide LILCO Pol AGENT: (If applicable) Address: c~ c.". ~ ~ 'f>'" '&\~ hone: T ~Board of Trustees APPlicJllbn GENERAL DATA Land Area (in square feet): c2(;, ~30 I Area Zoning: /fESI f)r::JJ itA L RE)(D~l./flAL A r; 51 D ~I/ 11 A '- Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency SOU/I{OLD (1,UILD/JJ(" ceJ?./. OF 0 CCUf/A.J.lCY . Date .'i" - .:J - 0 <; 7-17- 0(, _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No ./ Yes If yes, provide explanation: Project Description (use attaclunents ifnecessary): BJ-l/F-F S 7A (tl.S r-Roll1 tD;? OF fyLuFF TO 8~Acl-l ~oard of Trustees APPlica~n WETLANDITRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 7E) C OJJ STRuc7 S /A I f(3 F~OM ToP OF !3LUFF Ie) (5eAclf Area ofwetlands on lot: o square feet Percent coverage oflot: I'/A . % Closest distance between nearest existing structure and upland edge of wetlands: dtfO:!:- feet Closest distance between nearest proposed structure and upland edge of wetlands: /O5':!:. feet Does the project involve excavation or filling? ./ No Yes If yes, how much material will be excavated? - cubic yards How much material will be filled? 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): veRY L(1f(~ I'D fJovr;: ----.- . . -:Ft.1{ ASSOCfA1c.-s L~~-fTI~, /'0, ~()f- /7;25 ri~j~!- ~ SOJ1f0 J-- 0 j/ 7- If 9 7~, SEP I I 6JI- 7{;,'S - r;,;;Z;2u I {; 3/ - ::J 5'3 - If -:3 (9 ~,- _.__.__L:~ ~ ' , 6 2006 .~' I _..1 I I _}; I; . ..~__-__I, 50v r/tOLI) IJ()M-~ of rllurlcv3 Sou1/foL()/ ~ 1, 1/97/ r/f/o~ A 5 CXV~(5)t oP TIf<< jl,tO,#exry K/.JDlYL/ A-5 /b~fO (f{C:f S(I'LIrW~/ GASI /if,4ItIO~/ J AU/,/kJJr.I-:r-B CArp'! /J'l1d5/A~() TO /le-fJ/ltSGa// /JI!3 /l(JCIf,l{~/PG- T~ 11lo~€<:r fa Lo~JrAvc( Sp.-IIlS F;toli'l TIf(j' 7G>f or- Tff(! j3LUrr (c) rlkJ 6e ",fel{. if/AI/I< 1"OLl.. VOHv L Hu/rf,AOo SA. )' I II il {I / I j J / I I I :,! I I . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: /G /0 ;Hf S1f?A/JD (oF-P. POLe/NO IVI/Cf/AfL / ./(,1-5 Tflr;; STf?AJJO i...J...C STATE OF NEW YORK COUNTY OF SUFFOLK Address: 3f-7o DOvG-LAJToA/ PK'-J,/ JO-'--b?l ()OU~L,kS10~ N.y' //343 55 eMU/fR.. I-.AI./G 30 -:2 - b{) 8AY sf/OII.{f IJ.(. //70,(, / /'f-2.0 /S'1--!J..5T. 30-2.-6d. gli~CHUI?S~ )/.'1 1/.30$7 SEP 6 2006 TaHA/ L. I-!Uf?TA{)O sIl. ,residing at 3'foC> /.../Cr/rrf.loUJr!' I<O}rD 'i()U1J.10Lf) , AJ. Y , being duly sworn, deposes and says that on the 3/ II day of A V &u 5 -r ' 20Qk., deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at SOu 1}{01.- 0 , that said Notices were mailed to each of said persons by (certified) (regi~teml) mail. ST Sworn to before me this / .~ Dayof SGPI. ,20Q,L blf-a A L ..//-d c; , Notary Public ~VJ-JL.M~ -;;Of/}./ L. (.-(u(tIADu S/? - 0L8A B. BEI.LEAIJ ~-'_oI__ NO. 112_ ~ in"- County t .. J' l Exp6ra Mnh 30. to . . Board of Trustees Application County of Suffolk State of New York 3"01-/,.) L. HuR..-rADO SP.. BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~~dUM SWORN TO BEFORE ME THIS {):r~ DAY OF AU Crus 1 ,20 !Z..f Ij -l:~AfAJ AJ~ Notary Public I ,:M$.. PROJECT ID NUMBER . I . PART 1.. PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only (To be completed by Applicant or Project Sponsor) SEQR ,. APPLICANT I SPONSOR 2. PROJECT NAME :::n..H )\.55C>C(^1?~.5, LLC- SEM IAI,ARA 3.PROJECT LOCATION: Municipality ~As1 !l1 AR I OtJ County SUFFOL-K 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ate ~ or provide map /(z, yo lifE 5 rfl.;\fJj) r;As1 f/'1A R. 10M 5. IS PROPOSED ACTION: [i?J New D Expansion D Modification I alteration 6. DESCRIBE PROJECT BRIEFLY: It> CO/JS/t<.VC r STAID F/lok1 /01 of !3LuFr 70 8~A cJ-I 7. AMOUNT OF LAND AFFECTED: Initially 0 acres Ultimately ;;0 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? SVes [J No If no, describe briefly: [1:AT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential 0 Industrial DcommerCia' DAgricu,ture D Park I Forest I Open Space o Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR UL TIMATEL Y FROM ANY OTHER GOVERNMENTAL ~CY (Federal, State or Local) Yes [J No If yes, list agency name and penmit I approval: 5ouTIIoL.D 130M/) C>F T~USrGre5 /VyJ DGC. 11. DOES A~SPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes No If yes, list agency name and permit I approval: 12. AS A %fYLT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? Oves No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE r Applicant I Sponsor Name 31-. H ! A 5 5j~ f j r e.5 L L C. Date 0/ z- <f 0 f, Signature '\, ~::J. Ii ~ :" J A . 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 bv Lead Aaencv) A. DDES ACTION :CEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. DYes UNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. DYes DNo c. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: L I C2. Aesthetic, agricultural. archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: [ I C3. Vegetation or fauna, fish. shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: I i C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: I I C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: I I C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: I I C7. Other impacts (includina changes in use of either quantity or tvee of enerav? Exelain brieflv: I I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain briefly: I DYes D No I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain DYes DNo I I PART 11I- DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic; scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all 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. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL EAF and/or prepare a positive declaration. Check this box If you have detennined, based on the information and analysis above and any supporting documentation, that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Name of Lead Agency Date Print or Type Name of Responsible Officer In Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of -----~-~---~ ~-,-------------------------------- COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, :SOJ.iN L. J-/uRTAJJo5R,residingat 3'i-DO J.../r;ffTllo(/5~ ((DAfJ 501)1 !-IokD, AJ.y. /I '17/ being duly sworn; depose and say: That on the!U day ofj fEPl ,200(, I personally posted the property known as /(;y, --... S D '" OJ./ \ by placing the Board of Trustees official poster where it c easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held U~, ~ "if , ~O I ~ .. t>" 0\ CI bltiI ":050 (110. Dated: 5ffft; JO ;100(. ~~1~L J~ (signa e) :rOH/./ L, (-{urZTAf)o St<. Sworn to before me this ).0 dayofJ"f1.200" Ll~O--t ~ Notary Public { CAAOlIlESr bII ~lL In __ll2007 , . . APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the Dart of town officers and emD)ovees. The Dumose of this form is to orovide information which can alert the town of DOssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: JLH A5.50C{ATi :JOHt.J 1-., (Last name, first name,J1liddle initial, less you are applying in the name of someone else or other entity, such a company. If so, indicate the other person's or company's name.) 5f?, NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity,) Building Trustee Coastal Erosion Mooring Planning .,/ Do you personally (or through your company, spouse, sihling, parent, or child) have a relationship with any officer or employee of the Town of Southald? "Relationship" includes by blood, rnarriage, or bus'iness interest "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO vi If you answered "YES", omplete the balance of this form and date and sign where indicated. Name of person employed b the Town of Southold Title or position of that person Describe the relationship between y rself (the applicant/agent/representative) and the town officer or employee, Either check the appropriate line A) through D) an describe in the space provided. The town officer or employee or his or her s se, sibling, parent, or child is (check all that apply): DESCRIPTION OF RELATIONSHIP _A) the owner of greater than 5% of the sh (when the applicant is a corporation); _B) the legal or beneficial owner of any interest in applicant is not a corporation); _ C) an officer, director, partner, or employee of the appli _D) the actual applicant. Form TS 1 S~bmiltedth~day~S:i 200~ SIgnature . "7. , Print Name -:;)ot!w L.. 1-1 {.)fl- TAOo .'fR, . . Town of South old L WRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of South old 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. 2. 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 South old Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus. each answer must be explained in detail. listine: both SUPDortine: and non- sUPDortine: facts. If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the L WRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.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# 30 O~ _ 'I PROJECTNAME J'"LH ASSOCIAtES L-Lc/S~JY1ltJAR.A I The Application has been submitted to (check appropriate response): Town Board D Planning Board D Building Dept. D Board of Trustees rn I. 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) ~ D (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: D Nature and extent of action: ---I.o CoAls/RVer S1AI/l..5 ff<ofl1 101' or: BLUFF fa ;3r;AcH . . Site acreage: /b'10 -rile S1/'p../JD ,;('.~30 5o.Ff I eAsT /'IiA(l.../oj/ Location of action: Present land use: P,ES{~f:1J1IAL. Present zoning classification: 1<~51 De/.! (fAt..- 2. 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: It.. H A5.5oClATeS Li...C (b) Mailing address: Po. hmc 19;(5 . 5ou1f/OL-/) . /J. y. / /17/ / (c) Telephone number: Area Code~.?f 5:5'3 ~ 1-3/7 (d) Application number, if any: IV/A Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes G NoD If yes, which state or federal agency? A/7SDGC 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 L WRP Section III - Policies; Page 2 for evaluation criteria. DYes D No ~ Not Applicable Attacb additional sbeets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria DYes D No G Not Applicable . . Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria DYes [J No [3' Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria DYes [J No G 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 DYes [J No GNotAPPlicable 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. o D B r 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. DYes [J 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 L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes [] No G 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. D YeD NO~ Not Applicable Attach additional sheets if necessary WORKING COAST pouls . Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L WRP Section 111- Policies; Pages 47 through 56 for evaluation criteria. DYes [] No G 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 L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes [] No G Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See L WRP Section III - Policies; Pages 62 through 65 for evaluation criteria. DYes D NoG 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. DYes [] No c:1 Not Applicable ~ J_ ~J-. PREPARED BY:J2.Jf A:>soC/41ES, LL- C TITLE D vJ AI lEI<.. DATE !/.2t~4 I \.. . . ~.. ~ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM 'Or.? \ \ 1I:I:jQ A. INSTRUCTIONS 1. All applicants for pennits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Soi\:thold Waterfront Consistency Review Law. This assessment is intended to supplement other infonnation used by a Town of South old agency in making a detennination of consistency. *Except minor exempt actions including Building Permit and other ministerial permits not located within the Coastal Erosion Hazard Area 2. Before answering the questions in Section C, the preparer of this fonn 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). 3. If any question in Section C on this fonn is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a detennination that it is consistent to the maximum extent practicable with the L WRP policy standards and conditions. If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the L WRP is available in the following places: online at the Town of Southold's web site (southoldtown.northfork.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 2 - 61 SCTM# 30 The Application has been submitted to (check appropriate response): Town Board Planning Dept. Building Dept. X Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit. aooroval.license. certification: Nature and extent of action: Construction of 4' x 105' timber stairway along face of bluff for beach access . . Location of action 1690 The Strand. East Marion Site acreage: .6 Present land use: sinale familv dwellina Present zoning classification: R-40 2. 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: JLH Associates. LLC (b) Mailing address: P.O. Box 1925. South old. NY 11971 (c) Telephone number: Area Code 631-553-4319 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes No Jfyes, which state or federal agency? NYSDEC. 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 L WRP Section III - Policies; Page 2 for evaluation criteria. Yes No Not API)licable Construction of a stairway at this site is proposed in a manner consistent with the current standards and has no impact on the "pattern of development in the town". Policy 2. Protect and preserve historic and archaeological resources ofthe Town of South old. See L WRP 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 L WRP Section III - Policies Pages 6 through 7 for evaluation criteria Yes No Not Applicable - Attach additional sheets if necessary NATURAL COAST POLICIES I . . . . Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See L WRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See L WRP 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 South old ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See L WRP 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 South old. See L WRP 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 I'olicy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of South old. See L WRP Section III - Policies; Pages 38 through 46 for evaluation criteria. Yes No Not Applicable . . . , Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L WRP 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 L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes No Not Applicable The proposed activitv will promote recreational use of marine resources. allow for boat access with minimal disturbance to bay bottom Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See L WRP 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 L WRP Section III - Policies; Pages 65 through 68 for evaluation criteria. Yes No Not Applicable Created on 5/25/05 11:20 AM