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HomeMy WebLinkAboutGentile, Joseph . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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 # 0191C Date: April 16. 2007 THIS CERTIFIES that the converted attached garage. wooden deck and removal of the let-ski float At 685 Oakwood Court. Southold. New York Suffolk County Tax Map # 90-4-21 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 12/06/06 pursuant to which Trustees Permit # 6524 Dated 01/24/07. 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 a converted attached garage. wooden deck and removal of the let-ski float. The certificate is issued to Joseph & Catherine Gentile owner of the aforesaid property. J-~~ Authorized Signature . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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 L Pre-construction,. hay I9Ble line ~l\l(\OJ<u Di ~~~~ti Ft~t 1 st day of construction ~ constructed t./ Project-complete, compliance inspection.1\lfo \,0-1 (!) ~l r . . TERMS AND CONDITIONS The Permittee Joseph & Catherine Gentile. residing at 685 Oakwood Court. Southold. NY, 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 iffuture 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 ofthe 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 Bob Ghosio, Jr. 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 January 24, 2007 Mr. Thomas McHenry Liberty Permit & Research P.O. Box 5 Center Moriches, NY 11934 RE: JOSEPH & CATHERINE GENTILE 685 OAKWOOD COURT, SOUTHOLD SCTM#90-4-21 Dear Mr. McHenry: The Board of Town Trustees took the following action during its regular meeting held on Wed., January 24,2007 regarding the above matter: WHEREAS, Liberty Permit & Research on behalf of JOSEPH & CATHERINE GENTILE 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 December 6,2006, 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, the Board of Trustees has furthered Policy 6 of the Local Waterfront Revitalization Program to the greatest extent practical through the imposition of the following Best Management Practice requirements: the installation of gutters and drywells to contain the roof run-off, and a 15' non-turf buffer, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on January 24, 2007, 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 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of JOSEPH & CATHERINE GENTILE for the existing 21'X 28' wood deck with steps to grade and existing conversion of an attached carport to attached garage 13.9'X 29.4' and 6'X 19.5' wooden deck with steps to grade with the condition gutters and drywells are installed to contain the roof run-off, a 15' non-turf buffer, and removal of the jet-ski float, and as depicted on the survey prepared by Peconic Surveyors, P.C. last dated February 6, 2007. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, James/;;; ~ ~ President, Board of Trustees JFKllms . " James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 TO: Please be advised that your application dated J ~ ( G ( 0 (', has been reviewed by this Board at the regular meeting of ~ I / CJ- 9 101 and the following action was taken: w ,'1>> ~ co,,)..."",,"" 0 l' ~ *" ~ v( O,,~""" 1\' j re ~""'" \ 0 \ '^ J dsI<' ~ b. ~I ~) Application Approved (see below) \ S I """ - -tvrI' bv<.~ L-) Application Denied (see below) L-) Application Tabled (see below) BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD [, Iou~ fvr,.. r <- ~",.ch (4: 'Yakr h' ("'1\....-0,'" (X.,{. \... (frI.~ q If your application is approved as noted above, a permit fee Is nOW due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-appllcation fees will be necessary. COMPUTATION OF PERMIT FEES: ..$ t;;o .h'Y\A \ I"hS(< GA,oJ TOTAL FEES DUE: $ C:::;D BY: James F. KinQ, President Board of Trustees . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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 PREoCONSTRUCTION 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 % constructed ~ Project complete, compliance inspection. . . KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND MAIUNG ADDRESS: P.O. Box 1179 Southold, NY 11971 PLANNING BOARD MEMBERS JERIL YN B. WOODHOUSE Chair OFFICE WCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTH OLD To: James King, President Town of South old Board of Trustees From: Mark Terry, Principal Planner L WRP Coordinator JAN 2 3 2C07 Date: January 23,2007 Re: Proposed Wetland Permit for JOSEPH & CATHERINE GENTILE House SCTM#1000-90-4-21 Liberty Permit & Research on behalf of JOSEPH & CATHERINE GENTILE requests a Wetland Permit for the existing wood deck approx. 12'X 28' with steps to grade and existing conversion of an attached carport to attached garage 13.9'X 29.4' and 6'X 19.5' wooden deck with steps to grade. Located: 685 Oakwood Court, Southold. SCTM#90-4-21 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of South old 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 INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. Policy 6 Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southo/d Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The proposed distance to the attached 2ara2e is 85 feet. to the 12' x 28' wood deck 76 feet and to the 6'xI9' wood walk 0' feet from the "waters ed2e": a minimum setback distance of 100 feet is reauired pursuant to Chapter & 275-3. Findin2s: purpose:. iurisdiction: setbacks. Please reauire that the applicant amend the application to meet the above policv to the 2reatest extent practical. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. . . , Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box \179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., January 10, 2007, the following recommendation was made: Moved by Jack McGreevy, seconded by Don Wilder, it was RESOLVED to SUPPORT the Wetland Permit application of JOSEPH & CATHERINE GENTILE for the existing wood deck approx. 12'X 28' with steps to grade and existing conversion of an attached carport to attached garage 13.9'X 29.4' and 6'X 19.5' wooden deck with steps to grade. Located: 685 Oakwood Court, Southold. SCTM#90-4-21 Inspected by: Jack McGreevy, Don Wilder The CAC Supports the application with the Condition of a 15' non-turf buffer landward from the phragmites. Vote of Council: Ayes: All Motion Carried N SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. y: 1000-90-04-21 SCALE: 1- 20' FEBRUARY 6, 2007 ~I.tl' 9111.1>1 of' 69 \..0 ' . ,10.A-9 '" ~~ ~.. ~ ~~ ~ ~ tn ~ ~ ~ fL--Dtl ( 1) VI uf- 1 .5 r- ,zt )fIf V J~ gt . ~ . ~ ~ ... . ~ ~ U\. .~ U\ <:. \$' ia.. . ~ "\ .U\ ~ . ~ ~ . ~ \0\ ::1\ Vl . !. '" ....,l...... ~~.c::J\o.. ff\\ _..~ '& t"\ APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE 3)JIP/tJ? t?AJ o ~ ~. ,~ MAR \ l' \..01' - AREA-15,505 sa. FT. TO TIE LINES " ,. . =MONUMEN T Ji. = WETLAND FLAG LOT NUMBERS REFER TO " MAP OF CEDAR BEACH" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON DECEMBER 20, 1 9-i~ AS FILE NO. 90. ANY AL TCRA TlON OR ADDITION TO THIS SURVEY IS A WOLA TlON OF seCTION 72090F THE NEW YORK STA TC EDUCA TlON LA W. EXCEPT AS PER stCTlON 7209-SU8DIWSION 2. ALL CERTlFlCA TlONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED seAL OF THE SURVEYOR WHOse SIGNA TURE APPEARS HEREON. CONIC SURVEYO (631) 765-5020 F: P. O. BOX 909 1230 TRA VELER STREET SOU THOLD, N. Y. 11971 " \ . James F. King, President Jill M. Doherty, Vic&-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. e. 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 Southold Town Board of Trustees Field InspectionIW ork session Report Date/Time: l- t 5"----7 Liberty Permit & Research on behalf of JOSEPH & CATHERINE GENTILE requests a Wetland Permit for the existing wood deck approx. 12'X 28' with steps to grade and existing conversion of an attached carport to attached garage 13.9'X 29.4' and 6'X 19.5' wooden deck with steps to grade. Located: 685 Oakwood Court, Southold. SCTM#90-4-21 T)Yl?e of area to be impacted: ~altwater Wetland Freshwater Wetland _Sound Front _Bay Front Distance of proposed work to edge of above: Payt: of Town Code proposed work falls under: JLChapt.275 _Chapt. 1I1_other Type of Application: ~W etland _Coastal Erosion _Amendment _Administrative _Emergency Info needed: Modifications: Conditions: o~ r c... Present Were:~ng ~oherty _P.Dickerson ~Bergen_ ~. Ghosio, Jr H. Cusack D. Dzenkowski other - - MailedIFaxed to: Date: Environmental Technician Review :/,/7/ -Y ~ ': 0~~ 11<;; ~~- _\J ~ ~.. ~ ~ (0 ';to ] J". f~' ~I t '- ~ - 0! l' , ~f ,~ 'J ~\ ~ ._~ :; -- ~ ',,~~--., ~'-- 1 .,..-'. . ~ ..-,~l r~ I ::{..... ~-.~ .r - . ~. ,. ."C. ,-<::,".JI. _....- _ ~ -..4.;,. - ~'-~ - -,"~ - ~ 1 _,,~-.... I . -.- _ i,-..._;_ 1--': . . FORM NO.4 TOWN OF SOUTHOlD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . . ,(9.~f~7. . . . . . . . Date. . ..F.'~p;r:q~:ry. .29.. . . .. . . . . . . .. ., 1980. THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property ...685. Oakwood .Dri:v.e . . . . . . . . . . . . . . . . . . . . SP.'l.Jt:tlp)"'4, . N..X. . . HouSfJ No. Street Hamlet County Tax Map No. 1000 Section ... 90. . . . . . .Block ... ~. . . . . . . . . . .Lot . . . . . . .~ 1 . . . . . .. . Subdivision. .Cedar . Beach. Par:k. . . . . . . . . .Filed Map No. ....... .Lot No. .. .7.Q. . . . . . . . conforms substantially to the Application for Building Pennit heretofore filed in t1tis office dated . . . .Juo e. . tJ. . . . . . . . . , 197.9 . pursuant to which Building Permit No. ... .1.02727. . . . . . . . . . . dated ... J.unE.~. ?.O . . . . . . . . . . . . . . . . 1 '11.9 . , was issued. and conforms to aU of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . One .FEUnily. D;well;l.ng. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to ... Olin. Ha.r.per. LeCompte. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , (owner,/~) of the aforesaid building. Suffolk County Department of Health Approval. .9.,.80....38. . '. .2/29./.80. . . .R. . A... .Vil~a.. . UNDERWRITERS CERTIFICATE NO.. . . . . .. . 1'1. ~67.159. . .. . . .. . .. . .. . . .. .. . . .. .. . . .. . ~ Y;-/ ~A' - /?< ,:'. ...... .,~<~~~"....;?. :~~.~:~;.... Building Inspector R.,,4ne ~ . Jl:~ <<. , l . l '... ~ ti. . . II ~ ~ L--- I o -N- ~ . . " I I I" IUAIC:I I I I I I I + BAY + L~...",..... E___ ~_....~ N ~....,,.... D _k ~lIIo""'.u..--,,__ _lbInr.'WIo__R__ "'_"""I"'_H!;T__ _._1"__'__ __IIImti;.u.._II__ "::E~SS .'T::.~ TH~TH[R~~O.~~ p~~~~, SCIIQ. S SUE/I liD FII[ -,.-- "l'IIRoIHT lQlT 4J IUER p- ~USl -..UU--=-- I'STt.~ --i'-- _"""JID. (21) -- -- __ U.1Aldloro12.lA 1_.... 12.1Alcl ,......... @ (i) COUNTY OF SUFFOLK @ Red Property T ox Service Agency . .CaIlt,Center~NY119OJ III .SCALEII FttT. III NOTICE IIAlNTEN.w:E,.....TERATIIJN,SA!.E(JI tlSTRl8UTnl(l.wrf'(Jlf(Wa'TI€ Sl.FfOL~ CQ,tlTr TAX llIlP f.. PIlOlIIlITSl .rrHOUTIRITT[l;~OFTIE AULPROPEIITfTlXSERVlCEAClNl;T. SOUTHOLD :-8 SECTION NO 090 1000 PROPERTY M,tp ..... .. tlJiYEIIl5DIDlTl,.......lIS,l- ---l /" ~.... '. , ,. .. . Fi~: e;:r o/2(ft~' . 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 . Office Use Only L- _Coastal Erosion Pennit Application ~et1and Pennit Application _ Administrative Pennit AmendmentITransferlExtension ~eived Application: J7/t~. _RfCeived Fee:$ $1 r ( It- _-COmpleted Application J a-J 1t1/ {U _Incomplete _ SEQRA Classification: Type I_Type ll_Unlisted_ - Coordination: ( date sent) J _=t:WRP Consistency Assessment Form J.Jc la /OJ. CAC Referral Sent: .' f1ate of Inspection: !j /01 () 7 _Re~eipt ofCAC Repo : _Lead AgencY DeteIlilirtation: Technical Review: Ptl'6lic Hearing Held: _Resolution: f DEe - 6 2006 11/')/00 , . L-wt-f -- - JD~\1~~~ Gmh'e '. Name of Applicant C Address Phone Number:( ) ((0 ~\J 3L\:5 . 5 \ \ \ Suffolk County Tax Map Number: 1000 - ~D - t4 - ~ \ PropertyLocation~(P85 ~\'-S ()O ~ Ct. q()) S/o ~ L..o.ne:, S ~dlwId .. (prOVIde L 0 Pole #, distance to cross streets, and locatIOn) AGENT: L.~ ~ ({e~d::\. (If applicable) ,.. ~~ ~~~~\v Address: ' Phone: ~ard of Trustees APPlicatiJlt GENERAL DATA Land Area (in square feet): 15} 3 i.J'I rf Area Zoning: Previous use of property: r -eSt; d -en t i~ l t'I ~ ~ ..r a f\^ ~ l'( h" Me...- Intended use of property: S't:=-.f\A 4 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? ~~ Yes If yes, provide explanation: u\4 . r Project Description (use attachments if necessary): ~l ~ ~ \.)j ~~ ~~<.. LO~l. 'L'~2!' w'~ ~~ ~ u...t~L ~wJ e""~ yv~ \Jr-c\'itf"S \N t ~ ~ "G-Mt-.P6 A" ~ tv\\~ \0. I( I I / .f_ J ~ttf~~_. /39 X 299.~rI(j,/~/9:r ~ ckfr- ,~Af.tt W~ ~ 9 ~~ (~)~ , ~oard of Trustees ApPlicat~ WETLANDffRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:_L"e_f1\_):,h'1.'" . , ~s.+' ~ ,1..'" 2a ! I ~~{~.h ~ t.oM V~ ICNJ , I \3 'f 1- 2...qlf Wttil eM.dtck · w \ 5t\ws ~ 6.nJ.e.... ~ B~ ,,'(JS\t ~ L~('O~ ~ ~ ll~L 'ht.-t:::> 4" 'J'-/9 rt#,t1d~ vv/ ~m Area of wetlands on lot: ~ l\ ~ '!. square feet Percent coverage of lot: 17. 3 % Closest distance between nearest existing structure and upland ..... edge of wetlands: 1f6 feet Closest distance between nearest proposed structure and upland edge of wetlands: 75" feet Does the project involve excavation or filling? ~ @ Yes If yes, how much material will be excavated? cubic yards How much cubic yards feet Proposed slope throughout the Manner in which material will be remove 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): e't\~~~,j..... \N\~','\cK \W\rro\~ \'\~~ ~ \~....\\ ~~ ~t \~~~ _ tJ~~~~O~ ~~~. ., ~oard of Trustees ApPlicati~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: ~".hu ~~~ l.Utl~ ~~S ~~ \1.~~ t.~ ~W\\N;(S.\~ d-o U\~~~.e". Are wetlands present within 1 00 feet of the proposed activity? No ./ ~ Does the project involve excavation or filling? J e Yes If Yes, how much material will be excavated?~(CUbiC ~ards) How much material will be filled? N \ Pr (cubic yards) KJ}A- 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) ""V\dt ~~~~ N~ \\'v\{\rrN~ tJ\.O~- NN ~~p~ 4IIboard of Trustees Applicati~ County of Suffolk State of New York ~\\~~ ~~\.a.. BEING DULY SWORN DEPOSES AND AFFIRMS THAT HElSHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER KNOWLEDGE AND BELIEF, AND TIIAT 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. ~~.~ Signature SWORN TO BEFORE ME THIS I DAY OF J)~C'f9h1 i.rr~20 ~ ...,."~ '.p~. . ...A.iI'\,.'~~"-r'it'" .~~,,~ Thomas P. MCHenry," Notary Public The Great State of New York " reg #01 MC4991368 I expo 2/3/.2Qt() ~ \~<~~~~~"""....A,.~;.~.....r':",-",-""~~,_:,""",,i!o._ /' x 7 . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: flcbe.'l.-\- ~me f..\h \ \-t ~ ~O~"*' ~cc.. 0\ D'i&\-e.~ fu'{ (O\f-e. I~'\ \ \"\ '\ \ \\ ~o\\C)\\~ t)R,"e.. b\'" \\\\\~, t\J'\ \ \~L.\lo lo 2,D CD \<.-ux::od C-O\.J.~-\- SC:UfuD\c\. ~ 'I \ \ '\"\ \ ho.mR"n ~US~ ~O.{'{'\e.~ ~. Lul!..~o.<\ STATE OF NEW YORK COUNTY OF SUFFOLK ~~St.S'residinga~E;, ('e(\4;e.,,-m~cl\~s b~k 1 , being duly sworn, deposes and says that on the ~S day of: , 20.Ql, 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 ('e.nt~ ~\( \1 ~ ~. N'f , that said Notices were mailed to each of said persons by (certified) (registere ) mail. ~~~ . rr .-J Sworn to before me this '2 ~ Day of ~ GN ~"U"(' 20 Jl.L ./~~ ?>1o~~ Notary Public William A. McHenry Notary Public, State of New York No. 4990921 Commission Expires January.1J.. ~o JO c~ . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, If. 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 -~~_CO-J;:~n.L~A'k____ COUNTY OF SUFFOLK) STATE OF NEW YORK) That on the 3 day of .JA-N . , 2007, I personally/posted the property known as t:6j S-t}~C~ Cd<u ~ S}juJ!UY d NY by placing the Board of Trustees official poster where it can 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 lJJqJ. afa n,iitJ., ~f) - 9 t1. Cvl. a 6(lli tJ ~30 f /YI. Dated: !.vO? /.~ /Y' Y ~~pi'-f(.I~ SUrr, a/Vi- II.Y. 4P~~l~. (signature) Sworn to before me this .3 day of JAw 2007 ~~,'t9f M~/ otary Public William A. McHenry Notary Public, State of New York No. 4990921 Commission Expires January..J '2-0/0 ~'~,",,-\;\\L. (6 ~~ uf\-k~cl ~--l. ~u~O\C) ~ ~~ fl q c:!f 1/2-4 ( tJ 7 PART 1 -PROJECT INFORMATION . 617.20 APPENDIX C. STATE ENVIRONMENTAL QU REVIEW . SHORT ENVIRONMENTAL ASS MENT FORM for UNLISTED ACTIONS Only (To be completed by Applicant or flroject Sponsor) 2. PROJECT NAME M-.k @ 0 seaR I :ROJECT 10 NUMBER C.e.:.I 6.. ...D."....:...~...C. ,~IB.... E;P..R.. O......J.E.... C.T......... BR.... IE.....FL Y: . ............... ....... .,. 0;...... ....... ..... .............. '.....~. L..... '. ..... t............. ......../..................... .... '..'.. ................................/*.,':1................... .. _ _ ft , _"..~., -....~'U-- ~-~~bl.'~~~::.J~.'P..~..--....ItW'T:J fh 'i -.......:;'. .~.~.........~...i~..:~..~.........:~. '... .../......~....~........'...........~....r...td... ....e......~ ~~1~{..t~~~~ ~0~~ .. ,\ ';~ .' , '. .....:1'::.:.. .'is.t.:b d'")-.... .... ~.,-'~::- :. '~.' -' ,- ~~~~'. "....' 7. AMOUNT OF LAND AFFECTED: Initially < acres Ultimately ')t. acres 8;~ROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER ~Yes D No If no, describe briefly: RESTRICTIONS? ~~T IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as rnany as apply.) LM"ReSide~tial D Industrial D Commercial DA9rtcUlture D Park I Forest I Open Space o Other (describe) 10. OQES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [i2fYes D No If yes, list. agency name and permit I approval: tI eC- --rtJuI~,eI SouJl../J -k-es ~dl.l, 11. DOES A"fi..!}.Y A PECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAI,.? DYes ~o If yes, list agency name and' permit I approval: " OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant I Sponsor Name ..1 ,. ~~,," a..e".j., te.. Date: ~ 4 ) If the action Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EX.eEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. DYes WNo 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: I I C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: t I C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: l : ; C4. A community's exlsting plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: I C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: I C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly:. I C7. Other impacts (Including changes in use of either Quantity or type of energy? Explain briefly: I I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL D'~~MEDNoT :CEA:' :.~. ~'"-: I E. '0';:,'" OR 0 ;::;TE LlKEL no BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS' '''' -", I PART III . DETERMINAnON 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) irreversibDity; (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 ~nvironmental 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 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 Print or Type Name of Responsible Officer in Lead Agency I I Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) 4Itaoard of Trustees APPlioati~ 6a-~~lIL - AUTHORIZATION (where the applicant is not the owner) I, ~o~~G~{L> (print wner of property) residing at 08< C)ft k 1,OCX9Q) c:r: (mailing address) StQu~ld ~t II q7 ( do hereby authorize TO M f\Il ~ f-.l en r\.( I (Agent) I L\be-r-t'< fe(';A-~Qt?~~ to apply for permit(s) from the Southold Board of Town Trustees on my behalf. X J~5f+~ U (Owner's signature) . ~~\W \\ ~~ ~ ~ ~ . . . Town of Southold L WRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All appli~~ for permits* including Town of Southold agencies, shall complete this CCAF for proposed dons 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 ~empt. actio1,'lS 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 shoul<J 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 wilJ. 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" 9r "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 e~lained in detail. Iistin2 both sUDDortin2 and non- sUPDortin2 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 '~ website (southoldtown.northfork.net), the Board of Trustees Office: th~ Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION DEe - 6 2006 SCTM#?tJ 'I 2./ PROJECTNAMEG~nf;k {lJ (?A-~w()OJ ~a~ ~t The Application has been submitted. to (check appropriate response): Town Board D Planning Board 0 BuildingDept. D Board of Trustees ~ 1. 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). o D (b) (c) Financial assistance (e.g. grant, loan, subsidy) ~ Permit, approval, license, certification: [J1 Nature and extent of action: ~'~!l.-\-"':'~~~~,>~~t6v4 [W.J d ~\t~,<. I ~ '\. . ~ ".- '<~J~'~'.'~">'.''''''''~'~'\;~~$.,\,;+t->;:2>~;>;'.',''''''....... ';.:s ....>i\.~...~,......)' ~""~"'.~ .......... ~J~Jt61;.~\\li,,'-~..~~l~.~"f.~"c.~c~~"'J~ ". ..~..<.,.'.>, '. ..:;h.... ". '~;' .... "/k'~ .UJl~fi~.~~~~t~~e~ ) . . ~~-t- r~ Of '(.2 q '1 :1 ,- . . . Location of action: ~~ lJA-tv<JDCtJ Cbu.~ ,~o~J NY Siteacreage: ~'/2;k~ / IS" r7d -VA. ~, , Present land use:Jes, a~cd-. ~ I 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: ~..$el'h. Gen..j..;l~ (b) Mailing address: % L\berty re(',;~ t (Sa,.~.r een~~'flj06~ ~ \ \'lS4 (c) Telephone nmnber: Area Code ( >-@3 t) 3tfS ....rlll (d) Applicationnmnber, if any: /if~1\. 39J-go1 I Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes D No ~ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section HI - Policies; Page 2 for evaluation criteria. '\ DYes D ~o gNotApPlicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological r?,Sources of the Town of Southold. See L WRP Section m - Policies Pages 3 through 6 for evaluation cnteria D Yes D No ~ot Applicable . . Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section m - Policies Pages 6 through 7 for evaluation criteria DYes D No ~ot Applicable Attach additional sheets if n!;}cessary , NATURAL COAST POLICIES . Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section m - Policies Pages 8 through 16 for evaluation criteria DYes D No ~otAPPlicable Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the Town of Southold. See L WRP Section m - Policies Pages 16 through 21 for evaluation criteria D Yes D,No ~otAPPlicable Attach additional sheets if necessary Policy 6. Proted and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. SJe L WRP Section m - Policies; Pages 22 through 32 for evaluation criteria. D D ~ :iWO~G COAST POLICIE" . Policy 10. Protect Southold's water-dependent uses and promote siting of new water-d",dent uses in suitable locations. See L WRP Section ill - Policies; Pages 47 through S6 for evaluation dtiteria. DYes D No ~ot Applicable "", ....-. ,,:.",0_:_"'. . ." ~~~i:-~:~-:'-r::~t~~!1{_,_:.:e::~~'::::~.:0::':<':_'~"~-~ ..~~~.~;~-::..:..,,-'_.- 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 ill - Policies; Pages S7 through 62 for evaluation criteria. DYes D No ~ Not Applicable f 'S;:~~'~'.~~~'... Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See L WRP Section ill - Policies; Pages 62 through 6S for evaluation criteria. Dyes D No~otAPPlicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See L WRP Section ill - Policies; Pages 6S through 68 for evaluation criteria. Dyes D No ~otAPPlicable /' / PREPARED BY TO JlI1IY1 tfkl1 r y TITLE Mllc-M FrJ./L DATE' 2 -f-() G bUJtefljltppriCrr:vr . . FROM : L I BE"~TY PERM [T .ESEARCH FAX NO. : 345-5109 ~ Sep. 15 2006 01:56PM Pi SED 1 rAn." ~ :) Lu;-.Jb Uberty Permit.9 R&;earch ~ox. 5, cell\.ter MOrL.ckes, NY i~34 (6031.) 3-+5 - SUi I fQx. (b31.) 345 - 51.q:j Board of Trustees, Town of Southold Town Hall Southold, NY 11971 (transmit via fax to 631765-6641) September 15, 2006 ~: GI!NTILE HEARING OF 9/20/06 @ # 685 Oakwood Court, Southold, NY 11971 CTM# / our file # 01000 - 90.00 - 04.00 - 21.000.. Honorable Board of Trustees: We r_~lIv reauest to withdraw the above C8~Oned ~catlon and be removed from the SeDtember 20 calendar. The owner, Mr. Gentile, apparently spoke with some of the neighbors and realized they prefer his house remain the only one story home on the block. Unfortunately, this is enough to deter Mr. Gentile and force him to consider selling instead. I apologize for any additional work or Inconvenience this situation may have created for you and your staff, and thank you for your kind attention. ~espZbmltted' Thomas P. Me Henry Senior Project Coordinator I Agent tor Owner Encl.; Ce; file .u.fe, U.berttj /:1M tke pl,.tySlA.~t af Ht;tp'Pt~s. wlth ttf(i.ecs lit ~rll"'!3t Ht.lll, HIstone. Ma.... strttt, Y"pha~ NY _.libertVpermit.com . PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSE:PH L. TOWNSEND . MAIUNG ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE WCATION: Town Hall Annex 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 Southold Board of Trustees From: Mark Terry, Senior Environmental Planner L WRP Coordinator ~ AU" ,', '.] L Date: August 21, 2006 Re: Request for Wetland Permit for Joseph Gentile SCTM# 90.-4-21 Liberty Permit & Research on behalf of JOSEPH & CATHERINE GENTILE requests a Wetland Permit to construct a second-story addition over existing first-floor of dwelling. Construct two second-story balconies and upgrade tl1e sanitary system. Located: 685 Oakwood Court, Soutl1old. SCTM#90-4-21 The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town ofSoutl1old Town Code and tl1e 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 tl1e records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency oftl1e proposed action. CC: Shawn Kiernan, New York Department of State, Division of Coastal Resources . JaIIles F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 Office Use Only _---$Pastal Erosion Permit Application _LWetland Permit Application _ Administrative Permit Amendment/Transfer/Extension ~ec"ivedApplication:..b1I'nJ. ---.JU:c<:ived Fee:$ ~~..... _ ...elJmpleted Application -.rIIIQI. _Incomplete _SEQRA Classification: Type I__Type II_ Unlisted_ Coordination:(date sent) ~ Consistency Assessment Form <rIll ~ ~; Referral Sent:~1 ( (C'\~ -----Pate of Inspection: ~ 1110 (t::.l", _ -itec<:ipt of CAC Report: _Lead Agenc)' Determination:_ Technical Review: ~blic Hearing He~Id-31 tj.. Resolution: Aii0 'j 1..,0 - I " ," i.00:] Name of Applicant JD~n ~Ca::\h>yine, Gem Ie- Address~Li\tyr~-+~D~ S 1 Cenrrn1crj~.s ~Ul q C:f-\- Phone Number:( ) (CO ~\) 3l\5 . 5 \ \ \ Suffolk County Tax Map Number: 1000 - ....5lD - t.t - J I PropertyLocation~(Pg5 6"VS <00 k.-l.()c::cd Ct. qO) 310 <::;h-:,Al I Lane, \)(\;\A~ ~O Pole #, distance to cross streets, and location) AGENT: L1hPv.\-r, O/)I'ty1iJ <t ({e~QJch. (Ifapplieable) ~ Address: &X 5 Cen.ktmovichD <:, N Ulq 3f I J Phone: 345. 5 LU I5'f ~ Cj ,~ \' t R~ Jv\; I}-) c. - -.. I' ~d of Trustees APPlicati~ GENERAL DATA Land Area (in square feet): \~I (~Ltg Area Zoning: Previous use of property: .rf'~\r\e()t\O,J I t='a.mll~ ~~. Intended use of property: Prior permits/approvals for site improvements: Agency Date / No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspe~a governmental agency? o Yes If yes, provide explanation: N ~ A Project Description (use attachments ifnecessary): J2wpospci J.~ 5-m~ Q(\dcnOn ~\;L'x (p~;~~ DVfX ~'ll~-\111{3 \ ~ QaDI. Tw'D c9!1d strwl.J .hllc. ct. s C. ~d of Trustees APPlicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA PurpOSI: of the proposed operations: e7-pAn/<int, ,,) of 1-'1/''...,9 A-,-{>A ~I Skrd /-VI ),df'o,J,:es) Area of wetlands on lot: 9h I) 11 r squarefeet , , /7.3. % Percent coverage oflol: Closest distance between nearest existing structure and upland edge of wetlands: 7S feet Closest distance between nearest proposed structure and upland edge of wetlands: 80 feet Does the project involve excavation or filling? II~ Yes If yes, how much material will be excavated? III A cubic yards NIA cubic yards How much material will be filled? Depth of which material will be removed or deposited: Ai IA feet Proposed slope throughout the area of operations: .,J \ A Manner in which material will be removed or deposited: ,J I A 4ii" 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): ~~~I'.pC'T ,NO eFFecT. We Me plt>jXlS/~c, it ~~cOY'd g~rd ov-w ZMJ V/~/^1 J~III~ I re,VlolIA.-1 c-f ~(sn~ I/'f./r-V ckJ<..) c..J\-~ 2l\d~.. L-1~o.V'';''~ i _ /zw--:- ~~e (;..JG-(a.(( ov.er &&'~"",U-;;;;~J19~ (/"f~/~/7}(), l.v€. W\~\ \ N)tMl s;.+r.+w bM-eS\f- S, f:I- ~f,)rfr<w It<::~SS /lA1'JrtJe cH ~'l/JT~1 ~ ,. LkvN' /Yr-erf- ~ !ff,e?o.:/ S'~/IV)wd bfrlwtV d< l.1 r i , .~ ~d of Trustees APPlicati9lt COASTAL EROSION APPLICATION DATA Purpos,~s ~fprop~sed activity: Om5lrud ,2 ~~I r.!o ~)(./J~ JJwei/t ~JI (j, '~7 ~p k.e Are wetlands present within 100 feet of the proposed activity? No /@ Does the project involve excavation or filling? V/ r;:, \ ~ Yes lfYes, how much material will be excavated?~(cubic yards5 How much material will be filled? ,,; 1ft (cubic yards) , Manner in which material will be removed or deposited:--.MJ A Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) ~o.w.~:4~?';~ J< <=\1"", r\.wti.\,;"" ~oc;~.\~ r __J-----LlWtclltlm~ W~ \~\\ ~ \.\~, ~_z,rt~\ c.J \~S~\\ S~-fWV ~.~~ ~ S\\~ ~urbtlft ~<<)S'~ ~Jh'l"4 "UrWl\l'\ ~A ~ ~Te.\J~\ S~\ ~t-..tl ~\o~") ti-e~('\ C\JJr~{>ef$. ~12\ ~j O{)efM1'r,,/, go I .t-CM \}.lt~~ \\~b.e.,~rr\l ~~ ~'"~ 'Z:. \~~O~~. No,Q.;JQr) (!..(~~LM.NIV ~tV , 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. 2. PROJECT NAME Gen-1, ~ @ 0 o 3.PROJI"P I,::jCATIO So\A~OIc;l fV Municipality ~ fJ County E~~~DeNd;;k~~oJnd&J~~se9~s., ~n:~n~mFs JCftJ,.J9idLm>>rv ~ SoIot~(A~ (\I\{ q I 5. IS PROPOSloD ACTION: 0 New cltT odification I alteration 6. DESCRIBE PROJECT BRIEFLY: e Vld J' ~ r rl'1'''S~ J (N-IVr .fi?.}CI- S77""'(1, .1 ~( ~sf",...-tt J I2c(( (of (V\. "V #l.II ... /S,f-5'~ I 7. AMOUNT OF LAND AFFECTED: Initially <' acres Ultimately X acres 8.~ROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER ~ Yes [J No If no, describe briefly; RESTRICTIONS7 9. WHAT IS PRESENT LAND USE IN VICINITY ~Sidentjai 0 Industrial D Commercial OF PROJECT? (Choose as many as apply.) DAgriculture D Park I Forest I Open Space OOthsr (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) lJ2tYes CI No If yes, list agency name and permit I approval: eC- -!1JuJ,.), rI St,,,,J1../J 7RvJk.:es ~ ,g,/.I9 11. DOES A~~PECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes L.!1NO If yes, list agency name and permit I approval: OF PROPOSED ACTION WILL EXISTING PERMIT / APPROVAL REQUIRE MODIFICATION? Applicant I CERTIFY THAT THE INFORMATION PROVIDED / Sponsor Name ..1 I/'S<!!-t' J, (;;~ h 4. ABOVE IS TRUE TO THE BEST OF Signature } MY KNOWLEDGE Date: #6 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 ITo be comDleted bv Lead Agency) A. DOES ACTION Ex,cEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. DYes [j No 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. o Ves 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: I I C2. Aesthetic. agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: L I C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats. or threatened or endangered species? Explain briefly: [ .... . . . ...... .... .....1 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; L I C5. Growtl1, 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 C7. Other imoacts including chan es in use of either auantitv or tvoe of enerav? Exolain 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 0 No I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: DYes ONO 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 (Le. 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, thedetermination of significance must evaluate the potential impactofthe proposed action on the ~nvironmental characteristics of the CEA. Checf; 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. Chec.: 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) t.. 1" ^,yolf Clc-L.\- LL . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS ..s:.M\ 't: ~', Name: Address: \L--d-\1 r'/N ~\l.s.SD M~~ L' ~Me'l'\J\\~ y(obt>,.-\ t. ~f'J\€r\i\\\JL 90-Q -i..\ ,\-ctvVes () lurnY'!. ?7{ OAk~ :Dr, -Scl\Ath,td fJ\j \\011\ ~ N('jr~ QJ </2Js{er ~'L-'i rJ ~ \ \ II \ .5"15" O~K~d be Sc"p\"\"C\d rv'-l \\<?t1 \ I ~-4-1 lD~tJ ()~kV0~ Lt- s'0i\A\.\-Jd N\.\ \\91' - C~'" oe.-" ~u~\\-l... ~.L"\-\{ \\t2.s.\,\rer -IY---t t\~\ls I Q{wrrJs. ') STATE OF NEW YORK COUNTY OF SUFFOLK 'rTl.A-ce <( 6. v'k6F ,residing at t3 OJ'. ,S- ttn ~y ~Nudtr'.s fV'l / I <; '3 '-I , being duly sworn, deposes and says that on the 5' ,'-" day of S:-e(7f~,., h(J r ,20 ()c, , 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 ~ n lu ,/\II 4 III c: he.s' , that said Notices were mailed to each of said persons by @rtifi~k@giBt".~d)maiL JI\~ j) ~-L- \ ~ Sworn to before me this "- Dayol' SeIJk'II1h-t-r ,20~ . Thomas R McHenry Notary Public The Great State of New York reg #01MC4991368 exp_ 213124!..0 ....,.,;c-~".~,~"'~ -f1~~b , , \ . . -Sc:.ntpl-e.. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES. TOWN OF SOUTHOLD In the matter of applicant: \5.(~\,\ ~~I,\r{> ~~\~ SCTM#_IOOc. ~ 9().o . CJLldJC:J. 21 .Ot;l('. YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to ~equest a PeITl}it from the Board of Trustees to: v~"t:\l~ \ \'l\\?\1\l~''''~",~ ~ ~ISt""" i~"t lidD ~ \ l/V\~1.t\- .u-~,Jc.;.'d~ o~ 4e\hJd~~ I n.ofv\OuJ u-C ~/.'jf-,/V~ ttM d-a,l ~_.,~\1a-.J. o~ i~d ,3.\6{"'{ O\f~( ~fS'" rit.., \ ~~ ~d wt-U. ~\Cmu\oQS. ~"t-L~ L'N)~M- ~ 1re.1:>\tx:-e. ~1"IlUG, 1-&.1(. (*- ~1-4't 6~.3 'fro.zhrJ~loc~ . 2. 'that tne propeity which is the subject of Environmental Review is located adjacent to your property and is ,deSCribed as follows: j ~Bs. fA:Sts.,de... D~ "- uJOOd tduA-. QD.8o ~~ a.&- S.\\~'i ~vk.., ~~M N~ (Ab.) ~~~ tI~l{v..lOcrl ~OlA,r\- '3,av.-~o\~ N'1 \\1111 3. That the project which is subject to Environmental Review Ul}der/Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: 0/%0 (J" . You may contact the Trustees Office at 765-1892 or in writing. (0 3 0 f' {l/\ The above-referenced proposal is under review of the Board'ofTrustees of the Town of South old and does not reference any other agency that might have to review same proposal. Enc: Copy of sketch or plan showing proposal for your convenience. J + r0 en '0 "J\ C> sn\ -\ , \ \\ , . . SHADY LANE r0 \ \ , , \ \ \ ~ r0 en co ~ m\ C> ~\ \ r0 j ~ ~\ \ "'\ ~ \ \ \ \ \ \ \ \ \ N70"21'10.E '" 1-", / en>> , T / U)r _I , " "'VI . :t VI.", ZO \J)~ 01:)> \j~ "" ~ 'MRE X /'W7.19 N~W57 ...... ------ FENCE ~ .J. ~ -r 5.6 5.2 -fIE -l1IA'4 ~.~ r VI 72 + 5.4 , , , , "- ~: , , , , , ~ -0 \ \ , \ \ \ \ ~. ::; ~ .-....~ Cl- ",1'1 ",'" "'~ ~% ~'" ~'" >( ~ g 5.6 6.6 +7.6 - + 7J c " \ \ \ \ \ , -- '/j.O 173.00' _________, ------~f/1 "" . \ \ \ '" , I; , I I \ ". + 9.1 77+ APP. LOCA nON EX, SAN. S1'S, (SEE NOTES) .. ---==:: 20 0 H-++t-j 10 I 20 I 40 I eo I 1 inch =20 fl. GRAPIDC SCALE ( IN FEET ) PRl M.4 LOt SURVEY NDl(S; 1. l)NAUTHORIZI~D ALTE:RAT1OO OR APD!TION TO THIS SUAVE'!' IS A I,1OLATION OF SECTION 7209 Of THE NEW YORK ST^TE EDUCATION LAW. COPIES Of THIS SURVEY MAP NOT BEARING THE SURVEYOR'S INKED OR EMBOSSED SEAL SHALL NOT BE CONSIDERED to BE A VALID TRUE COPY. CERTlfIC"TIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON!pEASONS FOR WHOM THE SURVEy IS PREPARED, AND ON HIS/HER/THEIR BEHALF TO THE T1TU; COMPANY, CO'vtANl.4ENTAL AGENCY, AND LEND1~ INSTITUTION LISTED HEREON, CERTifiCATIONS ARE NOT TRANSFERABLE TO ....OOITIONAL INSTITUTiONS OR SUBSEQUENT OWNERS. 2. THS SURVEY IS SUBJECT TO ANY EASENENT Of RECORD AND OTHER PERTINENT fACTS WHICH AN ABSTRACT Of TITLE WiGHT DISCLOSE. ~ OfFSETS SH'::>WN: HEREON ARE fOR A SPEClfIC PURPOSE AND SHOULD NOT BE USED AS A BASIS fOR CONSTRUCTION Of FENCES OR OTHER STRUCTURES 4 SUBSURfAce: STRUCTURES AND/OR UTILITIES. If" ANY. NOT SHO~ 5 HEDGE AND FENCE OffSETS SHOWN ARE TO CENTERLINE UNLESS OTHERWISE NOlED. I CERTIFY THAl THIS MAP REPREStNTS A ACCURAT( AND TRUE ACCOUNT Of A SURVEY. P(RfORMED IN THE rlELD UNDER MY SUPERVlSION ON 08/12/2005. Of THE LAND THEilE1N PART!CULARL Y DESCRIBED THIS SURVEY WAS PREPARED IN ACCORDANCE 'MTH THE CURRENT COO[ OF PRACTICE toR LAND SURVEyORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROfESSIO~IAL LAND SURVEYORS eEl , NOTES: 1. (70) - DENOTES FILED MAP LOT NUMBER 2. EXISnNG SANITARY SYSTEM TV BE ABANDONED. S. ALL COMPONENTS OF NEW SANITARY SYSTEM TV HA liE" TRAFFIC BEARING COIiE"RS. (69) 173.00' 6 0-" N.st zf;\ ~ " ~--_/ , , , \ \ ~ l~ or, --- -- ',K_ - \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ I (70) \ \ \ \ \ ~ \ . '" \ 'l' \ i'- -PA VfR ~ :~J \ . \ I J I I I I I I TAX LOT 21 I ~/?EA=15.349 so( n: ! 0.3523 ACRES I I I I I I I I I I , I \ \ \ I / (71) I I .. 22 + 2 , \ I \ \ \ \ \ \ '" \ -< \ 7.1+ it \ Ct:: \ ~1!1 \ ~ \ ~ \ ~~ ) I I I ~ I I I \ I I I I I I I I I GRACE 8.0 WALK - SANOY LOAM '" '" ~ ~- SAND AND WATER GRAVEL \\~ ENCOUNTERED ~ ,\ "'- ,,~ '-\, - - 2.5 + 570"21'10.W TEST HOLE DATA BORING DATE 0-4/07/06 INfORIr.lATlC1N PROVlDEO BY CHRIS t.4ORRlSON BACK HOt: SERVICE INC. NOT SCALE __Ir:~ 2~~ T. EASON LAND SURl/EYO~ PC 27 POPLAR S'IRBET, PORT JEFFERSON STATION, N.Y. 11776 P...,/Fax(6Jl)474-2200 W. Sif4 'lEASONIANDSVRVEYOItCOM PLOT PLAN JOSEPH GENTILE CEDAR BEACH PARK SOUTHOLD, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK SUFFOLK COUNTY DIST. 1000 SEC 090 JJLK. 04 LOT 21 TB: 5 I~: 1" 20' PARED FOR' 'OF: ATION ;-.~' '. ' TIFIED TO: " l. ?"j~ \ \ '. '...... I I' ; \,,', _.,_ I J ,......~..........-.....>.I...j.! '..... ". ",' I I "~IJ 7;.:~ -, . . ;/ TRElllIL4N.E A BASON, LS. UC # Q$04$2 \ . JaDles 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 --cf.~b_:t.__C(t;1ru.Mo.L~0..1&'k..__ COUNTY OF SUFFOLK) ST ATE OF NEW YORK) AFFIDAVIT OF POSTING I, I {lA-{:-(! " b iJrt-(j, G" , residing at LI b" r-ry , y:'!:. of 5~ t1--h~.J.-t...- t^ 0 a. I clr -e..f Y1./ ,,/ \l 'H 4- being duly sworn, depose and say: That on the 5 day of Se~ . , 200 {q I personally ,o..q ,./ ~k..w(J()I ~.. IAUq/d '" 1'77/ by placing the Board of Trustees official poster where it can 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 Wet!. ~'L1J'I d~.1~" (h OOCx.tI fI'3D m. Dated: Sworn to before me this lP day ofSef'f: 200 " ~~~~ Notary Public 2~~A~. (signature) Thomas P. McHenry Notary Public The Great Slale of New York reg #01MC49913611 exp.2I3IZilLO 41\0 o I\) OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOlD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, . Southold, New York, concerning this property. OWNER(S) OF RECORD:~" "~nN. 00\(&\( . TIME & ATE 0 UBLlC HEA~I :.~D" ~, .000aral\~-t CI,~ {"I. If h Se · t.O.h.... . . d . h T f'l ( ) you ave an nterest In t IS prolect, you are inVite to view t e lown Ie s which are availabie for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m and 4 p.m. , BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 . . :t1'\'W~L 4I!ard of Trustees ApPlicati~ County of Suffolk State of New York Jose ph G € n{; k BEING DULY SWORN DEPOSES AND AFFIRMS TBAT HE/SHE 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 I 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. tf~ Signature SWORN TO BEFORE ME TillS ~'S DAY OF (V\ AV ,201l...f1 Thomas P. McHenry Notary Public The Great Slate of New York reg#O'MC499t368 ""!l.2I3I.4\1..O ~~ -fLi~ Notary Public . . APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold' s Code of Ethics orohibits conflicts ofinterest on the Dart of town officers and emolovees. The DUrDOse 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 necessarv to avoid same. YOUR NAME: ..:10"-.-eph. {~+>Y\-\-:L.c. (Last name, first name, .t;niddle 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, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage. 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 @ If you an~)wered "YES", complete the balance of is fonn and date and sign where indicated. Name of person employed by the Tovm of So Title or position of that person Describe the relationship between yourself the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or escribe in the space provided. The town officer or employee or his or er spouse, sibling, parent, otchild is (check a1l that apply): _A) the owner of greater than % of the shares of the corporate stock of the applicant (when the applicant is a orporation); _B) the legal or beneficial ner of any interest in a non--corporate entity (when the applicant is not a co ration); _C) an officer. director, armer, or employee of the applicant; or _D) the actual applican . DESCRIPTION OF REL Form TS I i~;*~'~~~ 200~ 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 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 Watemont 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" 'ilr "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. Iistine 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. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# ---.tD If 2- / PROJECTNAME Gf7n/iLe.. ~ ClA.Jwood ~O<J. c-t The Application has been submitted to (check appropriate response): Town Board D Planning Board D Building Dept. D Board of Trustees ~ 1. 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: W' Nature and extent of action: 3.:st ,^--e3.. -\-~.;.. e.., '\R,U STE ~ &t?C' r-ev A.A ~{',;'\- ~ '2"'~ $kr~ ~ he\c.C)yv;~ +0 ~'f I~h ~ ,..... gk~ . ~ ~ ~\~o\ , ~ tWl{?rN-eMts . . Locatiionofaction: ('A5; a~\AooJ Cbu. V+J\c~o-lJ IVy Sitew:reage: -c '/ZAeae.... lIS' ~7() -V 4. ~ I ' Present land use:Jes j d-enJ., ~ I 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: ~.sep~ Gen-!-;L-€.. (b) Mailing address: % L\beriy rer~.\- I (3Q,~S , (! enr:fer ,M I fCl cltcr ~ \ \ q 3.4 (c) Telephone number: Area Code ( ),@~ I) 3'K' ~)I t l (d) Application number, if any: /~~'f.. 31,)-5701 I Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [J NoW' 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 [] No [i'NotAPPlicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological re,sources of the Town of Southold. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria DYes [J No ~ot 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 ~ot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES 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 DYes [J No Gr;;ot 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 ~ot Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. SJe LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. D [J ~ 'Yes No ~ot A_cable . ~A Furrf..kr ~Y7(!IltJAr<>ltM{J/1l'+ ~YU tN-et\A-wd.s ';~~e~~ A-f'fA Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section 111- Policies Pages 32 through 34 for evaluation criteria. DYes [J No 0' 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. DYes [] No 0' Not Applicable .. _ I I. 1 I SZ:f~t 11 ~ oJ ~lf -;:; ,1M v..J ~ \ II n-e. t IN <; h 1I'e4 ( "? tc.r) IN Md l IJ..e~. lirv-Q r"'\~'I" 4 (lOMM'{>NI'f'N\.4.4'VI. 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. DYeD No ~ot Applicable , ; Attach additional sheets if necessary WO~NG COAST POLlCl" . 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 ~ot Applicable S-c-e -Ii cJ Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes 0 NO@NotAPPlicable S-e-e. -#-8 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 0 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. DYes 0 No G('NotAPPlicable PREPARED BY'fO/V\ /'/I #enYd TITLE .1rJ- DATE_ . i I . Date/Time: i BOARD OF TO, USTEES TOWN OF SO OLD I , , , Southold Town Board ofT~tees Fi,ld -'tiOo/WO"""ir _'POrt , ' ~~~ ~C, I, rerrn, ~i,. . : , qo-L.{<~II/ I I '2 ,,-i Jsb Town Hall 53095 Route 25 P,O. Box 1179 Southold, New York 11971-0959 James F. King, President Jill M. Doherty, Vice~President Peggy A. Dickerson Dave Bergen John Holzapfel Telephone (631) 765-1892 Fax (631) 765-6641 Name of Applicant: ::J05e.(1., <1- i \k-"-, Name of Agent: Property Location: SCTM# & Street ~a!;. Ook..~ C( A-H ,,*,, ,--N Brief Description of proposed action: ':>~-\-'<.. !.At "):7<N I Type of area to be impacted: . . _Saltwater Wetland _Freshwater Wetland I +Sound Front _Bay Front Distance of proposed work to edge of above: I i Part of Town Code proposed work falls under: I 2~,rhapt.97 _Chapt. 37 _other I Type of Application: v<... Wetland _Coastal Et. si~n _Amendment _Administrative Jmergency . Info needed: . Modifications: b 0<:'+ {'C:.....l +~ )..J "" p Ftc..4.- Conditions: ~ c..~ ,,~c.. ;r-: (I sc.r.Lj~ , I 1 I ! I I , present Were: _J.King _J.Doherty y.Dicketso ~. Bergen_J.Holzapfel Other: MailedIFaxed to: . I jDate: . . Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New Yorl< 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town ConseNation Advisory Council held Wed., August 16,2006, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of llOSEPH & CATHERINE GENTILE to construct a second-story addition over existing first-floor of dwelling. Construct two second-story balconies and upgrade the sanitary system. Located: 685 Oakwood Court, Southold. SCTM#90-4-21 Inspected by: Don Wilder Vote of Council: Ayes: All Motion Carried ~' .,.. " ,. ~ ' : ~ '40~f , . \;. .;.-'- -. ;,,:.~~--.,:;.t~,.~...~~' .~ . ',~ ~' '. ~:; '. ~<.,. ::..6' ~~t'fil~'.:.~~~..,i' ( ::, .p';;Y.. '. _ ..'" .~. .... =' ...! ..i. ..;;"'(..... _.... ~R.._~~..,...."'"'.:-..~,> ~ ..~~~~.i::; ',.~ tr .- .. ..~.) .. . --:. ....,... '-Z~;;.. ~...... 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" !!;:!'I:;J .i 3 , , {1 ldl'l !I!J " 11'1 +- + r! i ~ " .I, q!j !J I j i J I ~ T. EA~C2~~!?~~~){S~~ PC Pho../Fax(6JI)474-2200 WIb SiI, 7EASONlANDSVRVEYOR.COM PWT PlAN JOSEPH GENTILE CEDAR BEACH PARK SOU TH OLD , TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK PRBPARBDFOR' MAP OF: WCATION: + rAB ?=a t;:c\ .. - - \ \\ \ ~ ~\ \ ;.~\\ + \ \ \ ~ \ \ \ 1 \ I SHADY LANE rA e<Ul . J: "'.,." ZO V\~ :t:)i. ~~ 1"'\ ~ + 4.8 N70'21'10.E '" /~:E I en)> , -F / V1 _I , , \ j ~ ~\ "I \ ,,\ ~ FfNCE' 5.2 'MRE' . /lV'-19 ;:'~W57 ........ -----.... , , , " "- ~ or 55 . - + + 5.4 , , , "- " , , rA '0 I \ I I \ \ \ "'i! Cl- ~~ ~ ~~ is ",g ~'" 5.5 5.5 '-'-~ " \ \ I , \ , -- '1'8.0 +7.6 - + 73 , I I I I I I I I I \ '" - 173.00' ___________ _-------~ 8.1 -.'\ , , \ '" 77+ APP. LOCA nON EX. SAN. SYS. (SEE NO TES) ,..-------. ,,' '.'- Ls u :':c ;1 L,=, [,.')r- \1 2<l 0 r+-t+t-I ! i i 80 I' I, I L___. AUG - 1 2006 i' \ 10 I 20 I 40 I 1 inch =20 ft. GRAPHIC SCALE ( IN FEET ) SURVEY NOTES: 1. UNAUTHORIZED ALTERATION OR ADOlTION TO THIS SURvEy 1$ A VIOLATION Of SECTION 7209 or THE: NEW YORK ST....TE EDUCATION lAW, COPIES OF THIS SURVEY MAP NOT BEARING THE SURVEYOR'S INKED OR EMBOSSED SEAL SHAll NOT BE CONSIDERED TO BE A VALID 'TRUE COPY. CERllFICA liONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON/PERSONS fOR WHO~ THE SURVEY IS PREPARED, AND ON HIS/HER/THEIR BEHALf TO THE TItlE CO~PANY, GOvrRNIolENT AL .....GENCY, AND LENDING INStiTUTION LISTED HEREON. CERTlftCA TIONS ARE NOT TRANSfERABLE TO .&.OOlTlONAl INSTITUTIONS OR SUBSEQUENT OWNERS, 2. THIS SURVEY IS SUB.t:CT TO ,&,NY EASEIolENT Of RECORD ANO OTHER PERTINENT fACTS WHICH AN ABSTRACT Of TItlE MIGHT DiSClOSE. 3. OFfSETS SH()INN HEREON ARE fOR A SPECifiC PURPOSE AND SHOULD NOT BE USED AS ..... BASIS fOR CONSTRUCTlON Of fENCES OR OTHER STRUCTURES. "'. SUBSURfACE STRUCTURES AND/OR UTILITIES, If ANY. NOT SHOI'otl. 5. HEDGE AND fENCE OFfSETS SHOWN .&.AE TO CENTERLINE UNLESS OTHERWISE NOlED I CERTifY THAT THIS ~I<.P REPRESENTS..... .....CCURAl[ AND TRUE ACCOUNT OF A SURVEY, PERfORMED IN THE FIELD UNDER MY SUPERVISION ON 08/12/2005, Of THE l.....ND THEREIN PARTICULARLY DESCRIBED THIS SUR'o'EY WAS PREPARED lN .....CCORDANC[ WITH THE CURRENT coot OF PRACTIC{ reR LAND SURvEYORS ADOPTED BY THE NEW yORK STATt ASSOCIATION or PROrESSlONAl LAND SURVEYORS. (59) 173.00' 0" ~.~ z~ 2.2 + 2- ", ,x_ I I \ \ I \ I , I , , , , , \ \ 1 (70) \ \ \ \ \ ~ \ ." \ \ \ (, -_/ \ , " \( '" \ "< ~t:: ~!!!; ;~ ~i PAVER '> WALK 1 \ \ \ I I I I I TAX LOT 21 I A;?EA=15,349 so. FT. ! 0.3523 ACRES I 1 I I I I I I I I \ I I I I , I \ \ \ I / (71) , . .. I I I I I - - 2.5 + CERTIFIED TO: NOTES: ,. (70) - DENOTES FILED MAP LOT NUMBER 2. EXISTING SANITARY SYSTEM TO BE ABANDONED. J. ALL COMPONENTS OF NEW SANITARY SYSTEM TO HA \IE' TRAmc BEARING CO\lE'RS. ~ ~ ~ r 7./+ cD o \ s. \~~ \'" \ ". ~~ t)~ ,,;;; "j~ ~ '" ",'" "'~ ~<:) ~ g \J) )> 'Z. o -u 'i:l \"<i -;0 \ \ \ \ \ \ 1 I I I I ~ '" I. '" WOOD ... I I I 1 I 1 I I I I I I t___ ~ '" 1.1 GRADE 8,0 WATER ENCOUNTERED ~ ~ ~ 1.2 + . .----.... , ~. ~ , , t'\ SANDY LOAM C1l. u. SAND AND GRA'.fL \\~ ,\ '" "\,, - S70'21'10.W TEST HOLE DATA BORING DATE 0"'/07/06 INfORMA TIOO PROVIDED BY CHRIS MORRISON BACK HOE SERVlCE INC, NOT SCALE SUFFOLKCOUNlYDIST. 1000 SEe 090 BLK. 04 LOT 21 !AlE: 5