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Home My WebLink AboutTR-6693James F. King, President ~~Of ~QfJry~ Jill M. Doherty, Vice-President ~~ Peggy A. Dickerson Dave Bergen y ~ Bob Ghosio, Jr. '~ ~ ~'~OOUNT'1,~` BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631)765-6641 CERTIFICATE OF COMPLIANCE # 0338C Date: August 1, 2008 THIS CERTIFIES that the repairing of the foundation under existing dwelling, reconstruct existing deck installation of a drvwell for deck At 1700 Cedar Point Drive East. Southold New York Suffolk County Tax Map # 92-1-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 07/26/07 pursuant to which Trustees Permit # 6693 Dated 08/22/07. Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the repairing of the foundation under existing dwelling reconstruct existing deck installation of a drvwell for deck The certificate is issued to LEO & VIRGINIA ALESSI owner of the aforesaid property. fL. a6~' Authorized Signature i James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. ~o~~pF SOUr,~o~ • ,,O l,~ die ~OOUNT'I ,~.,~d'" Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631)765-1892 Fax (631) 766-6641 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 APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 15` day of construction _ YZ constructedry Project complete, compliance inspection. 1I~s~~~ `I~ . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 15t day of construction Y, constructed ./ Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee, Leo & Virginia Alessi. residing at 1700 Cedar Point Dr. East. Southold, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of South old. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of 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 SOUTHOLD August 22, 2007 Mr. Peter Heard 127 Sterling Ave. Greenport, NY 11944 RE: LEO & VIRGINIA ALESSI 1700 CEDAR POINT DR. EAST, SOUTH OLD SCTM#92-1-3 Dear Mr. Heard: The Board of Town Trustees took the following action during its regular meeting held on Wed., August 22, 2007 regarding the above matter: WHEREAS, Peter Heard on behalf of LEO & VIRGINIA ALESSI 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 July 26,2007, and, WHEREAS, said application was referred to the Southold Town ConseNation Advisory Council and to the Local Waterfront Revitalization Program Coordinatorfor their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 22,2007, 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, 2 . . WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of LEO & VIRGINIA ALESSI to repair the foundation under the existing dwelling and to remove and reconstruct the existing deck, with the condition a drywell is installed off the southeast corner of the deck, and as depicted on the plans prepared by Condon Engineering, P.C. dated July 11, 2007. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Jam1::g c7 ~ President, Board of Trustees JFK/lms . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: aN) q. UUl9Il1O," Q..tUlll' Please be advised that your application dated '7 ),;'iJ; /0 I has been reviewed by this Board at the regular meeting of I? /~ 10 1 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) Y2 Constructed ($50.00) v' Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: y~l ~(SIJ,(){) R)' 9\Q TOTAL FEES DUE: $ 01),00 BY: James F. King, President Board of Trustees . . 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 South old Town Conservation Advisory Council held Wed., August 15, 2007, the following recommendation was made: LEO & VIRGINIA ALESSI to repair the foundation under the existing dwelling and to remove and reconstruct the existing deck. Located: 1700 Cedar Point Dr. East, Southold. SCTM#92-1-3 The CAC did not make an inspection, therefore no recommendation was made. . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field InspectionIWork session Report Date/Time: ~ (Cf ~ 7 (0 ~ -;)0 A""" Peter Heard on behalf of LEO & VIRGINIA ALESSI requests a Wetland Permit to repair the foundation under the existing dwelling and to remove and reconstruct the existing deck. Located: 1700 Cedar Point Dr. East, Southold. SCTM#92-1-3 Type of area to be impacted: X Saltwater Wetland Freshwater Wetland Sound _Bay Distance of proposed work to edge of above: Part of Town Code proposed work falls under: _X_Chapt.275 _Chap!. Ill_other Type of Application: \x., Wetland _Coastal Erosion _Amendment _"'_Administrative _Emergency _Pre-Submission _Violation Info needed: Modifications: Conditions: /1-(( cJ H . M.oA-o~ );; :- 7- ~~r~ d, h.e<:....c:J~~ .(~ L.y _. - '^ (. o~ r 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 Mailed/Faxed to: Date: Environmental Technician Review ~)-cL""lt. 11 I~' /~f>L.J I ~~~~I'>n'\ ~ 4 I ~ - or"""':S" -r (7\lo~ ! 9(1 w...k. ~ l,,-,d f<eou,r< (). k..f[er 4.S '"'o+;~~ OrJ... ~ ~ ..(or Tho. h........ n (C-L 6 c. -9C..: p "c..s ........ -r \ -J r o#~ ~ kJ~ <-c II J~& ~ "'{ 5'- { " ~ r.~- "i5W" ~ +"".0 , + (211 ........ \I."". ,..'>-t. '-'" lZ.'''<> _... o I "'''-''''''''''W,,_[;,,;~, (~ " ~ --J .-_.p HOG NECK BAY ....." ",... """'0" ,,-, _.".'"'''' ... .,,_ "" ,,,,-co.,,,,, ""'''"''' ~ ----'--- "... '.. " ......' ;:: " :::::. _"", ..m..~, ~TICE .....'''''''..''1...1........'0. ""-.,,"''''.., "",n", "'Tll' ""''''''''''''''''''''OJIfiTED '"''''''Rf!<['PE_''''''''''' """"''', T" """""''', ~,. . . (i) COUNTY OF SUFFOLK CD ~ Rea Property TOx.SerViCeAgency Co.rrryConW~WYll!Ol .. ,,"-[~ "" ,. . ~ * PI ~ r I",TJO:T'" 1000 ~"'Ti_~u.. SOUTHOLD PROPERTY ,up ~ V~L ~ -K . . I --r SECTIO~ ~o 092 1000 PROflERTYloIN' . ~ I D' j _ 1 -~ ,Ul- i ;' . '~;j""t" ~,l. ;1.;;, ~;;";" ,:' :> ,. ~M~~~'t.," ;c ", .'_.:. ,<:.,~' _ "". ,'- ,.'::~:i1t~,;~.;; ~~ :-;." , ',' :"i!l:,*~, ,.L,I-, _ <f;" :':>~.: "M:.\~~ ~: .:'.>.;J,' - r~l - Ilf r - - ", ~ ""-- _ e- '~ " r '...... ~ . OFFICE WCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY MAIUNG ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of South old Board of Trustees From: Mark Terry, Principal Planner '{'l' \. L WRP Coordinator Date: August 7, 2007 Re: Request for Wetland Permit for Leo and Virginia AleSSI SCTM #92-1-3 SoutholdTolVr! Board of Trustees LEO & VIRGINIA ALESSI request a Wetland Permit to repair the foundation under the existing dwelling and to remove and reconstruct the existing deck. Located: 1700 Cedar Point Dr. East, Southold. SCTM#92-1-3 The in-kind replacement of and/or repair of existing foundation and deck is an exempt Minor Action and not subject to LWRP review pursuant to Chapter 268-3; Items A and B of the Town of South old Town Code. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of South old Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is exempt from review pursuant to Chapter 268-3, Exempt Miuor Actions, item B which states. "Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site, including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit". .. .. James F. King, President Jill M. Doherty, Vice-President Peggy A Dickerson Dave Bergen John Holzapfel Town Han 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 Office Use Only ~ fE ~ ~ 0 WJ II -r."-~ ,r;; III -----,. I JUL 26 . 1/1..,) - -Soastal Erosion Permit Application LWetland Permit Application _ Administrative Permit ~ AmendmentITrans2;lExtension Received Application: 7 fah7 _Received Fee:$,2'5Z>~ ' 30mpleted Application i/'bO/ (f) _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ Coordination:(date sent) ~ Consistency Assessment Form ?rY::l 0) -PAC Referral Sent: ~~ ~ -,.Pate ofInspection: / 0 _Receipt of CAC Report: _Lead Agency Determination:_ Technical Review: ~lic Hearing Held: <7/.+-J.-1 a') _Resolution: B SOU/Mold Town oard of Trustees Vlrldr,,'(\ ~\Y.f5~ . Name of Applicant Address n 00 G:J-lcy P,,;.:\ Or- L{()J f(~~f " \()",h.c\~ Phone Number:(~~I) 7~'j S'.;l 3(~ Suffolk County Tax Map Number: 1000 - ...,g J. - I - 3 Property Location: \ 1(;0 rdl\V' p~\,,-\: (k-. [I'-J+ Soc\th(,\L (provide LILCO Pole #, distance to cross streets, and location) {~-hv' ~p {((if Address: In ~-trrL,j Ave, eln {"filet JJ\/ 111~1~ Phone: L3 \ L)l7 _JJ!.o,+y rY [~~ yft\\,,>d/ AGENT: (If applicable) f;} ~d of Trustees APPlica~ GENERAL DATA Land Area (in square feet): S3, :;ILlY Area Zoning: K -. :to Previous use of property: ,- . ::,\.,~ Ii " . '>'Jh ~~\\\ , hi \ ~;~~-.;:\ \" \ ~\DI \ ~h) cLJ",-\I~J Intended use 0 f property: Covenants and Restrictions: Yes If"Yes", please provide copy. /1 No Prior permits/approvals for site improvements: Agency Date "t 1\ I-\- n!l {t lo\ (\Il ~\}I "/.ObS- ~ u \n~[).b--<,.; -J< SLlS r;;'\ 2-0" i l No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspensIed by a governmental agency? ,/ No Yes -- If yes, provide explanation: Project Description (use attachments if necessary): r:1\l\'\f\rJ,\'. ~ ((p',le ~j}"v\i\\lt e'tI \{\j .' \'I'-Q,-"'-\"-L lh\,\-tt~ -t 'I.e nVr.-\I\\' 1'", -\:- 6\\'~"", J., \ /leek (L~ (l.((IV"S Jr'tNj( ( J "-\-~",,. k"\\c.(I. \ -\u <+IJ~I\\2-"'J (.(jll!\AIJ\u-,. ((CD."(t-riIL'\ wcl<...' -, '" ~d of Trustees APPlica~ WETLANDrrRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: \ol,l",h-\t;)" rrpt\\T Area of wetlands on lot: o b square feet Percent coverage oflot: % Closest distance between nearest existing structure and up land edge of wetlands: 1:L feet Closest distance between nearest proposed structure and upland edge of wetlands: 7 )~ feet Does the project involve excavation or filling? No ,j Yes If yes, how much material will be excavated? /7 cubic yards How much material will be filled? /7 cubic yards Depth of which material will be removed or deposited: if '1 s-6tft /;~,h/ feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: htlck kd-<_ I)J~C LI I X l/K Y I (/h'>5 It t,,)!-(':J 11;[/-- v 7 ~jdd>- 01 /,1 j(, ({,-h.' 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): d~ ;Jrr pI'! '! On/" I)(U{V{j{;;~ -/r-. "t;r:'tJs,' j;tJhl\Jl l1r?JrllYl f } _ J iUr'I"}J~~,,, ~f Lfl/ i ,r r IovJ'J{:h~~, Ihl1 I . I (i:('lnJtV!1- tJ{ .rOMI J!lf I - III!.! {;({(c-f "'-1 I/iHH,.,,,,4J i . ~ 41N1td of Trustees APPlicat~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: r , t ' .. n\lI~ III tJ)\)/. (-{ (Je,lY Are wetlands present within 100 feet of the proposed activity? No J Yes Does the project involve excavation or filling? No j Yes If Yes, how much material will be excavated? 11 (cubic yards) How much material will be filled? i1 (cubic yards) Manner in which material will be removed or deposited: 1/1HI+J 17tlll hu'c L 1< "I lt~L 1"\) f1j ('f{)('h Lf J '-Ix '1 19 (,- I" {;rUt (f LiCtZ:L Pl(( Describe the nature and extent ofthe environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) (/1.)1: (nfl/,ll -Iv rfl1l1)vi 1M'! f'ilP:JL JMI -f" i()(fOJ~ ,hi h()fI~/ of !jO / Ii s t: ;;{I~)I1~C~' U IT,,!,,- rr{lp()l',~f -H~ JiJrMJ. .rot!. I Nd f:/kc+ OIJ ii'JIl1tu1t! ,;q ~ .. SEQR PROJECT 10 NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUAlI1Y REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) PART 1 - PROJECT INFORMATION 1. APPLICANT I SPONSOR VO .J.\!lilll1l~ A\~~q 3.PROJECT LOCATION: 2. PROJECT fUw.; NAME - .(;.l".dt\-nLVI "fer (Jt, 11 Municipality )ClAthe\il County 5uJ(~I~ . 4. PRECISE LOCATION: Street Addess and Road nOb Cdl(IY (6lrt Or f/^st, Intersections. Prominent landmarks ate - or provide map ~()v+h~\^ fVy \\<\.11 J 5. IS PROPOSED ACTION: D New o Expansion ~ModlficatiOn I alteration 6. DESCRIBE PROJECT BRIEFLY: \kl\\l:\oJl j'x.~~'~;::J (\U\( (t..) f\fU~sa..r!. i~ >~ ~/uJ '\1)I}{\[\("hc',.. LI\5\'1\\\1 ~,,~'I\~ll\\..,- OLO,f\."'-TfiI"\ 'Of' \ . ~o."A e KCC'Vilft. ({ 1"(1\1 ,~,(1 p'(I'l',I~( ( U.~\\(/.l G\ir\~s -1-" )~,J,\\o( 7. AMOUNT OF LAND AFFECTED: InitiaUy 0. acres Ultimately O. acres 8.~ PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER ~Yes D No If nO,describebrieOy: RESTRICTIONS? ~AT IS PRESENT LAND USE IN VICINI1Y I1.LI Residential D Industrial 0 Commercial OF PROJECT? (Choose as many as apply.) DAQriCUlture 0 Park I Forest I Open Space D Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL ~CY [Federal, State or Local) ~Yes D No If yes, list agency name and permit I approval: lI)wA 1(lt~-(es Ope 11. DOES Ar-;!..1:SPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes kLJNO If yes, list agency name and permit I approval: 12. AS A REiuLT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? Oves Iv1 No Signature I CERTIFY THAT THE INFORMATION PROVIDED /~BOVE IS TRUE TO THE BEST OF I Sponsor Name nJ-r ~-(JiJ (J /J/)f) '>It A.--A-F//' f ! If the action IS a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment MY KNOWLEDGE Date 7//'</"7 Applicant tI . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: dnl-/zo,"y 4 ;}{fI1l~/~ &CttJlt" 1'I.n- 7d;.d uM.V ,r I :> dt11/t1/1;/11 //? 7/ .f7o flItl~/t!JUL t&. mll"A~/ /If /1071' /0 IV.lj!- 5/ 4f71: ;?3y ft}' /v)llo/JlJj . 111'?{)f:t-(Jf AMfAflt'1 fi/A~I'/ J/launj J flA-/Ur7 STATE OF NEW YORK COUNTY OF SUFFOLK ?ehr ~(6..~ , residing at \1. 7 ~l'r; N(, l\(-{-f"pcrt ~ \.\ tl i'\ , being duly sworn, deposes and says that on the f' day of A-1fJ' ,20Q,L, deponent mailed a true copy of the Notice set forth in the Board 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 South old; that said Notices were mailed at the United States Post Office at .~tJufl..,'J/ Ail} , that said Notices were mailed to each of sa' persons by (certified) (registered) maiL Sworn to before me this f?' T~ Day of 1ft %1 ,20a+ 12~ Notary Public ROBERT CURTIN NOTARY PUBLIC, State of New York 01 CU4604511 Qualified in Suffolk County _ ))') I ^ Commission Expires March 30 ~ U . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, If. . 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 ----~-j:__UY-1S~n.:lQ~-a~~--------- COUNTY OF SUFFOLK) STATE OF NEW YORK) , residing at I '27 C, ~ II ';-Lji/ '1rN/liJtYJ , L being duly sworn, depose and say That on thef"t. day of.) . ,2007, I personally posted the property known as I 00 C.e ;-- t));jr r: b /, Il! 1/71 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held { 1 ~rI., Ql{rt (M ;J.d., d(VJ, ' on en actu.t- 0:en f1rl. I, Fl-hr //eCJfj Dated: Sworn to before me this s: dayoff1i.J::(2007 #~, Notary Public AFFIDAVIT OF POSTING J-t-rJ- //>1 ~ Ilv~ -..-/ 19nature) ROBERT CURTIN NOTARY PUBLIC, Stete of New York 01 CU4604511 Qualified in Suffolk County~ /0 Commission ExpIres March 30 ( \ ~ of Trustees APPlicat" .' AUTHORIZATION (where the applicant is not the owner) I, LCU -+ (!t~il~l^- A l-v01 (print 0 er of property) ~ W-<-o-- LZZ jl",,, ,,~ at /7M CeJr,;-- fi;;;f 0 [f.[f (mailing address) do hereby authorize ~~ I4lir/ residing (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. , 12 ~'. -~gnature) < 8 .. .. PART II - IMPACT ASSESSMENT (To be comDleted bv Lead Aaencvl A. DOES ACTIO~CEED ANY TYPE I THRESHOLD IN 6 NYCRR. PART 617.4? If yes, coordinate the review process and use the FULL EAF. o Yes No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR. PART 617.6? If No. a negative declaration m~ superseded by another involved agency. o Yes No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten. n legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal. potential for erosion. drainage or flooding problems? Explain briefly: I A/J I C2. Aesthetic. agricuftural, archaeological, historic. or other natural or cultural resources; or community or neighborhood character? Explain briefly: I N\J I C3. Vegetation or fauna, fish. shellflSh or wildlife species. significant habitats, or threatened or endangered species? Explain briefly: I /'h I C4. A community's existing plans or goals as officiaHy adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: I j\h I C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: I /VO I ca. Long tenn, short term, cumulative, or other effects not identified in C1-CS? Explain briefly: I A~) .......... 1 C7. Other imoacts findudina chanaes in use of either auantitY ortVpe of enemv? Explain brieflv: I JlIO I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL DI~~M0~:r (CEA)? (If yes. explain briefly I E. IS THERE, O~HERE UKEL Y TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: I D Yes No I PART 111- DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial,large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been Identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact Of the proposed action on the environmental characteristics of the eEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directfy to the FUL EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation. that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide. on attachments 85 necessary. the rea5005 5upporting thi determination. Name of Lead Agency Date Pnnt or Type Name of ResponSIble Officer In Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from respomMbte officer) Ij 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 South old Waterfront Consistency Review Law. TIris 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 sil!Ilificant beneficial and adverse effects upon the coastal area (which includes all of South old Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus. each answer must be explained in detail. !istin!! both sUPDortin!! and non- suPportin2 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 L WRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# q:L I A/tIs i 3 hMI!11/.-A I~ IOfJ((,"r- . PROJECT NAME The Application has been submitted to (check appropriate response): / TownBoard D PlanningBoardD BuildingDept. D Board of Trustees 0 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) D D ~ (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: {lf~ uf\1 /",4/>" / f}NeJJarj . i ! Y('~Y!11-c hi/AIl 11+<.)(.' ~sh/I 7 ;{fC~I'!J-/nu-f V"('L " .. . Location of action: I7IJD ftdAr fl,lrrl fJ: ((;.Jf- Site acreage: j, d J .. ~~ 0- -flit Ir( Ay /1["7/ Present land use: .fe.4( (6 4/'p / Present zoning classification: P.. - TrD 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: lee Y- tJr4111f~' Aksn v fo. Ax 1;13 !OI/i-t11C(J.' NY IJf7/ (b) Mailing address:_ (c) Telephone number: Area Code ( ) !,.JI 7(j~ 5-:J.J{. (d) Application number, if any: Will the action be jirectly undertaken, require funding, or approval by a state or federal agency? Yes D No ISZI 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. Dyes D No ~otAPPlicable !?v/1/r" , ~ k~l7lttAf~--I .-.- ~- (It) f j/ifi~f ('Ll;<-< (J/r-ff',' I wkr? 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 d' Not Applicable :J Ilftj ~/.! .. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Po~ies Pages 6 through 7 for evaluation criteria DYes 0 No g Not Applicable A I. / -, l" I, /vur VIS/elf Wf'l/\ 1~1^'/kI(' Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - POlici~es 8 through 16 for evaluation criteria DYes 0 No Not Applicable /l } 11 //,,111,( ~/ /l1J L /1/JJto.(/ ;" I''!7JS/ h1 Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria DYes D No ~ot Applicable ;t4 f.(f;d 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 th~gh 32 ~ eval~ criteria. 61' Ve$ No Not A.e .. M /J1pdd (')-1 (l(JlJ I!crrPm 1 /7 JU?f,(f 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 fo/valuation criteria. D Ves D No a:r Not Applicable jVu I#d-. 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. D Ves D No !Ii Not Applicable NY' f ffl {f PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See L WRP Section III - Policies; Pages 38 through 46 for evaluation criteria. / D veO No[Z] Not Applicable M 1 C/td21" j- /AI1/ c1("(Y'.s:.J Attach additional sheets if necessary tJ WORKI~G COAST POLICIte .. 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. Dyes 0 No ~ot Applicable jl)fJ (J1ifd Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Townw/ters. See L WRP Section III - p~licies; Pages 57 through 62 for evaluation criteria. Dyes 0 No [2J Not Applicable ;\hl fJlJi,.j- Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section m - Policies; Pages 62 through 65 for eva,ration criteria. DYes 0 No lIT Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See L WRP Section m - Policies; ,ages 65 through 68 for evaluation criteria. DYes 0 No QJ Not Applicable A /, // . f' / vi! (rl'''', PREPARED BY f} f(,- Ht' (UFt) TITLE fA-lltiJf J DATE ;/~/o7 .. ~rd of Trustees ApPliCa~ County of Suffolk State of New Yark tfr, I-k f.-,i BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF mS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TIllS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF TIllS APPLIWION, /~~. / / ,..;?7 , / /' # Signature SWORN TO BEFORE ME THIS R3 ~ DAY OF T IT \ i ,20.6{ -R~. Notary Public ROBERT CURTIN NOTARY PUBLIC, Slate of New York 01CU4604511 !=tualffied i~ Suffolk County ~ 10 CommISsion expires March 30 ,~ .. .. APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURF,: FORM The Town of South old's Code of Ethies orohibits conflicts ofioterest on the Dart of town officers and emolovees. The nuroose of th~ fonn is to orovide information which can alert the town of DOssible conflicts of interest and allow it to take whatever action is necessary to avoid same. . H8 rei 0 (Last name, name, -I/Ii Ie initial, unless you are applying in the name of someone else or other entity, such as a company. If so. indicate the other person's or company's name.) . YOUR NAME: NAME OF APPLlCA nON: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Otber (]r"Other-, name the activity.) Building Trustee Coastal Erosion Mooring Planning v' Do you personally (or through your company. spouse. siblin& parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, l'Qarriage, or buSiness interest "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5o/~fthe shares. YES NO l/' If you answered "YES", complete the balance of this form and date and sign where indicated. Name ofpersnn 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) througb D) and/or describe in the space provided The town officer or employee or his or her spouse, sibling, parent, or child is (cbeck all that apply): _A) the owner of greater than 5% orthe 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-<:nrporate entity (when the applicant is not a oorporation); _C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this}.:) day of J;.,~ . 200 L Signature. ~ 0 JJ{- Print Name f!c-l-rr IIMn# . . Fonn TS I <IT Ero5ion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & location? This Item shall include all Proposed Grade Changes and Slopes Controlling SllIface WaterFlowl Will this Project Require eny Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade involving more than 200 Cubic Yards of Material within any Pan:eI? Win this Appncation Require land Disturbing Activities Encompassing an Area In Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100) feet of a WeUand or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct StOfTTl-Water Run-Off Into andlor in the direction of a TO'YIn right-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This Item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? PROPERTY LOCATION: S.C.T.M. #: IctD qJ- -L-L District Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. ~. /~. ..../............(.si;~.ture of Applicant) :1~...... FORM - 06/07 Commission Expires March 30 Town of Southold ---------------------------------------------------- Item Number: (NOTE: A Check Mark ( ~) for each Question is Required for a Complete Application) Yes No -----------------------------------------------/---- 1 Will this ProJecl Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? J n (This item will include all run-off created by site clearing and/or construction activities as weN as all Site - l.=.J Improvements and the permanent creation of impelVious surfaces.) 2 3 4 5 6 7 8 9 [J [J/ [J/ [JtI [JV [J \/ [J \/ [J ~/ NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permitl EXEMPTION: ---------------------------------------------------- J:!g Yes Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Stonn-Water, Grading, Drainage & Erosion Control Plan is NOT Required! ./ ---------------------------------------------------- STATE OF NEW YORK, [f,' COUNTY OF .J..IL.....~.!k..................... SS That!, ...&A:~.'::...t:I:f.~:'.'.:.!.......................................... being dull' swom, de;"'ses and says that he/she is the applicant for Pennit, (Name of individual signWlg Documenl) And that he/she is the .. .......Ag,Q.'1.f............. .....;;;;;;,;;;. ;;;;,;;,;;~~;:~~t:.~.;;;,;;;;;.;.,;;;:;..;,;;;;..... ............................................................ Owner and/or representative of the Owner of Owner's, and is dull' authorized to perfoml or have performed the said work and to make and file this application; that all statements contained in Ihis application are true to the best of his knowledge and belief; and that the work. will be performed in the manner set forth in the application filed herewith. Sworn to before n~ .............~................... day of...... Notary Public: d... ......... O'1'AllY'POBt ; 01CU4604511 c SURVEY OF LOTS 8<1 4 <10 MAP OF CEDAR BEACH PARK FILED DECEMBER 20, IGf31, MAP No. GfO SIlVA TE: BA YVIEW TOHN: SOUTHOLD SUFFOLK COUNTY, NY SURVEYED 04-25-2005 SUFFOLK COUNTY TAX # 1000-Gf2-1-3 NOTES, . MONUMENT FOUND I HETLAND FLAG AREA = 53,244 S.F. OR 1.22 ACRES TOPO REFERENCES NGVD '2Gf DATUM 6RAPHIC SCALE ~ 1"= 30' I -- -- -- \1o?-~1 Lolt 91 5tO'le 4-1 (\) c: c: (\) > G ...c: L G JL /D)H~n~~ ln1 JUL 2 6 2007 l!lJ Southhold Town Board of Trustees O"E fomt '- '- ~ ~L '\ 1- \ \ -- / / / -- -- -- -- " ,/ \" -- ~,;(^ ....-- /' /~/ / / :%/ / I // 'y I /' ~,/ / \/ ./' // / / -- -- "///: / / ,/ ......- /' / ,//~ / // /' // /' ,/ /' /,/ ~ r " ...-:,' ./' ..-;,,'/ Drive " '- @ \ \ @\ \ ,/ ,/ " -- East \ / ,/ ,/ / / , , , , '0- ,"! , / / / -- \' '- ~ ,\ N \\ \ . \ ... \ W*-E 2\\.00 \ ~/ '- ~ S ~ "0- C"C) , ,'< C' '- 111 ~ -.. 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NO. 50202 "Gbrt"''''''''''.''.,,'',..''''''''..........,.,.'9'W~_..... ...........,."""'pr~..."""'"""""...""....8"- ..t"'9ec....<>'PrO<:.I""'f""l.o<><l~~ by..........'ro<'~""""'''''''''''iOl'''''off>-,,'~IQna' '""""'~_SoId<-eo"t~i<at.,.","""H"'"""'~ "'tho~'''''''''''"'''''''~''P''"f''Y_ <r<l"""'_'flo_trt""~~_ ""'''''J'''9<rd,.......,....'''''.,."..'''''''-<><>''.cno """""""-"-'o/""'~""IM"""",",""""_ """"'<r""""""""f__..""_""",,...,~...Oono 6 EAST MAIN STREET RIVERHEAD, N.Y. 11901 369 8288 Fax 369-8287 REF. \\Compaqserver\pros\05\05-173.pro ",:znocn 11,10."""'" """",""-r.",