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HomeMy WebLinkAbout1000-59.-1-21.1 , Mr. Robert Barratt PE 4295 Vans ton Road, Cutchogue, NY 11935 \\0~~ ~l$)~ f' ~\ ~ Southold Town Board of Trustees Town Hall 53095 Route 25 PO Box 1179 Southold, New York 11971-0959 October 6th, 2005 ~ Subject: 310 Lake Drive, Southold, NY 11971-7911, SCTM# 1000-59-1-21.1 Members ofthe Board of Trustees, Following your pre-submission inspection my client, Ms. Julie Tsai, received a letter on 09/24/04 confirming that her plans to build a home at the subject address would be subject to, but not limited to, your approval. Since then she has prepared a suitable topographical survey showing the position of the wetlands as identified by EN Consultants following their "flagging" of the lot. It is now my pleasure to submit my client's application to seek approval to build a single- family house at the subject address. In accordance with the instructions I am enclosing: I. My client's check in the amount of $250.00 2. Six copies ofthe application Sincerely, d/ // .._/C'\...:'-~J-"-_/----( /J ,,--_. Robert Barratt PE ._-~.--_.~ _0 ~F. (," ii' l' ;:> 'D ~ \" i'"~__~:,,', i, \ 1---- i Ii In\\ ~i U ll\ OCT, ,-7 20 0,5.'0 L_______J Sc':;: ';'_".'.'11 8-,"---] -;',f T'i_:-',";'_"~ -- We look forward to hearing from you in due course, 'I ! Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Han 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application = Wetland Permit Application _ Administrative Permit Amendment/Transfer/Extension ~ Received Application: ~Received Fee:$ ~ Completed Application ~lncomplete ~SEQRA Classification: Type I_Type II_Unlisted_ ~Coordination:(date sent) ~LWRP Consistency Assessment Form CAC Referral Sent: ~ Date of Inspection: ~ Receipt of CAC Report: ~ Lead Agency Determination:_ _Technical Review: ~Public Hearing Held: Resolution: Name of Applicant -JUl.l'E.. T~AI Address 8 C. "'-e:€1\l Tt<.e:E ROo<\D, RIVER He;~'t::> Ny \,qC!)\ Phone Number:( ) 516-1,9-1 q 1\ Suffolk County Tax Map Number: 1000 - or;;q - 00 l- ::).\. OQ \ Property Location: 3\0 LA.~ 'DR. '5,ovTl-!Ol. {) 1 N'( II q., 1- 4111 C;T~1t.'TS 51'5''5'.2.fl- W€,Si ot.) I\JOll...,..H ~IDE. Of' /..~,,€ DQ F~()"" t<€NtJ'1S ~t::>. . (provide LILCO Pole#, distance to cross streets,andJocation) AGENT: R.~. B~R.R.~rr (If applicable) Address: 4"2.G'5 VANSTotJ RD, CUTCHoaUEJ N'1 \{ q?,C:; Phone: b~I-'34-~/'&l b';(- 'a,<;"- O:l..'(!; (0) ceu.... Board of Trustees Application 2. GENERAL DATA Area Zoning: 49, '2'2.3 1<.40 Land Area (in square feet): Previous use of property: V~A"'T L.~I\.lI> Intended use of property: ONE. FA""'I...'1 R€Sl t:>E:.N<:..6 Prior permits/approvals for site improvements: Agency Date V No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? V No_ Yes If yes, provide explanation: Project Description (use attachments if necessary): Bul'-t> ONE FA"".,-, HOME. (4 BEClaCCr...) W\TI-II~ ThE 100 I Wt:'rLA"'CS '&.l~~Ert. "zoNE. Rl\lt> eo.HJE:C!.T To Se/l.vl~S A"-lO "-.)A'i:-re '3'{STc~ BE:.'(ol\lZ> BUFF'Er2... Len)€". PLe:'ASE Ref'E/L -ro rvI"I-ru::.€.D - U f' StJ f!...vc.'1 ATTA<:.+-J EX:> . IT 15 1:.)< Pe:c:.TE.o THAi T.....S l4ovse: LV H....... 8.<<:: C.D"" Pl.-€TE;O WliH11J Tlo\lO '1EAJ<..S FR.OM APf'ttl:l\lAL. y/ ~ -'<1' / <Ti> <V<v 0;.., \S' 1'0 "1-6 . - "'';-';:<$o-t- ..t-.:...~ ~"'~O r,,-,~ ~'V? ~ :~ f;,:;~ V8.c(,,+. ">~ ."'" <=' ,,-"\1'1 . ~~ ...?~ <r> ~'0 ~'.; <)">~ " ~o~~ ",,"?--.~ ~~.. 4.. 6'0 ./' ~~ . .. 4,M / .. .. .. ~ . ~ '1!>;-1;--t> "'.r '1--t-<;--:~ ":r1:~ ~.:v.... <9~-l(;. ...&~< -1>..,,,, ~< % .~ / .~ "" "" "" - "" ~ "" .. ~ 3 SURVEY OF LOT 1 SUBDIVISION MAP MADE FOR CONSTANTINE P GEORGIOPOULOS riLE Nc. 78<1-4 filED JANUARY 29. 1985 SITUA TED AT SOUTHOLD TOWN OF SOUTHOLO SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-59-01-21.1 SCALE ''''''50' MARCH 8, 2005 MAY 20, 2000. ADDED PUBUC WATER DATA AREA"" 48,991.08 sq. fl. 1.12S!lc. == u.EVATI00/5AllEREl'OID<Cro.O lU'M.V.V.Q. DJS1lHGELEVAllOi'/'S/JIlCSltOWNTHUS,,,",, 2. 0Jff WEllAKO IIOUNlWIJtliSHOWl; ARE SUBlECT TO VEIIIfJC.I.TIOtl nNEWYl>IIICSTATE.uGl/OR(I11lf;lltl:<lUI...l1Oll'rACDICIES. TH'l.DC.ll101illf"wEl..I.S...OCt:S5f'OOLSSM.......HalEO..4Rtnto..fltl..D 08'SE.....A1IDH!I....O!OIlD.U.0lIT..,!IElIFIOWOT>lEllS. ..f1..OODZOI<E'..HlI.IIU....IAKEMnoolll f1..OOD~lWlCE...n:IW'....Jlil05CO'~G """'''''......nooo<l1VA...,...~ lONE,' >M}S~"""_>EN!flDClD;~""OO_'tEN!FU>OIl""""""""'" OEPI><or-=_'"""<fl,*,,,,-=I<IIE.OoSLESSn- lSOlJAAE....,,..,_AA<ml:T[D""~FROW100_\1'JJl""""" "" POsITION..: P+\~TO N<:> I 'PR.cPOSE.D ~V\\,..oD.N GNVELOPe;: " <0 "'" ~8 " ~ !i~ 0" fg 0, ~ 2 Alk (TEST HOU: OOG IiY u~""...'n "'m~r.lnJ"'" ON JANUAffr '8, 200~) TEST HOLE DATA " -"'-""..-... ~. ---,.-....,.. .. o s. - -- I 00 ft- , 5c..AL.e III = 150# ./ C,i,,"'tt:C q.~ 'E'--t: 2' . --1~ . --- .c' ,'1\>\<:.r,L..- El.-LV'<\'T,ON SEc..Tl6Nj ClC.C'.J',IO. '-,.,,.-,ef._ 3,~ 'EL.t- ~ "1. \;,""":~"-~'z..':,."',:- Sl:CIlOH ,,,,. ~ "" """""'" Sf"[ ""IQ."""~ CCFIESOf.........IMY....."'<l11l(Nl"'l: ""L.-Ds""""""",'SINI<EO"""-OR ~"""""",-_",00HS1C(J'!!1I m IE A'IAUl>1IllJ(COPY_ cumF""",,,,,,," """"'''''......''' '"""- ou~ ONLYmlH,~""""""!ll[S""",,, IS .....""""...., ON'" """"'''' TI<[ ,"u:CO&<~.......,~"-"""",,...., ~G"""""""'Ll!>IlD>O;OI<_ m_~"'_I.E>UI<G""'- M'JO"c......-c.<hONS_..,,~ Tl<E [X!S"TDlCtor RIGKI <>rw.." "'~/OR L.lSOl(NtS OF ReCORD. IF .,.y, NOT ~H<>W'H ARE NOT GU.......HEEO. N.Y.S,uC,NO,495S8 Joseph A. Ingegno Land Surveyor 1<1.. Su","", _ SuM"';""",. - 5il~ Pk>M _ Co",,",,",'''' toy<>< PHONE {6'1)727~20~O rm (6.31)727-1727 OfF1C[sLOCATEIlAl 321F>Ooll><OKEAvENU[ RMR~EA!I, '10* Yo'" 11901 lMU'lGAIJOI?f:55 P.O. 80. 19~1 fliy"tl>eod. ...... Vorl; "90'~Q <::4 0u 4- - "~~ rO. ::::::;; . ~ ~ tel- ;,r" 310 Lake Drive, Southold NY 11971- 4117 View looking Northwest from Lake Drive, Photo#1 Julie Tsai Application to Southold Board of Trustees s r ~ 310 Lake Drive, Southold NY 11971- 4117 View looking Southwest from Lake Drive, Photo #2 Julie Tsai Application to Southold Board of Trustees (, Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To 'BUt LD ON E. FAMI L..'1 !-tau"!>€. IN Tt+e; 100 I WETI......""O.t BUFFEt2. ZON€: au,- NOT aSSE12.. Tl+A-N SS I FJ20M I...e INE'TLANC>!t '2>oUND'A{2..'1 Area of wetlands on lot: 24,'2.'2..9 square feet Percent coverage oflot: So % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: 5S feet Does the project involve excavation or filling? No v Yes If yes, how much material will be excavated? So cubic yards How much material will be filled? 50 cubic yards Depth of which material will be removed or deposited: {/5 , feet Proposed slope throughout the area of operations: :"2.0 Manner in which material will be removed or deposited: Re:- ~ RA tll /oJ ~ To ~V€ /I... SE.INE'ra.. PI p~ To E.LE. 10 I 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): NONE. 7 Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: BUIL.:o SIZ>Jc:.LE: FAMIL'1 4loue '''I 100' BUFF€rt. ,oNE. NO (!LOSc"- iHP,1\J 5",,' Are wetlands present within 100 feet of the proposed activity? No V Yes Does the project involve excavation or filling? No ./ Yes If Yes, how much material will be excavated? 50 (cubic yards) How much material will be filled? 50 (cubic yards) Manner in which material will be removed or deposited: 1<f!: - ~ (.( A 1:> I t\I C, To ~ovER Se.W€t1... PI PE To ELE. /0 I Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) T4e I'lItE:Se::Nc..€, <::> F THE House WI L.t.. 6ovE:fZ. LESS T+-IAN S "/0 0 F "HE LeI. CO'" c..;:>JT "-A"'~ D RAIN W Are-1'2. RUN - OF t:::: WII..-<- Be P 11<<..1:"<:.. ,..EC To Su I '7'A 8~e:: Dtz..AINS DN T+f€ PErLI M E're-(L OF TH-E H-ous E" . '3 617.20 PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1.. PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) SEQR 1. APPLICANT I SPONSOR ..J 'U 'L. \ e: "'SAI 2. PROJECT NAME '3\ 0 L.A\l..E: 'D'e.\ \J e: 3.PROJECT LOCATION: SC>\J "T * 0 LD Municipality County SUF~C\....\,- 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks ete - or provide map 1\'2.. 'if'!' "FlLOoJ-r....c;.E: 0 IV 100Q..:U+ ~ IOE. 0 f' LA lC-E "Dl2.\VS .:;..""''11....\'111.1 'i ~IS .<;"2,.' we.ST OF l\lOQ.'-HWes.. C.OG...Il.le;n.... 0\= t:::.e.NN'1~ RP 5. IS PROPOSED ACTION: C8J New o Expansion 0 Modification I alteration 6. DESCRIBE PROJECT BRIEFLY: B\)\\...p '3INt:,LE: f=AMII..'1 1)\$'POSl'+L <;;'-{ STEM FC1\- He M E. A Fc~>'t. -ANI:> WASTE B. e: D 1U:> t> "'\ 4CHl .. E.. LD"-HJl!:c:...,- To PuBLIC. WAlEn... I E.LE.c:.it'2.\<:. !c .e:L€.Pt-IoNt; 7. AMOUNT OF LAND AFFECTED: Initially I. r ~ acres Ultimately')' ,=., acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? DYes [81 No If no, describe briefly: ScVTH-C\.-O Tow N BOAQ...O Or l-\",,,E. 13oe.~t-) l2.E~UESTe:c> To 'P~MI\ BUIL..CINC, S.::; I C'F We:,.L"".,JC>S; Bc>l.aJt:>~Q..'t. . Ii!- \l>" et..t IN l"Tl-1 IN 9. WHAT IS PRESENT LAND USE IN VICINITY [l(1 Residential 0 Industrial 0 Commercial OF PROJECT? (Choose as many as apply.) DAgriculture 0 Park I Forest I Open Space DOther (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, AGENCY (Federal, State or Local) ~Yes 0 No If yes, list agency name and permit I approval: NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL PEe 'SOUT....t>Lv.> Su ;:-,.Ol..\c. '3o"TH01.. \:> 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR DYes ~NO If yes, list agency name and permit I approval: 1& p 0 f' -rl2-us T"E:E S . c:..o::IIIVT'1 80Ao..I:> 01'" tleAl..il\ TOWN l!.1l\....l>TN T::>€I'",{. APPROVAL? 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? DYes I8J No Applicant I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Ju /'-e l$rOL" Date: he action is a Costal Area, and you are a state agency, the Coastal Assessment Form before proceeding with this assessment '1 PART II. IMPACT ASSESSMENT (To be comoleted bv Lead Aaencvl A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.41 If yes, coordinate the review process and use the FULL EAF. DYes ONo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.61 If No, a negative declaration may be superseded by another involved agency. o Yes 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? Explain briefly: I l C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: I . I C3. Vegetation or fauna, fish, shellfish Of wildlife species, significant habitats, or threatened or endangered species? Explain briefly: I I 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: I I C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: I I C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: I I C7. Other imoacts (including chanaes in use of either quantitVor tvoe of energv? Exolain brieflv: I I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain briefly: I o Yes 0 No I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: 1 o Yes ONO I PART III . DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part Ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Name of Lead Agency Date Print or Type Name of ResponSIble Officer In Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) 10 Town of South old LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of South old Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. * Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of South old Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus. each answer must be explained in detail. Iistin!!: both supportin!!: and non- supportin!!: facts. If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the L WRP 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# CS~ - DOl - ~I. 001 PROJECT NAME "3\ 0 L. j>."'-E. 'DR' U E The Application has been submitted to (check appropriate response): TownBoard 0 PlanningBoardD Building Dept. 0 Board of Trustees ~ I. 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) o o (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: ~ Nature and extent of action: Re:<5lUES-r To 'BUll-I:> S/N<; LE:' t:AM'~'1 HOMe: '!-lOT C-L.bSe:n.. tHAN Z;SI ~ItOlV\ WEiL.~tVb5 &UN DAa..'1 . 1/, Site acreage: '310 L.A1<.'Et>R.\\JE I Sou , HOL..b I NY , .\,,2. 5 Ac:: rt6S Location of action: Present land use: VP.CAI'J-r I..AN D Present zoning classification: R 4- 0 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: :JVL-IE TSA \ g ~ Reel\! Tt2..E;E. ROAD, RIVER 1-l-e:P.D, Ny II <10 I (b) Mailing address: (c) Telephone number: Area Code ( ) S-,,,, - ., -, q - I q I , (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes t8:I No D If yes, which state or federal agency? De:e. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of South old 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 L WRP Section III - Policies; Page 2 for evaluation criteria. DYes D No l'ZI Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of South old. See L WRP Section III - Policies Pages 3 through 6 for evaluatiou criteria DYes 0 No ~ Not Applicable n.. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria DYes D No ~ 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 DYes D 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 DYes 0 No ~NotAPPlicable 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. D D ~ ,C) Yes No X Not Applicable 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. DYes D No ~ 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. DYes D 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. DYeD 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 L WRP Section 111- Policies; Pages 47 through 56 for evaluation criteria. DYes 0 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 L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes 0 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. DYes 0 No [}9 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. DYes 0 No ~ Not Applicable PREPARED BY RoSE'/I-i. @.~R..12..A-'" PE TITLE 'Mo... DATE~ 15 Board of Trustees Application County of S~k tlU<'P415 State of New York ..JUl..\-E TS""I BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF IllS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TIllS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING TIllS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS >f- DAYOF5!z~ ,20~ a'~-4r otaryp~bli.c. . ~ r;;:i;mj JAI'it....' ",-".' Notary Pubiic. Slate; 01 New York No.01W06119560 Qualified in Queens County A Commission Expires Nov 211f2.l.l.. lID . "-. Board of Trustees Application .'. AUTHORIZATION (where the applicant is not the owner) I, .J\.J\...\e. IS""" (print owner of property) residing at 'b c..l2..EeNTru::e; bu.. (mailing address) R\\J€;J!..H'(:'P.D do hereby authorize RCBIi9-'\ I3AI2..,:l. A"T"T (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. 8 \"1 APPLlCANT/AGENTIREPRESENT ATIVE TRANSACTIONAL DISCLOSURE FORM The Town of South old's Code of Ethics Dfohibits conflicts of interest on the Dart of town officers and emolovees. The Domose of this fonn is to nrovide information which can alert the town aCoossible conflicts of interest and allow it to take whatever action is necessarY to avoid same. YOUR NAME: ...jUL.\e. IS~ \ (Last name, first name, .tpiddle initial, unless you are applying in the name of someone else Of 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 Variance Change of Zone Approval of plat Exemption from plat Of official map Other (If "Other", name the activity.) Building Trustee Coastal Erosion Mooring Planning 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 bus'iness interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO x ou answered "YES", complete the balance of this form and date and sign where indicated. Name 0 erson employed by the Town of Southold Title or po . .on of that person Describe the relat! ship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A. hrough D) and/or describe in the space provided. r his or her spouse, sibling, parent, or child is (check all that apply): _A) the owner of greater than 00 of the shares of the corporate stock of the applicant (when the applicant is a co aHon); _B) the legal or beneficial own~r of interest in a non-corporate entity (whefi the applicant is not a corporation); _C) an officer, director, partner, or employe _D) the actual applicant. DESCRIPTION OF RELA TlONSHIP Submitted this _day of Signature Print Name 200 Fonn TS 1 l){Uj'L-, II. C' . \ Location of action: ' -010 [.'Ak IE l)'R\VE" S'OU,HOL-b, I NY Site acreage: 1 .1"2. 5 11<:' RES ; Presentland use: VA,CANT" LAND Present zoning classification: R' 40 I I . 2. Iran ap~lication for the~roposed action has been filed with the Town ofr~t~~ ~!?5Ycy, the following mfonnatlOn shall be provIded: (a) Name of applicant: ::S-v L. t e TSA , :g c;R.eeNTfl.E:E: ROAD, RIVERHEF\P NYllqol1 . I (b) Mailing address: (c) Telephonemunber:AreaCode( ) 5"lb-'""17Cf-7cr" (d) Application number, if any: Yes ~ NoD Will the action be directly undertaken, require funding, or approval by a state or federal agency? If yes, which state or federal agency? De:e. 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 infl'astructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. IZIYes D No 0 Not Applicable PLE.P,SE. ReFElZ. To ATT Act+t:D Sl-tEE -r. Rf..\)l~CD II/'2.sJO<; Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of South old. See L WRP Section III - Policies Pages 3 throngh 6 for evalnation criteria DYes 0 No ~ Not Applicable ", t {, - ~.-0 C?e.<i. rQ I '~ .s i~Yl kLhA c~ ~. Wl,,&L ~ t,^L~ t !".t,i,.i 11. ! L'1 Developed Coast Policv Policy I Answer, Yes 310 Lake Drive is a l.lacre residential lot located in the popular Southold Town beach development to the west of Kenney's Road that is formed by Leeton Drive, West Drive, Lake Drive and the paper road Central Drive. Building the proposed house and septic system on this lot will help complete this important beach development thus assisting in fostering an established pattern oflocal development. This beach development includes many houses on half acre lots and many lots include some wetlands associated with the interdunal swale. In the case of the subject lot, half of the lot area is wetlands while the remaining 0.55 acres represents one of the few remaining developable assets in this area, which if developed in a marmer that does not violate the environment, will help complete this development and yield additional tax revenue to the town. It is proposed to take the following measures to mitigate the impact of building the proposed single family home: · The septic system will be located mainly beyond the 100ft line from the wetlands boundary as identified by EN consultants. · The septic system will meet the full recommendations of the Suffolk County Health Department. · The natural elevation in the septic system area is approximately 7ft and it will be back-filled and covered with local sands to ensure adequate coverage ofthe septic system. · The lot including the area where the house and septic system is plarmed is brown silty sand over a layer of pale brown fine to coarse sand. Both possess high percolation rates. In order to further control the rainwater run-off to the wetlands, the rainwater from the roof will be routed through a gutter and leader system to drywells located at the perimeter of the house. · The house will be a two story structure and will be built upon a piled foundation and a crawl space to minimize any excavation. · The driveway will be formed using crushed pervious bluestone or equivalent to ensure that any rainwater will be able to drain directly through the driveway into the underling sand. · The house footprint including the septic system will not exceed 20% of the lot area beyond the wetlands boundary. · The area from the wetlands boundary to the fifty foot line will be left as an un- disturbed buffer zone which will not be subject to any landscaping or soil treatments such as fertilizer application. · The houses to the north are not affected by the house's shadow, while the houses to the south have their primary view facing south across Great Pond. The houses to the East and West benefit from very large side setbacks well beyond the minimum required. · The house will be designed to meet the Southold building dept standards.