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HomeMy WebLinkAboutTR-6670 . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE.CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE -L- Pre-construction, hay bale line 1 st day of construction Y:. constructed -L Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee Broadblue, LLC, c/o Dorothv Abbott, P.O. Box 415, Orient. 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 ofthe Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That 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. 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 SOUTH OLD July 24, 2007 Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Rd. Southampton, NY 11968 RE: BROADBLUE, LLC 230 WIGGINS LANE, GREENPORT SCTM#35-4-28.41 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Tues., July 24,2007 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of BROAD BLUE, LLC 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 June 27, 2007, and, WHEREAS, said application was referred to the Southold Town ConseNation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6 of the Local Waterfront Revitalization Program to the greatest extent practical through the imposition of the following Best Management Practice requirements: the installation of gutters and drywells to contain the roof run-off, a 50' non-disturbance/non-fertilization buffer, and the installation of a row of staked hay bales with a silt retention fence during construction, and, 2 . . WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 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 structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of BROADBLUE, LLC to construct a two-story, one-family dwelling with attached garage and deck; place approx. 250 cy. fill to raise grade in center of property beneath dwelling; install a drainage system of drywells, pervious driveway, and public water service line; install a sanitary system located more than 100' from wetlands; and establish a 50' non- disturbance/non-fertilization buffer adjacent to the existing bulkhead, with the condition a row of staked hay bales with a silt retention fence is in place during construction, and as depicted on the survey prepared by John C. Ehlers last dated June 19,2007. 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 tEul yours, 57L Jame . King - / President, Board of Trustees JFK/lms . . 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., July 16, 2007, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of BROADBLUE, LLC to construct a two-story, one-family dwelling with attached garage and deck; place approx. 250 cy. fill to raise grade in center of property beneath dwelling; install a drainage system of drywells, pervious driveway, and public water service line; install a sanitary system located more than 100' from wetlands; and establish a 50' non-disturbance/non- fertilization buffer adjacent to the existing bulkhead. Located: 230 Wiggins Lane, Greenport. SCTM#35-4-28.41 Inspected by: Don Wilder, Jack McGreevy 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 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 Inspection/Work session Report Date/Time: I)) J I 0 7 En-Consultants, Inc. on behalf of BROADBLUE, LLC requests a Wetland Permit to construct a two-story, one-family dwelling with attached garage and deck; place approx. 250 cy. fill to raise grade in center of property beneath dwelling; install a drainage system of drywells, pervious driveway, and public water service line; install a sanitary system located more than 100' from wetlands; and establish a 50' non-disturbance/non-fertilization buffer adjacent to the existing bulkhead. Located: 230 Wiggins Lane, Greenport. SCTM#35-4-28.41 ~e of area to be impacted: _Saltwater Wetland _Freshwater Wetland Sound _Bay Distance of proposed work to edge of above: ~ of Town Code proposed work falls under: _Chapt.275 _Chapt. Ill_other Type of Application: ~ etland _Coastal Erosion _Amendment _Administrative _Emergency _Pre-Submission _Violation Info needed: Modifications: Conditions: ~nt were:v1'~ng 5Doherty ~Dickerson V D. Bergen./ B. Ghosio, Jr _H. Cusack_D. Dzenkowski Mark Terry other Form filled out in the field by IF 11, v G Mailed/Faxed to: Date: Environmental Technician Review Se.rb",,/(. 'j IOo~ ho-,,, IS .V7""'f,.J<A \1uw Wi\' 01f\PU- k ~,^e>A A ~oL. J..tT.;(\ 1.\1.-,.,"1 ~ ~~ 7,,"' .J t?{b ~ ,(:1\ {\O, ,\.l.j,.r~...~ W1>o1lA b <1 ,S ~+l'" hJ. . . . Figure I. Looking eastfrom exi.sting dock over proposed ncmdisturbance buffer and into subject parcel. Figure 2. Lookillg we.st over .staked 10catiOl' of proposed development alld toward Ford/,am Callal. . . Figure 3. Looking north along shoreline of subject parcel over top of e.<isting bulkhead and fiber roll. Figure 4. Looking soutlreastfrom head of Fordlram Canal at aisting dock and bulklreadfronting subject parcel. \" ~ - SUFFOLK COUNTY DEPARTMEN_ HEALTH SERVICES OFFICE OF WASTEWATER MANAGEMENT 360 YAPHANK AVENUE, SUITE 2C, YAPHANK, NY 11980 (631) 852-5700 FOR OFFICE _ ~ ONLY Health Department Ref. No. \?,.:.) _.- ...)7; - '-" i.:.l-(.. . APPLICATION FOR EXTENSION, RENEWAL OR TRANSFER OF EXISTING PERMIT TO CONSTRUCT SEW AGE DISPOSAL AND WATER SUPPLY FACILITIES FOR SINGLE FAMILY DWELLING REFER TO REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS EXISTING REFERENCE NUMBER RI0-03-0126 Dist. Sect. Block Lot Tax Map No 1000 35 4 25 NAME OF APPLICANT BROADBLUE, LLC Ht'name is different from orill'inal annlicanl see instruction for transferrinl>' a rl<'rmit and comnlele section 6 \'Ielow,) Mailing Address c/o DOROTHY ABBOT, 1790 DEIDRICK ROAD. ORIENT, NY 11957 Phone 63 1-323-3866 , NAME OF AGENT (if not applicant) EN-CONSULTANTS iNC , . Mailing Address 1319NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone 631-283-6360 DATE OF ORIGINAL APPROVAL I 117103 (Ifmore than 6 years old, a new applicatiol],.WilI be required.) r;:=::--T;"(;::-~ \~:' \', "'~. (, ';'\ \\ TRANSFER OF PERMIT: I hereby transfer ,II rights and interest in the above referenced IMJrhiho the new appli~ant'n.'~ed above' \1 j " 11Q\J( .,.... . 'r' h'?" I . " . Y" I ' r. \ SIGNATURE OF ORIGINAL PERMIT HOLDER/AGENT \: \\ \ . .-i .. PRINT NAME DATE , .' -- \0.'-1 .. '.. MAILING ADDRESS PHONE Application is hereby made to I I extend, pq renew, I I transfer for a permit to construct in accordance with this application. surveys and plans submitted. I hereby certify that J have examined this complete application and the statements therein are true and correct, and that al,hwork shall be done in accordance with all applicable Town, County, State and Federal Laws. "Any false statement made h rein is punishable as a misdemeanor pursuant to S210A5 of New York State Penal Law." Signature ot App ant Date ^ APRIL I I, 2007 Print Name ofApp . nt Title ROBERT E. HERRMANN COASTAL MANAGEMENT SPECIALIST If you are making Substantial revisions or modifications to a project that has already received a permit to construct from the Department, or it the permit is more than six (6) years old, a new application will be required. Renewed permits are subject to any changes in standards enacted after the annroval date of the oriuinal nermit. DEPARTMENT USE ONLY "=,, ;, '"''''''''',",w,d/f=,',"''' U"~' \ 00, ~'.b" of.,d~., A"0::~ Signature of Department Representative - ~ '. v Date ,\\ \\ t:;)J - 9 !E(G1E8WIE ~ WWM-104 (Rev. 8/05) U JUN 27 2007 Iof2 Soutllhold Town Board of Tnlstees PLEASE TYPE OR PRINT LEGIBLY \ - 6~'0\ \ ., , ,'C\!. f'P" ,JJ ,)\)'0 ~ \\J\0 <)i"6 \ o \.~p SEPTIC SYSTEM DETAiL NOT TO SCALE .-----.---.-.--.. --.--------. -----,-----~_.-._-~_.,-_._---'- ..------.---------.--.'.---.---- ._--~---_....__..__.._-_.- SURVEY OF LOT 1'1 MAP OF FORDHAM ACRE~,-SECTION 2 FILED APRIL 6, IGf65 FILE No. 46c;:, 51nJA TEl GREENPORT TOy..jN: SOUTHOLD SUFFOLK GOUNTY, NY SURVEYED 11-23-01 LAND UNDER V'lATER SHOV'lN 04-1"1-02 bldg. env. , setbacks 08-12-02, tes[hole 0"1-06-02, rrop hse 10-0"1-02 amended 10-28-02,1 -21-02 SUFFOLK COUNTY TAX LOT # 1000 - 35 - 4 - 25 # 1000 - 35 - 4 - 28.31 fi51~(C~~W~rru lnl JUN 2 7 2007 IlW Soulhhold Town Board of Trustees CERTIIFffiD TO: BROADBIWJB, u..c. OOMMONWEAL1l'H LAND 'ITJI'Ul INSUlRANCIll COMPANY --=--~0 ~ ~..J- 1.001 ~ \ ;S C'~0\ \ .,..-. ---,\ .J ,,/. \\ r--"'~ \\ % \ .~-;l \ C =--::::d \ ~- ..--- ~\~ , '}." ~fP~' / / /0' //;00 / \ \ \ \ \ \ \ \ \ \ ,'1\ .. \;~\\ ~ \'_ "t) ;"f\,~ ....-: .~\ 'b ;',\ 'CY .~ 0 ~\ - '7\ 't . c.\ ZI,\ y -( \ \ \ \ \ \ / / CAST IRON FRAMES AND GOVERS TO 6RADE \ J~' ~.::',. "'A!>OI<'l""~'~Y~ ;. ....~. MLk ". 1/4" PER fOOT MINIM..!MPITGH MIN, 4" OIA PIPE ,. . ... L 1/8" PER FOOT MINIMJM PITGH MIN. 4" OIA PIPE I NOTES, \ . MONUMENT . PIPE 1000 ",ALLON MONOLITHIC. SEPTIC. TANK ELEVATIONS REFERENCE N6VD'2"1 TOTAL AREA INCLUDIN6 UNDERV'lATER LAND ; 28.500 SF OR 0.65 ACRES FLOOD ZONE LINE ANNOTATED FROM FEMA FLOOD INSURANCE RATE MAP No. 36103COll6 6, MAY 4, 1"1"18 REFERENCE MAP OF PROPERTY FOR I RUTH F PRESTON, IDA BELLE LATHAM, ROBERT L MUIR a HELEN MUIR BY RODERICK VAN TUYL REMOVE IMPERYI0\!5 SOIL WITHIN 3' HORllONTALL Y AND b' VERTIC.ALL Y 6AGKFILL. WITH GLEAN MATERIAL SEASONAL HleoH ",ROUND V'lATER LOT AREA ABOVE AH.V'l.M. (NYSDEC ADJACENT AREA) PROPOSED HOUSE/6ARA6E AREA PROPOSED DECK AREA TOTAL PROPOSED COVERA6E PROPOSE LOT COVERA6E ; 20140 SF ; 1840 SF ; 345 SF ; 2185 SF ; 10.896 0RAPHIC SCALE ,.~.._._-- - -----_.~ . 1"= 30' 6 EAST MAIN STREET RlVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\01-299A.pro ;;/i-o;,- .;--,,-...~-,:-- -"~:-~---,";'.;~ " - - .-...--- .""',. . N W*E S Test Hole 08-16-02 e 1. ~ 9" . Darl< 0' 6o"o..~ ""''' Loam ,M "O'O~ Lto~ 3 ," POI" Sco..n e:~o \ Coot,,, 5o~<l 'G CG 'f' / C' \ ~'o' p:le j I 6co...~ . ," I I "M I to i i G::e i 13 "i y, A .'" ';~) 7.- ~I,"~ 'AA~ GONG WveR I" BELOW &RADE WITH C.LEANOVT ~'~~~.. ,'......" ""("" ....--- ..-- 11llI1II!I1!!!!I lac:ll ' ,. ' 2' DEEP . ,. D" ",""oJ J E~" . ~, ~ .' ~" r< "g ;, , , : 2' MINIMlJr-1 5EP"RATION fRO'" SE"50NAL HI6H GRQUD ""'T€P- fl--l "N"""""'" .,,'~.,",,"',.- ,~,,''';''n ,::,,~'~,"::" ',^'"."<"'''' "'" ",,,,,, 'L"';;::;~"" ~:~'.,::'~'::' :::':':~";:'NJ "~;:, (_",.,,1,,,,,,,,0; ""'''.",~d .....~"" '~f"" ,.." ",,' """,,~ ~n, r"'~r"'~" ",..-"."""~""" ~"', ",,' '" C~:'~:J(~;::;~::';~~~ A,:,::~,!::~:::~:;:i~:~",'~'~:;:::,: '0 ",~ r"'''O" ,,,,- ~".." "", ,,,' '-~'J '" ""~r''''~'' m"J"~ ,,;, """"" '0 '''" (;t1', "'-""1''''''> 'J".e,,""~n ',,, '''.J''''''~ ,,0" """"'1 ,""",L"" I;",,,,, '''''.'~''''. ,."J ,,, l"" """j"~'" ", ".. '"~""< ~,.,,',,';w I.""",,,.,, ';""', ,or" ,,,' L""'''~'''''''~ '0 ,,,,,,,,;,,,,,,, ".L.L,,"""" N.Y.S. LIe. NO, 50202 ,--,- BEC PERMJT NUMBER 1-4738-03112/00001 FACILITY/PROGRAM NUMBER(S) TE DEPARTMENT OF ENVIRONMENTAL CONIJVATION OPERMIT EFFECTIVE DATE May 1, 2003 EXPIRATION DATE(S) Under the Environmental Conservation Law May 1, 2008 TYPE OF PERMIT. New 0 Renewal 0 Modification 0 Permit to Construct 0 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 Article 34: Coastal Erosion Management o Article 15, Title 15: Long Island Wells o Article 15, Title 27: Wild, Scenic and Recreational Rivers o Article 24: Freshwater Wetlands o Article 36: Floodplain Management . Article 25: Tidal Wetlands o Articles 1, 3, 17, 19, 27,37; 6NYCRR 360: Radiation Control . 6NYCRR 608: Water Quality Certifica- o Article 27, Title 7; 6NYCRR 360: tion Solid Waste Manaaement PERMIT ISSUED TO TELEPHONE NUMBER Broadblue, LLC, CIO Dorothy Abbott (631) 323-3866 ADDRESS OF PERMITTEE 1790 Deidrick Road, Orient, NY 11957 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER EnConsultants, Inc., 1329 North Sea Road, Southampton, NY 11968 (631) 283-6360 NAME AND ADDRESS OF PROJECT/FACILITY Broadblue propertv, 230 Wiaains Lane, Greenoort COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Fordham Canal DESCRIPTION OF AUTHORIZED ACTIVITY: Construct a two story single family dwelling with attached garage, patio, sanitary system and pervious driveway. Install drywells. Place 250 cubic yards of fill and grade. Construct 151 linear feet of bulkhead and backfill with 75 cubic yards of fill from an upland source; a 4' x 11' dock, ramp, and 6' x 20' float secured by two (2) pilings. Plant 1500 sq. ft. of Spartina alterniflora seaward of the bulkhead. Place 151 linear feet of fiber roll. By acceptance of this permit, the permittee agrees that the permit is contingent upon stri applicable regulations, the Generai Conditions specified (see page 2 & 3) and any Speci of this permit. PERMIT ADMINISTRATOR: ADDRESS Gear e W. Hammarth DMG AUTHORIZED SIGNA~E ~ ~.t/~ Ma 5, 2003 Page 1 of 5 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION . SPECIAL CONDITIONS 1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 3. All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion or prior to permit expiration, whichever comes first. The approved methodologies are as follows: a. stabilized as per specifications identified on approved plans. 4. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 50 linear feet from the tidal wetland boundary. 5. All fill shall consist of "ciean" sand, gravel, or soil (not asphalt, flyash, broken concrete or demolition debris). 6. All peripheral berms, cofferdams, rock revetments, seawalls, gabions, bulkheads etc. shall be completed prior to placement of any fill material behind such structures. 7. Equipment operation below apparent high water is strictiy prohibited. 8. There shall be no discharge of runoff or other effluent over or through any bulkhead or shoreline stabilization structure or into any tidal wetiand or adjacent area. 9. Dock or timber catwaik shall not exceed 4 feet in width and shall be a minimum of 3". feet above grade* over tidal wetland areas (* as measured from ground to bottom of dock sheathing). 10. The use of wood treated with pentachlorophenol in the construction of structures that will be in contact with tidal waters is strictly prohibited. . 11. Floats and ramps may not rest on or be stored in any vegetated tidal wetland. 12. No permanent structures may be installed on dock/catwalk/float without first obtaining written Department approval (permit, modification, or amendment). 13. Docks/catwalks/fioats may not (a) extend laterally beyond property lines, (b) be placed so that docked boats extend over adjacent property line, (c) interfere with navigation, (d) interfere with other landowners riparian rights. 14. No structures are to be constructed on pilings without further authorization of the Department. 15. A row of staked hay baies orapprovable erosion control devices shall be placed atthe landward edge ofthe buffer area or 50 linear feet from the tidal wetland boundary, or as per NYSDEC approved plan, at commencement of regulated activities and remain in place until project is completed and all disturbed areas stabilized with vegetation. 16. Roof runoff shall be directed to drywells as per the approved plans. 17. Driveways and parking areas shall be constructed of pervious material. 18. Sanitary system (bottom of tank and leaching pools) shall be located a minimum of 2' above seasonal high groundwater. DEC PERMIT NUMBER PAGE 2 of 5 1-4738-03112/00001 NI:.W YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION . SPECIAL CONDITIONS 19, The permittee shall incorporate the following language as a notice covenant to the deed: "Regulated tidal wetlands associated with Fordham Canal are located on/near 230 Wiggins lane, Greenport, Suffolk County Tax Map Number: District 1000, Section 35, Block 4, lots 25 & 28,37, otherwise known as the properties of Broadblue llC and their heirs, assigns, or successors, This properly is subject to the provisions of New York State Environmental Conservation law (ECl) Article 25 or its successor, and the conduct of regulated activities may occur only pursuant to ECl Article 25 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor, Regulated activities include, but are not limited to the erection of any structure(s); excavation; dredging grading and filling; clearing of vegetation; and application of chemicais," This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be sent within one calendar year of the issuance ofthis permitto: NYSDEC, Regional Manager, Bureau of Marine Habitat Protection, SUNY Building 40, Stony Brook, New York 11790-2356, 20, To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established, Upon completion of the bulkhead and dock, restoration of the 15 ft, wide disturbed area within the buffer zone shall commence within six (6) months of completion or at the earliest opportunity when weather conditions favor germination and growth, whichever comes first. DEC PERMIT NUMBER PAGE ~ OF --L- 1-4738-03112/00001 NEWY STATE DEPARTMENT OF ENVIRONMENTAL CONSER N ADDITIONAL GENERAL CON NS FOR ARTICLES 15 (TITLE 5), 24, 2 4 AND 6NYCRR PART 608 ( TIDAL WETLANDS) 1. If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the heaith, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, flll, excavation, or other modiflcation of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard. New York State Office of General Services or local government which may be required. 4. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids. sediments. fuels, solvents, lubricants. epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State. and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 8. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions iisted herein are met. 9. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. Ail activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved survey was prepared bv John C. Ehlers last revised 11/21/02 and plans prepared bv EnConsultants. Inc. last revised 1/2103. DEC PERMIT NUMBER PAGE40F5 1-4738-03112/00001 NI:.VV TUt'(1\ ::; IA II:. UI:....AKI Mt:NT OF ENVIRONMENTAL CONSERVATION NOTI TION OF OTHER PERMITTEE OBLIG Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmentai Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice laws and Rules or any citizen suit or civil rights provision under federai or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item 0: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECl 71-0301 and SAPA 401 (3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a vlolation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewai, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management facilities (HWMF), major Air Pollution Control (APe) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers: b) failure by the permitlee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technoiogy or applicable law or regulations since the Issuance of the existing permit: e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. OEC PERMIT NUMBER PAGE 5 OF 5 1-4738-03112/00001 ------8 ~n B 21 YI '-,) .'MI.: ~ . 7... Notes: I. 1""1""<': ~rosla1 ca1lrd; prtvatel:"ai; ~ 2. Pahm: X-W ~, I5uIkhead to be of vn,l co".trodl"" "I ~ uoed will be CCA-troaled 4. ~ to be tl<d l1lo fa:e of adja:elt Wkhead rebrno aIm:t N & S f\'"~ IlleS 7, Pw-Ol. 17 cubic 4i"do of deal""" will be trud<ed ~ f"", a> upIa1d sarce fa" baiflll 6, Wal4 depth. recorded M1"l1o.v tide at 1:47PM, 1/ 101 02 1, Pock rall' a.J fImt to be renvJed """"",,14 8, 17'-wlde path tIr""", buffer a.J 17'-Wlde a-ea of ai.a.rJ:,ancel baiflll. ""ieh a-e to be dea-ea fa" ""lUlpnI'Ilt ~ aJ retal;tla1 of lIJlkhead. ,.,,,1 be reveqet.ated with native opec'" a.J mai....lrea ao a ",.,..al:>l:abance buffer ""'" C<JIt1'letIa1 of malre ~ actvlt"", ""opt 4' -wide dea-ea path, to dock. ""ieh "",I be perma>:oltJ4 malnl:a""a 9, Pepk:!ea Iocatitr6 of pr~ upIa.J .lructlJres a-e baoed on ihe .Ite pial prepa-ed bq --"hn ~hler.. Iaot dated 11-21-Q2. ""ieh shal be "",a ao ihe baol. of ~ fa" "I Wucbres ~ other ll1an ihe f\'"oposea dock a.J b.!head; thl. Z pial 1$ riended to f\'"0VIde C<>1OlructIon speclf'k;at_ aid IocatIon:s <>14 fa" ihe Gb::k a.J Wkhead 10, Project kx:alion: ~ W\:iqln$l.are. Cr-~. 5CfM No", 1000-%-4-27 & 28,~1 EN-CONSULTANTS INC. 1329 ilJORTH SEA RD. 'SOUTHAMPTON. NY 11968 631-283-6360 WIGGINS LANE YI EXISnNG WA 'vi R; 6 ~l- ' ~ , \ \ 1 0.00 J'mln ~ 16., \ I~ \ "0 to >.. ~~ / ,,~..... "./ iH I f~, 3 ,\ 1~\-)5,,'~ 0",.- 2; \ @ 0:,\ ;" (';\ aa.-6 '" ;0 " - "J,... ~ \ \.V ) a.. 0 ,",'/0., _________~.___ ____________ ------------ --'i-------.\.----- ----- --------~ --~?:____ ,,)...... /, \ _.i. Propose9 ~ 3~ i 2 Story \ 1l~,g. \ /1ri I House &: Garage g-g:i '(i>( '" 0 (prop. f.f.eI. 8.0i) ~"'O . P \ \ / 22' @~ Gar. I '" . I 100' z '" V1 '" '" g \ FE ~ ,( P~6' contOUr ',-- \ ((;J z - 1::15/-1 -t.;j ~ l'EMP. PI::~U='::":':::;=~ ! ;-; 1 \ -~" -oI/! - - f _ o BE REVEGETATED UPON PROJECT ca.u>l.E1lON I I V .;_ _ UJ W ,-, l!i, F'/ w~ ~ ~ .) .! :~:, i : ~~~~,~~8 ~ltr- ~ ~ /APPROX. CREST II! I / ' 0 \ I 50' NON-OISlURBANCEj EMBANKlIENT I : ~: I \ s. \ !NO:-~TI~~~~ ~~,-~.~~-..'.Jt:, ,~~~,. ..~.. _ i . .. .. "'~VIDE'~ AREA' Tn ~ . . . . . J ~" .. Y" , . . , , , ,\,," '.0"'" J.{.-.-:-..:~:.'.,.' 4'~'~~ '~'.' 'lOO"". ,'~,\..~ . .',',\', ~ .:Tj,..~wfil;&-~)?N6-iiOUNDARy-;;:---;i -- ---~ ~'-'~-~:-~~~ ;~~ JIi. ""- ~AlYL- ""- """- ""- ~.... '" I 12 FILED MAP UNE ci~ "," :s:ri '" "'J. "', ~~ "', ~8 "'0 3- 8" PILE (TYP,) APPRox. 10' WIDE AREA TO BE PLANTED WITH S. ALlERNIFLORA (12"0.C.) (APPROX. 1500 $.F. CREA 'M) "0 o o -<t STAKED 20.~ FIBER ROLL 86' 150.00' 5Ufol. c:....tq IIoqttn>n Map Z8 pI .. ~-,cxxy DI.t.m:e """",dd" W_ mN d.t>Il1 10' O(I/-W) 20' +9" 25' ~2..1)" 26' -~'-211 '27' _~';?Jl 28' ~~'..qll 29' ~-1~O" Xl' ~-1'~2" ~' ;4;7" .. 30' N Y J D if'c APPROVED AS PER TERMS AND CONDITIONS Of, l'ER~Il~ Nt/iil;Y-63t; PATE -5 - IUY1 CA~ PROP05W DOCK AND i?I1..KrfAD fOR BROADBL.Ut:. L.l..C, ON fORDHAM - - - - - - CANPi-, ctR!;:fNPORl, 5UffO~K CO" NY 51iTr I Of 2 11/20/02,1/2/ 07 FORDHAM (ACCESS FROlI CANAL BY BARGE) 0000 / FX BULKHEAD ( AHW) FR~ : ~~CONSULTANTS , . PHONE NO. : 631 283 6136 . Ma~. 02 2003 11:06AM P2 [~ I 27' PROP~O OOCK II' I -12' mN'--j ~~~A~ pp..oPQ5eO 9" X I~' COl<Rl.I:AA~O VINYl. ~u..KreAO 16' 8" X 16' PII.INc:iS A'a:A fO @f PLAN~O \\o11\i 6" SiJ'r0l!f P1Lt, (M.) 5. Ii ~~IFLORA ( 12" O.C') ," X,' wooo 5fmS (2) 8" PII.INc:i5 5EC'1l0N IHRU PROP05eD r.?UL.KHI:::AI/; DOCK; fll?ER ROI-l ANt? MARSH PlAN'1lNCi5 XA/..1::: :1" .. 10' NYSHEC APPROVED ^~ j 41{ 'il::HM::- AND C08DlTJONj OF I'EI:~I,IT N~J, 73<?-o 3 //2. ~~M/ DATE , 03 !2.7rJ'Uv EN-CONSULTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON, N.Y. 11968 631-283-6360 PROPOSl;t? I/OCK ANt? m~AI? FOI< I?RO,At/(;L.[!:, L.L.C, ON FORl/HAM C!\NfL, afeNPORf, 5LfFOL.K CO" NY 5tfer 2 OF 2 11/ 20/02, 1/ 2/07 95-20-1 (8/87)-9d New York State Department of Environmental Conservation o NOTICE .~ ~ ~ . The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator Permit Number oooof Expiration Date s-/ ,I ~oo'8 JOH1\lvV. PAVACIC NOTE: This notice is NOT a permit I.SURVEY OF LOT 1C1-----------~---- I MAP OF FORDHAM ACRE~'-SECTION 2 . FILED APRIL 6, 1G165 FILE No. 46~ 51TUA TE: GREENPORT . TOWN: SOUTHOLD SUFFOLK COUNTY, NY --.--'---) SURVEYED 11-23-01 LAND UNDER I^IATER SHOI^IN 04-1'1-02 bldq. env. , setbaGks 01'-12-02, tesEhole 0'1-06-02, prop hse 10-0'1-02 amended 10-21'-02,11-21-02 SUFFOLK COUNTY TAX LOT # 1000 - 35 - 4 - 25 # 1000 - 35 - 4 - 21'.31 rBJ~~~~w~rm lnl JUN 2 7 2007 l!dJ N w-* E S 'j~ . :] "\ Cil1RTIII'IIBD TO: BROADBLUIB, u.c. COMMONWEAlLTIi LAND Tm.E INSUlRANClB COMPANY 9~0 ~O~ ~~ 0'\ ~ O~~)l O~\) ,\0 ~ ~~\~ ~ \~Or.. Southhold Town Board of Trustees NYSDEC APPROVED AS I'''R TERMS AND CONDITIONS OF f ( {' {1'~O- 03 /f2 ()(j) PERMlT ro 'f.J 0 DATE 5" I 0:" PJn 6- - I Test Hole 08-16-02 el." 9 \ -i- L ~ -7 ~ O~, 0' ...~ """< ,.~ OM ...~ ';:;;::;< \ \ \ \ \ \ \ \ \ cc\ "'\ 1:, q:..\ '/, 0\ /. \.j\ g,\ 0 ~\'O o 0 16\ - ';.\ 1- cc\ h f.. . \ \ \ \ \ "'" ,,\ <J:. "":A\ I ~.J~\ ,. ~\ A. ,\ ", '6\ ~, "h\ \:), . ~~~I '1>l\f ~\ I>< 't\ / {....\" ". ~\ r ~', cc'. ~.Jr .\ 3' Pals &.~ '" ,.. ,. co,"",,, ~, 7 Y'iai"~ \,,0# ~ POI'S '" eco...n fin.. ~ ~O' ~ ~AO.o ?JS\~ fJ30~ qIo~Q ~ / ," -1j <A 'f o ~ -~ 1, L;j:,.i ".,. 13 \ ~ I II I., oS :.;,0..6 , ",., 00 .., ., <;.:. \ ~. C> ",/ at: I<".c. n'}.. ? c5~d' he' 11-",0 0- . .., ;. o \ <( '" ./ I 11 J 1 \\~ ... ~~').O ~fii '" \ \ .\ \ ,0 7..- .^ ,/" 0)"'/ f^0' /" .\..\ o /" o. \ "" ;. , 'i:;-\?- 'f\f^ '\ 0.-\0 9S0 \\(\0, . .0\' . 0'" '\ ,0 VIP SEPTIC SYSTEM DETAIL NOT TO SCALE 00' AO. ~ ~ ~ \ ~ ~ GAST IRON FRAMES AND GOVfR5 TO ~R^De ~'NI~C ~~ GONG. c.ov'ER " efLOVi (!,oRAD!: ViITH GLEANOJT \ 2." ;:~ ~~.& .....5OI<<'T't:._~ "6""'" ~I~" GOVel'l. ,'.,'" ,- ec" NOTES, \ 114' PER FOOT M1N1i"U-1PITCI-i MIN, ". DI^- PIPE ~. ',," .. ~ t/8" PER FOOT MINIMJM P!TGIi MIN. 4" OIA. PIPE ..--- ..-- ..1II!I1l!llI ,.- .. ; \ ;)' DEEP e' 01A. CESSPOOL . MONUMENT . PIPE ,.''''N 1000 6.....I-LON MONOLlTl-tIG 5EPTIG TANK 1:., ~~ F~ "~ el." . ELEVATIONS REFERENCE N6VD'2"1 TOTAL AREA INCLUDIN6 UNDERI^IATER LAND FLOOD ZONE LINE ANNOTATED FROM FEMA FLOOD INSURANCE RATE MAP No. 36103C0l16 6, MAY 4, 1'1"11' REFERENCE MAP OF PROPERTY FOR RUTH F PRESTON, IDA BELLE LATHAM, ROBERT L MUIR 4 HELEN MUIR BY RODERICK VAN TUYL REMOVE IMPERvlOU!> SOIL ViITl-lIN 3' HORIZONTAllY ....ND b' VERTICALLY BAGKFILL IiITI1 C.LEAN MATERIAL. " , = 21',500 SF OR 0.65 ACRES ~ ~. MINIM.!M SEP,l,RA1ION FROM 5I""'$ONA:. HI6H 6Fl:0l0 l'IATER fe" = 20140 SF = 11'40 SF = 345 SF = 211'5 SF = 10.1'% SEASONAL HI611 c:.RCU<lD V'<ATER "",.,''''''',,,d n"~'o""'" nr ",x"",,,,,,~,, ..~..~ ''''''':;~:~~;-~: ~~_;,:~d,~~ :"';,:~~,;;,,.;:';'~,~~ "',~ ~.,... <;In'" E'M-"L'~" v'~ ''''''1 '.or'~~ ,,,"" '''' ""'~..-" n' 'h,. ....,~'! ..oar..." "I,,, ~o O<'j'"'''''' ''''' ".....J ........'P'. ~1""V~" ,~n' ....-.1' "" ,."".~""~d '0 ,,., vO"" ,,,,~ ,.~"...,. LOT AREA ABOVE AHI^I.M. (NYSDEC ADJACENT AREA) PROPOSED HOUSE/6ARA6E AREA PROPOSED DECK AREA TOTAL PROPOSED COVERA6E PROPOSE LOT COVERA6E .~,t~;wu",,,, """'.0",," "'-"..m, ~.y"F~ """ ,h" ...,.~~ -'. P'~l'o>r.."'" '''J_''''''''''_~ ~"h ''''' ... ~~'~;~ ~::- -r~~_;::,~~",.,~:,,~,;;:~::,:~,;~,~'~:t;~.~ '-~,~.:::~;:~ ":"~'~:~'~:::;":~::':I ;~"';;:,;;:,,';:;l "ocj n.. h" .mMIF ,,, ".~ 'w~ "''''',,,.'''~ 'J'<V~".""''' ,," "'.l~""~ """ 'r.""",l "'.",..,,,,,, I;.,..~ '.""-"#'. ,',,,j 'n ,':~,~:~.?:,7',:~~:::r::~';~ ':""J~;~;;" ::';',,':::::, JOHN C. EHLERS LAND SURVEYOR N.Y.S. LIe. NO. 50202 6 EAST MAIN STREET RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\0.:.-3.?9A.~r~_ ---------- -...------- ......, "~ 0RAPHtC SCALE 1"= 30' r;;.~~________ -'--1 l____.___.______~__,~__,_._,_,_ i.",OorJs 0<-20-. ,,-,.., "..,., 00-'''' 10'" "-00-" "."." ,,,"-., 0'"'' 05-"" >0-0 "-Ul-' ,-'.-, "-"," 1<-"-' 0<-"-0 '-10-' ,...-, '-"-0 ,.". '-"-0 .-.,-, I "-1 SEC.NO.... ~-~-----i'-------;;._ +- T -~-"---'; ,.,~, "~;':\: '''0 ~\.: ~<l' "":\'0<,<1' j:..~' 'J , , ", '0 '11-~"" <'<? .~ CD i~ ;; 1l.1 ...,"ol CD . "....." ~ s,..o\ c --I--=c .m"'"i 'I -+- 121l CD -.....".- .._....'n_..'__ "'-'" "'". ,,-..... ..., ......".. .., .,,_ '" ."'-co...., ;;:~~=... .... ,'q ..... .... " ~:,~..". ~TICE ..."""""...,,,..,,,,,,,-,,,,, <><,-,,,,,,,..,,,,,,,,,,,,,,,,, ,'-"'-'''''""'''"",~_,,,, ~""'" ,.,,!t. ..."'''''' Of To' ..".......11''''''''''''.'',,'. G) COUNTY OF SUFFOLK CD ReaPr~tylaxServiceAqency tGultyc..t..- ilIwImooa,WT 1m! " "',,'~"", .. . ~ - 1!'Q""" " '" '" ~ '" ,~ ."... p '" '" SOUTHOLO SECTl~NQ - ""'",.. ...h 'u......-12.J..O ,_,,, , U.'''c' _,,. 035 1000 PRQPERTYIIAP ....",""" SURVEY OF LOT let MAP OF FORDHAM AGRE~(...SEGTION 2 FILED APRIL 6, IGf65 FILE No. 46CJ:) SITUATE: 6REENPORT TOJi'lN: SOUTHOLD SUFFOLK COUNTY, NY SURVEYED 11-23-01 LAND UNDERWATER SHOHN 04-1'1-02 bldq. env. , setbaGks 08-12-02, tesEhole 0'1-06-02, prop hse 10-QGI-02 amended 10-28-02,11-21-02, 06-1'1-2001 SUFFOLK COUNTY TAX LOT # 1000 - 35 - 4 - 25 # 1000 - 35 - 4 - 28.31 IfBJ ~ ~ ~ n Wi ~ ,fR) 1Jl), JUN 2 7 1007 ~ Southhold Town Board of Trustees '2.~ ~O ~\) ~:::~ r;..,( ~~~ b.. ('Ii) COMMONWBALTHLAND1TIUl -.J \ 0 r ,V lNSURANCBCOMPANY O~\) ~'(\ ~ ~~\~ ~ ~O~ \ -i- APPROVED BY BOARD OF TRUSTEES . ~_~O\:\'N OF SOLI'; iC'LD ;;9Y/o7 ' I .t:: 6< 7--- - I --.- 0\\1':,0 '00 " 'v0 \'0 c+S \?~. ~ ... "'0' ......;59 ... \ \ \ \ \ \ \ \ \ C'\ ~\ '^ ~\ <::C, ~\ ~ ~\'b "'\'0 co ~o_ ~ C'\ 't-\ 1- \ \ \ \ \ ~ ~ ",<:3:. 0 1o"'J': ,~ <\ ~0 \~ ~ \ o '< , ~ ./ '" ( 1 \ -i- \ \ . 0\\\(\0 '00 0" I;'}.O \. ''1~'~ ,~'" l..O~\ '" S6\J " \ ... ... ... NOTES, . MONUMENT . PIPE ELEVATIONS REFERENCE N6VD'2Gf TOTAL AREA INCLUDIN6 UNDERWATER LAND = 28::;00 SF OR 0.65 ACRES AREA TO A.H.I^l.M. AT BULKHEAD = 20P18 S.F. OR 0.46 ACRES FLOOD ZONE LINE ANNOTATED FROM FEMA FLOOD INSURANCE RATE MAP No. 36103C0116 6, MAY 4, 1'1'18 REFERENCE MAP OF PROPERTY FOR RUTH F PRESTON, IDA BELLE LATHAM, ROBERT L MUIR t HELEN MUIR BY RODERICK VAN TUYL ~ "-"oull'lo.-IZ... ,,''''''''''''''' or <>d<I'Ion 10" ........,.~ mopl><oa"9"'''-'-<lIond.........,.,....._'''~" ~"'k>l""'Df....,,""":.!01._....."""2."f...... _y""'."."..~""'Lar<,. ''''Ij <"1"-"'''''''''' """3"'" "'!No_~ mari<ood..ItII"".,..'9""'''''_'<W>d_~ ~~... ....", """'" "" G""""",...d 10... volld ~ ~~. ''''''e,''loo'lono ko<j"'".... --., ~""'IIJ ~ 111.. """"'J""'"~d"'<><~."''''_._- ~";lG.odoo"'P,..,"'oo.l"..L"""~oo:IopUId Dj...........,.""'_,.,,"""k>l""'of....of...""'" Land~.S<I..~....IWio_""""......""1oj I<>tMp<<"""''''"''''''"'_.......~~"...",.,..,..,. and""..._"I<>~U~~~~_ ""O<Jof"'<'JandlooMloq...~l...u.",'......_.and "'....."".,....."'.__9...."...."""_c.....I"ko_ U""'" ..... ""~ v<>'lOl...._.. '" """'~I"'''o:'' mI'......... GRAPHIC SCALE ~ 1"= 30' I JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD. N.Y. 11901 369-8288 Fax 369-8287 REF.\\CompaqserveI\pros\Ol\OI 299 06-14-2007.pro + ...denotes stake set for vlel^llng \ " . . 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 SOUTH OLD MEMORANDUM To: James King, President Town of Southold Board of Trustees Mark Terry, Principal Planner ~1"' L WRP Coordinator From: Date: July 16, 2007 Re: Request for Wetland Permit for Broad blue, LLC SCTM# 35-4-28.41 BROADBLUE, LLC requests a Wetland Permit to construct a two-story, one-family dwelling with attached garage and deck; place approx. 250 cy. fill to raise grade in center of property beneath dwelling; install a drainage system of drywells, pervious driveway, and public water service line; install a sanitary system located more than 100' from wetlands; and establish a 50' non-disturbance/non-ferti1ization buffer adjacent to the existing bulkhead. Located: 230 Wiggins Lane, Greenport. SCTM#35-4-28.41 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 INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. Policy 6. Protect and restore the quality and function ofthe Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. ... . . A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The proposed distance to the new dwellinl! from the wood bulkhead is 75 feet: a minimum setback distance of 100 feet from the wetland line is required pursuant to Chapter 275-3. Findinl!s: purpose: iurisdiction: setbacks. Please require that the applicant amend the application to meet the above policv to the l!reatest extent practical. If the action is approved and to further Policv 5: Protect and Improve Water Qualitv in the Town of Southold: 1. Require that the proposed non disturbance. non fertilization buffer also is a non-turf buffer to further protect the waters of Gull Pond. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. MT/hkc Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda . . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fex (631) 765-1366 Office Use Only o IEfClElWllEfm JUN 27 2007 ~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ~oasta1 Erosion Permit Application ~Wetland Permit Application ~ Major /' Waiver/Amendment! ha ~ V Received Application: 6 .;;17. ~ / VReceived Fee:~5V~ ......-Completed Application (f) IJ.l ( () J _Incomplete _SEQRA Classification: Type I_Type II_Unlisted Coordination:(date sent) --CAC Referral Sent:~ ~eofInspection:~1 (( IOJ _Receipt of CAC Report: _Leas! Agency Determination: Technical Review: Ptfblic Hearing Held:-.J..I&tl\lJ1 Resolution: Minor SoulIIbold Ttwa Boanl of TllIllns L~(lv Name of ApplicantBROADBLUE, LLC Address GOIJCROIHY ABBOIT, P.o. BOX 415, ORIENT, NY 11957 Phone Number: 631-323-3866 Suffolk County Tax Map Number: 1000 - 35-4-28.41 Property Location: 230 WIGGINS LANE, GREENPCRT (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS, INC. (If applicable) Phone: 631-283-6360 ~I\ :I \R\?J'\~ Address: 13191'DR1H SEA ROAD, SCJUIHAMPTON, NY 11968 ~rd of Trustees APPlicati4lt GENERAL DATA Land Area (in square feet): 28,500 Area Zoning: R-40 Previous use of property: VACANT - RESIDENTIAL WITH PRIVATE BOAT DOCKAGE Intended use of property: ONE-F AMIL Y RESIDENCE Covenants and Restrictions: X If "Yes", please provide copy. No Yes Prior permits/approvals for site improvements: Agency Date SOUTHOLD WETLANDS #5752 NYS DEC #1-4738-031 12/00010 SCDH #RIO-03-0126 US COE #2002-01 5 19-LI NYS DOS #F-2002-1 I 19 04/30/03 05/01103 11/07/03 12/16/04 12/06/02 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): CONSTRUCT A TWO-STORY, ONE-F AMIL Y DWELLING WITH ATTACHED GARAGE AND DECK; PLACE APPROXIMA TEL Y 250 CUBIC YARDS FILL TO RAISE GRADE IN CENTER OF PROPERTY BENEATH DWELLING; INSTALL A DRAINAGE SYSTEM OF DRYWELLS, PERVIOUS DRIVEWAY, AND PUBLIC WATER SERVICE LINE; INSTALL A SANITARY SYSTEM LOCATED MORE THAN 100-FEET FROM WETLANDS (AND THEREFORE BEYOND CHAPTER 275 JURISDICTION); AND ESTABLISH A SO-FOOT NON-DISTURBANCEINON-FERTILIZA TION BUFFER ADJACENT TO THE EXISTING BULKHEAD, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOHN C. EHLERS LAND SURVEYOR, LAST DATED JUNE 19,2007. ~d of Trustees APPlicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: CONSTRUCTION OF A SINGLE-FAMILY RESIDENCE. Area of wetlands on lot: +/-8,400 square feet (UNDERWATER LAND) Percent coverage of lot: +/-3 % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet (BULKHEAD) Closest distance between nearest proposed structure and upland edge of wetlands: 75 feet (DWELLING) Does the project involve excavation or filling? No x Yes If yes, how much material will be excavated? TBD cubic yards(AS NECESSARY FOR DWELLING & SEPTIC) +/-250 cubic yards How much material will be filled? Depth of which material will be removed or deposited: +/-2 feet (VARIES) Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: APPROXIMA TEL Y 250 CUBIC YARDS FILL WILL BE TRUCKED IN FROM AN UPLAND SOURCE, DUMPED & GRADED TO RAISE GRADE OF CENTER OF PROPERTY, HOUSE SITE, AS DEPICTED ON THE SITE PLAN. 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): SEE A TT ACHED . . BROAD BLUE, LLC 230 WIGGINS LANE GREENPORT, NY SCTM # 1 000-35-4-28.41 THE PROPOSED RESIDENCE IS GENERALLY SMALLER BUT OTHERWISE CONSISTENT IN SCOPE AND LOCATION ON THE LANDSCAPE WITH THE ADJACENT AND NEIGHBORING DWELLINGS LOCATED TO THE NORTH, SOUTH, AND ACROSS FORDHAM CANAL. GIVEN THE MITIGATION INCORPORATED INTO THE SITE PLAN, INCLUDING INSTALLATION OF A SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CONFORMING SANITARY SYSTEM LOCATED MORE THAN 100 FEET FROM WETLANDS (AND THEREFORE BEYOND CHAPTER 275 JURISDICTION); INSTALLATION OF A DRAINAGE SYSTEM OF DRYWELLS TO CAPTURE AND RECHARGE ROOF RUNOFF; AND THE PERMANENT ESTABLISHMENT OF A 50-FOOT WIDE NON-DISTURBANCE/NON-FERTILIZA TION BUFFER LANDWARD OF THE PREVIOUSLY APPROVED BULKHEAD, THE PROJECT WILL NOT HAVE A SIGNIFICANT ADVERSE IMPACT ON THE ADJACENT TIDAL WATERS OF FORDHAM CANAL. WITH THE EXCEPTION OF THE NARROWING OF THE DWELLING BY ONE FOOT (FROM 23' TO 22') AND THE SHIFTING OF THE DWELLING 0.4' CLOSER TO GULL POND LANE, THE PROJECT IS IDENTICAL TO THAT PREVIOUSLY AUTHORIZED PURSUANT TO WETLANDS PERMIT NO. 5752, ISSUED APRIL 30,2003, AND RENEWED ON MARCH 23,3005 & MARCH 22,2006. THE PROJECT HAS CURRENT APPROVALS FROM THE NYS DEC (VALID THRU MAY 1, 2008) AND SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES (VALID THRU NOVEMBER 7, 2009), COPIES OF WHICH ARE ATTACHED HERETO. Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 617.21 . SEQR 14-16....4 (2/87)-Text 2 PROJECT 1.0. NUMBER 1 APPLICANT/SPONSOR: BROADBLUE, LLC BY I 2. PROJECT NAME EN-CONSULTANTS, tNC. 3 PROJECT LOCATION: Municipality GREENPORT County SUFFOLK 4 PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc, or provide map) 230 WIGGINS LANE, GREENPORT, TOWN OF SOUTHOLD, SCTM #1000-35-4-25 5. IS PROPOSED AC~ [81 New Expansion D Modification/alteration 6 DESCRIBE PROJECT BRIEFLY: CONSTRUCT A TWO-STORY, ONE-F AMIL Y DWELLING WITH ATTACHED GARAGE AND DECK; PLACE APPROXlMA TEL Y 250 CUBIC YARDS FILL TO RAISE GRADE IN CENTER OF PROPERTY BENEATH DWELLING; INSTALL A DRAINAGE SYSTEM OF DR YWELLS, PERVIOUS DRIVEWAY, AND PUBLIC WATER SERVICE LINE; INSTALL A SANITARY SYSTEM LOCATED MORE THAN I OO-FEET FROM WETLANDS ( AND THEREFORE BEYOND CHAPTER 275 JURISDICTION); AND ESTABLISH A 50-FOOT NON-DlSTURBANCEINON-FER TILIZA TION BUFFER ADJACENT TO THE EXISTING BULKHEAD, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOHN C. EHLERS LAND SURVEYOR, LAST DATED JUNE 19, 2007. 7. AMJUNf OF LAND AFFECTED Initially 0.65 acres Ultimately 0.65 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? IZIv es DNo If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~ Residential D Industrial D Commercial D Agriculture o Park Forest/Open space D Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING NOWOR UL TIMATEL Y FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ~Yes DNO If yes, list agency(s) and permiVapprovals DEC, SUFFOLK COUNTY DEPT. OF HEALTH 11, DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes ~No If yes, fist agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? DYes ~No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE 1$ TRUE TO THE BEST OF MY KNOWLEDGE Applicantlsponsor name ROBERlffi. HERRMANN, COASTAL MANAGEMENT SPECIALIST D ATE JUNE 25, 2007 (II Signature: ~ \I , If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER ~"". Hoara orTrus~ees App~ca~~on . . .'. AUTHORIZATION" (where the applicant is not the owner) J3hA-D~ UC c- . If ~ ~t-~ residing atg~x.fl)- tJlC/at/T: /{/t/ (pr nt owner 0 property) (mti ing address) , /{." S-?- c ,_Z::~147~~ do hereby authorize Mt3 ~/MI# (Agent) Or ~-~;f/..IfV?7hV/'"'3:. //VC- , to apply for perrnit(s) from the southold Board of Town Trustees on my behalf. 8 " 4Itard of Trustees APplicat~ County of Suffolk State of New York ..-.-- 'Pt'/2 t'~ ~ 1'113/,)'(/// BEING DULY SWORN DEPOSES AND FIRMS THAT HE/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 HAR.MLESS 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 W F THIS APPLICATION. Signature SWORN TO BEFORE ME THIS 30 DAY OF ,AjJ r, L 200 ..., '- ~.~~ Notary Public ~~~~h ~~ ~7. . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, JI. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of _____~1Cl(l~~_~_t_l.~_~________________________ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~A W)<<M<<.<4-\.,1""f~Bcg at t;i/\ - (.hY\<;db"V~, 1/1lc..-. . / 1~lq ,,~ ~.:;:; f-gc.J ~'(1hn..., NY IIC;tf~ being duly sworn, depose and say: / , l--- That on thelv day of J '^'I ,200 , I personall posted the property known as '2'?o t VI ,-r by placing the Board of Trus es official post 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 '1-u., "--;kl Ut f}.4. dry}?- 011 ~ r fp:30 m Dated: ("~ . ~wom to before me this c:2~/^ daY~2007 ~l?~ - ~Nl"~ ClrIlIIII.5I1lIll IIIIeI~SdIlcny CmiaI.1E1iils..."'tJil .. . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant:BROADBLUE,LLC SCTM#1000- 35-4-28.41 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: CONSTRUCT A TWO-STORY, ONE-F AMIL Y DWELLING WITH ATTACHED GARAGE AND DECK; PLACE APPROXIMA TEL Y 250 CUBIC YARDS FILL TO RAISE GRADE IN CENTER OF PROPERTY BENEATH DWELLING; INSTALL A DRAINAGE SYSTEM OF DRYWELLS, PERVIOUS DRIVEWAY, AND PUBLIC WATER SERVICE LINE; INSTALL A SANITARY SYSTEM LOCATED MORE THAN 100-FEET FROM WETLANDS (AND THEREFORE BEYOND CHAPTER 275 JURISDICTION); AND ESTABLISH A 50-FOOT NON-DlSTURBANCEINON-FERTlLIZA TlON BUFFER ADJACENT TO THE EXISTING BULKHEAD, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOHN C. EHLERS LAND SURVEYOR, LAST DATED JUNE 19, 2007. 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 230 WIGGINS LANE, GREENPORT 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment on,IUL Y 24, 2007 @6:30pm 765-1892 or in writing. You may contact the Trustees Office at 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. BROADBLUE, LLC OWNERS NAME: CIO DOROTHY ABBOTT MAILING ADDRESS: P.O.BOX415 ~~J~L~::~~ ORJENT, NY 11957 PHONE #: 631-323-3866 SGutIIIloW - Iloa.- " TmlMI Enc.: Copy of sketch or plan showing proposal for your convenience. 5 ~ ~OOF OF MAILING OF NOTICE ~ ATTACH CERTIFIED MAIL RECEIPTS Name: RUTH & GEORGE THOGERSEN Address: 70 W[GGINS LANE GREENPORT, NY [[944 JOHN & P A TRIC[A CASILLO 3 I SHENANDOAH BOULEVARD CORAM, NY 11727 VIVIAN STEIN P.O. BOX 447 GREENPORT, NY [1944 P.O. BOX 334 WADING RIVER, NY 11792 4345 COUNTRY ROAD 48 GREENPORT, NY 11944 ANGELL THEODORE INGER BOYAJIAN KIM & JAMES CAVANAUGH 17 DOSORIS LANE GLEN COVE, NY 11542 96 CAIN DRIVE BRENTWOOD, NY 11717 RENEE PONCET & STEPHEN FITZGERALD STATE OF NEW YORK COUNTY OF SUFFOLK ROBERTE.HERRMANN 1319 NORTH SEA ROAD SOUTHAMPTON, NY 11968 ' being duly sworn, deposes and says that on the 5th day of JULY ,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 of the Town of Southold; that said Notices were mailed at the United States Post Office at SOUTHAMPTON , that said Notices were mailed to each of said persons by (certified) .\(K~~~) mail. h ROBE~HERRMANN 5th COASTAL MANAGEMENT SPECIALIST doing business atEN-CONSULTANTS, INC. Sworn to before me this day of JULY ,2007 Notar KIIH.S1IIIllIl H<<JyNft.lIaIIdIielM r.muIaolll.SO$31 tlIIiie4.SdIlCooo.L> ComniIIU~.i~ U.S. Postal Service'M CERTIFIED MAILM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) o ..... o I"'- LrI ..... o [J""" Certified Fee rn o Return Receipt Fee o (Endorsement Required) o Restricted Delivery Fee o (Endorsement RequIred) ..... I"'- o Total Postar ent 0 I"'- ~ Sire-eCX,iClv; ["- or PO Box No citY~siaie:Zf: 1 ~', .'" Ruth & George Thogersen 70 Wiggins Lane Greenport, NY 11944 U.S. Postal Service ". CERTIFIED MAIL" RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) [J""" ..JJ [J""" ..JJ LrI ..... o [J""" rn o Return Receipt Fee o (Endorsement Required) o Restricted Delivery Fee o (Endorsement Required) ..... I"'- o Postage $ . . '~~>!.~">'" . Joi~j'~) . fi/<" , -,'-.' -.-".- ,><: ;;.....' Certified Fee Total Postage & F""'" ~ ["'- Santra o o Sfre-eCAp-CtiJo:;u ["'- or PO Box No. C!tj.;-Staie,-:t(p+.;i Angell Theodore P.O. Box 447 Greenport, NY 11944 ru LrI [J""" ..JJ U.S. Postal Service", CERTIFIED MAIL, RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) LrI ..... o [J""" Certified Fee rn D Return Receipt Fee Cl (Endorsement Required) o Restricted Delivery Fee Cl (Endorsement Required) ..... f'- Total Postage S. J;",,,,<> ct:: o f'- Sent To o Cl Sfie-eCApTNo:; f'- or PO Box No. City~St8ie,-Zip+, John & Patricia Casillo 31 Shenandoah Boulevard Coram, NY 11727 ..JJ I"'- [J""" ..JJ LrI ..... o [J""" U.S. Postal Service"" CERTIFIED MAil"" RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) Postage $ Certified Fee P()S~')-1\ HertJ-::-/O '?C~~ rn C1 Return Receipt Fee o (Endorsement Required) o Restricted Delivery Fee Cl (Endorsement Required) ..... r'- Total Posta""- 0 "'--- It: o ent 0 Inger Boyaj ian P.O. Box 334 Wading River, NY 11792 I"'- ~ ~fr8ef,ApTji f'- orPOBoxN CitY~St8ie,-2 , I D IT" IT" ..D I U1 ..... ! D IT" rn D D D D ..... ['- D ['- D D ['- U.S. Postal Service", CERTIFIED MAIL" RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Postmark Here , Tolal Posta' ... . "'" '::~- ",',' entTo Renee Poncet & Stephen Fitzgerald 17 Dosoris Lane Glen Cove, NY 11542 Sfre-et~-ApY~ or PO Box N city,Siaie,-:Z U.S. Postal Service"" CERTIFIED MAILM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) rn <0 IT" ..D U1 ..... D IT" Postage -~;"" v'-"- F)L" , ~\ [' ,,:postm~ \" .:~-_:; ~re { \.P\ "< r-- \ , . Certified Fee rn C1 Return Receipt Fee D (Endorsement Required) D Restricted Delivery Fee D (Endorsement Required) ..... ['- D Total Postage T ["'-- SentTo D D ['- Sfre-eCApClVo:; or PO Box No. CitY~Si8;e:Zrp:; Vivian Stein 4345 County Road 48 Greenport, NY 11944 U.S. Postal Service "" CERTIFIED MAIL" RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) rn D D ['- U1 ..... D IT" Certified Fee /. s, I /'--~" ('- . , ' '-'.J, " lJ / ,~::') tZi (' Zz?'l'!"'B',' I "FlerEt:'-. \ \ "< , \.<9'-.. / .9,::"'-_/ '''<:!:.~'''' rn c::J Return Receipt Fee o (Endorsement Required) D Restricted Delivery Fee D (Endorsement Required) ..... ['- D T clal Postage D ,.. __ - d' entTo Kim & James Cavanaugh 96 Cain Drive BrenVwood,t<Y 11717 ['- ~ Streef."A;:jfNo: I"- or PO Box No. citY.SiBie;ZIP -. . . APPLlCANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM: ;;'; ~~ ofS~~~i~::~ ~~e ~~E~~~~ o::ibit' conflicts ofintere;ot on the ~art ohown officers and ~lovee'. The ouroo.'e of t I fi s to r 1 I Ii at n h alert the town ofnosstbte conflIcts oftnterest and allow It to take whatever actIon IS necessarv to avoid same. YOUR NAME: ~ g!?f)AP.5Wtf. u.C- (Last name, first name, middle imtial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity,) tun-:,LhA/PS Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold7 "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 7f the shares. YES NO If you answered "YE", complete the balance of this form 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) andlor desaibe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); _B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); _ C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. ' DESCRIPTION OF RELATIONSHIP Town Of Southold . . LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. A II applicanls for perm ils' including Tuw n of ~oulhold agencies, shall corn plele Ihis C C A F for proposed aclions Ihal are subject 10 Ibe Tow n of ~ oUlbold W alerfrnnl C onsislency Review Law, This ass e ssm en I is in Ie n d e d 10 sup p Ie rn en I 0 Ib e r in form a lio nus e d by a Tow n 0 f ~ 0 u tb 0 I d age n c y in rn ak in gad e Ie rrn in a tin n 0 f con s is Ie n c y, *Except minor exempt actions including Building Permits and other lministerial 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). 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.listinl! both supportinl! and non- supportinl! 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 Southold's website (southoldtown.northfork.net), the Board ofTrustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 35 - 4 _ 28.41 PROJECT NAME BROADBLUE, LLC The Application has been submitted to (check appropriate response): Town Board D Planning BoardD Building Dept. D Board ofTrustees i:8J Category ofTown 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) Financial assistance (e.g. grant, loan, subsidy) D D i:8J (b) ( c) Permit, approval, license, certification: Nature and extent of action: CONSTRUCT A TWO-STORY, ONE-FAMILY DWELLING WITH ATTACHED GARAGE AND DECK; PLACE APPROXIMA TEL Y 250 CUBIC YARDS FILL TO RAISE GRADE IN CENTER OF PROPERTY BENEATH DWELLING; INSTALL A DRAINAGE SYSTEM OF DRYWELLS, PERVIOUS DRIVEWAY, AND PUBLIC WATER SERVICE LINE; INSTALL A SANITARY SYSTEM LOCATED MORE THAN 100-FEET FROM WETLANDS ( AND THEREFORE BEYOND CHAPTER 275 JURISDICTION); AND ESTABLISH A 50-FOOT NON-DISTURBANCEINON-FERTILlZATION BUFFER ADJACENT TO THE EXISTING BULKHEAD, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOHN C. EHLERS LAND SURVEYOR, LAST DATED JUNE 19, 2007. . . Location of action: 230 WIGGINS LANE, GREENPORT Site acreage: 28,500 S.F. Present land use: VACANT - RESIDENTIAL WITH PRIVATE BOAT DOCKAGE 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: BROADBLUE, LLC (b) Mailing address: C/O DOROTHY ABBOTT P.O. BOX415 ORIENT, NY 11957 (c) Telephone number: Area Code 631-323-0042 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes D No I:8J 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. I:8JYes D No D Not Applicable THE PROJECT IS CONSISTENT WITH POLICY I, AS IT PROPOSES TO CONSTRUCT A NEW DWELLING ON A PARCEL ALREADY IMPROVED WITH A BULKHEAD AND DOCK FACILITY AND LOCATED IN A NEARLY COMPLETELY DEVELOPED WATERFRONT COMMUNITY ON A MANMADE, DREDGED CANAL, WHICH IS SIMILARLY CHARACTERIZED BY WATERFRONT HOMES, BULKHEAD AND DOCKAGE FACILITIES. Attach additional sheets if necessary 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 DYes D No I:8J 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 IZI Yes D No D NotApplicable THE PROJECT IS CONSISTENT WITH POLICY 3 THROUGH ITS ESTABLISHMENT OF A 50-FOOT WIDE NON-DISruRBANCE/NON-FERTILIZA TION BUFFER ADJACENT TO THE EXISTING BULKHEAD, WHICH WILL ALLOW MORE THAN 1/3 OF THE UPLAND AREA OF THE PARCEL TO REMAIN UNDISTURBED AND APPROXIMA TEL Y 7,500 S.F. OF NA ruRAL VEGETATION ADJACENT TO THE TIDAL WATERS OF THE CANAL TO REMAIN PERMANENTLY PRESERVED. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See L WRP Section III - Policies Pages 8 through 16 for evaluation criteria DYes D No IZI Not Applicable THE PROPERTY 1S PROTECTED FROM FLOODlNG AND EROSION BY THE EXISTING BULKHEAD, BUT POLICY 4 IS OTHERWISE NOT APPLICABLE TO THE CURRENT PROJECT. 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 IZI Yes D No D Not Applicable THE PROJECT WILL PROTECT SURFACE WATER QUALITY FROM THE POTENTIAL IMPACTS OF RUNOFF ASSOCIATED WITH DEVELOPMENT THROUGH 1) THE lNSTALLA nON OF A DRAINAGE SYSTEM OF DRYWELLS DESIGNED TO CAPTURE AND RECHARGE ROOF RUNOFF; AND 2) THE PERMANENT ESTABLISHMENT OF A 50-FOOT NON-DISruRBANCE/NON-FERTILIZA T10N BUFFER ADJACENT TO THE TIDAL WATERS OF FORDHAM CANAL, WHICH WILL FILTER AND ABSORB CONTAMINANTS. GROUNDWATER AND SURFACE WATER QUALITY WILL ALSO BE PROTECTED THROUGH THE INST ALLA TION OF A SUFFOLK COUNTY DEP AR TMENT OF HEALTH SERVICES APPROVE SANITARY SYSTEM LOCATED MORE THAN 100 FEET FROM THE TIDAL WATERS OF FORDHAM CANAL. THE PROJECT IS THEREFORE CONSISTENT WITH POLICY 5. 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. IZI Yes D No D Not Applicable . . SEE ATTACHED ADDENDUM 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 IZI Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes D No IZI 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 L WRP Section III - Policies; Pages 38 through 46 for evaluation criteria. DYes D NolZI Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES , Policy 10. Protect Southold's wate_pendent uses and promote siting ttew water-de~endent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation crIteria. DYes D No J::8J 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 L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes D No J::8J Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of South old. See L WRP Section III - Policies; Pages 62 through 65 for evaluation criteria. DYes D No J::8J Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See L WRP Section III - Policies; Pages 65 through 68 for evaluation criteria. Dyes D No J::8J Not Applicable r PREPARED BY fII ROBER~RRMANN ) TlIL E COASTAL MGMT SPECIALIST DA IE JUNE 25, 2007 Amended on 8/1/05 . . LWRP ADDENDUM FOR BROADBLUE, LLC 230 WIGGINS LANE GREENPORT, NY SCTM #1000-35-4-28.41 POLICY 6. THE PROJECT IS CONSISTENT WITH POLICY 6 IN PART FOR THE SAME REASONS IT IS CONSISTENT WITH POLICY 5. THE PROJECT IS FURTHER CONSISTENT WITH POLICY 6 BECAUSE IT COMPLIES WITH THE STATUTORY AND REGULA TORY REQUIREMENTS OF THE STATE'S WETLANDS LAWS (THE PROJECT HAS BEEN AUTHORIZED PURSUANT TO NYS DEC TIDAL WETLANDS PERMIT NO. 1-4738-03112/00001) AND WILL COMPLY TO THE MAXIMUM EXTENT PRACTICABLE WITH THE STATUTORY AND REGULA TORY REQUIREMENTS OF THE SOUTHOLD TOWN BOARD OF TRUSTEES LAWS. SPECIFICALLY, THE PROPOSED SANITARY SYSTEM WILL BE LOCATED MORE THAN 100 FEET FROM THE TIDAL WATERS OF FORDHAM CANAL, AND THE PLACEMENT OF THE DWELLING 75 FEET RATHER THAN 100 FEET FROM TIDAL WATERS (WHICH IS THE MAXIMUM PRACTICABLE WETLANDS SETBACK GIVEN THE DEPTH OF THE LOT FROM FORDHAM CANAL) WILL BE MITIGATED TO THE MAXIMUM EXTENT PRACTICABLE BY THE PERMANENT ESTABLISHMENT OF A 50-FOOT NON-DISTURBANCE/NON-FERTILIZA TION BUFFER ADJACENT TO THE BULKHEAD, WHICH WILL PERMANENTLY PRESERVE APPROXIMA TEL Y 7,500 S.F. OF NATURAL VEGETATION AND MAINTAIN MORE THAN 1/3 OF THE UPLAND AREA OF THE PARCEL IN A NATURAL AND UNDISTURBED STATE. THE IDENTICAL PROJECT EXCEPT FOR A ONE-FOOT WIDER DWELLING WAS PREVIOUSLY AUTHORJZED BY THE SOUTHOLD BOARD OF TRUSTEES PURSUANT TO WETLANDS PERMIT NO. 5752, WHICH WAS ISSUED ON APRJL 30, 2003 AND RENEWED ON MARCH 23, 2005 AND MARCH 22, 2006. . . ~ EN-CONSULTANTS, INC. 1319 North Sea Road Southampton. New York 11968 631-283-6360 Fax: 631-283-6136 www.enconsultants.com ENVIRONMENTAL CONSULTING June 26, 2007 Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish ffijJ IE ((; IE g W IE f1l)J JUN 2 7 2007 V So~lhhGld TOlrII Board of TruSl", Re: Broadblue, LLC 230 Wiggins Lane, Greenport SCTM #1000-35-4-28.41 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Three (3) Wetland Permit Applications including a) Short Environmental Assessment Form; b) Authorization & Disclosure Forms; and c) project plans; d) surveys 2. One (1) set of site photographs. 3. Application fee of $250.00 wetlands. 4. Three (3) L WRP Consistency Assessment Forms including a) project plans: I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Sine rely, Robe E. Herrmann Coastal Management Specialist /khs Ene.