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HomeMy WebLinkAboutTR-7156 OR I J BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7156 DATE: AUGUST-19, 2009 ISSUED TO: ANTHONY CAMP.O PROPERTY ADDRESS: 1165 HAYWATERS ROAD CUTCH /T STM# 11,14-24, 25, 26 Q AUTHORIZATIO Pursuant to the provisions of Chapter 275 and/or Chapter III of the.Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 19.1009 and in consideration of application fee in the sum of 250.00 paid by Anthony Campo and subject to the Terms and Conditions as stated in the Resolution,the So�thold Town Board of Trustees au&drizes and permits the following: Wetland Permit to demolish.and reconstruct a new two,-story dwelling,remove and relocate sanitary system with retaining wall's, and`install`new drywells for run-off, and as depicted on the site plan prepared by Mark K.Schwartz,AIA, last dated.June 5, 2000 and received on June 11,200%and site plan received on,July 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. o�a$utow, , �o © • '� Bob Gho , Jr. - Absent James F. King,President ��OF so yo Town Hall Jill M. Doherty,Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen A Q '.2 Bob Ghosio, Jr. 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 /'/2 constructed Y Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO.7156 DATE: AUGUST 19. 2009' ISSUED TO: ANTHONY CAMPO PROPERTY ADDRESS: 1165 HAYWATERS ROAD,CUTCHOGUE SCTM# 111-1-24, 25. 26 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of,the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 19,2009,and in consideration of application fee in the sum of$250.00 paid by Anthony Campo and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to demolish and reconstruct a new two-story dwelling, remove and relocate sanitary system with retaining walls,and install new drywelis for run-off, and as depicted on the site plan prepared by Mark K. Schwartz,AIA, last dated June 5, 2009 and received on June 11, 2009, and site plan received on duly 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. o�Og11fFQ(,�c Go ; Q 'g Bob Gho Jr. — Absent 0 TERMS AND CONDITIONS The Permittee Anthony Campo,residing at 1165 Haywaters Road, Cutchoeue,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. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. 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. 7. 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. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. 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. 0 0 James F.King,President ��oF souryo Town Hall Annex Jill M. Doherty,Vice-President 54375 Main Road P.O.Box 1179 Peggy A. Dickerson 41 41 Southold, New York 11971-0959 Dave Bergen G Bob Ghosio,Jr. �.� Telephone(631) 765-1892 lyCO♦JFax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 19, 2009 Mr. Mark K. Schwartz, AIA P.O. Box 933 Cutchogue, NY 11935 RE: ANTHONY CAMPO 1165 HAYWATERS ROAD, CUTCHOGUE SCTM# 111-1-24, 25, 26 Dear Mr. Schwartz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 19, 2009 regarding the above matter: WHEREAS, Mark K. Schwartz, AIA on behalf of ANTHONY CAMPO applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 11, 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 August 19, 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, 2 0 • 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 ANTHONY CAMPO to demolish and reconstruct a new two-story dwelling, remove and relocate sanitary system with retaining walls, and install new drywells for run-off, and as depicted on the site plan prepared by Mark K. Schwartz, AIA, last dated June 5, 2009 and received on June 11, 2009, and site plan received on July 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: $100.00 Very truly yours, ' aures F. Kc ng President, Board of Trustees JFK/eac . x James F. King,President ���F soyoTown Hall Jill M. Doherty,Vice-President h0 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen M Q Bob Ghosio,Jr. `� �O Telephone(631)765-1892 COUNT'(,� Fax(631)765-6641 BOARD OF TOWN TRUSTEES '' II TOWN OF SOUTHOLD TO: 19nThon)/ GarAPO Please be advised that your application dated JT I o?Ol! has been reviewed by this Board at the regular meeting of and your application has been approved pending the comt etion 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) % 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: pU TOTAL FEES DUE: $ IDU BY: James F. King, President Board of Trustees • �o�S1►FFO[,�c • Donald Wilder,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 d .1� Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., July 15, 2009, the following recommendation was made: Moved by Peter Young, seconded by James Eckert, it was RESOLVED to SUPPORT the Wetland Permit application of ANTHONY CAMPO to demolish and reconstruct a new two-story dwelling, remove and relocate sanitary system with retaining walls, and install new drywells for run-off. Located: 1165 Haywaters Rd., Cutchogue. SCTM#111-1-24,25,26 Inspected by: Peter Young, James Eckert The CAC Supports the application with the Condition of a non-disturbance buffer seaward of the limit of clearing and ground disturbance/hay bale line. Vote of Council: Ayes: All Motion Carried _ H-al i 1__ k r �Ai ts� 0/08"120+9 1'4 r i t. ti f pR �o- r , ; 07/0812009 14 03� < fF n h 4 i C a e • ( N � � Y . s �y ._ krat del► 07!08!2009 14 : 05 a e 1 1® Y � Skyt — t . � - 07/08%2009 14 : 05 r., .r `NAWL ! i 1 tV p �Cy'% 'L w �• r, 1 yak. yt ry' s YI t .. r- 4 ~ ON 07,,/08/2.0:0,914 : 06 it 4ry.Y., t � yCj Ilk Ir Timm _ a 07/08%2009 14 D8 ' s-z d g.Yq tee. '..-_":�. - , ,• James F.King,President p�p$UFF�(,rC P.O-Box 1179 Jill M.Doherty.Vice-Piesident ? Southold,NY 11971 Peggy A.Dickerson Telephone(631)765-1892 Dave Bergen Fax(631)765-6641 Bob Ghosio,Jr. Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ` W09 ANTHONY CAMPO requests a Wetland Permit to demolish and reconstruct a new two-story dwelling, remove and relocate sanitary system with retaining walls, and install new drywelis for run-off. Located: 1165 Haywaters Rd., Cutchogue. SCTM#111-1-24,25,26 Ty of area to be impacted: altwater 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: —Wetland _Coastal Erosion _Amendment _Administrative_Emergency_Pre-Submission Violation Info needed: / Modifications: Conditions: Ven^CIA-- &Pq dCCP/jj&e� ` 4 o Present Were: ing _?Doherty _ .Dickerson D. Bergen hosio, D. Dzenkowski _Scott Hilaryother ° z Form filled out in the field by Mailed/Faxed to: Date: TOWN OF SOUTHOLD -PkOPERTY RECORD CARD OWNER STREET �' .5� VILLAGE DISTRICT SUB. {LOT FORMER O NER N E ACREAGE S W TYPE OF BUILDING . RES.;;Lo SEAS. VL. FARM comm. I IND. i CB. �� I MISC. d LAND IMP. TOTAL DATE RIMARKSAsk -7 ,�Z� a/e,IV .�`d 1W.1, e d 3 Zk iC777z,A44/Q/ '4e Q jc�,e 7? O Dd 6a s� - /0 Oy S ahns�a. 4D 6mpQf J-0 0 . !/o/�✓ p `flrld / d p /Soo 0V Z AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value ' Tillable I illable 2 `7 I o N 13Ry '.2o,' = ISO 6 Tillable. 3 Woodland Swampland Brushland Houi9nPlgti '4 Total MAT �L F ■■u■■■■■■■■■■■■■■■■ ■■lid'■rte■��®■■■■■■■ M. Bldg. 7 i Foundation Bath - . ®� Extension Ext. Wells-® all ®® ,.AINIF�O�- 9— Fire Place �®� Rooms,A f1j) Porch v _ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT r/ i. +46/ YL 407 /.t�Cq �U fG J!' 0 2 6 i ie t F0,RMERIy�NER' ?-- N E ACREAGE Q i ' n5io112rlD as i W TYPE OF BUILDING t i 1—tEd RES. J1,3SEAS. ITOTAL FARM comm. QIND. �IaC�tB/. LAND IMP. DATREMARKS111141611 / . d/i- �e.d dx 6 �yol MTIn-51.1 Cr. o s, rt[ov1 su , d J S6 o ✓ !11)2 6 sn, Pcs'. of9S9z Hove &D. is T,s Lof FC ?i '1f' k-M 0 GD5 -Y S Campo 4u3? .5 4,rce s AGE BUILDING CON61TION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre I Value j Tillobfe ] `Tillable 2 Tillable, 3 Woodland Swampland BrushloM Iiousa.Pleb, r r Total t ■ ni■■■■■■■iii■■ _ Foundation Both ■i�iiiiiiiiiuiiiii Extension Floors � Extension Interior Finish � Extension Hoot � Porch AtticBreezeway Patio � i(2.ZA Porch Rooms Ist Floor Rooms2nd Floor e Garage Driveway ' e ' --� 11 o _ _ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT #r 6 . Lac cme xaI'd OMER &R ^+ , N E ACREAGE -�-- rl '/.2� ! • !.° sem.a1 n ;f aC/ S - W TYPE OF BUILDING Q i t vv /Ats 7 RES. SEAS. VIL FARM COMM. I IND. J CB. I M15C. LAND IMP. TOTAL DATE REMARKS-7111 A W,� �J • Dd Al /7 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 jP A _$vL (H4WD EP Tillable 2 Tillable 3 Woodland Swampland. Brushland House Plot Total ' ry i. O ]w ! .aye• L O b \ \ '�, T " + / ' - »nye,na rA Sa a a x `\ '• � J \ tl k ; y ' � '� N 'Y7 �/ /'~�" Say •-- y, �f"T t � T aTtl � \ OT t i A ry 1 vl' "I Yc � k. vin F�©Ern w. Porn ,��u �J Y"`'� ••, 1 COUNTY OF SUFFOLK © Y' " SWixOLO sEalarvw E • rzu — — — — ,� Red Property To Service Ap q E •.�.�..� �— w. ..� O ...� .� m iw,rv+. uu: ��..or.ngxa 111 a.c OFFICE LOCATION: 1��OF SO(/jho MAILING ADDRESS: Town Hall Annex �0 l0 P.O. Box 1179 54375 State Route 25 # * Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) CA Southold, NY 11971 Q Telephone: 631 765-1938 Fax: 631765-3136 ���OOUNTY 0� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner lv LWRP Coordinator Date: August 17, 2009 Sontro w L Euarc of Trustees Re: Proposed Wetland Permit for ANTHONY CAMPO SCTM#111-1-24,25,26 Mark K. Schwartz, AIA on behalf of ANTHONY CAMPO requests a Wetland Permit to demolish and reconstruct a new two-story dwelling, remove and relocate sanitary system with retaining walls, and install new drywells for run-off. Located: 1165 Haywaters Rd., Cutchogue. SCTM#1 11-1-24,25,26 The survev shows the terminus of Havwater's Road as a separate lot. Further, the submitted survey shows the property boundaries of 111-1-25 and 26 extending to the high water mark. This mapping does not match the 2009 Real Property Tax Service Aaencv "Tax Map book". In addition, the proposed action encroaches into Haywater's Road. It is recommended that the applicant provide proof of abandonment or ownership of the road. The property boundaries on the submitted survey also need to be verified. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the below Policy Standards and therefore is CONSISTENT with the LWRP provided that the below best management practices are required. N. y Figure 1. The subject lot in relation to Haywater's Road(note tax map parcel configuration). In the event the action is approved: Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 6.3 Protect and restore tidal and freshwater wetlands. D. Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order to ensure protection of the wetland's character, quality, values, and functions. The adequacy of the buffer depends on the following factors: 1. Potential for adverse effects associated with the use. Uses such as those involving hazardous materials, on-site sewage disposal, or mineral extraction have high potential for adverse effects and may require substantial buffer. 2. The nature and importance of the wetland and its benefits. Substantial buffers may be necessary to avoid adverse effects from adjacent or nearby uses based on the nature of the land use and the characteristics of the affected wetland. 3. Direction and flow of surface water between a use and adjacent or nearby wetland. Buffer widths may be reduced in areas where drainage patterns normally do not lead directly to the wetland and where adverse affects on the wetland, other than those due to runoff, are not likely. 4. Buffer width necessary to achieve a high particulate filtration efficiency of surface runoff as determined by vegetative cover type, soil characteristics, and slope of land. 5. Other management measures or design alternatives to protect wetlands from adverse effects where site constraints do not allow sufficient buffer width. E. Maintain buffers to ensure that adverse effects of adjacent or nearby development are avoided: 1. Maintain buffers to achieve a high filtration efficiency of surface runoff 2. Avoid permanent or unnecessary disturbance within buffer areas. 3. Maintain existing indigenous vegetation within buffer areas. Staff has researched the best available science on wetland buffers and the effectiveness of such buffers relative to width, species composition and percent cover. Wetland buffer widths from 50 -100 feet are typically recommended to protect water quality and buffers widths of 100 to 350 feet or more are recommended to provide important wildlife functions. Wetland buffer widths assume that a buffer is vegetated with a native plant community necessaryto provide adequate buffer functions. If a buffer(existing or otherwise) is sparsely vegetated, grass, or dominated by invasive species, the buffer should be enhanced with appropriate native species or widened. It is important to note that improving buffer vegetation (species composition and percent cover) is more effective in maintaining and/or enhancing buffer values and functions than merely widening the buffer. It is recommended that perpetual, natural vegetated buffer be required landward from all wetland boundaries on the parcel. NATURAL VEGETATED BUFFER -- a land area of a certain length and width where existing vegetation occurs prior to the commencement of any grading or clearing activity. Vegetation shall be maintained to achieve a minimum percent ground cover of ninety-five (95) percent. To achieve the percent ground cover indigenous, drought tolerant vegetation shall be planted. Survival of planted vegetation shall be (ninety) 90 percent for a period of three (3) years. Maintenance activities within the buffer are limited to removing vegetation which are hazardous to life and property, trimming tree limbs up to a height of fifteen feet (151 to maintain viewsheds, replanting of vegetation and establishing a four foot (4') wide access path constructed of pervious material for access to the water-body. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney y� Office Use Only _Coastal Erosion Permit Application i etland Permit Application Administrative Permit _Amendment/T an fer/Extension -,Keceived Application: /Received Fee:$ ,-Iro-mpleted Application _Incomplete SEQRA Classification: -Type IType 1[ Unlisted Coordination:(date sent .QAC Referral Sent: ✓Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: c-Public Hearing Held: !I _Resolution: LUIR(� flak a Name of Applicant Anthony Campo Address 17 Seaforth Lane, Lloyd Harbor, NY 11743 PhoneNumber:(sz,) 988-4022 Suffolk County Tax Map Number: 1000- 111-01-24,25,26 Property Location: 1165 Haywaters Road(aka Fisherman's Beach Road), Cutchogue, NY end of Fishermans Beach Road (provide LILCO Pole#,distance to cross streets, and location) AGENT:Mark K. Schwartz,Architect (If applicable) Address:P.O. Bax 933,Cutchogue, NY 11935 Phone:(631)734-4185 ��a Board of Trustees Applicati• GENERAL DATA Land Area(in square feet): 25462.14 sq.ft. Area Zoning: Roo Previous use of property:single family residential Intended use of property:single family residential Prior permits/approvals for site improvements: Agency Date Southold Bldg Dept 11/12/76 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? F✓ _No_=Yes If yes, provide explanation: Project Description(use attachments if necessary):Existing house to be demolished and replaced in same general location, meeting flood zone regulations. Existing septic system to be removed and new system installed further from the water to be installed at higher elevation with retaining walls as required by the health deptmt. Drywalls to be installed to control water runoff from the house to reduce erosion. Ward of Trustees Applicati• WETLANDnRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:To dismantle and reconstruct a new 2 story house relocate septic system with retaining walls and install new drywells for runoff. Area of wetlands on lot:3038.44 square feet Percent coverage of lot: 13.3 % Closest distance between nearest existing structure and upland edge of wetlands:393t.d1* s2.9'm hog.feet Closest distance between nearest proposed structure and upland edge of wetlands:39.3•to dea e2.9'to house feet Does the project involve excavation or filling? R NoW1 Yes If yes, how much material will be excavated? 100 cubic yards How much material will be filled? 400 cubic yards Depth of which material will be removed or deposited: 4 feet Proposed slope throughout the area of operations: +/-5% Manner in which material will be removed or deposited:backhoe for excavation, small bulldozer for final grade, new fill for septic shall be contained with retaining walls. 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 effect. Project limiting haybale line will be installed to contain site disturbance during construction. A drainage system of drywells will be installed to capture and recharge roof runoff and an upgraded septic system will be constructed and located more than 100 , from tidal wetlands . PROJECT ID NUMBER SEAR APPPENDIENDI X C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART t•PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME Mark Schwartz Campo Property 3.PRDJECT LOCATION: Municipality Cutchogue County Suffolk 4.PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provWe map 1165 Haywaters Road (aka Fishermans Beach Road) last property at end of Fishermans Beach Road 5.IS PROPOSED ACTION: El New [DExpension r�Modlfcaiion/aNerallon O.DESCRIBE PROJECT BRIEFLY: The existing house will be demolished and replaced in same general location, meeting flood zone regulations. The existing septic system will be removed and a new system to be installed at least 1 00'from tidal wetlands with retaining walls as required by the Suffolk County Dept of Health. A drainage system of drywells will be installed to capture and recharge roof runoff. 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately 0.7 acres S.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS7 Yes a No If W.describe briefly: The project will require Zoning Board approval for setback to the existing bulkheads and Right of Ways. 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT7 (Choose as marry as appy.) OReskiendal r7Wustrial [:]Conm erclal []Agnwhurs []Park/Forest/Open Space —]Otl1er (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, Slate or Loral) aYes []No 0 yes. list agency name and permit / approval: Town Zoning Board, Suffolk Cty Dept od Health and NYSDEC 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Dyes allo If yes, Nat agency name and permit / approval: 1 . AS A ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? 86 No 1 CERTIFY THAT THE INFORMATIONPROVIDEDPROVIDED ABOVEISIS TRU�EE TO THE BEST OF MY KNOWLEDGE Sponsor/ SporreName NI J C/7It� le t ,F/ �/P`C 17 ie—er Date: ,J Signature If the action Is a1 Area,and you are a stats agency, complete the Coastal Asse sment Form before proceeding with this assessment PART 11- IMPACT ASSESSMENT fro be completed by Lead Agency) 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 n 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. Yes [:]No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,b legible) C1. Existing air quality,surface or groundwabr quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential ler erosion,drainage or flooding problems? Explain briefly. C2. Aesthetic,agriwbual,ardmeologlcel,historic,or other natural or cultural resources;or community or neighborhood characteir?Explain briefly; deny: C3. Vegetation er fauna.fish,shebflsh or wWft species,signifficarg habitats,or threatened or endangered species?Explain briefly: C4. A oummualy's exulting plans or goals as oincialy,adapted,or a change In use or lasnaily of use of lend or other natural resources?Explein briefly. C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: CIL Long term,Mort term.cumulative,or ober effects not Identified in C1-C6? Explain briefly: C7. Other im acts(Including changes in use of either auM or lype of ens Explain briefly., D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA ICEAP fl res 0 No E. 1S THERE,OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? Ife Iain: Yes E]No F — PARE III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect idantifled share,determine whether it is substantial.large,important or otherwisesignificent. Each effect should be assessed in connection with Its(a)selling(Le.urban or rural);(b)probability of occurring;(c)duration;(d)Irreversibility:(a) geographic scope;and(t)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to slaw that all relevant adverse impacts have been identified and adequately addressed. If question d of part it was checked yes,thedeterminabon of significance mustevaivate the potential impactofMe proposed action on the environmental characteristics ofbroCEA. Check this box gym he"Identified one ormore potentially large orsignibtant adverse impacts which MAY occur.Then proceaddirectlyto 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 acllo WILL NOT result In any significant adverse environmental impacts AND provide. on attachments as necessary,the reasons supporting thi determination. Name of Lsad Agency Data Print or Type Name Of Kesponsibleea gency Title of Responsible Officer sponan n Lead Xg-ency Signatuns of Pialianin(if differentresponsible o RCHITECT MARK SCHWARTZ &ASSOCIATES 28495 Main Road• PO Bos 933•Cutchoguc. NY 11935 631.734.4185 1 NcNc,cmksarchitcct_cotn July 18,2009 Southold Town Board of Trustees 53095 Route 25 P.O.Box 1179 Southold,New York 11971 Re: Campo Property 1165 Fisherman Beach Road Cutchogue, New York Dear Trustees: The Owners have reviewed their property deed and have stated that there are no covenants or restrictions for residential construction. Please call this office if you have questions or need any additional information. Sincerely, Mark Schwa AIL James F.King,President Town Hall,53095 Main Rd. Jill M.Doherty,Vice-President .r rT P.O. Box 1179 j Peggy A. Dickerson Oy Zc Southold, 11971 Dave Bergen ,� a Telephone(63311)765-1892 Bob Ghosio,Jr. 1 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of m ru 1�6 , N $1.05 0935 ,VIT OF POSTING C3 Pestege $ , - /dba 2 P f 9r 1kg� cenreaFee f2.80 11 i✓ d C3 Retum Recelpl,Fee $2.30 rA Hare O (Entlorsemera RegWted) ` Rea.ncteaDellverYFee f0•00 ' I Ly (Endorsement Required) o $6.15 07/14/2009 rn wal Postage&Fees ;onall posted the property known as m sent To Qrv�r. ..... YP P P Y o -?�-MA/l//ril/.� -• rda /2/7 C'+ rC ff,9 Simi Box_o�f ( .ewA ... ter where it can easily be seen, and that I have checked E•- ,779� .-.-.-� .-.-.-._.- M�AreJ/i° N r eight days prior to the date of the public hearing. e ed. July 22,2009 on or about 6:00 PM. Dated: (signature) Sworn to before me this a day o X2004) j� st 1�sv h Notary Public CONNIE D.BUNGn Notary Public State of New torn No.OlbU6185050 Qualified in Suffolk Count Commission Expires Aorir to p 1 Anthony Campo 17 Seafordi Lane Huntington, New York 11743 631-988-4022 March 10, 2009 To Whom It May Concern: I, Anthony Campo, authorize Mark Schwartz, AIA - Architect, to act as agent for permit applications to the Southold Town Board of Trustees, New York State Department of Environmental Conservation and Southold Town Zoning Board of Appeals, Suffolk County Department of Health and the Southold Building Department. The proposed residential construction project is located at 1165 Fisherman's Beach Road, Cutchogue, New York (SCTM# 1000-111-01-24, 25, 26). Sincerely, Anthonyamp date: ��/��% CA Af P o Board of Trustees Applicati. 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 IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, 1 HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVW OF THI AP CATION. Si ture SWORN TO BEFORE ME THIS__SA DAY OF 20V7 t Notary`Public CONSTANCE LISOWY Notary Public,State of New York No. OIL16110900 Qualified in Suffolk County Commission Expires lune 01,2012 CA µ-t r o APPLICANVAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE,FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose of this f rm is to provide inf atio which can ale the town of ssible conflictsof int rest and allow it to take whatever action is necessary to avoid same. YOUR NAME: �✓ Z (Last name,first name,jpiddle)ifitial,unless you are app ing 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 -y C6 f (if"Other", t v f /KEG,name the activity.) / '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 interesP'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 shares. YES NO —z I f 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 applicant/agent/representative)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 orgreater than 5%of the shares of the corporate stock of the applicant . (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thisday o A 200 Signature Print Name Itfqjex K. C 7Z!— Form Form TS I Town of Southold • CAMPO PROPERTY • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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 SCTM# 111 _01 _24,25,26 The Application has been submitted to(check appropriate response): Town Board ❑✓ Planning Dept. ❑ Building Dept. ❑✓ Board of Trustees ❑✓ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation, land transaction) ❑ (b) Financial assistance(e.g.grant, loan, subsidy) (c) Permit, approval, license,certification: ❑ Nature and extent of action: Demolish existing 2 story house with deck and rebuild new 2 story house with deck at compliant finished floor height elevation.Wood frame construction with a masonry crawl space foundation. Existing septic system to be removed and filled with clean sand. New septic and Drywalls to be installed Location of action:near current location, but further from bodies of water Site acreage:gross=0.58 acres, flagged wetlands=0.51 acres Present land use:single family residential use Present zoning classification:R40 2. 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:Anthony Campo (b) Mailing address:17 Seaforth Lane, Lloyd Harbor, NY 11743 (c) Telephone number: Area Code( ) (631)988-4022 (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?DEC, Health, Bluilding, Town DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ✓❑(Not Applicable- please explain) The project entails the reconstruction of a single-family dwelling on a previously developed site in a heavily developed community. 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 III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ❑ (Not Applicable—please explain) The subject propoerty does not contain nor does the project affect historic or archaeological resources; nor is the project located in a historic maritime 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 will be protected at the site through the protection and maintainance of the well-vegetated areas buffering the developed portion of the site from the tidal waters of Cutchogue Harbor and Haywaters Cove. 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 H through 16 for evaluation criteria ❑ Yes❑ No❑ (Not Applicable—please explain) The project does not address nor affect erosion control structures or other erosion/flooding initiatives. Policy 4 is not applicable to the project. 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—please explain) The proposed project is consistent with policy 5 via(3)major project components: 1 -upgrade and relocation of the existing sanitary system more than 100 feet from the wet lands to ensure effective treatment of the sanitary waste; 2-installation of a drainage system of drywells to control, manage, and recharge stormwater runoff;and 3-retention of the existing vegetation on the site buffering the developed portion of the site from tidal wetlands,which is to be preserved permanently but also protected from site disturbance during construction by a project-limiting fence and stacked haybales. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑✓ Yes ❑No❑ (Not Applicable—please explain) Project will be consistent with Policy 6 for the same reasons described for Policy 5; because there will be no net loss of wetlands; and because the statutory and regulation requirements of both the Town Trustees and NYS DEC will be complied with. 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 R,/ (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. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No R (Not Applicable—please explain) The project will neither create nor require the handling of solid waste or hazardous substances. Policy 8 is not applicable to the project. 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. ❑ YeEl No❑✓ (Not Applicable—please explain) As the project area is limited to the upland portion of the property landward of the top of an embankment, public access and recreational use of the adjacent coastal waters and public lands and resources will not be affected by the project. Policy 9 is not applicable to the project. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No ❑✓ (Not Applicable—please explain) The project neither proposes nor affects water-dependent uses. Policy 10 is not applicable to this 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 21 Not Applicable—please explain The project neither proposes nor affects commercial or recreational fisheries or other uses associated with the living marine resources of Long Island Sound. Policy 11 is not applicable to this project. 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 Z Not Applicable—please explain The project site is neither situated on nor adjacent lands. 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 nor development of energy and mineral resources. Policy 13 is not applicable to the project. Prepared By: �/ J� d Mark Schwartz, AIA - A chi ect „ y `•15 �s R= 126. `�+ e z S $9'00 00 W 93, C, w o i r4 H Y'WATERS 0 5 ” y _ J O Cf T C B.B WR� FISHERMANS R0 s7 y w� LL ,3 B B — g. ss f r. (NOT OPEN, i. a d , K4'o �� emcn <� \ w g � •f 182.b R-g x Gv wwE N 89'00 00 E '� _ - _ o _. _ _ ss• _ _ 2 oPo;cwer-.../ • +4` -�.\l /.O� 1 q h 27.7• Y W a a 4 , / • \�U _ I / Q DO • U w w / w�Tm LINE �, �.s > oo . 03 0 x ' < 2 MERGE 1.5'M. cD I rSTORY P / n FRA44 H " h �+ e oust- ^ w'000 PUi �z 0 . O �5 �b SrESp0' J tl OM' IKybOEC ,gyp. �.�' •e 0 , ' x 0 c %a-5 N I ✓ , AL TEST / �` ti - ' ♦ � TEST MOLE A A I x 1000- 1 11 -01 -26 - • �.bs I _ � 1 � °' ZO N I Akj L 0 T( 17) � � c -� 00 ND AREA = 25,462.14 sq. ft. , rQnEE 0.585 ac. \ c � ALo J ,12 AL Southold Town- �„ Board Of Trustees APPRbVED BY BOARD OF TRUSTEES iv TOWN OF SOUTHOLD L4 t13 Ak rn 1g* DATE rn IL S.C. TAX No. 1000-111-01-24 REVISTON9 RU4EES SET O6/OS/x009 1000-111-01-25 _ 1000-111-01-26 rr PROPERTY IS IN FLOOD ZONE AF(EL. 8) AS SHOWN FLOOD INSURANCE RATE MAP No 36103CO164C ® ED .al1 ,/�. ELEVATION VIEW FROM CUTCHOGUE HARBOR •��,,,„;R!4w SCALE : N-T.S. I [ARBOR kq c m CUTCHOGUE HARBOR ;� c ,- m N 4 N pT15]b' E m S U � m � m Np54645 ✓ m e _ ms E 1{. .L y O p !"/ ” [ .• - Un9 AGFA. Soa oS 9' a 'g`'t „ C7 ' w vivo ARFn.sim i�.q. „„..w•'w "”' A V] O It ELI x d Q 0 L 00 \ FRI[ 4 O O O s' 4` V.00 m N A,'a 0`E ❑ O <O = } EXISTING �_ ;.,a z� x apo SITE PLAN �< < z < SCALE: 1 = 40 -0 ',>' ti� NOTE: Q _ Lu W n 1 I T� ALL SETBACKS SHALL 9f VERIFIED Co PROPOSED < L < If g - IN FIELD WITH SURVEYORPRIORTO �O SITE PLAN `� Z EXCAVATION AND CONSTRUCTION ��ti LL PROPERTY25,46214 SQ FT. ,? SCALE: 1" = 40'-01 Y Z'T PROPERIYTO WETLANDS(FLAGGED) 22,423.7 SQ.FF. -Z� 4 MEETS AND BOUNDS TAKEN FROM SURVEY BY: F�NI EXISTING STRUCTURES(TO REMOVE). TOTAL:1991.6 SQ.FT. 0.8% Cq <Joseph A. ingegno> I/IJ_ HOUSE:869.9 S.F NOS I- r DATED: WOOD DECK.1029.6 S.F NC RO [AUGUST 16 1996> DRAWN MEI/MS BRICKPATIO.93.1 S.F gO j -'- -- -' i ' SCALE 1"=40' EXISTING PERVIOUS DRIVEWAY(TO REMAIN). 15375 SQ FT. 69% 11�1I� 1 J013 PROPOSED STRUCTURES TOTAL.2992.5 SQ.FT. 13.3% I L �,' JON 1 2009 ,TllSHEEEET NUMBER HOUSE.1650 0 S F ! S WOOD DECK:1342.5 SF -- - - $og110a Tp:vll J 'LOT COVERAGE DETERMINED FROM WEHANDS(FLAG6ED) _ from 5l IIu_I'_ S- 1 7cONE' ('tib Aeoik W u � l �fiW 1t�p`. L 1 ih� rq, ;3, Ai, q +i .1 ! l�'1e'y - - y ff ao. �6 y 1 � ww = { IJ 'Fr • �� :... . ,� ..,.� „ x. .e � o � ir, ...,1 .,�: � 'iYYeft M5"r�s a ,~� � S+� rV�A' • !h r,i$S'�ti,` i�" Wit`•,r � `; ,�qia ,r.5 'taz� ,. "m" �,�, I.: r �- iF 1 , '11 ! 'I'.; ,� ,,8 iP k F1 1ft� hl 'TlJq r l} �i.A. 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