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Home My WebLink AboutTR-6805 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0511C Date: January 19, 2010 THIS CERTIFIES that the construction of a second-floor addition to existing dwelling, shifting foundation to square off the new construction, gutters, leaders and drywells installed, a 10' non-turf buffer landward of the top of bluff on the west side, and a non-turf buffer between the top of bluff and dwelling on the east side of the property each to be maintained At 3025 Pine Neck Road, Southold, New York Suffolk County Tax Map # 70-6-18 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated 12/13/07 pursuant to which Trustees Wetland Permit # 6805 Dated 1/23/08 was issued and Amended on 1/21/09 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 construction of a second-floor addition to existing dwelling, shifting foundation to square offthe new construction, gutters, leaders and drgwells installed, a 10' non- turf buffer landward of the top ofbluffon the west side, and a non-turf buffer between the top of bluff and dwelling on the east side of the propeity each to be maintained The certificate is issued to EVE SEBER owner of the aforesaid property. Authorized Signature Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredcmcycr Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: v,/" Ch. 275 Ch. 111 INSPECTION SCHEDULE INSPECTED BY: COMMENTS: Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ¼ constructed Project complete, compliance inspection. CERTIFICATE OF COMPLIANCE: COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK CC #: C10-3632 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 on0210112010 under Liber D00012615 and Page 005 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 affixed the seal of said County and Court this 02/0112010 SUFFOLK COUNTY CLERK ,JUDITH A. PA$CALE SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE T~pe of Instrument: DECLARATION Number of Pages: 6 Receipt Number : 10-0013033 District: 1000 Recorded: At: 02/01/2010 11:42:50 AM LIBER: D00012615 PAGE: 005 Section: Block: Lot: 070.00 06.00 018.002 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt NO Handling $20.00 NO NO NYS SRCHG $15.00 NO NO Notation $0.00 NO NO RPT $30.00 NO Fees Paid $107.50 Page/Filing $30.00 COE $5.00 TP-584 $0.00 Cert. Copies $7.50 THIS PAGE IS A PA~T OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Page / Filing Fee Handling TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. Affidavit Certified Copy NYS Surcharge Other FEES 20. 00 5. 00 15. 00 Sub Total Sub Total Grand Total · A.!E:q FH "d, F'!Ti92F~L.E£ L C, OC(h 26:~5 Recording / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County Held for Appointment _ Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO If NO, see appropriate tax clause on page # of this instrument. 4 Real Prope ~ Tax Servi Agenc) Verificati, 6 1000 07000 0600 018002 ',atisfactions/Discharges/Releases List Property Owners Mailing Address !/.~ C R & URN TO: Po '-cz>y. t44.7 Community Preservation Fund Consideration Amount $ CPF Tax Due $ Mail to: Judith A. Pascale, Suffolk County Clerk I 7 I 310 CenterDrive, Riverhead, NY 11901 Co. Name www. suffolkcountyny, gov/clerk Title # This page forms part of the attached , . ,,, ,.. ,'<-., ,. , Improved Vacant Land __ TD TD TD Title Company Information Suffolk County Recording & Endorsement Page ~ ~J_~'~ (~_~ made by: (SPECIFY TYPE OF INSTRUMENT) 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. 0~04.~0~08~, (over) Jan 21 10 04:38p BiLl 6313238024 p,1 DECLARATION OF COVENANTS THIS DECLARATION made this 21 day of January, 2010, by Eve Seber, residing at 80 Franklin Street, Apt. 2, New York, New York 10013, hereinafter referred to as "DECLARANT(S)": W I TNE S S ET H : WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located on 3025 Pine Neck Road, Southold, New York 11971, Pine Neck, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Secf~on 070, Block 06, Lot 18-~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 Jan 21 10 04:38p Bill 6313238024 p,2 to undertake such regulated activities, the Trustees required that a 10' wide up 21 foot wide, variable width "non-turf buffer" adjacent to and landward of top of bluff; 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 10' wide up 21 foot wide, variable width "non-turf buffer" adjacent to and landward of top of bluff as defined by Chapter 275 of the Town code; and 2) These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, ~signs, 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) has/have duly executed this instrument this _ .day of OC , 20 JQ. OWNER'S SIGNATURE OWNER'S SIGNATURE Jan 21 10 04:39p · Bill 6313238024 p.3 STATE OF /~03 ~ : SS: bOenf otrhee ~~ d~d~;s ~C~N oTa , in the year 20 6 , h~ i ry Public in and for said ~tate, personally appeared ~ ~ , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instr~ent and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by bis/her/their signature(s) on the instr~ent, the in~vidual or the persons on behalf of which the individual(s) acted, executed the instr~snt. ~ ~-~ ~- ~~... Notary Public STEVEN KHOLODOVSKY Notary P[iblic - State of New York No. 01KH6145695 Qualified Ir~ Richmond County My Commis~io~ Expires May 08, 2010 Schedule A i af )-- ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and The State of New York being bounded and described as follows: BEGINNING at a point along the northerly side of Pine Neck Road, the said point of beginning also being 627.7 feet easterly from the intersection of the northerly side of Pine Neck Road and the easterly side of Oaklawn Avenue; RUNNING thence through land now or formerly of Eve Seber the following two (2) courses and distances: (1) North 06 degrees 00 minutes 20 seconds East, 198.98 feet to a point; (2) North 83 degrees 59 minutes 40 seconds West, 96.55 feet to a point at the southeast comer of land now or formerly of Clara Prout; RUNNING thence North 06 degrees 30 minutes 40 seconds East along land now or formerly of Clara Prout, 212.12 feet to the apparent high water mark along the southerly side of Jockey Creek as of November 28, 2007; RUNNING thence easterly along a tie line along the apparent high water mark of the southerly side of Jockey Creek the following four (4) courses and distances: (1) South 86 degrees 21 minutes 01 seconds East, 43.69 feet to a point; (2) North 58 degrees 27 minutes 46 seconds East, 33.28 feet to a point; (3) North 31 degrees 32 minutes 19 seconds East, 36.15 feet to a point; (4) North 85 degrees 09 minutes 00 seconds East, 21.28 feet to a point along the westerly line of land now or formerly of Charles C. and Penny P. Burnham; RUNNING thence South 06 degrees 00 minutes 20 seconds West along the westerly line of land now or formerly Charles C. and Penny P. Burnham, 467.69 feet to a concrete monument set along the northerly side of Pine Neck Road; RUNNING thence South 85 degrees 55 minutes 20 seconds West along the northerly side of Pine Neck Road, 12.0~feet to the point or place of BEGINNING. "'~P1NE NECK RoAD ,'qUl~VIqY OF PI~OI'ERTY F'ITUATIf PINE NECK [OWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-70-06-18 .,.~L 2 ,o,'2;d~d' Nathan Taft Corwin III Land Surveyor James F. ICing, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 January 21,2009 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Mr. Bill German P.O. Box 1447 Mattituck, NY 11952 RE: EVE SEBER 3025 PINE NECK ROAD, SOUTHOLD SCTM# 70-6-18 Dear Mr. German; The following action was taken by the Southoid Town Board of Trustees at their Regular Meeting held on Wednesday, January 21, 2009: RESOLVED, that the Southotd Town Board of Trustees APPROVE the Amendment to Wetland Permit #6805 to remove two (2) trees adjacent to the dwelling, and as depicted on the revised site plan prepared by McCobb & Associates Landscape Amhitects and received on January 8, 2009. 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 call our office at (631) 765-1892. Sincerely, · Kin9 President, Board of Trustees JFK:eac Mott's Tree Service & Landscaping, Inc. 1490 Skunk Lane Cutchogue, NY 11935 631 734-5569 January 19, 2009 Southold Town Board of Trustees Main Road Southold, NY 11971 To Whom It May Concern: I was asked to examine a tree on the property of Eve Seber, at 3025 Pine Neck Road, Southold, NY, tax map number 1000-70-06-18. Please be advised, that this tree in my opinion needs to be removed. It appears to be weak due to rot. The tree is hollow and leans toward the house, which causes a hazardous condition. Thank you for your attention to this matter. Sincerely, Wayne J. Mott, President James F~ King, President Jill M. Doherty, Vice-President Pegg~ A. Dickerson Dave Bergen Jolm Holzapfel 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 Tow oF souT.oLD APPLICATION FOR AN AMENDMENT TO A WETIJLA~o~..J OWNER ~ ~'~'~'--"~ 1/We ~/g4-..~ ~ request an Amendment to Permit # ~)~"~ to ~2,4-~.'-cq~~ ~ Signed By: ~~~~ James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route25 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 st day of construction constructed i~Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6805 DATE: JANUARY 23~ 2008 ISSUED TO: EVE SEBER PROPERTY ADDRESS: 3025 PINE NECK ROAD~ SOUTHOLD SCTM# 70-6-18 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 Eve Seber and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a second-floor addition to the existing dwelling and shift north foundation wall back toward the south to square off the new construction, with the condition of the installation of gutters and drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, a line of staked hay bales to be installed prior to construction, a 10' non-turf buffer landward of the top of bluff on the west side of the property and a non-turf buffer between the top of bluff and dwelling on the east side of property, and as depicted on the survey prepared by Nathan Taft Corwin III, last dated February 4, 2008, and received on February 6, 2008. 1N 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. TERMS AND CONDITIONS The Permittee Eve Seber, residing at 3025 Pine Neck Road, Southold, NY as part of the consideration for the issuance of the penmt does understand and prescribe to the following: 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. 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. 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. 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. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 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. That if future operations of the Town of South01d 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. 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. That the said Board will be notified by the Permittee of the completion of the work authorized. 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 York11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 January 23, 2008 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Bill Gorman P.O. Box 1447 Mattituck, NY 11952 RE: EVE SEBER 3025 PINE NECK ROAD, SOUTHOLD SCTM# 70-6-18 Dear Mr. Gorman: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 23, 2008 regarding the above matter: WHEREAS, Bill Gorman on behalf of EVE SEBER 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 13, 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, 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 EVE SEBER to construct a second-floor addition to the existing dwelling and shift north foundation wall back toward the south to square off the new construction, with the condition of the installation of gutters and drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, a line of staked hay bales to be installed prior to construction, a 10' non-turf buffer landward of the top of bluff on the west side of the property and a non-turf buffer between the top of bluff and dwelling on the east side of property, and as depicted on the survey prepared by Nathan Taft Corwin III, last dated February 4, 2008, and received on February 6, 2008. 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 $50.00 per inspection. (See attached schedule.) Fees:S100.00 Very truly yours, President, Board of Trustees JFK/eac James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated-~x:.e~o~'~( I ~, ~007 has been reviewed by this Board at the regular meeting of _~'-o.~curu ~. ~7 and your application has been approved pending the completion oCthe / following items checked off below. / Revised Pla ns for proposed project$,;~/~'°~'~'~?~Y~c~'~ue, ~-~ !~~~c'~'7(1 v/ Pre-Construction Hay Bale Line Inspection Fee ($50 00)/~o~e ~- ~, ~- __ 1st Day of Construction ($50.00) __ ½ Constructed ($50.00) 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: 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 (63i) 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 Don Wilder, it was RESOVLED to SUPPORT the Wetland Permit application of EVE SEBER to construct a second-floor addition to the existing dwelling and shift north foundation wall back toward the south to square off the new construction. Located: 3025 Pine Neck Rd., Southold. SCTM#70-6-18 Inspected by: Doug Hardy Vote of Council: Ayes: All Motion Carried James F. I~ng, 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 Inspection/Work session Report EVE SEBER ?e!luests ~ Wetland Permit to construct a second-floor addition to the existin9 dwellin9 and shift north foundation wall back toward the south to square off the new construction, located: 3025 Pine Neck Rd., Southold. SCTM#70-6-18 T~.q~ of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of above: Part of Town Code propgsed work falls under: L-C/hapt.275 Chapt. 111 other Type of Application: v/Wetland __Coastal Erosion __Amendment __Administrative __Emergency Pre-Submission Violation Planning Info needed: Modifications: Conditions: Present. Were: __ .King ~J.Doherty~P.Dickerson D. Bergen b"'B. Ghosio, Jr ./ H. Cusack D. Dzenkowski Mark Terry~other Form filled out in the field by 3r~r~. Mailed/Faxed to: Date: Environmental Technician Review -~¢'tg~t'~ ~- Czz'a~c~ OFFICE LOCATION: Town HM1 Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southotd, NY MAILING 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: From: James King, President Town of Southold Board of Trustees Mark Terry, Principal Planner LWRP Coordinator Date: January 7, 2008 JAN - 7 2008 Southhdd Towll Board of Truste~ Re: Request for Wetland Permit for Eve Seber S CTM# 70-6-18 EVE SEBER requests a Wetland Permit to construct a second-floor addition to the existing dwelling and shift north foundation wall back toward the south to square off the new construction. Located: 3025 Pine Neck Rd., Southold. SCTM#70-6-18 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 generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that the following Best Management Practices are applied to further the policies: 1. Require gutters, downspouts~ and sub-surface drywells to contain roof runoff on house, and hay bales during construction. 2. Require a minimum 15 foot non turf buffer landward of the bluff to protect the bluff and the creek. 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 Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John HoLzap fcl 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 Office Use Only __Coastal Erosion Permit Application k/4,Vetland Permit Application __ Adnfinistrative Permit Amendmentfrrans fer/E~;temion .~Received Applicatiom ../'Received Fee:$ ,.~ _ -~ompleted Application Incomplete SEQRA Classification: Type I Type II U~flisted__ Coordination:(date sent) .~LWRP Consistency Assessment Form --CAC Referral Sent: I _~l~ate of Inspection: Receipt of CAC Report:' __Lead Agency Determination: Technical Review: ~Uublic Hearing Held: ~:~,~ __Resolution: DEC 1 3 2007 Name of Applicant Address PhoneNumber~Z,J'2~b ,dL'~t- .e~' t'~ ~C Suffolk County Tax Map Number: 1000- '~ ~ (-~ ~' / Property Location: '~ C) ~-~'~ '~ {./~'~'~ /'~'~ (provide LILCO Pole #, distance to cross streets, and location) AGENT: ~ t,4_- ~' ~ ~.,W~ /0 (If applicable) Address: '~O ~;~)xL [~'~ I 'Board of Trustees Ap~ Land Area (in square feet):. Area Zoning: Previous use of property: Intended use of property: GENERAL DATA Covenants and Restrictions: If "Yes", please provide copy. Yes ~ No Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspen~ted by If yes, provide explanation: a governmental agency? Yes Project Description (use attachments if necessary):. WETLAND/TRUSTEE LANDS APPLICATION DATA. Purpose of the proposed operations'.~~£ Area of wetlands on lot: 4 [~) square feet Percent coverage of lot: ~ ~ % Closest distance betwe?~q~_e~t existing structure and upland edge of wetlands: Closest distance between n~est proposed structure and upland edge ofwe~ands'f '~;Z- ~.... feet Does the project involve excavation or filling? No ~ 'Yeg' If yes, how much material will be excavated? [ ~--~f' cubic yards How much material will be filled? Z,~"' cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: · feet Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands'and tidal waters of th'e town that may result .reason of such proposed operations (use attachments.if approl~riate): IBoard of Trustees ApplicOn COASTAL EROSION APPLICATION DATA Purposes of proposed activity:. ~O~L.X,~__.~'~ ~..~'~-~ ~ Are wetlands present within 100 feet of the proposed activity? No ~ Yes Does the project involve excavation or filling? No v/ Yes If Yes, how much material will be excavated? I How much material will be filled? '~"~ Manner in which material will be removed or deposited: (cubic yards) (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting fi.om implementation of the project as proposed. (Use attachments if necessary) PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROJECT LOCATION:-- 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME County SEQR 4. PRECISE LOCATION: Sffeet Addess and Road Intersections. Prominent landmarks etc -or provide mae 5, IS PROPOSED ACTION: [] New [] Expansion ~,MO'~ification / alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yes [] No If no, describe briefly: ResT IS PRESENT LAND USE IN VICINITY OF PROJECT2 (Choose as many as apply.) idential []Industrial []Commercial ~]Agriculture [] Park / Forest / Open Space [~Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Feder/~J~ State or Local) [~Yes ~]'No If yes. list agency name and permit / approvak 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? F--~Yes [~o If yes, list agency name and permit / approval: 12. AS A RES T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor N~e,,,_~[,J,,,I--~IO~V~ &~'~.-.~J Date: If tho action is a Costa! Aroa, and you aro a stato agency, ¢ompleto tho Coastal Aeseesment Form bo[oro procooding with this assossmont PART II - IMPACT ASSESSMENT (To be completed by Lead A~enc¥) A. DOES ACTION EXCEED ANY TYPE ~ THRESHOLD IN 6 NYCRR, PART 617.47 If yes, cesrdinate the review process a~l use the FULL EAF. r-lYes IZ o B. WILL ACTION RECEIVE COORDINATED REVIEWASPROVIDEDFORUNLISTEDACTIONSIN6NYCRR, PART617.67 IfNo, anegative declaration may be superseded by another involved agency. r-]Yes E]No ;. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Aeswem 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: C2. Aesthetic, agdcuiiurai, archaeological, fiistoricl or Other nai~r~i or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, sheflfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's exisiing plans or goals as o~ci~iiy ~dopi;dl o~' a change in use orintensity of uso of land;=- o~he=- na{ural resources? Explain briefly: C5. Jrowth, sub~seqO~ ent development, or related activities likely to be induced by th~ p~oP~ose~ ac~0~ EXplain bdefi~ CS. Long term, short term. cumulative, or other effects not identified in Ct-C57 Explain briefly: C7. Other impacts (including changes!n use of either quanfih/or tyce of ener[Iy? Explain D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRON MENTAJ- AREA/CEAI? Ill yes, explain briefi;/: E. IS THERE, OR IS/THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: F-lYes l NoI - PART Ill - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~~~arge~imp~rtant~r~therwisesign~~cant~ 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 necessaw, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate We potential impact of the proposed action on the environmental characteristics of the C EA. Check this box if you have identified one or more potenfiaily large or significant adverse impacts which MAY occur. Then proceed directly to the FULL FAF 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 acfior 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 Title of Responsible Officer Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) ~oard of TrUStees ApplicaOn AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at (mailing address) hereby authorize ( Agent ) apply for permit(s) from the Southold Board of Town Trustees on my behalf. Owner's signature 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nrohibits conflicts of interest on the t~art of town officers and emalovees. The numose of tbls form is to t~rovida information which can alert the town of ~ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first name, ~aiddle initial, unless you are applying in lhe name of son.one 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 Approval of pint 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 the 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 all that apply): __.A) tbe owner of greater than 5% of the shares of the corporate stock of the applic~n~ (when the applicant is a corporation); ___B) the legal or beneficial ownqr of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, parmei', or employee of the applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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 ,4rea. 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). 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. Thns~ each answer must be explained in detail~ listing both supporting and non- suonorfiw, 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# [OOO - -~O (-~ -- /~ PROJECT NAME <~'~--'-~--- ~ L~;;;~~ The Application has been submitted to (check appropriate response): TownBoard ~] Planning Board ~] Building Dept. [] Board of Trustees Categopg 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: Site acreage:. Present land use: '~-~t ~ ~CY-~( ~ ~ Present zoning classification: 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: (b) Mailing address: :~(~) '~.. {~.'"~ (c> Telepbone n mber: rea Code (d) Application number, if any: Will the action be d~yctly undertaken, require funding, or approval by a state or federal agency? Yes ~ No~) ¥1 If yes which state or federal agency.'? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southoid 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 [~ Not Applicable 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 Attach additional sheets if necessary Poliey 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 ~ Yes ~ No ~Not Applicable Attach additional sheets ifnecessmy 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 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 Attach additional sheets ifnecessaxy 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 A~pplicable 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 ~ot Applicable 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 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. [] Yes~ No ~Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. [] Yes ~ No ~Not 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. ~ Yes ~ No ~Not Applicable 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 eva~ation criteria. ~ Yes [] NoFT-/tLY-I Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies;P/ages 65 through 68 for evaluation criteria. ~-~ Yes [] No~l" I Not Applicable PREPARED BY /~l t.~.&~A~ ~ TITLE ~-~-~"~ DATE + Add 137 sq. '~t. t° foundation -Deduct 130 sq. ft. from foundation. Move foundation 6'-7" further away from line of wetland Seber-Voelker 3025 Pine Neck Road Southold, NY dAN 2 3 2008 FROM : coSTELLO MRRINE CONT. Hydrographic Map Prepared fac. Eve Seber Surveyed: August 8, 2007 SCT# 1000-70-6-18 Situate: Jockey Creek Town: Southold Betum: Low Water Tide: 2.5' +/- PHONE NO. : 631 477 0005 Nov. ~1 2007 10:57RM PI N SE LEVEL ';- MAPPING 631-722~90 · P.O. Box # ~66 NYtlgG1 ROBERT It, FOX 7-- 8-- 10-- 11 12 15 14 UTILI POLE BOTTOM OF ~ 6.4- Outdoor Shower DOCK L_ 0.2'E. 4 --5 6 7 8 --9 10 --i5 --14 -16 --17 18 18 17 ~9 19 Car Turn-around 20-- 21-- Guest Parking Seber Voelker -- /fl,"Residence Southold, NY McCobb & Associates Landscape Architects Sheet Title: Site Plan Date: Dec. 2007 Scale: ~ To ScA-C,6 joCg E 4 N 85'09 O0 21.28' E 6 7 - --16 SURVEY OF PROPERTY SITUATE PINE NECK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-70-06-18 SCALE 1 "=50' NOVEMBER 28, 2007 FEBRUARY 4, 2008 ADDED PROPOSED ADDITIONS AREA = 47,520 sq. ff. (TO TIE LINE) 1.091 ac. 527.7' 20-- pipe / / I o Z po51 pINE NECK ROAD r --18 ,0 $ 85'§5'20" W ASPHALT DRIVEWAY AREA: 1.677 aq, fl, 1.677 sq. fl. X 0.17 -- 286 au. fl. FOUND APP[~OVED BOARD OF T J,,,~ 1. ELEVATIONS ARE REFEREHCED TO N.G.V.D. 1929 DATOM EXISTING EL~VAIIONS ARE SHOWN THUS:~ EXISIING CONTOUR LINES ARE SHOWN THUS: .... .J THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD~ IF ANY. NOT SHOWN ARE NOT GUARANTEED. NYS Lic, No 50467 Nathan Taft Corw~n III Land Surveyor PHONE (651)727-2090 Fax (631)727-1727 ./ Seber-Voelker Residence 4s ri Seber-Voelker Residence ¸ IL' i 13 JO 9-- I?- __ 12- FENCE FRAME SHED 25 20- 20 · Z 527.7' / · Road with / Native Sh~b /- Plantln~ and PINE NECK ROAD Voelker-Seber Residence Southold, NY McCobb & Associates Landscape Architects Sheet ~dscape PLan Date: July 2008 Scale: Not to Scale