Loading...
HomeMy WebLinkAboutTR-6974 Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375Main Road P.O. Box 1179 Southold, New York l1971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD CERTIFICATE OF COMPLIANCE # 0626C Date: March 23, 2011 THIS CERTIFIES that the construction of a 16'x18' deck attached to the rear of the existing dwelline: new sliding door; gutters to leaders to drgwells At 2700 Ole Jule Lane, Mattituck, New York Suffolk County Tax Map # 122-4-14 Conforms to the applications for a Trustees Permit heretofore f'ded in this office Dated September 8, 2008 pursuant to which Trustees Wetland Permit #6974 Dated October 15, 2008 was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a 16'x18' deck attached to the rear of the existing dwelling; new sliding door; gutters to leaders to drgwells The certificate is issued to JOSEPH F. GONZALES owner of the aforesaid property. ~t~or~ed si)gnam~r Jill M. Doherty, President James F. King, Vice~President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 i r~ Ch. 111 INSPECTION SCHEDULE __ Pre-construction, hay bale line/silt boom/silt curiain 1 st day of construction constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: ~/~'~ James F. King, President Jill M. Doherty, Vice-President Pegg~ 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 __ Pre-construction, hay bale line __ 1st day of construction ~,4 constructed V/~ Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6974 DATE: OCTOBER 15, 2008 ISSUED TO: JOSEPH F. GONZALES PROPERTY ADDRESS: 2700 OLE JULE LANE~ MATTITUCK SCTM# 122-4-14 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 October 15, 2008, and in consideration of application fee in the sum of $250.00 paid by Joseph F. Gonzales 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 16'x18' deck attached to the rear of the existing dwelling and new sliding door, with the condition of the installation of gutters, leaders and drywells to contain roof runoff and in accordance with the Town Code-Storm Water Runoff, and as depicted on the site plan prepared by Accent Architecture, and received on September 8, 2008. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. · g~s_. t TERMS AND CONDITIONS The Permittee Joseph F. Gonzates, residing at 2700 Ole Jule Lane, Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Perm/tree assumes full liability with respect thereto, to the complete exclusion of the Board of Tmstees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this 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. That the said Board will be notified by the Pennittee of the completion of the work authorized. That the Pen-nittee 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 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 October 15, 2008 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Joseph F. Gonzales 2700 Ole Jule Lane Mattituck, NY 11952 RE: 2700 OLE JULE LANE, MATTITUCK SCTM# 122-4-14 Dear Mr. Gonzales; The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 15, 2008 regarding the above matter: WHEREAS, JOSEPH F. GONZALES 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 September 8, 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 installation of gutters, leaders and drywells to contain 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 October 15, 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, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice 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 JOSEPH F. GONZALES to construct a 16'x18' deck attached to the rear of the existing dwelling and new sliding door, with the condition of the installation of gutters, leaders and drywells to contain roof runoff and in accordance with the Town Code-Storm Water Runoff, and as depicted on the site plan prepared by Accent Architecture, and received on September 8, 2008. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule. Fees: $ 50.00 Very truly yours, ohert ~/ice President, Boar~of Trustees JFK/eac James F. King, President Jill M. Doherty, Vice~President Pegg~ A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 SouthoId, New York 11971~0959 Telephone (631) 765~1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: .,_~-~15~, '~ F~, (~orhz~.,~c~lc~s Please be advised that your application dated ~g_~ic~¢_~¢ ~ 2p.4:;O&~ has been reviewed by this Board at the regular meeting ~f Oo~¢fod~ I~/¢,~ and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ½ Constructed ($50.00) V/ Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as 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: $. '--~-(---~ o~ BY: James F. King, President Board of Trustees Donald Wilder, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box I 179 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., October 8, 2008, the following recommendation was made: Moved by James Eckert, seconded by Peter Young, it was RESOLVED to SUPPORT the Wetland Permit application of JOSEPH F. GONZALES to construct a 16'X 18' deck attached to the rear of the existing dwelling and new sliding door. Located: 2700 Ole Jule Lane, Mattituck. SCTM#122-4-14 Inspected by: Peter Young, James Eckert The CAC Supports the application with the Condition gutters and drywells are installed on the dwelling. Vote of Council: Ayes: All Motion Carried James F. King, President Jill M. Doher~y, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: JOSEPH F. GONZALES requests a Wetland Permit to construct a 16'X 18' deck attached to the existing dwelling. Located: 2700 Ole Jule Lane, Mattituck. SCTM#122-4-14 q ~Lu.) &~lJ~ Type of area to be impacted: ~altwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland haf Town Code proposed work falls under: pt.275 Chapt. 111 other Type of Application: I/~Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed:.. Modifications: Conditions: Present Were: "J.King herty P.Dickerson __ D. Dzen~-~'owski Mark Terry~ther Form filled out in the field by D. Bergen__ B.Ghosio, Mailed/Faxed to: Date: Environmental Technician Review- 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 ! 1971 Telephone: 631 765-1938 Fax: 631 765-3136 To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Scott A. Hilary, LWRP Coordinator Date: October 6, 2008 Re: Chapter 268, WATERFRONT CONSISTENCY REVIEW Wetland Permit for JOSEPH F. GONZALES SCTM# 122-4-14 JOSEPH F. GONZALES requests a Wetland Permit to construct a 16'X 18' deck attached to the rear of the existing dwelling and new sliding door. Located: 2700 Ole Jule Lane, Mattituck. SCTM#122-4-14 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 us, 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 theirjurisdiction I. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. § 275-3 Findings; purpose; jurisdiction; setbacks. C. Jurisdiction: The following areas are subject to protection under Chapter 275 of the Code of Southold. (1) Any freshwater wetland, tidal wetland, beach, bluff, dune, flat, marsh, swamp, wet meadow, bog, or vernal pool; D. Setbacks. i) The.fi)llowing minimum setback~ apply to any and all operations proposed on residential proper(v within the jurisdiction q/'the Board ~'lkustees: (a) Wetland boundao:. [1] Residence: The distance from the bulkhead to the proposed action is approximately 45 t~et; a minimum setback distance of 100 feet from the wetland boundary (bulkhead) is requi~d pursuant to Chapter 275-3. Findings; purpose; jurisdiction; setback. Please require that the applicant amend the application to meet the above policy to the ~reatest extent practicable. If the agencv~ Board of Trustees makes a contrary determination of consistencv~ the 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. H. Irt the event the LWRP Uoordinator's recommendation is that the action is inconsistent with the LWRP, and the agentT makes a contra~T deternfination of consistency, the agency shah elaborate in writing the basis for its dis~eetnent with the recommendation and state the manner and extent to whk~h the action is consisten~ with the L WRP polk3: standardv. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. James F. FAng, 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 Fa× (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only .~weastal Erosion Pemfit Application tland Permit Application Administrative Permit Amendment/Transfer/Extension ~'1~ e~ve d App lic a.,tiom_~.~. .~l~eceived Fee:$ ~'~O ~ompleted Application Incomplete __SEQRA Classification: Type I Type II Unlisted Coordination:(date sent). ~I~WRP Consistency Assessment Form ..~¢AC Referral Sent: .~f~te of Inspection: __Receipt of CAC Report: __Lead Agency Determination: uebtmical Review: lic Hearing Held: Resolution: Name of Applicant Address c~ ~t~ 0 8EP - 8" 2008 Phone Number:(~']'~ ~ ~Tf'- / ?ft~ Suffolk County Tax Map Number: 1000- I~- OC[- Property Location: ~f~0 0~a ~-~4~ff Z// /,j (provide LILCO Pole ~, dist~ce to cross streets, and location) AGENT: g ~ (If applicable) Address: Phone: ard of Trustees ApplicatJ Land Area (in square feet): Area Zoning:. ~ t.{ (~ GENERAL DATA Previous use of property: Intended use of property: Covenants and Restrictions: Yes X If "Yes", please provide copy. Prior permits/approvals for site improvements: No )< No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): ~ of Trustees Ap~ WETLAND/TRUSTEE LANDS APPLICATION DATA Pm'pose of the proposed operations:~%~.\ ~.ro..3,.~o~ p~c c~_e.,.o de_,Df-. Area of wetlands on lot: Percent coverage of lot: __square feet % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands:~_ _feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? I cubic yards How much material will be filled? (~ cubic yards Depth of which material will be removed or deposited: ~'~ Proposed slope throughout the area of operations: feet 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): toard of Trustees Ap~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity:Le~c~>~\,~¢,.,~o,,.x ©.~ q~e_~ c4~c\C_ Are wetlands present within 100 feet &the proposed activity? ~ No Yes Does the project involve excavation or filling? ______ No /~ Yes If Yes, how much material will be excavated? ~ _(cubic yards) How much material will be filled? (~ _(cubic yards) Ma,met in which material will be removed or deposited: Describe the nature and extent of the euvirmwaental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) PROJECT ID NUMBER PART 1 o PROJECT INFORMATION 617.20 SEQR APPENDtX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2, PROJECT NAME ~700 ~__~ County S 0-1'~ l i~ 1. APPLICANT / SPONSOR c 3,PROJECT LOCATION: Municipality 4 PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc - or provide mad 5.1S PROPOSED ACTION: ~ New ~Expansion ~Modificationlalteration DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially 30~),~'~.~' acres ,OO"7 Ultimately '~O~,~acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING QR OTHER RESTRICTIONS? E~JYes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply,) [~Residential [~,ndustria, [~Commercial [~Agriculture []ParklForest/OpenSpace [~Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) F-~Yes [] No If yes, list agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPRQVAL? r~Yes r~No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? MY KNOWLEDG I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF LEDG/~ / Applicant / ~~ Date: Signature ~-- ~~ ,  "~' ~lf 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, coordinata the review process and use the FULL EAF. [~1 Yes J--J 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, r-~ Yes [~No L COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater qualibj or quantity, noise levels, existing traffic pattern, solid waste production or disposal. potential for erosion, d?inage o~ ~looding probl~? .Explain bdefly: C2. ~,esthet~c', ~gncultural,' archaeological' , h~stor' ',c or other natural or cultura resources; or commundy or nmghborhood character? Explmn bnefly. C3. Vegetation or fauna, fish, shellfish or wildlif0 Species, ~ignificent habitats, or threataned or endangered species? Explain briefly: ' ' C4. A community's existing plans or goals as officiaii~ adopiodl oi a change ia use o~ intensi¢ of use of lan0 or other natural resources? Explain briefly: C5 Growlh, subsequent devalopment, or related activities likely ~obs induced by the proposed action? Explain briefly: C6~ Long term, short tarm, cumulative, or other effects not identifiad in et-C57 Explain briefly: C7. in use of either D. WiLL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENT[AL ADVERSE ENVIRONMENTAL IMPACTS? If )'es explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~detarminewhetheritissubstantia~~targe~imp~rtant~r~therwisesign[~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that 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 supporting documentation, that the proposed actiol WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessapj, the reasons supporting thi~ determination. Name of Lead Agency Date Title of Responsible Officer Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from responsible officer) James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, 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 ..... ............... COL~TY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~_~O_..qf'~t' f/~'6/~f~.~gZ, rd[siding at //~ir 0~ being duly sworn, depose and say: on the ? day of J7 , 200~, I personally posted the property known as That by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held 6l.)Or~. (rt)('~-]~, ~(X~ _'-_ Dated: /q"o.7-~- ~,~ CO°c'' ~-~g~ture) Sworn to before me this ~3 day of 5~7~t Notary Publfc gLWIN~ No~ Pubb, State of New York 0106132009 in Suffolk County My Co.million Expires August 22, 200~ · To~n of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for pen-nits* 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. 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. Thus, each answer must be explained in detail, listing both supporting and non- suooortin~ 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 SCT # lOO o - '- The Application has been submitted to (check appropriate response): 1. Catego~ of To~ of Sou~old agency action (check appropriate res~nse): (a) Action ~de~en directly by Tom agency (e.g. capi~ ~ cons~ction, pl~ng activin, agency reg~ation, l~d ~saction) ~ (b) F~ci~ ~sist~ce (e.g. ~t, lo~, subsidy) (c) Pe~it, approve, license, ce~ificmion: ~ Nat~e ~d extent of action: Locationofacfion:o~700 Ole_-~ote_ ~.~. (Y'k~K~)~ I I°[g3. Site acreage:. . -5'~ ~-- Present land use: Present zoning classification: If ~ application for ~e proposed action h~ been filed ~ ~e To~ of Sou~old agency, ~e follo~ng iffo~mion sh~l be provided: (a) N~e ofapplic~t: (b) Mailing ad&ess: (c) Telephone number: Area Code (6//) &q 8 - I ~ 75 O (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? 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 [x~ Not Applicable 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 [] No [~ Not Applicable 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 [] Yes [] No ~ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III -Policies Pages 8 through 16 for evaluation criteria ~ Yes ~ No ~ Not Applicable 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 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 IH - Policies; Pages 22 through 32 for evaluation criteria. 'Yes No Not Applicable 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 F--] NO [] Not Applicable 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. F--] Yes [] NO ~-] Not Applicable 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. F-] yesF-] No F~ Not Applicable Attach additional sheets if necessary WORKING COAST POL~ES Policy 10. Protect Southoid'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 [] No ['~ Not Applicable 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 Ill - Policies; Pages 57 through 62 for evaluation criteria. [] Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lauds in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~-] Yes [~] No [~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate Use and development of energy and mineral resources. See LWRP Section II/- Policies; Pages 65 through 68 for evaluation criteria. [] Yes ~ No ~ Not Applicable PREPARED _ TITLE__ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the hast of town officem and emt}lovees. The numose of this form is to t~rovlde information which can alert the town of~ossible conflicts of interest and allow it to take whatever action is necessalw to avoid same. YOURNAME: (Last name, first name, galddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other pemon's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change &Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other Do you personally (or through your company, spouse, sibling, parent, or child) have a relationsnip wire any omcer or employ of the Town of Southold? "Relanonship' includes by blood, marriage, or business ~nterest "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 (the applicanUagenlIrepresentative) 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, pasent, or child is (check all that apply): A) the owner of greater than 5% of the shams of the corporate stock of the applicont (when the applicant is a co~oration); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee &the applicant; or i D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I N 7~° %9'O0" joSEPH ~cu~ DUG BY McDONA£D G£OSCI£NC£ ON 1/!9/05) 1 O0.00' / O~coOCO · $ SURVEY OF PROPERTY ~[TUA TED A T MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-04-14 " 20' SCALE 1 FEBRUARY 11, 2005 AREA = 14,587.36 sq. ft. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: ,S PREPARED. AND ON HIS BEHALF TO THE THE EXISTENCE OF RIGHTS OF ~Y *ND/OR E*SE~ENTS OF RECORD, tF N ~ S ~ NO 49668 ,h A Ingegno . Land Surveyor ~fi31)727-200~ :~ 5j~l~' 100' CANAL EXISTING HOOD BULKNEAD EXISTING ~ EXISFING PROPANE TANK ~ DECK EXISTING EXISTING ONE -CONCRETE 5TEP5 STORY FRAME ONE FAMILY DNELLING \ 48.2 EXISTING ~:~ EXISTING qDENUING HNIT~ 42,77 2700 OLE JUI_E LN ~PLOT PLAN TNI5 IS AN ARCNITECTURAL PLOf PLAN BASED ON INFORMATION SNONN SCALEI I" = 20' ON A SURVEY PERFORMED BT JOESEPN A INGEGNO LAND 5URVETOR ON 2/11/05 ZONING INFORMATION SECTION I~= BLOCK4 LOT 14 ZONE R-4o OCC GROUP R-O CONST CLASS w RESULTS COMMENTS LOT AREA 14587.36 SF UNCHANGED LOT COVERAGE PROPOSED ( 70 SHED + i36g,7 HOUSE + ]03 5 DECK / 14587.36 ) x lOO% -- 12 % '743.2 SF LOT COVERAGE PERMITTED 4AX 20 % 2917 5rCONFORMING SETBACK TO BULKHEAD PROPOSED 46 +/- FT SETBACK TO BULKHEAD PERMFFrED MIN 75.00 FT VARIANCE REQUIRED 81DE YARD8 PROPOSED TO DECK 31,4 & 41,4] FT 81BEYARD8 PERMITTED MIN 15,00 FT CONFORbIINO SIDE YARD AGGREGATE PROPOSED TO DECK 72.83 Fl' SIDEYARD AGGREGATE PERMI'TTED MIN 35.00 FT CONFORMING REAR YARD PROPOSED TO DECK 66.95 FT ~EAR YARD PERMITTED MIN50 FT CONFORMING FRONT YARD PROPOSED 33.2 FT FRONTYARD PERMITTED MIN 50 FT °RE-EXISTING & UNCHANGED FLOOR AREA 1369,7 8F EXISTING PROPANE TANK~, ,© NEN NEN NOOD DECK EXISTING ON NIGN RAILING (~)PI~ST FLOO~ PLAN SCALE:I/4" = I'-0" (~)~EA~, ELEVATION SCALE: I/4": lUo" (~,,.~).~ I PE ELEVATION SCALD I/4" (~I~E ELEVATION ': I o~= SOUTI-:,_ ,ACCENT r\RCHiTECTU RE REVISIONS PH (516) 547-9314 FAX (516) 547-9330 5GALE:l/4" = IL0" JOHN M I VARIANCE PLANS SCALE DRAWN B' CHECKED BY; DATE EXISTING DECK & NEW SLIDING DOOR GONZALES RESIDENCE 2700 OLE JULE LN MATTITUCK, NY 11952 JOB # 08-027 ~HEET # A-1 o~ 1