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Home My WebLink AboutTR-6936 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hail 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 # 0724C Date: February 13, 2012 THIS CERTIFIES that the reconstruction and additions, including one pergola to the existing decking attached to the dwelling At 925 North Sea Drive, Southold, New York Suffolk County Tax Map # 54-4-11 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated July 3, 2008 pursuant to which Trustees Wetland Permit #6936 Dated August 20, 2008 and Trustees Coastal Erosion Permit #6936C Dated August 20, 2008 was issued and Amended on October 15, 2008 and again on October 21, 2009 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for whieh this certificate is being issued is for the reconstruction and additions, including one pergola to the existing decking attached to the dwelling The certificate is issued to MO AHMADZADEH owner of the aforesaid property. Authorized Signature James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 I) 765-6641 BOARD OF TO~N TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ~- Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ½ constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (63 l) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 ~t day of construction conStructed V//'Project complete, compliance inspection. INSPECTED BY: ~ r COMMENTS: CERTIFICATE OF COMPLIANCE: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 October 21, 2009 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Ron Modzzo P.O. Box 789 Southold, NY 11971 RE: MO AHMADZADEH 925 NORTH SEA DRIVE, SOUTHOLD SCTM# 54-4-11 Dear Mr. Morizzo: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 21, 2009: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit #6936 and Coastal Erosion Permit #6936C to construct a second pergola on the deck, and as depicted on the revised site plan prepared by Donald G. Feiler, Architect last dated September 17, 2009, and received on September 29, 2009. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, President, Board of Trustees JFK:eac James F. King, Pmsident Jill M. Dohe~y. Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr P.O. Box 1179 Southold, NY 11971 Telephone (63 [ ) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Ron Morizzo on behalf of MO AHMADZADEH requests an Amendment to Wetland Permit #6936 & Coastal Erosion Permit #6936C to construct a second pergola on the deck. Located: 925 North Sea Dr., Southold. SCTM#54-4-11 Type~ area to be impacted: ~-" SouJnd X,.,,~altwater Wetland Freshwater Wetland Bay Distance of proposed work to edge of wetland Part of Town Code proposed work fails under: __Chapt.275 Chapt. 111 other Type of Application: '~'Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: ~X~.King Jt'j./D. Doherty¢.Dickerson D. Dzenkowski other Form filled out in the field by ~D. Bergen__ B.Ghosio, Mailed/Faxed to: Date: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Ho~apfel Town Hall 53095Route 25 P.O. Box 1179 Southold, New York11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 TAX MAP NO. request an Amendment to Permit Signed By: /7... {fi_~_~ ~of Trustees Applicatio~ A~T~ORI ZATION (where the applicant is not the owner) (print owner of property) KITCHENS & BATHS INC. RO. BOX 789 SOUTHOLD N.Y. 11971 do hereby authorize ~0~ ( Agent ) to apply for permit(s) from the Tthold Board of Town Trustees on my behalf. 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 October 15, 2008 Mr. Bruce Anderson Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932-2003 RE: MO AHMADZADEH 925 NORTH SEA DR., SOUTHOLD SCTM#54-4-11 Dear Mr. Anderson: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., October 15, 2008: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit #6936 & Coastal Erosion Permit #6936C to include an additional 126 sq. ft. of decking on the seaward side of the residence, and as depicted on the survey prepared by John T. Metzger last dated June 26, 2008. This is not a determination from any other agency. Sincerely, Doherty, Vice-President ~oard of Trustees JMD:lms LONG I~LAND SOUND SURVEY OF PROPERTY A T SOUTHOLD TO'tN OF $OUTHOLD SU]~FOLK COUNT~, ~ ~. 1000-54-04-11 SCALE. 1'--30' JUNE 5, 2008 JUNE 26, 2`005 (revisions) I / / / / L ZONE VE / / (~ ~) ST~. FR. HSE. EL. 10.4' APPROVED BY BOARD OF TRUSTEES .~-', ~, OF SOUTHOLD LOT COVERAGE AREA = 2S950 sq. ff. fo beoch EX/STING' HSE. & DECKS = 2994 sq. fl SHED = 180 sq. fL 3174 sq. fL 317'~t/2`6950 = /1.8 % AFTER CONSTRUCT/ON = 362,5 sq./L 36£5/26950 =/3..5' % AREA TO COASTAL EROSION HAZARD L/NE =45c)0 sq.//. LOT COVERAGE = 0% +6.5' S$9'24'00'W 100.00' -- ~rct~H£AD tffRES +7.7' NORTI-I ~ DRIVE PUBLIC WA TER IN STREET AREA=30,085 SO. FT. ANY AL TERA TION OR ADDITION TO THIS SURVEY IS' A VIOLA T/ON OF SECTION 7209OF THE NEW YORK STATE EDUCATION LA ~ EXCEPT AS PER SECTION 7209-SUBDI t4SION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND .COP/ES THEREOF ONLY IF SAID MAP OR COP/ES BEA~ THE IMPRESSED SEAL OF THE SURVEYOR Iff'lOSE SIGNAIURE APPEARS HEREON. UNE COASTAL EROSION HAZARD LINE FROM COASTAL EROSION HAZARD MAP PHOTO FLOOD ZONE FROM FIRM MAP NO. 36103C0154 G MA Y 4, 1998 ELEVATIONS REFERENCED TO I~£CONIC (651) 765-5, P.O. BOX go9 1230 TRAVELER SOUTHOLD, N. Y. Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631 ) 537-5160 Fax: (631) 537-5291 Bruce Anderson. M.S. President September 30, 2008 South#Id Town Trustees P.O. Box 179 South#Id, NY 11971 Re: Situate: SCTM#: Application 0: Ahmadzadeh Property 925 North Sea Drive, South#Id; Town of South#Id, NY 1000-54- 4- 11 1-4738-03857/00001 To Whom It May Concern: As you know this firm represents Dr. Mo Ahmadzadeh, owner of the above referenced property who recently received a wetlands permit and a coastal erosion permit approval for constmctioo of two deck additions. On behalf of Dr. Ahmadzadeh, I am requesting modification of the issued permits for ennstre,z~don of an additional 126 square foot of decking on the seaward side of the residence located no less than 185 feet fi.om the wetland boundary as depicted on the enclosed three (3) revised surveys prepared by John Met~zger, dated June 26, 2008. By way of this correspondence, and on behalf of Dr. AhmadTadch, kindly modify the existing permits as described above and forward the modified permit directly to this office. Enclosed, please find a check in the amount of $100.00 to cover the modification fee for the wetlands permit and the Coastal Erosion Permit. Should you have any questions regarding this matter, please feel flee to contact this office at any time. Thank you in advance for your cooperation. Sincerely, i. 0C7 -2 2008 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghos±o, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ½ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6936 & 6936C DATE: AUGUST 20~ 2008 ISSUED TO: MO AHMADZADEH PROPERTY ADDRESS: 925 NORTH SEA DR. SOUTHOLD SCTM#54-4-11 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 August 20, 2008 in consideration of application fee in the sum of $500.00 paid by Mo_Admadzadeh and subject the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and the following: Wetland Permit and Coastal Erosion Permit to reconstruct the existing decking totaling 1,330 sr., a 192 sf. deck addition, and a 172' sr. deck addition, and as depicted on the survey prepared by John T. Metzger dated June 5, 2008. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. 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 COASTAL EROSION MANAGEMENT PERMIT Permit #6936C Date: August 20, 2008 SCTM#54-4-11 Name of Applicant/Agent: Bruce Anderson/Suffolk Environmental Consulting, Inc. Name of Permittee: Mo Ahmadzadeh Address of Permittee: 925 North Sea Dr., Southold Property Located: 925 North Sea Dr., Southold DESCRIPTION OF ACTIVITY: To reconstruct the existing decking totaling 1,330 sf, a 192 sf. deck addition, and a 172 sf. deck addition. SPECIAL CONDITIONS: Final Inspection The Coastal Erosion Management Permit allows for the activities as indicated on the survey prepared by John T. Metzger dated June 5, 2008. Jame King, Presided~' Board of Trustees JFK:ims James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 August 20, 2008 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Bruce Anderson Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932 RE: MO AHMADZADEH 925 NORTH SEA DR., SOUTHOLD SCTM#54-4-11 Dear Mr. Anderson: The Board of Town Trustees took the following action during its regular meeting held on Wed., August 20, 2008 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of MO AHMADZADEH applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, applications dated July 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 20, 2008, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 and Chapter 111 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of MO AHMADZADEH to reconstruct the existing decking totaling 1,330 sf., a 192 sf. deck addition, and a 172' sf. deck addition, and as depicted on the survey prepared by John T. Metzger dated June 5, 2008. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, President, Board of Trustees JFK/Ims James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: I Please be advised that your application dated f) 13lb ~' , has been reviewed by this Board at the regular meeting of and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ½ Constructed ($50.00) v/' Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as §et forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTALFEESDUE:$ ~)oC~ BY: James F. King, President Board of Trustees Donald Wilder, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., August 13, 2008, the following recommendation was made: MO AHMADZADEH to reconstruct the existing decking totaling 1,330 sf., a 192 sr. deck addition, and a 172' deck addition. Located: 925 North Sea Dr., Southold. SCTM#54-4-11 The CAC did not make an inspection, therefore no recommendation was made. James F. King, President Jill M. Dohetty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report MO AHMADZADEH requests a Wetland Permit and Coastal Erosion Permit to reconstruct the existing decking totaling 1,330 sr., a 192 sf. deck addition, and a 172' deck addition. Located: 925 North Sea Dr., Southold. SCTM#54-4-11 Type/of area to be impacted: ~,Saltwater Wetland Freshwater Wetland ~Sound Bay Distance of proposed work to edge of wetland Part/of Town Code proposed work falls under: ~Z:~hapt.275 Chapt. 111 other Type of Application: ~Wetland ~oastal Erosion __Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were' ~J.King ~J.Doherty~ Dickers"n ~D D. Dze~ko---~ski ---~rk Terw__ott~er Zj ~, ' Form filled out in the field by Bergen__ B.Ghosio, Mailed/Faxed to: Date: Environmental Technician Review- I Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President August 26, 2008 James King, President Southold Town Trustees P. O. Box 1179 Southold, NY 11971 Re: Ahmadzadeh Situate: 925 North Sea Drive, Southold SCTM # 1000-54-4-11 Dear Mr. King, Enclosed herewith please find a check made payable to the Town of Southold in the amount of $50.00 covedng the final inspection fee. Please forward the requested permit. Thank you in advance for your cooperation. Cc. M. Ahmadzadeh OFFICE LOCATION: Town Hall Annex 54375 State Route 25 Main Rd. & Youngs Ave. Southold, NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 To: From: Date: Re: Jim King, President ~,r Town of Southold Board of Trustees ["i Scott Hilary, LWRP Coordinator August 13, 2008 ......... Chapter 268, WATERFRONT CONSISTENCY REVIEW Wetland Permit and Coastal Erosion Permit for MO AItMADZADEIt SCTM#54-4-11 Suffolk Environmental Consulting, Inc. on behalf of MO AHMADZADEH requests a Wetland Permit and Coastal Erosion Permit to reconstruct the existing decking totaling 1,330 sr., a 192 sr. deck addition, and a 172' deck addition. Located: 925 North Sea Dr., Southold. SCTM#54-4-11 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 CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. Comply with statutory and regulatory requirements of the SouthoM 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. The reconstruction and addition to the existing deck is a nonmaior addition to the existing structure and is allowed in the primary dune area pursuant to § 111-13. § 111-13. Dune area. Dunes prevent overtopping and store sand for coastal processes. High, vegetated dunes provide a greater degree of protection than low, unvegetated ones. Dunes are of the greatest protective value during conditions of storm-induced high water. Because dunes often protect some of the most biologically productive areas as well as developed coastal areas, their protective value is especially great. The key to maintaining a stable dune system is the establishment and maintenance of beachgrass or other vegetation on the dunes and assurance of a supply of nourishment sand to the dunes. A. In primary dune areas: (5) Nonmajor additions to existing structures are allowed on primary dunes pursuant to a coastal erosion management permit and subject to permit conditions concerning the location, design and potential impacts of the structure on the primary dune. If the action is approved the following best management practice (BMP) is recommended: 1) Avoid disturbances to native dune vegetation such as beachgrass which provide stabilization to the natural protective features of the Primary Dune. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. ReeocAmendmenffrrans fqr/Ej~tensi°n ived Application: 21~10~ ived Fce:$ mplcted Application r~ ~ ~Incomplete ~ __SEQRA Classification: Type I Type II Unlisted ~CoordlnalJon:(date sent) ~--~to of lnspection:~ Receipt of CAC Report: __Lead Agency Determination: Technical Review: ~4~i~lic Hearing Held: ~Rosolution: Name of Applicant Mo Ahmadzadeh Office Use Only Administrative Permit Address 105 Hudson Street - Apt. 9S; New York, NY 10013 212.066.1806 Phone Number: Suffolk County Tax Map Number: 1000 - 054-04-011 Property Location: 925 North Sea Ddve, Southold +/- 875 east of Kenny's Road (provide LILCO Pole #, distance to cross streets, and location) AGENT: Suffolk Environmental Consulting, Inc. (If applicable) P.O. Box 2003; nddgohampton, NY 1 t932 Address: Phone: 631.537.5160 ~rd of Trustees Application Land Area (in square feet):. Area Zoning: R-40 26,950 GENERAL DATA Residential Previous use of property:. Intended use of property: Residential Prior permits/approvals for site improvements: Agency Date None to my knowledge __ 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): Applicant is proposing to reconstruct the existing decking totalling 1,330 square feet located 184' from the wetland boundary, a 192 square foot deck addition located 180' from the wetland boundary, and a 172 square foot deck addition located 239' from the wetland boundary. Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President August 8, 2008 Southold Town Tmstees P.O. Box 1179 Southold, NY 11971-0959 Situat~ S~#: AUG 2008 Southold Town Bo~rrl of Trustees AHMAD~EH Property 925 North Sea Drive, Southold To*on of Southold, New York 1000-054-04-011 To Whom It May Concern: Enclosed please find a completed and notarized Proof of Mailing Notice with certified mail receipts attached and a Federal Express International Waybill for a homeowner residing in France, regarding the above referenced parcel. Please feel free to contact this office should you have any questions regarding this matter. Thank you in advance for your attention and courtesy. Sincerely, Shawn M. Barron w/End. 08/29/2009 12:50 7656G41 I~D OF TRUSTEES P~SE Bi Jam~ P. King, Pr~fident Jill M. Doherty, Vice-I~residont Pegg~ A. Dicka~rson Dove Bert~n ]Bob Ghosio, Ir. Tovm Hall .53095 Rouge Il5 P,O. Box 1179 ~outhold, New York 11971-0959 Telephtme (651) 76~-1892 Fax (631) 765-6~41 BOARD OF TOWN TRUSTEES CO~ OF S~FOLK) STA~ OF ~W YO~) ~AV~ OF POST~G geing duly sworn, dcpos¢ and say: Tha~ on lhe8%aY ofA~~, 200~ I perSollally post~! thc propt~ty knova~ as ..... ~----- -~:cisl "~'stor wh~ it can ~jly ~ se~ and ~at I have by placing ~e ~o~o Ol Imam ut:, F~ . checked to b~ ~ ~ pog~ h~ ~ain~ in hc~ng. Date ofh~ not~ ~c~n to b~ h~ll~n°r to th~ dar6 of th~ public Sworn to before me ~his Notary public oi New Yor~ NO 0~N6053859 t~ed ~ S~io~ County Ou~ ' f . _ ~--,,ar~ 22 201l Co~ sS~OB txp~rs~ o~.~ ~ r-e~ International jWaybill Date ~ ~,~ 08Accou~ Seed·ds ~d~ Number z,. Pomal Code Name -- (~. tC~_I~~ ~ Phone Company Address Recipient's Tax ID Number for Customs Purposes Postal Code ~T~' ~ Taffi / / C~rtSL~C . '~igM [] ffi~ll [] [] [] [II [] FedEx bt'd. Ecooorw 6 SpeciaIea~ling [] HOLD at FedExLocodon [] SAI1JRDAYDIdive~/ Sender ~c~tNo. in [] Recipient [] ~]ird Credit Cash 8 Your Internal Billing Befemm:e 9 P, equirmlSignatme For Completion Instructions, see back of fifth page. 8611 3640 4004 Form OJuestions? Go to our Web site at fedex, com. Or in U~e u.s., call 1.800247.4747. Outside ffi~ U,S.. call,~ur local FedEx office. · 0402 · PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAH, RECEIPTS NRme: Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~t~ day of , being duly sworn, deposes an~ says ~at on thai ~ ~ · 2Q~, deponent mailed a tree copy bf the Notice set forth in the Board ofj'mStees 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 ~,c;~vlx~>~l ~,~ , that said Notices were mailed to each ofssid persons by (certified) (regist~-Ired) m~il. Sworn to before me this ~rl~ Day of 4~.'~. ,27 Matthew D. Ivans Notary Public of New York No 011V6053859 Qualified in Suffolk County Commission Expires January 22, 20 II B~rd of Trustees A~plication Coun~ of Suffolk State of New York Shawn M. Barron 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 SAK) 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. SWORN TO BEFORE ME THIS /s r Signature ,20 0% Matthew 0. Ivana Notary Public of New Yore No. 0'11V6053859 Qualified in Suflolk County Commission Expires January 22, Board of Trustees Application AUTHORIZATION (where thc applicant is not the owner) [, ,Mo Ahmadzadeh (print owner of property) res/ding at 105 Hudson Street- Agt 9S (m~illng address) New York, NY 10013 Environmental Consulting, Inc. do hereby aathor/ze S~ffolk (Agent) to apply for perrait(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) B~rd of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity:_ Reconstruct existing deck, and construct two small deck additions (192 square feet and 172 square feet) Are wetlands present within 100 feet of the proposed activity? NO. Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? NA (cubic yards) How much material will be filled? N^ (cubic yards) Manner in which material will be removed or deposited: NA Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) Proposed deck reconstruction is located 184' from the wetland boundary and the closest deck addition is located 180' from the wetland boundary. This firm respectfully submits that there will be no environmental impacts resulting from the deck reconstruction and deck additions, but for the temporary noise resulting from the proposed construction. B~rd of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Reconstruct existing decking and construct two small deck additions. All activities will be located at least 180 feet from the wetland bounda~. Area of wetlands on lot: 0 square feet PerCent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlahds: 184' feet Closest distance between nearest proposed structure and upland edge of wetlands: 180' feet Does the project involve excavation or filling? XXX No Yes If yes, how much material will be excavated? NA cubic yards How much material will be filled? NA cubic yards Depth of which material will be removed or deposited: NA Proposed slope throughout the area of operations: generally level Manner in which material will be removed or deposited: NA feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): No effect to wetlands can be reasonably anticipated to result from the proposed construction. 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION ~1'o be completed by A~plicant or Project Sponsor) 1. APPLICANT/S~NSOR iz PROJECT~ME Suffolk Environmental Consulting, Inc c/o Shawn Barton ] Mr. Mo Ahmadzadch 3. PROJECT LOCATION: Munidpal~ TownofSouthold Cou~ Suffolk 4. PRECISE LOCATION (S~t a~m~ a~ road i~e~s, ~inent la~rna~, etc., or pro,de map) 925 North Shore Road, Southold. also see location map). 5. PROPOSED ACTION IS: [] Nm [] Ex~nsl~ [] M~ffi~tioWa~e~ 6. DESCRIBE PROJE~ BRIEFLY: Applicant is proposing to reconstruct 1,330 square feet of existing decking located 185 feet fi'om the wetland boundary, to construct a 240 square foot deck addition located 180 feet from thc wetland boundary, and a 172 square foot deck addition located 228 feet from the wetland boundary. 7. AMOUNT OF ~D ~FEC~D: In~al~ <1~,[ acres Uffima~ <0.] acres 8. WILL PROPOSED A~ION COMPLY WITH ~ISTING ZONING OR OTHER ~ISTING ~D USE RESTRICTIONS? [] Yes ~ ~ No If No, d~ bde~ 9. W~T IS PRESENT b~ND USE IN VICINI~ OF PR~EC~ [] Residential [] Industrial [] Commercial Des~: [] Agdcu~m [] Pa~Fom~UO~n Sp~ [] O~er 10. DOES ACTION INVOLVE A PERM~ A~ROV~, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDEX, STATE OR LOCAL)? [] Y~ ~ No If Y~, list a~n~s) name and ~ap~ovals: Southold Town Trustees 11. DOES ~Y ASPECT OF THE ACTION HAVE A CURRENCY V~ID PERMIT OR ~PROV~? ~ ] Yes [] No If Yes, li~ a~n~(s) na~ and ~ap~als: 12. AS A RESULT OF PROPOSED ACTION WI~ ~I~ING PERMIT/~PROV~ REQUIRE MODIFICATION? DYes [] No I CERTI~ THAT THE INFORMATION PROVIDED A~VE IS TRUE TO THE BEST oF MY KNOWLEDGE ~pli~nFs~n~r name: Shawn ~. Barro~ Dcte: 6-]3-08 Signature: ~'~--~ ~"~ -- If the a~ion is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form I~fore proct~ding with this assessment 0¥~ 1 Reset PART II - IMPACT ASSESSMENT (T~ completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PAR~ 617.4? If yes, coordinate the review process and use the FULL EAF. ~]Yes F'~No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be s~perseded by another involved agency. [~] Yes [-']No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers n3ay be handwritten, if legible} C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing tmftic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archasolagical, historic, or other natural or cultural resources; or community or neighl~3rhoed character?. Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered specms? Explain briefly: C4. A community's existing plans or goals as ofrmially adopted, or a change In use or intensit~ of use of land or other natural resources? Explain bdefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1 -C57 Explain briefly: C7. Other impacts (including chang~ in use of either quantity or type of ese~gy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? [] Yes~ N NO If Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If Yes, explain bhefly: PART III - DETERMINATION OF SIGNIFIC.N~ICE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~adab~e~daterminewhetheritissubstantia~la~ge~imp~rtant~r~theneisesigni~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban o~ rural); (b) probability of occurring; (c) duration; (d) irmversibility; (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 It was checked yes, the determination of significance must evaluate the potentialimpact of the proposed action on the environmental charec~edstics of the CEA. ] Check this box if you have identified one or more potentially large or signlficant adverse impacts which MAY occur. Then pmcaed dlractiy to the F U LL EAF and/or prepare a positive declaration. [] Check this hox if yeu have determined, based on the information and analysis above and any supporting documentation, that the propesed action WIM. NOT result in any significant adverse environmental impacts AND provide, on attachments as necessmy, the reasons supporting this determination Name of Lead Agency Pdnt or Type Name of Responsible Officer in Lead Agency Date Title of Responsible Officer Signature of Responsible Offcar in Lead Agency Signature of Preparer (If different fi-om responsible officer) ReSet Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631)~91 Bruce Anderson, M.S., President July 1, 2008 / Mr. James King; President SoutholdS°Uth°ld TownT°Wn HallB°ard of Trustees P.O. Box 1179 Southold, NY 11971 Re: Ahmadzadeh Property Situate: 925 North S~a Drive, Southold; Town of Southold, NY SCTM#: 1000 - 54 - 4 - 11 Dear Mr. King, This firm represents Dr. Mo Ahmadzadeh, owner of the above referenced property who is seeking permission to reconstruct the existing decking and construct two small deck additions thereon. Enclosed, please f'md the following materials: 1. Three (3) copies of a completed Coastal Erosion Permit Application and Wetland Permit Application; 2. Three (3) copies of a completed Short Environmental Assessment Form; 3. Three (3) copies of a location map; 4. Three (3) copies of a revised survey prepared by Peconic Surveyors, P.C. dated June 5, 2008; and 5. Check in the appropriate amount. Should you have any questions or require additional information, please do not hesitate to contact me. Thank you for you assistance in this matter. Sincerely, Shawn M. Barron Cc: Dr. Ahmadzadeh Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessmem is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt m'mor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the L~k~.P is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), ~he Board of Trustees Office, the planning ~en~., all ~ libraries and the Town Clerk's office, ii ~ :' ~ '~' ~ ~ : I B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 54 - 04 - 011 The Application has been submitted to (check appropriate respons TownBoard [] Planning Dept. [] Building Dept. [] BoardofTrnstees [] 1. Category of Town of ~outhold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) [] Co) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Reconstruct existing decking and construct two deck additions of 240 square feet located 185 feet from the wetland boundary~ and 172 square feet located 228 feet from the wetland boundary. Attach a~difioaal sheets h a,c~saary Location of action: Site acreage: 925 North Sea Drive~ Southoid 0.69 acres Present land use: Residential Dwelling Present zoning classification: R- 40 (Residential) 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: Dr. Mo Ahmadzadeh (b) Mailing address: 105 Hudson Street- Apt. 9S~ New York~ NY 10013 (e) Telephone number: Area Code ( 212 ) 966 - 1806 (d) Application number, if any: N/A 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? 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 m- Policies; Page 2 for evaluation criteria~ [] Yes [] No [] Not Applicable The orooosed deck addition and reconstruction will not sianificantlv chanae the existina residential use of the orooedv, which already comolies with this PolicY. Policy 2. Protect and preserve'historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No [] Not Applicable Policy 2 is not aoDlicable in that subject lot and the surroundina neiahborhood cannot be deemed a substantial historic and/or archaeoloaical resources. Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IH - Policies Pages 5 through 7 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal will not adversely impact the visual aualilv of the surroundina area in that the orooosed structures will not be visible from the main access into the subdivision, and therefore will not impair the current visual and scenic aualities already available. At~ach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. Sec LWRP Section HI - Policies Pages 8 through 16 for evaluation criteria [] Yes [] No [] Not Applicable The applicants reauest to reconstruct the existina deckina and construct two small deck additions located 180 and 228 feet from the wetland boundarv complies with the above PolicY by virtue of the larae wetland setbacks. Attach additional sheets ffnecessary Poliey $. Protect and improve water quality and supply in the Town of Southoid. See LWRP Section IH - Policies Pages 16 through 21 for evaluation criteria [] Yes [] No [] Not Applicable The orogosed activities will not have an impact on water quality. 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. Sec LWRP Section IH - Policies; Pages 22 through 32 for evaluation criteria [] Yes [] No [] Not Applicable The orooosed deck reconstruction and additions, bv virtue of their larae wetland setbacks will further th~. aoals of the above policy Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section HI - Policies Pages 32 through 34 for evaluation criteria [] Yes [] No [] Not Applicable The ProPosed deck additions and deck reconstructions will not have an imoact on air quality. 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 Ill - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the ProPosal does not involve disposal and/or transportation of salid waste, hazardous waste, toxic pollutants, petroleum Draducts. Attach additional sheets if necessary 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 HI - Policies; Pages 38 through 46 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal is not applicable to this policy in that the proposal will not impede any access to the surface waters in and around subject properly and/or become detrimental to the recreational use of the surroundina resources. AtIach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-depeudent uses and promote siting of uew water-dependence uses in suitable locations. See LWRP Section IH- Policies; Pages 47 through 56 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the proposal does not involve a water-dependent use (i.e. marina, auaculture, etc...), Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Pecoalc Estuary and Town Waters. See LWRP Section IH - Policies; Pages 57 through 62 for evaluation criteria [] Yes [] No [] Not Applicable Subiect orooosal is not aoolicable in that the prooosal does not involve any form of marine resource manaaement fi.e. commercial fisheries, recreational fisheries, aauaculture, etc...}. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III- Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No [] Not Applicable Subject proposoI is not applicable in that the Drooosal does not involve aaricultural lands ILo. the conversion of farmland, the eslablishment and/or maintenance of new coastal aclricultural groduction, etc...J Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section HI - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [] No [] Not Applicable Subiect proposal is not applicable in that the proposal does not involve the conservation of enerav resources on a commercial level and/or the promotion of alternative enerav sources, DraPer maintenance of fuel stora,qe fac t es and/or the extraction of mineral extraction Attach additional sheets if necessary Created on 5/25/05 11:20 AM Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President July 8, 2008 Southold Town Trustees P.O. Box 179 Southold, NY 11971 Re-' Situate: SCTM#: Ahmadzadeh Property 925 North Sea Drive, Southold; Town of Southold, NY 1000 - 54 - 4 o 11 To whom it may concern, As recently requested, enclosed please find a check in the mount of $225.00 to cover the remaining portion of the application fee as well as three (3) copies of a completed LWRP Consistency Assessment Form. Sincerely, Should you require any additional information, please do not hesitate to contact me. Thank you for your assistance in this matter. enc. I ,, , . 1-' 0 - 0 ~ 0 ' Ol~- ~-, - ~ .... , ~, ~o" ~ a - ~ %¢ ~ ~,~ ~. ~t ~ APPROVED BY 4 ~ ~ ~ (~) %~ ¢ ~ , ~:~¢w¢ ~p ~x,~ BOARD OF TRUSTEES . ~. ~4 I~To ~s~ ' ~ TOWN OF SOUTHOLD ~c~ ~1g ~ o~lE ~T ,/s,, , N4G'46'O~'E ~--_~__ _100.29' SURVEY OF PROPERTY A T SOUTHOLD TO,tN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-04-04-11 NOALE: 1"=$0' JUNE 5, 2008 I I I I ZONE VE (~ 13) / LOT COVI--t'~AGE AREA = 26950 sq. ll. 1o beoch EXISTING HSE. & DECKS = 299zt sq. fl SHED = 180 $17'~ sq. fl. 317~/26950 = 11.8 % AFTER CONSTRUCTION = 3583 sq. ft. 3583/26950 =13.3 % AREA TO COASTAL ERoSiON ,HAZARD LINE ='~500 sq.//. LOT COVERAGE = 0% 875.00' S39'24'00'W 100.00' E/?OSIoN ONE NORTH 6~A DRIFE PUBLIC WA TER IN STREET AREA=30,085 $0. FT. ANY ALTERATION OR ADDITION TO THIS SURVI~Y IS A VIOLATION OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR Yd"IOSE SIGNATURE APPEARS HEREON. COASTAL EROSION HAZARD LINE FR~J~..~_ COASTAL EROS/ON HAZARD ~~V-~-566-85 FLOOD ZONE FROM FIRM M~[t7~'~,~'~,~"'~'1-5~ G MA Y 4, 1998 biCOOlC SO~ ~-1797 (651) 765-502~ P.O. BOX 909 1250 ~A VELER S~EETI I