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HomeMy WebLinkAboutTR-6968Jill 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 # 0552C Date: July 9, 2010 THIS CERTIFIES that the construction of a second-floor addition over existing dwelling, renovate first floor, new windows and siding, gutters to leaders to drywells on dwelling At 1025 Pine Neck Road, Southold, New York Suffolk County Tax Map # 70-5-34 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated 3/12/08 pursuant to which Trustees Wetland Permit # 6968 Dated 9/17/08 was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this eertfficate is being issued is for the construction of a second-floor addition over existing dwelling, renovate first floor, new windows and siding~ gutters to leaders to drvwells on dwelling The certificate is issued to PATRICIA & THOMAS NADHERNY owner of the aforesaid property. Jill M. Doherty, President James F. King, Vice-President Dave B~gen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 I) 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 __ 1st day of construction % constructed Project complete, compliance inspection. INSPECTED BY: ~ COMMENTS: 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 $outhold, NY 11971 Telephone (63 I) 765-1892 Fax (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: L//X Ch. 275 Ch. 111 INSPECTION SCHEDULE re-construction, hay bale line/silt boom/silt curtain I st day of construction constructed Project complete, compliance inspection. INSPECTED BY: ~(~,~ COMMENTS: CERTIFICATE OF COMPLIANCE: James F. King, President Jill M. Dohe~ty, 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. 6968 DATE: SEPTEMBER 17~ 2008 ISSUED TO: PATRICIA & THOMAS NADHERNY PROPERTY ADDRESS: 1025 PINE NECK ROAD~ SOUTHOLD SCTM# .70-5-34 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 September 17, 2008, and in consideration of application fee in the sum of $250.00 paid by Patricia & Thomas Nadhemy 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 second-floor addition over the existing dwelling, renovate the first floor, and install new windows and siding, with the condition of a line of staked hay bales with silt fencing is installed prior to construction, the installation of gutters, leaders and dry,veils to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, and as depicted on the site plan dated January 23, 2008, and received on March 12, 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 Patricia & Thomas Nadherny, residing at 11 Crescent Beach Drive, Huntington, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of 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. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution 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. That the said Board will be notified by the Pennittee of the completion of the work authorized. That the permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 17, 2008 Ms. Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: PATRICIA & THOMAS NADHERNY 1025 PINE NECK ROAD, SOUTHOLD SCTM# 70-5-34 Dear Ms. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 17, 2008 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of PATRICIA & THOMAS NADHERNY 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 March 12, 2008, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 17, 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, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of PATRICIA & THOMAS NADHERNY to construct a second-floor addition over the existing dwelling, renovate the first floor, and install new windows and siding, with the condition of a line of staked hay bales with silt fencing is installed prior to 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 dated January 23, 2008, and received on March 12, 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:S100.00 Very truly yours, James 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 Please be advised that your application dated ./'~,~.¢-~ /ply ~.OOoc''' has been reviewed by this Board at the regular meeting of and your application has been approved pending the completion of the following items checked off below. V~PreViSed Plans for proposed project -Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) ½ Constructed ($50.00) 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 set 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: $ /0(~,) ~ BY: James F. King, President Board of Trustees James F. King, President Jill M. Dohemy, 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 0% Date/Time: Southold Town Board of Trustees Field Inspection/Worksession Report PATRIClA & THOMAS NADHERNY request a Wetland Permit to construct a second-floor addition onto the existing dwelling, renovate the first floor, new windows and siding. Located: 1025 Pine Neck Rd., Southold. SCTM#70-5-34 T S~al~_wf area to be impacted: aterWetland Freshwater Wetland __Sound Bay Distance of proposed work to edge of wetland Pa~...of Town Code proposed work falls under: c"Chapt.275 Chapt. 111 other Type of Application: "-/Wetland__Coastal Erosion__Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: / Modifications: ,,.fl~t,'~/)e~ ~, ~ b -Yz:f-r/~- /~ ~ Conditions: ~.. ~ ~ ~. ~~~ Present Were: ~.King ~Dohe~y ~P.Dickerson ~. Bergen B.Ghosio, ~ D. Dzenkowski ~Mark Ter~other Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review- Donald Wilder, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southol& 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., April 9, 2008, the following recommendation was made: Moved by Don Wilder, seconded by Peter Young, it was RESOLVED to SUPPORT the Wetland Permit application of PATRICIA & THOMAS NADHERNY to construct a second-floor addition onto the existing dwelling, renovate the first floor, new windows and siding. Located: 1025 Pine Neck Rd., Southold. SCTM#70-5-34 Inspected by: Don Wilder, Glen McNab, Peter Young The CAC Supports the application with the Condition a line of staked hay bales is installed prior to construction activities and drywells and gutters are installed to contain all roof run- off. Vote of Council: Ayes: All Motion Carried C.~L.U t,.1N ',VI31J 2~' ~ f4 E\V .4' ~L&B F 7;2' O FiP--.:.ST FLO0~ PLAN 0 ,,I (~) ~_.~oNP FLO0~ PL..~N -N~UJ 0 I I ~>P~ I~,LT ~QF ~'~II~-TY~ A~UNP I J- UN~ QF ~x~NQ I I ri- L~ FoIJNPATI~:~I ~V t -- --~ ~ ~- ~ I I j I I I L ............ T .................... ~ ......................... ~ ~ ........... 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ANY ALTERATION OR ADOIUON TO ~IS SURVEY IS A ~OLATION OF S~CTION 72090F ~E NEW YORK S~A~ EOUCATION LA~A EXCEPT AS PER SECTION 720g--suBDIWSION 2. ALL CER L'FICA TtONS HEREON ARE VALID FOR ~IS MAP AND COPIES ~EREOK ONLY IE FAO00 ZONE FROM FIRM %AID MAP OR COPIES REAR THE IMPRESSED SEAL OF THE SUR'~YOR ~ 3610300166 O 5/04/98 NO TE: D~E! L/NS- PU{?LIC FILL ED ltV. 2-. ! F'XCH!H'3 POOLS 8'D, x 6 ~' DEE'H 2<' SA.'vD C0; L/? ,7~'~I,~ J,'; ,4.-~'~ £ O'H:'!J-, T£S'T HO~E DA -iL.') c.,., -,-,~ ..... 16.2' 755-502 .OF NEI~ P.O. BOX 909 1230 TRAVELER STR£'ErJ 07- 08/11/2008 14:27 FAX 631 765 MOORE LAW OFFICES stees ~ OOl PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765.4330 Fax:: (631) 765-4643 VIA FAX Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: ~iADHERNY PREMISES: PINE NECK ROAD, SCTM # 1000-70-5-34 SOUTHOLD August 11, 2008 Dear President King & Board members: With reference to the above, please be advised that the Zoning Board of Appeals has rendered a decision in this matter which is attached. We respectfully request that the matter be placed on the next Trustees hearing calendar in September. Thank you. Enc 1-~t~lr e s Ver~ruly yours, 08/11/2008 14:27 FAX 631 765 MOORE LAW OFFICES Sustees ~ 002 APPEALS BOAPJ) MEIV[BF. JRS G~acd P, Gochrln~er, Chaimum Ruth D, Olive James Dinizls, Jr. Micham{ A, Simon Leslis Kanes Welsman $oa~hold Town Hall 53095 Main Road * P.O. Box 1179 $outhold, NY 11971-0959 Town Anaax ~ir~z Root, North Fork Bank 54375 Main Road (at Youngs Avenue) $ou~hol~ NY 11971 ZONING BOARD OF APPEALS TOWN OF $OUTHOLD Tel. (631) 765-1809 · Fax (631) 765.9064 F~NDINGS, DELIBERATIONS AhrD DETERMY~ATION ~. ~ ZBA # 6151 -Patricia and Thomas Nadherny, Applicant~ ~ / Property Location: 1025 Pins Neck Road, ~outhold CTM 70-5-34 SEORA DETERMINATION: The Zoning Board of Appeals lmm v~sited the property under consideration in this application and determines that this review F. lls under the 'Dyge H category of the State's List of Actions, without further steps under SEQRA, SUYFOLK COUNTY ADMINIS~FRATI-v'E CODE: Thi~ application was ~'eferred as required uncler the Suffolk County Admlni-~rativs Code Sect[oas A 14-14 ~o 23, and the Suffolk County Department of Planning issued its reply dated April 15, 2008 stating that this application is considered a ms~er for loeal determination as there appears to he no slgnifioaat county-wide or inter-eom.- unity imp act. LWRP DETEi~¥HNAT~Qi_~: As s~ted in a M~ ~, ~8 ~e~enda~n of the L~P Coor~ator~ ~he proposed co~n, as applied ~r ~ t~ appleton, i~ constant under ~ap~r 268 of the Town Co~ ~d L~P Percy Stand.s. ~d ~ con~gen~ upon pla~ment and inst~ation ur; (1) ~ adequa~ non-~ b~er hndw~d ~om ~e ~p of the bl~ is plaid to e~u~ pro~ec~on of the wetland chara~r, qu~, v~ues and ~n~o~, and (2) gut~rs, leader and ~eNs ~ re~a~ s~ace ~unoff. PROPERTY FACTS DESCRIPTION: Applicants own a 1½ story single.f~mily home on a 47,086 ~quare foot lot in the ~,.40 District, Toe home i~ comparable to others in the neighborhood, The proper~ is ad~acent to Jock~.y Creek. BASIS OF APPLICATION The proposed construction on this 47,086 square foot lot, in the R-40 District, is not permitted pursuant to Article XXIII, Section 280-122, wB_ich staten: The existing family dwelling notes a single side yard setback of zero. The proposed construction will meJ~tain thac setback, which is not permitted pursuant to Article XXIII Section 280-114, which states, 08/11/2008 14:28 FAX 631 765 MOORE LAW OFFICES ~005 ~du~ i~cor~r~d into this ohap~ with t~ ,ome ~r~ and ef~ct if ~c~ r~at~ we~ set fo~ ~ f~l. Bulk schedule requires a mi-*~um sin$le yard setback of 15 feet. LWRP: TOWN CODE CHAFT~R g6a' A May 28, 2008 letter zecommeudi,,g this action be determined Consistent, with conditions to further Policies 5 and 6.3 was submitted to the Board of Appeals under the procedures of TOwn Code Chapter 268'. The applicants, by their attorney, responded by agreeing to maintain a (nan-turf) native vegetative buffer along tim creek side of the propert~ to mitigate the affects of water runoff and also to have leaders and gutters on the house to drain into dry wells on the landward side of the dwelling. FIN'DINGS OF FACT The Zomng Board of Appeals held a public hearing on th~ application o,~ Jun~ 26, 2008, at which time written and oral evidenoe were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following f~cte to be true and r~levant: AP, F~ VAI:t!ANOE RELi~EF I~,EQUR.qT~,D~ The appBcan~ pmp~e ~ expa~ ~e e~s~ng 1~ s~w ho~ int~ a f~ ~c,st~ hou~ by re~dee~g and r~g ~e r~e. The e~ng so,nd floor w~ be removed and a new o~e b~t with a rai~ed r~f ~ns. ~o the first-floor ~nova~ions ~t~ be con~ad wi[Mn the ~g foo~fint and sethac~. A new ~dafion (~t~g~ and a poured ~n~ete w~ w~ ~ ~ns~o~ ~der ~ ~g ~a~d ~d ~heatod one-s~ ps,has on the easterly side ~ order to o~d the $~ of the o~g ~hen. ADDITIONAL The applicant owrm the land on the adjacent vacant lot ~o the east. Both lot~ are conforl~amg in The environmental mndi~ions on the site ~ bo improved wi~h the addition of gutters, leaders and drywells ~o contain roof runoff and the ex~ting sanitary system~ which is located iff from the wetlands, will b~ abar~clone~ and a new system will he installed in the front yard. .REASONS FOR BOAteD ACTION: On the basis of testhnony presented, materials submitted and personal iuspec~ion, the Board makes the fonowia~ fmdSngs: 1. ,,ToWn Law_.~}67-bia)(b)f3)fl~ (}rant of the variance will not produce a~ undesirable change in the character of the neichhorhood or a dstr/ment te nearby properties. The applicants w/ah to make changes to ~hsir home for more space and an uptated appearance. The exist/ng dwelling/s set at an an~ie :o uhe easterly p/operty line and has a zero side yard setback on the northeast corner that in~'em~em toward ~he southeast end of the house, The westerly side yard setback is 38 feet, as shorn on the Ma.ch 5, 2008 survey prepared by John T. Metzger. The proposed ~econd-story al~era~ions o~ the east aide ~ be set back from the exis~in~ one mtor~- porch roofs, 08/11/2008 14:29 FA.~. $3! 765 MOORE LAW OFFICES ~004 ZBA# 6151 - T. and P. Na~my, App~n~ ~M 70-5-84 t~reby increasing the easterly side yard setbacks on the second floor by +/- 3.4 fee~ for 15.3 lineal feet (to e~]~_~ge the proposed master Bedroom), and +/- 7.4 for 16.11 lineal fast, as seen on the unidentified front and rear elevations, roof plan and floor plans dated 2. Tows ~aw ~267-bf$~fb~(~). The benefit sought by the applicant cannot be achieved By some method, feasible for the applicants ~o pursue, other than an area variance since the first floor being altered and the existing foundation will be 8. Town Law ~267-Bf$)(b)(R)~ T~ne variance granted he~in with conditions is not substantial. The applicants also own the vacant lot adjacent on the eaSterly side of the sub, eot property and can therefx~re increase the eximt~g zero side yard setback at the Northwest corner to reduce the c[e~ree of non-ooniormity by obtaining a lot line oh~-~. 4. Town Law §267.bf3]fh]fS]. The 8Jl~culty has not been se~ ~eated in so far as the existing house has a non-conforming aide yard. ' 5. Town L~w ~2Zt!t~f3)fb)(4)_. No evidence has been submitted to suggest tha~ a variance in this residential community wU] have an adverse impact on the physical er environmental conditions in the neighborhood. 6. Town L~W §~o.~. Grant of the requested relief is the minimum action necessary and adequate to enable the applicanttt to en~oy the benefit o£ hncreasing ]ivin~ space in their home, while preservin~ and prOtec~in~ ~he charac~r of the neighborhood and the health, safety and welfare of the commurdty. ~~~: In conzi¢terlng all of the above factors and applying the balancing teeZ ~n~.er New York Town Law- 26T-B, motion was offered by Member Wsisman, seconded by Member Oliva, and duly carrlsd, te I~SOLV]fiD, to O~snt Zhe variance as applied for and shown on applicant's diagrams 1 through 9 dated 1-23-08, subje~ to ~he following Conditions: 1) Provide and maintain a minimum 25 foo~ native vegetative (non turf) buffer along the border of Jockey Creek; and ~) Instal). le.~ders and glitters on the dwelling dr~inln$ into dry wells located on the landwea'd sicle uf the dwening; and 3) No building permit shah be issued unt~], the applioant applies and obtains ~om the Scutkold Town Planning Board a lot line change that will inorease the easterly sid~ yard of the proposed renovated dwelling on the subjec~ property to a minimum of 8 feet a~ The abeve oonditiens ehail be written into the Buildin~ Inspactofs Ce~ti2eat~ of Occupancy, when issued. Any deviation ~om the varlan~e given such am extensions, or dzmolttione which are not shown on the ~pp~cant'~ clia{~ams or ~'~ey mi~ maps, a~e not ~uthorized under thie apl~lica'~ion when involving non~nformliiem ~-~der th~ zoniu{ code, Ttzlm action does not authorize or condone any ~ent or future 08/11/I/008 14:30 FAX 631 765 I/OORE LAW OFFICES ~Trustees ~005 use, selback or o~her feature of the sub~e~ p~ope~Cy tha~ may violate the Zonln~ Oode, other than u~o, setbacks e~d otb~ features as are expressly a~dre~ed in t,,hte act/om The Board reserves the right to eubeti~;ute a similar design ~l~t is ils mi~mt~ in natuze for an alteralion Vote of th. Board: Ayes: Membe. ,C,,oel~in~m~n),/~, ~/J.~o, ISimoi~, and Weisman. This P~soln,ion was auly adopt~a iS.]O)ff ff~/~ / ~~.~ ~[pprovad for ~ OFFICE LOCATION: Town Hall Annex 54375 State Route 25 Main Rd. & Youngs Ave. Southold, NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 Jim King, President Town of Southold Board of Trustees From: Scott Hilary and Mark Terry, LWRP Coordinators Date: September 13, 2008 Re: Chapter 268, WATERFRONT CONSISTENCY REVIEW Wetland Permit for PATRICIA & THOMAS NADHERNY SCTM#70-5-34 Patricia C. Moore, Esq. on behalf of PATRICIA & THOMAS NADHERNY request a Wetland Permit to construct a second- floor addition over the existing dwelling, renovate the first floor, and install new windows and siding. Located: 1025 Pine Neck Rd., Southold. SCTM#70-5-34 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 CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. If the action is approved the following best management practices {BMP's) are recommended: Require that the existing cesspools (sanitary system) when abandoned are cleaned and filled with clean sand. Hay bales to be installed seaward of the existing cesspools (sanitary system) to be abandoned. The BMP's recommended above will further advance Polic 5.y_~.protect and improve water ~the Town Southold. Figure #1 Existing 1 ~ story residence. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Office Use Only Coastal Erosion Permit Application 5( Wetland Pemfit Application Amendment/Transfer/Extepsion Receivved Application: ~]1 ~-Received Fee:$r~b---'D o_y/ ' /Completed Application~ __Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~AC Referral Sent: ,..~ __grae of Inspection: __Receipt of CAC Report: __Lead Agency Determination: Technical Review: ~P~blic Heating Held: Resolntion: ' ' Name of Applicant ~r'~..r'a d' TJoorr~.a Administrative Permit Address I/ Crrsc,',~' /'5~A 2>/we Soufhhold lov:~ Bnord of Trust~es I Suffolk County Tax Map Number: 1000 - Propeay Location: [0~O~ ~o~old ~ //97/ (provide LILCO Pole ~, distance to cross streets, and location) AGENT: /~ (If applicable) Address: ~OZ O ff)")O/.F'/ f~OOC/ ! 1/77/ Phone: 7Of- q33o of Trustees Applicatio~ GENERAL DATA Land Area (in square feet): ~ ~/ 0 ~"& --'-'~ ~ Area Zoning: ,~ - ~/o Previous use of property: Intended use of property: Covenants and Restrictions: Yes If "Yes", please provide copy. )( No 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? )~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): of Trustees Applicatio0 WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: , t~/ % Closest distance between nearest existing structure and upland edge of wetlands: L~ ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: ~ q feet Does the project involve excavation or filling? ~(: No Yes (~td~°"~ ~"~:/k/'-~tO ~~ ff>~ ~' ' Ifyes, how much material will be excavated? cubicyards ~ w/5~) How much material will be filled? f~ cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: / I ' / I Statement of the effect, if any, on the wetlands and tidal waters of the toxvn that may result by reason of such proposed operations (use attachments if appropriate): BOARD Of TRUSTEES TOWN Of SOUTHOLD: NEW YORK In the Matter of the Application of PATRICIA & THOMAS NADHERNY AFFIDAVIT OF SIGN POSTING Regarding Posting of Sign Upon Applicant's Land Identified as ~ ~ !i'4 1000-70-5-34 I r-;, ............................................................... x COUNTY Of SUFFOLK) ; L___ STATE OF NEW YORk) I, PATRIGIA C. MOORE, residing a 370 Terry Lane, Southold, New York 11971 being duly sworn, depose and say that: , J On th~. d..ay of September 2008, I personally posted the property known as Pine Neck Road, Southold, New York by placing the board of Trustees official Poster where it can easily be seen, and that I have checked to be sure the post has remained in place for eight (8) days prior to the date of the public hearing. Date of Hearing to be held on Wednesday, September 17, 2008 on or about 6:00 p.m. PATRICIA C. MOORE Sworn to before me this /~-) 't"~ay of September, 2008 ~otary P~bli~/- / PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (63 !) 765-4643 CERTIFIED MAIL RETURN RECEIPT REQUESTED September 3 2008 RE: PATRICIA & THOMAS NADHERNY PREMISES: PINE NECK ROAD, SOUTHOLD SCTM # 1000-70-5-34 Dear Neighbor: I represent the above with regard to property located on Pine Neck Road, Southold, New York. They have submitted an application to the Southold Town Board of Trustees to construct a second-floor addition over the existing dwelling, renovate first floor and install new windows and siding. A copy of the Hearing Notice is enclosed together with a copy of a survey. The hearing on this matter has been scheduled for WEDNESDAY, SEPTEMBER 17, 2008 on or about 6:00 p.m. at Southold Town Hall. If you have any questions, or you wish to support this application, please do not hesitate to contact me. Thank you. Ve~ truly yours, enclS.'- C: Mr & Mrs. Nadherny NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be hel.d by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Ma~n Road, Southold, New York, concerning this property. OWNER(S) OF RECORD..~~ct~ 't 'i1~~ I~ll~.rnt/ SUBJ. ECT.OF PUBL C HEARING: If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection pr,or to the daYmO! the hearing during normal business days between the hours o[8 a.m and 4 p. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631)765-1892 BOARD Of TRUSTEES TOWN Of $OUTHOLD: NEW YORK ............................................................... X In the Matter of the Application of PATRICIA & THOMAS NADHERNY Applicant's Land Identified as 1000-70-5-34 COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF MAILING I, Betsy Perkins, residing at Mattituck New York, being duly sworn, depose and say that: On the3~aay of September, 2008, personally mailed at the United States Post Office in Southold, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of the attached Legal Notice in prepaid envelopes addressed to the neighbors on the attached list. Attached hereto is the white receipt post-marked by the Southold Post Office on said date. Sworn to before me this'~'~ day of September, 2008 ~ (Notary Public) MARGARET C. RUTKOWSKI Notary Pubiic, State of New York No. 49[~2528 Qualified in Suffolk County~ Commission Expires June 3, PLEASE list, on the back of this Affidavit or on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. NEIGHBOR LIST NADHERNY SCTM: 1000-70-5-34 ANNA ACKER PO BOX 429 SHOREHAM NY 11786 SCTM: 1000-70-5-33 THOMAS C. NADHERNY PATRICIA NADHERNY 11 CRESCENT BEACH ROAD HUNTiNGTON NY 11743 SCTM: 1000-70-5-35 DOROTHY HAMMOND 920 PINE NECK ROAD SOUTHOLD NY 11971 SCTM: 1000-70-8-19 BESSIE LAFRENIERE PO BOX 326 SOUTHOLD NY 11971 SCTM: 1000-70-8-20 RECEIPT 7192 6463 3110 OOCO 1963 FROM: Patncla c. Moore Esq ,SEND TO: ANNA ACKER PO BOX 429 T0 . .'t~..._~ $5.32 RECEtPT 7192 6~63 3110 000o 1970 FROM: Patrida C Moore Esq RE: nadherny trustees hearing SEND TO: THOMAS C NADHERNY TOTAL $ 5.32 ,~.cPOSTMARK OR DATE RECEIPT 71926463311000001987 FROM: Patricia C Moore Esq. RE: o, adher ny trustees hearing SEND TO: DOROTHY HAMMOND 920 PINE NECK ROAD SOUTHOLD NY 11971 FEES: -~¥ - . RECEIPT 7192 6463 31 lO ooco Iscj4 FROM: SEND TO: BESSIE LAFRENIERE SOUTH~LD.]'IY 11971 ,~oLo'.~ 'N SURVEY OF PROPERTY A T SOUTHOLD .'.'TOWN OF SOUTHOLD SUFFOEK COUNTY, N Y. 1000 - 70 - 05 - 34 SCALE= 1' = 40' "MARCH 21, 2008 J b I ~m fwnEl~r ~(1# l~e STANDARDS FOR APPROVAL AND CONStRUCTiON OF SURFACE SEFA~ ~L ~YS~ F~ ~E FA~Y RE~ES ~X I~ c~li~ sel Iortfl l~ere~ ~d o~ ~l lo ~1~1. NOTE: DWELLING- PUBLIC WATER EXISITNG CESSPOOLS TO BE REMOVED OR RLLED IN. NEVI SEPTIC SYSTEM I 4 BEDROOMS I - I000 GAL. PRECAST SEPTIC TANK E - LEACHING POOLS B'~ . 6.5'DEEP WITH 5' SAND COLLAR {SW] 3' ABOVE GROUND WA TER {VACANT) 95.00' TEST HOLE DA TA ~o"w ~ ....~=~ r~ueuc w ~' , _~ ~ puBUC w~'~ ELEVA~ON5 REFERENCED TO The location of wells and cesspools shown hereon ore . /~ ~~~4~8 from field observot[o~s ond or from do'~o ob~obed fro~ o~hers. 'OF SECnON 7209~ ~E N~ Y~K STA~ EDUu~n~ FLOOD ZONE FROM F(RM HEREON ARE VAUD F~ ~IS MAP AND C~l~ E~ ~LY IF I730 T~V~ STREET SAID MAP ~ C~IES BE~ ~E IMPRESTO S~~ ~ ~g ~R~Y~ ~ J610~C0166 G 5/04/98 S~, Xr. I, gZ, 07-228 m PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, NewYork 11971 Tel: (631) 765-4330 Fax:: (631) 765-4643 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 September IO/~, 2008 SEP 15 2O0S RE: NADHERNY PREMISES: PINE NECK ROAD, SOUTHOLD SCTM # 1000-70-5-34 PATRICIA C- MOORE ESQ- 51020 MAIN RoAD soUTHOLD NY 11971 L Received By: 4. Restricted Delivery? ,. s.~J ~yp; T ¢"x~r. ~ee~ [] yes CERTIFIED ~ ~e find certified 7192 6463 3110 0000 t970~ letter to 7192 646~ 3110 0000 1970 rs, t. Article Addressed To: THOMAS C. NADHERNY pATRICIA NADHERNY~[]~ 11 CRESCENT BEACH ROAD HUNTINGTON NY 11743 ore ins, LA , Address PATRIClA C. MOORE Attorney at Law 51020 Main Road Southold, NewYork 11971 Tel: (631) 765-4330 Fax:: (631) 765-4643 April 7, 2008 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: NADHERNY PREMISES: PINE NECK ROAD, SCTM # 1000-70-5-34 SOUTHOLD Dear Board members: With reference to the above, enclosed please find certified mail receipts, affidavit of mailing and copy of letter to neighbors. Thank you. pATRICIA C. MOORE ESQ. 51020 MAIN ROAD SOUTHOLD NY 11971 , or [[Agent) Very truly yours, 4. Restricted Delivery? 3, Service Type ' , (Extra Fee) [] yes . ·Artio[e Number !1 [~oore 7192 6463 3110 0000 0713i ~ins, LA 7192 6463 3110 0000 0713 Article Addressed To: DOROTHY HAMMOND 920 PINE NECK ROAD sOUTHOLD NY 11971 BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK In the Matter of the Application of PATRICIA & THOMAS NADHERNY Applicant's Land Identified as 1000-70-5-34 COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF MAILING I, Betsy Perkins, residing at Mattituck, New York, being duly sworn, depose and say that: On the/' day of April, 2008, I personally mailed at the United States Post Office in Southold, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of the attached Legal Notice in prepaid envelopes addressed to the neighbors on the attached list. Attached hereto is the white receipt post-marked by the Southold Post Office on said date.1 /~,.etsy Perkin~-'~l / ' (Signature) Sworn to before me this /O ~// day of April, 2008 ( (Notary Public) MARGARET C. RUTKOWSKI Notary Public, State of New York No. 4982528 Qualified in Suffolk County .! Commission Expires June 3, ~ / PLEASE list, on the back of this Affidavit or on a sEe~T-of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. NEIGHBOR LIST NADHERNY SCTM: 1000-70-5-34 ANNA ACKER PO BOX 429 SHOREHAM NY 11786 SCTM: 1000-70-5-33 THOMAS C. NADHERNY PATRICIA NADHERNY 11 CRESCENT BEACH ROAD HUNTINGTON NY 11743 SCTM: 1000-70-5-35 DOROTHY HAMMOND 920 PINE NECK ROAD SOUTHOLD NY 11971 SCTM: 1000-70-8-19 BESSIE LAFRENIERE PO BOX 326 SOUTHOLD NY 11971 SCTM: 1000-70-8-20 RECEIPT 7192 6463 311 o oooo c69o FROM: SEND TO: - ?: icer~ Fee RECEIPT 7192 6463 311 o oooo 0706 FROM: Patncia C. Moore Esq. RE: NADHERNY TRUSTEES Hi SEND TO: -~. THOMAS, NY PA?R~cIA NAD 11 CRESCENT B 0~,~] H U NT(Ni~i / I /' ~'~' ~/ / · ( stage / 041 TOTA£ $ 5.21 POSTMARK OR DATE RECEIPT 71926463 311000000713 FROM: pa~icia C Mooro Esq. RE NADHERNYTRUSTEESHI SEND TO: pOSTMARK OR DATE RECEIPT 7192 6463 3110 0000 0720 FROM: Patricia C Moore Esq RE: NADHERNY TRUSTEES H~ P(~ox 326 'iC, [ SOUTHOLD NY 1197~ ' TOTAL $ 5.21 POSTMARK OR DATE PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 April 4, 2008 CERTIFIED MAIL RETURN RECEIPT REQUESTED RE: PATRICIA & THOMAS NADHERRY PREMISES: PINE NECK ROAD, SOUTHOLD SCTM # 1000-70-5-34 Dear Neighbor: I represent the above with regard to property located on Pine Neck Road, Southold, New York. They have submitted an application to the Southold Town Board of Trustees to construct a second-floor addition onto the existing dwelling, renovate first floor; new windows and siding. A copy of the Hearing Notice is enclosed together with a copy of a survey. The hearing on this matter has been scheduled for WEDNESDAY, APRIL 16, 2008 on or about 6:00 p.m. at Southold Town Hall. If you have any questions, or you wish to support this application, please do not hesitate to contact me. Thank you. Very truly yours, Patricia C. Moore PCM/bp enclS. C: Mr & Mrs. Nadherny NOTICE OF HEARING NOTICE IS HERE~FGIVEN that a public hearing will be held by the SOUTHOLD BOARD TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: SUBJECT OF PUBLIC HEARING: (~on~u~Ir TIME & DATE OFI~0'BLIC HEARING' I~ you ~av.e, an infer.esl in f~i$ proiecf, you are ~nvifed fo view f~e Town file(s) w~ic~ are ava;ladle for ~ns~ecfion.prior fo f~e day of f~e ~earing durin§ normaJ ~u$ine$$ days ~etween f~e hours of 8 a.m and 4 p.m BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 N SURVEY OF PROPERTY A T SOUTHOLD .?OWN OF SOUTHOLD SUFFOLK' COUNTY, N. Y. 1000 - 70 - 05 - 34 SCALE: 1" = 40' "MARCH 21. 2008 ~4zo~ so. ~. TO ?TE UNE , I em femEler ~ ~e STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSt4r~FACE SEWAGE DtSPOS~L SYSTEMS FOR $1NELE FAt, Ill_ y REEDENCES ~ m~l g~lde by I~ cofldlliofl$ sel forlh Iherein el# off tt~e permit fo co, sirEd. NOTE: DWELLING- PUBLIC WATER EXIS17NG CESSPOOLS TO BE REMOVED OR RLLED IN. NEW SEPTIC SYSTEM I 4 BEDROOMS I I - I000 GAL. PRECAST SEPTIC TANK ' 2 - LEACHING POOLS B'~ x 6.5'DEEP WITH 5' SAND COLLAR {SW] 3' ABOVE GROUND WA TER TEST HOLE DA TA McDONALD OEOSCIENCE 2/oz/c~ ELEVATIONS REFERENCED TO N.G.V.O. '~'9 (DWElJ.INGS WI]I-t The Iocofion of wells and cesspools shown hereon ore .i from field observotions end or from dodo obfoined from others. HEREON ARE VAUD FOR THIS MAP AND COPIESAT~RCEE~- ONLY IF FLOOD ZONE FROM FIRM SAID MAP OR COP/ES BEAR THE IMPRESSED SEAL' OF THE SURVEYOR ~ 3610,.~0166 G 5/04/98 ·HOSE S/ONA APPEARS HEREON. pUBIJC WA~ER) i?uaLic wAT£R IH sTREETI ¢~31l 765 - 5020 FAX (631] 765 - 1797 P. O. BOX 909 1£30 TRAVELER STREET sou7~.~, ~r. 11971 07-228 A 61L20 SEQR PROJECT iD NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 1, APPLICANT / SPONSOR 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks ere -or orovide mau 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: ~- Initially * ,~ acres Ultimately · ~ acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local} [~Yes r--[No If yes, list agency name and permit / approval: I---J 11, DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes r~No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMiT/APPROVAL REQUIRE MODIFICATION? E]Yes [~No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Spon, ame ,~'~'~zCw~~' Date: ,,,,~. ~,-'0~ Signatur~ - 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¥) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 if yes, coordinate the review process and use the FULL EAF ['--[Yes [-"]No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be 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, suHace or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potanfial for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricuflura~, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, s gn ficant hab ta s, or threa ened or endangered species. Explain briefly: C4, A community's existing plans or goals as officially adopted, er a change in use or intensity of use of land or other natural resources? Explain bdefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects nct identified in C1-C57 Explain briefly: C7. Other impacts (including changes in use of either ~uan!it~ or type of energy. Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA ? If yes exDlain briefl · E:] Yss E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If }'es explain: r-]I--1No PART Ill - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irrevemibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any suppoding documentation, that the proposed action WILl. NOT result in any significant adverse environmentaf impacts AND provide, on attachments as necessary, the reasons supporting this determination. Name of Lead Agency Date Title of Responsible Officer Signature of Preparer (If different from responsible officer) Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southotd's Code of Ethics t>mhibits conflicts of interest on the vart of town officem and emolovees. The oumose of this form is to nrovide information which can alert the town ofvossible conflicts of interest and allow it to lake whatever action is nec to avoid same. (Last name, first name, ~niddle initial, unless you are a!~lying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other", name the activity.) '~7~-~Y Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shams. YES NO .~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title Or position of that person Describe the relationship between yourself (tbe applicant/agenffrepresentative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applic~.nt (when the applicant is a corporation); __.B) the legal or ~eneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee oftbe applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS (Nadhemy) 1. 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 determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the 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: Additions to existing dwelling SCTM# 1000-70-5-34 The Application has been submitted to (check appropriate response): Town Board Planning Dept. Building Dept. Board of Trustees X Zoning Board X 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: X Wetland Permit for addition to existing dwelling, preexisting side yard Nature and extent of action: second floor addition to existing residence enclosure of existing porch for kitchen. Area already disturbed with existing dwelling, will add dry- wells for roof runoff. New gutters to be connected to dry well. Land elevated away from Jockey Creek, natural buffer existing. Existing structure 64 feet from wetland edge. Location of action: Pine Neck Road, Southold Site acreage: 1 + acre Present land use: residential Present zoning classification: r-40 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: Patricia & Thomas Nadherny (b) Mailing address: Pine Neck Road, Southold NY 11971 (c) Telephone number: Area Code ( 631 ) 673-8940 (d) Application number, if any: AGENT: Patrieia C. Moore Esq. 51020 Main Road, Southold NY 11971 631-765-4330 Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes X No If yes, which state or federal agency: DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes X No Not Applicable Property is developed with a single family residence, the owner wishes to relocate and retire and the first floor is to be renovated and bedrooms relocated to second floor. Existing sanitary is only 10 feet from wetlands and the sanitary will be abandoned and new sanitary located in the front yard. Adjacent wetlands are protected with a natural landscape buffer. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria Yes X No Not Applicable - addition to existing residence will not impact historic or archeological resources. Site is previously disturbed with residential construction. Adjacent wetlands are preserved and left in tact. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria YesX No Not Applicable The proposed additions to existing residence are appropriate in scale and design. House is elevated from Jockey Creek. 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 X No Not Applicable Dry-wells will be installed, hay bales will be installed prior to construction, existing setbacks have been maintained- second floor over existing house. 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 X No Not Applicable Additions to existing dwelling will increase living areas, additional bathrooms will require relocation of sanitary to front yard and abandonment of existing sanitary. 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 X No Not Applicable Protection of wildlife habitat is maintained by proposed additions- areas of previous disturbance are used for addition, hay bales will prevent erosion during construction. Landscaping already has incorporated use of natural buffers and native drought tolerant plants. 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. See Section III - Policies Pages; 34 through 38 for evaluation criteria. Yes No Not Applicable X No impact on air quality. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Yes X No Not Applicable Proposed addition will not increase sanitary requirements or generate hazardous waste. 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 X proposed addition to Private single family residence. Auach additional sheets if necessary WORK1NG 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. Yes X No Not Applicable Existing House is adjacent to wetlands- The existing house and the additions are proposed on the one acres parcel. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes X No Not Applicable Proposed addition is conducted a minimum of 64 feet from wetland edge and above 10' contour. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. Yes No Not Applicable X Land is along Pine Neck Road- behind existing dwellings and not contiguous to agricultural lands. 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 No Not Applicable X No use of energy resources beyond existing use by existing dwelling. Board of Trustees Application County of Suffolk State of New York BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH 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, l HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES 1N CONJUNCTION W~_y~PLICATION. Signature AUTHORIZATION To~ Re~ New York State Department of Environmental Conservation Southold Town Zoning Board Southold Town Trustees Southold Town Building Department Suffolk County Health Department Any and All State, County, Local agencies, as necessary Premises at SCTM# 1000-70-5-34 Pine Neck Road, Southold Owner: Patricia and Thomas Nadhemy 11 Crescent Beach Drive Huntington, NY 11743 The undersigned on behalf of myself and my wife, Patricia Nadhemy, hereby authorize my attorney, Patricia C. Moore, and her agents to submit any and all applications which may be required in order to obtain a permit to make additions and renovations to my existing dwelling, as well as any other structures, herein proposed on the above referenced parcel. Thomas Nadhemy PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765~4643 March 12, 2008 Board of Trustees Town of Southold Main Road PO Box 1179 Southold NY 11971 RE: NAHDERNY PREMISES: PINE NECK ROAD, SOUTHOLD SCTM # 1000-7-05-34 Dear Sir or Madam: With reference to the above, enclosed please find an original and two copies of a Wetlands application together with my clients check in the amount of $250.00 for the filing fee. I am also enclosing photos and plans of the existing conditions as well as plans for the proposed changes which have also been forwarded to DEC. Thank you for your consideration in this matter. Very truly yours, , PCM/bp C: Mr. & Mrs. Thomas Nadherny N 50.3' AREA=47,08~$ SQ. F7: TO TIE UNE 100G-70-05-35 AREA=41, J06 SQ. FZ TO TiE LINE (VACANT) 95.0 SURVEY OF PROPERTY AT SOUTHOLD TO WY[ OF SO UTHOr, D SUFFOLK COUNTY, N.Y. i000-T0-05--34 & 35 SCALE: 1'-40' DECEMBER 19, 2007 JANU4,'ET 3, 2008 (ADD/i,,CNS) MARCH 5, 2008 (TDPOCRAPHIC SURb£'F) APPROVED BY BOARD OF TRUSTEES TOWN OF SOU~r~ DWELL/NO Pu~L. IC W:FL ~ EX/StiNG CESSPO?LS FO BE' R£-,~JOvED OF' FILLED IN. NS J: o'W PINE NECK ROAD WATER.) 6.9 pUBLIC ELEVATIONS REFERENCED TO N.C. KD. '29 (D~ELLING$ WITH The locoHon of wells <:nd cesspools shown hereon ore from field observotions ond or from doto ohio?Deal from o[hers. ANY ALTERATION OR ADDISON TO THIS SURVEY IS A VI©LATION OF SECTION 72090F 17-tE NEW YORK STATE EDUCATION LAW, EXCEP? AS PER SECTION 7209-SUBDIVISION 2. ALL CER ITFICA ~ON$ HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF FLOOD ZONE FROM FIRM .~AID HAP OR COPIES BEAR THE IIdPRESSED SEAL OF THE SURYEYOR ~ 36103C0166 ~ 5~0#~98 c~ (631) 765-502~) 71 P.O. BOX 909 1230 TRAVELER STREET