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HomeMy WebLinkAboutTR-6527 . . 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 Y, constructed / Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee, Marjorie Petras; 700 Koke Drive, Southold, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such. suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the ToWn of South old require the removal and/or altenitions in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties' Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen 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: MARJORIE PETRAS 700 KOKE DR., SOUTHOLD SCTM#87-5-6 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 MARJORIE PETRAS 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 Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MARJORIE PETRAS to construct landward of the existing bulkhead and 12" higher 65 If, of bulkhead and an 8' return 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 Levei 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,~ Tru'Y Y"}.- 0< ~ James F. King President, Board of Trustees JFKlhkc BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD {& . (Y)i/lr:j1H'~ . James F. King, President Jill M. Doherty, Vice-President Peggy A Dickerson Dave Bergen Bob Ghosio, Jr. TO: G.1\~('1<L M~, "('.CI . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 PC~J iJ-{d-7fOb 11"J.'((07 , Please be advised that your application dated 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: $ r;o It;D BY: James F. King, 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 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 7 Yo constructed Project complete, compliance inspection. - . James F. King, President Jill M. Doherty, Vice,President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. To"." Hall 53095 Rome 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 76.5-1892 Fax (631) 76.5-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field InspectionIWork session Report Date/Time: I'" 15-()1 MARJORIE PETRAS requests a Wetland Permit to construct landward of the existing bulkhead and 12" higher 65 If. of bulkhead and an 8' return and place 30 cy. of backfill. Remove existing bulkhead upon completion of landward bulkhead and install a 10' non-turf buffer. Located: 700 Koke Dr., Southold. SCTM#87 -5-6 J1e of area to be impacted: _Saltwater 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: ~ etland _Coastal Erosion _Amendment _Administrative _Emergency Info needed: AAJ ~kilj to J.[SU~f~lptl) Modifications: Conditions: ~ to (\'Yl'I_1--.H-0 Present Were: ~ng ~.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 MARJORIE PETRAS to construct landward of the existing bulkhead and 12" higher 55 If. of bulkhead and an 8' return and place 30 cy. of backfill. Remove existing bulkhead upon completion of landward bulkhead and install a 10' non-turf buffer. Located: 700 Koke Dr., Southold. SCTM#87-5-5 Inspected by: Jacob Smith, Jack McGreevy, Don Wilder Vote of Council: Ayes: All Motion Carried NE RK STATE DEPARTMENT OF ENVIRONMEN.ONSERVATION DEC PERMIT NUMBER 1-4738-03595/00001 FACILITY/PROGRAM NUMBER(SI -. -:... - .':- EFFECTIVE DATE Se tember 29. 2006 EXPIRATION DATEtSI PERMIT TYPE OF PERMIT 0 New Under the Environmental Conservation Law o Renewal 0 Modification 0 Permit to Construct September 28. 2011 o Permit to Operate . Article 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 Artide 34: Coastal Erosion Management o Article 15, Title 15: Long Island Wells o Article 24: Freshwater Wetlands o Article 36: Floodplain Managemen! C Article 15, Title 27: Wild, Scenic and Recreational Rivers . Article 25: Tidal Wetlands o Articles 1, 3,17.19, 27.37: 6NYCRf. 380: Radiation Control . 6NYCRR 608: Water Quality Certifica- t o Article 27, Title 7: 6NYCRR 360: Ion Solid Waste ManaClement PERMIT ISSUED TO ! TELEPHONE NUMBER : Mariorie D. Petras (631) 765-5691 r ADDRESS OF PERMITTEE , r P.O Box 348, Southold, NY 11971 Ii CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER I i Permits and Draftinq Unlimited, P.O. Box 743, Mattituck. NY 11952 (631) 298-5968 I NAME AND ADDRESS OF PROJECT/FACtLlTY II I Petras property, 700 Koke Drive. Southold i ! I I COUNTY TOWN WATERCOURSE NYTM COOROINATES II I Suffolk Southold Corev Creek Ii , DESCRIPTION OF AUTHORIZED ACTIVITY: i I , Construct landward of the existing bulkhead and 12" higher 65 linear feet of bulkhead and an 8 foot return. Place 30 , cubic yards of backfilL Remove existing bulkhead upon completion of new landward bulkhead. All work must be done II I In accordance with the attached plans stamped NYSDEC approved 9/29106. I, By acceptance of this permit, the permittee a9rees that the permit is contingent upon strict compliance with the EeL. ali applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. II PERMIT ADMINISTRATOR ADDRESS \i (DMG) Reaion 1 Headquarters, Bldo. #40, SUNY, Stonv Brook, NY 11790-2356 i i Georae VV. Hammarth " ; AUT~Or;IZ",D SIG~A;:I~R", f DATE Ii 4?:-<y.:.,.tf ":/fr"'l-"'??/~-.' Seotember 29, 2006 Page 1 of 4 .,-/' . . . I '''( <-<>z--~~. .' I .~s _'..,-\~,-' . ....(><.J]<;3]; -1""".,, " 8[" -. . et-J'l- !;;.liJ' ~" . ........0- ~ o~ _ ,... -::.!l ~ ~g~ 6~~ u~~ ~ ~ ~ ~ ,,' '1'11" !~, ,I ; ;;;'~~~~~ ;;,,1.1.111 '".d.. " ,',11, jdfHi !!i!i II'ii , , ~ ~ I. L j' ~ H din , ' .11 !I " I,ll, I " ,. ~ ~ .' , ~dnt nn~J Ie!!! I Iii ~ ", ~ ~ n~ q l r- oo o i I{ , o ; ~ . . , ! , ! fl: , , , , , , ~i~~~ ~ fl1l~( 5 ~~~i !ifiiJ~ ~~Bg ~tJ~~ J 1 Ii ii I \ ~ "~ H ~~ , u ~ I I 'l!l. ' I J J! j 1 I f!i, o ~. ~. --~,.;...-" l ! j ~ HH. HHi ,I J I; ,) "+, I I , , ! I ! I , I I I , I \ SEAl LEV E L, MAPPING 631-722-3390 P.O. Box # 538 Riverhead, NY 11901 I Site Plan Applicant Marjorie Petras Bulkhead Reconstruction Purpose: Erosion Control Surveyed: 03-18-06 Amended: 06-19-06 Amended: 07-22-06 Amended: 09-12-06 SCT# 1000-87-5-6 Town: Southold Suffolk County, NY Datum: Low Water Tide: 2.5' +j- J? ~ u (J i!! .i! (J 12 "-0, "t,- 10 'i9 6'b~~)-" k;"'s,/-s.. 0",">0 S 4 -'-- ..~ 1" =30' o ,f"'l 0 '="..,4;, r '. & & .f ~ ..JY'~ v+ ",0- o;\)o a~%\S' ~~~~ %o-;~ ~g-<J\ (j~ ~ ~'" , /\,~~. L. ~ r;:- "'./"~tpU ,~ '\ 7 , .... ." I .\ , [OARD' Of; ri~;;:;-i'l:::j TOV/N OF SOUmOl:.J ~-,\TE /?r/t;7 ''.I ~; :; 1::' r ~ . " . ",,'r:~:r 1\"0;;. APPRove/:) r\:::i j'tH. '. ..:,.....,... ""-~r~ co~'\r:H_'J.l('j:",3 0':= -"J - C,jl' 1-'\..>::0..; ,.-....__-- (If) ~ .. (--(7' y- U)..> ,::> -"c. -,..",..~..,o. _J!5I'-'~ -,,,, ..T)'-' y) &- nHE_ J-j{.i..L_L---- See ion ~ e!iP." 1" 10' 37' to Hse. cted landward of existing using 'C'lock plastic 4500 sheathing lumber CCA - top of bulkhead 1'+/- higher after new construction - remove old one by hand 30 c.y. max. clean sand from approved ____~pland source Yietland Boundary :' R. Fox .. March '06 , ',','__1 l L L ' l " , ----- -- --.-- -L.t_Ll 1 I 6" x 6" top "haler -----:__':'?'~~~:_9rades 4" x 6" bottom "haler ------~--- - ';I ~ ------- HYi LYi \ ; -; \ V/'0,\;j t. j '\\"'\ ,\\1 Tie Rods 3/4" galv. 10'10ng nB~ 'G lcx....' landl^lard of existing bulkhead remove old one all material:::. from approved list filter cloth to be aoolied B" dia. piles 'C.CA 6l on Genter 5 I I , ! I I I l I I I I I I i I I I I " j . . MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair 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 SOUTHOLD To: James King, President Town of South old Board of Trustees From: Mark Terry, Principal Planner L WRP Coordinator Jr. q r- I,' .. h "007 11\ :l (<Jd Date: January 5, 2007 Re: Proposed Wetland Permit for MARJORIE PETRAS SCTM#1000-87-5-6 Catherine Mesiano, Inc. on behalf of MARJORIE PETRAS requests a Wetland Permit to construct landward of the existing bulkhead and 12" higher 65 If. of bulkhead and an 8' return and place 30 cy. of backfill. Remove existing bulkhead upon completion of landward bulkhead and install a 10' non-turf buffer. Located: 700 Koke Dr., Southold. SCTM#87-5-6 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 (L WRP) 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 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: M.. P . SrJone etras 700 Koke Drive, Southold SeTM # 1000-87-6 . _Coastal Erosion Permit Application /Wetland Permit Application _ Administrative Permit AmendmenllTransferlExtension --..Lfteceived Application:~ ~eceived Fee:$ ;)~/ ----"p>mpleted Application I ;)..I..)I)~ _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ _ Coordination:(date sent) .....-cAC Referral sent~ ----Date of Inspection: 0'1 _Receipt ofCAC Report. _Lead Agency De1ermination:_ Technical Review: ....2ublic Hearing Held: I la'll (Y) ~ Resolution: Omee Use Only ",.'. , 2 7 LLtJKf V Name of Applicant: Mariorie Petras Address: 700 Koke Drive. Southold. NY 11971 Phone#: 765-5691 Suffolk County Tax Map Nwnber: 1000 - 87-5-6 Property Location: 700 Koke Drive. Southold. NY 11971 (provide LILCO Pole #, distance to cross streets, and location) AGENT: Catherine Mesiano. Inc. Address: 12 Mill Pond Lane East Moriches. NY 11940 Phone: 631 878 8951 C~d/J :s-~ \~~~ ./ RE: M.. P . al]one etras 700 Koke Drive. Soulhold SCTM # 1000-87-6 . Board of Trustees Application GENERAL DATA Land Area (in square feet): aPDrox 9.100 sa.ft. Area Zoning: R-40 Previous use of property: sinale familv dwellina Intended use of property: !!!!!! Prior permits/approvals for site improvements: Agency Date NYSDEC 2006 Trustees 9/12/72 _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ~No_ Yes If yes, provide explanation: Project Description (use attachments if necessary): CONSTRUCT LANDWARD OF THE EXISTING BULKHEAD AND 12" HIGHER 65 L.F. OF BULKHEAD AND AN S' RETURN PLACE 30 C.Y. OF BACKFILL. REMOVE EXISTING BULKHEAD UPON COMPLETION OF LANDWARD BULKHEAD. 10' NON-TURF BUFFER. RE: M.. P . 81]One etras 700 Koke Drive, Southold SCTM # 1000-87-6 . Board of Trustees Application Board of Trustees Application WETLANDffRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: erosion control Area of wetlands on lot: 0 square feet Percent coverage oflot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: 22 feet Closest distance between nearest proposed structure and upland edge of wetlands: nfa 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, Ir. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of -----~l2cacJ~tQ~--~~-~~------------___________ COUNTY OF SUFFOLK) STATE OF NEW YORK) . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 AFFIDA VII OF POSTING I, {jr;J1.PAW (11&<1 bAl). , residing at 1Z.J1dL AJ1d IL fJ. fUOJII.e1u II!j being duly sworn, depose and say: That on the /3 day of livn ,2007, I personally posted the property known as 700 Kolle VJ?.IVG $OUT7-f-rlL..[) 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 (/J'i;;/' '11'1 n. Ii 4 ~' Ort CIlO tp;3o t'1Yl, Dated: 1/oJ +/0 '1 Sworn to before me this ~ 2001 Notary Public (j k,../.L., f ~vJ;, =?IOJf10lfff,IC,!"IJ/rtc. . 7 Cx(dCt/76'rJ &(10/0' ~ . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS NAME: ADDRESS: . STATE OF NEW YORK COUNTY OF SUFFOLK Michele Clifford, residing at 136 CJ:a1lford Blvd., Mastic, NY being duly sworn, deposes and says that on the /to day of J~ ' 2001, 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 t! _I--lO(cr Jus; 1J'f . that said Notices were m,;I,dto ,,,h of,.id P'="' by oertifiod moll . - r:J ~Uv ~ ~( ~6ff Sworn to before me this 4day 4/JffiU V^t.i!~;i! fiI,. G!;Lf)A~f.) Nu..~:y 'f-ublIC, St-Ja arMs'.'!! York t\!o. 01G':J'12Q3~2 Qu.:.,:::::) in SL~.:.':; COt .1~1 Ccmmis~-:ol1 8:p:rc.:; [)-::c~,dJ",r 27, 2':~G Re: (J1~ ~ / _~ ,,/1 . 7()O~~.~ ~c.77Y1 ? (0"0- 67 - t.. - fa J,j / j, 7/iJL j p~ Ko--I~ ~ I /~ ~~ fj. ~ ~ . Board of Trustees . Application County of Suffolk State of New Yark f), f~ BEING DULY SWORN AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED RMIT(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. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. " -~[),~ JSignature SWORN TO BEFORE ME THIS 27th DAY OF DC.Ge,....l.l" ,2006 ~bli~~ John M. Judge NOTARY PUBLIC, State of New York No.01JU6059400 Qualified .In Suffolk County c> 7 CommiSSion Expires May 29, 20 _ e ei . APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Drohibits conflicts of interest on the nart artoW" officers and emolovees. The ouroose of this fonn is to orovide information which can alert the town ofoossible conflicts of interest and allow it to take whatever action is necessary to avoid same. - . Pe.+r: (Last name, first name, l/I' die initial, less you are applying In th.e name of someone else or other entity, such as a company. If so, indicat~. the,other person's or company's name.) -, . YOUR NAME: NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or officiaJ map cnher (.?~ .~ . (If "Other", name the activity.) ~ 16-.1:.. I)>'~ olel. h ul r,I1e...:-L Do you personally (or tf'!rough your company. spouse, sibling, parent:, or child) have a relationship with any officer or employee of the Town o.fSouthold? "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 own~rship of (or employment by) a corporation in which the town officer or employee owns more than 5% of tile shares. . , Building Trustee Coastal Erosion Mooring Planning y.. YES NO r/ If you answered .'YES'", complete the balance of this fonn and date and sign where indicated. Name of person employed by the TO\'I"n of Southold Title or"bositiori"oTtliafpersoil----- ----.- ------- --------- 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 describe in the space provided. The Iown officer or employee or his or herspouse, sibling, paren~ or child is (check all that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the applic(U1t (when the applicant is a corporation); . _8) the legal or beneficial own~r of any interest in a non-corporate entity (wMn the applicant is not a corporation); . _C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this ~ ') day of b~ C . 200.(.. Signature ~~ b-. fJ~ Print Name 11111. ;roR./~ 0 I P~T.eA5 RE: M.. P . alJorle etras 700 Koke Drive. Soulhold seTM # 1000..87-6 . Town of South old LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. * Except minor exempt actions including Building 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 00D-87-5-6 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: M.. P . alJone etras 700 Koke Drive. Southold SCTM # 100lJ..87-6 . Nature and extent of action: CONSTRUCT LANDWARD OF THE EXISTING BULKHEAD AND 12" HIGHER 65 l.F. OF BULKHEAD AND AN 8' RETURN PLACE 30 C.Y. OF BACKFILl. REMOVE EXISTING BULKHEAD UPON COMPLETION OF LANDWARD BULKHEAD. 10' NON-TURF BUFFER. Location of action: 700 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: MARJORIE PETRAS (b) Mailing address 700 KOKE DRIVE. SOUTHOLD. NY 11971 (c) Telephone number: ~ 765-5691 (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? 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 Subiect site is located in a developed area. Proposed activitv is replacement of existina functional bulkhead onlv Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria Yes No Not Aoolicable The proposed proiect is not located near anv 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 . RE: M'. . ar:Jone Petras 700 Koke Drive, Southold SCTM # 1000-87-6 . Yes No Not ADDlicable The subiect site is developed with a sinale familv dwe/lina. Policv 3 has no relevance to the proposed action. 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 Yes No Not Applicable Construction of a hard structure is the onlv practical desian consideration and is essential to protectina the principal use. The proposed hard structural erosion protection 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 ADDlicable The subiect site is developed with a sinale familv dwellina. Policv 5 has no relevance to construction of the proposed addition. Policy 6. Protect and restore the quality and function ofthe Town of South old 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 Policv 6 in that potential adverse impacts are avoided bv constructina the new bulkhead landward of the existina bulkhead in order to protect the wetland veaetation seaward of the existina bulkhead. The proposed proiect complies with statutory and reaulatorv reauirements of the State's wetland laws and complies with the reaulatorv reauirements of the Tidal Wetlands Act for the protection of mapped tidal wetlands. NYSDEC Tidal Wetlands Permit was issued for the proposed proiect.. 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 ADDlicable It does not appear that Policv 7 is relevant to replacement 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 ADDlicable It does not apoear that Policv 8 is relevant to replacement of existina functional bulkhead. . RE: Ma~orie petras. 700 Koke Drive. Soulhold SCTM # 1 00ll-87-6 . PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources ofthe Town of South old. See LWRP Section III- Policies; Pages 38 through 46 for evaluation criteria. Yes No Not Applicable Reolacement of existinG functional bulkhead will have no imoact on oublic access 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 aooear that Policv 10 is relevant to reolacement of existinG 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 Applicable It does not aooear that Policv 11 is relevant to reolacement of existinG 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 Applicable It does not aooear that Policv12 is relevant to reolacement of existinG functional bulkhead. Policy 13. Promote appropriate use and development of energy and mineral resources. See L WRP Section III - Policies; Pages 65 tbrough 68 for evaluation criteria. Yes No Not Applicable It does not aooear that Policv 13 is relevant to reolacement of existinG 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 e~mall: cmesiano@optonline.net December 26, 2006 Jim King, President South old Board of Town Trustees Box 1179 Southold, NY 11971 2~. .... ''-'1'-:,'" Iii..',; I ".". RE: Marjorie Petras 700 Koke Drive, Southold SCTM # 1000-87-6- ?- Dear Mr. King: I am the agent for the above referenced applicant. Mrs. Petras 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 # 1-4738-03595/00002 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. ~1t~.: ) Enclosures