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Home My WebLink AboutTR-6795James F. King, President ~QF ~~Uly Town Hall Jill M. Doherty, Vice-President ,`O~ ~~ 53095 Route 25 Peggy A. Dickerson ~ l~( P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen Bob Ghosio, Jr. d+ Q .~ ~ ~O Telephone (631) 765-1892 (631)765-6641 F `~C~~ i~ ax BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0349C Date Augast 11, 2008 THIS CERTIFIES that the wood deck around the Qool fence and buried fuel tank At 170 Hillton Path, Southold Suffolk County Tax Map #54-1-29 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 12/20/07 pursuant to which Trustees Wetland Permit #6795 Dated 1/23/08 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 wood deck around the pool fence and buried fuel tank. The certificate is issued to RICHARD & MARY LOU MANFREDI owners of the aforesaid property. ~y.- a~Y' Authorized Signature James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. ~o~~,oF sooryo~ • ~~0~~ ~~yoourm,a~."~' 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 SOUTAOLD 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 1 sc day of construction '/2 constructed Project complete, compliance inspection. ~jlt~o8 ~k_ . ~~~ ~~~ 1. . . 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 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 sl day of construction Y2 constructed d. Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee Richard & Mary Lou Manfredi. residing at 391 Mottontown Road. Svossett. NY 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 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 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 iffuture operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765.6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 23, 2008 Mr. Frank Notaro Architecnologies P.O. Box 93 Mattituck, NY 11952 RE: RICHARD & MARY LOU MANFREDI 170 HILLTOP PATH, SOUTH OLD SCTM# 54-1-29 Dear Mr. Notaro: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 23, 2008 regarding the above matter: WHEREAS, Architecnologies on behalf of RICHARD & MARY LOU MANFREDI 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 December 20,2007, 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, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on January 23, 2008, 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 have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of RICHARD & MARY LOU MANFREDI to reconstruct existing wood deck around the existing pool; remove decking and deck framing as necessary; install new motorized pool cover; install new 48" estate fence around pool area, house and garden area; and for buried fuel tank, and as depicted on the survey prepared by Architecnologies, last dated December 20,2007, and received on December 20,2007. 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, ro<~ James F. King 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, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ~i~d 4;ihrj Lou fr1o-tPnd,. Please be advised that your application datedJ:::>ec..e..M6e,. dO J ~oo7 has been reviewed by this Board at the regular meeting of :"1anuo...r ~";)3 Ok:l:>y and your application has been approved pending the completio 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) _ > Constructed ($50.00) V Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the South old Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: .~Q~ TOTAL FEES DUE: $ .~ 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 Wed., January 16, 2008, the following recommendation was made: RICHARD & MARY LOU MANFREDI to reconstruct existing wood deck around the existing pool; remove decking and deck framing as necessary; install new motorized pool cover; and install new 48" estate fence around pool area, house and garden area. Located: 170 Hilltop Path, Southold. SCTM#54-1-29 The CAC did not make an inspection, however recommends that all drainage be contained on the property. '} ::> t -. . -.- ~ ~ p ~ ~ ~ \1- ~ . J ;.a~~ ~.~. .---' y.,'>':, . . \ ':i ,~ ';- ',' . ~-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 Southold Town Board of Trustees Field InspectionIWork session Report Date/Time:~ RICHARD & MARY LOU MANFREDI request a Wetland Permit to reconstruct existing wood deck around the existing pool; remove decking and deck framing as necessary; install new motorized pool cover; and install new 48" estate fence around pool area, house and garden area. Located: 170 Hilltop Path, Southold. SCTM#54-1-29 Type of area to be impacteo/ _Saltwater Wetland J.C:}1reshwater Wetland Sound _Bay Distance of proposed work to edge of above: Part. of Town Code proposed work falls under: IL.Chap!.275 _Chap!. Ill_other / Type of Application: t/ Wetland _Coastal Erosion _Amendment _Administrative _Emergency _Pre-Submission _Violation _Planning Info needed: Modifications: Conditions: / V;';'.~' L.---'" . J Pres~ Were: _J.King _J.Doherty _P.DlCkerson _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 f;~ fe<-<"" O-..l-t ~ ( (2u,r, JUO' \~lA~'j6"t't> I,\L-jl., ~..( hJC-1 ( 'Y<~ W I I'" I...fe . . + -r , '" S l[) . 0 o o ~ ~ , I fj 8" ". ~a :j 1'3_ ~H. "-o,,,1i! 0:' ~ >-...- )! ~ ~~~ . Sd::P o ! . ~:rh~ w:.~;~ :t ~ ~ ~ F ~ iH!~ i~hi U~I~ !!j.1I I!I ;ili id~Hi i i ij! ; Ii i i ~ 1 ~ ! ~ Hfli iilll I' "" .)!I!! i i iiii ~ l ~ ~ ; ! Ii l! i I 111 ,,} ie!!! I Iii j 11 ~; ~ j 1 )j I ,. ~;; q ~~ . , , f ~ I'dl,,' ;'1, II il f j i .~ !.; :j' , I J! I i 1 [ . . OFFICE WCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY MAlUNG 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 roJ [E ~ [E ~ \VJ [E rm lnl JAN - 9 2008 lilJ From: Mark Terry, Principal Planner L WRP Coordinator Southhold ToWl Boanl of Tills,", Date: January 9,2008 Re: Request for Wetland Permit for RICHARD & MARY LOU MANFREDI SCTM# 54-1-29 RICHARD & MARY LOU MANFREDI request a Wetland Permit to reconstruct existing wood deck around the existing pool; remove decking and deck framing as necessary; install new motorized pool cover; and install new 48" estate fence around pool area, house and garden area. Located: 170 Hilltop Path, Southold. SCTM#54-1-29 The proposed deck reconstruction has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of South old Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is exempt from review pursuant to Chapter 268-3, Exempt Minor Actions, item B which states: "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". The proposed fence is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the L WRP provided that the following Best Management Practices are applied to further Policy 6: 1. Require a non disturbance buffer landward of the wetland. . . . Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. MT/hkc Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda . . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application V'Wetland Permit Application _Major / Waiver/Amendment! h es LReceived Application: I.:J 2. ()7 -tL'Received Fee:$~SZ>'''' ~ompleted Application / ,,-j~ J \) ') _Incomplete SEQRA Classification: Type I_Type I1_Unlisted_ Coordination:(date sent) ...--cAC Referral Sent: /a-/a.lIO') ./DateofInspection: JI/ltJ!O ~ _Receipt ofCAC Report: _Lead Agency Determination: Technical Review: /1>ublic Hearing Held: / / ,]..3 fo g _Resolution: . Minor ~[E~W[E ~ ~ DEe 20 iCJ7 Soulhhold Town Board of Trustees , ...- NameofApplicant-'lICMA-12.-D ~ ~l-00 ~rtl.Jf"R\?::"D I Address BQ, \dl')T\O~J\OI1.l\...\ RD, ~\jn5&Eij}::;1' \ \ 7q I Phone Number:( ) --51 h - ::h l.l . ~ 4 (., 5 Suffolk County Tax Map Number: 1000 - .54 - 1- ,..Q.. q Property Location: 170 H\ L.L.\'nP P1+TH ~t)TH((lLb (provide LILCO Pole #, distance to cross streets, and location) AGENT: f-RA-Dlc OOTA-PJ.'J, (If applicable) 6R.-lc ljI6Lhe:") Address: P. 0 9-:,nx. q?-> ~ It-TTlTlJC.K I D..Y_ W?5r2. Phone: to {; /- rJ..q F; - /.161 <j , ">'~~ 4Itard of Trustees ApPlicati~ GENERAL DATA Intended use of property : ().q 6S7 no ~I. I \)l\)llEQ [J-)Q ,o..Q.Q ~\=-. h\l~-~LM PA-~.qLY Q~('"D~O(1~. f?A-~. Land Area (in square feet): Area Zoning: ~ - \..t 0 Previous use of property: Prior permits/approvals for site improvements: Agency m'ffilOIl" \}''\1>1. ()-,11)C""> l'if'VL Date ld--5 -IJrY'6' .. _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ~No_ Yes If yes, provide explanation: Project Description (use attachments if necessary): ~E1) ~-E .(l..ol\J&~ ex-! CThJ OP- F.Mf:>T11....l(~ ",no\'., d)ECL (t-e..oD ~ 't> ~t::: .s:::0rlbT1 0(." QJoL. <Qte:."t..fOlJl'\-\ O~ "DE(>II J )..)(....., ~O ~ 1/ f'e-{i-N I Dt., ftf., nf30r ~~c,A-'R-Y. ve..oPn':;t: b }..."~I..lJ ~C'lT\)l2..\'l~ \n"1, (l(1JG'R ~Q.()\>ObE''b DEW 48\1 -H. 6~ ~6~ ~l)\.:J\) ~aoL ~A.L~V06e ~ G,~8"O A-b ~QO D DO 8"\t. S.:f?-.xseY \ 4Ilard of Trustees ApPlicati~ WETLANDffRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Qp~- ($")\.:)~ \""\(>nO\::l CJ~ ~,GJt.- fw-0o O\;) <?COL- '. ~1S -6[:\0(\ b"'1 \2>(-:> \\:)-G?-CG \0"0 Area of wetlands on lot: 7 ./Ic:x::;J . square feet Percent coverage oflot:~ g . S % 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? No ).0 Yes If yes, how much material will be excavated? KJOPG cubic yards How much material will be filled? ~r2 5 cubic yards Depth of which material will be removed or deposited: ,'- ,:)' feet Proposed slope throughout the area of operations: I :l 10 Manner in which material will be removed or deposited: ~P> $ I r, 112..161 'lTE'b p;, lJP: D 1-1 tn ') ,4-DD P6DL 111~rl j}j.)"DS S/rF A-r?.(11 Jot) 1.J...P1:;: 4-fJC5l:Jst::: AVJr+y Ft2in1tvf -r.J-PF- fll') ~rr. [7fZEA ~r2...p;/J- . 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): A ^Jm..J.F) -r?-fE PR-oPns,p-0 1,110 (2JL .,Lf}-p f)(,)4fZh rrP /JJ6Tt-fh.Jtl\ I,,) l.fY'%fre-D t5J.J ~m. '. 4It6ard of Trustees ApPlicattlk COASTAL EROSION APPLICA nON DATA Purposes of proposed activity: AuJ00XE't:::, ~)E'"IAJ ~~ L 1t~l\D'{J ~0rl.~ Or..., !.B-GRDl>D't:> ~OOL Ae..F.A-. Are wetlands present within 100 feet of the proposed activity? No )0 Yes Does the project involve excavation or filling? No )0 Yes If Yes, how much material will be excavated? /...Y)DF- (cubic yards) How much material will be filled? r2-25. (cubic yards) Manner in which material will be removed or deposited: \\1A-TBeJ A--l 1ATI lJ.. ~ ZDt~j e,n~ t:?!J8l-)11 f'r1.-) 'kln:;; ~t)Db ~t ~ V8DL- l+11 Eft . Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) JJK"7LJE. , . Wd of Trustees APPlicatioe AUTHORIZATION (where the applicant is not the owner) ..~ I, ~\QJ-.\J+~i) "'^~~ (print owner of property) residing at ~o., I 'Mv l:to.u.. ~\....)\/\- ~th (mailing address) 'Z,4as~ I t-.:),,~ _ \\1 a" \ do hereby authorize ~1+,..t0\L "-)(j\t\--e.,O. (Agent) !=: t..-\ t' ~\~L~F D .. to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ,z,& 8 . . Board of Trustees Application County of Suffolk State of New York EalG-- A.J 1?h5.h-l 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 IllS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TIllS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING TIllS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF TIllS APPLICATION. s:::- ,/.? ~ _ Signature SWORN TO BEFORE ME TIllS /9~ DAY OF &V4nbt..e ,20P-J- /L~ ! Notary Public BABETTE CaRNINE Notary Public, State Of New York No. 01 C05792800 Qualified In Suffolk Count0 n , A f) Commission Expires ~ 30 / ,;uJ I cJ . , " 1.4.1&..4 f2l8n- Text 12 61.9 Appendix C State Environmental QuaJity Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I_PROJECT INFORMATION (To be completed by Applicant or Project sponsor) ,. AfUCANT~ONSORO\ I 2. PROJE~~ME ~ 3. PAOJ ECT LOCATION: Munlclpallly County bo ~ t=- 0 ". PRECISE LOCA nON (Street address and road intersections, prominent landmarks. etc., or proviae map) SEQ .' PROJECT 1.0. NUMBER 170 ..)..(, u.. TOP DCDTi-t {) GD, PA-i"t-1 P~'f. 5. IS PROPOSED ACTION: J:9-New 0 expansion 6. DESCRIBE PROJECT BRIEFLY: ~OdificatlOnJalteration 'Pl2-ot'o~et> DgQ..L \~ 0!3 L.U NQ'rOIC,..t fl.€ ~ POOU D~ J.j (5"1 if. P6}.)e.E.. ~L&(!x et'- eMDII D6 WV-e- ~ 7.. AMOUNT OF LAND AFrECTEO: Initiallv acres Ultimately acres a. WILL ?RO?OSEiJ ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE. RESTRICTIONS? DYes ,)!1 No If No. describe briefly ~\~e ~ ~:eA..~ 'l,f\-\2-'P 'be\t7A-a t-.jO~- t.OllU~~ \~. l-l:;n'D ,\-V'r\:) IO€:)' '~?r0L ~~ ~\?O~c'b 4g"'~,~ 9. WHAT IS PRESENT LAND USe. IN VICINITY OF PROJECT? ~eSidential n.!ndusUial [J C"mmercial Describe: o Agricuiture U ?ark/ForesUOoen soace LJ Other O\~GtB ~\~\ z.. E>T'-{ \V\"" 'I P-c:'-\<..OO \0~~OQ \r- ~'\:) ~@J.L ~ 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE On LOCAL)? :>eYes DNa If yes. list agency(sl and permiUapprovalS 2--. R,. A-. \'0~.% . "C:>,G',~ - \00 \ I-.:~)\ ~ De \?'\. . ':r 11. DOES ANY ASPECT OF THE ACTIOr~ HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes' ~a If yes, list agency name and permit/approval '2. AS A RESULT ~:OPOSED ACTION WilL S<IST1NG PERMIT/APPROVAL "EQUIRE MODIFICATION? DYes 0 -n. I CEiiTIFY THAT THE INFORMATION PROVIDED AeOve IS TRUE TO THE aEST OF MY KNOWLEDGE name: ~A-l-""t:- \-J . _l~. I ""l..CJ'7 Applicantlsponsor ~ Dale: / Signature: ~ ~ .J If the action is in the Coostat Area, and you are a state agency, complete the Coastal Assessment Form beiore proceeding with this a.~essmenl OV!:R 1 . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Ir. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTH OLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ---__tJl'C-'JaN:L~__~dOU--'2}J{J!11l1JM.J' COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, clZ,c... IV IcL...i:,N , residing at /1405" l'AA\rV ~ JV\A--rtl~_ being duly sworn, depose and say: That on the II day of -::S,,^,"~OOi'>, I personally posted the property known as ,"^..J 1='"1:6.., (Z-a\>. OFt<<.~ I ~C> If./..< """ P ~(>ll.nj.. '_J)~ 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 Lvat~ ~n~3, OlOO~- n a t- (p.'CD /YJ, Dated: -J1J..I1VCU<..f I~ 0100 '? ~/~~ ( signature) Sjyom to before me this 1/ 'oay of :Jat1 200g &)~f&~ IrD ~\ ~ ~ ~ ~ W ~ .1;"'")../1 I I-~-_...__...I'II I ._-~,.. , r~ . . . I d i :i 11 iL_~A~__1_520~8 II! [' SOl!tiJolci Trwr --'- ~ ___n___...r;_~~j~.d ClI Tr~iste~s UID' P. MNDClU'lf "'''''pwuc' _II..... ND.O'JItM1_ . -,- rln-"__._ Cl.. -' -n.....a.w lP' rl . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: o.tJ <;).1\cI~ STATE OF NEW YORK COUNTY OF SUFFOLK /?fZ-tl/ }J1ez.,5t5,.,J , residing at j3.'1V;) MA.~ ~ rt~~ , being duly sworn, deposes and says that on the 117''- day of ~A","'Ayz..., , 2009, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at r11'r'r'f I ~~ }.J 'I , , that said Notices were mailed to each of said persons by ~) (registered) mail. c;;:::' ~ (? 4~.~ Sworn to before me this II 'f"I.- Day of -.fa..~ ' 20 0 \y A!JpH I fO) I [~ ~ ~ [E~-W~~'::ii In: il.: U II! JAN 1 5 2008 I.L;~ t._...._J Sr"thol(~ Tow,", L-_"___i?~~:) (Ii' Truste~__ WlIlCll PM LINDA"," at....- WJf-:'-:'~..lI . Qo - t In SUlIcIl CouIIIr .n 11In EJIpIIee J4Ito/lllIJJ.I Q,.,.,.b.l ~ .., i I I I ~ ~ ~ . ~ o . ... ~ ~ . rn ~ it . . OS a ervlce CERTIFIED MAIL" P 'EIPT (Domestic Mal' Only; No InsuranCe: ...;overage Provided) a- m a- ru FtI&lIIIG t+Y 11:a! $O.sa Po!>tage $ 0952 06 01/11/2008 f'!)strnwk H'_,m _.__J -I _"nj__S.1~~:~c~J~n ________ _j b( '5 ." 1 . 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Fees Postmari; H,,,, 01/11/2006 ru ~ '~~~~,.J:if.~:::~l ~ - - .... - o " , ; I I I I i , I I , I~ "'~ .0, !2 ;;i ji ~! ~y f"t:p 1 .... ii 6! ~' \,,;j . !:'i . -.... :i~!<t. J:,">,~ Cl i'<C~ fi '...' '(J) " i~:r i.,; ~ ;t5 ~:(5 200L :8 9! S . w w " ~ . ~ . " o " rn {i ii a . ~ ii I . p o ~ 'i' . " ~ . rn . TI " . . " 21: " .., - <.; .. V ,(~ ~-~ ~~ CI:c E' ,E -. .. ~" o ~ o " ~ I I II <> gJ ~ ~ . . ~ il"7 :0 : . !:I !") .. d \'}! ~i <J-i ,.., l"" ~ 'j ,,~, .~ 'Vi 'li i ..r! Ii ' .ff' r5i .~ - i:; oj .~ .i.., :'t., .... ~~ ci :s~ '-B.~ i'" :~~ :~ :Qj'Q i&; :<llQ.:?, i0_~' ,rj ff> ~~ ~-:;; ~~ 0_ 00 ~~ -. u" t_2 0;': cr::~ ~ . 0' o " o "- .. ,2 ~~. o '" hOOL .' E9t9 ,[ODD 0'[h2 200L SSO'il ....1. "CS2 '[DatI' Yd1:'~~ : i 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. 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 LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of South 0 Id'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# -1000 - .04 - 1- J-~ The Application has heen snbmitted to (check appropriate response): Town Board M' Planning Board 0 Building Dept.~ Board of Trustees 19- 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) o o (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: ~ Nature and extent of action: ~~f':1'\ RF;-(lf)f-::l~'Ii<l)(1nm} rJ? PAi~nAY'", Wb. 'DFfl~ \\eOOt0b Tl-lE PIKr. ~COL i,\:'h) lIClTIJe.\91='"D Rlc1. (lOllR1L ~~I,) 4R\l +fi }'F:l"'llF ft-e1\l.Jl,\'\ ~StJ ?tClOL ~~ C.,,!+'R..X)8\.'J ~~ Location of action: no. i-f 111 ~ P f>A-~ NlO'OL~ Site acreage: 0 (b'R (l(l (t' (). g \ S s 7 sQ P.I, Presentlanduse: fJI0C-.-IF Pf+-l\.t\L'I QF-O\'f)e-n(lj: ~11:)-~gnL)l-J\:J ~OL- ,DeCk... Present zoning classification: 'R-40 tJI0DEe.. 6Q I Q Q C\ DO. ~T'. 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: ~'(l.+\Itf>;D ~ ~A-'e.Y LDI) ryli-t.)t'QF;~1 (b) Mailing address: 6Cq ~tUJ.oLUIU- ~I ~O,c!'B~ ,:)-1_ (c) Telephone number: Area Code () 0/ h - /J.)fC,4 - ,'04 -(0 \.<; (d) Application number, ifany: . Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes D No!Lf If yes, which state or federal agency? C. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community charader, 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. ~es D No D Not Applicable fle..tClpn&e)) d)PC~ l~ RE- WfI:)MO?I1Q:rl 0/\") ~.grT~~ 0 ~~> ~~~ iH1r,TPQ i "'"'iT ~J+ 0~ \i.-t~ p~ RH ~ 11)0 _ 1) ^' ,\0 Tl-H::: POnl \l-IF. DI=':It'" Lj.g\1 H ~E-I\::e€ l\.jeF'1'S Qel\)\~\Qe-~;;i...'iIS ()(2 IOLdn~ ('p,f)F POR (2E)\~E~ ~")<t:~ ?GO; P:P ;;f\ (H..<)tJ 1.(l(l1+T'Fl> '\A"\TH I ~'\ '?-\2..0k,"\T Y . Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of South old. SeeL WRP Section III - Policies Pages 3 through 6 for evaluation criteria DYes 0 No ~NotAPPlicable LfYl ~ t,()l rffll- ") It fi t::"~ ~ f'\T / A-L A-tr ~,4. - r . Attach additional sheets if necess. . Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria DYes 0 No 0'Not Applicable 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 BYes 0 No 0 Not Applicable r~~"\ Cf\0'6T12'?(? Ii'l. J I~ I nc ~-rc--r> tulTI-l1 J.:::, Ii ') - f"~r.L01 ) ^ If) 'Pn~ J Pt--f2-FA-- <;::., I DP ECH'2sTt ~ ~Ar ./L ~ Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of South old. See L WRP Section III - Policies Pages 16 through 21 for evaluation criteria DYes 0 No )21Not Applicable P--ik19:->T1l "C~ II"TI~".) ^") u ') ~~ 11'j) +f"k'1=' . V(J P klJ A-I J.. J , Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III _ Policies; Pages 22 througb 32 for evaluation criteria. _ .. n __ .-B Yes DNoD Not Applicable ~J:')P~-b ~P/J" Y ~b t n.... If).jA.')~ ~ ~~~ &D &t~ 1Jp. .. r . . Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Sectiou III _ Policies Pages 32 through 34 for evaluation criteria. DYes 0 No~otApplicable EI)n ?<rr11.."\( ~ q:?e=--""1~neF , Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of South old from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes 0 No ~Not Applicable EA1%r( A'''\(..., hFPT10 ;)~ ."'.rrr 1I...')(\10'{)F "TT'l R~~ A--l ~) I\. )~LA"\ A--CJ ~ (-J l-l :) \Y.bJ -,... J(~ _ IL"')OI2..\:;::: PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of South old. See L WRP Section III - Policies; Pages 38 through 46 for evaluation criteria. o YesO Nol8'NotAPPlicable ~ 1)f+-JrE /-Dr Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect South old's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L WRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~Yes 0 No 0 NotA~plicable 0\2 ~~~ Ib I nc.A-\~ l-A-1)(')IIIA-P D .' . f . . Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. 1:1' Yes 0 No 0 Not Applicable EM'kr\:nc, II'\P"I'~"" "~D. R-e..eA "rn ~F"-fi+-la. Attach additional sheets if necessary Policy 12. Protect agricuUurallands in the Town' of Southold. See LWRP Section III _ Policies; Pages 62 through 65 for evaluation criteria. o Yes 0 No tEr Not Applicable ~F..O\\)Ft,\ IPr-L .A-'e--F~ ' Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See L WRP Section III - Policies; Pages 65 through 68 for evaluation criteria. DYes 0 No B Not Applicable IDe-la ,\)r:C'y ~ ~JQ~ ('JiO ~ 11 (>~ rn... ~ Created on 5/25/05 11:20 AM