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Home My WebLink AboutTR-6426 . . 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 SOUTH OLD 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 15t day of construction Y. constructed t./ Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee Marc Rubenstein. residing at Madeline Ave.. Fishers Island, 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 Southold. 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 of the 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 of this 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 August 23,2006 Mr. Glenn Just J.M.O. Environmental Consulting, Inc. P.O. Box 447 Quogue, NY 11959-0447 RE: MARC RUBENSTEIN MADELINE AVE., FISHERS ISLAND SCTM#6-7-7 Dear Mr. Just: The Board of Town Trustees took the following action during its regular meeting held on Wed., August 23, 2006 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting on behalf of MARC RUBENSTEIN applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated July 21, 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 268-5.H, said application was found to be Consistent with Policy 6 of the Local Waterfront Revitalization Program policy standards, by the Board of Trustees, because of the upgraded sanitary system, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 23, 2006, at which time all interested persons were given an opportunity to be heard, and, 2 . . WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the South old 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 MARC RUBENSTEIN to construct an addition, deck, and terrace onto an existing single-family dwelling and to construct an addition and porch onto an existing cottage, and as depicted on the plan prepared by Richard H. Strouse last dated June 7, 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: $50.00 Very truly yours, Jame1:: G( ~ President, Board of Trustees JFKllms . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: vrn(lU\ c. ~ 11Ln6U, ,,' Please be advised that your application dated r; Ii/..llo{" reviewed by this Board at the regular meeting of . rJ,J~/N. following action was taken: . . has been and the ( ./ ) Application Approved (see below) '-) Application Denied (see below) '-) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the South old Town Trustees. The fee is computed below according to the schedule of rates as set forth in Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: ~ntU Lttqli~ ~-$~U,()U TOTAL FEES DUE: $ SO/OD BY: James F. King, President Board of Trustees . . Y! i , ! James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel BOARD OF TO TOWN OF SO Southold Town Board 0 T Field InspectionIWorkses io Dateffime: ''0 11/ ab , f Name of Applicant: Name of Agent: I I 6~{+i I ' , ! , '- Property Location: SCTM# & Street Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 Brief Description of proposed action: tiZS Type of area to be impa;j:d: Saltwater Wetland Freshwater Wetland I -- I Sound Front _Bay Front Distance of proposed work to edge of above: Part of Town Code proposed work falls under: IA-apt.97 _Chapt. 37 _other Type of Application: ~ etland __Coastal E s' n __Amendment __Administrative __Emergency Info needed: Modifications: Conditions: I I , I Present Were: 0King vJ.Doherty __p.Dicketso~ 0. Bergen __J.Holzapfel Other: I I -- ! , MailedIFaxed to: . Date: . . Telephone (631) 765-1892 Town HaIl 53095 Route 25 P.O. Box 1179 Southold, New Yorl< 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the South old Town Conservation Advisory Council held Wed., August 16, 2006, the following recommendation was made: MARC RUBENSTEIN to construct an addition, deck, and terrace onto an existing single-family dwelling and to construct an addition and porch onto an existing cottage. Located: Madeline Ave., Fishe'rs Island. SCTM#6-7-7 The CAC did not make an inspection, therefore no recommendation was made. " ,.J' . .. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 21, 2004 Mr. Glenn E. Just J. M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959-0447 RE: MARC RUBENSTEIN MADELINE AVE., FISHERS ISLAND SCTM#6-7-7 Dear Mr. Just: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 21, 2004 regarding the above matter: WHEREAS, Glenn E. Just on behalf of MARC RUBENSTEIN applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance ofthe Town of Southold, application dated February 13, 2003,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 April 21, 2004, 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 structure 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 ofthe people ofthe town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MARC RUBENSTEIN to construct an addition and terrace between the existing dwelling and guest cottage; construct an addition and porch between second existing glJest cottage and studio; relocate existing septic tank; abandon and fill existing leaching pool, and install a new leaching pool, and all as depicted on the plan prepared by Richard H. . Strouse last revised June 1, 2004. Permit to construct and complete project will expire two years from the date the pennit 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 $50.00 per inspection. (See attached schedule.) Fees: None Very truly yours, J/IH-$ 9- ~'0. Albert J. Krupski, Jr. President, Board of Trustees AJKllms Board Of Southold .Town Trustees SOUTHOLD. NEW YORK PERMIT NO. .. S1.OS.... DATE: ,.. ~p"rilZ..~.!..Z.004 ISSUED TO ...........~.~~.~...~~_~f.~.?.:r.:~!..~....."........".. ......"......."............. ............ 1\ut~nri~utinu Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the . . ~ State of New York 1952; and the Southold ToWn Ordinance en- .. ","". titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS-".",", :. IN AND ON TOWN WATERS AND PUBLIC LANDS and the . """, REMOVAl OF SAND. GRAVEL OR OTHER MATERIALS FROM..._ LANDS UNDER TOWNWATERS;l~, and in accordance with the'" ., R solut' flh B d d t d t t' hid April 21, . e Ion 0 . e oar a op e a a mee Ing. e on ......................."..... . . 2O'O'.~..... and in consideration of the sum of $..z..~.o..~..o.o........ paid by Marc Rubenstein .. ..........-.......-.................. ....--....-...................... .............................................................................-.......... of ...........F.:.i?~"'.1.:s....!.s..l.~":9-uu.....u.............. N. Y. and, subject to the. Terms and Conditions listed on the reverse side hereof, of SouthoId Town Trustees authorizes and permits the folowing:. Wetiand Permit to construct an addiUon and terrace between the existing dwelling and guest cottage; construct an addition and porch between second existing guest cottage and studio; relocate existing septic tank; abandon and flll existing leaching pool, and ~stall a new leaching pool, and all as depicted on the plan prepared by Richard H. . Slrouse last revised June 1, 2004. , aM in accordance with the detailed specifications as presented in . the originating application. ' IN WITNESS WHEREOF. The llIidBoard Of Trustees here- by causes its Corporate Seal to be aWlXed. and these presenb to be subscribed by . . majority of the llIid Board .4$ of this dat.e. . . . . " . . TERMS end CONDI11QNS Marc Rubenstein 'I1je ~~ -"''IS at Madeline Ave., Fish~rslsland ,'. . N. y.. '.. l'Ut' of cbe c:oosidetadoo lor cbe 3........,. of <<he PUmit does ~0Jd 8nd ptefCdbe to che foi. lowlna: ' .,;-. 1. That cbe PidJloud of Trustoes aDd <<he Town of Soudaotd ate Ideur:d flOlllllIf aDd aU damtp, oe dalms foe damtp, of lUlu t.tWD&, dlrecd, oe Iadlmdr as . ~ of IlIf op<<- adoa perfoaaed ru-atto chls 'J:*lIIl4 aDdche said ... .. ~........w, at hfs oe_ 0WIl C'Ij>e''<<-, clefead aGJ' aDd .u JUCh suill'I~.wdb)' dahd.,auia, aDd cbe said p '.'"'''' '...........faI1lJ1Jl1Jq wkh ~. tbmtt>,w che ~'''fe'~of cbe Ibrd of n- of <<he Town of ~d , 2. That tbls l'edbIt Is' ftIid foe . ,period of . 24._.whJch Is ~'" ~ to lie <<he -.....e<l time' required to t:lOiIIpI<<e cbe:work Iowl1'ed, tlUt'iboaJd ~~ --. nqaest , for III exteasloo _y be lIlIde to <<he 80atd at . btu 4te. ' , ' 3. That chis PerInit should be reialoed lodefloicely, or as Ioog as cbe said PalDiuee wUbCs ' to 'mol_In the IttIICtUrC! or pt'C!Ject lavoIved, to prcMde mdeDce to anyooe ClOlICa1Ied chat IDth- ~OO was origlnaIl, obWoed. 4. That die work Involved will lie lUbject to cbe Inll(>ectioa aDd approftl ol ibe Boatd << la agents, aDd ~Il....... with che prcmsIoas of cbe O"lg/~ applkatioa, -r be ause foe mocadon of chis PamI.t by resoludoo of cbe said Boud. S. That cbete will lie no _sonabIe lnterf_ with onigat/on as . ~ of che work beida aUchadzed, ' '6. That cbete oba1l be no ~_ with the ri&ht of cbe puYIc to pus aDd .. aIoaf cbe beoda benIIC>Cll1llgb aDd low water awh ' 7. That If fucure ~oas of che Town of Sonlh9ld reqake cbe. ftmOI'al aDd/oe aI' rp'IQ.., 10. cbe 10-0-' of1be work heteln ..lCI<<i>-\ or tt. iA cbe ot"..Joo ofche.Boatd of TIaIIeeI, die. workrball aIR _~1:de obsttucnoo to free aa-rigldoa, cbe said p.....I- wm lie ~ apoadoe nodoe, to IClDOft or alter cbls work or project betela staeed ~kboat ~.. , to <<he Town' of SoIacbold. ' , , 8. That che aid Board will be notlfied by the Permluee ot <<he ~'. Of cbe work IDth- orbed. 9. That che '1'Hm/ttee will dltaln aU ocher peaulu aDd Q)(I-ci ,dJIt mar be requIrecl ...p; pi_to' to chis permit ~ maybe subject to 'rcvoIce upoafallaue to obcaln -. " ... ~ - eft .Q. eft ~' -I ca. e: ::t .. CD - CIl II Q. -I Z eft 0 0 eft .... E -I - Z n 0 --I -I m ::a ~ c c 2 ~ ~ 0 . CIl m 0 m III CIl m C 0 .t:J -;-1 ~::t ." - ." CIl :.0 - -a -.,Jr- n ~ ."t:J m Ul- ':.t -< .:..z 0 m --I. 00 . E t:J <l:l:< N z t:J - C - 0 :s " ." - - Z CIl (i) 0 c n ~ -I 0 ::t' Z 0 CIl '--- r- -I t:J ::a ,..., c' n -I ,..., - 0 Z ~ . . . . .. ) Omi 0.2 0.4 0.. 0.. Streets98 CopyrIght 0 1988-1997, Mierolloft Corporation anc:\A'Jf Its 8l.4lPfIers. All rights t"8II8I'Ved. Pfeuevl8/tourweb s/lellt htIp:/lrnaps.expedill.com. .....' ------- r . . l . ~ <0 > + +, ~ O' I o ~ <>-Z ~ I Q I !2 8 : ~ - , . . i i I I , llt #( I I I ~ '" ! , ~ ? 8i~ cll!- ( ~r ~ .1 ~~ ! ~~!l ~~ ;j"'I , U;j1 0 ! '" . ..;.! .' , " "'I! ~H;I= Sl ';! l'> ~ ~: H'il H~ ~ !:~.I jj ~ ;~~I' I"" , ~; jjj J 0- i'!.!!! <P i i i!) f! ;,;3' f ,~ i Ii i i !I!!! Il!H I"" , .!!I!! I.", , I1III1 I!!!!! Ill! il IdH! ie!!! I Iii ! i ~!! I I I J/ ;; ; ~ I ~!' I ~ ~ . I , " a , ldl'l " . Ill. l'lr + +, i i ~ g d, n!j I j!J i J KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND . MAIliNG ADDRESS: P.O. Box II 79 Southold, NY II971 . PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair OFFICE LOCATION: Town Hall Aonex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: James King, President Town of South old Board of Trustees From: Mark Terry, Senior Environmental Planner L WRP Coordinator AUG 2 1 20C6 Date: August 21, 2006 Re: Request for Wetland Permit for Marc Rubenstein SCTM#6-7-7 J.M.O. Environmental Consulting, Inc. on behalf of MARC RUBENSTEIN requests a Wetland Permit to construct an addition, deck, and terrace onto an existing single-family dwelling and to construct an addition and porch onto an existing cottage. Located: Madeline Ave., Fishers Island. SCTM#6-7-7 The applicant received Zoning Board of Appeals approval on November 14, 2002 for the proposed action. The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of South old Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. Policy 6 Protect and restore the quality and functiou of the Town of Southold ecosystem. 6.3 Protect aud restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction I. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The proposed structure flal!stone terrace setback from a freshwater wetland is proposed at 34 feet. and the proposed porch setback is proposed at 76 feet from a freshwater wetland: a miuimum setback distance of 100 feet is reQuired pursuant to Chapter 275-3. cc: Shawn Kiernan, NYS Dept. of State, Div. of Coastal Resources JUL-11-2006 14:15 . CMHC MEDICAL RECORDS -~ t .... . 21213 974 7322 MarcA.RubEnil'in,MD. 9J61\.....,..tSblt NewHilYm,CI'OlDll EO&-77ro Board :ofTrustees Town Hall of Southold p.o.Bbx 1179 Southold, NY 11971 Re: i Permit #5908 Julyll,2006 IfTj!Lr-i)\ ~-!G- I~n \27 IE ..1' r0 rlnil---.'- . -iil II ilJ l' JUL 1 1 2006 I;ll L1 L_______ /" I' Sni:f:'"r:l T,.w,~ 3f'c:-~;i ~'f T""i':~~~S . _.,~---....:..-..:,. "L,.).. __, ~ ,-,- Fm_J Sirs: I am vmting in the hope that you will include our Madeline Avenue property on Fishers IslandiOD your next visit to Fishers Island this coming Monday, July 17. I understand that you already have a number of sites to look at that day, but for two reasons I feel free to ask your indulgence on this matter. One isithat you already familiar with our site, so that it should not take up much time. The otjJ.er is the circumstances leading to this request. We did not learn of the existence of the Trustees environmental permit until last week while completing the Department of Health: permitting process. We had hoped (vainly, as it tumed out) that that was the final step in' what has been an extremely arduous and prolonged nearly five year process of permitting in order to remodel part of our Fishers property. You can imagine our distress in discpvering that your permit had already been granted in April 2004, but had then expired. Apparently because of the great attention paid to the DEe permitting, a process that took over three years, our consultant had not drawn our attention to the parallel permitting process going on with your officc nor had he passed on to us the approval, which been sent to him in 2004. Had VVe known of the existence of your permitting process, and of the required approval, we would have of course submitted it with our Building and Health Department appliCiftions earlier this year, and would have known that an extension could have been requested priur to its expiration on April 26. Apparently, we will have to submit a new application for review at the earliest possible Board of Trustees meeting, something we will do immediately. My wife and I have been through a great deal on this matter already, and were sorely distressed to realize that out of total ignorance the completion of the permitting process continues to elude our grasp. P.12I2 , . ," " ~, ; / ,; " " r ~ ~ i '" JUL-11-2006 14:16 203 974 7322 . CMHC MEDICAL RECORDS . It is b~ause of this that I am requesting that you include our property on your next visit to Fishers, so that we can complete this process in the least amount of time. Many ihanks for your consideration on this matter, ~ '~'-- Marc Rubenstein P.03 , ',' ' .! , , " , " , \ , > , , Ii ,) ,I, TOTAL P.03 , . ... :. . . Ofllee Use Only Coastal Erosion Permit Application 'Wetland Permit Application _ Administrative Permit AmendmentIT~fe!i!'I'~ion ~ecelvedApplication:~ ~eceivedFee:$ ~-s,~ ~ompleted Application _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ _COOrdination:<date.l """l:;AC Referral Sent: .Bllte of Inspection: _Receipt ofCAC Report: _Lead Agency Determination:_ Technical Review: ..,d'ublic Hearing He~fe _Resolution: c:::wIf "",. JUL 2 1 2006 Name of Applicant m On'/ "e" ~I\S 4.e~\"'I Address t.t:l~ :?~~cs.+f'PA J~t..ll ~I..) +\auPlI\ (!fj O~\\ Phone Number:( ) Jot' ~o--<C3''2:> Suffolk County Tax Map Number: 1000 - (n- "71--+ Property Location: MQOcli.(\EZ-- n.~J-eV'\lI p/ ) 1=..s\--p~ :r::,\'O~ (provide LILCO Pole #, distance to cross streets, and location) AGENT: ~en(\ E. -:T. ,c;.~ - :r1"\"\Cl q....vt~~~..t CbhS u.. \1~ (If applicab e) Address~G ~ <-ft.{+-, Gt~.,~, 1.1'-t.... 1/~::l Phone: ~<~-{)b<J::1. i .> 1 I J I I ____J ~ l"t.r5" ,1Sf -.:r ~\C)'\ / 'ard of Trustees Applicati! GENERAL DATA Land Area (in square feet): (d:)} \\~ Area Zoning: "\2 -BO Previous use ofProperty~Si'(Sbe...Cr___~4 J..)l! \~ Intended use of property: &1 {Y"Il;J.. Prior permits/approvals for site improvements: Agency Date ~\(')t.V\ T[\,.~.t4eL., N,'-l<):h.~--C- ~71).U.S . '1/.2-1/04 (e~He,.l}1!.sq08 q/aRlol.\ l GC~ue) ~~:s \fUS~ ~nt _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? V"No_ Yes If yes, provide explanation: Project Description (use attachments ifnecessary):j~;.hl'a~ ~f"<l~ +n l'A........c:.-tn.t+ r:.,^- aAA~";L~ l(\ec..\., Il.\^^ -\-c;!rn<c.C2.. O~ G.V\ e)C'-l:r\~'S g'j.e -Q...,,,,,\..I\ "\Ul~\\t~ I1VIA -40 ~~I~ w..\A'!4-~~I" (I~rc.lt\ O^-m ff.Jf'. .nasA':5 (G)t+~Q .. . '-rei of Trustees ApplicaU! COASTAL EROSION APPLICATION DATA Purposes of proposed activity: (S\~"",t"l d" \e..\h~ 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? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) ..Ihe ":t>\f(fe~ ~ (1 s..--\-a6~ l,y\'p ~hG..,lI. ::: D1~~~=1~:::~:~ ~Uln~ L\ )PA:\~t,. ~~u.~ ..phtV\.\1'"\QJ,e ~~~\:~~I:~~~::Aa~) ~.vvadc,. Of'. ~ Qcect ~~1)a.~ IvOA-\~~. 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only . . PART I - PROJECT INFORMATION lTo be comDIeted bv A ~Dlk:ant or Prolect 8DOnsor\ 1. APPLlCANTISPONSOR 2. PROJECT NAME Marc Rubenstein Additions to existing single family dwelling & cottage 3. PROJECT LOCATION: Municipality Fishers Island County Suffolk 4. PRECISE LOCATION (Street .dd......nd road Intersection., prominenllandmar1<s, ate., or provide map) Madeline W.y, no # Loestion m.p enclosed 5. PROPOSED ACTION IS: o New ~ Expansion o Modification/atteration 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to constroct an addition, deck and terrace onto an existing single family dwelling and to construct an addition and porch onto an existing cottage. 7. AMOUNT OF LAND AFFECTED: Inlti.11y 0 acres Ultlm.tely 0 .cres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? o Yes DNO If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~ Residential o Industrial D Commercial D Agricutture 0 Park/Forest/Open Space o Other Deseribe: SIngle family dwellings 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR UL TlMATEL Y FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? o Yes D No If Yes. list agency(s) name and permit/approvals: N.Y.S.D.E.C. Permit ID: 1-4738-03171/??oo1 Southold Town Trustees Permit No. 5908 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~ Yes DNO If Yes. list agency(s) name and permit/approvals: N.Y.s.D.E.C Pennit 10: 1-4738-0317\1??oo1 12. AS A RESULT OF P~POSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? n Yes '" No ~ TH~~F%TION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: .Iu as t Date: 7/12/06 Slgn.ture: /YAM. r1. AI. / If the action Is in the-Coastal Area. and you are a state aRency, complete the Coastal Assessment Form before proceeding with t is assessment OVER 1 JUL-12-~00~ 10:51 FROM:JMO CO~TING 6533348 411P:12034329916 P.4 , Board of Trustees Application County of Suffolk State of New York ~" ~bu, ~'~ -7a.hiCl ~D' -? u..roLBEING DULY SWORN DEPOSES AND AFF S THAT HElSHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF IllSIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TIllS 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 TIllS 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 TIllS APPLICATION. ~Q.~- ~-u.l~~- Signature SWORN TO BEFORE ME TIllS / :3 DAY OF -:s;; L Y ,20~ Notary Pub c .., ~ I. ~, ~. 7/01-9- I~q ~ ;c_=::\ \\, . ~ . t 1. \ " 1\ :1. 2 ~ 2,:)05 '-'U'._ JUL-12-~00~ 10:~0 FROM:JMO CO~TING 6533348 ~:12034329916 P.3 " Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) mQ.re R..J,.t\l\~~ln; ~tcl'Clblt1.'~("Cl. 1:""" ':"\ + '5T f4- BI I, resldmgat v ~ 7 ..y("O~CI . 11 (print owner of property) (Dl81lmg address) tJ~w -/Jml~ CoT 011 !;"""lLdoherebyauthorize (Agent) ~'" n ~_ -j"",';- to apply for permit(s) from the Southold Board of Town Trustees on my behalf, ~~ ~~ ~J~euL Yu--\c:L ( ers signature) JUL-12-2006 10:50 FROM:JMO CO~TING 6533348 411P:12034329916 P.2 APPLlCANT/AGENTIRE1>RF:SENTA TIVE TRANSACTIONAL DISCLOSURE FORM TheTOWJt of Southold.. Code nfEthicR nmhibits conflicts ofintereslon the Dart of town officers and etnolovecs. The numosc of this form is to orovide infonnation which can alert the town ofnossible conflicts of interest and allow it to take whatever action is necessarv to avoid &&.me. YOUR NAME: ffil1.('c. A. R\A.,^ e.w=itt!.iVl 1" :Pa..if','c..\'OI. .D. :Y\'-t v"tL (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If 8O? indicate the other person's or company's nama) NAME OF APPLICATION: (Check aU that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other". name the activity.) Building Trostce Coastal Erosion Mooring Planning ./- Do you personally (or through your company. .pouse. sibling, pan:nt, or child) have a relationsbip with any officer or employee of the Town of Southold? "Relationship" includos by blood, marriage., or business interesl "Business interest" means a business. including a partn....hip. in whiCh the town officer or employee has evon a partial ownersbip of (or employment by) a corporation io which the town officer or employee own. rnnre than 5% of the .hares. YES NO x . [[you answered "YES". complete the balance of this fonn and date and si8n where indicated Name of persoo employed by the Town of Southold Title or position of that person Describe tho relationship between yourself(tho applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) threugh D) and/or describe in the spaco provided. ThelOwn officer or employee or hi. or her .pouse, sibliog. parent, or child i. (cbeck all that apply): _A) the owner of greater than So/. of the .bares oflbe corporalc .tock of the applicant (when the npplicant i. a corporation); _8) the legal or beneficial owner of any interest in a notHX)'POl1I1e entity (when the applicant i. oot a corporation); _C) an officer, director, partner. or employee ofthc applicant; or _D) the actual applicant. DESClUPTION OF RELATIONSHIP (\ .CL . Fonn TS 1 Submitted !his ~day of .:J '4 200 l.t Si~ ~ r--.. PrintName~oJx., ~ ~ ~...t-~ \LA , """"~ts~<dn ~ ?"in'c.'" :?'-tRL . . Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. 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. 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 Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the 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 LWRP is available in the following places: online at the Town of Southold's website (southoldtown.oorthfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. f' !,J I 1 , i B. DESCRIPTION OF SITE AND PROPOSED ACTION i; i..; r If ,i , il' , I The Application has been submitted to (check appropriate response): I L., , 'C.-' .' .;'-__J I Town Board G Planning Dept. G Building Dept. G BoardofTiiisleesg.2.'2....---J SCTM# <0 -:f +- JUL 2 1 2006 . , , , 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) G G (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: G Nature and extent of action: ~\u'll,d ,?m{'C'~ +v C<J"""-+,,.c:-€ ('L,-,. G.~6"bv--.l O-ec1-.a,~ l-PUfl.( -e m-fc fl '^ ~::rtd S'7:J '-E .{a."du\ A...,e.~ c....A ' CO^~~c.sr O'f'~ o..ci-&--*lil'V\ o~ ~y( IA O",-\", o.~ "'v:d~ ~~.e Gl~o. 'i.....s-h:-I.\ ~ V'\-e..J .sQvv.~ St.1..s-k"". . . Location of action: t'\llClQ.Q\\.....a ~\I{''''u..e I n71.::tf, 1='\.lhe>.rs. T_\\aw:\. Site acreage: :!: \, ~ n Gr d!S, Present land use: Present zoning classification: 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: f(\orr _ ~H~~\v'"' (b) Mailing address: l..\:~\o "1?r~.oc* ..s..tr~ (~L( tVew ~ lCII'\, r\ \)~Il (c) Telephone number: Area Code () ~3- q.ec>-- b:I I~ (d) Application number, if any: \'"\ \ Q . Will the action be directly undertaken, require funding, or approval by a state or federal agency? --- - Yes 0-NoD If yes, which state or federal agency? ~~-\.. S ~\~, c- A.~ <<,11 n4U b.e.ev.. \~\.>.~ b.r ~c;. ~ -<v"\ <>--1 . 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 D No D Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeologkal resources of the Town of Southold. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria ~ Yes G No D 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 G Yes G No ~ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from Oooding and erosion. See L WRP Section III - Policies Pages 8 through 16 for evaluation criteria ~Yes G No G Not Applicable Attach additional sheets if necessary Policy S. 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 G 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 WUdlife Habitats and wetlands. See L WRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Df'Yes G No G 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. G Yes G NO~NotApplicable Attach additional sheets if necessary Policy 8. Minimi7.e 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. ~Yes D 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 L WRP Section III - Policies; Pages 38 through 46 for evaluation criteria. G YeO NO~NotAPplicable 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 S6 for evaluation criteria. ~es D No G Not Applicable . . Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Soond, the Peconic Estuary and Town waters. See L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. fih, es D No G 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. GYes D No~otAPPlicable 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. G Yes D No ~ot Applicable Created on 5/25/05 11 :20 AM . . J.M.O. Environmental Consulting Services Applicant: Marc Rubenstein Location: Madeline Avenue, no #, Fishers Island S.C.T.M.No.1000-6-7-7 The project consists of the applicant's proposal to construct an addition, deck and terrace onto an existing single family dwelling and to construct an addition and porch onto an existing cottage and to install a new sanitary system. As part of my review of the Town's LWRP Consistency Form Section C, I offer the following comments regarding the Local Waterfront Revitalization Policies and this proposed project: Policy 1. I believe that this project is consistent with this policy because the project will not result in a negative impact upon the desired development pattern of the Town of South old nor shall it result in the loss of the community and landscape pattern of the Town of South old. Policy 2. I believe that this project is consistent with this policy because the project shall not have any impacts upon the preservation and retention of historic resources, or any archeological resources nor the Coastal Culture of the Long Island Sound. The reason for this is that the project site has previously been "disturbed" and developed. The property itself was previously disturbed when the existing single family dwelling, sanitary system, cottage and drive were constructed. Policy 3. I do not believe that this policy is applicable to the project since the project will not have an impact on any scenic resource of the Town of Southold. Policy 4. I feel that the project is consistent with this policy for a number of reasons. The proposed additions, porch, terrace and deck onto an existing Phone (631) 653-0607. Fax (631) 653-3348 121 Jessup Ave · 2nd Floor. P.O. Box 447 Quogue, New York 11959-0447 . . single family dwelling and cottage and new sanitary system project has been based upon sound engineering practices and designed to the minimum scale necessary. The project shall have no adverse impacts upon adjacent properties or to natural coastal processes or natural resources. The project shall have no impact on any natural protective features nor shall it have any impacts upon public lands or lands in public trust. Lastly, the project does not involve the management of a navigational infrastructure nor are public funds involved with the project. Policy 5. I feel that the proposed project is consistent with this policy for a number of reasons. The project does not involve any direct or indirect discharges that would cause any negative impacts upon water quality standards. There shall be no increase or decrease in the pH, the dissolved oxygen or nutrients in the waterway and there should be no increase in noxious odors at the project site. There shall be no increase in negative health impacts such as pathogens, chemical contaminants or toxicity nor shall there be any negative aesthetic factors involved with the project. As part of the project a continuous line of staked hay bales and filter fabric shall be installed "seaward" of the limit of construction prior to the commencement of construction activities and maintained throughout the period of construction activities. To mitigate any impacts on wetlands the applicant shall create a non-disturbed buffer zone landward of the limits of wetlands on now what consists of lawn area. The buffer zone shall consist of native vegetation. The project does not involve watershed development or the quantity or quality of potable water. Policy 6. I feel that the project is consistent with this policy. The project as proposed shall have no impact upon the ecological quality in the Town of Southold. There shall be no negative impacts upon the adjacent area of freshwater by the destruction of habitat or significant impairment to the tolerance range of any species of fish or wildlife. As stated in the previous section the applicant shall also create a non-disturbed buffer area of native vegetation. This will create an additional buffer to the adjacent wetlands that does not currently exist. The project should have no impact upon any vulnerable fish, wildlife, plant species or rare ecological communities. Policy 7. I do not feel that this policy is applicable to this project since the project does not involve any atmospheric deposition of pollutants. . . Policy 8. I believe that the project is consistent with this policy. The project shall involve the disposal of solid waste, debris from the demolished dwelling, which shall be removed from the project site as part of the project. There are no hazardous waste or toxic pollutants involved with the project. Policy 9. I do not feel that this policy is applicable to this project. The proposed project shall have no impact upon adequate physical public access to coastal resources, shall not impact any public visual access to any lands or waters, involve the public interest in and use of lands and waters held in public trust or to public access of such areas. Policy 10. I feel that the project is consistent with this policy. The project shall have no impacts upon any existing water-dependent uses of the site nor is the project located on Mattituck Creek/Inlet, Mill Creek or within the Village of Greenport and does not involve water-dependent uses at those sites. Policy 11. I feel that the project is consistent with this policy. The project does not involve aquaculture or the removal of shellfish from uncertified waters of the Town of Southold nor shall it have a negative impact upon the long-term maintenance and health of living resources. Policy 12. I do not feel that this policy is applicable to the project because no agricultural lands are involved. Policy 13. I do not feel that this policy is applicable to the project since the project does not involve energy or mineral resources. , I j.M.O. Environmental Consulting Services July 18, 2006 Mr. James King, President Board oftown trustees Town of Southold P.O. Box 1179 Southold, N.Y. 11971-1179 I) - Ii ','; 1 \ , J\Jl 2 1 2000 Re: Rubenstein, Madeline Avenue, Fishers Island i. ... , S.C.T.M.No.1000-6-7-7 'l.----'-' Dear Mr. King: Enclosed please fmd is an application packet which we have prepared for a proposed project at the above noted location. A previous approval had been issued for this project on 4/21/04 under Permit No. 5908 (copy enclosed), but that permit expired last month. Should you or any member of the Board have any questions regarding this project please feel free to contact me at any time. Phone (631) 653-0607 · Fax (631) 653-3348 121 Jessup Ave. 2nd Floor · P.O. Box 447 Quogue, New York 11959-0447