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Home My WebLink AboutArturi, Emanuel & Marie 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 August 16, 2007 Mr. Thomas Samuels Samuels & Steelman Architects 25235 Main Rd. Cutchogue, NY 11935 RE: EMANUEL & MARIE ARTURI 7600 PECONIC BAY BLVD., LAUREL SCTM#126-11-13 Dear Mr. Samuels: As per your request, the application submitted on behalf of Emanuel & Marie Arturi, has been Withdrawn. Enclosed is a check in the amount of $125.00, which is a partial refund of the application fee. Please don't hesitate to contact our office if you have any questions. Very truly yours, Ja~n~!Zt Board of Trustees JFK:lms Ene. . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ../Wetland Permit Application .........Major Waiver/Amendment/Changes ~eceived Application:~ ~Received Fee:$ ~ Sb -,..Completed Application.l11a.ll...Q:L _Incomplete SEQRA Classification: Type I_Type II_Unlisted_ Coordination:(date sent) ..-cAC Referral ~ent:. (() (r;).1 107 --Date ofInspectlOn: ?iJiiIP7 _Receipt ofCAC Report: _Lead Agency Determination: Technical Review: -1'ublic Hearing Held: '/ ~I en Resolution: Minor ~r J~N~ ,~:" fi, :1 -- ----~ Soul: ' ,I of Trustees uJ~(2LuJi". r V Name of Applicant Emanuel and Marie Arturi Address P.O. Box 2022 Remsenburg, NY 11960 PhoneNumber:( ) Suffolk County Tax Map Number: 1000 - 126 - 11- 1 3 Property Location: 7600 Great peconic Bay Blvd Laurel, NY 11948 LILCO Pole #35 (provide LILCO Pole #, distance to cross streets, and location) ('~~ ~ 0" c:> tl \ 't~ AGENT: Tom Samuels, Samuels & Steelman (If applicable) Address: 25235 Main Rd. Cutchoque, NY 11935 Phone: 714-1>40'> . . Board of Trustees Application GENERAL DATA Land Area (in square feet): 44,656.24 Area Zoning: R-40 Previous use of property: Residential Intended use of property: Residential Prior permits/approvals for site improvements: Agency Date ~ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ---2LNo_ Yes If yes, provide explanation: Project Description (use attachments if necessary): To demolish existing dwelling and construct new dwelling. . . Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Residential dwelling Area of wetlands on lot: square feet Percent coverage oflot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: 100'-7" feet Does the project involve excavation or filling? No x Yes Tfyes, how much material will be excavated? 551 cubic yards How much material will be filled? 178 cubic yards Depth of which material will be removed or deposited: 8' feet Proposed slope throughout the area of operations: Existing Manner in which material will be removed or deposited: Machine backhoe / bulldozer 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): N/A . . I AAOJeCT 10 NllMllER l 61720 APPENDIX C STATE ENl/I_mAl QUAlfTY IllMEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only leanlOf PlIilje<:I Sponsor) ~. P~CT NMIIii The Arturi Residence SEOR PART I . PROJECT INFORMATION (To Ill> ~e!OO Il)' 1. APl'l1CA!IT I SPONll()R Thomas Samuels 3.PROJf:Cr LOCATION; Southold Suffolk M~ CQ\mIy 4. AAEClse LOCATIOII: $..... _... O<ld _ _.. ~ _m. '"" -Of _ ... 7600 Great Peconic Bay Blvd Laurel, NY 11948 Approx. 206' S/W of Bray Ave. 5. IS I'ROI'OliEO ACTiON [] - O~ OModillcaliOOl- 8.llESCRIIlE AAOJECT 8R1El'!. y. To demolish existing residential dwelling and construct new residential dwelling 1, AMClVm OF I.ANI) AFFECTeD; _. I,.liJlN ..... Il. 1MU AAOl'OSEo ACTION COMl'L Y 1MTH l!XtsTING ZOIIlIlG OR OTHER RESTRICTIONS? l]ly.. 0 No H no._b<>tmO~ 9. WHAT IS PRESliNT !.AN1l use Itl VICiNITY OF PROJECT? ICh<i0t6.. ""'''Y'' Opply..) ~- ol_OW oeom-dol [}c.icu- ol'sll<f_1I01*'~ 00-.-1 1Q. ODES ACTIQI'I INVOLVE ^ l'liRMlT APPR<:NAI.. OR fliNGING. AGeNCY ~ _Of Loc;alJ !KJY.' 0 No II Y'I'. litl ._ no"", lIIld peMll ""~ !'lOW OR IJI. TlMATElY FROM I>Hf OTHER GOIIEfU\IIoIENTAl Suffolk County Dept. of Health South old Town Building Permit 11.. 0lQE:$ ANY ASPECT 01' TItE ACTION ilAllE A CURllENT\.Y VAlli) I'EllMtT OR APl'ROVAl? ov.. [8]No If Y'I'. ~ _cy """" O<ld peMll _41: ULT 01' PROPOseD AC'fiON WIU l!J(ISTINO PERMIT I APPR<:NAl REOLORE _"ICATION? XNo I CERTIFY TilAT THE INfO_TlOII PROVIDED All<)I(E IS TRUE TO THE 8ItST OF MY I<NOWl.EOOt; If the aclforlla a <loaml Anta, ..,d you _I atoto I~Y, complete the COUlal "...ument form ~r. po-oeeelllng wlltl thle llS$.um'''11 . . PART II. IMPACT ASSESSMENT 0 be eted Lead A A, DOES ACTlONEXCI!EO ANY TYPI1 'ThlR!!SilOLD IN 61lYCRIt PAI'lT 611.41 '1'.. 0 N<> a, Wil..l.. AOTION !ll:CEM! COOlIllINATEO REIIIEW AS PRO\IlOED fOO UNI,.ISTEO AOTIONS Iii 6 NYCM. PAI'lT GlUT d..,.,."..,tMI'''''~lly_i_~, '1'.. N<> c .,...__,"" r_ """"'" mI...lhaF\Jll CAF, .N<>..~ c. COI."O AOTION RSllULT iN AliYADIIERSE ll1l'Ecr:s A!lSOC1A'ral WIlllIHE 1'OU0WlNG: iMSw"'" tMI''''' __. '1ogiIJIe) <:1. Ilxldllglif~. ._or---,q"orqwm1ily, ....-.<<dOIllil_jlOlIlIm,_WIl.Ie~orclitpoul. poI6nI.. fQt_",", <ka...",1illodIng prcillIIIl\I? :!lnel!y; C2 L.~,.~~.~or" Of~"__",~Of~__'~E...~1 I ., Cil VlIQOIaIICn or IoImo, 1lIh. _ or wIIdIlfo ~.. .......t1..lllIilta. orilltU_ or ","""'ll'''~ 1I>IClo.? ~i. brIoIIy; 04, J_....,'fI~_., QOOU"~~ or._.._..........,Of...oI_..._..,_~.b<leI!y I ell, l-.~~'or~~~~""-llylha--._IlxP~~ ce, lO<'lllOml..bOrltom._,or__llOlibnPlfodIllCI-G$? 1lxplIlIn~. CI,O_I", In_llI'- p. WIll '!HE PllOJl!CT tlAVl!.AN IMPACT ON '!HE _eNTAl. CIWtAOTEIlIllTlCS THAT <:AlJ!iEl) 'THE eST!\IllISIIMeNT ClI' A CIlI1'ICAl E~NMEmAt.AACAfCtAY? mYllIl.~IIMbridv: Dy" ON<> I f. OH:;. 0 :r l~lno SUONTROWRSY RElATfOTPPOTeHlWADVfRSE ~MEmAlIMPAOTS? Ifm__: I PAro' OJ- DETl!RMlNAtlOIl OF S~Il:(To be ~ lly 1\gIIncy) INSTIllJCtIOIl$: For_!ld_elf<ldIdenll1l8d.....~~.II$IJbI$lanIlaI,'arge.i~Or~1lll!lillellnl, EiIcI\ eIf<Id _,be 61..0'" In ~...;t/lllo (lI) t!lWllg (1;8, umenOl' Niall; tb) probebllily ol <>OClJI'fl/llI; Ie) d<ntlon: (d) ~ Ie) llfI09I3llhl<:ot.Ojle; end (I) 1llOgI>llude, jf _.lIIl<I._ or .......~q __. Eneun> Ih&! expIenaIlons_ .ulliclenl ~ "''''-1I\al aIItlli_.11llMmle impa(:!e 118.. been.~ e..s 1'<IeqIJ1IIeIy_ II QIIlliIIIOo d otP!ld._~ Y60.!IMl__lIOool.ibnce"",*,_1l1e~imlllll:t"'l/lO~eQIorlo"!lIllenullOlllllolll8l~oI1l1eCl!A, (;_1...b<!l<~l""'''''_d_or:_~I'''IaI1oOl'$IQI\I_ed_~_MA't_ T_pr.-<ln<llylOlIleFUI. EAF_or:_.__,""" Cllo<l<lt>lo"""dyou ___.lmedOll'" ~ lOl<!lIIIOIytlIaIl"'_ ""Y"'~_.UlO1\11e",,,,,"*_ WIll NOT r__ " ""y sigr11fQn1 ."""'". ~ ~ AND prcwltl.. "" _ .. .........'!', ... .......".IUPI>OlIIlQ~Oii _...00<. _oIl...d~ Dale PtlN()t ryp" ~ (It ~omcorfn LUClAgenq 11rIo 01 ~"'il>IO 0_ ~NreOf~IbI.Of!tt:eflrll.ad~ ~OIl'Jep1J1l1(1l_"'lItr""''''__~ Jun IS 07 01:10p ~ann~ Arturi 06/19/2807 12:49 5....46487 ~..Ii31288081S SAM..ELSSTE"W p.2 PAGE 82/82 LETTER OF AUTHORIZATION Manny IInd Marie Arturl PO Box 2022 Remaenburg, NY 11960 We hereby authorize Thomas C. Samuels of SAMUELS & STEELMAN ARCHITECTS to act as my agent in obtaining all permits required by SOUTHOLD TOWN, SUFFOLK COUNTY and NEW YORK 51 ATE for the renovation and addition of our house at 1600 Peconic Bay Blvd. in Laurel. New York. ~q).; 4 Owner / ~, (; /:.,q /t; T Owner Date ..... l\I'I'L.r rRl\NSl\CtIONhL DISCLOSURB FORK The town of S~u~hold's Code of Ebhics ~fohibibe conflicbs of inberesb on bhe parb of town officers and employees. the purpose of this form is bo provide informabion which can alert the town of possible conflicbs of interest and allow it to take whatever action is necessary to avoid same. YOUR IIl\HBt Last name, irst name, m dd~e you ore applying in the name of Bomeone else or obhsr enbiby, such 'S a company. If so, indicabe the other person's or company's name.) . ,," i' . ;':';'''~~"$.i. :::.~i.::.~'iJ.f~.;:,1?rt.: IIATORB 01' Al'l'LICATION, (Check all bhab applY.) Tax grievance Variance Change of zone hp.P~l""al of plat ~ !~ Exs~pbion from plat or Official map other . (If "other," name the acbi vity. ) Do you perBona11y (or through yuu~ cb~Va"y, upuude, uibl1ng, parent, or child) have a relationship with any officer or emp10yee of the 'l'ovn of Southold1 "'Relationship. includes by blood, marriage, or businesB interest. -Duslnes8 interest" ..eons a busineos, incIuding a partnership, in which Ehe town officer or employee has even a partial ownership of (or employ..ent by) a corp.oration in which the town of ricer or employee ovna More than 5% of the uh'aree. YES 110 .i.'~'1 .. If you answered .rBS," complete the baIancs Of ~hl~ form and date and sign vhere indicated. Name or psrson employed by bhe town of Soubhold Tible or position of bh~t person Describe the rel~tionship bebween yourself (bho applic~nb) and the town officer @r employee. Eicher check the appropriate line h) through D) and/or desoribe in the space provided. The town officer or employee br his or her SpOUSSi sibling, parent, or child is (check all bhat apply), _____h) bhe owner of greaber bhan 5% of the sh~res of the corporate atock of the applic~nt (when bhs appllcan~ is a corporation), , _____b) bhe legal or beneficial owner of any interest in a noncorporate'entlty (when the applicaht is not a corporation) , _____c) an Officer, director, parb~sr, or smployee. of bhu applicanb I or ~O) thU ~ctual applicent. ", DESCRIPTION O~ RELhTIONSIIIP . :)~L' ." : ~., ~':, ". 0'.., , . ........ '...~ .. ...: ~. ^ ;. ".,..~.-'. . .,._.~~\.l"u, .. . ,..1. r'" :..,~':~J~.!f~,.' SUblnibt~d;~h!;:i~~~!"~~~i~:"~;~~~~ I Si9hBburu==. .. .. .......~....':\: .: ."":{i(,. . .. . .ij.2-':";~ :~..)t;:'^'; . print name,/~~~_H~;~j:..", .",}I,,,.~.c.>,(i~~~_!:'ii\~{Y"~,.,... . '.. r,: . . .. Town of South old LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits. including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. · Except minor exempt actions including Building 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 Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the L WRP policy standards and conditions. If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the' ent, all local libraries and the Town Clerk's office. ~\E ~. ~_ ~ ~~\ r\ I B. DESCRIPTION OF SITE AND PROPOSED ACTION 0 \ : : ) SCTM# 126 11 13 \ J'~N 2' i~07J~ L--- The Application has been submitted to (check appropriate response): B~~;~h~/~r:~~;es Town Board G Planning Dept. G Building Dept. G Board of Trustees G 1. 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) G G (b) Financial assistance (e.g. grant,loan, subsidy) (c) Permit, approval, license, certification: G Nature and extent of action: TI) d~molish ~Yistjna rl'^'~lling a'1d C'Qn..trllC't n~,^, singl~ family dwelling. . . ,. Location of action: 7600 Great Peconic Bay Blvd, Laurel, NY 1948 Site acreage: 1.025AC Present land use: Residential 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: Tom Samuels, Architect (a) Name of applicant: (b) Mailing address: 25235 Main Rd. Cutchogue, NY 11935 (c) Telephone number: Area Code ( ) 734-6405 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes D NoGJ If yes, which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section 111- Policies; Page 2 for evaluation criteria. GJYes D No D Not Applicable To demolish a failing existing residence on an existing site preserves open space in the community. Also the new dwelling is less than 20% lot coverage allowed by zoning. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section 111 - Policies Pages 3 through 6 for evaluation criteria G Yes G No GJ Not Applicable There are no historic or archeoloaical structures on propertv. . . ~ 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 [!J Yes G No G Not Applicable Th" n"w r""ici"nti,,1 hom" i" in k""ping in "c"l" "nci "tyl" of n"ighhnring "t",c" """ 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 ~ Yes G No G Not Applicable All rainwater runoff is and will he retained on site with the use of underground drywells nllring construction hay hales placed temporarily hetween the construction and shore will k""p n lOoff spoil" on "it" Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See L WRP Section III - Policies Pages 16 through 21 for evaluation criteria Ul Yes G No GNotApplicable All rainwater runoff will he retained on site with the use of IlOdergrollOd dryw"lIs Th" ""nit"ry "yst"m for th" r"sid"nc" will m""t th" Cllrr"nt Sllffolk r.ollOty n"pt of H""lth S"rvic"s "t"nd"rd" for ""nit"ry w""t" w"t"r Th" prop"rly i" ""rv"ci with puhlic w"t"r from SI.ffnlk r.ollnty 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. G Yes G No G Not Applicable No development will take place in the "protected" or "natural indiginous environment". . . . Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See L WRP Section III - Policies Pages 32 through 34 for evaluation criteria. [ii Yes G No G Not Applicable The development will not add pollutants into the air. all construction vehicles meet the Federal standards for air pollution discharge. The mechanical systems of the residence meet the Federal standards for air pollution discharge. 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. [Xl Yes D No G Not Applicable The construction and use of the residence will make use of the town's disposal and recyclinQ center. All waste water "sanitary" will be discharged into an approved SCDHS sanitary system. 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. [fJ YeD No G Not Applicable There is currenlty a right-of-way which will be protected and maintained throughout the course of construction. 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 III - Policies; Pages 47 through 56 for evaluation criteria. G Yes D No G Not Applicable . . There are no public or commercial activities or uses on site. Historically this property and neiohborino properties are residential in use and will remain residential. 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. u:I Yes 0 No G Not Applicable Thi", projpr.t will protpr.t :'Inn prp",prvp thp living m:'lrinp rp"'nllrr.p", hy m:'lint:'lining :'III r:'linw:'ltpr rii",r.h:'lrgp :'Inri C::'Init:'lry flnw from thp rp",inpnr.p nn ",itp hy :'Ipprovpri sr.nHS "':'Init:'lry c:yc:tpm <Inri rirywpllc: fnr r<linw<ltpr "mnff Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section 111- Policies; Pages 62 througb 65 for evaluation criteria. G Yes 0 No u:I Not Applicable ThArp- ::In~ nn ::Iorir.llltllr::lll::lnrl~ nn ~itp Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. Cia Yes 0 No G Not Applicable The construction will be using equipment approved by the Federal aovernment for energy usage. The residence will meet Federal standards for conserving energy "energv Star Program" and will use "New York Stat Energy Conservation and Construction Code" for construction of the residence. DATE~ PREPARED BY ~ TITLE Architect Created on 5/25/05 11 :20 AM ,- 1'1-- I "".., ...12"'''.I2::~,UI::::: =:==1 :....::::.'::. I ".~,~",tr'r'''' --"--1 ,-""'~ ..""",,~ ~-~'ir.-.;.;n;;",;;';-,~;;:,.;;;;,. I ~ ~ " .. I'"'' \ J"'I"''''''''' 1000 """"""""AT"........".. PROPERTY ~1oP I .~ .... . ~ "'''PCL.tlO. s""o.,." ,,.........., . II ~~..~ "''''0_''''_, 1,.-....2<.., -"m"'~ - liF<K--:-~;'~-12~----uNE :, + L:~_"."'~ EI""...__ C!_....,.,,,. " N'.......... ,-- G) COUNTY OF S.UFFOlK <D Red Property Tax Service Aqency ,....,ryConI..- RlverI"ead,WTll!101 .. ""'I~m'. .. . '" .. PROPERTY 1,(.1/' ~'=. ~"'",,...,,,, "'''" """"", "" ..,_ h'E ,,,-,,,..., SOUTHOlO SECTION NO '!8lCE .'""""","-"'''''''''-'''' DIS",'''",,, ,"'''''''''. " "" ,,,,,,...,,,,,,,, ''''''''PIIO'''''(O '"""" .~t"" """"""" rs-.. ,""'''''''''h'" '''''''',,,'.,, o + 1211 ~~ ,., ;;" 126 "."."""'~ ............ ""'.., 12.''',"0' ".,' '-~ 12.'''<' _,~ 10'0 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 SouthoJd, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application _ Major Minor - _ W aiver/ Amendment/Changes _Received Application: Received Fee:$ ~[((;~~WJ [E ij _Completed Application o ~,,:- "OJ r~ _Incomplete _SEQRA Classification: U' Type I_Type II_Unlisted Vui\ L iu, ,--,' - _Coordination:(date sent) -- CAC Referral Sent:. Southoid lovn1 _Date of Inspection: ROJid of Tru')fep,s Receipt ofCAC Report: Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: Name of Applicant Emanuel and Marie Arturi Address P.O. Box 2022 Remsenburg, NY 11960 Phone Number: ( ) Suffolk County Tax Map Number: 1000 - 126 - 11-1 3 Property Location: 7600 Great Peconic Bay Blvd Laurel, NY 11948 LILCO Pole #35 (provide LILCO Pole #, distance to cross streets, and location) AGENT: Torn Samuels, Samuels & Steelman (If applicable) Address: 25235 Main Rd. Cutchoque, NY 11935 Phone: 7::l4-fi4n'i Board of Trustees Application GENERAL DATA Land Area (in square feet): 44,656.24 Area Zoning: R-40 Previous use of property: Residential Intended use of property: Residential Prior permits/approvals for site improvements: Agency Date ~ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? --1LNo_ Yes If yes, provide explanation: Project Description (use attachments if necessary): To demolish existing dwelling and construct new dwelling. Board of Trustees Application Purpose of the proposed operations: WETLAND/TRUSTEE LANDS APPLICATION DATA Residential dwelling Area of wetlands on lot: square feet Percent coverage oflot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: 100'.7" feet Does the project involve excavation or filling? No x Yes If yes, how much material will be excavated? 551 cubic yards How much material will be filled? 178 cubic yards Depth of which material will be removed or deposited: 8' feet Proposed slope throughout the area of operations: Existing Manner in which material will be removed or deposited: Machine backhoe / bulldozer 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): N/A AI'PLteANT TRANSACTIONAL DISCLOSURE PORM The Town ot s~ukhold's Code of Ethic6 prohibits contlicts ot interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is IleCeBBary bo avoid saMe. YOUR NAHBI Last name, irst name, m dd~a you a~e applying in the name of someone else or oth~r entity, such ps a company. It so, indicate the other persoh's or company's name.) I NATORE 01' APPLleATloN. (Check all that applY.) ;'::;',:f~$!.:.\.~i.-...~U!~.;i'!~~ TaX g devance VariancQ Change of zone Ap.Pr~al of plat ~ Ex~~ption from plat or Official map other . (If "other," name the aotivity.) Do you pereona11y (or through your cb~VUtly, upuuue, ~lbl1"g, parent, ot" child) have a relationship vi!;h any offl.,er or employee of the 'l'ovn of Southold1 "Relationship" includes by blood, Marriage, or business Intere8~. -Dunines9 interest" lteans a business, inoluding 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 e~ploree own" ~ore lhan 5% of ~he sh"ares. (to YES NO ":,~'I " If you answere~ "fES,". complete the balance Uf ~hin form and date and sign vhere indicated. Name of person employed by the Town Uf Southold Title or position of that person Describe the ~elationship betwsen yuurself (ths apPlicant) and the town officer @r employee. gl~her cheCK the appropriate line h) through D) and/or. deecribe in the space provided. The town offics~ o~ smployee b~ his or her SPOUSSj sibling, parent, or child is (check all that apply), _h) the oWne~ of greater than 5% of the shares of the corporate atook of the applic~nt (when the apPlican~ i. a corporation), _B) ths legal or beneficial owner of any inte~est in a nonoorporabe'entlty (when the applicant IB not a . corporation)1 . _c) an Officer, dirsotor, Part~sr, or smployse. of tha applicant, or ~D) the ~ctual applicant. ." DESCR!PT!ON OF IlELAT!ONSII!P . :.)~:!"-~ . ., ;~' .'._-. ". , ""':' ~. ~ ..~ ~ ......... jJ.I,' ,,' .,..,~"'.,," .. ...,:..,;',~~~i.}t sublni tted .. ,.i.".'Qj.' C:!).'Mj'j';<\,: ,';'CIifi..; ;".~';'. ' .. ..~:.,...., "', ~,,, ':u'/r~"" thib\':~;,dttY" t1f:'.... :": -""'I.~."~'~~l ~~;t'[~ r::' :t "r... ...."1'.\ ~ "i~?/~:.:". SigM tU~e.. 'print llama' :<".~~'>'.I':~,ll';'Pi,";:i;:r,)Jl'iIiriJ.\Wtj;:,,: '-.,,",'i l.'..!~,.V ~~.dW~o1Ur:l;j:ill'~~!v::l,-r;J,.',-\ . .~~..;,...~, \. ~ I PROJeCT II) NUU6fIlR I 617.2l) APPeNIlIX C; sTAll! ~I\l. <lUAUIY REVIEW SHORT ENVIRONMENTAL AssESSMENT 'ORM for UNll~ AlmOt(lI Onlr QJf'\tljecI~ 2.P~ NAMe The Arturi Residence Sl:QR l'mt.I'ROJec'f ~'I'ION (TObeCOMfll6l<<l Ill' 1. ,\PPLl<WIT J .~l"OIlllPR Thomas Samuels 3,~ lQc:A~thold Id\l ~ .4.~ lOCATIOO:8lJm AllcIoDIiI6~~~..~ ~rn. ..-<< ~._ 7600 Great Peconic Bay Blvd Laurel, NY 11948 Approx. 206' S/W of Bray Ave. Suffolk $,1l>P~~: G1'1lIw Of:1cpot.. O~f"" ~.~. AAbJEm'llI\lI!l'l.Y, To demolish existing residential dwelling and construct new residential dwelling 7.MlOUNT OF I.ANl) AI'I'I!Cl'!O: - - t WU.l'IlOI'OSl1O AC'IlON OOMPL Y MH I!XlImNG ZONING OIl: OTHeR Ri!STIlIC11ONST !Xl Yet 0 110 II no, "*""" b/ltlt(; aWHATI8~lI.AllP Ull/!...1!tI ~ 'lll' PR~ (tIIaooa....~...~4 (!llle$l" IieIO-tJCCiIImI<I:ilOI ~OPm.'f<jojJll/Clpe~ Oo-~} 19- 00lI~ ACmQtI INVOl.YE ^ .PERIiIIT N'PfIC:lVN.. OR FUNPlNG. ~1f1!dlt!ol.-or''''''''l [iUvu 0110 iflit', lltla~_. fIlld '-1-"" NOW Qr(' 11111W\'raVfflOW .lJJfftOllll!ft ~I\l. Suffolk County Dept. of Health Southold Town Building Permit u.~ 'MI'I _CTOIfI 11lEJ!i(lf1QN .lY\\IE ^ ~y Vl\l.ll) PI!l&Il"QR I\PPllOVl\l.1 [l"'et 0110 It ,.... kl_oy ... fIlld.~ '-"" Itlbllllc:tllm I. II (lQIIIl!l MlI.llI1d YOII_ II .talo1lllllnq, eompler.Il1.Coullll As....m.nt Fornt I>9to,. Pl'Oeasdlnll wlitl tblll .....molll PART II. IMPACT ASSESSMENT Q he c IeIlId leadA no A. llOliSACl'WN__'IYPl!1 TllRIllIHQU> IN, I\'VClUl. PJ,flT'17.4? 11_ ~N- _1!IIOl_ "'FlIlJ.J5Af. Y.. No e. WIl.LACnON MCl!1YI!: eoo_11!O RI!VIIlW lIS PROVIDED FOR UNl.ISTED ACTIOMIIN 6 ~. PART'11.61 If No. a nOilllllVa b'U"",",_IIy_I"""_~. No lNAlI\'AIW.EI'Iile'~lIllSOClAil!DWlTH1HEFOI.l.OWIHG:fI\Il_""'YIllt__If~1 ~:E;~~~==-....-.-~...--.- ..1 ~ .... .. .~a~.l1Iololll:.lll!""'~I'allll!-...tlIIOlIlm;lII'~I)(~<!law:IlIrt~1>lioItt: C3,L-~~~~.III'_~~~I)(~III'~~~(?~~ ........... ..1 CoI.A: ~"\lilIIIIliU '1ll'a ....... ..-- C5'. ~ Gr' 1Iy'" ~ 'l~ OI.I.<I<llI-'oII<>Il_._... ..IllC1-cM ~ C1, tl,_'!'HE"~w..',Il!;~~l\CTotl'!'HE~Al..~'l1-IAtCA\.JEiEDTIleEll1A8lJll11ll1!111T OfIAClllIl'lCAL o~~T:~-.-~~ ] to::;.~~~,YlO~.oom~wv.~tmm~~~~Al~~'If_~ I Pw~~~.:~~.9l.r~ .~I>!!.~.::rc..~,,=r.~~oo .,~ .ulllcienl.=itiorw_..~..,..,....~bftnldlllll!ll!ll.li!lld: .... '" ,.... . I'.~<l Y66i@d~otMi"""'~~~llW~i\l1llI!I:tOlllW~ ~I~ lIltOEA. ~!iii.I><!i<._~~_""_~lIaill'!IlI!Ot........o<l_lm;>a<llawi1lel\l!IAy_ TOOt""",,",,~""'FUU W.uclI!i<_..,~_...Jlc<l. lll1ed<!/lIIbqxIfY<'\l,...~,.,lll'I. ~.lII1"'~llOd~lI!m lInd'"YJlI~""-"'1lWIon, 1haI... ~1CIl.. Y/!LL llQ'r(....rn..y ~~ tlJ~0l.....1Iaf~.ANO:I"ll'Ilil..... ~..__~, lIlO_~'"ii ~ _ (I/' LiodAgotq' Dale FffnlOfT)'pt.NBme Qf~:UltfaII'Il'LO:acl'~ 1'1lIeol~0Ibt ___ltItt~~IbiO.omeerltlt.OaG.lV.J SIllMIll<.oI"'"""'''''tlf_I_'''.~~ . . Board Of SoutholdTown Trustees SOUTHOlD, NEW YORK PERMIT No.~.3.~.d... DATE: .~:r:'?~..2Z..' 2006 ISSUED TO ._......_._~!:~_.~~.:r.~.~.::.._...._..._.._....... ...._._m.............. ........... i\ut4nri!atiut1 Punuant to the provisions of Chapter 615 of the llIws of the. State of New Yor~ 1893; end Chapter 404 of the lam of the . Stete of New Yor~ 1952; and the Southolcl ToWn OrdinanCe en. titled ~(tReGULATING AND .TH~..PLACING. OF QBS.T.R.UCOO~S IN AND ON TOWN WATERS AND PUBUC lANDS end.the REMOVAL OF SAND, GRAVEL.OR OTHER MATERIALS-f.iOM LANDS UNDER TOWNWATERS;~~. and In accordance wlfJdhe Resolution of The Boord adopted et I' meeting held on .._._.~;:,!i!L;;2.2. 200~........ end in consideration of the sum of $.....?.?JJ.,Q'O'.. paid by . .._......~mi!.nll.~J. ..Ar:.~.MLL................... .._..... ........................_._......_._...,........:.._..... of ...........:L.".".r..e..~_........_....~..._....."'._.......... N. Y. end. subJect lo.t"e Terms and Conditions listed .on the reverse side hereof, of Southoll:! Town Trustees euthol'lzes end permits the foUowlng: :~U~~,i~nn't to reconstruct In-pIace approx. 178' of Umber bulkhead utilizing vinyl sheathing and a e structure with approx. 50 <:yo of dean sand to be trucked In from an upland she with the condition the remnants of the groin are removed. and as depicted on the plan prepared by J.M.O. Environmental Consulting dated February 6, 2006. ell' in aeeordance with the detailed ~pec:lf1cetlons as presented In . the originating epplicatlon. . IN WITNESS WHEREOF. The said Board of Trudees here. by eeuses Its Corporate Seal to be eff'lXod, and these presents fo be subscribed by a' majorlty of the said BOlIrdas of this dabl. P ggy Dickerson .(ab nt) Trruim . .. 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 '1(1' t, ~'\I^r\I(~r^ (j)--t- W~'V' ~~~tI(L~ Southold Town Board of Trustees Field Inspection/Work session Report Date/Time: EMANUEL & MARIE ARTURI request a Wetland Permit to demolish the existing dwelling and construct a new dwelling. Located: 7600 Great Peconic Bay Blvd., Laurel. SCTM#126-11-13 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound ~ay Distance of proposed work to edge of above: PartyfTown Code proposed work falls under: ~hapt.275 _Chap/ _other Type of Application: _ W etland _Coastal Erosion _Amendment _Administrative _Emergency _Pre-Submission~ Violation Info needed: Modifications: Conditions: Present Were: _J.King _J.Doherty _P.Dickerson_D. Bergen_ B. Ghosio, Jr _H. Cusack_D. Dzenkowski _Mark Terry_other Form filled out in the field by MailedlFaxed to: Date: Environmental Technician Review \5 l+ (00- bc4C:"-. ~rr. bv,llc...k.u}.. ~......t+""? C~J.I^-{;~"1