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HomeMy WebLinkAboutTR-6778BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6778 DATE: DECEMBER 12, 2007 ISSUED TO: JOAN SHANNON PROPERTY ADDRESS: 7080 PECONIC BAY BI,VD, LAUREL///~ SCTM#126-ll-7 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 December I2, 2007, and in consideration of application fee in the sum of $250.00 paid by Joan Shannon 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 remove the existing roof and expand second floor within the existing footprint; construct a new covered porch on the landward side of the existing dwelling; and install drywclls to contain a 2" rainfall for the proposed dwelling and existing detached garage, and as depicted on the site plan prepared by Robert Stromski, last dated November 8, 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. TERMS AND CONDITIONS The Permittee, Joan Shannon, residing at 7080 Peconic Bay Blvd., Laurel, as part of the consideration for the issuance of the Permit 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 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. 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. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may bc subject to revoke upon failure to obtain same. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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 1st day of construction ½ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6778 DATE: DECEMBER 12~ 2007 ISSUED TO: JOAN SHANNON PROPERTY ADDRESS: 7080 PECONIC BAY BLVD. LAUREL SCTM#126-11-7 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 December 12, 2007, and in consideration of application fee in the sum of $250.00_paid by Joan Shannon 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 remove the existing roof and expand second floor within the existing footprint; construct a new covered porch on the landward side of the existing dwelling; and install drywells to contain a 2" rainfall for the proposed dwelling and existing detached garage, and as depicted on the site plan prepared b) last dated November 8, 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. TERMS AND CONDITIONS The Permittee, Joan Shannon, residing at 7080 Peeonic Bay Blvd., Laurel, as part of the consideration for the issuance of the Permit 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 Perrrfittee 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 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. 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. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 December 12, 2007 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Robert Stromski, AIA Searles, Stromski, AssOciates 131 Route 25A, Suite 3 Rocky Point, NY 11778 RE: JOAN SHANNON 7080 PECONIC BAY BLVD., LAUREL SCTM#126-11-7 Dear Mr. Stromski: The Board of Town Trustees took the following action during its regular meeting held on Wed., December 12, 2007 regarding the above matter: WHEREAS, Searles, Stromski, Associates on behalf of JOAN SHANNON 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 November 14, 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 December 12, 2007, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 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 JOAN SHANNON to remove the existing roof and expand second floor within the existing footprint; construct a new covered porch on the landward side of the existing dwelling; and install drywells to contain a 2" rainfall for the proposed dwelling and existing detached garage, and as depicted on the site plan prepared by Robert Stromski, last dated November 8, 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, JFK/Ims James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ,~'10,~_~ ~Jqar~nan Please be advised that your application dated J~ ] Iq 109 has been reviewed by this Board at the regular meeting of ~,,~! ~! 0'2 and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ½ Constructed ($50.00) y'/ 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 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Work session Report Date/Time: J~ ~'ll ' ~7 JOAN SHANNON requests a Wetland Permit to remove the existing roof and expand second floor within the existing footprint; construct a new covered porch on the landward side of the existing dwelling; and install drywells to contain a 2" rainfall for the proposed dwelling and existing detached garage. Located: 7080 Peconic Bay Blvd., Laurel. SCTM#126-11-7 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound 'V~Bay Distance of proposed work to edge of above: P~V~C of Town Code proposed work falls under: hapt.275 Chapt. 111 other Type of Application: /Wetland __Coastal Erosion __Amendment __Administrative __Emergency Pre-Submission Violation Planning Info needed: Modifications: Conditions: / Present Were: ~J.King ~.Doherty __P.Dickerson D. Bergen~ B. Ghosio, Jr H. Cusack D. Dzenkowski Mark Terry~other Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review ~.~t~ tlc ,/co ~ Vr~vi°'~ Donald Wilder, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., December 5, 2007, the following recommendation was made: Moved by Peter Young, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of JOAN SHANNON to remove the existing roof and expand second floor within the existing footprint; construct a new covered porch on the landward side of the existing dwelling; and install drywells to contain a 2" rainfall for the proposed dwelling and existing detached garage. Located: 7080 Peconic Bay Blvd., Laurel. SCTM#126-11-7 Inspected by: Peter Young, Chris Kempner, Jacob Smith Vote of Council: Ayes: All Motion Carried VIEW 1 Joan Shannon P.O. Box 151 7080 Peconic Bay Blvd. Laurel, New York SCTM# 1000-126-11-7 VIEW 2 Photos dated November 2007 Photos dated November 2007 VIEW 3 VIEW 4 Photos dated November 2007 Photos dated November 2007 VIEW 5 VIEW 6 Photos dated November 2007 Photos dated November 2007 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, 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 To: Date: MEMORANDUM James King, President Town of Southold Board of Trustees Mark Terry, Principal Planner ~ LWRP Coordinator December 7, 2007 DEC 7 2007 Southhold Town Board of Trvstees Re; Request for Wetland Permit for JOAN SHANNON SCTM# 126-11-7 JOAN SHANNON requests a Wetland Permit to remove the existing roof and expand second floor within the existing footprint; construct a new covered porch on the landward side of the existing dwelling; and install drywells to contain a 2" rainfall for the proposed dwelling and existing detached garage. Located: 7080 Peconic Bay Blvd., Laurel. SCTM# 126-11-7 The addition of the new covered porch is an exempt action pursuant to 268. Definitions, Minor Actions, item BB. The proposed second story addition 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 denoted following Policy Standards and therefore is CONSISTENT with the LWRP. The following recommendations are proposed to further the policies of the LWRP. Note: The sanitary system is not shown on the survey. To further policy 5.1 (below); please verify the location of the sanitary system and compliance to Chapter 275. 5.1 Prohibit direct or indirect discharges that would cause or contribute to contravention of water quality standards. Ensure effective treatment of sanitary sewage and industrial discharges providing and managing on-site disposal systems: a. use on-site disposal systems only when impractical to connect with public sewer systems, b. protect surface and groundwater against contamination from pathogens and excessive nutrient loading by keeping septic effluent separated from groundwater and by providing adequate treatment of septic effluent, c. encourage the evaluation and implementation of alternative or innovative on-site sanitary waste systems to remediate on-site systems that currently do not adequately treat or separate effluent, d. encourage the use of alternative or innovative on-site sanitary waste systems where development or redevelopment of grandfathered parcels would otherwise increase the level of negative impacts on ground or surface waters, including wetlands. If the action is approved the following best management practices (BMP) are recommended: 1. Retain and/or establish a non-turf, native vegetation buffer (less existing deck) landward of the top of bulkhead to the top of bank. 2. Require hay bales during construction. The BMP's will further Policies 5, Protect and improve water quality in the Town of Southold and Policy 6.3 Protect and restore tidal and freshwater wetlands, item D (below). 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 Office Use Only ~Coastal Erosion Permit Application Wetland Permit Application Administrative Permit __Amendment/Trans fer/~xtension ~Received Application I ~15"10'7 /._Received Fee:$ OO.,~"O _~---Completed Application I __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~CAC Referral Sent: .____Date o f Inspection:~ __Receipt of CAC Report: __Lead Agency Determination:__ __Technical Review: __~lic Hearing Held: __Resolution: NOV 1 4 20O7 Southhold Towfl Board of Trustees Name of Applicant Address ~I Rout= 25A C~xce 3 ~oc~y rux,,c, NY ~773- ].-t~oE~.~ !r~y/ ;}qlqg PhoneNumber:~f~l-~-~ Suffolk County Tax Map Number: 1000 - 1 26 11 - 7 Property Location: 7080 Peconic Bay Blvd. 675'_+ W/o Bray Ave. Laurel, NY (provide LILCO Pole #, distance to cross streets, and location) AGENT: Robert Stromski AIA - Searles, Stromski, Associates (If applicable) Address: 131 Route 25A Suite 3 Rocky Point, NY 11778 Phone: (631) 744-2852 Board of Trustees Application GENERAL DATA Land Area (in square feet): 22,352 sq ft Area Zoning: a-40 Residential Previous use of property: Residential Intended use ofproperty: Residential Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary):_ See Attached Project Description Ms. Joan Shannon EO. Box 151 7080 Peconic Bay Blvd. Laurel~ New York 1 i 948 SCTM# 1000-126- i 1-7 Project Description Remove existing roof and expand second floor within existing footprint. Existing second floor ceilings are lower than 8'-0' and a major reason for the expansion. Existing first floor interior plan will be modified slightly to enhance the main entry and relocate the kitchen. A new covered porch is proposed on the landward side of the existing house. (approximately 35'-7" x 6'-4") Drywells are proposed to contain a 2" rainfall for the proposed residence and existing detached garage. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Enlarge second story master Suite to achieve more desirable ceiling heights. Create covered porch for first floor. Area of wetlands on lot: 0 Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: ~0~ feet Bulkheaded lot Closest distance between nearest proposed structure and upland edge of wetlands: 6 7.7 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? 2 0 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 4 Proposed slope throughout the area of operations: < 5% Manner in which material will be removed or deposited: Material will be removed from site by truck square feet Bulkheaded lot feet 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): No adverse effect will be incurred by approval of this project to Town Wetlands. Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes ofproposedactivity: Expand second story within building footprint. Create covered porch for first floor. Are wetlands present within 100 feet of the proposed activity? No X Yes Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? How much material will be filled? 0 Manner in which material will be removed or deposited: will be removed from site by truck. 2 0 .(cubic yards) (cubic yards) Material Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessaxy) Proposed project will not greatly impact the existing environment. In fact, by installing proposed drywells to contain roof water runoff impact to the environment may be reduced by approving proposed project. 617,20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by A~)plicant or Proiect Sponsor) /2. PROJECTNAME /shann°nResidenCe- Addition & Alteration 1 3. PROJECT LOCATION: Municipality Town of Soofllold County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 7080 Great Peconic Bay Blvd. Laurel, NY 675'+1- W/o Bray Avenue SCTM# 1000-126-11-7 5. PROPOSED ACTION IS: [] New [] Expansion [] Modiflca~or~aiteration 6. DESCRIBE PROJECT BRIEFLY: See attached Project Description 7. AMOUNT OF LANDAFFECTED: initially 0.521 acres Ultimately 0.512 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes ~ N No If No, describe bdefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial [] Commer~al Descdbe: r--lAgriculture [] PaddForestJOpen Space [] Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes ~1 I No if Yes, list agency(s) name and parmiUapprovals: Town of Southold-Trustees & Building Permit, NYS DEC 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No ff Yes, list agency(s) name and perm~approvals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMiT/APPROVAL REQUIRE MODIFICATION? []Yes - r~"] No I CERTJ,~{.ZJ~LAT THE INFORMATION PROVIDED ABOVE IS_._.TRUE TO THE BEST OF MY KNOWI_EDGE // / Applican~sponsor nam Z/~' Date ~ // U ~ / ' ' / ' / / ' Signature: . ,.~-~ ~-~-- -~/~ ~ ~ If thc action is in the Coastal Area, and you are a state agency, complete the I ~ Coastal Assessment Form before proceeding with this assessment I OVER 1 Reset PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE ~ THRESHOLD IN 6 NYCRR, PART 617.4? if yes, coordinate the review process and use the FULL EAF. r'-IYes [--INo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? ~f No, a negative declaration may be superseded by another involved agency. []Y.s ONo 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? Expiein briefly: C2. Aesthetic, agricultural, archaeological, histedc, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community'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: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain bdefly: C6. Long term, short term, cumulative, or other effects not identified in C1 -C57 Explain bdefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? [] Yes~ N No If Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No if Yes, explain briefly: 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 occuffing; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. EAF and/or prepare a positive declaraticn. ] Check this box flyou have determined, based on the information and analysis above and any supporting documentation, that the Proposed action WILl- NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this 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) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Astrid Gaddis 1000-126-11-6 Address: P.O. Box 33 7020 Great Peconic Bay Blvd. Laurel, NY 11948 Edwin J. Pasani 1000-126-11-9.1 195 Colabaugh Pond Road. Croton on Hudson, NY 10520 Catherine Smith 1000-126-10-15 12 Linmouth Road Malveme, NY 11565 Margaret Meinke 1000-126-10-14 P.O. Box 78 Cutchogue, NY 11935 STATE OF NEW YORK COUNTY OF SUFFOLK ~//],Y~/~ .t~ r~f~ ,residingat lifO F-aLL ~l? gD_ .l~ll)(o~ [I Y If qb [ , being duly sworn, deposes and says tha{ on the ,~ ' day of ~I~cL.~tl~, 20 W1, deponent mailed a tree copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at (certified) (registered) mail. , that said Notices were mailed to each of said persons by Sworn to before -- this Day of J~¢-~'- , 20~w~ Notary Public STEWART KRUPIN Notary Public, State of New York No. 02KR4687607 Qualified ir~ Suffolk County Commission Expires March 30, 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 Area. 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 ni..m~ifieant 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. Thus~ each answer must be explained in detail~ listing both supporting and non- su~oortin~, 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 scm#/Ovo 17_-& II - w The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board ~ Building Dept. ~ BoardofTrustees~ 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: '7050 Site acreage: , .~2~ ) Present land use: S) ,4~, [ ~ - .~ .~-.~ ~q,,On,4 ~ t Present zoning classification: ~- H 0 ~¢~ 9)~ ~ ~ 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) M~ling ad,ess: (c) Telephone n~ber: ~ea Code /IdA Io2- (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes~ No~ Ifyes, which state or federal agency? v-~'SPt(.~ 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 ~ NoJ~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.~7] Not Applicable 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 Yes [] No ~J Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes No ~l 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 -~- Yes ['-"] No ~Not Applicable 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 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~ Not Applicable At~ach 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 ~qot Applicable Attach additional sheets if necessary WORKING COAST Policy 10. Protect Southoid'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 ~xNot 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 evaluation criteria. [] Yes [~ No ~ Not Applicable 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. es [] No,[] Not App,lcable Y Board of Trustees Application County of Suffolk State of New York Robert Stromski, AIA BEINGDULY 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. 1N COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONT/~ MY PROPERTY TO I~qSPECT THE PREMISES IN CONJUNCTION WITH~IE~IL~//~ A~ATION.  Signature "~ SWORN TO BEFORE ME THIS tg/'~ DAYOF ~i>~/t~__,2007 Notary Public STEWART KRUPIN Notary Public, State of New York No, 02KR4687607 Qualified in Suffolk County / I Commission Expires March 30, 20// Ms. Joan Shannon EO. Box 151 7080 Peconic Bay BIvd. Laurel~NewYork 11948 October 3, 2007 Searles, Sromski, Associates Architects Planners PC 131 Route 25A Rocky Point, NewYork 11778 Re: Applications for Ms. Joan Shannon Dear Sirs; Please be advised that this letter is to serve as notice that your firm, Searles, Stromski, Associates PC, has been given the authorization by Ms. Joan Shannon to act as agent and on our behalf in matters pertaining to the property situate at 7080 Peconic Bay Blvd., Laurel, SCTM# 012, and may appear before administrative and legislative boards with respect to any federal, state or municipal agency applications, approvals and permits with respect to these properties. Very truly yo~, /,~'~'~/' Joan Sham)d Sworn to before me this Q day Notary Public MEI~NIE ¥~ f fA SEARLES, STROMSKI, ASSOCIATES ARCHITECTS ~} PLANNERS, P.C. TRANSMITTAL SHEET TO: FROM: PERMIT COORDINATOR ROBERT STROMSKI AIA COMPANY: DATE: Board of Trustees NOVEMBER 9, 2007 Town of Southold RO. Box 1179 Southold, NY 11971 PHONE NUMBER: CC: (631) 765-1892 RE: JOB NUMBER: TRUSTEES PERMIT FOR SHANNON RESIDENCE 0705 [] FORAPPROVAL [] FOR REVIEWAND COMMENT [] FOR YOUR USE [] NO EXCEPTION [] REVIEW MAKE CORRECTIONS NOTED [] REVISEAND RESHBMIT [] REJECTED COPIES DESCRIPTION 3 3 Trustees Application (one original and two copies) Short Environmental Form (one original and two copies) Proposed Site Plan (Si~ned and ~aled) Photos of Site 3 Owner's endorsement L~ REMARKS: NOV 1 4 2007 Southhold Town Board d Trustees 131 ROUTE 25A, SUITE 3 PHONE (631) 744-2852 ROCKY POINT, NEWYORK I 1778 FAX (631) 744-6654 PROPOSED RESIDENCE FOR AN '7080 PECONIC BAY BLVD., LAUREL, NY 11948 SURVEY OF DESCRIBED PROPERTY SITUATE LAURELI TONN OF SOUTNOLD SUFFOLK COUNTY, N.Y. S.C.T.i"I.g 1000-12(o-11-007 LOT AREA = 22,3B2 SQ.FT. (%13 ACRES) ELEVATION5 ,SNONN HEREON ARE IN Iq2q NGVD Z ADJACENT AREA LOT COVERAGE: 22552 5F, (.BB ACRF.-5) STORM HATER CALCULATIONS: 41 pALE BEONN FINE TO ilEDIUH OAND 5P (~_TF. ST HOLE SANITARY,) 51TE LOCATION HAP (~ 51TE PLAN A\° 0 HOOD FRAME RESIDENCE EX/STING ~ SEARLES, STROMSKI, ~ ASSOCIATES ~ ARCHITECTS PLANNERS, P.C. Proposed Addition & Alteration for: IMs.Joan E 0,^. x,,-0, IShannon Z DEC 12 2007 ~080 Peconic Bay Blvd. Laurel, NY 11948 REVISIONS Issued To Town Trustees For Review II~) Issued To N.Y.S.D.E.C. For Review 12 - 1 '1-07 Revised As Per N.Y.S.D.E.C. Comments x,_0, I© 5TORI1 DRAINAGE RiNa lC). (MUST BE 20~ AHAY FROil ~'~'"~ ~*"'~^"' I O. EXPAN510N lO. I0 lC) I© lC) I© lO_ SCALE DKAWN By TITLE Site Plan