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HomeMy WebLinkAboutTR-6953Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 $outhold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 13, 2010 Pine Neck Holdings LLC P.O. Box 150 Southold, NY 11971 RE: WETLAND PERMIT #'s 6953 & 7026 1425 PINE NECK ROAD, SOUTHOLD SCTM# 70-5-40 To Whom It May Concern: As requested, a final inspection was performed on the above referenced property as required for the issuance of a Certificate of Compliance. Upon inspection it was determined that not all of the permitted activities were conducted as described in the permits. In accordance with Wetland Permit #6953, an approval was made to construct a 528 square foot deck attached to the dwelling, a 4'x53' catwalk with a 4'x9' seasonal ramp and a 6'x20' float, with conditions of a 10' wide non-turf buffer landward of the bulkhead, and the installation of gutters to leaders to drywells on the dwelling. At this time, the attached deck was constructed, the 10' buffer area is installed, and gutters to leaders to drywells are installed. The fixed catwalk, ramp, and float have not been constructed. This permit expired on August 20, 2010. In accordance with Wetland Permit #7026, an approval was made to replace the siding and windows, raise a portion of the rear roof 9", replace existing screen porch, construct a retaining wall at the rear of the dwelling, and install an outdoor shower attached to the deck. At this time, the retaining wall and the outdoor shower have been completed. The siding, windows, raising of rear roof, replacement of the screened porch have not been constructed. Please be advised that the attached Certificate's of Compliance are being issued for the completed activities as described in the permits. Therefore Wetland Permit #'s 6953 & 7026 are now closed. Any other activity within 100' of the wetland boundary requires a permit from this office. Very truly yours, Jill M. Doherty {/ President, Board of Trustees JMD/eac Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0579C Date: September 13, 2010 THIS CERTIFIES that the construction of a rear deck attached to dwelling, gutters to leaders to drywells installed on dwelling, and a 10' wide non-tuff buffer to be maintained along the bulkhead At 1425 Pine Neck Road, Southold, New York Suffolk County Tax Map # 70-5-40 Conforms to the applications for a Trustees Permit heretofore f'ded in this office Dated 6/10/08 pursuant to which Trustees Wetland Permit # 6953 Dated 8/20/08 and was issued and conforms to ali of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a rear deck attached to dwelling, gutters to leaders to drywells installed on dwelling, and a 10' wide non-turf buffer to be maintained along the bulkhead The certificate is issued to PINE NECK HOLDINGS LLC owner of the aforesaid property. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765~6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain st 1 day of construction ~ constructed ~/'Project complete, compliance inspection. INSPECTED BY: ~ COMMENTS: (2RL'q to~,-~ (?,orhf/%-tk-e~J' ~ CERTIFICATE OF COMPLIANCE: 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 I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ~//" Ch. 275 Ch. 111 INSPECTION SCHEDULE ~TPre-construction, hay bale line/silt boom/silt curtain 1st day of construction constructed Project complete, compliance inspection. CERTIFICATE OF COMPLIANCE: Page 1 of 1 Standish, Lauren From: Sent: To: Cc: Daniele, Barbara (GE Capital) [Barbara. Daniele@ge.com] Friday, September 10, 2010 11:01 AM Standish, Lauren Gayle. Marriner-Smith@elliman.com; Anthony Daniele Subject: [New Sender - ] - Pine Neck Inspection - Message is from an unknown sender Lauren: This confirms our conversation, in which I authorized you to release to Gayle Mariner Smith, our agent, all documentation in connection with the Trustee's inspection of our Pine Neck property. Thank you. Barbara Daniele, co owner of Pine Neck LLC. Barbara Daniele GE Capital Americas t (203) 229-5027 f (203) 956-4296 201 Merritt 7 Norwalk, CT 06851 General Electric Capital Corporation Boerd of Trt~stees 9/10/2010 S A M U E L S & S T E E L M A N April 26, 2010 Southold Town Trustees Town Hall Annex Main Road Southold, NY 11971 Re: ,: APP, 2 7 2010 RENOVATIONS TO PINE NECK HOLDINGS R SIDEN 1425 Pine Neck Road $outhold, NY 11971 Trustees Permit #'s 6953 and 7026 Dear Trustees, The above referenced project has two permits from you (attached). The first, #6953, is to build a deck on the existing house and a floating dock, ramp and catwalk in Jockey Creek. Of these permitted actions, the deck was built, but the dock has been abandoned. This permit included your standard provision to install leaders, gutters and drywells. The second permit, #7026, is to replace siding and windows, raise a portion of the roof, replace the screen porch, and construct a retaining wall at the grade entrance to the basement on the creek side. Of these permitted actions, only the retaining wall was built. · Due to difficult extenuating circumstances, the owner has been forced to abandon the project and sell the property, as is. At this time, they have not installed the leaders, gutters, or drywells, though they have received a bid to do so, in excess of $4,000. They intend to install subsurface drainage for the small areaway created by the retaining walls on the creek side, which has arguably increased the rainwater runoff. Would you please be so kind as to consider exempting the owner, Anthony Danielle, from the requirement to install this drainage equipment, and authorize a Certificate of Compliance for the project. I realize this is an unusual request, and make it only because I believe that the extent of impact is minimized by the canceling of the majority of the project. Respectfully submitted, T~ Samu[~els~ ' ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK 11935 (63 ~ ) 734-6405 FAX (631) 734-6407 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6953 DATE: AUGUST 20, 2008 ISSUED TO: PINE NECK HOLDINGS LLC PROPERTY ADDRESS: 1475 PINE NECK ROAD, SOUTHOI,D SCTM# 70-5-40 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, and in consideration of application fee in the sum of $250.00 paid by Pine Neck Holdings LLC and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a 528 square foot rear deck attached to the dwelling, construct a 4'x53' catwalk with a 4'x9' seasonal ramp and a 6'x20' seasonal floating dock, with the condition of the installation of a 10' non-turf buffer landward of the bulkhead, the ramp and floating dock are seasonal structures to be removed no later than December 1st of each year and installed no earlier than April 1st of each year, the ramp and float are to be installed in an "L" configuration, the installation of gutters, leaders and drywelis on the dwelling to contain roof runoff and in accordance with ChaPter 236 of theffown Code-Storm Water Runoff~ and as depicted on the site plan prepared by Peconic Permit Expediting, last dated September 11, 2008, and received on September 11, 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. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7026 DATE: January 21~ 2009 ISSUED TO: PINE NECK HOLDINGS LLC PROPERTY ADDRESS: 1475 PINE NECK RD.~ SOUTHOLD SCTM#70-5-40 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 o£Trustees adopted at the meeting held on January 21, 2009 in consideration of application fee in the sum of $250.00_paid by Pine Neck Holdings LLC and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to replace the siding and windows; raise a portion of the rear roc 9"; replace in-kind existing screen porch; construct a retaining wall at the rear of the dwelling; and install an outdoor shower attached to the deck, and as depicted on the site plan prepared by Samuels & Steelman Architects last dated October 17, 2008. iN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK CC #: C10-30872 I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in myoffice on0812412010 under Liber D00012655 and Page 319 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 0812412010 ~Board of Trdstees SUFFOLK COUNTY CLERK ~. ,~.,.~-x.. ~. /~,~.,~_., JUDITH A. PA$CALE SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE T~pe of Instrument: DECLARATION Number of Pages: 5 Receipt ~m~er : 10-0099226 District: 1000 Recorded: 08/24/2010 At: 12:32:29 PM LIBER: D00012635 PAGE: 319 Section: Block: Lot: 070.00 05.00 040.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Page/Filing COE TP-584 Cert. Copies Exempt $25.00 NO Handling $20.00 NO $5.00 NO NYS SRCHG $15.00 NO $0.00 NO Notation $0.00 NO $6.25 NO RPT $30.00 NO Fees Paid $101.25 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL J~DITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument Deed / Mortgage Tax Stamp FEES Page / Filing Fee ~[~' Handling 20. 00 TP-584 Notation EA-52 17 (County) SubTotaL EA-5217 (State) R.P.T.S.A. Comm. of Ed. 5. 00 Affidavit .......... ~-~"~ / 025'- 'i2ertified Cop 'SYs'S'~';/r~g~' 15. oo Other 4 ] Dist. Real Property Tax Service Agency Verification Sub Total Grand Total /0/ 1000 07000 0500 040000 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: ' ut_ c Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY 11901 www. suffolkcou ntyny, gov/cle rk -[ Reco[ding / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County.__ Held for Appointment Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO If NO, see appropriate tax clause on page # of this instrument. 5'"-~t -I0 5 Community Preservation Fund Consideration Amount $ CPF Tax Due $ Improved Vacant Land TD TD TD Suffolk County Recording & Endorsement Page This page forms part of the attached ~ ¢ ~ o,~- ~ ~ c~-, ~ ~- Or,\ ~' ~, 3 Yx"~. made by: · - (SPECIi:/Y TYPE O'I~ IN~i~,'UME~T) ~J~)~,'%-e .¥~l~C~ ~(.'~\'~x~ff .L~ The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of ~ G ~' ~XCh 1 ~ In the VILLAGE or HAMLET of ~O,; +'¥x~. BOXES 6 THRU 8 MUST BE TYPED OR PRINTED ~ BLACK INK O~Y PRIOR TO RECORDING OR FILING. (over) DECLARATION OF COVENANTS THIS DECLARATAION made thisc. Ja/~"~ay of May, 2010, by PINE NECK HOLDINGS, LLC, having at address at 990 Koke Drive, Southotd, NY 11971, hereinafter referred to as "DECLARANT": WITNESSETH: WHEREAS, DECLARANT is the owner of certain real property located on 1425 Pine Neck Road, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax May as District 1000, Section 70, Block 5, Lot 40 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the "Property"; and WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town the Southold (hereinafter the "Trustees"~ pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; and WHEREAS, the DECLARANT therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a ten foot wide "non-turf buffer" adjacent to and landward of the existing bulkhead be established, NOW, THEREFORE, the DECLARANT do hereby covenant and agree as follows: 1. Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained a ten foot wide "non-turf buffer", as defined by Chapter 275 of the Town Code, adjacent to and landward of the existing bulkhead; and 2. These covenants shall run with the land and shall be binding on the DECLARANT, its heirs, assigns, purchasers, or successors in interest and may only be modified after a public headng and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner has duly executed this instrument thisc~/ day of May, 2010. PINE NECK By:. Anthony R. Daniel, Member ACKNOWLEDGMENT STATE OF NEW YORK ) ) COUNTY OF NEW YORK ) SS.: On the,.~,! day of May, 2010 before me, the undersigned, a Notary Public in and for the State of New York, personally appeared Anthony R. Daniele, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(les), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. Notary Public~ Estella G nsberg Nota~-! Public, State of New York No. 01GN726346 Qualified in Queens Court ¢omrnissio~ Ex~. Nov. 30, ~ '~--ol ~ Schedule A SECTION 70, BLOCK 5, LOT 40 ON THE T,~X MAP OF SUFFOLK COUNTY ALL that certain plot, piece or parcel of land with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot No 7 on a certain map entitled, "Map of Property of G. Wells Phillips", surveyed by F.F. Overton, August 1909 and filed in the Office of the Clerk of the County of Suffolk on November 6, 1909 as Map No 297, more particularly bounded and described as follows: BEGINNING at a point marked by a monument on the Nor[hefty side of Pine Neck Road where the same is intersected by the division line between Lot Nos. 6 and 7, as shown on the above referenced map; said point of BEGINNING also being where the division line between the premises herein described and lands now or formerly of Fred Ventrudo intersects the Northerly side of Pine Neck Road; RUNNING THENCE along the Northerly side of Pine Neck Road the following two (2) courses and distances: 1 ) North 85 degrees 30 minutes 00 seconds West, 8.78 feet and 2) North 84 degrees 15 minutes 00 seconds West, 91.22 feet to a stake set in the division line between Lots Nos. 7 and 8 (lands now or formerly of Henry F. Barry); THENCE along the division line between Lots Nos. 7 and 8 (lands now or formerly of Henry F. Barry), North 5 degrees 00 minutes 00 seconds East, 456.14 feet Survey (466 feet Filed Map) to the present high water line of Jockey Creek; THENCE South 85 degrees 01 minutes 40 seconds East, 100.00 feet to the division line between Lot Nos. 6 and 7 (lands now or formerly of Fred Ventrudo); THENCE along the division line between Lot Nos. 6 and 7 (lands now or formerly of Fred Ventrudo), South 5 degrees 00 minute~ 00 seconds West, 471 feet Survey (484 Filed Map) to the Northerly side of Pine Neck Road, the point or place of BEGINNING. 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 1~ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6953 DATE: AUGUST 20~ 2008 ISSUED TO: PINE NECK HOLDINGS LLC PROPERTY ADDRESS: 1475 PINE NECK ROAD, SOUTHOLD SCTM# 70-5-40 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, 200& and in consideration of application fee in the sum of $250.00 paid by Pine Neck Holdings LLC and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a 528 square foot rear deck attached to the dwelling, construct a 4'x53' catwalk with a 4'x9' seasonal ramp and a 6'x20' seasonal floating dock, with the condition of the installation of a 10' non-turf buffer landward of the bulkhead, the ramp and floating dock are seasonal structures to be removed no later than December 1st of each year and installed no earlier than April 1st of each year, the ramp and float are to be installed in an "L" configuration, the installation of gutters, leaders and drywells on the dwelling to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, and as depicted on the site plan prepared by Peconic Permit Expediting, last dated September 11, 2008, and received on September 11, 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. TERMS AND CONDITIONS The Permittee Pine Neck Holdings LLC, residing at P.O. Box 150, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Penrdt should be retained indefinitely, or as long as the said Pennittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the fight of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Pennittee 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 August 20, 2008 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert Lehnert Peconic Permit Expediting 32645 Main Road Cutchogue, NY 11935 RE: PINE NECK HOLDINGS LLC 1475 PINE NECK ROAD, SOUTHOLD SCTM# 70-5-40 Dear Mr. Lehnert: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 20, 2008 regarding the above matter: WHEREAS, Peconic Permit Expediting on behalf of PINE NECK HOLDINGS LLC 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 June 10, 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 5, 6, 9, 11 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the installation of a 10' non- turf buffer landward of the bulkhead, the ramp and floating dock are seasonal structures to be removed no later than December 1st of each year and installed no earlier than April 1st of each year, the ramp and float are to be installed in an "L" configuration, the installation of gutters, leaders and drywells on the dwelling to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, and WHEREAS, a Public Headng 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 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, RESQLVED, that for the mitigating factors and based upon the Best Management Practice requirement 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 PINE NECK HOLDINGS LLC to construct a 528 square foot rear deck attached to the dwelling, construct a 4'x53' catwalk with a 4'x9' seasonal ramp and a 6'x20' seasonal floating dock, with the condition of the installation of a 10' non-turf buffer landward of the bulkhead, the ramp and floating dock are seasonal structures to be removed no later than December 1st of each year and installed no earlier than April Ist of each year, the ramp and float are to be installed in an "L" configuration, the installation of gutters, leaders and drywells on the dwelling to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, and as depicted on the site plan prepared by Peconic Permit Expediting, last dated September 11, 2008, and received on September 11,2008. 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: $1,118.00 Very truly yours, Jar~es F. King .~,/-~ President, Board of Trustees JFK/eac 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: Please be advised that your application dated ..T~r~¢,. been reviewed by this Board at the regular meeting of and your application has been approved pending the comp~tion of the following items checked off below. has __ 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: 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 (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., July 16, 2008, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of PINE NECK HOLDINGS LLC to construct a 528 sf. rear deck attached to the dwelling, and to NOT SUPPORT the application to construct a 4'X 46' catwalk, 4'X 5' ramp and 6'X 20' seasonal floating dock. Located: 1475 Pine Neck Rd., Southold. SCTM#70-5-40 Inspected by: Don Wilder The CAC Supports the application to construct a deck with the Condition drywells and gutters are installed on the house to contain the roof run-off and a 20' non-turf buffer and swale is installed to prevent run-off from going into the creek. The CAC does Not Support the application to construct a dock because the proposed dock exceeds 1/3 across the width of the creek. Vote of Council: Ayes: All Motion Carried Locations of Stakes Showing Edges of Proposed Deck Locations of Stakes Showing Edges of Proposed Deck James F. King, President Jill M. Dohe~ty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. PO. Box 1179 Southold, NY 11971 Telephone(631)765-1892 Fax (631)765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: 7'/'/~/ PINE NECK HOLDINGS LLC requests a Wetland Permit to construct a 528 sf. rear ~')~ttached to the dwell?Qg~and construct ayX 46' catwalk, 4'X 5'(~ and 6'X 20' seasonal floating o(J.9.~_.k) Located: 1475 Pine Neck Rd., Southold. SCTM#70-5-40 ~aOf area to be impacted: Itwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: 3..J~apt.275 Chapt. 111 other Type of Application: ~/Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: ,~_~ P_,_, ~-_ Present Were: ~,,~liKing L~-~.Doherty ~.Dickerson __ ~t~'~.D. Dzenkowski ~___.M~ry other Form filled out in the field by L~. Bergen~hosJo, Mailed/Faxed to: Date: Environmental Technician Review- IL.¸ - O7O OFFICE LOCATION: Town Hall Annex 54375 State Route 25 Main Rd. & Youngs Ave. Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY ! 1971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROG ,RAM TOWN OF 8OEITHOLD Jim King, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: July 23, 2008 Proposed Permit to Wetland Permit for PINE NECK HOLDINGS LLC SCTM#70-5-40 Peconic Permit Expediting on behalf of PINE NECK HOLDINGS LLC requests a Wetland Permit to construct a 528 sr. rear deck attached to the dwelling, and construct a 4'X 46' catwalk, 4'X 5' ramp and 6'X 20' seasonal floating dock. Located: 1475 Pine Neck Rd., Southold. SCTM#70-5-40 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 INCONSISTENT with the below listed policies and therefore is INCONSISTENT with the LWRP pursuant to § 268 of the Southold Town Code. THE FOLLOWING SECTION ADDRESSES THE PROPOSED DECK 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 setback from the proposed deck to the wood retaining wall (bulkhead) is 36.7 feet; a minimum setback distance of 100 feet from the wetland line is required pursuant to Chapter 275-3. Findings~ purpose~ iurisdiction~ setbacks. Please require that the applicant amend the application to meet the above policy to the greatest extent practicable. Figure 1. Pine Neck Holdings Residence In the event that the action is approved~ to further Policy 5: Protect and Improve Water quality in the Town of Southold and Policy 6 referenced above: 1. Require the establishment of a minimum 20 foot wide vegetated butter I~ndward from the bulkhead. Require that the buffer is vegetated with species native to Lono Island. THE FOLLOWING SECTION ADDRESSES THE PROPOSED DOCK STRUCTURE Policy 5. Protect and improve water quality and supply in the Town of Southold. The dock structure plans propose "treated lumber" for the piles with the treatment unspecified. In addition~ the decking materials are unidentified within the plan. Policy 6. Protect and restore the quality and function of the Town of SouthoM ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. 6.1 Protect and restore ecological qualiO, ~hroughout the Town of Southold. 6.2 Protect vulnerable fish, wildlife, and plant species, and rare ecological communities. 6. 3 Protect and restore tidal and freshwater wetlands. 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 Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The applicant must demonstrate that the following dock standards pursuant to § 275-11. Construction and operation standards have been met. (d) Review and approval of dock applications. Before issuing a permit for a dock structure, the Trustees shall consider whether the dock will have any of the following harmful effects: [1J Whether the dock will impair navigation or be located in areas of high vessel traffic or vessel congestion; The proposed action is located in a creek which serves as a primar~ navigation route to the marina to the west of the parcel. The dock structure addition will extend to an additional 42 feet into the waterway. The vessel to be located ut the terminus of the dock structure is nnidentified. The vessel must be identified pursuant to: § 275-11 Construction and operation standards. (b) Dock locations and lengths. [Amended 10-11-2005 by L.L. No. 17-2005] [2] Y~ithin creeks and other narrow waterways, no dock length shah exceed 1/3 the total width of the water body. Determination of the length of the dock must include the dimensions of the vessel. The dock length is proposed at 71 feet~ the water-body width is not indicated on the plan and therefore the proposal may not meet the 1/3 rule as referenced above. Figure 2. Showing narrow creek width and existing dock line. Figure 3. Showing narrow creek width and existing dock line. In addition as the above photos show~ the proposed dock would extend into navigable waters at a narrow section of the waterway. It is evident that the limited length of the existing docks located along this section were designed to preserve the navigability of the section. [2] Whether the dock will unduly interfere with the public use of waterways for swimming, boating, fishing, shell fishing, waterskiing and other water-dependant activities; [3] Whether the dock will unduly interfere with transit by the public along the public beaches or foreshore; [4J Whether the dock will significantly impair the use or value of waterfront property adjacent to or near the dock; [5] Whether the dock will cause degradation of surface water quality and natural resources; The construction materials (type of timber} are identified as treated lumber with the "treatment" unspecified. The proposed action is located within a marine wetland. Activities during dock construction can destroy vegetation either above or below the tide line by pulling them from the substrate or destroying their root system. The proposed construction practices of the dock have not been identified. It is recommended that the applicant identify the proposed construction practices. [6] Whether the dock will cause habitat fragmentation and loss of significant coastal fish and wildlife habitats; [7] Whether the dock will result in the destruction of or prevent the growth of vegetated wetlands, sea grasses including eelgrass (Zostera marina) and widgeon grass (Ruppia maritima) or shellfish; The absence or occurrence of sea-grass in the proposed construction area is unknown{ no information has been submitted. [8J Whether the dock will unduly restrict tidal flow or water circulation; [9] Whether the dock will be safe when constructe& [10] Whether the dock will adversely affect views, viewsheds and vistas important to the community; [11] Whether the cumulative impacts of a residential and commercial dock will change the waterway or the environment and whether alternate design, construction, and location of the dock will minimize cumulative impacts; and [12J Whether adequate facilities are available to boat owners and/or operators for fueling, discharge of waste and rubbish, electrical service and water service. Policy 9. 9.4 Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. Assure public access to public trust lands and navigable waters. E. Provide access to, and reasonable recreational use of, navigable waters and public trust lands under water. 1.Provide for free and unobstructed public use of all navigable waters below the line of mean high water for navigation, recreation, and other public trust purposes, including the incidental rights of public anchoring. Piers, docking facilities, and catwall~ must not result in an unnecessary interference with use of public trust lands. Alternatives to long piers or docks include use of dinghies to reach moored boats and mooring in nearby marinas. Dredging solely to accommodate the draft of larger boats is not a recommended alternative. The applicant currently eniovs access to the water body via a 30 foot existing dock. The proposed 41 extension of the dock structure will impede waters below the line of mean high water for navigation~ recreation~ and other public trust purposes of Jockey Creek. Due to environmental constraints of this location (tidal wetlands~ 2'.4" water depth of this area at Iow tide)~ the proposed action may not be suitable in the proposed location. A mooring in an area with greater water depth is a better alternative and would further the above policies. 3. Obstruction of navigable waters and underwater lands is limited: a. by extent and characteristics of the developable adjacent upland area and its ability to support in-water development for the water-dependent use. b. b. by potential adverse effects on natural resources and their uses, and c. by potential adverse effects on public safety. 4. Structures extending beyond the minimum necessary for access to navigable waters impair public trust interests and open space values associated with the water's surface. Allow such structures only in the following circumstances: a. when necessary for practical and convenient operation of water- dependent industry or commerce, and provided that obstruction of commercial navigation does not result. for commercial recreational boating facilities provided that: (i) the loss of navigable waters and use of underwater lands is offset by sufficient public benefit, and (ii) obstruction of commercial navigation does not result. when the principal purpose of the structure is necessary: 6) to provide public access for recreational uses (ii) for improvements for navigation (iii) for protection from coastal hazards, or (iv) for essential public transportation and transmission facilities. 5. Ensure that navigable waters and marine navigation, whether on land or sea, are not obscured or rendered ineffective through poorly placed or directed lighting. The structure extends beyond the minimum necessary to access navigable waters. Furthermore~ the proposed action is private~ noncommercial and will not support a pattern of development that enhances community character nor preserves "public" access or public recreational activities. Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. C. Foster the occurrence and abundance of the Town's marine resources through: 1. protection of spawning grounds, habitats, and water quality, It is recommended that the proposed action be amended to further the above listed policies to the extent practicable. It is recommended in the event that the dock is approved and to further the above policies that the Board prevent the use of chromated copper arsenate (CCA) treated wood in the construction of the structure pursuant to § 275-11. B~I (t) Construction and operation standards below. O0 In order to prevent the release of metals and other contaminants into the wetlands and waters of Southold, the use of lumber treated with chromated copper arsenate (also known as "CCA "), creosote, penta products or homemade wood preservatives is prohibited for use in sheathing and decking. Preservatives of any type, including but not limited to those listed above cannot be applied to any bulkheads, retaining walls or revetments after installation. Encapsulated pilings or native nonchemically treated (untreated) lumber only should be used in sensitive areas. Further it is recommended that the Board require the installation of a silt boom (where feasible) pursuant to § 275-11. (2) Construction and operation standards below. 2) Erosion control Installation of an erosion control structure is necessary during any building, grading, landscaping or site work activity within Trustee jurisdiction. This structure may include, but is not limited to, installation ora silt fence, hay bales, wood chip berm and silt booms. The placement of the erosion control structure(s) shall be determined by the Trustees or their designee. All intertidal construction and excavation requires the installation ora silt boom that will retain all suspended sediments within the immediate project area. Pursuant to Chapter 268, the Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me with any questions. Kieran Corcoran, Assistant Town Attorney Scott Hilary, LWRP Coordinator James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfcl Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _~weastal Erosion Permit Application fland Permit Application Administrative Permit Amendment/Transfer/Extension ce~-vved Application: ceived Fee:$ 2Completed Application __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) --"LWRP Consistency Assessment Form .f2-AC Referral Sent: .l~te of Inspection: -?/! ~/0~ Receipt of CAC Report: Lead Agency Determination: Technical Review: A~lSlic Hearing Held: Resolution: JUN ] 0 2008 SouthholdTown Board of Trustees Name of Applicant Address Suffolk County Tax Map Number: 1000 - PropertyLocation: I'¢ Phone Number:( 7O- (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Phone: I Iq 5'- Cdc of Trustees Applicati~ Land Area (in square feet): Area Zoning: t~ - ~ 0 Previous use of property: Intended use of property: GENERAL DATA 4(, Covenants and Restrictions: Yes X No If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): fFa~ a 5e2 of Trustees Applicati0 WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: 4 '~.2- _square feet Percent coverage of lot: ~ t~ % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: ~ 7 feet Does the project involve excavation or filling? ~x, No Yes If yes, how much material will be excavated? How much material will be filled? Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: cubic yards cubic yards 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): of Trustees Ap~ COASTAL EROSION APPLICATION DATA Purposesofproposed activity: PrO/~5¢~ t~'t ~ ~f'd~,/~O, ~e wetl~ds present within 100 feet of the proposed activity? No ~ Yes Does the project ~volve excavation or filling? ~ No Yes If Yes, how much material will be excavated? (cubic y~ds) How much material will be filled? .(cubic y~ds) M~er in whch 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) PROJECT iD NUMBER PART1-PROJECTINFORMATION 3.PROJECT LOCATION: Municipality 5~ ~,," / / '/'~ 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) ]~2. PROJECT NAME 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map SEQR 5. Is PROPOSED ACTION: [] New J~Expansion [] Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: Initially /, ~ ~ acres Ultimately / t ~ ~ acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [~ Yes [~ No If no, describe bdefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~Residential ~-~ Industrial ~ Commercial ~Agriculture ~ Park / Forest / Open Space [---~ Other (describe) 10. DOES ACTION iNVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [~Yes []No If yes, list agency name and permit/approval: ~//'~ ~:~.) ~'~'~/~ 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? J--~Yes r~No If yes, list name and permit / agency approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? gaN° I CERTIFY THAT THE INFORMATION ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant ~~~ ~ Date: If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead A~lenc¥1 A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. r~Yes r-~No WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 ffNo, a negative declaration may be superseded by another involved agency. 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, exisfing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: n Itrl'rh i' C2. Aesthetic, ag cu u a a c ace og~cal h~stonc, or other natural or cultural resources, or community or neighborhood character? Explain briefly C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's e×isting plans or goals as officially adopted, or a change in use or intensity of usa of land or other natural resources? ~xplain bdefly: C5. Growth, subsequen deve opmen, or re ated 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 bfiafiy: ! C7. Other impacts {includin~ chan~es in use of eflher quantit~ or type of energy? Explain bfiefi~: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ! E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If),es explain: r'lYes [~No PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~~~arge~imp~rtant~r~therwisesigni~cant~ 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 ail relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significa nco must evaluate the potential impact of th e 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 FUU FAF and/er 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 acfior 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 Tifie of Responsible Officer Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Off~cer in Lead Agency Signature of Preparer (If different from responsible officer) Town of South old LWRP CONSISTENCY ASSESSIVtENT 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 o£Southold Waterfi-ont Consistency Review Law. This assessment is intended to supplement other information used by a Town o£ Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action hst, pohcies 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). IFany 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 LWR_P policy standards and condition's, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 7t~9 ,~ ~ ~ The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board ~-~ Building Dept. ~ BoardofTrustees [] Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) Location of action: Site acreage: Present land use: Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: Ca) Name of applicant: p'~ ff egis, ~- //9~./-t,' ~L ~-'-¢~ff,~/! ~/! ~.~ (b) Mailing address: 3.~Otff~b''- ~ff~ar/r/ )~gt~ ? ~t~t;r~,~..~,ff~./~>,~ (c) Telephone number: Area Code ( ) t~3/- 7/2~'"~ ,~r/ (d) Application nmnber, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [--~ No [~ If yes, which state or federal agency?. C. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use Of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Poiicy 2:.~rotect an~t~'r~g~-r'vel~i~l~rFCa~d arcliii~ olbgg~c'~l resources o~Th~ oT~~old' See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [--'] Yes [~ No t~ Not Applicable Attach additional sheets ifnecessar3 Policy 3. Enhance visual quality and protect scenic resources thr°ughout the Town of Sonth01d. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [~ Yes ~'~ 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 ~ Yes [--] No ~ Not Applicable A~ach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~-] Yes [--] No ~Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Soathold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; ~P_ages 22 t h r ~g-h- J~- i~ r ~-a~-a~ n~'crit ~ .................................. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southoid, See LWRP Section III - ?olieies Pages 32 through 34 for evaluation criteria. ~-] Yes ~ No .[~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southoid from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 forevaluation' criteria.' ' Y, es ~-q No ~ Not Applicable PUBLIC CO2kST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III -Policies; Pages 38 through 46 for evaluation criteria. ~ Yes ~] No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III-Policies; Pages 47 through 56 for evaluation criteria. -DY6s [~]-No _~.~iSt'-A~-Pli~-aqS[e ...................... .? Attach additional sheets if necessary Policy 11. Promote sustainable nsc of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes ~ lNoJ~ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town'of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [-~ Noir. Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. Yes Created on 5/25/05 11.'20 AM App_._amLTRANSACTIONAL DISCLOSURE F(~[ Lltd~lr~E TO OWNER, CONTRACT VENDB]E~ AGENT: The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: (Check all that apply.) Variance ~/~ Special Exception -- *Other Approval or Exemption from plat or official map Change of Zone -- - Tax Grievance If Other name the act~wty: 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? "Relat/onshi "includes b ~lood, ma---_~iage o~r~_r business inte_rest "Business interest" means a · ~p, in which the T~own business includin a -- officer or cmpl~ a partial owne~ em~J9-Yment bY~_corpo~fion in-~ch lee Town officer or employee owns~c r-c re than 5% of the YES NO ,~ If you answered "FE~V'; 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 that relationship between yourself (the applicant, agent or contract vendee) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space prov/ded. The Town officer or employee or his or her. spouse, sibling, parent, or child is (check all that apply): _ A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporatidn); _ _ B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESC1LIPTION OF RELATIONSH~ Submitted this ~9 7 Signature:~ Print Nam lard of Trustees ApplicatiSn County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRiBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN ~0 CONJUNCTION WITH REVIEW OF THI~ N. --J ~gfl3_ture SWORN TO BEFORE ME THIS /79 DAYOF fi-~4J ,200) Notary Public Board of Trustees Application Tf AUTHORIZATION (where the applicant is not the owner) (print owner of property) (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (~ature) · ~t '~ / 8 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK Ct, ~¢~ ~.~'¢ , being duly sworn, deposes and says that on the ~ day of ~ ]y ,20 O,1~, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ~'t,t/~w9 w~ , that said Notices were mailed to each of said persons by (certified) (registerQ) mail. Sworn to before me this 2 Day o ,f~"~ ,20 ~ - Notary Public '-'N PiT# R. MCO#IvY NOTARY pUILIc-$TATi OF NEW YORK No. 01MC6151814 GuallfleO in luttolk County Commlmlefl IJ~f# August o8, loot 51.)RVE"r' OF= LOT '1 "FLAP OF= PROPERTY OF= d. k',lELL5 PHILLIPS" FILED NOVEI"E~ER 6, IqOq, MaP No. 2q-I SITUATE: PINE NEOK TOI~IN: ~UTHOLD 50FFOLK C, OUNTY', NY' SURVEYED 04--01-2008 ,5~FFOLK COUNTY TAX # I000 - '~0 - .5 - 4O Lot 8 Lot 7 N NOTED: · CONTOUt;~S REFEF~.ENC, E NOVD '2q DATUM Ar'eo = 4~;51~ 5. F. Fo D Neck PIPE FOUND '~' ®RAPHIC SCALE I"= 40' 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.\\Compaqserver\pros\08\08-130 TOPO.pro Jockey Creek tie ~Me along OVeroge high Woter $82~6'05"E 40. 1 Story Fro~qe House NOW OR FORMERLY VrNCENT ,~ F~TIEA ISENIC 5CTM# I OOO-70-5-3D Fane ,t 8 Lot 7 Lot 6 Pine.,. Neck Road (D EXISTING PLOT PLAN SCALE: INFORMATION FOR PLOT PLAN TAKEN FROM BUR.VD' BY JOHN EHLERD LAND 5UP~VEYOIR DATED. APR,IL I, 200S -3.3 JOCKEY sHORELINE CREEK LOCATION OF 5U[SJECT PKOPERTY Fixed Timber Dock no P..amp ¢ Float at; time of Survey -2.9 -2.5 -2.4 G" DIA, PILINGS -2.0 -0.2 Timber NOW OP.. FOR,MERLY VINCENT ¢ ?ETP, A BENIC SCTM# 1000-70-5-39 -3.2 -2.7 -2.4 -2.1 -1.0 EXISTING CATWALK TO -0.4- 705',E -2.6 -2.4 GLO" WIDTH x 20LO'' LENGTH -SEASONAL FLOATING DOCK -2.2 REMOVABLE '1.6 7 -3.1 -3.1 -2.8 -2.6 -2.6 -2.4 -2.3 -2.1 -0.8 PROPOSED 4'-0" WIDTH CATWALK W/G" DIA ?ILINGD LINE OF LOW --'~'¢) 4 LINE OF HIGH WATE~ -- EDGE OF TIDAL WETLAND5 AS DELrNIEATED BY BOl~ FOX OF SEA LEVEL MAPPING - APRIL I, 200/5 PROPOSED lOFT. NON-TURF BUFFER GU SO 1 Story Frame House IG.l' GUTTERS, LEADERS, AND DRYWELLS TO COM?LY WITH TOWN OF SOUTHOLD DRAINAGE CODE TO BE INSTALLED ON HOUSE NOW OR, FORMERLY SCOTT ¢ JENNIFER, SCHULMAN SCTM# 1000-70-5-4 I LOCATION MAP APPROVED BY BOARD OF TRUSTEES TOWN OF $OUTHOLD DATE .~:,~ /~ o~ 4'-0' 5'-0" 20'-0" H N 9' 0" LENGTh RAMP TO z FLOAT PROPOSED DOCK & DECK PLAN LEVEL MAPPING ON APRIL 200/5 PROPOSED FLOAT CROSS SECTION PROPOSED CATWALK CROSS SECTION PROPOSED FLOATING DOCK AND CATWALK AT 1475 PINE NECK ROAD SOUTHOLD, NY S.C.T.M. # 1000-70 - 5 - 40 REVISIONS AS PER NYS DEC AS PE~ 50UTHOLD TEUDTEES NYS DEC REVISIONS AS PEP-. SOUTHOLD TP-.USTEES DATE; 5-21-08 8-7-08 8-21-08 ~- I I -08 N.Y.S. DEC APPLICATION # 1-4738-03825/00001 PECONIC PERMIT EXPEDITING PHONE: G3 I .734.&3G I THESE PLANS AND SPECIFCATIONS AIkE INSTRUMENTS OF SERVICE AND ARE THE 1 ROPERTY OF 1 ECONIC PERMIT EXPEDITING INC. INFRINGEMENTS WILL BE PROSECUTED DATE: 4-29-08 DR. BY: R W L SCALE: AS NOTED CHKD: PROJECT NUMBER 0806