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Home My WebLink AboutTR-6526 . . 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 Pre-construction, hay bale line 1 st day of construction Y2 constructed 7' Project complete, compliance inspection. . . 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 Catherine Mesiano Catherine Mesiano, Inc. 12 Mill Pond Lane East Moriches, N.Y. 11940 RE: ANTHONY BELLISSIMO 600 KOKE DR., SOUTH OLD SCTM#87 -5-5 Dear Ms. Mesiano: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 24, 2007 regarding the above matter: WHEREAS, Catherine Mesiano on behalf of ANTHONY BELLISSIMO 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 27,2006, 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, 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, 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 proposal complies with the standards set forth in Chapter 275 of the Southold Town Code, and, WHEREAS, the LWRP Coordinator recommends that the proposal is an exempt Minor Action and not subject to LWRP review pursuant to Chapter 268-3; Items A and B" and, 2 . . WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of ANTHONY BELLISSIMO to construct landward of the existing bulkhead and 12" higher 57 If. of bulkhead and place 30 cy. of backfill, remove existing bulkhead upon completion of landward bulkhead, and install a 10' non- turf buffer, and all as depicted on the plans prepared by Sea Level Mapping amended 9/12/06. 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.) This is not a determination from any other agency. Fees: $50.00 v'~n"'YJ:- 0:7 ~ James F. King President, Board of Trustees JFK/hkc . . 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: C5l~nz BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ~tVlu fL. A. fho "j (;)..( ~ 7/ 06 I J;;L'f /07 , R~ 1I(5),-rnO Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: has been and the ( vi) 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 Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: ~t;o - h'/1'" ( I rwrecf,~ TOTAL FEES DUE: $ So ____BY~.am~s F,ISLl'1fLEIesidelll 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) 76.5-6641 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 181 day of construction 12 constructed V Project complete, compliance inspection. . James F. King, President ,Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. . ~.~ \'Ir SOlJlf;ct. " o ~ + +~ "en __fl c::: ~N \~ . ~,t\) '" 1: ^"'-"'::. if ,~/ Town Hall 5.3095 Rout,e 2;') P.O. Box 1] ;~,l Southold, Nc'\v York 11~17 J -U:).S~I Telephone 1:\)::>1';, 76.;-] :)9~ Fax (631;, 7r;5~Ch'+} BOARD OF TOWN TRUSTEES TOVlN OF SOUTHOLD Southold Town Board of Trustees Field InspectionlW ork session Report Date/Time: I ^~ ,1)~p7 Catherine M Siano, Inc. on behalf of ANTHONY BELLISSIMO requests a Wetland Permit to construct landward of the existing bulkhead and 12" higher 57 If. of bulkhead and place 30 cy. of backfill. Remove existing bulkhead upon completion of landward bulkhead and install a 10' non-turf buffer. Located: 600 Koke Dr., Southold. SCTM#87-5-5 TY.]Je of area to be impacted: JSaltwater Wetland _Freshwater Wetland _Sound Front _Bay Front Distance of proposed work to edge of above: PaA" of Town Code proposed work falls under: ~Chapt.275 _Chapt. Ill_other Type of Application: / W etland _Coastal Erosion _Amendment _Administrative _Emergency Info needed: o~ Modifications: \ ( o 1\t"JV\I-\-u--r'P rbu:fW Conditions: Present Were: ~ing )LJ.Doherty _P.Dickerson ~. Bergen_ B. Ghosio, Jr H. Cusack D. Dzenkowski other Mailed/Faxed to: Date: Environmental Technician Review . . Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., January 10,2007, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of ANTHONY BELLISSIMO to construct landward of the existing bulkhead and 12" higher 57 If. of bulkhead and place 30 cy. of backfill. Remove existing bulkhead upon completion of landward bulkhead and install a 10' non-turf buffer. Located: 600 Koke Dr., Southold. SCTM#87-5-5 Inspected by: Jacob Smith, Jack McGreevy, Don Wilder Vote of Council: Ayes: All Motion Carried 738-03452/00002 "ACllITY/PROGRAM NUM.) So e PEFlIT ~C:=::C",._'= ::;,:..'t-: SeD:e:-r:b.::r 29,2006 EXPIRATION D,^,TEiS} TYPE OF PERMIT 0 New Under the Environmental Conservation law o Renewal 0 Modification 0 Permit to Construct September 28, 2011 o Permit to 0 erate · Aiiicle 15. Title 5: Protection of Waters o Article 17, Titles 7, 8 SPDES o Article 27, Title 9 6NYCRR 373: Hazardous Waste Management o Article 15, Title 15: Water Supply o Article 19: Air Pollution Control o Article 15, Title 15: Water Transport o Article 23, Title 27 Mined Land Reclamation o Article 34: CoastEd Erosion Management o Article 15, Title 15: Long Island Wells o Article 15, Title 27: Wild, Scenic and Recreational Rivers o Article 24: Freshv.ater Wetlands o Article 36: Fiocdplain r/lanagement . Article 25: Tidal Vv'etl:::::lds o Articles 1, 3,17,19, 27,37; 6NYCRR 380: Rac:atlor: Cor,t~ol · 6NYCRR 608: V\'atEr Quality Ce1ir.:::;;:;- tien o Article 27, Title 7, 6NYCRR 360: Solid WastE r..lcnaoemE;lt I PERMIT ISSUED TD TELEPHONE NUMBER i Anthor]"1 & Mary Ellen Bellissimo Jr. (631) 543-7700 'I I, ADDRESS OF PERMITTEE I 3 Darius Court, Dix Hills, NY 11746 CONTACT PERSON FOR PERI~ITTED WORK TELEPHONE NUMBER I I Permits & Drafting Unlimited, P,O. Box 743, Maltituck, NY 11952 (631) 298-5968 NAME AND ADDRESS OF PRO.JECTfrACILlTY I Bellissimo property, 600 Koke Drive, Scuthold COUNTY TO\.VN WATERCOURSE Nyn,1 COORDINATES I : Suffolk Southold Corey Creek Ii DtcSCRIPTION OF AUTHORIZED ACTIVITY: i Construct landward of the existing bulkhead and 12" higher 57 linear feet of bulkhead and place 30 cubic yards of backfill, Remove existing bulkhead upon completion of landward bulkhead, All work must be done in accordanoe with the attached plans stamped NYSDEC approved 9/29/06, By aoceptance of this permit, the permittee agrees that the permit is oontingent upon strict complianoe with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit PERMIT ADMINISTRATOR: ADDRESS Gear e W Hammarth DMG AUTHORIZED SIG~A~JE bL/ L!~ Brook NY 11790-2356 Se~tember 29, 2006 Page 1 of 4 ,- , h,...,,...,,..., c"j . ,'-'"'.,...... C- . . . I ~z I '''.O'"'''BI _--.!'?1f" -" ll,' i' ,/" I . , ~ ~ ""J -t~~ ;, ","",- l I 1 1~1 z r-- ~ ~ ~ ~ . i ~' ~ , ~ II i I I . . ! I 11.' . ".' - -" ~ 8" ::i!~ o.u~ , ~~j~ ~il~ 6~~ '-'~~ o ,''', ~b~;'J ~~a~ ~ ~: ~~: z i:H~ ,1',' nb~ !: ~ I i IJ ;~!Itl ; , I ~~hHI Ili!! i iiii ~ j ! ~ f::E ~ ~ ~ ~ >l .1 I' , ,I!I Iii f:;' ~ i d ,; ~ ~ i ie!!! I I Ii 1 i: ~ ; ! :ut ; ~ ' ; ~! ~ ~ .i - I' l d I: ~ 'I ,j, ii' ~ I IIIN I I Jlj ,I ;;; ,I'; j'! i : n ~ j ...J"'''';;.20- 30 c.y. max. clean sand from approved up 'and source -.-.. Y-letland BoundClr6 \'.-~~f~t. ni~i'~~~-~L::~:lii l t- - - - - - - - - - - - - - - - , 10'long :Ii I 6" x 6" to whaler ....-:__~_~~~~~.grades ili : 4" x 6" txfttom whaler .---~_c_:.- - - - - Site Plan Applicant: Anthony Belllsimo Bulkhead Reconstruction Purpose: Erosion Control Surveyed: 03.18-06 Amended: 06-19-06 Amended: 07-22-06 Amended: 09-12-06 SCT# 1000-87-5-5 Town: Southold Suffolk County, NY Datum: Low Water Tide: 2.5' +/- ~t..:.. 'v:~ 1" = 30' Section 111:;::; 10' 40' to Hse. new Ie. LOG I landward of existing bulkhead remove old one by hand N W+E S b_~ "" ,!!Yo ~" - .r- -$I !:j o"oY- ..... '" 0 co 0 .....: CJ 9. Q) (b " -S :::;'.;$ ~ i.'Js ~ s e !!,-o !l! -Q !1 ;c::,tJ;.~~rcT 'ftj~~~ 0..,9 ~.~1'-..,~0 0gbo./S .. ...... l't;; ~ t:: uOQ;0Q) o ..;::,.....:; "l?~r::t .0 f'J"".o s-""'''':::--,\;:- sb......~ () <b 09.~ <,f9.","~ 0 ""..9 0- b _ V 1-.. (; <f /''rr;/t r"c,._ So ,Of I? l,'~'~' _ Cy ek"c -j::;Q:. :IO'~~_ " ,Orc OVQ' 0--'1- 0.1./,';-0::"'0 _ _.. -I '. lee ~io -. 0"".oQ I, TJs 'IJ ~ /'{..r-O-::( -.-:y I :0)>, - Qr;q ........... c., _ .... ~ " 06 ........... 'fl/...' -. ~ '.... '-(';:,... e~ "'. - 'ct, . ~9E ... ...../ ' ~Oth Of /"0 ':' '" rf]Q .<:J. " '-.... 'f'sh - , ..'/... lt //..,~ tP "'-,/ t-o ,f- /0 ~ & o Uc 60 <1 0,--", )-~ O~-'i.u"" k: OS ,/'S o*-~'?o 'S '<? .o~ " ~~ u (j .w ~ (j EO <) r. /f-.. <Si ". \' te Sf'hPC.r -OrOo Qy , Qr-cq_e, NY5DEC APPH.O\'LLJ :\~ .'l:.I{ TE.kM~ AND CONDITIONS OF 2- Oc){![)"2- '~~w: . . . , \ i " 1,\ 1'1 L - DATE -- I c--- COARD OF mUST[[;:; TOWN OF SOUTH OLD ['ATE //.2,,-147 /') "--/ o o Or r e (f} J; e+ p~ New Bulkhead to be constructed landward of existing using 'C' lock plastic 4500 sheathing lumber CCA - top of bulkhead 1'+/- higher after new construction - remove old one by hand truck materials to an approved upland site HH -LH SEA LEVEL MAPPING 631-722.3390 P.O. Box # 538 Riverhead, NY 11901 .,: all materials from approved list filter cloth to be applied " . 8" dla_ piles ''"' C.CA (;' on center 8' peoe'. -'/::::;:":::'::':::'Q :;,~~~,,,:;";"" __'.,,:~c;,,'-.;; . . PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair MAIUNG ADDRESS: P.O. Box 1179 Southold, NY 11971 KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND 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 SOUTH OLD To: James King, President Town of South old Board of Trustees / Mark Terry, Principal Plarmer ~ L WRP Coordinator '" JAM - 4 W07 From: Date: January 4,2007 Re: Proposed Wetland Permit for ANTHONY BELLISSIMO SCTM#1000-87-5-5 Catherine Mesiano, Inc. on behalf of ANTHONY BELLISSIMO requests a Wetland Permit to construct landward of the existing bulkhead and 12" higher 57 If. of bulkhead and place 30 cy. of backfill. Remove existing bulkhead upon completion oflandward bulkhead and install a 10' non- turf buffer. Located: 600 Koke Dr., Southold. SCTM#87-5-5 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 (LWRP) Policy Standards. Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is exempt from review pursuant to Chapter 268-3, Exempt Minor Actions, item B which states. "Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site, including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit". RE: Anthony BellisSi' 600 Koke Drive, Southoid SCTM # 1000-87-5-5 . Office Use Only _Coastal Erosion Permit Application ~etland Permit Application _ Administrative Permit AmendmentITransferlExtension ~eceived Application: _kJ.-} J? llJb ~ceived Fee:$ Ol:su -..>:empleted Application -2L,)') IJ::iio _Incomplete _SEQRA Classification: Type I_Type II_Un listed_ _ Coordination:( date sent) ~C Referral Sent: I~ -tr.ite ofInspection: ~ _Receipt ofCAC Report: _Lead Agency Determination:_ Technical Review: -f'iiblic Hearing Held: I /dH I r.y) _Resolution: L WeF- Name of Applicant: Anthonv Bellissimo Address: 3 Daruis Estates. Dix Hills. NY J J 746 Phone #: L2.!2J 456-2777 Suffolk County Tax Map Number: 1000 - 87-5-5 Property Location: 600 Koke Drive. Southolg (provide LILCO Pole #, distance to cross streets, and location) AGENT: Catherine Mesiano. Inc. Address: 12 Mill Pond Lane East Moriches. NY 11940 Phone: 63 J 878 895 J (o;v}- ::; (Ii" ^ 'J.%~ , J-I ./ RE: Anthony BellisSi' 600 Koke Drive, Southold SCTM # 1000-87-5-5 . ~ _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? -----2L No _ Yes If yes, provide explanation: Project Description (use attachments if necessary): CONSTRUCT LANDWARD OF THE EXISTING BULKHEAD AND 12" HIGHER 57 L.F. OF BULKHEAD AND PLACE 30 C.Y. OF BACKFILL. REMOVE EXISTING BULKHEAD UPON COMPLETION OF LANDWARD BULKHEAD. 10' NON-TURF BUFFER. RE: B I . Anthony e IlSslmo 600 Koke Drive. Soulhold SCTM # 1000-87-5-5 . Board of Trustees Application Board of Trustees Application WETLANDrrRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: erosion control Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: 40 feet Closest distance between nearest proposed structure and upland edge of wetlands: nla 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? 30 cubic yards ( backfill new bulkhead) Depth of which material will be removed or deposited: averaae 6 feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited:_ backhoe and manuallv 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): NO NEGATIVE EFFECT ON WETLANDS OR TOWN WATERS IS ANTICIPATED AS A RESULT OF THE PROPOSED ACTION. CONSTRUCTION OF THE NEW BULKHEAD LANDWARD OF THE EXISTING DETERIORATED BULKHEAD WILL PREVENT ANY RUN-OFF OR SILTATION. CONSTRUCTION OF THE NEW BULKHEAD l' HIGHER WILL PREVENT FURTHER OVERTOPPING AND EROSION. NON-TURF BUFFER WILL MITIGATE POTENTIAL FOR NITRATE LOADING. 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of < C;~~~~~~!l:------------------- STATE OF NEW YORK) I, {krJ,uoo' Mp.<;,;;.., AFFIDAVIT OF POSTING , residing at J 2. Mil J Iorv,j L. EMIJ~ 1 AliI . being duly sworn, depose and say: That on the 15 day of ~. ,2007, I personally posted the property known as 'r, no k!"J<';: DR I V (.:: So un-; Ot_ iJ 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 I O)~ c-:-/Pn ,Aif ,';/OlY) ~ On C1.00(W u:30 Pm. Dated: 1/02 "I- / () 7 ~L Sworn to before me this ~ 4-day of J,... 200 7 ~~-~/- ~YPUbliC ::It O//YJO'lf/(.,/0?Z ~ ~!f( COtffif.-; ~0 - 6/(, ;'/0 I ,,-~-- - _"___"""""'_O\.~.".,..._",~~ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS LS1 ::r m r'- ..D cO cO ..D " ~Hfl"'C to.39 Postage $ NAME: ADDRESS: Certified Fee $2.40 $1.85 to.OO 0940 06 postmark He'" ..D CI Cl Return Reclept Fee CJ (Endorsement Required) CJ RestrIcted Delivery Fee cO (Endorsement Required) ..D .-'I Total postage &" ... $4.64 01/1612007 m Eileen M. McPartland CI __ 707 Koke Drive CJ U.--.--A;i--N(i I"- ~~'Bo;'NO"; Southold, NY 11971 ciiY~.State;ZIP+4 entTo / STATE OF NEW YORK COUNTY OF SUFFOLK Michele Clifford. residing at 136 Cranford Blvd., Mastic, NY being duly sworn, deposes and says that on the /0 day ofSevrvuC<.^-f ,200], 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 their 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 Unites States Post Office at f;, \J DVIc.N s, AJj ,that said Notices were m,;I'" to e'''' of,,~ pemoo. by oertffi~~ C1.~ Notary ublic r~:-~~' ~~~~'-{'I_~,~~~ t.~ t~,':;~ ~,~.,." , ~ i) "', C"__ (;C71::C;'S';"J. ,'.-,.,...,.... r e Item. 1, 2, and 3. Also complete 4 n ReelricIed DelIvely I. desired. . PrIq{your name and eddnsss on the reverse so ptat we can retum the card to you. . All8ch this card to the beck of the mallplece, or on the front n speas permits. 1. ArtIcle Addressed to: Suffolk County 330 Center Dr. Riverhead, NY 11901 \ \ X B. RoceIved by (Prlnf8d Name) I 3. :p:: -.0 Mall Retum _pt lor Men:hsndlae [J Insunld Mall [J C.O.D. 4. RestrIcted DelIve1y'/ (Fxt1a Foe) [J Y.. 2. N_ 7 69 rrom_.1al 7003 1680 0006 6886 3 PS Form 3811, Februery 2004 llomeotIC Rstum R_pt 102596-02-M-154O . . Re: 600 Koke Drive, Southold SCTM # 1000-87-5-5 AUTHORIZATION STATE OF Mf:l,{ YOR.I<. ) COUNTY OF SUF(=OLK ) ss: 4#40---,/ /i'J ;6dl /J.l ,.-ria -3 J>/J--e./~ Or I reside at ../' .; /to ,being duly sworn, deposes and says: l>/v #JIJ A/'-f /I-'''~ d,?/OI-/<. In the County of And I am the owner in fee of the premises described in the foregoing application and that I have authorized CATHERINE MESIANO, INC. to make the foregoing application as d~d herein. UZ::/?- ~ ~ and the State of ~...J;t;,L I~ TRACY J. GLEASON Notary Public. State of New Yorll No. 01 GL4935888 Qualified in Suffolk County 10 My Commisoion exp:ra. July 5, 20 .... Sworn before me this ,20711 day of n(J7J(JrJ6eA ,20 010. ~ p,.ac;~ Notary Public . . Re: 600 Koke Drive, Southold SCTM # 1000-87-5-5 County of SUFRlLK State of tJ~W \j Q(<.K If/do../. ;;1. tJE-;jU~M~ ~ BEING DULY SWORN DEPOSES AND AFFIRMS THAli E SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT ~ THAT ALL: ATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OFQ:!!9JHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTH OLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARRISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVE(S) , TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. a~7 TRACY J. GLEASON Notlry Public. State of New York No. 01 GL4935888 Qualified in Suffolk County My Commission Exp:rea July 5, 20 !S!. Sworn to before me this .lOHl day of YlOUf.mOOL , 200~ J?~ 9. mfl /)4lf1,v Notary Public . . Re: 600 Koke Drive, Southold SCTM # 1000-87-5-5 APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part; of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: AAI-do-,/ /J1. fJ,f j./,j:~o V'" d..- NATURE 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) WETLANDS PERMIT Do you personally (or through your company, spouse, sibling, parent, 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 form and date and sign where indicated. Name of person employed by the Town of South old Tille or position of that person Describe the relationship between yourself (the applicant) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent 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); the legal or beneficial owner of any interest in a noncorporate entity (when the applicant is not a corporation); an officer, director, partner, or employee of the applicant; or the actual applicant. _B) _C) _D) DESCRIPTION OF RELATIONSHIP Submitted thi0" day of /!/,V.u-t#€/'L- 2006 Signature ~ ?~{ Print name ~d..o-y ,/Y1. 4,fJJJ."~~. RE: . Anthony Bellissimo 600 Koke Drive, Southold SCTM # 1000-87-5-5 . Town of Southold 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 Permit and other ministerial permits not located within the Coastal Erosion Hazard Area 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the L WRP policy standards and conditions. If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the 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# -I 000-87-5-5 The Application has been submitted to (check appropriate response): Town Board Planning Dept. Building Dept. Board of Trustees 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) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit. approval, license, certification: RE: Anthony Belli..' 600 Koke Drive, Southold SCTM # 1000-87-5-5 . Nature and extent of action: CONSTRUCT LANDWARD OF THE EXISTING BULKHEAD AND 12w HIGHER 57 LF. OF BULKHEAD AND PLACE 30 c.Y. OF BACKFILL REMOVE EXISTING BULKHEAD UPON COMPLETION OF LANDWARD BULKHEAD. 10' NON-TURF BUFFER. Location of action: 600 KOKE DRIVE. SOUTHOLD Site acreage: APPROX..25 Present land use: SINGLE FAMILY DWELLING Present zoning classification: R-40 2, If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: ANTHONY BELLISSIMO (b) Mailing address: 3 DARUIS ESTATES. DIX HILLS. NY 11746 (c) Telephone number: Area12..1QJ 456-2777 (d) Application number, if any: Will the action be directly undertaken, require fimding, or approval by a state or federal agency? Yes No If yes, which state or federal agency? NYSDEC. US ACE DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. Yes No Not Aoolicable Subject site is located in a develooed area, Prooosed activity is reolacement of existina functional bulkhead only Policy 2. Protect and preserve historic and archaeological resources ofthe Town of South old. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria Yes No Not Aoolicable The orooosed oroject is not located near any historic sites or districts, Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria Yes No Not Aoolicable The subject site is develooed with a sinale family dwellina. Policy 3 has no relevance to the orooosed action. RE: . Anthony Bellissimo 600 Koke Drive, Soulhold SCTM # 1000-87-5-5 . NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See L WRP Section 111- Policies Pages 8 through 16 for evaluation criteria Yes No Not Applicable Construction of a hard structure is the only oractical desian consideration and is essential to orotectina the orincioal use. The orooosed hard structural erosion orotection measures are limited to the minimum scale necessary. Policy 5. Protect and improve water quality and supply in the Town of Southold. See L WRP Section III - Policies Pages 16 through 21 for evaluation criteria Yes No Not Applicable The subiect site is develooed with a sinale family dwellina. Policy 5 has no relevance to construction of the orooosed addition. 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. Yes No Not Applicable Proiect desian features are consistent with Policy 6 in that ootential adverse imoacts are avoided by constructina the new bulkhead landward of the existina bulkhead in order to oroted the wetland veaetation seaward of the existina bulkhead. The orooosed oroiect comolies with statutory and reaulatorv reauirements of the State's wetland laws and comolies with the reaulatorv reauirements of the Tidal Wetlands Act for the orotection of maooed tidal wetlands. NYSDEC Tidal Wetlands Permit was issued for the orooosed oroiect.. Policy 7. Protect and improve air quality in the Town of South old. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. Yes No Not Applicable It does not aooear that Policy 7 is relevant to reolacement of existina functional bulkhead. 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. Yes No Not Applicable It does not aooear that Policy 8 is relevant to reolacement of existina functional bulkhead. RE: . Anthony Bellissimo 600 Koke Drive, Southold SCTM # 1000-87-5-5 . PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See L WRP Section III - Policies; Pages 38 through 46 for evaluation criteria. Yes No Not Aoolicable Reolaeement of existina functional bulkhead will have no imoact on oublic aceess to. and recreational use of. coastal waters. etc. WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L WRP Section III - Policies; Pages 47 through 56 for evaluation criteria. Yes No Not Aoolicable It does not aooea, that Policv 10 is relevant to reolacement of existina functional bulkhead. Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes No Not Aoolicable It does not aooea, that Policv 11 is relevant to reolacement of existina functional bulkhead. Policy 12. Protect agricultural lands in the Town of Southold. See L WRP Section III - Policies; Pages 62 through 65 for evaluation criteria. Yes No Not Aoolicable It does not aooea, that Policy12 is relevant to reolaeement of existina functional bulkhead. Policy 13. Promote appropriate use and development of energy and mineral resources. See L WRP Section III - Policies; Pages 65 through 68 for evaluation criteria. Yes No Not Aoolicable It does not aooea, that Policy 13 is relevant to reolaeement of existina functional bulkhead. Created on 5/25/05 11:20 AM . . CATHERINE MESIANO, INC. 12 Mill POND lANE EAST MORICHES, NY 11940 PHONE/FAX: 631-878-8951 8~mall: cmesiano@optonllne.net December 26, 2006 Jim King, President South old Board of Town Trustees Box 1179 South old , NY 11971 L ! RE: Anthony Bellissimo 600 Koke Drive, Southold SCTM # 1000-87-5-5 Dear Mr. King: I am the agent for the above referenced applicant. Mr. Bellissimo is seeking a Wetlands Permit for replacement of existing bulkhead at the above referenced location. Enclosed please find the following: 1. Application 2. Transactional disclosure 3. Release 4. Authorization 5. NYSDEC approved plan prepared by Sea level Mapping last dated 9/12/06. 6. LWRP 7. NYSDEC Wetlands Permit # 1-4738-03452/00002 Also enclosed is a check in the amount of $250 for the application fee. Please note that I would like to meet the Trustees at the field inspection. Kindly confirm. Thank you for your consideration. ~~ herine Mesiano, President Enclosures . . CATHERINE ME SIANO, INC. 12 MILL POND LANE EAST MORICHES, NY 11940 PHONE/FAX: 631-878-8951 e.mail: cmesiano@optonllne.net February 2, 2007 Anthony Bellissimo 600 Koke Drive Southold, NY 11971 Re: 600 Koke Drive, Southold SCTM # 1000-87-5-5 Dear Mr. Bellissimo: Enclosed is the approval from the Southold Trustees. Please forward them a check $50.00 for the permit fees so they will issue the permit. Should you have any questions, please feel free to contact me. Very truly yours, ~. (}='eI~ f}l.~u~ Catherine Mesiano, President Enclosures ##/l: ~J:J 4.U...r })#I u- J Cr: tV'f 8 /)c y: ;h Its /,,,,,,,;(, Frn 1 3 -n"1 CU l- !....;\) 11~ ~~ I o