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Home My WebLink AboutTR-6640 . . 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 Neil & Robert Simon. residinl! at 60 Harbor Lil!hts Dr.. Southold. NY, 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 South old. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of th1s Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That iffuture operations of the Town of 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. 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 June 20, 2007 Mr. & Mrs. Neil Simon 5 Lucille Lane Old Bethpage, NY 11804 RE: 60 HARBOR LIGHTS DR., SOUTHOLD SCTM#71.2.11.3 Dear Mr. & Mrs. Simon: The Board of Town Trustees took the following action during its regular meeting held on Wed., June 20, 2007 regarding the above matter: WHEREAS, NEIL & ROBERTA SIMON 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 May 18, 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, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 20,2007, 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, 2 . . 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 ofTrustees approve the application of NEIL & ROBERTA SIMON to renovate the existing landscape, including the installation of a berm with boulders upland of the driveway, maintenance on existing driveway, repair/replace existing stone and CCA retaining walls with new stone retaining walls, add new stone retaining wall, replace existing stepping stone walkways with deeper stones and plantings, add new stepping stone walkways to replace existing turf areas, replace most turf areas with garden flower beds and stone walkways, and perform maintenance on existing on-grade decks, walkways and patios, and as depicted on the plans prepared by Dreamweaver Designs Consultants dated June 2006 and received on May 18, 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, Jam~g 0< ~ President, Board of Trustees JFKllms . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO:-f1Q~l <l- fJ)o~ ~mnn Please be advised that your application dated Sl~ been reviewed by this Board at the regular meeting of r:J1 and your application has been approved pending the completion of the following items checked off below. has Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) y, Constructed ($50.00) V Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the South old Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: ~pl( Q:l-\t:)n feP.. - ta.o. ~ cl..u.l. ~ ~ &:so 100 ~N)..l ffi~C.-t\:Y\,..r ~"'O,OO TOTAL FEES DUE: $ ~a.'), CO 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 Southold Town Board of Trustees Field InspectionIWork session Report Date/Time: ~ - \ ~-O--' NEIL & ROBERTA SIMON request a Wetland Permit to renovate the existing landscape, including the installation of a berm with boulders upland of the driveway, maintenance on existing driveway, repair/replace existing stone and CCA retaining walls with newstone retaining walls, add new stone retaining wall, replace existing stepping stone walkways with deeper stones and plantings, add new stepping-stone walkways to replace existing turf areas, replace most turf areas with garden flower beds and stone walkways, and perform maintenance on existing on-grade decks, walkways and patios. Located: 60 Harbor Lights Dr., Southold. SCTM#71-2-11.3 D?:e of area to be impacted: _Saltwater W etland _Freshwater Wetland Sound _Bay Distance of proposed work to edge of above: Part of Town Code proposed work falls under: v'Chapt.275 _Chapt. Ill_other Type of Application: V W etland _Coastal Erosion _Amendment _Administrative _Emergency _Pre-Submission _Violation Info nle~f~ "3' f! f:f ~ ~ ? t;: (' ^ -M,o. { l Il' ON"f ('1' f-IMl;-' ;;t r ,l.. J..nJ... V lW\". o'l Modifications: ~~ kl~"",, ~. Conditions: Sf<-"k hY\\", tJ4~ \ I \ OJ--f- - "'~ 1 vrW r r \M{s w,4\...,~ ~ '" \I". h,...J l< 10/ ~~W Present Were: J~ng /J.Doherty ~Dickerson I../}). Bergen JB. Ghosio, Ir LH. Cusack_ D. Dzenkowski _Mark Terry_other Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review tJlOS.-\- wn K ckoC/l.eo.b.<lJ 1w..f 1vvJ.t.41<J- \- b",/~; duel -ftsr Uvr+<1,..""""t - M ,':)",.,I..51~J -+- ~/( Mi-\-;!?~.... CA-<\.('h<l",.l~ f'(.v,-1-l~ b- rh-w-+;d.~l iW.. --h f; Ii<,- "':-' '~tfS . ~. C kc'L ~ (A nM-iur~ 1~A.w--l6/., b l,.\ k.kJ !--- ~~'''')- /pJ.Q - J,'kt-6,.(-\- .{v --kee {rorv-.. . \ fA. ;J.s(IAj"- / lo.~ 6ls Yl.M Df[ srwt-h4 ,~ . . 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 Mon., June 11,2007, the following recommendation was made: NEIL & ROBERTA SIMON to renovate the existing landscape, including the installation of a berm with boulders upland of the driveway, maintenance on existing driveway, repair/replace existing stone and CCA retaining walls with new stone retaining walls, add new stone retaining wall, replace existing stepping stone walkways with deeper stones and plantings, add new stepping stone walkways to replace existing turf areas, replace most turf areas with garden flower beds and stone walkways, and perform maintenance on existing on-grade decks, walkways and patios. Located: 60 Harbor Lights Dr., Southold. SCTM#71-2-11.3 The CAC did not make an inspection, therefore no recommendation was made. . . Location 60 Harbor Lights Drive. Southold Lot # 1000-071.00-02.00-.011.000 Photo List 1. May, 2007: View east from southwest 2. May, 2007: View southeast from west center 3. May, 2007: View south from south end of drive 4. May, 2007: View east from west 5. May, 2007: View east from dock catwalk 6. May, 2007: View south-southeast from north 7. May, 2007: View south-southwest from north 8. Circa 1987-9: View south-southeast from center drive 9. Circa 1987-9: View north from south center 10. Circa 1987-9: View east from off property (opposite side of canal) west 11. Circa 1987-9: View north-northeast from off property (opposite side of canal) west 12. Circa 1987-9: View north-northeast from southwest 13. Circa 1987-9: View east from floating dock 14. Circa 1987-9: View north from south end of drive 15. Circa 1987-9: View north from front deck 16. Circa 1987-9: View north-northwest from southeast .. .. :Ie "'.'\":.'. , . . . . " ";- J'."] .... ~',.'o.. . :. .<, . ~ ;.' '. J 'i-.: .' .,". 'J ::"", ~ . j '1?~,' ~", '!:';~. ""~'.'~:"'~.i':::~::'~itj' _-~}. " ..'} '~. &' \[i!iimi, t'f!:;.,,~)';~l.. ',~: 'Y/<~.j.f:\,: __.}. ~ .~;~;r.';:\ I ~l~ -;"~fI1~:; , ~~!~xf, ~ ,..' f~')":r, ,~~. .-'V.~, );~:' .\ '. I 1..~ li'i,-f' '. ~.. A'< t'i\\~"":~i ,.':;' f,., .""'1'." ?_~. ,. t , " "i. . '-:'/ j"\ . '1-- ~'r' ::,.,. '..." > I ~";" ,. H "\~ "".1. ~t:t_ _ -:t- ').\ ..,:..~W'.J: ,;.1':' 4t.~,,{~,;~: ./tv [', .',' J .~-i'J,\1.~/t\,;t7;:~; '.e.1(,' ~ .;Lt'.," ..'.~ I", <-~~~;~~~:.~::,:~::~' " '..,;.'.'.....,1.... :\{"f$'" ..>~i~;i~~J) :<}~~~;~l ,";;':. ~,."...,. ~)~~~~' l, ~: i:t~~&~~~J x-':~.no' }~~~~~t ':o.;'.~~ ' ~j,".' ~..... . , .~ :,"1..- .t!': j...... ..~,; .' HI ,>" i",~ " . , ... ~ ~~~ . . r----. r ., I@"' ~. ' ~ . . @ . ':'\!; -----~. - 'A A798 Town of Sauthold SuffolkCOllnty, "Y l.AST~(OEFENDANT} ~MaN S~)'[)DRESS "5 ~<!c:c/ L E CIlY t::')(..l) UIClDJ.EIHlTIAL ;N APT. NO. XJY ZIP /I'i'o$/ PlATE NO. DATE EXPIRES STATE o N.Y. 0 N.J. 0 N.Y. 0 N.J. 0 PLATETYPE . o PASS o CDMM 0 0 CAOI~C 0 "''M 0 0 ,us 0 MCY 0 vm 0 o s.W. VEHICLE MAKE 0 BUICK 0 CHEV ,0 FOIlO 0 OUJS 0 TOYOTA 0 VClJ\S 'ooY 0 20R 0 'OR m>E 0 TRUCK 0 TRAILER VlN NUMBER o DOOGE o PONTlAC -nfE PERSON DESCRIBED ABOVE IS CHARGED AS FOLLOWS Pe'I<.f<1rr MPHZONE MISDEMEANOR 0 FACTuAL PART (NOT FOfl TYB) THe ABOVE NAMeD DEFENDANT DID ON THE STATED DA.TE, TIME AND PLACE Q:r (7 C<;7#DvcI Ac TrllrTr€$ r_r7:1&'AI /<:1 <> ~r or rh'c.-- ~AP p /..,T7'H'o....7 A ~ ~- -'$ , 47e/'U:r7 Tho Foregoing is based on (personal knowledge) and/Or (information & belieO. thll5Qun;e being the alt~ sworn dipos~"'n{.) of "to, PARKING SCHEDULED FINE $ CONTACT COURT 0 THE PERSON DESCRIBED ABOVE IS SUMMONED TO APPEAR AT SOUTHOlO TOWN JUSnCE COURT,153095 ROUTE 25, SOUTHOLD, NY 11971 ON AT 9jP@. OIlTeOFAl'POoRA./<lCE1NOTFOATVBI FALSE STATEMENTS HEREIN ARE PUNISHABLE AS A CLASS A MISDEMEANOR PURSUAm-TOSECTlON210.4S OF Tl-IE P.L.N.Y.S. I, COMPLAINANT A - 4799 Town of Southold Suffolk County, NY { ~U~ The People of the State of New York '0. cll~/~ :r.tc:..o B.s L4AJe., STATE PY. UCEN$E OR REGISTRATION NUMB~ MIOOLEINIT\AL 'f11O:r;:0AHrl STRM~ CI1Y~/.1 7'r~1 STATE APT. NO. ZIP /11'71 THE OPERATOR OR REGISTERED OWNER OF VEHIClE DESCRIBED BELOW PlATE NO. DATE EXPIRES STATE PlATE TYPE o N.Y. DN.J. o N.Y. o N.J. 0 o PASS o COM" 0 VEHICLE MAKE 0 OODGE 0 BUICK 0 CHEY 0 CADILlAC 0 PCrrnAC 0 FORO 0 0lDS 0 Fl."" 0 TOYOTA 0 VOU<S 0 BODY 0 'OR 0 'OR 0 BUS 0 "CY 0 S,W. TYPE 0 TRUCK 0 TRALER 0 VAN 0 VIN NUMBER THE PERSON DESCRIBED ABOVE IS CHARGED AS FOLLOWS NOE POT o SUFFOlJ(COUNTY~ #0 ~,_.'.f OTHEA OFFENSE MISDEMEANOfl 0 FACTUAL PART (NOT FOR 1VB) THE ABOVE NAMED DEFENDANT 010 ON THE STATm DATE. TlME AND PlACE OX 0 CD>NI:1Uc.+ A<hv.rrr~'-s ~rJ.ly~ ,;IOt?;t ~~ -rr..E W~-nA,w/ w:cnl,.-+ A /CoJ~r/!" ~ ;7;:-~ n..~~i&llaMdOl'lu..~k""""'-dg.lancl/Or('rlDrTnMbn&W1lef).lhe.ou'l:ebelrGh.rtachedsworn"pOIllion(alol .... PARKING SCHEDLILEO FINE' CONTACT COURT 0 THE PERSON DESCRIBED ABOVE.8 SUMMONED TO APPEAR AT SOUlHOU) TOWNJusnCE COURT, AOlIli ROUTE 21, SOUTHOLD, NY 11m I AT r~ 9- ON IA'A:n~7~7 . FALSE STATEMENTS HEREIN AAE PUNISHABLE AS It cv.ss " MISDEMEANOR PURSUANT TO SECTION 210.45 OF 'THE P.L..N. V.S. COMFLANANT /// I DATE :e~/'/ , ..... A A ~{ 4 . . . 1f-UJ~t. A-47gB --~---~\ i\ , I Town 01 Southold Suffolk County, NY The People Gllbe State 01 New York VI. FIRST NAME /J e:z:~ s~ ADDRESS ~ ~uc::r/i.E LA &D B~-r#PA6€. MIDDLE 1Nl11Al.. J"11 wr.NO. lAST~(OEFENDANT) ~I"'tCN 1l-IE OPEAATOFl OFt REGlSTERE at.INER OF VEHIClE DESCRIBED BELOW PLATE NO. DATE EXPIRES STATE PlAT""'''' o N.Y. o N.J. o N.Y. o N.J. 0 o PASS o COMM 0 ""'ClE...... 0 DOOGE 0 aUICK 0 Ct<EV 0 CAll4UAC 0 PONTIAC 0 FORO 0 OLOS 0 PC," 0 TOYOTA 0 VOU<S 0 BODY 0 'OR 0 'OR 0 BUS 0 MCY 0 S.W. T'IPE 0 TllUCK 0 TTWWl 0 YAl< 0 VlN NUM~ THE PERSON DESCRIBED AIOYE IS CHARGED AS FOLLOWS o Pl!iC.!'1rr MPH ZONE MISDEMEANOR 0 FACT\JAL PART (NOT FOR TVa) TIE ABOVE NAMED DEFENDANT 010 ON THE STATED DATE, TIME AND Pl.ACE ~ CPNDVC-r Ac rrv:r'r:&"E.s,,~ "AI /OD,c.,..- Dr "??/E ~.A.NP ~A-r-ry'Ov7 A ~ -j- P';ttf14X7 TheForvgolng.Nledon(pe_neI~lw:odJor{lnlonnd:>n&bIllitf).lhlaollOllbelnglhl.-ctwd_de~liDn(slol - PAAKlNG SCHEDULED ANE $ CONTACT COURT 0 THE PERSON DESCRIBED ABOVE IS SUMMONED TO APPEAR AT SQUTHOl..O.TOWN JU$T1CE COUAT,I3OH A~ 21, SOUTHOLD, NY 11171 00 II'1Ay~"~7;;;' I AT 9H090- FALSE STATEMENTS HERElNAFlE PUNlSI-lABLEM Ao.ASS AMlsoe~PURllUANT TO SECTIOH21o.46OFTHEP.LN.Y.s. COMPlAINANT 1!Z(.~/07 ~-.J t:4.~JC~~ co T COPY l~__.c.::_,_.- :.:.,-_.~,c_-'--:'-' .;_.:.:...-.----,.,- A. .. c. (71.1 ~c1k .. c. #'1 G. BUSINESS H. RESIDENce BUSINESS I. y, 28. Age 29. Sell OM OF U 3D. Race o White 0 Black 0 Other o lnellan 0 Asian 0 Unk. 3t.Ethnic o Hispanic 0 Unk. o Non-HlspaniC R.ESIDENCE 36. AliasINicknamelMaiden Name (Last. Flnt. Middle) 33. Residence StatUi 0 Temp. Res.. Foreign Nat. B Resident BTouriit 0 Student [] Other Commuter Military 0 Homeress 0 Unk 37. Apparent Condition o Impaired Drugs 0 Mental Db 0 Unk. o Impaired Alco 0 lnj I III 0 App Norm J. K. TA8LEO 38. Address (Street No., Street Name. Bldg. No., Apt. No., City, State, Zip) o Home o Work L. 44. Race o White 0 Blaelt 0 Other o Indian 0 Asian 0 Unk. 47. OCcupation TAaLE? M. TfJjiJ'R 52.Gla~ o Yes 0 Contacts o No 53.8ulld o Small 0 Large o Medium 57. MIse. N. 51. Eyes <t'" .....--t _7 C.;:7-' ".. ~ ........ ,,'<1 , ~ . . o Scofflaw o Other 75. NYSPIN Message No 76. Complainant Signature ]SIONe /1-5 79. SUpI!rviSO"s Signature (lnclud@Rank) 80. 10 NO. .., r 9'= /0' Pag~ o Closed (If Closed. chetk box below) o Arrest 0 Pros. Dedin@d DArrest-Juv. OOffenderO@ad o Unfoundl!d o Warrant Advised DExtrad. Dec:'ln 0 Unknown 82. Status Date .h )1! ~'J 83. Notlfi@dITOT DCJS-320S (2/97) -FALSE STATEMENTS ARE PUNISHABLE ASACRIME, PURSUANT TO THE NEW YORK STATE PENAL lAW. - - A. B. c. D<.J G. "tV ,.j, H. Rf.SiDfNCf: BIJ\INESS R.fSIDENCE I. y, 28. Age 29. Sex OM OF U 3D. Race o White 0 Slack 0 Other o Indian 0 AsIan 0 Unk. ll.Ethnic o Hispanic 0 Unk. o Non-Hlspanic 32. Handicap o V.. o No 33. Residence Statl.K 0 Temp. Res., fot~gn Nat. B Resident BTourist DStud@ntnOthl!l' Commuter Military HomeleU 0 Unk 37. Apparent Condition .0 Impaired Drugs 0 MentalOis 0 Unk. o Impaired Aleo 0 Inj I III 0 App Norm J. 36. AliasINidtnamelMaiden Name (Last. First. 'Middle) K. fABlEO 38. Address (Street No., Street Name. Bldg_ No., Apt. No., City, State. Zip) o Home o Work L. 44. Race o White 0 Black 0 Other o Indian 0 Asian 0 Unk. 47. Occupation M. TAgLE F S2.Gla~ o Yes 0 Contacts o No 53. Buiid OSmall Olarge o Medium 51. Misc. N. '(IF: 1S. NYSPIN Message No 76. Complainant Signature 7810Na M-~ 79. SuperviWr's Signature (Include Rank) 80.IONO. I'age o Unfounded o Warrant Advised o htr3d_ Declin 0 Unknown 82. Status Date 83. NotlfiedfTOT r I '5" I S- of I Pages DUS-3205 (2/971 'FALSE STATEMENTS ARE PUNISHABLE AS A CRIME. PURSUANT TO THE NEW YORK STATE PENAL LAW. June 8, 2005 Field Inspectio. . . ~Ir.-- , '~'. . _ ~. .._., 1IP~. '~, r.""'.:i?.... , ~, "7 J L ' . ~'" ..~.~ '-'.t ~:1f" .~,:. &.t.... __.I , ~ - ,"'-',P iJ ('14'. 1_ ~ o. . ' '/..1 . "~hY(" ~ #I....~~ ,_ ,~ 'r.' ~. ;;.~),.> .~ ,1 i ,it'f . .. fo 'I' '~'*1,'.:t ~ ~.' '0' ~1'.... . ".''''10. I ~lfII',.,.I-.... .....J. , ~l ~,.,..I ,.~, _Il r, ~ "'\.\.J.'i,/7J;.'0I~>.~,:t~~;.t~i:~:.;;.~ II't _ ".' .r . ~'-ll,~""""n-t:. ~~ 1l,....'........"lr~ . 'UI It " ,." w ,.... ,. r:-r. -~ - , -;j" ,,~ l~ llf"" f' .." f. .-~ ~.~f;f,~~':' ~,)lJlir.~~' !.:~f""'~~\IJ~J . L ,~ . . ;li ; ~~ ,,'!~ 'leVu t .i.. - ,".; :;. ~l : r"~... ;\f1. j'?~' I'~\!i ~'~!~~a,I~I~~lT;f~'l!1.I'~I' 'I :1ll))" ~ I,JI~I hlWII'~ ~~~n' /,,,,! .' .. f, . '/" ",.kltl. ", I({ .. .IJ~ ,,,'V ~l"" " '/',t/I'" JI~t /I', r~ l.~$ Illitl""'~"f I ~r)'.lf. /. 't ,,'ill l't'If! l!~' 1'.. 'I t ;1: I"t,( I ,A., "'/." !"I'j I~~ I'!,' l~;I~J~.. ("lliLI,I~,Q1t" !r"'!0!.'}/II\ i :'l '~J;1'~ t '~'!l ",,:; :~O l.,.J,~(IW::1"Ii,\ :~;:'I.~/il . ~,J\} I J'li~!il ~~I" t'J!'t:~#I' I;':jll/lil);" jrm\~ ':l{p':l'l "~ I" l ,( , ~ ~11,t,~I'.1 -,,. ,;. "1'~" , "d~i~~~ ~'ln, ~~:;ft1~!!;llt~i I/tv~rl;"I/, /; , .~.\., ~, f1 ~" f ,. ~,ll ! t"f:~1 I I ~~~~~I'\~ Q, r l 'I~'( II'~/~"'I II i "rll ),' , .J 'I~ "~" i' I: J I r 'Ii' " I I" l ,~'J f J ~W/~~:~tJ. .; Ii ~; i~~' :~~';'I( ~"IAJ l" ')~t~;\.. " {I I~' 'I' I I 1'1 ~'.t~l~:' ) J', Ii/!' ,!,;.oJ" .. _ "'- -'--,.'- ~ . . P''''', 4tJli../ ..}- ..'.... TOWN OF SOUTHOLD :if:,lOARD -OF SOl.rrHOLD>TOWNTRUSTEES SOUTHOLO.l\IEW YORK .:>:} ,j,j '~',;;: . WeTlAf\lDSi>EltMI'T , .' .' ':~: '}.' " - ,: - .'.. ",.'".>.' ' " .' ::-,:, .' '-:.::,' . ThisWetlandSf1ennit ,~. .};9.~............. "aSbeengta!1;t~,bv~e Town Trw;;tees, according t 'information "furnished i~1APplication .No.,...~.\g.."....;.....fil~bYAp~licant ;n.dJ,..~;IfP,9jl.................... . ~;;'fi'i~'i;;'th;";:;;:;;t~;.tt~~~~!;~~~~!:'ih~'~~~'iiC~;i;~~~~::v~~.the proposedvJork will be kel . '.',", .' .. ,'::' ""-','"..'.'. '. .' . .' - ' - .p . dd. 'tJ,ff' II . . . ... 'To constrt\C't.,a 4' x' 16'wa1kWav .' I.' i/., -,.. ", ~rr'rut.'grante to.' 0 "~~r 0 oWing w9rf'.....;.~~n~".~*.~~~;~..,~~.:.....t~u~~;..~~!.~~........n..........":i.,..~~...lf... .' ~...xam "....'!...~.~:.~...!.~.:..~!-2;;~i!:!;~~:.!;!!-..?X..~..!:p.!~!;~:..............,.....:.+..:................................................... ..................................:+~................:.....:.,...;..:,.............;.:..,.....,..1'+.,+.......................;..,....................... Locaticinof.properiv ~1.;,~i~~ .":,,,r~ ;t~ ~~, dorie:.~..Jl~\t~.Q.r,.~~~~..>>.d.Y.e....$~lJJ;1mJA......,.....:.... I' . . .' . , . .........un......................,.o:t............................h...io.........................;..........................~.......n~.....~......n........ ... '<. . '. .i;f." >'.:': :.'.,.. , , . . .:,: ........~.... .......... ... ~ .... ....t~~ ..~...~~..~:;.. .~...~.... ... ~ n. ...~ :.._~~,.. :.... .... .. ... .~.... ......... ...... ...... .... ...... ..... ............... .... ....,.... .............. Creek, Bay or H~rbortrntirig property ....R-".~.<!z.~.<!...c:.'!-E.'!-.:L9iL9i..r.g:..9n;l,s;..>>llx........:.:........;.." 1 . .' . . .. . , ...................................f!'........~.....~:......;~..:::...:..:...:................................................................::...........: S. f k' L ...:t 16' wa1kwav"V',. sI ),,,' 1.' lze o. ,war.. eng,.I~ ~........i1........................."''"'.....7.......Rm.R..An .. ),I.... ....gat......................................... Width ! ;~.............1.:..!!.~~~!!X.~.....4.~..E~!I}E..!H~......g:..J.!g~t...................................... Heigh~J,\bove High Water ......RL~........................................................................... j.. n/a. . Depth illelow Low Wate~ ,.......................................................................................... - Y d '. bEd n/a: . -.. _ar s!to e xcavate ............................................................................................... I n/a Yards ~b be Filled ..a................................................................a....................,............ . . '.... ..' n/a ._". Manner In which. mat.flalls to be removed.or deposited .................................................:.:..........;... ............................................................................................................................................................ Int;ended use of p.rop~rty _.......!\~~l9.~n tt~t.......... ...... .n' .... ......................a....................... .............. . . ' ..n.n.........................,,;.~............................. ......~......... .......... ... .............a.....................'......._................ C d't"f 'Structure is ~o b ~ " l.~.:.. h . '1'h on I Ions I any .....,..........................~.......~..c.Q.wi.~...I.\\;...<:.......t~..,1;oWi..~....Ilj;ing.. ulkhaad........ I _.~~..~~..~~..::~..~~t.~~~~.~;~...~.~...~.:.~~.~.:.~.~.~~.:......................................................................~..... _c,.._ '.1'''"' ~ ~ ~'..*'"/ ~~\"." , lIENRY P, SMlTlI,P1'esident JOl\lf M.BREP~MEYER, Vlce-P1'&S:', ' Pffir.UPJ., GOUBEAUD "'~MTKRUPSKl,JR. ELLj;:N M.WSEN ' TELEPHONE (516}765-189: , " BOARDQF TOWN TRUSTEES TOWN OFSOutBOLD Town Hal!, 53095 Main ~oad F.O; Box 728 Southo1d, NeWYotk 11971 December 24, 1986 Mr. Roy L. Raja, President En-Consultants, Inc. 1329 lilorth Sea Road Southalilllton, NeW'"York 11968 Re: Neil Simon - Wetland Application No. 310 Dear Mr. Raje: The following action was taken by the Board of Trustees during their regular meeting held on December 23, 1986 regarding the above referenced matter. WRRRFA~, En-Consultants, Inc. on behalf of Neil Simon applied to-Che Southold Town Trustees for a ,permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated SelltemberlO, 1985,' and WHFllF.A!l said application 'was referred ,to the Southold Town Conservation Advisory Council for their findings and recommendations, and W8EREAS, a public hearing ,was held by the, Town Trustees with respect to said application on Dedember 23. 1986 at which time all illteres,ted 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 ~REAS, the Board has conSidered all the testimony and documentation submitted concerning this application, and 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 En-Consultants, Inc. on behalf of Neil Simon BE AND HEREBY IS GRANTE P$MrSSION UNDER T1lEPROVISlONS OF THE WETLAND ORDINANCE OF THE TOWN OFSOUTHOLD TC construct a 4' x 16' walkway" 4' x 14' ramp and a 6" X '16' . float secured by 2 spill subject to no impediment to navigation. Structure is to be constructed to the existing bulkhead. Property is located at Harbor Lights Drive, Southold. .r-, , \""/ . c> BOllrd of Trustee... ~ Pllge'2. Neil Simon This permit will expire on December 23, 1987 if work hils not commenced by said d, There are two inspections required and the Trustees are to be notified upon the completion of the work. Prior to the issuance of, said permit by the Clerk, the llPplicant shall file, with the Clerk a certificate that he Iu1s public liability insurance poliCies insuring against any liability which may arise in the performance of the operations pursuant to such , permit in such amount as shall be 'fixed by the Trnstees, which sllid ' policies 'shall name the Town as a name insured. Pleasl!takefurther notice that this declarlltion should not be considered a determination made for any other department or agency which may also have' an application pending for the same or similar project. There are the two, inspections. forwarded'lOy'mail. two insPections required. Please remit $10.00 for UpOJiremittance of the fees, yourperndt will be Very truly yours, I~P~(~ Henry P. Smith, President Board of Town Trustees' HPS:ip " , !,c,: Robert A. Greene., D.E.C., Stony Brook Commissioner Henry G. Williams, D.E.C.', Albany Stephen Mars, ,Army Corps of Engineers Thomas Hart, Coastal Management Conservation Advisory Council Bidg.Dept. Board of Appeals File ., e\ \......../ S,,("FOL" Co, 1.(1IG.5rRoM /'1/lp.;n fOclll.,s f".~o' <Il .<!) III ~\ ~ r - ~ \\ .\'\\j I o . III 0 , t i ~~~I.\ ') ';;' III ~ ~\ ~ ~ '" ~ 01. ~ C. s:.... t ,.,! ,,-" I- "j; , ~ , ::. \~ \ \ \ \ \ , A. "\c/~ I Ft.,.;..T .j .1 <. ~ o ~ 'l: , " .. r '" l:!. ~~~ --.J \ ""0 \ I ~/ / 1'1',,1:.'1 " '? .l!ililfST/N600 &It.."., J./AfI,60R Ll6,HTS DR. TeET ';;0 . '10 "- "{ 'll Q Q , < l- .::> " :> '" '" " .. 3 '" o 1: :t~ ~ III 8, OAT()M:Mi..t.J puiiei>;S)::PRtuAT.E&A1" J::bc.J::' AfJ.lACI=H'T. CJUJ(.EP.S: fl. . teOAD (So~n("'o 1;",,.,) Ii. . R. r<.~/'t6(>t,.1 L- ~ It t ~~1i t:;" <Z; " ~ 1 ~ ~ oJ .~ t ~V> - t 1l> , ~:! ",a. <) 'Ij '" ~ Q It 0- ;) ~ll: lQ F Ill",!..: Ii.. \I '" 0'" :k . ..'" hh -- ~ "",'"" I)xa:: ~ >C " ~ j:: " !i 'lj ~ E.1<IST'Nb RJiiTI'lIN'N'6 WALt... 'PR.QPl>S~f) . tJPUt,I'(O tJIlL/< (..JAr- ~ . .005:.1< .f;~ .. RI!!';" SIMON 0/\ OfMJJGelJ CI\!fIlI-. .,ff itllR.eoRt.I&H~i~THOLlJJ .s.~/"eOl-~~"J{. r:..... '.' .~H~.~TJ~fl : .' 'il.-4fpr ..' .' ..... '.' .' R.ev "'I.,ir~~' . . .' " ... . 'II ....~.l.:~'" --'f~~,~j. ;r. .. - :\:.~~~)~.~... ':.-;....:... t ... . ~.<C'~..!,..z:_11~."o. ...~..... ':'1' r'"::;:i:i!':r( -"UI:loI:~ll' . 'JT ~.. 't'.:'~"." "~t' ."t'_, . r ,..0.". ,.,.... ~~.""'"." ~~ ~ . ,h~~"~.~"""".J...,~-Y~ . .' ~... \"........~~~.......... SIIh.,J 51 f"\"" -., "... ....,'., OJ., . I. t"if' ~ "2 "'-f ~ .:. ,., ,-. j '- r :& ~ .;. - :€l -0- 1 .3 V) c o €: V) . . 5, fY'iJJ + '"'t,. , =:::_~>- Z ---=-=~_-::::-- - , -1"= ,mmt &w~ ULLJAJ tiI;] -1~ . 1 . ~ ~ ..-< > + r-- " ~ C> . . ~ ~ ~ , . . . . I I I , ! ~ ~ Elj ~ ~ ~l!- ~r ~.!!I! ~"'fl ~I ~"" i , , ll;!ei lo",' t'j ~il [if - ~ i ~ " ~ ~"i ~: , " II'i' l'l ~ ~ !!@) , 'I l1BhZi I ~ ;:jjjJ ,II i;!!!ll I iii i i 'I ''I Ii ; Ii; j " 1 ! : ! ~ ~ iilP " II I I , I . . . . . "', ,'l'!! "ii[ i ii, i i "'I ~ ~ ! ~ ~ ! " IjHH ,;i;, Id!i! II ~ iel!! "j "II, ~ I Iii '" '", " .' ',I , ! , "1 l j In , o l, I ! ~ . i ~ ;! I , I , I f ~ il/J'l 1 J! j /':1 '1-1:::) 1'1 " ! ~ l , :PI II i JJ jj 'ii .........u-.;;ZO I' ,1;1 J ~,:; i! ""~1- . . OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY MAIUNG ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765.1938 Fax: 631 765.3136 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTH OLD MEMORANDUM I5JIEU~U~ lf1l JUN 1 1 2007 lW To: Jim King, President Town of South old Board of Trustees From: Mark Terry, Principal Plarmer V'ft{ L WRP Coordinator Soutllhokl Town Board of Trustees Date: June 11,2007 Re: Request for Wetland Permit for Neil and Roberta Simon SCTM #71-2-11.3 NEIL & ROBERTA SIMON request a Wetland Permit to renovate the existing landscape, including the installation of a berm with boulders upland of the driveway, maintenance on existing driveway, repair/replace existing stone and CCA retaining walls with new stone retaining walls, add new stone retaining wall, replace existing stepping stone walkways with deeper stones and plantings, add new stepping stone walkways to replace existing turf areas, replace most turf areas with garden flower beds and stone walkways, and perform maintenance on existing on-grade decks, walkways and patios. Located: 60 Harbor Lights Dr., Southold. SCTM#71-2-11.3 The vegetative landscaping landward of an existing bulkhead is an exempt Minor Action and not subject to LWRP review pursuant to Chapter 268-3; Items A and B of the Town of South old Town Code. 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 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: E. Maintenance of existing landscaping or natural growth, except where threatened or endangered species of plants or animals are affected, or within significant coastal fish and wildlife habitat areas; . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD _Coastal Erosion Permit Application /Wetland Permit Application _ Administrative Permit Amendmentfrransfer/Extension _-Received Application:~ _1teceivedFee:$ ~~ _-COmpleted Application~mcrr _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ _ Coordination:( date sent) () ../"CWRP Consistency Assessment Form :), ()-d.1 ~ ') ~C Referral sent~ ~1'f1 _-fmte ofInspection: t) _Receipt of CAC Report: _Lead Agency Determination:_ --L'fechnical Review: ~blic Hearing He~ _Resolution: Nell t1 S,tnflJ) cf.Rohel-1J f. SIma{/) .~ L vcr/Ie Labf,OIILB.t1t,car,liY.lfFIJ'I Phone Number:(lilf .}. qa - 7>(:) J Suffolk County Tax Map Number: lOoo-07/.0f:::> Blvd<. ();)..\.)~ lfJ-t .Ol/.OOD } J Property Location: 60 f/H'b6 yo L, ~ts Df", Ir(J SouthtJlc! Name of Applicant Address~a{ 0 Office Use Only It~;~ ..~ l~. (\'d Ji~1 hf UJt:'Y_IS ;007_J~ Soulhold IOWI1 BC3rd of Trustees J (provide LILCO Pole #, distance to cross streets, and location) N/A . AGENT: (If applicable) Address: - &-- p ryf'\OJ 9 ~'(f - - Phone: ~ . . Description of Proposed Work Location 60 Harbor Lights Drive. Southold Lot # 1000-071.00-02.00-.011.000 General Description Renovate existing landscape (all work landscape related) All work to be upland of existing bulkbead There is to be no disturbance to tidal wetlands Specific Elements (refer to plan enclosed) 1. Face existing berm upland of driveway with boulders for esthetic runoff control. 2. Perform maintenance on existing water permeable driveway (renew pea gravel). 3. Repair/replace existing stone and CCA retaining walls with new stone retaining walls. 4. Add new stone retaining wall for esthetic runoff control. 5. Replace existing stepping stone walkways with deeper (thicker) stones to permit plantings between stones to flourish for runoff control and esthetics. 6. Add new stepping stone walkways to replace existing turf areas 7. Replace most existing turf areas with garden flower beds and stone walkways. 8. Improve the tilth, friability and Ph of the garden soil by adding and tilling in enrichments such as peat moss, compost, limestone. 9. Perform maintenance on existing on-grade water permeable decks, walkways, patios. 10. Replace deer-vulnerable plantings with deer resistant plantings per plan. 11. Repair existing sprinklers and modify patterns to conform to new flower beds. 12. Add esthetic features: (arbors, benches, lighting) per plan. 13. Perform maintenance on existing garden water feature (100 gal molded plastic pond) for esthetics and to provide habitat. "'oard of Trustees APPlica~ GENERAL DATA Land Area (in squarefeet): .)('J ~ \)\) J Area Zoning: R - 40 Pre~om ore of prop<rt)c --Re~ ~ a/ Intended use ofProperty:----R,-e I ::It ,} I Covenants and Restrictions: If "Yes", please provide copy. Yes ~NO Prior permits/approvals for site improvements: l fe&;:t~ ~/tr fu b vJ J iJ ~( Df~/1 (" /Vi) ffi b 1111 d ,~O /)/&__Q Gf _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or SUSP~bY a governmental agency? No Yes If yes, provide explanation: filA Project Description (use attachments if necessary): "'oard of Trustees APPlica~ WETLANDITRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: R I n ~ V J t I J h j ~ G J f1111 Area of wetlands on lot: } ) '() \) square feet 5. ~ '1_% Percent coverage oflot: Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? t/ No Yes If y~, how mo,h m",wi,' will he ~"y""'? III A- ,ohi, y.ro' ~ 1. f,) How much material will be filled?J -:J () cubic yards (Sill fA rtt{nj'(rl~ S ~C61t(Or J e G Depth of which material will be removed or deposited: (J feet Proposed slope throughout the area of operations:~1 Manner in which material will be removed or deposited: U) !v-t(bJ rHM/ -rrJ {Q (; rt r-) /L all ) Statement of the effect, if any, on the wetlands and tidal waters ofthe town that may result by reason of such proposed operations (use attachments if appropriate): f1 () eff-eo f ah 1AI'f1~ fils ~oard of Trustees APPlica~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? No / Yes Does the project involve excavation or filling? / No Yes If Yes, how much material will be excavated? 0 (cubic yards) How much material will be filled? O-.::lO (cubicyards) (S~116f'tl~Y'I'M~~) Manner in which material will be removed or deposited: fA! h~-( / ,_ HJ.{J J. /) I . to ./JJJr ) yO'!\) f, H'lr t),k-e, J ~(f' f1JV5- wdl1 (xn1t6/ r(J l/l of-c. . j.J Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) iJJ661t-ftd~ r.vrfh (fdh-f lUJ ts . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: 4- CTM# YOU ARE HEREBY GIVEN NOTICE: L :;~ ~;;~ ;;1;""( ~J~:i1OO' ~ ;:~' ,Permit lrom 0,01,"'" "fTru"",, 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: . You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. rm rr/) Enc: Copy of sketch or plan showing proposal for your convenience. . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of ,20_, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll ofthe Town of South old; 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 PROJECT 10 NUMBER . I . 1. APPLllANT I SPONSOR I fvt I 3.PROJECT LOCATION: \) urn (J County S (; - 46R~ISff~~r;~Nc;;e~r;eD ~;;;d f;r~f~:s/J7v1 ,~la~1 (! ; r~- ~r t~f ma~~ tbOv ~ r ~f) D 1"' If ~ 0 dh :)"I-e I Municipality 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only (To be completed by Applicant or Project Sponsor) SEQR PART 1 - PROJECT INFORMATION 5. IS PROPOSED ACTION: New D Expansion 0 Modification I alteration 6.DESCRIBE PROJECT BRIEFLY L~r,)SLJM rfhoD~ 1M: C~Jn>fHJcflf-lpkl-e, -rX/d;h~ c;f 1fYl'l lNdlS WJYkwJy,s. to.lF,h(~ fuVj INffA WlJOI ~ f~ 4n1~ rt-tt\fII..afsJ V I 7. AMOU NT OF LAND AFFECTED: Initially , .5' acres Ultimately acres 8.~PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER ~ Yes D No If no, describe briefly: RESTRICTIONS? ~T IS PRESENT LAND USE IN VICINITY l11" Residential D Industrial D Commercial OF PROJECT? (Choose as many as apply.) DAgriculture D Park I Forest I Open Space D Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL ~Y (Federal, State or Local) ~Yes No If yes, list agency name and permit I approval: /)~ ECT OF THE ACTION HAVE A CURRENTLY If yes, list agency name and permit I approval: 12. AS A ~v6 OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? LIves [gNo Applicant I CERTIFY THAT THE INFO~MAT,/;;OV~ED~~~~~?5Rf TOt7mB;;/)F MY DKa~:WL;D;~ (0) Signature Ifthe action is a Costal Area, and you are a state agency. complete the Coastal Assessment Form before proceeding with this assessment . . PART II - IMPACT ASSESSMENT ITo be eomoleted bv Lead Aaenev) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. DYes DNO B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. DYes DNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLDWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: I I C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: I I C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: I I C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: I I C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: I . _m. I C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: I I C7. Other imnacts fincludina channes in use of either auantitv or type of energy? Explain brieflv: I I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain briefly: J DYes 0 No I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: DYes ONO I 1 PART 11I- DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Name of Lead Agency Date Pnnt or Type Name of ResponsIble Officer In Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, II. . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTH OLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of L--j, . 0 . _____lW__~_/lQJ!!!}.;;j{L,..8jJ-m.J;)LL________ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING s Dated: b /0 j?j J Sworn to before me this fc day of JI4l'\.L200 7- Jt&~.~ Not Public --.---- - - - . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name' rh nio~ i ~J h"~ II fktcf Bruce l f~fhA(Jtnk(; Robu-f R ()~~ ~~dr~ss:H~~hd~ Ltr~1s Dr/rP ~ {O~c:f/llq'J J../fl Wlh~1~l11ffJ-et Ort~J f07/fhlJ(j IIQ,} nJ~ B\-4~lw~1 A~t~ f1i6/T1d~ 1frZ(J STATE OF NEW YORK COUNTY OF SUFFOLK !/{;;;t !di~ . ""dmg" L <=to 11 ~~ 1 ' being duly sworn, deposes and says at on the 1 .... ~. day of , 20~, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown n the current assessment roll ftp T of Southold; that said Noti e ere m led at United States Post o ~ at (, that said Notic r mail eac of said persons by (certified) (registered mail. Sworn to before me this Co Dayof ,\WI.L ,20.!l:1:- J1d)iL~~ o NotaryP 'c lIIIIlY4.~- CIlImI=P1.A.l!CftJ.L o rn <0 ~ U.S. Postal Service", CERTIFIED MAIL" RECEIPT . (Domestic Mail Only; No Insurance Coverage Provided) U1 ~ ru o SOI(1JlIlFN'P1f/C I A Postag. $ $0.41 $2.65 0971 76 rn o Certified Fee o o Return Recelpt Fee (EnoolWment Required) o Restricted DellvSf)' Fee .-=I (Endorsement Required) .-'I rn - Here $2.15 $0.00 $5.21 06/01/2007 Total Postage & Fees $ U1 o o f'- f'- ~ <0 ~ U.S. Postal Service", CERTIFIED MAIL" RECEIPT . (Domestic Mail Only; No Insurance Coverage ProvIded) ." . ., I HG@)rnFNt11t4C i AL U S E I Postage $ $0.41 0971 Certllled Fee $2.65 76 Poe1m.rk Return Receipt Fee $2.15 H... (Endorsement Required) Restrlcted Delivery Fee $0.00 (Endorsement Required) Total Postage & Fees $ $5.21 06/01/2007 U1 ~ ru o rn o o o o .-'I .-'I rn U1 o EIIltTo o f'- ~ U1 <0 ~ U.S. Postal Service"., CERTIFIED MAILw RECEIPT . (Domestic Mail Only; No Insurance Coverage ProVIded) U1 ~ ru o Solltllol\f"Nt1117C I us Certified Fee 0971 76 Po"eg. $ $0.41 $2.65 rn o D Return Receipt Fee o (Endorsement Required) Poe1merk H... $2.15 o Restricted Delivery Fee ,...:::! (Endorsement Required) .-'I m Total Postage & Fees $ $0.00 $5.21 06/01/2007 U1 ~ . .".'.TO. {{tn~tL . no. . - Street, A/fr. No.; J f\ i\ or PO Box No. \:)(.. \)\J CitY~-Staie:ZJP';'50(~: --. . . Board of Trustees Application County of Suffolk State of New York '.(!j I) BEING DULY SWORN DEPOSES AND AFFIRMS AT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF IllS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TIllS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING TIllS APPLICATION, I HEREBY AUTHORIZ THE TRUSTEES, THEIR AGENT(S) OR REPRESENT ATIVES(S), TO ENTER 0 0 MY PROPERTY TO INSPECT THE PRFMSESfNC:7f;JE ::~TIO~ / Signature SWORN TO BEFORE ME TIllS I g tJ. DAY OF MAy ,20 0., ~~~A tary Public - John M. Judge NOTARY PUBLlC6 Stale of New York No.01JU605940 Qualified In Suffolk County Commission Expires May 29, 20 SLl . . APPLlCANT/AGENTIREPRESENT ATIVE TRANSACTIONAL DISCLOSURE FORM The ~own sofs:;Uth~d'S Code of Ethics Drohibits conflicts orinterest on the Dart ofto'Yn officers and emnlovces. The ouroose of this fi rm i to rovi e information which can alert the town of DOssihle conflicts of interest and allow it to take whatever action is necessary to avoid same. I YOUR NAME: ~5lrnd'll tWzl 1M (Last name,Airst name, ",iddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so. indicate the other person's or company's name.) . NAME OF APPLICA nON: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) Building Trustee Coastal Erosion Mooring Planning v'" Do you personally (or through your company, spouse, sibling, paren~ or child) have a relationship with any officer or employee of the Town of South old? "Relationship" includes by blood, marriage, or busIness interest '''Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. /" YES NO If you ansv./ered "YES", complete the balance of this fonn and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee, Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, paren~ or child is (check all that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); _B) the legal orbeneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); _ C) an officer, director, partner, or employee oflhe applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP \ \ '- Form TS I !?=:f4f~," 200 ~~~. . . Town of South old L WRP 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 Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of South old Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus. each answer must be explained in detail. listin!!: both supportm!!: and non- SUDDortm!!: facts. If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of South old '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# PROJECT NAME .); Yfl f1i'\ L.) n) S (: 'l f rn if- The Application has been submitted to (check appropriate response): Town Board 0 Planning Board 0 Building Dept. 0 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) o D (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: ~ Nature and extent of actin: I ~~ r/Jf~ J-fRf()I.J 17 OV\ Location of action: . . . (6 fk-~~t- L/~_Us 0'"111') ftJdha(j 8,1\ R-frl kil1rJ ! Site acreage: Present land use: Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Akl !-lit 5"'\111f1l "f ~b.f' vt F. S 1/11 O'l) (b) Mailing address: ~ Lrjc(/( LJi':-f/} old ~< V111'1rJf (c) Telephone nwnber: Area Code ( )L{ I {j ).. q ~ - y 03 ] (d) Application nwnber, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes 0 No [j2/ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. ~~ ~NO DN"APPII~ . ~/. r ;~J/J';tf~~' if-f1~~ f \ Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section III - Pol~s Pages 3 through 6 for evaluation criteria DYes 0 No ffi"Not Applicable . . Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria DYes 0 No ~otAPplicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See L WRP Section III - Policies Pages 8 through 16 for evaluation criteria ill Yes 0 No 0 Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria DYes 0 No ~t 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 L WRP Section III - Policies; Pages 22 through 32 for evaluation criteria. o D~. Yes No . Not Applicable . Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. DYes D No ~t Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes D No ~t 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 L WRP Section III - Policies; Pages 38 through 46 for evaluation criteria. / D YeD No~otAPplicable 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. See L WRP Section llI- Policies; Pages 47 through 56 for evaluation criteria. [J1{ es D No D Not Applicable Jl-h P:lf /~LP? 7l.lJ WI I . 1'1<:' ( , ,",ft. Jr../v.,,( f Ui "1' Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes D No~tAPPlicable 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 eval~ion criteria. D Yes D No ~ot Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Polic~; P~es 65 through 68 for evaluation criteria. DYes D No WNot Applicable PREPARED By---/JkJ 1M, f,Mrr() TITLE 0 W nf i/1 DATE s /t!o7