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HomeMy WebLinkAboutTR-6720 . 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 ~-construction, hay bale line _ 151 day of construction _/ constructed L Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee Rov & Linda Argent. residing at 6429 Indian Neck Lane. Peconic. New York. as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of South old are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board 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 Pernuttee 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 September 19, 2007 Mr. & Mrs. Roy Argent P.O. Box 168 Peconic, NY 11958 RE: 6429 INDIAN NECK LANE, PECONIC SCTM# 86-6-23 Dear Mr. & Mrs. Argent: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 19, 2007 regarding the above matter: WHEREAS, ROY & LINDA ARGENT 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 August 6, 2007, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 19, 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 ROY & LINDA ARGENT to remove and raise the roof, replace windows, repair or replace all rotten wood, repair or replace foundation if needed, and for the existing bulkhead, with the condition of a 10 foot of non-turf buffer along the bulkhead, no treated lumber is to be used on bulkhead when repaired/replaced, gutters and drywells installed to contain roof runoff, a line of staked hay bales to be installed prior to construction, and as depicted on the site plans prepared by Roy Argent, received on August 6,2007. 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: $100.00 Very truly yours, 1:::: K~ ~ President, Board of Trustees JFK/eac . . 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, N ew York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: --goy i Linda. lJ.'8eJ1+ Please be advised that your application dated /111 <;j ~ ~ 7 has been reviewed by this Board at the regular meeting oU /9. .:J.007 and your application has been approved pending the comp etion 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) Yo Constructed ($50.00) L 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: - h u;-1 oJ- C(\ U\ 01 \ 101'0 TOTAL FEES DUE: $ /O()dj- BY: James F. King, President Board of Trustees . . Donald Wilder, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Tues., September 11, 2007, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of ROY & LINDA ARGENT to remove and raise roof, replace windows, repair or replace all rotten wood, repair or replace foundation, if needed, and for the existing bulkhead. Located: 6429 Indian Neck Lane, Peconic. SCTM#86-6-23 Inspected by: Jack McGreevy The CAC Supports the application with the Condition of inkind/inplace maintenance of the bulkhead. Vote of Council: Ayes: All Motion Carried r "r-::-,"'",- I r - ....., I I '. l~ \,' '1 ~ \ " ~11 , " .' Soulhhold Town Board of Trustees I I \q. 1\ ~ '\ I I l.Gl , i,oCt ...~- f~[ I I , ~ 1- - - ~' i I I I ~ ! lL"I ~'L ~\ ~~ (:>)16.' O~ <r> 'jl '" ~ ~ ~ . ,.., ... 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II ","PCC,'" "' ..."C...,. .....'.'"-" .ii ..._ "..".........1.4 '-... '-'00...... ~'..d _,.. -......,---.-- -.........-..-- ,......" ""... ._"". "" --,., ... .,,_ '... ,''-co...", "'''~", ""'~ -----'------ "'''' '.. " '''''0'' """ ..~ "'''- '" ':',',':.mc::==:: NOTICE (i) COltHY OF S"UFFOLK@ Rea Property lax Service AQeIlCY """"~t..-~MYIUOl " \CAlf.,,,, .. . ~ .. ~</j*" . ,,<fo -r SOUTHrlD SECTION NO 086 1000 f- ""><C...,.... 'fl' ' , ". CU ,." ^ ;j '-"""'-.:-"'-;;m;. , L -....,~ E___.... ~_..,... N-'-' o _'a -r- "(il) (1) """'","",""'''''''''''''" ""'_''''''''''''''''I.'''IE ""'''.-"".....- "'"""...n".._",... ......"."" '''>D>ICf"",",' . . 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: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD MEMORANDUM To: James King, President Town of South old Board of Trustees From: Mark Terry, Principal Planner \f\\. L WRP Coordinator Date: September 4, 2007 Re: Request for Wetland Permit for Roy Argent and Linda Argent 6429 Indian Neck Lane, Peconic ROY & LINDA ARGENT request a Wetland Permit to remove and raise roof, replace windows, repair or replace all rotten wood, repair foundation, if needed, and for the existing bulkhead. Located: 6429 Indian Neck Lane, Peconic. SCTM#86-6-23 The in-kind replacement of existing roof, windows, foundation, and bulkhead is an exempt Minor Action and not subject to LWRP review pursuant to Chapter 268-3; Items A and B of the Town of South old Town Code. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of South old Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is exempt from review pursuant to Chapter 268-3, Exempt Minor Actions, item Band BB 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". Additions to the landward side of an existing dwelling constituting less than 25% of the original structure, except in a Coastal Erosion Hazard Area; [Added 6-6-2006 by L.L. No. 7-2006} MT/hkc . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel 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 Office Use Only Coastal Erosion Permit Application 7 Wetland Permit Application _ Administrative Permit / _Amendment/Trans er! xtension ~eceived Application: g- b '07 Ll1eceived Fee:$ ~5b"'" ~ompleted Application -.KJtJ 107 _Incomplete _ SEQRA Classification: Type I_Type I1_Unlisted_ Coordination:( date sent) ....-L WRP Consistency Assessment Form -.11 n t iY) ~AC Referral Sent:~ ~ate oflnspection:~ _Receipt ofCAC Report: _Lead Agency Determination:_ Technical Review: ~licHearingHe~ _Resolution: r [5J IE ({; IE B WI IE ,fR) /J]]I AUG - 6 1fXII ~ SoUlhhold Tow. BO'rd of Trusleet Name of Applicant R'i flJ<>nr, J ,'11).-.- Ary.n+ Address (olf;),? Ind;o-.rt Nec.k LIJ.. Rc..nfl"c.., N. Y. //9s3 jJ.O ;Je;)( /6? Phone Number:( ) 'i(" 1-1 S' 1- 'i? ~ of! Suffolk County Tax Map Number: 1000- orb IJ/o(.k Ob Lo/-/');)1 Property Location: fe, '/-J., q ("d;a fl. Ne.e-x [0.... (?,l'..on,,,-- (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: c~~\)'\ Cj~ ~ifJ Phone: B~d of Trustees APplicatio~ GENERAL DATA Land Area (in square feet): (, I bl,t; +f. Area Zoning: Previous use of property: S"n:;/e.- Intended use of property: ~'nJ /p f"fh: Iy t"rYI: /" . I dun/I;J d ".J(' Ili:J Covenants and Restrictions: If"Yes", please provide copy. V No Yes 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? V No Yes - If yes, provide explanation: Project Description (use attachments if necessary): Rp flU) <Ie.. otfld f'o..,'.se.. roof. , ITf'Cl/Qf'e.. ii!1'ndows R';or,:r ",.. rtZl:J/uLe... , I 6...1/ r ~ He- J\ lAJ Of) J !? t?fJa ..,.. ?"lL.ru/:J;" /1- i.p. n e e.l e-J/ , if) crJd.... AaoJl/ tor Oermi f for -ex,'sflnq . I / 1 c/ ~uIlH"ad lJi1;/f rJr;n fop jU7 (orCLnv 'J . / -t-L{J",..e... tnfL;fl}e.nll-<:'e cOld re.../h..;r5 ,?/;o 10'7 ;;I.fL' qrJ 0 (' reI? lu<< .p." t.t.. ^- :Leti'on. i -F- ne e.4. ~ d B~d of Trustees APPlicatio~ Purpose ofthe proposed operations: i?e.O/I(.c l' fo+te" WilD d , (Ylp Id ,fA nd ma ke. WETLANDITRUSTEE LANDS APPLICATION DATA roof' 7/; rf'-mnl/p_ /ea-k.J ,<"() as +0 Je.+ r,' j /I,;~,,-j.,/t: /Y.t Area of wetlands on lot: J3u Ikhp<LdeJ 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: feet Does the project involve excavation or filling? V No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters ofthe town that may result by reason of such proposed operations (use attachments if appropriate): B~d of Trustees APPlicatio~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: j(~Jt?a.-/\r" J hllure If) t'.ode Are wetlands present within 100 feet of the proposed activity? No \--/ Yes Does the project involve excavation or filling? V No Yes If Yes, how much material will be excavated? ( cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) frooulv /> k. /kfJ f'A4e-d. TAere wllI.be I 'f nil im{1ac f on flu> l.J~ ( P"} ;h /.]rltJr f/ IV eJ / t( /11", , to )977 13~/ Jr Ar>,.~d PART 1 . PROJECT INFORMATION I · 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) . I PROJECT ID NUMBER SEQR 1. APPLICANT I SPONSOR R. y v..nJ L'ld "- 3PROJECT LOCATION: b t/-;;2 'I Municipality Pr2. COn ," <- fJr,y"f .z nd/fL/1 /Vu k.(~ County 2. PROJECT NAME f< end Va.. +e- ~ I'n:,; 1,,- .p.t<rrt; If 5 lC~ ~ "fir !J '1/ e..I/'~J 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks ate - or provide map fo'lJ.'? Inrllp..11 Ne~Jr.(,,- 5. IS PROPOSED ACTION: D New D Expansion B'MOdification I alteration 6. DESCRIBE PROJECT BRIEFLY: If ~f\O vc,-t e roo {!- I ,;:"y I /~e-w a.-1J , '5 i V Je V' e..f/ClCC s;JinJ Jr<>-rnlJj Jw~I//nJ' ~ r D He. Y1 LAJO" J , fl-""W j,i!,'rtJ/1W" 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [S2fY8S D No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY ~esidential D Industrial D Commercial OF PROJECT? (Choose as many as apply.) DAgriculture D Park J Forest I Open Space DOther (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) o Yes 0 No If yes, list agency name and permit I approval: D if' C2 l'.00ES DYes ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR 0No If yes, list agency name and permit I approval: APPROVAL? 12. AS A ~ULT OF Oves ~ No I CERTIFY PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? , THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE 4-nd Li Ild,,- A ':'j' ~f\ +- ,'.:;,:/' J /);,,,, ,_~ (/ BEST OF MY KNOWLEDGE Date: ? lOb jf) 7 Applicant I}P:JSOI Name f( 01 //J Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . , . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter ofthe Application of ________IiQtj.__cLiX~i!u__Q_~LLt-------m----- COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING - I, R6'f ArUrE/lJ7 ,residing at 6'1- 'J.? I /Vb/A {V tv licK J...1I)JJf PO BtJy. /68 , P #(c}{VIC- IV '/ 111S~ being duly sworn, depose and say: That on the 4t'J,day oflJtJ./Tll-~J, 2007, I personally posted the property known as bJf:J..9 /ii/OIl/tv II/J:CK LFI{II# p)Fcot"fc /lif 1I'1)'&" 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 UJM) ~ P f. /9, dl1J 7 / fOl 0 Dcu1 ff:(Df"1 Dated: ~~~a~ signature) = (7" Sworn to before me this 3oi"day of ~,~ 200., N~c~M John M. Judge NOTARY PUBLlC6 Stale of New York No.01JU605940 Qualified In Suffolk County Commission Expires May 29, 20 lL -'-'--- PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: M r I- ~r5 L e 'l1. mo fI. iL - U.S. Postal Service '" CERTIFIES MAIL,., RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) _Ielivery information visit our website at WWW.uspS.com0 . J1J D Return Receipt Fee D (Endorsement Required) o Restricted Delivery Fee Cl (Endorsement Required) LrJ r-=l Total Postage & Fees $ J1J m m o ..D '" J1J o LrJ I i1e'JY!f tf1tOC I A l USE Address: J 33 e l/-3 J + I ~/e.w Vor KJ N. Y) 00'7 361 S U<> P"<.l frl6._S; 11oL.t.5 +0(\ 1"-, 770;...7 IJ~!)..,) .[nd!cr.(l J\Iec. If i-.o.. Peudl"c NY Iff( 57 ~ tJ. /?;~X /1 Pe c-on " c /\1. Y / /1J? I ; ..D o o f'- Postage $ $0.58 095B CertlfledFee $2.65 Alitl:~ $2.15 He.. $0.00 $5.38 08/29/2007 atbll-29 "iJbif/fJ N'~c~ L~",Ji P0.f3ol-/6'6 lly sworn, deposes and says that on the leponent mailed a true copy of the Notice [1, directed to each of the above named persons a e a ,",spective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll ofthe Town of Southold; that said Notices were mailed at the United States Post Office at P E' Co IV i c. , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this 1 () ..., Dayof AU.j,,:,.1 ,20~ ~ot:;P~ John M. Judge NOTARY PUBLlC6 State of New York No.01JU605940 QlJallfj~d .In Suffolk County Commission Expires May 29,20..11... tf7~.~j,.,~~ . . Board of Trustees Application County of Suffolk State of New York ,IZ 0 y~ 11 f( ? e tfJ r 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 HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS r7~' aLa. r {J I b DAYOF ,2o~7 &~~ "'Notary Public . . APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold' s Code of Ethics orohibits conflicts of interest on the Dart of town officers and emnlovees. The DUroose of this fonn is to orovide information which can alert the town of oossible conflict.. of interest and allow it to take whatever action is necessary to avoid same. . n.t (L name, first name, iddle initial, unless you are applying in the e 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 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.) Building Trustee Coastal Erosion Mooring Planning x Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "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 Of employee owns more than 5% of the shares. YES NO x . If you answered '''YES'', complete the balance of this form and date and sign where indicated. Name of person employed by the Town of South old Title or position of that person Describe the relationship hetween yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sihling, paren~ or child is (check all that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the applic\lllt (when the applicant is a corporation); _B) the legal or -beneficial own~r 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 Submitted th' - Signature Print Name ()/; day of Form TS I Town of Southold . . ? L WRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. 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. 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" 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 eXDlained in detail. listinl!: both sUDDortinl!: aDd non- sUDDortinl!: 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# 0 go b - () b PROJECT NAME R~ )1 - tJ 2'1 fJ- 'j ~ 17 f- /1 hd- LJ '/1 j lL !1rqelLf- J The Application has been submitted to (check appropriate response): Town Board D Planning Board D Building Dept. D Board of Trustees if I. Category of Town of Southold 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: CD" Nature and extent of action: 0 '(~W1/JtJp andr4."5e , r t!!".p. , Ift";.?q ,. f' 'D r , r ep/tLc- t?_ a/I To II t'J' lu IJ IJ j , If e.f /"-~ e 1A/" '1 J ouJ ~ ,tfrl''' ,'" -tIJUhJlf,~n J.. 'le~ ded flJ c-lJjp 111'71<7/'1 tor ,<Jruryu'/- +or c:?;</5fil1q hi.<../llhe....'d. f3tL//f r~i{, lo/f77 F()r C<.n.Y -t""ffA.r.Y mC<;l1fel1a.n~e 4.J\d rejJ4"rs. . Location of action: (., t/;L 't r n d i a n . AI.. c. Jr La.. (l", U> V\. \ c- . Site acreage: l., (PI 'i :J.t. 0 r 0 If J, iAUc> Present land use: C;/J1J)e- .(2./Am; 1,,/ Jun'_II;d Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: n f) '/ 4nJ L h L.... ft 'Je-n 1- (b) Mailing address: PO. J3oli.)t,y A,UY1;r N.V /1'1:<(;1 (c) Telephone number: Area Code ( ) 5r., I 'IS I fJ..o? (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes D No 12{] 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 I. Foster a pattern of development in the Town of South old 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. D y~ D No ~ Not Appll,,'I. < ~ ~ t:~;'1, :;; to;;' J1' ";,~,lfP ~~ AJ; l:~ t/~ ~"f:: ' e~~~~: ~ ,~ (\P~dNI I 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 IXf Not Applicable f.p (I1.~d"-i:I\J hbUSe..-iD -C';+ 5uJT() lAnd,'," Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria DYes D No~ Not Applicable {j ('J.G 'A +', t'y: J Aou'ie c< "J / a rlrl"'e....IJ; U I 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 - Policies Pages 8 through 16 for evaluation criteria DYes D No I:zJ Not Applicable AI" -+- l'll'Lk; "JI ( hcrJ~ 5 fl1 h",)khC>Aj . tLi'\.d /J f'd#er I/, I / Attach additional sheets if necessary Policy S. 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 ~NotApplicable Urv uhlIr Ci.-n) JU.f!""9 / d n n /) I{ (' e- 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. D D [Xl Yes No Not APPltlle X . Not- j/ Tn"" 1. J 4>1./ rlllJ-.I\!(? fd hdl1beuL 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 ~ Not Applicable ,Ne-lA) Ae{j+/~J 5'/51uh. +0 c.oje Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes D No [2SJ Not Applicable ,Pr" {.) " r +.; , I wi /1 he> Ke Y7 f , f r P. #t . tJt- de-bY',' <' 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 YeO No IX] Not Applicable Pr; va) c- 5 if? J Ie ta.rn; Iy prolJe- r ft I I 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. DYes D No [:zI Not Applicable f' + rlllD c~ we-/! efj l.<n) f,.. r ~ Ilof -'{iJa;/~h/e... 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 LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes D No !Xl Not Applicable f!p/fa.-i 5 WI) I /10+ Q. Yl~ yy1 a.f / f\ (> / I ;,(.p ,,^f1rJp r, , Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. DYes D No [XJ Not Applicable ~.. '''1.4 1.12 ffA M; Ij I" f , f'u I'N)IA-YI de J /7)1 I1r17LJ,>t-. J f , 11,0 j' h. hDr5 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. DYes D No 00 Not Applicable ,.1: ~i::<~~I,-iJ~J ~ 6eJ~ce ,~: It. npo.V enf'r'jj/ e}~,c :.>/1 f- ~1/7{1/i'lnC'f JI '"i''' PREPARED BY 1(0 v ttnd L.Y\d", lI()en + TITLE (Jwt\ e r s / DATE.P' ~ /t'7 ~ NI'1/J.. silT ON MpPJ!l2-ry J..'Nlf Iii RUL/(.'!{Jf;I4/) l X'X I 0 ~ .,.. 0 p. 7Y2 'l: '" , ! [ .,l,.;1 .d" S k~ PS' ,+ Rtq Hl(&!:/V7 ;...ffIJDfl ;i Je6-t[(V/ J II II SI- .,.. 60 D BGtl.k"/lEllh ~ IN P,-rE1? ~ i_ , II ! --.\~-- 6, -I --~--- -----*--.--- 6,;''' I --~.,- 6.!,.. . , r:-- .J..g' i! I*-~'-" '. u.t" '" ,c \; ,. ..-) ~ < If . :(:"--4 . 0 -----7 , ;/ t' '----I?-~ .7 "'ODD LHND/Nr,. -# -~-------t.. , "i i , r-i" -rtJ p ^)l !P" , "" -r 11-- I 'X- ..~ '. . ..: 'r TII - .~- bl I: 17Vf I : I ! , I _____---i. : ._.. -.-- ---.1, : JI.""c€,,,u - 1:1 r If,:) i . fA) J4-r~R ~-- G-'OU , i : ' I I "'r f" ------ to':.. ( 1', , u_~ I , 1/'" 7/2 ---+- If':" 4 v --1 , G,-O'I ~1 ! 1,/ 6,i' r~t 'T ' i~! it! : ! I.f !}j Ilir,rt i'fT ;. ,; ! : !~.,--';' - 'WelDO'" ; [' .--j 1-" ..,~. "-ri' .;.,....J........ , 1-- tfT~----' i ~: r ' ~ 1 . i i i I . . i , I IV tJ "" J.1't w tifJ l> ~ ,. r ~~~_l_.:.~_~:~=-.:__:_. t'".~ 'I ~Ir"~i--.- J-If;' ::.:~,=-__.~_.._'::;__.___u ~ ~ A~G ~: :07 ~ ~ South hold Town Bnard of Trusfees SURVEY OF DESCRIBED PROPERTY RIC/jiVl IV 63' 0 lVn s 73./!,S2't: 6 09" 7 9 9 ' PK NAIL SET r: 33 . 8 ON PROP, LINE .9 J' IN BULKHEAD SITUATE PECON/C, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. '" i7l o --' o S "- ~ .",,0" CRee V ",IV"" PK NAIL SET ../.1. ~t~~ ON PROP LINE IN BULKHEAD WOODBU(..KHfAf) AND STE"P (v,NDING) 1.9' +/- OVER UNt, SURVEYED FOR: ROY W. ARGENT LINDA ARGENT TM# SEE MAP --/111'/.1311/" . JIlt. p,n C"N$71fiKTltJN7I\ CRy WI!J.LS I41J 0 . ~TTJ!R'- ~()Ii.HtH."a * GUARANTEED TO: ROY W. ARGENT LINDA ARGENT K J' RIGHT OF WAY TO RICHMOND CREEK AS PER LIBER 3166, PG 263. AREA = 6,615 S.F OR 0.152 ACRES ~ I V E ~ 6,J' TAX MAP NUMBER 1000-086-06-023 -, - r, 2007 Southhold Town Board of Trustees r CONC MON (UNOCRTR(r) NOTE: NUMBERS ~~THF'f:'fr../_ ONE AND 'MO REFER ~ . TO A 15' RIGHT OF WAY 3 FOR FOOT AND VEHICULAR ! TRAFFIC FROM INDIAN NECK LANE. AS PER USER 3166, PC 283. -- . .,OVED BY BOARD Of TRU~~=ES TOWN Of SOUr:: JlD D/\TE ~~(1~Dl " ovtR~(.01l 1 ~ U) Q) g C'oJ '" I 0 -J >~)I () ~ IV) " c-J ! ~J C'oJ I fl TAX MAP NUMBER "'/ 1 000-086-06-021 " I 22.2' AREA = 11.214 S.F ,kJ , .,' OR 0 I ~ g 0.257 ACRES ,IV) it! ~ D:) I ~ ~ .;- ;.., " ,s I 0 I ,<-of' I :< , I I 5:i~0J , ! I :j' I +",,'<- I I ~~ , , I 340.25' CONe "'" I ROAD , I " CON ':;0 w NEClZ MON 5 75' A- IND IAN SURVEYED: 12 JUNE 2006 SCALE 1 "= 50' AREA = SEE LOTS GUARANTEES INDICA TED HERE ON SHALL RUN ONt Y TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOV(iRNMENTAL AGENCY, LENDING INSTITUTION, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GU,Io,RANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTlTUTIONS OR SUBSEQUENT OWNERS. UNAUTHORIZED Ai TERA TlON OR ADDITION TO THIS SURVEY IS A VIOLA TION OF SECTION 7209 OF THE NEW YORK srA rE EOUCA nON LAW. SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SU FOLK. 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