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Home My WebLink AboutTR-6818James F. King, President ~pf SOUry Town Hall Jill M. Doherty, Vice-President ,`O~ ~~ 53095 Route 25 Peggy A. Dickerson yy T P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen H ~ O ~ T l h (631) 765 1892 Bob Ghoaio, Jr. ~ ~ one e ep - ~~.COU~'~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTIiOLD CERTIFICATE OF COMPLIANCE # 0333C Date: July 15, 2008 THIS CERTIFIES that the existing attached deck steps platform and 15' non-turf buffer between top of slope and the deck At 370 Harbor Road, Orient. New York Suffolk County Tax Map # 27-4-6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 01/03/08 pursuant to which Trustees Permit # 6818 Dated 02/27/08. Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the existing attached deck steps platform and 15' non-turf buffer between top of slope and the deck The certificate is issued to YAN RIEGER owner of the aforesaid property. ~L acj' Authorized Signature LJ James F. King, President 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) 765-6841 ~o~~pf SOUj~o~ • ~~0,~ ~~y00UNTY,~.,~'" 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 APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 15~ day of construction '/ constructed ' I I ~roject complete, compliance inspection. ~~ ~ y ` ~ $ ' . . TERMS AND CONDITIONS The Permittee, Van Rieger. residing at 370 Harbor Rd.. Orient, NY as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of South old are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution ofthe said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That iffuture operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Pemlittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. . . 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 February 27,2008 Mr. Yan Rieger P.O. Box 491 Orient, NY 11957 RE: 370 HARBOR RD., ORIENT SCTM#27 -4.6 Dear Mr. Rieger: The Board of Town Trustees took the following action during its regular meeting held on Wed., February 27,2008 regarding the above matter: WHEREAS, YAN RIEGER 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 January 3, 2008, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6 of the Local Waterfront Revitalization Program to the greatest extent practical through the imposition of the following Best Management Practice requirement: a 15' non-turf buffer between the top of the slope and the deck, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on Fe.bruary 27,2008, at which time all interested persons were given an opportunity to be heard, and, 2 . . 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 for the mitigating factors and based upon the Best Management Practice requirements imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that. the Board of Trustees approve the application of Y AN RIEGER for the existing attached deck, steps and platform, located on the seaward side of the dwelling, with the condition of a 15' non-turf buffer between the top of the slope and the deck, and as depicted on the survey prepared by John C. Ehlers dated October 21,2007. 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 $50.00 per inspection. (See attached schedule.) Fees: None Very trulL~~~s, 0< L Jame~.~~, Presi~? Board of Trustees JFK:lms -"".....- -".__._---_._.~.....-----_.- .._.._--_.._..~_._--_..._----- -- --- -----.. ..-.--.- .-.-------.-.-.- ,~ , -r HJ\R. eo R . 'I!ie.O q 2 0, ~; , / '" .'0 . .: - - f , ~ , 1.1" le' H: &. &.t"$..... .. '~'''-I'u t -- --~ r . , .~ J -' i4( , L -,.' ' ,~ \ IllPClOL'$ _l. ~! r: r-:---" L-/_.J Pl.AT"I'O/Z'" cc-r .. { ,I i ., j . Q . - zr' ~ III , t ~-~N.s1~*-' 79.2.9~ ~O^Q '. I - 0(21 E:NT 6AY 100.0 ti ~ - -.---' SCALE-40'''I" e.!R.ON PIPE . i I I I ~I ~ '\ ~!: _...._---'~._.---, .,-"..._._-~.-- -"~.----'-'-. _.._~--_....__...- ......-.-----..------.-* , JAN ., ~ ~If%'" ALTfRAnON oa ADDmo 1fCJ'10N ~:If 'S A VIOLATION oi N ICUCATlON LA Of THE NEW YORk STAT! W, ""'N OffHlS 'HI LAND SU;:.Vf:~:,~E~N~.AP NOT BEARI IMIOUfD SEA~ SHAll NO;O SEAL OR fO h A VALID TWf COPY. U CONSIDEIllD OUAItANTUS INDle ON~Y TO TN, ,If' S~,TED HfRfO,N SHA~L RUNl IS PIlE~AltlD Ar-:~ ." FOR WhOM THE SUR . TITU COMP~N~ _ U" HIS IkrlAlF TO THE UNOING INSTiJ~T~~~MfNiA~ AGtNCY.Ii. TO THE ASS\GNus ISTlC Hl:RfON, AND, MICN. GuARAKrrisF TN! UNgING INSTI_ ro ADOntoNAl. Aal NOT TRANsFERA 0-' INSTIMlONs OIl_ \ MAP OF PROPERTY SURVEYED FOR. VAN HANS RrEGER "'T ORIENT. N.Y. . .. , \\\\\llll1lIlI/lfl / -- $.P~.%I Q7f/f: "", , '.i, RVEYE . .1.. ~ \ 'I')~):':, ~~.H:~. VAil~"'- p. (:. , ) ~'\" , r"I' \' ,':)" 'ie... V 4.-1f~\, ,'i'''IJCENSED LAND SURVEYORS ,,' - . 1,\\',:'''.. 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AGENCY A~~ TO,fHt ASS;GNEES::6F.~.nDHt/UON, AND '1" TUflON:..:GU....RAt.nits .;...! :l!NOING INSTl~ 10 ADDITIONAl INsnru Of NO' 'RAN""AB' OWN'.., liONS 011 _"QU' I i !:lAP OF PROPERT"Y : SURVeYEo {:'OQ, , YAN\ ~ANS RiEGeR . ..".. " ..... ".",\\','\":"'!,/,j~~YeYEl? . , sgfr.,t~fl~.l$ .', 'ii"ii};;.i<,'~cO~~~iG~v4.N/r\it1t:~;F..:~, ., :~: '\ :}V$,.(.iTi::....v;- rc:.''''''''^<l1'.' .. .... ,:,,-I~.. .,. , . '. . _' .--..._-4=X . "','k'kICEN5E;t::' [.ANt::' 5URVEYO~ .' , ',,\'.,,<'i'/~'-. GREltNPORTNY. .- 0.. '.', ,_\.,~/:..,,$\..,\,,\ _______......~,..__ ) ---: "r-' ,'./ ""'1 ',\ '\1,:1, 'ill' , I, \\\, II!/llfllll\\\ ( --_._--_.__..--'-_.._.__._-~....~-----~._._---"--" . . .AT - ORIENT,N.Y, . ! . 5CALE..,40'''t" .=!RQNP1PE: .----+----.,----',----------.--.--..-..'.. Ht\t<..J?.QR ~,.,""._....~..-~~........:.....;.;...;..; I I I I I I I I I , I i , , i 1 q o 2 - ... If If f"" ;; -,,' _.,"- 'i ,/!-i. .... .. ."'~ ~I : ~" $T'r.1p/o:. ~ l;lL, "ouu . . 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I.S"rmIAl~;TO tHE i LE",~U'4~,;iNSTiT&';;}V~NMENT~L AGI:NCY,A~( TO. THEASSIGNU,N:,' S.T~tlHdlE()N, ANO'1" fU:"ON;:GU"'RAN;LE~F!~E"UNOINGINSTI. :'~:'~T10NAlINSTI~':::;T:~:::~::.L I , ,,-I I I I I , \ i MAP OF P~OP~TY S\.Jr(.ve.YE~ FOR YAN HANS. RtEGeR ./'it ORIENT, N,Y< . i 1111 iill ' f "~~ \'.I}.iT?~lLRYE.YEP. 5EPl'...Z~,1.n$ .... i\ .J ')\f,;::..:f R(>f.Ol!l:aj~.Yft.N~1{'~tP.C. I !) y:, { Y K:- . V,,- "I ~V<<'{\) ., ,1... . -~. ....;="., \ J, ',", , " '''L1CEN5E;P LAND SURVEY0Q.5 ....-..Gl<EltN PORT-NY, ------.. --"..""'-.;..<,~",.,--)-""'"- :11) :1)\ ,;-' . '..,-" ,.,' \\ '('jl',"\'" "j (I t' ,\ '.\ \,' '///11;'1:111\1\\\\\\ ',-':" ': ' .,..--'-.........~---'-"-"~-"~.- ...'-----,--,-,--.~.-.,"'.,-~,-".,-'~- - '.)CMi:J 6~ 'hw;tets I .5c'ei 8 . l [4\11, (:vVlt<. b Ie tt l.l--\7t&vtcJ '!tH. v1-'\.t <..-f1 "j :5 (0-" dt.-U...~ fv y' trvu5)'-i.;t; r~. I I I lie tt :StLbn1-d' -K-'~5 41'\-'1 l L-,.J i [1..0 V,'ltl. I .. ~ U \ r- LI. s, .L tV nA....{1 k' l.4 c{U "I. ., :>\' V" . 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H Irvl 't1A-, ("U'~~-'v (\1,( . .f~,{' I"(J~r +v It (c." f- VL~S duk in F'lc~ C'y\:k VVU.S:S~'[f-- IS le'lAd iL}/1L1 ((lelr - d" Lchi.i..t .~"lA Ll('Kt CL\.l,d 6,11") v\'1i1z \.tC5Ih(dl~(( ctt(jl~,d,\' Hvd ,~!dl CLt'-C"" lle: J~,,, , ~~Yd llcddn", QHd ';)"""c\<,>", to '-'~ GI') ~ y- I (< H c.e 4'011 b I Vk;, I' lVI-'Ll Ctt-\..<.. (' ... A ,j! I . 7 ., n U 'I~\'(LO C ((1'&"- . ';;(' C:f',15~h(d (/\;, f hkt:II-'I.\.1 H"113 . L I\.\' I Y lAS"! I' ~ I ~3G1.'\ /" 'v (~ \1u (lie( Ie f H,.S,) CIl'V d'-(';c;n \'V\AJ -re. 1'\ beL,,) ,I h (L, t~" t ,'C,\,\"t , 5i j/[L.cn I j , (,A'IIv-ttw.....i yU\. ~/l cct\N.-LV S -f-ilL{iAi"U11..A.. ~ AL<.1,~.- . . 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., February 13, 2008, the following recommendation was made: Moved by Glen McNab, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of Y AN H. RIEGER for the existing attached deck, steps, and platform, located on the seaward side of the dwelling. Located: 370 Harbor Rd., Orient. SCTM#27-4-6 Inspected by Glen McNab, Jack McGreevy Vote of Council: Ayes: All Motion Carried . . 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: Y AN H. RIEGER requests a Wetland Permit for the existing attached deck, steps, and platform, located on the seaward side of the dwelling. Located: 370 Harbor Rd., Orient. SCTM#27-4-6 Type of area to be impacted: Saltwater Wetland Freshwater Wetland .j Sound _Bay Distance of proposed work to edge of above: paJl of Town Code propo. sed work falls under: yChapt.275 _Chapt. Ill_other Type of Application: _ W etland _Coastal Erosion _Amendment _Administrative _Emergency _Pre-Submission _Violation _Planning Info needed: Modifications: ~Ytc;hj Ovr {"'/fAll~.... ( -::;:::;.:-- of:- ~ Conditions: /' /' Present Were: _J.King ~oherty _P.Dickerson _D. Bergen viC Ghosio, Jr _H. Cusack_ D. Dzenkowski _Mark Terry_other Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review r "J !i C-- ~ c- ~ ~""~I ::1 ~ ...~~-~"... c"""'" ,,- -i!- E......m.''',.. N ",-,."",. O!""''''' "'.ee_", "''"''.''''. ,,,.,,,.,,..' -- ""::;:y? T lJ ..;" /l:\ ,~~ '.< l.' l:." ,i:'~~:1 '/1 " " ~- \~ !! ., ..... ,a"" <E'''"' "'...~.._,,_~ 1211 IJJ \,....,,"""~ "."~.,,.. ..~.....,,. '''''''''''"_'U'' ,,' ./' - ". -",p; ~~ ;" ~ '~.~ II..~' V J~c;,,~} ~' ,:.>..,.:~';, ,~_." ~,.~ '1~~~ ;" ;\\ " ,;\, '00' > ~'7:'" \ .. <<\ "." '~ 'o:~.;:c.--,\ " . ~ Q i'.~,.'-~;" -,r~"~~~.~.~'L.:".~,'.:.".'_ .00 ....., NOTICE (i). ReolC~~oNp~:tyorp,SUseF!.~,cle:.'geCPY ; ~'" OJ' " ,:_.~.J:,@.:'.~.;~'.'L.'2.~.;.:~,,;~:;,~;,'" .D. ' . '''- ".". SOUTHOLO '"""'''-----''L--- ._. _ _,~ . :' Co...tj Cont:., "R<"f""od,~ Y 11901 Y '" m '" lU.... ~ .. . .. .. ",'" ," ,_, ." "'"",,,, 1000 (i) ~- -.~ ... _..., 1>.'''''.'''.'' ,.~ 1>.1.... ,_.... --~,~ _.0"'''''' .....~""~"b , ......,.. 0-..-....",.. ----, _..~,)),,"'i Ie Sfs;nONNO 027 PROP1:RTY.../>,P -, r , SURVEY OF PROPERTY SITIJA lEI ORIENT TOJ.^.IN: SOUTHOLD SUFFOLK COUNTY, NY SURVEYED 10-21-2001 SUFFOLK COUNTY TAx # 1000 - 21 - 4 - 6 CERTIFIED TO: Hans H. Ricp " "-- a :Jl -0 L '- (j) \J E~ L- 0<( LL L-1 00 ~ L oil ZO \jUJ c o -1 \ y /\, rvl 1< i ~\)/ ~ ' ~ . ~ /\ ~) 0\ \ ) n~ /: n:r! I(~ ") ~ d \ ; o \f llti) / \ MI J ~ \/ ~ 1\ i ! \/ ------------------~ ~ Haur!b(QJJr' edge of pavement fL = 5' ; \ .< i' ,J \ )! I < I I' \ I '91 16'XI2' Fr. Shed BRICK I I I I I ~I "'I I I I I Stor~ 0 Frame ci Garage 0j 220' J.' '\ (I \ r ,/ \, < < < < \1 \ j/. '0 Ci In STONE DRIVE0lAY EL = 7' 0\ r' M /\ ~<"< "'" I ' ~ \/ 00 (112' v=::::4 ;\ y II. trellis for access to garage \ l' /\ \ \' I Stor~ Frame House - CJ '" m 48.2' V'lood ~ s~eps 3~' ~ g a III i (t" , W . '.J 6!. t"r56f.lbe~.;!L" ~i{;:J'r '\:J~( " ,;1 !'. \: f L._.~._._.1 OCk~ M - ;,., " (tie line along A,H.H.M.) ____________~60]4).927iiW 7~o 74).9 ------ NOTES, o PIPE FOUND Area Area ; 13%1,65 Sq. Ft. ; 0.3201 Aues Orient APPROVED BY BOARD OF TRUSTEES S THOlD DATE 3/7/08 V~/ P ~ FLOOD ZONE lINE5 ANNOTATED FROM FEMA FLOOD INSURANCE RATE MAP # 36103C0068 6 GRAPHIC SCALE ~ 1"= 20' R(QJa\d[ ----- _.--.--...---'" "~-::;~'- 1 ~ ~~\'; C2:> N57016' lO"W 100.00' 3' 35' "-- a :Jl L (j):Jl E- L a 00 LL:= L\'l 00 LIS! a_I Z \j c o -I ~~------ ~ ! ldJ //,;' ~ ~ '" n.r) ~ o 12 I I I ' !j\ I .. i . t . J (2) ~ < ~ <j"A / 6 \::::d ~11~ r ,;'.J 0\ --,~~~ C.\2~ ~/N 'r) M (. ifA~rAl ER06ro tJ ~ZAR.D iiI: Ii,U [If Ii W Southhold Town Board of Trustees ~"adQ'''''''''''''''","<><k:O'''''''''Q'''''''''~ ""'P booaY'9" ..'-........, ~..,...".'I"'... ..",.. Q vlQ.,,'_a'..'-"""l:lO'l,_.d...._2,"f~... ......y,..-.~"~E""-""_L"". .O"'~'-op....!C""'''''''''''9...."a'_'''_! ,,,..""",,""'..."""''9''''''01..... """'......."'~. .~d.."''''''''''''''-''''''_'.d''''...v~'''"tn.. '-op,~.. ..;:.~"::..."'~~a~~~"c::~~,";;;: :~ "''''''I """""' of ,.,.""."'. fer ''''"''' 'fAr~.'f> """P..d Dj""'..."'("'"k~^'_""'...,a'f'ro'...""'" L"""~..."....,5<>"''-.,'''''''''''''''_",.,.,''''', ta....~OO^,.,.._.........-"'"'J'....."'f<"_. """"".........."I"'....'''...<'''''P''''''>~~. """9"""'I"""~....'''.'''''''...''_.''''_'''''' to ..... "'*"'9"'.' of ~... """""1 ...~"'"''''"'. c.act""'". ~""'"U'.,."lc=F..-""". ,,,""'"""""'...,'...."'.. JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.s. LIC. NO. 50202 RIVERHEAD. N.Y. 11901 369-8288 Fax 369-8287 REF.\\CompaqserverlprosI07\07-205.pro --_______~__.~__-.l ._r .".... \"'-~ ...,,' "',",,_y...., ,_,> y=4 ~ y=4 z () (l' c!l II. () a (l' ---------- 't~ ~--- \~ . . OFFICE WCAll0N: 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 if5J ~ (G ~ n WI ~ ,fni Ifll FEB 2 2 ;", ~ To: J ames King, President Town of South old Board ofTrustee~ Mark Terry, Principal Planner ~ L WRP Coordinator South hold Town Board of Trustees From: Date: February 21, 2008 Re: Request for Wetland Permit for YAN H. RIEGER SCTM# 27-4-6 Y AN H. RIEGER requests a Wetland Permit for the existing attached deck, steps, and platform, located on the seaward side of the dwelling. Located: 370 Harbor Rd., Orient. SCTM# 27-4-6 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of South old Town Code and the Local Waterfront Revitalization Program (L WRP) Policy Standards. Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the L WRP. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlauds. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. . " . . pursuant to Chapter 275-3. Findings: purpose; iurisdiction: setbacks. Please require that the applicant amend the application to meet the above policv to the greatest extent practicable. In the event that the action is approved, the following best management practice (BMP) is recommended~ I. Require a minimum 15 foot non-turf buffer between the top of slope and the deck. The BMP will further Policies 5, Protect and improve water quality in the Town of Southold and 6.3 Protect and restore tidal and freshwater wetlands, item D (below). D. Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order to ensure protection of the wetland's character, quality, values, and functions. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Joastal Erosion Permit Application L Wetland Permit Application _ Administrative Permit / _ Amendment/Tran ferl xt~nsion beceived Application: I 0 .JLReceived Fee:$ 0150 /Completed Application II?, I ()( _Incomplete _SEQRA Classification: Type I_Type Il_ Unlisted_ _Coordination:(date sent) ......-LWRP Consistency Assessment Form / CAC Referral Sent: /Date oflnspection:~ _Receipt ofCAC Report: _Lead Agency Determination:~ Technical Review: /Public Hearing He~ Resolution: ~~ J~"~: H ~ Southhold Town Board of Trustees Name of Applicant VAN ~. R rEtlGCZ Address ?}1{) ~~ .,J. oMR4---ill (11'i7-- ~ q-q ( Phone Number:'3i 3?3. 2-C;11 Suffolk County Tax Map Number: 1000- 1.1- Cf-~ Property Location: ~1-DtJ.M~ tof ~ foG-if i (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) tJo~~ c~o. ~~I\lT~ Address: Phone: ~rd of Trustees APPlicati~ GENERAL DATA Land Area (in square feet): l2L13 Area Zoning: 1i:-W Previous use ofPropertY:~Sl~it J Intended use of property: ~24-lJ'1N(~ Covenants and Restrictions: If "Yes", please provide copy. Yes VNO Prior permits/approvals for site improvements: A~n~ ~ 'Bl9MC (! l-( ~~ 31Irfr~4tq _ No prior permits/approvals for site improvements. Has any pemlit/approval ever been revoked or suspended by a governmental agency? LNo_ _ Yes If yes, provide explanation: ,ot:_~~~ . 411rrd of Trustees APPlicati~ Area of wetlands on lot: -0/ square feet Percent coverage oflot: --- 0 /% Closest distance between nearest existing structure and upland edge of wetlands: '3DO feet Closest distance between nearest proposed structure and upland edge of wetlands: 3iDO feet Does the project involve excavation or filling? / No Yes If yes, how much material will be excavated? o cubic yards How much material will be filled? o cubic yards Depth of which material will be removed or deposited: () feet Proposed slope throughout the area of operations: t? Manner in which ma rial will be removed or deposited:~ ~ ~~J 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): tJOrlE ~rd of Trustees APPlicati'" COASTAL EROSION APPLICATION DATA Purposes of proposed activity: M&VCJ] RAr;o1()/f AWAY ::rRolvl l5A'-r OF OR-IE!,Ir . Are wetlands present within 100 feet of the proposed activity? V No Yes Does the project involve excavation or filling? V No Yes If Yes, how much material will be excavated? 0 (cubic yards) How much material will be filled? 0 (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) /l/ IhJ ~ . PART 1. PROJECT INFORMATION I- 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) - I PROJECT ID NUMBER SEQR 1. APPLICANT I SPONSOR flS ~R Yf-IN DfZt(;J--I f D Expansion ~MOdification I alteration 6. DESCRIBE PROJECT BRIEFLY: ~):l>t~\lq vJ~cODGtJ pu.r:r-of<.vl ~C4J' $~ AA~(/6C> "Jt.Up.~ 'i=ROJ1 .9\u)R~LL!--f~ 10 -4l9t)~~::t GS l) 7. AMOUNT OF LAND AFFECTED Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [0'ves D No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY [LZJ Residential D Industrial D Commercial OF PROJECT? (Choose as many as apply.) DAgriculture D Park / Forest I Open Space DOther (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (F~, State or Local) DYes ~ No If yes, list agency name and permit / approval: 11. DOES DYes A~PECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? WNo If yes, list agency name and permit I approval: 12. AS A ~LT OF []v es Lk1 No I CERTIFY PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature ill Date: Applicant / Sponsor Name ~. ZOO? I he action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of c;c;~~~;:;~~~~~)------------------------------- ST ATE OF NEW YORK) AFFIDAVIT OF POSTING I, YCfM ~ ' residing at 370 W~ R~ O~ l S-J.Jr tJt1 ~ ~ s-1- being duly sworn, depose and say: That on the (( day of r tk9, , 200f I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held U ~ ...{PO, r!}7, tli]5 , 11 ) Of) Cl ('t l t- @;(XJ '1{1 Dated: h~ t - oil S);Yorn to before me this diVaayof "1C?6200g ~~A/>1. '7'h ~odL!IJ" tary Public LAUREN M. STANDISh Notary Public. State of New York No.OlST616400B Qualified in Suffolk County Commission Expires April 9. 20-1+ :J o ~ ~ . . 1M CERTIFIED MAIL" REC "T (Domestic Mail Only; No Insurance Co"...rage Provided) . .D :J o "'l " :J :J :J :J "'l o :J .D :J :J ~ 'I' SYilssETHY 11m -- Postage $ $0.41 Certified Fee 52.65 Return Receipt Fee $0.00 (Endorsement Required) Restricted Delivery Fee $O.oo~, (Endorsement Requiredj Total Postage & Fees $ $3.06 U.S. Postal Service"" CERTIFIED MAIL,,, RECEIPT (Domestic Mail Only; No Insurance Coverage PrOVided) ~ , D :J o ~ HllRRISTlMlllJ 07960 Postage $ $0.41 ...-.. ~ J :J Retum Receipt Fee :J (EndorsemenIRequired) Certified Fee $2.65 $0.00 $0.00 53.06 " " I ; , , :J Restricted Dellvery Fee ~ (Endorsement Required) o :J Total Postage & Fees $ D J J , U.S. Postal Service," CERTIFIED MAIL" RECEIPT {Domestic Mail OnlYi No Insurance Coverage Provided} D J WYCKOFF IlJ ;07481 J ~ Postage $ $0.41 , J Certified Fee 52.65 J J Return Receipt Fee $0.00 (EndorsemenIRequired) J Restricled Delivery Fee ~ (EndorsemenlRequired) $0.00 J J Tota! Postage & Fees $ $3.06 0 J J 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. listin!! 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# 2.1 - -4 - - & PROJECT NAME 'R t'S~ Bf.2.- 1<~lDG/U c.~ The Application has been submitted to (check appropriate response): _ / Town Board D PlanningBoardD BuildingDept. D Board of Trustees ~ 1. Category of Town of South old agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) D D (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit. approval, license, certification: cW Nature and extent of action: II\OVfP WCOl)C"rJ pur-wR0 -t G-S' It--lWAI(O r=-~ "M sl-lo R E.' L.l tJ ~ Location of action: . 510 t(~ T?J {It.~~ Ii / , KQCIdMJ tAt f< lfD \ ~. OAr-tV ( JJV- Site acreage: Present land use: Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: ,~/A , (a) Name of applicant: (b) Mailing address: (c) Telephone munber: Area Code ( ) (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes D NoD 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 L WRP Section III - Policies; Page 2 for evaluation criteria. @yes D M~ No D Not Applicable w<P&ri1M ~~ a~_~ (4fcvfd /icd~ 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 DYes D No ~ot Applicable jUJ VVuf;tdI . Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Sonthold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria ~Yes 0 No 0 Not Applicable ~ A J :I '= IUJfttJ f~tt ~ Btj /kadt ~ Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP se~III - Policies Pages 8 through 16 for evaluation criteria Yes 0 No 0 Not Applicable ~' A ~~t UftNW'Cl ~tti or J 0 wJ{. JW1 uilU{~ Vf/i ~ I; 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 ~otAPPlicable . .I UAJ VUtfftc{ 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. mOO Yes /NO Not AP..bl: /t wiW/ ~~H 4w 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 0 No ITi Not Applicable t1J) jfUf !tel- Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of South old from solid waste and hazardous substances and WJ- See L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes 0 No ~ Not Applicable .af) U#flLtJ- 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 Nom Not Applicable I~Je Vlrfflt I Attach additional sheets ifnecessary WORKING COAST POLICI. . Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L WRP Section III - Policies; Pages 47 through S6 for evaluation criteria. ~es 0 No 0 Not Applicable I .lxll-eft fJ~6 {;R !tc/u~ ffle 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 S7 through 62 for evaluation criteria. WYes 0 No 0 Not Applicable t~~ ~~ 1/ b<<& FJ Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See L WRP Section III - Policies; Pages 62 through 6S for evallJation criteria. DYes 0 No ~ot Applicable ~ ~4- Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See L WRP Section III - Policies; Pages 6S through 68 for evaluation criteria. ~es 0 No 0 Not Applicable J-ifar -t~W-- .cJt PREPAREDBY {;k (k~f-/ TITLE IC ~ DATE~f tltoard of Trustees APPlicat~n County of Suffolk State of New Yark y jJ.rJ 2Ffr-6'bC. BEING DULY SWORN DEPOSES AND FIRMS 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 REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF \2::PLICA TION Signature SWORN TO BEFORE ME THIS DAY OF ,20_ Notary Public . . APPLICANT/AGENTIREPRESENT ATlVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the Dart of town officers and emolovees. The DUrooSC of this fonn is to orovide information which can alert the town of nossible conflicts of interest and allow it to take whatever action is necessarY to avoid same. YOUR NAME: (Las name, first name, -IfJiddle in tial. 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 Variance Change of Zone Approval of plat Exemption from plat or official map Other (Jf"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 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% o~e shares. YES __ NO V If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, of child is (check all that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the apptiCl;Ult (when the applicant is a corporation); _B) the legal or beneficial own~r of any interest in a non-corporate entity (when the applicant i~ot a corporation); _C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Fonn TS I SUbmitte~da~~ /' 200g Signature . ',R./ Print Name YA JJ 'R I ~i(=R