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HomeMy WebLinkAboutTR-7095 Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375MainRoad P.O. Box 1179 Southold, New York l1971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD CERTIFICATE OF COMPLIANCE # 0685C Date September 6, 2011 THIS CERTIFIES that the first floor addition on the landward side of the existing dwelling, expansion of the second floor within existing footprint, deck over existing sun porch, new windows, exterior doom, siding and roofing At 680 South Lane, East Marion Suffolk County Tax Map #38-6-7 Conforms to the application for a Trustees Permit heretofore ~ed in this office Dated 3/17/09 pursuant to which Trustees Wetland Permit #7095 dated 5/20/09 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 A first floor addition on the landward side &the existing dwelling, expansion of the second floor within existing footprint, deck over existing sun porch, new windows, exterior doom, siding and roofing. The certificate is issued to ISKENDER EREY & ANGELICA BENGOLEA owners of the Aforesaid property. Jill M. Doherty, President Bob Ghosio, Jr., Vice-Preside~t James F. King Dave Bergen John Bredemcyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 TelePhone (63 I) 765-1892 Fax (631) 765-6641 DATE OF INSPECTION: /"~h. 275 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD iCh. 111 INSPECTION SCHEDULE __ Pre-construction, hay bale line/silt boom/silt curtain __ 1st day of construction ~ constructed Project complete, compliance inspection. COMMENTS: 6~,,y d .'z~,,,/4 /2 ,~v-.e c~ c,; ' - 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 Pre-construction, hay bale line 1st day of construction ~ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7095 DATE: MAY 20~ 2009 ISSUED TO: ISKENDER EREY& ANGELICA BENGOLEA PROPERTY ADDRESS: 680 SOUTH LANE~ EAST MARION SCTM# 38-6-7 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 May 20, 2009, and in consideration of application fee in the sum of $500.00 paid by Iskender Erey & Angelica Beneolea and subject to the Te~ and Conditions as stated in the Resolution, the S6uthold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a first-floor addition on the landward side of the existing dwelling and expand the second-floor within the existing footprint, create deck over the existing sun porch, and install new windows, exterior doors, siding and roofing, and as depicted, on the survey prepared by Nathan Taft Corwin III, last dated April 22, 2009, and received on April 22, 2009. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittec Iskender Ere¥ & Angelica Bengolea, residing at 680 South Lane, East Marion, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any Operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this 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 appi'oval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the fight of the public to pass.and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to ren~ove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee 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 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 COASTAL EROSION MANAGEMENT PERMIT Permit #: 7095C Date: May 20, 2009 SCTM#: 38-6-7 Name of Applicant/Agent: Mark Schwartz, AIA Name of Permittee: Iskender Erey & Angelica Bengolea Address of Permittee: 415 Central Park West, Apt. 2E, New York, NY 10025 Property Located: 680 South Lane, East Marion, New York DESCRIPTION OF ACTIVITY: Coastal Erosion Permit to construct a first-floor addition on the landward side of the existing dwelling and expand the second-floor within the existing footprint, create deck over the existing sun porch, and install new windows, extedor doors, siding and roofing. The Coastal Erosion Management Permit allows for the operations as indicated on the survey prepared by Nathan Taft Corwin II1, last dated Apd122, 2009, and received on April 22, 2009. Permit to construct and complete project will expire two years from the date the permit is signed. INSPECTION: Final Inspection SPECIAL CONDITIONS: (apply if marked) N/A Bluff restoration through a re-vegetation plan is a necessary special condition of this permit. N/A A relocation agreement is attached hereto and is a necessary special condition of this permit. N/A A maintenance agreement is attached with application and is a necessary special condition of this permit. Jam~es F. Kln~, P ~sldent Board of Trustees James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 May 20, 2009 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Mr. Mark Schwartz, AIA P.O. Box 933 Cutchogue, NY 11935 RE: ESKENDER EREY & ANGELICA BENGOLEA 680 SOUTH LANE, EAST MARION SCTM# 38-6-7 Dear Mr. Schwartz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 20, 2009 regarding the above matter: WHEREAS, Mark Schwartz, AIA on behalf of ISKENDER EREY & ANGELICA BENGOLEA 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, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, application dated March 17, 2009, 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 May 20, 2009, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 and Chapter 111 of the Southold Town Code, WHEREAS, the Board has determined that the Project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, an(~, RESOLVED that the Board of Trustees approve the application of ISKENDER EREY & ANGELICA BENGOLEA to construct a first-floor addition on the landward side of the existing dwelling and expand the second-floor within the existing footprint, create deck over the existing sun porch, and install new windows, exterior doors, siding and roofing, and as depicted on the survey prepared by Nathan Taft Corwin III, last dated April 22, 2009, and received on April 22, 2009. 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 trulyyours, 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 /'~ ] % c~49~ ~ has been reviewed by this Board at the regular meeting of and your application has been approved pending the ~ompl~fl~n followin~ items ~h~k~ off __ R~vis~d Plans for proposed project __ Pm-Gonstru~tion Hay Bale Lin~ Inspection F~ ($50.00) __ ~ Day of Gonstm~tion ($50.00) ~ Gonstru~ted ($50.00) ~ Final Inspection F~e ($50.00) __ Dock F~es ($3.00 per sq. ft.) P~it f~s am now du~. Pleas~ mak~ ~h~k or money order payabl~ to Town of 8outhold. Th~ f~e is ~mput~d b~low a~rdin~ to th~ s~h~dul~ of rat~s as s~t fo~h in Ghapter 275 of th~ 8outhold Town God~. Th~ followin~ f~ must b~ paid within 90 days or m-application necessa~. You will receive your pe~it upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $_~00 o_go BY: James F. King, President Board of Trustees Donald Wilder, Chairman Lauren Standish, Secretm~ 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., April 15, 2009, the following recommendation was made: Moved by Don Wilder, seconded by Peter Young, it was RESOLVED to SUPPORT the Wetland Permit application of ISKENDER EREY & ANGELICA BENGOLEA to construct a first-floor addition on the landward side of the existing dwelling and expand the second-floor within the existing footprint, create deck over the existing sun porch, and install new windows, exterior doors, siding and roofing. Located: 680 South Lane, East Marion. SCTM#38-6-7 Inspected by: Peter Young, Don Wilder The CAC Supports the application with the Condition gutters and drywells are installed to contain roof run-off from the entire dwelling and non-treated lumber is used. Vote of Council: Ayes: All Motion Carried COASTAL EROSION HAZARD AREA MAP TOWN OF SOUTHOLD SUFFOLK COUNTY , NEW YORK OFFICE LOCATION: Town Hall Annex 54375 State Route 25 Main Rd. & Yoangs 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: Mark Terry, LWRP Coordinator Scott A. Hilary, LWRP Coordinator Date: April 22, 2009 Chapter 268, WATERFRONT CONSISTENCY REVIEW Wetland and Coastal Erosion Permit for ISKENDER EREY & ANGELICA BENGOLEA SCTM#38-6-7 Mark Schwartz, AIA on behalf of ISKENDER EREY & ANGELICA BENGOLEA requests a Wetland Permit to construct a first-floor addition on the landward side of the existing dwelling and expand the second-floor within the existing footprint, create deck over the existing sun porch, and insiall new windows, exterior doors, siding and roofing. Located: 680 South Lane, East Marion. SCTM#38-6-7 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 actions are CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. The proposed new construction to the existing dwelling may require a variance from the ZBA pursuant to § 268-5. The separation distance from the existing dwelling to the bulkhead is approximately 16 feet~ a minimum separation distance of 75 feet is required pursuant to § 280-116. Building setback requirements adiacent to water bodies and wetlands. § 280-116. Building setback requirements adjacent to water bodies and wetlands. Notwithstanding any other provisions of this chapter, the following setback requirements shall apply to all buildings located on lots adjacent to water bodies and wetlands: B. All buildings or structures located on lots upon which a bulkhead, concrete wall, riprap or similar structure exists and which are adjacent to tidal water bodies other than sounds shall be set back not less than 75feet from the bulkhead. § 268-5. Review of actions. I~ Upon recommendation of LWRP CoordinaWr, the designated agency shah consider whether the proposed action is consistent with the LWRP policy standards summarized in ,{' 268-I herein. Prior to making its determination of consistentT, the designated agency shah consider the consistency recommendation qf the LWRP Coordinator. The agency shah render a written determination of consistency based on the CAF, the LWRP Coordinator recommendation and such other information as' is deemed necessary to its determination. No approval or decision shall be renderedJbr an action in the coastal area without a determination of consistency. The designated agency will make the final determination of consistency. The Zoning Board o['Appeals is the designated agenc~ for the determination of consistency for variance applications subject to this chapter. The Zoning Board of Appeals shall consider the written consistencF recommendation of the L WRP Coordinator in the event and at the time it makes a decision to grant such a variance and shall impose appropriate conditions on the variance to make the activit~ consistent with the objectives of this chapter. 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. King, President Jill M. Doher[y, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Po~tage Return Receipt Fee (Endorsement Required) $ S2.70 $2.20 $ $5.32 hted N C. Date of Dellver~ veBt address below: [] N'o [] Retum Receipt for Merchandise [] C.O.D. ry? (Extra F~e) OYes 696 PS Form 3811. February 2004 DolT~sflcRetumR~celpt ,-r- ........ ~ ~-w:~3~.-~"u~'~v~'tYknownas by placing the Board of Trustees official poster where it can easily be se~n, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed. April 22~ 2009 on or about 6:00 PM. Dated: ~ Sworn to before me this cd_ ~ day of Op'~ 2007 o~ary Public LAUREN M. STANDISH Notely Public, State of New York No. 01ST6164008 Qualified in Suffolk County Oommiss on Exp res April 9.20~/~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only 4.~oastal Erosion Permit Application t/Wetland Permit Application Administrative Permit A mendment~T rahs fer/F4xtension / R~ea~v~ Application: -$/i 7/0(~ ~'--_.Completed Application . --Incomplete __SEQRA Classification: Type 1 Type II__Unlisted Coordination:(date sentl_~+~___ ~'CAC Referral Sent: t41 fi>lUX/ .~.Oate of Inspection: /~[ __Receipt of CAC Repor/: ~' ' __Lead Agency Determination: Technical Review: , __--d~blic Hearing Held: I-I ~Resolution: L )r4P '-fid/O? Name of Applicant Iskender Ere%' & Anqelica Benqolea Address 415 Central Park West Apt 2E NY, NY 10025 Phone Number:( ) 917-754-2543 Suffolk County Tax Map Number: 1000 - 3 8 - 06 - 0 7 Property Location: 680 South Lane East Marion 15' east of East Lane on the south side (provide LILCO Pole #, distance to cross streets, and location) AGENT: Mark Schwartz, Architect (If applicable) Address: P.O. Box 933 Cut cheque, NY 11935 Phone: 7~4-4185 ? ~ard of Trustees Application0 GENERAL DATA Land Area (in square feet): 13,438 Area Zoning: R 40 Previous use of properS: sinqle family residence Intended use of property:_ same Prior permits/approvals for site improvements: Agency Date X 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: PrQe~ Descfi~ion (use attachments ifnecessa~): construct first story the existinq footprint) and create a deck over the existing ~ard of Trustees Application0 WETLAND/TRUSTEE LANDS APPLICATION DATA Pu~oseoftheproposedoperations:proposed addition on the first floor ( 9' x 7' addition with porch) and an Areaofwetlands on lot: 1553 square feet Percent coverage of lot: 1 ~ _ 2 % Closest distance between nearest existing structure and upland edge of wetlands: 40 feet Closest distance between nearest proposed structure and upland edge of wetlands: 40 feet Does the project involve excavation or filling? No x Yes If yes, how much material will be excavated? 2 cubic yards How much material will be filled? 2 cubic yards Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: relatively flat Manner in which material will be removed or deposited: small machine 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): positive impact because we will construct a storm water drainage system with ~utters, leaders and underground piping to new drywells to manage, control and recharge ~ ~ ....... ~ ....... ~ m~ ...... 4~ ~ ......... ~ disturbance on the south side. eard of Trustees Application0 COASTAL EROSION APPLICATION DATA Purposes ofproposed activity: addition at first floor for a new Entry and porch. The second floor will be expanded and a new deck is proposed over the existing Sun Porch. Are wetlands present within 1 O0 feet of the proposed activity? No X Yes Does the project involve excavation or filling? No x Yes If Yes, how much material will be excavated? 2 (cubic yards) How much material will be filled? 2 .(cubic yards) Manner in which material will be removed or deposited: to be spread around new foundation of first floor addition and porch areas Describe thenmureandextentoftheenvironmenmlimpacts reasonably anticipated resulting from implementation of the project ~ proposed. (Use attachmems ifnecessa~) positive impact - we will add storm water drainaqe system with ~utters, leaders and underground piping to new dr_vwells to control & recharge stormwater runoff. There will be no around disturbance on the south side. County of Suffolk State of New York ardof Trustees App] DEPOSES AND AFFIRMS THAT'HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLA1MS 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 THI: APPLIC6TION. swo~N TO BEFORE ME miS /C9-~ D^V OF OAt ~ ~ ,2O LAUREN M, STANDISH NO. U Qua ified in Suffolk ..~.u ~[ Commission Expires Apn Iskender Erey and Angelica Bengolea 415 Central Park West Apt 2E New York, New York 10025 917-754-2543 New York, February 27, 2009 To Whom It May Concern: We, Iskender Erey and Angelica Bengolea, authorize Mark Schwartz, AIA - Architect, to act as agent for all permit applications to the Southold Town Board of Trustees, New York State Department of Environmental Conservation, Suffolk County Department of Health and the Southold Building Department and any other authority from whom authorizations may be required. The proposed residential additions/alterations construction project is located at 680 South Lane, East Marion, New York (SCTM# 1000-38-06- 07). Sincerely, Iskender Erey Angelica Bengolea date: February 27, 2009 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For LINLISTED ACTIONS Only ~PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 'l 1. AF,UC~O"SO" Mark Schwartz ~or I 2. ~mOJECr.,~ME Iskender Erey and ~qelica Benqolea~ Erey & Benqolea property m~m~ East MariQn ~.~ Suffolk 680 South Lane East Marion, ~ (SCTM~1000-38-06-07) 5. IS PROPOSED '6. DESC~BE PR~JE~ BRIEFLY: Alterat±ons to e×pand the second floor (within the existing footprint) and construct a small Entry addition on the roadside. SEQR lO. DOESA~T/ONiNVOL~ A PERM~APPROVAL. OR~N~N~NOWOR~TIMAT~1.YFROMANYOTH~GOVERNMENTALAGEN~(FEDERAL, ~A~ []Y~ D~ if~m~)e~,~NYSDEC, Southold Building Dept 11. ~ ~ ~ OF THE ACTION HAVE A CURRENTly VALID PERMit ~ AIRR~OVAL? 12. ~ A RESULT OF PflGOOSl~ AC'rlC~'d ~ EXISTI~ pERM~gOVAL t~UIRE MQOIFIGATION? I C~RTIFY THAT THE INFORMATION pROdDED ABOVE I$ TRUE TO THE BEST OF MY KNOW%.EDGE a~a,u~,~ .am= Mark Schwart$-f'A~.~it_~ect If the actl~ is In ~e ~a~al Ama, and you am a sta~ agenw, c~plete ~ CoeVal ~eessm~t Fo~ before p~ing wffh ~18 a~sme~ OVER 7. AMOUNT OF t.ANO AFFECTED:. 0.1 0.1 F"]yes [~No II N~.des~rtbebrtefly Proposed construction is within 75' of the existing bulkhead - requires Zoning Board Review and apprQv~l. $. WSAT IS PRESENT LAND ~£ m VIONITY OF PROJ£GT? PART II--ENVIRONMENTAL ASSESSMENT (To be completeci I~y Agency) . NO WILL THE PROJECT HAVE AN iMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABL~HMENT OF A CEA? E- IS THERE, OR iS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] YeS [] NO If YeS, explain I~fie/bf PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each aCverse effect icienflfied above, determine whether it is substantial, large, impoAant or otherwise significant. Each effect should be assessed in connection with [ts (a) setting (i.e. ufoan or runil); (bi pmbal)itlty of occurring; (c) duration; (d) irreversibiiity; (e) geographic scope; and (I) magnitude. If necasaary, add attachments or reference supporting materials. Ensure thai explanations COntain sufficient detail fo ~ thct all relevant aclvMle impacts have been identlfMel a~l a~q-"quately a¢lGressed. If question D of Part II was checl~cl yes, the (Ist~rminaUolq and sigllificance must evaluate the potential impact of the propose(I action on the ecvironmenfal characteristics of fha CEA. [] Check this box if you have identified one or more potentially large or significant adverse in'f~?cts which MAY occur. Then proceed directly to the FULL FAF and/or prepare a positive declaration. [] Check this box if you have detenmined, hasecl on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adveme environmental impacts AND provide on attachments as necessary, the reasons supporting this cietermination: AND BENGOLEA PROPERTY Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfrom 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", 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 Dep~uisaent, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 3 8 0 6 O 7 The Application has been submitted to (check appropriate response): TownBoard [] Planning Dept. [] Building Dept. [~ BoardofTrustees [] Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital [] construction, planning activity, agency regulation, land transaction) [] (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: proposed first floor Entry addition and an expansion of the second floor (9' x 7') with a new Porch (within the exlstlnq footprint) and create a new deck area over the existinq Sun Porch. Location of action: 680 South Lane Site acreage: .310 (13,438 sf) East Marion Present land use: single family residence 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) Nameofapplicant: Iskender Erev & Angelica Bengolea (b) Mail~ngaddress: 415 Central Park West Apt 2E NY, NY 10025 (c) Telephone number: Area Code ( ) 917 - 7 5 4 - 2 5 3 4 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No F~ 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 cfa coastal location, and minimizes adverse effects of development. See LWRP Section IH -Policies; Page 2 for evaluation criteria. ~-~ Yes ~ No [] (Not Applicable - please explain) This project entails additions and alterations to a single family Policy 1 is not applicable to the project. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section IH - Policies Pages 3 through 6 for evaluation criteria ~-~ Yes ~'~ No [] (Not Applicable - please explain) mar~tlme area. Policy 2 is not applicable to the project 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 - please explain) To the extent that this policy is applicable to the proposed project, visual quality and scenic resources wil be protected at the site through the protection and maintenance of the well-vegetated embankment buffering the developed port4on of the site from Orient Narbor Atlaeh 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 - please explain) Th~s project does not address nor affect erision control structures or other project_ Attach additional sheets if necessa~ Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section IH - Policies Pages 16 through 21 for evaluation criteria --[~ Yes [] No ~ (Not Applicable - please explain) The proposed pro~ect is consistent with Policy 5 via 3 major components: t.installation of drywells to controlo and recharqe stormwater runoff, 2.upgrade the existinq sanitary system to ensure effective treatment of sanitary_ waste~ 3.retention of the existing vegetation on the embankment buffering the project from tidal wetlands, which is to be preserved permanentel¥ and also protected from site disturbance during construction by a project-limiting fence and staked haybales. A~tach 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 [] (Not Applicable - please explain) The project will be consistent with Policy 6 for the same reasons as Policy 5. Attach additional sheets if neccssm7 Policy ?. Protect and improve air qualit~ in the Town of Southold. Sec LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. Sec Section III - Policies Pages; 34 through 38 for evaluation criteria. [] Yes [] No [] (Not Applicable - please explain) The project will neither affect nor have an impact on air quality in the Town of Southold. Policy 7 is not applicable to the project. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. Sec LWRP Section m - Policies; Pages 34 through 38 for evaluation criteria. ~'~ Yes [] No [] (Not Applicable - please explain) The prmj~nt wqll nm~thymr mrmmtm nmr r~r~ thm handl~n~ mf mml~d wamtm or hazardnum muhmtmncmm_ Policy 8 i~ not mpp]ic~b]e tm thru projmct 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 IH - Policies; Pages 38 through 46 for evaluation criteria. F'~ yes[--] No [] (Not Applicable - please explain) of a~ embankment, public access and recreational use of the adjacent projmct_ Ploicy q ~m mot applicable to the project. Attach additional sheets if necessaU WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section llI- Policies; Pages 47 through 56 for evaluation criteria. [] Yes [] No ~'~ (Not Applicable - please explain) is not applicable to the project. 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 [] No [-~ Not Applicable - please explain The project neither proposes nor affects commercial or recreational fisheries or other uses associated with the livinq marine resources of Lonq Island Sound. Policy 11 is not applicable to the project. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section HI - Policies; Pages 62 through 65 for evaluation criteria. ~ Yes [] No ~-~ Not Applicable - please explain Policy 12 is not applicable to the project. 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- please explain The project affects neither the use nc~r development of energy and m~neral res~]rces_ Policy 13 is not ap?]icab]e to the James F. King. President Jill M. Doherty, Vice-President Peggy A. Dickemon 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/VVorksession Report Date/Time: ISKENDER EREY & ANGELICA BENGOLEA request a Wetland Permit to construct a first-floor addition on the landward side of the existing dwelling and expand the second-floor within the existing footprint, create deck over the existing sun porch, and install new windows, exterior doors, siding and roofing. Located: 680 South Lane, East Marion. SCTM#38-6-7 Type of area to be impacted: .z~Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: v~Wetland __Coastal Erosion__Amendment __Administrative__Emergency __Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: __&King __J.Doherty __P.Dickerson __ __ D. Dzenkowski Mark Terry__other Form filled out in the field by Mailed/Faxed to: Date: D. Bergen ~B.Ghosio, Environmental Technician Review- I11ilU III ' ili1~ ii I IIi1!111i ~lrlq'ilJ [I ................ '"'*" ~-., ~' Y /%. / ? / / NOTES: SURVEY OF PROPERTY SITUATE EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-.38-06-07 SCALE 1 "=20' SEPTEMBER 18, 2008 DECEMBER 2, 200S ADDED DOASTAL EROSION HAZARD LINE APRIL 22, 200 REVISED COASTAL EROSION HAZARD LINE AS PER TOWN AREA = 13,483 sq. ff. (TO TIE LINE) 0.510 CEHTIFIED TO: ANGELICA BENGOLEA 1. ELEVATIONS ARE REFERENCED TO N,G.V.D. 1929 EXISTING ELEVATIONS ARE SHOWN THUS:.~ EXISTING CONTOUR LINES ARE SHOWN THUS: 2. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 56105C0177 O ZONE AE: BASE FLOOD ELEVATIONS DETERMINED ZONE X: DATUM AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN. APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD THE EXISTENCE OF RIGHTS OF WAY N.Y.S. L[c, No. 50467 Nothcn Toff Corwin III Lond Surveyor PHONE (631)727-2090 Fax (631)727-1727 M~IND ADDRESS P.O, Bo~ 1931 Rlverhead, NawYark 11901-0965 C:\Documents ~md Settings\User\Local Settings \Tempoeary Intemet Files\ OLK146 \28-299ALdwg, Model, 4/22/2009 2:26:04 PM, 1:20