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Home My WebLink AboutTR-6954 , Jill M.Doherty,President *QF SO(/�yO Town Hall Annex James F.King,Vice-President ,`O �� 54375 Main Road Dave Bergen P.O.Box 1179 Southold,New York 11971-0959 Bob Ghosio,Jr. u> >e John Bredemeyer �O Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 18, 2010 Mr. Thomas C. Samuels Samuels & Steelman Architects 25235 Main Rd. Cutchogue, NY 11935 RE: GREG & MARTHA CUKOR 7070 INDIAN NECK LANE, PECONIC SCTM#86-7-6 Dear Mr. Samuels: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., August 18, 2010: RESOLVED, that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit#6954, as issued on August 20, 2008. This is not an approval from any other agency. Sincerely, Jill M oherty Presi ent, Board of Trustees JMD:lms 3. S A M U E L S & S T E E L M A N July 21, 2010 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 RE: RECONSTRUCTION OF THE CUKOR RESIDENCE 7070 Indian Neck Lane Peconic, NY 11957 TAX MAP # 1000-86-7-6 TRUSTEES PERMIT# 6954 Dear Sir/Madam: Please extend the existing permit referenced above for an additional one year. Enclosed you will find a check for$50. Please call us with any questions or concerns. Sincerely, �q� SAMUELS & STEELMAN ARCHITECTS C E V E j^ �► JUL 2 2 2010 f i 4 � Southold Toe,r. Board of Tru,-- Thomas C. Samuels, Architect enc. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (631)734-6405 FAX(631)734-6407 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE V~Pre-construction, hay bale line 1st day of construction ½ constructed V/~ Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6954 DATE: AUGUST 20~ 2008 ISSUED TO: GREG & MARTHA CUKOR PROPERTY ADDRESS: 7070 INDIAN NECK LANE~ PECONIC SCTM# 86-7-6 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 Greg & Martha Cukor 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 demolish the existing dwelling and construct a new dwelling and garage, with the conditions of the new dwelling is moved back to measure 100' feet from bulkhead, a line of staked hay bales and silt fencing are installed prior to construction, the installation of a 10' Non-Turf Buffer area along top of slope, remove as few trees as possible within the area of construction, the installation of gutters, leaders and drywells 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 Samuels & Steelman Architects, last dated August 14, 2008, and received on August 14, 2008. 1N WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee Greg & Martha Cukor, residing at 5913 Meadowood Road, Baltimore, Maryland 21212 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 cimumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain ali 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 August20,2008 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Thomas C. Samuels Samuels & Steelman 25235 Main Road Cutchogue, NY 11935 RE: GREG & MARTHA CUKOR 7070 INDIAN NECK LANE, PECONIC SCTM# 86-7-6 Dear Mr. Samuels: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 20, 2008 regarding the above matter: WHEREAS, Samuels & Steelman, on behalf of GREG & MARTHA CUKOR 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 July 7, 2008, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the new dwelling is moved back to measure 100' foot from bulkhead, a line of staked hay bales and silt fencing are installed prior to construction, the installation of a 10' Non-Turf Buffer area along top of slope, only remove as few trees as possible within the area of construction, the installation of gutters, leaders and drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, 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 conceming this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice 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 GREG & MARTHA CUKOR to demolish the existing dwelling and construct a new dwelling and garage, with the conditions of the new dwelling is moved back to measure 100' feet from bulkhead, a line of staked hay bales and silt fencing are installed prior to construction, the installation of a 10' Non-Turf Buffer area along top of slope, remove as few trees as possible within the area of construction, the installation of gutters, leaders and drywells 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 Samuels & Steelman Architects, last dated August 14, 2008, and received on August 14, 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: $100.00 Very truly yours, 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 Please be advised that your application dated ,-~o~ ~, c~OO~ has been reviewed by this Board at the regular meeting o¢4 '/c)~q ~Oj cPOOe~"' and your application has been approved pending the comp~tion 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) i////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: TOTAL FEES DUE: $ /~ ~ ~1~¢~ 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., August 13, 2008, the following recommendation was made: Moved by James Eckert, seconded by Don Wilder, it was RESOLVED to SUPPORT the Wetland Permit application of GREG & MARTHA CUKOR to demolish the existing dwelling and construct a new dwelling and garage. Located: 7070 Indian Neck Lane, Peconic. SCTM#86-7-6 inspected by: James Eckert The CAC Supports the application with the Condition of a 10' non-turf buffer, the installation of a pervious driveway, and efforts are made to save as many trees as possible, and a planting/landscaping plan is submitted. Vote of Council: Ayes: All Motion Carried James F, King, President Jill M. Dohe~ly. 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 GREG & MARTHA CUKOR request a Wetland Permit to demolish the existing dwelling and construct a new dwelling and garage. Located: 7070 Indian Neck Lane, Peconic. SCTM#86-7-6 T~Yl~sa of area to be impacted: ItwaterWetland Freshwater Wetland Sound __Bay Distance of proposed work to edge of wetland ~f Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: V/Wetland __Coastal Erosion __Administrative__Emergency __Pre-Submission __ __Amendment Violation Modifications:.,/h,.~ ,4/'~,.~:¢ ~ Conditions: Present, th! V~.King t~.Doherty L'~.D~ckerson C'~. D. Dzen~'~wski, ~~_~er -- Form filled out in the field by ~c- Mailed/Faxed to: Date: cO. Bergen C'l~.Ghosio, Environmental Technician Review- S A M U E L S T E E L M August 14, 2008 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 RE: S & RECONSTRUCTION OF THE CUKOR RESIDENCE 7070 Indian Neck Lane Peconic, NY 11957 TAX MAP # 1000-86-7-6 Dear Sir/Madam: Please note on SITE PLAN existing residence to be demolished is shown with a dotted line. The proposed house is located approximately 34 feet landward of the existing residence, in accordance with required setbacks from bulkhead and wetlands. For your review we are submitting the following documents: 1. (3) SITE PLANS revised to emphasize demolished structure Please call us with any questions or concerns. Sincerely, SAMUELS & STEELMAN ARCHITECTS Thomas C. Samuels, Architect enc. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK 17935 (631) 734-6405 FAX (631/734-6407 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 Main Rd. & Youngs Ave. SouthoId, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Jim King, President Town of Southold Board of Trustees From: Scott Hilary and Mark Terry, LWRP Coordinators Date: August 13, 2008 Re: Chapter 268, WATERFRONT CONSISTENCY REVIEW Wetland Permit for GREG & MARTHA CUKOR SCTM#86-7-6 ¢o:~rd of Tru lees Samuels & Steelman on behalf of GRFG & MARTItA CIJKOR requests a Wetland Permit to demolish the existing dwelling and construct a new dwelling and garage. Located: 7070 Indian Neck Lane, Peconic. SCTM#86-7-6 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 our recommendation that the proposed action is INCONSISTENT with LWRP policy standards and therefore is INCONSISTENT 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. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The distance from the natural protective feature, bluff{as defined in § 275-2) to the proposed action~ is approximately 40 feet; a minimum setback distance of 100 feet from the bluff line (as defined in § 275-2) is required pursuant to Chapter 275- 3. Findings; purpose; iurisdictiom setbacks. Please require that the applicant amend the proposed action to meet the above policy to the greatest extent practicable. § 275-2 Definitions; word usage. BLUFF -- Any bang or cliff with a precipitous or steeply sloped face adjoining a beach or a body of water. The waterward limit of a bluff is the landward limit of its waterward natural protective. Where no beach is present, the waterward limit ora bluff is mean low water. The landward feature limit is 25feet landward of the receding edge or, in those cases where there is no discernible line of active erosion, 25feet landward of the point of inflection on the top of the bluff The point of inflection is that point along the top of the bluff where the trend of the land slope changes to begin its descent to the shoreline. BLUFF LINE -- The landward limit o~luff that is 25feet landward of the receq~tlg edge or, in those cases where there is no discernible tine of active erosion, 25 fe~ndward of the point of inflection on the~of the bluff. The point of infiection is that point along the top of the bluff where the trend of the land slope changes to begin its descent to the shoreline. § 275-3 Findings; purpose; jurisdiction; setbacks. C. Jurisdiction: The following areas' are subject to protection under Chapter 275 of the Code of Southold. [Amended 10-11- 2005 by L.L No. 17-2005] (1) Any freshwater wetland, tidal wetland, beach, bluff, dune, fiat, marsh, swamp, wet meadow, bog, or vernal pool; (5) Land within l OO feet of the areas listed above. D. Setbacks. [Amended 10-11-2005 by L.L. No. 17-2005] (1) The following minimum setbacks apply to any and all operations proposed on residential property within the jurisdiction of the Board of Trustees: (b) Bluff line. Residence: lOO feet. Driveway: lOO feet. Sanitary leachingpool (cesspool): lOO feet. Swimming pool and related structures: lOO feet. 081131~ 13:09 0811312008 13:06 If thg Agenl:y~ Board of Trustees malilll contrary determination of consistenc~lllre Agency shall elaborate in writing the basis for its disagreement with their recommendations Pursuant to Chapter 268 Waterfront Consistency Review. § 268-5. Review of actions. In the event the LWRP Coordinator's recommendation is that the action is inconsistent with the LWRP, and the agency makes a contrary determination of consistency, the agency shall elaborate in writing the basis for its disagreement with the recommendation and state the manner and extent to which the action is consistent with the L WRP policy standards. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Office Use Only ~astal Erosion Permit Application / ~ Wetland Permit Application Major · / ___Waiver/Amendment[C~a.nfles ¥_~Received Application: v/ Received Fee:$ r9~%'~~ ~/'Completed Application Incomplete SEQRA Classification: Type I _Type II Unlisted__ Coordination:(date sent). JCAC Referral Sent:' ~ll IT .~lSate of Inspection: ~ Receipt of C AC Report: Lead Agency Determination:__ Technical Review: .l>ablic Hearing Held: Resolution: Minor zoos NameofApplicant ~'/&,E'~' ~/P~.~'t~A ~. ~"'19~ Phone Number:( ) &O) ,flt~'O ?~(-~(~ Suffolk County Tax Map Number: 1000- Property Location: 7070 //VV[,,~J'/~ .A/~'o_J~' /_.j~. (provide LILCO Pole #, distafice to cross streets, and location) AGENT: (If applicable) Address: Phone:~ 24Z/Z Board of Trustees Application Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspenj;led by a governmental agency? ff No Yes If yes, provide explanation: Project Description (use attachments if necessary): ~(51~tOt~.fl-] Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: _~//~'/..~ ~'./~[{-~f/ ~[;~ Area of wetlands on lot: (~ .square feet Percent coverage of lot: (9 % Closest distance between nearest existing structure and upland edge of wetlands: ~.0 [! ~ I| feet Closest distance between nearest proposed structure and upland edge of wetlands: !! q. I. [ ti feet Does the project involve excavation or filling? No [/' Yes If yes, how much material will be excavated?~t~90 cubic yards How much material will be filled? ~_,0-#/.,~'- cubicyards ~,<~ ~'/'~ Depth of which material will be removed or deposited: ~ feet /~tgOA/~7't'O~/ Proposed slope throughout the area of operations: ~ ,~' .~t~ Manner in which material will be removed or deposited: 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): ,'. PROJECT I.D. NUMOER 817.21 Appendix C State Environmental Quality Review " SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) SEQ PROJECT LOCATION: PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc.. or provide map) AT:. /z4 r PROP SED ACTION: 5. IS ~e: [] Expansion [] Modification/alteration ' ' 6. 0ESCRIBE PROJECT BRIEFLY: WILL PROPOSED ACTION COMPLY WiTH =~'4[ST1NG ZONING OR OTHER E~ISTING ~ND USE RESTRICTIONS? ~Yes [] No If No, ~escribe briefly g, WHAT IS PRESENT LAP;O tJS;: IN ViOIN'T~ OF PROJECT? DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] No If yes. list agency(s) a, nd permit/approvals 11. DOES ANY ASPECT OF THE ACTIOH HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes' [~o if yes. list agency name and permitla~provat 12. AS A RESULTOFP[~OF P OPOSED ACTION WILL ~-XISTING PERMIT/APPROVAL REQUIRE .~4ODIPICATION? I CERTIFY THAT THE INFORMATION PROVIBEO ABOVE IS TRUE TO THE SEST OF MY KNOWL-'DGE Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this as._.~essment OVER PART [II--OETE.RMINATION OF SIGNIFICANCE (To be completed by AgencT) --'-=ch eifect should be assessed in connection wile its (al setting (i.e. urDan or rural); b) probal3ilit¥ of occ=?~ing; (c) duration Checx ~his box if you have identified one or more potentially large or significant acverse imoacts which occur. Then ;~rocee~J directly to the FULL -~,F ~no/or prepare a positive declaration. Check ~his box [f you have de[ermined, based on [he informstion znd analysis above and any suooort[n( documenta[ton. :hal ;he prooosed ac;ion WILL NOT result in.fly significant adverse environmental AND provide on s;tacnments ~s necessary, (he reasons su~cortJng [~is de,ermine[ion: Board of Trustees Application 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 WlLL BE DONE IN THE MANNER SET FORTH 1N THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS ,2oo ' blic r~o. 01ST6164008 ~lualHied in Suffolk County Commission F. xp{ms April 9, 20_~_ Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, ~[~'__~_~.~. ~ ./~.~//e,~[ C~trj~-O.~residing at~ (print owner of property) (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board df Town Trustees on my behalf. PROOF OF MAIl,LNG OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: . ,, ) D tl ?.0-T6 cry: "P.o. STATE OF NEW YORK COUNTY OF SUFFOLK ~OO~1~ I ~ , bein~duly sworn, deposes and says that on the ' ,~ day of/~t/~C ,20._~___,~ deponent mailed a tree copy of the Notice ' set forth, in the Board ot'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 S. ou, thold; that said Notices were mailed at the Un/ted States Post Office at CABL(~'L0614~~, [,~ , that said Notices were mailed to each of said persons by (certified) (registere~ mail.' I Sworn t~ bef°re me this t/¢~'~ Day of/CX_~bL5 7'--, 20 0 ~ WENDY L. KUKi. A James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of _ m ........ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, %~tI/1~4 ~.~/~c~Q~, residing at being duly sworn, depose and ~ay: That on the ~ day of ~, 20~ I personally posted the prope~y ~own as by placing the Bo~d of Trustees official poster where it can easily be seen, ~d that I have checked to be sure the poster has remained in place for eight days prior to the date of the public he~ng. Date of heating noted thereon to be held Dated:~/]q/~ ~ Sworn to before me this ]q day of/~ 200 {~ Notary Public PAT~ICIA RI ...... ,., :~ Notary Public, State of New Yor2 No. 01 RI6042467 Qualified in Suffolk County Commission Expires May 30, ~ TRANSACTIONAL DISCLOSURE The Town o~ $~u~hold's code of ~thios prohibits c0n~licts o~ interest on the pert of town offioere and employees, The ~rpose of this form is to provide information which can alert the town of possible confliota of interest end al£ow it to take whatever action ie necessary to avoid (Beat name, f-irs~ na~e, you are applying in the name o[ someone else or other entity, such ,as a company, l~ au, indicate the other person's or company's name.) NATUR~ OF A~LI~T~ON~ (che~k ali that apply.) Tax grievsnce Varianes changs of zone ARp~al o~ Ex~ption from plat or o~[lcial map other (Zg "other," name the-activity,) /7/ parent, or child) have a relationship with any officer or employee of the Town of $outhold? 'Relationship' includes by blood, marriage, or business isteres2. 'Business interest' means a business, including a partnership, in which the town n~£icer or employee has even a partial ownership of (or emploympat by) a corporation in which the town officer or employee owns more than 5% of the If you answered '~Eg,#.complete the balaeo~ of ~hls~orm and date add sign where indicated. Name o~ person employed by the Town of Southold Title or position og that person Describe the relationship between yourself (the applicant) and the town officer or employee. Either check the appropriate line provided. The town oE~luer or employa~ Or his or her spouse, sibl{eg, parent, or child is (el{ack ell that apply)~ __A) the owne~ of granter than 5% of fha shares o~ the corporate stock of the applic~nt (when the applicant' is a corporation); B) the legal or bbnsticial owner o~ any interact in a noncorporate'entit¥ (shah the applicant is eot a ~orporatioa)~ __.C) an o£fieer~ director, p~ta~r~ or employes, o~ the applicant{ or D) the ~tuel.applieant. DESCRIPTION OF RELATIONSIIIP {.;. submit~ad 'Print nama~ :'. T6wn 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 assessment is intended to supplement other information used by a Town of Southold agency in making a detenuination 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 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" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thu% each answer must be explained in detail~ listing both supl~ortin~ and non- SUpl)orfine facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, 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# 86 O7 - O6 PROJECT NAME RECONSTRUCTION OF THE CUKOR RESIDENCE The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board ~-~ Building Dept. ~-~ BoardofTrustees 1. 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) (c) Permit, approval, license, certification: [-~ Nature and extent of action: Demolition od existing residence and abandonment of existing sanitary system, and construction of new two story resldu~ce with sanitary system and new garage ih conformin§ locations Location of action: Site acreage: 126,880 sf; 2.913 acres Present land use: single family residence Present zoning classification: R - 80 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: Thomas C. Samuels (for Gre~t and Martha Cukor) (b) Mailing address: 25235 Main Road, Cutcho~lue, NY 11935 (c) Telephone number: Area Code ( )_ 734-6405 (d) Application number, if any:_ Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No [-~ If yes, which state or federal agency? NYSDEC C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes [] No [-~ Not Applicable ....................... ~ -t ....... ~_nd. _~=__n_lt~ry ~y~om will improve the _~nvir~n~l ~l~,]~.lnn ~n thSs beach and site. Most of the s~t.~ will remaSn as preserved open space, and far less than the allowable 20% of the site will be developed. Attach addihonal sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 throUgh 6 for evaluation criteria [-~ Yes [] No ~'~ Not Applicable There are no historic or archeolo~ical structures on the property. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Sonthold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [-~ Yes [-~ No [-~ Not Applicable The new structure ts in keepin9 wibh bile ~ual~ and ~byle of 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~l~J No [] Not Applicable Ail rnin%'atcr r'-'noff is =-nd ,~yi!! h= r~k~{n~d on t-.]'1~_ site with the ,2:_~ o~ nnH~r~rmnn~ dryw~l 1.q. Durinq construction hay bales will be placed between the construciton and the shore, to keep runoff spoils on the site. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~-~ Yes [] No ~ Not Applicable ~J.J-~ J- aiiiwo, t, ei.- i.-~iloff~.~' - =..~-'n ..,'.,~, a v,~ .......... ,-~-=4,~=,cl ~r~ I-h{n t-.b~ upland, -2 ........... ~ ........ ~.._lis, ~h~ ~nq~.~ry system for the residence _m__e~q mllrr~n~. RnFfolk County DePt. of Health Services standards for sani~.ary waste water. The property is not served by p~blic water systems, but the new well will be sited approprlagezy. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ~-~ Yes [] No [~r Not Applicable the "protected" or "indiqenous Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [-~ Yes ~ No ~-~ Not Applicable Th~ d~vmlnpm~n~ w111 n~t add polluntants into the air. Ail construction vehicles meet the Fedral standards for air pollution discharg. The mechanical systmes of the residence meet the Fedral standards for air pollution discharge. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~ Yes ~-] No ~-~ Not Applicable m~ .... .. , ~ ~4 ..... I =~ ~xr~l i n~ ~on~.~F. All waste water "s~nit~ry" ~{11 ho d~oh~rqed into an approved SCDHS sanitary system. the PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. Yes ~ No ~--~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES l~olicy 10. Protect South~ ~pendent uses and promote of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~ Yes [] No ~'~ Not Applicable There are no public or commercial activities or uses on site. Historically this property and neighboring properties d£~ resiQentail in use and will remain ~id~,Li~l. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonie Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes No Not Applicable r~selrce~ by ma~n~.~n~n~ ~]1 rainwater discharge and sanitary f~ow from the residence on site by approved SCDHS Sanitary sytem and drywells for rainwater runoff. A~achadditionalsheetsifnecessary 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 ARach addition~.l sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~ Yes ~ No ~ Not Applicable The ~=~r,,~k~mn will be usinq equipment approved by the Feeral ~mvernment for enerqy usage. The residence will mee~ ~ederal standards for conserving energy "energy Star Fro~ram" mhd ,ill use "NY State Energy Conservation anQ Construutlu. Coda" for construction of the residence. P~PA~DBY ~mendedon8~5 TITLE S A M U E L S & S T E E / M A N July 8, 2008 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 RE: RECONSTRUCTION OF THE CUKOR RESIDENCE 7070 Indian Neck Lane Peconic, NY 11957 TAX MAP # 1000-86-7-6 Dear Sir/Madam: We are requesting a Permit for the above reference project, for demolition of existing residence and construction of new residence, garage and sanitary system, all beyond the required 100 foot setback. For your review we are submitting the following documents: 2. 3. 4. 5. 6. 7. 8. Application Short Environmental Assessment Form Application Affidavit (2) LWRP Consistency Assessment Form (3) SITE PLANS prepared by Samuels & Steelman Architects Current Survey Letter of authorization from Owner Check for $250 Please call us with any questions or concerns. If application is complete, please schedule a public hearing and notify our office about posting the site and notifying the neighbors. Sincerely, SAMUELS & STEELMAN ARCHITECTS Thomas C. Samuels, Architect eric. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK 11935 (631 ) 734-6405 FAX (63]) 734-6407 SU~¥t='r' OF: PF~OPEF~T~ ~ITUATE, F'EC. ONIC, TOP'JN, 5OUTHOLP F:'ARK~IR'S LAN~DIN® N .SUFFOLK C-.,OUNTY, N"d ; o5-1(2-2oo6 S~on~ i~on. o~ N.~. Corner o~ LClncl Fromcrl~ ~ JOHN C. EHLERS LAND SURVEYOR 6 EAST MAliW STREET N.Y.S. LIC. NO. 50202 R1VERHEAD, N.Y. 11901 369-8288 F~x 369-8287 REF:\\Compaqservcr~pros\06x06-175.pm NOT~5, CRAPHIO SC, ALE 0 50 IOO 150 JUL - 7 2OO8 TEST HOLE BY McDONALD GEOSCIENCE TEST HOLE DATA (4/10/08) NOT TO SCALE GRADE ELEVATION + 72.0 FT. SITE DATA SCTM # 1000-86-7-6 3 FT. BROWN SILTY SAND SM PROPERTY: 7070 INDIAN NECK L~NE ..... ADDRESS PECONIC, NY PALE BROWN FINE TO OWNER: GREG & MARTHA CUKOR 17 FT MEDIUM SAND SP 59t3 MEADOW ROAD BALTIMO~=E, MD 212t2 NO WATER ENCOUNTERED SITE: 126,880 sf - 2.913 ac ZONING: R-80 i~UIL~IN~ ~I~-L /-~A~E LINE ELEVATION +/- 22'.O FT. ~;Pr~C ~ t~c.,N~ 2olo~. "IVERHEAD, NY 11~I LICENSE ~ 50202 ~, , ......... ~ ~~ ~ e/, ~ LOCATION MAP Edword D. Dar & J y L. ort / N/F / - BY EN-GON~ULTANTD lNG., House Woods Inc. St )hen S. I N/F High ON JUL~ II, 0 / Judy Dar[ S23"44'30"E 1006.5!5' // PENGE poOU~ ~OdNO PROPOSED (4) / N23'42'40"W 5~1.08' SITE PLAN SCALE: 1" = ~'~" / EXISTINg-. ~ANI TAP-'f' sYs~ O P~trici~ 5Et='TIC, 5¥STEH (I) I,OOO ¢~L 5~.i~ic, TANK, (ST) (I) ~ FT. ~1A.~%12 FT. HT. (LP) LEA~HIN~ POOL (I) ~ PT DIA x ¢ ~=T HT (EXP) E~AN~ION POOL ~ ~. ,~ _~.___~J .47' O~ BE Rushin APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE ~,~--~ ~ ~e L ITTL~ EXISTIN~ ~oop STA It~.~ TO 07t 1 DRAWN BY: TCS CHECKED BY: DATE: 3127/08 SCALE: 1" = 40'-0" SHEET TITLE: SITE PLAN HEETNO: 1