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Home My WebLink AboutTR-6549 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 February 20,2013 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Mr. Ned Harroun 63745 Route 25 Southold, NY 11971 RE: NED HARROUN 63745 ROUTE 25, SOUTHOLD SCTM# 56-4-17.1 Dear Mr. Harroun: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, February 20, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVES the Administrative Amendment to Wetland Permit #6549 to install a 21'x18' deck with Trex flooring in rear of dwelling in lieu of previously approved brick in sand patio; and install Trex railing along bulkhead; and as depicted on the revised site plan prepared by Ned Harroun, received on January 30, 2013 and stamped approved on February 20, 2013. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, James F. King President, Board of Trustees JFK:amn Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Tues., February 12, 2013 the following recommendation was made: Moved by Peter Young, seconded by John Stein, it was RESOLVED to SUPPORT the Wetland Permit application of NED HARROUN to Amend Wetland Permit #6549 to install a 21'X 18' deck with Trex flooring in rear of dwelling and install a Trex railing on bulkhead. Located: 63745 Route 25, Southold. SCTM#56-4-17.1 Inspected by: Peter Young, Doug Hardy Vote of Council: Ayes: All Motion Carried PO. Box 1179 Southold. NY 11971 Felephone (631 765-1892 Fax (631 ) 765-6641 Date/Time: Southold Town Board of Trustees Field Inspection/Worksession Report NED HARROUN requests an Administrative Amendment to Wetland Permit #6549 to install a 21'x18' deck with Trex flooring in rear of dwelling in lieu of previously approved brick in sand patio; and install Trex railing along bulkhead. Located: 63745 Route 25, Southold. SCTM# 56-4-17.1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: __ Wetland __Administrative__Emergency Coastal Erosion Amendment Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: J. King,,/- B. Ghosio J. Bredemeyer V'Michael Domino __ D. Bergen, D. Dzenkowski other Form filled out in. the field, by Mailed/Faxed to: Date: Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: t/ Ch. 275 Ch. 111 INSPECTION SCHEDULE INSPECTED BY: COMMENTS: __ Pre-construction, hay bale line/silt boom/silt curtain __ 1st day of construction ~ constructed Project complete, compliance inspection. BOARD OF TRUSTEES DATE ~. i/ BACKFILLL~IT ~E FOR45CUBICYARDS Of CLF. Nt BU. FT. SITE PLAN PROPOSED BULKHEN~ REPAJR PRO~ERT'K OF NED W. HARROUN m745 MAZN ROAD (S.R, 25) ATARSHA~OflAQUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000.50.04.17 SCAUH'-' 2(7 SURVEY DATA TAJCr. N FRO&I DEC, 23, 2005 SURVEY BY PECONIC SURVEYORS, P.C. /~ I)OA,~DW~3 FEET PREPN~,ED BY RORALD J. NOLLET 51~ MAIN ROAD SOUTHOLD, N.Y. FEBRU~¥ 2g, 2008 REVISED: Jl3NE 26, 2008 7,~1 Fl, MAIN ROAD , % ($.R. 25,) %,. W SUR VE Y OF PROPERTY A T ARSHAMOMAOUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 56- 04 - 17 Scale I" = 20' Decl 23, 2005 JUL r ~7, 2006~ CERnRCA noNi EOEIVE JAN 3 0 2013 CERTIFIED TO, BANK OF AMERICA CAMBRIDGE TITLE AGENCY NED W. ,~ MARY ANNE HARROUN t6~) 76.~ - 5020~ P. O. BOX.909 Ig$O TRAVELER 5T~ $OUTHOCD~ N.Y. 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: From: MEMORANDUM Jim King, President Town of Southold Board of Trustees Mark Terry, Principal Planner LWRP Coordinator FEB 1 3 2013 Southo~d Town Board ol Trustees Date: February 12, 2013 Re: Proposed Wetland Permit and a Coastal Erosion Permit for NED HARROUN SCTM#1000-56-4-17.1 Note that action is located within an AE elevation 4 flood zone. NED HARROUN requests an Administrative Amendment to Wetland Permit #6549 to install a 21'x18' deck with Trex flooring in rear of dwelling in lieu of previously approved brick in sand patio; and install Trex railing along bulkhead. Located: 63745 Route 25, Southold. SCTM# 56-4-17.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. The due to property size, the relocation of the existing structure is not 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. Cc: Lori Hulse, Assistant Town Attorney J~wms F. KinE. Pre.draft Bob Gho~io, Jr., Vice-Pres/d~nt John Bredemeyer Michael J. Domino P.O. Box 1179 Southold, New York I1971-09~9 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Telephone (661) 765-1892 ,ECE VE JMi ~ 0 ~01t SOt~thold Town lizard of Trustees APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATE [/-~0l 13 AGENT PHONE ADDRESS PROPERTY LOCATION b37/1[_[~' RO~'i~. 25~ TAXMAPNO. 5~- q - 17, J Signed B~ ~ Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LO~ATION: S.C.T.M. ~. THE FOLLOWING ACTIONS MAY REQUIR~ THE SUB~!$$!~_N OF A , , ,?~RM-WATEI~ ORADI.t~__ _DRA#~OE AND EROSION CONTROL PLAN ~ Sectlmt Ulo¢~ Let ~;~ ! ,nsu BY A DE~I~N rn~.,'r.a~eONAL IN THE STATE OF NEW YORK. sCOPE OF WOP. K - PROPOSED CONSTRUCTION ~1~ ~ / WO~ ~~ a. What is the Tolal Area of the Project Parcels? (Include Total Ama of all Parcels located within I Will this Project Retain All Ston~-Watar Run-Off b. What is th~ lotal ^ma o[ Land Gloating ts.F. t ~,~ (This itam will thctuda ali mn-off emat~:l by Site claarieq and/or construction ae~iti~ as well as all ang/or Ground Distarbance ~or the proposed Site ImproYemonta and the permanent ~mation construction activin/? Impervious surface~.) PROVIDE BRIF.~ PRO. IECT DESC1IIPTION ~',~...N.~ 2 Does the Site Plan and/or Survey Show Ati Propesed O alneqe S .cture ,. ca,.g S,ze Th, --/ !--'1 Item shall include all Proposed Grade Changes and 1~.73'~ o~.~'~ I~' ~'~_(:~C.~ ~'['~¥'~ "~'~ SlopesControltingSuffaceWatarFIow. ~\r~'[n~ i~ ~-L:h:X~C O~c C{Wedt~*f'~)__. ,_] 3 Does the Site Plan aed/or Survey descrthe the erosion . a~d sediment control practices that wilt be used to control site erosion and storm water discharges. This -- i (~C~¥ 0~1 ~-~C~~ ~ ~-O[i I i~_~ On Constructionitem must be maintathed throughout the Entireperiod. ~)[.~1 ~'~ I/'~-~ ~(. ~ ,. 4 Will thlS Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards~ V -- of Material within any Parcel? 5 Will this Appfication Require Land Disturbing Activities r~.~.~-..] ~ Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? -- 6 is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General OEC SWPPP Requiremeofs or within One Hundred (100') feet of a Wetland or Submission of e SWPPP is mqui~ed for all Co~slruction activities levoNing soil Beach? disturbances of one { 1 ) o~ more acres; leduding disturbances of less than one acm that 7 Will there be Site preparation on Existing Grade Slopes includingam part of a lange~ common plan ~hat will ulfimatuly disturb one or mom ace-es of lend;construction act~vitiss levstving soil disturbances of less than one (1) acm where which Exceed Fifteen (15) feet of Vertical Rise to i i the DEC has det~Tc~nnd that a SPOES pen~l is required for storm water discha~jes. Or~e Hundred (100') of Horizontal Distance? SWPPP's Shall Illeet the Minimum Requirements of Ihe SPDE8 General Pemli! 8 Will Driveways, Parking Areas or other Impervious ~ / ~or Storm Water Discharges from Construction activity. Permit No, GP~-~0-00t .} Surfaces be Sloped to Direct Storm-Water Run-Off t. ~e SwPPP shell be pmbemd p~r to the sub~Sth of the NOI. The NOI shM he subeated to the Depar~.Wlt p~- to the commencemect of mns~ctlen acavity, into and/or in the direction of a Town dght-<)f-way? 2. The SWPPP shall describe the erosion and sediment c~lth~ practices and where ~ Will this Project Require the Placement of Material, ~onctmc~d to reduce the IX~letants le stc~Tn wa~r dischal~es and tu assure required, IX)~t-~onctmcti~a ale~m wate~ manag~mect practices thct wis be used andk~r Rem°vel °f Vegetag°n and/°r the C°nslrU~°n °f any STATEDF NEW YORK, ~ ~ I x · COUNTY OF .......o....g....'~....~...L Z.. SS 'llaat I, ..~~' ........ being duly *worn, depo*es and ssy~ that h~/she is the applicant for Permit, And d~.t he/she is the ....................... lo~r ~ ~ ~,~ ..~... ......... i ............ ~;q:'"7~'~i~;.'~:i ................................................................ Owner and/or representadve of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this applimfion are true to the best of his knowledge and belief; and that the work ~ll be performed in the m~mer set £orth in ~he applicatioo filed herew/th. Sworn to before me this;. L~)i/~..,~ ................ eu ..................... FORM - 06/10 CO~o~Su~ St.~ of N~w York- SWORN' TO BFJ:rORE-ME THIS' Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for pen'niB* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 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). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thns~ each answer must be explained in detail~ listin~ both supporting and non- SUlmorfin~ facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: o~ ~outhold ' s website (southoldtown.northfork.net), the Board of TrusteeH~ ~ local libraries and the Town Clerk's office. /]ff~' i~l~ ~ ~hl~~~_~[L,~ ~t, all B. DESCRIPTION OF SITE AND PROPOSED ACTION FL SCTM# 5(~ - q - ¥"/. I ] PROJECT NAME 'r The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board [--] Building Dept. ~ BoardofTrustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Site acreage: Present land use: Present zoning classification: 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: iN'eCl (b) Mailing address: ~o~ (c) Telephone number: Area Code ( ) (9~ '- 2_/-[ I - ¥-/00 (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [~ 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 LWRP Section III - Policies; Page 2 for evaluation criteria. []Yes ~ No ~ Not Applicable I Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes [~ No [--] Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~ No [-] Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria 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 [] Yes ~ No [~Not 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. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Appli~e Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~-] Yes [] No [~/Not Applicable PUBLIC COAST POLICIES 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. [] Yes[~ No ~/Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Sec LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~ Yes [] No ~/Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~-~ Yes [] No ~/Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies~ Pages 65 through 68 for evaluation criteria. ~-~ Yes ~ No~l'vl Not Applicable PREPARED BY TITLE DATE 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 OFTOWNTRUSTEES TOWN OFSOUTHOLD May 21,2008 Mr. Ned W. Harroun 63745 Route 25 Southold, NY 11971 RE: 63745 ROUTE 25, SOUTHOLD SCTM#56-4-17.1 Dear Mr. Harroun: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., May 21, 2008: WHEREAS, NED HARROUN applied to the Southold Town Trustees for an Amendment to Wetland Permit #6549 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 5, 2008, 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 LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit #6549 to repair the entire length of the existing 154' bulkhead using vinyl sheathing on the inside of the old creosote, and as depicted on the plans received on May 5, 2008. This is not a determination from any other agency. Sincer~ Jame~F. King, Pre~ssid~ Board of Trustees JFK:lms James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickeicson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT ¢3!- Z,", I - AGENT PHONE ADDRESS PROPERTY LOCATION b37q5 1~ou3F, ZE ! TAXMAPNO. ~b- ~3f- I~' I request an Amendment to Permit #6549 Dear Town Trustees - I do hope you recall visiting my home located at the Mill Creek Bridge. While tapping the length of the existing bulkhead and its return, I added incorrectly. The correct measurements are 117' bulkhead and 37'for the return. We found this out when filing for the D.E.C. permit. There are no material or structural changes from what was viewed by all Trustees on their site visit, only a mistake in my addition. Also, if you recall, at that visit it was strongly suggested that we replace the sheathing along with the repairs I requested. Frankly, at that time finances were extremely tight. However, with time comes solutions. ~ saving monies for this project for over a year, we were able to purchase vinyl C Lock sheathing enabling me to do the job completely and correctly. Therefore, my request is to do all above mentioned work and have the March, 2007 Permit #6549 to include the following sheathing material: 10' x 24' x 3/8" C Lock vinyl sheathing. Additionally, please amend the true footage of the entire wooden bulkhead to read 154'. Thank you for your considerations to this matter. Sincerely, Ned W. Harroun submitted 05/02/08 ~/AY - 5 2008 Soothhottl ?own __ Board of Trustees MAR 2 ] 2007 [tAy - 5 2008 Southlmlrl Town .~ Boord of Trnstees APPROVED BY bOARD OF'~' ~::, SURVEY OF PROPERTY A T ARSHAMOMAOUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 56- 04 17 Scale I" = 20' Dec~ 25, 2005 JUL Y ~7~ ~006( CERTIFICA T/ON) C,~ Ro_rard of Trustees CERTIFIED TO' BANK OF AMERICA CAMBRIDGE TITLE AGENCY NED W. E MARY ANNE HARROUN MAIN ROAD (S. R. 25) James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob GhosJ_o, 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 1st day of construction ½ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6549 DATE: MARCH 21~ 2007 ISSUED TO: NED HARROUN PROPERTY ADDRESS: 63745 ROUTE 25~ SOUTHOLD SCTM#56-4-17.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 11 l of the Toxvn Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 21~ 2007, and in consideration of application fee in the sum of $250.00 paid by Ned Harroun and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board * and permits the following: Wetland ~ermit for approximately 80' of existing bulkhead, fill low spots with cy. of fill, place deadmen and tie-rods landward of the existing bulkhead, replace 12' retaining wall to be even with seaward face of house foundation, remove Maple tree and roots landward 9fthe bulkhead, re-plant area, install a 21'X 18' brick and sand patio in rear of dwelling,.install a 3' wide walkway along landward side of bulkhead, and re the 24'+/- stone wall, and as depicted on the plans prepared by Ned Harroun received o~ March 21, 2007. 1N WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to.be subscribed by a majority of the said Board as of this date. Bob ~io, Jr. TERMS AND CONDITIONS The Permittee Ned Harroun, residing at 63745 Route 25, Southold, NY, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 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 ~aid Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 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. That this Permit should be retained indefinitely, or as long a~ the said P. ermittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the ~vork 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 f6r revocation of this Permit by resolution of the said Board. That there ~vill be no unreasonable interference with navigation as a result of the work herein autliorized. 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. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 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. That the said Board will be 9otified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be requ]red supplemen:tal 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. Dickersen 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 March 21,2007 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Ned Harroun 63745 Route 25 Southold, NY 11971 RE: 63745 ROUTE 25, SOUTHOLD SCTM#56-4-17.1 Dear Mr. Harroun: The Board of Town Trustees took the following action during its regular meeting held on Wed., March 21,2007 regarding the above matter: WHEREAS, NED HARROUN 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 February 27, 2007, 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 LWRP Coordinator issued a recommendation that the'application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on March 21,2007, 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 structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of NED HARROUN for approximately 80' of existing bulkhead, fill Iow spots with 45 cy. of fill, place deadmen and tie-rods landward of the existing bulkhead, replace 12' retaining wall to be even with seaward face of house foundation, remove Maple tree and roots landward of the bulkhead, re-plant area, install a 21'X 18' brick and sand patio in rear of dwelling, install a 3' wide walkway along landward side of bulkhead, and replace the 24'+/- stone wall, and as depicted on the plans prepared by Ned Harroun received on March 21, 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, JFK/Ims 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 TO: Please be advised that your application dated ~-~ot?/O? reviewed by this Board at the regular meeting of following action was taken: has been and the ( / Application Approved (see below) ( )Application Denied (see below) ( )Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the 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: TOTAL FEES DUE: $ ~-~. O~) BY: James F. King, President Board of Trustees Telephone (631) 765-1892 Town Hall 53095Route 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., March 14, 2007, the following recommendation was made: Moved by James Eckert, seconded by Joyce Grigonis, it was RESOLVED to SUPPORT the Wetland Permit application of NED HARROUN to repair/replace approx. 80' of existing bulkhead, fill Iow spots with 45 cy. of fill, remove Maple tree and roots landward of the bulkhead, install a 12'X 18' brick and sand patio in rear of dwelling, and install a 3' wide walkway along landward side of bulkhead. Located: 63745 Route 25, Southold. SCTM#56-4-17.1 Inspected by: James Eckert, Joyce Grigonis, Peter Young The CAC Supports the application with the Condition appropriate materials are used in the construction of the bulkhead. Vote of Council: Ayes: All Motion Carried James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095Route 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 Inspection/Work session Report Date/Time: NED HARROUN requests a Wetland Permit to repair/replace approx. 80' of existing bulkhead, fill Iow spots with 45 cy. of fill, remove Maple tree and roots landward of the bulkhead, install a 12'X 18' brick and sand patio in rear of dwelling, and install a 3' wide walkway along landward side of bulkhead Located: 63745 Route 25, Southold. SCTM#56-4-17.1 Type of area to be impacted: t/Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of above: P~C of Town Code proposed work falls under: hapt.275 Chapt. 111 other Type of Application: __ //Wetland __Coastal Erosion __Amendment __Administrative __Emergency __Pre-Submission Violation Info needed: Modifications: Conditions: Present Were:-/'J.King c-~J.Doherty ~c/~.Dickerson ~/D. Bergen__'~. Ohosio, Jr 7' H. Cusac~-- D. Dzenkowski Mark Terry~other i~/-t4 .~ rc*,~ Mailed/Faxed to: Date: Environmental Technician CM,~ Review I- ~J~n/rnC ~c~(~.Cc -bo ~ ~[k~ ~.~ ~/~/~, ~'~ OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD MEMORA/ To: Town of Southold Board of Truste_ es//tr~x James King, President From: MarkTerry, PrincipalPlanner LWRP Coordinator Date: March 12, 2007 Re: Request for Wetland Permit for Ned Harroun SCTM# 56-4-17.1 MAR 13 2007 NED HARROUN requests a Wetland Permit to repair/replace approx. 80' of existing bulkhead, fill low spots with 45 cy. of fill, remove Maple tree and roots landward of the bulkhead, install a 12'X 18' brick and sand patio in rear of dwelling, and install a 3' wide walkway along landward side of bulkhead. Located: 63745 Route 25, Southold. SCTM#564-17.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that the following best management practices are required. 1. Prohibit CCA treated wood in the construction of the 3' walkway. Pursuant to Chapter 268 the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Jolm Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Seuthold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ,'~'~etland Permit Application __ Administrative Permit AmendmenffTransfer/Extension 4~ceiv~d Application: '~eceived Fee:$ ~ ~*.~ ' ~pleted Application ~--/,~ ~ / ~'~ Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) A~VRP Consistency Assessment Form ,.C~C Referral Sent: .Oate of Inspection: ,~Jit~/ti'") ' Receipt of CAC Report: Lead Agency Determination: Technical Review:'~/ r.-~blic Hearing Held: o'/& Resolution: Name of Applicant Address Suffolk County Tax Map Number: 1000 - Property Location: ~0 1 ~.tg.~- ~. (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: QBoard of Trustees ApplicOon Land Area (in square feet): Area Zoning: ~. ?) Previous use of property: Intended use of property: GENERAL DATA acre Prior permits/approvals for site improvements: Agency Date n ne K. nown ~/ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspeznded by a governmental agency? V' No Yes If yes, provide explanation: Project Description (use attachments if necessary): O Board of Trustees ApplicOon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~.O ~-f'{~(";I~ l o~'~/ .~ID&~ and eaofwetl ds onlot: ~O~E squ~efeet nil/ Percent coverage of lot: ~ ~o _.P~i~m ~ Closest distance between newest existing s~ct~e ~d upl~d edge ofwetlmds: ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No Y~ --q Yes If yes, how much material ~vill be excavated? How much material will be filled? 4 0 cubic yards cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area o f operations: Manner in which material will be removed or deposited: feet Statement of the effect, if any, on the wetl~ds and tidal waters of the town that may result by reason of such proposed operations (use attac~ents if appropriate): PROJECT ID NUMBER PART1-PROJECTINFORMATION 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 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: Municipality _d'hold PROJECT NAME Coun,y .SRfO 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 5,1SPR~POSED ACTION: ~ New ~xpansion ~Modificationlalteration Repair 6. DESCRIBE PROJECT BRIEFLY: Initially acres Ultimately acres 0 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR QTHER RESTRICTIONS? F-~IYos [] NO I1 no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) F-~ Residential ~] Industrial r-'] Commercial ~]Agdculture [] Park / Forest / Open Space ~/~ther (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E~Yes [--'-]NO If list name and / yes, permit approval: 6. 11. DOES ANY____CSPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? E]Yes Iv~No If yes, list agency'name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [~'es r-]No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: 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 EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAr. B. W~LLA~T~~NRE~E~VE~~~RD~NATEDRE~~E~ASPR~~~DEDF~RUNLlSTEDACT[~NS~N6NYCRR~PART617-6? IfNo, anegative declaration may be superseded by another involved agency. 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: C2. C3. C4. C5. C6. C7. Aesthetic, agricultural, archaeological, h stet c, or o her natural or cultural resources; or community or neighborhood character? Explain briefly: Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: A community's existing plans or goals as offic a y adop ed, or a change n use o nens y of use of and or o her natural resources? Explain briefly: Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly: Other impacts (including changes in use of either quanti~ or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ~I~eOsNME~]ALNoAR. EA CEA)? IIf~/es, explain briefl~,: E. iS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadverseeffectidenti~edab~ve~de~erminewhetheritissubstantia~~~arge~imp~rtant~r~therwisesigni~c~nt~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified a nd adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potenflally large or significant adverse impacts which MAY occur. Then proceed directly lo the FULL EAr and/or prepare a positi;~e declaration. Check this box if you have determined, based on the information and anatysis above and any supporting documentation, that the proposed acflor 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 Title of Responsible Officer Signature of Preparer (If different from responsible officer) Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: 'Town o'f-Sot.O'hold . WorKS /kgr -zritq HClqothon Address: "P. o, Box 'P. 0. BOx 2070 Som'hampt-on, Mx/Itqbfl STATE OF NEW YORK COUNTY OF SUFFOLK r>o~q-, NX/ I t°lqq , residingat loqo , being duly sworn, deposes and says that on the ~ day gf ~ ,20 , deponent mailed a tree 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 ., that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this Day of ., 20 Notary Public Board of Trustees Application County of Suffolk State of New York BEINGD ¥ SWO DEPOSES AND AFFIRMS THAT I~/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREiN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH iN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. 1N 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 Tills APPLICATION. Signature SWORN TO BEFORE ME THIS DAY OF ~*~¢o~&~ ,20oW ~ary Public John M. Judge NOTARY PUBLIC, State of New York No. 01JU6059400 Qualified In Suffolk County Commission Expires May 29, 20 7006 2150 0003 ~5 1036 'P.O, 'Box 2o7o STATE OF NEWYORK COUNTY OF SUFFOLK , residing at [~)qlD Ceda ' qeld T)~l~te -0r?~ot~'; lq~ ~ Iq q'q , being duly sworn, deposes and says that on the ~/ ~ dayof Ft.(,e.~.~1 ,20o~,deponentmailedatruecopyoftheNotice '- 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 ~x/~>s'lc~aD , that said Notices were mailed to each of said persons by (certified) (registered)mail. '~//_2~~ Swom to before me this 2-~ 4 k Dayof. F,~t~.,~.'w .,20 ow 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 thc Matter of thc Application of .............................. COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I,-~fJ~_~m~)ff_~ , residing at ~._~Td--/_~ llq l being duly swom, depose and say: That on the~7%y of ~ ,200~. I personally posted the property known as by placing thc Bo~d of Trustees official poster where it can easily be seen, and that I have ' checked to be s~c the poster has remained in place for eight days prior to the date cftc public hc~ng. Date of heating noted thereon to be held t1~_. ~v~ ~e~ ~O53 . Dated: Sworn to before me this Z'~*~day of ~e~.~,~200W lic '...2 (_.9 John M. Judge NOTARY PUBLIC State of New York No, 01JU605940~ Qualified In Suffo k County Commission Expires May 29, 200_~_~ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 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). If any question in Section C on this fom~ is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thns~ each answer must be explained in detail~ listing both supporting and non- suvvortin~ facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Plauning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# q -17 PROJECT NAME . /Kheod mir I The Application has been submitted to (check appropriate response): TownBoard [~] Planning Board [~ Building Dept. [~ BoardofTrustees Categot7 of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: cn,- a ll< Nature and extent of action: Location of action: Site acreage: Present .land use: _h37 q Present zoning classification: 1~. ~_~ If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant: N~ ~.0(COb[1CI (b) Mailing address: II')q.l') C lar. e, ld OR. l- ; I (d) Application mmther, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~7~ No[--] Ifyes, which state or federal agency? 'D,~,C. 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 LWRP Section III - Policies; Page 2 for evaluation criteria. [~]~Yes ~ No ~ Not Applicable ~. e~i.~hn~ buiKh~ i(eep. 5 ~ W~rWax/ o~ ~'~ol ~nn~ Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [~ Yes [] No [~ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~-~ Yes [-~ No [] Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ' I II I Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No NoOpplicable ~ ~rgkomnm°~,~c~nd ~ '~e~na 0 ~ dina Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [] Yes [] No ~/Not Applicable Attach additiogal sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes ~ No ~ffNot Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~-~ Yes~ No ~/Not Applicable Attach additional sheets if necessary Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. ~ Yes [-~ No ]-~ Not Applicable . "Pro4e'xgr~ b4i~ C, re~t( Cha nr~el ~lhich in +urn [,~t~,?cL_% Attach additional sheets if necessary Policy I1. Promote sustainable use of living marine resources in Long Island Sound, the Peeonic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~/Yes ~-~ No [-~ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [~ Yes ~ No ~/Not APplicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes ~ No ~/Not Applicable ,, F ,VP- Op'FY ' n F . no APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of' Southold s Code of Ethics l)roh~bJts conflicts of interest on the tmrt of town officers and emulovans. The purpose of this form is to provide information which can alerl the town of nossible conffi6t~ of interest and allow it to take whatever action is necessary to avoid same. · ( asr name, fin-st name,~ddle initial, unless~,ou are applyingln the name of someone else or other entity, such as a company~ lfan, indicate th~ other person's or company's name.) ." NAME OF APPLICATION: (Check all that apply.) · Tax grievance Building" ~ Variance Trustee ~ Change of Zone Coastal Erosion Approval of plat Mooring Exemptinn from plat or official map Planning Other (If "Other', naroe the activity.) Do you personally (or through your company, spouse, sibling, parent, or chi d) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blo6d, nlarriage, or basiness interest. "Business interest'~ means a business, including a partnership, in which the town officer or employee has even a partial ownq:rship of (or emi~loyment by) a corporation in which thc town officer or employee owns more than 5% of the slan-es. YES NO ., If you answered "YES", complete the balance of this form and date and sign where kqdic0[ed. Name of persgn employed by the Town of Southold Tiile 5~'~oSiti6if6f tliht 13~rsfffi ............................................ Descr be. the relationship between yourself(the applicant/agent/representative) and the town officer or emplo3;ee. Either check the appropriate llne A) through D) and/or describe in the space pro~ided. The town officer or employee or his or her spouse, sibling, pareot, o'~ ~hild is (check ail that app y): __.A) the oxvner of greater than 5% of the shams of the corporate stock of the apl~licont (wheh the applicant is a corporation); · ' B) the legal or beneficial owner of any interest in a non-corporste entity (wh6n tho applicant is not a corporation); C) an officer, director, par~ne?, or employee of the applicant; Or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this ,~?~:day, of ~7~&~ Signature·, ~e'~ _ .~:~t/"/~EDff'4~/' 200 Z .... :_. :~ .- ' / BOARD ~/~ I/ 1 . ! q SURVEY OF PROPER T Y A T ARSHAMOMAOUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 56- 04 17 Scale ~" = 20' Dec~ 2~, 2005 JuL r ~7, ~oo6~ CERr,~,cA r,o~ W ($.R. 25) m MAIN ROAD CERTIFIED TO, BANK OF AMERICA CAMBRIDGE TITLE AGENCY NED W. ~ MARY ANNE HARROUN P. O. BOk.909 "~Ol. AkrOS~ Ig$O TRAVEL£R STRL~E~--~ $OUTHOLD, N.Y. 119XI