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HomeMy WebLinkAboutTR-6792 Michael J.Domino,President O_``��F S0(/jl Town Hall Annex John M.Bredemeyer III,Vice-President h O 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Telephone(631) 765-1892 Greg Williamsy00U 'O Fax(631) 765-6641 � NTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 16, 2018 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: LAWRENCE KAPLAN & DENISE BLESI-KAPLAN 2225 CALVES NECK ROAD, SOUTHOLD SCTM# 1000-70-4-45.3 Dear Mrs. Moore: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, May 16, 2018: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#6792 from John &Valerie Kramer to Lawrence Kaplan & Denise Blesi-Kaplan, as issued on January 23, 2008. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, - Michael J. Domino, President Board of Trustees MJD/dd Michael J. Domino,Pre O�Q$11FF0(�-C'�G Town Hall Annex John M. Bredemeyer III,Vice"resid V_ 54375 Route 25 Glenn Goldsmith y z P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams y p!� Telephone(631)765-1892�l �� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 5 ® �� Completed in field by: Patricia Moore, Esq. on behalf of LAWRENCE KAPLAN & DENISE BLESI-KAPLAN request a Transfer of Wetland Permit#6792 from John & Valerie Kramer to Lawrence Kaplan & Denise Blesi- Kaplan, as issued on January 23, 2008. Located: 2225 Calves Neck'Road, Southold. SCTM# 1000- 70-4-45.3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice/of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA-Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / , � ✓ Present were. t��"redemeyer M. Domino G. Goldsmith C N. KruNski �. Williams Other Page 1 of 2 Michael J.Domino,PresegifF01 ` Town Hall Annex John M.Bredemeyer III,Vice-PrJesident ��� G�� 54375 Route 25 Glenn Goldsmith N P.O.Box 1179 Ze A.Nicholas Krupski Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Patricia Moore, Esq. on behalf of LAWRENCE KAPLAN & DENISE BLESI-KAPLAN request a Transfer of Wetland Permit#6792 from John & Valerie Kramer to Lawrence Kaplan & Denise Blesi- Kaplan, as issued on January 23, 2008. Located: 2225 Calves Neck Road, Southold. SCTM# 1000- 70-4-45.3 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety-and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 Michael J.Domino,President �oF SOU�ya Town Hall Annex John M.Bredemeyer III,Vice-President �� lQ 54375 Route 25 P.O.Box 11 Glenn Goldsmith i [ Southold, New York 11971 A.Nicholas Krupski G, . Telephone(631)765-1892 Greg Williams � - 1 BOARD OF TOWN TRUSTEES MAR 2 7 2018 TOWN OF SOUTHOLD Southold Town B ar of ru P APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE D--M (�e Ick hes ( - kO v (0-(1 GYM c �a q Law OWNER I PHONE MAILING ADDRESS 3 3� <JZ Yl W-bW a 2�C,c� ►vlC�Ul�Ct Sse� ,1 ���^ AGENT -7 3!rGc3 ADDRESS 57( o Z o May) `-C oced , .S o A/1 6 0 PROPERTY LOCATION as a s M-e C L P-0 Cgcl S 6 Uj_tl b Id TAX MAP NO. /TJDO -- 70 — VSA 3 I-QNu, J "3 (es (OL n -'=t I/We L0UyY'e41c.-r_-- 44 , �ce�0�a�- request a Transfer of Permit# Y 3 from 11 17- f o W C,? I e � Signed By: Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, S owners of the property identified as SCTM# I 000-IQ— -' qS. J in the town of New York,hereby authorizes ?Q+r LC l C.d, to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. ' Pr pe Owner's iOature Property Owner's Signature SWORN TO BEFORE ME THIS th DAY OF 12 r; I ,2013 _ otary Public STEPHEN CHRISTOPHER MOGLIA Commission 4 2435847 Notary Public, state of New Jersey _ My Commission Expires - July 02, 2018 _ ; Board of Trustees Application AFFIDAVIT Ll n q 2 i BEING DULY SWORN DEPOSES AND AF IRMS THAT HE/SHE IS THE-APPLICANT FOR THE ABOVE DESCRIBED PERMITS)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 BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD'OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE, COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. 4ignaVc *Prp Owner Signature On Property Owner {h SWORN TO BEFORE ME THIS DAY OF__Ar 1"I .___,2C 19 otary Public STEPHEN CHRISTOPHER MOGLIA Commission # 2435847 _ Notary Public, State of New Jersey My Commission Expires July 02, 2018 ' ,rte APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information,which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME. KAPLAN,LAWRENCE,BLESI-KAPLAN,DENISE AND MOORE,PATRICIA C. (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company. If so,indicate the other person or company name.) NATURE OF APPLICATION:(Check all that apply.) Tax Grievance Variance Special Exception If"Other", name the activity: Change of Zone Approval of Plat Exemption from Plat or Official Map Other Trustees 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 or employee owns more than 5% of the shares. YES NO_X Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP r Submitted this O(d' day of.`�%�o��� Signature: a� 4<r2,b�1*7 Lawrence H.Kaplan Denise Blesi-Kaplan L Patricia C.Moore James F. King,President �QF sorry Town Hall Annex Bob Ghosio,Jr.,Vice-President h0� Q� 54 Main Road P.O.. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer G � p� Telephone(631) 765-1892 Michael J. Domino Q Fax(631) 765-6641 �'YOOUNT'1 N BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0830C Date: December 11, 2012 THIS CERTIFIES that the installation of a 103' long armor stone wall-revetment on filter fabric, backfill with approx. 100 W. clean sand from upland source, and a 10' wide non-turf buffer planted with beach grass landward of stone wall At 2225 Calves Neck Road, Southold, New York Suffolk County Tax Map# 70-4-45.3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 17, 2007 pursuant to which Trustees Wetland Permit#6792 Dated January 23, 2008, 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 installation of a 103' long armor stone wall revetment on filter fabric,backfill with approx. 100 cv. clean sand from upland source, and a 10' wide non-turf buffer planted with beach grass landward of stone wall. The certificate is issued to JOHN &VALERIE KRAMER owners of the aforesaid property. W Authorized Signalrure Jill M.Doherty,President �OF S0 Town Hall Annex James F. King,Vice-President ,`O� �� 54375 Main Road P.O.Box 1179 Dave Bergen l�1 # Southold, New York 11971-0959 Bob Ghosio,Jr. G John Bredemeyer '.t� Telephone(631) 765-1892 lyC[7U��� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE F INSPECTION: 17 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain I st day of construction % constructed 7 Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: { CC#: C114688 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 02/09/2011 under Liber D00012650 and Page 827 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affoced the seal of said County and Court this 02=12011 SUFFOLK COUNTY CLERIC �i. ocr�L Q. 1,01� JUDITH A PASCALE SEAL I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 02/09/2011 Number of Pages: 8 At: 01:06:49 PM Receipt Number : 11-0015249 LIBER: D00012650 PAGE: 827 District: Section: Block: Lot: 1000 070.00 04.00 045.003 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $40.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCBG $15.00 NO TP-584 $0.00 NO Notation $0 .00 NO Cert.Copies $10.00 NO RPT $30.00 NO Fees Paid $120.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County i I 1 2 Number of pages RECORDED 2011 Feb 09 01:06:49 PM This document will be public TLq�1CLERK �SCGLE record. Please remove all SUFFOLK COUNTY Social Security Numbers L D00012650 prior to recording. P 827 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Reco 'ng/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax _ Handling 20. 00 2. Additional Tax _ TP-584 Sub Total _ Notation Spec./Assit. or EA-52 17 (County) Sub Total Spec./Add. EA-5217 (State) TOT.MTG.TAX Dual Town_Dual County_ R.P.T.S.A. _ w Held for Appointment Comm.of Ed. 5. 00 Transfer Tax _ Affidavit Mansion Tax _ The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total /0 If NO,see appropriate tax clause on (jJvV�, page# of this instrument. 4 Dist. 1000 07000 0400 045003 ` 5 Community Preservation Fund Real Prope PTS Consideration Amount $ Tax Servi R LpA A Agency o9 FEB_11 CPF Tax Due $ Venficati( Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land —_0 i n v`A mF–;Z 'I'D 'Po r3nx 1360 So�,T7.oLc1 TD Yvx, I i� 71 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title CoMpanV Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk Countj Recording & Endorsement Page This page forms part of the attached IJ C. (Q 4� made by: (SPECIFY TYPE OF INSTRUMENT) )7 Y\ V �E h' E A vna y The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0184..10/08kk (over) DECLARATION OF COVENANTS THIS DECLARATION made this _4_ day of February, 2011, by John and Valerie Kramer, residing at2225 Calves Neck Road Southold NY 11971, hereinafter referred to as "DECLARANT(S) " : W I T N E S S E T H WHEREAS, DECLARANT (S) is/are the owner(s) of certain real property located on 2225 Calves Neck Road, Southold HAMLET, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 70, Block 4, Lot45.3 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT (S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 10' "non-turf buffer" planted with beachgrass landward of stone wall and as depicted on the plans prepared by Allen Glenn Bernhard P.E.P.C. Last dated 11/26/2007 and as set forth in Schedule "B" annexed hereto, NOW, THEREFORE, the DECLARANT (S) do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained to the landward of the stone wall revetment a 10' non turf buffer planted with beach grass; and 2) Upon the substantial completion of the approximately 137 ' of rip-rap, there shall be established a planting of Cape American beach grass landward of the stone approximately 101 . Upon substantial completion of the retaining wall there shall be established a planting of native vegetation approximately 18 ' landward to the top of bank. This area shall be maintained as a natural vegetated buffer as depicted on the site plan prepared by En-Consul tantants last dated 10/20/2010 and stamped approved November 17, 2010 set forth in Schedule "C" annexed hereto. 3)These covenants shall run with the land and shall be binding on the DECLARANT(S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) have duly executed this instrument this _day of February, 2011. OWNER'S SIGNATURE V C(�cV(x OWNER'S SIGNATURE STATE OF N yvkaC- ss: COUNTY OF SU�tiG /c On the day of lrEY32 E y, in theear 20 /� y before me the undersigned, a Notary Public in and for said State, personally appeared John Kramer and Valerie Kramer, personally known to me or proved to me on the basis of satisfactory evidence to be the individual (s) whose name (s) are subscribed to the within instrument and acknowledged to me that they executed the same in their capacity, and that by their signature(s) on the instrument, the individual or the persons on behalf of which the individual (s) acted, executed the instrument. a I D2 tA,4� Notary Public EI_hA'=H A. FINNIE Notary Fub!ic, St,::. ri Naw York Qualified in '-Ufie!k County Commission Expires november 30,,;;�0/.3 S C h e bo J-c A S-6574 ALL that certain plot,piece or parcel of land,situate,lying and being at Southold,in the Town of Southold,County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a point on the southerly side of Calves Nods Rad at the division line between the within described premiss and land new or formerly Arthur Francisco where same intersects the scuthady side ofCalves Neck Road; RUNNING THENCE along said division line south 46 degrees 25' 20"east 238 feet to the h4h water mark of Jockey Creek; RUNNING THENCE along the said high water mark of JockeyCleek the following four courses and distaoas: REco 20£2 Fob "`d:•.....? ;,;! 1) South 68 degrees 35'west 102.95 feet, _,•err G S_ 2) North 78 degrees 01'20"west 77.74.feet; _ OLK i- O P k:' 3) South 74 degrees 05' west 61.00 feet; 4) Sooth 56 degrees 48'S0"west 22.00 fat to a point; RUNNING THENCE north 24 degrees 49' 50" west 213.62 feet to a pant on the southerly line of Calves Neck Road; RUNNING THENCE along the southerly line of Calves Neck Road north 83 degas 00' east 167.50 feet to the point or place of BEGINNING. PROPOSED lArM)WMMR STGAIF WALL CALIF Nix �� � / N REYFFAMY fMOID GME 7XWUGL4CZ4L mNSY10erwRACIMAr"ANX 6 C 6 ' E io .. ` •:.. ro w�ON-70viscera e D D AS TOWN 7, MSRlC,MIN CAN RLr7IAfftAR0L3I DEC 17 . , REEK::: :: '1.. ROCKASOOMIll OOtN GASN1/OlA3 .. ........ TM M IMMIL IImL NDOf/.EN77R 7Ne t� ..............._ WALL LANDOW J:Zt WALL r ...ITE•::.: LLMIOTLM00TLLANRRY.,aD/a aSW YakR ID<Y::::::::........... .�. SAM NtoFF LEEAM 1pLRff 2157xuE00f' ......... ......... ... TR4OCPXOMATORADQIF10IW4 _ .. OFEoCMGRIA,MAN7M10' "ROVED 00 F 60 OF TRUSTEE NDTE EQUfrr AEIIT ACCESS FRCM o Lunar SS df d` . . . 9MLE: orr INSETODE NECKROM • 1aF,g1�` F PROPERTY 'SOUTHOLD v DAic i/,77/09 AfIOWNOEfAH. ' noro wom DETAIL OF WALL RETURN @taRaaleAaeD m Ksvr �y ♦ LowTnr 70 ��»� LNiA0/mass u-AnwrlNAu CLOW C`D"' AALi15.SC NSE UNITOFAAWILLAPPROX SITE PLAN t 0' auLE r�Ar ",�.� ARM VALAND E1/6 TNIm LN 42'L- 711AOL L9OWi17dINm(r1DNLL.tAFl10X.57 PROPOSED ARMOR MOCRIOUr- BCTM1999•To4w4 A :eeeraer FILMAMWRAW S40NOREQUAL 2225 CALVIN NECK RD,SOUTHOLD,NY 11971 IO AMMALL OWKWh OFAUMF JOHH Et 2ANOMMARMONSMALERRUR MMENT i 2225 CALVES NECK RD,SOUTHOLD,NY 11971 300702009 uaAOAL MNA77CEOLROERS !, 951.786.1296 29'+/ OS 0NOOKAWN ANOff SUE QUARRY. APPIML307EI6 CONNnU TSTAACBMA ! MM 6bm ELErMcw4 F.E. P.C. 1 0DrTwKxla9Ew7xwarsNNLLWRoacLNL U AIIIr Mob Mekt ML M 117M I � PLACE LARGER NR4MItMYRAMANOW fIERfr.NFOOCKMA (Y7)30E.20W FM(/S)IMN M MUCH AS INS MATERIAL NEL PORMIr BATTER SCALE:"IV "N WALL LAFANO R0 l2.3 : CROSS-SECTION OF PROPOSED ARMOR STONE WALL 1 W: AIw 3:,,,bMw4 FA. 9AI0I1 ,/ •L G i ..nA• . T �� i. 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N WCc> +i�'o K 'i 1 i`. 0 0 �. a oo m= Awa NSI ' raN 'hm 0 [� i R$O N a F&COW 15TANM INC MFO5eP MTMNG WALL AT 1319 NORTH SEA RD. 5TONE lar-m FOR`0m Alm SOUTHAMPTON, W 11968 V&M KtZAN ER ON ,JOCKEY CREEK, 631-283-6360 50uMV, 5l f aK GOUM Y. W 5mef i of 2 10/ 20110 Kh r i f---- +107'(mm) +9s'(mm) s 95GY 5Nn)Mp r�rl.�n wlfH MAIM4— r /MA ro oe a/�u.ED c%PPr�,c.5o a sr"n) a\ vrevwmimea atA65a6°OC.) +s' EVCCf1NMJ q'xb"rGP0.aM ?��F},. PRCF05W WM Mr.WILL MF EL.--7.5) +g' &W9 -a' MUPM W-PW,GONSYm or+l'-1.5'-DIAAEIER. I/4"x 9 x20'VWtt 9EAhCY lPmm loo-!5co to.PEI. %ai(Q4 fvw a oiH) N -4 C. z y c.• - 2' !--,i James F. King,President ��Of SU(/lyo Town Hall Jill M. Doherty,Vice-President 53095 Route 25 Peggy A. Dickerson P.O. Box 1179 Southold,New York 11971-0959 Dave Bergen CP Bob Ghosio, Jr. '� �� Telephone(631) 765-1892 COUNTI,�c� 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 % constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6792 DATE: JANUARY 23, 2008 ISSUED TO: JOHN & VALERIE KRAMER PROPERTY ADDRESS: 2225 CALVES NECK RD., SOUTHOLD SCTM#70-4-45.3 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on January 23,2008, and in consideration of application fee in the sum of$250.00 paid by John&Valerie Kramer and subject to the Tema and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to install a 103' long armor stone wall revetment on filter fabric, backfill with approx. 100 cy. clean sand from an upland source, and a 10' non-turf buffe planted with beachgrass landward of stone wall, and as depicted on the plans prepared Allen Glenn Bernhard, P.E. P.C. last dated November 26, 2007. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. gUFPQj4.c�VI%k �„ Dave Bergen ( Rec sed) 0 TERMS AND CONDITIONS The Permittee,John&Valerie Kramer,residing at 2225 Calves Neck Rd., Southold,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 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. 0 0 James F.King,President Of so�jy Town Hall Jill M. Doherty,Vice-President ��� �l0 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G Q Bob Ghosio,Jr. � Telephone(631) 765-1892 lY`,oUN111 � Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 23, 2008 Mr. Craig Larsen P.O. Box 251 Wading River, NY 11792 RE: JOHN &VALERIE KRAMER 2225 CALVES NECK RD., SOUTHOLD SCTM#70-4-45.3 Dear Mr. Larsen: The Board of Town Trustees took the following action during its regular meeting held on Wed., January 23, 2008 regarding the above matter: WHEREAS, Craig Larsen on behalf of JOHN & VALERIE KRAMER 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 17, 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 JOHN &VALERIE KRAMER to install a 103' long armor stone wall revetment on filter fabric, backfill with approx. 100 cy. clean sand from an upland source, and a 10' non-turf buffer planted with beachgrass landward of stone wall, and as depicted on the plans prepared by Allen Glenn Bernhard, P.E. P.C. last dated November 26, 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, Jams F. King President, Board of Trustees JFK/Ims 0 9 James F. King, President �QF SD(/ry Town Hall Jill M. Doherty,Vice-President ,�0� Ol0 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G Q Bob Ghosio,Jr. Telephone(631) 765-1892 �(y"OUM Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ,:Jllhan (T 22alQtu� lAo_ aLon Please be advised that your application dated Ihas been reviewed by this Board at the regular meeting of To 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) 1s' Day of Construction ($50.00) '/z 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: TOTAL FEES DUE: $ 5-0, 06 BY: James F. King, President Board of Trustees Donald Wilder,Chairmanw - Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 • '� Southold,NY 11971 y�ol �aOe 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: Moved by Doug Hardy, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of JOHN & VALERIE KRAMER to install a 103' long armor stone wall revetment on filter fabric, backfill with approx. 100 cy. clean sand from an upland source, and plant beachgrass 10' landward of stone wall. Located: 2225 Calves Neck Rd., Southold. SCTM#70-4-45.3 Inspected by: Doug Hardy Vote of Council: Ayes: All Motion Carried g� atm i, y31" �� 4�ir' �. ,§ I':50 Ir,4• a}i N.. a aRTyts` _ 4. i I : p1� ff I,ljy'p�d � x 4 3 > 1 ,fk f i c g Y i y ry� ' . .rff aMjyi�A� r _ , ;0:1116/2008 14 : 25. James F.King, President �*QF SO�Tyo Town Hall Jill M. Doherty,Vice-President �O l� 53095 Route 25 Peggy A. Dickerson P.O. Box 1179 Southold,New York 11971-0959 Dave Bergen G Bob Ghosio,Jr. �O Telephone (631) 765-1892 OIyCOU N Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees 1 1 Field Inspection/Work session Report Date/Time: y 1 co ' O JOHN & VALERIE KRAMER request a Wetland Permit to install a 103' long armor stone wall revetment on filter fabric, backfill with approx. 100 cy. clean sand from an upland source, and plant beachgrass 10' landward of stone wall. Located: 2225 Calves Neck Rd., Southold. SCTM#70-4-45.3 T e of area to be impacted: VSaltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of above: Part of Town Code proposed work falls under: ,/Chapt.275 Chapt. 111 _other Type of Application: Wetland_Coastal Erosion_Amendment Administrative _Emergency_Pre-Submission Violation Planning Info needed: 40 uu� Modifications: Conditions: Pre ent Were:YKing�/_J.Dohert)L_ Dickerson_D. Bergen VB. Ghosio, Jr H. Cusack_D. Dzenkowski_Mark Terry_other Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review rI M-kr-k AA n1G,4v q s —{-o j*L„I,e s j yd ,n e n n n ` po ro IT E _�_ iai O _ _- _ .� ennee COUNTY OF SUFFOLK Q v SOUTN0.D gCMx — xo E ___ Red Properly iaK Service Agency a N __ __ __.__ �. R�- �x) Y Y 070 pn.._ D wnw—n-- .n namv P 'm SWD PROPER,Y YM OFFICE LOCATION: so MAILING ADDRESS: Town Hall Annex �� l0 P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Youngs Ave.) Southold, NY - Q Telephone: 631 765-1936 �p Fax: 631 765-3136 OOUNTI,� LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President JAN l6 2008 Town of Southold Board of Trustees �1 From: Mark Terry, LWRP Coordinator Principal Planner Date: January 11, 2008 Re: Wetland Permit for JOHN & VALERIE KRAMER SCTM# 70-4-45.3 JOHN & VALERIE KRAMER request a Wetland Permit to install a 103' long armor stone wall revetment on filter fabric, backfill with approx. 100 cy. clean sand from an upland source, and plant beachgrass 10' landward of stone wall. Located: 2225 Calves Neck Rd., Southold. SCTM#70-4-45.3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold 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 CONSISTENT with the following Policy Standards and therefore is CONSISTENT with the LWRP. To further the policies of the LWRP the following is recommended. Please note: the site inspection indicates that the subject area experiences active erosion which has significantly undermined the lawn area east of the dock structure. Property loss has occurred on site. It is my determination that due to exposure of the site to the bay, the sole use of vegetative approaches to controlling erosion in this area would not be effective. Based upon such, construction of a hard structure is the only practical design consideration and is essential to protecting the property. Correspondingly, the design of the rock revetment meets the intent of the LWRP by limiting the structure to the minimum scale necessary and including vegetative methods in the project design and implementation. If the action is approved the following best management practice (BMP) is recommended: 1. Require a non-turf, native vegetation buffer landward of the proposed rock revetment. The BMP will further Policies 5, Protect and improve water quality in the Town of Southold and 6.3, Protect and restore tidal and freshwater wetlands, item D (below). D. Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order to ensure protection of the wetland's character, quality, values, and functions. 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 James F. King, President so Town Hall Jill M. Doherty,Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G Q • �O Telephone(631)765-1592 John Holzapfel O��COUFax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application Wetland Permit Application Administrative Permit �Received Amendment/Trans er xtension eceived Application: 1. 17 07 Fee:$ a ✓Completed Application /9-1/7/07 D EC 17 2007 _Incomplete _SEQRA Classification: Type IType Il Unlisted Southhold Town Coordination:(date sent) i Board of Trustees !LWRPConsistency Assessment Form QAC Referral Sent: / O _�of Inspection: / O _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: Public Hearing Held: Resolution: -�-� / h Name of Applicant-J 0 r\ FrL. ;- :t- /.2 ra Address zz'z-f r\/�C_u(_ &9)Igo LZ-T-k u Ld Phone Number:(&& 7 (o,f /0,3-r Suffolk County Tax Map Number: 1000 - 7 041 Vj/ 3 Property Location: / 9 j j 5- Ca //ULs d 2l fC 4 / _S6d A6�i( & //9 71 (provide LILCO Pole#, distance to cross streets, and location) AGENT:�(a)'q GctrS(/1 (If applicable) Address: iO 460x ��� IVad� ��S /tJ✓sem ����7�°� ^� (�W Phone: Ord of Trustees Applicati4e GENERAL DATA Land Area(in square feet): ll/ r/3 Area Zoning: ko-S., /101 !IR t Previous use of property: Intended use of property: t Covenants and Restrictions: Yes No If"Yes", please provide copy. 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? //�� No ✓ Yes If yes,provide explanation: /J .P e �p��6 d�;,eI,S. Project Description (use attachments if necessary): _-Z� Aw ey- 5fda e / / /f'Pr aO�ic a �(QS2 rd of Trustees Applicati• WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: GOQ`3�rL / 11/ B Si 0 Area of wetlands on lot: �� square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands:' feet Closest distance between nearest proposed structure and upland edge of wetlands: �9-a feet Does the project involve ex Does or filling? No t/ Yes If yes, how much material will be excavated? cubic yards How much material will be filled? /00 cubic yards Depth of which material will be removed or deposited: of feet Proposed slope throughout the area of operations: 6/6 Manner in which material will be removed or deposited: 4 X C6t tla / 0l' X 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): /1a A1414Jwe ail adDd-e lidd Wa/ e' '5 •ard of Trustees Applicatii COASTAL EROSION ,A(PPLICATION DATA Purposes of proposed activity: I0 4<'0/eG'l Xj4//z/-"z 11�� 1`� v 1 17 Ti0�l ��as;e� /��ce fa Slam S4�st Are wetlands present within 100 feet of the proposed activity? No Yes Does the project invo e excavation or filling? No Yes If Yes, how much material will be excavated? 7;-b (cubic yards) How much material will be filled? 406 (cubic yards) Manner in which material will/be removed or deposited:: �[6 ow a-�* Wi II �LnOJC -5k,' 45TP�i� , Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) '3D f4rpxr( !2 D ` M11a�e//'4 /`,N/�JJfd g4sd D ! 01r a� "5%017-! AJ a, 0 • James F. King, President ��,oF souryoTown Hall Jill M.Doherty,Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson * Southold,New York 11971-0959 Dave Bergen A Q Bob Ghosio,Jr. ' i� Telephone(631)765-1892 ly00UNi 1,a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of -U° a------------ CO Y OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, VrA-w\&_ residing at 7,2,7,r C.wLr/f-! SOact-_�i6d Vt j /037 being duly sworn, depo e and say: That on the 9 day of_SA'>-\ , 200a I personally posted the property known as 2LL f-C_At.&1.ej A-49:Z�AZd 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 1f),A. ,IQ o ,023 am 2 910 &%ODI" , Dated: si re) Sworn to before me this 1 Oday ofJarn 200$ N ry Public i (later �IMlaiMl itea rd of Trustees Applicati� AUTHORIZATION L (where the applicant is not the owner) I , 0 ki eC61M _t r, residing at (print owner of property) (mailing address) � do hereby authorize CGS `/`'efw (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. 2 wner' s signature) 8 • PROJECT ID NUMBER SEAR APPENDIPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLI NT/SPONSOR 2. PROJECT NAME 71ro-1 0r72r o 6 3.PROJECT I-OtATION: / Municipality a�asc��/s�r� /�0� County 5" hob/ 4.PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map aaas alae.,- tq 5jpdf dlzj� 0 //? 7 5. IS PROPOSED ACTION: El New F Expansion F Modification/alteration 6. DESCRIBE PROJECT BRIEF/LY: P,,oyo$.ed (03 /OpG Qr/,ror $1QN ( Wp.. (� s60 /47 ,t0 60 /6 51 Cht. f"O 62 cv31R y� g�nr�h ��?_r[.t /62Se- A Jler PR 6.rf,C i- qlt jvepl ©9 6B �/a� insfi/� /ID �o�/S 5a IV A'// 4S 4 r k 7.AMOUNT OF LAND AFFECTED: Initially V acres Ultimately 1, acres 4,0 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ZYes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) residential 1:1 Industrial D Commercial DAgriculture 1:1 Park/Forest/Open Space Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ( Yes ❑No If yes, list agency name and permit / approval: 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? 9Yes1-1No If yes, list agency name and permit / approval: r 12.. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I— " SU es LJ No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / SponsorName Date:///3/o7 Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment • • PART II - IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. ❑ Yes ❑ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. ❑ Yes ❑ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if 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: [[ //�� & a.I*er s �ana- wre-y -5'45yet66 v f SkrAACC C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: 46 J�a9 r to o k i4t !'o e4 C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: wo- 0,V/' C4. Acommunity's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly & o � Owners activir� orf C5. Growth,subsequent development,or related ties likely to be induced by the proposed action?Explain briefly: adeae-% ',t cT �a 6ac� a� ory4« r^d eek C6. Long term,short tern,cumulative,or other/effects not identified in C1-05? Explainbriefly: l If C7. Other impacts(including than es in use of either quantityy or a ener ? Explain briefly: 6 D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTA AREA CEA)7 If es,ex Iain brieFl : [—] Yes 2No [— I E. IS THERE,OR IS T E LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If Les explain: 0 Yes o PART III-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 ofsignificance must evaluate the potential impactof the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL 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 as necessary, the reasons supporting thi determination. Name of Lead Agency Date Print 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 responsible officer) Town of Southold • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si ritgt ficant 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 LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. 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 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# /ee)n - © 3 PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. 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) ❑ (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license,certification: ❑ Nature and extent of action: Location of action: �W5 (,a.lv e/1 /I e d U Site acreage: O. 9 6p -4Keol Present land use: 16) Present zoning classification: �25i-P ekt 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: (Ca,'gr iarfe4 (b) Mailing address: �adP rAe /Qin Lr �y /f�9a (c) Telephone number: Area Code( ) 01-- 9aQ'S3/J- (d) Application number, if any: Will the action be directly undertaken,require funding, or approval LZ -a state or federal agency? Yes 0 No❑ If yes,which state or federal agency? ALZ— 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 LWRP Section III-Policies; Page 2 for evaluation criteria. ❑Yes ❑ No dNot Appycabl 14s ed 4D "r /e c74 Dri�r�-�y Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable //a - /li5�a/��•an� G{ra/ialy�dq/Cd� 5i'�C //F4/' DGS Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria RT Yes ❑ No ❑ Not A/ppTtcable 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 Yes ❑ No ❑ Not Applicable Shop J*beAPfy A-61r7 -24&C—enl6"a Ibq 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 ❑ Yes ❑ No /J Not Applicably / d S C9 71d �fa Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ ❑ Yes No Not Appicable • 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. ❑ Yes ❑ No Z/Not Applicable !d a �� Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable ,jasf Heol dy 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 LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. �� ❑ Ye� No la"Not Applicable �lrOe, fil.cft@5id''� CCI Attach additional sheets if necessary WORKING COAST POLICIP 0 Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No UCNot Applicable / Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. 1 Yes ❑ No❑ Not Applicable s // /p1 / �J A9srin 1z,h &e, y SC</C -;e— ! /•9 of 6C to'/ 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. ❑ Yes 1:1E No Not Applicable / C // / l/2S/ j/ euGi%'� kl"/ 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. ❑ Yes ❑ No Not App)icable A -1d s ��� �roYld PREPARED BYZOL r TITLE C� �`! ��' DATE 7 0 7 Board of Trustees Application County of Suffolk State of New York 10 � n /v rBEING 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. Signature SWORN TO BEFORE ME THIS 7iG DAY OF aC-/-D/,y— ,20 tJZ Notary Public CA1��6 yf Ward of Trustees Applicato AUTHORIZATION ` (where the applicant is not the owner) residing at se (print owner of property) (mailing address) L tJn 0 °1 7/ do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ( ner's signature) 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The vumose of this form is to provide information which can alert the town of pg5aible conflicts of interest and allow it to take whatever action is necessary to avoid same. I YOUR NAME: 4,(a (Last name,firafriame,middle 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.) NAME OF APPLICATION: (Check all that apply.) _ Tax grievance Building Variance Trustee Change of Zone Coastal Erosion 9C Approval of plat Mooring Exemption from plat or official map Planning _ Other (If"Other',name the activity.) 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 or employee owns more than 5%of a shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check afl that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); _B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); _C)an officer,director,partner,or employee of the applicant;or _D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this A� y of /3 t� 200 Signature r. t Print Name 12 R Form TS 1 CALVES NECK ROAD PROPOSED 103'LONG ARMOR STONE WALL z / N REVETMENT 500# TO ONE TON LI GLACIAL CAL yA ERRATIC BOULDERS OR BEDROCK FROM AN } ` CAL. 9 a 167 50' " s OFF SITE QUARRY. APPROX. 150 TONS. - I=' C 'L CONSTRUCT BY PLACING A 2'THICK 6 C M/DFA% �F .. .'.'.'.'.'.'.'. FOUNDATION OF 4"TO 8-RIP RAP(2LB MIN 4 ` �� { hp RD TOWN r s TO 22LB MAX.) ON MIRAF3140N FILTER ', JAN 2 3 2008 , `: 4 L Ro 'a y FABRIC, THEN CAFEFULLY PLACE LARGER [ I CREEK ? � s ROCK ABOVE INTERLOCKING AS MUCH AS THE MATERIAL WILL PERMIT. BATTER THE WALL LANDWARD 1:2.5. WALL 5'WIDE. LIMIT OF BACKFILL APPROX. 100 YD. CLEAN OCKEY Z a ` SAND FROM UPLAND SOURCE INSTALLED BY •'' ' .CREE TRACK EXCAVATOR ADDITIONAL. `b, aWQ LIMIT OF BEACH GRASS PLANTING 10' N Y s D 8 C £ yd 5 190� y,r� o• NDWARD OF STONE WALL Ap ROVED AS PER TERMS T CONDITIONS OF. KEY MAP* 10'RETURN t �365(I�OOl „NOTE EQUIPTMENT ACCESS FROM } 13 OF 8 NO, -� SCALE: 1"=1000- WEST SIDE OF PROPERTY % �sd t0? OF 106 pERM1T DATE 0 VIA CALVES NECK ROAD 1 0 1 X01 \, \ v J 00� � 1 W 11 ' S8' R (� ' � J EE RETURN DETAIL W 05 y W /�• W W �dr563�5�yVf CRE LEGEND PHOTO 58670.25 w 105'08 PHO7O DIRECTION DETAIL OF WALL RETURN STAKE £LEVA7/ONS REFERENCED TO N.G.U.D. TS JOCKEY �(fDR�O A LOCATION N FRONT OF WALL LA BEACH GRASS 12"APART IN ALL DISTURBED AREAS. 10'MIN. SITE PLAN 10' LIMIT OF BACKFILL APPROX. 100 YD. CLEAN SCALE: 11"m 40' M1ynp p0a AND FROM UPLAND SOURCE INSTALLED BY 3 TRACK EXCAVATOR ADDITIOFd4L (APROX. 5') PROPOSED ARMOR ROCK WALL SCTM 1000-70-04-45.3 JOCKEYOZEEK H , FILTER FABRIC MIRAF7140N OR EQUAL 2225 CALVES NECK RD, SOUTHOLD, NY 11971 ALW 2 TO RETAIN FILL OWNER: E OF BLUFF JOHN KRAMER 2' TO 10' PROPOSED ARMOR STONE WALL REVETMENT SOUTHOLD, NY 11971 500 TO 2000# L7 GLACIAL ERRATIC BOULDERS 2225 CALVES NECK RD, 29,+/ OR BEDROCK FROM AN OFF SITE QUARRY. 631.765.1235 APPROX. 150 TONS. CONSTRUCT BY PLACING A 2'THICK FOUNDATION OF SMALLER ROCK ON Allen Glenn Bernhard, P.E. P.0 . MIRAFI 140N FILTER FABRIC, THEN CAFEFULLY 18 Aster Road, Rocky Point, NY 11778 PLACE LARGER ROCK ABOVE INTERLOCKING AS (631)805.2349 Fax: (681)980.3836 MUCH AS THE MATERIAL WILL PERMIT. BATTER SCALE: 1--=10' THE WALL LANDWARD 1:2.5 M N0• z� CROSS-SECTION OF PROPOSED ARMOR STONE WALL 07 as noted SHMT 1 OF 1 Allan Glenn Bernhard, P.E. 078781 NECK ROAD PROPOSED 103'LONG ARMOR STONE WALL i CALF'S �r�/ N REVETMENT 500# TO ONE TON LI GLACIAL ERRATIC BOULDERS OR BEDROCK FROM AN CALVE '.'.'.'.'. 0 167 50' b OFF SITE QUARRY. APPROX. 150 TONS. S 9 mom ' CONSTRUCT BY PLACING A 2'THICKE2 . M/DP tiF A ` FOUNDATION OF 4"TO 8"RIP RAP(2LB MIN. 4%% c� r s TO 22LB MAX.) ON MIRAFI 14ON FILTER hlL4 q0 �O TOWN '6 4- FABRIC, THEN CAFEFULLY PLACE LARGER �`s ROCK ABOVE INTERLOCKING AS MUCH AS CREEKTHE MATERIAL WILL PERMIT. BATTER THE 'TE WALL NOWAR 1:2.5. WALL 5 WIDE.LIMIT OF BACKFILL APPROX. 100 YD. CLEAN .. . . . .. . . .. ' SAND FROM UPLAND SOURCE INSTALLED BY CREEL 'r's� TRACK EXCAVATOR ADDITIONAL. v Gti� ,o •y'd a X51 B N� odr' Q. BEACH ROVED a, .... . '.•'.'. . . Q . . KEY AP* 10'RETURN got gPg� OF TRUSTEES 'NOTE EQUIPTMENT ACCESS FROM V` CALE: "=1000' WEST SIDE OF PROPERTY $ • d �°�• 10? Of13 _ m SOUTHOLD VIA CALVES NECK ROAD 01 L 5a' R0 an W W EE RETURN DETAIL W W dyor° 565150 CRE LEGEND W W 105.08 PHOTO PHOTO Sg6 to'25'w DIRECTION DETAIL OF WALL RETURN rP LEVA710NS REFERENCED TO N.G.V. OP�0P1 STAKE NTs C 'i Y L� A LOCATION JO FRONT OF WALL LANT BEACH GRASS 12"APART IN ALL SITE PLAN • 1 Q, DISTURBED AREAS. 10'MIN. LIMIT OF BACKFILL APPROX. 100 YD. CLEAN SCALE: 1"=40' aa�i6°aa 'ND FROM UPLAND SOURCE INSTALLED B TRACK EXCAVATOR ADDITIONAL (A RP OX. 5') PROPOSED ARMOR ROCK WALL 3 2225 CALVES NECK RD, SOUTHOLD, NY 11971 SCTM 1000-70-0445.3 ]OCKEVCREEK A„W SHORE 2, FILTER FABRIC MIRAFI 140N OR EQUAL OWNER: ALW TO RETAIN FILL E OF BLUFF JOHN KRAMER 2' TO O' PROPOSED ARMOR STONE WALL REVETMENT 2225 CALVES NECK RD, SOUTHOLD, NY 11971 O500 R TO200KFROMAGLACIAL ERN OFF SITE QUARRY. 631.765.1235 2 9 + APPROX. 150 TONS. CONS7RUCT BY PLACING A Allen Glenn Bernhard, P.E. P.0 . 2'THICK FOUNDATTON OF SMALLER ROCK ON 18 Aster Road, Rocky Point, NY 11778 MIRAFI 140N FILTER FABRIC, THEN CAFEFULLY PLACE LARGER ROCK ABOVE INTERLOCKING AS (631)805-2349 Fax (631) 980.3836 MUCH AS THE MATERIAL WILL PERMIT. BATTER SCALE: 1"=10' THE WALL LANDWARD 1:2.5 RgF.,2V, -07, DWG No. REV CROSS-SECTION OF PROPOSED ARMOR STONE WALL 2 CALE am noted SHEET 1 OF 1 Allen Glenn Bernhard, P.E. 076761