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Home My WebLink AboutTR-6421 James F. King, Presiden. 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 1 st day of construction Yo constructed ~ Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee Irwin Seigel residing at 17327 Main Rd.. East Marion, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. 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 South old 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, preSiden. 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 Regi Weile, Architect 905 Aquaview Ave. East Marion, NY 11939 RE: IRWIN SEIGEL 17327 MAIN RD., EAST MARION SCTM#23-1-14.1 Dear Ms. Weile: The Board of Town Trustees took the following action during its regular meeting held on Wed., August 23, 2006 regarding the above matter: WHEREAS, Regi Weile, Architect on behalf of IRWIN SEIGEL 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 19, 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, said application was found to be Consistent with the Local Waterfront Revitalization Program, 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, 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 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 IRWIN SEIGEL to construct an addition to the existing residence and to repair the existing residence, and as depicted on the survey prepared by John C. Ehlers last dated August 21, 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, Jam/;:g 0< ~ 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: .J...nu~ ~j~~' Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: 11lq I of., ~~O(. 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 Chapter 97 of the South old Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: '4t noJ l t\.o PtCX.l.J:n"J ~--S( SD ,00 TOTAL FEES DUE: $ So. OJ BY: James F. King, President Board of Trustees . . Telephone (631) 765-1892 Town Hal! 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., August 16, 2006, the following recommendation was made: IRWIN SEIGEL to construct an addition to the existing residence and to repair the existing residence. Located: 17327 Main Rd., East Marion. SCTM#23-1-14.1 The CAC did not make an inspection, therefore no recommendation was made. . . I . . \ . 0 r. + g " 0 0 2 ~ . . , I , Eli -~ ~. ~~: 51.Ii 15- . >-~~~ ~~] ij"'i Uj! (! , ~;I: h-< _ ,i" f=!:n:2i ~ ~:j! llli h::tl Iljlll '! i ill!!l ;;jl~j, "I.I!' i i ii : ~ 'i ; I II11 ! d ~: Ii jl: lid, I" , ,i!!. " , 1111 + I -<>Z I ~ \ , + J~. f; , . , -f ; I! III 11II 1<1:"r;: III + <I, :)!i II! i i LONG ,- ISl,-ANO APPJ\Rerr /...Ok ko'.TER. l .' ;' N60"30'25"E , " -l ~.. m _ __ ~ ~ ~--/- j' -~,~-- -~. __ _ u__ _ __E._~~_~_ ~~HI6HHATERJ .' . f - 7'- - -. ; "./. --:r ---r 'L __ , , , , .~' ~ ~.. "'- .~ , , " , 3.3.4' ~ : -1-- , , , , , , , , , , , , , . cI,+' #'V, <0- <(V ~-(<- ~'" <c-cP r',-. / /. :t- / ;' I /. "1___ ;' !: -...,,-~'- -- "0/' '- SS6"27'30"W .: " .I . ,-, ,. ;< / __..l:.c___ . _/~~-~~H'l."TER. , .. / . CO~TAL '_ .. BARRsER...I'_I6-q,/ ,_, I /.R..Odo ZONE VE a I!? , ;I FLebd 7-._ ~AEEL..II ,. / --, " 'f>i-.,_ '~ 53.5' I ~ , . , . .... / 2O~O~; -a"5"~;\ ,,</-'.. ~\ \ ,~:.' ,:',---.( ~~. \/1,' 1 I 'I ' \1, t I II I .' I I I II I . ~...\ I I I.VI It' :' ;-11 \ 10 I I \ I ~ iQ I Z , I '- '110 trllll ... I = I \ I " I 0 '\. '- I I \\ , ,I I,~ I ,\ ..1 I" I , -.\ 1\ \ \1.. 1.'( t' \ , 1\ I I I " I' t' r 1,- .. \ , L.....,-_ _ _I~ _ ~~ _ _ - - - - - - - - 11, '- r' I,', I , , .' 3:1 >\ - - - - - - ~\)-- I 1 I ---------------, I I \ 90UND .. " " 245.26' _..l_ , / '\ II ;/ I I / "/ /,1 I .. <> I~ I' 1 I I I ,. ( /" - ---- - -- 1] mj f'l~l\\ m()> lJnI() rI 3: )> 1] /'l .-' ------- _ 'tf , 25'HIDE RDJol PER FILED MAP ,/ , ,I, LOT 6 ------- --1 300.35' -1 ty~/' V ~/~~ <5' SEIGEL RESIDENCE ADDITION 17327 Main Road, East Marion N.Y. Lot #1000-23-1-14.1 Lot Area lot Coverage Existing Lot Coverage Proposed 77,285sf 11.77Acres] 1200sf [1.7%] 1882sf 3082sf 95.0' 107.5' 168.0' 201.4' Front Yard Proposed Rear Yard [No Change] Side Yard Proposed Side Yard Both ...t;> ./ ; / \"- I I I I I I' I \JII -I 61 lJ nil ill I ~I ::;: . I rlI\ ill I 'l1 FI m r ~ o 'l1 -\ ~ Ul ~ . ~ ~ nI ffi ::;: -{ o ~ LIST OF DRAWINGS \\ A1 SITE PLAN LIST OF DRAWINGS K2 SITE LANDSCAPING/DETAILS A3 FOUNDATION PLAN A4 FIRST FLOOR PLAN AS SECOND FLOOR PLAN N5 ROOF PLANlROOF DECKlDET AILS A7 NORTH ELEVATION, SOUTH ELEVATION AS EAST ELEVATION, WEST ELEVATION AS SECTiONS A10 STAIR PLANS AND SECTION All DETAILS A12 DETAILS A13 DETAILS A14 WINDOW SCHEDULE DOOR/HARDWARE SCHEDULE FINISH SCHEDULE A15 KITCHEN A16 KITCHEN A 17 ELECTRICAL A18 MECHANICAL A19 CODe NOTES A20 SCOPE OF WORK AND SPECIFICATIONS Allowable 20% 20% 55' 75' 20' 45' Proposed 3.98% 95.0' 168' 201' '.::~ I [.s ),' I>~\ . II,' 'J : I JUL l L_._ ." f . ~ r 1 9 2006 [:' ;e~'s -----------3 seigel r~sidence 17327 main'read east marion, new ork regi weile, 905 aquaview, east marion date architect new ork drawing ,L'i _","'1.:. . , SS6"27'30"W .. I " , , ' , \ I ,I I : \,' ~ I :,\; II \' \ \, , ' , , , I ' , ,I' ~'''; , c' ,', . \ \91, " \ '. \, \~~~ . I ',\ p , rn. , ',I ~ \ I () \ \ \ ~"1. I, \,\ ':~ I ' , I \"'1\ . 1 ; \ \F. \ I ,11\ I \ I~:\J , \ \~:~ \', -\13 . , , \. I I , , I' , \. \ \ \ , , 1 \ \, ~'. \, \\, 1 \ I I ~ , , I I I \ \ ~ \ 'I \ ., , \: \ \ \ '-' ~ : \: I, , , \' \ \ I ~ '\ \\ \ ~-() \ \,.t.-\/ O~ JOHN C. EHLERS LAND SURVEYOR _I~\ ~ 6 EAST MAIN STREET N.Y.S. LIC. NO. 502 .....~~ 'J.v;~ :~~~'3~9~8~~~01 REF.\\Compaqserver\pros\01\01-238.pro ~,.. ~09-<; I SURVEY OF LOT 6 MAP OF BRIONNGLOID BY THE SEA FILED AUGUST 22, Ic'118 FILE No. 6111 SITUATE: EAST MARI'ON' TOHN: SOUTHOL ... SUFFOLK COUNTY: NY SURVEYED 0,-25-01 REMOVED PROPOSED ACTIONS 06-30-06 SUFFOLK COUNTY TAX II 1000-23-1-14.1 CERTIFIED TO, IRv.lIN SEIGEL 8 ~ 1/ , , , , , LOT 1 , , ' \ 33.4" -\,-----.::, , , , , , , , " , , 'n ~ ~ G I I I I I I DO c: ~ c:.... c:: r- =;. ~:.-. -'C... ,~, a-l':>: ~~ CD '" = = en I i L__ L. , ,."-,;",,,,-,', '1':'"",1" LONG 1- ~* .s 1::1 ISLAND $OUND APPARENT LOW HATER. / N60"30'25"E mE LINE A~ONG ApPARENT Hf6H -, l Y'lATER) 245.26' ',:; 't 5F'Rll\kSI-I-/l6HWAl1:R Fl60D z~ .'~ ..-..::=ELII ;I COASTAL 8 ARRIER !J-I6-q, ' FLOOD ZONE VE EL 15 , I , I /1 ;i\ I.. I'" ,~ I 1 I 1 :!!J>m hif{J> Gm(\ rI 3: '0 FLOOD ZONE A.E El FL- q '. qoo. ~ONE x". ...---- 44.QO' r ~ \J Cl " -1 -'/0"""" , , , , , , , , , , , , , , , , , , , , , , ,0" " I I I , I I I ",' -I ~I G ml !'ll ()I ~ '"1J 1 ml ~I " -I hi ~ ~ m ffi ~ ~ -{ Ul Cl ~ ~. " , , '~ 'i~ "," - - '~', I" \ \ ,.f \ \ ,. 1 \ _-_ \ \ )\ I ,.", \ 11 / .,' I I, // 1 : II I 1 I 1 II I 1 I II I . IUlII I I to I I \ : ~ :: " 1 I, , " " " , \~ ~ " , " , " , " , , , -~~---------- , , LOT b 3,1 '01 I 1 I ---------------, I 1 I 25' I'lIDE R.o.I'l. PER FILED MAP 300.35' 1 I 1 \ LOT 4 LOT 5 ::1--~1 C I ,-; -:;-;-1 -- .00.. ",;:.';i"';:' .; LONG y / / / / 245.26' / ,,/, / , )(/)<',' SURVEYED 01-25-01 REMOVED PROPOSED ACTIONS 06-30-06 PROP, ADDITIONS Oe-21-2006 / / / / / / )(-8-- - . - -5- - r )( / c, /1 / Y' / , "" '/ / v /''<:>'1'' '11,,' " ','111 / ::n~ hit' lJpl 3:, -'~' / / / / / c.o4AL R._ --ll'R-jt16,,'"/ / FlOOD ZONE \IE a 15 SUFFOLK GOUNTY TAX It 1000-23-1-14.1 ," - --7 I.. ," I~ , __I , I CERTIFIED TO, IRWIN SEIGEL / 8, /i :1-- 44.CfO' ~'i~ .$' / / / / / '''' /," '-/-- / / '/ / - , ~ ... ,~ ~'~ ~ , , , , 3:1 ---~-" I I \ ---------------, ,1 I I , , -7, r!'+-- #.~ ~ \ ~,f'{V \ ~- 0/\, - 0" 2~'HIDE R.O.K PER FILED MAP '15.00' S5B"Z1''R''W '/, : :,': ~ / \ ~ ~ ~I ~ " j \ \,i':, \ j , \ ' \ \/\ \ I ' , " , \ I ~ I I ~ \" IS: /, \ \9.\ " \ g' i' \ J\\Jl , : I '13 I ' () I '1\ ~ 11\::\ :~ , ' , , ,,, , "I,:F I . 1m , J : IIl\:lJ I J: \~:~ I'" ",'11 j, , , J ' , 'I J:: '\, ~ I d \ \ I Q t: \:, ~ ~~ \ ':, ~I 'j', \', ~ ') I \ j I ~;~~~~~ 't\ l\ \:\ ~~ ~ ~--"""'II!"I'!I-- ~ \ \ I ~1 ~1=.~~~-:-:.:7~ \ I \ ~I ~ ~!Io.~~~~lt_:_::'~ 1 1 (J ~~:::-:i~~~ 1\ \'-'I/C 0 iO;:;-~~;_HLERS LAND SURVEYo~~'< ':: ~ 6 EAST MAIN STREET N,y.S,UC.N~" 13 RIVERHEAD,N.Y.11901 ~ 369-8288 Fax 369-8287 REI'.\\Compaqserver\proslOllOl 238.pro l"" I I , , , , , , , <5 300.35' I I I LOT 4 LOT 5 I , [,-" 1-' (r'" lie Ii : ! I')' ~ \0 _~_:, ,':,j~-- , , \ "UG 2 3 2006 APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE t3. 23/a 6 L ~PJ9 NOTES, o I I I I I i' I III I "I ~I lJ ml ;!II 01 ~I ~I ,,1 -\ hi '!1 ~ 1 ~ ~ Ul ~ ~ I , I \ PIPE FOUND ELEVATIONS REFERENCE NGYD'2<'f AREA = 11,2e4 SF OR 1.11 ACRES GRAPHIC SCALE ~ . 6 November 2006 Board of Town Trustees 53095 Route 25 PO Box 1179 Southold, NY 1197$ Re: Seigel Residence 17327 Main Road, East Marion SCTM: 1000-23-1-14.1 Dear Trustees, . regi weile 905 aquaview, east marion, post office box 223 e-mail vregiweile@aol.com architect new york, 11939 631 477-9735 i'iv -. l (,j;:] Enclosed please find a check for the Permit fees for the above Property. Thank you and have a nice day Respectfully submitted, ,~;,~ ,~",ct . PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair . MAIliNG ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: James King, President Town of Southold Board of Trustees ~ From: Mark Terry, Senior Environmental Planner L WRP Coordinator All"" uv '1 ') "oor L J {' [JI) Date: August 21, 2006 Re: Request for Wetland Permit for hwin Seigel Residence SCTM# 23.-1-14.1 Regi Weile, Architect on behalf offfiWIN SEIGEL requests a Wetland Permit to construct an addition to the existing residence and to repair the existing residence. Located: 17327 Main Rd., East Marion. SCTM#23-1-14.1 The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (L WRP) 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 CONSISTENT with the denoted foUowing Policy Standards and therefore is CONSISTENT with the LWRP. CC: Shawn Kiernan, New York Department of State, Division of Coastal Resources . . regi weile architect 905 aquaview, east marion, post office box 223 e-mail vregiweile@aol.com new york, 11939 631 477-9735 30 July 2006 Amendment to Application Wetland and Shoreline Permit Town of Southold Seigel Residence Addition 17327 Main Road, East Marion, New York Applicant: Regi Weile, Architect Lot: #1000-23-1-14.1 JUL 3 1 2006 The Following is Additional Clarification of Permit as Required by the Town of Southold. 275.6. Application 1] Submitted with application. 2] Schedule for proposed activities: Commencement of Construction 10106 Completion of Construction 10107 3] Purpose of Proposed: Addition to existing Residence and attached Garage. Repair of Existing due to failure of exterior coating and work to comply with Governing Codes. 4] Removed Material: Material for construction of Footings. New First Floor to be slab on compacted material. Removal for footings = +1- 110 cubic yards. 5] Area to be constructed is at, and attached to the east and south of existing residence. 6] Depth of removal: Footings to be located 6' O. blow grade to match existing footings. 7] Manner in which material will be removed: Backhoe or equal and by hand. 8] Survey: Submitted with application. [Updated Survey indicating Proposed Work is pending]. 9] Effect on Wetlands: None . . . . 10] Prior Operations: Existing Residence was built in 1982. Prior Proposal for an Addition, which was never built, was filed and approved in 2001. All 2001 Permit and the original C of 0 is on file with the Southold Department of Buildings. 11] Applications have been submitted to the Southold Building Department and are being reviewed. Application has been send to the DEC with no reply to date. 12] Replanting and restoration: At present the proposed construction is in an area without plantings. Existing gravel driveway to remain. 13] Photos: Submitted. Views are North and East. Date of Photo is May 2006. 14] Drainage upgrade: Site will be graded to insure water drains away from Structure and in a Southerly direction on the property. 15] Affidavit Under separate cover by Owner. 16] Ethical Disclosure: Submitted with application. 17] False Information Statement Submitted with Application. 18] Local Waterfront Revitalization Program Consistency Assessment Form: Submitted with application. END OF AMENDMENT .' . 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 Office Use Only _Coastal Erosion Pennit Application --L'II'etland Pennit Application _ Administrative Pennit Amendment/Transfer/Extension --Liteceived Application:~ ...Received Fee:$ as\>" ~letedApplication~ _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ Coordination:( date sent) - A:WRP Consistency Assessment Form ~ .....cAC Referral Sent: t) \lctl~ _~e ofInspection:~lftllolD _Receipt of CAC Report: _Lead Agency Detennination:_ Technical Review: ...-Public Hearing He~ Resolution: ~~~T : ,",: j ii., \ .j)) ro. " r" \' \! i , JUL 1 9 2006 , I s: LW(Z. (J ....-r \VIAl\\J\ ~~ ~~ He":"lo;, Ar.Qb.itest feE Il::n~..u &::.i.':jc}.,Ouflcr gill; &.._ 1 .. A.. "we It ~~1- I'Jva1ll\ W \ t.J.. tl\aVldV\ Phone Number:( ) 631 4771797 Name of Applicant Address East Marion Suffolk County Tax Map Number: 1000 - 23-1-14.1 Property Location: 17327 Main Road, East Marion NY Main Road (provide LILCO Pole #, distance to cross streets, and location) AGENT: ~ . (If applicable) Address: L WO ~~ \~~~ 1'11 Phone:..12~ \1-~ 1- ~oard of Trustees APPlica~ GENERAL DATA Land Area (in square feet): 77, 284SF [1.77Acres] Area Zoning: Residential Previous use of property: One Family Residence Intended use of property: One Family Residence 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? ~No_ Yes If yes, provide explanation: Project Description (use attachments ifnecessary): Addition to existing Residence and repair of existing Residence. Existing is a Concrete structure and the proposed addition will be frame construction. Attached please see plans. ~oard of Trustees APplica~ WETLANDITRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: Mnition tn RP_"idpn= Area of wetlands on lot: ~Totle square feet None Percent coverage oflot: 1 .7% % Closest distance between nearest existing structure and upland edge of wetlands: NA feet Closest distance between nearest proposed structure and upland edge of wetlands: lIlll feet Does the project involve excavation or filling? No x Yes If yes, how much material will be excavated? cubic yards How much material will be filled? None 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): NOne see attached Site Survey 4I'oard of Trustees Applica~n COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Addition to Residence Are wetlands present within 100 feet of the proposed activity? x No Yes Does the project involve excavation or filling? No x 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: NA Describe the nature and extent ofthe environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) C!ee ~t-t-.::to("'hM ~it~ pli=ln . PROJECT ID NUMBER 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 PART 1 - PROJECT INFORMATION 1. APPLICANT I SPONSOR 2. PROJECT NAME Reqi Weile. Architect for Irwin Seiqel. ( kmer Seiqel Residence 3.PROJECT LOCATION: M 173~~ Main Road, East Marion, NY 11939 County suffolk UnlClpa I 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ate - or provide map 17327 Main Road, East Marion, NY 5. IS PROPOSED ACTION: D New D Expansion [Xl Modification I alteration 6. DESCRIBE PROJECT BRIEFLY: Addition to Existing Residence and repair of existi~structure. 7. AMOUNT OF LAND AFFECTED: Initially 1 _ 77 acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? GJV8S D No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) GJ Residential D Industrial D Commercial DAgriculture D Park I Forest I Open Space D Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [iJves DNO If yes, list agency name and permit I approval: Buildinq t of Southold Town 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes QNO If yes, list agency name and permit I approval: 12. AS A D~LT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? []yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant I Sponsor Name Date: regi weile, arOO teet 6/6/06 .. Signature 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 0 be com leted b Lead A enc A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.41 If yes, coordinate the review process and use the FULL EAF. D Yes No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? II No, a negative declaration may be superseded by another involved agency. o Yes No C. COULD ACTION RESULT IN />JlY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, il legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, rtenlial lo:sion, drainage or flooding problems? Explain briefly: I C2. !"sthelic, :cultural, archaeological, historic, or other natural or cultural resources, or community or neighborhood character? Explain briefly: I C3. rgetation ;:auna, fish, shellfish or wildlile species, significant habitats, or threatened or endangered species? Explain briefly: I C4. i communi::eXisting plans or goals as officially adopted, or a change in use or intensity of use ofland "' other natural resources? Explain briefly: I C5. rOwlh' ::equent development, or related activities likely to be induced by theprop~sed action? Explain briefly: I C6. rng te: short term, cumulative, or other effects not identified in C1-C5? Explain briefly: I C7. Other im acts {includin chan as in use of either uanti or e of ener ? Ex lain brief! : 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: DYes GI No I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? II yes explain: DYes GJ No I I PART 111- 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 direCUy to the FUL 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 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 Pnnt 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) . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: r1i Wf1le, ~(J,I~ ~~~~ 1.~ Address: ~D~ Aj,\I4IJ/AJ.)~ bII.\- ~M I IJ'{. &: . ~ ~~~M~ W~ MotvlM ,f.J.J'1 STATE OF NEW YORK COUNTY OF SUFFOLK ~' ~~fJzG , residing at ~ ~lIAU~ .r- ' being duly sworn, depo es and says that on the >t;)1 day of ~"kA , ZODO, deponent mailed a true copy of the Notice set forth. in the Board ofT~tees 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 0 Southold; that said Notices were mailed at the United States Post Office at l- n . D that said Notices were mailed to each of said persons by (certified) (registered) mail. fore ~ this ~ )\ , zorl-E- ~ Not BONNIE J. DORO NllIary Public, State Of New '/brfl No.OlD06095328.SuffoPl~un\r Term Expires July 1. 20..LL.+- <",~: " "I ~i:' ~ "'i CIl'O..... ..... ~:..-: O' ~: ~~: .. i:.! ,,;! I "Ii' P (f' t: '.12:: bO. :IS> '-r :e ~~ t:5:. 0 ->i :0 "': :~ ~ :...... ~ i " ~" I ;"\ ~; -i. iN- ~ :~. ~ '" ~ I: .!:i> i ~,,~ . Ib~ ! ~3 o a:D 0 it- :01 a lID .g.3 ~-a 3: l .'~ [~ : . ~I _I . ~ ~ ... N 31$ o 18 ~ n- ... .. ... ..... - :;:y~, ~ ~ ?JJ \ ~ ."'---. _/' 7002 0510 0000 Q:, ",: "1 ;sii r f1JD)....i Qi il! ~t; ~i if~_ t: ~ :~:. ~k~ .~ i" ps ,=-~!~ E '~ "-1'1' ~ ~ j~ '/ /002 n' ~ c/)' "i ;Si! ~! ..~! 1': ~'b: r,.! if;: r1 ~]... ~ 0-1 t) i~:'" ci~!;S (I> :~:~ 1Ejc 11 0510 r 11 0' [ I ~ ~:tJ m If f~ l ! ! i~ -I? " " a ! . IJ ,,~ .. " .. i ~ ~~ ! ~ Ii Ii i . 'iii (I> M ~ ... N 0 k 31 to fa .. f 0000 m;J:J Iii ... , i~ If ~K ~3 ~ -i' " "J ,,~ ~ ~S. & l Ii Ii i ~ 'iii ~ k ... N 0 818 !a . Complete items I, 2, and 3, Also complete Item 4 It Restrlcted Delivery is desired. . Print your name and address on the reverse so that we can retum the card to you, . Attach this card to the back of the mailpieca, or On the front II space pennlts, 1. ArtIcle Addressed to: ~ york. ,,~~ Alhany ,IJWJ ~'* "_ J'2.1.r;-OOO{ 2. Article Number (Transfer from sslVie PS Fonn 3811, August 2001 [] Agen. [] Addresse IJ 1(T~~~ar' D. 18 deliveiy address _ from IIem 11 [] Yes If YES, enter dellv8lY address below: [] No 3. Service Type IS. CeJ1lfled Mall [] Express Mall [] Registered 1il.Retum Receipt for Merchandis [] Insured Mall [] C,O.D. 4, RestrIcted Dellveoy? (ExtnJ Fee) [] Yes 7002 0510 0000 8730 4175 2ACPAI-03-P-4 Complete Items I, 2, and 3. Also complete item 4 if Restrlcted Delivery is desired. Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front It spece penn its. 1. Ar1IcIe Addressed '0: ~, loa nVl Cl) fD'5 ?3~q/v ~~ DllIjio.r1:J ll'uMor; /.J Y 11%, 2. Article Numbs (Transfer from PS Fonn 3811, August 2001 Domestic Return Receipt [] Yes [] No 3. Service Type SCeJ1lfled Mall [] Express Mall [J Registered -eJ-Retum Receipt for MerchandiSt [] Insured Mall [] C.O.D. 4. Reslricled DeUveoy? (ExtnJ Fee) [] Yes 7002 0510 0000 8730 4151 2ACPRI-Q3-P-4l -..,-"- ~. : . Complete items I, 2, and 3. Also complete r Item 4 It Restricted Delivery is desired. . Print your name and address on the reverse .. so that we can return the card -to you. . I . Attach this card to the back of the mailpiece, . or on the front if space permits. 1. ArticJe Addressed to: gWVZf. 5lav1kevtd, Tq M~~k JhSh~ u\ t ftAtt..pbrt ( JJ.y, IWrl- 2. ArtIcle Number (Tronsferfrom so \ PS Fonn 3811, August 2001 Domestic Retum Receipt [] Agen. o Addressc C Date of Delival D. 's deUv8lYsddnlss ~from IIem 11 [] Yes ff YES, enter dalive~t~~ below: [] No t"'" . .-;..,,~ <.::> ,,\; 3. Service Type ,_~ ~J1lfIed Mall [] Express Mall [] Registered !!.Return Receipt for Merchandls. [] Insured Mall [] C.O.D. 4. Re8lricl8d Deliveoy? (ExtnJ Fee) [] Yes 7002 0510 0000 8730 4168 DomestIc Retum Receipt 2ACPAI-03-P-4C . . 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, N ew 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 ____Inutt\_S1.~L=___-~.i.J}~~~k-(-AY-~\\cJ ~ lvlU\V\ ~~ Ol/.M.a.V COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~I I ~lL , residing at T>}(}~ ~ \flMI\e.u.> I ea~} tfm.\I\m M31 being duly sworn, depose and say: That on the [4 day of A:v. , 200(.., I personally posted the '"J ~ v tCY"l by placing the Board of Trustees official poster where it can e ily 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 t ' ()..l1 ~; !>O It') Dated: BONNIE J. DOROSKI Notary Public. Slale Of New Yolk No.OlD06095328,suffOI~n" Term Expires July 1. 20 ~ Board of Trustees APPlic~on County of Suffolk State of New York n'~"eiLe ~dtibL BEING DULY SWORN DEPOSES AFF~S THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF IDS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TIDS 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 TIDS APPLICATION. SWORN TO BEFORE ME THIS--1~ DAYOFn 200b '- Notary Pu Ii BONNIE J. ROSlO Notary Public. Stale Of New 'AI" No.01OO6095328.Suffol~~n" Term Expires July 7. 20.u..+ eaoard of Trustees APPlic4m AUTHORIZATION (where the applicant is not the owner) .It. I, II:Win Seigel (print owner of property) residing at 17327 Main Road, EastMarion (mailing address) do hereby authorize Reqi Weile, Archi teet. (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ~ . (OW's si ture) 8 . . APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold' s Code of Ethics nrohibitc; conflicts ofinterest on the nart of town officers and emnlovees. The Durnose of this fonn is to nrovide information which can alert the town of nossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: R~ Weile, Architect (Last name, flISt name, JIIiddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance 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, sibling, paren~ or child) have a relationship with any officer or employee of the Town of South old? "Relationship" includes by blood, marriage, or buSiness interest "Business interest" means a business. including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO x If you answered ""YES". complete the balance of this fOml and date and sign where indicated. Name of person employed by the Town of South old Title or position of that person Describe the relationship between yourself (the applicanVagenVrepresentative) and the town officer or employee. Either check the appropriate line A) through D) andlor describe in the space provided. The town officer or employee or his or her spouse, sibling, paren~ or child is (check all that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when. the - applicant is not a corporation); _ C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this Signature Print Name daye 200 . Fonn TS 1 , Town of South old . . LWRP 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 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 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 supportine and non- supportine 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. r~~I~-_rr~ In!! JUL 1 9 2006 , . . I, " ',1 B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# " PROJECT NAME I Sout;'~~.:fj"'iC~\:\::1 The Application has been submitted to (check appropriate response): BC>i.cd of Trucre.s Town Board D Planning Board D Building Dept. [!] Board of Trustees [B I. Category of Town of South old agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) D D (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: D Nature and extent of action: . . l,ocation of action: 17327 Main Road, East Marion, NY Site acreage: 1 .77 acres Present land use: ResidentiiH Present zoning classification: Residential 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: Regi Weile, Architect for Irwin Seigel, OWner (b) Mailing address: 905 Aquaview Ave. East Marion, NY 11939 (c) Telephone nwnber: Area Code ( ) 631 477 1797 (d) Application nwnber, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes D NobJ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. DYes D No G Not Applicable ABditioo to exist.iJ.'9 ~1de1.,-", Attach additional sheets 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 [J Yes D No GJ Not Applicable ~ !C~.~:\"~-J:i> p""...,. 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 D No GJ Not Applicable ffi\r\IU\'\OVV\ ln~~ ~ 'AI"W. ~ 'AMl'l1il'1\ -t, ~OJ tf'1,~Ch 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 [] Yes D No GJ Not Applicable 1'()/If'HrY1llW\ ~~ <;:A1"l4 ~'<<1l on ~d\.h<l'l\ -6-r'ld'6lto, 1~V:\lXla... 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 D No GJNot Applicable ~1f\\YAi:e ~\ Dr. p'V7)~1 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 L WRP Section III - Policies; Pages 22 through 32 for evaluation criteria. D D Q Yes No Not Alicable . ~:~:;~~ji:~VV:~t:~:;"~~,~ld~l[) ~:~~~~ .,~~ 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 0 No [J Not Applicable lID P_MI<;.(i\SY\s pn110-M I,,~n ~dl~t\Y\ -it, 'Pl/ll.n:d::e. 1-d1)~(D.. 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 0 No GJ Not Applicable h ~~1 ~~~I~~E~~~\~~ ~~XJ~:~ 6ch~V)09 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 m - Policies; Pages 38 through 46 for evaluation criteria. D YeO N00 Not Applicable ~huat, O__~ ""11 ~\ Attach additional sheets if necessary womG COAST POLlCt . 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 0 No Q Not Applicable 'PnlnJUJ ~tltn1w not iY'l [lVDl'lWhB Sn.u\h,1J, w..-k1'&-fWlA"1\J Cf."l/ 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 0 No Q Not Applicable fhlmh, 42 ~ l/:\tJIIV.Q) Attach additional sheets if necessary Policy 12. Protect agricuIturallands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. DYes 0 No Q Not Applicable 'P>'III~1L ~\~dl.J 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 0 No Q Not Applicable We. 'l?eQ,dtJhro./ PREPARED BY Regi Weile TITLE Architect DATE 6/6/06