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Home My WebLink AboutTR-6785 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 # 0465C Date September 15, 2009 THIS CERTIFIES that the 145 lf. of vinyl bulkhead and 133 If. of timber retaining wall with a 10'X 15' cut-out in the reconstructed wall At 7800 Peconic Bay Blvd., Laurel Suffolk County Tax Map 126-11-15 Conforms to the application for a Trustees Permit heretofore filed in this office dated 11/15/07 pursuant to which Trustees Wetland Permit #6785 Dated 12/12/07 was issued and Amended on 2/18/09 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 145 lf. of vinyl bulkhead and 133 lf. of timber retaining wall with a 10'X 15' cut-out in the reconstructed wall. The certificate is issued to STEVEN & SUSAN BLOOM owners of the aforesaid property. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town H~lAnnex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 18, 2009 Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Rd. Southampton, NY 11968 RE: STEVEN & SUSAN BLOOM 7800 PECONIC BAY BLVD., LAUREL SCTM#126-11-15 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., February 18, 2009: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Permit #6785 to eliminate the inkind/inplace replacement of +/-148 If. of existing timber retaining wall in favor of the inkind/inplace replacement of +/-133 If. of existing timber retaining wall and the installation of +/-35 If. of new timber retaining wall to create landward cut-out in retaining wall, and as depicted on the plan prepared by En- Consultants, Inc. last dated January 20, 2009. This is not a determination from any other agency. Sincerely,_ , James ~Presiden~ Board of Trustees JFK:lms ~Cl'lOkl THRLI IN-?LACI~ i~?bAC~I~NTS OP PUI. KH~AI? R, II? t~TAININd W~l. ~" ~,6" fOP CLAMP 114" xg" __* [0' FeN,VINYL ¢P~^ltalNd ~OF, ViN'C,- qM~R ~LLKI~AP PECONIC BAY BOULEVARD 11 BOARD TOWN 1" = 50' 24; R~UR TO BE RENOVED REPI~,~,/IP) INPROP'RECONSI~UCTEDIO' x 15' CUT-OUTRET. +132' PROP. T1MBER RETAINING F BACKRLL RET. WALL TO ~E REP~CED (IP) GREAT PECONIC BAY SO',!T ;'TTFqOi4, i .','. i i_ . 63i-283-6350 PROPOCP BULKI-f. AP s I~TAININd WFtl. t~PLAC~MIf. Nf FOR SUSAN ANP 5fdVP. N BLOOM ON 61~AT FBCONIC BAY. LAIJISL. ~PPOtK C0,, NY f:fi~l~flOf:l 11/7/07, 1/20/0':) Jaraes F. King, President Jill M. Dougherty, 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) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT DATE JANUARY 2 l, 2009 j" 2.009 OWNER ADDRESS STEVEN & SUSAN BLOOM PHONE 212-541-2020 1120 PARK AVENUE, #10B, NEW YORK, NY 10128 AGENT EN-CONSULTANTS, INC. PHONE 631-283-6360 ADDRESS 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 PROPERTY LOCATION 7800 PECONIC BAY BOULEVARD, LAUREL TAX MAP NO. 1000-126-11-15 l/We EN-CONSULTANTS, INC. request an Amendment to Permit # 6785 to eliminate the in-kind/in-place replacement of +/-148 linear feet of existing timber retaining wall in favor of the in-kind/in-place replacement of +/-133 linear feet of existing timber retaining wall and the installation of +/-35 linear feet of new timber retaining wall to create landward cut-out in retaining wall, all as depicted on the project plan prepared by ER-Consultants, Inc., last dated January 19, 2009. Signed By: ROBERT E.'HER~IANN, C~PECIALIST Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print owner of property) residingat JlZt2 '~)o,:,-~ Avd, (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) Board of Trustees Application County o f-S mq%ik State of New York ~'~eaj~0 ), 'SJoo,n BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. / Signature SWORN TO BEFORE ME THIS DAY O%~.~ ,20o9 K._~ry'IS~blic C/,/ - ARLENE GORMAN 14otary Public, State of Ns~v Yerl~ No. 01GO5020996 Qualified in Nassau County _ ~rt.~ission Expires on Dso. 6, ~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the vart of town officers and emvlovees. The Duroose of this form is to provide information which can alert the town oft>ossible conflicts of interest and allow it to take whatever action is necessarY to avoid same. YOUR NAME: B~, 4~f~ ~/1~ ,ri (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's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion 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 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 applicanlJagent]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) 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 Form TS 1 4 Submitted this 0'*~*, day of ,_J~y/,/.4.aY~, 200 ~_ Signature < ~~ ~ PrintName ' ~eJ~ ~', EN-CONSULTANTS, INC. ENVIRONMENTAL CONSULTING 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www.enconsultants.com January 21, 2009 REOUEST FOR AN ADMINISTRATIVE AMENDMENT Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish Re: Steven & Susan Bloom 7800 Peconic Bay Boulevard, Laurel SCTM #1000-126-11-15 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: Three (3) Wetland Permit Applications including a) authorization & disclosure forms, b) project plans. Copy of Permit #6785. Photographs. Application fee of $50.00. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. SR~errmann Coastal Management Specialist Enc. 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 rj°nstructed oct complete, complianco inspoction. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6785 DATE: DECEMBER 12~ 2007 ISSUED TO: SUSAN & STEVEN BLOOM PROPERTY ADDRESS: 7800 PECONIC BAY BLVD, MATTITUCK SCTM# 126-11-15 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 Susan & Steven Bloom 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 +/- 145 linear feet of vinyl bulkhead in-place of existing timber bulkhead; construct +/- 172 linear feet of timber retaining wall in-place of existing timber retaining wall; and backfill with approximately 20 cubic yards clean sand to be trucked in from an upland source, and as depicted on the site plan prepared by EN-Consultants, Inc., dated November 7, 2007, and received on November 15, 2007. 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 Susan & Steven Bloom, residing at 7800 Peconic Bay Blvd., Matfituck, 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 atithorized. 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. 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, P~esident Jil] 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 OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert E. Herrmann Eh-Consultants, Inc. 1319 North Sea Road Southampton, NY 11968 RE: SUSAN & STEVEN BLOOM 7800 PECONIC BAY BLVD., MATTITUCK SCTM# 126-11-15 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 12, 2007 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of SUSAN & STEVEN BLOOM applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town C.ode, the Wetland Ordinance of the Town of Southold, application dated November ,15, 2007, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to th9 Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said appl!cation was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on 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 approve the application of SUSAN & STEVEN BLOOM to construct +/- 145 linear feet of vinyl bulkhead in-place of existing timber bulkhead; construct +/- 172 linear feet of timber retaining wall in-place of existing timber retaining wall; and backfill with approximately 20 cubic yards clean sand to be trucked in from an upland source, and as depicted on the site plan prepared by EN-Consultants, Inc., dated November 7, 2007, and received on November 15, 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, · King President, Board of Trustees JFK/eac James F. King, President Jill M. DoherCy, 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 OFTOWNTRUSTEES TOWN OFSOUTHOLD Southold Town Board of Trustees Field Inspection/Work session Report SUSAN & STEVEN BLOOM request a Wetland Permit to construct +/-145 linear ft. of vinyl bulkhead in place of existing timber bulkhead; construct +/-172 linear ft. of timber retaining wall in place of existing timber retaining wall; and backfill with approx. 20 cy. clean sand to be trucked in from an upland source. Located: 7800 Peconic Bay Blvd. Mattituck. SCTM#126-11-15 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound ~Bay Distance of proposed work to edge of above: P~C of Town Code work falls under: proposed hapt.275 Chapt. 111 other Type of Application: Wetland Info needed: __Coastal Erosion ~Amendment __Administrative __Emergency Pre-Submission Violation Planning Modifications: Conditions: H. Cusack D. Dzenkowski Mark Terry~other Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review 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 SUSAN & STEVEN BLOOM to construct +/-145 linear ft. of vinyl bulkhead in place of existing timber bulkhead; construct +/-172 linear ft. of timber retaining wall in place of existing timber retaining wall; and backfill with approx. 20 cy. clean sand to be trucked in from an upland source. Located: 7800 Peconic Bay Blvd. Mattituck. SCTM#126-11-15 Inspected by: Peter Young, Jacob Smith, Chris Kempner Vote of Council: Ayes: All Motion Carried SUSAN & STEVEN BLOOM, GREAT PECONIC BAY~ MATTITUCK Figure 1. Looking southwest at face of existing timber bulkhead to be removed and replaced (in-place) with vinyl bulkhead. Figure 2. Looking northeast at face of existing timber bulkhead to be removed and replaced (in-place) with vinyl bulkhead. SUSAN & STEVEN BLOOM~ GREAT PECONIC BAY~ MATTITUCK Figure 3. Looking northeast over top of bulkhead to be replaced and at existing timber retaining wail to be removed and replaced (in-Mnd/in-place). Figure4. LooMng soutbwest over top of bulkhead to be replaced and at existing timber retaining wall to be removed and replaced (in-Mhd~in-place). 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 MEMORANDUM To: James King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner ~) LWRP Coordinator NOV 2 8 2007 $outhheld Iowa Board of Trustee~ Date: November 28, 2007 Re: Request for Wetland Permit for Susan and Steven Bloom SCTM# 126-11-15 SUSAN & STEVEN BLOOM request a Wetland Permit to construct +/-145 linear ft. of vinyl bulkhead in place of existing timber bulkhead; construct +/-172 linear ft. of timber retaining wall in place of existing timber retaining walt; and backfill with approx. 20 cy. clean sand to be trucked in from an upland source. Located: 7800 Peconic Bay Blvd. Mattituck. SCTM#126-11- 15 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is exempt from review pursuant to Chapter 268-3, Exempt Minor Actions, item B which states: "Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site, including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit". MT/hkc Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1892 Fex (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only tCoastal Erosion Permit Application ~ Wetland Permit Application Major Waiver/Amendment/Changes Re'~-ieived Application: t ll 7Received Fee:$ ~) c9-' ,-C'ompleted Application Ificomplete SEQRA Classification: Type I Type II Unlisted __Coordination:(date sent) ~CAC Referral Sent: ] ! l~a~e of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: -Priblic Hearing Held: 10.-] Resolution: Minor NOV Southhold Town Board of Trustees Name of Applicant SUSAN& STEVENBLOOM Address ll20PARKAVENU~lX~WYORK, NY 10128 Phone Number: 212-876-1773 Suffolk County Tax Map Number: 1000 - 126-11-15 Property Location: 7800 PECOIxlC BAY BOULEVARD, MA~I'I 1'1UCK (provide LILCO Pole #, distance to cross streets, and location) AGENT: ElXC4:X)/xb-I~TANTS, INC. (If applicable) Address: 1319 NORTH SEA ROAD, SGUllqAIV~[DN, NY 11968 Phone: 631-283-6360 Board of Trustees Applic~ GENERAL DATA Land Area (in square feet): 53,190 Area Zoning: R-40 on Previous use of property: RESIDENTIAL Intended use of property: NO CHANGE Covenants and Restrictions: X No Yes 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? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): CONSTRUCT +/-145 LINEAR FEET OF V1NYL BULKHEAD IN PLACE OF EXISTING TIMBER BULKHEAD; CONSTRUCT +/-172 LINEAR FEET OF TIMBER RETAINING WALL IN PLACE OF EXISTING TIMBER RETAINING WALL; AND BACKFILL WITH APPROXIMATELY 20 CUB1C YARDS CLEAN SAND TO BE TRUCKED IN FROM AN UPLAND SOURCE, ALL AS DEPICTED ON THE PROJECT PLAN PREPARED BY EN-CONSULTANTS, INC., DATED NOVEMBER 7, 2007. Board of Trustees ~VETLAND/TRUSTEE LANDS APPLICATION DATA Puq>ose of the proposed Ol~rations: MAINTAIN EXISTING EROSION CONTROL STRUCTURE. Area of wetlands on lot: 0 .square feet Percent coverage of lot: N/A % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? N/A How much material will be filled? +/-20 cubic yards cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: APPROXIMATELY 70 CUBIC YARDS CLEAN SAND WILL BE TRUCKED IN FROM AN UPLAND SOURCE AND DUMPED AND GRADED AS BACKFILL, AS NECESSARY, BEHIND REPLACEMENT STRUCTURE. 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): THE PROJECT ENTAILS THE ORDINARY & ROUTINE MAINTENANCE OF EXISTING EROSION CONTROL STRUCTURES AND WILL HAVE NO ADVERSE IMPACTS ON THE ADJACENT DIAL WATERS OF THE TOWN. 14-15~4 (2/87)--Text 2 PROJECT LD. NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT For UNLISTED ACTIONS Only PART I -- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) FORM SEQR I APPLICANT/SPONSOIR:SUSAN & STEVEN BLOOM BY I 2. PROJECT NAME I EN-CONSULTANTS, INC, 3 PROJECT LOCATION: Municipality MATTITUCK County SUFFOLK 4 PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc, or provide map) 7800 PECONIC BAY BOULEVARD,MATTITUCK, TOWN OF SOUTHOLD, SCTM # 1000-126-1 l- 15 6 DESCRIBE PROJECT BRIEFLY: CONSTRUCT +/-145 LINEAR FEET OF VINYL BULKHEAD IN PLACE OF EXISTING TIMBER BULKHEAD; CONSTRUCT +/- 172 LINEAR FEET OF TIMBER RETAINING WALL IN PLACE OF EXISTING TIMBER RETAINING WALL; AND BACKFILL WITH APPROXIMATELY 20 CUBIC YARDS CLEAN SAND TO BE TRUCKED IN FROM AN UPLAND SOURCE, ALL AS DEPICTED ON THE PROJECT PLAN PREPARED BY EN-CONSULTANTS, INC., DATED NOVEMBER 7, 2007. Initially 53,190 S.F. acres Ultimately 53,190 S.F. acres 8. V~LL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [~YOS [] NO If NO, describe briefly [] Residential [] Industrial [] Commercial [] Agriculture [] Park Forest/Open space [] Other DEC, COE, DOS I~lyes []N o I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor r~arn e ROBERT~. HE--ANN, COASTAL MANAGEMENT SPECIALIST D A T E NOVEMBER 9, 2007 Signature: ' If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER ard of Trustees Applicati~ AU'£nORIZATION (where the applicant is not the owner) ~, 5t3~J ~-:/~/~,~' ~ S~u~m~esiding at//~ ~ /~M~ -(print owner of property) (mailing address) do hereby authorize (Agent) /~W~r/~z~. ~'~&~/ff:/~- to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ~'- (-Owner's slgnat~ire) 8 Board of Trustees AppliOion County of ff$~ State of New York ~-~r'6U61O "/~, ~ I~r~n ~acJ 8 ¢% f~ ¢ F· ~10 OPO BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIE, F, 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 / 7 DAY OF ~d/~ ,20 o:/- ARLENE GORMAM NO. 01G0502~;~ OuMifled in APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics vrohibits conflicts of interest on the part of town officers and emvlovees. The numose of this form is to orovide information which cmn alert the town of possible conflicts of interest and allow it tO take whatever action is n~eessarv to avoid same. (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, ihdicare the other person's or company's name.) NAME OF APPLICATION: (Cheek all that apply.) Variance Change of Zone Approval of plat Exemption fi.om plat or official map 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, mmfiage, or business interest. "Business interest" means a business, including a parmership, in which the town officer or employee has even a pa~ial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO v/ If you answered "YE", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of South~ld Title or position of that person Describe the relationship between yourself (the appliean~agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/er desaribe 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 ~hares of the corporate stock of the applicant (when the applicant i~ a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a eorporatinn); C) an officer, director, parmer, or employee of the al~plieant; or __D) the actual applicant DESCRIPTION OF R~LATIONSHIP Submitted t~ / ~ day of 0-ty~ __ Print Na,n~ .~n ~ ~ f'~/a-~t James F. King, President Jill M. Doher~y, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095Route 25 P.O. Box 1179 Southold, New York11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ......... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly ~wom, depose ~d say~ r,~t o. t,~ ~y of ~. , ~007, Ip~on~ny po~t~ ~ p~op~y~ow, a~ by placin~ ~ Bo~d of T~st~s official p~st~r Wher~ c~ ~ily be Seen, ~d ~at I have ch~ked to b~ sure th~ poster h~ rem~n~d in place for ei~t days prior to th~ d~t~ of~ public he~ng. Date ofhe~ng noted thereon to be held ~0~- ~,/~. (signatu~(~ Dated: Sworn to before me this /~' dayof./~ 200,7. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant:SUSAN&STEVENBL00M SCTM#1000- 126-11-15 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to Permit from the Board of Trustees to: request a CONSTRUCT +/-145 LINEAR FEET OF VINYL BULKHEAD IN PLACE OF EXISTING TIMBER BULKHEAD; CONSTRUCT +/-172 LINEAR FEET OF TIMBER RETAINING WALL IN PLACE OF EXISTING TIMBER RETAINING WALL; AND BACKFILL WITH APPROXIMATELY 20 CUBIC YARDS CLEAN SAND TO BE TRUCKED IN FROM AN UPLAND SOURCE, ALL AS DEPICTED ON THE PROJECT PLAN PREPARED BY EN-CONSULTANTS, INC., DATED NOVEMBER 7, 2007. 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 7800 PECONIC BAY BOULEVARD, MATTITUCK 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public con~ment on:DECEMBER|2~2~7~6:30pm You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: SUSAN& STEVENBLOOM MAILING ADDRESS: 1120 PARK AVENUE NEW YORK, NY 10128 mHONE #: 212-876-1773 Enc. : Copy of sketch or plan showing proposal for your convenience. 5 OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: LORRAINE WOLFF&JOSEPHBAJADA 500EASTg3RDSTREET, APT. 11G NEW YORK, NY 10028 MARIE & EMANUEL ARTURI 15 BRIDLE PATH REMSENBURG, NY 11960 J. BENEDICT ROACHE III THOMAS & MARY KEANE P.O. BOX 523 MATTITUCK, NY 11952 30 ABERDEEN ROAD NEW HYDE PARK, NY 11040 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERTE. HERRMANN 1319NORTHSEA ROAD SOUTHAMPTON, NY 11968 that on the 13th day of doing business at EN-CONSULTANTS, INC. · being duly sworn, deposes and says NOVEMBER ,20 07__, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at SOUTHAMPTON that said Notices were mailed to each of said persons by (certified) X~y-Z~) mail. ERTE~. E ROB RRMANN Sworn to before me this day of NOVEMBER ,2007 13th COASTAL MANAGEMENT SPECIALIST Postage Certified Fee ~£r~b't:-~ J. BENEDICT ROACHE Ill orPOBoxN P.O. BOX 523 MATT1TUCK, NY 11952 USE OFF Postage Cedified Fee m ~ Return Receipt Fee r--~ (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Ir' C~AL E MARIE & EMANUEL ARTURI ~Fr~C4.~' 15 BRIDLE PATH r,- ~[~-~/~/~ R~MSENBURG, NY 11960 m Certified Fee m Return Receipt Fee (Enrtorsement Required) Restricted Delivery Fee (Endorsement Requlmd) so,tro LORRAINE WOLFF / ~f?~£~i.bi & JOSEPH BAJADA ...... ~;~ 500 EAST 83RD STREET, APT. 11G ...... ~ [..T._'-C. T.O~AS ~ ~A,~V KEA~E I ~. ]o~g'~ 30 ABERDEEN ROAD ........ l EN-CONSULTANTS, INC. 1319 No~h Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTING November 9, 2007 Mark Terry, LWRP Coordinator Planning Board Town of Southold P.O. Box 1179 Southold, NY 11971 Re: Susan and Steven Bloom~ 7800 Peconic Bay Boulevard~ Mattituck Dear Mr. Terry: Attached please find an LWRP Consistency Assessment Form, which is being submitted in association with an application to the Board of Trustees for a Tox~m Wetlands Permit to construct a vinyl bulkhead in place of an existing timber bulkhead and to remove and replace (in-kind/in- place) a timber retaining wall located landward thereof. I have indicated that all policies are "Not Applicable," because pursuant to Town Code §268- 5(A) and the corresponding definitions of"action" and "minor action" by §286-3, the submission of a LWRP Consistency Assessment Form is not required for this application, as the proposed work entails only the "maintenance or repair involving no substantial changes in an existing structure or facility," specifically the in-place replacement of an existing bulkhead and retaining wall. Respe, ~aflly yours, Robe ~E. Hemixann Coastal Management Specialist cc: Lauren Standish, Board of Trustees Town of Southold A. LWRP CONSISTENCY ASSESSMENT FORM INSTRUCTIONS I, A II applicants f0r perm its* including T0w n 0f S0uth0ld agencies, shall c0m plete this C C A F f0r proposed actions that are subject to the T0wn 0f S0uth01d W aterfr0'nt C 0nsistency Review Law. This assessmentisintendedt0 supplement0theriuf0r, mati0nused byar0wn0fS0uth01d agency in m a k in g a d e t e r m in a ti0 u 0 f c 0 n s is t e n c y. *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 evb. luated 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. Thus~ each answer must be explained in detail~ listing both supporting and non- suooorting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. SCTM# 126 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. DESCRIPTION OF SITE AND PROPOSED ACTION 11 - 15 PROJECT NAME SUSAtq & STEVEN BLOOM The Application has been submitted to (check appropriate response): TownBoard [--] PlanningBoard[~ Building Dept. ~ Board of Trustees [5~ Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ["-I construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) [~] (c) Permit, approval, license, certification: [5~1 Nature and extent of action: CONSTRUCT +/-145 LINEAR FEET OF VINYL BULKHEAD 131 PLACE OF EXISTING TIMBER BULKHEAD; CONSTRUCT +/-172 LINEAR FEET OF TIMBER RETAINING WALL IN PLACE OF EXISTING TIMBER RETAINING WALL; AND BACKFILL WITH APPROXIMATELY 20 CUBIC YARDS CLEAN SAND TO BE TRUCKED IN FROM AN UPLAND SOURCE, ALL AS DEPICTED ON THE PROJECT PLAN PREPARED BY EN-CONSULTANTS, INC., DATED NOVEMBER 7, 2007. Location of action: 7800 PECONIC BAY BOULEVARD, MATTITUCK Site acreage: 1.221 Present land use: RESIDENTIAL, ONE-FAMILY DWELLING Present zoning classification: R-40 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: SUSAN & STEVEN BLOOM (b) Mailing address: 1120 PARK AVENUE NEWYORK, NY 10128 (c) Telephone number: Area Code212-876-1773 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~] No [~ 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 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 [~ 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 I--1 No 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 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 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 [~ Not Applicatle 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 E~ Not 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 ~r-dependent uses and promote sit~of new water-dependent suitable locations. See LWRP Section IH - Policies; Pages 47 through 56 for evaluation criteria. [--] Yes ~] No [~ Not Applicable uses in Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconie Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ['--] Yes F"-] 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 [5~ 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. ~] Yes ~ No [~ Not Applicable PREPARED BY ROBER~E~ANN TITLE COASTAL MGMT SPECIALIST DATE 11/9/07 Amended on 8/1/05 EN-CONSULTANTS, INC. 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTING November 9, 2007 Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold, New York ! 1971 Atm.: Lanren Standish Re: Susan & Steven Bloom 7800 Peeonie Bay Boulevard, MaRituek SCTM #1000-126-11-15 DcarMs. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: Three (3) Wetland Permit Applications including a) Short Environmental Assessment Form; b) Authorization & Disclosure Forms; and c) project plans; d) surveys One (1) set of site photographs. Application fee of $250.00 wetlands. Three (3) LWRP Consistency Assessment Forms including a) project plans. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Coastal Management Specialist ~Khs Enc. ~C.'flOi~ THRU IN-FbACU RUPL.ACUMI~N'5 ~" ×6" fOP CLAMP //Ill PECONIC BAY BOULEVARD 11 5Li~J~CT PROPi~L:*rY) ~MTdk Co, Ha~ra~ M~ 2SI D fL' .... 1 .,A..D OF TRU5 O,~'N OF $OUTHOLD ADd. BLKHD. CONSTRUCTED IN PLACE OF' EX. RET. WALL OF BACKFILL +-145' VINYL BULKHEAD TO BE CONSTRUCTED IN PLACE OF EXISTING TIMBER BULKHEAD IN PLACE OF EXISTING ADd. BLKHD. METAL STNRS TO BE REPLACED (IP) GREAT PECONIC BAY EN-CONSULTANTSINO, 1319 NORTH SEA RD. SOUTHAMPTON, N.~ 11968 631-283-6360 PROPO~P BLII. I(,~/~ ~ I~fAINING WALL I~PLACI~/WNf fOl~ SUSAN ANP 55~N BLOOM ON ~Af F~CONIC [~AY,/,M,Tf111JCK, ~ffOt. K CO,, NY SH~TI OF I 11/7/07 / / SUFFOLK S.C. TAX SURVEY OF PROPERTY SITUA TED A T LAUREL TOWN OF SOUTHOLD COUNTY, NEW YORK No. 1000-126-11-15 SCALE 1"=20' OCTOBER 2, 2007 AREA = 55,190 sq. ff. (TO BULKHEAD) 1.221 ac. CERTIFIED TO: STEVEN D. BLOOM SUSAN F, BLOOM N.Y.S. Lic. No. 50467 THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, iF ANY, NOT SHDWN ARE NOT GUARANTEED. Nathan Taft Corwin III Land Surveyor PHONE (631)727-2090 Fax (631)727-1727